JP2015526177A5 - - Google Patents
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- JP2015526177A5 JP2015526177A5 JP2015527780A JP2015527780A JP2015526177A5 JP 2015526177 A5 JP2015526177 A5 JP 2015526177A5 JP 2015527780 A JP2015527780 A JP 2015527780A JP 2015527780 A JP2015527780 A JP 2015527780A JP 2015526177 A5 JP2015526177 A5 JP 2015526177A5
- Authority
- JP
- Japan
- Prior art keywords
- mapping
- catheter
- guide catheter
- distal end
- ablation
- 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.)
- Granted
Links
- 238000002679 ablation Methods 0.000 claims description 51
- 210000005036 nerve Anatomy 0.000 claims description 38
- 210000002254 renal artery Anatomy 0.000 claims description 28
- 238000013507 mapping Methods 0.000 claims description 10
- 238000001514 detection method Methods 0.000 claims description 4
- 238000002604 ultrasonography Methods 0.000 claims description 4
- 238000005452 bending Methods 0.000 claims 3
- RTZKZFJDLAIYFH-UHFFFAOYSA-N ether Substances CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 claims 1
- 125000001033 ether group Chemical group 0.000 claims 1
- 239000012530 fluid Substances 0.000 claims 1
- KHYBPSFKEHXSLX-UHFFFAOYSA-N iminotitanium Chemical compound [Ti]=N KHYBPSFKEHXSLX-UHFFFAOYSA-N 0.000 claims 1
- 229910001000 nickel titanium Inorganic materials 0.000 claims 1
- 238000007789 sealing Methods 0.000 claims 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims 1
- 230000036772 blood pressure Effects 0.000 description 22
- 230000002889 sympathetic effect Effects 0.000 description 14
- 238000000034 method Methods 0.000 description 13
- 206010020772 Hypertension Diseases 0.000 description 6
- 210000000702 aorta abdominal Anatomy 0.000 description 5
- 230000006461 physiological response Effects 0.000 description 4
- 210000001367 artery Anatomy 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000035488 systolic blood pressure Effects 0.000 description 3
- 230000003247 decreasing effect Effects 0.000 description 2
- 230000002638 denervation Effects 0.000 description 2
- 230000035487 diastolic blood pressure Effects 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 230000001631 hypertensive effect Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 238000007674 radiofrequency ablation Methods 0.000 description 2
- 230000008660 renal denervation Effects 0.000 description 2
- 229920003264 Maprenal® Polymers 0.000 description 1
- 229910000566 Platinum-iridium alloy Inorganic materials 0.000 description 1
- 206010063544 Renal embolism Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 239000002220 antihypertensive agent Substances 0.000 description 1
- 229940127088 antihypertensive drug Drugs 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000004872 arterial blood pressure Effects 0.000 description 1
- 239000002934 diuretic Substances 0.000 description 1
- 229940030606 diuretics Drugs 0.000 description 1
- 238000011833 dog model Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 231100000957 no side effect Toxicity 0.000 description 1
- 210000005037 parasympathetic nerve Anatomy 0.000 description 1
- HWLDNSXPUQTBOD-UHFFFAOYSA-N platinum-iridium alloy Chemical class [Ir].[Pt] HWLDNSXPUQTBOD-UHFFFAOYSA-N 0.000 description 1
- 230000008085 renal dysfunction Effects 0.000 description 1
- 230000003730 sympathetic denervation Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Applications Claiming Priority (9)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261693019P | 2012-08-24 | 2012-08-24 | |
| IBPCT/IB2012/054303 | 2012-08-24 | ||
| US61/693,019 | 2012-08-24 | ||
| IBPCT/IB2012/054310 | 2012-08-24 | ||
| PCT/IB2012/054310 WO2013030743A1 (en) | 2011-08-26 | 2012-08-24 | System and method for locating and identifying functional nerves innervating wall of arteries and catheters for same |
| PCT/IB2012/054303 WO2013030738A1 (en) | 2011-08-26 | 2012-08-24 | System and method for locating and identifying functional nerves innervating wall of arteries |
| CN201310070820.3A CN103271766B (zh) | 2012-08-24 | 2013-03-06 | 一种用于标测和消融位于肾动脉上所分布的肾神经的装置 |
| CN201310070820.3 | 2013-03-06 | ||
| PCT/CN2013/082135 WO2014029355A1 (en) | 2012-08-24 | 2013-08-23 | Device for mapping and ablating renal nerves distributed on the renal artery |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2017240531A Division JP6449978B2 (ja) | 2012-08-24 | 2017-12-15 | 腎動脈に分布する腎神経をマッピングし、アブレーションするデバイス |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2015526177A JP2015526177A (ja) | 2015-09-10 |
| JP2015526177A5 true JP2015526177A5 (enExample) | 2016-11-24 |
| JP6574134B2 JP6574134B2 (ja) | 2019-09-11 |
Family
ID=50150851
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2015527780A Active JP6574134B2 (ja) | 2012-08-24 | 2013-08-23 | 腎動脈に分布する腎神経をマッピングし、アブレーションするデバイス |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP2887900B1 (enExample) |
| JP (1) | JP6574134B2 (enExample) |
| KR (1) | KR101590005B1 (enExample) |
| CN (3) | CN103271766B (enExample) |
| AU (1) | AU2013305279B2 (enExample) |
| WO (1) | WO2014029355A1 (enExample) |
Families Citing this family (58)
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|---|---|---|---|---|
| US7653438B2 (en) | 2002-04-08 | 2010-01-26 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
| US20070021803A1 (en) | 2005-07-22 | 2007-01-25 | The Foundry Inc. | Systems and methods for neuromodulation for treatment of pain and other disorders associated with nerve conduction |
| EP2092957B2 (en) | 2006-06-28 | 2019-11-20 | Medtronic Ardian Luxembourg S.à.r.l. | Systems for thermally-induced renal neuromodulation |
| WO2012061153A1 (en) | 2010-10-25 | 2012-05-10 | Medtronic Ardian Luxembourg S.A.R.L. | Devices, systems and methods for evaluation and feedback of neuromodulation treatment |
| AU2012303696B2 (en) | 2011-08-26 | 2014-05-29 | Symap Medical (Suzhou), Ltd | System and method for locating and identifying functional nerves innervating wall of arteries |
| US8702619B2 (en) | 2011-08-26 | 2014-04-22 | Symap Holding Limited | Mapping sympathetic nerve distribution for renal ablation and catheters for same |
| CN103271766B (zh) * | 2012-08-24 | 2015-08-26 | 苏州信迈医疗器械有限公司 | 一种用于标测和消融位于肾动脉上所分布的肾神经的装置 |
| US9820811B2 (en) | 2011-08-26 | 2017-11-21 | Symap Medical (Suzhou), Ltd | System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same |
| EP2775899B1 (en) | 2011-11-07 | 2017-08-23 | Medtronic Ardian Luxembourg S.à.r.l. | Endovascular nerve monitoring devices and associated systems |
| SG11201406006XA (en) | 2012-01-26 | 2014-11-27 | Autonomix Medical Inc | Controlled sympathectomy and micro-ablation systems and methods |
| US9649064B2 (en) | 2012-01-26 | 2017-05-16 | Autonomix Medical, Inc. | Controlled sympathectomy and micro-ablation systems and methods |
| CN104271062B (zh) | 2012-03-08 | 2017-07-07 | 美敦力Af卢森堡有限责任公司 | 采用神经调节装置的生物标志物取样和相关系统及方法 |
| WO2013181137A1 (en) | 2012-05-29 | 2013-12-05 | Landy Toth | Endoscopic sympathectomy systems and methods |
| CN104902836B (zh) | 2012-11-05 | 2017-08-08 | 毕达哥拉斯医疗有限公司 | 受控组织消融 |
| US9770593B2 (en) | 2012-11-05 | 2017-09-26 | Pythagoras Medical Ltd. | Patient selection using a transluminally-applied electric current |
| CA2889674C (en) | 2012-11-05 | 2023-02-28 | Autonomix Medical, Inc. | Systems, methods, and devices for monitoring and treatment of tissues within and/or through a lumen wall |
| EP4445853A1 (en) | 2012-12-09 | 2024-10-16 | Autonomix Medical, Inc. | Systems and methods for regulating organ and/or tumor growth rates, function, and/or development |
| WO2014145146A1 (en) | 2013-03-15 | 2014-09-18 | Medtronic Ardian Luxembourg S.A.R.L. | Controlled neuromodulation systems and methods of use |
| SG11201507936UA (en) | 2013-03-27 | 2015-10-29 | Autonomix Medical Inc | Neurological traffic and receptor evaluation and modification: systems and methods |
| US9326816B2 (en) | 2013-08-30 | 2016-05-03 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods |
| US9339332B2 (en) | 2013-08-30 | 2016-05-17 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation catheters with nerve monitoring features for transmitting digital neural signals and associated systems and methods |
| US10136944B2 (en) | 2013-10-15 | 2018-11-27 | Autonomix Medical, Inc. | Systems and methods for treating cancer and/or augmenting organ function |
| CA2926088C (en) | 2013-10-15 | 2023-02-14 | Autonomix Medical, Inc. | Systems and methods for treating cancer and/or augmenting organ function |
| US10433902B2 (en) | 2013-10-23 | 2019-10-08 | Medtronic Ardian Luxembourg S.A.R.L. | Current control methods and systems |
| 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 |
| EP3139853B1 (en) * | 2014-05-07 | 2018-12-19 | Pythagoras Medical Ltd. | Controlled tissue ablation apparatus |
| CN104068931A (zh) * | 2014-06-04 | 2014-10-01 | 远见企业有限公司 | 一种具有可旋转扁平电极的去肾动脉交感神经消融导管 |
| WO2016025323A1 (en) | 2014-08-10 | 2016-02-18 | Autonomix Medical, Inc. | Ans assessment systems, kits, and methods |
| US11154712B2 (en) | 2014-08-28 | 2021-10-26 | Medtronic Ardian Luxembourg S.A.R.L. | Methods for assessing efficacy of renal neuromodulation and associated systems and devices |
| EP4389044A3 (en) | 2014-10-01 | 2024-09-11 | Medtronic Ardian Luxembourg S.à.r.l. | Systems and methods for evaluating neuromodulation therapy via hemodynamic responses |
| US10667736B2 (en) | 2014-12-17 | 2020-06-02 | Medtronic Ardian Luxembourg S.A.R.L. | Systems and methods for assessing sympathetic nervous system tone for neuromodulation therapy |
| CN105796126B (zh) * | 2014-12-31 | 2019-03-22 | 上海形状记忆合金材料有限公司 | 肾动脉去交感的检测装置 |
| US10383685B2 (en) | 2015-05-07 | 2019-08-20 | Pythagoras Medical Ltd. | Techniques for use with nerve tissue |
| US11547480B2 (en) | 2015-07-21 | 2023-01-10 | Koninklijke Philips N.V. | System for stimulating renal nerves |
| CN108882884B (zh) | 2015-10-21 | 2022-05-31 | 奥托诺米克斯医药有限公司 | 心脏组织的受控和精确治疗 |
| WO2017199240A2 (en) | 2016-05-18 | 2017-11-23 | Pythagoras Medical Ltd. | Helical catheter |
| CN107617161B (zh) * | 2016-07-13 | 2020-12-11 | 台湾共振波研发股份有限公司 | 高血压舒缓系统 |
| EP4640265A2 (en) * | 2016-10-26 | 2025-10-29 | Mayo Foundation for Medical Education and Research | Stenosis prevention and ablation delivery system |
| US10231784B2 (en) | 2016-10-28 | 2019-03-19 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and systems for optimizing perivascular neuromodulation therapy using computational fluid dynamics |
| KR102024824B1 (ko) * | 2017-05-31 | 2019-09-24 | 주식회사 세종메디칼 | 외과수술용 의료장치 |
| DE102017112482A1 (de) | 2017-06-07 | 2018-12-13 | Omicron-Laserage Laserprodukte Gmbh | Positioniervorrichtung zur Positionierung einer lichtleitenden Faser in einem Kalibrationsport |
| US10456056B2 (en) * | 2017-06-21 | 2019-10-29 | Biosense Webster (Israel) Ltd. | Combination torso vest to map cardiac electrophysiology |
| US11521738B2 (en) | 2017-10-18 | 2022-12-06 | Autonomix Medical, Inc. | Medical devices with circuitry for capturing and processing physiological signals |
| US12082917B2 (en) | 2018-01-24 | 2024-09-10 | Medtronic Ireland Manufacturing Unlimited Company | Systems, devices, and methods for assessing efficacy of renal neuromodulation therapy |
| KR102136319B1 (ko) * | 2018-05-16 | 2020-07-21 | 주식회사 세종메디칼 | 외과수술용 의료장치 |
| US11633120B2 (en) | 2018-09-04 | 2023-04-25 | Medtronic Ardian Luxembourg S.A.R.L. | Systems and methods for assessing efficacy of renal neuromodulation therapy |
| JP2022503833A (ja) | 2018-10-06 | 2022-01-12 | サイマップ メディカル （スーチョウ）， リミテッド | 動脈の壁を神経支配する機能性神経をマッピングするためのシステムと方法、そのための３ｄマッピング、およびカテーテル |
| CN110051390B (zh) * | 2019-05-27 | 2024-07-23 | 江兴华 | 一种疼痛治疗用电刺激射频外鞘导管 |
| CN110575604A (zh) * | 2019-10-14 | 2019-12-17 | 苏州法兰克曼医疗器械有限公司 | 一种具有角度调节装置的医疗器械 |
| CN114145733B (zh) * | 2020-09-07 | 2024-10-01 | 先健科技(深圳)有限公司 | 测量装置、测量系统和测量方法 |
| CN113616318B (zh) * | 2021-09-06 | 2022-05-20 | 上海康德莱医疗器械股份有限公司 | 一种肾交感神经消融系统及方法 |
| CN114569237A (zh) * | 2022-02-09 | 2022-06-03 | 高传玉 | 去肾动脉交感神经术用射频消融系统及射频消融钳 |
| CN115192179B (zh) * | 2022-06-06 | 2025-12-05 | 绍兴梅奥心磁医疗科技有限公司 | 一种机器人异形弯可视化鞘及手术装置 |
| US20240091502A1 (en) * | 2022-09-20 | 2024-03-21 | Biosense Webster (Israel) Ltd. | Catheter shaft with multi-plane articulation and rotation |
| CN115844519B (zh) * | 2022-12-07 | 2024-01-23 | 四川锦江电子医疗器械科技股份有限公司 | 一种电极可进入组织内部的导管组件 |
| CN116870385A (zh) * | 2023-06-01 | 2023-10-13 | 重庆医科大学 | 一种超声导管及标测和消融一体的超声治疗装置 |
| KR102655015B1 (ko) * | 2023-06-07 | 2024-04-05 | (주)알에프메디컬 | 갑상선 고주파 소작용 전극 |
| CN117204913B (zh) * | 2023-09-26 | 2025-12-05 | 深圳迈微医疗科技有限公司 | 消融导管及消融设备 |
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| US20100168739A1 (en) * | 2008-12-31 | 2010-07-01 | Ardian, Inc. | Apparatus, systems, and methods for achieving intravascular, thermally-induced renal neuromodulation |
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| US20120265198A1 (en) * | 2010-11-19 | 2012-10-18 | Crow Loren M | Renal nerve detection and ablation apparatus and method |
| US10016233B2 (en) * | 2010-12-06 | 2018-07-10 | Biosense Webster (Israel) Ltd. | Treatment of atrial fibrillation using high-frequency pacing and ablation of renal nerves |
| US20120184952A1 (en) * | 2011-01-19 | 2012-07-19 | Jenson Mark L | Low-profile off-wall electrode device for renal nerve ablation |
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| CN103442659A (zh) * | 2011-01-28 | 2013-12-11 | 美敦力阿迪安卢森堡有限公司 | 装备有形状记忆材料的消融导管 |
| CN102125460B (zh) * | 2011-04-15 | 2012-11-28 | 深圳市惠泰医疗器械有限公司 | 肾动脉射频消融导管及其制备方法 |
| CN103271766B (zh) * | 2012-08-24 | 2015-08-26 | 苏州信迈医疗器械有限公司 | 一种用于标测和消融位于肾动脉上所分布的肾神经的装置 |
| AU2012303696B2 (en) * | 2011-08-26 | 2014-05-29 | Symap Medical (Suzhou), Ltd | System and method for locating and identifying functional nerves innervating wall of arteries |
| US8702619B2 (en) * | 2011-08-26 | 2014-04-22 | Symap Holding Limited | Mapping sympathetic nerve distribution for renal ablation and catheters for same |
| CN102551874B (zh) * | 2011-10-20 | 2015-07-22 | 上海微创电生理医疗科技有限公司 | 肾动脉射频消融导管 |
| CN102631240A (zh) * | 2012-04-13 | 2012-08-15 | 上海微创电生理医疗科技有限公司 | 冷盐水灌注型射频消融导管 |
| CN202843784U (zh) * | 2012-08-29 | 2013-04-03 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经消融导管系统 |
| CN202761434U (zh) * | 2012-08-29 | 2013-03-06 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经多功能消融导管系统 |
| CN102885648B (zh) * | 2012-08-29 | 2015-03-18 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经消融导管系统 |
| CN102885649B (zh) * | 2012-08-29 | 2015-01-21 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经射频线控消融导管系统 |
| CN102908188B (zh) * | 2012-08-29 | 2015-04-08 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经射频消融导管系统 |
| CN102908189B (zh) * | 2012-08-29 | 2015-04-08 | 中国人民解放军第三军医大学第一附属医院 | 肾脏去交感神经多功能消融导管系统 |
-
2013
- 2013-03-06 CN CN201310070820.3A patent/CN103271766B/zh active Active
- 2013-03-06 CN CN2013201007390U patent/CN203138452U/zh not_active Expired - Lifetime
- 2013-03-06 CN CN201310070218.XA patent/CN103284693B/zh active Active
- 2013-08-23 KR KR1020157007087A patent/KR101590005B1/ko active Active
- 2013-08-23 AU AU2013305279A patent/AU2013305279B2/en active Active
- 2013-08-23 WO PCT/CN2013/082135 patent/WO2014029355A1/en not_active Ceased
- 2013-08-23 JP JP2015527780A patent/JP6574134B2/ja active Active
- 2013-08-23 EP EP13830265.8A patent/EP2887900B1/en active Active
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