JP2017506096A - 双極電極上の温度センサの代替配置 - Google Patents
双極電極上の温度センサの代替配置 Download PDFInfo
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- 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
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- 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
- A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
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- 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
- A61B2018/0022—Balloons
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- 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
- A61B2018/00404—Blood vessels other than those in or around the heart
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- 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
- A61B2018/00434—Neural system
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- 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
- A61B2018/00505—Urinary tract
- A61B2018/00511—Kidney
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- 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
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- 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
- 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
- A61B2018/1465—Deformable electrodes
-
- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Abstract
Description
本開示は様々な変形および別例の形態に柔軟であるが、その具体例は図面に例示され、詳細に後述する。しかしながら、本発明を所定の実施形態に限定することを意図したものではないものといえる。逆に、本開示の趣旨および範囲内にあるすべての変更、均等物、および別例をカバーするものと意図される。
すべての数値は、明示的に示されているかを問わず、用語「約」によって修飾されるものと仮定する。用語「約」は、数値の文脈において、通常記載の値に相当すると当業者が考える(すなわち、同じ機能あるいは結果を有する)数値範囲を示す。多くの実例において、用語「約」は、最も近い有効数字に端数を切り捨てられる数を含む。用語「約」の他の用途(すなわち、数値以外の文脈における)は、別段の定めがない限り、明細書の文脈から理解され、明細書の文脈に一致するように、その通常の慣習的な定義を有すると仮定される。
本明細書および添付の特許請求の範囲において使用されるように、単数「a」、「an」および「the」は、内容が他の方法で明白に示されない限り、複数の指示物を含む。本明細書および添付の特許請求の範囲において使用されるように、用語「あるいは」は、特に明確な記載がない限り、通常その意味において「および/または」を含んで使用される。
Claims (15)
- 組織アブレーション用の医療器具であって、
カテーテル・シャフトと、
同カテーテル・シャフト上に配置されるとともに、非拡張形態と拡張形態との間を変化可能である拡張可能なバルーンと、
各々フレキシブル回路として構成される複数の長尺状電極アセンブリとを備え、同複数の電極アセンブリは各々、少なくとも第1および第2の離間した配列に配置される複数の電極を含み、該複数の電極アセンブリは前記バルーンの外側表面上に配置され、
前記複数の電極アセンブリの各々は、前記配列内の2つ以上の前記電極と一列に並べられる1つ以上の温度センサを含むことを特徴とする組織アブレーション用の医療器具。 - 前記第1の配列は複数の活性電極を含み、前記第2の配列は複数の外側電極を含むことを特徴とする請求項1に記載の医療器具。
- 各温度センサは電極の下に位置されることを特徴とする請求項1また2に記載の医療器具。
- 各温度センサは前記配列内の2つの前記電極間に位置されることを特徴とする請求項1また2に記載の医療器具。
- 前記外側電極は接地トレース上に配置され、前記1つ以上の温度センサは前記接地トレースを共有することを特徴とする請求項2乃至4のうちのいずれか一項に記載の医療器具。
- 前記複数の長尺状電極アセンブリの各々は、1枚以上の積層のポリマ・銅のシートから形成され、前記外側電極はポリマ層の凹部に形成され、前記1つ以上の温度センサは2つの前記外側電極間の凹部に配置されることを特徴とする請求項4または5に記載の医療器具。
- 前記1つ以上の積層のポリマ・銅のシートは、2つの積層シートを含み、各シートは、銅の層に積層されるポリマの層を含み、前記シートは、第2のシートのポリマ層に第1のシートの銅層を取り付けることにより構成され、前記外側電極は、前記第1のシートの前記ポリマ層に形成され、前記1つ以上の温度センサは、前記第2のシートの前記銅層に取り付けられ、ビア(via)が前記第1および第2のシートの前記銅層を連結することを特徴とする請求項6に記載の医療器具。
- 前記1つ以上の温度センサは前記複数の電極アセンブリの各々の底部に配置され、同底部は、前記バルーンの前記外側表面に取り付けられることを特徴とする請求項1乃至6のうちのいずれか一項に記載の医療器具。
- 前記複数の電極アセンブリは、前記バルーンと一体的に広げられ、折り畳まれるように構成されることを特徴とする請求項1乃至8のうちのいずれか一項に記載の医療器具。
- 前記バルーンは非従順なバルーンであることを特徴とする請求項9に記載の医療器具。
- 前記複数の長尺状電極アセンブリは、前記複数の電極の下を、かつ前記複数の電極間を延びる基層を含み、前記第1の配列と前記第2の配列との間の前記基層の一部は取り払われることを特徴とする請求項1乃至10のうちのいずれか一項に記載の医療器具。
- 前記1つ以上の温度センサはサーミスタであることを特徴とする請求項1乃至11のうちのいずれか一項に記載の医療器具。
- 前記第1および第2の配列の電極は線形に並べられることを特徴とする請求項1乃至12のうちのいずれか一項に記載の医療器具。
- 各温度センサは、各電極アセンブリ上のもっとも近位側の外側電極に近位側に配置されることを特徴とする請求項2乃至13のうちのいずれか一項に記載の医療器具。
- 各温度センサは、スパッタリングされた熱電対であることを特徴とする請求項1乃至11、13、および14のうちのいずれか一項に記載の医療器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201461935685P | 2014-02-04 | 2014-02-04 | |
US61/935,685 | 2014-02-04 | ||
PCT/US2015/014099 WO2015119890A1 (en) | 2014-02-04 | 2015-02-02 | Alternative placement of thermal sensors on bipolar electrode |
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JP2017506096A true JP2017506096A (ja) | 2017-03-02 |
JP2017506096A5 JP2017506096A5 (ja) | 2018-03-08 |
JP6325121B2 JP6325121B2 (ja) | 2018-05-16 |
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JP2016549792A Active JP6325121B2 (ja) | 2014-02-04 | 2015-02-02 | 双極電極上の温度センサの代替配置 |
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US (3) | US9907609B2 (ja) |
EP (2) | EP3424453A1 (ja) |
JP (1) | JP6325121B2 (ja) |
CN (1) | CN106572881B (ja) |
WO (1) | WO2015119890A1 (ja) |
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US11116571B2 (en) | 2021-09-14 |
EP3102136B1 (en) | 2018-06-27 |
EP3424453A1 (en) | 2019-01-09 |
CN106572881A (zh) | 2017-04-19 |
US20180140356A1 (en) | 2018-05-24 |
US9907609B2 (en) | 2018-03-06 |
US20150216591A1 (en) | 2015-08-06 |
JP6325121B2 (ja) | 2018-05-16 |
US20210353357A1 (en) | 2021-11-18 |
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WO2015119890A1 (en) | 2015-08-13 |
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