CN104023663B - 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统 - Google Patents

用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统 Download PDF

Info

Publication number
CN104023663B
CN104023663B CN201280065198.0A CN201280065198A CN104023663B CN 104023663 B CN104023663 B CN 104023663B CN 201280065198 A CN201280065198 A CN 201280065198A CN 104023663 B CN104023663 B CN 104023663B
Authority
CN
China
Prior art keywords
electrode
ablation
tissue
conduit
delivery member
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
Application number
CN201280065198.0A
Other languages
English (en)
Chinese (zh)
Other versions
CN104023663A (zh
Inventor
S·保罗
R·R·亨贝歇尔
P·马里
S·C·克里斯蒂安
W·M·萨顿
P·H·麦克道尔
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.)
St Jude Medical Atrial Fibrillation Division Inc
Original Assignee
St Jude Medical Atrial Fibrillation Division Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by St Jude Medical Atrial Fibrillation Division Inc filed Critical St Jude Medical Atrial Fibrillation Division Inc
Publication of CN104023663A publication Critical patent/CN104023663A/zh
Application granted granted Critical
Publication of CN104023663B publication Critical patent/CN104023663B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • 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
    • A61B18/04—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
    • A61B18/1206—Generators therefor
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • 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
    • A61B2018/00357—Endocardium
    • 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
    • A61B2018/00773—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
    • 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
    • A61B2018/1465—Deformable electrodes
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
CN201280065198.0A 2011-12-29 2012-12-27 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统 Active CN104023663B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161581247P 2011-12-29 2011-12-29
US61/581247 2011-12-29
PCT/US2012/071801 WO2013101923A1 (en) 2011-12-29 2012-12-27 System for optimized coupling of ablation catheters to body tissues and evaluation of lesions formed by the catheters

Publications (2)

Publication Number Publication Date
CN104023663A CN104023663A (zh) 2014-09-03
CN104023663B true CN104023663B (zh) 2018-12-21

Family

ID=48698610

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201280065198.0A Active CN104023663B (zh) 2011-12-29 2012-12-27 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统

Country Status (5)

Country Link
US (1) US10595937B2 (enExample)
EP (1) EP2797539B1 (enExample)
JP (2) JP6224001B2 (enExample)
CN (1) CN104023663B (enExample)
WO (1) WO2013101923A1 (enExample)

Families Citing this family (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9119633B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11389232B2 (en) 2006-06-28 2022-07-19 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US8622935B1 (en) 2007-05-25 2014-01-07 Endosense Sa Elongated surgical manipulator with body position and distal force sensing
US8906011B2 (en) 2007-11-16 2014-12-09 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
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
SG11201402610QA (en) 2011-12-09 2014-10-30 Metavention Inc Therapeutic neuromodulation of the hepatic system
WO2013106557A1 (en) 2012-01-10 2013-07-18 Boston Scientific Scimed, Inc. Electrophysiology system
US20150111918A1 (en) 2012-03-08 2015-04-23 Medtronic Ardian Luxembourg S.a.r.l Immune system neuromodulation and associated systems and methods
US10827977B2 (en) 2012-05-21 2020-11-10 Kardium Inc. Systems and methods for activating transducers
US9011423B2 (en) 2012-05-21 2015-04-21 Kardium, Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9198592B2 (en) 2012-05-21 2015-12-01 Kardium Inc. Systems and methods for activating transducers
WO2014052648A1 (en) * 2012-09-26 2014-04-03 Boston Scientific Scimed, Inc. Renal nerve modulation devices
EP2934288A1 (en) 2012-12-20 2015-10-28 Boston Scientific Scimed, Inc. Real-time feedback for electrode contact during mapping
WO2014197625A1 (en) 2013-06-05 2014-12-11 Metavention, Inc. Modulation of targeted nerve fibers
BR112016006214B1 (pt) 2013-09-24 2022-09-13 Adagio Medical, Inc Cateter de crioablação
ITRN20130042A1 (it) * 2013-10-09 2015-04-10 Gilberto Pari Attrezzatura per elettrostimolazione del sistema nervoso e procedimento di controllo per terapia di elettrostimolazione nervosa
WO2015160574A1 (en) 2014-04-17 2015-10-22 Adagio Medical, Inc. Endovascular near critical fluid based cryoablation catheter having plurality of preformed treatment shapes
WO2016061002A1 (en) 2014-10-13 2016-04-21 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
JP2016077646A (ja) * 2014-10-17 2016-05-16 高周波熱錬株式会社 臓器切離操作具
EP4316361A3 (en) 2014-10-24 2024-05-01 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
KR101994471B1 (ko) 2014-11-13 2019-06-28 아다지오 메디컬, 인크. 압력 변조 냉동절제 시스템 및 관련 방법
US10368936B2 (en) 2014-11-17 2019-08-06 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10722184B2 (en) 2014-11-17 2020-07-28 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US20190069949A1 (en) 2014-12-03 2019-03-07 Metavention, Inc. Systems and methods for modulatng nerves or other tissue
CN106999080B (zh) 2014-12-18 2020-08-18 波士顿科学医学有限公司 针对病变评估的实时形态分析
WO2016118934A1 (en) * 2015-01-23 2016-07-28 Boston Scientific Scimed Inc. Medical device for contact sensing
EP3273855A4 (en) * 2015-03-25 2018-12-05 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US10729348B2 (en) * 2015-05-11 2020-08-04 St. Jude Medical, Cardiology Division, Inc. High density mapping and ablation catheter
CA2987147A1 (en) * 2015-05-25 2016-12-01 Lazcath Pty Ltd Catheter system and method of ablating a tissue
US10888391B2 (en) * 2015-05-29 2021-01-12 Ablacon Inc Optical force sensing assembly for an elongated medical device
US20180153436A1 (en) * 2015-06-03 2018-06-07 St. Jude Medical International Holding S.À R.L. Active magnetic position sensor
CN106308920B (zh) * 2015-06-30 2019-05-28 四川锦江电子科技有限公司 一种消融导管
EP3349676A4 (en) * 2015-09-18 2019-05-15 Adagio Medical, Inc. TISSUE CONTACT VERIFICATION SYSTEM
US10864031B2 (en) 2015-11-30 2020-12-15 Adagio Medical, Inc. Ablation method for creating elongate continuous lesions enclosing multiple vessel entries
US10136945B2 (en) * 2015-12-09 2018-11-27 Biosense Webster (Israel) Ltd. Ablation catheter with light-based contact sensors
WO2017118949A1 (en) * 2016-01-07 2017-07-13 St. Jude Medical International Holding S.À R.L. Medical device with multi-core fiber for optical sensing
JP7064447B2 (ja) 2016-05-02 2022-05-10 アフェラ， インコーポレイテッド アブレーション電極および画像センサを有するカテーテル、および画像に基づくアブレーションのための方法
EP3432819B1 (en) 2016-05-03 2020-10-14 St. Jude Medical, Cardiology Division, Inc. Lesion prediction based in part on tissue characterization
GB2551117A (en) 2016-05-31 2017-12-13 Creo Medical Ltd Electrosurgical apparatus and method
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
US11369431B2 (en) * 2016-06-11 2022-06-28 Boston Scientific Scimed Inc. Inductive double flat coil displacement sensor
JP6632047B2 (ja) * 2016-08-18 2020-01-15 ４テック インコーポレイテッド 囲心腔への挿入のための可撓性先端部を有する組織アンカー
US11707231B2 (en) * 2017-03-10 2023-07-25 St. Jude Medical, Cardiology Division, Inc. Apparatuses, methods, and systems for contact force sensing
EP4382160A3 (en) * 2017-04-10 2024-08-14 St. Jude Medical, Cardiology Division, Inc. Electroporation system and method of energizing a catheter
CN107184270A (zh) * 2017-05-05 2017-09-22 上海安臻医疗科技有限公司 一种射频消融系统的贴壁反馈方法
US11751937B2 (en) * 2017-07-25 2023-09-12 Affera, Inc. Ablation catheters and related systems and methods
CN110944591B (zh) * 2017-08-02 2023-05-12 圣犹达医疗用品国际控股有限公司 光学力感测导管系统
CA3073403A1 (en) 2017-09-05 2019-03-14 Adagio Medical, Inc. Ablation catheter having a shape memory stylet
US20190183567A1 (en) * 2017-12-19 2019-06-20 Biosense Webster (Israel) Ltd. Balloon Catheter with Bulbous Shaped Radiofrequency (RF) Ablation Electrodes
US11751930B2 (en) 2018-01-10 2023-09-12 Adagio Medical, Inc. Cryoablation element with conductive liner
US11839396B2 (en) * 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
CN112236109A (zh) * 2018-04-04 2021-01-15 先进冷却疗法有限责任公司 用于心脏组织消融的食管传热装置和方法
US11219488B2 (en) * 2018-04-25 2022-01-11 Biosense Webster (Israel) Ltd. Determining catheter touch location using force-vector information
WO2019215618A1 (en) * 2018-05-08 2019-11-14 Baylis Medical Company Inc. Methods and devices for puncturing tissue
US10686715B2 (en) 2018-05-09 2020-06-16 Biosig Technologies, Inc. Apparatus and methods for removing a large-signal voltage offset from a biomedical signal
US20190350489A1 (en) * 2018-05-21 2019-11-21 Biosense Webster (Israel) Ltd. Scaling impedance location measurements of a balloon catheter
WO2019243597A1 (en) * 2018-06-22 2019-12-26 Universität Basel Force sensing device, medical endodevice and process of using such endodevice
WO2020026254A1 (en) * 2018-08-02 2020-02-06 Sofwave Medical Ltd. Devices and methods for vaginal treatments
US11751936B2 (en) 2018-11-21 2023-09-12 Biosense Webster (Israel) Ltd. Configuring perimeter of balloon electrode as location sensor
WO2020104888A1 (en) * 2018-11-21 2020-05-28 Biosense Webster (Israel) Ltd. Ablation catheter with stacked circuit assembly
US11806094B2 (en) * 2019-04-03 2023-11-07 Biosense Webster (Israel) Ltd. Catheter motion trace visualization
EP3972509B1 (en) * 2019-08-02 2025-09-10 St. Jude Medical, Cardiology Division, Inc. Lesion predicting flex tip
US20210059743A1 (en) * 2019-08-27 2021-03-04 Biosense Webster (Israel) Ltd. Estimation of Electrode-Tissue Contact Using Stem and Edge Electrodes
US12016621B2 (en) 2019-08-29 2024-06-25 St. Jude Medical, Cardiology Division, Inc. Force sensing catheter sealed electrode tip assembly and methods of assembling same
US20210068916A1 (en) * 2019-09-07 2021-03-11 Perceptive Ablation, Inc. Methods and systems for force detection in ablation devices
US11903638B2 (en) * 2019-12-11 2024-02-20 Biosense Webster (Israel) Ltd. Regulating delivery of irreversible electroporation pulses according to transferred energy
EP4076244A4 (en) 2019-12-16 2024-01-10 Affera, Inc. Pulmonary vein isolation catheters and associated devices, systems, and methods
US12193718B2 (en) 2021-04-09 2025-01-14 Smith & Nephew, Inc. Orthopedic surgical instrument
CN114145838B (zh) * 2021-05-28 2024-03-15 南京邮电大学 一种心脏射频消融导管系统
USD1014762S1 (en) 2021-06-16 2024-02-13 Affera, Inc. Catheter tip with electrode panel(s)
US20240358384A1 (en) * 2023-04-26 2024-10-31 Applaud Medical, Inc. Medical Device With Acoustic Sensor(s) and Method for Localizing Medical Device and Acoustic Source
CN119385679B (zh) * 2024-11-27 2025-09-26 四川锦江电子医疗器械科技股份有限公司 一种可探测损伤深度的标测和消融导管
CN119385678A (zh) * 2024-11-27 2025-02-07 四川锦江电子医疗器械科技股份有限公司 一种可探测损伤深度的标测和消融系统

Family Cites Families (63)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5341807A (en) 1992-06-30 1994-08-30 American Cardiac Ablation Co., Inc. Ablation catheter positioning system
JPH0663059A (ja) 1992-08-14 1994-03-08 Central Kogyo Kk 医療用高周波焼灼装置
CA2447239C (en) 1992-09-23 2010-10-19 Endocardial Therapeutics, Inc. Endocardial mapping system
US5391199A (en) 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US6285898B1 (en) 1993-07-20 2001-09-04 Biosense, Inc. Cardiac electromechanics
US5558091A (en) 1993-10-06 1996-09-24 Biosense, Inc. Magnetic determination of position and orientation
WO1995010978A1 (en) 1993-10-19 1995-04-27 Ep Technologies, Inc. Segmented electrode assemblies for ablation of tissue
US6690963B2 (en) 1995-01-24 2004-02-10 Biosense, Inc. System for determining the location and orientation of an invasive medical instrument
US6915149B2 (en) * 1996-01-08 2005-07-05 Biosense, Inc. Method of pacing a heart using implantable device
ES2270502T3 (es) 1998-01-22 2007-04-01 Biosense Webster, Inc. Medicion intracorporal.
US5951471A (en) 1998-03-09 1999-09-14 Irvine Biomedical, Inc. Catheter-based coronary sinus mapping and ablation
US6522930B1 (en) * 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
US7263397B2 (en) 1998-06-30 2007-08-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for catheter navigation and location and mapping in the heart
US20050010095A1 (en) * 1999-04-05 2005-01-13 Medtronic, Inc. Multi-purpose catheter apparatus and method of use
US7386339B2 (en) 1999-05-18 2008-06-10 Mediguide Ltd. Medical imaging and navigation system
US6233476B1 (en) 1999-05-18 2001-05-15 Mediguide Ltd. Medical positioning system
US6391024B1 (en) 1999-06-17 2002-05-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering
US20010034501A1 (en) * 2000-03-23 2001-10-25 Tom Curtis P. Pressure sensor for therapeutic delivery device and method
US6669692B1 (en) 2000-08-21 2003-12-30 Biosense Webster, Inc. Ablation catheter with cooled linear electrode
US7381198B2 (en) * 2000-08-23 2008-06-03 Revascular Therapeutics, Inc. Steerable distal support system
US20040092806A1 (en) 2001-12-11 2004-05-13 Sagon Stephen W Microelectrode catheter for mapping and ablation
US7306593B2 (en) 2002-10-21 2007-12-11 Biosense, Inc. Prediction and assessment of ablation of cardiac tissue
US6973339B2 (en) * 2003-07-29 2005-12-06 Biosense, Inc Lasso for pulmonary vein mapping and ablation
US7179256B2 (en) * 2003-10-24 2007-02-20 Biosense Webster, Inc. Catheter with ablation needle and mapping assembly
US7389148B1 (en) * 2004-05-05 2008-06-17 Pacesetter, Inc. Electrode design for defibrillation and/or sensing capabilities
US10258285B2 (en) * 2004-05-28 2019-04-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for automated creation of ablation lesions
US7197354B2 (en) 2004-06-21 2007-03-27 Mediguide Ltd. System for determining the position and orientation of a catheter
US7536218B2 (en) 2005-07-15 2009-05-19 Biosense Webster, Inc. Hybrid magnetic-based and impedance-based position sensing
US8679109B2 (en) 2005-10-13 2014-03-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Dynamic contact assessment for electrode catheters
US8672936B2 (en) 2005-10-13 2014-03-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Systems and methods for assessing tissue contact
AU2006305967B2 (en) 2005-10-27 2013-02-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Systems and methods for electrode contact assessment
US8406866B2 (en) * 2005-12-06 2013-03-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing coupling between an electrode and tissue
US8603084B2 (en) * 2005-12-06 2013-12-10 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing the formation of a lesion in tissue
US8449535B2 (en) 2005-12-06 2013-05-28 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing coupling between an electrode and tissue
US8403925B2 (en) * 2006-12-06 2013-03-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing lesions in tissue
AU2006321918B2 (en) 2005-12-06 2011-08-25 St. Jude Medical, Atrial Fibrillation Division Inc. Assessment of electrode coupling for tissue ablation
US10085798B2 (en) 2006-12-29 2018-10-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode with tactile sensor
US7955326B2 (en) * 2006-12-29 2011-06-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive conductive composite electrode and method for ablation
US8979837B2 (en) * 2007-04-04 2015-03-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible tip catheter with extended fluid lumen
US8187267B2 (en) 2007-05-23 2012-05-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter with flexible tip and methods of making the same
US8517999B2 (en) 2007-04-04 2013-08-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter with improved fluid flow
US9855410B2 (en) * 2007-05-01 2018-01-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Optic-based contact sensing assembly and system
US8577447B2 (en) 2007-05-01 2013-11-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Optic-based contact sensing assembly and system
US10220187B2 (en) * 2010-06-16 2019-03-05 St. Jude Medical, Llc Ablation catheter having flexible tip with multiple flexible electrode segments
US8974454B2 (en) 2009-12-31 2015-03-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Kit for non-invasive electrophysiology procedures and method of its use
US8357152B2 (en) 2007-10-08 2013-01-22 Biosense Webster (Israel), Ltd. Catheter with pressure sensing
US10660690B2 (en) 2007-12-28 2020-05-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for measurement of an impedance using a catheter such as an ablation catheter
WO2009120992A2 (en) 2008-03-27 2009-10-01 St. Jude Medical, Arrial Fibrillation Division Inc. Robotic castheter system input device
US8317744B2 (en) 2008-03-27 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter manipulator assembly
US8343096B2 (en) 2008-03-27 2013-01-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
WO2009120982A2 (en) * 2008-03-27 2009-10-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system with dynamic response
US8317745B2 (en) 2008-03-27 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter rotatable device cartridge
US20090248042A1 (en) 2008-03-27 2009-10-01 Kirschenman Mark B Model catheter input device
US9161817B2 (en) 2008-03-27 2015-10-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
PL2370015T3 (pl) 2008-11-11 2017-07-31 Shifamed Holdings, Llc Niskoprofilowy zespół elektrodowy
EP2381998B1 (en) 2008-12-31 2018-04-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Optic-based contact sensing assembly and system
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
US8454589B2 (en) 2009-11-20 2013-06-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing effective delivery of ablation therapy
US8926604B2 (en) * 2009-12-23 2015-01-06 Biosense Webster (Israel) Ltd. Estimation and mapping of ablation volume
US9980772B2 (en) 2010-03-10 2018-05-29 Biosense Webster (Israel) Ltd. Monitoring tissue temperature while using an irrigated catheter
US9855094B2 (en) 2010-12-28 2018-01-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Multi-rate fluid flow and variable power delivery for ablation electrode assemblies used in catheter ablation procedures
US9788891B2 (en) 2010-12-28 2017-10-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode assemblies and methods for using same
US8814857B2 (en) 2010-12-17 2014-08-26 St. Jude Medical, Atrial Filbrillation Division, Inc. Irrigated ablation electrode assemblies

Also Published As

Publication number Publication date
JP6392424B2 (ja) 2018-09-19
EP2797539A4 (en) 2015-08-19
JP2017225829A (ja) 2017-12-28
CN104023663A (zh) 2014-09-03
WO2013101923A1 (en) 2013-07-04
JP6224001B2 (ja) 2017-11-01
EP2797539A1 (en) 2014-11-05
JP2015504727A (ja) 2015-02-16
EP2797539B1 (en) 2020-12-02
US20140364848A1 (en) 2014-12-11
US10595937B2 (en) 2020-03-24

Similar Documents

Publication Publication Date Title
CN104023663B (zh) 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统
US12383736B2 (en) Catheter systems
JP6821756B2 (ja) 可変弓状遠位区域を有するカテーテル
JP6762704B2 (ja) 管状領域をマッピング及び焼灼するための柔軟な遠位先端部を有するカテーテル
JP6517277B2 (ja) マッピング中の電極接触のリアルタイムフィードバック
CN102274021B (zh) 利用周向设置的环隆起电极灌洗的两用环状标测导管
JP6932484B2 (ja) 均一な長さのスパインを有する閉鎖型電極組立体を有するカテーテル
RU2526964C2 (ru) Двухцелевой катетер лассо с ирригацией
CN106852708B (zh) 具有基于光的接触传感器的消融导管
US9855410B2 (en) Optic-based contact sensing assembly and system
CN103315806B (zh) 用于标测和消融静脉突出和其它管状位置的花式导管
AU2013205790B2 (en) Catheter with helical end section for vessel ablation
CN114376720A (zh) 具有周边电极和点电极的多电极球囊导管
JP2017094091A (ja) 半径方向力検出を備えたアブレーションカテーテル
CN115103647A (zh) 用于消融损伤的光学询问的系统和方法
JP2017113568A (ja) アブレーション中の温度の推定
RU2669745C2 (ru) Устройство подачи энергии
CN104905783A (zh) 在用作导管的光纤电缆上的多个led传感器
CN113811245A (zh) 具有微电极的单相驱动导管及其用于局部信号检测的方法
ITFR20120016A1 (it) Introduttore a doppio lume per il mappaggio e la guida dell'ablazione.
ITFR20120013A1 (it) Catetere circolare per il mappaggio e la guida dell'ablazione.

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant