CA2305333A1 - Transmyocardial revascularization using radiofrequency energy - Google Patents
Transmyocardial revascularization using radiofrequency energy Download PDFInfo
- Publication number
- CA2305333A1 CA2305333A1 CA002305333A CA2305333A CA2305333A1 CA 2305333 A1 CA2305333 A1 CA 2305333A1 CA 002305333 A CA002305333 A CA 002305333A CA 2305333 A CA2305333 A CA 2305333A CA 2305333 A1 CA2305333 A1 CA 2305333A1
- Authority
- CA
- Canada
- Prior art keywords
- energy
- patient
- distal tip
- heart
- elongated
- 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.)
- Abandoned
Links
- 230000000250 revascularization Effects 0.000 title claims abstract description 34
- 210000002216 heart Anatomy 0.000 claims abstract description 70
- 238000000034 method Methods 0.000 claims abstract description 53
- 230000002107 myocardial effect Effects 0.000 claims abstract description 7
- 238000007674 radiofrequency ablation Methods 0.000 claims abstract description 3
- 210000004165 myocardium Anatomy 0.000 claims description 13
- 210000001174 endocardium Anatomy 0.000 claims description 11
- 239000000523 sample Substances 0.000 claims description 8
- 210000005166 vasculature Anatomy 0.000 claims description 7
- 238000002679 ablation Methods 0.000 claims description 4
- 210000000779 thoracic wall Anatomy 0.000 claims description 4
- 239000004020 conductor Substances 0.000 claims description 3
- 230000000541 pulsatile effect Effects 0.000 claims description 3
- 210000001519 tissue Anatomy 0.000 abstract description 22
- 210000005003 heart tissue Anatomy 0.000 abstract description 4
- 210000005240 left ventricle Anatomy 0.000 description 9
- 239000007787 solid Substances 0.000 description 8
- 230000015572 biosynthetic process Effects 0.000 description 7
- 210000003205 muscle Anatomy 0.000 description 5
- 235000014676 Phragmites communis Nutrition 0.000 description 4
- 210000000038 chest Anatomy 0.000 description 4
- 229910000859 α-Fe Inorganic materials 0.000 description 4
- 238000010438 heat treatment Methods 0.000 description 3
- 230000000302 ischemic effect Effects 0.000 description 3
- 239000002245 particle Substances 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000000115 thoracic cavity Anatomy 0.000 description 3
- 238000004026 adhesive bonding Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000005242 cardiac chamber Anatomy 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 230000001939 inductive effect Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 239000013307 optical fiber Substances 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000012285 ultrasound imaging Methods 0.000 description 2
- 208000024172 Cardiovascular disease Diseases 0.000 description 1
- 229920001651 Cyanoacrylate Polymers 0.000 description 1
- MWCLLHOVUTZFKS-UHFFFAOYSA-N Methyl cyanoacrylate Chemical compound COC(=O)C(=C)C#N MWCLLHOVUTZFKS-UHFFFAOYSA-N 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 241000183024 Populus tremula Species 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000000032 diagnostic agent Substances 0.000 description 1
- 229940039227 diagnostic agent Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 238000012800 visualization Methods 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
-
- 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
- A61B2018/00392—Transmyocardial revascularisation
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00738—Depth, e.g. depth of 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
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)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/942,874 US6267757B1 (en) | 1995-08-09 | 1997-10-02 | Revascularization with RF ablation |
| US08/942,874 | 1997-10-02 | ||
| US94729097A | 1997-10-07 | 1997-10-07 | |
| US08/947,290 | 1997-10-07 | ||
| US09/107,077 | 1998-06-29 | ||
| US09/107,077 US6156031A (en) | 1995-08-09 | 1998-06-29 | Transmyocardial revascularization using radiofrequency energy |
| PCT/US1998/020799 WO1999017671A1 (en) | 1997-10-02 | 1998-10-02 | Transmyocardial revascularization using radiofrequency energy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2305333A1 true CA2305333A1 (en) | 1999-04-15 |
Family
ID=27380246
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002305333A Abandoned CA2305333A1 (en) | 1997-10-02 | 1998-10-02 | Transmyocardial revascularization using radiofrequency energy |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1018961A1 (https=) |
| JP (1) | JP2001518345A (https=) |
| AU (1) | AU9680398A (https=) |
| CA (1) | CA2305333A1 (https=) |
| WO (1) | WO1999017671A1 (https=) |
Families Citing this family (36)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2002524196A (ja) | 1998-09-10 | 2002-08-06 | パーカーディア，インコーポレイティド | 左心室血管再生用の経心筋シャントおよびその取付機構 |
| US6641610B2 (en) | 1998-09-10 | 2003-11-04 | Percardia, Inc. | Valve designs for left ventricular conduits |
| ATE322230T1 (de) | 1998-09-10 | 2006-04-15 | Percardia Inc | Tmr vorrichtung |
| US6254564B1 (en) | 1998-09-10 | 2001-07-03 | Percardia, Inc. | Left ventricular conduit with blood vessel graft |
| US6290728B1 (en) | 1998-09-10 | 2001-09-18 | Percardia, Inc. | Designs for left ventricular conduit |
| US6409697B2 (en) | 1999-05-04 | 2002-06-25 | Heartstent Corporation | Transmyocardial implant with forward flow bias |
| US7033372B1 (en) | 1999-08-04 | 2006-04-25 | Percardia, Inc. | Corkscrew reinforced left ventricle to coronary artery channel |
| WO2001017453A2 (en) | 1999-09-08 | 2001-03-15 | Curon Medical, Inc. | Systems and methods for monitoring and controlling use of medical devices |
| EP1218801A4 (en) * | 1999-09-08 | 2009-07-01 | Mederi Therapeutics Inc | SYSTEMS AND METHODS FOR MONITORING AND CONTROLLING MEDICAL DEVICES |
| EP1210024A1 (en) | 1999-09-08 | 2002-06-05 | Curon Medical, Inc. | System for controlling a family of treatment devices |
| US6854467B2 (en) | 2000-05-04 | 2005-02-15 | Percardia, Inc. | Methods and devices for delivering a ventricular stent |
| US8845632B2 (en) | 2000-05-18 | 2014-09-30 | Mederi Therapeutics, Inc. | Graphical user interface for monitoring and controlling use of medical devices |
| US6976990B2 (en) | 2001-01-25 | 2005-12-20 | Percardia, Inc. | Intravascular ventriculocoronary bypass via a septal passageway |
| US20030032936A1 (en) | 2001-08-10 | 2003-02-13 | Lederman Robert J. | Side-exit catheter and method for its use |
| US6949118B2 (en) | 2002-01-16 | 2005-09-27 | Percardia, Inc. | Encased implant and methods |
| US7008397B2 (en) | 2002-02-13 | 2006-03-07 | Percardia, Inc. | Cardiac implant and methods |
| US7326219B2 (en) | 2002-09-09 | 2008-02-05 | Wilk Patent Development | Device for placing transmyocardial implant |
| DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
| US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
| US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
| WO2011104269A1 (en) | 2008-02-26 | 2011-09-01 | Jenavalve Technology Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
| US9750563B2 (en) | 2009-09-22 | 2017-09-05 | Mederi Therapeutics, Inc. | Systems and methods for treating tissue with radiofrequency energy |
| CN102711642B (zh) | 2009-09-22 | 2015-04-29 | 麦迪尼治疗公司 | 用于控制一类不同治疗装置的使用和操作的系统和方法 |
| US10386990B2 (en) | 2009-09-22 | 2019-08-20 | Mederi Rf, Llc | Systems and methods for treating tissue with radiofrequency energy |
| US9474565B2 (en) | 2009-09-22 | 2016-10-25 | Mederi Therapeutics, Inc. | Systems and methods for treating tissue with radiofrequency energy |
| US9775664B2 (en) | 2009-09-22 | 2017-10-03 | Mederi Therapeutics, Inc. | Systems and methods for treating tissue with radiofrequency energy |
| US10856978B2 (en) | 2010-05-20 | 2020-12-08 | Jenavalve Technology, Inc. | Catheter system |
| WO2011147849A1 (en) | 2010-05-25 | 2011-12-01 | Jenavalve Technology Inc. | Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent |
| US10080602B2 (en) * | 2010-07-30 | 2018-09-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Generator, combination of a generator and a catheter, and method for providing an electrical pulse |
| WO2015028209A1 (en) | 2013-08-30 | 2015-03-05 | Jenavalve Technology Gmbh | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
| EP3270825B1 (en) | 2015-03-20 | 2020-04-22 | JenaValve Technology, Inc. | Heart valve prosthesis delivery system |
| EP3288495B1 (en) | 2015-05-01 | 2019-09-25 | JenaValve Technology, Inc. | Device with reduced pacemaker rate in heart valve replacement |
| WO2017195125A1 (en) | 2016-05-13 | 2017-11-16 | Jenavalve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
| US11197754B2 (en) | 2017-01-27 | 2021-12-14 | Jenavalve Technology, Inc. | Heart valve mimicry |
| EP4138695B1 (en) * | 2020-04-21 | 2025-11-05 | Boston Scientific Scimed, Inc. | Adaptive ecg triggering in an ablation system |
| US12171658B2 (en) | 2022-11-09 | 2024-12-24 | Jenavalve Technology, Inc. | Catheter system for sequential deployment of an expandable implant |
Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4658817A (en) | 1985-04-01 | 1987-04-21 | Children's Hospital Medical Center | Method and apparatus for transmyocardial revascularization using a laser |
| US5125926A (en) * | 1990-09-24 | 1992-06-30 | Laser Engineering, Inc. | Heart-synchronized pulsed laser system |
| US5389096A (en) | 1990-12-18 | 1995-02-14 | Advanced Cardiovascular Systems | System and method for percutaneous myocardial revascularization |
| US5380316A (en) | 1990-12-18 | 1995-01-10 | Advanced Cardiovascular Systems, Inc. | Method for intra-operative myocardial device revascularization |
| WO1996035469A1 (en) * | 1995-05-10 | 1996-11-14 | Cardiogenesis Corporation | System for treating or diagnosing heart tissue |
| WO1996039967A1 (en) * | 1995-06-07 | 1996-12-19 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods which predict maximum tissue temperature |
| US6579311B1 (en) * | 1996-02-02 | 2003-06-17 | Transvascular, Inc. | Method for interstitial transvascular intervention |
| US6027497A (en) * | 1996-03-29 | 2000-02-22 | Eclipse Surgical Technologies, Inc. | TMR energy delivery system |
| US5672170A (en) * | 1996-06-20 | 1997-09-30 | Cynosure, Inc. | Laser transmyocardial revascularization arrangement |
| JP4076905B2 (ja) | 2003-05-15 | 2008-04-16 | アルパイン株式会社 | ナビゲーション装置 |
-
1998
- 1998-10-02 CA CA002305333A patent/CA2305333A1/en not_active Abandoned
- 1998-10-02 AU AU96803/98A patent/AU9680398A/en not_active Abandoned
- 1998-10-02 EP EP98950873A patent/EP1018961A1/en not_active Withdrawn
- 1998-10-02 JP JP2000514573A patent/JP2001518345A/ja active Pending
- 1998-10-02 WO PCT/US1998/020799 patent/WO1999017671A1/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP1018961A1 (en) | 2000-07-19 |
| JP2001518345A (ja) | 2001-10-16 |
| WO1999017671A9 (en) | 1999-06-17 |
| WO1999017671A1 (en) | 1999-04-15 |
| AU9680398A (en) | 1999-04-27 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |