DK0971636T3 - Apparat til aftastning af kateter-vævskontakt og af vekselvirkninger med vævet ved kateterablation - Google Patents

Apparat til aftastning af kateter-vævskontakt og af vekselvirkninger med vævet ved kateterablation

Info

Publication number
DK0971636T3
DK0971636T3 DK98928114T DK98928114T DK0971636T3 DK 0971636 T3 DK0971636 T3 DK 0971636T3 DK 98928114 T DK98928114 T DK 98928114T DK 98928114 T DK98928114 T DK 98928114T DK 0971636 T3 DK0971636 T3 DK 0971636T3
Authority
DK
Denmark
Prior art keywords
catheter
tissue
electrode
patient
ablation
Prior art date
Application number
DK98928114T
Other languages
Danish (da)
English (en)
Inventor
Axel Muntermann
Original Assignee
Axel Muntermann
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.)
Filing date
Publication date
Priority claimed from DE19740976A external-priority patent/DE19740976A1/de
Application filed by Axel Muntermann filed Critical Axel Muntermann
Application granted granted Critical
Publication of DK0971636T3 publication Critical patent/DK0971636T3/da

Links

Classifications

    • 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
    • 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
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Endoscopes (AREA)
DK98928114T 1997-04-01 1998-04-01 Apparat til aftastning af kateter-vævskontakt og af vekselvirkninger med vævet ved kateterablation DK0971636T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19713234 1997-04-01
DE19740976A DE19740976A1 (de) 1997-04-01 1997-09-17 Verfahren und Vorrichtung zur Erfassung des Katheter-Gewebekontaktes bei der HF-chirurgischen Katheterablation

Publications (1)

Publication Number Publication Date
DK0971636T3 true DK0971636T3 (da) 2006-03-20

Family

ID=26035367

Family Applications (1)

Application Number Title Priority Date Filing Date
DK98928114T DK0971636T3 (da) 1997-04-01 1998-04-01 Apparat til aftastning af kateter-vævskontakt og af vekselvirkninger med vævet ved kateterablation

Country Status (10)

Country Link
US (1) US6304776B1 (fr)
EP (1) EP0971636B1 (fr)
JP (1) JP4105238B2 (fr)
AT (1) ATE307536T1 (fr)
AU (1) AU740503B2 (fr)
CA (1) CA2285342C (fr)
DE (1) DE59813142D1 (fr)
DK (1) DK0971636T3 (fr)
ES (1) ES2249832T3 (fr)
WO (1) WO1998043547A2 (fr)

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US6408199B1 (en) 2000-07-07 2002-06-18 Biosense, Inc. Bipolar mapping of intracardiac potentials with electrode having blood permeable covering
US6546270B1 (en) 2000-07-07 2003-04-08 Biosense, Inc. Multi-electrode catheter, system and method
US7789876B2 (en) * 2000-08-14 2010-09-07 Tyco Healthcare Group, Lp Method and apparatus for positioning a catheter relative to an anatomical junction
US7819870B2 (en) * 2005-10-13 2010-10-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Tissue contact and thermal assessment for brush electrodes
EP1720480A1 (fr) 2004-03-05 2006-11-15 Hansen Medical, Inc. Systeme de catheter robotique
US7824408B2 (en) 2004-08-05 2010-11-02 Tyco Healthcare Group, Lp Methods and apparatus for coagulating and/or constricting hollow anatomical structures
US20070016272A1 (en) 2004-09-27 2007-01-18 Thompson Russell B Systems and methods for treating a hollow anatomical structure
US7557910B2 (en) 2004-12-19 2009-07-07 Kla-Tencor Corporation System and method for controlling a beam source in a workpiece surface inspection system
WO2006069313A1 (fr) * 2004-12-20 2006-06-29 Vnus Medical Technologies, Inc. Systemes et procedes de traitement d'une structure anatomique creuse
DE102005025946A1 (de) 2005-01-26 2006-08-03 Erbe Elektromedizin Gmbh HF-Chirurgieeinrichtung
US7625372B2 (en) 2005-02-23 2009-12-01 Vnus Medical Technologies, Inc. Methods and apparatus for coagulating and/or constricting hollow anatomical structures
WO2007005976A1 (fr) 2005-07-01 2007-01-11 Hansen Medical, Inc. Systeme de catheter robotique
JP5030180B2 (ja) 2005-07-21 2012-09-19 タイコ ヘルスケア グループ リミテッド パートナーシップ 解剖学的中空構造体を治療するシステムおよび方法
US8679109B2 (en) 2005-10-13 2014-03-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Dynamic contact assessment for electrode catheters
US8672936B2 (en) 2005-10-13 2014-03-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Systems and methods for assessing tissue contact
US20180311071A1 (en) 2005-10-21 2018-11-01 Daniel R. BURNETT Method and apparatus for peritoneal oxygenation
US20070093697A1 (en) 2005-10-21 2007-04-26 Theranova, Llc Method and apparatus for detection of right to left shunting in the cardiopulmonary vasculature
WO2007050960A2 (fr) 2005-10-27 2007-05-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Systemes et procedes d'evaluation de contact d'electrode
US8190238B2 (en) 2005-12-09 2012-05-29 Hansen Medical, Inc. Robotic catheter system and methods
US7879029B2 (en) 2005-12-30 2011-02-01 Biosense Webster, Inc. System and method for selectively energizing catheter electrodes
US20070244371A1 (en) * 2006-04-04 2007-10-18 Nguyen Hoa D Phlebectomy illumination device and methods
CN100421617C (zh) * 2006-08-16 2008-10-01 中山市创源电子有限公司 一种人体阻抗测量装置及应用该装置的脂肪计
US7955326B2 (en) * 2006-12-29 2011-06-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive conductive composite electrode and method for ablation
US9579483B2 (en) 2006-12-29 2017-02-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive conductive composite contact sensor and method for contact sensing
US7883508B2 (en) 2006-12-29 2011-02-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Contact-sensitive pressure-sensitive conductive composite electrode and method for ablation
US10085798B2 (en) * 2006-12-29 2018-10-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode with tactile sensor
US8226648B2 (en) 2007-12-31 2012-07-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive flexible polymer bipolar electrode
US8374673B2 (en) 2007-01-25 2013-02-12 Warsaw Orthopedic, Inc. Integrated surgical navigational and neuromonitoring system having automated surgical assistance and control
US7987001B2 (en) 2007-01-25 2011-07-26 Warsaw Orthopedic, Inc. Surgical navigational and neuromonitoring instrument
CA2684807A1 (fr) * 2007-04-05 2008-10-16 Velomedix, Inc. Systeme de therapie automatise et procede associe
WO2009009540A1 (fr) 2007-07-09 2009-01-15 Velomedix, Inc. Dispositifs et procédés d'hypothermie
US8396533B2 (en) * 2007-08-21 2013-03-12 Siemens Aktiengesellschaft Method and system for catheter detection and tracking in a fluoroscopic image sequence
US8500731B2 (en) * 2007-12-21 2013-08-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Adjustable length flexible polymer electrode catheter and method for ablation
US8211102B2 (en) * 2007-12-21 2012-07-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Contact sensing flexible conductive polymer electrode
US8900150B2 (en) * 2008-12-30 2014-12-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Intracardiac imaging system utilizing a multipurpose catheter
US8948476B2 (en) 2010-12-20 2015-02-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Determination of cardiac geometry responsive to doppler based imaging of blood flow characteristics
US20100168557A1 (en) * 2008-12-30 2010-07-01 Deno D Curtis Multi-electrode ablation sensing catheter and system
US9610118B2 (en) 2008-12-31 2017-04-04 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for the cancellation of motion artifacts in medical interventional navigation
US9254123B2 (en) 2009-04-29 2016-02-09 Hansen Medical, Inc. Flexible and steerable elongate instruments with shape control and support elements
US20100280328A1 (en) * 2009-05-01 2010-11-04 Tyco Healthcare Group, Lp Methods and systems for illumination during phlebectomy procedures
US9616246B2 (en) 2010-01-04 2017-04-11 Covidien Lp Apparatus and methods for treating hollow anatomical structures
US9237961B2 (en) * 2010-04-23 2016-01-19 Medtronic Vascular, Inc. Stent delivery system for detecting wall apposition of the stent during deployment
WO2012006625A2 (fr) 2010-07-09 2012-01-12 Velomedix, Inc. Procédé et appareil de mesure de pression
US8961533B2 (en) 2010-09-17 2015-02-24 Hansen Medical, Inc. Anti-buckling mechanisms and methods
US20120191086A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
US9138166B2 (en) 2011-07-29 2015-09-22 Hansen Medical, Inc. Apparatus and methods for fiber integration and registration
US8700133B2 (en) 2012-06-18 2014-04-15 Smart Iv Llc Apparatus and method for monitoring catheter insertion
US9597482B2 (en) 2012-06-18 2017-03-21 Smart Iv Llc Apparatus and method for monitoring catheter insertion
DE102012220658A1 (de) * 2012-11-13 2014-05-15 Olympus Winter & Ibe Gmbh Elektrochirurgisches Instrument für die Koagulation oder Ablation von Körpergewebe
US20140148673A1 (en) 2012-11-28 2014-05-29 Hansen Medical, Inc. Method of anchoring pullwire directly articulatable region in catheter
US9326822B2 (en) 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US20140277334A1 (en) 2013-03-14 2014-09-18 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
US20140276936A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Active drive mechanism for simultaneous rotation and translation
US10682175B2 (en) * 2013-11-06 2020-06-16 Biosense Webster (Israel) Ltd. Using catheter position and temperature measurement to detect movement from ablation point
US10046140B2 (en) 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US10350423B2 (en) 2016-02-04 2019-07-16 Cardiac Pacemakers, Inc. Delivery system with force sensor for leadless cardiac device
US10463439B2 (en) 2016-08-26 2019-11-05 Auris Health, Inc. Steerable catheter with shaft load distributions
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
US11426126B2 (en) 2019-05-23 2022-08-30 Biosense Webster (Israel) Ltd. Indicating electrode contact
US20210077180A1 (en) 2019-09-12 2021-03-18 Biosense Webster (Israel) Ltd. Balloon Catheter with Force Sensor
US20220183748A1 (en) 2020-12-16 2022-06-16 Biosense Webster (Israel) Ltd. Accurate tissue proximity
US11864844B2 (en) 2020-12-22 2024-01-09 Biosense Webster (Israel) Ltd. Distal end assembly guidance
US20220370145A1 (en) 2021-05-24 2022-11-24 Biosense Webster (Israel) Ltd. Gesture based selection of portion of catheter
US20230008606A1 (en) 2021-07-06 2023-01-12 Biosense Webster (Israel) Ltd. Contact assessment for balloon catheter
US20230028867A1 (en) 2021-07-23 2023-01-26 Biosense Webster (Israel) Ltd. Accurate tissue proximity
US20230157569A1 (en) 2021-11-22 2023-05-25 Biosense Webster (Israel) Ltd. Mapping System with Real Time Electrogram Overlay
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Also Published As

Publication number Publication date
AU8008898A (en) 1998-10-22
AU740503B2 (en) 2001-11-08
WO1998043547A3 (fr) 1999-01-21
CA2285342C (fr) 2007-06-19
ATE307536T1 (de) 2005-11-15
US6304776B1 (en) 2001-10-16
JP2001522265A (ja) 2001-11-13
CA2285342A1 (fr) 1998-10-08
EP0971636A2 (fr) 2000-01-19
ES2249832T3 (es) 2006-04-01
DE59813142D1 (de) 2005-12-01
JP4105238B2 (ja) 2008-06-25
WO1998043547A2 (fr) 1998-10-08
EP0971636B1 (fr) 2005-10-26

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