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1. WO2017049146 - DEVICE AND SYSTEM FOR INSERTION OF PENETRATING MEMBER

Publication Number WO/2017/049146
Publication Date 23.03.2017
International Application No. PCT/US2016/052228
International Filing Date 16.09.2016
IPC
A61B 34/30 2016.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
34Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
30Surgical robots
A61B 34/32 2016.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
34Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
30Surgical robots
32operating autonomously
CPC
A61B 17/3403
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
34Trocars; Puncturing needles
3403Needle locating or guiding means
A61B 17/3423
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
34Trocars; Puncturing needles
3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
3421Cannulas
3423Access ports, e.g. toroid shape introducers for instruments or hands
A61B 2017/3409
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
34Trocars; Puncturing needles
3403Needle locating or guiding means
3405using mechanical guide means
3409including needle or instrument drives
A61B 2017/3413
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
34Trocars; Puncturing needles
3403Needle locating or guiding means
3413guided by ultrasound
A61B 2090/3929
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
90Instruments, 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
39Markers, e.g. radio-opaque or breast lesions markers
3925ultrasonic
3929Active markers
A61B 34/30
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
34Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
30Surgical robots
Applicants
  • ACTUATED MEDICAL, INC. [US]/[US]
  • BAYLOR COLLEGE OF MEDICINE [US]/[US]
  • TEXAS HEART INSTITUTE [US]/[US]
  • RENNICKS, Kenneth, Wayne
  • HERLIHY, James, Patrick
Inventors
  • RENNICKS, Kenneth, Wayne
  • HERLIHY, James, Patrick
  • BAGWELL, Roger, B.
  • CLEMENT, Ryan, S.
  • MEEHAN, Andrew, J.
  • MULVIHILL, Maureen, L.
  • SCRUGGS, Casey, A.
  • SNOOK, Kevin, A
  • COHN, William, E.
Agents
  • HAUTH, Jessica H.
Priority Data
62/220,56718.09.2015US
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) DEVICE AND SYSTEM FOR INSERTION OF PENETRATING MEMBER
(FR) DISPOSITIF ET SYSTÈME POUR INSERTION D’ÉLÉMENT DE PÉNÉTRATION
Abstract
(EN)
A system, device and method for insertion of a penetrating member into tissue is disclosed, which may be handheld and automated. A detector obtains data regarding subdermal locations of tissue structures, including cavities such as blood vessels. A processor calculates the distance between a preselected target point below the tissue surface, such as within a blood vessel, and the tissue surface, and adjustment data for vertical, angular and extension adjustment of the penetrating member. Vertical, angular and extension actuators carry out the adjustments in real-time as calculated and directed by the processor. Changes in the location of the target point result in automatic recalculation and adjustment by the processor and various actuators. A vibrational actuator induces vibration to the penetrating member during insertion, overcome tissue deformation and vein rolling. A guidewire may be inserted through or by the device, for dilator and catheter insertion once the penetrating member is removed.
(FR)
La présente invention concerne un système, un dispositif et un procédé pour l’insertion d’un élément de pénétration dans un tissu, qui peut être portatif et automatisé. Un détecteur obtient des données concernant des emplacements sous-dermiques de structures tissulaires, comprenant des cavités telles que des vaisseaux sanguins. Un processeur calcule la distance entre un point cible présélectionné au-dessous de la surface du tissu, par exemple à l’intérieur d’un vaisseau sanguin, et la surface du tissu, et des données d’ajustement pour ajustement vertical, angulaire réglage et d’extension de l’élément de pénétration. Des actionneurs vertical, angulaire et d’extension conduisent les ajustements en temps réel tels que calculés et dirigés par le processeur. Des changements de l’emplacement du point cible conduisent au recalcul et à l’ajustement automatique par le processeur et différents actionneurs. Un actionneur vibratoire induit une vibration de l’élément de pénétration pendant l’insertion, de manière à éviter la déformation du tissu et l’enroulement des veines. Un fil-guide peut être inséré à partir ou par le dispositif, pour l’insertion d’un dilatateur et d’un cathéter une fois que l’élément de pénétration est retiré.
Latest bibliographic data on file with the International Bureau