CN115334989A - 用于心脏消融的系统和相关方法 - Google Patents

用于心脏消融的系统和相关方法 Download PDF

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Publication number
CN115334989A
CN115334989A CN202180024084.0A CN202180024084A CN115334989A CN 115334989 A CN115334989 A CN 115334989A CN 202180024084 A CN202180024084 A CN 202180024084A CN 115334989 A CN115334989 A CN 115334989A
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CN
China
Prior art keywords
tissue
therapy
energy
catheter
anatomical structure
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Pending
Application number
CN202180024084.0A
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English (en)
Chinese (zh)
Inventor
多伦·哈尔莱夫
保罗·B·霍尔茨
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Affera Inc
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Affera Inc
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Application filed by Affera Inc filed Critical Affera Inc
Priority to CN202310121565.4A priority Critical patent/CN115998412B/zh
Publication of CN115334989A publication Critical patent/CN115334989A/zh
Pending legal-status Critical Current

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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
    • 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
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/367—Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • 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
    • A61B2018/00684—Sensing and controlling the application of energy using lookup tables
    • 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
    • A61B2018/00791—Temperature
    • A61B2018/00815—Temperature measured by a thermistor
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Physiology (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
CN202180024084.0A 2020-01-24 2021-01-20 用于心脏消融的系统和相关方法 Pending CN115334989A (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310121565.4A CN115998412B (zh) 2020-01-24 2021-01-20 用于心脏消融的系统和相关方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202062965747P 2020-01-24 2020-01-24
US62/965,747 2020-01-24
PCT/US2021/014216 WO2021150629A1 (en) 2020-01-24 2021-01-20 Systems for cardiac ablation and associated methods

Related Child Applications (1)

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Publication Number Publication Date
CN115334989A true CN115334989A (zh) 2022-11-11

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CN202180024084.0A Pending CN115334989A (zh) 2020-01-24 2021-01-20 用于心脏消融的系统和相关方法
CN202310121565.4A Active CN115998412B (zh) 2020-01-24 2021-01-20 用于心脏消融的系统和相关方法

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US (2) US11553962B2 (https=)
EP (1) EP4093308A4 (https=)
JP (1) JP7628547B2 (https=)
CN (2) CN115334989A (https=)
WO (1) WO2021150629A1 (https=)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12076071B2 (en) 2020-08-14 2024-09-03 Kardium Inc. Systems and methods for treating tissue with pulsed field ablation
CN116471992A (zh) * 2020-09-30 2023-07-21 波士顿科学医学有限公司 用于评估小折返位点的电生理学系统和方法
US20220202482A1 (en) * 2020-12-30 2022-06-30 Biosense Webster (Israel) Ltd. Post ablation validation via visual signal
KR102868326B1 (ko) 2021-04-07 2025-10-13 비티엘 메디컬 디벨롭먼트 에이.에스. 펄스 필드 절제 디바이스 및 방법
US12564440B2 (en) 2021-04-26 2026-03-03 Pulse Biosciences, Inc. Multi-strut ablation and sensing catheter devices and methods
CA3215962A1 (en) 2021-04-26 2022-11-03 Roman Turovskiy Circumferential ablation devices and methods
US12446944B2 (en) 2021-04-26 2025-10-21 Pulse Biosciences, Inc. Mapping and ablation applicators
US20220395321A1 (en) * 2021-06-10 2022-12-15 Biosense Webster (Israel) Ltd. Follow wave propagation
HRP20250794T1 (hr) 2021-07-06 2025-08-29 Btl Medical Development A.S. Uređaj za ablaciju pulsnim poljem
CN118076308A (zh) * 2021-10-04 2024-05-24 波士顿科学医学有限公司 具有集成导航传感器的心脏消融导管
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
CR20250188A (es) 2022-10-05 2025-08-22 Btl Medical Dev A S Dispositivo y método de ablación de campo pulsado
US12551724B2 (en) * 2022-12-28 2026-02-17 Biosense Webster (Israel) Ltd. Facilitating ablative radiotherapy using an intrabody catheter
US20250185973A1 (en) * 2023-12-12 2025-06-12 Biosense Webster (Israel) Ltd. Gui to visually connect features identified in electroanatomical (ea) map to ecg signals
WO2026006171A1 (en) * 2024-06-28 2026-01-02 Medtronic, Inc. Dynamic therapy annotation
WO2026083222A1 (en) * 2024-10-14 2026-04-23 Affera, Inc. Simultaneous pulsed field ablation and mapping

Family Cites Families (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4708145A (en) 1982-06-01 1987-11-24 Medtronic, Inc. Sequential-pulse, multiple pathway defibrillation method
SE8800019D0 (sv) 1988-01-07 1988-01-07 Knut Olof Edhag For kardiell defibillering anvendbar intravaskuler elektrodkabel
EP0574609B1 (de) 1992-06-17 1998-12-02 Pacesetter AB Defibrillator/Kardiovertierer
US5584885A (en) 1994-04-28 1996-12-17 Seckel; Brooke R. Nerve regeneration chamber
US5995871A (en) 1997-10-29 1999-11-30 Uab Research Foundation System and method for cardioversion using scan stimulation
US6428537B1 (en) * 1998-05-22 2002-08-06 Scimed Life Systems, Inc. Electrophysiological treatment methods and apparatus employing high voltage pulse to render tissue temporarily unresponsive
WO1999065561A1 (en) 1998-06-19 1999-12-23 Cordis Webster, Inc. Method and apparatus for transvascular treatment of tachycardia and fibrillation
US6190382B1 (en) * 1998-12-14 2001-02-20 Medwaves, Inc. Radio-frequency based catheter system for ablation of body tissues
US6640135B1 (en) 2000-04-06 2003-10-28 Cardiac Pacemakers, Inc. Apparatus and method for spatially and temporally distributing cardiac electrical stimulation
US6662053B2 (en) 2000-08-17 2003-12-09 William N. Borkan Multichannel stimulator electronics and methods
US7306593B2 (en) * 2002-10-21 2007-12-11 Biosense, Inc. Prediction and assessment of ablation of cardiac tissue
US20050154420A1 (en) * 2004-01-14 2005-07-14 Diaz Cesar M. System for terminating heart arrhythmia using electrical shocks delivered through a set of internal and external electrodes configurable to a multitude of shock configurations by selecting the shock vector(s) on a control device that also provides "over shock" safety for patients.
EP2343022B1 (de) 2010-01-12 2013-05-29 VascoMed GmbH Ablationskatheteranordnung zur Therapie einer Herzrhythmusstörung
US9149327B2 (en) * 2010-12-27 2015-10-06 St. Jude Medical Luxembourg Holding S.À.R.L. Prediction of atrial wall electrical reconnection based on contact force measured during RF ablation
CN103718191B (zh) * 2011-05-02 2018-02-02 加利福尼亚大学董事会 使用成形消融术来靶向心律紊乱的系统和方法
CN103202727B (zh) * 2012-01-12 2015-11-25 通用电气公司 非侵入式心律失常治疗系统
US20140081262A1 (en) * 2012-09-20 2014-03-20 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
US9131982B2 (en) * 2013-03-14 2015-09-15 St. Jude Medical, Cardiology Division, Inc. Mediguide-enabled renal denervation system for ensuring wall contact and mapping lesion locations
US20170238807A9 (en) * 2013-03-15 2017-08-24 LX Medical, Inc. Tissue imaging and image guidance in luminal anatomic structures and body cavities
US10449361B2 (en) * 2014-01-10 2019-10-22 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
US10136943B1 (en) * 2014-10-21 2018-11-27 Cosman Instruments, Llc Electrosurgical system
US10925511B2 (en) * 2014-07-24 2021-02-23 Cardiosolv Ablation Technologies, Inc. System and method for cardiac ablation
US10271893B2 (en) * 2014-12-15 2019-04-30 Medtronic Ablation Frontiers Llc Timed energy delivery
WO2016181317A2 (en) * 2015-05-12 2016-11-17 Navix International Limited Calculation of an ablation plan
US11083517B2 (en) * 2017-01-19 2021-08-10 Biosense Webster (Israel) Ltd. Enhancing efficiency of repeat ablation by merging current and previous maps
US11364072B2 (en) * 2017-01-27 2022-06-21 Medtronic, Inc. Catheter electrodes for energy management
US10806503B2 (en) * 2017-02-06 2020-10-20 General Electric Company Methods and systems for electrophysiology ablation gap analysis
EP3614946B1 (en) * 2017-04-27 2024-03-20 EPiX Therapeutics, Inc. Determining nature of contact between catheter tip and tissue
WO2019023280A1 (en) 2017-07-25 2019-01-31 Affera, Inc. ABLATION CATHETERS AND ASSOCIATED SYSTEMS AND METHODS
US12465260B2 (en) * 2018-02-09 2025-11-11 Presidio Medical, Inc. Systems and methods for cardiac conduction block
GB2573109B (en) * 2018-04-23 2022-09-14 Barts Health Nhs Trust Methods and systems useful in mapping heart rhythm abnormalities

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Publication number Publication date
EP4093308A4 (en) 2024-02-14
US20230157751A1 (en) 2023-05-25
CN115998412A (zh) 2023-04-25
JP2023511419A (ja) 2023-03-17
US20220346867A1 (en) 2022-11-03
JP7628547B2 (ja) 2025-02-10
EP4093308A1 (en) 2022-11-30
US12575880B2 (en) 2026-03-17
CN115998412B (zh) 2026-01-27
WO2021150629A1 (en) 2021-07-29
US11553962B2 (en) 2023-01-17

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