WO2007109554A3 - Systèmes de visualisation et manipulation de tissus - Google Patents

Systèmes de visualisation et manipulation de tissus Download PDF

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Publication number
WO2007109554A3
WO2007109554A3 PCT/US2007/064195 US2007064195W WO2007109554A3 WO 2007109554 A3 WO2007109554 A3 WO 2007109554A3 US 2007064195 W US2007064195 W US 2007064195W WO 2007109554 A3 WO2007109554 A3 WO 2007109554A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
imaging hood
deployment catheter
region
manipulation systems
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2007/064195
Other languages
English (en)
Other versions
WO2007109554A2 (fr
Inventor
Vahid Saadat
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Voyage Medical Inc
Original Assignee
Voyage Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Voyage Medical Inc filed Critical Voyage Medical Inc
Priority to EP07758716A priority Critical patent/EP1996065A4/fr
Priority to JP2009500630A priority patent/JP4828633B2/ja
Publication of WO2007109554A2 publication Critical patent/WO2007109554A2/fr
Publication of WO2007109554A3 publication Critical patent/WO2007109554A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00085Baskets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089Hoods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447Linked multiple cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne des systèmes de visualisation et manipulation de tissus. Un système selon l'invention peut comprendre un cathéter de déploiement auquel est attachée une jupe d'imagerie pouvant être déployée en une configuration étendue. En cours d'emploi, la jupe d'imagerie est placée contre ou adjacente à une région d'un tissu à visualiser dans une lumière corporelle qui est normalement remplie d'un liquide corporel opaque tel que du sang. Un liquide translucide ou transparent, une solution saline par exemple, peut être pompé dans la jupe d'imagerie jusqu'à ce que le liquide ait déplacé le sang, laissant de la sorte une région dégagée de tissu, qui sera visualisée via un élément d'imagerie situé dans le cathéter de déploiement. On peut en outre faire passer un nombre d'instruments thérapeutiques à travers le cathéter de déploiement et dans la jupe d'imagerie afin de traiter la région tissulaire d'intérêt.
PCT/US2007/064195 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus Ceased WO2007109554A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP07758716A EP1996065A4 (fr) 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus
JP2009500630A JP4828633B2 (ja) 2006-03-17 2007-03-16 組織可視化および操作システム

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US78349406P 2006-03-17 2006-03-17
US60/783,494 2006-03-17

Publications (2)

Publication Number Publication Date
WO2007109554A2 WO2007109554A2 (fr) 2007-09-27
WO2007109554A3 true WO2007109554A3 (fr) 2008-03-06

Family

ID=38523194

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/064195 Ceased WO2007109554A2 (fr) 2006-03-17 2007-03-16 Systèmes de visualisation et manipulation de tissus

Country Status (3)

Country Link
EP (1) EP1996065A4 (fr)
JP (1) JP4828633B2 (fr)
WO (1) WO2007109554A2 (fr)

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2011137430A (ru) * 2009-02-12 2013-03-20 Конинклейке Филипс Электроникс Н.В. Хирургическое приспособление с осветительным устройством
JP2010187744A (ja) * 2009-02-16 2010-09-02 Hoya Corp 内視鏡アクセサリおよび内視鏡
JP5267999B2 (ja) * 2009-10-26 2013-08-21 国立大学法人金沢大学 血管内視鏡システム
WO2012051292A1 (fr) * 2010-10-13 2012-04-19 Ethicon Endo-Surgery, Inc. Procédés et dispositifs pour la création d'un espace mécanique au niveau d'un site chirurgical
US8603078B2 (en) 2010-10-13 2013-12-10 Ethicon Endo-Surgery, Inc. Methods and devices for guiding and supporting surgical instruments
JP2012223443A (ja) * 2011-04-21 2012-11-15 Olympus Corp ガイドシース
JP5754630B2 (ja) * 2011-05-24 2015-07-29 オリンパス株式会社 内視鏡用フード
FR2977135B1 (fr) * 2011-06-29 2014-10-10 Univ Paris Curie Instrument endoscopique a pied d'appui
US9014789B2 (en) 2011-09-22 2015-04-21 The George Washington University Systems and methods for visualizing ablated tissue
AU2012312066C1 (en) 2011-09-22 2016-06-16 460Medical, Inc. Systems and methods for visualizing ablated tissue
JP5975257B2 (ja) * 2012-03-08 2016-08-23 国立大学法人 香川大学 領域確保用器具および領域確保用器具を備えた内視鏡
US11096584B2 (en) 2013-11-14 2021-08-24 The George Washington University Systems and methods for determining lesion depth using fluorescence imaging
US20150141847A1 (en) 2013-11-20 2015-05-21 The George Washington University Systems and methods for hyperspectral analysis of cardiac tissue
JP6315379B2 (ja) * 2014-05-23 2018-04-25 株式会社トップ 内視鏡用フード
CN107613849B (zh) 2014-11-03 2021-05-04 乔治华盛顿大学 用于损伤评估的系统和方法
US10143517B2 (en) 2014-11-03 2018-12-04 LuxCath, LLC Systems and methods for assessment of contact quality
JP6401098B2 (ja) * 2015-03-30 2018-10-03 富士フイルム株式会社 内視鏡診断装置および内視鏡診断装置の作動方法
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
WO2017203582A1 (fr) 2016-05-23 2017-11-30 オリンパス株式会社 Dispositif d'utilisation d'endoscope et système endoscopique
CN111166463A (zh) * 2018-11-09 2020-05-19 杭州诺生医疗科技有限公司 改进消融方式的房间隔造口装置及房间隔造口系统
US12076081B2 (en) 2020-01-08 2024-09-03 460Medical, Inc. Systems and methods for optical interrogation of ablation lesions
WO2021243061A1 (fr) 2020-05-27 2021-12-02 The George Washington University Visualisation de lésions par une approche à deux longueurs d'onde

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6004269A (en) * 1993-07-01 1999-12-21 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US20040097788A1 (en) * 2002-05-30 2004-05-20 Mourlas Nicholas J. Apparatus and methods for coronary sinus access

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60129055A (ja) * 1983-12-16 1985-07-10 井上 清 血栓溶解カテ−テル
US4619247A (en) * 1983-03-31 1986-10-28 Sumitomo Electric Industries, Ltd. Catheter
JPS6068865A (ja) * 1983-09-26 1985-04-19 住友電気工業株式会社 カテ−テル
JPS59181315A (ja) * 1983-03-31 1984-10-15 Kiyoshi Inoue フアイバスコ−プ
US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
US4976710A (en) * 1987-01-28 1990-12-11 Mackin Robert A Working well balloon method
JPH02130601A (ja) * 1988-11-11 1990-05-18 Hitachi Ltd 機器保護ユニット
US6755811B1 (en) 1999-08-25 2004-06-29 Corazon Technologies, Inc. Methods and devices for reducing the mineral content of a region of non-intimal vascular tissue
JP2001258822A (ja) * 2000-03-14 2001-09-25 Olympus Optical Co Ltd 内視鏡
US7534204B2 (en) * 2003-09-03 2009-05-19 Guided Delivery Systems, Inc. Cardiac visualization devices and methods
US7860555B2 (en) * 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6004269A (en) * 1993-07-01 1999-12-21 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US6047218A (en) * 1996-10-28 2000-04-04 Ep Technologies, Inc. Systems and methods for visualizing interior tissue regions
US20040097788A1 (en) * 2002-05-30 2004-05-20 Mourlas Nicholas J. Apparatus and methods for coronary sinus access

Also Published As

Publication number Publication date
EP1996065A4 (fr) 2011-03-30
WO2007109554A2 (fr) 2007-09-27
JP4828633B2 (ja) 2011-11-30
EP1996065A2 (fr) 2008-12-03
JP2009531081A (ja) 2009-09-03

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