ES2807574T3 - Aparato de monitorización para monitorizar un procedimiento de ablación - Google Patents
Aparato de monitorización para monitorizar un procedimiento de ablación Download PDFInfo
- 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
Links
- 238000002679 ablation Methods 0.000 title claims abstract description 434
- 238000000034 method Methods 0.000 title claims abstract description 82
- 238000012806 monitoring device Methods 0.000 title description 4
- 238000002604 ultrasonography Methods 0.000 claims abstract description 389
- 238000012544 monitoring process Methods 0.000 claims abstract description 118
- 230000003902 lesion Effects 0.000 claims abstract description 63
- 231100000241 scar Toxicity 0.000 claims abstract description 8
- 238000006073 displacement reaction Methods 0.000 claims description 19
- 238000003860 storage Methods 0.000 claims description 10
- 238000004590 computer program Methods 0.000 claims description 5
- 238000011524 similarity measure Methods 0.000 claims description 5
- 210000001519 tissue Anatomy 0.000 description 79
- 238000001514 detection method Methods 0.000 description 15
- 230000000875 corresponding effect Effects 0.000 description 14
- 239000012530 fluid Substances 0.000 description 13
- 239000000523 sample Substances 0.000 description 13
- 238000003384 imaging method Methods 0.000 description 11
- 238000005259 measurement Methods 0.000 description 11
- 230000003287 optical effect Effects 0.000 description 10
- 208000027418 Wounds and injury Diseases 0.000 description 9
- 230000006378 damage Effects 0.000 description 9
- 208000014674 injury Diseases 0.000 description 9
- 210000003492 pulmonary vein Anatomy 0.000 description 9
- 238000011282 treatment Methods 0.000 description 9
- 210000005003 heart tissue Anatomy 0.000 description 8
- 238000003973 irrigation Methods 0.000 description 7
- 230000002262 irrigation Effects 0.000 description 7
- 230000009467 reduction Effects 0.000 description 7
- 206010003658 Atrial Fibrillation Diseases 0.000 description 6
- 206010003119 arrhythmia Diseases 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 210000005246 left atrium Anatomy 0.000 description 5
- 230000000638 stimulation Effects 0.000 description 5
- 238000002560 therapeutic procedure Methods 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 4
- 230000008859 change Effects 0.000 description 4
- 238000013507 mapping Methods 0.000 description 4
- 238000013021 overheating Methods 0.000 description 4
- 238000007674 radiofrequency ablation Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000036962 time dependent Effects 0.000 description 4
- 238000012800 visualization Methods 0.000 description 4
- 241000283690 Bos taurus Species 0.000 description 3
- 208000003098 Ganglion Cysts Diseases 0.000 description 3
- 208000005400 Synovial Cyst Diseases 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 3
- 230000007423 decrease Effects 0.000 description 3
- 230000001419 dependent effect Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 238000002955 isolation Methods 0.000 description 3
- 210000005248 left atrial appendage Anatomy 0.000 description 3
- 238000002595 magnetic resonance imaging Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000012935 Averaging Methods 0.000 description 2
- 206010016717 Fistula Diseases 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 2
- 230000001746 atrial effect Effects 0.000 description 2
- 238000010009 beating Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000002612 cardiopulmonary effect Effects 0.000 description 2
- 238000013153 catheter ablation Methods 0.000 description 2
- 230000001112 coagulating effect Effects 0.000 description 2
- 230000001276 controlling effect Effects 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 238000005520 cutting process Methods 0.000 description 2
- 230000007717 exclusion Effects 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 230000003890 fistula Effects 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 210000005228 liver tissue Anatomy 0.000 description 2
- 210000004115 mitral valve Anatomy 0.000 description 2
- 239000013307 optical fiber Substances 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000002085 persistent effect Effects 0.000 description 2
- 230000001536 pro-arrhythmogenic effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000007514 turning Methods 0.000 description 2
- 238000012285 ultrasound imaging Methods 0.000 description 2
- 208000005189 Embolism Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 238000010317 ablation therapy Methods 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 210000001557 animal structure Anatomy 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 230000003126 arrythmogenic effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 238000002592 echocardiography Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 201000010235 heart cancer Diseases 0.000 description 1
- 208000024348 heart neoplasm Diseases 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000005459 micromachining Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000002250 progressing effect Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Clinical applications
- A61B8/0858—Clinical applications involving measuring tissue layers, e.g. skin, interfaces
-
- 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
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
-
- 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
- A61B8/486—Diagnostic techniques involving arbitrary m-mode
-
- 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
- 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
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
-
- 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
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00738—Depth, e.g. depth of ablation
-
- 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
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details 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
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
- A61B8/445—Details 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)
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 (https=) |
| EP (1) | EP2387361B1 (https=) |
| JP (1) | JP5829526B2 (https=) |
| CN (1) | CN102281819B (https=) |
| ES (1) | ES2807574T3 (https=) |
| WO (1) | WO2010082146A1 (https=) |
Families Citing this family (124)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
| JP2006518648A (ja) * | 2003-02-20 | 2006-08-17 | プロリズム，インコーポレイテッド | 心臓アブレーションデバイス |
| WO2007136566A2 (en) | 2006-05-19 | 2007-11-29 | Prorhythm, 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 |
| US8974445B2 (en) | 2009-01-09 | 2015-03-10 | Recor Medical, Inc. | Methods and apparatus for treatment of cardiac valve insufficiency |
| US8945117B2 (en) | 2009-02-11 | 2015-02-03 | Boston Scientific Scimed, Inc. | Insulated ablation catheter devices and methods of use |
| US9808323B2 (en) | 2009-06-04 | 2017-11-07 | Koninklijke Philips N.V. | Visualization apparatus |
| WO2011008444A1 (en) | 2009-06-30 | 2011-01-20 | 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 |
| US10792099B2 (en) * | 2010-06-30 | 2020-10-06 | Koninklijke Philips N.V. | Energy application apparatus for applying energy to an object |
| RU2013121803A (ru) * | 2010-10-14 | 2014-11-20 | Конинклейке Филипс Электроникс Н.В. | Определяющее свойства устройство для определения свойств объекта |
| US9087369B2 (en) | 2010-11-18 | 2015-07-21 | Koninklijke Philips N.V. | Apparatus for being used for detecting a property of an object |
| WO2012066462A1 (en) * | 2010-11-18 | 2012-05-24 | Koninklijke Philips Electronics N.V. | Filtering apparatus for filtering an ultrasound signal |
| WO2012066430A1 (en) | 2010-11-18 | 2012-05-24 | Koninklijke Philips Electronics N.V. | Medical device with ultrasound transducers embedded in flexible foil |
| WO2012066446A1 (en) | 2010-11-18 | 2012-05-24 | Koninklijke Philips Electronics N.V. | Sensing apparatus for sensing an object |
| US8777857B2 (en) | 2011-04-14 | 2014-07-15 | St. Jude Medical, Inc. | Single transducer with angular orientation for lesion feedback in ablation catheter |
| US8545409B2 (en) * | 2011-04-14 | 2013-10-01 | St. Jude Medical, Inc. | Arrangement and interface for RF ablation system with acoustic feedback |
| US8545408B2 (en) | 2011-05-23 | 2013-10-01 | St. Jude Medical, Inc. | Combination catheter for forward and side lesioning with acoustic lesion feedback capability |
| US9241687B2 (en) | 2011-06-01 | 2016-01-26 | Boston Scientific Scimed Inc. | Ablation probe with ultrasonic imaging capabilities |
| CN103687550B (zh) * | 2011-07-22 | 2016-08-17 | 皇家飞利浦有限公司 | 消融装置 |
| AU2012308464B2 (en) | 2011-09-14 | 2016-10-20 | Boston Scientific Scimed, Inc. | Ablation device with ionically conductive balloon |
| EP2755587B1 (en) | 2011-09-14 | 2018-11-21 | Boston Scientific Scimed, Inc. | Ablation device with multiple ablation modes |
| 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 |
| WO2013102072A1 (en) * | 2011-12-28 | 2013-07-04 | Boston Scientific Scimed, Inc. | Ablation probe with ultrasonic imaging capability |
| WO2013101321A1 (en) * | 2011-12-30 | 2013-07-04 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Automatic monitoring for and detection of tissue pop |
| CA2860636A1 (en) | 2012-01-10 | 2013-07-18 | Boston Scientific Scimed, Inc. | Electrophysiology system |
| US8945015B2 (en) | 2012-01-31 | 2015-02-03 | Koninklijke Philips N.V. | Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging and treatment |
| EP2827779B1 (en) | 2012-03-23 | 2017-07-05 | Koninklijke Philips N.V. | Imaging system for imaging a periodically moving object |
| WO2013140358A1 (en) | 2012-03-23 | 2013-09-26 | Koninklijke Philips N.V. | Imaging system for imaging a periodically moving object |
| 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 |
| US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
| US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
| US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
| US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
| JP6357476B2 (ja) | 2012-08-30 | 2018-07-11 | カーディアック ペースメイカーズ， インコーポレイテッド | 右心室内の三尖弁の下方のヒス束にリードを送達するシステム |
| 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 |
| US20140081262A1 (en) * | 2012-09-20 | 2014-03-20 | Boston Scientific Scimed Inc. | Nearfield ultrasound echography mapping |
| JP6158936B2 (ja) | 2012-10-18 | 2017-07-05 | コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． | 超音波データ可視化装置 |
| US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
| WO2014064577A1 (en) | 2012-10-23 | 2014-05-01 | Koninklijke Philips N.V. | Spatial configuration determination apparatus |
| US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
| RU2015138681A (ru) * | 2013-02-11 | 2017-03-16 | Конинклейке Филипс Н.В. | Система и способ ультразвуковой визуализации |
| 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 |
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