JP2021171650A - アクセス困難領域のアブレーション - Google Patents

アクセス困難領域のアブレーション Download PDF

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Publication number
JP2021171650A
JP2021171650A JP2021071678A JP2021071678A JP2021171650A JP 2021171650 A JP2021171650 A JP 2021171650A JP 2021071678 A JP2021071678 A JP 2021071678A JP 2021071678 A JP2021071678 A JP 2021071678A JP 2021171650 A JP2021171650 A JP 2021171650A
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JP
Japan
Prior art keywords
balloon
electrode
tube
electrodes
probe
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.)
Pending
Application number
JP2021071678A
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English (en)
Japanese (ja)
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JP2021171650A5 (https=
Inventor
アサフ・ゴバリ
Assaf Govari
クリストファー・トーマス・ビークラー
Christopher Thomas Beeckler
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biosense Webster Israel Ltd
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Biosense Webster Israel Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Biosense Webster Israel Ltd filed Critical Biosense Webster Israel Ltd
Publication of JP2021171650A publication Critical patent/JP2021171650A/ja
Publication of JP2021171650A5 publication Critical patent/JP2021171650A5/ja
Priority to JP2025136923A priority Critical patent/JP2025164845A/ja
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • 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
    • A61B18/1477—Needle-like probes
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00315—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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00613—Irreversible electroporation
    • 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
    • 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
    • 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)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2021071678A 2020-04-22 2021-04-21 アクセス困難領域のアブレーション Pending JP2021171650A (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025136923A JP2025164845A (ja) 2020-04-22 2025-08-20 アクセス困難領域のアブレーション

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US202063013957P 2020-04-22 2020-04-22
US63/013,957 2020-04-22
US202063131466P 2020-12-29 2020-12-29
US63/131,466 2020-12-29
US17/197,870 US20210330372A1 (en) 2020-04-22 2021-03-10 Ablation of a hard-to-access region
US17/197,870 2021-03-10

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025136923A Division JP2025164845A (ja) 2020-04-22 2025-08-20 アクセス困難領域のアブレーション

Publications (2)

Publication Number Publication Date
JP2021171650A true JP2021171650A (ja) 2021-11-01
JP2021171650A5 JP2021171650A5 (https=) 2025-02-17

Family

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Family Applications (2)

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JP2021071678A Pending JP2021171650A (ja) 2020-04-22 2021-04-21 アクセス困難領域のアブレーション
JP2025136923A Pending JP2025164845A (ja) 2020-04-22 2025-08-20 アクセス困難領域のアブレーション

Family Applications After (1)

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JP2025136923A Pending JP2025164845A (ja) 2020-04-22 2025-08-20 アクセス困難領域のアブレーション

Country Status (5)

Country Link
US (1) US20210330372A1 (https=)
EP (1) EP3900659A1 (https=)
JP (2) JP2021171650A (https=)
CN (1) CN113520579A (https=)
IL (1) IL282271A (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024024173A1 (ja) * 2022-07-26 2024-02-01 株式会社ヨコオ カテーテル及び医療システム並びにカテーテルの操作方法

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12076071B2 (en) 2020-08-14 2024-09-03 Kardium Inc. Systems and methods for treating tissue with pulsed field ablation
CN117379167B (zh) * 2023-08-28 2024-12-06 中国人民解放军陆军军医大学第二附属医院 Marshall 韧带射频消融电极、装置及其应用
US20250177055A1 (en) * 2023-11-30 2025-06-05 Biosense Webster (Israel) Ltd. Medical probe for navigating small diameter blood vessels

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JPH09503677A (ja) * 1993-07-01 1997-04-15 ボストン・サイエンティフィック・コーポレーション 像形成、電位検出型及び切除カテーテル
JP2006508738A (ja) * 2002-12-03 2006-03-16 ボストン サイエンティフィック リミテッド 組織の性質を変化させることにより不整脈を治療する方法
JP2007535418A (ja) * 2003-07-18 2007-12-06 ボストン サイエンティフィック リミテッド 医療装置およびその作成方法
JP2016185295A (ja) * 2015-03-27 2016-10-27 日本ライフライン株式会社 バルーン型アブレーションカテーテルおよびアブレーションカテーテル装置
JP2018171444A (ja) * 2017-03-31 2018-11-08 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． 大領域の電極を具備するバルーンカテーテル
JP2020501664A (ja) * 2016-12-15 2020-01-23 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 肺静脈隔離バルーンカテーテル

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US5876336A (en) 1994-10-11 1999-03-02 Ep Technologies, Inc. Systems and methods for guiding movable electrode elements within multiple-electrode structure
US6690963B2 (en) 1995-01-24 2004-02-10 Biosense, Inc. System for determining the location and orientation of an invasive medical instrument
US5697377A (en) 1995-11-22 1997-12-16 Medtronic, Inc. Catheter mapping system and method
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US6012457A (en) * 1997-07-08 2000-01-11 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
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JPH09503677A (ja) * 1993-07-01 1997-04-15 ボストン・サイエンティフィック・コーポレーション 像形成、電位検出型及び切除カテーテル
JP2006508738A (ja) * 2002-12-03 2006-03-16 ボストン サイエンティフィック リミテッド 組織の性質を変化させることにより不整脈を治療する方法
JP2007535418A (ja) * 2003-07-18 2007-12-06 ボストン サイエンティフィック リミテッド 医療装置およびその作成方法
JP2016185295A (ja) * 2015-03-27 2016-10-27 日本ライフライン株式会社 バルーン型アブレーションカテーテルおよびアブレーションカテーテル装置
JP2020501664A (ja) * 2016-12-15 2020-01-23 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 肺静脈隔離バルーンカテーテル
JP2018171444A (ja) * 2017-03-31 2018-11-08 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． 大領域の電極を具備するバルーンカテーテル

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024024173A1 (ja) * 2022-07-26 2024-02-01 株式会社ヨコオ カテーテル及び医療システム並びにカテーテルの操作方法

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Publication number Publication date
CN113520579A (zh) 2021-10-22
JP2025164845A (ja) 2025-10-30
US20210330372A1 (en) 2021-10-28
IL282271A (en) 2021-10-31
EP3900659A1 (en) 2021-10-27

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