CA3058538A1 - An implantable medical device - Google Patents
An implantable medical device Download PDFInfo
- Publication number
- CA3058538A1 CA3058538A1 CA3058538A CA3058538A CA3058538A1 CA 3058538 A1 CA3058538 A1 CA 3058538A1 CA 3058538 A CA3058538 A CA 3058538A CA 3058538 A CA3058538 A CA 3058538A CA 3058538 A1 CA3058538 A1 CA 3058538A1
- Authority
- CA
- Canada
- Prior art keywords
- radially expansible
- sensor
- body lumen
- energy
- radially
- 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.)
- Pending
Links
- 230000017531 blood circulation Effects 0.000 claims abstract description 41
- 230000003287 optical effect Effects 0.000 claims abstract description 17
- 238000010438 heat treatment Methods 0.000 claims description 34
- 230000033001 locomotion Effects 0.000 claims description 14
- 238000011065 in-situ storage Methods 0.000 claims description 12
- 238000005259 measurement Methods 0.000 claims description 9
- 230000004044 response Effects 0.000 claims description 7
- 238000002955 isolation Methods 0.000 claims description 5
- 230000008602 contraction Effects 0.000 claims description 3
- 238000002106 pulse oximetry Methods 0.000 claims description 3
- 210000005248 left atrial appendage Anatomy 0.000 abstract description 123
- 210000002216 heart Anatomy 0.000 abstract description 17
- 210000001519 tissue Anatomy 0.000 description 87
- 238000000034 method Methods 0.000 description 27
- 206010003658 Atrial Fibrillation Diseases 0.000 description 24
- 238000002679 ablation Methods 0.000 description 21
- 210000004369 blood Anatomy 0.000 description 14
- 239000008280 blood Substances 0.000 description 14
- 230000007246 mechanism Effects 0.000 description 14
- 238000011282 treatment Methods 0.000 description 14
- 208000006011 Stroke Diseases 0.000 description 13
- 208000007536 Thrombosis Diseases 0.000 description 13
- 239000012530 fluid Substances 0.000 description 9
- 230000000694 effects Effects 0.000 description 8
- 210000005246 left atrium Anatomy 0.000 description 8
- 239000000463 material Substances 0.000 description 8
- 241001465754 Metazoa Species 0.000 description 7
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 7
- 238000011010 flushing procedure Methods 0.000 description 7
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 238000001816 cooling Methods 0.000 description 5
- 239000007788 liquid Substances 0.000 description 5
- 208000010125 myocardial infarction Diseases 0.000 description 5
- 230000002265 prevention Effects 0.000 description 5
- 102000008186 Collagen Human genes 0.000 description 4
- 108010035532 Collagen Proteins 0.000 description 4
- 210000001765 aortic valve Anatomy 0.000 description 4
- 239000012620 biological material Substances 0.000 description 4
- 230000036770 blood supply Effects 0.000 description 4
- 210000004556 brain Anatomy 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 230000004087 circulation Effects 0.000 description 4
- 229920001436 collagen Polymers 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 201000010099 disease Diseases 0.000 description 4
- 230000008556 epithelial cell proliferation Effects 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 239000011780 sodium chloride Substances 0.000 description 4
- 241000283690 Bos taurus Species 0.000 description 3
- 241000283086 Equidae Species 0.000 description 3
- 210000001367 artery Anatomy 0.000 description 3
- 230000004888 barrier function Effects 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 208000035475 disorder Diseases 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 238000003306 harvesting Methods 0.000 description 3
- 210000005003 heart tissue Anatomy 0.000 description 3
- 230000001788 irregular Effects 0.000 description 3
- 230000000302 ischemic effect Effects 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 230000036961 partial effect Effects 0.000 description 3
- 238000011321 prophylaxis Methods 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 241000700198 Cavia Species 0.000 description 2
- 206010053567 Coagulopathies Diseases 0.000 description 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 2
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 2
- 241000282326 Felis catus Species 0.000 description 2
- 241000699670 Mus sp. Species 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- 238000002835 absorbance Methods 0.000 description 2
- 206010003119 arrhythmia Diseases 0.000 description 2
- 230000006793 arrhythmia Effects 0.000 description 2
- 230000001746 atrial effect Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 210000004027 cell Anatomy 0.000 description 2
- 230000035602 clotting Effects 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 238000005100 correlation spectroscopy Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 230000036425 denaturation Effects 0.000 description 2
- 238000004925 denaturation Methods 0.000 description 2
- 238000002651 drug therapy Methods 0.000 description 2
- 230000003511 endothelial effect Effects 0.000 description 2
- 210000002744 extracellular matrix Anatomy 0.000 description 2
- 239000003102 growth factor Substances 0.000 description 2
- 210000003709 heart valve Anatomy 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 201000002818 limb ischemia Diseases 0.000 description 2
- 210000004115 mitral valve Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 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 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000003836 peripheral circulation Effects 0.000 description 2
- 230000002085 persistent effect Effects 0.000 description 2
- 210000003105 phrenic nerve Anatomy 0.000 description 2
- 230000035790 physiological processes and functions Effects 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 239000012781 shape memory material Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 230000001052 transient effect Effects 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 241001133760 Acoelorraphe Species 0.000 description 1
- 241000282421 Canidae Species 0.000 description 1
- 241000282693 Cercopithecidae Species 0.000 description 1
- 241000282994 Cervidae Species 0.000 description 1
- 241000284156 Clerodendrum quadriloculare Species 0.000 description 1
- 241000699800 Cricetinae Species 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000009024 Epidermal Growth Factor Human genes 0.000 description 1
- 101800003838 Epidermal growth factor Proteins 0.000 description 1
- 241000283074 Equus asinus Species 0.000 description 1
- 102000018233 Fibroblast Growth Factor Human genes 0.000 description 1
- 108050007372 Fibroblast Growth Factor Proteins 0.000 description 1
- 241000282818 Giraffidae Species 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 241001272567 Hominoidea Species 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 238000004566 IR spectroscopy Methods 0.000 description 1
- 208000002720 Malnutrition Diseases 0.000 description 1
- 241000124008 Mammalia Species 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- 241000282579 Pan Species 0.000 description 1
- 241000282320 Panthera leo Species 0.000 description 1
- 241000282376 Panthera tigris Species 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 102000010780 Platelet-Derived Growth Factor Human genes 0.000 description 1
- 108010038512 Platelet-Derived Growth Factor Proteins 0.000 description 1
- 241000282405 Pongo abelii Species 0.000 description 1
- 241000288906 Primates Species 0.000 description 1
- 241000283984 Rodentia Species 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- 102000009618 Transforming Growth Factors Human genes 0.000 description 1
- 108010009583 Transforming Growth Factors Proteins 0.000 description 1
- 208000032109 Transient ischaemic attack Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 210000002469 basement membrane Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000000739 chaotic effect Effects 0.000 description 1
- 238000012512 characterization method Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000001951 dura mater Anatomy 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 210000001174 endocardium Anatomy 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 229940116977 epidermal growth factor Drugs 0.000 description 1
- 230000008029 eradication Effects 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 229940126864 fibroblast growth factor Drugs 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 238000004108 freeze drying Methods 0.000 description 1
- ZZUFCTLCJUWOSV-UHFFFAOYSA-N furosemide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC(C(O)=O)=C1NCC1=CC=CO1 ZZUFCTLCJUWOSV-UHFFFAOYSA-N 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 210000002751 lymph Anatomy 0.000 description 1
- 230000002132 lysosomal effect Effects 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- -1 muscle Substances 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 210000003928 nasal cavity Anatomy 0.000 description 1
- 235000018343 nutrient deficiency Nutrition 0.000 description 1
- 238000012014 optical coherence tomography Methods 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 230000001314 paroxysmal effect Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 231100000572 poisoning Toxicity 0.000 description 1
- 230000000607 poisoning effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 210000000130 stem cell Anatomy 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 229920002994 synthetic fiber Polymers 0.000 description 1
- 210000004876 tela submucosa Anatomy 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 238000002834 transmittance Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000000626 ureter Anatomy 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- VBEQCZHXXJYVRD-GACYYNSASA-N uroanthelone Chemical compound C([C@@H](C(=O)N[C@H](C(=O)N[C@@H](CS)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CS)C(=O)N[C@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)NCC(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CO)C(=O)NCC(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CS)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(O)=O)C(C)C)[C@@H](C)O)NC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@@H](NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H](CCSC)NC(=O)[C@H](CS)NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CS)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)CNC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](CS)NC(=O)CNC(=O)[C@H]1N(CCC1)C(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](N)CC(N)=O)C(C)C)[C@@H](C)CC)C1=CC=C(O)C=C1 VBEQCZHXXJYVRD-GACYYNSASA-N 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- 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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/026—Measuring blood flow
- A61B5/0261—Measuring blood flow using optical means, e.g. infrared light
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00057—Light
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- 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
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- 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
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
-
- 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
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- 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
- A61B2018/00863—Fluid flow
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Physics & Mathematics (AREA)
- Hematology (AREA)
- Physiology (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP17165089.8 | 2017-04-05 | ||
| EP17165089 | 2017-04-05 | ||
| PCT/EP2018/058801 WO2018185256A1 (en) | 2017-04-05 | 2018-04-05 | An implantable medical device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA3058538A1 true CA3058538A1 (en) | 2018-10-11 |
Family
ID=58536752
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3058538A Pending CA3058538A1 (en) | 2017-04-05 | 2018-04-05 | An implantable medical device |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20200121324A1 (enExample) |
| EP (1) | EP3606448A1 (enExample) |
| JP (1) | JP7082987B2 (enExample) |
| CN (1) | CN110582240A (enExample) |
| AU (1) | AU2018247939B2 (enExample) |
| CA (1) | CA3058538A1 (enExample) |
| WO (1) | WO2018185256A1 (enExample) |
Families Citing this family (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11399842B2 (en) | 2013-03-13 | 2022-08-02 | Conformal Medical, Inc. | Devices and methods for excluding the left atrial appendage |
| US10617425B2 (en) | 2014-03-10 | 2020-04-14 | Conformal Medical, Inc. | Devices and methods for excluding the left atrial appendage |
| WO2014164572A1 (en) | 2013-03-13 | 2014-10-09 | Kaplan Aaron V | Devices and methods for excluding the left atrial appendage |
| US11426172B2 (en) | 2016-10-27 | 2022-08-30 | Conformal Medical, Inc. | Devices and methods for excluding the left atrial appendage |
| EP4516244A3 (en) | 2016-10-27 | 2025-09-03 | Conformal Medical, Inc. | Devices for excluding the left atrial appendage |
| US12144508B2 (en) | 2019-02-08 | 2024-11-19 | Conformal Medical, Inc. | Devices and methods for excluding the left atrial appendage |
| EP3920810A4 (en) | 2019-02-08 | 2022-11-09 | Conformal Medical, Inc. | Devices and methods for excluding the left atrial appendage |
| WO2020185389A1 (en) * | 2019-03-12 | 2020-09-17 | Edwards Lifesciences Corporation | Occluder with self-powered sensors |
| EP4403118A3 (en) * | 2019-07-17 | 2024-10-09 | Boston Scientific Scimed, Inc. | Left atrial appendage implant with continuous covering |
| US11944315B2 (en) * | 2019-09-26 | 2024-04-02 | Universität Zürich | Left atrial appendage occlusion devices |
| WO2021142352A1 (en) * | 2020-01-10 | 2021-07-15 | Chelak Medical Solution Inc. | Methods and apparatus to assess and prevent hypothermic injury related to cryoablation of the pulmonary vein antra |
| WO2021218549A1 (zh) * | 2020-04-30 | 2021-11-04 | 杭州德诺电生理医疗科技有限公司 | 消融封堵装置 |
| JP6928399B1 (ja) * | 2020-06-22 | 2021-09-01 | ネットビジネスコンサルティング株式会社 | 閉塞デバイス及び閉塞デバイスの製造方法 |
| CN114246627B (zh) * | 2020-09-22 | 2025-09-19 | 杭州德诺电生理医疗科技有限公司 | 左心耳封堵装置 |
| WO2022063137A1 (zh) * | 2020-09-22 | 2022-03-31 | 杭州德诺电生理医疗科技有限公司 | 左心耳封堵装置 |
| WO2022079235A1 (en) | 2020-10-17 | 2022-04-21 | Aurigen Medical Limited | A device for treatment of the left atrial appendage |
| CN112543385B (zh) * | 2020-12-02 | 2021-12-10 | 湖北电信工程有限公司 | 一种可防外界信号干扰的5g基站建造用信号检测装置 |
| JP2023554194A (ja) | 2020-12-15 | 2023-12-26 | オーリゲン メディカル リミテッド | 体腔内を閉塞する装置 |
| CN114642468A (zh) * | 2020-12-21 | 2022-06-21 | 杭州诺芮医疗科技有限公司 | 左心耳封堵装置及系统 |
| CN114642469A (zh) * | 2020-12-21 | 2022-06-21 | 杭州诺芮医疗科技有限公司 | 左心耳消融装置及控制方法 |
| JP7603169B2 (ja) * | 2021-01-14 | 2024-12-19 | 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 | 左心耳を治療するための医療システム |
| EP4119083B1 (en) | 2021-07-13 | 2024-05-29 | Aurigen Medical Limited | A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter |
| EP4119082B1 (en) * | 2021-07-13 | 2024-05-15 | Aurigen Medical Limited | A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter |
| WO2023032059A1 (ja) * | 2021-08-31 | 2023-03-09 | ネットビジネスコンサルティング株式会社 | 閉鎖システム及び閉鎖デバイスの製造方法 |
| US12161396B2 (en) | 2021-10-19 | 2024-12-10 | Riccardo Cappato | System, device, and method for determining location of arrhythmogenic foci |
| CN121038714A (zh) | 2023-02-22 | 2025-11-28 | 奥里根医疗有限公司 | 医用植入物系统 |
| US20250072960A1 (en) * | 2023-08-31 | 2025-03-06 | Boston Scientific Scimed, Inc. | Dielectric coating for cardiac ablation device |
Family Cites Families (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4909789A (en) | 1986-03-28 | 1990-03-20 | Olympus Optical Co., Ltd. | Observation assisting forceps |
| US5573530A (en) | 1994-12-15 | 1996-11-12 | Cabot Technology Corporation | Handle for a surgical instrument including a manually actuated brake |
| US6401719B1 (en) | 1997-09-11 | 2002-06-11 | Vnus Medical Technologies, Inc. | Method of ligating hollow anatomical structures |
| US6152144A (en) | 1998-11-06 | 2000-11-28 | Appriva Medical, Inc. | Method and device for left atrial appendage occlusion |
| US7655016B2 (en) | 1999-09-17 | 2010-02-02 | Covidien | Mechanical pump for removal of fragmented matter and methods of manufacture and use |
| US6454775B1 (en) | 1999-12-06 | 2002-09-24 | Bacchus Vascular Inc. | Systems and methods for clot disruption and retrieval |
| US20010031981A1 (en) | 2000-03-31 | 2001-10-18 | Evans Michael A. | Method and device for locating guidewire and treating chronic total occlusions |
| FR2808991A1 (fr) | 2000-05-18 | 2001-11-23 | Perret Emile Lamy | Sonde extensible interne a usage chirurgical pour la dilatation, le curetage et la protection de conduits physiologiques |
| WO2002069783A2 (en) * | 2000-10-24 | 2002-09-12 | Concentric Medical, Inc. | Device and methods for treating vascular malformations |
| US20040153056A1 (en) | 2002-11-11 | 2004-08-05 | Berchtold Holding Gmbh, A German Corporation | Probe |
| WO2004073782A1 (en) | 2003-02-19 | 2004-09-02 | Taewoong Medical Co., Ltd | Stent for high frequency thermotherapy |
| EP1737371B1 (en) * | 2004-04-19 | 2011-06-08 | ProRhythm, Inc. | Ablation devices with sensor structures |
| US8617152B2 (en) * | 2004-11-15 | 2013-12-31 | Medtronic Ablation Frontiers Llc | Ablation system with feedback |
| US7918850B2 (en) | 2006-02-17 | 2011-04-05 | Biosense Wabster, Inc. | Lesion assessment by pacing |
| US8402974B2 (en) * | 2006-05-30 | 2013-03-26 | Coherex Medical, Inc. | Methods, systems, and devices for sensing, measuring, and controlling closure of a patent foramen ovale |
| WO2008034077A2 (en) * | 2006-09-15 | 2008-03-20 | Cardiac Pacemakers, Inc. | Anchor for an implantable sensor |
| US9649115B2 (en) * | 2009-06-17 | 2017-05-16 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
| WO2011041488A2 (en) * | 2009-09-30 | 2011-04-07 | Mayo Foundation For Medical Education And Research | Tissue capture and occlusion systems and methods |
| EP2672927A4 (en) | 2011-02-10 | 2014-08-20 | Atrial Innovations Inc | TREATMENT OF HERZOHR OCKLUSIONS AND ARRHYTHMIES |
| US9011551B2 (en) | 2011-07-11 | 2015-04-21 | The Regents Of The University Of Michigan | Multimodality left atrial appendage occlusion device |
| WO2013096548A1 (en) * | 2011-12-23 | 2013-06-27 | Volcano Corporation | Methods and apparatus for regulating blood pressure |
| CN104039246A (zh) | 2012-01-06 | 2014-09-10 | 因赛普特斯医学有限责任公司 | 可膨胀的闭塞装置及使用方法 |
| EP2804548B1 (en) | 2012-01-17 | 2019-03-27 | Perflow Medical Ltd. | Apparatus for occlusion removal |
| US20170281193A1 (en) * | 2014-08-26 | 2017-10-05 | Mayo Foundation For Medical Education And Research | Closure and ablation of body viscera and conduits |
| US20180161039A1 (en) * | 2015-06-19 | 2018-06-14 | Koninklijke Philips N.V. | Implantable medical device and system to heat tissue |
-
2018
- 2018-04-05 CA CA3058538A patent/CA3058538A1/en active Pending
- 2018-04-05 AU AU2018247939A patent/AU2018247939B2/en active Active
- 2018-04-05 JP JP2019554807A patent/JP7082987B2/ja active Active
- 2018-04-05 US US16/500,886 patent/US20200121324A1/en not_active Abandoned
- 2018-04-05 EP EP18720116.5A patent/EP3606448A1/en not_active Withdrawn
- 2018-04-05 WO PCT/EP2018/058801 patent/WO2018185256A1/en not_active Ceased
- 2018-04-05 CN CN201880028836.9A patent/CN110582240A/zh active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| US20200121324A1 (en) | 2020-04-23 |
| AU2018247939B2 (en) | 2023-10-19 |
| AU2018247939A1 (en) | 2019-10-24 |
| EP3606448A1 (en) | 2020-02-12 |
| WO2018185256A1 (en) | 2018-10-11 |
| CN110582240A (zh) | 2019-12-17 |
| JP7082987B2 (ja) | 2022-06-09 |
| JP2020516356A (ja) | 2020-06-11 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US12279776B2 (en) | Implantable medical device | |
| AU2018247939B2 (en) | An implantable medical device | |
| US12167855B2 (en) | Device for implantation in a left atrial appendage of the heart | |
| US20230149072A1 (en) | Device for occlusion of a left atrial appendage of a heart | |
| US20230018512A1 (en) | System Comprising an Elongated Catheter and an Implant Detachably Attached to a Distal End of the Elongated Catheter | |
| US20240032935A1 (en) | Device to occlude a body lumen | |
| US20230404658A1 (en) | A device for treatment of the left atrial appendage |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20230404 |
|
| EEER | Examination request |
Effective date: 20230404 |