JP2019146973A - 切除システム - Google Patents
切除システム Download PDFInfo
- Publication number
- JP2019146973A JP2019146973A JP2019071004A JP2019071004A JP2019146973A JP 2019146973 A JP2019146973 A JP 2019146973A JP 2019071004 A JP2019071004 A JP 2019071004A JP 2019071004 A JP2019071004 A JP 2019071004A JP 2019146973 A JP2019146973 A JP 2019146973A
- Authority
- JP
- Japan
- Prior art keywords
- electrode
- catheter
- catheter system
- electrodes
- assembly
- 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 186
- 238000003892 spreading Methods 0.000 claims description 45
- 230000007480 spreading Effects 0.000 claims description 45
- 238000005259 measurement Methods 0.000 claims description 37
- 238000012545 processing Methods 0.000 claims description 21
- 230000008859 change Effects 0.000 claims description 13
- 230000007704 transition Effects 0.000 claims description 8
- 238000012377 drug delivery Methods 0.000 claims description 7
- 210000003484 anatomy Anatomy 0.000 claims description 6
- 239000003814 drug Substances 0.000 claims description 6
- 229940079593 drug Drugs 0.000 claims description 6
- 238000005459 micromachining Methods 0.000 claims description 6
- 230000036982 action potential Effects 0.000 claims description 5
- 230000000747 cardiac effect Effects 0.000 claims description 5
- 239000013307 optical fiber Substances 0.000 claims description 5
- 239000000919 ceramic Substances 0.000 claims description 4
- 229920000642 polymer Polymers 0.000 claims description 4
- 239000000203 mixture Substances 0.000 claims description 2
- 238000013507 mapping Methods 0.000 abstract description 89
- 238000000034 method Methods 0.000 abstract description 37
- 238000002604 ultrasonography Methods 0.000 abstract description 30
- 206010003658 Atrial Fibrillation Diseases 0.000 abstract description 4
- 206010003119 arrhythmia Diseases 0.000 abstract description 4
- 230000006793 arrhythmia Effects 0.000 abstract description 3
- 210000001519 tissue Anatomy 0.000 description 52
- 239000003550 marker Substances 0.000 description 30
- 239000004020 conductor Substances 0.000 description 23
- 230000007246 mechanism Effects 0.000 description 19
- 238000000576 coating method Methods 0.000 description 16
- 230000033001 locomotion Effects 0.000 description 16
- 210000005246 left atrium Anatomy 0.000 description 15
- 239000011248 coating agent Substances 0.000 description 14
- 238000000926 separation method Methods 0.000 description 13
- 210000005242 cardiac chamber Anatomy 0.000 description 11
- 238000011282 treatment Methods 0.000 description 11
- 210000005240 left ventricle Anatomy 0.000 description 10
- 229910052751 metal Inorganic materials 0.000 description 9
- 239000002184 metal Substances 0.000 description 9
- 230000000007 visual effect Effects 0.000 description 9
- 230000000694 effects Effects 0.000 description 8
- 238000004070 electrodeposition Methods 0.000 description 8
- 239000000463 material Substances 0.000 description 8
- 239000008280 blood Substances 0.000 description 7
- 210000004369 blood Anatomy 0.000 description 7
- 210000003748 coronary sinus Anatomy 0.000 description 7
- 210000005003 heart tissue Anatomy 0.000 description 7
- 230000006870 function Effects 0.000 description 6
- 238000003780 insertion Methods 0.000 description 6
- 230000037431 insertion Effects 0.000 description 6
- 230000008569 process Effects 0.000 description 6
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 6
- 229920000431 shape-memory polymer Polymers 0.000 description 6
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 230000010339 dilation Effects 0.000 description 5
- 230000005684 electric field Effects 0.000 description 5
- 229910000510 noble metal Inorganic materials 0.000 description 5
- 210000000130 stem cell Anatomy 0.000 description 5
- 230000002861 ventricular Effects 0.000 description 5
- 230000009471 action Effects 0.000 description 4
- 238000004364 calculation method Methods 0.000 description 4
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 210000003492 pulmonary vein Anatomy 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 206010047302 ventricular tachycardia Diseases 0.000 description 4
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 3
- 238000004458 analytical method Methods 0.000 description 3
- 230000000712 assembly Effects 0.000 description 3
- 238000000429 assembly Methods 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 239000002131 composite material Substances 0.000 description 3
- 229920001940 conductive polymer Polymers 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 230000002596 correlated effect Effects 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 229910044991 metal oxide Inorganic materials 0.000 description 3
- 150000004706 metal oxides Chemical class 0.000 description 3
- 150000002739 metals Chemical class 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 210000005245 right atrium Anatomy 0.000 description 3
- 239000000523 sample Substances 0.000 description 3
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 2
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 2
- 239000003416 antiarrhythmic agent Substances 0.000 description 2
- 210000001765 aortic valve Anatomy 0.000 description 2
- 210000001008 atrial appendage Anatomy 0.000 description 2
- 230000001746 atrial effect Effects 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 239000003124 biologic agent Substances 0.000 description 2
- 238000001574 biopsy Methods 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000004375 bundle of his Anatomy 0.000 description 2
- 238000006555 catalytic reaction Methods 0.000 description 2
- 230000001276 controlling effect Effects 0.000 description 2
- 230000000875 corresponding effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000002847 impedance measurement Methods 0.000 description 2
- 230000004807 localization Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 230000010363 phase shift Effects 0.000 description 2
- 229910000679 solder Inorganic materials 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- 206010003662 Atrial flutter Diseases 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 239000004696 Poly ether ether ketone Substances 0.000 description 1
- 229920002614 Polyether block amide Polymers 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 201000008803 Wolff-Parkinson-white syndrome Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 238000011298 ablation treatment Methods 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 1
- 210000003157 atrial septum Anatomy 0.000 description 1
- 239000002041 carbon nanotube Substances 0.000 description 1
- 229910021393 carbon nanotube Inorganic materials 0.000 description 1
- 238000013153 catheter ablation Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 238000013480 data collection Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- HTXDPTMKBJXEOW-UHFFFAOYSA-N dioxoiridium Chemical compound O=[Ir]=O HTXDPTMKBJXEOW-UHFFFAOYSA-N 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 230000007831 electrophysiology Effects 0.000 description 1
- 238000002001 electrophysiology Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 210000004013 groin Anatomy 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 229910000457 iridium oxide Inorganic materials 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 230000005055 memory storage Effects 0.000 description 1
- 229910052759 nickel Inorganic materials 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 1
- 229920002530 polyetherether ketone Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 210000005241 right ventricle Anatomy 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- BFKJFAAPBSQJPD-UHFFFAOYSA-N tetrafluoroethene Chemical group FC(F)=C(F)F BFKJFAAPBSQJPD-UHFFFAOYSA-N 0.000 description 1
- 229920001169 thermoplastic Polymers 0.000 description 1
- 239000004634 thermosetting polymer Substances 0.000 description 1
- 229920001187 thermosetting polymer Polymers 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/0036—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room including treatment, e.g., using an implantable medical device, ablating, ventilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
-
- 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
- A61B5/25—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
- 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
-
- 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
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
- A61B8/445—Details of catheter construction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
- A61B8/4494—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer characterised by the arrangement of the transducer elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
-
- 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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets 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
- 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
- A61B2018/00267—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
- A61B2018/00571—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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
- A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
-
- 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
-
- 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
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- 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
-
- 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
- A61B2018/1475—Electrodes retractable in or deployable from a housing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/06—Arrangements of multiple sensors of different types
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
-
- 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
-
- 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]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/361—Detecting fibrillation
-
- 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]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/363—Detecting tachycardia or bradycardia
-
- 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
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Radiology & Medical Imaging (AREA)
- Physiology (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Pulmonology (AREA)
- Gynecology & Obstetrics (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Laser Surgery Devices (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
Description
本出願は、2012年8月31日に出願された「心臓組織を診断および治療するためのシステムおよび方法」という名称の米国仮特許出願第61/695,535号についての特許法第119条(e)項に基づく優先権を主張し、その内容は参照により全体として本明細書に組み込まれる。
切除カテーテルシャフト遠位部分に配置されて組織へエネルギーを送達するように構成される少なくとも一つの切除要素と、を包含する切除カテーテルと、診断カテーテルであって、遠位端部を包含する長尺シャフトであって、前記切除カテーテルシャフトの前記遠位部分を摺動式に収容するように構成される診断カテーテルシャフトである、長尺シャフトと、前記診断カテーテルシャフトに取り付けられて、圧縮状態から拡開状態へ移行するように構成される拡開アセンブリと、前記拡開アセンブリに結合され、双極子密度情報を提供するよう構成される複数の双極子マッピング電極と、前記拡開アセンブリに結合される複数の超音波トランスデューサと、を包含する診断カテーテルと、距離測定アセンブリであって、前記複数の超音波トランスデューサを駆動し、前記拡開アセンブリの形状を考慮した前記複数の超音波トランスデューサの各超音波トランスデューサと各超音波トランスデューサに直交する組織表面との間の距離を表すデータを包含する解剖学的幾何学データを作成する距離測定アセンブリと、前記解剖学的幾何学データを使用しそれが置かれる幾何学的空洞の三次元マップを作成し、前記双極子密度情報から双極子密度マップを作成するよう構成される処理ユニットであって、前記処理ユニットはディスプレイを駆動して前記幾何学的空洞の前記三次元マップと共に前記双極子密度マップを表示させる処理ユニットと、を包含する。
Claims (22)
- 診断カテーテルであって、
遠位端部を包含する長尺シャフトと、
前記長尺シャフトに取り付けられる拡開アセンブリであって、複数のスプラインを含み、圧縮状態から拡開状態へ移行するように構成される拡開アセンブリと、
前記拡開アセンブリの前記複数のスプラインに結合され、電気信号を各々が発信および記録するよう構成される複数の電極と、
前記拡開アセンブリの前記複数のスプラインに結合される複数の超音波トランスデューサと、
を包含する診断カテーテルと、
距離測定アセンブリであって、前記複数の超音波トランスデューサを駆動し、前記複数の超音波トランスデューサの各超音波トランスデューサと各超音波トランスデューサに直交する組織表面との間の距離を表すデータを包含する解剖学的幾何学データを作成する距離測定アセンブリと、
処理ユニットと、
を包含するカテーテルシステムであって、
前記処理ユニットが、
記録された前記電気信号に基づいて前記複数の電極のうちの2つまたはそれ以上の間の間隔を測定し、測定された前記電極間隔に基づいて前記複数のスプラインのうちの1つまたはそれ以上の幾何学的構成を特定し、
作成された前記解剖学的幾何学データに基づいて三次元解剖学マップを作成し、記録された前記電気信号に基づいて電気情報を作成し、前記三次元解剖学マップとの関連で前記電気情報を表示させるように構成されており、
前記電気情報がさらに、前記複数のスプラインのうちの1つまたはそれ以上について特定された前記幾何学的構成に基づくという特徴、および、前記解剖学的幾何学データが、前記複数のスプラインのうちの1つまたはそれ以上について特定された前記幾何学的構成に基づくという特徴、のうちの少なくともどちらか一方を有する、
カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記電気情報が、記録された前記電気信号と、前記複数のスプラインのうちの1つまたはそれ以上について特定された前記幾何学的構成とに基づき、
前記解剖学的幾何学データが、前記複数のスプラインのうちの1つまたはそれ以上について特定された前記幾何学的構成に基づく、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記処理ユニットがさらに、測定された前記電極間隔に基づいて前記複数のスプラインの幾何学的構成を特定するように構成されている、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
表示される前記電気情報が、心臓または他の組織の電圧測定値、心臓または他の組織の双極および/または単極電位図、心臓または他の組織の表面電荷データ、心臓または他の組織の双極子密度データ、心臓または他の組織の単相活動電位値、ならびに、それらの組み合わせから成るグループから選択される情報である、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記処理ユニットがさらに、前記複数のスプラインのうちの1つまたはそれ以上の形状を導出するように構成されている、カテーテルシステム。 - 請求項5に記載のカテーテルシステムであって、
前記処理ユニットがさらに、実時間で、前記複数のスプラインのうちの1つまたはそれ以上の前記形状を導出するように構成されている、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記処理ユニットがさらに、前記複数のスプラインのうちの2つまたはそれ以上の相対的配置を導出するように構成されている、カテーテルシステム。 - 請求項7に記載のカテーテルシステムであって、
前記処理ユニットがさらに、実時間で、前記複数のスプラインのうちの2つまたはそれ以上の前記相対的配置を導出するように構成されている、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記複数のスプラインが、平衡状態では弾性的に付勢されており、前記処理ユニットがさらに、前記複数のスプラインの形状における前記平衡状態からの形状変化を特定するように構成されている、カテーテルシステム。 - 請求項9に記載のカテーテルシステムであって、
前記形状変化は、1つのスプラインの形状における変化である、カテーテルシステム。 - 請求項9に記載のカテーテルシステムであって、
前記複数のスプラインが、第1のスプラインおよび第2のスプラインを含み、前記形状変化は、前記第2のスプラインに対する前記第1のスプラインの位置の変化である、カテーテルシステム。 - 請求項9に記載のカテーテルシステムであって、
前記複数の電極が、第1の電極および第2の電極を含み、
前記形状変化は、前記第1のスプラインの湾曲であり、
前記第1の電極および前記第2の電極が、前記第1のスプラインに取り付けられており、
前記湾曲によって、前記第1の電極と前記第2の電極との間の間隔が減少する、カテーテルシステム。 - 請求項9に記載のカテーテルシステムであって、
前記複数の電極が、第1の電極および第2の電極を含み、
前記形状変化は、前記第1のスプラインの直線化であり、前記第1の電極および前記第2の電極が、前記第1のスプラインに取り付けられており、
前記直線化によって、前記第1の電極と前記第2の電極との間の間隔が増大する、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記複数の電極が、第1の電極および第2の電極を含み、
前記カテーテルシステムは、前記第1の電極と前記第2の電極との間に電流を印加することで、前記第1の電極と前記第2の電極との間の間隔を特定する、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、切除カテーテルをさらに備え、
前記切除カテーテルが、
遠位部分を備える長尺シャフトと、
前記遠位部分に配置されて組織へエネルギーを送達するように構成される少なくとも一つの切除要素と、を含む、
カテーテルシステム。 - 請求項15に記載のカテーテルシステムであって、前記少なくとも一つの切除要素が、
電極と、
低温エネルギーを送達するように構成される導管と、
レーザダイオードと、
切除エネルギーを送達するように構成される光ファイバと、
マイクロ波エネルギー送達要素と、
超音波エネルギー送達要素と、
薬品または他の薬剤の送達要素と、
以上の組み合わせと、
から成るグループから選択される切除要素を包含する、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
遠位端部を備えるシースをさらに包含し、前記拡開アセンブリが、シース遠位端部から出る際に径方向に拡開するように構成される、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記複数の電極が、0.1ヘルツを上回る周波数について10,000オーム未満のインピーダンスを持つ少なくとも一つの電極を包含する、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記複数の超音波トランスデューサが、
単要素または多要素の圧電セラミックスと、
圧電微細加工による超音波トランスデューサ(pMUT)と、
容量性微細加工による超音波トランスデューサ(cMUT)と、
圧電ポリマーと、
以上の組み合わせと、
から成るグループから選択されるアセンブリを包含する、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記複数の超音波トランスデューサの各々が2つの電極の間に設置される、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
さらに少なくとも一つの体表面電極を包含し、前記距離測定アセンブリがさらに、前記少なくとも一つの体表面電極へ信号を送達し、前記少なくとも一つの体表面電極からの第2発生信号を記録し、前記第2発生信号の記録に基づいて第2距離情報セットを作成するように構成される、カテーテルシステム。 - 請求項1に記載のカテーテルシステムであって、
前記三次元解剖学マップが心臓壁位置情報または心臓壁厚情報の少なくともどちらか一方を包含する、カテーテルシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261695535P | 2012-08-31 | 2012-08-31 | |
US61/695,535 | 2012-08-31 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018061040A Division JP6510104B2 (ja) | 2012-08-31 | 2018-03-28 | 切除システム |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2019146973A true JP2019146973A (ja) | 2019-09-05 |
JP6785909B2 JP6785909B2 (ja) | 2020-11-18 |
Family
ID=49209545
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015530101A Active JP6316821B2 (ja) | 2012-08-31 | 2013-08-30 | 切除システム |
JP2018061040A Active JP6510104B2 (ja) | 2012-08-31 | 2018-03-28 | 切除システム |
JP2019071004A Active JP6785909B2 (ja) | 2012-08-31 | 2019-04-03 | 切除システム |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015530101A Active JP6316821B2 (ja) | 2012-08-31 | 2013-08-30 | 切除システム |
JP2018061040A Active JP6510104B2 (ja) | 2012-08-31 | 2018-03-28 | 切除システム |
Country Status (7)
Country | Link |
---|---|
US (6) | US10004459B2 (ja) |
EP (2) | EP3868283A1 (ja) |
JP (3) | JP6316821B2 (ja) |
CN (1) | CN104812297B (ja) |
AU (2) | AU2013308531B2 (ja) |
CA (1) | CA2881457C (ja) |
WO (1) | WO2014036439A2 (ja) |
Families Citing this family (143)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10568546B2 (en) * | 2003-02-21 | 2020-02-25 | 3Dt Holdings, Llc | Devices and methods for sizing valve apertures and luminal organs |
EP3603500B1 (en) | 2006-08-03 | 2021-03-31 | Christoph Scharf | Device for determining and presenting surface charge and dipole densities on cardiac walls |
US8512255B2 (en) | 2008-01-17 | 2013-08-20 | Christoph Scharf | Device and method for the geometric determination of electrical dipole densities on the cardiac wall |
WO2010093603A1 (en) | 2009-02-11 | 2010-08-19 | Boston Scientific Scimed, Inc. | Insulated ablation catheter devices and methods of use |
CA2829626C (en) | 2011-03-10 | 2020-06-16 | Acutus Medical, Inc. | Device and method for the geometric determination of electrical dipole densities on the cardiac wall |
US9744033B2 (en) | 2011-04-01 | 2017-08-29 | W.L. Gore & Associates, Inc. | Elastomeric leaflet for prosthetic heart valves |
US9554806B2 (en) | 2011-09-16 | 2017-01-31 | W. L. Gore & Associates, Inc. | Occlusive devices |
EP2882336B1 (en) | 2012-08-09 | 2019-06-26 | University of Iowa Research Foundation | Catheter systems for puncturing through a tissue structure |
EP3868283A1 (en) | 2012-08-31 | 2021-08-25 | Acutus Medical Inc. | Catheter system for the heart |
WO2014100631A1 (en) | 2012-12-20 | 2014-06-26 | Boston Scientific Scimed, Inc. | Real-time feedback for electrode contact during mapping |
US9655754B2 (en) * | 2013-01-10 | 2017-05-23 | Trivascular, Inc. | Systems and methods for guidewire crossover for bifurcated prostheses |
CA2899311C (en) | 2013-02-08 | 2021-05-11 | Acutus Medical, Inc. | Expandable catheter assembly with flexible printed circuit board (pcb) electrical pathways |
US10098694B2 (en) | 2013-04-08 | 2018-10-16 | Apama Medical, Inc. | Tissue ablation and monitoring thereof |
US10349824B2 (en) | 2013-04-08 | 2019-07-16 | Apama Medical, Inc. | Tissue mapping and visualization systems |
US11911258B2 (en) | 2013-06-26 | 2024-02-27 | W. L. Gore & Associates, Inc. | Space filling devices |
CA2922941C (en) | 2013-09-13 | 2021-11-16 | Acutus Medical, Inc. | Devices and methods for determination of electrical dipole densities on a cardiac surface |
EP3091921B1 (en) | 2014-01-06 | 2019-06-19 | Farapulse, Inc. | Apparatus for renal denervation ablation |
JP6739346B2 (ja) | 2014-03-25 | 2020-08-12 | アクタス メディカル インクAcutus Medical,Inc. | 心臓解析ユーザインタフェースのシステムの作動方法 |
EP3139997B1 (en) | 2014-05-07 | 2018-09-19 | Farapulse, Inc. | Apparatus for selective tissue ablation |
WO2015173704A1 (en) * | 2014-05-13 | 2015-11-19 | The Charlotte-Mecklenburg Hospital Authority D/B/A Carolinas Healthcare System | Method and apparatus for ultrasound-guided delivery of vascular devices |
WO2015192018A1 (en) | 2014-06-12 | 2015-12-17 | Iowa Approach Inc. | Method and apparatus for rapid and selective tissue ablation with cooling |
WO2015192027A1 (en) | 2014-06-12 | 2015-12-17 | Iowa Approach Inc. | Method and apparatus for rapid and selective transurethral tissue ablation |
WO2015200518A1 (en) * | 2014-06-24 | 2015-12-30 | Apama Medical, Inc. | Tissue ablation and monitoring thereof |
EP3174485B1 (en) | 2014-07-28 | 2021-10-27 | Boston Scientific Scimed, Inc. | Multiple lead electrode probe for controlled tissue ablation |
CN106793968A (zh) | 2014-10-13 | 2017-05-31 | 波士顿科学医学有限公司 | 使用微电极的组织诊断和治疗 |
WO2016060983A1 (en) | 2014-10-14 | 2016-04-21 | Iowa Approach Inc. | Method and apparatus for rapid and safe pulmonary vein cardiac ablation |
WO2016065337A1 (en) | 2014-10-24 | 2016-04-28 | Boston Scientific Scimed Inc. | Medical devices with a flexible electrode assembly coupled to an ablation tip |
EP3232969A1 (en) | 2014-12-18 | 2017-10-25 | Boston Scientific Scimed Inc. | Real-time morphology analysis for lesion assessment |
EP3258832A1 (en) * | 2015-02-20 | 2017-12-27 | Boston Scientific Scimed Inc. | Tissue contact sensing using a medical device |
EP3069654A1 (en) * | 2015-03-20 | 2016-09-21 | Otto-von-Guericke-University | Ablation catheter |
US20160302858A1 (en) * | 2015-04-17 | 2016-10-20 | Boston Scientific Scimed Inc. | Tissue diagnosis and treatment using electrodes and mini-electrodes |
US11564607B2 (en) * | 2015-04-30 | 2023-01-31 | The Regents Of The University Of Michigan | Method and system for mapping and analyzing cardiac electrical activity |
US10593234B2 (en) | 2015-05-12 | 2020-03-17 | Acutus Medical, Inc. | Cardiac virtualization test tank and testing system and method |
CN107847173B (zh) * | 2015-05-12 | 2022-08-30 | 阿库图森医疗有限公司 | 超声测序系统和方法 |
WO2016181317A2 (en) | 2015-05-12 | 2016-11-17 | Navix International Limited | Calculation of an ablation plan |
CA2984929A1 (en) | 2015-05-13 | 2016-11-17 | Acutus Medical, Inc. | Localization system and method useful in the acquisition and analysis of cardiac information |
CA2986047C (en) * | 2015-05-14 | 2020-11-10 | W. L. Gore & Associates, Inc. | Devices and methods for occlusion of an atrial appendage |
US20160338770A1 (en) * | 2015-05-19 | 2016-11-24 | Biosense Webster (Israel) Ltd. | Woven foldable catheter |
JP6752873B2 (ja) | 2015-08-03 | 2020-09-09 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | ステアリング可能組織マッピング及びアブレーションデバイス |
WO2017024123A1 (en) * | 2015-08-06 | 2017-02-09 | Medtronic, Inc. | Cardiac pulsed field ablation |
US20170035358A1 (en) * | 2015-08-07 | 2017-02-09 | Boston Scientific Scimed Inc. | Force sensing catheters having super-elastic structural strain sensors |
US10524857B2 (en) * | 2015-09-14 | 2020-01-07 | Biosense Webster (Israel) Ltd. | Dual node multiray electrode catheter |
JP6785301B2 (ja) * | 2015-11-04 | 2020-11-18 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 医療デバイス及びそれと関連する方法 |
EP3393383A4 (en) * | 2015-12-23 | 2019-07-31 | Rhode Island Hospital | THERMAL ACCELERATOR COMPOSITIONS AND METHODS OF USE |
US10078713B2 (en) * | 2015-12-24 | 2018-09-18 | Biosense Webster (Israel) Ltd. | Global mapping catheter contact optimization |
US20170189097A1 (en) | 2016-01-05 | 2017-07-06 | Iowa Approach Inc. | Systems, apparatuses and methods for delivery of ablative energy to tissue |
US10172673B2 (en) | 2016-01-05 | 2019-01-08 | Farapulse, Inc. | Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
US10130423B1 (en) | 2017-07-06 | 2018-11-20 | Farapulse, Inc. | Systems, devices, and methods for focal ablation |
US10660702B2 (en) | 2016-01-05 | 2020-05-26 | Farapulse, Inc. | Systems, devices, and methods for focal ablation |
AU2017212715B2 (en) | 2016-01-29 | 2019-08-08 | Boston Scientific Scimed, Inc. | Force sensing catheter with impedance-guided orientation |
US9907480B2 (en) * | 2016-02-08 | 2018-03-06 | Biosense Webster (Israel) Ltd. | Catheter spine assembly with closely-spaced bipole microelectrodes |
KR101861783B1 (ko) * | 2016-02-26 | 2018-05-29 | 주식회사 스타메드 | 매핑 및 소작 카테터 |
US11219769B2 (en) * | 2016-02-26 | 2022-01-11 | Medtronic, Inc. | Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing |
WO2017192495A1 (en) | 2016-05-02 | 2017-11-09 | Affera, Inc. | System comprising a catheter and an expandable electrode and a method of forming a lesion |
CN109715055B (zh) | 2016-05-03 | 2022-01-04 | 阿库图森医疗有限公司 | 具有效率算法的心脏标测系统 |
US10537260B2 (en) * | 2016-05-06 | 2020-01-21 | Biosense Webster (Israel) Ltd. | Varying diameter catheter distal end design for decreased distal hub size |
US9974460B2 (en) | 2016-05-06 | 2018-05-22 | Biosense Webster (Israel) Ltd. | Basket-shaped catheter with improved distal hub |
US10905329B2 (en) * | 2016-06-09 | 2021-02-02 | Biosense Webster (Israel) Ltd. | Multi-function conducting elements for a catheter |
US11369431B2 (en) | 2016-06-11 | 2022-06-28 | Boston Scientific Scimed Inc. | Inductive double flat coil displacement sensor |
EP3484362A1 (en) | 2016-07-14 | 2019-05-22 | Navix International Limited | Characteristic track catheter navigation |
WO2018011632A1 (en) | 2016-07-15 | 2018-01-18 | Dragon Medical Development Limited | Multi-spline, multi-electrode catheter and method of use for mapping of internal organs |
CN109788965B (zh) * | 2016-10-06 | 2022-07-15 | 冲击波医疗公司 | 使用冲击波施加器进行的主动脉小叶修复 |
US11266467B2 (en) | 2016-10-25 | 2022-03-08 | Navix International Limited | Systems and methods for registration of intra-body electrical readings with a pre-acquired three dimensional image |
WO2018092070A1 (en) | 2016-11-16 | 2018-05-24 | Navix International Limited | Esophagus position detection by electrical mapping |
US10842410B2 (en) * | 2016-11-16 | 2020-11-24 | Walter Kusumoto | Electrophysiology mapping with echo probe data |
WO2018092062A1 (en) | 2016-11-16 | 2018-05-24 | Navix International Limited | Real-time display of tissue deformation by interactions with an intra-body probe |
US11010983B2 (en) | 2016-11-16 | 2021-05-18 | Navix International Limited | Tissue model dynamic visual rendering |
WO2018092071A1 (en) | 2016-11-16 | 2018-05-24 | Navix International Limited | Estimators for ablation effectiveness |
US10709507B2 (en) | 2016-11-16 | 2020-07-14 | Navix International Limited | Real-time display of treatment-related tissue changes using virtual material |
US10918306B2 (en) | 2016-12-13 | 2021-02-16 | Biosense Webster (Israel) Ltd. | Catheter splines with embedded circuit elements |
US11344259B2 (en) * | 2017-01-11 | 2022-05-31 | Abbott Cardiovascular Systems Inc. | Expandable member for an electrophysiology catheter |
US11730395B2 (en) | 2017-01-12 | 2023-08-22 | Navix International Limited | Reconstruction of an anatomical structure from intrabody measurements |
CN110167438B (zh) * | 2017-01-12 | 2022-04-08 | 纳维斯国际有限公司 | 用于将体内电读数重建成解剖结构的系统和方法 |
US11471067B2 (en) | 2017-01-12 | 2022-10-18 | Navix International Limited | Intrabody probe navigation by electrical self-sensing |
US11464422B2 (en) | 2017-01-22 | 2022-10-11 | Navix Internatonal Limited | Coronary sinus-based electromagnetic mapping |
US11364072B2 (en) * | 2017-01-27 | 2022-06-21 | Medtronic, Inc. | Catheter electrodes for energy management |
US20180249928A1 (en) * | 2017-03-02 | 2018-09-06 | St. Jude Medical, Cardiology Division, Inc. | System and Method for Differentiation of Adipose Tissue from Scar Tissue During Electrophysiological Mapping |
WO2018169868A1 (en) * | 2017-03-13 | 2018-09-20 | Intuitive Surgical Operations, Inc. | Systems and methods for medical procedures using optical coherence tomography sensing |
WO2018187856A1 (en) * | 2017-04-12 | 2018-10-18 | Kardium Inc. | Medical device systems and methods including helically configured or twisted, non-helically configured elongate members |
US11646113B2 (en) * | 2017-04-24 | 2023-05-09 | Biosense Webster (Israel) Ltd. | Systems and methods for determining magnetic location of wireless tools |
US9987081B1 (en) | 2017-04-27 | 2018-06-05 | Iowa Approach, Inc. | Systems, devices, and methods for signal generation |
CN112971969A (zh) * | 2017-04-28 | 2021-06-18 | 法拉普尔赛股份有限公司 | 用于将脉冲电场消融能量递送到心内膜组织的系统、装置和方法 |
US10617867B2 (en) | 2017-04-28 | 2020-04-14 | Farapulse, Inc. | Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue |
US11583202B2 (en) | 2017-08-17 | 2023-02-21 | Navix International Limited | Field gradient-based remote imaging |
CN115844523A (zh) | 2017-09-12 | 2023-03-28 | 波士顿科学医学有限公司 | 用于心室局灶性消融的系统、设备和方法 |
US11173023B2 (en) | 2017-10-16 | 2021-11-16 | W. L. Gore & Associates, Inc. | Medical devices and anchors therefor |
CN108784896B (zh) * | 2017-10-31 | 2024-04-05 | 杭州诺生医疗科技有限公司 | 房间隔造口装置、房间隔造口系统及其操作方法 |
DE102018100199A1 (de) * | 2018-01-05 | 2019-07-11 | Vm Holding Gmbh | Herzkatheter |
US10973461B2 (en) * | 2018-01-10 | 2021-04-13 | Biosense Webster (Israel) Ltd. | Mapping of intra-body cavity using a distributed ultrasound array on basket catheter |
IT201800000671A1 (it) * | 2018-01-10 | 2019-07-10 | Matteo Montorfano | Dispositivo di inserimento di un filo di guida in un vaso sanguigno |
AU2019209440A1 (en) * | 2018-01-21 | 2020-09-03 | Acutus Medical, Inc. | System for identifying cardiac conduction patterns |
KR102067989B1 (ko) * | 2018-03-26 | 2020-01-20 | (주) 타우피엔유메디칼 | 심근 전기 신호 감지 캡쳐카테터 |
US20190314083A1 (en) | 2018-04-11 | 2019-10-17 | Biosense Webster (Israel) Ltd. | Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes |
JP2021522903A (ja) | 2018-05-07 | 2021-09-02 | ファラパルス,インコーポレイテッド | 組織へアブレーションエネルギーを送達するためのシステム、装置、および方法 |
JP7379377B2 (ja) | 2018-05-07 | 2023-11-14 | ファラパルス,インコーポレイテッド | パルス電界アブレーションによって誘導される高電圧ノイズをフィルタリングするためのシステム、装置、および方法 |
JP7399881B2 (ja) | 2018-05-07 | 2023-12-18 | ファラパルス,インコーポレイテッド | 心外膜アブレーションカテーテル |
WO2019217430A1 (en) | 2018-05-08 | 2019-11-14 | Acutus Medical, Inc. | Cardiac information processing system |
WO2019234687A2 (en) * | 2018-06-07 | 2019-12-12 | St. Jude Medical, Cardiology Division, Inc. | Sensing, mapping, and therapy catheter with multiple catheterlets |
KR102167091B1 (ko) * | 2018-08-21 | 2020-10-16 | (주) 타우피엔유메디칼 | 스네어 일체형 심근 전기 신호 감지 카테터 |
US10687892B2 (en) | 2018-09-20 | 2020-06-23 | Farapulse, Inc. | Systems, apparatuses, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
US10980653B2 (en) | 2018-10-31 | 2021-04-20 | Anchor Balloon, Llc | System and method for controlled delivery of medical devices into patient bodies |
WO2020106604A1 (en) * | 2018-11-20 | 2020-05-28 | Boston Scientific Scimed Inc | Systems for autonomous cardiac mapping |
US11045628B2 (en) | 2018-12-11 | 2021-06-29 | Biosense Webster (Israel) Ltd. | Balloon catheter with high articulation |
WO2020123797A1 (en) * | 2018-12-14 | 2020-06-18 | Teitelbaum George P | Vagus nerve ablation devices, systems, and methods |
WO2020176751A1 (en) * | 2019-02-27 | 2020-09-03 | Medical Engineering Innovations, Inc. | Radio frequency surgical instruments |
CN113853175A (zh) | 2019-03-18 | 2021-12-28 | 伯恩森斯韦伯斯特(以色列)有限责任公司 | 用于心律失常诊断的电极构型 |
WO2020214962A1 (en) * | 2019-04-18 | 2020-10-22 | Acutus Medical, Inc. | System for creating a composite map |
US11850051B2 (en) | 2019-04-30 | 2023-12-26 | Biosense Webster (Israel) Ltd. | Mapping grid with high density electrode array |
US10939863B2 (en) * | 2019-05-28 | 2021-03-09 | Biosense Webster (Israel) Ltd. | Determining occurrence of focal and/or rotor arrhythmogenic activity in cardiac tissue regions |
WO2021001772A1 (en) * | 2019-07-02 | 2021-01-07 | St. Jude Medical, Cardiology Division, Inc. | Reduced impedance electrode design |
US10625080B1 (en) | 2019-09-17 | 2020-04-21 | Farapulse, Inc. | Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation |
US11497541B2 (en) | 2019-11-20 | 2022-11-15 | Boston Scientific Scimed, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
US11065047B2 (en) | 2019-11-20 | 2021-07-20 | Farapulse, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
EP4061206A4 (en) | 2019-11-22 | 2023-12-20 | Acutus Medical, Inc. | TISSUE TREATMENT SYSTEMS, APPARATUS AND METHODS |
US10842572B1 (en) | 2019-11-25 | 2020-11-24 | Farapulse, Inc. | Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines |
CN110897710B (zh) * | 2019-11-30 | 2021-08-31 | 杭州堃博生物科技有限公司 | 肺部神经消融系统的控制方法、系统以及计算机介质 |
US11950930B2 (en) | 2019-12-12 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Multi-dimensional acquisition of bipolar signals from a catheter |
US11517218B2 (en) | 2019-12-20 | 2022-12-06 | Biosense Webster (Israel) Ltd. | Selective graphical presentation of electrophysiological parameters |
WO2021195184A1 (en) * | 2020-03-24 | 2021-09-30 | Mayo Foundation For Medical Education And Research | Mediastinum access devices and methods |
US11987017B2 (en) | 2020-06-08 | 2024-05-21 | Biosense Webster (Israel) Ltd. | Features to assist in assembly and testing of devices |
CN111772783A (zh) * | 2020-08-21 | 2020-10-16 | 白龙腾 | 一种具有可弯曲电极的消融系统 |
KR102477679B1 (ko) * | 2020-08-24 | 2022-12-15 | 전남대학교 산학협력단 | 카테터형 초음파 내시경 및 이를 포함하는 검사 시스템 |
CN112022371B (zh) * | 2020-09-09 | 2021-06-08 | 广州言几方科技有限公司 | 一种介入治疗针引导装置 |
US11950841B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes and diagnostic electrodes |
US11950840B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes |
US11974803B2 (en) | 2020-10-12 | 2024-05-07 | Biosense Webster (Israel) Ltd. | Basket catheter with balloon |
GB2601291A (en) * | 2020-10-13 | 2022-06-01 | Pacertool As | A catheter and method for detecting dyssynergy resulting from dyssynchrony |
US20220125329A1 (en) * | 2020-10-23 | 2022-04-28 | Biosense Webster (Israel) Ltd. | Coated Electrodes for Intrabody Location Sensing |
CN112603524B (zh) * | 2020-11-30 | 2023-02-24 | 杭州诺生医疗科技有限公司 | 房间隔组织造口装置及房间隔组织造口系统 |
US11918383B2 (en) | 2020-12-21 | 2024-03-05 | Biosense Webster (Israel) Ltd. | Visualizing performance of catheter electrodes |
CN113116513B (zh) * | 2021-02-24 | 2022-12-13 | 电子科技大学 | 一种基于基片集成同轴电缆的微波消融天线 |
US20240138736A1 (en) * | 2021-03-03 | 2024-05-02 | Brian Pederson | Electrode with protected impedance reduction coating |
USD1014762S1 (en) | 2021-06-16 | 2024-02-13 | Affera, Inc. | Catheter tip with electrode panel(s) |
AU2022325796A1 (en) * | 2021-08-13 | 2023-12-07 | Chambertech Ltd | Intravascular atrial fibrillation treatment system and method |
US12004804B2 (en) | 2021-09-09 | 2024-06-11 | Biosense Webster (Israel) Ltd. | Basket catheter with mushroom shape distal tip |
US12011280B2 (en) | 2021-10-04 | 2024-06-18 | 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 |
CN114145840B (zh) * | 2021-12-03 | 2024-01-02 | 陕西省中医医院 | 一种具有消融和标测功能的心腔内超声导管 |
US20230210580A1 (en) * | 2021-12-30 | 2023-07-06 | Biosense Webster (Isreal) Ltd. | Coated Microelectrodes |
WO2023138945A1 (en) * | 2022-01-19 | 2023-07-27 | Vascomed Gmbh | Ablation catheter and method for operating the same |
US20230301713A1 (en) * | 2022-03-25 | 2023-09-28 | Biosense Webster (Israel) Ltd. | Expandable basket assemblies with linear spine patterns for improved tissue contact and methods for making thereof |
US20230346466A1 (en) * | 2022-04-28 | 2023-11-02 | Biosense Webster (Israel) Ltd. | Basket catheter with cloverleaf structure to provide predetermined lateral stiffness and axial strain |
WO2024112787A1 (en) * | 2022-11-23 | 2024-05-30 | Boston Scientific Scimed, Inc. | Rotatable ultrasound catheter for detecting left atrial appendage closure device leaks |
Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1994006349A1 (en) * | 1992-09-23 | 1994-03-31 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
JPH10137207A (ja) * | 1996-07-12 | 1998-05-26 | Ep Technol Inc | 可動電極要素を複数電極構造体内で誘導するためのシステム及び方法 |
WO2000007501A1 (en) * | 1998-08-03 | 2000-02-17 | Cardiac Pathways Corporation | A dynamically alterable three-dimensional graphical model of a body region |
JP2002051998A (ja) * | 2000-06-21 | 2002-02-19 | Biosense Inc | 心臓電気活動高速マッピング |
JP2002113004A (ja) * | 2000-08-18 | 2002-04-16 | Biosense Inc | 超音波を使用した3次元的復元 |
WO2004026134A1 (en) * | 2002-08-24 | 2004-04-01 | Krishnan Subramaniam C | Method and apparatus for locating the fossa ovalis and performing transseptal puncture |
WO2008014629A2 (en) * | 2006-08-03 | 2008-02-07 | Christoph Scharf | Method and device for determining and presenting surface charge and dipole densities on cardiac walls |
JP2008149132A (ja) * | 2006-12-14 | 2008-07-03 | General Electric Co <Ge> | 機械的に拡開するトランスデューサ・アセンブリ |
US20090076483A1 (en) * | 2007-09-14 | 2009-03-19 | Kenneth Danehorn | Catheter localization system |
WO2009090547A2 (en) * | 2008-01-17 | 2009-07-23 | Christoph Scharf | A device and method for the geometric determination of electrical dipole densities on the cardiac wall |
US20100286551A1 (en) * | 2009-05-08 | 2010-11-11 | Rhythmia Medical, Inc. | Impedance Based Anatomy Generation |
US20110144510A1 (en) * | 2009-12-16 | 2011-06-16 | Pacesetter, Inc. | Methods to identify damaged or scarred tissue based on position information and physiological information |
Family Cites Families (218)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH6808A (de) | 1893-05-12 | 1893-11-15 | Massau Peter Paul | Zusammen- und auseinanderschiebbares Gerüst |
CH125106A (fr) | 1926-03-04 | 1928-04-16 | Westinghouse Freins & Signaux | Dispositif à valve d'alimentation pour freins à fluide sous pression. |
US6014590A (en) | 1974-03-04 | 2000-01-11 | Ep Technologies, Inc. | Systems and methods employing structures having asymmetric mechanical properties to support diagnostic or therapeutic elements in contact with tissue in interior body regions |
US4173228A (en) | 1977-05-16 | 1979-11-06 | Applied Medical Devices | Catheter locating device |
US4173201A (en) * | 1977-08-30 | 1979-11-06 | Albert Chao | Illuminated collar for pets and the like |
CA1292572C (en) | 1988-10-25 | 1991-11-26 | Fernando C. Lebron | Cardiac mapping system simulator |
US5156151A (en) | 1991-02-15 | 1992-10-20 | Cardiac Pathways Corporation | Endocardial mapping and ablation system and catheter probe |
US5555883A (en) | 1992-02-24 | 1996-09-17 | Avitall; Boaz | Loop electrode array mapping and ablation catheter for cardiac chambers |
US5293868A (en) | 1992-06-30 | 1994-03-15 | American Cardiac Ablation Co., Inc. | Cardiac ablation catheter having resistive mapping electrodes |
US5782239A (en) | 1992-06-30 | 1998-07-21 | Cordis Webster, Inc. | Unique electrode configurations for cardiovascular electrode catheter with built-in deflection method and central puller wire |
US5662108A (en) | 1992-09-23 | 1997-09-02 | Endocardial Solutions, Inc. | Electrophysiology mapping system |
US6240307B1 (en) * | 1993-09-23 | 2001-05-29 | Endocardial Solutions, Inc. | Endocardial mapping system |
US5297549A (en) * | 1992-09-23 | 1994-03-29 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
JPH08504333A (ja) | 1992-09-25 | 1996-05-14 | イーピー・テクノロジーズ・インコーポレーテッド | 心臓系統のための電極支持スプライン |
WO1994021170A1 (en) | 1993-03-16 | 1994-09-29 | Ep Technologies, Inc. | Flexible circuit assemblies employing ribbon cable |
US5476495A (en) | 1993-03-16 | 1995-12-19 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
US5601084A (en) | 1993-06-23 | 1997-02-11 | University Of Washington | Determining cardiac wall thickness and motion by imaging and three-dimensional modeling |
IL116699A (en) | 1996-01-08 | 2001-09-13 | Biosense Ltd | Method of building a heart map |
US6939309B1 (en) | 1993-09-23 | 2005-09-06 | Endocardial Solutions, Inc. | Electrophysiology mapping system |
US5482472A (en) | 1993-11-17 | 1996-01-09 | Board Of Regents, The University Of Texas System | Electrical signal generator interface with three-dimensional electrical pathway and transparent heart and method of visually simulating cardiac waveforms in three dimensions |
US5968040A (en) | 1994-03-04 | 1999-10-19 | Ep Technologies, Inc. | Systems and methods using asymmetric multiple electrode arrays |
US6216043B1 (en) | 1994-03-04 | 2001-04-10 | Ep Technologies, Inc. | Asymmetric multiple electrode support structures |
US5740808A (en) * | 1996-10-28 | 1998-04-21 | Ep Technologies, Inc | Systems and methods for guilding diagnostic or therapeutic devices in interior tissue regions |
US5876336A (en) | 1994-10-11 | 1999-03-02 | Ep Technologies, Inc. | Systems and methods for guiding movable electrode elements within multiple-electrode structure |
US5595183A (en) | 1995-02-17 | 1997-01-21 | Ep Technologies, Inc. | Systems and methods for examining heart tissue employing multiple electrode structures and roving electrodes |
US5722416A (en) | 1995-02-17 | 1998-03-03 | Ep Technologies, Inc. | Systems and methods for analyzing biopotential morphologies in heart tissue to locate potential ablation sites |
US5830144A (en) | 1995-03-28 | 1998-11-03 | Vesely; Ivan | Tracking data sheath |
US5795298A (en) | 1995-03-28 | 1998-08-18 | Sonometrics Corporation | System for sharing electrocardiogram electrodes and transducers |
WO1997004702A1 (en) * | 1995-07-28 | 1997-02-13 | Ep Technologies, Inc. | Systems and methods for conducting electrophysiological testing using high-voltage energy pulses to stun heart tissue |
US5749833A (en) | 1995-08-15 | 1998-05-12 | Hakki; A-Hamid | Combined echo-electrocardiographic probe |
US5647367A (en) | 1996-05-31 | 1997-07-15 | Hewlett-Packard Company | Scanning ultrasonic probe with locally-driven sweeping ultrasonic source |
DE19622078A1 (de) | 1996-05-31 | 1997-12-04 | Siemens Ag | Vorrichtung zum Lokalisieren von Aktionsströmen im Herzen |
US5820568A (en) | 1996-10-15 | 1998-10-13 | Cardiac Pathways Corporation | Apparatus and method for aiding in the positioning of a catheter |
US5904651A (en) * | 1996-10-28 | 1999-05-18 | Ep Technologies, Inc. | Systems and methods for visualizing tissue during diagnostic or therapeutic procedures |
SE9604215D0 (sv) | 1996-11-18 | 1996-11-18 | Pacesetter Ab | Apparatus for tissue stimulation |
US5910129A (en) * | 1996-12-19 | 1999-06-08 | Ep Technologies, Inc. | Catheter distal assembly with pull wires |
US5795299A (en) | 1997-01-31 | 1998-08-18 | Acuson Corporation | Ultrasonic transducer assembly with extended flexible circuits |
US6024703A (en) * | 1997-05-07 | 2000-02-15 | Eclipse Surgical Technologies, Inc. | Ultrasound device for axial ranging |
USD394411S (en) * | 1997-06-06 | 1998-05-19 | LSM Investments Group, Inc. | Wrist bracelet |
US6514249B1 (en) | 1997-07-08 | 2003-02-04 | Atrionix, Inc. | Positioning system and method for orienting an ablation element within a pulmonary vein ostium |
US6839588B1 (en) | 1997-07-31 | 2005-01-04 | Case Western Reserve University | Electrophysiological cardiac mapping system based on a non-contact non-expandable miniature multi-electrode catheter and method therefor |
US6975900B2 (en) | 1997-07-31 | 2005-12-13 | Case Western Reserve University | Systems and methods for determining a surface geometry |
AU8677098A (en) | 1997-07-31 | 1999-02-22 | Case Western Reserve University | A system and method for non-invasive electrocardiographic imaging |
US6490474B1 (en) | 1997-08-01 | 2002-12-03 | Cardiac Pathways Corporation | System and method for electrode localization using ultrasound |
US6086532A (en) | 1997-09-26 | 2000-07-11 | Ep Technologies, Inc. | Systems for recording use of structures deployed in association with heart tissue |
JP4208275B2 (ja) | 1997-10-30 | 2009-01-14 | 株式会社東芝 | 心臓内電気現象の診断装置およびその現象の表示方法 |
US6115626A (en) | 1998-03-26 | 2000-09-05 | Scimed Life Systems, Inc. | Systems and methods using annotated images for controlling the use of diagnostic or therapeutic instruments in instruments in interior body regions |
AU742057B2 (en) | 1998-04-14 | 2001-12-13 | Gmp Drug Delivery, Inc. | Iontophoresis, electroporation and combination catheters for local drug delivery to arteries and other body tissues |
US6066096A (en) | 1998-05-08 | 2000-05-23 | Duke University | Imaging probes and catheters for volumetric intraluminal ultrasound imaging and related systems |
US6107699A (en) | 1998-05-22 | 2000-08-22 | Scimed Life Systems, Inc. | Power supply for use in electrophysiological apparatus employing high-voltage pulses to render tissue temporarily unresponsive |
US7263397B2 (en) | 1998-06-30 | 2007-08-28 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Method and apparatus for catheter navigation and location and mapping in the heart |
US7806829B2 (en) | 1998-06-30 | 2010-10-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for navigating an ultrasound catheter to image a beating heart |
US7187973B2 (en) | 1998-06-30 | 2007-03-06 | Endocardial Solutions, Inc. | Congestive heart failure pacing optimization method and device |
US6301496B1 (en) | 1998-07-24 | 2001-10-09 | Biosense, Inc. | Vector mapping of three-dimensionally reconstructed intrabody organs and method of display |
US6206831B1 (en) | 1999-01-06 | 2001-03-27 | Scimed Life Systems, Inc. | Ultrasound-guided ablation catheter and methods of use |
US20010007070A1 (en) | 1999-04-05 | 2001-07-05 | Medtronic, Inc. | Ablation catheter assembly and method for isolating a pulmonary vein |
JP4223629B2 (ja) | 1999-06-16 | 2009-02-12 | 日本特殊陶業株式会社 | 超音波探触子用送受波素子及びその製造方法並びに該送受波素子を用いた超音波探触子 |
JP4550186B2 (ja) | 1999-09-06 | 2010-09-22 | 株式会社東芝 | 電気生理マッピング装置 |
USD428218S (en) * | 1999-09-15 | 2000-07-11 | Dehart Larry | Flashing dog collar |
US6795721B2 (en) | 2000-01-27 | 2004-09-21 | Biosense Webster, Inc. | Bidirectional catheter having mapping assembly |
US6557498B1 (en) * | 2000-08-10 | 2003-05-06 | David Allen Smierciak | Night safety pet illumination marker |
US6314586B1 (en) * | 2000-10-24 | 2001-11-13 | John R. Duguid | Supplemental protective pad for a sports helmet |
DE60215766T2 (de) * | 2001-01-11 | 2007-09-06 | C.R. Bard, Inc. | Ablationskatheter |
US20020198520A1 (en) * | 2001-06-20 | 2002-12-26 | Scimed Life Systems, Inc. | Irrigation sheath |
US6773402B2 (en) | 2001-07-10 | 2004-08-10 | Biosense, Inc. | Location sensing with real-time ultrasound imaging |
US7187964B2 (en) | 2001-09-27 | 2007-03-06 | Dirar S. Khoury | Cardiac catheter imaging system |
US6895267B2 (en) | 2001-10-24 | 2005-05-17 | Scimed Life Systems, Inc. | Systems and methods for guiding and locating functional elements on medical devices positioned in a body |
US8175680B2 (en) | 2001-11-09 | 2012-05-08 | Boston Scientific Scimed, Inc. | Systems and methods for guiding catheters using registered images |
WO2003070105A1 (en) | 2002-02-20 | 2003-08-28 | Liposonix, Inc. | Ultrasonic treatment and imaging of adipose tissue |
US7766838B2 (en) | 2002-04-17 | 2010-08-03 | Hitachi Medical Corporation | Ultrasonic probe in body cavity |
US7477763B2 (en) | 2002-06-18 | 2009-01-13 | Boston Scientific Scimed, Inc. | Computer generated representation of the imaging pattern of an imaging device |
US7043292B2 (en) | 2002-06-21 | 2006-05-09 | Tarjan Peter P | Single or multi-mode cardiac activity data collection, processing and display obtained in a non-invasive manner |
USD468492S1 (en) * | 2002-07-15 | 2003-01-07 | Aaron D. Wilhelm | Collar light |
USD495267S1 (en) * | 2002-11-12 | 2004-08-31 | De Beers Lv Ltd. | Necklace |
USD481525S1 (en) * | 2003-03-20 | 2003-11-04 | Joseph W. Kirnon | Cap |
JP4294376B2 (ja) | 2003-05-26 | 2009-07-08 | オリンパス株式会社 | 超音波診断プローブ装置 |
US20050059880A1 (en) | 2003-09-11 | 2005-03-17 | Mathias Sanjay George | ECG driven image reconstruction for cardiac imaging |
DE202004021941U1 (de) | 2003-09-12 | 2013-05-13 | Vessix Vascular, Inc. | Auswählbare exzentrische Remodellierung und/oder Ablation von atherosklerotischem Material |
US8147486B2 (en) | 2003-09-22 | 2012-04-03 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Medical device with flexible printed circuit |
DE10355275B4 (de) * | 2003-11-26 | 2009-03-05 | Siemens Ag | Kathedereinrichtung |
US7689261B2 (en) | 2003-11-26 | 2010-03-30 | General Electric Company | Cardiac display methods and apparatus |
USD520894S1 (en) * | 2004-01-28 | 2006-05-16 | Tri-Tronics, Inc. | Collar-mounted bark limiting device |
USD526590S1 (en) * | 2004-02-10 | 2006-08-15 | Ho Yun So | Receiver for electronic fence system |
USD521191S1 (en) * | 2004-04-07 | 2006-05-16 | Crescendo As | Helmet liner |
EP1744696A1 (en) * | 2004-05-14 | 2007-01-24 | Cardima, Inc. | Ablation probe with stabilizing member |
USD581765S1 (en) * | 2004-08-23 | 2008-12-02 | Green Lane Products Limited | Mechanical fabric softener |
JP4593211B2 (ja) | 2004-09-08 | 2010-12-08 | オリンパス株式会社 | カプセル型医療装置 |
US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
US20060116576A1 (en) | 2004-12-01 | 2006-06-01 | Scimed Life Systems, Inc. | System and use thereof to provide indication of proximity between catheter and location of interest in 3-D space |
USD533085S1 (en) * | 2005-04-08 | 2006-12-05 | Pinkrosa B.V. | Wrist watch |
JP4648063B2 (ja) | 2005-04-19 | 2011-03-09 | 日東電工株式会社 | カテーテル用フレキシブル配線回路基板、並びに、該フレキシブル配線回路基板を用いたカテーテル及びその製造方法 |
CN100515100C (zh) | 2005-04-29 | 2009-07-15 | 华为技术有限公司 | 一种交换机中交换模块的维护系统和维护方法 |
US7573182B2 (en) | 2005-06-01 | 2009-08-11 | Prorhythm, Inc. | Ultrasonic transducer |
EP2759276A1 (en) | 2005-06-20 | 2014-07-30 | Medtronic Ablation Frontiers LLC | Ablation catheter |
US7756576B2 (en) | 2005-08-26 | 2010-07-13 | Biosense Webster, Inc. | Position sensing and detection of skin impedance |
US20070049817A1 (en) | 2005-08-30 | 2007-03-01 | Assaf Preiss | Segmentation and registration of multimodal images using physiological data |
USD543127S1 (en) * | 2005-08-31 | 2007-05-22 | Heart Of Gold Us, Llp | Bracelet |
US8221310B2 (en) * | 2005-10-25 | 2012-07-17 | Voyage Medical, Inc. | Tissue visualization device and method variations |
US7918793B2 (en) | 2005-10-28 | 2011-04-05 | Biosense Webster, Inc. | Synchronization of ultrasound imaging data with electrical mapping |
USD552004S1 (en) * | 2005-11-14 | 2007-10-02 | Jay Varon | Magnet-embedded bracelet |
US20070232949A1 (en) | 2006-03-31 | 2007-10-04 | Ep Medsystems, Inc. | Method For Simultaneous Bi-Atrial Mapping Of Atrial Fibrillation |
EP2020914B1 (en) | 2006-05-10 | 2017-03-01 | Regents of the University of Minnesota | Methods and apparatus of three dimensional cardiac electrophysiological imaging |
US7774051B2 (en) | 2006-05-17 | 2010-08-10 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for mapping electrophysiology information onto complex geometry |
US20070270688A1 (en) | 2006-05-19 | 2007-11-22 | Daniel Gelbart | Automatic atherectomy system |
WO2007139479A1 (en) | 2006-06-01 | 2007-12-06 | Cathprint Ab | Tubular catheter for invasive use and manufacturing method therefor |
US7505810B2 (en) | 2006-06-13 | 2009-03-17 | Rhythmia Medical, Inc. | Non-contact cardiac mapping, including preprocessing |
US9131892B2 (en) | 2006-07-25 | 2015-09-15 | Gal Markel | Wearable items providing physiological, environmental and situational parameter monitoring |
WO2008045877A2 (en) | 2006-10-10 | 2008-04-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrode tip and ablation system |
CA2825736A1 (en) * | 2006-11-03 | 2008-05-08 | Research Triangle Institute | Enhanced ultrasound imaging probes using flexure mode piezoelectric transducers |
US8588885B2 (en) | 2007-05-09 | 2013-11-19 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Bendable catheter arms having varied flexibility |
US8224416B2 (en) | 2007-05-09 | 2012-07-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket catheter having multiple electrodes |
US8428690B2 (en) | 2007-05-16 | 2013-04-23 | General Electric Company | Intracardiac echocardiography image reconstruction in combination with position tracking system |
US8989842B2 (en) | 2007-05-16 | 2015-03-24 | General Electric Company | System and method to register a tracking system with intracardiac echocardiography (ICE) imaging system |
US10492729B2 (en) | 2007-05-23 | 2019-12-03 | St. Jude Medical, Cardiology Division, Inc. | Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes |
USD563818S1 (en) * | 2007-05-23 | 2008-03-11 | Varon Jay R | Magnet embedded bracelet |
US20100168578A1 (en) | 2007-06-12 | 2010-07-01 | University Of Virginia Patent Foundation | System and Method for Combined ECG-Echo for Cardiac Diagnosis |
US8311613B2 (en) | 2007-06-20 | 2012-11-13 | Siemens Aktiengesellschaft | Electrode catheter positioning system |
SG182185A1 (en) | 2007-06-22 | 2012-07-30 | Univ British Columbia | Stripwise construction of 3d curved surfaces |
US20090024086A1 (en) * | 2007-07-20 | 2009-01-22 | Qiming Zhang | Micro-steerable catheter |
US8454596B2 (en) | 2007-08-10 | 2013-06-04 | Beijing Amsino Medical Co., Ltd. | Electrophysiology ablation device |
USD570055S1 (en) * | 2007-09-20 | 2008-05-27 | Xenith, Llc | Protective helmet liner |
USD590736S1 (en) * | 2007-09-20 | 2009-04-21 | J Courtney Larsen | Ring |
US20090082691A1 (en) | 2007-09-26 | 2009-03-26 | Medtronic, Inc. | Frequency selective monitoring of physiological signals |
USD626705S1 (en) * | 2010-02-01 | 2010-11-02 | J.W. Pet Company, Inc. | Pet toy |
US8906011B2 (en) | 2007-11-16 | 2014-12-09 | Kardium Inc. | Medical device for use in bodily lumens, for example an atrium |
EP2222835A1 (en) | 2007-11-23 | 2010-09-01 | DSM IP Assets B.V. | Improved bioactive peptide production |
US8320711B2 (en) | 2007-12-05 | 2012-11-27 | Biosense Webster, Inc. | Anatomical modeling from a 3-D image and a surface mapping |
US8103327B2 (en) | 2007-12-28 | 2012-01-24 | Rhythmia Medical, Inc. | Cardiac mapping catheter |
US8740840B2 (en) * | 2008-01-16 | 2014-06-03 | Catheter Robotics Inc. | Remotely controlled catheter insertion system |
USD600867S1 (en) * | 2008-02-20 | 2009-09-22 | Edison Nation, Llc | Dispensing vessel for clothes dryer |
US8465433B2 (en) | 2008-05-27 | 2013-06-18 | Volusonics Medical Imaging Ltd. | Ultrasound garment |
CN201223445Y (zh) | 2008-06-23 | 2009-04-22 | 北京有色金属研究总院 | 一种射频消融导管 |
USD597881S1 (en) * | 2008-11-07 | 2009-08-11 | Cheng Uei Precision Industry Co., Ltd. | Call reminding bracelet |
JP5307900B2 (ja) | 2008-11-17 | 2013-10-02 | べシックス・バスキュラー・インコーポレイテッド | 組織トポグラフィの知識によらないエネルギーの選択的な蓄積 |
USD613349S1 (en) * | 2008-11-17 | 2010-04-06 | Loumet Nominees Pty Ltd | Exercise apparatus |
JP4775976B2 (ja) | 2009-03-09 | 2011-09-21 | 株式会社アドバンストシステムズジャパン | シート状接続端子およびこれを使用したfpc基板の接続方法 |
US8326419B2 (en) | 2009-04-07 | 2012-12-04 | Pacesetter, Inc. | Therapy optimization via multi-dimensional mapping |
USD618128S1 (en) * | 2009-04-20 | 2010-06-22 | Modern Muse, Inc. | Decorative band and clasp |
US8360786B2 (en) | 2009-04-29 | 2013-01-29 | Scott Duryea | Polysomnography training apparatus |
CN102770085B (zh) | 2009-08-03 | 2015-06-10 | 沙丘医疗设备有限公司 | 手术工具 |
CA2781951A1 (en) | 2009-11-13 | 2011-05-19 | St. Jude Medical, Inc. | Assembly of staggered ablation elements |
US8233972B2 (en) | 2010-02-12 | 2012-07-31 | Siemens Medical Solutions Usa, Inc. | System for cardiac arrhythmia detection and characterization |
WO2011121089A1 (en) | 2010-04-01 | 2011-10-06 | Ecole Polytechnique Federale De Lausanne (Epfl) | Device for interacting with neurological tissue and methods of making and using the same |
US8845631B2 (en) | 2010-04-28 | 2014-09-30 | Medtronic Ablation Frontiers Llc | Systems and methods of performing medical procedures |
US20110282343A1 (en) * | 2010-05-12 | 2011-11-17 | Medical Device Innovations Llc | Method and device for treatment of arrhythmias and other maladies |
JP5841140B2 (ja) | 2010-06-30 | 2016-01-13 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | エネルギーを対象物に付与するためのエネルギー付与装置 |
USD646448S1 (en) * | 2010-09-21 | 2011-10-04 | Shenzhen Become Biotech Co., Ltd. | Dryer ball |
CN201840518U (zh) * | 2010-09-29 | 2011-05-25 | 心诺普医疗技术(北京)有限公司 | 一种消融系统 |
US8636519B2 (en) | 2010-10-05 | 2014-01-28 | Biosense Webster (Israel) Ltd. | Simulation of an invasive procedure |
US9220555B2 (en) * | 2010-10-28 | 2015-12-29 | Medtronic Ablation Frontiers Llc | Cryo-ablation device with deployable injection tube |
CN103327921B (zh) | 2010-11-19 | 2017-02-15 | 波士顿科学西美德公司 | 肾神经检测以及消融装置 |
US8560086B2 (en) * | 2010-12-02 | 2013-10-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Catheter electrode assemblies and methods of construction therefor |
CA2819644A1 (en) | 2010-12-03 | 2012-06-07 | Research Triangle Institute | Ultrasound device, and associated cable assembly |
US9308041B2 (en) | 2010-12-22 | 2016-04-12 | Biosense Webster (Israel) Ltd. | Lasso catheter with rotating ultrasound transducer |
US9113807B2 (en) * | 2010-12-29 | 2015-08-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Dynamic adaptive respiration compensation with automatic gain control |
JP5956463B2 (ja) | 2010-12-30 | 2016-07-27 | セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド | 身体組織から電子生理学的データを分析しマッピングするシステム、電子生理学的データを分析するシステムの作動方法及び心臓組織から測定されるデータを分析するカテーテルシステム |
US9044245B2 (en) | 2011-01-05 | 2015-06-02 | Medtronic Ablation Frontiers Llc | Multipolarity epicardial radiofrequency ablation |
US8428700B2 (en) | 2011-01-13 | 2013-04-23 | Rhythmia Medical, Inc. | Electroanatomical mapping |
CA2764494A1 (en) | 2011-01-21 | 2012-07-21 | Kardium Inc. | Enhanced medical device for use in bodily cavities, for example an atrium |
US9480525B2 (en) | 2011-01-21 | 2016-11-01 | Kardium, Inc. | High-density electrode-based medical device system |
CN103391744B (zh) | 2011-02-17 | 2015-06-17 | 皇家飞利浦有限公司 | 用于提供电活动图的系统 |
CA2829626C (en) | 2011-03-10 | 2020-06-16 | Acutus Medical, Inc. | Device and method for the geometric determination of electrical dipole densities on the cardiac wall |
US8540544B1 (en) * | 2011-04-06 | 2013-09-24 | Dax Logue | Novelty band for storing and displaying toy figures |
EP2910186B1 (en) | 2011-04-22 | 2019-02-27 | Topera, Inc. | Basket style cardiac mapping catheter having an atraumatic, metallic two-part distal tip for detection of cardiac rhythm disorders |
USD688583S1 (en) * | 2011-05-06 | 2013-08-27 | Min Young Bhang | Bracelet inserted with magnets |
USD677191S1 (en) * | 2011-05-09 | 2013-03-05 | Adam Erwin Benjamin | Band having spaced bullet cartridge elements |
USD657098S1 (en) * | 2011-05-09 | 2012-04-03 | E-Collar Technologies, Inc. | Animal training collar device |
USD651931S1 (en) * | 2011-05-23 | 2012-01-10 | Kenneth Molik | Wristband |
USD651932S1 (en) * | 2011-05-23 | 2012-01-10 | Kenneth Molik | Wristband |
JP6125491B2 (ja) | 2011-05-27 | 2017-05-10 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | グラフィック表現及び解析のための臨床データの収集 |
JP2014516723A (ja) | 2011-06-01 | 2014-07-17 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 超音波映像性能を備えた切除プローブ |
US9220433B2 (en) | 2011-06-30 | 2015-12-29 | Biosense Webster (Israel), Ltd. | Catheter with variable arcuate distal section |
EP2793724B1 (en) | 2011-12-23 | 2016-10-12 | Vessix Vascular, Inc. | Apparatuses for remodeling tissue of or adjacent to a body passage |
US8825130B2 (en) | 2011-12-30 | 2014-09-02 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrode support structure assemblies |
US8934988B2 (en) | 2012-03-16 | 2015-01-13 | St. Jude Medical Ab | Ablation stent with meander structure |
US9717555B2 (en) | 2012-05-14 | 2017-08-01 | Biosense Webster (Israel), Ltd. | Catheter with helical end section for vessel ablation |
US9017320B2 (en) | 2012-05-21 | 2015-04-28 | Kardium, Inc. | Systems and methods for activating transducers |
US8834172B2 (en) | 2012-06-12 | 2014-09-16 | Biosense Webster (Israel) Ltd. | Physical heart simulator |
USD705111S1 (en) * | 2012-07-11 | 2014-05-20 | Jennifer Namazy | Stethoscope ornamentation |
EP3868283A1 (en) | 2012-08-31 | 2021-08-25 | Acutus Medical Inc. | Catheter system for the heart |
US10082395B2 (en) | 2012-10-03 | 2018-09-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Scaling of electrical impedance-based navigation space using inter-electrode spacing |
USD710236S1 (en) * | 2012-10-26 | 2014-08-05 | Jun Uk Lee | Bracelet for preventing a lost child |
USD710058S1 (en) * | 2012-11-08 | 2014-07-29 | Gary V. Johnson | Protective sports cap |
USD731964S1 (en) * | 2013-01-01 | 2015-06-16 | Eric Williams | Tire traction strap |
CA2899311C (en) | 2013-02-08 | 2021-05-11 | Acutus Medical, Inc. | Expandable catheter assembly with flexible printed circuit board (pcb) electrical pathways |
US9031642B2 (en) | 2013-02-21 | 2015-05-12 | Medtronic, Inc. | Methods for simultaneous cardiac substrate mapping using spatial correlation maps between neighboring unipolar electrograms |
US9220432B2 (en) | 2013-03-02 | 2015-12-29 | C. R. Bard, Inc. | Method and system of utilizing ECG signal for central venous catheter tip positioning |
US9026196B2 (en) | 2013-03-05 | 2015-05-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for detecting sheathing and unsheathing of localization elements |
US9474486B2 (en) | 2013-03-08 | 2016-10-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Basket for a multi-electrode array catheter |
US9131982B2 (en) | 2013-03-14 | 2015-09-15 | St. Jude Medical, Cardiology Division, Inc. | Mediguide-enabled renal denervation system for ensuring wall contact and mapping lesion locations |
US10231701B2 (en) | 2013-03-15 | 2019-03-19 | Provisio Medical, Inc. | Distance, diameter and area determining device |
WO2014149690A2 (en) * | 2013-03-15 | 2014-09-25 | Boston Scientific Scimed, Inc. | Medical devices and methods for treatment of hypertension that utilize impedance compensation |
USD695370S1 (en) * | 2013-03-15 | 2013-12-10 | Hedeen International, Llc | Studded ball |
USD706883S1 (en) * | 2013-03-15 | 2014-06-10 | Hedeen International, Llc | Studded ball |
JP6220044B2 (ja) | 2013-03-15 | 2017-10-25 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 腎神経アブレーションのための医療用デバイス |
US9186212B2 (en) | 2013-03-15 | 2015-11-17 | St. Jude Medical, Cardiology Division, Inc. | Feedback systems and methods utilizing two or more sites along denervation catheter |
US10098694B2 (en) | 2013-04-08 | 2018-10-16 | Apama Medical, Inc. | Tissue ablation and monitoring thereof |
US9351789B2 (en) | 2013-05-31 | 2016-05-31 | Medtronic Ablation Frontiers Llc | Adjustable catheter for ostial, septal, and roof ablation in atrial fibrillation patients |
USD694421S1 (en) * | 2013-08-28 | 2013-11-26 | Kristi J. Anderson | Massage sphere |
USD714178S1 (en) * | 2013-09-10 | 2014-09-30 | Luca Sabbioni | Bracelet |
CA2922941C (en) | 2013-09-13 | 2021-11-16 | Acutus Medical, Inc. | Devices and methods for determination of electrical dipole densities on a cardiac surface |
US9380953B2 (en) | 2014-01-29 | 2016-07-05 | Biosense Webster (Israel) Ltd. | Hybrid bipolar/unipolar detection of activation wavefront |
US9579149B2 (en) | 2014-03-13 | 2017-02-28 | Medtronic Ardian Luxembourg S.A.R.L. | Low profile catheter assemblies and associated systems and methods |
USD717684S1 (en) * | 2014-03-17 | 2014-11-18 | Jennifer Delaney | Bracelet |
JP6739346B2 (ja) | 2014-03-25 | 2020-08-12 | アクタス メディカル インクAcutus Medical,Inc. | 心臓解析ユーザインタフェースのシステムの作動方法 |
JP2017522923A (ja) | 2014-06-03 | 2017-08-17 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 非外傷性の遠位チップを備えた電極アセンブリ |
USD734685S1 (en) * | 2014-06-13 | 2015-07-21 | B & G Ideas, LLC. | Ball bracelet |
USD728408S1 (en) * | 2014-07-18 | 2015-05-05 | Michael W. Murphy | Segmented wristband with buttons |
USD744890S1 (en) * | 2014-07-18 | 2015-12-08 | Michael W. Murphy | Curved wristband with buttons |
CN104462650B (zh) | 2014-11-10 | 2017-11-07 | 张建卿 | 一种可实现内外结构的实体化心脏3d模型制作方法 |
USD742601S1 (en) * | 2014-11-17 | 2015-11-03 | Target Brands, Inc. | Pet treat dispenser |
US10555722B2 (en) | 2014-12-11 | 2020-02-11 | Koninklijke Philips N.V. | Catheter transducer with staggered columns of micromachined ultrasonic transducers |
USD758596S1 (en) | 2015-04-17 | 2016-06-07 | Micron Devices Llc | Flexible circuit for an implantable neural stimulator |
CN107847173B (zh) | 2015-05-12 | 2022-08-30 | 阿库图森医疗有限公司 | 超声测序系统和方法 |
USD800418S1 (en) * | 2015-11-06 | 2017-10-24 | Paul D Peters | Combined firearm holster and belt |
USD783950S1 (en) * | 2015-12-04 | 2017-04-18 | Elope, Inc. | Hat with panels having pegged protrusions |
US20190246930A1 (en) | 2016-05-03 | 2019-08-15 | Acutus Medical, Inc. | Cardiac information dynamic display system and method |
CN109715055B (zh) | 2016-05-03 | 2022-01-04 | 阿库图森医疗有限公司 | 具有效率算法的心脏标测系统 |
-
2013
- 2013-08-30 EP EP21150862.7A patent/EP3868283A1/en active Pending
- 2013-08-30 AU AU2013308531A patent/AU2013308531B2/en not_active Ceased
- 2013-08-30 CN CN201380055973.9A patent/CN104812297B/zh active Active
- 2013-08-30 US US14/422,941 patent/US10004459B2/en active Active
- 2013-08-30 JP JP2015530101A patent/JP6316821B2/ja active Active
- 2013-08-30 EP EP13763151.1A patent/EP2890292B1/en active Active
- 2013-08-30 WO PCT/US2013/057579 patent/WO2014036439A2/en active Application Filing
- 2013-08-30 CA CA2881457A patent/CA2881457C/en active Active
- 2013-12-02 US US29/475,273 patent/USD782686S1/en active Active
-
2017
- 2017-02-06 US US29/593,043 patent/USD851774S1/en active Active
-
2018
- 2018-03-28 JP JP2018061040A patent/JP6510104B2/ja active Active
- 2018-06-19 US US16/012,051 patent/US10667753B2/en active Active
- 2018-08-03 AU AU2018211348A patent/AU2018211348B2/en not_active Ceased
-
2019
- 2019-02-28 US US29/681,827 patent/USD954970S1/en active Active
- 2019-04-03 JP JP2019071004A patent/JP6785909B2/ja active Active
-
2020
- 2020-04-29 US US16/861,814 patent/US20210000423A1/en active Pending
Patent Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1994006349A1 (en) * | 1992-09-23 | 1994-03-31 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
JPH10137207A (ja) * | 1996-07-12 | 1998-05-26 | Ep Technol Inc | 可動電極要素を複数電極構造体内で誘導するためのシステム及び方法 |
WO2000007501A1 (en) * | 1998-08-03 | 2000-02-17 | Cardiac Pathways Corporation | A dynamically alterable three-dimensional graphical model of a body region |
JP2002051998A (ja) * | 2000-06-21 | 2002-02-19 | Biosense Inc | 心臓電気活動高速マッピング |
JP2002113004A (ja) * | 2000-08-18 | 2002-04-16 | Biosense Inc | 超音波を使用した3次元的復元 |
WO2004026134A1 (en) * | 2002-08-24 | 2004-04-01 | Krishnan Subramaniam C | Method and apparatus for locating the fossa ovalis and performing transseptal puncture |
WO2008014629A2 (en) * | 2006-08-03 | 2008-02-07 | Christoph Scharf | Method and device for determining and presenting surface charge and dipole densities on cardiac walls |
JP2008149132A (ja) * | 2006-12-14 | 2008-07-03 | General Electric Co <Ge> | 機械的に拡開するトランスデューサ・アセンブリ |
US20090076483A1 (en) * | 2007-09-14 | 2009-03-19 | Kenneth Danehorn | Catheter localization system |
WO2009090547A2 (en) * | 2008-01-17 | 2009-07-23 | Christoph Scharf | A device and method for the geometric determination of electrical dipole densities on the cardiac wall |
US20100286551A1 (en) * | 2009-05-08 | 2010-11-11 | Rhythmia Medical, Inc. | Impedance Based Anatomy Generation |
US20110144510A1 (en) * | 2009-12-16 | 2011-06-16 | Pacesetter, Inc. | Methods to identify damaged or scarred tissue based on position information and physiological information |
Also Published As
Publication number | Publication date |
---|---|
WO2014036439A2 (en) | 2014-03-06 |
CN104812297A (zh) | 2015-07-29 |
EP2890292B1 (en) | 2021-01-13 |
JP2015528352A (ja) | 2015-09-28 |
JP6785909B2 (ja) | 2020-11-18 |
US10004459B2 (en) | 2018-06-26 |
EP2890292A2 (en) | 2015-07-08 |
USD851774S1 (en) | 2019-06-18 |
AU2013308531B2 (en) | 2018-05-10 |
AU2018211348B2 (en) | 2019-10-10 |
WO2014036439A3 (en) | 2015-06-04 |
EP3868283A1 (en) | 2021-08-25 |
US20210000423A1 (en) | 2021-01-07 |
AU2013308531A1 (en) | 2015-03-19 |
JP6316821B2 (ja) | 2018-04-25 |
USD954970S1 (en) | 2022-06-14 |
CA2881457A1 (en) | 2014-03-06 |
AU2018211348A1 (en) | 2018-08-23 |
CA2881457C (en) | 2021-10-26 |
US20190021673A1 (en) | 2019-01-24 |
USD782686S1 (en) | 2017-03-28 |
CN104812297B (zh) | 2017-05-17 |
US10667753B2 (en) | 2020-06-02 |
JP6510104B2 (ja) | 2019-05-08 |
JP2018108481A (ja) | 2018-07-12 |
US20150223757A1 (en) | 2015-08-13 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6785909B2 (ja) | 切除システム | |
JP7075439B2 (ja) | 心臓解析ユーザインタフェースのシステム及び方法 | |
JP6294548B2 (ja) | 心臓壁の電気双極子密度の幾何学的測定のための装置 | |
EP2797539B1 (en) | System for optimized coupling of ablation catheters to body tissues and evaluation of lesions formed by the catheters | |
JP5188389B2 (ja) | 肺静脈口を画像として再構築する予成形した位置確認カテーテル及びシステム | |
US20230293125A1 (en) | Cardiac electrical mapping and ablation | |
JP2022113663A (ja) | 自動カテーテル安定性判定 | |
US20240197389A1 (en) | Catheter with pull ring coupler | |
US20240216048A1 (en) | Basket catheter with combination of spine structures |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20190403 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20200312 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20200317 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20200616 |
|
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: 20200929 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20201027 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6785909 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |