JP2016144642A - 遠距離場電極を備えるバスケットカテーテル - Google Patents
遠距離場電極を備えるバスケットカテーテル Download PDFInfo
- Publication number
- JP2016144642A JP2016144642A JP2016021513A JP2016021513A JP2016144642A JP 2016144642 A JP2016144642 A JP 2016144642A JP 2016021513 A JP2016021513 A JP 2016021513A JP 2016021513 A JP2016021513 A JP 2016021513A JP 2016144642 A JP2016144642 A JP 2016144642A
- Authority
- JP
- Japan
- Prior art keywords
- electrode
- basket
- spline
- shaped assembly
- splines
- 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
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6858—Catheters with a distal basket, e.g. expandable basket
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- 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
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6859—Catheters with multiple distal splines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
-
- 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
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
-
- 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
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00357—Endocardium
-
- 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
- A61B2018/00577—Ablation
-
- 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
- A61B2018/1405—Electrodes having a specific shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Cardiology (AREA)
- Physiology (AREA)
- Signal Processing (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Human Computer Interaction (AREA)
- Artificial Intelligence (AREA)
- Psychiatry (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Surgical Instruments (AREA)
Abstract
Description
(1) 装置であって、
細長いカテーテル本体を有するカテーテルであって、前記カテーテル本体が内部の近位端と、遠位端と、前記カテーテル本体を通る少なくとも1つのルーメンとを有する、カテーテルと、
前記カテーテル本体の前記遠位端におけるバスケット形状のアセンブリであって、前記バスケット形状のアセンブリが長手方向軸線と、近位先端部と、遠位先端部とを有し、前記近位先端部及び前記遠位先端部において接続された複数のスプラインを備え、前記スプラインが複数のスプライン電極を備え、前記バスケット形状のアセンブリは、前記スプラインが径方向外側に弓状に曲がっている膨張状態の配置で、及び前記スプラインが前記カテーテル本体の前記長手方向軸線に概ね沿って配列されている潰れた状態の配置で構成可能である、バスケット形状のアセンブリと、
前記膨張したバスケット形状のアセンブリの前記内部に配置された遠距離場電極と、を備える装置。
(2) 前記遠距離場電極が前記バスケット形状のアセンブリの長手方向の対称軸上に配置されることを更に含む、実施態様1に記載の装置。
(3) 前記遠距離場電極が、前記スプライン電極から少なくとも0.5cmだけ離間している、実施態様1に記載の装置。
(4) 前記バスケット形状のアセンブリを引き込み、膨張させるための収縮ワイヤを更に含み、前記収縮ワイヤが前記バスケット形状のアセンブリの前記遠位先端部に装着され、その長手方向の対称軸を形成し、前記遠距離場電極が前記収縮ワイヤ上に配置されている、実施態様1に記載の装置。
(5) それぞれのスプラインの前記スプライン電極の組は、前記バスケット形状のアセンブリの前記近位先端部から等距離であり、前記遠距離場電極は、前記スプライン電極の前記組の対応する部材から等距離である、実施態様1に記載の装置。
(7) 前記スプラインのそれぞれが、前記スプライン電極の1つ又は2つ以上が装着される非導電性外側表面を有し、前記スプライン電極がリング電極を備える、実施態様1に記載の装置。
(8) 前記スプラインのそれぞれが、内部可撓性ワイヤと、前記スプライン電極の1つ又は2つ以上が装着される、前記可撓性ワイヤ上の非導電性被覆と、を備え、前記スプライン電極がリング電極を備える、実施態様1に記載の装置。
(9) 前記内部可撓性ワイヤがニチノールを含む、実施態様8に記載の装置。
(10) 前記バスケット形状のアセンブリが、3〜5個のスプラインを有する、実施態様1に記載の装置。
(12) 方法であって、
被験者の心臓内にカテーテルを挿入する工程であって、前記カテーテルが細長いカテーテル本体を有し、前記カテーテル本体が内部の近位端と、遠位端と、前記カテーテル本体を通る少なくとも1つのルーメンとを有し、前記カテーテル本体の前記遠位端におけるバスケット形状のアセンブリを有し、前記バスケット形状のアセンブリが長手方向軸線と、近位先端部と、遠位先端部とを有し、前記近位先端部及び前記遠位先端部において接続された複数のスプラインを備え、前記スプラインが複数のスプライン電極を備え、前記バスケット形状のアセンブリが、前記スプラインが径方向外側に弓状に曲がっている膨張状態の配置で、及び前記スプラインが前記カテーテル本体の前記長手方向軸線に概ね沿って配列されている潰れた状態の配置で構成可能であり、前記カテーテルが前記膨張したバスケット形状のアセンブリの前記内部に配置された遠距離場電極を有する、工程と、
前記バスケット形状のアセンブリを膨張させて前記スプライン電極の少なくとも1つを前記心臓の表面に接触させる工程と、
その後、前記スプライン電極の前記少なくとも1つを用いて心内電位図を受信し、前記遠距離場電極を用いて遠距離場電位図を受信する工程であって、前記心内電位図は近距離場の成分及び遠距離場の成分を有する、工程と
前記心内電位図に前記遠距離場電位図を適用することによって前記近距離場の成分を保持しながら前記心内電位図から前記遠距離場の成分を除去して、修正された心内電位図を生成する工程と、
前記修正された心内電位図を報告する工程と、を含む方法。
(13) 前記遠距離場の成分を除去する工程が、前記心内電位図から前記遠距離場電位図を減ずる工程を含む、実施態様12に記載の方法。
(14) 前記遠距離場電極が前記バスケット形状のアセンブリの長手方向の対称軸上に配置されることを更に含む、実施態様12に記載の方法。
(15) 前記遠距離場電極が、前記スプライン電極から少なくとも0.5cmだけ離間している、実施態様12に記載の方法。
(17) それぞれのスプラインの前記スプライン電極の組は、前記バスケット形状のアセンブリの前記近位先端部から等距離であり、前記遠距離場電極は、前記スプライン電極の前記組の対応する部材から等距離である、実施態様12に記載の方法。
(18) 前記バスケット形状のアセンブリが、前記バスケット形状のアセンブリの前記遠位先端部又はそれより遠位に装着された遠位電極位置センサと、前記バスケット形状のアセンブリの前記近位先端部又はそれより近位に装着された近位電極位置センサとを更に含み、前記方法が、
前記近位電極位置センサの座標に対する前記遠位電極位置センサの座標を決定する工程と、
前記座標を前記バスケット形状のアセンブリの前記スプラインの曲率に関する既知の情報とともに用いて前記スプライン電極のそれぞれの位置を決定する工程と、を更に含む、実施態様12に記載の方法。
(19) 前記スプラインのそれぞれが、内部可撓性ワイヤと、前記スプライン電極の1つ又は2つ以上が装着される、前記可撓性ワイヤ上の非導電性被覆と、を備え、前記スプライン電極がリング電極を備える、実施態様12に記載の方法。
(20) 前記バスケット形状のアセンブリが、3〜5個のスプラインを有する、実施態様12に記載の方法。
Claims (11)
- 装置であって、
細長いカテーテル本体を有するカテーテルであって、前記カテーテル本体が内部の近位端と、遠位端と、前記カテーテル本体を通る少なくとも1つのルーメンとを有する、カテーテルと、
前記カテーテル本体の前記遠位端におけるバスケット形状のアセンブリであって、前記バスケット形状のアセンブリが長手方向軸線と、近位先端部と、遠位先端部とを有し、前記近位先端部及び前記遠位先端部において接続された複数のスプラインを備え、前記スプラインが複数のスプライン電極を備え、前記バスケット形状のアセンブリは、前記スプラインが径方向外側に弓状に曲がっている膨張状態の配置で、及び前記スプラインが前記カテーテル本体の前記長手方向軸線に概ね沿って配列されている潰れた状態の配置で構成可能である、バスケット形状のアセンブリと、
前記膨張したバスケット形状のアセンブリの前記内部に配置された遠距離場電極と、を備える装置。 - 前記遠距離場電極が前記バスケット形状のアセンブリの長手方向の対称軸上に配置されることを更に含む、請求項1に記載の装置。
- 前記遠距離場電極が、前記スプライン電極から少なくとも0.5cmだけ離間している、請求項1に記載の装置。
- 前記バスケット形状のアセンブリを引き込み、膨張させるための収縮ワイヤを更に含み、前記収縮ワイヤが前記バスケット形状のアセンブリの前記遠位先端部に装着され、その長手方向の対称軸を形成し、前記遠距離場電極が前記収縮ワイヤ上に配置されている、請求項1に記載の装置。
- それぞれのスプラインの前記スプライン電極の組は、前記バスケット形状のアセンブリの前記近位先端部から等距離であり、前記遠距離場電極は、前記スプライン電極の前記組の対応する部材から等距離である、請求項1に記載の装置。
- 前記バスケット形状のアセンブリの前記遠位先端部又はそれより遠位に装着された遠位電極位置センサと、前記バスケット形状のアセンブリの前記近位先端部又はそれより近位に装着された近位電極位置センサと、を更に含み、それによって、使用中に前記近位電極位置センサの座標に対する前記遠位電極位置センサの座標を決定し、これを、前記バスケット形状のアセンブリの前記スプラインの曲率に関する既知の情報とともに用いて前記スプライン電極のそれぞれの位置を決定することができる、請求項1に記載の装置。
- 前記スプラインのそれぞれが、前記スプライン電極の1つ又は2つ以上が装着される非導電性外側表面を有し、前記スプライン電極がリング電極を備える、請求項1に記載の装置。
- 前記スプラインのそれぞれが、内部可撓性ワイヤと、前記スプライン電極の1つ又は2つ以上が装着される、前記可撓性ワイヤ上の非導電性被覆と、を備え、前記スプライン電極がリング電極を備える、請求項1に記載の装置。
- 前記内部可撓性ワイヤがニチノールを含む、請求項8に記載の装置。
- 前記バスケット形状のアセンブリが、3〜5個のスプラインを有する、請求項1に記載の装置。
- 前記遠距離場電極がリング電極である、請求項1に記載の装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/616,811 US9833161B2 (en) | 2015-02-09 | 2015-02-09 | Basket catheter with far-field electrode |
US14/616,811 | 2015-02-09 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016144642A true JP2016144642A (ja) | 2016-08-12 |
JP6903399B2 JP6903399B2 (ja) | 2021-07-14 |
Family
ID=55405122
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016021513A Active JP6903399B2 (ja) | 2015-02-09 | 2016-02-08 | 遠距離場電極を備えるバスケットカテーテル |
Country Status (8)
Country | Link |
---|---|
US (3) | US9833161B2 (ja) |
EP (1) | EP3053517B1 (ja) |
JP (1) | JP6903399B2 (ja) |
CN (1) | CN105852843B (ja) |
AU (1) | AU2016200548A1 (ja) |
CA (1) | CA2919643A1 (ja) |
ES (1) | ES2763532T3 (ja) |
IL (1) | IL243799B (ja) |
Families Citing this family (33)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9474486B2 (en) | 2013-03-08 | 2016-10-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket for a multi-electrode array catheter |
US9833161B2 (en) * | 2015-02-09 | 2017-12-05 | Biosense Webster (Israel) Ltd. | Basket catheter with far-field electrode |
DE102015226846A1 (de) * | 2015-12-30 | 2017-07-06 | Olympus Winter & Ibe Gmbh | Elektrochirurgiesystem zum Generieren von hochfrequentem Wechselstrom |
US20170312008A1 (en) | 2016-05-02 | 2017-11-02 | Affera, Inc. | Pulsed radiofrequency ablation |
US11246534B2 (en) * | 2017-01-23 | 2022-02-15 | Biosense Webster (Israel) Ltd. | Basket catheter made from flexible circuit board with mechanical strengthening |
US20180310987A1 (en) | 2017-04-27 | 2018-11-01 | Biosense Webster (Israel) Ltd. | Systems and processes for map-guided automatic cardiac ablation |
US11109788B2 (en) * | 2017-07-17 | 2021-09-07 | Biosense Webster (Israel) Ltd. | Catheter with Fibonacci distributed electrodes |
JP7082199B2 (ja) | 2017-11-28 | 2022-06-07 | セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド | 制御可能な展開可能カテーテル |
US20190314083A1 (en) | 2018-04-11 | 2019-10-17 | Biosense Webster (Israel) Ltd. | Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes |
US10912484B2 (en) | 2018-07-09 | 2021-02-09 | Biosense Webster (Israel) Ltd. | Multiplexing of high count electrode catheter(s) |
US11452484B2 (en) * | 2018-10-25 | 2022-09-27 | Biosense Webster (Israel) Ltd. | Electrodes on double-sided printed circuit board (PCB) to cancel far-held signal |
US11660050B2 (en) | 2018-10-25 | 2023-05-30 | Biosense Webster (Israel) Ltd | Balloon catheter with diagnostic electrodes, far field electrodes, and guidewire |
US11596324B2 (en) | 2018-10-25 | 2023-03-07 | Biosense Webster (Israel) Ltd. | Combined active current location (ACL) and tissue proximity indication (TPI) system |
US11045628B2 (en) | 2018-12-11 | 2021-06-29 | Biosense Webster (Israel) Ltd. | Balloon catheter with high articulation |
US11219398B2 (en) | 2019-03-07 | 2022-01-11 | Biosense Webster (Israel) Ltd. | Device, system and use of a catheter system to record and map cardiac rhythm |
US11850051B2 (en) | 2019-04-30 | 2023-12-26 | Biosense Webster (Israel) Ltd. | Mapping grid with high density electrode array |
WO2020236558A1 (en) * | 2019-05-17 | 2020-11-26 | Mayo Foundation For Medical Education And Research | Catheters that deliver pulsed electrical field for targeted cellular ablation |
US11541212B2 (en) * | 2019-10-18 | 2023-01-03 | Biosense Wester (Israel) Ltd. | Verifying proper withdrawal of catheter into sheath |
US11950930B2 (en) | 2019-12-12 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Multi-dimensional acquisition of bipolar signals from a catheter |
JP2023506263A (ja) * | 2019-12-16 | 2023-02-15 | アフェラ, インコーポレイテッド | 肺静脈絶縁カテーテルおよび関連付けられるデバイス、システム、ならびに方法 |
US11517218B2 (en) | 2019-12-20 | 2022-12-06 | Biosense Webster (Israel) Ltd. | Selective graphical presentation of electrophysiological parameters |
US20210187241A1 (en) * | 2019-12-20 | 2021-06-24 | Biosense Webster (Israel) Ltd. | Expandable Assembly Catheter |
US11987017B2 (en) | 2020-06-08 | 2024-05-21 | Biosense Webster (Israel) Ltd. | Features to assist in assembly and testing of devices |
IL285293B1 (en) * | 2020-08-27 | 2024-05-01 | Biosense Webster Israel Ltd | Far-field removal from intracardiac signals |
US11950840B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes |
US11950841B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes and diagnostic electrodes |
US11974803B2 (en) | 2020-10-12 | 2024-05-07 | Biosense Webster (Israel) Ltd. | Basket catheter with balloon |
US11918383B2 (en) | 2020-12-21 | 2024-03-05 | Biosense Webster (Israel) Ltd. | Visualizing performance of catheter electrodes |
USD1014762S1 (en) | 2021-06-16 | 2024-02-13 | Affera, Inc. | Catheter tip with electrode panel(s) |
DE102021117566A1 (de) * | 2021-07-07 | 2023-01-12 | Karl Storz Se & Co. Kg | Aktivelektrode für elektrochirurgisches Instrument |
IL296210A (en) | 2021-09-09 | 2023-04-01 | Biosense Webster Israel Ltd | A basket catheter with a far end in the shape of a mushroom |
US20230106727A1 (en) | 2021-10-04 | 2023-04-06 | Biosense Webster (Israel) Ltd. | Electrophysiological Mapping in the Presence of Injury Current |
US20230112251A1 (en) | 2021-10-08 | 2023-04-13 | Biosense Webster (Israel) Ltd. | Measuring tissue proximity for multi-electrode catheter |
Citations (9)
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 |
US6014579A (en) * | 1997-07-21 | 2000-01-11 | Cardiac Pathways Corp. | Endocardial mapping catheter with movable electrode |
US6240307B1 (en) * | 1993-09-23 | 2001-05-29 | Endocardial Solutions, Inc. | Endocardial mapping system |
EP1169973A1 (en) * | 2000-07-07 | 2002-01-09 | Biosense, Inc. | Bipolar mapping of intracardiac potentials |
EP1319364A2 (en) * | 2001-12-14 | 2003-06-18 | Biosense Webster, Inc. | Multiple electrode mapping catheter with location sensor |
JP2009183687A (ja) * | 2007-11-29 | 2009-08-20 | Biosense Webster Inc | コンプレックス細分化心房電位図を使用した心臓内神経節および叢の位置の決定 |
US20130345583A1 (en) * | 2012-06-20 | 2013-12-26 | Boston Scientific Scimed, Inc. | Suppression of global activity during multi-channel electrophysiology mapping using a whitening filter |
US20140180151A1 (en) * | 2012-12-20 | 2014-06-26 | Boston Scientific Scimed, Inc. | Suppression of global activation signals during anatomical mapping |
US20140257069A1 (en) * | 2013-03-08 | 2014-09-11 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket for a multi-electrode array catheter |
Family Cites Families (45)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5772590A (en) | 1992-06-30 | 1998-06-30 | Cordis Webster, Inc. | Cardiovascular catheter with laterally stable basket-shaped electrode array with puller wire |
WO1994006349A1 (en) * | 1992-09-23 | 1994-03-31 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
US5860974A (en) * | 1993-07-01 | 1999-01-19 | Boston Scientific Corporation | Heart ablation catheter with expandable electrode and method of coupling energy to an electrode on a catheter shaft |
US5738096A (en) | 1993-07-20 | 1998-04-14 | Biosense, Inc. | Cardiac electromechanics |
US5391199A (en) | 1993-07-20 | 1995-02-21 | Biosense, Inc. | Apparatus and method for treating cardiac arrhythmias |
ATE253864T1 (de) | 1994-08-19 | 2003-11-15 | Biosense Inc | Medizinisches diagnose-, behandlungs- und darstellungssystem |
US6690963B2 (en) | 1995-01-24 | 2004-02-10 | Biosense, Inc. | System for determining the location and orientation of an invasive medical instrument |
US5711305A (en) * | 1995-02-17 | 1998-01-27 | Ep Technologies, Inc. | Systems and methods for acquiring endocardially or epicardially paced electrocardiograms |
US6064905A (en) | 1998-06-18 | 2000-05-16 | Cordis Webster, Inc. | Multi-element tip electrode mapping catheter |
US6226542B1 (en) | 1998-07-24 | 2001-05-01 | Biosense, Inc. | Three-dimensional reconstruction of intrabody organs |
US6301496B1 (en) | 1998-07-24 | 2001-10-09 | Biosense, Inc. | Vector mapping of three-dimensionally reconstructed intrabody organs and method of display |
US6236883B1 (en) | 1999-02-03 | 2001-05-22 | The Trustees Of Columbia University In The City Of New York | Methods and systems for localizing reentrant circuits from electrogram features |
US6748588B1 (en) * | 1999-03-31 | 2004-06-08 | Microsoft Corporation | One-pass greedy-pattern-matching finite-state-machine code generation |
US6892091B1 (en) | 2000-02-18 | 2005-05-10 | Biosense, Inc. | Catheter, method and apparatus for generating an electrical map of a chamber of the heart |
US6669692B1 (en) | 2000-08-21 | 2003-12-30 | Biosense Webster, Inc. | Ablation catheter with cooled linear electrode |
US6847839B2 (en) | 2001-07-30 | 2005-01-25 | The Trustees Of Columbia University In The City Of New York | System and method for determining reentrant ventricular tachycardia isthmus location and shape for catheter ablation |
US6814733B2 (en) | 2002-01-31 | 2004-11-09 | Biosense, Inc. | Radio frequency pulmonary vein isolation |
US6749255B2 (en) * | 2002-06-21 | 2004-06-15 | Lear Corporation | Blow molded multiple function assemblies for vehicle headliners |
US6997924B2 (en) | 2002-09-17 | 2006-02-14 | Biosense Inc. | Laser pulmonary vein isolation |
US7156816B2 (en) | 2002-11-26 | 2007-01-02 | Biosense, Inc. | Ultrasound pulmonary vein isolation |
JP2008523929A (ja) | 2004-12-21 | 2008-07-10 | シドニー ウエスト エリア ヘルス サービス | 電気生理学データの自動処理 |
US7536218B2 (en) | 2005-07-15 | 2009-05-19 | Biosense Webster, Inc. | Hybrid magnetic-based and impedance-based position sensing |
US7756576B2 (en) | 2005-08-26 | 2010-07-13 | Biosense Webster, Inc. | Position sensing and detection of skin impedance |
US8600472B2 (en) * | 2008-12-30 | 2013-12-03 | Biosense Webster (Israel), Ltd. | Dual-purpose lasso catheter with irrigation using circumferentially arranged ring bump electrodes |
US8712550B2 (en) * | 2008-12-30 | 2014-04-29 | Biosense Webster, Inc. | Catheter with multiple electrode assemblies for use at or near tubular regions of the heart |
US20110112396A1 (en) * | 2009-11-09 | 2011-05-12 | Magnetecs, Inc. | System and method for targeting catheter electrodes |
CN201642315U (zh) * | 2010-05-06 | 2010-11-24 | 北京博莱德光电技术开发有限公司 | 一种射频消融电极 |
US9579200B2 (en) | 2010-09-15 | 2017-02-28 | The United States Of America, As Represented By The Secretary, Department Of Health & Human Services | Methods and devices for transcatheter cerclage annuloplasty |
EP2699152B1 (en) | 2011-04-22 | 2015-11-04 | Topera, Inc. | Basket style cardiac mapping catheter having an atraumatic basket tip for detection of cardiac rhythm disorders |
US8778448B2 (en) | 2011-07-21 | 2014-07-15 | International Business Machines Corporation | Method of stabilizing hydrogenated amorphous silicon and amorphous hydrogenated silicon alloys |
US10791950B2 (en) * | 2011-09-30 | 2020-10-06 | Biosense Webster (Israel) Ltd. | In-vivo calibration of contact force-sensing catheters using auto zero zones |
US10064678B2 (en) * | 2011-10-26 | 2018-09-04 | Medtronic Ablation Frontiers Llc | Semi-circular pulmonary vein ablation catheter |
WO2013106557A1 (en) * | 2012-01-10 | 2013-07-18 | Boston Scientific Scimed, Inc. | Electrophysiology system |
US9833157B2 (en) | 2012-04-23 | 2017-12-05 | Biosense Webster (Israel) Ltd. | Cardiac activation time detection |
US9554847B2 (en) | 2012-07-02 | 2017-01-31 | Biosense Webster (Israel) Ltd. | Real time assessment of ablation from electrocardiogram signals |
US9220425B2 (en) | 2012-09-17 | 2015-12-29 | Magnetecs Corp. | Method and apparatus for measuring biopotential and mapping ephaptic coupling employing a catheter with MOSFET sensor array |
US8577450B1 (en) * | 2012-07-23 | 2013-11-05 | Biosense Webster (Israel) Ltd. | Graphic interface for multi-spine probe |
US9439578B2 (en) | 2012-12-27 | 2016-09-13 | Boston Scientific Scimed, Inc. | Artifact cancellation to suppress far-field activation during electrophysiology mapping |
WO2015027191A1 (en) * | 2013-08-22 | 2015-02-26 | Cardionxt, Inc. | Methods, systems, and apparatus for identification and characterization of rotors associated with atrial fibrillation |
US9554718B2 (en) | 2014-01-29 | 2017-01-31 | Biosense Webster (Israel) Ltd. | Double bipolar configuration for atrial fibrillation annotation |
US9380953B2 (en) | 2014-01-29 | 2016-07-05 | Biosense Webster (Israel) Ltd. | Hybrid bipolar/unipolar detection of activation wavefront |
EP3139830A4 (en) * | 2014-05-05 | 2018-01-24 | Cardionxt, Inc. | Methods, systems, and apparatus for identification, characterization, and treatment of rotors associated with fibrillation |
US20170296084A1 (en) * | 2014-09-18 | 2017-10-19 | University Of Utah Research Foundation | Cardiac mapping catheter |
US9421061B2 (en) | 2014-12-18 | 2016-08-23 | Biosense Webster (Israel) Ltd. | Ventricular far field reduction |
US9833161B2 (en) * | 2015-02-09 | 2017-12-05 | Biosense Webster (Israel) Ltd. | Basket catheter with far-field electrode |
-
2015
- 2015-02-09 US US14/616,811 patent/US9833161B2/en active Active
-
2016
- 2016-01-27 IL IL243799A patent/IL243799B/en active IP Right Grant
- 2016-01-29 AU AU2016200548A patent/AU2016200548A1/en not_active Abandoned
- 2016-02-02 CA CA2919643A patent/CA2919643A1/en not_active Abandoned
- 2016-02-05 CN CN201610082465.5A patent/CN105852843B/zh active Active
- 2016-02-08 EP EP16154609.8A patent/EP3053517B1/en active Active
- 2016-02-08 JP JP2016021513A patent/JP6903399B2/ja active Active
- 2016-02-08 ES ES16154609T patent/ES2763532T3/es active Active
-
2017
- 2017-03-07 US US15/451,742 patent/US10045707B2/en active Active
-
2018
- 2018-08-14 US US16/103,706 patent/US20180344188A1/en not_active Abandoned
Patent Citations (10)
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 |
US6240307B1 (en) * | 1993-09-23 | 2001-05-29 | Endocardial Solutions, Inc. | Endocardial mapping system |
US6014579A (en) * | 1997-07-21 | 2000-01-11 | Cardiac Pathways Corp. | Endocardial mapping catheter with movable electrode |
EP1169973A1 (en) * | 2000-07-07 | 2002-01-09 | Biosense, Inc. | Bipolar mapping of intracardiac potentials |
EP1319364A2 (en) * | 2001-12-14 | 2003-06-18 | Biosense Webster, Inc. | Multiple electrode mapping catheter with location sensor |
US6748255B2 (en) * | 2001-12-14 | 2004-06-08 | Biosense Webster, Inc. | Basket catheter with multiple location sensors |
JP2009183687A (ja) * | 2007-11-29 | 2009-08-20 | Biosense Webster Inc | コンプレックス細分化心房電位図を使用した心臓内神経節および叢の位置の決定 |
US20130345583A1 (en) * | 2012-06-20 | 2013-12-26 | Boston Scientific Scimed, Inc. | Suppression of global activity during multi-channel electrophysiology mapping using a whitening filter |
US20140180151A1 (en) * | 2012-12-20 | 2014-06-26 | Boston Scientific Scimed, Inc. | Suppression of global activation signals during anatomical mapping |
US20140257069A1 (en) * | 2013-03-08 | 2014-09-11 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket for a multi-electrode array catheter |
Also Published As
Publication number | Publication date |
---|---|
EP3053517B1 (en) | 2019-10-16 |
ES2763532T3 (es) | 2020-05-29 |
CN105852843A (zh) | 2016-08-17 |
US10045707B2 (en) | 2018-08-14 |
US20170172442A1 (en) | 2017-06-22 |
EP3053517A1 (en) | 2016-08-10 |
JP6903399B2 (ja) | 2021-07-14 |
IL243799A0 (en) | 2016-07-31 |
AU2016200548A1 (en) | 2016-08-25 |
CN105852843B (zh) | 2021-04-16 |
US9833161B2 (en) | 2017-12-05 |
CA2919643A1 (en) | 2016-08-09 |
US20160228023A1 (en) | 2016-08-11 |
IL243799B (en) | 2020-04-30 |
US20180344188A1 (en) | 2018-12-06 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6903399B2 (ja) | 遠距離場電極を備えるバスケットカテーテル | |
CN109259854B (zh) | 具有斐波那契分布的电极的导管 | |
CN103860264B (zh) | 具有末端电极的环状标测导管 | |
RU2526964C2 (ru) | Двухцелевой катетер лассо с ирригацией | |
JP5788205B2 (ja) | 環状に配置されたリングバンプ電極を使用した、灌注を伴う二重目的ラッソーカテーテル | |
AU2014253459B2 (en) | Using catheter position and temperature measurement to detect movement from ablation point | |
US11350991B2 (en) | All-in-one spiral catheter | |
JP7297765B2 (ja) | 内部遠位端を有するバルーンカテーテル | |
CN111683616B (zh) | 具有内部远侧端部的球囊导管 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20190208 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20200128 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20200210 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20200430 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20200908 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20201023 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20201110 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20210210 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20210409 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20210507 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20210525 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20210623 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6903399 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |