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WO2006050047A3 - Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau - Google Patents

Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau Download PDF

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Publication number
WO2006050047A3
WO2006050047A3 PCT/US2005/038828 US2005038828W WO2006050047A3 WO 2006050047 A3 WO2006050047 A3 WO 2006050047A3 US 2005038828 W US2005038828 W US 2005038828W WO 2006050047 A3 WO2006050047 A3 WO 2006050047A3
Authority
WO
WIPO (PCT)
Prior art keywords
obturator
cannula
surgery
cannula assembly
dilating
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/US2005/038828
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English (en)
Other versions
WO2006050047A2 (fr
Inventor
Jeffrey A Wilson
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to US11/665,667 priority Critical patent/US9216015B2/en
Publication of WO2006050047A2 publication Critical patent/WO2006050047A2/fr
Publication of WO2006050047A3 publication Critical patent/WO2006050047A3/fr
Anticipated expiration legal-status Critical
Priority to US14/134,360 priority patent/US9386974B2/en
Priority to US15/083,940 priority patent/US9968415B2/en
Priority to US15/083,916 priority patent/US9968414B2/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00907—Material properties transparent or translucent for light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • 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
    • 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
    • A61B2034/2055—Optical tracking systems
    • 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
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • 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
    • A61B2090/3937—Visible markers
    • 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
    • A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
    • 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
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • 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
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M2025/0024—Expandable catheters or sheaths

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Endoscopes (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne des techniques chirurgicales peu vulnérantes, utiles dans la mise en oeuvre d'une intervention chirurgicale sur le cerveau et dans lesquelles un ensemble obturateur-dilatateur et canule est inséré dans le tissu cérébral jusqu'à ce que la pointe de l'obturateur et la canule soient adjacentes au tissu cible. L'obturateur est retiré et l'intervention chirurgicale est mise en oeuvre à travers la canule. Dans des modes de réalisation préférés, l'obturateur et la canule sont mis en place à l'aide de techniques et de systèmes de guidage par images afin de coordonner la mise en place avec la planification chirurgicale préopératoire. Un stylet équipé d'un système associé de guidage par images, qu'on introduit antérieurement à l'ensemble obturateur et canule, permet de guider l'introduction dudit ensemble. L'intervention chirurgicale est de préférence mise en oeuvre au moyen d'un endoscope partiellement introduit dans la canule, une image du tissu cible étant projetée sur un moniteur. L'invention concerne des structures de l'obturateur-dilatateur comportant une pointe demi-sphérique arrondie et/ou une fenêtre optique pour visualiser le tissu cérébral pendant l'expansion; et aussi des structures de manchon expansible servant à dilater le tissu cérébral, qui peuvent être dilatées au moyen de l'ensemble obturateur-dilatateur/canule, d'un ballonnet, d'un ballonnet combiné à une canule repliable ou d'une tresse de court-circuit à expansion radiale.
PCT/US2005/038828 2004-10-28 2005-10-28 Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau Ceased WO2006050047A2 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US11/665,667 US9216015B2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
US14/134,360 US9386974B2 (en) 2004-10-28 2013-12-19 Apparatus and methods for performing brain surgery
US15/083,940 US9968415B2 (en) 2004-10-28 2016-03-29 Apparatus and methods for performing brain surgery
US15/083,916 US9968414B2 (en) 2004-10-28 2016-03-29 Apparatus and methods for performing brain surgery

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US62309404P 2004-10-28 2004-10-28
US62299104P 2004-10-28 2004-10-28
US60/622,991 2004-10-28

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US11/665,667 A-371-Of-International US9216015B2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
US14/134,360 Continuation US9386974B2 (en) 2004-10-28 2013-12-19 Apparatus and methods for performing brain surgery

Publications (2)

Publication Number Publication Date
WO2006050047A2 WO2006050047A2 (fr) 2006-05-11
WO2006050047A3 true WO2006050047A3 (fr) 2006-08-24

Family

ID=39227003

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2005/039185 Ceased WO2006050225A2 (fr) 2004-10-28 2005-10-28 Appareil et methodes pour la pratique de la chirurgie du cerveau
PCT/US2005/038828 Ceased WO2006050047A2 (fr) 2004-10-28 2005-10-28 Dispositif et procedes pour mettre en oeuvre une intervention chirurgicale sur le cerveau

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2005/039185 Ceased WO2006050225A2 (fr) 2004-10-28 2005-10-28 Appareil et methodes pour la pratique de la chirurgie du cerveau

Country Status (1)

Country Link
WO (2) WO2006050225A2 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9307969B2 (en) 2005-06-17 2016-04-12 Vycor Medical, Inc. Tissue retractor apparatus and methods
CN105769268A (zh) * 2015-11-16 2016-07-20 深圳市擎源医疗器械有限公司 脑牵开装置
US11433255B2 (en) 2018-09-28 2022-09-06 Carl Zeiss Meditec Ag Applicator for intraoperative radiotherapy

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US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9579121B2 (en) * 2004-10-28 2017-02-28 Nico Corporation Holding arrangement for a surgical access system
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
JP5496677B2 (ja) * 2006-11-27 2014-05-21 ヴァイコール メディカル エルエルシー 繊細な組織に使用する手術用アクセス器具
US20080183074A1 (en) * 2007-01-25 2008-07-31 Warsaw Orthopedic, Inc. Method and apparatus for coordinated display of anatomical and neuromonitoring information
MY149480A (en) 2009-03-26 2013-08-30 Univ Malaya An apparatus for surgery
DE102009029904A1 (de) * 2009-06-19 2010-12-23 Olympus Winter & Ibe Gmbh Laparoskopischer Port mit Rohrstück
DE102011107615A1 (de) * 2011-06-30 2013-01-03 Siegfried Riek Trokarsystem
DE102012203908B3 (de) 2012-03-13 2013-06-06 Siegfried Riek Instrumentensystem für die minimalinvasive Chirurgie in der Single-Port-Technik
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
JP6364078B2 (ja) * 2013-08-05 2018-07-25 クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニーＣｏｏｋ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｉｅｓ Ｌｌｃ 解放可能なチューブ状部材を有する医療機器およびその使用方法
EP3142541A4 (fr) 2014-05-13 2017-04-26 Vycor Medical, Inc. Montages de système de guidage pour introducteurs chirurgicaux
GB201411486D0 (en) * 2014-06-27 2014-08-13 Isis Innovation Apparatus for providing and maintaining access to a surgical site
JP2017521224A (ja) * 2014-07-23 2017-08-03 ロバート・トリマルケ 最小侵襲神経手術のためのアクセスポートの改良
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
CN104771222B (zh) * 2015-03-17 2017-08-25 绍兴第二医院 一种神经内镜鞘的制作方法及该神经内镜鞘
US10765450B2 (en) 2016-03-15 2020-09-08 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US11413066B2 (en) 2016-03-15 2022-08-16 Nico Corporation Selectively lockable holding arrangement for a surgical access system
JP6883880B2 (ja) * 2016-05-17 2021-06-09 リバウンド セラピュティクス コーポレーションＲｅｂｏｕｎｄ Ｔｈｅｒａｐｅｕｔｉｃｓ Ｃｏｒｐｏｒａｔｉｏｎ 脳内血腫の血液塊を特定する色検出のための方法および装置
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US12178469B2 (en) 2016-11-07 2024-12-31 Vycor Medical Inc. Surgical introducer with guidance system receptacle
CN115919240A (zh) * 2022-12-29 2023-04-07 广东省科学院生物与医学工程研究所 一种腔道内窥装置

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US4638798A (en) * 1980-09-10 1987-01-27 Shelden C Hunter Stereotactic method and apparatus for locating and treating or removing lesions
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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9386974B2 (en) 2004-10-28 2016-07-12 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9307969B2 (en) 2005-06-17 2016-04-12 Vycor Medical, Inc. Tissue retractor apparatus and methods
US9566052B2 (en) 2005-06-17 2017-02-14 Vycor Medical, Inc. Tissue retractor apparatus and methods
CN105769268A (zh) * 2015-11-16 2016-07-20 深圳市擎源医疗器械有限公司 脑牵开装置
US11433255B2 (en) 2018-09-28 2022-09-06 Carl Zeiss Meditec Ag Applicator for intraoperative radiotherapy

Also Published As

Publication number Publication date
WO2006050225A2 (fr) 2006-05-11
WO2006050225A3 (fr) 2006-09-08
WO2006050047A2 (fr) 2006-05-11

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