公开(公告)号：US20180338676A1

公开(公告)日：2018-11-29

申请号：US15606193

申请日：2017-05-26

申请人： COVIDIEN LP

发明人： WILLIAM S. KRIMSKY ,  JOSHUA B. STOPEK

IPC分类号： A61B1/267 ,  A61B1/00

摘要： A coupling device for use with a bronchoscope includes a first portion and a second portion extending laterally from the first portion. The first portion defines a first passageway therethrough configured for receipt of a bronchoscope. The second portion defines a second passageway therethrough configured for receipt of a surgical instrument. The first passageway defines a first axis and the second passageway defines a second axis that is parallel with the first axis.

公开(公告)号：US20180140359A1

公开(公告)日：2018-05-24

申请号：US15815262

申请日：2017-11-16

申请人： COVIDIEN LP

发明人： LEV A. KOYRAKH ,  JOSHUA B. STOPEK

IPC分类号： A61B34/20 ,  A61B34/10 ,  A61B5/06 ,  G06T7/33 ,  G06T7/73

CPC分类号： A61B34/20 ,  A61B1/00158 ,  A61B1/2676 ,  A61B5/062 ,  A61B5/066 ,  A61B34/10 ,  A61B2017/242 ,  A61B2034/102 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2063 ,  A61B2090/364 ,  A61B2090/365 ,  A61B2090/367 ,  A61B2090/3782 ,  G06T7/344 ,  G06T7/75 ,  G06T2200/24 ,  G06T2207/10081 ,  G06T2207/10132 ,  G06T2207/30061 ,  G06T2210/41

摘要： A method for electromagnetic navigation registration is provided. The method includes storing, in a memory, a mapping that associates electromagnetic field-based signal values with corresponding locations within a three-dimensional model of a luminal network. An ultrasound signal is received from an ultrasound probe. Based on the ultrasound signal, an ultrasound-based location of a target in a patient relative to the three-dimensional model is determined. At least a portion of the mapping is updated based on the ultrasound-based location of the target.

公开(公告)号：US20160051221A1

公开(公告)日：2016-02-25

申请号：US14831983

申请日：2015-08-21

申请人： COVIDIEN LP

发明人： WILLIAM J. DICKHANS ,  JOSHUA B. STOPEK ,  JOSEPH D. BRANNAN ,  CASEY M. LADTKOW ,  DARION R. PETERSON

IPC分类号： A61B8/08 ,  A61B8/00 ,  A61B8/12

CPC分类号： A61B8/0841 ,  A61B8/085 ,  A61B8/12 ,  A61B8/463 ,  A61B8/467 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00791 ,  A61B2018/00863 ,  A61B2018/00982 ,  A61B2018/1823 ,  A61B2018/1861 ,  A61B2090/3784

摘要： A system and method for monitoring a surgical procedure, the system including a catheter guidance assembly including an extended working channel navigable to a target, a surgical device positionable through the extended working channel to access the target, at least one sensor disposed on either the extended working channel or the surgical device. The at least one sensor is configured to sense a characteristic of tissue proximate either or both of the extended working channel or the surgical device. The system further includes a computing device operably coupled to the sensor. The computing device is configured to receive the characteristic from the sensor and determine whether the tissue characteristic is indicative of the target or tissue other than the target.

摘要翻译： 一种用于监测外科手术的系统和方法，所述系统包括导管引导组件，所述导管引导组件包括可通向目标的扩展工作通道，可通过所述扩展工作通道定位以接近所述目标的手术装置，至少一个传感器， 工作通道或手术装置。 所述至少一个传感器被配置为感测靠近所述延伸工作通道或所述外科手术装置中的任一个或两者的组织的特征。 该系统还包括可操作地耦合到传感器的计算设备。 计算设备被配置为从传感器接收特征并且确定组织特征是否指示除目标之外的目标或组织。

公开(公告)号：US20190262082A1

公开(公告)日：2019-08-29

申请号：US15904744

申请日：2018-02-26

申请人： COVIDIEN LP

发明人： WILLIAM S. KRIMSKY ,  JOSHUA B. STOPEK

IPC分类号： A61B34/20 ,  A61B8/08 ,  A61B17/34 ,  A61B1/05 ,  A61B1/018 ,  A61B5/06

摘要： A method for performing a percutaneous navigation procedure is provided. A location of an ultrasound sensor is tracked. A trackable needle assembly is navigated to a target and the location of the trackable needle assembly is tracked. Images from a camera operably coupled to the trackable needle assembly are received. A surgical instrument is inserted through a lumen of the trackable needle assembly and a location of the surgical instrument inserted through the lumen of the trackable needle is tracked. The tracked location of each of the ultrasound sensor, the trackable needle assembly, and the surgical instrument is displayed in relation to one another.

公开(公告)号：US20170245740A1

公开(公告)日：2017-08-31

申请号：US15435485

申请日：2017-02-17

申请人： COVIDIEN LP

发明人： WILLIAM S. KRIMSKY ,  WILLIAM J. DICKHANS ,  JOSHUA B. STOPEK

IPC分类号： A61B1/018 ,  A61B1/015 ,  A61B18/18 ,  A61B1/267

摘要： A surgical system includes a bronchoscope, an extended working channel defining an elongated passageway and adapted to extend through the bronchoscope, and a valve in fluid communication with the passageway of the extended working channel. The surgical system further includes an elongated surgical instrument configured and dimensioned to be inserted through the extended working channel. During operation, a fluid is able to flow from the valve and through the extended working channel such that the fluid travels within an annular area surrounding the elongated surgical instrument positioned within the extended working channel.

公开(公告)号：US20160188825A1

公开(公告)日：2016-06-30

申请号：US14926335

申请日：2015-10-29

申请人： COVIDIEN LP

发明人： JOSHUA B. STOPEK

IPC分类号： G06F19/00

CPC分类号： G16H30/40 ,  A61B5/062 ,  A61B5/6852 ,  A61B10/04 ,  A61B18/1492 ,  A61B34/20 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/1861 ,  A61B2034/2051 ,  G06F16/22 ,  G06F16/51 ,  G06F19/321 ,  G06F19/3481 ,  G16H10/40 ,  G16H10/60 ,  G16H20/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/70

摘要： A method of assessing a target including collecting patient data, identifying a target in an image dataset, preparing a pathway plan to arrive at the target, inserting a medical instrument and following the pathway plan to arrive at the target from an opening, extracting a first biopsy sample from the target, performing a cytopathological examination on the biopsy sample, collecting genetic information from the biopsy sample, and presenting one or more treatment options based on a correlation of the patient data, the cytological examination, and the genetic information of the first biopsy sample, and their comparison to the patient data, cytological examination and genetic information of previously acquired biopsy samples. The method may further include acquiring a second biopsy sample.

摘要翻译： 一种评估目标的方法，包括收集患者数据，识别图像数据集中的目标，准备到达目标的途径计划，插入医疗器械，并遵循通路计划从开口到达目标，提取第一 来自目标的活组织检查样品，对活组织检查样品进行细胞病理学检查，从活组织检查样品收集遗传信息，以及基于患者数据，细胞学检查和第一次检测的遗传信息的相关性呈现一个或多个治疗选择 活检样本，以及与以前获得的活检样本的患者数据，细胞学检查和遗传信息的比较。 该方法还可以包括获取第二活检样品。

公开(公告)号：US20180338673A1

公开(公告)日：2018-11-29

申请号：US15606344

申请日：2017-05-26

申请人： COVIDIEN LP

发明人： WILLIAM S. KRIMSKY ,  JOSHUA B. STOPEK

IPC分类号： A61B1/00 ,  A61B1/267

摘要： Surgical apparatus' for navigating and guiding surgical tools and instruments to a target within a patient's body are described. One such apparatus includes an elastomeric sheath having a first lumen and a second lumen. The first lumen is configured to receive an endoscope and the second lumen is configured to receive a surgical tool. The elastomeric sheath further includes a navigation sensor disposed on a distal portion of the elastomeric sheath. The navigation sensor is configured to be detectable in an electromagnetic field and aid in guiding the elastomeric sheath and endoscope, or more particularly a bronchoscope, through the network of a patient's airways. Other embodiments of the apparatus may include balloon anchor disposed on the sheath or an additional collapsible lumen disposed on the sheath and configured to provide an additional passageway for a surgical tool or device.

公开(公告)号：US20180338672A1

公开(公告)日：2018-11-29

申请号：US15606120

申请日：2017-05-26

申请人： COVIDIEN LP

发明人： WILLIAM S. KRIMSKY ,  JOSHUA B. STOPEK

IPC分类号： A61B1/00 ,  A61B1/018 ,  A61B1/267

摘要： Provided in accordance with aspects of the present disclosure is a coupling device configured to receive first and second devices. The coupling device may define a first passageway having an inner surface with a first coefficient of friction and defining a first axis. The coupling device may define a second passageway having an inner surface with a second coefficient of friction and defining a second axis, wherein at least a portion of the second axis is at an angle relative to the first axis.

公开(公告)号：US20160354160A1

公开(公告)日：2016-12-08

申请号：US15147273

申请日：2016-05-05

申请人： COVIDIEN LP

发明人： THOMAS P. CROWLEY ,  DAVID J. MIEL ,  DAVID J. SERDAR ,  JOSHUA B. STOPEK ,  DAVID M. COSTELLO ,  LEV A. KOYRAKH ,  KEITH E. JASPERSON ,  JON D. SCHELL

IPC分类号： A61B34/20 ,  A61B10/06 ,  A61B10/02 ,  A61B34/10 ,  A61B6/12 ,  A61B5/055 ,  A61B5/00 ,  A61B1/267 ,  A61M25/01 ,  A61B18/18

CPC分类号： A61B34/20 ,  A61B1/2676 ,  A61B5/0071 ,  A61B5/055 ,  A61B5/062 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B34/10 ,  A61B2010/0216 ,  A61B2017/00526 ,  A61B2017/00699 ,  A61B2017/00849 ,  A61B2017/00853 ,  A61B2017/00929 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61M25/0105 ,  A61M2025/0166

摘要： A medical instrument includes a printed sensor, a surface, at least one non-conductive material, and at least one pair of contacts. The sensor has at least one coil formed on a conductive material. The surface is suitable for receiving the printed sensor and can be placed in an EM field. The at least one non-conductive material covers the at least one coil of the sensor. The medical instrument contains multiple conductive and nonconductive layers. The at least one pair of contacts are electrically connected to the at least one coil and connectable to the conductive layer, the conductive layer coupled to a measurement device, which senses an induced electrical signal based on a magnetic flux change of the EM field. The location of the medical instrument in a coordinate system of the EM filed is identified based on the induced electrical signal in the sensor.

摘要翻译： 医疗器械包括印刷传感器，表面，至少一种不导电材料和至少一对触点。 传感器具有形成在导电材料上的至少一个线圈。 该表面适用于接收印刷的传感器，并可放置在EM场中。 至少一个非导电材料覆盖传感器的至少一个线圈。 医疗器械包含多个导电和非导电层。 所述至少一对触点电连接到所述至少一个线圈并且可连接到所述导电层，所述导电层耦合到测量装置，所述测量装置基于所述EM场的磁通量变化来感测感应的电信号。 基于传感器中的感应电信号来识别医疗器械在EM场的坐标系中的位置。

公开(公告)号：US20160188800A1

公开(公告)日：2016-06-30

申请号：US14926360

申请日：2015-10-29

申请人： COVIDIEN LP

发明人： JOSHUA B. STOPEK

IPC分类号： G06F19/00 ,  A61B10/04 ,  A61B5/00 ,  A61B34/20

CPC分类号： G16H30/40 ,  A61B5/062 ,  A61B5/6852 ,  A61B10/04 ,  A61B18/1492 ,  A61B34/20 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/1861 ,  A61B2034/2051 ,  G06F16/22 ,  G06F16/51 ,  G06F19/321 ,  G06F19/3481 ,  G16H10/40 ,  G16H10/60 ,  G16H20/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/70

摘要： A system including a database storing data relating to one or more of patient data, an image dataset, target data, pathway data, cytopathological data, genetic information data, treatment data, and outcome observational data from a plurality of prior patients. The system further includes a network connecting the database to an Electromagnetic Navigation (EMN) system and/or to a computing device, a display in communication with the computing device, and a user interface presenting on the display data related to the a target of a present patient. The data may be related to the target of a present patient including one or more of imaging data of the target, cytopathology of the target, genetic information of the target, and treatment options. The treatment options are based on the correlation of similarities in the data from the plurality of prior patients and the data related to target of the present patient.

摘要翻译： 一种系统，包括存储与来自多个先前患者的患者数据，图像数据集，目标数据，途径数据，细胞病理学数据，遗传信息数据，治疗数据和结果观察数据中的一个或多个相关的数据的数据库。 该系统还包括将数据库连接到电磁导航（EMN）系统和/或计算设备的网络，与计算设备通信的显示器以及显示与显示器的目标相关的显示数据的用户界面 现在的病人。 数据可能与目前患者的目标相关，包括目标的成像数据，靶的细胞病理学，目标的遗传信息和治疗选择中的一个或多个。 治疗选择基于来自多个先前患者的数据与与当前患者的靶标相关的数据的相似性的相关性。