CN101947130A - 用于在基于导管的消融治疗中控制损伤尺寸的方法和装置 - Google Patents
用于在基于导管的消融治疗中控制损伤尺寸的方法和装置 Download PDFInfo
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- CN101947130A CN101947130A CN201010214632XA CN201010214632A CN101947130A CN 101947130 A CN101947130 A CN 101947130A CN 201010214632X A CN201010214632X A CN 201010214632XA CN 201010214632 A CN201010214632 A CN 201010214632A CN 101947130 A CN101947130 A CN 101947130A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
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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
- 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
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- 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
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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
- A61B2018/00315—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
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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
- A61B2018/00571—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
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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
- A61B2018/00642—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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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- 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
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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
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- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Plasma & Fusion (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Apparatus For Radiation Diagnosis (AREA)
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Abstract
Description
Claims (54)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201410838135.5A CN104605928B (zh) | 2009-05-08 | 2010-05-07 | 用于在基于导管的消融治疗中控制损伤尺寸的系统 |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US17651909P | 2009-05-08 | 2009-05-08 | |
US17685309P | 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 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201410838135.5A Division CN104605928B (zh) | 2009-05-08 | 2010-05-07 | 用于在基于导管的消融治疗中控制损伤尺寸的系统 |
Publications (2)
Publication Number | Publication Date |
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CN101947130A true CN101947130A (zh) | 2011-01-19 |
CN101947130B CN101947130B (zh) | 2015-02-04 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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CN201010214632.XA Active CN101947130B (zh) | 2009-05-08 | 2010-05-07 | 用于在基于导管的消融治疗中控制损伤尺寸的方法和装置 |
CN201410838135.5A Active CN104605928B (zh) | 2009-05-08 | 2010-05-07 | 用于在基于导管的消融治疗中控制损伤尺寸的系统 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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CN201410838135.5A Active CN104605928B (zh) | 2009-05-08 | 2010-05-07 | 用于在基于导管的消融治疗中控制损伤尺寸的系统 |
Country Status (6)
Country | Link |
---|---|
US (3) | US8641705B2 (zh) |
EP (3) | EP2248480B1 (zh) |
JP (1) | JP5786108B2 (zh) |
CN (2) | CN101947130B (zh) |
CA (1) | CA2703347C (zh) |
DE (1) | DE202010018025U1 (zh) |
Cited By (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102895026A (zh) * | 2011-07-27 | 2013-01-30 | 韦伯斯特生物官能(以色列)有限公司 | 消融器的测试夹具 |
CN103027695A (zh) * | 2011-09-30 | 2013-04-10 | 韦伯斯特生物官能(以色列)有限公司 | 使用自动置零区域的接触力感测导管的体内校准 |
CN103720511A (zh) * | 2012-10-10 | 2014-04-16 | 韦伯斯特生物官能(以色列)有限公司 | 基于接触力的消融功率控制 |
CN103957792A (zh) * | 2011-10-20 | 2014-07-30 | 皇家飞利浦有限公司 | 用于内脏器官的实时机械功能评估的形状感测装置 |
CN104274239A (zh) * | 2013-07-01 | 2015-01-14 | 韦伯斯特生物官能(以色列)有限公司 | 实时预测在消融期间的蒸汽爆裂事件 |
CN104545953A (zh) * | 2013-10-21 | 2015-04-29 | 韦伯斯特生物官能(以色列)有限公司 | 微创医学过程期间的组织穿孔风险的实时估计 |
CN104586499A (zh) * | 2013-10-30 | 2015-05-06 | 上海微创电生理医疗科技有限公司 | 一种医疗导管 |
CN104968261A (zh) * | 2013-01-16 | 2015-10-07 | 圣犹达医疗用品心脏病学部门有限公司 | 具有板载高密度标测电极的柔性高密度标测导管头端和柔性消融导管头端 |
CN105163682A (zh) * | 2013-03-15 | 2015-12-16 | 圣犹达医疗用品电生理部门有限公司 | 力传感消融导管 |
CN106580424A (zh) * | 2015-07-16 | 2017-04-26 | 韦伯斯特生物官能(以色列)有限公司 | 消融灶尺寸的估计 |
CN106716071A (zh) * | 2014-09-08 | 2017-05-24 | 皇家飞利浦有限公司 | 利用光学形状感测的对表面接触的检测 |
CN106859764A (zh) * | 2015-12-03 | 2017-06-20 | 韦伯斯特生物官能(以色列)有限公司 | 消融线连通性指数 |
CN106994043A (zh) * | 2016-01-25 | 2017-08-01 | 韦伯斯特生物官能(以色列)有限公司 | 温度受控的短持续时间消融 |
CN107019554A (zh) * | 2016-01-25 | 2017-08-08 | 韦伯斯特生物官能(以色列)有限公司 | 温度受控的短持续时间消融 |
CN108567443A (zh) * | 2017-03-09 | 2018-09-25 | 通用电气公司 | 用于ct图像的彩色可视化系统和方法 |
CN109069803A (zh) * | 2016-02-02 | 2018-12-21 | 西安大略大学 | 导管力控制装置 |
CN109803719A (zh) * | 2016-10-14 | 2019-05-24 | 波士顿科学神经调制公司 | 用于闭环确定电模拟系统的刺激参数设置的系统和方法 |
CN110049742A (zh) * | 2016-12-07 | 2019-07-23 | 皇家飞利浦有限公司 | 用于机器人控制的图像引导的运动缩放 |
CN110151141A (zh) * | 2019-06-20 | 2019-08-23 | 上海市肺科医院 | 一种压力性损伤智能评估系统 |
CN110882057A (zh) * | 2019-12-11 | 2020-03-17 | 南京亿高微波系统工程有限公司 | 一种退针布针系统及其定位方法 |
CN111870341A (zh) * | 2020-07-13 | 2020-11-03 | 绍兴梅奥心磁医疗科技有限公司 | 导管射频消融点消融状态的监测方法及系统 |
US10893904B2 (en) | 2016-01-25 | 2021-01-19 | Biosense Webster (Israel) Ltd. | Temperature controlled short duration ablation |
CN113576532A (zh) * | 2020-04-30 | 2021-11-02 | 株式会社日立制作所 | 超声波诊断装置以及脐带长度测定方法 |
Families Citing this family (141)
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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 |
WO2010093603A1 (en) | 2009-02-11 | 2010-08-19 | Boston Scientific Scimed, Inc. | Insulated ablation catheter devices and methods of use |
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 |
CN101947130B (zh) | 2009-05-08 | 2015-02-04 | 圣犹达医疗用品卢森堡控股有限公司 | 用于在基于导管的消融治疗中控制损伤尺寸的方法和装置 |
CA2766640C (en) | 2009-06-30 | 2016-01-05 | Boston Scientific Scimed, Inc. | Map and ablate open irrigated hybrid catheter |
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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 |
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US8798952B2 (en) | 2010-06-10 | 2014-08-05 | Biosense Webster (Israel) Ltd. | Weight-based calibration system for a pressure sensitive catheter |
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US9737353B2 (en) | 2010-12-16 | 2017-08-22 | Biosense Webster (Israel) Ltd. | System for controlling tissue ablation using temperature sensors |
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 |
WO2012092275A1 (en) | 2010-12-27 | 2012-07-05 | Endosense S.A. | Prediction of atrial wall electrical reconnection based on contact force measured during rf ablation |
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EP2491883B1 (de) * | 2011-02-24 | 2014-06-18 | VascoMed GmbH | Katheter und Katheteranordnung |
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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 |
JP5657467B2 (ja) * | 2011-05-13 | 2015-01-21 | オリンパスメディカルシステムズ株式会社 | 医療用画像表示システム |
WO2013040297A1 (en) | 2011-09-14 | 2013-03-21 | Boston Scientific Scimed, Inc. | Ablation device with ionically conductive balloon |
JP6117209B2 (ja) | 2011-09-14 | 2017-04-19 | 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Boston Scientific Scimed,Inc. | 複数のアブレーションモードを備えたアブレーション装置及び同アブレーション装置を含むシステム |
ES2727868T3 (es) | 2011-09-22 | 2019-10-21 | Univ George Washington | Sistemas para visualizar el tejido ablacionado |
US9084611B2 (en) | 2011-09-22 | 2015-07-21 | The George Washington University | Systems and methods for visualizing ablated tissue |
CA2856732A1 (en) | 2011-12-09 | 2013-06-13 | Metavention, Inc. | Therapeutic neuromodulation of the hepatic system |
EP2797536B1 (en) | 2011-12-28 | 2016-04-13 | Boston Scientific Scimed, Inc. | Ablation probe with ultrasonic imaging capability |
JP6224001B2 (ja) * | 2011-12-29 | 2017-11-01 | セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド | 身体組織に対するアブレーション・カテーテルの結合の最適化ならびにカテーテルによって形成される破壊部の評価のためのシステム |
US9687289B2 (en) | 2012-01-04 | 2017-06-27 | Biosense Webster (Israel) Ltd. | Contact assessment based on phase measurement |
EP2802282A1 (en) | 2012-01-10 | 2014-11-19 | Boston Scientific Scimed, Inc. | Electrophysiology system |
JP5830614B2 (ja) | 2012-01-31 | 2015-12-09 | 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. | 超音波組織撮像のための流体に基づいた音響結合を有するアブレーションプローブ、および、アブレーションおよび超音波撮像システム |
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Also Published As
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JP2010259810A (ja) | 2010-11-18 |
EP3037055B1 (en) | 2017-11-15 |
CN101947130B (zh) | 2015-02-04 |
EP2248480B1 (en) | 2016-03-30 |
CN104605928A (zh) | 2015-05-13 |
US9237920B2 (en) | 2016-01-19 |
EP3329875A1 (en) | 2018-06-06 |
EP3037055A1 (en) | 2016-06-29 |
US20160213282A1 (en) | 2016-07-28 |
CA2703347C (en) | 2016-10-04 |
US20100298826A1 (en) | 2010-11-25 |
CN104605928B (zh) | 2018-01-05 |
DE202010018025U1 (de) | 2013-11-07 |
JP5786108B2 (ja) | 2015-09-30 |
CA2703347A1 (en) | 2010-11-08 |
EP2248480A1 (en) | 2010-11-10 |
US8641705B2 (en) | 2014-02-04 |
EP3329875B1 (en) | 2019-08-14 |
US10111607B2 (en) | 2018-10-30 |
US20140194869A1 (en) | 2014-07-10 |
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