CN114554993A - 使用灌注血管造影的肾脏去神经消融监测 - Google Patents

使用灌注血管造影的肾脏去神经消融监测 Download PDF

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Publication number
CN114554993A
CN114554993A CN202080072270.7A CN202080072270A CN114554993A CN 114554993 A CN114554993 A CN 114554993A CN 202080072270 A CN202080072270 A CN 202080072270A CN 114554993 A CN114554993 A CN 114554993A
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state
time series
treatment
dynamic measure
region
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CN202080072270.7A
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English (en)
Chinese (zh)
Inventor
B·卡雷尔森
J·雷克斯
I·特霍斯特
A·范德霍斯特
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/48—Diagnostic techniques
    • A61B6/481—Diagnostic techniques involving the use of contrast agents
    • 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
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/48—Diagnostic techniques
    • A61B6/486—Diagnostic techniques involving generating temporal series of image data
    • A61B6/487—Diagnostic techniques involving generating temporal series of image data involving fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/52—Devices using data or image processing specially adapted for radiation diagnosis
    • A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
    • A61B6/5217—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data extracting a diagnostic or physiological parameter from medical diagnostic data
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • 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
    • A61B2018/00434—Neural system
    • 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
    • A61B2018/00505—Urinary tract
    • A61B2018/00511—Kidney
    • 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
    • A61B2018/0066—Sensing and controlling the application of energy without feedback, i.e. open loop control
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • 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
    • A61B2018/00863—Fluid flow
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/54—Control of apparatus or devices for radiation diagnosis
    • A61B6/541—Control of apparatus or devices for radiation diagnosis involving acquisition triggered by a physiological signal

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
CN202080072270.7A 2019-10-14 2020-09-29 使用灌注血管造影的肾脏去神经消融监测 Pending CN114554993A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP19202890.0A EP3808274A1 (en) 2019-10-14 2019-10-14 Renal denervation ablation monitoring using perfusion angiography
EP19202890.0 2019-10-14
PCT/EP2020/077157 WO2021073862A1 (en) 2019-10-14 2020-09-29 Renal denervation ablation monitoring using perfusion angiography

Publications (1)

Publication Number Publication Date
CN114554993A true CN114554993A (zh) 2022-05-27

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ID=68318782

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CN202080072270.7A Pending CN114554993A (zh) 2019-10-14 2020-09-29 使用灌注血管造影的肾脏去神经消融监测

Country Status (5)

Country Link
US (2) US12171603B2 (https=)
EP (2) EP3808274A1 (https=)
JP (1) JP7653981B2 (https=)
CN (1) CN114554993A (https=)
WO (1) WO2021073862A1 (https=)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3756547A1 (en) * 2019-06-28 2020-12-30 Koninklijke Philips N.V. Automated coronary angiography analysis
CN114052896A (zh) * 2021-12-17 2022-02-18 苏州润迈德医疗科技有限公司 一种消融导管效果参数测评方法和测评装置
DE102023206892A1 (de) * 2023-07-20 2025-01-23 Siemens Healthineers Ag Mehrenergie-Röntgenbildgebung
WO2025082793A1 (en) * 2023-10-20 2025-04-24 Medtronic Ireland Manufacturing Unlimited Company Intraprocedural guidance for renal denervation using vasoconstriction response to stimulation

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120323233A1 (en) * 2011-05-09 2012-12-20 Cyberheart, Inc. Renovascular treatment device, system, and method for radiosurgically alleviating hypertension
US20130116496A1 (en) * 2011-11-04 2013-05-09 Ron Waksman Apparatus and method for radiation treatment of a desired area in the renal vascular system of a patient
CN105520780A (zh) * 2014-10-20 2016-04-27 韦伯斯特生物官能(以色列)有限公司 用于同时评估肾去神经的方法
US20160113699A1 (en) * 2013-05-23 2016-04-28 CardioSonic Ltd. Devices and methods for renal denervation and assessment thereof

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2016513526A (ja) * 2013-03-11 2016-05-16 タイラートン インターナショナル ホールディングス インコーポレイテッドＴｙｌｅｒｔｏｎ Ｉｎｔｅｒｎａｔｉｏｎａｌ Ｈｏｌｄｉｎｇｓ Ｉｎｃ． 自律神経系モデリング及びその使用
EP4389044A3 (en) * 2014-10-01 2024-09-11 Medtronic Ardian Luxembourg S.à.r.l. Systems and methods for evaluating neuromodulation therapy via hemodynamic responses
WO2017100140A2 (en) 2015-12-08 2017-06-15 Ablative Solutions, Inc. Apparatus for effective ablation and nerve sensing associated with denervation
CA3060579A1 (en) * 2017-05-04 2018-11-08 Gynesonics Inc. Methods for monitoring ablation progress with doppler ultrasound
US20180360342A1 (en) * 2017-06-16 2018-12-20 Biosense Webster (Israel) Ltd. Renal ablation and visualization system and method with composite anatomical display image
US10786306B2 (en) * 2018-01-24 2020-09-29 Medtronic Ardian Luxembourg S.A.R.L. Denervation therapy

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120323233A1 (en) * 2011-05-09 2012-12-20 Cyberheart, Inc. Renovascular treatment device, system, and method for radiosurgically alleviating hypertension
US20130116496A1 (en) * 2011-11-04 2013-05-09 Ron Waksman Apparatus and method for radiation treatment of a desired area in the renal vascular system of a patient
US20160113699A1 (en) * 2013-05-23 2016-04-28 CardioSonic Ltd. Devices and methods for renal denervation and assessment thereof
CN105520780A (zh) * 2014-10-20 2016-04-27 韦伯斯特生物官能(以色列)有限公司 用于同时评估肾去神经的方法

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Publication number Publication date
JP7653981B2 (ja) 2025-03-31
JP2022551532A (ja) 2022-12-09
EP3808274A1 (en) 2021-04-21
US20250120662A1 (en) 2025-04-17
US12171603B2 (en) 2024-12-24
US20240081758A1 (en) 2024-03-14
EP4044927A1 (en) 2022-08-24
WO2021073862A1 (en) 2021-04-22

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