JP2015154930A - 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 - Google Patents
身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/0507—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves using microwaves or terahertz waves
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00442—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to wrist or forearm
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2072—Reference field transducer attached to an instrument or patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
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- A—HUMAN NECESSITIES
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- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
- A61B2090/3975—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3987—Applicators for implanting markers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
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Abstract
【解決手段】胸部内など、患者の身体内の病変を位置決めする装置、システム、及び方法は、ターゲット組織領域内又は周辺にインプラント可能な一又はそれ以上のマーカと、電磁信号を送受信して一又はそれ以上のマーカ620を検出するプローブを具える。使用中は、マーカがターゲット組織領域内にあり、プローブを患者の皮膚に対して配置して、マーカを検出し、位置決めする。病変及びマーカを具える組織検体を、プローブからの位置決め情報に少なくとも部分的に基づいてターゲット組織領域から除去する。
【選択図】図37
Description
Claims (1)
- 患者の身体内のターゲット組織領域を位置決めするシステムにおいて:
患者の身体へ電磁信号を送信し、当該患者の身体からの反射信号を受信する一又はそれ以上のアンテナを具え、前記反射信号を分析して前記患者の身体内の一又はそれ以上の物体を同定するプローブと;
患者の身体内にインプラントするサイズのマーカであって、前記プローブによる前記マーカの同定を強化する能動反射器を具えるマーカと;
を具えることを特徴とするシステム。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
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US22090009P | 2009-06-26 | 2009-06-26 | |
US61/220,900 | 2009-06-26 | ||
US25546909P | 2009-10-27 | 2009-10-27 | |
US61/255,469 | 2009-10-27 | ||
US29769410P | 2010-01-22 | 2010-01-22 | |
US61/297,694 | 2010-01-22 |
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JP2012517805A Division JP5700577B2 (ja) | 2009-06-26 | 2010-06-25 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
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JP2017160745A Division JP6783725B2 (ja) | 2009-06-26 | 2017-08-24 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
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JP2015154930A true JP2015154930A (ja) | 2015-08-27 |
JP6202636B2 JP6202636B2 (ja) | 2017-09-27 |
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JP2012517805A Active JP5700577B2 (ja) | 2009-06-26 | 2010-06-25 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
JP2015024866A Active JP6202636B2 (ja) | 2009-06-26 | 2015-02-12 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
JP2017160745A Active JP6783725B2 (ja) | 2009-06-26 | 2017-08-24 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
JP2020111267A Pending JP2020163217A (ja) | 2009-06-26 | 2020-06-29 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
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JP2012517805A Active JP5700577B2 (ja) | 2009-06-26 | 2010-06-25 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
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JP2017160745A Active JP6783725B2 (ja) | 2009-06-26 | 2017-08-24 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
JP2020111267A Pending JP2020163217A (ja) | 2009-06-26 | 2020-06-29 | 身体内のマーカあるいは組織構造を位置決めする装置、システム及び方法 |
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US (3) | US8892185B2 (ja) |
EP (4) | EP3847959A1 (ja) |
JP (4) | JP5700577B2 (ja) |
AU (2) | AU2010265891B2 (ja) |
CA (1) | CA2766341C (ja) |
ES (1) | ES2843628T3 (ja) |
WO (1) | WO2010151843A2 (ja) |
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