CA2699675C - Cooled ablation catheter devices and methods of use - Google Patents
Cooled ablation catheter devices and methods of use Download PDFInfo
- Publication number
- CA2699675C CA2699675C CA2699675A CA2699675A CA2699675C CA 2699675 C CA2699675 C CA 2699675C CA 2699675 A CA2699675 A CA 2699675A CA 2699675 A CA2699675 A CA 2699675A CA 2699675 C CA2699675 C CA 2699675C
- Authority
- CA
- Canada
- Prior art keywords
- fluid
- tip
- cooling chamber
- thermal mass
- proximal
- 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.)
- Expired - Fee Related
Links
- 238000000034 method Methods 0.000 title abstract description 10
- 238000002679 ablation Methods 0.000 title description 19
- 238000001816 cooling Methods 0.000 claims abstract description 170
- 239000012809 cooling fluid Substances 0.000 claims abstract description 73
- 239000012530 fluid Substances 0.000 claims description 199
- 230000002262 irrigation Effects 0.000 claims description 41
- 238000003973 irrigation Methods 0.000 claims description 41
- 238000004891 communication Methods 0.000 claims description 23
- 239000000463 material Substances 0.000 claims description 16
- 230000002792 vascular Effects 0.000 claims description 8
- 230000015572 biosynthetic process Effects 0.000 abstract description 5
- 230000037361 pathway Effects 0.000 description 17
- 238000012546 transfer Methods 0.000 description 12
- 230000003902 lesion Effects 0.000 description 7
- 230000007246 mechanism Effects 0.000 description 7
- 239000004020 conductor Substances 0.000 description 6
- 230000003014 reinforcing effect Effects 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 239000012620 biological material Substances 0.000 description 4
- 230000013011 mating Effects 0.000 description 4
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001369 Brass Inorganic materials 0.000 description 2
- 239000010951 brass Substances 0.000 description 2
- 238000013153 catheter ablation Methods 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 210000001174 endocardium Anatomy 0.000 description 2
- -1 for example Substances 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010003658 Atrial Fibrillation Diseases 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 230000003073 embolic effect Effects 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 229910052741 iridium Inorganic materials 0.000 description 1
- GKOZUEZYRPOHIO-UHFFFAOYSA-N iridium atom Chemical compound [Ir] GKOZUEZYRPOHIO-UHFFFAOYSA-N 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000001013 sinoatrial node Anatomy 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 210000005243 upper chamber Anatomy 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/06—Electrodes for high-frequency therapy
-
- 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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00821—Temperature measured by a thermocouple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details 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
- A61B2218/002—Irrigation
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Plasma & Fusion (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US97851107P | 2007-10-09 | 2007-10-09 | |
| US60/978,511 | 2007-10-09 | ||
| PCT/US2008/079193 WO2009048943A1 (en) | 2007-10-09 | 2008-10-08 | Cooled ablation catheter devices and methods of use |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2699675A1 CA2699675A1 (en) | 2009-04-16 |
| CA2699675C true CA2699675C (en) | 2018-05-29 |
Family
ID=40351695
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2699675A Expired - Fee Related CA2699675C (en) | 2007-10-09 | 2008-10-08 | Cooled ablation catheter devices and methods of use |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US20090093810A1 (enExample) |
| EP (2) | EP2211981A1 (enExample) |
| JP (2) | JP5400784B2 (enExample) |
| KR (1) | KR20100094449A (enExample) |
| CA (1) | CA2699675C (enExample) |
| WO (1) | WO2009048824A1 (enExample) |
Families Citing this family (55)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0757993A (ja) * | 1993-08-13 | 1995-03-03 | Nikon Corp | 投影露光装置 |
| WO2008045925A2 (en) | 2006-10-10 | 2008-04-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation electrode assembly with insulated distal outlet |
| US9023030B2 (en) * | 2007-10-09 | 2015-05-05 | Boston Scientific Scimed, Inc. | Cooled ablation catheter devices and methods of use |
| US9675411B2 (en) * | 2008-07-15 | 2017-06-13 | Biosense Webster, Inc. | Catheter with perforated tip |
| WO2010093603A1 (en) | 2009-02-11 | 2010-08-19 | Boston Scientific Scimed, Inc. | Insulated ablation catheter devices and methods of use |
| US20100298832A1 (en) | 2009-05-20 | 2010-11-25 | Osseon Therapeutics, Inc. | Steerable curvable vertebroplasty drill |
| JP5490235B2 (ja) | 2009-06-30 | 2014-05-14 | ボストン サイエンティフィック サイムド，インコーポレイテッド | マップ及び切除のための開放洗浄ハイブリッドカテーテル |
| US20110009857A1 (en) * | 2009-07-13 | 2011-01-13 | Raj Subramaniam | Open-irrigated ablation catheter with turbulent flow |
| US20110022041A1 (en) * | 2009-07-24 | 2011-01-27 | Frank Ingle | Systems and methods for titrating rf ablation |
| US8442613B2 (en) * | 2009-07-29 | 2013-05-14 | Boston Scientific Scimed, Inc | Mapping probe assembly with skived tube body frame |
| US9949791B2 (en) | 2010-04-26 | 2018-04-24 | Biosense Webster, Inc. | Irrigated catheter with internal position sensor |
| US9510894B2 (en) | 2010-04-28 | 2016-12-06 | Biosense Webster (Israel) Ltd. | Irrigated ablation catheter having irrigation ports with reduced hydraulic resistance |
| US9943363B2 (en) * | 2010-04-28 | 2018-04-17 | Biosense Webster, Inc. | Irrigated ablation catheter with improved fluid flow |
| US9943362B2 (en) * | 2010-04-28 | 2018-04-17 | Biosense Webster, Inc. | Irrigated ablation catheter with improved fluid flow |
| CN102958456B (zh) | 2010-04-29 | 2015-12-16 | Dfine有限公司 | 用于治疗椎骨骨折的系统 |
| CN102266245B (zh) * | 2010-06-04 | 2015-08-26 | 心诺普医疗技术（北京）有限公司 | 灌注式射频消融导管 |
| US9089340B2 (en) | 2010-12-30 | 2015-07-28 | Boston Scientific Scimed, Inc. | Ultrasound guided tissue ablation |
| WO2012166239A1 (en) | 2011-06-01 | 2012-12-06 | Boston Scientific Scimed, Inc. | Ablation probe with ultrasonic imaging capabilities |
| WO2013040297A1 (en) | 2011-09-14 | 2013-03-21 | Boston Scientific Scimed, Inc. | Ablation device with ionically conductive balloon |
| WO2013040201A2 (en) | 2011-09-14 | 2013-03-21 | Boston Scientific Scimed, Inc. | Ablation device with multiple ablation modes |
| US9241761B2 (en) * | 2011-12-28 | 2016-01-26 | Koninklijke Philips N.V. | Ablation probe with ultrasonic imaging capability |
| CA2860636A1 (en) | 2012-01-10 | 2013-07-18 | Boston Scientific Scimed, Inc. | Electrophysiology system |
| US8945015B2 (en) | 2012-01-31 | 2015-02-03 | Koninklijke Philips N.V. | Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging and treatment |
| CN103315808A (zh) * | 2012-03-23 | 2013-09-25 | 心诺普医疗技术（北京）有限公司 | 一种消融电极及采用该电极的灌注型电极导管 |
| CN104470453A (zh) * | 2012-03-27 | 2015-03-25 | Dfine有限公司 | 用于通过温度监视来控制组织切除体积的方法和系统 |
| WO2014047068A1 (en) | 2012-09-18 | 2014-03-27 | Boston Scientific Scimed, Inc. | Map and ablate closed-loop cooled ablation catheter |
| WO2014100631A1 (en) | 2012-12-20 | 2014-06-26 | Boston Scientific Scimed, Inc. | Real-time feedback for electrode contact during mapping |
| US9144460B2 (en) | 2012-12-31 | 2015-09-29 | Biosense Webster (Israel) Ltd. | Catheter with direct cooling on nonablating element |
| US10195467B2 (en) | 2013-02-21 | 2019-02-05 | Boston Scientific Scimed, Inc. | Ablation catheter system with wireless radio frequency temperature sensor |
| US10028764B2 (en) | 2013-02-21 | 2018-07-24 | Boston Scientific Scimed, Inc. | Ablation catheter with wireless temperature sensor |
| CN105050523B (zh) | 2013-03-15 | 2017-11-10 | 波士顿科学医学有限公司 | 开放式灌注消融导管 |
| EP2967731B1 (en) | 2013-03-15 | 2020-10-07 | Boston Scientific Scimed, Inc. | Open irrigated ablation catheter with proximal cooling |
| US10828089B2 (en) * | 2013-08-02 | 2020-11-10 | Biosense Webster (Israel) Ltd. | Catheter with improved irrigated tip electrode having two-piece construction, and method of manufacturing therefor |
| EP3206612B1 (en) | 2014-10-13 | 2022-06-29 | Boston Scientific Scimed Inc. | Tissue diagnosis and treatment using mini-electrodes |
| CN106604675B (zh) | 2014-10-24 | 2020-01-10 | 波士顿科学医学有限公司 | 具有耦接到消融尖头的柔性电极组件的医疗设备 |
| AU2015349961A1 (en) | 2014-11-19 | 2017-06-29 | Epix Therapeutics, Inc. | Ablation devices, systems and methods of using a high-resolution electrode assembly |
| JP6673598B2 (ja) | 2014-11-19 | 2020-03-25 | エピックス セラピューティクス，インコーポレイテッド | ペーシングを伴う組織の高分解能マッピング |
| AU2015350007A1 (en) | 2014-11-19 | 2017-06-29 | Epix Therapeutics, Inc. | Systems and methods for high-resolution mapping of tissue |
| US9724154B2 (en) * | 2014-11-24 | 2017-08-08 | Biosense Webster (Israel) Ltd. | Irrigated ablation catheter with multiple sensors |
| US9743854B2 (en) | 2014-12-18 | 2017-08-29 | Boston Scientific Scimed, Inc. | Real-time morphology analysis for lesion assessment |
| WO2016153561A1 (en) | 2015-03-25 | 2016-09-29 | Advanced Cardiac Therapeutics, Inc. | Contact sensing systems and methods |
| KR20180124070A (ko) | 2016-03-15 | 2018-11-20 | 에픽스 테라퓨틱스, 인크. | 관개 절제를 위한 개선된 장치, 시스템 및 방법 |
| JP6917381B2 (ja) | 2016-09-30 | 2021-08-11 | テルモ株式会社 | 医療デバイス |
| CN109862834B (zh) | 2016-10-27 | 2022-05-24 | Dfine有限公司 | 具有接合剂递送通道的可弯曲的骨凿 |
| CA3041114A1 (en) | 2016-11-28 | 2018-05-31 | Dfine, Inc. | Tumor ablation devices and related methods |
| US10470781B2 (en) | 2016-12-09 | 2019-11-12 | Dfine, Inc. | Medical devices for treating hard tissues and related methods |
| WO2018118823A1 (en) | 2016-12-19 | 2018-06-28 | Boston Scientific Scimed Inc. | Open-irrigated ablation catheter with proximal insert cooling |
| CN108245241A (zh) * | 2016-12-28 | 2018-07-06 | 南京森盛医疗设备有限公司 | 一种电极凝血装置 |
| EP3565486B1 (en) | 2017-01-06 | 2021-11-10 | Dfine, Inc. | Osteotome with a distal portion for simultaneous advancement and articulation |
| WO2018200865A1 (en) | 2017-04-27 | 2018-11-01 | Epix Therapeutics, Inc. | Determining nature of contact between catheter tip and tissue |
| WO2020097339A1 (en) | 2018-11-08 | 2020-05-14 | Dfine, Inc. | Tumor ablation device and related systems and methods |
| US11986229B2 (en) | 2019-09-18 | 2024-05-21 | Merit Medical Systems, Inc. | Osteotome with inflatable portion and multiwire articulation |
| KR102286039B1 (ko) * | 2019-10-24 | 2021-08-05 | 주식회사 스타메드 | 천공용 의료 장치 |
| EP4570204A3 (en) * | 2021-05-28 | 2025-06-25 | Boston Scientific Scimed, Inc. | Point pulsed field ablation catheter |
| US20220395322A1 (en) * | 2021-06-15 | 2022-12-15 | Biosense Webster (Israel) Ltd. | Catheter for high-power focal ablation |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4649937A (en) * | 1985-01-28 | 1987-03-17 | Cordis Corporation | Etched grooved electrode for pacing lead and method for making same |
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| US9023030B2 (en) * | 2007-10-09 | 2015-05-05 | Boston Scientific Scimed, Inc. | Cooled ablation catheter devices and methods of use |
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| US20110009857A1 (en) * | 2009-07-13 | 2011-01-13 | Raj Subramaniam | Open-irrigated ablation catheter with turbulent flow |
| US9089340B2 (en) * | 2010-12-30 | 2015-07-28 | Boston Scientific Scimed, Inc. | Ultrasound guided tissue ablation |
| US8932279B2 (en) * | 2011-04-08 | 2015-01-13 | Domain Surgical, Inc. | System and method for cooling of a heated surgical instrument and/or surgical site and treating tissue |
| AU2012242744B2 (en) * | 2011-04-12 | 2016-10-20 | Thermedical, Inc. | Methods and devices for controlling ablation therapy |
| US9241761B2 (en) * | 2011-12-28 | 2016-01-26 | Koninklijke Philips N.V. | Ablation probe with ultrasonic imaging capability |
| US8945015B2 (en) * | 2012-01-31 | 2015-02-03 | Koninklijke Philips N.V. | Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging and treatment |
-
2008
- 2008-10-04 US US12/245,728 patent/US20090093810A1/en not_active Abandoned
- 2008-10-04 EP EP08838344A patent/EP2211981A1/en not_active Withdrawn
- 2008-10-04 WO PCT/US2008/078879 patent/WO2009048824A1/en not_active Ceased
- 2008-10-04 JP JP2010528962A patent/JP5400784B2/ja not_active Expired - Fee Related
- 2008-10-08 EP EP08837116.6A patent/EP2217167B1/en not_active Not-in-force
- 2008-10-08 JP JP2010528999A patent/JP5536653B2/ja active Active
- 2008-10-08 CA CA2699675A patent/CA2699675C/en not_active Expired - Fee Related
- 2008-10-08 KR KR1020107007676A patent/KR20100094449A/ko not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| JP5536653B2 (ja) | 2014-07-02 |
| WO2009048824A1 (en) | 2009-04-16 |
| EP2217167A1 (en) | 2010-08-18 |
| CA2699675A1 (en) | 2009-04-16 |
| EP2217167B1 (en) | 2017-03-08 |
| JP2011500156A (ja) | 2011-01-06 |
| JP5400784B2 (ja) | 2014-01-29 |
| US20090093810A1 (en) | 2009-04-09 |
| EP2211981A1 (en) | 2010-08-04 |
| KR20100094449A (ko) | 2010-08-26 |
| JP2011500157A (ja) | 2011-01-06 |
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