JP2000504242A - 体の組織を電気的に分析し加熱するための多機能電極構造体 - Google Patents

体の組織を電気的に分析し加熱するための多機能電極構造体

Info

Publication number
JP2000504242A
JP2000504242A JP9526268A JP52626897A JP2000504242A JP 2000504242 A JP2000504242 A JP 2000504242A JP 9526268 A JP9526268 A JP 9526268A JP 52626897 A JP52626897 A JP 52626897A JP 2000504242 A JP2000504242 A JP 2000504242A
Authority
JP
Japan
Prior art keywords
electrical
network
electrode
wall
mode
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.)
Ceased
Application number
JP9526268A
Other languages
English (en)
Japanese (ja)
Other versions
JP2000504242A5 (enExample
Inventor
パネスク，ドーリン
スワンソン，デイビッド・ケイ
フェイン，ジェイムズ・ジー
ジャクソン，ジェローム
Original Assignee
イーピー・テクノロジーズ・インコーポレイテッド
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 US08/629,014 external-priority patent/US5836874A/en
Application filed by イーピー・テクノロジーズ・インコーポレイテッド filed Critical イーピー・テクノロジーズ・インコーポレイテッド
Publication of JP2000504242A publication Critical patent/JP2000504242A/ja
Publication of JP2000504242A5 publication Critical patent/JP2000504242A5/ja
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/06—Electrodes for high-frequency therapy
    • 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
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/08—Materials for coatings
    • A61L29/085—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
    • A61L29/145—Hydrogels or hydrocolloids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/08—Materials for coatings
    • A61L31/10—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/145—Hydrogels or hydrocolloids
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00065—Material properties porous
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00095—Thermal conductivity high, i.e. heat conducting
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00113—Coatings on the energy applicator with foam
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/1253—Generators therefor characterised by the output polarity monopolar
    • 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
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Dispersion Chemistry (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
JP9526268A 1996-01-19 1997-01-17 体の組織を電気的に分析し加熱するための多機能電極構造体 Ceased JP2000504242A (ja)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US1022396P 1996-01-19 1996-01-19
US1035496P 1996-01-19 1996-01-19
US1022596P 1996-01-19 1996-01-19
US60/010,223 1996-01-19
US60/010,225 1996-01-19
US60/010,354 1996-01-19
US08/629,014 US5836874A (en) 1996-04-08 1996-04-08 Multi-function electrode structures for electrically analyzing and heating body tissue
US08/629,014 1996-04-08
PCT/US1997/000896 WO1997025917A1 (en) 1996-01-19 1997-01-17 Multi-function electrode structures for electrically analyzing and heating body tissue

Publications (2)

Publication Number Publication Date
JP2000504242A true JP2000504242A (ja) 2000-04-11
JP2000504242A5 JP2000504242A5 (enExample) 2004-11-11

Family

ID=27485982

Family Applications (1)

Application Number Title Priority Date Filing Date
JP9526268A Ceased JP2000504242A (ja) 1996-01-19 1997-01-17 体の組織を電気的に分析し加熱するための多機能電極構造体

Country Status (4)

Country Link
EP (1) EP0879015A4 (enExample)
JP (1) JP2000504242A (enExample)
CA (1) CA2243595A1 (enExample)
WO (1) WO1997025917A1 (enExample)

Cited By (44)

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JP2002045344A (ja) * 2000-05-01 2002-02-12 Roger Dahl 改良型感知手段を備えた電気生理学カテーテルのための方法および装置
JP2003510126A (ja) * 1999-09-28 2003-03-18 ノヴァシス メディカル インコーポレイテッド エネルギーと薬の適用による組織の処置
JP2007504900A (ja) * 2003-09-12 2007-03-08 ボストン サイエンティフィック リミテッド 経壁レジオンをつくるシステム及び装置
JP2007504896A (ja) * 2003-09-12 2007-03-08 ボストン サイエンティフィック リミテッド 真空ベースのスタビライザ付組織プローブアッセンブリ
JP2012500657A (ja) * 2008-08-22 2012-01-12 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 対象物を検知するための検知装置
JP2012508083A (ja) * 2008-11-11 2012-04-05 シファメド・エルエルシー 薄型電極アセンブリ
JP2014083448A (ja) * 2012-10-26 2014-05-12 Biosense Webster (Israel) Ltd 変形可能なヘッドを有する灌注式アブレーションカテーテル
US8805466B2 (en) 2008-11-11 2014-08-12 Shifamed Holdings, Llc Low profile electrode assembly
JP2014522252A (ja) * 2011-04-07 2014-09-04 サノバス， インク． 導電性のバルーンカテーテルを用いた解剖学的なビジュアル化
JP2015501162A (ja) * 2011-09-14 2015-01-15 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． イオン伝導性バルーンを備えたアブレーション装置
US9333031B2 (en) 2013-04-08 2016-05-10 Apama Medical, Inc. Visualization inside an expandable medical device
US9463064B2 (en) 2011-09-14 2016-10-11 Boston Scientific Scimed Inc. Ablation device with multiple ablation modes
US9655677B2 (en) 2010-05-12 2017-05-23 Shifamed Holdings, Llc Ablation catheters including a balloon and electrodes
JP2017516588A (ja) * 2014-06-04 2017-06-22 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． 電極組立体
US9743854B2 (en) 2014-12-18 2017-08-29 Boston Scientific Scimed, Inc. Real-time morphology analysis for lesion assessment
US9757191B2 (en) 2012-01-10 2017-09-12 Boston Scientific Scimed, Inc. Electrophysiology system and methods
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
JP2017202306A (ja) * 2016-04-28 2017-11-16 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ） Ｌｔｄ． フレキシブル回路電極アセンブリを有する灌注式バルーンカテーテル
JP2017534407A (ja) * 2014-11-19 2017-11-24 アドバンスド カーディアク セラピューティクス，インコーポレイテッド ペーシングを伴う組織の高分解能マッピング
JP2018501837A (ja) * 2014-11-19 2018-01-25 アドバンスド カーディアク セラピューティクス，インコーポレイテッド 組織の高分解能マッピングのためのシステムおよび方法
US10034637B2 (en) 2007-12-28 2018-07-31 Boston Scientific Scimed, Inc. Cardiac mapping catheter
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US10420605B2 (en) 2012-01-31 2019-09-24 Koninklijke Philips N.V. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
US10524684B2 (en) 2014-10-13 2020-01-07 Boston Scientific Scimed Inc Tissue diagnosis and treatment using mini-electrodes
US10603105B2 (en) 2014-10-24 2020-03-31 Boston Scientific Scimed Inc Medical devices with a flexible electrode assembly coupled to an ablation tip
US10736693B2 (en) 2015-11-16 2020-08-11 Apama Medical, Inc. Energy delivery devices
US11684416B2 (en) 2009-02-11 2023-06-27 Boston Scientific Scimed, Inc. Insulated ablation catheter devices and methods of use
US11957852B2 (en) 2021-01-14 2024-04-16 Biosense Webster (Israel) Ltd. Intravascular balloon with slidable central irrigation tube
US11963715B2 (en) 2016-11-23 2024-04-23 Biosense Webster (Israel) Ltd. Balloon-in-balloon irrigation balloon catheter
US11974803B2 (en) 2020-10-12 2024-05-07 Biosense Webster (Israel) Ltd. Basket catheter with balloon
US12029545B2 (en) 2017-05-30 2024-07-09 Biosense Webster (Israel) Ltd. Catheter splines as location sensors
US12042246B2 (en) 2016-06-09 2024-07-23 Biosense Webster (Israel) Ltd. Multi-function conducting elements for a catheter
US12102781B2 (en) 2018-06-29 2024-10-01 Biosense Webster (Israel) Ltd. Reinforcement for irrigated electrophysiology balloon catheter with flexible-circuit electrodes
US12114905B2 (en) 2021-08-27 2024-10-15 Biosense Webster (Israel) Ltd. Reinforcement and stress relief for an irrigated electrophysiology balloon catheter with flexible-circuit electrodes
US12137967B2 (en) 2019-11-12 2024-11-12 Biosense Webster (Israel) Ltd. Accurate positioning and shape visualization of balloon catheter ablation tags
US12161400B2 (en) 2019-10-04 2024-12-10 Biosense Webster (Israel) Ltd. Identifying pulmonary vein occlusion by dimension deformations of balloon catheter
US12186013B2 (en) 2021-02-18 2025-01-07 Biosense Webster (Israel) Ltd. Detection of balloon catheter tissue contact using optical measurement
US12239364B2 (en) 2020-10-07 2025-03-04 Biosense Webster (Israel) Ltd. Printed proximal electrodes of an expandable catheter for use as a common electrode
US12268436B2 (en) 2018-09-14 2025-04-08 Biosense Webster (Israel) Ltd. Systems and methods of ablating cardiac tissue
US12290302B2 (en) 2011-09-30 2025-05-06 Covidien Lp Energy delivery device and methods of use
US12369975B2 (en) 2019-09-12 2025-07-29 Biosense Webster (Israel) Ltd. Balloon catheter with force sensor
US12369974B2 (en) 2019-10-10 2025-07-29 Biosense Webster (Israel) Ltd. Touch indication of balloon-catheter ablation electrode via balloon surface temperature measurement
US12458436B2 (en) 2018-07-30 2025-11-04 Biosense Webster (Israel) Ltd. Flexible-circuit tip for a split-tip catheter

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US7756583B2 (en) 2002-04-08 2010-07-13 Ardian, Inc. Methods and apparatus for intravascularly-induced neuromodulation
US8347891B2 (en) 2002-04-08 2013-01-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen
US20040226556A1 (en) 2003-05-13 2004-11-18 Deem Mark E. Apparatus for treating asthma using neurotoxin
US7771420B2 (en) 2004-03-05 2010-08-10 Medelec-Minimeca S.A. Saline-enhanced catheter for radiofrequency tumor ablation
ATE399579T1 (de) * 2004-05-14 2008-07-15 Medtronic Inc System zur verwendung von hochintensivem fokussiertem ultraschall zur bildung eines ablatierten gewebebereiches
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US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
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US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
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CN104042322B (zh) 2009-10-27 2017-06-06 赫莱拉公司 具有可冷却的能量发射组件的递送装置
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CA2780608C (en) 2009-11-11 2019-02-26 Innovative Pulmonary Solutions, Inc. Systems, apparatuses, and methods for treating tissue and controlling stenosis
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