WO2009144653A3 - Needle with integrated photon detector - Google Patents

Needle with integrated photon detector Download PDF

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Publication number
WO2009144653A3
WO2009144653A3 PCT/IB2009/052174 IB2009052174W WO2009144653A3 WO 2009144653 A3 WO2009144653 A3 WO 2009144653A3 IB 2009052174 W IB2009052174 W IB 2009052174W WO 2009144653 A3 WO2009144653 A3 WO 2009144653A3
Authority
WO
WIPO (PCT)
Prior art keywords
needle
light
tip
integrated
hollow shaft
Prior art date
Application number
PCT/IB2009/052174
Other languages
French (fr)
Other versions
WO2009144653A2 (en
Inventor
Bernardus H. W. Hendriks
Eduard J. Meijer
Martin J. J. Jak
Drazenko Babic
Original Assignee
Koninklijke Philips Electronics N.V.
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 Koninklijke Philips Electronics N.V. filed Critical Koninklijke Philips Electronics N.V.
Publication of WO2009144653A2 publication Critical patent/WO2009144653A2/en
Publication of WO2009144653A3 publication Critical patent/WO2009144653A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
    • A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0071—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
    • A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
    • A61B5/415—Evaluating particular organs or parts of the immune or lymphatic systems the glands, e.g. tonsils, adenoids or thymus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
    • A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
    • A61B5/418—Evaluating particular organs or parts of the immune or lymphatic systems lymph vessels, ducts or nodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/43—Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4375—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the male reproductive system
    • A61B5/4381—Prostate evaluation or disorder diagnosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • 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
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A61B2017/00061—Light spectrum
    • 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
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • 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

Abstract

The needle is equipped with a battery-operated light source (LS), preferably a light emitting diode, and may comprise at least one light-guiding optical fiber (LGMl) integrated into the hollow shaft (S) of the needle and optically coupled to the light source for transferring light waves from one end on which a beam of input light generated by said light source (LS) is incident to another end located in a tissue region of interest (ROI) to be excised around the tip of said needle (N) which is used for illuminating the tissue in front of the tip of said needle, thereby providing an output light assignable to the intensity of the input light. Furthermore, a collection fiber (LGM2) integrated into the needle hollow shaft for collecting the reflected light from the tissue region of interest reaching the tip of the needle may be provided as well as a battery-operated light detector (LD), integrated into the needle, that is capable of detecting the collected light in at least two non-overlapping spectral bands. An alarm system (AS), which may either be contained within the hollow shaft (S) of said needle and electrically connected or, as an alternative, located in a remote unit (CO) exterior of said needle and wirelessly coupled to said light detector, indicates when the needle (N) is approaching a vital anatomical structure that must be left unscathed and/or when the needle tip has reached the tissue to be excised.
PCT/IB2009/052174 2008-05-30 2009-05-25 Needle with integrated photon detector WO2009144653A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP08157347 2008-05-30
EP08157347.9 2008-05-30

Publications (2)

Publication Number Publication Date
WO2009144653A2 WO2009144653A2 (en) 2009-12-03
WO2009144653A3 true WO2009144653A3 (en) 2010-03-11

Family

ID=41078203

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2009/052174 WO2009144653A2 (en) 2008-05-30 2009-05-25 Needle with integrated photon detector

Country Status (1)

Country Link
WO (1) WO2009144653A2 (en)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2977497B1 (en) * 2011-07-07 2013-10-04 Romain Jouffroy NEEDLE BASE SYSTEM AND SYRINGE ASSEMBLY COMPRISING SAME
EP2744395B1 (en) * 2011-09-08 2019-07-17 Koninklijke Philips N.V. Needle device with optical fibers integrated in a movable insert
JP5743329B2 (en) 2012-01-19 2015-07-01 ジーイー・メディカル・システムズ・グローバル・テクノロジー・カンパニー・エルエルシー Ultrasonic diagnostic apparatus and control program therefor
US20140378797A1 (en) * 2012-01-27 2014-12-25 Koninklijke Philips N.V. Apparatus for optical analysis of an associated tissue
US11399898B2 (en) 2012-03-06 2022-08-02 Briteseed, Llc User interface for a system used to determine tissue or artifact characteristics
JP5889398B2 (en) * 2012-04-05 2016-03-22 Ｓｂｉファーマ株式会社 Sentinel lymph node cancer metastasis identification device
EP2852324A4 (en) * 2012-05-21 2016-02-24 Univ Colorado Regents Three-dimensional mapping and therapy of prostate cancer
US9814448B2 (en) 2012-05-21 2017-11-14 Precision Biopsy, Inc. Three-dimensional optical imaging and therapy of prostate cancer
CN103919523B (en) * 2013-01-15 2016-06-29 广州宝胆医疗器械科技有限公司 A kind of endoscope with warning function
WO2015085240A1 (en) 2013-12-05 2015-06-11 Veriskin Llc Skin perfusion monitoring device
JP6511471B2 (en) * 2014-03-25 2019-05-15 ブライトシード・エルエルシーＢｒｉｔｅｓｅｅｄ，Ｌｌｃ Vessel detector and detection method
DE102014107342B4 (en) 2014-05-24 2023-05-04 Frank Braun Device and method for detecting cancerous tumors and other tissue changes
US10820838B2 (en) 2015-02-19 2020-11-03 Briteseed, Llc System for determining vessel size using light absorption
EP3258841B1 (en) 2015-02-19 2019-04-10 Briteseed, LLC System for determining vessel size and/or edge
WO2016187136A1 (en) * 2015-05-15 2016-11-24 Veriskin, Inc. Cutaneous blood flow monitoring device
DE102015109368A1 (en) * 2015-06-12 2016-12-15 avateramedical GmBH Device and method for robotic surgery and positioning aid
WO2017062720A1 (en) 2015-10-08 2017-04-13 Briteseed Llc System and method for determining vessel size
JP7058642B2 (en) 2016-08-30 2022-04-22 ブライトシード・エルエルシー A system for compensating for angular displacement in the irradiation pattern
WO2018225316A1 (en) * 2017-06-05 2018-12-13 オリンパス株式会社 Medical control device
US11723600B2 (en) 2017-09-05 2023-08-15 Briteseed, Llc System and method used to determine tissue and/or artifact characteristics
EP3727140B1 (en) 2017-12-22 2023-11-01 Briteseed, LLC A compact system used to determine tissue or artifact characteristics
US20210393243A1 (en) * 2018-11-12 2021-12-23 Erez Nevo Curved needle core biopsy system
EP3973854A1 (en) * 2020-09-29 2022-03-30 Koninklijke Philips N.V. An optical spectroscopy system

Citations (8)

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US5460182A (en) * 1992-09-14 1995-10-24 Sextant Medical Corporation Tissue penetrating apparatus and methods
WO2002083003A1 (en) * 2001-04-11 2002-10-24 Clarke Dana S Tissue structure identification in advance of instrument
US20030191379A1 (en) * 2002-04-09 2003-10-09 Spectros Corporation Spectroscopy illuminator with improved delivery efficiency for high optical density and reduced thermal load
US20040004846A1 (en) * 2002-07-03 2004-01-08 Steen Mark E. Light source for ophthalmic use
WO2004066824A2 (en) * 2003-01-24 2004-08-12 The General Hospital Corporation System and method for identifying tissue using low-coherence interferometry
WO2006095343A1 (en) * 2005-03-10 2006-09-14 Anatoly Babchenko An optical sensor and a method of its use
US20070239033A1 (en) * 2006-03-17 2007-10-11 The General Hospital Corporation Arrangement, method and computer-accessible medium for identifying characteristics of at least a portion of a blood vessel contained within a tissue using spectral domain low coherence interferometry
DE102006017003A1 (en) * 2006-04-11 2007-10-18 Friedrich-Alexander-Universität Erlangen-Nürnberg Endoscope for depth data acquisition in e.g. medical area, has modulation unit controlling light source based on modulation data so that source transmits modulated light signal and evaluation unit evaluating signal to estimate depth data

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5460182A (en) * 1992-09-14 1995-10-24 Sextant Medical Corporation Tissue penetrating apparatus and methods
WO2002083003A1 (en) * 2001-04-11 2002-10-24 Clarke Dana S Tissue structure identification in advance of instrument
US20050027199A1 (en) * 2001-04-11 2005-02-03 Clarke Dana S. Tissue structure identification in advance of instrument
US20030191379A1 (en) * 2002-04-09 2003-10-09 Spectros Corporation Spectroscopy illuminator with improved delivery efficiency for high optical density and reduced thermal load
US20040004846A1 (en) * 2002-07-03 2004-01-08 Steen Mark E. Light source for ophthalmic use
WO2004066824A2 (en) * 2003-01-24 2004-08-12 The General Hospital Corporation System and method for identifying tissue using low-coherence interferometry
WO2006095343A1 (en) * 2005-03-10 2006-09-14 Anatoly Babchenko An optical sensor and a method of its use
US20070239033A1 (en) * 2006-03-17 2007-10-11 The General Hospital Corporation Arrangement, method and computer-accessible medium for identifying characteristics of at least a portion of a blood vessel contained within a tissue using spectral domain low coherence interferometry
DE102006017003A1 (en) * 2006-04-11 2007-10-18 Friedrich-Alexander-Universität Erlangen-Nürnberg Endoscope for depth data acquisition in e.g. medical area, has modulation unit controlling light source based on modulation data so that source transmits modulated light signal and evaluation unit evaluating signal to estimate depth data

Also Published As

Publication number Publication date
WO2009144653A2 (en) 2009-12-03

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