CN103687550B - 消融装置 - Google Patents

消融装置 Download PDF

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Publication number
CN103687550B
CN103687550B CN201280036218.1A CN201280036218A CN103687550B CN 103687550 B CN103687550 B CN 103687550B CN 201280036218 A CN201280036218 A CN 201280036218A CN 103687550 B CN103687550 B CN 103687550B
Authority
CN
China
Prior art keywords
ablation
unit
ultrasound
nerve
visualization unit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201280036218.1A
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English (en)
Chinese (zh)
Other versions
CN103687550A (zh
Inventor
S·德拉迪
G·A·哈克斯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips Electronics NV
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Filing date
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Publication of CN103687550A publication Critical patent/CN103687550A/zh
Application granted granted Critical
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Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4887—Locating particular structures in or on the body
    • A61B5/4893—Nerves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461—Displaying means of special interest
    • A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461—Displaying means of special interest
    • A61B8/466—Displaying means of special interest adapted to display 3D data
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/483—Diagnostic techniques involving the acquisition of a 3D volume of data
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/486—Diagnostic techniques involving arbitrary m-mode
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A61B5/068—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe using impedance sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12—Arrangements for detecting or locating foreign bodies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Neurology (AREA)
  • Computer Graphics (AREA)
  • General Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)
  • Laser Surgery Devices (AREA)
CN201280036218.1A 2011-07-22 2012-07-19 消融装置 Expired - Fee Related CN103687550B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161510599P 2011-07-22 2011-07-22
US61/510,599 2011-07-22
PCT/IB2012/053692 WO2013014583A1 (en) 2011-07-22 2012-07-19 Ablation apparatus

Publications (2)

Publication Number Publication Date
CN103687550A CN103687550A (zh) 2014-03-26
CN103687550B true CN103687550B (zh) 2016-08-17

Family

ID=46800228

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201280036218.1A Expired - Fee Related CN103687550B (zh) 2011-07-22 2012-07-19 消融装置

Country Status (5)

Country Link
US (1) US20140163372A1 (https=)
EP (1) EP2734118B1 (https=)
JP (1) JP6222778B2 (https=)
CN (1) CN103687550B (https=)
WO (1) WO2013014583A1 (https=)

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US8241274B2 (en) 2000-01-19 2012-08-14 Medtronic, Inc. Method for guiding a medical device
US7617005B2 (en) 2002-04-08 2009-11-10 Ardian, Inc. Methods and apparatus for thermally-induced renal neuromodulation
US8150519B2 (en) 2002-04-08 2012-04-03 Ardian, Inc. Methods and apparatus for bilateral renal neuromodulation
US20080039746A1 (en) 2006-05-25 2008-02-14 Medtronic, Inc. Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
WO2013134543A1 (en) 2012-03-08 2013-09-12 Medtronic Ardian Luxembourg Sarl Immune system neuromodulation and associated systems and methods
US10543037B2 (en) 2013-03-15 2020-01-28 Medtronic Ardian Luxembourg S.A.R.L. Controlled neuromodulation systems and methods of use
EP2945558B1 (en) 2013-03-15 2018-01-31 St. Jude Medical Atrial Fibrillation Division Inc. Force-sensing ablation catheter
US9770606B2 (en) * 2013-10-15 2017-09-26 Boston Scientific Scimed, Inc. Ultrasound ablation catheter with cooling infusion and centering basket
WO2015170281A1 (en) * 2014-05-07 2015-11-12 Rainbow Medical Ltd Controlled tissue ablation techniques
CN106999148A (zh) * 2014-11-18 2017-08-01 皇家飞利浦有限公司 用于组织的性质改变的可视化装置
JP2017536187A (ja) 2014-12-03 2017-12-07 メタベンション インコーポレイテッド 神経または他の組織を調節するためのシステムおよび方法
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
JP2018082934A (ja) * 2016-11-24 2018-05-31 京セラ株式会社 腎神経用超音波カテーテル
WO2019186786A1 (ja) * 2018-03-28 2019-10-03 株式会社Ａｌｉｖａｓ 処置方法
US11304755B2 (en) * 2018-04-18 2022-04-19 Boston Scientific Scimed, Inc. Microwave tissue ablation probe with non-metallic introducer set
EP3829500A4 (en) * 2018-08-02 2022-05-04 Sofwave Medical Ltd. DEVICES AND METHODS FOR VAGINAL TREATMENTS
CA3105282A1 (en) 2018-08-22 2020-02-27 Ran Sela Catheter ultrasound transducer container

Citations (5)

* Cited by examiner, † Cited by third party
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WO1997024981A2 (en) * 1996-01-08 1997-07-17 Biosense Inc. Cardiac electro-mechanics
JP2004532073A (ja) * 2001-04-27 2004-10-21 シー・アール・バード・インコーポレーテッド 血管の電気的活動度の３次元マッピングのためのカテーテル及び切除手術
US20050283195A1 (en) * 2004-06-18 2005-12-22 Pastore Joseph M Methods and apparatuses for localizing myocardial infarction during catheterization
CN1879565A (zh) * 2005-06-16 2006-12-20 韦伯斯特生物官能公司 用于消融脂肪垫的微创方法
WO2010082146A1 (en) * 2009-01-14 2010-07-22 Koninklijke Philips Electronics N.V. Monitoring apparatus for monitoring an ablation procedure

Family Cites Families (16)

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US4887605A (en) * 1988-02-18 1989-12-19 Angelsen Bjorn A J Laser catheter delivery system for controlled atheroma ablation combining laser angioplasty and intra-arterial ultrasonic imagining
US5904651A (en) * 1996-10-28 1999-05-18 Ep Technologies, Inc. Systems and methods for visualizing tissue during diagnostic or therapeutic procedures
US5788636A (en) * 1997-02-25 1998-08-04 Acuson Corporation Method and system for forming an ultrasound image of a tissue while simultaneously ablating the tissue
JP2000005179A (ja) * 1998-06-17 2000-01-11 Fujitsu Ltd 超音波診断装置
US6394956B1 (en) * 2000-02-29 2002-05-28 Scimed Life Systems, Inc. RF ablation and ultrasound catheter for crossing chronic total occlusions
WO2001068173A2 (en) * 2000-03-15 2001-09-20 Boston Scientific Limited Ablation and imaging catheter
JP4557261B2 (ja) * 2006-07-18 2010-10-06 株式会社日立メディコ 超音波治療装置
US11395694B2 (en) * 2009-05-07 2022-07-26 St. Jude Medical, Llc Irrigated ablation catheter with multiple segmented ablation electrodes
US8702609B2 (en) * 2007-07-27 2014-04-22 Meridian Cardiovascular Systems, Inc. Image-guided intravascular therapy catheters
FR2923372B1 (fr) * 2007-11-08 2010-10-29 Theraclion Dispositif et methode de reperage non invasif d'une structure tel qu'un nerf.
US10492854B2 (en) * 2007-12-05 2019-12-03 Biosense Webster, Inc. Catheter-based acoustic radiation force impulse system
JP5676575B2 (ja) * 2009-05-15 2015-02-25 コーニンクレッカ フィリップス エヌ ヴェ 心臓の特性を決定するための装置、方法及びコンピュータプログラム
WO2010141417A2 (en) * 2009-06-01 2010-12-09 Mayo Foundation For Medical Education And Research Systems and methods for impairing smooth muscle tissue function
US9788892B2 (en) * 2009-08-28 2017-10-17 Koninkljke Philips N.V. Catheter for open-loop irrigated ablation of tissue
AU2010313379B2 (en) * 2009-10-30 2015-11-05 Recor Medical, Inc. Method and apparatus for treatment of hypertension through percutaneous ultrasound renal denervation
US9192790B2 (en) * 2010-04-14 2015-11-24 Boston Scientific Scimed, Inc. Focused ultrasonic renal denervation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997024981A2 (en) * 1996-01-08 1997-07-17 Biosense Inc. Cardiac electro-mechanics
JP2004532073A (ja) * 2001-04-27 2004-10-21 シー・アール・バード・インコーポレーテッド 血管の電気的活動度の３次元マッピングのためのカテーテル及び切除手術
US20050283195A1 (en) * 2004-06-18 2005-12-22 Pastore Joseph M Methods and apparatuses for localizing myocardial infarction during catheterization
CN1879565A (zh) * 2005-06-16 2006-12-20 韦伯斯特生物官能公司 用于消融脂肪垫的微创方法
WO2010082146A1 (en) * 2009-01-14 2010-07-22 Koninklijke Philips Electronics N.V. Monitoring apparatus for monitoring an ablation procedure

Also Published As

Publication number Publication date
EP2734118A1 (en) 2014-05-28
EP2734118B1 (en) 2017-05-03
WO2013014583A1 (en) 2013-01-31
JP2014525786A (ja) 2014-10-02
US20140163372A1 (en) 2014-06-12
JP6222778B2 (ja) 2017-11-01
CN103687550A (zh) 2014-03-26

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C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
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GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160817

Termination date: 20210719

CF01 Termination of patent right due to non-payment of annual fee