JP2016512072A - 心不全処置のための心膜改変システムおよび方法 - Google Patents

心不全処置のための心膜改変システムおよび方法 Download PDF

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JP2016512072A
JP2016512072A JP2016501148A JP2016501148A JP2016512072A JP 2016512072 A JP2016512072 A JP 2016512072A JP 2016501148 A JP2016501148 A JP 2016501148A JP 2016501148 A JP2016501148 A JP 2016501148A JP 2016512072 A JP2016512072 A JP 2016512072A
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pericardial
pericardium
tissue
heart
patient
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JP2016512072A5 (enExample
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サミュエル ジェイ． アシルヴァサム
サミュエル ジェイ． アシルヴァサム
バリー エイ． ボーローグ
バリー エイ． ボーローグ
ボイテク メレノフスキー
ボイテク メレノフスキー
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メイヨ・ファウンデーション・フォー・メディカル・エデュケーション・アンド・リサーチ
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3201—Scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00225—Systems for controlling multiple different instruments, e.g. microsurgical systems
    • 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
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • 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
    • A61B2017/22038—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 with a guide wire
    • A61B2017/22039—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 with a guide wire eccentric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2906—Multiple forceps
    • 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
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • External Artificial Organs (AREA)
JP2016501148A 2013-03-11 2014-03-11 心不全処置のための心膜改変システムおよび方法 Pending JP2016512072A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361776483P 2013-03-11 2013-03-11
US61/776,483 2013-03-11
US201361798382P 2013-03-15 2013-03-15
US61/798,382 2013-03-15
PCT/US2014/023081 WO2014164641A1 (en) 2013-03-11 2014-03-11 Pericardial modification systems and methods for heart failure treatment

Publications (2)

Publication Number Publication Date
JP2016512072A true JP2016512072A (ja) 2016-04-25
JP2016512072A5 JP2016512072A5 (enExample) 2017-03-30

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JP2016501148A Pending JP2016512072A (ja) 2013-03-11 2014-03-11 心不全処置のための心膜改変システムおよび方法

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US (5) US10307179B2 (enExample)
EP (2) EP2967524B1 (enExample)
JP (1) JP2016512072A (enExample)
ES (1) ES2960367T3 (enExample)
WO (1) WO2014164641A1 (enExample)

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JP2018202160A (ja) * 2017-06-01 2018-12-27 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． 横隔神経刺激の自動検出

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US10799358B2 (en) 2016-04-12 2020-10-13 Lars Erickson Catheter system for selectively manipulating and connecting cardiac tissues
US10159569B2 (en) * 2016-04-12 2018-12-25 Lars Erickson Minimally invasive atrio-ventricular valve treatment by chordae adjustment
US10736632B2 (en) 2016-07-06 2020-08-11 Evalve, Inc. Methods and devices for valve clip excision
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US10426616B2 (en) 2016-11-17 2019-10-01 Evalve, Inc. Cardiac implant delivery system
US10686715B2 (en) 2018-05-09 2020-06-16 Biosig Technologies, Inc. Apparatus and methods for removing a large-signal voltage offset from a biomedical signal
WO2020014502A1 (en) * 2018-07-11 2020-01-16 Lars Erickson Catheter system for selectively manipulating and connecting cardiac tissues
US12102531B2 (en) 2018-10-22 2024-10-01 Evalve, Inc. Tissue cutting systems, devices and methods
US11779390B2 (en) 2018-12-26 2023-10-10 Biosense Webster (Israel) Ltd. Pericardium catheter including camera for guiding cutting through pericardium
US11918282B2 (en) * 2020-04-17 2024-03-05 Biosense Webster (Israel) Ltd. Pressure relief feature for irrigated RF balloon catheter
US12171486B2 (en) 2020-05-06 2024-12-24 Evalve, Inc. Devices and methods for clip separation
US12414811B2 (en) 2020-05-06 2025-09-16 Evalve, Inc. Devices and methods for leaflet cutting
US12048448B2 (en) 2020-05-06 2024-07-30 Evalve, Inc. Leaflet grasping and cutting device
US12171485B2 (en) 2020-05-06 2024-12-24 Evalve, Inc. Systems and methods for leaflet cutting using a hook catheter
US12178444B2 (en) 2020-05-06 2024-12-31 Evalve, Inc. Clip removal systems and methods
JP7524454B2 (ja) * 2020-07-17 2024-07-29 ボストン サイエンティフィック メディカル デバイス リミテッド 心膜穿刺のためのシステム及び方法
EP4507595A1 (en) * 2022-05-26 2025-02-19 Edwards Lifesciences Corporation Pericardical transection devices and method
WO2023229940A1 (en) * 2022-05-26 2023-11-30 Edwards Lifesciences Corporation Pericardial transection device with retractable cutting apparatus
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WO2023235261A1 (en) * 2022-05-31 2023-12-07 Edwards Lifesciences Corporation Pericardial transection devices and method
WO2023235264A1 (en) * 2022-05-31 2023-12-07 Edwards Lifesciences Corporation Pericardial transection device with retractable cutting apparatus
WO2023235265A1 (en) * 2022-05-31 2023-12-07 Edwards Lifesciences Corporation Transection pathways for reducing pericardial restraint
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Publication number Priority date Publication date Assignee Title
JP2018202160A (ja) * 2017-06-01 2018-12-27 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． 横隔神経刺激の自動検出
JP7126866B2 (ja) 2017-06-01 2022-08-29 バイオセンス・ウエブスター・（イスラエル）・リミテッド 横隔神経刺激の自動検出

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US20200178995A1 (en) 2020-06-11
US20190262019A1 (en) 2019-08-29
US20230181208A1 (en) 2023-06-15
US20250366877A1 (en) 2025-12-04
US10307179B2 (en) 2019-06-04
WO2014164641A1 (en) 2014-10-09
ES2960367T3 (es) 2024-03-04
EP2967524B1 (en) 2019-09-04
EP3636177A1 (en) 2020-04-15
EP3636177B1 (en) 2023-07-19
US11612405B2 (en) 2023-03-28
US10603062B2 (en) 2020-03-31
EP2967524A1 (en) 2016-01-20
US12414789B2 (en) 2025-09-16
EP2967524A4 (en) 2016-11-02
US20160015410A1 (en) 2016-01-21

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