AU2013305279B2 - Device for mapping and ablating renal nerves distributed on the renal artery - Google Patents

Device for mapping and ablating renal nerves distributed on the renal artery Download PDF

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Publication number
AU2013305279B2
AU2013305279B2 AU2013305279A AU2013305279A AU2013305279B2 AU 2013305279 B2 AU2013305279 B2 AU 2013305279B2 AU 2013305279 A AU2013305279 A AU 2013305279A AU 2013305279 A AU2013305279 A AU 2013305279A AU 2013305279 B2 AU2013305279 B2 AU 2013305279B2
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Australia
Prior art keywords
mapping
catheter
guide catheter
distal end
ablation
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Active
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AU2013305279A
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AU2013305279A1 (en
Inventor
Chuwu LI
Jiancong WANG
Jie Wang
Bo Zou
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SyMap Medical Suzhou Ltd
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SyMap Medical Suzhou Ltd
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Priority claimed from PCT/IB2012/054303 external-priority patent/WO2013030738A1/en
Priority claimed from CN201310070820.3A external-priority patent/CN103271766B/zh
Application filed by SyMap Medical Suzhou Ltd filed Critical SyMap Medical Suzhou Ltd
Publication of AU2013305279A1 publication Critical patent/AU2013305279A1/en
Assigned to SYMAP MEDICAL (SUZHOU), LTD reassignment SYMAP MEDICAL (SUZHOU), LTD Request for Assignment Assignors: SYMAP HOLDING LIMITED
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    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434Neural system
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00511Kidney
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36017External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Surgical Instruments (AREA)
  • Radiology & Medical Imaging (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Biophysics (AREA)
  • Laser Surgery Devices (AREA)
  • Vascular Medicine (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Electrotherapy Devices (AREA)
AU2013305279A 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery Active AU2013305279B2 (en)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201261693019P 2012-08-24 2012-08-24
US61/693,019 2012-08-24
AUPCT/IB2012/054303 2012-08-24
PCT/IB2012/054303 WO2013030738A1 (en) 2011-08-26 2012-08-24 System and method for locating and identifying functional nerves innervating wall of arteries
PCT/IB2012/054310 WO2013030743A1 (en) 2011-08-26 2012-08-24 System and method for locating and identifying functional nerves innervating wall of arteries and catheters for same
AUPCT/IB2012/054310 2012-08-24
CN201310070820.3A CN103271766B (zh) 2012-08-24 2013-03-06 一种用于标测和消融位于肾动脉上所分布的肾神经的装置
CN201310070820.3 2013-03-06
PCT/CN2013/082135 WO2014029355A1 (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery

Publications (2)

Publication Number Publication Date
AU2013305279A1 AU2013305279A1 (en) 2015-02-26
AU2013305279B2 true AU2013305279B2 (en) 2017-07-20

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
AU2013305279A Active AU2013305279B2 (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery

Country Status (10)

Country Link
EP (1) EP2887900B1 (https=)
JP (2) JP6574134B2 (https=)
KR (1) KR101590005B1 (https=)
AU (1) AU2013305279B2 (https=)
CA (1) CA2882002C (https=)
ES (1) ES2855051T3 (https=)
IL (1) IL237218A (https=)
RU (1) RU2593979C1 (https=)
WO (1) WO2014029355A1 (https=)
ZA (1) ZA201501110B (https=)

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US11883103B2 (en) 2014-08-10 2024-01-30 Autonomix Medical, Inc. ANS assessment systems, kits, and methods
US12011214B2 (en) 2012-11-05 2024-06-18 Autonomix Medical, Inc. Systems, methods, and devices for monitoring and treatment of tissues within and/or through a lumen wall
US12053634B2 (en) 2012-05-29 2024-08-06 Autonomix Medical, Inc. Endoscopic sympathectomy systems and methods
US12064256B2 (en) 2013-10-15 2024-08-20 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function
US12257071B2 (en) 2012-01-26 2025-03-25 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US12279889B2 (en) 2013-03-27 2025-04-22 Autonomix Medical, Inc. Systems and methods for neurological traffic and/or receptor functional evaluation and/or modification
US12369852B2 (en) 2015-10-21 2025-07-29 Autonomix Medical, Inc. Controlled and precise treatment of cardiac tissues
US12369859B2 (en) 2012-12-09 2025-07-29 Autonomix Medical, Inc. Systems and methods for regulating organ and/or tumor growth rates, function, and/or development
US12376757B2 (en) 2012-01-26 2025-08-05 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US12433670B2 (en) 2013-10-15 2025-10-07 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function
US12611134B2 (en) 2012-06-14 2026-04-28 Autonomix Medical, Inc. Devices, systems, and methods for diagnosis and treatment of overactive bladder

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US20070021803A1 (en) 2005-07-22 2007-01-25 The Foundry Inc. Systems and methods for neuromodulation for treatment of pain and other disorders associated with nerve conduction
EP2218479A3 (en) 2006-06-28 2013-06-05 Medtronic Ardian Luxembourg S.à.r.l. Methods and systems for thermally-induced renal neuromodulation
CN103313671B (zh) 2010-10-25 2017-06-06 美敦力Af卢森堡有限责任公司 用于神经调节治疗的估算及反馈的装置、系统及方法
EP2775899B1 (en) 2011-11-07 2017-08-23 Medtronic Ardian Luxembourg S.à.r.l. Endovascular nerve monitoring devices and associated systems
JP6195856B2 (ja) 2012-03-08 2017-09-13 メドトロニック アーディアン ルクセンブルク ソシエテ ア レスポンサビリテ リミテ 神経調節装置に関するバイオマーカーのサンプリングならびに関連システムおよび方法
CN104902836B (zh) 2012-11-05 2017-08-08 毕达哥拉斯医疗有限公司 受控组织消融
US9770593B2 (en) 2012-11-05 2017-09-26 Pythagoras Medical Ltd. Patient selection using a transluminally-applied electric current
EP3932470B1 (en) 2013-03-15 2023-07-12 Medtronic Ardian Luxembourg S.à.r.l. Controlled neuromodulation systems
US9339332B2 (en) 2013-08-30 2016-05-17 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters with nerve monitoring features for transmitting digital neural signals and associated systems and methods
US9326816B2 (en) 2013-08-30 2016-05-03 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods
US10433902B2 (en) 2013-10-23 2019-10-08 Medtronic Ardian Luxembourg S.A.R.L. Current control methods and systems
US10610292B2 (en) 2014-04-25 2020-04-07 Medtronic Ardian Luxembourg S.A.R.L. Devices, systems, and methods for monitoring and/or controlling deployment of a neuromodulation element within a body lumen and related technology
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KR102024824B1 (ko) * 2017-05-31 2019-09-24 주식회사 세종메디칼 외과수술용 의료장치
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US12082917B2 (en) 2018-01-24 2024-09-10 Medtronic Ireland Manufacturing Unlimited Company Systems, devices, and methods for assessing efficacy of renal neuromodulation therapy
KR102136319B1 (ko) * 2018-05-16 2020-07-21 주식회사 세종메디칼 외과수술용 의료장치
US11633120B2 (en) 2018-09-04 2023-04-25 Medtronic Ardian Luxembourg S.A.R.L. Systems and methods for assessing efficacy of renal neuromodulation therapy
CN110051390B (zh) * 2019-05-27 2024-07-23 江兴华 一种疼痛治疗用电刺激射频外鞘导管
CN120713618A (zh) * 2019-09-04 2025-09-30 艾格医疗技术公司 用于治疗器官中组织的目标区域的消融组件
CN112914715B (zh) * 2020-12-14 2025-01-24 绍兴梅奥心磁医疗科技有限公司 一种环状电极脉冲电场消融装置
CN115381545B (zh) * 2021-05-25 2025-07-08 深圳惠泰医疗器械股份有限公司 酒精消融导管及其带标测电极的可调弯输送系统
KR102354491B1 (ko) 2021-07-13 2022-01-24 주식회사 딥큐어 체내의 신경을 차단 또는 조절하기 위한 전극 장치
CN113633373B (zh) * 2021-08-02 2024-12-06 上海安通医疗科技有限公司 一种经桡动脉穿刺消融导管
AU2021460876B2 (en) 2021-08-18 2025-02-27 Deepqure Inc. Electrode apparatus for nerve denervation or modulation in vivo
WO2023125400A1 (zh) * 2021-12-31 2023-07-06 深圳市健心医疗科技有限公司 可调弯鞘管
CN116407163A (zh) * 2021-12-31 2023-07-11 深圳市先健呼吸科技有限公司 灌洗导管
CN114569237A (zh) * 2022-02-09 2022-06-03 高传玉 去肾动脉交感神经术用射频消融系统及射频消融钳
CN115153815B (zh) * 2022-06-06 2025-12-16 绍兴梅奥心磁医疗科技有限公司 一种消融导管控制装置及其控制方法
CN115192179B (zh) * 2022-06-06 2025-12-05 绍兴梅奥心磁医疗科技有限公司 一种机器人异形弯可视化鞘及手术装置
US20240091502A1 (en) * 2022-09-20 2024-03-21 Biosense Webster (Israel) Ltd. Catheter shaft with multi-plane articulation and rotation
CN115414079B (zh) * 2022-11-07 2023-03-24 苏州美创医疗科技有限公司 一种切换调节结构及可调弯鞘管
CN115844519B (zh) * 2022-12-07 2024-01-23 四川锦江电子医疗器械科技股份有限公司 一种电极可进入组织内部的导管组件
CN116531078A (zh) * 2023-03-09 2023-08-04 中国医学科学院阜外医院 具有超声探测功能的消融导管
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EP2887900B1 (en) 2020-12-02
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IL237218A (en) 2016-02-29
ZA201501110B (en) 2016-10-26
EP2887900A4 (en) 2016-04-27
KR20150083076A (ko) 2015-07-16
EP2887900A1 (en) 2015-07-01
JP2015526177A (ja) 2015-09-10
CA2882002A1 (en) 2014-02-27
KR101590005B1 (ko) 2016-01-29
IL237218A0 (en) 2015-04-30
WO2014029355A1 (en) 2014-02-27
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ES2855051T3 (es) 2021-09-23

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