ES2249832T3 - Dispositivo para la deteccion del contacto de un cateter con el tejido asi como de interacciones con el tejido durante la ablacion c0n el cateter. - Google Patents

Dispositivo para la deteccion del contacto de un cateter con el tejido asi como de interacciones con el tejido durante la ablacion c0n el cateter.

Info

Publication number
ES2249832T3
ES2249832T3 ES98928114T ES98928114T ES2249832T3 ES 2249832 T3 ES2249832 T3 ES 2249832T3 ES 98928114 T ES98928114 T ES 98928114T ES 98928114 T ES98928114 T ES 98928114T ES 2249832 T3 ES2249832 T3 ES 2249832T3
Authority
ES
Spain
Prior art keywords
catheter
ablation
tissue
electrode
voltage
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.)
Expired - Lifetime
Application number
ES98928114T
Other languages
English (en)
Spanish (es)
Inventor
Axel Muntermann
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Application granted granted Critical
Publication of ES2249832T3 publication Critical patent/ES2249832T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

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
    • 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
    • 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • 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
    • A61B2018/0066Sensing 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)
ES98928114T 1997-04-01 1998-04-01 Dispositivo para la deteccion del contacto de un cateter con el tejido asi como de interacciones con el tejido durante la ablacion c0n el cateter. Expired - Lifetime ES2249832T3 (es)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
DE19713234 1997-04-01
DE19713234 1997-04-01
DE19740976 1997-09-17
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
ES2249832T3 true ES2249832T3 (es) 2006-04-01

Family

ID=26035367

Family Applications (1)

Application Number Title Priority Date Filing Date
ES98928114T Expired - Lifetime ES2249832T3 (es) 1997-04-01 1998-04-01 Dispositivo para la deteccion del contacto de un cateter con el tejido asi como de interacciones con el tejido durante la ablacion c0n el cateter.

Country Status (10)

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

Families Citing this family (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7097641B1 (en) 1999-12-09 2006-08-29 Cryocath Technologies Inc. Catheter with cryogenic and heating ablation
US6408199B1 (en) 2000-07-07 2002-06-18 Biosense, Inc. Bipolar mapping of intracardiac potentials with electrode having blood permeable covering
US6569160B1 (en) 2000-07-07 2003-05-27 Biosense, Inc. System and method for detecting electrode-tissue contact
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 (en) 2004-03-05 2006-11-15 Hansen Medical, Inc. Robotic catheter system
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
US7605913B2 (en) 2004-12-19 2009-10-20 Kla-Tencor Corporation System and method for inspecting a workpiece surface by analyzing scattered light in a front quartersphere region above the workpiece
WO2006069313A1 (en) * 2004-12-20 2006-06-29 Vnus Medical Technologies, Inc. Systems and methods for treating a hollow anatomical structure
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
JP2009500086A (ja) 2005-07-01 2009-01-08 ハンセン メディカル,インク. ロボットガイドカテーテルシステム
CN102389333B (zh) 2005-07-21 2014-08-27 泰科医疗集团有限合伙公司 治疗中空解剖结构的系统和方法
US8672936B2 (en) * 2005-10-13 2014-03-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Systems and methods for assessing tissue contact
US8679109B2 (en) 2005-10-13 2014-03-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Dynamic contact assessment for electrode catheters
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
AU2006305967B2 (en) * 2005-10-27 2013-02-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Systems and methods for electrode contact assessment
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
US8226648B2 (en) 2007-12-31 2012-07-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Pressure-sensitive flexible polymer bipolar electrode
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
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
US10085798B2 (en) * 2006-12-29 2018-10-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode with tactile sensor
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
JP2010523230A (ja) * 2007-04-05 2010-07-15 ベロメディックス,インク 自動治療システム及び方法
CA2693774A1 (en) 2007-07-09 2009-01-15 Velomedix, Inc. Hypothermia devices and methods
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
US20100168557A1 (en) * 2008-12-30 2010-07-01 Deno D Curtis Multi-electrode ablation sensing catheter and system
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
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 (en) 2010-07-09 2012-01-12 Velomedix, Inc. Method and apparatus for pressure measurement
US8827948B2 (en) 2010-09-17 2014-09-09 Hansen Medical, Inc. Steerable catheters
US20120191083A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
US20130030363A1 (en) 2011-07-29 2013-01-31 Hansen Medical, Inc. Systems and methods utilizing shape sensing fibers
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
US20140277334A1 (en) 2013-03-14 2014-09-18 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US9326822B2 (en) 2013-03-14 2016-05-03 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
CN109069840B (zh) 2016-02-04 2022-03-15 心脏起搏器股份公司 具有用于无引线心脏装置的力传感器的递送系统
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
US12369975B2 (en) 2019-09-12 2025-07-29 Biosense Webster (Israel) Ltd. Balloon catheter with force sensor
US12484959B2 (en) 2020-12-16 2025-12-02 Biosense Webster (Israel) Ltd. Accurate tissue proximity
US11864844B2 (en) 2020-12-22 2024-01-09 Biosense Webster (Israel) Ltd. Distal end assembly guidance
US12251167B2 (en) 2021-05-24 2025-03-18 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
US12070264B2 (en) 2021-07-23 2024-08-27 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
US20230210437A1 (en) 2021-12-30 2023-07-06 Biosense Webster (Israel) Ltd. Intuitive Mapping System
CN121038709A (zh) 2022-12-27 2025-11-28 透壁系统有限责任公司 导管和致动器系统及方法
US12490963B2 (en) * 2022-12-27 2025-12-09 Transmural Systems Llc Tissue cutting systems and methods

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3911416A1 (de) 1989-04-07 1990-10-11 Delma Elektro Med App Elektrochirurgisches hochfrequenzgeraet
US5419767A (en) * 1992-01-07 1995-05-30 Thapliyal And Eggers Partners Methods and apparatus for advancing catheters through severely occluded body lumens
US5462545A (en) * 1994-01-31 1995-10-31 New England Medical Center Hospitals, Inc. Catheter electrodes
US5562722A (en) * 1994-03-14 1996-10-08 Medical Evaluation Devices & Instruments Corp. Multiple electrode catheter
US5697925A (en) 1995-06-09 1997-12-16 Engineering & Research Associates, Inc. Apparatus and method for thermal ablation
DE29519651U1 (de) 1995-12-14 1996-02-01 Muntermann, Axel, 35583 Wetzlar Vorrichtung zur linienförmigen Radiofrequenz-Katheterablation endomyokardialen Gewebes
US6066139A (en) * 1996-05-14 2000-05-23 Sherwood Services Ag Apparatus and method for sterilization and embolization
US5704908A (en) * 1996-10-10 1998-01-06 Genetronics, Inc. Electroporation and iontophoresis catheter with porous balloon

Also Published As

Publication number Publication date
US6304776B1 (en) 2001-10-16
ATE307536T1 (de) 2005-11-15
JP2001522265A (ja) 2001-11-13
AU8008898A (en) 1998-10-22
CA2285342C (en) 2007-06-19
DE59813142D1 (de) 2005-12-01
EP0971636B1 (de) 2005-10-26
WO1998043547A2 (de) 1998-10-08
DK0971636T3 (da) 2006-03-20
AU740503B2 (en) 2001-11-08
EP0971636A2 (de) 2000-01-19
WO1998043547A3 (de) 1999-01-21
JP4105238B2 (ja) 2008-06-25
CA2285342A1 (en) 1998-10-08

Similar Documents

Publication Publication Date Title
ES2249832T3 (es) Dispositivo para la deteccion del contacto de un cateter con el tejido asi como de interacciones con el tejido durante la ablacion c0n el cateter.
ES2249507T3 (es) Dispositivo para medir la cantidad de grasa intrabdominal durante el control del adelgazamiento de un individuo.
ES2387419T3 (es) Dispositivo de permeación de piel para la detección de analitos o administración transdérmica de medicamentos
US5797854A (en) Method and apparatus for testing and measuring current perception threshold and motor nerve junction performance
ES2241071T3 (es) Dispositivo y procedimiento de ablacion con cateter.
ATE205686T1 (de) Flüssigkeitsabgabevorrichtung geregelt durch einen analyten und überwachung des analyten
CN107233664B (zh) 一种基于针刺穴位阻抗的电针治疗系统
KR20190095019A (ko) 초음파를 이용한 피부 시술을 지원하는 방법, 시스템 및 비일시성의 컴퓨터 판독 가능 기록 매체
AU4545797A (en) Device for local magnetotherapy
JP4473564B2 (ja) 痛み測定装置
JP2007260315A (ja) 分析装置および分析方法
JP2022056403A (ja) 絶対閾値及び相対閾値を使用して電極接点を検出する
KR20170135368A (ko) 운동량 측정 기능을 가지는 무채혈 혈당측정기를 이용한 혈당측정방법
KR20190102625A (ko) 피부 미용 기기 및 그 제어 방법
CN108175957B (zh) 一种放疗中病灶位置的监控方法及装置
CN113577582A (zh) 利用超声调整血脑屏障的控制方法、装置、设备及系统
CN119488669A (zh) 一种治疗仪
RU2161904C2 (ru) Способ оценки электрофизиологического состояния человека и устройство для его осуществления
RU2057557C1 (ru) Устройство для лечения предстательной железы
CA2028634A1 (en) Apparatus for treating with acoustic waves or mechanical vibrations and diagnosing a patient
RU2211660C2 (ru) Устройство для диагностики состояния организма пациента по характеристикам биологически активных точек
CN108415396A (zh) 一种带有控制系统的卫浴室
RU2057484C1 (ru) Устройство для чрезкожного измерения парциального давления кислорода в крови
Nakari et al. Sleep stage estimation by introduction of sleep domain knowledge to ai: Towards personalized sleep counseling system with genai
RU105170U1 (ru) Устройство для полостного воздействия