CN109561929A - 用于远场双极消融的装置 - Google Patents

用于远场双极消融的装置 Download PDF

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Publication number
CN109561929A
CN109561929A CN201780049087.3A CN201780049087A CN109561929A CN 109561929 A CN109561929 A CN 109561929A CN 201780049087 A CN201780049087 A CN 201780049087A CN 109561929 A CN109561929 A CN 109561929A
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electrode
sacculus
bladder
circumferential
expandable members
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Chinese (zh)
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罗杰·A·斯特恩
杰罗姆·杰克逊
本杰明·王
欧姆瑞·本-以斯拉
伊扎克·阿韦尔尼
利奥尔·阿夫涅里
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • AHUMAN NECESSITIES
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/0016Energy applicators arranged in a two- or three dimensional array
    • AHUMAN NECESSITIES
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00166Multiple lumina
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • AHUMAN NECESSITIES
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    • A61B2018/0022Balloons
    • A61B2018/0025Multiple balloons
    • A61B2018/00255Multiple balloons arranged one inside another
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    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • AHUMAN NECESSITIES
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • A61B2018/00494Stomach, intestines or bowel
    • AHUMAN NECESSITIES
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
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    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
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    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094Types of switches or controllers
    • A61B2018/00946Types of switches or controllers slidable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/144Wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1465Deformable electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1475Electrodes retractable in or deployable from a housing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1085Bladder

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Urology & Nephrology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
CN201780049087.3A 2016-06-06 2017-06-06 用于远场双极消融的装置 Pending CN109561929A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662346095P 2016-06-06 2016-06-06
US62/346,095 2016-06-06
PCT/IB2017/000783 WO2017212334A1 (en) 2016-06-06 2017-06-06 Devices for far field bipolar ablation

Publications (1)

Publication Number Publication Date
CN109561929A true CN109561929A (zh) 2019-04-02

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US (2) US20190104933A1 (https=)
EP (1) EP3463137A1 (https=)
JP (2) JP7370250B2 (https=)
CN (1) CN109561929A (https=)
WO (1) WO2017212334A1 (https=)

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CN110693607A (zh) * 2019-09-29 2020-01-17 西安交通大学医学院第一附属医院 一种用于腔道组织消融的球囊电极导管
CN111358552A (zh) * 2020-04-27 2020-07-03 南京亿高微波系统工程有限公司 一种用于癌栓梗阻消融治疗的微波消融电极
CN111772783A (zh) * 2020-08-21 2020-10-16 白龙腾 一种具有可弯曲电极的消融系统
CN113081240A (zh) * 2021-03-31 2021-07-09 上海睿刀医疗科技有限公司 笼状电极导管以及包括该笼状电极导管的消融设备
CN113648052A (zh) * 2021-08-20 2021-11-16 四川锦江电子科技有限公司 一种局部脉冲电场消融电极导管
CN114073573A (zh) * 2021-02-23 2022-02-22 四川锦江电子科技有限公司 一种可变形态的网格状电极
CN114431950A (zh) * 2020-10-30 2022-05-06 伯恩森斯韦伯斯特(以色列)有限责任公司 具有拆分的电极的球囊导管
WO2023125416A1 (zh) * 2021-12-31 2023-07-06 深圳市先健呼吸科技有限公司 消融装置
CN116407263A (zh) * 2021-12-31 2023-07-11 深圳市先健呼吸科技有限公司 神经消融装置

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US12114918B2 (en) * 2019-08-15 2024-10-15 Biosense Webster (Israel) Ltd. Dynamic ablation and sensing according to contact of segmented electrodes
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JP2022166337A (ja) * 2019-09-30 2022-11-02 テルモ株式会社 医療デバイス
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CN110974403B (zh) * 2019-11-30 2025-07-29 杭州堃博生物科技有限公司 用于肺部神经消融的射频消融导管
CN110974402B (zh) * 2019-11-30 2025-06-10 杭州堃博生物科技有限公司 网笼式的射频消融导管
US12274497B2 (en) 2019-12-18 2025-04-15 Bolt Medical, Inc. Multiplexer for laser-driven intravascular lithotripsy device
US12446961B2 (en) 2020-02-10 2025-10-21 Bolt Medical, Inc. System and method for pressure monitoring within a catheter system
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US12611253B2 (en) 2020-03-18 2026-04-28 Boston Scientific Scimed, Inc. Optical analyzer assembly and method for intravascular lithotripsy device
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US20210353359A1 (en) 2020-05-12 2021-11-18 Bolt Medical, Inc. Active alignment system and method for optimizing optical coupling of multiplexer for laser-driven intravascular lithotripsy device
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US12207870B2 (en) 2020-06-15 2025-01-28 Boston Scientific Scimed, Inc. Spectroscopic tissue identification for balloon intravascular lithotripsy guidance
EP4420715B1 (en) * 2020-09-30 2025-11-19 Novocure GmbH Implantable arrays for providing tumor treating fields
US12016610B2 (en) 2020-12-11 2024-06-25 Bolt Medical, Inc. Catheter system for valvuloplasty procedure
US11672585B2 (en) 2021-01-12 2023-06-13 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
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JP7758590B2 (ja) * 2022-02-04 2025-10-22 テルモ株式会社 医療デバイス
CN114903492B (zh) * 2022-02-24 2025-02-07 上海脑虎科技有限公司 一种脑电极前端结构及应用
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US20230414277A1 (en) * 2022-06-24 2023-12-28 Medtronic, Inc. Pulsed electric field delivery device
IL318466A (en) * 2022-07-20 2025-03-01 Texas Heart Inst Device and method for cardiac ablation using hydrogel
WO2025072967A1 (en) * 2023-09-29 2025-04-03 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for assessment and repair of neuronal tissue
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CN118662220B (zh) * 2024-08-21 2024-11-26 四川锦江电子医疗器械科技股份有限公司 一种具有中心电极的篮式组件

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CN104605927A (zh) * 2013-11-01 2015-05-13 韦伯斯特生物官能(以色列)有限公司 分段球囊导管

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CN110693607A (zh) * 2019-09-29 2020-01-17 西安交通大学医学院第一附属医院 一种用于腔道组织消融的球囊电极导管
CN110693607B (zh) * 2019-09-29 2021-06-25 西安交通大学医学院第一附属医院 一种用于腔道组织消融的球囊电极导管
CN111358552A (zh) * 2020-04-27 2020-07-03 南京亿高微波系统工程有限公司 一种用于癌栓梗阻消融治疗的微波消融电极
CN111772783A (zh) * 2020-08-21 2020-10-16 白龙腾 一种具有可弯曲电极的消融系统
CN114431950A (zh) * 2020-10-30 2022-05-06 伯恩森斯韦伯斯特(以色列)有限责任公司 具有拆分的电极的球囊导管
CN114073573A (zh) * 2021-02-23 2022-02-22 四川锦江电子科技有限公司 一种可变形态的网格状电极
CN113081240A (zh) * 2021-03-31 2021-07-09 上海睿刀医疗科技有限公司 笼状电极导管以及包括该笼状电极导管的消融设备
CN113648052A (zh) * 2021-08-20 2021-11-16 四川锦江电子科技有限公司 一种局部脉冲电场消融电极导管
WO2023125416A1 (zh) * 2021-12-31 2023-07-06 深圳市先健呼吸科技有限公司 消融装置
CN116407263A (zh) * 2021-12-31 2023-07-11 深圳市先健呼吸科技有限公司 神经消融装置

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