JP2010514516A - Ａｖ溝の近傍を焼灼するための装置及び方法 - Google Patents

Ａｖ溝の近傍を焼灼するための装置及び方法 Download PDF

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Publication number
JP2010514516A
JP2010514516A JP2009544236A JP2009544236A JP2010514516A JP 2010514516 A JP2010514516 A JP 2010514516A JP 2009544236 A JP2009544236 A JP 2009544236A JP 2009544236 A JP2009544236 A JP 2009544236A JP 2010514516 A JP2010514516 A JP 2010514516A
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Prior art keywords
ablation
heart
electrode
signal
pacing
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JP2009544236A
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Japanese (ja)
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JP2010514516A5 (enExample
Inventor
ジョナサン ポッドモア
マティアス ヴァスカ
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セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド
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Publication of JP2010514516A publication Critical patent/JP2010514516A/ja
Publication of JP2010514516A5 publication Critical patent/JP2010514516A5/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N7/022—Localised ultrasound hyperthermia intracavitary
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/2202—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2251—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3625—External stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0078—Ultrasound therapy with multiple treatment transducers

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)
JP2009544236A 2006-12-29 2007-12-21 Ａｖ溝の近傍を焼灼するための装置及び方法 Pending JP2010514516A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/647,280 US20080161705A1 (en) 2006-12-29 2006-12-29 Devices and methods for ablating near AV groove
PCT/US2007/088681 WO2008083113A2 (en) 2006-12-29 2007-12-21 Devices and methods for ablating near av groove

Publications (2)

Publication Number Publication Date
JP2010514516A true JP2010514516A (ja) 2010-05-06
JP2010514516A5 JP2010514516A5 (enExample) 2011-02-10

Family

ID=39584993

Family Applications (1)

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JP2009544236A Pending JP2010514516A (ja) 2006-12-29 2007-12-21 Ａｖ溝の近傍を焼灼するための装置及び方法

Country Status (4)

Country Link
US (1) US20080161705A1 (enExample)
EP (1) EP2097030A4 (enExample)
JP (1) JP2010514516A (enExample)
WO (1) WO2008083113A2 (enExample)

Cited By (1)

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Publication number Priority date Publication date Assignee Title
JP2022009087A (ja) * 2015-12-22 2022-01-14 バイオセンス・ウエブスター・（イスラエル）・リミテッド 器具を視覚化するための座標系の間の位置合せ

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JP5693471B2 (ja) 2009-02-11 2015-04-01 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． 絶縁された切除カテーテルデバイスおよびその使用法
EP2448510B1 (en) 2009-06-30 2016-08-31 Boston Scientific Scimed, Inc. Map and ablate open irrigated hybrid catheter
US9820803B2 (en) * 2010-04-28 2017-11-21 Medtronic, Inc. Subxiphoid connective lesion ablation system and method
CN103917185A (zh) 2011-09-14 2014-07-09 波士顿科学西美德公司 带有离子导电性球囊的消融装置
JP6117209B2 (ja) 2011-09-14 2017-04-19 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． 複数のアブレーションモードを備えたアブレーション装置及び同アブレーション装置を含むシステム
WO2013106557A1 (en) 2012-01-10 2013-07-18 Boston Scientific Scimed, Inc. Electrophysiology system
EP2809253B8 (en) 2012-01-31 2016-09-21 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
CN104640513A (zh) 2012-09-18 2015-05-20 波士顿科学医学有限公司 映射以及消融闭环冷却的消融导管
WO2016061002A1 (en) 2014-10-13 2016-04-21 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
CN106999080B (zh) 2014-12-18 2020-08-18 波士顿科学医学有限公司 针对病变评估的实时形态分析

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JP2005152654A (ja) * 2003-11-26 2005-06-16 Siemens Ag カテーテル装置
US20050148892A1 (en) * 1993-03-11 2005-07-07 Desai Jawahar M. Apparatus and method for cardiac ablation
WO2005113068A1 (en) * 2004-05-14 2005-12-01 Medtronic, Inc. Methods of using high intensity focused ultrasound to form an ablated tissue area
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JP2006346464A (ja) * 2005-06-16 2006-12-28 Biosense Webster Inc 脂肪パッドの低侵襲的なアブレーション方法
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JPH09509069A (ja) * 1993-10-14 1997-09-16 イーピー テクノロジーズ，インコーポレイテッド 損傷パターン形成のための電極要素
JPH10295702A (ja) * 1997-04-24 1998-11-10 Sulzer Osypka Gmbh 心臓病治療のための装置
US6027500A (en) * 1998-05-05 2000-02-22 Buckles; David S. Cardiac ablation system
US20060015165A1 (en) * 2001-12-04 2006-01-19 Bertolero Arthur A Conduction block verification probe and method of use
JP2005152654A (ja) * 2003-11-26 2005-06-16 Siemens Ag カテーテル装置
WO2005113068A1 (en) * 2004-05-14 2005-12-01 Medtronic, Inc. Methods of using high intensity focused ultrasound to form an ablated tissue area
WO2006059966A1 (en) * 2004-11-30 2006-06-08 Omnisonics Medical Technologies, Inc. Ultrasonic medical device with variable frequency drive
JP2006346464A (ja) * 2005-06-16 2006-12-28 Biosense Webster Inc 脂肪パッドの低侵襲的なアブレーション方法
JP2007244857A (ja) * 2006-02-17 2007-09-27 Biosense Webster Inc ペーシングによる破壊査定

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2022009087A (ja) * 2015-12-22 2022-01-14 バイオセンス・ウエブスター・（イスラエル）・リミテッド 器具を視覚化するための座標系の間の位置合せ
JP7483668B2 (ja) 2015-12-22 2024-05-15 バイオセンス・ウエブスター・（イスラエル）・リミテッド 器具を視覚化するための座標系の間の位置合せ

Also Published As

Publication number Publication date
EP2097030A4 (en) 2010-10-13
WO2008083113A3 (en) 2008-09-04
EP2097030A2 (en) 2009-09-09
WO2008083113A2 (en) 2008-07-10
US20080161705A1 (en) 2008-07-03

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