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WO2007109554A3 - Tissue visualization and manipulation systems - Google Patents

Tissue visualization and manipulation systems Download PDF

Info

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
Application number
PCT/US2007/064195
Other languages
French (fr)
Other versions
WO2007109554A2 (en
Inventor
Vahid Saadat
Original Assignee
Voyage Medical Inc
Vahid Saadat
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, Vahid Saadat filed Critical Voyage Medical Inc
Priority to EP07758716A priority Critical patent/EP1996065A4/en
Priority to JP2009500630A priority patent/JP4828633B2/en
Publication of WO2007109554A2 publication Critical patent/WO2007109554A2/en
Publication of WO2007109554A3 publication Critical patent/WO2007109554A3/en

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

Tissue visualization and manipulation systems are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, any number of therapeutic tools can also be passed through the deployment catheter and into the imaging hood for treating the tissue region of interest.
PCT/US2007/064195 2006-03-17 2007-03-16 Tissue visualization and manipulation systems WO2007109554A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP07758716A EP1996065A4 (en) 2006-03-17 2007-03-16 Tissue visualization and manipulation systems
JP2009500630A JP4828633B2 (en) 2006-03-17 2007-03-16 Organization visualization and operation system

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 (en) 2007-09-27
WO2007109554A3 true WO2007109554A3 (en) 2008-03-06

Family

ID=38523194

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/064195 WO2007109554A2 (en) 2006-03-17 2007-03-16 Tissue visualization and manipulation systems

Country Status (3)

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

Families Citing this family (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012517314A (en) * 2009-02-12 2012-08-02 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ Intervention device with lighting means
JP2010187744A (en) * 2009-02-16 2010-09-02 Hoya Corp Endoscopic accessory and endoscope
JP5267999B2 (en) * 2009-10-26 2013-08-21 国立大学法人金沢大学 Angioscopy system
US8603078B2 (en) 2010-10-13 2013-12-10 Ethicon Endo-Surgery, Inc. Methods and devices for guiding and supporting surgical instruments
WO2012051292A1 (en) * 2010-10-13 2012-04-19 Ethicon Endo-Surgery, Inc. Methods and devices for mechanical space creation at a surgical site
JP2012223443A (en) * 2011-04-21 2012-11-15 Olympus Corp Guide sheath
JP5754630B2 (en) * 2011-05-24 2015-07-29 オリンパス株式会社 Endoscope hood
FR2977135B1 (en) * 2011-06-29 2014-10-10 Univ Paris Curie ENDOSCOPIC INSTRUMENT WITH SUPPORT FOOT
WO2013044182A1 (en) 2011-09-22 2013-03-28 The George Washington University Systems and methods for visualizing ablated tissue
EP2757933B1 (en) 2011-09-22 2019-02-06 The George Washington University Systems for visualizing ablated tissue
JP5975257B2 (en) * 2012-03-08 2016-08-23 国立大学法人 香川大学 Area securing instrument and endoscope provided with area securing instrument
JP6737705B2 (en) 2013-11-14 2020-08-12 ザ・ジョージ・ワシントン・ユニバーシティThe George Washingtonuniversity Method of operating system for determining depth of injury site and system for generating images of heart tissue
CN105744883B (en) 2013-11-20 2022-03-01 乔治华盛顿大学 System and method for hyperspectral analysis of cardiac tissue
JP6315379B2 (en) * 2014-05-23 2018-04-25 株式会社トップ Endoscope hood
US10143517B2 (en) 2014-11-03 2018-12-04 LuxCath, LLC Systems and methods for assessment of contact quality
JP2017537681A (en) 2014-11-03 2017-12-21 ザ・ジョージ・ワシントン・ユニバーシティThe George Washingtonuniversity Damage evaluation system and method
JP6401098B2 (en) 2015-03-30 2018-10-03 富士フイルム株式会社 Endoscopic diagnosis apparatus and operation method of endoscopic diagnosis apparatus
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
WO2017203582A1 (en) * 2016-05-23 2017-11-30 オリンパス株式会社 Endoscope-use device, and endoscopic system
CN111166463A (en) * 2018-11-09 2020-05-19 杭州诺生医疗科技有限公司 Atrial septostomy device and atrial septostomy system with improved ablation method
CN115103647A (en) 2020-01-08 2022-09-23 460医学股份有限公司 Systems and methods for optical interrogation of ablative lesions

Citations (3)

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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)

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US4619247A (en) * 1983-03-31 1986-10-28 Sumitomo Electric Industries, Ltd. Catheter
JPS60129055A (en) * 1983-12-16 1985-07-10 井上 清 Thrombolytic catheter
JPS59181315A (en) * 1983-03-31 1984-10-15 Kiyoshi Inoue Fiber scope
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 (en) * 1988-11-11 1990-05-18 Hitachi Ltd equipment protection unit
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 (en) * 2000-03-14 2001-09-25 Olympus Optical Co Ltd Endoscope
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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 (en) 2011-03-30
WO2007109554A2 (en) 2007-09-27
EP1996065A2 (en) 2008-12-03
JP2009531081A (en) 2009-09-03
JP4828633B2 (en) 2011-11-30

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