JP2018514361A - 空洞組織アブレーション - Google Patents
空洞組織アブレーション Download PDFInfo
- Publication number
- JP2018514361A JP2018514361A JP2018508622A JP2018508622A JP2018514361A JP 2018514361 A JP2018514361 A JP 2018514361A JP 2018508622 A JP2018508622 A JP 2018508622A JP 2018508622 A JP2018508622 A JP 2018508622A JP 2018514361 A JP2018514361 A JP 2018514361A
- Authority
- JP
- Japan
- Prior art keywords
- balloon
- fluid
- ablation device
- tissue ablation
- tissue
- 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 title claims abstract description 112
- 239000012530 fluid Substances 0.000 claims description 96
- 239000000523 sample Substances 0.000 claims description 37
- 230000004044 response Effects 0.000 claims description 22
- 230000001788 irregular Effects 0.000 claims description 9
- 230000007704 transition Effects 0.000 claims description 9
- 238000000926 separation method Methods 0.000 claims description 6
- 238000004891 communication Methods 0.000 claims description 5
- 239000012811 non-conductive material Substances 0.000 claims description 2
- 230000002093 peripheral effect Effects 0.000 abstract description 27
- 210000001519 tissue Anatomy 0.000 description 109
- 206010028980 Neoplasm Diseases 0.000 description 23
- 238000000034 method Methods 0.000 description 21
- 238000011282 treatment Methods 0.000 description 12
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 11
- 239000011780 sodium chloride Substances 0.000 description 11
- 238000013461 design Methods 0.000 description 10
- 238000002386 leaching Methods 0.000 description 8
- 201000011510 cancer Diseases 0.000 description 6
- 230000005855 radiation Effects 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 230000005484 gravity Effects 0.000 description 4
- 238000007674 radiofrequency ablation Methods 0.000 description 4
- 230000002159 abnormal effect Effects 0.000 description 3
- 230000004913 activation Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 210000000481 breast Anatomy 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 230000003287 optical effect Effects 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 238000001959 radiotherapy Methods 0.000 description 3
- 239000010409 thin film Substances 0.000 description 3
- 206010046798 Uterine leiomyoma Diseases 0.000 description 2
- 239000004020 conductor Substances 0.000 description 2
- 230000014509 gene expression Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 230000005865 ionizing radiation Effects 0.000 description 2
- 230000002262 irrigation Effects 0.000 description 2
- 238000003973 irrigation Methods 0.000 description 2
- 201000010260 leiomyoma Diseases 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 230000003211 malignant effect Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 210000003101 oviduct Anatomy 0.000 description 2
- 210000000496 pancreas Anatomy 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 210000002307 prostate Anatomy 0.000 description 2
- 239000004065 semiconductor Substances 0.000 description 2
- 210000003491 skin Anatomy 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 238000011477 surgical intervention Methods 0.000 description 2
- 210000000626 ureter Anatomy 0.000 description 2
- 208000010579 uterine corpus leiomyoma Diseases 0.000 description 2
- 201000007954 uterine fibroid Diseases 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- 238000011298 ablation treatment Methods 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 230000010261 cell growth Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000035474 group of disease Diseases 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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
- A61B18/14—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
- 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
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- 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
-
- 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
- A61B2018/00238—Balloons porous
-
- 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
- A61B2018/0025—Multiple balloons
- A61B2018/00255—Multiple balloons arranged one inside another
-
- 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
- A61B2018/00333—Breast
-
- 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
- A61B2018/00452—Skin
-
- 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
-
- 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
- A61B2018/00529—Liver
-
- 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
- A61B2018/00541—Lung or bronchi
-
- 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
- A61B2018/00547—Prostate
-
- 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
- A61B2018/00559—Female reproductive organs
-
- 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
- A61B2018/144—Wire
-
- 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
-
- 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
- A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
-
- 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)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Plasma & Fusion (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本願は、2015年4月29日に出願された米国仮出願第62/154,377号の利益およびそれに対する優先権を主張するものであり、該米国仮出願の内容は、その全体が参照により本明細書中に援用される。
本開示は、概して、医療デバイスに関し、より具体的には、組織空洞に送達され、組織空洞を包囲する周縁組織をアブレーションするように構成される、展開可能アプリケータヘッドを有する、組織アブレーションデバイスに関する。
本発明は、例えば、以下を提供する。
(項目1)
組織アブレーションデバイスであって、
近位端および遠位端を有する非伝導性伸長シャフトならびにそれを通して延在する少なくとも1つの管腔を備える、プローブと、
上記プローブの遠位端に結合される、拡張可能バルーンアセンブリであって、上記拡張可能バルーンアセンブリは、
内部表面と、その中に画定され、上記プローブの少なくとも1つの管腔と流体接続する、管腔とを有する内側バルーン壁を備える、拡張可能内側バルーンであって、上記内側バルーン壁はさらに、その上に画定された不均整表面を有する外部表面を有し、上記内側バルーンは、上記プローブの少なくとも1つの管腔から上記内側バルーンの管腔の中への第1の流体の送達に応答して、拡張構成に膨張するように構成される、拡張可能内側バルーンと、
上記内側バルーンを包囲し、上記内側バルーンの拡張に応答して、拡張構成に遷移するように構成される、拡張可能外側バルーンであって、上記外側バルーンは、内部表面、外部表面、および上記外側バルーンの内部表面と上記内側バルーンの外部表面との間に画定されたチャンバを有する、外側バルーン壁を備え、上記チャンバは、上記プローブの少なくとも1つの管腔と流体接続し、上記外側バルーン壁はさらに、上記プローブの少なくとも1つの管腔から上記チャンバの中への上記第2の流体の送達に応じて、上記チャンバから上記外側バルーンの外部表面への第2の流体の通過を可能にするように構成される、複数の穿孔を備える、拡張可能外側バルーンと、
を備える、拡張可能バルーンアセンブリと、
上記内側バルーン壁の外部表面と上記外側バルーン壁の内部表面との間の上記チャンバ内に位置付けられる複数の伝導性ワイヤを備える、電極アレイであって、上記複数の伝導性ワイヤはそれぞれ、標的組織のアブレーションのために、上記外側バルーン壁の内部表面から外部表面に上記チャンバ内の流体によって搬送されるエネルギーを伝導するように構成される、電極アレイと、
を備える、組織アブレーションデバイス。
(項目2)
上記複数の伝導性ワイヤはそれぞれ、相互から独立する、項目1に記載の組織アブレーションデバイス。
(項目3)
上記複数の伝導性ワイヤのそれぞれまたは伝導性ワイヤの組み合わせの1つまたはそれを上回るセットは、独立して、電流をエネルギー源から受け取り、独立して、エネルギーを伝導するように構成される、項目2に記載の組織アブレーションデバイス。
(項目4)
上記複数の伝導性ワイヤはそれぞれ、上記電流の受け取りに応じて、エネルギーを伝導するように構成され、上記エネルギーは、RFエネルギーを含む、項目1に記載の組織アブレーションデバイス。
(項目5)
上記複数の伝導性ワイヤはそれぞれ、上記外側バルーン壁の1つまたはそれを上回る関連付けられた穿孔と実質的に整合される、項目1に記載の組織アブレーションデバイス。
(項目6)
上記内側バルーン壁の外部表面上に画定された不均整表面は、複数の隆起を備える、項目1に記載の組織アブレーションデバイス。
(項目7)
上記複数の隆起は、上記内側バルーン壁の外部表面に沿って縦方向に延在する、項目6に記載の組織アブレーションデバイス。
(項目8)
上記複数の隆起は、上記外側バルーン壁の内側表面と接触し、上記内側バルーン壁の残りの外側表面と上記外側バルーン壁の内側表面との間の分離を維持するように構成される、項目7に記載の組織アブレーションデバイス。
(項目9)
上記複数の伝導性ワイヤはそれぞれ、2つの隣接する隆起間に位置付けられる、項目7に記載の組織アブレーションデバイス。
(項目10)
上記外側バルーン壁の複数の穿孔のうちの1つまたはそれを上回るものは、上記複数の伝導性ワイヤのうちの関連付けられた1つと実質的に整合される、項目9に記載の組織アブレーションデバイス。
(項目11)
上記内側バルーン壁の外部表面上に画定された不均整表面は、複数の突出部を備える、項目6に記載の組織アブレーションデバイス。
(項目12)
上記内側バルーンは、上記第1の流体を上記プローブの第1の管腔から受け取るように構成され、上記外側バルーンは、上記第2の流体を上記プローブの第2の管腔から受け取るように構成される、項目1に記載の組織アブレーションデバイス。
(項目13)
上記内側バルーンおよび上記外側バルーンへの上記第1の流体および上記第2の流体の送達は、それぞれ、コントローラを介して、独立して制御可能である、項目12に記載の組織アブレーションデバイス。
(項目14)
上記第1の流体および上記第2の流体は、異なる、項目1に記載の組織アブレーションデバイス。
(項目15)
上記第1の流体および上記第2の流体は、同一である、項目1に記載の組織アブレーションデバイス。
(項目16)
少なくとも上記第2の流体は、伝導性流体である、項目1に記載の組織アブレーションデバイス。
(項目17)
上記内側バルーン壁および上記外側バルーン壁は、非伝導性材料から成る、項目1に記載の組織アブレーションデバイス。
Claims (17)
- 組織アブレーションデバイスであって、
近位端および遠位端を有する非伝導性伸長シャフトならびにそれを通して延在する少なくとも1つの管腔を備える、プローブと、
前記プローブの遠位端に結合される、拡張可能バルーンアセンブリであって、前記拡張可能バルーンアセンブリは、
内部表面と、その中に画定され、前記プローブの少なくとも1つの管腔と流体接続する、管腔とを有する内側バルーン壁を備える、拡張可能内側バルーンであって、前記内側バルーン壁はさらに、その上に画定された不均整表面を有する外部表面を有し、前記内側バルーンは、前記プローブの少なくとも1つの管腔から前記内側バルーンの管腔の中への第1の流体の送達に応答して、拡張構成に膨張するように構成される、拡張可能内側バルーンと、
前記内側バルーンを包囲し、前記内側バルーンの拡張に応答して、拡張構成に遷移するように構成される、拡張可能外側バルーンであって、前記外側バルーンは、内部表面、外部表面、および前記外側バルーンの内部表面と前記内側バルーンの外部表面との間に画定されたチャンバを有する、外側バルーン壁を備え、前記チャンバは、前記プローブの少なくとも1つの管腔と流体接続し、前記外側バルーン壁はさらに、前記プローブの少なくとも1つの管腔から前記チャンバの中への前記第2の流体の送達に応じて、前記チャンバから前記外側バルーンの外部表面への第2の流体の通過を可能にするように構成される、複数の穿孔を備える、拡張可能外側バルーンと、
を備える、拡張可能バルーンアセンブリと、
前記内側バルーン壁の外部表面と前記外側バルーン壁の内部表面との間の前記チャンバ内に位置付けられる複数の伝導性ワイヤを備える、電極アレイであって、前記複数の伝導性ワイヤはそれぞれ、標的組織のアブレーションのために、前記外側バルーン壁の内部表面から外部表面に前記チャンバ内の流体によって搬送されるエネルギーを伝導するように構成される、電極アレイと、
を備える、組織アブレーションデバイス。 - 前記複数の伝導性ワイヤはそれぞれ、相互から独立する、請求項1に記載の組織アブレーションデバイス。
- 前記複数の伝導性ワイヤのそれぞれまたは伝導性ワイヤの組み合わせの1つまたはそれを上回るセットは、独立して、電流をエネルギー源から受け取り、独立して、エネルギーを伝導するように構成される、請求項2に記載の組織アブレーションデバイス。
- 前記複数の伝導性ワイヤはそれぞれ、前記電流の受け取りに応じて、エネルギーを伝導するように構成され、前記エネルギーは、RFエネルギーを含む、請求項1に記載の組織アブレーションデバイス。
- 前記複数の伝導性ワイヤはそれぞれ、前記外側バルーン壁の1つまたはそれを上回る関連付けられた穿孔と実質的に整合される、請求項1に記載の組織アブレーションデバイス。
- 前記内側バルーン壁の外部表面上に画定された不均整表面は、複数の隆起を備える、請求項1に記載の組織アブレーションデバイス。
- 前記複数の隆起は、前記内側バルーン壁の外部表面に沿って縦方向に延在する、請求項6に記載の組織アブレーションデバイス。
- 前記複数の隆起は、前記外側バルーン壁の内側表面と接触し、前記内側バルーン壁の残りの外側表面と前記外側バルーン壁の内側表面との間の分離を維持するように構成される、請求項7に記載の組織アブレーションデバイス。
- 前記複数の伝導性ワイヤはそれぞれ、2つの隣接する隆起間に位置付けられる、請求項7に記載の組織アブレーションデバイス。
- 前記外側バルーン壁の複数の穿孔のうちの1つまたはそれを上回るものは、前記複数の伝導性ワイヤのうちの関連付けられた1つと実質的に整合される、請求項9に記載の組織アブレーションデバイス。
- 前記内側バルーン壁の外部表面上に画定された不均整表面は、複数の突出部を備える、請求項6に記載の組織アブレーションデバイス。
- 前記内側バルーンは、前記第1の流体を前記プローブの第1の管腔から受け取るように構成され、前記外側バルーンは、前記第2の流体を前記プローブの第2の管腔から受け取るように構成される、請求項1に記載の組織アブレーションデバイス。
- 前記内側バルーンおよび前記外側バルーンへの前記第1の流体および前記第2の流体の送達は、それぞれ、コントローラを介して、独立して制御可能である、請求項12に記載の組織アブレーションデバイス。
- 前記第1の流体および前記第2の流体は、異なる、請求項1に記載の組織アブレーションデバイス。
- 前記第1の流体および前記第2の流体は、同一である、請求項1に記載の組織アブレーションデバイス。
- 少なくとも前記第2の流体は、伝導性流体である、請求項1に記載の組織アブレーションデバイス。
- 前記内側バルーン壁および前記外側バルーン壁は、非伝導性材料から成る、請求項1に記載の組織アブレーションデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562154377P | 2015-04-29 | 2015-04-29 | |
US62/154,377 | 2015-04-29 | ||
PCT/US2016/030081 WO2016176567A1 (en) | 2015-04-29 | 2016-04-29 | Cavitary tissue ablation |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018514361A true JP2018514361A (ja) | 2018-06-07 |
JP6704989B2 JP6704989B2 (ja) | 2020-06-03 |
Family
ID=57198818
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018508622A Active JP6704989B2 (ja) | 2015-04-29 | 2016-04-29 | 空洞組織アブレーション |
Country Status (6)
Country | Link |
---|---|
US (3) | US10342611B2 (ja) |
EP (2) | EP3288478B1 (ja) |
JP (1) | JP6704989B2 (ja) |
CA (1) | CA2984109A1 (ja) |
ES (1) | ES2768107T3 (ja) |
WO (1) | WO2016176567A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2022533677A (ja) * | 2019-05-20 | 2022-07-25 | イノブレイティブ デザインズ, インコーポレイテッド | 肺アブレーションのための低侵襲性アセンブリ |
JP7416998B2 (ja) | 2018-09-14 | 2024-01-17 | 杭州▲くん▼博生物科技有限公司 | 肺部高周波アブレーションシステム |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3288478B1 (en) | 2015-04-29 | 2019-12-25 | Innoblative Designs, Inc. | Cavitary tissue ablation |
CA3000013C (en) | 2015-10-29 | 2024-04-02 | Innoblative Designs, Inc. | Screen sphere tissue ablation devices and methods |
WO2017136262A1 (en) | 2016-02-02 | 2017-08-10 | Innoblative Designs, Inc. | Cavitary tissue ablation system |
US10869714B2 (en) | 2016-03-01 | 2020-12-22 | Innoblative Designs, Inc. | Resecting and coagulating tissue |
GB2551117A (en) * | 2016-05-31 | 2017-12-13 | Creo Medical Ltd | Electrosurgical apparatus and method |
EP3525703B1 (en) | 2016-10-17 | 2021-07-07 | Innoblative Designs, Inc. | Treatment devices |
US10912602B2 (en) | 2016-11-08 | 2021-02-09 | Innoblative Designs, Inc. | Electrosurgical tissue and vessel sealing device |
US10821272B2 (en) * | 2016-11-23 | 2020-11-03 | Biosense Webster (Israel) Ltd. | Double balloon catheter having a lobed inner balloon |
US11400205B2 (en) | 2016-11-23 | 2022-08-02 | Biosense Webster (Israel) Ltd. | Balloon-in-balloon irrigation balloon catheter |
US20180184982A1 (en) * | 2017-01-05 | 2018-07-05 | Biosense Webster (Israel) Ltd. | Hybrid balloon basket catheter |
CN110325137A (zh) * | 2017-02-23 | 2019-10-11 | 尹诺伯拉狄夫设计公司 | 用于消融状态监视和定制消融成形的系统和方法 |
EP3658052A4 (en) * | 2017-07-26 | 2021-04-14 | Innoblative Designs, Inc. | TISSUE ABLATION SYSTEM |
EP3658053B1 (en) | 2017-07-26 | 2023-09-13 | Innoblative Designs, Inc. | Minimally invasive articulating assembly having ablation capabilities |
EP3813936A4 (en) * | 2018-06-06 | 2022-03-09 | Robert F. Rioux | PORTABLE WOUND TREATMENT SYSTEM |
US11832869B2 (en) * | 2019-03-04 | 2023-12-05 | Gyrus Acmi, Inc. | Resistive heat ablation for treatment of the anatomy |
WO2022150374A1 (en) * | 2021-01-05 | 2022-07-14 | Innoblative Designs, Inc. | Cavitary tissue ablation |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006505346A (ja) * | 2002-11-06 | 2006-02-16 | セノークス・インコーポレイテッド | 体腔近傍組織処置のための真空器具および方法 |
JP2007519470A (ja) * | 2004-02-02 | 2007-07-19 | ボストン サイエンティフィック リミテッド | バルーンを使用して切除を実施するためのシステムおよび方法 |
US20080140001A1 (en) * | 2006-12-12 | 2008-06-12 | By-Pass Inc. | Fluid Delivery Apparatus And Methods |
US20090299355A1 (en) * | 2008-05-27 | 2009-12-03 | Boston Scientific Scimed, Inc. | Electrical mapping and cryo ablating with a balloon catheter |
US20140018794A1 (en) * | 2012-07-13 | 2014-01-16 | Boston Scientific Scimed, Inc. | Off-wall electrode devices and methods for nerve modulation |
US20140031810A1 (en) * | 2012-07-30 | 2014-01-30 | Northwestern University | Radiofrequency Probe for Circumferential Ablation of a Hollow Cavity |
Family Cites Families (176)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5370675A (en) | 1992-08-12 | 1994-12-06 | Vidamed, Inc. | Medical probe device and method |
US4699147A (en) | 1985-09-25 | 1987-10-13 | Cordis Corporation | Intraventricular multielectrode cardial mapping probe and method for using same |
US4976711A (en) | 1989-04-13 | 1990-12-11 | Everest Medical Corporation | Ablation catheter with selectively deployable electrodes |
US4979948A (en) | 1989-04-13 | 1990-12-25 | Purdue Research Foundation | Method and apparatus for thermally destroying a layer of an organ |
US5045056A (en) | 1989-09-15 | 1991-09-03 | Behl Robert S | Method and device for thermal ablation of hollow body organs |
US5117828A (en) | 1989-09-25 | 1992-06-02 | Arzco Medical Electronics, Inc. | Expandable esophageal catheter |
US5100423A (en) | 1990-08-21 | 1992-03-31 | Medical Engineering & Development Institute, Inc. | Ablation catheter |
US5697909A (en) | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
US5443470A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Method and apparatus for endometrial ablation |
US5562720A (en) | 1992-05-01 | 1996-10-08 | Vesta Medical, Inc. | Bipolar/monopolar endometrial ablation device and method |
US5772590A (en) | 1992-06-30 | 1998-06-30 | Cordis Webster, Inc. | Cardiovascular catheter with laterally stable basket-shaped electrode array with puller wire |
US5672153A (en) | 1992-08-12 | 1997-09-30 | Vidamed, Inc. | Medical probe device and method |
US5486161A (en) | 1993-02-02 | 1996-01-23 | Zomed International | Medical probe device and method |
CA2447239C (en) | 1992-09-23 | 2010-10-19 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
US5471982A (en) | 1992-09-29 | 1995-12-05 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
US5334193A (en) | 1992-11-13 | 1994-08-02 | American Cardiac Ablation Co., Inc. | Fluid cooled ablation catheter |
US5893847A (en) | 1993-03-16 | 1999-04-13 | Ep Technologies, Inc. | Multiple electrode support structures with slotted hub and hoop spline elements |
US6832996B2 (en) | 1995-06-07 | 2004-12-21 | Arthrocare Corporation | Electrosurgical systems and methods for treating tissue |
US5840076A (en) | 1996-04-12 | 1998-11-24 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using electrode structures with distally oriented porous regions |
US5599346A (en) | 1993-11-08 | 1997-02-04 | Zomed International, Inc. | RF treatment system |
US5728143A (en) | 1995-08-15 | 1998-03-17 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5536267A (en) | 1993-11-08 | 1996-07-16 | Zomed International | Multiple electrode ablation apparatus |
US6071280A (en) | 1993-11-08 | 2000-06-06 | Rita Medical Systems, Inc. | Multiple electrode ablation apparatus |
US5928229A (en) | 1993-11-08 | 1999-07-27 | Rita Medical Systems, Inc. | Tumor ablation apparatus |
US5472441A (en) | 1993-11-08 | 1995-12-05 | Zomed International | Device for treating cancer and non-malignant tumors and methods |
US5683384A (en) | 1993-11-08 | 1997-11-04 | Zomed | Multiple antenna ablation apparatus |
US5429605A (en) | 1994-01-26 | 1995-07-04 | Target Therapeutics, Inc. | Microballoon catheter |
WO1995029737A1 (en) | 1994-05-03 | 1995-11-09 | Board Of Regents, The University Of Texas System | Apparatus and method for noninvasive doppler ultrasound-guided real-time control of tissue damage in thermal therapy |
US6009877A (en) | 1994-06-24 | 2000-01-04 | Edwards; Stuart D. | Method for treating a sphincter |
US5885278A (en) | 1994-10-07 | 1999-03-23 | E.P. Technologies, Inc. | Structures for deploying movable electrode elements |
US6063081A (en) | 1995-02-22 | 2000-05-16 | Medtronic, Inc. | Fluid-assisted electrocautery device |
US6409722B1 (en) | 1998-07-07 | 2002-06-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US5897553A (en) | 1995-11-02 | 1999-04-27 | Medtronic, Inc. | Ball point fluid-assisted electrocautery device |
US5868740A (en) | 1995-03-24 | 1999-02-09 | Board Of Regents-Univ Of Nebraska | Method for volumetric tissue ablation |
US6837888B2 (en) | 1995-06-07 | 2005-01-04 | Arthrocare Corporation | Electrosurgical probe with movable return electrode and methods related thereto |
US7179255B2 (en) | 1995-06-07 | 2007-02-20 | Arthrocare Corporation | Methods for targeted electrosurgery on contained herniated discs |
US5863290A (en) | 1995-08-15 | 1999-01-26 | Rita Medical Systems | Multiple antenna ablation apparatus and method |
US6053937A (en) | 1995-08-15 | 2000-04-25 | Rita Medical Systems, Inc. | Multiple electrode ablation apparatus and method with cooling element |
US5913855A (en) | 1995-08-15 | 1999-06-22 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5672174A (en) | 1995-08-15 | 1997-09-30 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5782827A (en) | 1995-08-15 | 1998-07-21 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method with multiple sensor feedback |
US6689127B1 (en) | 1995-08-15 | 2004-02-10 | Rita Medical Systems | Multiple antenna ablation apparatus and method with multiple sensor feedback |
US5672173A (en) | 1995-08-15 | 1997-09-30 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5980517A (en) | 1995-08-15 | 1999-11-09 | Rita Medical Systems, Inc. | Cell necrosis apparatus |
US5871483A (en) | 1996-01-19 | 1999-02-16 | Ep Technologies, Inc. | Folding electrode structures |
US5846239A (en) | 1996-04-12 | 1998-12-08 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using segmented porous electrode structures |
US5868736A (en) | 1996-04-12 | 1999-02-09 | Ep Technologies, Inc. | Systems and methods to control tissue heating or ablation with porous electrode structures |
US5961513A (en) | 1996-01-19 | 1999-10-05 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using porous electrode structures |
US5925038A (en) | 1996-01-19 | 1999-07-20 | Ep Technologies, Inc. | Expandable-collapsible electrode structures for capacitive coupling to tissue |
WO1997025919A1 (en) | 1996-01-19 | 1997-07-24 | Ep Technologies, Inc. | Systems and methods for heating and ablating tissue using multifunctional electrode structures |
US6071278A (en) | 1996-02-28 | 2000-06-06 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using porous electrode structures with specified electrical resistivities |
US5891136A (en) | 1996-01-19 | 1999-04-06 | Ep Technologies, Inc. | Expandable-collapsible mesh electrode structures |
US6309352B1 (en) | 1996-01-31 | 2001-10-30 | Board Of Regents, The University Of Texas System | Real time optoacoustic monitoring of changes in tissue properties |
US6032077A (en) | 1996-03-06 | 2000-02-29 | Cardiac Pathways Corporation | Ablation catheter with electrical coupling via foam drenched with a conductive fluid |
US5868776A (en) | 1996-09-03 | 1999-02-09 | Ideas For Medicine, Inc. | Overlay dual balloon catheter and method for use thereof |
US6464697B1 (en) | 1998-02-19 | 2002-10-15 | Curon Medical, Inc. | Stomach and adjoining tissue regions in the esophagus |
US6050992A (en) | 1997-05-19 | 2000-04-18 | Radiotherapeutics Corporation | Apparatus and method for treating tissue with multiple electrodes |
US6251109B1 (en) * | 1997-06-27 | 2001-06-26 | Daig Corporation | Process and device for the treatment of atrial arrhythmia |
US5938660A (en) | 1997-06-27 | 1999-08-17 | Daig Corporation | Process and device for the treatment of atrial arrhythmia |
US6241666B1 (en) | 1997-07-03 | 2001-06-05 | Cardiac Pathways Corp. | Ablation catheter tip with a buffer layer covering the electrode |
US6917834B2 (en) | 1997-12-03 | 2005-07-12 | Boston Scientific Scimed, Inc. | Devices and methods for creating lesions in endocardial and surrounding tissue to isolate focal arrhythmia substrates |
US6258087B1 (en) | 1998-02-19 | 2001-07-10 | Curon Medical, Inc. | Expandable electrode assemblies for forming lesions to treat dysfunction in sphincters and adjoining tissue regions |
US20100114087A1 (en) | 1998-02-19 | 2010-05-06 | Edwards Stuart D | Methods and devices for treating urinary incontinence |
US6142993A (en) | 1998-02-27 | 2000-11-07 | Ep Technologies, Inc. | Collapsible spline structure using a balloon as an expanding actuator |
US6312429B1 (en) | 1998-09-01 | 2001-11-06 | Senorx, Inc. | Electrosurgical lesion location device |
US6522930B1 (en) | 1998-05-06 | 2003-02-18 | Atrionix, Inc. | Irrigated ablation device assembly |
US6508815B1 (en) | 1998-05-08 | 2003-01-21 | Novacept | Radio-frequency generator for powering an ablation device |
US6802841B2 (en) | 1998-06-04 | 2004-10-12 | Curon Medical, Inc. | Systems and methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction |
US7198635B2 (en) | 2000-10-17 | 2007-04-03 | Asthmatx, Inc. | Modification of airways by application of energy |
US6706039B2 (en) | 1998-07-07 | 2004-03-16 | Medtronic, Inc. | Method and apparatus for creating a bi-polar virtual electrode used for the ablation of tissue |
US6537272B2 (en) | 1998-07-07 | 2003-03-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US6537248B2 (en) | 1998-07-07 | 2003-03-25 | Medtronic, Inc. | Helical needle apparatus for creating a virtual electrode used for the ablation of tissue |
US6494902B2 (en) | 1998-07-07 | 2002-12-17 | Medtronic, Inc. | Method for creating a virtual electrode for the ablation of tissue and for selected protection of tissue during an ablation |
US6112123A (en) | 1998-07-28 | 2000-08-29 | Endonetics, Inc. | Device and method for ablation of tissue |
US6053913A (en) | 1998-09-10 | 2000-04-25 | Tu; Lily Chen | Rapid exchange stented balloon catheter having ablation capabilities |
US6036689A (en) | 1998-09-24 | 2000-03-14 | Tu; Lily Chen | Ablation device for treating atherosclerotic tissues |
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US6123718A (en) | 1998-11-02 | 2000-09-26 | Polymerex Medical Corp. | Balloon catheter |
JP2002537913A (ja) | 1999-03-02 | 2002-11-12 | アトリオニクス・インコーポレーテツド | バルーンとセンサーを有する心房改質器 |
US6425877B1 (en) | 1999-04-02 | 2002-07-30 | Novasys Medical, Inc. | Treatment of tissue in the digestive circulatory respiratory urinary and reproductive systems |
US6221071B1 (en) | 1999-06-04 | 2001-04-24 | Scimed Life Systems, Inc. | Rapid electrode deployment |
US8597290B2 (en) | 1999-07-14 | 2013-12-03 | Mederi Therapeutics | Method for treating fecal incontinence |
ITMI991608A1 (it) | 1999-07-21 | 2001-01-21 | Thermo Med 2000 Kft | Sonda elettrochirurgica per il trattamento di tumori mediante radiofrequenza |
AU780278B2 (en) | 1999-11-16 | 2005-03-10 | Covidien Lp | System and method of treating abnormal tissue in the human esophagus |
US20090292177A1 (en) | 1999-12-27 | 2009-11-26 | Eggers Philip E | Method and apparatus for positioning a tissue recovery instrument in confronting adjacency with a target tissue volume |
US6451017B1 (en) | 2000-01-10 | 2002-09-17 | Hydrocision, Inc. | Surgical instruments with integrated electrocautery |
US6663622B1 (en) | 2000-02-11 | 2003-12-16 | Iotek, Inc. | Surgical devices and methods for use in tissue ablation procedures |
JP2004500207A (ja) | 2000-03-06 | 2004-01-08 | ティシューリンク・メディカル・インコーポレーテッド | 流体配給システム及び電気外科用器具コントローラ |
US6454766B1 (en) | 2000-05-05 | 2002-09-24 | Scimed Life Systems, Inc. | Microporous electrode structure and method of making the same |
CA2413529C (en) * | 2000-06-23 | 2008-12-02 | Cryocath Technologies, Inc. | Cryotreatment device and method |
JP2002078809A (ja) | 2000-09-07 | 2002-03-19 | Shutaro Satake | 肺静脈電気的隔離用バルーンカテーテル |
US7387628B1 (en) | 2000-09-15 | 2008-06-17 | Boston Scientific Scimed, Inc. | Methods and systems for focused bipolar tissue ablation |
US6638275B1 (en) | 2000-10-05 | 2003-10-28 | Medironic, Inc. | Bipolar ablation apparatus and method |
US20040087936A1 (en) | 2000-11-16 | 2004-05-06 | Barrx, Inc. | System and method for treating abnormal tissue in an organ having a layered tissue structure |
US6692466B1 (en) | 2000-12-21 | 2004-02-17 | Advanced Cardiovascular Systems, Inc. | Drug delivery catheter with retractable needle |
US6743226B2 (en) | 2001-02-09 | 2004-06-01 | Cosman Company, Inc. | Adjustable trans-urethral radio-frequency ablation |
US6648883B2 (en) | 2001-04-26 | 2003-11-18 | Medtronic, Inc. | Ablation system and method of use |
US20030036680A1 (en) | 2001-08-15 | 2003-02-20 | Michael Black | Method and apparatus for thermal ablation of biological tissue using a scanning laser beam with real-time video monitoring and monitoring of therapeutic treatment parameters |
US7615049B2 (en) | 2001-09-19 | 2009-11-10 | Mederi Therapeutics, Inc. | Devices, systems and methods for treating tissue regions of the body |
US7344533B2 (en) | 2001-09-28 | 2008-03-18 | Angiodynamics, Inc. | Impedance controlled tissue ablation apparatus and method |
US7769432B2 (en) | 2001-12-10 | 2010-08-03 | Board Of Trustees Of The University Of Arkansas | Minimally invasive diagnosis and treatment for breast cancer |
AU2002366635A1 (en) | 2001-12-10 | 2003-06-23 | The Board Of Trustees Of The University Of Arkansas | Minimally invasive treatment for breast cancer |
WO2003068311A2 (en) | 2002-02-13 | 2003-08-21 | Arthrocare Corporation | Electrosurgical apparatus and methods for treating joint tissue |
US6878149B2 (en) | 2002-03-25 | 2005-04-12 | Acueity, Inc. | Apparatus and method for intraductal abalation |
US7141055B2 (en) | 2002-04-24 | 2006-11-28 | Surgical Connections, Inc. | Resection and anastomosis devices and methods |
US6780183B2 (en) | 2002-09-16 | 2004-08-24 | Biosense Webster, Inc. | Ablation catheter having shape-changing balloon |
US7306593B2 (en) | 2002-10-21 | 2007-12-11 | Biosense, Inc. | Prediction and assessment of ablation of cardiac tissue |
CN2610858Y (zh) | 2003-01-16 | 2004-04-14 | 李相成 | 组织凝结器电极导管 |
US6984232B2 (en) | 2003-01-17 | 2006-01-10 | St. Jude Medical, Daig Division, Inc. | Ablation catheter assembly having a virtual electrode comprising portholes |
US6960207B2 (en) | 2003-01-21 | 2005-11-01 | St Jude Medical, Daig Division, Inc. | Ablation catheter having a virtual electrode comprising portholes and a porous conductor |
US7101387B2 (en) | 2003-04-30 | 2006-09-05 | Scimed Life Systems, Inc. | Radio frequency ablation cooling shield |
US7399299B2 (en) | 2003-07-11 | 2008-07-15 | S.D.M.H. Pty. Ltd. | Thermal ablation of biological tissue |
US7497826B2 (en) | 2003-08-27 | 2009-03-03 | Hoya Corporation | Endoscopic high-frequency knife |
US7104989B2 (en) | 2003-09-05 | 2006-09-12 | Medtronic, Inc. | RF ablation catheter including a virtual electrode assembly |
US7150745B2 (en) | 2004-01-09 | 2006-12-19 | Barrx Medical, Inc. | Devices and methods for treatment of luminal tissue |
ES2796627T3 (es) | 2005-01-18 | 2020-11-27 | S D M H Pty Ltd | Dispositivo para ablación térmica de tejido biológico usando patrones de ablación esférica |
US7601149B2 (en) | 2005-03-07 | 2009-10-13 | Boston Scientific Scimed, Inc. | Apparatus for switching nominal and attenuated power between ablation probes |
US7942873B2 (en) | 2005-03-25 | 2011-05-17 | Angiodynamics, Inc. | Cavity ablation apparatus and method |
US7776034B2 (en) | 2005-06-15 | 2010-08-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation catheter with adjustable virtual electrode |
AU2006262447A1 (en) | 2005-06-20 | 2007-01-04 | Medtronic Ablation Frontiers Llc | Ablation catheter |
WO2007008954A2 (en) | 2005-07-11 | 2007-01-18 | Ablation Frontiers | Low power tissue ablation system |
CN101355912B (zh) | 2005-07-21 | 2011-07-27 | 泰科医疗集团有限合伙公司 | 治疗中空解剖结构的系统和方法 |
US7879030B2 (en) | 2005-07-27 | 2011-02-01 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Multipolar, virtual-electrode catheter with at least one surface electrode and method for ablation |
US7416552B2 (en) | 2005-08-22 | 2008-08-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Multipolar, multi-lumen, virtual-electrode catheter with at least one surface electrode and method for ablation |
US8657814B2 (en) | 2005-08-22 | 2014-02-25 | Medtronic Ablation Frontiers Llc | User interface for tissue ablation system |
US7704248B2 (en) | 2005-12-21 | 2010-04-27 | Boston Scientific Scimed, Inc. | Ablation device with compression balloon |
US7896874B2 (en) | 2005-12-29 | 2011-03-01 | Boston Scientific Scimed, Inc. | RF ablation probes with tine valves |
WO2007143445A2 (en) | 2006-05-30 | 2007-12-13 | Arthrocare Corporation | Hard tissue ablation system |
US8920411B2 (en) | 2006-06-28 | 2014-12-30 | Kardium Inc. | Apparatus and method for intra-cardiac mapping and ablation |
US8388573B1 (en) | 2006-06-28 | 2013-03-05 | Abbott Cardiovascular Systems Inc. | Local delivery with a balloon covered by a cage |
US8048069B2 (en) | 2006-09-29 | 2011-11-01 | Medtronic, Inc. | User interface for ablation therapy |
WO2008045812A1 (en) | 2006-10-08 | 2008-04-17 | Cianna Medical, Inc. | Expandable brachytherapy apparatus |
JP2010508124A (ja) | 2006-11-01 | 2010-03-18 | ボビー メディカル,コーポレイション | 導電流体を送り出すための多孔電極を有する双極除去プローブ |
ES2307427B1 (es) | 2007-05-02 | 2009-09-22 | Universidad De Barcelona | Instrumento electroquirurgico para coagulacion y corte de tejido. |
US8224416B2 (en) | 2007-05-09 | 2012-07-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket catheter having multiple electrodes |
WO2009086418A1 (en) | 2007-12-28 | 2009-07-09 | Boston Scientific Scimed, Inc. | Electrosurgical probe having conductive outer surface to initiate ablation between electrodes |
US8636687B1 (en) | 2008-03-06 | 2014-01-28 | Spinnaker Medical Llc | Tissue sealing method |
US8034022B2 (en) | 2008-04-08 | 2011-10-11 | Cook Medical Technologies Llc | Weeping balloon catheter |
US10702326B2 (en) | 2011-07-15 | 2020-07-07 | Virginia Tech Intellectual Properties, Inc. | Device and method for electroporation based treatment of stenosis of a tubular body part |
US8992517B2 (en) | 2008-04-29 | 2015-03-31 | Virginia Tech Intellectual Properties Inc. | Irreversible electroporation to treat aberrant cell masses |
CA2733241C (en) | 2008-12-19 | 2016-08-16 | Japan Electel Inc. | Balloon catheter system |
US20100256629A1 (en) | 2009-04-06 | 2010-10-07 | Voyage Medical, Inc. | Methods and devices for treatment of the ostium |
ES2437741T3 (es) | 2009-05-14 | 2014-01-14 | Samson Neurosciences Ltd. | Electroestimulación endovascular cerca de una bifurcación carotídea en el tratamiento de trastornos cerebrovasculares |
US8979838B2 (en) | 2010-05-24 | 2015-03-17 | Arthrocare Corporation | Symmetric switching electrode method and related system |
US9408661B2 (en) | 2010-07-30 | 2016-08-09 | Patrick A. Haverkost | RF electrodes on multiple flexible wires for renal nerve ablation |
DE102010032932A1 (de) | 2010-07-30 | 2012-02-02 | Arne Briest | Katheter zur Ablation von Gewebe |
EP2632535B1 (en) | 2010-10-29 | 2016-08-17 | CVRx, Inc. | Implant tool and improved electrode design for minimally invasive procedure |
CN103415319B (zh) | 2010-12-28 | 2016-09-21 | 西比姆公司 | 用于患者的交感再平衡的方法 |
US9737362B2 (en) | 2011-07-06 | 2017-08-22 | Boston Scientific Scimed, Inc. | Tissue cutting systems and methods |
US9078665B2 (en) | 2011-09-28 | 2015-07-14 | Angiodynamics, Inc. | Multiple treatment zone ablation probe |
US9750565B2 (en) * | 2011-09-30 | 2017-09-05 | Medtronic Advanced Energy Llc | Electrosurgical balloons |
US9131980B2 (en) * | 2011-12-19 | 2015-09-15 | Medtronic Advanced Energy Llc | Electrosurgical devices |
EP3636164A1 (en) | 2012-05-17 | 2020-04-15 | Boston Scientific Scimed Inc. | Devices for access across adjacent tissue layers |
US20130338662A1 (en) | 2012-06-13 | 2013-12-19 | Paul Joseph Weber | Minimally invasive hair follicle incapacitation apparatus and methods |
WO2014008489A1 (en) | 2012-07-04 | 2014-01-09 | Cibiem, Inc. | Devices and systems for carotid body ablation |
US10321946B2 (en) | 2012-08-24 | 2019-06-18 | Boston Scientific Scimed, Inc. | Renal nerve modulation devices with weeping RF ablation balloons |
US9877782B2 (en) | 2013-03-14 | 2018-01-30 | Ethicon Llc | Electrosurgical instrument end effector with compliant electrode |
US9179974B2 (en) | 2013-03-15 | 2015-11-10 | Medtronic Ardian Luxembourg S.A.R.L. | Helical push wire electrode |
CA2913043A1 (en) | 2013-05-20 | 2014-11-27 | Mayo Foundation For Medical Education And Research | Devices and methods for ablation of tissue |
PL2815713T3 (pl) | 2013-06-20 | 2015-12-31 | Erbe Elektromedizin | Instrument elektrochirurgiczny ze światłowodem |
WO2015006066A1 (en) | 2013-07-11 | 2015-01-15 | Boston Scientific Scimed, Inc. | Multiple electrode conductive balloon |
GB201318204D0 (en) | 2013-10-15 | 2013-11-27 | Gyrus Medical Ltd | Electrosurgical electrode & instrument |
US10568686B2 (en) | 2013-11-21 | 2020-02-25 | Biosense Webster (Israel) Ltd. | Multi-electrode balloon catheter with circumferential and point electrodes |
JP2017512562A (ja) | 2014-03-15 | 2017-05-25 | ロバート エフ. リウー, | 辺縁組織切除のためのシステムおよび方法 |
US10639098B2 (en) | 2014-05-06 | 2020-05-05 | Cosman Instruments, Llc | Electrosurgical generator |
EP3160359B1 (en) | 2014-06-24 | 2021-05-19 | Apama Medical, Inc. | Tissue ablation and monitoring thereof |
US10835311B2 (en) | 2014-10-24 | 2020-11-17 | Northwestern University | Electroporation apparatus and method of using same for ablation of an arbitrary volume |
US10034707B2 (en) | 2014-12-30 | 2018-07-31 | Biosense Webster (Israel) Ltd. | Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes |
EP3288478B1 (en) | 2015-04-29 | 2019-12-25 | Innoblative Designs, Inc. | Cavitary tissue ablation |
US10881455B2 (en) | 2015-05-12 | 2021-01-05 | Navix International Limited | Lesion assessment by dielectric property analysis |
CA3000013C (en) | 2015-10-29 | 2024-04-02 | Innoblative Designs, Inc. | Screen sphere tissue ablation devices and methods |
US10716612B2 (en) | 2015-12-18 | 2020-07-21 | Medtronic Advanced Energy Llc | Electrosurgical device with multiple monopolar electrode assembly |
WO2017136262A1 (en) | 2016-02-02 | 2017-08-10 | Innoblative Designs, Inc. | Cavitary tissue ablation system |
US10869714B2 (en) | 2016-03-01 | 2020-12-22 | Innoblative Designs, Inc. | Resecting and coagulating tissue |
WO2018013543A1 (en) | 2016-07-12 | 2018-01-18 | Innoblative Designs, Inc. | Electrosurgical device for chronic wound treatment |
EP3525703B1 (en) | 2016-10-17 | 2021-07-07 | Innoblative Designs, Inc. | Treatment devices |
-
2016
- 2016-04-29 EP EP16787228.2A patent/EP3288478B1/en active Active
- 2016-04-29 EP EP19219030.4A patent/EP3685782B1/en active Active
- 2016-04-29 WO PCT/US2016/030081 patent/WO2016176567A1/en active Application Filing
- 2016-04-29 CA CA2984109A patent/CA2984109A1/en not_active Abandoned
- 2016-04-29 ES ES16787228T patent/ES2768107T3/es active Active
- 2016-04-29 JP JP2018508622A patent/JP6704989B2/ja active Active
- 2016-04-29 US US15/142,616 patent/US10342611B2/en active Active
-
2017
- 2017-06-15 US US15/624,230 patent/US9855098B2/en active Active
-
2019
- 2019-05-24 US US16/422,264 patent/US20190314084A1/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006505346A (ja) * | 2002-11-06 | 2006-02-16 | セノークス・インコーポレイテッド | 体腔近傍組織処置のための真空器具および方法 |
JP2007519470A (ja) * | 2004-02-02 | 2007-07-19 | ボストン サイエンティフィック リミテッド | バルーンを使用して切除を実施するためのシステムおよび方法 |
US20080140001A1 (en) * | 2006-12-12 | 2008-06-12 | By-Pass Inc. | Fluid Delivery Apparatus And Methods |
US20090299355A1 (en) * | 2008-05-27 | 2009-12-03 | Boston Scientific Scimed, Inc. | Electrical mapping and cryo ablating with a balloon catheter |
US20140018794A1 (en) * | 2012-07-13 | 2014-01-16 | Boston Scientific Scimed, Inc. | Off-wall electrode devices and methods for nerve modulation |
US20140031810A1 (en) * | 2012-07-30 | 2014-01-30 | Northwestern University | Radiofrequency Probe for Circumferential Ablation of a Hollow Cavity |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP7416998B2 (ja) | 2018-09-14 | 2024-01-17 | 杭州▲くん▼博生物科技有限公司 | 肺部高周波アブレーションシステム |
JP2022533677A (ja) * | 2019-05-20 | 2022-07-25 | イノブレイティブ デザインズ, インコーポレイテッド | 肺アブレーションのための低侵襲性アセンブリ |
Also Published As
Publication number | Publication date |
---|---|
EP3288478B1 (en) | 2019-12-25 |
CA2984109A1 (en) | 2016-11-03 |
WO2016176567A1 (en) | 2016-11-03 |
JP6704989B2 (ja) | 2020-06-03 |
US10342611B2 (en) | 2019-07-09 |
EP3685782A1 (en) | 2020-07-29 |
ES2768107T3 (es) | 2020-06-19 |
EP3288478A1 (en) | 2018-03-07 |
US9855098B2 (en) | 2018-01-02 |
US20170281271A1 (en) | 2017-10-05 |
EP3288478A4 (en) | 2018-12-26 |
EP3685782B1 (en) | 2021-11-03 |
US20160317221A1 (en) | 2016-11-03 |
US20190314084A1 (en) | 2019-10-17 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6704989B2 (ja) | 空洞組織アブレーション | |
JP6933857B2 (ja) | 網球状組織アブレーションデバイスおよび方法 | |
JP6630836B2 (ja) | 空洞性組織アブレーションシステム | |
US9414883B2 (en) | Co-access foam/electrode introducer | |
US20070021743A1 (en) | Compressible/expandable hydrophilic ablation electrode | |
US20220125506A1 (en) | Cavitary tissue ablation | |
US20220313347A1 (en) | Tissue ablation devices and methods | |
JP2024501763A (ja) | 空洞性組織のアブレーション | |
US20220047320A1 (en) | Screen sphere tissue ablation devices and methods | |
EP3658052A1 (en) | Tissue ablation system | |
WO2023034207A1 (en) | Screen sphere tissue ablation devices and methods | |
US20190053886A1 (en) | Methods and tools for treating diseased tissue |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20171228 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20190315 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20200128 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20200131 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20200221 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20200324 |
|
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: 20200508 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20200513 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6704989 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |