JP2004261581A - 複数の電極を備えた内視鏡アブレーションシステムおよびアブレーション方法 - Google Patents
複数の電極を備えた内視鏡アブレーションシステムおよびアブレーション方法 Download PDFInfo
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- 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
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- 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
- A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
- A61B2018/00291—Anchoring means for temporary attachment of a device to tissue using suction
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- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
- A61B2018/00494—Stomach, intestines or bowel
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- A—HUMAN NECESSITIES
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00553—Sphincter
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- 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
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
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- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
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- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
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- 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
- A61B90/361—Image-producing devices, e.g. surgical cameras
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Abstract
【解決手段】 複数の電極と、隣接する電極のそれぞれの対の間の観察窓とを含み得る組織アブレーションシステムを提供する。体腔の内周部の組織をアブレーションするために、これらの電極に所定のシーケンスでエネルギーが加えられる。
【選択図】 図1
Description
(1)更に、所定のシーケンスに従って前記複数の電極に電流を流す電源を含むことを特徴とする請求項1に記載のアブレーションシステム。
(2)更に、所定の継続時間に従って前記複数の電極に電流を流す電源を含むことを特徴とする実施態様(1)に記載のアブレーションシステム。
(3)前記アブレーション指数Iが約15〜約35の範囲であることを特徴とする請求項1に記載のアブレーションシステム。
(4)前記複数の電極のそれぞれが、幅w、長さLの矩形であって、P=2(w+L)であることを特徴とする請求項1に記載のアブレーションシステム。
(5)前記アブレーションシステムが更に、内視鏡を受容するためのシース、及び前記シースの先端部に配置されたアブレーションキャップを含み、前記複数の電極がアブレーションキャップ上に配置されており、前記複数の観察窓が前記アブレーションキャップの一部を形成していることを特徴とする請求項1に記載のアブレーションシステム。
(7)更に、テーパ状エンドカバーを有するアブレーションキャップを含むことを特徴とする請求項1に記載のアブレーションシステム。
(8)前記テーパ状エンドカバーが閉じた構造を有しており、更に、その中を内視鏡の先端部が通れるように開くように適合されていることを特徴とする実施態様(7)に記載のアブレーションシステム。
(9)前記テーパ状エンドカバーが通常は開いていて、その中を内視鏡の先端部が通れるように適合されていることを特徴とする実施態様(7)に記載のアブレーションシステム。
(10)前記テーパ状エンドカバーが透明な可撓性材料から形成されることを特徴とする実施態様(7)に記載のアブレーションシステム。
(12)更に、前記シースの基端部に接続された回動ノブを含むことを特徴とする実施態様(6)に記載のアブレーションシステム。
(13)更に、前記シース内を流れる流体を制限するためのシールを含むことを特徴とする実施態様(6)に記載のアブレーションシステム。
(14)前記方法が更に、隣接する電極が約15〜約35の範囲のアブレーション指数を有するように複数の電極対を設けるステップを含むことを特徴とする請求項2に記載の方法。
(15)更に、所定のシーケンスで前記隣接する電極対にエネルギーを加えるステップを含むことを特徴とする請求項2に記載の方法。
(17)前記密着させるステップが、前記電極の周りに内腔を収縮させて密着させるために真空源を設けることを含むことを特徴とする請求項3に記載の方法。
(18)更に、前記電極対の間にエネルギーを加えながら前記電極対間の組織を観察するステップを含むことを特徴とする請求項3に記載の方法。
12 内視鏡
16 ハンドピース
18 導線
20 アブレーションキャップ
22 回動チューブ
26 硬質支持部材
28 電極
29 観察窓
30 クリップ
32 可撓性シャフト
34 ハンドル
36 動作チャネル
38 映像用ポート
40 光源
42 食道
44 筋肉層
46 粘膜層
48 病変組織
50 胃粘膜
52 胃−食道接合部
54 胃
56 治療済み組織
58 ノブ
60 バルブ
63 シース
64 外側チューブ
Claims (3)
- 患者の体の組織を電気外科的に治療するためのアブレーションシステムであって、
それぞれが外周Pを有する複数の電極と、
それぞれが前記複数の電極の隣接する対間に位置する複数の観察窓とを含み、
隣接する前記複数の電極が、距離d離間した隣接する平行な縁を有し、アブレーション指数I=P/dが約1〜約200の範囲であることを特徴とするアブレーションシステム。 - 体の器官の内腔の表層組織をアブレーションするための方法であて、
隣接する電極が約1〜約200の範囲のアブレーション指数を有するように複数の電極対を設けるステップと、
前記内腔内に前記電極対を配置するステップと、
前記隣接する電極にエネルギーを加えて前記組織をアブレーションしながら、それら電極間の組織を観察するステップとを含むことを特徴とするアブレーション方法。 - 体腔内の組織をアブレーションするための方法であって、
隣接する電極が約15〜約35の範囲のアブレーション指数を有するように複数の電極対を設けるステップと、
前記体腔内に前記電極対を配置するステップと、
前記電極の周りに内腔を収縮させて密着させるステップと、
前記電極にエネルギーを加えて前記組織をアブレーションするステップとを含むことを特徴とするアブレーション方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US10/245,928 US20030181900A1 (en) | 2002-03-25 | 2002-09-18 | Endoscopic ablation system with a plurality of electrodes |
Publications (1)
Publication Number | Publication Date |
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JP2004261581A true JP2004261581A (ja) | 2004-09-24 |
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JP2003325020A Pending JP2004261581A (ja) | 2002-09-18 | 2003-09-17 | 複数の電極を備えた内視鏡アブレーションシステムおよびアブレーション方法 |
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US (1) | US20030181900A1 (ja) |
EP (1) | EP1402837A1 (ja) |
JP (1) | JP2004261581A (ja) |
AU (1) | AU2003246061B2 (ja) |
CA (1) | CA2440496A1 (ja) |
Cited By (11)
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JP2006166990A (ja) * | 2004-12-13 | 2006-06-29 | Olympus Corp | 医用画像処理方法 |
EP1842481A1 (en) * | 2004-12-10 | 2007-10-10 | Olympus Corporation | Medical image processing method |
JP2013536728A (ja) * | 2010-08-31 | 2013-09-26 | クック メディカル テクノロジーズ エルエルシー | 焼灼術用オーバーチューブ |
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JP2016522733A (ja) * | 2013-07-01 | 2016-08-04 | 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. | 腎神経アブレーション用医療器具 |
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Also Published As
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CA2440496A1 (en) | 2004-03-18 |
AU2003246061B2 (en) | 2008-10-16 |
US20030181900A1 (en) | 2003-09-25 |
EP1402837A1 (en) | 2004-03-31 |
AU2003246061A1 (en) | 2004-04-08 |
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