HK1133169A1 - Radio-frequency based catheter system and method for ablating biological tissues - Google Patents

Radio-frequency based catheter system and method for ablating biological tissues

Info

Publication number
HK1133169A1
HK1133169A1 HK09111052.3A HK09111052A HK1133169A1 HK 1133169 A1 HK1133169 A1 HK 1133169A1 HK 09111052 A HK09111052 A HK 09111052A HK 1133169 A1 HK1133169 A1 HK 1133169A1
Authority
HK
Hong Kong
Prior art keywords
radio
catheter system
frequency based
biological tissues
based catheter
Prior art date
Application number
HK09111052.3A
Other languages
English (en)
Inventor
Theodore C Ormsby
George L Leung
Gwo Jenn Shen
Peter Chu
Ming-Fan Law
Original Assignee
Medwaves 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 Medwaves Inc filed Critical Medwaves Inc
Publication of HK1133169A1 publication Critical patent/HK1133169A1/xx

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
    • A61B18/14Probes 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
    • 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
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00256Creating an electrical block
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • 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
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • 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
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00702Power or energy
    • 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
    • A61B2018/00779Power or energy
    • 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
    • A61B2018/00779Power or energy
    • A61B2018/00785Reflected power
    • 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
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094Types of switches or controllers
    • A61B2018/00946Types of switches or controllers slidable

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
HK09111052.3A 2006-06-30 2009-11-26 Radio-frequency based catheter system and method for ablating biological tissues HK1133169A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/479,259 US7594913B2 (en) 1998-12-14 2006-06-30 Radio-frequency based catheter system and method for ablating biological tissues
PCT/US2007/071121 WO2008005668A2 (en) 2006-06-30 2007-06-13 Radio-frequency based catheter system and method for ablating biological tissues

Publications (1)

Publication Number Publication Date
HK1133169A1 true HK1133169A1 (en) 2010-03-19

Family

ID=38895296

Family Applications (1)

Application Number Title Priority Date Filing Date
HK09111052.3A HK1133169A1 (en) 2006-06-30 2009-11-26 Radio-frequency based catheter system and method for ablating biological tissues

Country Status (5)

Country Link
US (1) US7594913B2 (xx)
EP (1) EP2034918A4 (xx)
CN (1) CN101484083B (xx)
HK (1) HK1133169A1 (xx)
WO (1) WO2008005668A2 (xx)

Families Citing this family (76)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070066972A1 (en) * 2001-11-29 2007-03-22 Medwaves, Inc. Ablation catheter apparatus with one or more electrodes
ATE375127T1 (de) * 2001-11-29 2007-10-15 Medwaves Inc Hochfrequenz-kathetersystem mit verbesserten ablenkungs- und steuermechanismen
US8361067B2 (en) 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
WO2004083797A2 (en) * 2003-03-14 2004-09-30 Thermosurgery Technologies, Inc. Hyperthermia treatment system
US7311703B2 (en) 2003-07-18 2007-12-25 Vivant Medical, Inc. Devices and methods for cooling microwave antennas
US9023024B2 (en) 2007-06-20 2015-05-05 Covidien Lp Reflective power monitoring for microwave applications
US9861424B2 (en) * 2007-07-11 2018-01-09 Covidien Lp Measurement and control systems and methods for electrosurgical procedures
US8202272B2 (en) 2007-07-19 2012-06-19 Avedro, Inc. Eye therapy system
US8992516B2 (en) 2007-07-19 2015-03-31 Avedro, Inc. Eye therapy system
US8747398B2 (en) * 2007-09-13 2014-06-10 Covidien Lp Frequency tuning in a microwave electrosurgical system
US20090082762A1 (en) * 2007-09-20 2009-03-26 Ormsby Theodore C Radio frequency energy transmission device for the ablation of biological tissues
US8280525B2 (en) 2007-11-16 2012-10-02 Vivant Medical, Inc. Dynamically matched microwave antenna for tissue ablation
US8409189B2 (en) * 2008-01-23 2013-04-02 Avedro, Inc. System and method for reshaping an eye feature
US9198723B2 (en) * 2008-03-31 2015-12-01 Covidien Lp Re-hydration antenna for ablation
US8133222B2 (en) * 2008-05-28 2012-03-13 Medwaves, Inc. Tissue ablation apparatus and method using ultrasonic imaging
US8059059B2 (en) 2008-05-29 2011-11-15 Vivant Medical, Inc. Slidable choke microwave antenna
US8679106B2 (en) * 2008-07-01 2014-03-25 Medwaves, Inc. Angioplasty and tissue ablation apparatus and method
US10028753B2 (en) 2008-09-26 2018-07-24 Relievant Medsystems, Inc. Spine treatment kits
US8882757B2 (en) * 2008-11-11 2014-11-11 Avedro, Inc. Eye therapy system
WO2010115121A1 (en) 2009-04-02 2010-10-07 Avedro, Inc. Eye therapy system
US9326819B2 (en) * 2009-04-15 2016-05-03 Medwaves, Inc. Electrically tunable tissue ablation system and method
US8934989B2 (en) * 2009-04-15 2015-01-13 Medwaves, Inc. Radio frequency based ablation system and method with dielectric transformer
US8419724B2 (en) 2009-04-17 2013-04-16 Domain Surgical, Inc. Adjustable ferromagnetic coated conductor thermal surgical tool
US9107666B2 (en) 2009-04-17 2015-08-18 Domain Surgical, Inc. Thermal resecting loop
US9131977B2 (en) 2009-04-17 2015-09-15 Domain Surgical, Inc. Layered ferromagnetic coated conductor thermal surgical tool
US8874230B2 (en) * 2009-08-27 2014-10-28 New Jersey Institute Of Technology Integrated fiber optic raman spectroscopy and radio frequency ablation
US9113926B2 (en) 2009-09-29 2015-08-25 Covidien Lp Management of voltage standing wave ratio at skin surface during microwave ablation
US20110125148A1 (en) * 2009-11-17 2011-05-26 Turner Paul F Multiple Frequency Energy Supply and Coagulation System
US9993294B2 (en) * 2009-11-17 2018-06-12 Perseon Corporation Microwave coagulation applicator and system with fluid injection
US8414570B2 (en) * 2009-11-17 2013-04-09 Bsd Medical Corporation Microwave coagulation applicator and system
US8551083B2 (en) 2009-11-17 2013-10-08 Bsd Medical Corporation Microwave coagulation applicator and system
AU2010320716B2 (en) * 2009-11-18 2015-10-29 Emblation Limited A microwave apparatus and method
CN102711648B (zh) * 2009-11-30 2015-07-29 麦迪威公司 具有跟踪传感器的射频消融系统
US8617153B2 (en) 2010-02-26 2013-12-31 Covidien Lp Tunable microwave ablation probe
US8777939B2 (en) * 2010-02-26 2014-07-15 Covidien Lp Self-tuning microwave ablation probe
US8672933B2 (en) 2010-06-30 2014-03-18 Covidien Lp Microwave antenna having a reactively-loaded loop configuration
US9545253B2 (en) 2010-09-24 2017-01-17 Ethicon Endo-Surgery, Llc Surgical instrument with contained dual helix actuator assembly
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9089327B2 (en) 2010-09-24 2015-07-28 Ethicon Endo-Surgery, Inc. Surgical instrument with multi-phase trigger bias
US10405920B2 (en) 2016-01-25 2019-09-10 Biosense Webster (Israel) Ltd. Temperature controlled short duration ablation
US10292763B2 (en) 2016-01-25 2019-05-21 Biosense Webster (Israel) Ltd. Temperature controlled short duration ablation
US10441354B2 (en) 2016-01-25 2019-10-15 Biosense Webster (Israel) Ltd. Temperature controlled short duration ablation
US9737353B2 (en) 2010-12-16 2017-08-22 Biosense Webster (Israel) Ltd. System for controlling tissue ablation using temperature sensors
WO2013040255A2 (en) 2011-09-13 2013-03-21 Domain Surgical, Inc. Sealing and/or cutting instrument
AU2012362524B2 (en) 2011-12-30 2018-12-13 Relievant Medsystems, Inc. Systems and methods for treating back pain
CN104487854B (zh) * 2012-03-31 2018-05-04 微立方有限责任公司 用于微波应用的返回功率
CN104507534B (zh) * 2012-04-02 2017-10-03 医学发展技术不记名股份公司 用于从内部消融肾动脉壁的植入装置和系统
US9271783B2 (en) 2012-07-17 2016-03-01 Covidien Lp End-effector assembly including a pressure-sensitive layer disposed on an electrode
US10588691B2 (en) 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
IL238516B (en) 2012-11-05 2022-08-01 Relievant Medsystems Inc System and methods for creating curved pathways through bone and regulating the nerves within the bone
US10004557B2 (en) * 2012-11-05 2018-06-26 Pythagoras Medical Ltd. Controlled tissue ablation
US9364277B2 (en) 2012-12-13 2016-06-14 Cook Medical Technologies Llc RF energy controller and method for electrosurgical medical devices
US9204921B2 (en) 2012-12-13 2015-12-08 Cook Medical Technologies Llc RF energy controller and method for electrosurgical medical devices
US10058310B2 (en) 2013-03-13 2018-08-28 Ethicon Llc Electrosurgical device with drum-driven articulation
US9084620B2 (en) * 2013-03-14 2015-07-21 DePuy Synthes Products, Inc. Detection and clearing of occlusions in catheters
JP5641591B1 (ja) * 2013-06-27 2014-12-17 日本ライフライン株式会社 カテーテルシステム
US9724151B2 (en) 2013-08-08 2017-08-08 Relievant Medsystems, Inc. Modulating nerves within bone using bone fasteners
KR101459941B1 (ko) * 2013-08-23 2014-11-07 고려대학교 산학협력단 다전극 맵핑 및 절제 카테터
US10357306B2 (en) 2014-05-14 2019-07-23 Domain Surgical, Inc. Planar ferromagnetic coated surgical tip and method for making
CN105361944A (zh) * 2014-08-27 2016-03-02 上海微创电生理医疗科技有限公司 消融导管及其实施消融的方法
CN105797285B (zh) * 2014-12-30 2018-12-04 中国科学院深圳先进技术研究院 一种高强聚焦超声系统及功率检测方法
JP6560762B2 (ja) * 2015-03-31 2019-08-14 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド 高熱感受性アブレーション・カテーテル及びカテーテル・チップ
US10307206B2 (en) * 2016-01-25 2019-06-04 Biosense Webster (Israel) Ltd. Temperature controlled short duration ablation
WO2017165562A1 (en) * 2016-03-22 2017-09-28 Microcube, Llc Methods and devices for energy delivery and therapy
GB2552452A (en) * 2016-05-23 2018-01-31 Creo Medical Ltd Electrosurgical apparatus and method for promoting haemostasis in biological tissue
JP6718557B2 (ja) 2016-10-04 2020-07-08 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド アブレーション・カテーテル・チップ
US20180153604A1 (en) * 2016-12-02 2018-06-07 Kyphon SÀRL Apparatus for ablation of body tissue and method of use thereof
US20190239945A1 (en) * 2018-02-06 2019-08-08 Biosense Webster (Israel) Ltd. Catheter handle with ring color indicators
CN109091760B (zh) * 2018-06-12 2021-01-22 京信通信系统(中国)有限公司 一种微波功率源、治疗设备及微波信号生成方法
US10952637B2 (en) 2018-09-25 2021-03-23 Biosense Webster (Israel) Ltd. Radiofrequency (RF) transmission system to find tissue proximity
US11246505B2 (en) 2018-11-01 2022-02-15 Biosense Webster (Israel) Ltd. Using radiofrequency (RF) transmission system to find opening in tissue wall
CN111821018B (zh) * 2019-07-22 2022-11-11 合肥源康信息科技有限公司 产科宫腔微波治疗设备
AU2020346827A1 (en) 2019-09-12 2022-03-31 Relievant Medsystems, Inc. Systems and methods for tissue modulation
CN112807071B (zh) * 2020-12-31 2022-03-04 杭州堃博生物科技有限公司 射频操作中的射频主机
AU2021208701A1 (en) 2020-01-17 2022-07-07 Axon Therapies, Inc. Methods and devices for endovascular ablation of a splanchnic nerve

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4271848A (en) * 1979-01-11 1981-06-09 Bio Systems Design, Corp. Apparatus for electromagnetic radiation of living tissue and the like
US5693082A (en) 1993-05-14 1997-12-02 Fidus Medical Technology Corporation Tunable microwave ablation catheter system and method
US5597969A (en) * 1994-02-23 1997-01-28 Leslie Mayr Music slide rule reference device and system
SE506168C2 (sv) 1996-01-17 1997-11-17 Allgon Ab Sätt och anordning för mätning av reflektionsförlusten hos en radiofrekvent signal
US5904709A (en) * 1996-04-17 1999-05-18 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Microwave treatment for cardiac arrhythmias
AU2931897A (en) * 1996-05-06 1997-11-26 Thermal Therapeutics, Inc. Transcervical intrauterine applicator for intrauterine hyperthermia
US6485486B1 (en) * 1997-08-05 2002-11-26 Trustees Of Dartmouth College System and methods for fallopian tube occlusion
US6067475A (en) * 1998-11-05 2000-05-23 Urologix, Inc. Microwave energy delivery system including high performance dual directional coupler for precisely measuring forward and reverse microwave power during thermal therapy
US6190382B1 (en) 1998-12-14 2001-02-20 Medwaves, Inc. Radio-frequency based catheter system for ablation of body tissues
US7070595B2 (en) 1998-12-14 2006-07-04 Medwaves, Inc. Radio-frequency based catheter system and method for ablating biological tissues
GB9912625D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical generator and system
DK176207B1 (da) 2000-09-28 2007-02-05 Xo Care As Elektrokirurgisk apparat
ATE375127T1 (de) 2001-11-29 2007-10-15 Medwaves Inc Hochfrequenz-kathetersystem mit verbesserten ablenkungs- und steuermechanismen

Also Published As

Publication number Publication date
WO2008005668A2 (en) 2008-01-10
EP2034918A4 (en) 2010-11-24
CN101484083B (zh) 2012-02-01
WO2008005668A3 (en) 2008-10-30
US7594913B2 (en) 2009-09-29
US20060287649A1 (en) 2006-12-21
EP2034918A2 (en) 2009-03-18
CN101484083A (zh) 2009-07-15

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Legal Events

Date Code Title Description
PC Patent ceased (i.e. patent has lapsed due to the failure to pay the renewal fee)

Effective date: 20160613