CN110662483B - 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法 - Google Patents

用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法 Download PDF

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CN110662483B
CN110662483B CN201880033278.5A CN201880033278A CN110662483B CN 110662483 B CN110662483 B CN 110662483B CN 201880033278 A CN201880033278 A CN 201880033278A CN 110662483 B CN110662483 B CN 110662483B
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splines
electrodes
spline
catheter
electrode
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CN110662483A (zh
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R·维斯瓦纳萨安
A·齐恩格勒尔
G·朗
J-L·帕雅尔
B·哈谢伊
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Boston Scientific Scimed Inc
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Boston Scientific Scimed Inc
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Priority claimed from US15/711,266 external-priority patent/US10172673B2/en
Priority claimed from US15/874,721 external-priority patent/US10130423B1/en
Application filed by Boston Scientific Scimed Inc filed Critical Boston Scientific Scimed Inc
Priority to CN202110157926.1A priority Critical patent/CN112971969A/zh
Priority to CN202310387215.2A priority patent/CN116158839A/zh
Priority claimed from PCT/US2018/029938 external-priority patent/WO2018201037A1/fr
Publication of CN110662483A publication Critical patent/CN110662483A/zh
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    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
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    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
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    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
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    • A61B2018/0016Energy applicators arranged in a two- or three dimensional array
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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
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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
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    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00375Ostium, e.g. ostium of pulmonary vein or artery
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    • 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
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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
    • A61B2018/00613Irreversible electroporation
    • AHUMAN NECESSITIES
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    • 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
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • 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
    • A61B2018/1407Loop
    • AHUMAN NECESSITIES
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical 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
    • A61B2018/1435Spiral
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • 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
    • A61N1/327Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
CN201880033278.5A 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法 Active CN110662483B (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202110157926.1A CN112971969A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法
CN202310387215.2A CN116158839A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201762491910P 2017-04-28 2017-04-28
US62/491,910 2017-04-28
US201762529268P 2017-07-06 2017-07-06
US62/529,268 2017-07-06
US15/711,266 2017-09-21
US15/711,266 US10172673B2 (en) 2016-01-05 2017-09-21 Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US15/874,721 US10130423B1 (en) 2017-07-06 2018-01-18 Systems, devices, and methods for focal ablation
US15/874,721 2018-01-18
PCT/US2018/029938 WO2018201037A1 (fr) 2017-04-28 2018-04-27 Systèmes, dispositifs et procédés d'application d'une énergie d'ablation à champ électrique pulsé sur un tissu de l'endocarde

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CN202110157926.1A Division CN112971969A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法
CN202310387215.2A Division CN116158839A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法

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CN110662483B true CN110662483B (zh) 2023-05-12

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CN202110157926.1A Pending CN112971969A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法
CN202310387215.2A Pending CN116158839A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法
CN201880033278.5A Active CN110662483B (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法

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CN202310387215.2A Pending CN116158839A (zh) 2017-04-28 2018-04-27 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法

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EP (1) EP3614912A4 (fr)
JP (2) JP2020517355A (fr)
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CN111728693A (zh) * 2020-07-06 2020-10-02 白龙腾 一种采用脉冲电场消融技术治疗心律失常的系统
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
JP2023175056A (ja) * 2020-09-29 2023-12-12 テルモ株式会社 医療デバイスおよびシャント形成方法
KR102583363B1 (ko) * 2020-10-14 2023-10-18 인하대학교 산학협력단 내시경용 비가역적 전기천공법 장치
DE112021007139T5 (de) * 2021-02-22 2023-11-30 Japan Lifeline Co., Ltd. Stromversorgungsvorrichtung und Ablationssystem
WO2022176203A1 (fr) * 2021-02-22 2022-08-25 日本ライフライン株式会社 Dispositif d'alimentation électrique et système d'ablation
CN113100919A (zh) * 2021-04-23 2021-07-13 上海安钛克医疗科技有限公司 电极、电生理导管及消融系统
CN113243987A (zh) * 2021-04-30 2021-08-13 上海鑫律通生命科技有限公司 一种采用组合电极的消融导管系统
CN113274124A (zh) * 2021-06-22 2021-08-20 上海安钛克医疗科技有限公司 电极组件、电生理导管及电生理系统
IL296210A (en) * 2021-09-09 2023-04-01 Biosense Webster Israel Ltd A basket catheter with a far end in the shape of a mushroom
CN115177363A (zh) * 2022-05-17 2022-10-14 上海玮启医疗器械有限公司 脉冲消融导管

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CN106510683A (zh) * 2015-09-14 2017-03-22 韦伯斯特生物官能(以色列)有限公司 可转换的篮形导管
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US6322559B1 (en) * 1998-07-06 2001-11-27 Vnus Medical Technologies, Inc. Electrode catheter having coil structure
CN103781433A (zh) * 2011-07-29 2014-05-07 麦德托尼克消融前沿有限公司 递送电穿孔治疗的心内工具和方法
CN103750899A (zh) * 2014-01-21 2014-04-30 深圳市惠泰医疗器械有限公司 多电极网篮导管及其制备方法
CN106572842A (zh) * 2014-06-24 2017-04-19 阿帕玛医疗公司 组织消融及其监测
CN106510683A (zh) * 2015-09-14 2017-03-22 韦伯斯特生物官能(以色列)有限公司 可转换的篮形导管

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JP2020517355A (ja) 2020-06-18
CN110662483A (zh) 2020-01-07
CN112971969A (zh) 2021-06-18
EP3614912A4 (fr) 2021-03-03
CN116158839A (zh) 2023-05-26
JP2023082063A (ja) 2023-06-13
EP3614912A1 (fr) 2020-03-04

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