JP2012517864A - 電気生理学的装置に流体を供給する装置および方法 - Google Patents

電気生理学的装置に流体を供給する装置および方法 Download PDF

Info

Publication number
JP2012517864A
JP2012517864A JP2011550304A JP2011550304A JP2012517864A JP 2012517864 A JP2012517864 A JP 2012517864A JP 2011550304 A JP2011550304 A JP 2011550304A JP 2011550304 A JP2011550304 A JP 2011550304A JP 2012517864 A JP2012517864 A JP 2012517864A
Authority
JP
Japan
Prior art keywords
temperature
flow rate
fluid flow
fluid
tissue coagulation
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.)
Pending
Application number
JP2011550304A
Other languages
English (en)
Japanese (ja)
Other versions
JP2012517864A5 (enExample
Inventor
ラジ サブラマニアム，
ポール ロシェ，
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems 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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of JP2012517864A publication Critical patent/JP2012517864A/ja
Publication of JP2012517864A5 publication Critical patent/JP2012517864A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • 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
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00744—Fluid flow
    • 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
    • A61B2018/00791—Temperature
    • 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)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
JP2011550304A 2009-02-17 2010-02-15 電気生理学的装置に流体を供給する装置および方法 Pending JP2012517864A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15310109P 2009-02-17 2009-02-17
US61/153,101 2009-02-17
PCT/US2010/024236 WO2010096362A1 (en) 2009-02-17 2010-02-15 Apparatus and methods for supplying fluid to an electrophysiology apparatus

Publications (2)

Publication Number Publication Date
JP2012517864A true JP2012517864A (ja) 2012-08-09
JP2012517864A5 JP2012517864A5 (enExample) 2013-02-28

Family

ID=42236311

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011550304A Pending JP2012517864A (ja) 2009-02-17 2010-02-15 電気生理学的装置に流体を供給する装置および方法

Country Status (4)

Country Link
US (1) US8702693B2 (enExample)
EP (1) EP2398415B1 (enExample)
JP (1) JP2012517864A (enExample)
WO (1) WO2010096362A1 (enExample)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014132463A1 (ja) * 2013-02-28 2014-09-04 日本ライフライン株式会社 カテーテルシステム
WO2014132476A1 (ja) * 2013-02-28 2014-09-04 日本ライフライン株式会社 カテーテルシステム
JP2020171692A (ja) * 2019-04-08 2020-10-22 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． 潅注アブレーションにおける温度制御システム及び温度制御方法

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2211981A1 (en) * 2007-10-09 2010-08-04 Boston Scientific Limited Electrophysiology electrodes and apparatus including the same
US9023030B2 (en) 2007-10-09 2015-05-05 Boston Scientific Scimed, Inc. Cooled ablation catheter devices and methods of use
US10695126B2 (en) 2008-10-06 2020-06-30 Santa Anna Tech Llc Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue
US9226791B2 (en) 2012-03-12 2016-01-05 Advanced Cardiac Therapeutics, Inc. Systems for temperature-controlled ablation using radiometric feedback
US8954161B2 (en) 2012-06-01 2015-02-10 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature and detecting tissue contact prior to and during tissue ablation
US9277961B2 (en) 2009-06-12 2016-03-08 Advanced Cardiac Therapeutics, Inc. Systems and methods of radiometrically determining a hot-spot temperature of tissue being treated
US8926605B2 (en) 2012-02-07 2015-01-06 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature during tissue ablation
US9855094B2 (en) * 2010-12-28 2018-01-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Multi-rate fluid flow and variable power delivery for ablation electrode assemblies used in catheter ablation procedures
US8814857B2 (en) 2010-12-17 2014-08-26 St. Jude Medical, Atrial Filbrillation Division, Inc. Irrigated ablation electrode assemblies
US10335230B2 (en) * 2011-03-09 2019-07-02 Covidien Lp Systems for thermal-feedback-controlled rate of fluid flow to fluid-cooled antenna assembly and methods of directing energy to tissue using same
CN102865912B (zh) * 2012-09-07 2014-12-10 珠海沃姆电子有限公司 动态尿液监测器及动态尿液监测仪
US9188492B2 (en) * 2013-08-13 2015-11-17 Long Van Ha Apparatus for detecting fluid temperature and level in a container
KR20170107428A (ko) 2014-11-19 2017-09-25 어드밴스드 카디악 테라퓨틱스, 인크. 고분해능 전극 어셈블리를 이용한 절제 장치, 시스템 및 방법
CA2967829A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. Systems and methods for high-resolution mapping of tissue
JP6673598B2 (ja) 2014-11-19 2020-03-25 エピックス 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
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
CA3017269A1 (en) 2016-03-15 2017-09-21 Epix Therapeutics, Inc. Improved devices, systems and methods for irrigated ablation
US12364537B2 (en) 2016-05-02 2025-07-22 Santa Anna Tech Llc Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue
US11331140B2 (en) 2016-05-19 2022-05-17 Aqua Heart, Inc. Heated vapor ablation systems and methods for treating cardiac conditions
ES3039648T3 (en) 2016-10-04 2025-10-23 Avent Inc Cooled rf probes
CN110809448B (zh) 2017-04-27 2022-11-25 Epix疗法公司 确定导管尖端与组织之间接触的性质
US20200155223A1 (en) * 2018-11-20 2020-05-21 Biosense Webster (Israel) Ltd. Irrigation control during ablation
US20200155225A1 (en) * 2018-11-20 2020-05-21 Biosense Webster (Israel) Ltd. Irrigation control during ablation
US11432872B2 (en) * 2019-02-28 2022-09-06 Biosense Webster (Israel) Ltd. Energy-guided radiofrequency (RF) ablation
EP4090276A4 (en) * 2020-01-15 2024-05-08 Aqua Medical, Inc. STEAM ABLATION SYSTEM WITH SIMPLIFIED STEAM RELEASE CONTROL
CN117500449A (zh) * 2021-06-16 2024-02-02 柯惠有限合伙公司 利用温度来预测和/或控制热扩散的外科手术系统和方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10507093A (ja) * 1994-06-27 1998-07-14 イーピー テクノロジーズ， インコーポレイテッド 監視制御予測温度の利用による生体組織加熱アブレーションシステム及び方法
JP2002503513A (ja) * 1998-02-19 2002-02-05 キューロン メディカル，インコーポレイテッド 異常筋電性活性の検出および電気外科的処置のための器具
US20030208193A1 (en) * 2002-05-06 2003-11-06 Van Wyk Robert A. Method and system for monitoring fluid temperature during arthroscopic electrosurgery
JP2004008583A (ja) * 2002-06-07 2004-01-15 Aloka Co Ltd 電気手術装置

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5342357A (en) 1992-11-13 1994-08-30 American Cardiac Ablation Co., Inc. Fluid cooled electrosurgical cauterization system
US5462521A (en) 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5437664A (en) * 1994-01-18 1995-08-01 Endovascular, Inc. Apparatus and method for venous ligation
US6053912A (en) 1995-05-01 2000-04-25 Ep Techonologies, Inc. Systems and methods for sensing sub-surface temperatures in body tissue during ablation with actively cooled electrodes
US6575969B1 (en) 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US6475213B1 (en) 1996-01-19 2002-11-05 Ep Technologies, Inc. Method of ablating body tissue
AU2224499A (en) 1998-01-14 1999-08-02 Curon Medical, Inc. Electrosurgical apparatus for treating gastroesophageal reflux disease (gerd) and method
US7165551B2 (en) * 1998-02-19 2007-01-23 Curon Medical, Inc. Apparatus to detect and treat aberrant myoelectric activity
AU3672299A (en) 1998-04-30 1999-11-16 Stuart D Edwards Electrosurgical sphincter treatment apparatus
US6466818B1 (en) 1999-01-15 2002-10-15 Biosense Webster, Inc. Porous irrigated tip electrode catheter
US6287297B1 (en) 1999-03-05 2001-09-11 Plc Medical Systems, Inc. Energy delivery system and method for performing myocardial revascular
EP1263341B1 (en) 2000-03-06 2008-06-11 Salient Surgical Technologies, Inc. Fluid delivery system and controller for electrosurgical devices
US6494202B2 (en) * 2000-12-07 2002-12-17 Michael W. Farmer Inhalation therapy assembly and method
US7235070B2 (en) 2003-07-02 2007-06-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation fluid manifold for ablation catheter
US7951143B2 (en) 2006-12-28 2011-05-31 St. Jude Medical, Artial Fibrillation Divsion, Inc. Cooled ablation catheter with reciprocating flow

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10507093A (ja) * 1994-06-27 1998-07-14 イーピー テクノロジーズ， インコーポレイテッド 監視制御予測温度の利用による生体組織加熱アブレーションシステム及び方法
JP2002503513A (ja) * 1998-02-19 2002-02-05 キューロン メディカル，インコーポレイテッド 異常筋電性活性の検出および電気外科的処置のための器具
US20030208193A1 (en) * 2002-05-06 2003-11-06 Van Wyk Robert A. Method and system for monitoring fluid temperature during arthroscopic electrosurgery
JP2004008583A (ja) * 2002-06-07 2004-01-15 Aloka Co Ltd 電気手術装置

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014132463A1 (ja) * 2013-02-28 2014-09-04 日本ライフライン株式会社 カテーテルシステム
WO2014132476A1 (ja) * 2013-02-28 2014-09-04 日本ライフライン株式会社 カテーテルシステム
JP2014166237A (ja) * 2013-02-28 2014-09-11 Japan Lifeline Co Ltd カテーテルシステム
JP2014166236A (ja) * 2013-02-28 2014-09-11 Japan Lifeline Co Ltd カテーテルシステム
KR20150113076A (ko) * 2013-02-28 2015-10-07 니혼라이프라인 가부시키가이샤 카테터 시스템
KR101652659B1 (ko) * 2013-02-28 2016-08-30 니혼라이프라인 가부시키가이샤 카테터 시스템
KR101737253B1 (ko) * 2013-02-28 2017-05-17 니혼라이프라인 가부시키가이샤 카테터 시스템
JP2020171692A (ja) * 2019-04-08 2020-10-22 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． 潅注アブレーションにおける温度制御システム及び温度制御方法
JP7446894B2 (ja) 2019-04-08 2024-03-11 バイオセンス・ウエブスター・（イスラエル）・リミテッド 潅注アブレーションにおける温度制御システム及び温度制御方法

Also Published As

Publication number Publication date
US8702693B2 (en) 2014-04-22
WO2010096362A1 (en) 2010-08-26
US20100211070A1 (en) 2010-08-19
EP2398415A1 (en) 2011-12-28
EP2398415B1 (en) 2014-03-26

Similar Documents

Publication Publication Date Title
US8702693B2 (en) Apparatus and methods for supplying fluid to an electrophysiology apparatus
US20110160726A1 (en) Apparatus and methods for fluid cooled electrophysiology procedures
JP7238034B2 (ja) 温度制御された短時間アブレーション
EP1278472B1 (en) Variable length electrodes for delivery of irrigated ablation
US6740080B2 (en) Ablation system with selectable current path means
EP2840996B1 (en) System for detecting tissue contact during ablation
US5334193A (en) Fluid cooled ablation catheter
US20110152857A1 (en) Apparatus and Methods For Electrophysiology Procedures
EP1769763B1 (en) System for creating lesions using bipolar electrodes
AU2019280061B2 (en) Irrigated electrodes with enhanced heat conduction
CN107019554B (zh) 温度受控的短持续时间消融
JP2019013759A (ja) 複数の電極を用いる温度制御式短時間アブレーション
EP3481317A1 (en) Bi-polar tissue ablation device and methods of use thereof
WO2011008681A1 (en) Open-irrigated ablation catheter with turbulent flow
CN106994043B (zh) 温度受控的短持续时间消融
CN107019553B (zh) 温度受控的短持续时间消融
JP7772352B2 (ja) インピーダンスに基づく不可逆電気穿孔（ｉｒｅ）
JP2024045716A (ja) 温度制御されたパルスｒｆアブレーション
EP3072468B1 (en) Medical ablation system with reduced stray heating
JP7352011B2 (ja) アブレーション制御システム
US20240335222A1 (en) Flow rate control for a cooled medical probe assembly

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120606

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20130110

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20130110

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20131018

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20131107

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20140401