EP2068736A4 - Methods and systems for planning, performing and monitoring thermal ablation - Google Patents

Methods and systems for planning, performing and monitoring thermal ablation

Info

Publication number
EP2068736A4
EP2068736A4 EP07873956A EP07873956A EP2068736A4 EP 2068736 A4 EP2068736 A4 EP 2068736A4 EP 07873956 A EP07873956 A EP 07873956A EP 07873956 A EP07873956 A EP 07873956A EP 2068736 A4 EP2068736 A4 EP 2068736A4
Authority
EP
European Patent Office
Prior art keywords
planning
systems
methods
thermal ablation
monitoring thermal
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
EP07873956A
Other languages
German (de)
French (fr)
Other versions
EP2068736A1 (en
Inventor
Morgan Nields
David E Gustafson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
ABLA-TX Inc
ABLA TX Inc
Original Assignee
ABLA-TX Inc
ABLA TX Inc
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 US11/499,418 external-priority patent/US7871406B2/en
Priority claimed from US11/499,342 external-priority patent/US20080033417A1/en
Priority claimed from US11/499,343 external-priority patent/US20080033418A1/en
Priority claimed from US11/499,344 external-priority patent/US20080033419A1/en
Application filed by ABLA-TX Inc, ABLA TX Inc filed Critical ABLA-TX Inc
Publication of EP2068736A1 publication Critical patent/EP2068736A1/en
Publication of EP2068736A4 publication Critical patent/EP2068736A4/en
Withdrawn legal-status Critical Current

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
    • A61B18/14—Probes or electrodes therefor
    • 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
    • A61B6/482—Diagnostic techniques involving multiple energy imaging
    • 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
    • A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
    • A61B6/5247—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
    • 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
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • 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
    • A61B18/20—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 laser
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • 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
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/027—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis characterised by the use of a particular data acquisition trajectory, e.g. helical or spiral
    • 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
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • 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
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4417—Constructional features of apparatus for radiation diagnosis related to combined acquisition of different diagnostic modalities
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/13—Tomography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/54—Control of the diagnostic device
    • A61B8/543—Control of the diagnostic device involving acquisition triggered by a physiological signal

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
EP07873956A 2006-08-04 2007-08-06 Methods and systems for planning, performing and monitoring thermal ablation Withdrawn EP2068736A4 (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US11/499,418 US7871406B2 (en) 2006-08-04 2006-08-04 Methods for planning and performing thermal ablation
US11/499,342 US20080033417A1 (en) 2006-08-04 2006-08-04 Apparatus for planning and performing thermal ablation
US11/499,343 US20080033418A1 (en) 2006-08-04 2006-08-04 Methods for monitoring thermal ablation
US11/499,344 US20080033419A1 (en) 2006-08-04 2006-08-04 Method for planning, performing and monitoring thermal ablation
PCT/US2007/075287 WO2008112005A1 (en) 2006-08-04 2007-08-06 Methods and systems for planning, performing and monitoring thermal ablation

Publications (2)

Publication Number Publication Date
EP2068736A1 EP2068736A1 (en) 2009-06-17
EP2068736A4 true EP2068736A4 (en) 2009-12-30

Family

ID=39759789

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07873956A Withdrawn EP2068736A4 (en) 2006-08-04 2007-08-06 Methods and systems for planning, performing and monitoring thermal ablation

Country Status (2)

Country Link
EP (1) EP2068736A4 (en)
WO (1) WO2008112005A1 (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10492854B2 (en) 2007-12-05 2019-12-03 Biosense Webster, Inc. Catheter-based acoustic radiation force impulse system
DE102008049604B4 (en) * 2008-09-30 2017-03-30 Siemens Healthcare Gmbh Method for determining a temperature or temperature distribution in an object area
WO2010046839A1 (en) * 2008-10-24 2010-04-29 Philips Intellectual Property & Standards Gmbh Reverse helical x-ray tomography with a ceiling mounted c-arm system
DE102009036027A1 (en) * 2009-08-04 2010-12-02 Siemens Aktiengesellschaft Method for pursuit of local change of temperature within pre-determined range of patient, involves determining correlation between changes of temperature and representing change of computed tomography values in figurative manner
US9980652B2 (en) * 2013-10-21 2018-05-29 Biosense Webster (Israel) Ltd. Mapping force and temperature for a catheter
JP6392864B2 (en) 2013-07-03 2018-09-19 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． Temperature distribution determination device
US11298028B2 (en) 2014-02-12 2022-04-12 Koninklijke Philips N.V. Temperature distribution determination apparatus
CA2953267C (en) * 2014-07-02 2022-11-15 Covidien Lp Real-time automatic registration feedback
US11166645B2 (en) * 2018-12-18 2021-11-09 Biosense Webster (Israel) Ltd. Visualizing lesions formed by thermal ablation in a magnetic resonance imaging (MRI) scan
US11172984B2 (en) 2019-05-03 2021-11-16 Biosense Webster (Israel) Ltd. Device, system and method to ablate cardiac tissue
US20240180633A1 (en) * 2021-12-20 2024-06-06 Perspective Technologies Llc Surgical navigation
US20230293219A1 (en) * 2022-03-17 2023-09-21 Varian Medical Systems, Inc. Apparatuses and methods for the control and optimization of ice formation during cryoablation treatments
US20230298709A1 (en) * 2022-03-17 2023-09-21 Varian Medical Systems, Inc. Apparatuses and methods for adaptively controlling cryoablation systems
CN116421295B (en) * 2023-06-15 2023-08-29 海杰亚（北京）医疗器械有限公司 Cryogenic refrigeration system and control method thereof

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002043804A1 (en) * 2000-11-28 2002-06-06 Insightec-Txsonics Ltd. Thermal treatment system
US20030004413A1 (en) * 2001-06-21 2003-01-02 Anzai Medical Kabushiki Kaisha Medical imaging apparatus
US6542767B1 (en) * 1999-11-09 2003-04-01 Biotex, Inc. Method and system for controlling heat delivery to a target
US6575969B1 (en) * 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US6684097B1 (en) * 1999-04-22 2004-01-27 University Of Miami Intraoperative monitoring of temperature-induced tissue changes with a high-resolution digital x-ray system during thermotherapy
US20050226375A1 (en) * 2004-03-31 2005-10-13 Eberhard Jeffrey W Enhanced X-ray imaging system and method

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4450622B2 (en) * 2001-09-28 2010-04-14 アンジオ ダイナミクス インコーポレイテッド Impedance-controlled tissue peeling device and method

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6575969B1 (en) * 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US6684097B1 (en) * 1999-04-22 2004-01-27 University Of Miami Intraoperative monitoring of temperature-induced tissue changes with a high-resolution digital x-ray system during thermotherapy
US6542767B1 (en) * 1999-11-09 2003-04-01 Biotex, Inc. Method and system for controlling heat delivery to a target
WO2002043804A1 (en) * 2000-11-28 2002-06-06 Insightec-Txsonics Ltd. Thermal treatment system
US20030004413A1 (en) * 2001-06-21 2003-01-02 Anzai Medical Kabushiki Kaisha Medical imaging apparatus
US20050226375A1 (en) * 2004-03-31 2005-10-13 Eberhard Jeffrey W Enhanced X-ray imaging system and method

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
BENTZEN ET AL: "Isotherm mapping in hyperthermia using subtraction X-ray computed tomography", RADIOTHERAPY AND ONCOLOGY, ELSEVIER, vol. 2, no. 3, 1 October 1984 (1984-10-01), pages 255 - 260, XP022065510, ISSN: 0167-8140 *
See also references of WO2008112005A1 *

Also Published As

Publication number Publication date
EP2068736A1 (en) 2009-06-17
WO2008112005A1 (en) 2008-09-18

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