CN110582240A - 植入式医疗装置 - Google Patents

植入式医疗装置 Download PDF

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Publication number
CN110582240A
CN110582240A CN201880028836.9A CN201880028836A CN110582240A CN 110582240 A CN110582240 A CN 110582240A CN 201880028836 A CN201880028836 A CN 201880028836A CN 110582240 A CN110582240 A CN 110582240A
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CN
China
Prior art keywords
radially expandable
sensor
energy delivery
distal
expandable element
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.)
Pending
Application number
CN201880028836.9A
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English (en)
Chinese (zh)
Inventor
T·欧哈罗兰
J·汤普森
M·奥哈洛伦
F·谢里夫
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.)
National University of Ireland Galway NUI
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National University of Ireland Galway NUI
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.)
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Publication date
Application filed by National University of Ireland Galway NUI filed Critical National University of Ireland Galway NUI
Publication of CN110582240A publication Critical patent/CN110582240A/zh
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • 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
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/026Measuring blood flow
    • A61B5/0261Measuring blood flow using optical means, e.g. infrared light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00026Conductivity or impedance, e.g. of tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00221Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407Ratchet means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • 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
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00863Fluid flow

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
CN201880028836.9A 2017-04-05 2018-04-05 植入式医疗装置 Pending CN110582240A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP17165089.8 2017-04-05
EP17165089 2017-04-05
PCT/EP2018/058801 WO2018185256A1 (en) 2017-04-05 2018-04-05 An implantable medical device

Publications (1)

Publication Number Publication Date
CN110582240A true CN110582240A (zh) 2019-12-17

Family

ID=58536752

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880028836.9A Pending CN110582240A (zh) 2017-04-05 2018-04-05 植入式医疗装置

Country Status (7)

Country Link
US (1) US20200121324A1 (enExample)
EP (1) EP3606448A1 (enExample)
JP (1) JP7082987B2 (enExample)
CN (1) CN110582240A (enExample)
AU (1) AU2018247939B2 (enExample)
CA (1) CA3058538A1 (enExample)
WO (1) WO2018185256A1 (enExample)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021218549A1 (zh) * 2020-04-30 2021-11-04 杭州德诺电生理医疗科技有限公司 消融封堵装置
CN114246627A (zh) * 2020-09-22 2022-03-29 杭州诺芮医疗科技有限公司 左心耳封堵装置
WO2022063137A1 (zh) * 2020-09-22 2022-03-31 杭州德诺电生理医疗科技有限公司 左心耳封堵装置
CN114642469A (zh) * 2020-12-21 2022-06-21 杭州诺芮医疗科技有限公司 左心耳消融装置及控制方法
CN114642468A (zh) * 2020-12-21 2022-06-21 杭州诺芮医疗科技有限公司 左心耳封堵装置及系统
CN116669639A (zh) * 2021-01-14 2023-08-29 波士顿科学医学有限公司 用于治疗左心耳的医疗系统

Families Citing this family (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11399842B2 (en) 2013-03-13 2022-08-02 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
US10617425B2 (en) 2014-03-10 2020-04-14 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2014164572A1 (en) 2013-03-13 2014-10-09 Kaplan Aaron V Devices and methods for excluding the left atrial appendage
US11426172B2 (en) 2016-10-27 2022-08-30 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP4516244A3 (en) 2016-10-27 2025-09-03 Conformal Medical, Inc. Devices for excluding the left atrial appendage
US12144508B2 (en) 2019-02-08 2024-11-19 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP3920810A4 (en) 2019-02-08 2022-11-09 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2020185389A1 (en) * 2019-03-12 2020-09-17 Edwards Lifesciences Corporation Occluder with self-powered sensors
EP4403118A3 (en) * 2019-07-17 2024-10-09 Boston Scientific Scimed, Inc. Left atrial appendage implant with continuous covering
US11944315B2 (en) * 2019-09-26 2024-04-02 Universität Zürich Left atrial appendage occlusion devices
WO2021142352A1 (en) * 2020-01-10 2021-07-15 Chelak Medical Solution Inc. Methods and apparatus to assess and prevent hypothermic injury related to cryoablation of the pulmonary vein antra
JP6928399B1 (ja) * 2020-06-22 2021-09-01 ネットビジネスコンサルティング株式会社 閉塞デバイス及び閉塞デバイスの製造方法
WO2022079235A1 (en) 2020-10-17 2022-04-21 Aurigen Medical Limited A device for treatment of the left atrial appendage
CN112543385B (zh) * 2020-12-02 2021-12-10 湖北电信工程有限公司 一种可防外界信号干扰的5g基站建造用信号检测装置
JP2023554194A (ja) 2020-12-15 2023-12-26 オーリゲン メディカル リミテッド 体腔内を閉塞する装置
EP4119083B1 (en) 2021-07-13 2024-05-29 Aurigen Medical Limited A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter
EP4119082B1 (en) * 2021-07-13 2024-05-15 Aurigen Medical Limited A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter
WO2023032059A1 (ja) * 2021-08-31 2023-03-09 ネットビジネスコンサルティング株式会社 閉鎖システム及び閉鎖デバイスの製造方法
US12161396B2 (en) 2021-10-19 2024-12-10 Riccardo Cappato System, device, and method for determining location of arrhythmogenic foci
CN121038714A (zh) 2023-02-22 2025-11-28 奥里根医疗有限公司 医用植入物系统
US20250072960A1 (en) * 2023-08-31 2025-03-06 Boston Scientific Scimed, Inc. Dielectric coating for cardiac ablation device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060106375A1 (en) * 2004-11-15 2006-05-18 Werneth Randell L Ablation system with feedback
US20080033425A1 (en) * 2006-05-30 2008-02-07 Coherex Medical, Inc. Methods, systems, and devices for sensing, measuring, and controlling closure of a patent foramen ovale
US20080249518A1 (en) * 2004-04-19 2008-10-09 Prorhythm, Inc. Ablation Devices with Sensor Structures
CN101516259A (zh) * 2006-09-15 2009-08-26 心脏起搏器公司 用于植入式传感器的固定装置
WO2011041488A2 (en) * 2009-09-30 2011-04-07 Mayo Foundation For Medical Education And Research Tissue capture and occlusion systems and methods
US20140364941A1 (en) * 2009-06-17 2014-12-11 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
WO2016033170A1 (en) * 2014-08-26 2016-03-03 Mayo Foundation For Medical Education And Research Closure and ablation of body viscera and conduits
WO2016202708A1 (en) * 2015-06-19 2016-12-22 Koninklijke Philips N.V. Implantable medical device and system to heat tissue

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4909789A (en) 1986-03-28 1990-03-20 Olympus Optical Co., Ltd. Observation assisting forceps
US5573530A (en) 1994-12-15 1996-11-12 Cabot Technology Corporation Handle for a surgical instrument including a manually actuated brake
US6401719B1 (en) 1997-09-11 2002-06-11 Vnus Medical Technologies, Inc. Method of ligating hollow anatomical structures
US6152144A (en) 1998-11-06 2000-11-28 Appriva Medical, Inc. Method and device for left atrial appendage occlusion
US7655016B2 (en) 1999-09-17 2010-02-02 Covidien Mechanical pump for removal of fragmented matter and methods of manufacture and use
US6454775B1 (en) 1999-12-06 2002-09-24 Bacchus Vascular Inc. Systems and methods for clot disruption and retrieval
US20010031981A1 (en) 2000-03-31 2001-10-18 Evans Michael A. Method and device for locating guidewire and treating chronic total occlusions
FR2808991A1 (fr) 2000-05-18 2001-11-23 Perret Emile Lamy Sonde extensible interne a usage chirurgical pour la dilatation, le curetage et la protection de conduits physiologiques
WO2002069783A2 (en) * 2000-10-24 2002-09-12 Concentric Medical, Inc. Device and methods for treating vascular malformations
US20040153056A1 (en) 2002-11-11 2004-08-05 Berchtold Holding Gmbh, A German Corporation Probe
WO2004073782A1 (en) 2003-02-19 2004-09-02 Taewoong Medical Co., Ltd Stent for high frequency thermotherapy
US7918850B2 (en) 2006-02-17 2011-04-05 Biosense Wabster, Inc. Lesion assessment by pacing
EP2672927A4 (en) 2011-02-10 2014-08-20 Atrial Innovations Inc TREATMENT OF HERZOHR OCKLUSIONS AND ARRHYTHMIES
US9011551B2 (en) 2011-07-11 2015-04-21 The Regents Of The University Of Michigan Multimodality left atrial appendage occlusion device
WO2013096548A1 (en) * 2011-12-23 2013-06-27 Volcano Corporation Methods and apparatus for regulating blood pressure
CN104039246A (zh) 2012-01-06 2014-09-10 因赛普特斯医学有限责任公司 可膨胀的闭塞装置及使用方法
EP2804548B1 (en) 2012-01-17 2019-03-27 Perflow Medical Ltd. Apparatus for occlusion removal

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080249518A1 (en) * 2004-04-19 2008-10-09 Prorhythm, Inc. Ablation Devices with Sensor Structures
US20060106375A1 (en) * 2004-11-15 2006-05-18 Werneth Randell L Ablation system with feedback
US20080033425A1 (en) * 2006-05-30 2008-02-07 Coherex Medical, Inc. Methods, systems, and devices for sensing, measuring, and controlling closure of a patent foramen ovale
CN101516259A (zh) * 2006-09-15 2009-08-26 心脏起搏器公司 用于植入式传感器的固定装置
US20140364941A1 (en) * 2009-06-17 2014-12-11 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
WO2011041488A2 (en) * 2009-09-30 2011-04-07 Mayo Foundation For Medical Education And Research Tissue capture and occlusion systems and methods
WO2016033170A1 (en) * 2014-08-26 2016-03-03 Mayo Foundation For Medical Education And Research Closure and ablation of body viscera and conduits
WO2016202708A1 (en) * 2015-06-19 2016-12-22 Koninklijke Philips N.V. Implantable medical device and system to heat tissue

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021218549A1 (zh) * 2020-04-30 2021-11-04 杭州德诺电生理医疗科技有限公司 消融封堵装置
CN114246627A (zh) * 2020-09-22 2022-03-29 杭州诺芮医疗科技有限公司 左心耳封堵装置
WO2022063137A1 (zh) * 2020-09-22 2022-03-31 杭州德诺电生理医疗科技有限公司 左心耳封堵装置
CN114246627B (zh) * 2020-09-22 2025-09-19 杭州德诺电生理医疗科技有限公司 左心耳封堵装置
CN114642469A (zh) * 2020-12-21 2022-06-21 杭州诺芮医疗科技有限公司 左心耳消融装置及控制方法
CN114642468A (zh) * 2020-12-21 2022-06-21 杭州诺芮医疗科技有限公司 左心耳封堵装置及系统
WO2022135424A1 (zh) * 2020-12-21 2022-06-30 杭州德诺电生理医疗科技有限公司 左心耳消融装置及控制方法
CN116669639A (zh) * 2021-01-14 2023-08-29 波士顿科学医学有限公司 用于治疗左心耳的医疗系统

Also Published As

Publication number Publication date
CA3058538A1 (en) 2018-10-11
US20200121324A1 (en) 2020-04-23
AU2018247939B2 (en) 2023-10-19
AU2018247939A1 (en) 2019-10-24
EP3606448A1 (en) 2020-02-12
WO2018185256A1 (en) 2018-10-11
JP7082987B2 (ja) 2022-06-09
JP2020516356A (ja) 2020-06-11

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Application publication date: 20191217