JP2009537271A5 - - Google Patents

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Publication number
JP2009537271A5
JP2009537271A5 JP2009511577A JP2009511577A JP2009537271A5 JP 2009537271 A5 JP2009537271 A5 JP 2009537271A5 JP 2009511577 A JP2009511577 A JP 2009511577A JP 2009511577 A JP2009511577 A JP 2009511577A JP 2009537271 A5 JP2009537271 A5 JP 2009537271A5
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electrode
hollow tube
extendable element
distal tip
elongate body
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JP2009511577A
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English (en)
Japanese (ja)
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JP5096462B2 (ja
JP2009537271A (ja
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Priority claimed from GB0610489A external-priority patent/GB0610489D0/en
Priority claimed from GBGB0700553.1A external-priority patent/GB0700553D0/en
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Priority claimed from PCT/GB2007/001914 external-priority patent/WO2007135431A2/en
Publication of JP2009537271A publication Critical patent/JP2009537271A/ja
Publication of JP2009537271A5 publication Critical patent/JP2009537271A5/ja
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Expired - Fee Related legal-status Critical Current
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JP2009511577A 2006-05-24 2007-05-23 解剖学的な中空管を熱切除するのに適合する装置 Expired - Fee Related JP5096462B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
GB0610489A GB0610489D0 (en) 2006-05-24 2006-05-24 Vessel closing device
GB0610489.7 2006-05-24
GB0700553.1 2007-01-11
GBGB0700553.1A GB0700553D0 (en) 2007-01-11 2007-01-11 Vessel sealing device
PCT/GB2007/001914 WO2007135431A2 (en) 2006-05-24 2007-05-23 Vessel sealing device and methods

Publications (3)

Publication Number Publication Date
JP2009537271A JP2009537271A (ja) 2009-10-29
JP2009537271A5 true JP2009537271A5 (OSRAM) 2010-07-08
JP5096462B2 JP5096462B2 (ja) 2012-12-12

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JP2009511577A Expired - Fee Related JP5096462B2 (ja) 2006-05-24 2007-05-23 解剖学的な中空管を熱切除するのに適合する装置

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US (1) US20100268217A1 (OSRAM)
EP (1) EP2032045A2 (OSRAM)
JP (1) JP5096462B2 (OSRAM)
RU (1) RU2008151150A (OSRAM)
WO (1) WO2007135431A2 (OSRAM)

Families Citing this family (116)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8241274B2 (en) 2000-01-19 2012-08-14 Medtronic, Inc. Method for guiding a medical device
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
US7617005B2 (en) 2002-04-08 2009-11-10 Ardian, Inc. Methods and apparatus for thermally-induced renal neuromodulation
US7756583B2 (en) 2002-04-08 2010-07-13 Ardian, Inc. Methods and apparatus for intravascularly-induced neuromodulation
DE202004021947U1 (de) 2003-09-12 2013-05-13 Vessix Vascular, Inc. Auswählbare exzentrische Remodellierung und/oder Ablation von atherosklerotischem Material
US8920414B2 (en) 2004-09-10 2014-12-30 Vessix Vascular, Inc. Tuned RF energy and electrical tissue characterization for selective treatment of target tissues
US9713730B2 (en) 2004-09-10 2017-07-25 Boston Scientific Scimed, Inc. Apparatus and method for treatment of in-stent restenosis
US8396548B2 (en) 2008-11-14 2013-03-12 Vessix Vascular, Inc. Selective drug delivery in a lumen
CN101076290B (zh) 2004-12-09 2011-11-23 铸造品股份有限公司 主动脉瓣修复
ES2380487T3 (es) 2005-03-28 2012-05-14 Vessix Vascular, Inc. Caracterización de tejido eléctrico intraluminal y energía RF ajustada para el tratamiento selectivo de ateroma y de otros tejidos diana
US8019435B2 (en) 2006-05-02 2011-09-13 Boston Scientific Scimed, Inc. Control of arterial smooth muscle tone
US20080039746A1 (en) 2006-05-25 2008-02-14 Medtronic, Inc. Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
AU2007310986B2 (en) 2006-10-18 2013-07-04 Boston Scientific Scimed, Inc. Inducing desirable temperature effects on body tissue
ES2407329T3 (es) 2006-10-18 2013-06-12 Vessix Vascular, Inc. Sistema para inducir efectos de temperatura deseables sobre un tejido corporal
US8496653B2 (en) 2007-04-23 2013-07-30 Boston Scientific Scimed, Inc. Thrombus removal
US20120191181A1 (en) * 2007-04-27 2012-07-26 Kassab Ghassan S Systems and methods for localization of a puncture site relative to a mammalian tissue of interest
JP5377631B2 (ja) * 2008-06-10 2013-12-25 ババリア メディツイン テクノロジー ゲゼルシャフト ミット ベシュレンクテル ハフツング 疾患心臓弁の治療用スコアリングカテーテル
AU2009314133B2 (en) 2008-11-17 2015-12-10 Vessix Vascular, Inc. Selective accumulation of energy with or without knowledge of tissue topography
US8945117B2 (en) 2009-02-11 2015-02-03 Boston Scientific Scimed, Inc. Insulated ablation catheter devices and methods of use
US8551096B2 (en) 2009-05-13 2013-10-08 Boston Scientific Scimed, Inc. Directional delivery of energy and bioactives
EP2480140A1 (en) * 2009-09-22 2012-08-01 Arstasis, Inc. Devices, methods, and kits for forming tracts in tissue
CA2795229A1 (en) 2010-04-09 2011-10-13 Vessix Vascular, Inc. Power generating and control apparatus for the treatment of tissue
US9192790B2 (en) 2010-04-14 2015-11-24 Boston Scientific Scimed, Inc. Focused ultrasonic renal denervation
US8473067B2 (en) 2010-06-11 2013-06-25 Boston Scientific Scimed, Inc. Renal denervation and stimulation employing wireless vascular energy transfer arrangement
US9463062B2 (en) 2010-07-30 2016-10-11 Boston Scientific Scimed, Inc. Cooled conductive balloon RF catheter for renal nerve ablation
US9358365B2 (en) 2010-07-30 2016-06-07 Boston Scientific Scimed, Inc. Precision electrode movement control for renal nerve ablation
US9408661B2 (en) 2010-07-30 2016-08-09 Patrick A. Haverkost RF electrodes on multiple flexible wires for renal nerve ablation
US9084609B2 (en) 2010-07-30 2015-07-21 Boston Scientific Scime, Inc. Spiral balloon catheter for renal nerve ablation
US9155589B2 (en) 2010-07-30 2015-10-13 Boston Scientific Scimed, Inc. Sequential activation RF electrode set for renal nerve ablation
US8974451B2 (en) 2010-10-25 2015-03-10 Boston Scientific Scimed, Inc. Renal nerve ablation using conductive fluid jet and RF energy
CN103179914B (zh) 2010-10-25 2016-11-09 美敦力Af卢森堡有限责任公司 用于肾神经调节的微波导管设备
US9220558B2 (en) 2010-10-27 2015-12-29 Boston Scientific Scimed, Inc. RF renal denervation catheter with multiple independent electrodes
US9028485B2 (en) 2010-11-15 2015-05-12 Boston Scientific Scimed, Inc. Self-expanding cooling electrode for renal nerve ablation
US9089350B2 (en) 2010-11-16 2015-07-28 Boston Scientific Scimed, Inc. Renal denervation catheter with RF electrode and integral contrast dye injection arrangement
US9668811B2 (en) 2010-11-16 2017-06-06 Boston Scientific Scimed, Inc. Minimally invasive access for renal nerve ablation
US9326751B2 (en) 2010-11-17 2016-05-03 Boston Scientific Scimed, Inc. Catheter guidance of external energy for renal denervation
US9060761B2 (en) 2010-11-18 2015-06-23 Boston Scientific Scime, Inc. Catheter-focused magnetic field induced renal nerve ablation
US9023034B2 (en) 2010-11-22 2015-05-05 Boston Scientific Scimed, Inc. Renal ablation electrode with force-activatable conduction apparatus
US9192435B2 (en) 2010-11-22 2015-11-24 Boston Scientific Scimed, Inc. Renal denervation catheter with cooled RF electrode
US20120157993A1 (en) 2010-12-15 2012-06-21 Jenson Mark L Bipolar Off-Wall Electrode Device for Renal Nerve Ablation
US9220561B2 (en) 2011-01-19 2015-12-29 Boston Scientific Scimed, Inc. Guide-compatible large-electrode catheter for renal nerve ablation with reduced arterial injury
JP5763263B2 (ja) 2011-04-08 2015-08-12 コビディエン エルピー 天然または人工管腔のための可撓性マイクロ波カテーテル
EP2694150A1 (en) 2011-04-08 2014-02-12 Covidien LP Iontophoresis drug delivery system and method for denervation of the renal sympathetic nerve and iontophoretic drug delivery
EP2701623B1 (en) 2011-04-25 2016-08-17 Medtronic Ardian Luxembourg S.à.r.l. Apparatus related to constrained deployment of cryogenic balloons for limited cryogenic ablation of vessel walls
WO2013013156A2 (en) 2011-07-20 2013-01-24 Boston Scientific Scimed, Inc. Percutaneous devices and methods to visualize, target and ablate nerves
JP6106669B2 (ja) 2011-07-22 2017-04-05 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． ヘリカル・ガイド内に配置可能な神経調節要素を有する神経調節システム
US10842564B2 (en) * 2011-08-10 2020-11-24 National University Corporation Shiga University Of Medical Science Microwave surgical instrument
WO2013055826A1 (en) 2011-10-10 2013-04-18 Boston Scientific Scimed, Inc. Medical devices including ablation electrodes
US9420955B2 (en) 2011-10-11 2016-08-23 Boston Scientific Scimed, Inc. Intravascular temperature monitoring system and method
US10085799B2 (en) 2011-10-11 2018-10-02 Boston Scientific Scimed, Inc. Off-wall electrode device and methods for nerve modulation
US9364284B2 (en) 2011-10-12 2016-06-14 Boston Scientific Scimed, Inc. Method of making an off-wall spacer cage
WO2013058962A1 (en) 2011-10-18 2013-04-25 Boston Scientific Scimed, Inc. Deflectable medical devices
CN104039285A (zh) * 2011-10-18 2014-09-10 沃斯特拉医疗器械股份公司 用于闭合刺开的血管的闭合装置
EP2768568B1 (en) 2011-10-18 2020-05-06 Boston Scientific Scimed, Inc. Integrated crossing balloon catheter
US8951251B2 (en) 2011-11-08 2015-02-10 Boston Scientific Scimed, Inc. Ostial renal nerve ablation
EP2779929A1 (en) 2011-11-15 2014-09-24 Boston Scientific Scimed, Inc. Device and methods for renal nerve modulation monitoring
US9119632B2 (en) 2011-11-21 2015-09-01 Boston Scientific Scimed, Inc. Deflectable renal nerve ablation catheter
US9265969B2 (en) 2011-12-21 2016-02-23 Cardiac Pacemakers, Inc. Methods for modulating cell function
US9037259B2 (en) 2011-12-23 2015-05-19 Vessix Vascular, Inc. Methods and apparatuses for remodeling tissue of or adjacent to a body passage
CN104135958B (zh) 2011-12-28 2017-05-03 波士顿科学西美德公司 用有聚合物消融元件的新消融导管调变神经的装置和方法
US9050106B2 (en) 2011-12-29 2015-06-09 Boston Scientific Scimed, Inc. Off-wall electrode device and methods for nerve modulation
US9216056B2 (en) * 2012-03-02 2015-12-22 Biosense Webster (Israel) Ltd. Catheter for treatment of atrial flutter having single action dual deflection mechanism
WO2013169927A1 (en) 2012-05-08 2013-11-14 Boston Scientific Scimed, Inc. Renal nerve modulation devices
WO2014032016A1 (en) 2012-08-24 2014-02-27 Boston Scientific Scimed, Inc. Intravascular catheter with a balloon comprising separate microporous regions
EP2895095A2 (en) 2012-09-17 2015-07-22 Boston Scientific Scimed, Inc. Self-positioning electrode system and method for renal nerve modulation
US10398464B2 (en) 2012-09-21 2019-09-03 Boston Scientific Scimed, Inc. System for nerve modulation and innocuous thermal gradient nerve block
WO2014047454A2 (en) 2012-09-21 2014-03-27 Boston Scientific Scimed, Inc. Self-cooling ultrasound ablation catheter
US11096741B2 (en) * 2012-10-10 2021-08-24 Biosense Webster (Israel) Ltd. Ablation power control based on contact force
CN104869930B (zh) 2012-10-10 2020-12-25 波士顿科学国际有限公司 肾神经调制装置和方法
WO2014143571A1 (en) 2013-03-11 2014-09-18 Boston Scientific Scimed, Inc. Medical devices for modulating nerves
US9956033B2 (en) 2013-03-11 2018-05-01 Boston Scientific Scimed, Inc. Medical devices for modulating nerves
US9808311B2 (en) 2013-03-13 2017-11-07 Boston Scientific Scimed, Inc. Deflectable medical devices
JP6139772B2 (ja) 2013-03-15 2017-05-31 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． 電極パッドと共に使用するための制御ユニットおよび漏電を推定するための方法
EP2967734B1 (en) 2013-03-15 2019-05-15 Boston Scientific Scimed, Inc. Methods and apparatuses for remodeling tissue of or adjacent to a body passage
US10265122B2 (en) 2013-03-15 2019-04-23 Boston Scientific Scimed, Inc. Nerve ablation devices and related methods of use
US9179974B2 (en) 2013-03-15 2015-11-10 Medtronic Ardian Luxembourg S.A.R.L. Helical push wire electrode
US20140358089A1 (en) * 2013-06-04 2014-12-04 Boston Scientific Scimed, Inc. Vacuum-assisted pancreaticobiliary cannulation
WO2014205388A1 (en) 2013-06-21 2014-12-24 Boston Scientific Scimed, Inc. Renal denervation balloon catheter with ride along electrode support
US10022182B2 (en) 2013-06-21 2018-07-17 Boston Scientific Scimed, Inc. Medical devices for renal nerve ablation having rotatable shafts
US9707036B2 (en) 2013-06-25 2017-07-18 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation using localized indifferent electrodes
JP6204579B2 (ja) 2013-07-01 2017-09-27 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
EP3019106A1 (en) 2013-07-11 2016-05-18 Boston Scientific Scimed, Inc. Medical device with stretchable electrode assemblies
WO2015006480A1 (en) 2013-07-11 2015-01-15 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation
EP3049007B1 (en) 2013-07-19 2019-06-12 Boston Scientific Scimed, Inc. Spiral bipolar electrode renal denervation balloon
WO2015013301A1 (en) 2013-07-22 2015-01-29 Boston Scientific Scimed, Inc. Renal nerve ablation catheter having twist balloon
US10342609B2 (en) 2013-07-22 2019-07-09 Boston Scientific Scimed, Inc. Medical devices for renal nerve ablation
US10722300B2 (en) 2013-08-22 2020-07-28 Boston Scientific Scimed, Inc. Flexible circuit having improved adhesion to a renal nerve modulation balloon
WO2015035047A1 (en) 2013-09-04 2015-03-12 Boston Scientific Scimed, Inc. Radio frequency (rf) balloon catheter having flushing and cooling capability
EP3043733A1 (en) 2013-09-13 2016-07-20 Boston Scientific Scimed, Inc. Ablation balloon with vapor deposited cover layer
US11246654B2 (en) 2013-10-14 2022-02-15 Boston Scientific Scimed, Inc. Flexible renal nerve ablation devices and related methods of use and manufacture
CN105592778B (zh) 2013-10-14 2019-07-23 波士顿科学医学有限公司 高分辨率心脏标测电极阵列导管
JP6259098B2 (ja) 2013-10-15 2018-01-10 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． 医療デバイスおよび同医療デバイスを製造する方法
US9770606B2 (en) 2013-10-15 2017-09-26 Boston Scientific Scimed, Inc. Ultrasound ablation catheter with cooling infusion and centering basket
JP6259099B2 (ja) 2013-10-18 2018-01-10 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． 可撓性を備える導電性ワイヤを備えるバルーン・カテーテル、並びに関連する使用および製造方法
CN105658163B (zh) 2013-10-25 2020-08-18 波士顿科学国际有限公司 去神经柔性电路中的嵌入式热电偶
US11202671B2 (en) 2014-01-06 2021-12-21 Boston Scientific Scimed, Inc. Tear resistant flex circuit assembly
US11000679B2 (en) 2014-02-04 2021-05-11 Boston Scientific Scimed, Inc. Balloon protection and rewrapping devices and related methods of use
US9907609B2 (en) 2014-02-04 2018-03-06 Boston Scientific Scimed, Inc. Alternative placement of thermal sensors on bipolar electrode
JP6362895B2 (ja) * 2014-03-24 2018-07-25 テルモ株式会社 治療デバイス
GB2525029B (en) * 2014-04-10 2016-02-24 Cook Medical Technologies Llc Apparatus and method for occluding a vessel by RF embolization
US10610292B2 (en) 2014-04-25 2020-04-07 Medtronic Ardian Luxembourg S.A.R.L. Devices, systems, and methods for monitoring and/or controlling deployment of a neuromodulation element within a body lumen and related technology
US10136937B1 (en) * 2014-10-21 2018-11-27 Cosman Instruments, Llc Electrosurgical system
US10709490B2 (en) 2014-05-07 2020-07-14 Medtronic Ardian Luxembourg S.A.R.L. Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods
EP3821818A3 (en) * 2014-05-14 2021-07-21 President and Fellows of Harvard College Catheter device for transmitting and reflecting light
US10524684B2 (en) 2014-10-13 2020-01-07 Boston Scientific Scimed Inc Tissue diagnosis and treatment using mini-electrodes
EP4316361A3 (en) * 2014-10-24 2024-05-01 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
US11628009B2 (en) * 2014-12-17 2023-04-18 Biosense Webster (Israel) Ltd. EP catheter with trained support member, and related methods
US11213344B2 (en) * 2015-11-17 2022-01-04 Biosense Webster (Israel) Ltd. Guidewire with ablation and coagulation functionality
GB2551117A (en) * 2016-05-31 2017-12-13 Creo Medical Ltd Electrosurgical apparatus and method
US12082917B2 (en) 2018-01-24 2024-09-10 Medtronic Ireland Manufacturing Unlimited Company Systems, devices, and methods for assessing efficacy of renal neuromodulation therapy
GB2576481B (en) * 2018-05-30 2022-07-20 Creo Medical Ltd Electrosurgical instrument
US11813018B2 (en) 2018-12-18 2023-11-14 Boston Scientific Scimed, Inc. Devices and methods for inducing ablation in or around occluded implants
WO2020252312A1 (en) * 2019-06-14 2020-12-17 Arrinex, Inc. Cryotherapy systems and methods
CN110575155B (zh) * 2019-09-26 2024-04-05 北京市神经外科研究所 一种用于颅内压测定的导管装置
CN112137712A (zh) * 2020-10-15 2020-12-29 山前（珠海）医疗科技有限公司 一种带加热功能的冷冻球囊导管
US20250360292A1 (en) * 2024-05-22 2025-11-27 Abl Medical Inc. Systems and methods for interstitial light delivery

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995001751A1 (en) * 1993-07-01 1995-01-19 Boston Scientific Corporation Imaging, electrical potential sensing, and ablation catheters
US6302898B1 (en) * 1994-06-24 2001-10-16 Advanced Closure Systems, Inc. Devices for sealing punctures in body vessels
US5681280A (en) * 1995-05-02 1997-10-28 Heart Rhythm Technologies, Inc. Catheter control system
US5709224A (en) * 1995-06-07 1998-01-20 Radiotherapeutics Corporation Method and device for permanent vessel occlusion
US5672173A (en) * 1995-08-15 1997-09-30 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
CA2248260C (en) * 1996-03-05 2010-11-16 Michael D. Laufer Vascular catheter-based system for heating tissue
US6066139A (en) * 1996-05-14 2000-05-23 Sherwood Services Ag Apparatus and method for sterilization and embolization
US6179832B1 (en) * 1997-09-11 2001-01-30 Vnus Medical Technologies, Inc. Expandable catheter having two sets of electrodes
US6241727B1 (en) * 1998-05-27 2001-06-05 Irvine Biomedical, Inc. Ablation catheter system having circular lesion capabilities
DE60238178D1 (de) * 2001-01-16 2010-12-16 Cytyc Surgical Products Palo A Vorrichtung und verfahren zur behandlung des venösen reflux
US6922579B2 (en) * 2002-12-12 2005-07-26 Scimed Life Systems, Inc. La placian electrode
US20040204705A1 (en) * 2003-04-10 2004-10-14 Scimed Life Systems, Inc. Cryotreatment devices and methods of forming conduction blocks
JP5046931B2 (ja) * 2004-08-05 2012-10-10 タイコ ヘルスケア グループ リミテッド パートナーシップ 中空の解剖学的構造を凝固させかつ／または狭窄させる方法および装置

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