EP3849448A4 - Beheizte dampfabscheidungssysteme und verfahren zur behandlung von herzerkrankungen - Google Patents

Beheizte dampfabscheidungssysteme und verfahren zur behandlung von herzerkrankungen Download PDF

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Publication number
EP3849448A4
EP3849448A4 EP19860901.8A EP19860901A EP3849448A4 EP 3849448 A4 EP3849448 A4 EP 3849448A4 EP 19860901 A EP19860901 A EP 19860901A EP 3849448 A4 EP3849448 A4 EP 3849448A4
Authority
EP
European Patent Office
Prior art keywords
methods
treating cardiac
cardiac conditions
heated vapor
ablation systems
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.)
Pending
Application number
EP19860901.8A
Other languages
English (en)
French (fr)
Other versions
EP3849448A1 (de
Inventor
Virender K. Sharma
Kevin Holbrook
Holger Friedrich
Eric Steven FAIN
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.)
Aqua Heart Inc
Original Assignee
Aqua Heart 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
Application filed by Aqua Heart Inc filed Critical Aqua Heart Inc
Publication of EP3849448A1 publication Critical patent/EP3849448A1/de
Publication of EP3849448A4 publication Critical patent/EP3849448A4/de
Pending legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • A61B2018/00232Balloons having an irregular shape
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • A61B2018/0025Multiple balloons
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • A61B2018/0025Multiple balloons
    • A61B2018/00255Multiple balloons arranged one inside another
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00375Ostium, e.g. ostium of pulmonary vein or artery
    • 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
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • 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
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • 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
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/046Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in liquid form
    • 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
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/048Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in gaseous form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
EP19860901.8A 2018-09-11 2019-09-11 Beheizte dampfabscheidungssysteme und verfahren zur behandlung von herzerkrankungen Pending EP3849448A4 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862729777P 2018-09-11 2018-09-11
US201962844222P 2019-05-07 2019-05-07
PCT/US2019/050662 WO2020056031A1 (en) 2018-09-11 2019-09-11 Heated vapor ablation systems and methods for treating cardiac conditions

Publications (2)

Publication Number Publication Date
EP3849448A1 EP3849448A1 (de) 2021-07-21
EP3849448A4 true EP3849448A4 (de) 2022-06-15

Family

ID=69778152

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19860901.8A Pending EP3849448A4 (de) 2018-09-11 2019-09-11 Beheizte dampfabscheidungssysteme und verfahren zur behandlung von herzerkrankungen

Country Status (5)

Country Link
EP (1) EP3849448A4 (de)
JP (1) JP2022511318A (de)
CN (1) CN113015495A (de)
AU (1) AU2019338398A1 (de)
WO (1) WO2020056031A1 (de)

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Publication number Priority date Publication date Assignee Title
US11717139B2 (en) 2019-06-19 2023-08-08 Bolt Medical, Inc. Plasma creation via nonaqueous optical breakdown of laser pulse energy for breakup of vascular calcium
WO2020256898A1 (en) 2019-06-19 2020-12-24 Boston Scientific Scimed, Inc. Balloon surface photoacoustic pressure wave generation to disrupt vascular lesions
US11660427B2 (en) 2019-06-24 2023-05-30 Boston Scientific Scimed, Inc. Superheating system for inertial impulse generation to disrupt vascular lesions
US20200406009A1 (en) 2019-06-26 2020-12-31 Boston Scientific Scimed, Inc. Focusing element for plasma system to disrupt vascular lesions
US11583339B2 (en) 2019-10-31 2023-02-21 Bolt Medical, Inc. Asymmetrical balloon for intravascular lithotripsy device and method
US11672599B2 (en) 2020-03-09 2023-06-13 Bolt Medical, Inc. Acoustic performance monitoring system and method within intravascular lithotripsy device
US20210290286A1 (en) 2020-03-18 2021-09-23 Bolt Medical, Inc. Optical analyzer assembly and method for intravascular lithotripsy device
US11707323B2 (en) 2020-04-03 2023-07-25 Bolt Medical, Inc. Electrical analyzer assembly for intravascular lithotripsy device
US11672585B2 (en) 2021-01-12 2023-06-13 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
CN112998844B (zh) * 2021-02-05 2021-12-21 上海睿刀医疗科技有限公司 一种球囊电极导管
EP4319674A1 (de) * 2021-04-06 2024-02-14 Bolt Medical, Inc. Intravaskulärer lithotripsieballon
US11648057B2 (en) 2021-05-10 2023-05-16 Bolt Medical, Inc. Optical analyzer assembly with safety shutdown system for intravascular lithotripsy device
US11806075B2 (en) 2021-06-07 2023-11-07 Bolt Medical, Inc. Active alignment system and method for laser optical coupling
CN113926061B (zh) * 2021-11-18 2023-04-07 苏州海宇新辰医疗科技有限公司 球囊导管
US11839391B2 (en) 2021-12-14 2023-12-12 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
CN114469324B (zh) * 2022-01-26 2022-10-11 中国医学科学院阜外医院 射频消融导管及射频消融系统
CN115105759A (zh) * 2022-07-12 2022-09-27 四川大学华西医院 一种利用放射源的心肌病理组织致快速心律失常治疗导管
WO2024073615A1 (en) * 2022-09-28 2024-04-04 Sharma Virender K Methods and systems for thermal enhancement of electroporation
CN116898558B (zh) * 2023-06-26 2024-04-30 苏州海宇新辰医疗科技有限公司 一种心脏冷冻消融用球囊导管
CN116747013A (zh) * 2023-06-30 2023-09-15 苏州海宇新辰医疗科技有限公司 一种双层消融球囊导管
CN117752404B (zh) * 2024-02-22 2024-05-07 四川锦江电子医疗器械科技股份有限公司 一种心脏电生理标测和消融导管

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US20100160905A1 (en) * 2000-12-09 2010-06-24 Shadduck John H Medical instruments and techniques for thermally-mediated therapies
US20170367755A1 (en) * 2008-10-06 2017-12-28 Santa Anna Tech Llc Ablation Catheter with Integrated Cooling
WO2018089773A1 (en) * 2016-11-10 2018-05-17 Fractyl Laboratories, Inc. Systems, devices, and methods for performing medical procedures in the intestine

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US6911028B2 (en) * 1998-10-28 2005-06-28 John H. Shadduck Medical instrument working end and method for endoluminal treatments
US7727228B2 (en) 2004-03-23 2010-06-01 Medtronic Cryocath Lp Method and apparatus for inflating and deflating balloon catheters
US7794455B2 (en) 2005-04-29 2010-09-14 Medtronic Cryocath Lp Wide area ablation of myocardial tissue
US7727191B2 (en) 2005-05-13 2010-06-01 Medtronic Cryocath Lp Compliant balloon catheter
AU2006262447A1 (en) 2005-06-20 2007-01-04 Medtronic Ablation Frontiers Llc Ablation catheter
EA018260B1 (ru) 2006-09-29 2013-06-28 Онкомед Фармасьютикалз, Инк. Антитела к дельта-подобному лиганду 4 человека и их применение
US9561068B2 (en) 2008-10-06 2017-02-07 Virender K. Sharma Method and apparatus for tissue ablation
US9561066B2 (en) 2008-10-06 2017-02-07 Virender K. Sharma Method and apparatus for tissue ablation
US10064697B2 (en) * 2008-10-06 2018-09-04 Santa Anna Tech Llc Vapor based ablation system for treating various indications
JP2013132364A (ja) * 2011-12-26 2013-07-08 Nippon Erekuteru:Kk バルーンカテーテル
WO2014113724A2 (en) 2013-01-17 2014-07-24 Sharma Virender K Method and apparatus for tissue ablation
US10441338B2 (en) * 2014-01-14 2019-10-15 Medtronic Cryocath Lp Balloon catheter with fluid injection elements

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
US20100160905A1 (en) * 2000-12-09 2010-06-24 Shadduck John H Medical instruments and techniques for thermally-mediated therapies
US20170367755A1 (en) * 2008-10-06 2017-12-28 Santa Anna Tech Llc Ablation Catheter with Integrated Cooling
WO2018089773A1 (en) * 2016-11-10 2018-05-17 Fractyl Laboratories, Inc. Systems, devices, and methods for performing medical procedures in the intestine

Non-Patent Citations (1)

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Title
See also references of WO2020056031A1 *

Also Published As

Publication number Publication date
EP3849448A1 (de) 2021-07-21
JP2022511318A (ja) 2022-01-31
AU2019338398A1 (en) 2021-05-20
WO2020056031A1 (en) 2020-03-19
CN113015495A (zh) 2021-06-22

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