CN119732732A - 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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Publication number
CN119732732A
CN119732732A CN202411924600.7A CN202411924600A CN119732732A CN 119732732 A CN119732732 A CN 119732732A CN 202411924600 A CN202411924600 A CN 202411924600A CN 119732732 A CN119732732 A CN 119732732A
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China
Prior art keywords
spline
splines
catheter
electrodes
electrode
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Pending
Application number
CN202411924600.7A
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English (en)
Chinese (zh)
Inventor
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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Scimed Life Systems Inc
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Publication date
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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Priority claimed from PCT/US2018/029938 external-priority patent/WO2018201037A1/en
Publication of CN119732732A publication Critical patent/CN119732732A/zh
Pending legal-status Critical Current

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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
    • 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
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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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
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    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
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    • A61B5/321Accessories or supplementary instruments therefor, e.g. cord hangers
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    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
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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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    • A61B2018/00571Surgical 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
    • A61B2018/00571Surgical 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
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
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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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
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    • 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
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    • A61B2018/1405Electrodes having a specific shape
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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
    • A61B18/14Probes or electrodes therefor
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    • A61B2018/1435Spiral
    • AHUMAN NECESSITIES
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    • 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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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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    • 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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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
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  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
CN202411924600.7A 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 Pending CN119732732A (zh)

Applications Claiming Priority (10)

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 US10172673B2 (en) 2016-01-05 2017-09-21 Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US15/711,266 2017-09-21
US15/874,721 2018-01-18
US15/874,721 US10130423B1 (en) 2017-07-06 2018-01-18 Systems, devices, and methods for focal ablation
PCT/US2018/029938 WO2018201037A1 (en) 2017-04-28 2018-04-27 Systems, devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
CN201880033278.5A 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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CN201880033278.5A Division 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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CN119732732A true CN119732732A (zh) 2025-04-01

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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
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
CN202411924600.7A Pending CN119732732A (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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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
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

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EP (1) EP3614912A4 (enExample)
JP (3) JP2020517355A (enExample)
CN (4) CN110662483B (enExample)

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