ES2807574T3 - Aparato de monitorización para monitorizar un procedimiento de ablación - Google Patents

Aparato de monitorización para monitorizar un procedimiento de ablación Download PDF

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Publication number
ES2807574T3
ES2807574T3 ES10701726T ES10701726T ES2807574T3 ES 2807574 T3 ES2807574 T3 ES 2807574T3 ES 10701726 T ES10701726 T ES 10701726T ES 10701726 T ES10701726 T ES 10701726T ES 2807574 T3 ES2807574 T3 ES 2807574T3
Authority
ES
Spain
Prior art keywords
ablation
depth
ultrasound
ultrasound signal
unit
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
Application number
ES10701726T
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English (en)
Spanish (es)
Inventor
Erik A Harks
Szabolcs Deladi
Jan F Suijver
Ladislav Jankovic
Yan S Shi
Wouter H J Rensen
Maya E Barley
Der Vaart Nijs C Van
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.)
Koninklijke Philips NV
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Koninklijke Philips NV
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Clinical applications
    • A61B8/0858Clinical applications involving measuring tissue layers, e.g. skin, interfaces
    • 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
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/486Diagnostic techniques involving arbitrary m-mode
    • 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
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • 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
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00738Depth, e.g. depth of ablation
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445Details of catheter construction

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)
ES10701726T 2009-01-14 2010-01-08 Aparato de monitorización para monitorizar un procedimiento de ablación Active ES2807574T3 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14449409P 2009-01-14 2009-01-14
PCT/IB2010/050059 WO2010082146A1 (en) 2009-01-14 2010-01-08 Monitoring apparatus for monitoring an ablation procedure

Publications (1)

Publication Number Publication Date
ES2807574T3 true ES2807574T3 (es) 2021-02-23

Family

ID=42018330

Family Applications (1)

Application Number Title Priority Date Filing Date
ES10701726T Active ES2807574T3 (es) 2009-01-14 2010-01-08 Aparato de monitorización para monitorizar un procedimiento de ablación

Country Status (6)

Country Link
US (3) US9901321B2 (cg-RX-API-DMAC7.html)
EP (1) EP2387361B1 (cg-RX-API-DMAC7.html)
JP (1) JP5829526B2 (cg-RX-API-DMAC7.html)
CN (1) CN102281819B (cg-RX-API-DMAC7.html)
ES (1) ES2807574T3 (cg-RX-API-DMAC7.html)
WO (1) WO2010082146A1 (cg-RX-API-DMAC7.html)

Families Citing this family (122)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US7837676B2 (en) * 2003-02-20 2010-11-23 Recor Medical, Inc. Cardiac ablation devices
US10499937B2 (en) * 2006-05-19 2019-12-10 Recor Medical, Inc. Ablation device with optimized input power profile and method of using the same
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
WO2010080886A1 (en) 2009-01-09 2010-07-15 Recor Medical, Inc. Methods and apparatus for treatment of mitral valve in insufficiency
JP5693471B2 (ja) 2009-02-11 2015-04-01 ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. 絶縁された切除カテーテルデバイスおよびその使用法
CN102448400B (zh) * 2009-06-04 2017-02-08 皇家飞利浦电子股份有限公司 可视化设备
EP3106116B1 (en) 2009-06-30 2018-08-01 Boston Scientific Scimed, Inc. Map and ablate open irrigated hybrid catheter
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
RU2572748C2 (ru) * 2010-06-30 2016-01-20 Конинклейке Филипс Электроникс Н.В. Энергоподающее устройство для подачи энергии к объекту
WO2012049621A1 (en) * 2010-10-14 2012-04-19 Koninklijke Philips Electronics N.V. Property determination apparatus for determining a property of an object
RU2597133C2 (ru) * 2010-11-18 2016-09-10 Конинклейке Филипс Электроникс Н.В. Фильтрующее устройство для фильтрации ультразвукового сигнала
US9662170B2 (en) 2010-11-18 2017-05-30 Koninklijke Philips N.V. Sensing apparatus for sensing an object
IN2013CN03726A (cg-RX-API-DMAC7.html) 2010-11-18 2015-08-07 Koninkl Philips Electronics Nv
RU2013127508A (ru) * 2010-11-18 2014-12-27 Конинклейке Филипс Электроникс Н.В. Устройство, использующееся для обнаружения свойства объекта
US8545409B2 (en) * 2011-04-14 2013-10-01 St. Jude Medical, Inc. Arrangement and interface for RF ablation system with acoustic feedback
US8777857B2 (en) 2011-04-14 2014-07-15 St. Jude Medical, Inc. Single transducer with angular orientation for lesion feedback in ablation catheter
US8545408B2 (en) 2011-05-23 2013-10-01 St. Jude Medical, Inc. Combination catheter for forward and side lesioning with acoustic lesion feedback capability
EP2713888B1 (en) 2011-06-01 2019-09-04 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capabilities
US20140163372A1 (en) * 2011-07-22 2014-06-12 Koninklijke Philips N.V. Ablation apparatus
WO2013040201A2 (en) 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Ablation device with multiple ablation modes
EP2755588B1 (en) 2011-09-14 2016-05-18 Boston Scientific Scimed, Inc. Ablation device with ionically conductive balloon
BR112014013460A8 (pt) * 2011-12-08 2018-02-06 Koninklijke Philips Nv sistema de exame para examinar uma amostra de tecido associado, método para organizar um dispositivo de exibição e para visualizar as informações obtidas de uma pluralidade de transdutores de ultrassom (306a-c) em uma pluralidade de posições do transdutor do ultrassom, produto de programa de computador adaptado para viabilizar um sistema de computador, e utilização de um sistema de exame
US9241761B2 (en) 2011-12-28 2016-01-26 Koninklijke Philips N.V. Ablation probe with ultrasonic imaging capability
JP6370710B2 (ja) * 2011-12-30 2018-08-08 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 組織ポップの自動監視および検出
US8876817B2 (en) 2012-01-10 2014-11-04 Boston Scientific Scimed Inc. Electrophysiology system and methods
EP2809253B8 (en) 2012-01-31 2016-09-21 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
JP6122096B2 (ja) 2012-03-23 2017-04-26 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 周期的に動く物体を画像化するイメージングシステム
CN104203108B (zh) 2012-03-23 2017-05-03 皇家飞利浦有限公司 用于对周期性移动的对象成像的成像系统
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
WO2014036317A2 (en) 2012-08-30 2014-03-06 Cardiac Pacemakers, Inc. His bundle lead delivery system
US10226297B2 (en) 2012-09-06 2019-03-12 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
US10231782B2 (en) 2012-09-06 2019-03-19 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
WO2014047281A1 (en) * 2012-09-20 2014-03-27 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
EP2908731B1 (en) * 2012-10-18 2023-11-08 Koninklijke Philips N.V. Ultrasound data visualization apparatus
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
EP2911589A1 (en) 2012-10-23 2015-09-02 Koninklijke Philips N.V. Spatial configuration determination apparatus
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
BR112015018841A2 (pt) * 2013-02-11 2017-07-18 Koninklijke Philips Nv sistema de imageamento por ultrassom, método para detectar ao menos um contorno de camada de tecido de um objeto de exame, e, programa de computador
EP3932470B1 (en) * 2013-03-15 2023-07-12 Medtronic Ardian Luxembourg S.à.r.l. Controlled neuromodulation systems
CN105491958B (zh) * 2013-08-21 2019-06-04 皇家飞利浦有限公司 监测装置
US10835313B2 (en) 2014-01-30 2020-11-17 Medlumics S.L. Radiofrequency ablation catheter with optical tissue evaluation
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US10470742B2 (en) * 2014-04-28 2019-11-12 Covidien Lp Systems and methods for speckle reduction
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
WO2016061002A1 (en) 2014-10-13 2016-04-21 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
EP3209234B1 (en) 2014-10-24 2023-11-29 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
US20170311922A1 (en) * 2014-11-18 2017-11-02 Koninklijke Philips N.V. Visualization apparatus for property change of a tissue
KR20170107428A (ko) 2014-11-19 2017-09-25 어드밴스드 카디악 테라퓨틱스, 인크. 고분해능 전극 어셈블리를 이용한 절제 장치, 시스템 및 방법
EP3220844B1 (en) * 2014-11-19 2020-11-11 EPiX Therapeutics, Inc. Systems for high-resolution mapping of tissue
US9743854B2 (en) 2014-12-18 2017-08-29 Boston Scientific Scimed, Inc. Real-time morphology analysis for lesion assessment
US10327734B2 (en) * 2014-12-30 2019-06-25 Biosense Webster (Israel) Ltd. Measurement of tissue thickness using ultrasound and force measurements
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10194981B2 (en) 2015-07-29 2019-02-05 Medlumics S.L. Radiofrequency ablation catheter with optical tissue evaluation
EP3355823B1 (en) 2015-09-28 2025-01-15 Koninklijke Philips N.V. Single-port surgical procedure using image guided articulated robot
CN108289705B (zh) * 2015-09-30 2022-01-28 伊西康有限责任公司 用于外科器械的频率捷变发生器
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10548666B2 (en) 2015-11-17 2020-02-04 Covidien Lp Systems and methods for ultrasound image-guided ablation antenna placement
US11160607B2 (en) * 2015-11-20 2021-11-02 Biosense Webster (Israel) Ltd. Hyper-apertured ablation electrode
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US12193698B2 (en) 2016-01-15 2025-01-14 Cilag Gmbh International Method for self-diagnosing operation of a control switch in a surgical instrument system
US10842523B2 (en) 2016-01-15 2020-11-24 Ethicon Llc Modular battery powered handheld surgical instrument and methods therefor
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10595818B2 (en) * 2016-03-19 2020-03-24 Makaha Medical, Llc. Medical systems and methods for density assessment using ultrasound
US11076808B2 (en) 2016-03-26 2021-08-03 Makaha Medical, LLC Flexible medical device with marker band and sensor
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10806503B2 (en) * 2017-02-06 2020-10-20 General Electric Company Methods and systems for electrophysiology ablation gap analysis
WO2018200865A1 (en) 2017-04-27 2018-11-01 Epix Therapeutics, Inc. Determining nature of contact between catheter tip and tissue
US11471190B2 (en) 2018-04-02 2022-10-18 Cardiac Pacemakers, Inc. Bundle of his lead delivery catheter, system and method
EP3840657A4 (en) * 2018-08-22 2021-09-29 Healium Medical Ltd. ULTRASONIC CATHETER TRANSDUCER CONTAINER
US20210361258A1 (en) 2018-08-31 2021-11-25 The College Of The Holy & Undivided Trinity Of Queen Elizabeth Ultrasound based three-dimensional lesion verification within a vasculature
PL3620801T3 (pl) * 2018-09-07 2021-07-19 Erbe Elektromedizin Gmbh Przyrząd do zasilania instrumentu medycznego oraz sposób monitorowania instrumentu
US20200093397A1 (en) * 2018-09-24 2020-03-26 Apn Health, Llc Determining catheter-tip 3d location and orientation using fluoroscopy and impedance measurements
EP3654342A1 (en) * 2018-11-13 2020-05-20 Koninklijke Philips N.V. System for assisting in providing template treatment parameters for ablation treatment
US11364073B2 (en) * 2019-02-20 2022-06-21 Biosense Webster (Israel) Ltd. Cardiac map segmentation
JP2022534916A (ja) * 2019-05-31 2022-08-04 コーニンクレッカ フィリップス エヌ ヴェ 画像ベースデバイスセグメンテ-ションのためのパッシブ超音波センサベース初期化
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US12349961B2 (en) 2019-12-30 2025-07-08 Cilag Gmbh International Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US12262937B2 (en) 2019-12-30 2025-04-01 Cilag Gmbh International User interface for surgical instrument with combination energy modality end-effector
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
CN113117260B (zh) * 2019-12-30 2023-04-18 重庆融海超声医学工程研究中心有限公司 聚焦超声装置及聚焦超声装置控制方法
US12336747B2 (en) 2019-12-30 2025-06-24 Cilag Gmbh International Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11986234B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Surgical system communication pathways
US12343063B2 (en) 2019-12-30 2025-07-01 Cilag Gmbh International Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
CN111557734B (zh) * 2020-05-07 2021-11-02 徐州佳智信息科技有限公司 一种基于vr场景的激光消融导航系统
CN114788729A (zh) * 2021-01-24 2022-07-26 中国人民解放军北部战区总医院 一种集超声成像与射频消融于一体的导管
CN114869455B (zh) * 2021-05-27 2025-05-30 上海商阳医疗科技有限公司 脉冲消融参数的获取方法、系统、电子设备和存储介质
CN116172695B (zh) * 2023-03-02 2024-03-01 哈尔滨工业大学(威海) 一种介入式血管内多模态成像及消融一体化导管
WO2025234035A1 (ja) * 2024-05-08 2025-11-13 オリンパスメディカルシステムズ株式会社 医療装置、内視鏡システム、制御方法、及び制御プログラム

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5196006A (en) * 1989-04-25 1993-03-23 Summit Technology, Inc. Method and apparatus for excision endpoint control
US5409000A (en) * 1993-09-14 1995-04-25 Cardiac Pathways Corporation Endocardial mapping and ablation system utilizing separately controlled steerable ablation catheter with ultrasonic imaging capabilities and method
US6024703A (en) * 1997-05-07 2000-02-15 Eclipse Surgical Technologies, Inc. Ultrasound device for axial ranging
IL133901A (en) * 1997-07-08 2005-09-25 Univ Emory Circumferential ablation device assembly and method
US8709007B2 (en) * 1997-10-15 2014-04-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Devices and methods for ablating cardiac tissue
US6066096A (en) 1998-05-08 2000-05-23 Duke University Imaging probes and catheters for volumetric intraluminal ultrasound imaging and related systems
US6287297B1 (en) 1999-03-05 2001-09-11 Plc Medical Systems, Inc. Energy delivery system and method for performing myocardial revascular
US6827715B2 (en) * 2002-01-25 2004-12-07 Medtronic, Inc. System and method of performing an electrosurgical procedure
US6746401B2 (en) * 2002-05-06 2004-06-08 Scimed Life Systems, Inc. Tissue ablation visualization
US20080264716A1 (en) 2004-06-07 2008-10-30 Koninklijke Philips Electronics N.V. Acoustic Device With Variable Focal Length
US20050283074A1 (en) 2004-06-22 2005-12-22 Siemens Medical Solutions Usa, Inc. Ultrasound feedback for tissue ablation procedures
US20060241445A1 (en) * 2005-04-26 2006-10-26 Altmann Andres C Three-dimensional cardial imaging using ultrasound contour reconstruction
US8834461B2 (en) * 2005-07-11 2014-09-16 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US20080319316A1 (en) 2005-08-30 2008-12-25 Koninklijke Philips Electronics N.V. Combination Imaging and Therapy Transducer
US20070073135A1 (en) 2005-09-13 2007-03-29 Warren Lee Integrated ultrasound imaging and ablation probe
US20080097207A1 (en) * 2006-09-12 2008-04-24 Siemens Medical Solutions Usa, Inc. Ultrasound therapy monitoring with diagnostic ultrasound
JP2010510857A (ja) 2006-11-30 2010-04-08 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 動脈瘤評価において使用される超音波トランスデューサ及び可変集束レンズを有するカテーテル
US20080221448A1 (en) 2007-03-07 2008-09-11 Khuri-Yakub Butrus T Image-guided delivery of therapeutic tools duing minimally invasive surgeries and interventions

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