EP3547910A4 - Katheter, systeme und zugehörige verfahren zur abbildung, minimierung und behandlung von vorhofflimmern - Google Patents

Katheter, systeme und zugehörige verfahren zur abbildung, minimierung und behandlung von vorhofflimmern Download PDF

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Publication number
EP3547910A4
EP3547910A4 EP17879048.1A EP17879048A EP3547910A4 EP 3547910 A4 EP3547910 A4 EP 3547910A4 EP 17879048 A EP17879048 A EP 17879048A EP 3547910 A4 EP3547910 A4 EP 3547910A4
Authority
EP
European Patent Office
Prior art keywords
catheters
minimizing
mapping
systems
related methods
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.)
Ceased
Application number
EP17879048.1A
Other languages
English (en)
French (fr)
Other versions
EP3547910A1 (de
Inventor
Peter S. SPECTOR
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.)
University of Vermont
Original Assignee
University of Vermont
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 US15/369,483 external-priority patent/US10912476B2/en
Application filed by University of Vermont filed Critical University of Vermont
Publication of EP3547910A1 publication Critical patent/EP3547910A1/de
Publication of EP3547910A4 publication Critical patent/EP3547910A4/de
Ceased 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
    • 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
    • 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
    • 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]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • 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
    • 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
    • A61B2017/00044—Sensing electrocardiography, i.e. ECG
    • A61B2017/00048—Spectral analysis
    • A61B2017/00053—Mapping
    • 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
    • A61B2018/00642—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
    • A61B2018/00708—Power or energy switching the power on or off
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00904—Automatic detection of target tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
EP17879048.1A 2016-12-05 2017-11-29 Katheter, systeme und zugehörige verfahren zur abbildung, minimierung und behandlung von vorhofflimmern Ceased EP3547910A4 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US15/369,483 US10912476B2 (en) 2013-01-16 2016-12-05 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation
PCT/US2017/063747 WO2018106496A1 (en) 2016-12-05 2017-11-29 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Publications (2)

Publication Number Publication Date
EP3547910A1 EP3547910A1 (de) 2019-10-09
EP3547910A4 true EP3547910A4 (de) 2020-07-15

Family

ID=62491310

Family Applications (1)

Application Number Title Priority Date Filing Date
EP17879048.1A Ceased EP3547910A4 (de) 2016-12-05 2017-11-29 Katheter, systeme und zugehörige verfahren zur abbildung, minimierung und behandlung von vorhofflimmern

Country Status (5)

Country Link
EP (1) EP3547910A4 (de)
AU (1) AU2017370535B2 (de)
CA (1) CA3045988A1 (de)
IL (1) IL267047B2 (de)
WO (1) WO2018106496A1 (de)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108289709B (zh) 2015-10-21 2022-03-04 圣犹达医疗用品心脏病学部门有限公司 高密度电极标测导管
US11844616B2 (en) 2019-08-13 2023-12-19 Biosense Webster (Israel) Ltd. Enhanced visualization of organ electrical activity

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140200430A1 (en) * 2013-01-16 2014-07-17 University Of Vermont Catheter systems and related methods for mapping, minimizing, and treating cardiac fibrillation
US20160045123A1 (en) * 2014-08-12 2016-02-18 Biosense Webster (Israel) Ltd. Line of block detection

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6243603B1 (en) * 1998-09-15 2001-06-05 Uab Research Foundation Methods and apparatus for detecting medical conditions of the heart
WO2004026134A1 (en) * 2002-08-24 2004-04-01 Krishnan Subramaniam C Method and apparatus for locating the fossa ovalis and performing transseptal puncture
US10912476B2 (en) * 2013-01-16 2021-02-09 University Of Vermont Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140200430A1 (en) * 2013-01-16 2014-07-17 University Of Vermont Catheter systems and related methods for mapping, minimizing, and treating cardiac fibrillation
US20160045123A1 (en) * 2014-08-12 2016-02-18 Biosense Webster (Israel) Ltd. Line of block detection

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
CHRISTOPHER C.E. LANG ET AL: "Endocardial impedance mapping during circumferential pulmonary vein ablation of atrial fibrillation differentiates between atrial and venous tissue", HEART RHYTHM, vol. 3, no. 2, 1 February 2006 (2006-02-01), US, pages 171 - 178, XP055554684, ISSN: 1547-5271, DOI: 10.1016/j.hrthm.2005.10.017 *
See also references of WO2018106496A1 *

Also Published As

Publication number Publication date
AU2017370535B2 (en) 2023-06-29
IL267047B2 (en) 2023-02-01
WO2018106496A1 (en) 2018-06-14
IL267047B (en) 2022-10-01
EP3547910A1 (de) 2019-10-09
CA3045988A1 (en) 2018-06-14
IL267047A (en) 2019-08-29
AU2017370535A1 (en) 2019-07-04

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