SU1690786A1 - Electrocardial electrode - Google Patents

Electrocardial electrode Download PDF

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Publication number
SU1690786A1
SU1690786A1 SU894734984A SU4734984A SU1690786A1 SU 1690786 A1 SU1690786 A1 SU 1690786A1 SU 894734984 A SU894734984 A SU 894734984A SU 4734984 A SU4734984 A SU 4734984A SU 1690786 A1 SU1690786 A1 SU 1690786A1
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SU
USSR - Soviet Union
Prior art keywords
electrode
contact element
working side
electrocardial
channel
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Application number
SU894734984A
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Russian (ru)
Inventor
Юозас Ионович Сакалаускас
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Каунасский Медицинский Институт
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Priority to SU894734984A priority Critical patent/SU1690786A1/en
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Publication of SU1690786A1 publication Critical patent/SU1690786A1/en

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Abstract

Изобретение относитс  к медицинской технике и может быть использовано дл  высококачественной эндокардиальной электрохирургии при лечении больных с надже- лудочковыми нарушени ми ритма сердца. Целью изобретени   вл етс  уменьшение травматичности операции путем понижени  температуры в зоне воздействи  электрода . Контактный элемент электрода выполнен полым, тонкостенным, с отверсти ми в стенке на его рабочей стороне дл  вытекани  охлаждающей жидкости, а с нерабочей стороны покрыт диэлектриком . -2 ил.The invention relates to medical technology and can be used for high-quality endocardial electrosurgery in the treatment of patients with supraventricular arrhythmias. The aim of the invention is to reduce the morbidity of the operation by lowering the temperature in the area of the electrode. The contact element of the electrode is hollow, thin-walled, with openings in the wall on its working side for the flow of coolant, and on the non-working side is covered with a dielectric. -2 or less

Description

Изобретение относитс  к медицинской технике и может быть использовано в медицине дл  высококачественной эндокардиальной электрохирургии при лечении больных с наджелудочковыми нарушени ми ритма сердца.The invention relates to medical technology and can be used in medicine for high-quality endocardial electrosurgery in the treatment of patients with supraventricular arrhythmias.

Цель изобретени  - уменьшение трав- матичности операции путем понижени  температуры в зоне воздействи  электродом .The purpose of the invention is to reduce the trauma of the operation by lowering the temperature in the zone of action by the electrode.

На фиг.1 изображен эндокардиальный электрод: на фиг.2 - контактный элемент, разрез.Figure 1 shows the endocardial electrode: figure 2 - contact element, a section.

Электрод содержит корпус 1, изготовленный из термопластического изол ционного материала, проводник 2, внутри которого имеетс  канал 3 дл  введени  стилета и подачи охлаждающей жидкости, полый тонкостенный контактный элемент 4. на рабочей стороне которого перфораци  выполнена в виде отверстий 5 дл  вытекани  охлаждающей жидкости к участку эндокарда при высокочастотной коагул ции. Противоположна  сторона контактного элемента покрыта диэлектриком.The electrode includes a housing 1 made of a thermoplastic insulating material, a conductor 2, inside which there is a channel 3 for introducing the stylet and supplying a coolant, a hollow thin-walled contact element 4. On the working side of which the perforation is made in the form of openings 5 for cooling fluid endocardium with high-frequency coagulation. The opposite side of the contact element is covered with dielectric.

Электрод используетс  следующим образом (например при высокочастотной электродеструкции предсердножелудочко- вого соединени  с целью создани  искусственной АВ блокады).The electrode is used as follows (for example, in the case of high-frequency electrical destruction of the atrial-ventricular junction in order to create an artificial AV blockade).

Электрод с помещенным внутри него прс . олочным стилетом пункционным путем (по . методике Сельдингера) ввод т через правою бедренную вену. После удалени  стилета из канала 3 электрод устанавливаетс  в зоне предсердно-желудочкового соединени . Тогда через канал 3 в руко тке электрод соедин ют с симтемой дл  охлаждени  и подключают к высокочастотному аппарату. После его включени  одновременно через канал 3 в токопроводе 2 подаетс  охлаждающа  жидкость, котора  вытекаетс  через отверсти  5 с рабочей стороны контактного элемента 4, охлаждаетElectrode placed inside it. With the olive stylet, the puncture route (using the Seldinger technique) is inserted through the right femoral vein. After the stylet is removed from channel 3, the electrode is installed in the area of the atrioventricular junction. Then, through the channel 3 in the handle, the electrode is connected to the simtema for cooling and connected to a high-frequency apparatus. After it is turned on at the same time, through the channel 3 in the conductor 2, a cooling liquid is supplied, which flows out through the openings 5 from the working side of the contact element 4, cools

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ткани во врем  воздействи  высокочастотной энергии. При этом в зоне воздействи  не образуетс  нагар тканей и более качественно коагулируетс  более глубоколежащие участки ткани. Жидкость при этом имеет комнатную температуру. Если сразу не удал етс  установить электрод в зоне АВ узла, то через канал 3 в руко тке электрод соедин етс  с инфузионной системой дл  охлаждени  и подключаетс  к высокочастотному аппарату. После подключени  электрода одновременно через канал 3 в токопроводе 2 в зоне воздействи  подаетс  охлаждающа  жидкость при температуре + 4°С, котора , вытека  через отверсти  5 с рабочей стороны контактного элемента, вызывает кратко0tissue during exposure to high frequency energy. At the same time, in the zone of action no tissue carbonation is formed and more deep-lying tissue sections coagulate more qualitatively. The liquid at the same time has room temperature. If the electrode is not immediately removed in the zone of the AV node, then through the channel 3 in the handle, the electrode is connected to the infusion system for cooling and connected to a high-frequency apparatus. After connecting the electrode, simultaneously through channel 3 in the conductor 2, in the zone of influence, coolant is supplied at a temperature of + 4 ° C, which, flowing through the holes 5 on the working side of the contact element, causes a short 0

5five

временную АВ блокаду, после чего контактна  часть электрода попадает в зону АВ узла.temporary AV blockade, after which the contact part of the electrode falls into the zone of the AV node.

Claims (1)

Формула изобретени  ЭНдокардиальный электрод, содержащий контактный элемент, соединенный с проводником, размещенным в изолирующем трубчатом корпусе, отличающийс  тем, что, с целью уменьшени  травматично- сти операции, контактный элемент выполнен полым и сообщен осевым каналом, выполненным в корпусе, с емкостью дл  охлаждающей жидкости, при этом рабоча  бокова  поверхность контактного элемента выполнена перфорированной, а нерабоча  снабжена диэлектрическим покрытием.ENDOCARDIAL electrode containing a contact element connected to a conductor housed in an insulating tubular body, characterized in that, in order to reduce the trauma of the operation, the contact element is hollow and communicated by an axial channel made in the body to a coolant reservoir , while the working side surface of the contact element is perforated, and the non-working is provided with a dielectric coating.
SU894734984A 1989-06-30 1989-06-30 Electrocardial electrode SU1690786A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU894734984A SU1690786A1 (en) 1989-06-30 1989-06-30 Electrocardial electrode

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Application Number Priority Date Filing Date Title
SU894734984A SU1690786A1 (en) 1989-06-30 1989-06-30 Electrocardial electrode

Publications (1)

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SU1690786A1 true SU1690786A1 (en) 1991-11-15

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SU894734984A SU1690786A1 (en) 1989-06-30 1989-06-30 Electrocardial electrode

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Cited By (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5348554A (en) * 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
US5520684A (en) * 1993-06-10 1996-05-28 Imran; Mir A. Transurethral radio frequency apparatus for ablation of the prostate gland and method
US5545161A (en) * 1992-12-01 1996-08-13 Cardiac Pathways Corporation Catheter for RF ablation having cooled electrode with electrically insulated sleeve
US5609151A (en) * 1994-09-08 1997-03-11 Medtronic, Inc. Method for R-F ablation
US5687723A (en) * 1993-12-03 1997-11-18 Avitall; Boaz Mapping and ablation catheter system
US5782760A (en) * 1995-05-23 1998-07-21 Cardima, Inc. Over-the-wire EP catheter
US5860974A (en) * 1993-07-01 1999-01-19 Boston Scientific Corporation Heart ablation catheter with expandable electrode and method of coupling energy to an electrode on a catheter shaft
US5876398A (en) * 1994-09-08 1999-03-02 Medtronic, Inc. Method and apparatus for R-F ablation
US5895417A (en) * 1996-03-06 1999-04-20 Cardiac Pathways Corporation Deflectable loop design for a linear lesion ablation apparatus
US5895355A (en) * 1995-05-23 1999-04-20 Cardima, Inc. Over-the-wire EP catheter
US5997532A (en) * 1997-07-03 1999-12-07 Cardiac Pathways Corporation Ablation catheter tip with a buffer layer covering the electrode
US6002956A (en) * 1995-05-23 1999-12-14 Cardima, Inc. Method of treating using an over-the-wire EP catheter
US6010500A (en) * 1997-07-21 2000-01-04 Cardiac Pathways Corporation Telescoping apparatus and method for linear lesion ablation
US6015407A (en) * 1996-03-06 2000-01-18 Cardiac Pathways Corporation Combination linear ablation and cooled tip RF catheters
US6017338A (en) * 1993-12-21 2000-01-25 Angeion Corporation Fluid cooled and perfused tip for a catheter
US6032077A (en) * 1996-03-06 2000-02-29 Cardiac Pathways Corporation Ablation catheter with electrical coupling via foam drenched with a conductive fluid
US6119041A (en) * 1996-03-06 2000-09-12 Cardiac Pathways Corporation Apparatus and method for linear lesion ablation
US6171275B1 (en) 1998-12-03 2001-01-09 Cordis Webster, Inc. Irrigated split tip electrode catheter
US6241666B1 (en) 1997-07-03 2001-06-05 Cardiac Pathways Corp. Ablation catheter tip with a buffer layer covering the electrode
WO2010140924A1 (en) * 2009-06-04 2010-12-09 Avramenko Konstantin Stanislavovich Method for removing biological tissue
US7850685B2 (en) 2005-06-20 2010-12-14 Medtronic Ablation Frontiers Llc Ablation catheter
US8273084B2 (en) 2004-11-24 2012-09-25 Medtronic Ablation Frontiers Llc Atrial ablation catheter and method of use
US8486063B2 (en) 2004-10-14 2013-07-16 Medtronic Ablation Frontiers Llc Ablation catheter
US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US8834461B2 (en) 2005-07-11 2014-09-16 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US9005194B2 (en) 2004-11-24 2015-04-14 Medtronic Ablation Frontiers Llc Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Gollagher I.I. et, al. Catheter technlgue for closed - chest ablation of the atrloventrlculac conduction system. - N. Engl, I.Med, 1982. 306,4, 194-200. *

Cited By (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5658278A (en) * 1992-12-01 1997-08-19 Cardiac Pathways, Inc. Catheter for RF ablation with cooled electrode and method
US5697927A (en) * 1992-12-01 1997-12-16 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode and apparatus for use therewith
US5348554A (en) * 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
US5545161A (en) * 1992-12-01 1996-08-13 Cardiac Pathways Corporation Catheter for RF ablation having cooled electrode with electrically insulated sleeve
AU673015B2 (en) * 1992-12-01 1996-10-24 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode and method
US5423811A (en) * 1992-12-01 1995-06-13 Cardiac Pathways Corporation Method for RF ablation using cooled electrode
US5520684A (en) * 1993-06-10 1996-05-28 Imran; Mir A. Transurethral radio frequency apparatus for ablation of the prostate gland and method
US5860974A (en) * 1993-07-01 1999-01-19 Boston Scientific Corporation Heart ablation catheter with expandable electrode and method of coupling energy to an electrode on a catheter shaft
US5687723A (en) * 1993-12-03 1997-11-18 Avitall; Boaz Mapping and ablation catheter system
US6017338A (en) * 1993-12-21 2000-01-25 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5609151A (en) * 1994-09-08 1997-03-11 Medtronic, Inc. Method for R-F ablation
US5906613A (en) * 1994-09-08 1999-05-25 Medtronic, Inc. Method for R-F ablation
US5725524A (en) * 1994-09-08 1998-03-10 Medtronic, Inc. Apparatus for R-F ablation
US5876398A (en) * 1994-09-08 1999-03-02 Medtronic, Inc. Method and apparatus for R-F ablation
US5782760A (en) * 1995-05-23 1998-07-21 Cardima, Inc. Over-the-wire EP catheter
US5895355A (en) * 1995-05-23 1999-04-20 Cardima, Inc. Over-the-wire EP catheter
US6002956A (en) * 1995-05-23 1999-12-14 Cardima, Inc. Method of treating using an over-the-wire EP catheter
US6032077A (en) * 1996-03-06 2000-02-29 Cardiac Pathways Corporation Ablation catheter with electrical coupling via foam drenched with a conductive fluid
US6119041A (en) * 1996-03-06 2000-09-12 Cardiac Pathways Corporation Apparatus and method for linear lesion ablation
US6015407A (en) * 1996-03-06 2000-01-18 Cardiac Pathways Corporation Combination linear ablation and cooled tip RF catheters
US5895417A (en) * 1996-03-06 1999-04-20 Cardiac Pathways Corporation Deflectable loop design for a linear lesion ablation apparatus
US6241666B1 (en) 1997-07-03 2001-06-05 Cardiac Pathways Corp. Ablation catheter tip with a buffer layer covering the electrode
US5997532A (en) * 1997-07-03 1999-12-07 Cardiac Pathways Corporation Ablation catheter tip with a buffer layer covering the electrode
US6010500A (en) * 1997-07-21 2000-01-04 Cardiac Pathways Corporation Telescoping apparatus and method for linear lesion ablation
US6171275B1 (en) 1998-12-03 2001-01-09 Cordis Webster, Inc. Irrigated split tip electrode catheter
US8486063B2 (en) 2004-10-14 2013-07-16 Medtronic Ablation Frontiers Llc Ablation catheter
US9642675B2 (en) 2004-10-14 2017-05-09 Medtronic Ablation Frontiers Llc Ablation catheter
US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
US8273084B2 (en) 2004-11-24 2012-09-25 Medtronic Ablation Frontiers Llc Atrial ablation catheter and method of use
US9005194B2 (en) 2004-11-24 2015-04-14 Medtronic Ablation Frontiers Llc Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use
US8337492B2 (en) 2005-06-20 2012-12-25 Medtronic Ablation Frontiers Llc Ablation catheter
US7850685B2 (en) 2005-06-20 2010-12-14 Medtronic Ablation Frontiers Llc Ablation catheter
US9468495B2 (en) 2005-06-20 2016-10-18 Medtronic Ablation Frontiers Llc Ablation catheter
US8979841B2 (en) 2005-06-20 2015-03-17 Medtronic Ablation Frontiers Llc Ablation catheter
US8771267B2 (en) 2005-06-20 2014-07-08 Medtronic Ablation Frontiers Llc Ablation catheter
US8834461B2 (en) 2005-07-11 2014-09-16 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US9566113B2 (en) 2005-07-11 2017-02-14 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US8771269B2 (en) 2007-05-11 2014-07-08 Medtronic Ablation Frontiers Llc RF energy delivery system and method
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
US10219857B2 (en) 2007-05-11 2019-03-05 Medtronic Ablation Frontiers Llc RF energy delivery system
WO2010140924A1 (en) * 2009-06-04 2010-12-09 Avramenko Konstantin Stanislavovich Method for removing biological tissue

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