ES2587841T3 - Dispositivo transesofágico usando ultrasonido focalizado de alta densidad para ablación térmica cardíaca - Google Patents
Dispositivo transesofágico usando ultrasonido focalizado de alta densidad para ablación térmica cardíaca Download PDFInfo
- Publication number
- ES2587841T3 ES2587841T3 ES12713966.5T ES12713966T ES2587841T3 ES 2587841 T3 ES2587841 T3 ES 2587841T3 ES 12713966 T ES12713966 T ES 12713966T ES 2587841 T3 ES2587841 T3 ES 2587841T3
- Authority
- ES
- Spain
- Prior art keywords
- transducer
- imaging
- therapy
- probe
- therapy transducer
- 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.)
- Active
Links
- 230000000747 cardiac effect Effects 0.000 title description 13
- 238000002679 ablation Methods 0.000 title description 8
- 238000002604 ultrasonography Methods 0.000 title description 8
- 238000003384 imaging method Methods 0.000 claims abstract description 71
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 69
- 239000000523 sample Substances 0.000 claims abstract description 54
- 239000011159 matrix material Substances 0.000 claims abstract description 25
- 230000001225 therapeutic effect Effects 0.000 claims description 15
- 238000001816 cooling Methods 0.000 claims description 7
- 210000003238 esophagus Anatomy 0.000 description 19
- 238000000034 method Methods 0.000 description 18
- 210000002216 heart Anatomy 0.000 description 13
- 230000003902 lesion Effects 0.000 description 12
- 210000003437 trachea Anatomy 0.000 description 11
- 210000001519 tissue Anatomy 0.000 description 10
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 8
- 206010003658 Atrial Fibrillation Diseases 0.000 description 7
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 230000001746 atrial effect Effects 0.000 description 6
- 230000006378 damage Effects 0.000 description 6
- 208000014674 injury Diseases 0.000 description 6
- 210000005246 left atrium Anatomy 0.000 description 6
- 206010003119 arrhythmia Diseases 0.000 description 4
- 238000002591 computed tomography Methods 0.000 description 4
- 210000004165 myocardium Anatomy 0.000 description 4
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 210000003492 pulmonary vein Anatomy 0.000 description 3
- 238000004088 simulation Methods 0.000 description 3
- 238000013175 transesophageal echocardiography Methods 0.000 description 3
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 230000006793 arrhythmia Effects 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000004087 circulation Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 238000013507 mapping Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000011218 segmentation Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000002626 targeted therapy Methods 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 230000035899 viability Effects 0.000 description 2
- 206010019280 Heart failures Diseases 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000008033 biological extinction Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 238000013153 catheter ablation Methods 0.000 description 1
- 238000005094 computer simulation Methods 0.000 description 1
- 238000010292 electrical insulation Methods 0.000 description 1
- 230000007831 electrophysiology Effects 0.000 description 1
- 238000002001 electrophysiology Methods 0.000 description 1
- 230000037406 food intake Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 208000018578 heart valve disease Diseases 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000005226 mechanical processes and functions Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 239000000615 nonconductor Substances 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000005057 refrigeration Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 239000002470 thermal conductor Substances 0.000 description 1
- 230000009424 thromboembolic effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 238000012285 ultrasound imaging Methods 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room
- A61B5/0036—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room including treatment, e.g., using an implantable medical device, ablating, ventilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N7/02—Localised ultrasound hyperthermia
- A61N7/022—Localised ultrasound hyperthermia intracavitary
-
- 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
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
- A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
-
- 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
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
- A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
- A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0078—Ultrasound therapy with multiple treatment transducers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0082—Scanning transducers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0086—Beam steering
- A61N2007/0091—Beam steering with moving parts, e.g. transducers, lenses, reflectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0086—Beam steering
- A61N2007/0095—Beam steering by modifying an excitation signal
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Surgical Instruments (AREA)
- Dentistry (AREA)
- Mechanical Engineering (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP11305392 | 2011-04-05 | ||
| EP11305392 | 2011-04-05 | ||
| PCT/EP2012/056320 WO2012136786A1 (en) | 2011-04-05 | 2012-04-05 | Transoesophageal device using high intensity focused ultrasounds for cardiac thermal ablation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2587841T3 true ES2587841T3 (es) | 2016-10-27 |
Family
ID=44370582
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES12713966.5T Active ES2587841T3 (es) | 2011-04-05 | 2012-04-05 | Dispositivo transesofágico usando ultrasonido focalizado de alta densidad para ablación térmica cardíaca |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20140024923A1 (enExample) |
| EP (1) | EP2699316B1 (enExample) |
| JP (1) | JP6153511B2 (enExample) |
| ES (1) | ES2587841T3 (enExample) |
| WO (1) | WO2012136786A1 (enExample) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP6591895B2 (ja) * | 2013-01-08 | 2019-10-16 | ボルケーノ コーポレイション | 音響断層撮影方法 |
| KR102122964B1 (ko) * | 2013-02-18 | 2020-06-15 | 삼성전자주식회사 | 고강도 집속 초음파 프로브와 그 제조 및 동작방법 |
| ES2540599B1 (es) * | 2013-12-10 | 2016-05-04 | Consejo Superior De Investigaciones Científicas (Csic) | Sistema y método para aplicar ultrasonidos fisioterapéuticos focalizados de baja y media intensidad guiados por imagen ecográfica en tejidos blandos |
| KR101533402B1 (ko) * | 2014-01-28 | 2015-07-03 | 알피니언메디칼시스템 주식회사 | 고강도 집속 초음파 치료기 및 그 제어방법 |
| EP3551289A4 (en) * | 2016-12-07 | 2020-11-11 | Butterfly Network, Inc. | DEVICE AND SYSTEM FOR HIGHLY INTENSIVE FOCUSED ULTRASOUND (HIFU) |
| WO2019135774A1 (en) * | 2018-01-08 | 2019-07-11 | National Health Research Institutes | Therapeutic ultrasonic device and the use thereof |
| CN113171563B (zh) * | 2021-03-17 | 2023-06-16 | 中科绿谷（深圳）医疗科技有限公司 | 超声换能器的制作工艺、超声换能器及核磁成像设备 |
Family Cites Families (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4543960A (en) * | 1983-04-11 | 1985-10-01 | Advanced Technology Laboratories, Inc. | Transesophageal echo cardiography scanhead |
| US4865042A (en) * | 1985-08-16 | 1989-09-12 | Hitachi, Ltd. | Ultrasonic irradiation system |
| GB9109881D0 (en) * | 1991-05-08 | 1991-07-03 | Advanced Tech Lab | Transesophageal echocardiography scanner with rotating image plane |
| US5181514A (en) * | 1991-05-21 | 1993-01-26 | Hewlett-Packard Company | Transducer positioning system |
| WO1993016641A1 (en) * | 1992-02-21 | 1993-09-02 | Diasonics, Inc. | Ultrasound intracavity system for imaging therapy planning and treatment of focal disease |
| DE4312264B4 (de) * | 1993-04-15 | 2004-08-05 | Siemens Ag | Therapieeinrichtung zur Behandlung von Leiden des Herzens und herznaher Gefäße |
| JPH07227395A (ja) * | 1993-12-24 | 1995-08-29 | Olympus Optical Co Ltd | 超音波診断治療システム |
| US5471988A (en) * | 1993-12-24 | 1995-12-05 | Olympus Optical Co., Ltd. | Ultrasonic diagnosis and therapy system in which focusing point of therapeutic ultrasonic wave is locked at predetermined position within observation ultrasonic scanning range |
| US5492126A (en) * | 1994-05-02 | 1996-02-20 | Focal Surgery | Probe for medical imaging and therapy using ultrasound |
| US5520188A (en) * | 1994-11-02 | 1996-05-28 | Focus Surgery Inc. | Annular array transducer |
| EP1003432B1 (en) * | 1997-08-13 | 2006-05-24 | Solarant Medical, Inc. | Noninvasive devices and systems for shrinking of tissues |
| US7520856B2 (en) * | 1999-09-17 | 2009-04-21 | University Of Washington | Image guided high intensity focused ultrasound device for therapy in obstetrics and gynecology |
| JP2001327495A (ja) * | 2000-05-19 | 2001-11-27 | Shimadzu Corp | 超音波装置 |
| US6846290B2 (en) * | 2002-05-14 | 2005-01-25 | Riverside Research Institute | Ultrasound method and system |
| JP4112931B2 (ja) * | 2002-09-10 | 2008-07-02 | 株式会社東芝 | 超音波照射装置 |
| US7066887B2 (en) * | 2003-10-21 | 2006-06-27 | Vermon | Bi-plane ultrasonic probe |
| US7662114B2 (en) * | 2004-03-02 | 2010-02-16 | Focus Surgery, Inc. | Ultrasound phased arrays |
| WO2006032059A2 (en) * | 2004-09-16 | 2006-03-23 | University Of Washington | Acoustic coupler using an independent water pillow with circulation for cooling a transducer |
| KR20200021102A (ko) * | 2004-10-06 | 2020-02-27 | 가이디드 테라피 시스템스, 엘.엘.씨. | 초음파 치료 시스템 |
| FR2883190B1 (fr) * | 2005-03-15 | 2007-08-10 | Edap S A | Sonde therapeuthique endo-cavitaire comportant un transducteur d'imagerie integre au sein du transducteur ultrasonore de therapie |
| WO2007140331A2 (en) * | 2006-05-25 | 2007-12-06 | Medtronic, Inc. | Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
| US8147413B2 (en) * | 2006-10-12 | 2012-04-03 | Innoscion, Llc | Image guided catheter having deployable balloons and pericardial access procedure |
| US20100056924A1 (en) * | 2006-11-20 | 2010-03-04 | Koninklijke Philips Electronics N.V. | Control and display of ultrasonic microbubble cavitation |
| EP2296573B1 (en) * | 2008-06-14 | 2019-09-25 | Vytronus, Inc. | System for delivering energy to tissue |
-
2012
- 2012-04-05 EP EP12713966.5A patent/EP2699316B1/en active Active
- 2012-04-05 JP JP2014503156A patent/JP6153511B2/ja active Active
- 2012-04-05 ES ES12713966.5T patent/ES2587841T3/es active Active
- 2012-04-05 WO PCT/EP2012/056320 patent/WO2012136786A1/en not_active Ceased
- 2012-04-05 US US14/009,439 patent/US20140024923A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| WO2012136786A1 (en) | 2012-10-11 |
| EP2699316B1 (en) | 2016-06-01 |
| JP6153511B2 (ja) | 2017-06-28 |
| EP2699316A1 (en) | 2014-02-26 |
| US20140024923A1 (en) | 2014-01-23 |
| JP2014519348A (ja) | 2014-08-14 |
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