CN108778172B - 用于将消融能量递送至组织的系统、设备和方法 - Google Patents
用于将消融能量递送至组织的系统、设备和方法 Download PDFInfo
- Publication number
- CN108778172B CN108778172B CN201680077941.2A CN201680077941A CN108778172B CN 108778172 B CN108778172 B CN 108778172B CN 201680077941 A CN201680077941 A CN 201680077941A CN 108778172 B CN108778172 B CN 108778172B
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- Prior art keywords
- pulse
- time interval
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- ablation
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Classifications
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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
- 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
- A61N1/056—Transvascular endocardial electrode systems
-
- 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
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
-
- 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
- A61N1/362—Heart stimulators
-
- 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
- A61B2018/00315—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
- A61B2018/00363—Epicardium
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00613—Irreversible electroporation
-
- 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
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00767—Voltage
-
- 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
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Veterinary Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Electrotherapy Devices (AREA)
- Surgical Instruments (AREA)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111142293.3A CN113813045B (zh) | 2016-01-05 | 2016-10-19 | 用于将消融能量递送至组织的系统、设备和方法 |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662274926P | 2016-01-05 | 2016-01-05 | |
| US62/274,926 | 2016-01-05 | ||
| PCT/US2016/057664 WO2017119934A1 (en) | 2016-01-05 | 2016-10-19 | Systems, apparatuses and methods for delivery of ablative energy to tissue |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111142293.3A Division CN113813045B (zh) | 2016-01-05 | 2016-10-19 | 用于将消融能量递送至组织的系统、设备和方法 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108778172A CN108778172A (zh) | 2018-11-09 |
| CN108778172B true CN108778172B (zh) | 2021-08-13 |
Family
ID=59274550
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201680077941.2A Active CN108778172B (zh) | 2016-01-05 | 2016-10-19 | 用于将消融能量递送至组织的系统、设备和方法 |
| CN202111142293.3A Active CN113813045B (zh) | 2016-01-05 | 2016-10-19 | 用于将消融能量递送至组织的系统、设备和方法 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111142293.3A Active CN113813045B (zh) | 2016-01-05 | 2016-10-19 | 用于将消融能量递送至组织的系统、设备和方法 |
Country Status (4)
| Country | Link |
|---|---|
| EP (3) | EP3399931B1 (enExample) |
| JP (4) | JP6893515B2 (enExample) |
| CN (2) | CN108778172B (enExample) |
| WO (1) | WO2017119934A1 (enExample) |
Families Citing this family (56)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3603501B1 (en) | 2012-08-09 | 2025-07-23 | University of Iowa Research Foundation | Catheter systems for surrounding a tissue structure |
| EP3091921B1 (en) | 2014-01-06 | 2019-06-19 | Farapulse, Inc. | Apparatus for renal denervation ablation |
| WO2015171921A2 (en) | 2014-05-07 | 2015-11-12 | Mickelson Steven R | Methods and apparatus for selective tissue ablation |
| EP3142584A1 (en) | 2014-05-16 | 2017-03-22 | Iowa Approach Inc. | Methods and apparatus for multi-catheter tissue ablation |
| EP3154463B1 (en) | 2014-06-12 | 2019-03-27 | Farapulse, Inc. | Apparatus for rapid and selective transurethral tissue ablation |
| EP4559428A3 (en) | 2014-06-12 | 2025-08-20 | Boston Scientific Scimed, Inc. | Method and apparatus for rapid and selective tissue ablation with cooling |
| US12144541B2 (en) | 2016-01-05 | 2024-11-19 | Boston Scientific Scimed, Inc. | Systems, apparatuses and methods for delivery of ablative energy to tissue |
| US10172673B2 (en) | 2016-01-05 | 2019-01-08 | Farapulse, Inc. | Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
| WO2017120169A1 (en) * | 2016-01-05 | 2017-07-13 | Iowa Approach, Inc. | Systems, devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
| US20170189097A1 (en) | 2016-01-05 | 2017-07-06 | Iowa Approach Inc. | Systems, apparatuses and methods for delivery of ablative energy to tissue |
| US10660702B2 (en) | 2016-01-05 | 2020-05-26 | Farapulse, Inc. | Systems, devices, and methods for focal ablation |
| US10130423B1 (en) | 2017-07-06 | 2018-11-20 | Farapulse, Inc. | Systems, devices, and methods for focal ablation |
| EP3471631A4 (en) | 2016-06-16 | 2020-03-04 | Farapulse, Inc. | Systems, apparatuses, and methods for guide wire delivery |
| US12403305B2 (en) | 2016-06-27 | 2025-09-02 | Galvanize Therapeutics, Inc. | Immunostimulation in the treatment of viral infection |
| EP4209190A1 (en) | 2016-06-27 | 2023-07-12 | Galvanize Therapeutics, Inc. | System comprising a generator and a catheter with an electrode for treating a lung passageway |
| US9987081B1 (en) | 2017-04-27 | 2018-06-05 | Iowa Approach, Inc. | Systems, devices, and methods for signal generation |
| US10617867B2 (en) | 2017-04-28 | 2020-04-14 | Farapulse, Inc. | Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue |
| CN115844523A (zh) | 2017-09-12 | 2023-03-28 | 波士顿科学医学有限公司 | 用于心室局灶性消融的系统、设备和方法 |
| CN107582166A (zh) * | 2017-10-12 | 2018-01-16 | 天津市鹰泰利安康医疗科技有限责任公司 | 一种用于高压陡脉冲消融的心电同步系统 |
| EP4275738B1 (en) * | 2018-02-08 | 2025-12-17 | Boston Scientific Scimed, Inc. | Apparatus for controlled delivery of pulsed electric field ablative energy to tissue |
| US20190336198A1 (en) | 2018-05-03 | 2019-11-07 | Farapulse, Inc. | Systems, devices, and methods for ablation using surgical clamps |
| WO2019217317A1 (en) | 2018-05-07 | 2019-11-14 | Farapulse, Inc. | Systems, apparatuses, and methods for filtering high voltage noise induced by pulsed electric field ablation |
| WO2019217300A1 (en) | 2018-05-07 | 2019-11-14 | Farapulse, Inc. | Epicardial ablation catheter |
| JP2021522903A (ja) | 2018-05-07 | 2021-09-02 | ファラパルス,インコーポレイテッド | 組織へアブレーションエネルギーを送達するためのシステム、装置、および方法 |
| WO2020061359A1 (en) | 2018-09-20 | 2020-03-26 | Farapulse, Inc. | Systems, apparatuses, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
| CN109820592B (zh) * | 2018-12-31 | 2021-01-22 | 杭州睿笛生物科技有限公司 | 一种基于心电波形的自适应脉冲消融仪 |
| CN113573655B (zh) * | 2019-03-15 | 2025-05-27 | 波士顿科学国际有限公司 | 用于选择性细胞消融的空间复用波形 |
| US12076070B2 (en) | 2019-03-15 | 2024-09-03 | Boston Scientific Scimed, Inc. | Time multiplexed waveform for selective cell ablation |
| CN113645915B (zh) * | 2019-04-02 | 2024-11-29 | 悉尼大学 | 用于通过受约束的阻抗测量监测组织消融的方法和系统 |
| US10625080B1 (en) | 2019-09-17 | 2020-04-21 | Farapulse, Inc. | Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation |
| WO2021076624A1 (en) | 2019-10-15 | 2021-04-22 | Boston Scientific Scimed, Inc. | Control system and user interface for an ablation system |
| US11065047B2 (en) * | 2019-11-20 | 2021-07-20 | Farapulse, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
| US11497541B2 (en) | 2019-11-20 | 2022-11-15 | Boston Scientific Scimed, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
| US10842572B1 (en) | 2019-11-25 | 2020-11-24 | Farapulse, Inc. | Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines |
| WO2021113463A1 (en) * | 2019-12-03 | 2021-06-10 | St. Jude Medical, Cardiology Division, Inc. | Electroporation system and method |
| AU2020405195A1 (en) * | 2019-12-18 | 2022-07-07 | Cardiofocus, Inc. | Treatment of cardiac tissue with pulsed electric fields |
| JP2023056552A (ja) * | 2020-03-17 | 2023-04-20 | テルモ株式会社 | カテーテルシステム |
| CN111388084B (zh) * | 2020-03-27 | 2022-05-31 | 四川锦江电子科技有限公司 | 一种脉冲电场消融导管 |
| EP4132400A4 (en) * | 2020-04-08 | 2024-05-01 | Galvanize Therapeutics, Inc. | MANIPULATION AND USE OF PULSED ELECTRIC FIELD WAVEFORM |
| US20220000543A1 (en) * | 2020-07-06 | 2022-01-06 | Biosense Webster (Israel) Ltd. | Bipolar tissue ablation in accordance with a predefined periodic set of time slots |
| EP4185228A1 (en) | 2020-07-24 | 2023-05-31 | Boston Scientific Scimed Inc. | Electric field application for single shot cardiac ablation by irreversible electroporation |
| US12310652B2 (en) | 2020-07-24 | 2025-05-27 | Boston Scientific Scimed, Inc. | Hybrid electroporation ablation catheter |
| WO2022032183A1 (en) * | 2020-08-06 | 2022-02-10 | Affera, Inc. | Systems for tissue stimulation and associated methods |
| WO2022072385A2 (en) | 2020-09-30 | 2022-04-07 | Boston Scientific Scimed Inc | Pretreatment waveform for irreversible electroporation |
| CN112451086A (zh) * | 2020-12-09 | 2021-03-09 | 郑州大学 | 基于直流偏置型脉冲的靶向细胞消融系统 |
| US12343071B2 (en) | 2021-01-27 | 2025-07-01 | Boston Scientific Scimed, Inc | Voltage controlled pulse sequences for irreversible electroporation ablations |
| US12484951B2 (en) | 2021-02-22 | 2025-12-02 | Japan Lifeline Co., Ltd. | Power supply device and ablation system |
| WO2022176203A1 (ja) * | 2021-02-22 | 2022-08-25 | 日本ライフライン株式会社 | 電源装置およびアブレーションシステム |
| MX2023011506A (es) | 2021-04-07 | 2023-12-07 | Btl Medical Dev A S | Dispositivo y metodo de ablacion de campo pulsado. |
| HUE072155T2 (hu) | 2021-07-06 | 2025-10-28 | Btl Medical Dev A S | Impulzusos elektromos teret alkalmazó ablációs eszköz |
| JP7477554B2 (ja) | 2022-03-29 | 2024-05-01 | 日本ライフライン株式会社 | 電源装置および給電方法 |
| CN115005961B (zh) * | 2022-07-07 | 2023-05-12 | 上海普实医疗器械股份有限公司 | 心脏脉冲电场消融系统 |
| EP4598461A1 (en) | 2022-10-05 | 2025-08-13 | BTL Medical Development A.S. | Pulsed field ablation device and method |
| CN118044871A (zh) * | 2022-11-10 | 2024-05-17 | 杭州德诺电生理医疗科技有限公司 | 一种脉冲消融系统 |
| JP2025050034A (ja) * | 2023-09-22 | 2025-04-04 | 日本ライフライン株式会社 | 電源装置およびアブレーションシステム |
| WO2025062739A1 (ja) * | 2023-09-22 | 2025-03-27 | 日本ライフライン株式会社 | 電源装置およびアブレーションシステム |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US5672170A (en) * | 1996-06-20 | 1997-09-30 | Cynosure, Inc. | Laser transmyocardial revascularization arrangement |
| WO2015171921A2 (en) * | 2014-05-07 | 2015-11-12 | Mickelson Steven R | Methods and apparatus for selective tissue ablation |
| CN105283143A (zh) * | 2012-08-15 | 2016-01-27 | 伊西康内外科公司 | 电外科装置和方法 |
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| US6780178B2 (en) * | 2002-05-03 | 2004-08-24 | The Board Of Trustees Of The Leland Stanford Junior University | Method and apparatus for plasma-mediated thermo-electrical ablation |
| US7024241B1 (en) * | 2002-12-05 | 2006-04-04 | Pacesetter, Inc. | Pacing pulse waveforms that support simultaneous intracardiac signal sensing and analysis |
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| US20130030430A1 (en) * | 2011-07-29 | 2013-01-31 | Stewart Mark T | Intracardiac tools and methods for delivery of electroporation therapies |
| EP3603501B1 (en) * | 2012-08-09 | 2025-07-23 | University of Iowa Research Foundation | Catheter systems for surrounding a tissue structure |
| US20140052216A1 (en) * | 2012-08-15 | 2014-02-20 | Ethicon Endo-Surgery, Inc. | Methods for promoting wound healing |
| EP3142584A1 (en) * | 2014-05-16 | 2017-03-22 | Iowa Approach Inc. | Methods and apparatus for multi-catheter tissue ablation |
-
2016
- 2016-10-19 CN CN201680077941.2A patent/CN108778172B/zh active Active
- 2016-10-19 CN CN202111142293.3A patent/CN113813045B/zh active Active
- 2016-10-19 WO PCT/US2016/057664 patent/WO2017119934A1/en not_active Ceased
- 2016-10-19 EP EP16884132.8A patent/EP3399931B1/en active Active
- 2016-10-19 EP EP22159273.6A patent/EP4026506B1/en active Active
- 2016-10-19 JP JP2018534869A patent/JP6893515B2/ja active Active
- 2016-10-19 EP EP23193467.0A patent/EP4292552A3/en active Pending
-
2021
- 2021-06-01 JP JP2021092461A patent/JP7230111B2/ja active Active
-
2023
- 2023-02-15 JP JP2023021321A patent/JP7568759B2/ja active Active
-
2024
- 2024-10-03 JP JP2024173953A patent/JP2024177361A/ja active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5672170A (en) * | 1996-06-20 | 1997-09-30 | Cynosure, Inc. | Laser transmyocardial revascularization arrangement |
| CN105283143A (zh) * | 2012-08-15 | 2016-01-27 | 伊西康内外科公司 | 电外科装置和方法 |
| WO2015171921A2 (en) * | 2014-05-07 | 2015-11-12 | Mickelson Steven R | Methods and apparatus for selective tissue ablation |
Also Published As
| Publication number | Publication date |
|---|---|
| JP7230111B2 (ja) | 2023-02-28 |
| JP2021130041A (ja) | 2021-09-09 |
| EP3399931B1 (en) | 2022-04-06 |
| CN108778172A (zh) | 2018-11-09 |
| EP3399931A1 (en) | 2018-11-14 |
| CN113813045A (zh) | 2021-12-21 |
| JP2024177361A (ja) | 2024-12-19 |
| JP7568759B2 (ja) | 2024-10-16 |
| JP2023053330A (ja) | 2023-04-12 |
| JP6893515B2 (ja) | 2021-06-23 |
| EP4292552A2 (en) | 2023-12-20 |
| EP4026506A1 (en) | 2022-07-13 |
| EP3399931A4 (en) | 2019-08-07 |
| JP2019500170A (ja) | 2019-01-10 |
| EP4026506B1 (en) | 2023-10-04 |
| CN113813045B (zh) | 2025-03-18 |
| WO2017119934A1 (en) | 2017-07-13 |
| EP4292552A3 (en) | 2024-03-20 |
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Effective date of registration: 20221114 Address after: Minn Patentee after: BOSTON SCIENTIFIC SCIMED, Inc. Address before: California, USA Patentee before: IOWA APPROACH, Inc. |
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