CN103271766B - 一种用于标测和消融位于肾动脉上所分布的肾神经的装置 - Google Patents

一种用于标测和消融位于肾动脉上所分布的肾神经的装置 Download PDF

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Publication number
CN103271766B
CN103271766B CN201310070820.3A CN201310070820A CN103271766B CN 103271766 B CN103271766 B CN 103271766B CN 201310070820 A CN201310070820 A CN 201310070820A CN 103271766 B CN103271766 B CN 103271766B
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China
Prior art keywords
catheter
mapping
guide catheter
renal
ablation
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CN201310070820.3A
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English (en)
Chinese (zh)
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CN103271766A (zh
Inventor
王捷
李楚武
王建聪
邹波
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SyMap Medical Suzhou Ltd
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SyMap Medical Suzhou Ltd
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Priority claimed from PCT/IB2012/054310 external-priority patent/WO2013030743A1/en
Application filed by SyMap Medical Suzhou Ltd filed Critical SyMap Medical Suzhou Ltd
Priority to PCT/CN2013/082135 priority Critical patent/WO2014029355A1/en
Priority to RU2016128031A priority patent/RU2611759C1/ru
Priority to CA2882002A priority patent/CA2882002C/en
Priority to RU2015110451/14A priority patent/RU2593979C1/ru
Priority to JP2015527780A priority patent/JP6574134B2/ja
Priority to SG11201501257UA priority patent/SG11201501257UA/en
Priority to ES13830265T priority patent/ES2855051T3/es
Priority to KR1020157007087A priority patent/KR101590005B1/ko
Priority to EP13830265.8A priority patent/EP2887900B1/en
Priority to AU2013305279A priority patent/AU2013305279B2/en
Priority to US14/421,869 priority patent/US9770291B2/en
Publication of CN103271766A publication Critical patent/CN103271766A/zh
Priority to IL237218A priority patent/IL237218A/en
Priority to ZA2015/01110A priority patent/ZA201501110B/en
Publication of CN103271766B publication Critical patent/CN103271766B/zh
Application granted granted Critical
Priority to US15/691,768 priority patent/US11337748B2/en
Priority to US15/802,610 priority patent/US10722303B2/en
Priority to JP2017240531A priority patent/JP6449978B2/ja
Priority to US16/939,080 priority patent/US11576721B2/en
Priority to US17/161,697 priority patent/US20210145342A1/en
Priority to US17/750,422 priority patent/US12295650B2/en
Priority to US18/109,258 priority patent/US20230210593A1/en
Priority to US19/205,423 priority patent/US20250268654A1/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B18/12—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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • 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
    • 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
    • A61B2018/00404—Blood vessels other than those in or around the 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434—Neural system
    • 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
    • A61B2018/00505—Urinary tract
    • A61B2018/00511—Kidney
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551—Spinal or peripheral nerve electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Radiology & Medical Imaging (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Laser Surgery Devices (AREA)
  • Biophysics (AREA)
  • Vascular Medicine (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
CN201310070820.3A 2011-08-26 2013-03-06 一种用于标测和消融位于肾动脉上所分布的肾神经的装置 Active CN103271766B (zh)

Priority Applications (21)

Application Number Priority Date Filing Date Title
US14/421,869 US9770291B2 (en) 2011-08-26 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
RU2016128031A RU2611759C1 (ru) 2011-08-26 2013-08-23 Устройство для картирования и удаления почечных нервов, расположенных в почечной артерии
CA2882002A CA2882002C (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
RU2015110451/14A RU2593979C1 (ru) 2012-08-24 2013-08-23 Устройство для картирования и удаления почечных нервов, расположенных в почечной артерии
PCT/CN2013/082135 WO2014029355A1 (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
JP2015527780A JP6574134B2 (ja) 2012-08-24 2013-08-23 腎動脈に分布する腎神経をマッピングし、アブレーションするデバイス
SG11201501257UA SG11201501257UA (en) 2011-08-26 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
ES13830265T ES2855051T3 (es) 2012-08-24 2013-08-23 Un dispositivo para la localización y la ablación de nervios renales distribuidos en la arteria renal
KR1020157007087A KR101590005B1 (ko) 2012-08-24 2013-08-23 신장 동맥에 분포된 신장 신경을 맵핑 또는 절제하기 위한 디바이스
EP13830265.8A EP2887900B1 (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
AU2013305279A AU2013305279B2 (en) 2012-08-24 2013-08-23 Device for mapping and ablating renal nerves distributed on the renal artery
IL237218A IL237218A (en) 2012-08-24 2015-02-12 A device for mapping and excision of kidney designs scattered on the renal artery
ZA2015/01110A ZA201501110B (en) 2012-08-24 2015-02-18 Device for mapping and ablating renal nerves distributed on the renal artery
US15/691,768 US11337748B2 (en) 2011-08-26 2017-08-31 Device for mapping and ablating renal nerves distributed on the renal artery
US15/802,610 US10722303B2 (en) 2011-08-26 2017-11-03 System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same
JP2017240531A JP6449978B2 (ja) 2012-08-24 2017-12-15 腎動脈に分布する腎神経をマッピングし、アブレーションするデバイス
US16/939,080 US11576721B2 (en) 2011-08-26 2020-07-27 System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same
US17/161,697 US20210145342A1 (en) 2011-08-26 2021-01-29 System and method for mapping the functional nerves innervating the wall of arteries, 3-d mapping and catheters for same
US17/750,422 US12295650B2 (en) 2011-08-26 2022-05-23 Device for mapping and ablating renal nerves distributed on the renal artery
US18/109,258 US20230210593A1 (en) 2011-08-26 2023-02-13 System and method for mapping the functional nerves innervating the wall of arteries, 3-d mapping and catheters for same
US19/205,423 US20250268654A1 (en) 2011-08-26 2025-05-12 Device for mapping and ablating renal nerves distributed on the renal artery

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
WOPCT/IB2012/054303 2012-08-24
PCT/IB2012/054310 WO2013030743A1 (en) 2011-08-26 2012-08-24 System and method for locating and identifying functional nerves innervating wall of arteries and catheters for same
PCT/IB2012/054303 WO2013030738A1 (en) 2011-08-26 2012-08-24 System and method for locating and identifying functional nerves innervating wall of arteries
WOPCT/IB2012/054310 2012-08-24

Publications (2)

Publication Number Publication Date
CN103271766A CN103271766A (zh) 2013-09-04
CN103271766B true CN103271766B (zh) 2015-08-26

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CN201310070820.3A Active CN103271766B (zh) 2011-08-26 2013-03-06 一种用于标测和消融位于肾动脉上所分布的肾神经的装置
CN2013201007390U Expired - Lifetime CN203138452U (zh) 2012-08-24 2013-03-06 一种能够定位或识别位于血管壁内或外膜上的神经的仪器
CN201310070218.XA Active CN103284693B (zh) 2012-08-24 2013-03-06 一种能够定位和识别血管壁内或外膜上神经的仪器及使用方法

Family Applications After (2)

Application Number Title Priority Date Filing Date
CN2013201007390U Expired - Lifetime CN203138452U (zh) 2012-08-24 2013-03-06 一种能够定位或识别位于血管壁内或外膜上的神经的仪器
CN201310070218.XA Active CN103284693B (zh) 2012-08-24 2013-03-06 一种能够定位和识别血管壁内或外膜上神经的仪器及使用方法

Country Status (6)

Country Link
EP (1) EP2887900B1 (enExample)
JP (1) JP6574134B2 (enExample)
KR (1) KR101590005B1 (enExample)
CN (3) CN103271766B (enExample)
AU (1) AU2013305279B2 (enExample)
WO (1) WO2014029355A1 (enExample)

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US11848078B2 (en) 2017-10-18 2023-12-19 Autonomix Medical, Inc. Medical devices with circuitry for capturing and processing physiological signals
US11883103B2 (en) 2014-08-10 2024-01-30 Autonomix Medical, Inc. ANS assessment systems, kits, and methods
US12011214B2 (en) 2012-11-05 2024-06-18 Autonomix Medical, Inc. Systems, methods, and devices for monitoring and treatment of tissues within and/or through a lumen wall
US12053634B2 (en) 2012-05-29 2024-08-06 Autonomix Medical, Inc. Endoscopic sympathectomy systems and methods
US12064256B2 (en) 2013-10-15 2024-08-20 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function
US12257071B2 (en) 2012-01-26 2025-03-25 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US12279889B2 (en) 2013-03-27 2025-04-22 Autonomix Medical, Inc. Systems and methods for neurological traffic and/or receptor functional evaluation and/or modification
US12369852B2 (en) 2015-10-21 2025-07-29 Autonomix Medical, Inc. Controlled and precise treatment of cardiac tissues
US12369859B2 (en) 2012-12-09 2025-07-29 Autonomix Medical, Inc. Systems and methods for regulating organ and/or tumor growth rates, function, and/or development
US12376757B2 (en) 2012-01-26 2025-08-05 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US12433670B2 (en) 2013-10-15 2025-10-07 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function

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US7653438B2 (en) 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
US20070021803A1 (en) 2005-07-22 2007-01-25 The Foundry Inc. Systems and methods for neuromodulation for treatment of pain and other disorders associated with nerve conduction
EP2092957B2 (en) 2006-06-28 2019-11-20 Medtronic Ardian Luxembourg S.à.r.l. Systems for thermally-induced renal neuromodulation
WO2012061153A1 (en) 2010-10-25 2012-05-10 Medtronic Ardian Luxembourg S.A.R.L. Devices, systems and methods for evaluation and feedback of neuromodulation treatment
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CN103271766B (zh) * 2012-08-24 2015-08-26 苏州信迈医疗器械有限公司 一种用于标测和消融位于肾动脉上所分布的肾神经的装置
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CN104271062B (zh) 2012-03-08 2017-07-07 美敦力Af卢森堡有限责任公司 采用神经调节装置的生物标志物取样和相关系统及方法
CN104902836B (zh) 2012-11-05 2017-08-08 毕达哥拉斯医疗有限公司 受控组织消融
US9770593B2 (en) 2012-11-05 2017-09-26 Pythagoras Medical Ltd. Patient selection using a transluminally-applied electric current
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US9326816B2 (en) 2013-08-30 2016-05-03 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods
US9339332B2 (en) 2013-08-30 2016-05-17 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters with nerve monitoring features for transmitting digital neural signals and associated systems and methods
US10433902B2 (en) 2013-10-23 2019-10-08 Medtronic Ardian Luxembourg S.A.R.L. Current control methods and systems
US10610292B2 (en) 2014-04-25 2020-04-07 Medtronic Ardian Luxembourg S.A.R.L. Devices, systems, and methods for monitoring and/or controlling deployment of a neuromodulation element within a body lumen and related technology
EP3139853B1 (en) * 2014-05-07 2018-12-19 Pythagoras Medical Ltd. Controlled tissue ablation apparatus
CN104068931A (zh) * 2014-06-04 2014-10-01 远见企业有限公司 一种具有可旋转扁平电极的去肾动脉交感神经消融导管
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EP4389044A3 (en) 2014-10-01 2024-09-11 Medtronic Ardian Luxembourg S.à.r.l. Systems and methods for evaluating neuromodulation therapy via hemodynamic responses
US10667736B2 (en) 2014-12-17 2020-06-02 Medtronic Ardian Luxembourg S.A.R.L. Systems and methods for assessing sympathetic nervous system tone for neuromodulation therapy
CN105796126B (zh) * 2014-12-31 2019-03-22 上海形状记忆合金材料有限公司 肾动脉去交感的检测装置
US10383685B2 (en) 2015-05-07 2019-08-20 Pythagoras Medical Ltd. Techniques for use with nerve tissue
US11547480B2 (en) 2015-07-21 2023-01-10 Koninklijke Philips N.V. System for stimulating renal nerves
WO2017199240A2 (en) 2016-05-18 2017-11-23 Pythagoras Medical Ltd. Helical catheter
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US10231784B2 (en) 2016-10-28 2019-03-19 Medtronic Ardian Luxembourg S.A.R.L. Methods and systems for optimizing perivascular neuromodulation therapy using computational fluid dynamics
KR102024824B1 (ko) * 2017-05-31 2019-09-24 주식회사 세종메디칼 외과수술용 의료장치
DE102017112482A1 (de) 2017-06-07 2018-12-13 Omicron-Laserage Laserprodukte Gmbh Positioniervorrichtung zur Positionierung einer lichtleitenden Faser in einem Kalibrationsport
US10456056B2 (en) * 2017-06-21 2019-10-29 Biosense Webster (Israel) Ltd. Combination torso vest to map cardiac electrophysiology
US12082917B2 (en) 2018-01-24 2024-09-10 Medtronic Ireland Manufacturing Unlimited Company Systems, devices, and methods for assessing efficacy of renal neuromodulation therapy
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US11633120B2 (en) 2018-09-04 2023-04-25 Medtronic Ardian Luxembourg S.A.R.L. Systems and methods for assessing efficacy of renal neuromodulation therapy
JP2022503833A (ja) 2018-10-06 2022-01-12 サイマップ メディカル （スーチョウ）， リミテッド 動脈の壁を神経支配する機能性神経をマッピングするためのシステムと方法、そのための３ｄマッピング、およびカテーテル
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