CA2703347C - Method and apparatus for controlling lesion size in catheter-based ablation treatment - Google Patents
Method and apparatus for controlling lesion size in catheter-based ablation treatment Download PDFInfo
- Publication number
- CA2703347C CA2703347C CA2703347A CA2703347A CA2703347C CA 2703347 C CA2703347 C CA 2703347C CA 2703347 A CA2703347 A CA 2703347A CA 2703347 A CA2703347 A CA 2703347A CA 2703347 C CA2703347 C CA 2703347C
- Authority
- CA
- Canada
- Prior art keywords
- force
- ablation head
- energization
- ablation
- contact
- 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.)
- Active
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
-
- 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
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
-
- 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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6885—Monitoring or controlling sensor contact pressure
-
- 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
-
- 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
-
- 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
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
- A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
-
- 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
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
- A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
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- 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
- A61B2018/00702—Power or energy
- A61B2018/00708—Power or energy switching the power on or off
-
- 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
- A61B2018/00779—Power or energy
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/102—Modelling of surgical devices, implants or prosthesis
- A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0261—Strain gauges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0261—Strain gauges
- A61B2562/0266—Optical strain gauges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Plasma & Fusion (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Cardiology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Apparatus For Radiation Diagnosis (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
Applications Claiming Priority (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US17685309P | 2009-05-08 | 2009-05-08 | |
| US17651909P | 2009-05-08 | 2009-05-08 | |
| US61/176,519 | 2009-05-08 | ||
| US61/176,853 | 2009-05-08 | ||
| US17718009P | 2009-06-10 | 2009-06-10 | |
| US61/177,180 | 2009-06-10 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2703347A1 CA2703347A1 (en) | 2010-11-08 |
| CA2703347C true CA2703347C (en) | 2016-10-04 |
Family
ID=42386397
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2703347A Active CA2703347C (en) | 2009-05-08 | 2010-05-07 | Method and apparatus for controlling lesion size in catheter-based ablation treatment |
Country Status (6)
| Country | Link |
|---|---|
| US (3) | US8641705B2 (enExample) |
| EP (3) | EP3037055B1 (enExample) |
| JP (1) | JP5786108B2 (enExample) |
| CN (2) | CN104605928B (enExample) |
| CA (1) | CA2703347C (enExample) |
| DE (1) | DE202010018025U1 (enExample) |
Families Citing this family (184)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8048063B2 (en) | 2006-06-09 | 2011-11-01 | Endosense Sa | Catheter having tri-axial force sensor |
| US8357152B2 (en) | 2007-10-08 | 2013-01-22 | Biosense Webster (Israel), Ltd. | Catheter with pressure sensing |
| US8535308B2 (en) | 2007-10-08 | 2013-09-17 | Biosense Webster (Israel), Ltd. | High-sensitivity pressure-sensing probe |
| US8437832B2 (en) | 2008-06-06 | 2013-05-07 | Biosense Webster, Inc. | Catheter with bendable tip |
| US9101734B2 (en) | 2008-09-09 | 2015-08-11 | Biosense Webster, Inc. | Force-sensing catheter with bonded center strut |
| US20100114081A1 (en) | 2008-11-05 | 2010-05-06 | Spectranetics | Biasing laser catheter: monorail design |
| US8702773B2 (en) | 2008-12-17 | 2014-04-22 | The Spectranetics Corporation | Eccentric balloon laser catheter |
| US9326700B2 (en) | 2008-12-23 | 2016-05-03 | Biosense Webster (Israel) Ltd. | Catheter display showing tip angle and pressure |
| US9320565B2 (en) * | 2008-12-31 | 2016-04-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation devices, systems and method for measuring cooling effect of fluid flow |
| JP5693471B2 (ja) | 2009-02-11 | 2015-04-01 | 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Ｂｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． | 絶縁された切除カテーテルデバイスおよびその使用法 |
| US9393068B1 (en) | 2009-05-08 | 2016-07-19 | St. Jude Medical International Holding S.À R.L. | Method for predicting the probability of steam pop in RF ablation therapy |
| CN104605928B (zh) | 2009-05-08 | 2018-01-05 | 圣犹达医疗用品国际控股有限公司 | 用于在基于导管的消融治疗中控制损伤尺寸的系统 |
| EP2448510B1 (en) | 2009-06-30 | 2016-08-31 | Boston Scientific Scimed, Inc. | Map and ablate open irrigated hybrid catheter |
| DE102009034245A1 (de) * | 2009-07-22 | 2011-03-03 | Siemens Aktiengesellschaft | Verfahren und Vorrichtung zur visuellen Unterstützung einer elektrophysiologischen Katheteranwendung |
| US10688278B2 (en) | 2009-11-30 | 2020-06-23 | Biosense Webster (Israel), Ltd. | Catheter with pressure measuring tip |
| US10624553B2 (en) * | 2009-12-08 | 2020-04-21 | Biosense Webster (Israel), Ltd. | Probe data mapping using contact information |
| US8521462B2 (en) | 2009-12-23 | 2013-08-27 | Biosense Webster (Israel), Ltd. | Calibration system for a pressure-sensitive catheter |
| US8529476B2 (en) | 2009-12-28 | 2013-09-10 | Biosense Webster (Israel), Ltd. | Catheter with strain gauge sensor |
| US20130190726A1 (en) * | 2010-04-30 | 2013-07-25 | Children's Medical Center Corporation | Motion compensating catheter device |
| US8798952B2 (en) | 2010-06-10 | 2014-08-05 | Biosense Webster (Israel) Ltd. | Weight-based calibration system for a pressure sensitive catheter |
| US8226580B2 (en) | 2010-06-30 | 2012-07-24 | Biosense Webster (Israel), Ltd. | Pressure sensing for a multi-arm catheter |
| US8731859B2 (en) | 2010-10-07 | 2014-05-20 | Biosense Webster (Israel) Ltd. | Calibration system for a force-sensing catheter |
| US8979772B2 (en) * | 2010-11-03 | 2015-03-17 | Biosense Webster (Israel), Ltd. | Zero-drift detection and correction in contact force measurements |
| US8532738B2 (en) * | 2010-11-04 | 2013-09-10 | Biosense Webster (Israel), Ltd. | Visualization of catheter-tissue contact by map distortion |
| US10405920B2 (en) * | 2016-01-25 | 2019-09-10 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| US9737353B2 (en) | 2010-12-16 | 2017-08-22 | Biosense Webster (Israel) Ltd. | System for controlling tissue ablation using temperature sensors |
| US10292763B2 (en) | 2016-01-25 | 2019-05-21 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| US10441354B2 (en) | 2016-01-25 | 2019-10-15 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
| US9149327B2 (en) | 2010-12-27 | 2015-10-06 | St. Jude Medical Luxembourg Holding S.À.R.L. | Prediction of atrial wall electrical reconnection based on contact force measured during RF ablation |
| CN103429183B (zh) * | 2010-12-27 | 2016-01-06 | 圣犹达医疗用品卢森堡控股有限公司 | 基于射频消融过程中测得接触力的心房壁电重联预测系统 |
| US9089340B2 (en) | 2010-12-30 | 2015-07-28 | Boston Scientific Scimed, Inc. | Ultrasound guided tissue ablation |
| US20120220879A1 (en) * | 2011-02-24 | 2012-08-30 | Vascomed Gmbh | Catheter and Catheter Arrangement |
| US10362963B2 (en) * | 2011-04-14 | 2019-07-30 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Correction of shift and drift in impedance-based medical device navigation using magnetic field information |
| US9901303B2 (en) | 2011-04-14 | 2018-02-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for registration of multiple navigation systems to a common coordinate frame |
| US10918307B2 (en) | 2011-09-13 | 2021-02-16 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Catheter navigation using impedance and magnetic field measurements |
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- 2010-05-07 CN CN201410838135.5A patent/CN104605928B/zh active Active
- 2010-05-07 CA CA2703347A patent/CA2703347C/en active Active
- 2010-05-07 CN CN201010214632.XA patent/CN101947130B/zh active Active
- 2010-05-07 JP JP2010107727A patent/JP5786108B2/ja active Active
- 2010-05-10 EP EP15195102.7A patent/EP3037055B1/en active Active
- 2010-05-10 US US12/776,762 patent/US8641705B2/en active Active
- 2010-05-10 DE DE202010018025U patent/DE202010018025U1/de not_active Expired - Lifetime
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Also Published As
| Publication number | Publication date |
|---|---|
| CN104605928B (zh) | 2018-01-05 |
| US20100298826A1 (en) | 2010-11-25 |
| CN101947130B (zh) | 2015-02-04 |
| EP3329875B1 (en) | 2019-08-14 |
| CA2703347A1 (en) | 2010-11-08 |
| JP2010259810A (ja) | 2010-11-18 |
| US20140194869A1 (en) | 2014-07-10 |
| EP2248480A1 (en) | 2010-11-10 |
| CN101947130A (zh) | 2011-01-19 |
| EP3329875A1 (en) | 2018-06-06 |
| US20160213282A1 (en) | 2016-07-28 |
| EP3037055A1 (en) | 2016-06-29 |
| JP5786108B2 (ja) | 2015-09-30 |
| US10111607B2 (en) | 2018-10-30 |
| EP2248480B1 (en) | 2016-03-30 |
| US9237920B2 (en) | 2016-01-19 |
| DE202010018025U1 (de) | 2013-11-07 |
| EP3037055B1 (en) | 2017-11-15 |
| CN104605928A (zh) | 2015-05-13 |
| US8641705B2 (en) | 2014-02-04 |
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