ATE312577T1 - Integriertes gerät zur erwärmung und kühlung von gewebe - Google Patents

Integriertes gerät zur erwärmung und kühlung von gewebe

Info

Publication number
ATE312577T1
ATE312577T1 AT00930371T AT00930371T ATE312577T1 AT E312577 T1 ATE312577 T1 AT E312577T1 AT 00930371 T AT00930371 T AT 00930371T AT 00930371 T AT00930371 T AT 00930371T AT E312577 T1 ATE312577 T1 AT E312577T1
Authority
AT
Austria
Prior art keywords
radio frequency
expandable member
abnormal tissue
tissue
warming
Prior art date
Application number
AT00930371T
Other languages
English (en)
Inventor
Stuart D Edwards
John Gaiser
David Utley
Scott West
Jay Qin
Original Assignee
Curon Medical Inc
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 Curon Medical Inc filed Critical Curon Medical Inc
Application granted granted Critical
Publication of ATE312577T1 publication Critical patent/ATE312577T1/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1477Needle-like probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • AHUMAN NECESSITIES
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    • A61B2018/00041Heating, e.g. defrosting
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    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
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    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00148Coatings on the energy applicator with metal
    • AHUMAN NECESSITIES
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    • A61B2018/0022Balloons
    • A61B2018/00232Balloons having an irregular shape
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    • A61B2018/0022Balloons
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    • A61B2018/00261Multiple balloons arranged in a line
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    • A61B2018/00267Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
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    • A61B2018/00053Mechanical features of the instrument of device
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    • A61B2018/00279Anchoring means for temporary attachment of a device to tissue deployable
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    • A61B2018/00273Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291Anchoring means for temporary attachment of a device to tissue using suction
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • A61B2018/00494Stomach, intestines or bowel
    • AHUMAN NECESSITIES
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00553Sphincter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/0066Sensing and controlling the application of energy without feedback, i.e. open loop control
    • AHUMAN NECESSITIES
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    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00755Resistance or impedance
    • AHUMAN NECESSITIES
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    • A61B2018/00791Temperature
    • A61B2018/00815Temperature measured by a thermistor
    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00898Alarms or notifications created in response to an abnormal condition
    • AHUMAN NECESSITIES
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/046Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in liquid form
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1475Electrodes retractable in or deployable from a housing
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Devices That Are Associated With Refrigeration Equipment (AREA)
  • Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)
  • Apparatus Associated With Microorganisms And Enzymes (AREA)
AT00930371T 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe ATE312577T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/305,079 US6273886B1 (en) 1998-02-19 1999-05-04 Integrated tissue heating and cooling apparatus
PCT/US2000/012204 WO2000066052A1 (en) 1999-05-04 2000-05-02 Integrated tissue heating and cooling apparatus

Publications (1)

Publication Number Publication Date
ATE312577T1 true ATE312577T1 (de) 2005-12-15

Family

ID=23179237

Family Applications (2)

Application Number Title Priority Date Filing Date
AT05077167T ATE391462T1 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe
AT00930371T ATE312577T1 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe

Family Applications Before (1)

Application Number Title Priority Date Filing Date
AT05077167T ATE391462T1 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe

Country Status (10)

Country Link
US (1) US6273886B1 (de)
EP (2) EP1180992B1 (de)
JP (1) JP2002542891A (de)
AT (2) ATE391462T1 (de)
AU (1) AU4820300A (de)
CA (1) CA2372201A1 (de)
DE (2) DE60024812T2 (de)
ES (1) ES2308375T3 (de)
NO (1) NO20015382L (de)
WO (1) WO2000066052A1 (de)

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US6726685B2 (en) * 2001-06-06 2004-04-27 Oratec Interventions, Inc. Intervertebral disc device employing looped probe
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US6699244B2 (en) 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
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US20030178032A1 (en) * 1997-08-13 2003-09-25 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
JP2001514921A (ja) 1997-08-13 2001-09-18 サークス, インコーポレイテッド 組織収縮のための非侵襲性デバイス、方法、およびシステム
US6358245B1 (en) * 1998-02-19 2002-03-19 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US7468060B2 (en) * 1998-02-19 2008-12-23 Respiratory Diagnostic, Inc. Systems and methods for treating obesity and other gastrointestinal conditions
US8906010B2 (en) * 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
WO2000023147A1 (en) * 1998-10-20 2000-04-27 Dornier Medtech Holding International Gmbh Thermal therapy with tissue protection
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
US7901400B2 (en) 1998-10-23 2011-03-08 Covidien Ag Method and system for controlling output of RF medical generator
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US6530919B1 (en) * 1998-10-30 2003-03-11 Redfield, Inc. Infrared coagulator with disposable tip light guide
US6409723B1 (en) 1999-04-02 2002-06-25 Stuart D. Edwards Treating body tissue by applying energy and substances
US6286999B1 (en) 1999-05-11 2001-09-11 Pactiv Corporation Tamper-evident reclosable bag
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US7291129B2 (en) * 2000-10-02 2007-11-06 Novasys Medical Inc. Apparatus and methods for treating female urinary incontinence
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EP1634542B1 (de) 2008-04-09
DE60024812D1 (de) 2006-01-19
NO20015382D0 (no) 2001-11-02
EP1180992A4 (de) 2003-07-30
DE60038581D1 (de) 2008-05-21
WO2000066052A1 (en) 2000-11-09
EP1180992B1 (de) 2005-12-14
EP1634542A1 (de) 2006-03-15
ES2308375T3 (es) 2008-12-01
DE60038581T2 (de) 2009-06-04
US6273886B1 (en) 2001-08-14
CA2372201A1 (en) 2000-11-09
JP2002542891A (ja) 2002-12-17
ATE391462T1 (de) 2008-04-15
EP1180992A1 (de) 2002-02-27
NO20015382L (no) 2002-01-03
DE60024812T2 (de) 2006-08-10
AU4820300A (en) 2000-11-17

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