AU2007260895B2 - Apparatus and method for ablating tissue - Google Patents
Apparatus and method for ablating tissue Download PDFInfo
- Publication number
- AU2007260895B2 AU2007260895B2 AU2007260895A AU2007260895A AU2007260895B2 AU 2007260895 B2 AU2007260895 B2 AU 2007260895B2 AU 2007260895 A AU2007260895 A AU 2007260895A AU 2007260895 A AU2007260895 A AU 2007260895A AU 2007260895 B2 AU2007260895 B2 AU 2007260895B2
- Authority
- AU
- Australia
- Prior art keywords
- ablation
- ablation elements
- preset position
- elements
- configuration
- Prior art date
- Legal status (The legal status 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 status listed.)
- Ceased
Links
- 238000000034 method Methods 0.000 title claims description 43
- 238000002679 ablation Methods 0.000 claims abstract description 401
- 239000000463 material Substances 0.000 claims abstract description 34
- 238000003780 insertion Methods 0.000 claims abstract description 29
- 230000037431 insertion Effects 0.000 claims abstract description 29
- 210000005003 heart tissue Anatomy 0.000 claims abstract description 17
- 210000001519 tissue Anatomy 0.000 claims description 61
- 230000003213 activating effect Effects 0.000 claims description 7
- 206010003658 Atrial Fibrillation Diseases 0.000 claims description 4
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 abstract description 2
- 210000003492 pulmonary vein Anatomy 0.000 description 33
- 230000003902 lesion Effects 0.000 description 20
- 210000002216 heart Anatomy 0.000 description 17
- 238000002604 ultrasonography Methods 0.000 description 17
- 238000011282 treatment Methods 0.000 description 15
- 230000009969 flowable effect Effects 0.000 description 11
- 239000012528 membrane Substances 0.000 description 6
- 210000004165 myocardium Anatomy 0.000 description 6
- 229910001000 nickel titanium Inorganic materials 0.000 description 6
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 6
- 230000004044 response Effects 0.000 description 6
- 230000004913 activation Effects 0.000 description 5
- 238000001994 activation Methods 0.000 description 5
- 230000008859 change Effects 0.000 description 5
- 238000002955 isolation Methods 0.000 description 5
- 238000004513 sizing Methods 0.000 description 5
- 208000002847 Surgical Wound Diseases 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 230000001746 atrial effect Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 210000005245 right atrium Anatomy 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 1
- 239000004697 Polyetherimide Substances 0.000 description 1
- 229920004738 ULTEM® Polymers 0.000 description 1
- 238000011298 ablation treatment Methods 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 239000003416 antiarrhythmic agent Substances 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 238000013153 catheter ablation Methods 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 238000000608 laser ablation Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 229920001601 polyetherimide Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000006903 response to temperature Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000001631 vena cava inferior Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- 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
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
-
- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00363—Epicardium
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Plasma & Fusion (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Laser Surgery Devices (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US81585206P | 2006-06-23 | 2006-06-23 | |
| US60/815,852 | 2006-06-23 | ||
| US11/646,526 US20070299435A1 (en) | 2006-06-23 | 2006-12-28 | Apparatus and method for ablating tissue |
| US11/646,526 | 2006-12-28 | ||
| PCT/US2007/071762 WO2007149970A2 (en) | 2006-06-23 | 2007-06-21 | Apparatus and method for ablating tissue |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AU2007260895A1 AU2007260895A1 (en) | 2007-12-27 |
| AU2007260895B2 true AU2007260895B2 (en) | 2012-12-06 |
Family
ID=38834383
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2007260895A Ceased AU2007260895B2 (en) | 2006-06-23 | 2007-06-21 | Apparatus and method for ablating tissue |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20070299435A1 (enExample) |
| EP (1) | EP2032058A4 (enExample) |
| JP (1) | JP5072962B2 (enExample) |
| CN (1) | CN101472531B (enExample) |
| AU (1) | AU2007260895B2 (enExample) |
| CA (1) | CA2654091A1 (enExample) |
| WO (1) | WO2007149970A2 (enExample) |
Families Citing this family (54)
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|---|---|---|---|---|
| US6306132B1 (en) | 1999-06-17 | 2001-10-23 | Vivant Medical | Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use |
| US8974446B2 (en) | 2001-10-11 | 2015-03-10 | St. Jude Medical, Inc. | Ultrasound ablation apparatus with discrete staggered ablation zones |
| US7197363B2 (en) | 2002-04-16 | 2007-03-27 | Vivant Medical, Inc. | Microwave antenna having a curved configuration |
| US6752767B2 (en) | 2002-04-16 | 2004-06-22 | Vivant Medical, Inc. | Localization element with energized tip |
| US7311703B2 (en) | 2003-07-18 | 2007-12-25 | Vivant Medical, Inc. | Devices and methods for cooling microwave antennas |
| US8068921B2 (en) | 2006-09-29 | 2011-11-29 | Vivant Medical, Inc. | Microwave antenna assembly and method of using the same |
| US8102734B2 (en) * | 2007-02-08 | 2012-01-24 | St. Jude Medical, Atrial Fibrillation Division, Inc. | High intensity focused ultrasound transducer with acoustic lens |
| US8292880B2 (en) | 2007-11-27 | 2012-10-23 | Vivant Medical, Inc. | Targeted cooling of deployable microwave antenna |
| US8608739B2 (en) | 2008-07-22 | 2013-12-17 | Covidien Lp | Electrosurgical devices, systems and methods of using the same |
| US9108037B2 (en) | 2009-03-09 | 2015-08-18 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Apparatus and method for tissue ablation with near-field cooling |
| US8355803B2 (en) | 2009-09-16 | 2013-01-15 | Vivant Medical, Inc. | Perfused core dielectrically loaded dipole microwave antenna probe |
| US9981108B2 (en) * | 2009-10-30 | 2018-05-29 | Recor Medical, Inc. | Method and apparatus for treatment of hypertension through percutaneous ultrasound renal denervation |
| AU2010319333B2 (en) | 2009-11-13 | 2014-02-20 | St. Jude Medical, Inc. | Assembly of staggered ablation elements |
| US8911434B2 (en) | 2010-10-22 | 2014-12-16 | Medtronic Cryocath Lp | Balloon catheter with deformable fluid delivery conduit |
| US8909316B2 (en) | 2011-05-18 | 2014-12-09 | St. Jude Medical, Cardiology Division, Inc. | Apparatus and method of assessing transvascular denervation |
| KR101497458B1 (ko) | 2011-08-25 | 2015-03-02 | 코비디엔 엘피 | 관강 조직의 치료용 시스템, 장치 및 방법 |
| US9427579B2 (en) | 2011-09-29 | 2016-08-30 | Pacesetter, Inc. | System and method for performing renal denervation verification |
| US10076383B2 (en) | 2012-01-25 | 2018-09-18 | Covidien Lp | Electrosurgical device having a multiplexer |
| US8934988B2 (en) | 2012-03-16 | 2015-01-13 | St. Jude Medical Ab | Ablation stent with meander structure |
| US9113929B2 (en) | 2012-04-19 | 2015-08-25 | St. Jude Medical, Cardiology Division, Inc. | Non-electric field renal denervation electrode |
| US9179997B2 (en) | 2013-03-06 | 2015-11-10 | St. Jude Medical, Cardiology Division, Inc. | Thermochromic polyvinyl alcohol based hydrogel artery |
| US10328238B2 (en) | 2013-03-12 | 2019-06-25 | St. Jude Medical, Cardiology Division, Inc. | Catheter system |
| US10716914B2 (en) | 2013-03-12 | 2020-07-21 | St. Jude Medical, Cardiology Division, Inc. | Catheter system |
| US9775966B2 (en) | 2013-03-12 | 2017-10-03 | St. Jude Medical, Cardiology Division, Inc. | Catheter system |
| US9510902B2 (en) | 2013-03-13 | 2016-12-06 | St. Jude Medical, Cardiology Division, Inc. | Ablation catheters and systems including rotational monitoring means |
| US9131982B2 (en) | 2013-03-14 | 2015-09-15 | St. Jude Medical, Cardiology Division, Inc. | Mediguide-enabled renal denervation system for ensuring wall contact and mapping lesion locations |
| US8876813B2 (en) | 2013-03-14 | 2014-11-04 | St. Jude Medical, Inc. | Methods, systems, and apparatus for neural signal detection |
| WO2014150441A2 (en) | 2013-03-15 | 2014-09-25 | St. Jude Medical, Cardiology Division, Inc. | Ablation system, methods, and controllers |
| US9974477B2 (en) | 2013-03-15 | 2018-05-22 | St. Jude Medical, Cardiology Division, Inc. | Quantification of renal denervation via alterations in renal blood flow pre/post ablation |
| WO2014150425A1 (en) | 2013-03-15 | 2014-09-25 | St. Jude Medical, Cardiology Division, Inc. | Multi-electrode ablation system with a controller for determining a thermal gain of each electrode |
| US9179973B2 (en) | 2013-03-15 | 2015-11-10 | St. Jude Medical, Cardiology Division, Inc. | Feedback systems and methods for renal denervation utilizing balloon catheter |
| US9186212B2 (en) | 2013-03-15 | 2015-11-17 | St. Jude Medical, Cardiology Division, Inc. | Feedback systems and methods utilizing two or more sites along denervation catheter |
| EP2988691B1 (en) | 2013-04-25 | 2018-03-28 | St. Jude Medical, Cardiology Division, Inc. | Electrode assembly for catheter system |
| US9872728B2 (en) | 2013-06-28 | 2018-01-23 | St. Jude Medical, Cardiology Division, Inc. | Apparatuses and methods for affixing electrodes to an intravascular balloon |
| US20150011991A1 (en) | 2013-07-03 | 2015-01-08 | St. Jude Medical, Cardiology Division, Inc. | Electrode Assembly For Catheter System |
| USD914883S1 (en) | 2013-10-23 | 2021-03-30 | St. Jude Medical, Cardiology Division, Inc. | Ablation generator |
| US10856936B2 (en) | 2013-10-23 | 2020-12-08 | St. Jude Medical, Cardiology Division, Inc. | Electrode assembly for catheter system including thermoplastic-based struts |
| USD774043S1 (en) | 2013-10-23 | 2016-12-13 | St. Jude Medical, Cardiology Division, Inc. | Display screen with graphical user interface for ablation generator |
| USD747491S1 (en) | 2013-10-23 | 2016-01-12 | St. Jude Medical, Cardiology Division, Inc. | Ablation generator |
| WO2015061052A1 (en) | 2013-10-24 | 2015-04-30 | St. Jude Medical, Cardiology Division, Inc. | Flexible catheter shaft and method of manufacture |
| US10034705B2 (en) | 2013-10-24 | 2018-07-31 | St. Jude Medical, Cardiology Division, Inc. | High strength electrode assembly for catheter system including novel electrode |
| EP3060151A1 (en) | 2013-10-24 | 2016-08-31 | St. Jude Medical, Cardiology Division, Inc. | Flexible catheter shaft and method of manufacture |
| EP3062722B1 (en) | 2013-10-28 | 2019-03-20 | St. Jude Medical, Cardiology Division, Inc. | Electrode assembly for catheter system including interlinked struts |
| US9861433B2 (en) | 2013-11-05 | 2018-01-09 | St. Jude Medical, Cardiology Division, Inc. | Helical-shaped ablation catheter and methods of use |
| EP2937053A1 (en) | 2014-04-24 | 2015-10-28 | St. Jude Medical, Cardiology Division, Inc. | Ablation systems including pulse rate detector and feedback mechanism and methods of use |
| US10080600B2 (en) | 2015-01-21 | 2018-09-25 | Covidien Lp | Monopolar electrode with suction ability for CABG surgery |
| CN104874091A (zh) * | 2015-06-26 | 2015-09-02 | 吴奇 | 一种可视光纤球囊导管 |
| WO2017223264A1 (en) | 2016-06-23 | 2017-12-28 | St. Jude Medical, Cardiology Division, Inc. | Catheter system and electrode assembly for intraprocedural evaluation of renal denervation |
| WO2018064070A1 (en) * | 2016-09-27 | 2018-04-05 | Cardiac Pacemakers, Inc. | Mapping and/or ablation catheter with a closed distal loop |
| GB2559595B (en) * | 2017-02-10 | 2021-09-01 | Creo Medical Ltd | Electrosurgical apparatus and electrosurgical instrument |
| US20190090948A1 (en) * | 2017-09-26 | 2019-03-28 | Covidien Lp | Flexible ablation catheter with stiff section around radiator |
| CN110811821A (zh) * | 2018-08-14 | 2020-02-21 | 复旦大学附属中山医院 | 消融导管 |
| EP3784153B1 (en) | 2019-01-10 | 2023-12-13 | AtriCure, Inc. | Surgical clamp |
| CN114848131B (zh) * | 2022-03-28 | 2023-09-05 | 上海睿刀医疗科技有限公司 | 消融组件和消融装置 |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030199889A1 (en) * | 1998-03-05 | 2003-10-23 | Scimed Life Systems, Inc. | Ablation burr |
| US20040054363A1 (en) * | 1996-10-22 | 2004-03-18 | Matthias Vaska | Methods and devices for ablation |
| US20060089637A1 (en) * | 2004-10-14 | 2006-04-27 | Werneth Randell L | Ablation catheter |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5327889A (en) * | 1992-12-01 | 1994-07-12 | Cardiac Pathways Corporation | Mapping and ablation catheter with individually deployable arms and method |
| US5391147A (en) * | 1992-12-01 | 1995-02-21 | Cardiac Pathways Corporation | Steerable catheter with adjustable bend location and/or radius and method |
| CA2109980A1 (en) * | 1992-12-01 | 1994-06-02 | Mir A. Imran | Steerable catheter with adjustable bend location and/or radius and method |
| US6161543A (en) * | 1993-02-22 | 2000-12-19 | Epicor, Inc. | Methods of epicardial ablation for creating a lesion around the pulmonary veins |
| US5611777A (en) * | 1993-05-14 | 1997-03-18 | C.R. Bard, Inc. | Steerable electrode catheter |
| US5607462A (en) * | 1993-09-24 | 1997-03-04 | Cardiac Pathways Corporation | Catheter assembly, catheter and multi-catheter introducer for use therewith |
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| US5400783A (en) * | 1993-10-12 | 1995-03-28 | Cardiac Pathways Corporation | Endocardial mapping apparatus with rotatable arm and method |
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| CN2624846Y (zh) * | 2003-06-27 | 2004-07-14 | 周更须 | 医用手持式带负压吸引心内射频探头 |
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-
2006
- 2006-12-28 US US11/646,526 patent/US20070299435A1/en not_active Abandoned
-
2007
- 2007-06-21 CA CA002654091A patent/CA2654091A1/en not_active Abandoned
- 2007-06-21 JP JP2009516720A patent/JP5072962B2/ja not_active Expired - Fee Related
- 2007-06-21 AU AU2007260895A patent/AU2007260895B2/en not_active Ceased
- 2007-06-21 CN CN2007800232543A patent/CN101472531B/zh not_active Expired - Fee Related
- 2007-06-21 WO PCT/US2007/071762 patent/WO2007149970A2/en not_active Ceased
- 2007-06-21 EP EP07798875A patent/EP2032058A4/en not_active Withdrawn
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040054363A1 (en) * | 1996-10-22 | 2004-03-18 | Matthias Vaska | Methods and devices for ablation |
| US20030199889A1 (en) * | 1998-03-05 | 2003-10-23 | Scimed Life Systems, Inc. | Ablation burr |
| US20060089637A1 (en) * | 2004-10-14 | 2006-04-27 | Werneth Randell L | Ablation catheter |
Also Published As
| Publication number | Publication date |
|---|---|
| EP2032058A2 (en) | 2009-03-11 |
| WO2007149970A3 (en) | 2008-04-10 |
| CA2654091A1 (en) | 2007-12-27 |
| CN101472531B (zh) | 2011-06-22 |
| WO2007149970A2 (en) | 2007-12-27 |
| JP5072962B2 (ja) | 2012-11-14 |
| AU2007260895A1 (en) | 2007-12-27 |
| JP2009540960A (ja) | 2009-11-26 |
| EP2032058A4 (en) | 2010-11-03 |
| CN101472531A (zh) | 2009-07-01 |
| US20070299435A1 (en) | 2007-12-27 |
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