WO2006050225A3 - Apparatus and methods for performing brain surgery - Google Patents

Apparatus and methods for performing brain surgery Download PDF

Info

Publication number
WO2006050225A3
WO2006050225A3 PCT/US2005/039185 US2005039185W WO2006050225A3 WO 2006050225 A3 WO2006050225 A3 WO 2006050225A3 US 2005039185 W US2005039185 W US 2005039185W WO 2006050225 A3 WO2006050225 A3 WO 2006050225A3
Authority
WO
WIPO (PCT)
Prior art keywords
obturator
cannula
surgery
methods
target tissue
Prior art date
Application number
PCT/US2005/039185
Other languages
French (fr)
Other versions
WO2006050225A2 (en
Inventor
Amin Kassam
Original Assignee
Strategic Technology Assessmen
Amin Kassam
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
Priority to US11/665,666 priority Critical patent/US20080109026A1/en
Application filed by Strategic Technology Assessmen, Amin Kassam filed Critical Strategic Technology Assessmen
Publication of WO2006050225A2 publication Critical patent/WO2006050225A2/en
Publication of WO2006050225A3 publication Critical patent/WO2006050225A3/en
Priority to US13/280,015 priority patent/US9770261B2/en
Priority to US13/444,713 priority patent/US9186175B2/en
Priority to US13/474,433 priority patent/US20120289816A1/en
Priority to US13/786,062 priority patent/US9387010B2/en
Priority to US13/786,186 priority patent/US9161820B2/en
Priority to US14/847,863 priority patent/US10143366B2/en
Priority to US14/877,438 priority patent/US9622777B2/en
Priority to US16/102,416 priority patent/US11464539B2/en
Priority to US16/208,085 priority patent/US11412923B2/en
Priority to US17/115,472 priority patent/US11864793B2/en
Priority to US17/220,983 priority patent/US20210236161A1/en
Priority to US17/888,196 priority patent/US20230045431A1/en
Priority to US18/528,121 priority patent/US20240099740A1/en

Links

Classifications

    • 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
    • A61B17/3415—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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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

Abstract

Less invasive surgical techniques for performing brain surgery are disclosed in which a dilating obturator and cannula assembly is inserted into brain tissue until the obturator tip and cannula are adjacent the target tissue. The obturator is removed and surgery is performed through the cannula. In preferred embodiments the obturator and cannula are placed using image guidance techniques and systems to coordinate placement with pre-operative surgical planning. A stylet with associated image guidance may be inserted prior to insertion of the obturator and cannula assembly to guide insertion of the obturator and cannula assembly. Surgery preferable is performed using an endoscope partially inserted into the cannula with an image of the target tissue projected onto a monitor.
PCT/US2005/039185 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery WO2006050225A2 (en)

Priority Applications (14)

Application Number Priority Date Filing Date Title
US11/665,666 US20080109026A1 (en) 2004-10-28 2005-10-28 Apparatus and Methods for Performing Brain Surgery
US13/280,015 US9770261B2 (en) 2004-10-28 2011-10-24 Surgical access assembly and method of using same
US13/444,713 US9186175B2 (en) 2004-10-28 2012-04-11 Surgical access assembly and method of using same
US13/474,433 US20120289816A1 (en) 2004-10-28 2012-05-17 Surgical access assembly and method of using same
US13/786,062 US9387010B2 (en) 2004-10-28 2013-03-05 Surgical access assembly and method of using same
US13/786,186 US9161820B2 (en) 2004-10-28 2013-03-05 Surgical access assembly and method of using same
US14/847,863 US10143366B2 (en) 2004-10-28 2015-09-08 Surgical access assembly and method of using same
US14/877,438 US9622777B2 (en) 2004-10-28 2015-10-07 Surgical access assembly and method of using same
US16/102,416 US11464539B2 (en) 2004-10-28 2018-08-13 Surgical access assembly and method of using same
US16/208,085 US11412923B2 (en) 2004-10-28 2018-12-03 Surgical access assembly and method of using same
US17/115,472 US11864793B2 (en) 2004-10-28 2020-12-08 Surgical access assembly and method of using same
US17/220,983 US20210236161A1 (en) 2004-10-28 2021-04-02 Surgical access assembly and method of using same
US17/888,196 US20230045431A1 (en) 2004-10-28 2022-08-15 Surgical access assembly and method of using same
US18/528,121 US20240099740A1 (en) 2004-10-28 2023-12-04 Surgical access assembly and method of using same

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US62299104P 2004-10-28 2004-10-28
US62309404P 2004-10-28 2004-10-28
US60/623,094 2004-10-28

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13/444,722 Continuation-In-Part US9579121B2 (en) 2004-10-28 2012-04-11 Holding arrangement for a surgical access system

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US11/665,666 A-371-Of-International US20080109026A1 (en) 2004-10-28 2005-10-28 Apparatus and Methods for Performing Brain Surgery
US13/280,015 Continuation-In-Part US9770261B2 (en) 2004-10-28 2011-10-24 Surgical access assembly and method of using same

Publications (2)

Publication Number Publication Date
WO2006050225A2 WO2006050225A2 (en) 2006-05-11
WO2006050225A3 true WO2006050225A3 (en) 2006-09-08

Family

ID=39227003

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2005/038828 WO2006050047A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery
PCT/US2005/039185 WO2006050225A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2005/038828 WO2006050047A2 (en) 2004-10-28 2005-10-28 Apparatus and methods for performing brain surgery

Country Status (1)

Country Link
WO (2) WO2006050047A2 (en)

Cited By (1)

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US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery

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US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9186175B2 (en) 2004-10-28 2015-11-17 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
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US20060287583A1 (en) 2005-06-17 2006-12-21 Pool Cover Corporation Surgical access instruments for use with delicate tissues
JP5496677B2 (en) * 2006-11-27 2014-05-21 ヴァイコール メディカル エルエルシー Surgical access device for sensitive tissue
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 (en) * 2009-06-19 2010-12-23 Olympus Winter & Ibe Gmbh Laparoscopic port with tube piece
DE102011107615A1 (en) * 2011-06-30 2013-01-03 Siegfried Riek trocar
DE102012203908B3 (en) 2012-03-13 2013-06-06 Siegfried Riek Instrument system for minimally invasive surgery in the single-port technique
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
US10166017B2 (en) * 2013-08-05 2019-01-01 Cook Medical Technologies Llc Medical devices having a releasable tubular member and methods of using the same
WO2015175635A1 (en) 2014-05-13 2015-11-19 Vycor Medical, Inc. Guidance system mounts for surgical introducers
GB201411486D0 (en) * 2014-06-27 2014-08-13 Isis Innovation Apparatus for providing and maintaining access to a surgical site
US20170215860A1 (en) * 2014-07-23 2017-08-03 Robert TRIMARCHE Modifications to access ports for minimally invasive neuro surgery
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
CN104771222B (en) * 2015-03-17 2017-08-25 绍兴第二医院 A kind of preparation method of nerve endoscope sheath and the nerve endoscope sheath
CN105343995A (en) * 2015-11-16 2016-02-24 深圳市擎源医疗器械有限公司 Brain retracting apparatus
US10765450B2 (en) 2016-03-15 2020-09-08 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
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
WO2017201203A1 (en) 2016-05-17 2017-11-23 Rebound Therapeutics Corporation Methods and devices for color detection to localize the blood mass of an intracerebral hematoma
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
DE102018216760A1 (en) 2018-09-28 2020-04-02 Carl Zeiss Meditec Ag Applicator for intraoperative radiation therapy

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* 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

Also Published As

Publication number Publication date
WO2006050047A2 (en) 2006-05-11
WO2006050047A3 (en) 2006-08-24
WO2006050225A2 (en) 2006-05-11

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