WO2005089065A3 - Clean margin assessment tool - Google Patents

Clean margin assessment tool Download PDF

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Publication number
WO2005089065A3
WO2005089065A3 PCT/IL2005/000330 IL2005000330W WO2005089065A3 WO 2005089065 A3 WO2005089065 A3 WO 2005089065A3 IL 2005000330 W IL2005000330 W IL 2005000330W WO 2005089065 A3 WO2005089065 A3 WO 2005089065A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
determining
clean margin
assessment tool
type
Prior art date
Application number
PCT/IL2005/000330
Other languages
French (fr)
Other versions
WO2005089065A2 (en
Inventor
Dan Hashimshony
Gil Cohen
Iddo Geltner
Original Assignee
Dune Medical Devices Ltd
Dan Hashimshony
Gil Cohen
Iddo Geltner
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 Dune Medical Devices Ltd, Dan Hashimshony, Gil Cohen, Iddo Geltner filed Critical Dune Medical Devices Ltd
Priority to EP05718903A priority Critical patent/EP1740102A4/en
Priority to US10/558,831 priority patent/US7720532B2/en
Publication of WO2005089065A2 publication Critical patent/WO2005089065A2/en
Priority to US11/705,143 priority patent/US8019411B2/en
Priority to US11/797,167 priority patent/US8032211B2/en
Priority to US11/797,166 priority patent/US20080287750A1/en
Priority to US11/745,334 priority patent/US7904145B2/en
Publication of WO2005089065A3 publication Critical patent/WO2005089065A3/en
Priority to US12/483,738 priority patent/US9750425B2/en
Priority to US15/665,829 priority patent/US11179053B2/en

Links

Classifications

    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • 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
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    • 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
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    • 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
    • A61B5/0091—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for mammography
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A—HUMAN NECESSITIES
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    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/0507—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  using microwaves or terahertz waves
    • 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
    • A61B5/4306—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4312—Breast evaluation or disorder diagnosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0858—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving measuring tissue layers, e.g. skin, interfaces
    • A—HUMAN NECESSITIES
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    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
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    • 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
    • A61B2090/367—Correlation of different images or relation of image positions in respect to the body creating a 3D dataset from 2D images using position information
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
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    • 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
    • A61B5/0086—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 using infrared radiation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A61B5/015—By temperature mapping of body part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4472—Wireless probes

Abstract

An integrated tool is provided, having a tissue-type sensor, for determining the tissue type at a near zone volume of a tissue surface, an a distance-measuring sensor, for determining the distance to an interface with another tissue type, for (i) confirming an existence of a clean margin of heathy tissue around a mailignant tumor, which is being removed, and (ii) determining the depth of the clean margin. The integrated tool may further include a position tracking device and an incision instrument. The soft tissue may be held within a fix frame, while the tumor is being removed.
PCT/IL2005/000330 2002-01-04 2005-03-23 Clean margin assessment tool WO2005089065A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
EP05718903A EP1740102A4 (en) 2004-03-23 2005-03-23 Clean margin assessment tool
US10/558,831 US7720532B2 (en) 2004-03-23 2005-03-23 Clean margin assessment tool
US11/705,143 US8019411B2 (en) 2002-01-04 2007-02-12 Probes, systems, and methods for examining tissue according to the dielectric properties thereof
US11/797,167 US8032211B2 (en) 2002-01-04 2007-05-01 Probes, systems, and methods for examining tissue according to the dielectric properties thereof
US11/797,166 US20080287750A1 (en) 2002-01-04 2007-05-01 Ergonomic probes
US11/745,334 US7904145B2 (en) 2004-03-23 2007-05-07 Clean margin assessment tool
US12/483,738 US9750425B2 (en) 2004-03-23 2009-06-12 Graphical user interfaces (GUI), methods and apparatus for data presentation
US15/665,829 US11179053B2 (en) 2004-03-23 2017-08-01 Graphical user interfaces (GUI), methods and apparatus for data presentation

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US55590104P 2004-03-23 2004-03-23
US60/555,901 2004-03-23

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
PCT/IL2006/000908 Continuation-In-Part WO2007015255A2 (en) 2002-01-04 2006-08-06 Tissue-characterization probe with effective sensor-to-tissue contact
US11/743,028 Continuation-In-Part US20070255169A1 (en) 2001-11-19 2007-05-01 Clean margin assessment tool

Related Child Applications (6)

Application Number Title Priority Date Filing Date
US10/558,831 A-371-Of-International US7720532B2 (en) 2002-01-04 2005-03-23 Clean margin assessment tool
PCT/IL2006/000015 Continuation-In-Part WO2006072947A2 (en) 2002-01-04 2006-01-04 Endoscopic system for in-vivo procedures
US11/567,581 Continuation-In-Part US7471103B2 (en) 2006-12-06 2006-12-06 Method for implementing complex logic within a memory array
US11/705,143 Continuation-In-Part US8019411B2 (en) 2002-01-04 2007-02-12 Probes, systems, and methods for examining tissue according to the dielectric properties thereof
US11/797,167 Continuation-In-Part US8032211B2 (en) 2002-01-04 2007-05-01 Probes, systems, and methods for examining tissue according to the dielectric properties thereof
US11/743,028 Continuation-In-Part US20070255169A1 (en) 2001-11-19 2007-05-01 Clean margin assessment tool

Publications (2)

Publication Number Publication Date
WO2005089065A2 WO2005089065A2 (en) 2005-09-29
WO2005089065A3 true WO2005089065A3 (en) 2007-05-24

Family

ID=34994122

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2005/000330 WO2005089065A2 (en) 2002-01-04 2005-03-23 Clean margin assessment tool

Country Status (3)

Country Link
US (1) US7720532B2 (en)
EP (1) EP1740102A4 (en)
WO (1) WO2005089065A2 (en)

Cited By (1)

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