JP6517198B2 - 介入療法を案内する弾性層の識別 - Google Patents
介入療法を案内する弾性層の識別 Download PDFInfo
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- JP6517198B2 JP6517198B2 JP2016525433A JP2016525433A JP6517198B2 JP 6517198 B2 JP6517198 B2 JP 6517198B2 JP 2016525433 A JP2016525433 A JP 2016525433A JP 2016525433 A JP2016525433 A JP 2016525433A JP 6517198 B2 JP6517198 B2 JP 6517198B2
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Classifications
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
-
- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22071—Steering
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
- A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
-
- 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
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
- A61B2090/3735—Optical coherence tomography [OCT]
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Description
本願は、米国仮出願(番号61/843,866、名称"IDENTIFICATION OF ELASTIC LAMINA TO GUIDE INTERVENTIONAL THERAPY"、2013年7月8日出願)への優先権を主張しており、その全体内容は参照によりここに組み込まれる。
本明細書で言及されるすべての刊行物及び特許出願は、あたかも個々の刊行物又は特許出願が具体的にかつ個々に提示されて参照により組み込まれていると言える程度に、参照により本明細書に組み込まれる。
Claims (8)
- OCT画像を収集するように構成され、装着されたOCT画像センサを有するカテーテルと、
OCT画像内の外部弾性層を自動的に識別するように構成されたコントローラと、
カテーテルの遠位端に配置されたカッタとを備え、
コントローラはさらに、カッタと外部弾性層との間の距離を判断するように構成されるカテーテルシステム。 - コントローラと接続されたディスプレイをさらに備え、ディスプレイは、血管のトロイダル視野としてOCT画像を表示するように構成される請求項1記載のシステム。
- コントローラはさらに、ディスプレイにおいてOCT画像内の外部弾性層を強調するように構成される請求項2記載のシステム。
- OCT画像を収集するように構成され、装着されたOCT画像センサを有するカテーテルと、
OCT画像内の外部弾性層を自動的に識別するように構成されたコントローラと、
カテーテルの遠位端に配置され、能動モードに配置された場合に血管内の組織を切断するように構成された、カッタとを備え、
コントローラはさらに、識別に基づいてカッタによる血管内の組織の切断の深さを調整するように構成され、
切断の深さを調整することは、カッタを能動モードから、血管内の組織を切断しないように構成された受動モードへ移動することを含むカテーテルシステム。 - カテーテルはさらに、カッタを露出または覆うように膨張または収縮するように構成されたバルーンを含み、
カッタを能動モードから受動モードへ移動することは、バルーンを少なくとも部分的に収縮させることを含む請求項4記載のシステム。 - OCT画像を収集するように構成され、装着されたOCT画像センサを有するカテーテルと、
OCT画像内の外部弾性層を自動的に識別するように構成されたコントローラとを備え、
コントローラはさらに、識別に基づいて、装置の遠位先端の方向を調整するように構成されるカテーテルシステム。 - コントローラは、もし距離が閾値未満である場合、アラームを起動するように構成される請求項1記載のシステム。
- コントローラは、もし距離が閾値未満である場合、切断を防止するように構成される請求項1記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361843866P | 2013-07-08 | 2013-07-08 | |
US61/843,866 | 2013-07-08 | ||
PCT/US2014/045799 WO2015006353A1 (en) | 2013-07-08 | 2014-07-08 | Identification of elastic lamina to guide interventional therapy |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016526470A JP2016526470A (ja) | 2016-09-05 |
JP6517198B2 true JP6517198B2 (ja) | 2019-05-22 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016525433A Active JP6517198B2 (ja) | 2013-07-08 | 2014-07-08 | 介入療法を案内する弾性層の識別 |
Country Status (4)
Country | Link |
---|---|
US (3) | US10130386B2 (ja) |
EP (1) | EP3019096B1 (ja) |
JP (1) | JP6517198B2 (ja) |
WO (1) | WO2015006353A1 (ja) |
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US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
US9345406B2 (en) | 2011-11-11 | 2016-05-24 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
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US11096717B2 (en) | 2013-03-15 | 2021-08-24 | Avinger, Inc. | Tissue collection device for catheter |
CN105228514B (zh) | 2013-03-15 | 2019-01-22 | 阿维格公司 | 光学压力传感器组件 |
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US10130386B2 (en) | 2013-07-08 | 2018-11-20 | Avinger, Inc. | Identification of elastic lamina to guide interventional therapy |
JP6539669B2 (ja) | 2014-02-06 | 2019-07-03 | アビンガー・インコーポレイテッドAvinger, Inc. | 粥腫切除カテーテル及び閉塞横断装置 |
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US10130386B2 (en) | 2018-11-20 |
US10806484B2 (en) | 2020-10-20 |
US20160135832A1 (en) | 2016-05-19 |
US20190159796A1 (en) | 2019-05-30 |
JP2016526470A (ja) | 2016-09-05 |
US11944342B2 (en) | 2024-04-02 |
EP3019096A1 (en) | 2016-05-18 |
EP3019096A4 (en) | 2016-12-28 |
WO2015006353A1 (en) | 2015-01-15 |
EP3019096B1 (en) | 2023-07-05 |
US20210267621A1 (en) | 2021-09-02 |
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