JP4416654B2 - 寒冷切除用コイル - Google Patents
寒冷切除用コイル Download PDFInfo
- Publication number
- JP4416654B2 JP4416654B2 JP2004532847A JP2004532847A JP4416654B2 JP 4416654 B2 JP4416654 B2 JP 4416654B2 JP 2004532847 A JP2004532847 A JP 2004532847A JP 2004532847 A JP2004532847 A JP 2004532847A JP 4416654 B2 JP4416654 B2 JP 4416654B2
- Authority
- JP
- Japan
- Prior art keywords
- medical device
- coil
- tube
- cryotherapy
- disposed
- 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.)
- Expired - Fee Related
Links
- 238000002271 resection Methods 0.000 title description 3
- 238000001816 cooling Methods 0.000 claims abstract description 62
- 238000000315 cryotherapy Methods 0.000 claims abstract description 56
- 239000002826 coolant Substances 0.000 claims description 27
- 239000007788 liquid Substances 0.000 claims description 6
- 210000005166 vasculature Anatomy 0.000 claims description 2
- 241000282693 Cercopithecidae Species 0.000 claims 1
- 210000001367 artery Anatomy 0.000 claims 1
- 238000005452 bending Methods 0.000 claims 1
- 210000003238 esophagus Anatomy 0.000 claims 1
- 239000012530 fluid Substances 0.000 claims 1
- 210000001035 gastrointestinal tract Anatomy 0.000 claims 1
- 210000003462 vein Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 10
- 230000017074 necrotic cell death Effects 0.000 abstract description 9
- 230000006907 apoptotic process Effects 0.000 abstract description 4
- 210000003492 pulmonary vein Anatomy 0.000 description 18
- 230000002159 abnormal effect Effects 0.000 description 11
- 238000002679 ablation Methods 0.000 description 10
- 230000000694 effects Effects 0.000 description 8
- 206010003658 Atrial Fibrillation Diseases 0.000 description 7
- 230000003902 lesion Effects 0.000 description 7
- 239000000463 material Substances 0.000 description 6
- 230000008014 freezing Effects 0.000 description 5
- 238000007710 freezing Methods 0.000 description 5
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 4
- 229920002614 Polyether block amide Polymers 0.000 description 4
- 229910001000 nickel titanium Inorganic materials 0.000 description 4
- 229920000642 polymer Polymers 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 210000005246 left atrium Anatomy 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 229910001256 stainless steel alloy Inorganic materials 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 2
- 239000012267 brine Substances 0.000 description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 239000010931 gold Substances 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000007373 indentation Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 2
- 239000007921 spray Substances 0.000 description 2
- 238000009834 vaporization Methods 0.000 description 2
- 230000008016 vaporization Effects 0.000 description 2
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 1
- -1 Fluisol Substances 0.000 description 1
- 206010027727 Mitral valve incompetence Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000005718 Stomach Neoplasms Diseases 0.000 description 1
- 208000002495 Uterine Neoplasms Diseases 0.000 description 1
- 206010046996 Varicose vein Diseases 0.000 description 1
- 229910001080 W alloy Inorganic materials 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 210000004375 bundle of his Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 235000011089 carbon dioxide Nutrition 0.000 description 1
- 229910002091 carbon monoxide Inorganic materials 0.000 description 1
- 229910017052 cobalt Inorganic materials 0.000 description 1
- 239000010941 cobalt Substances 0.000 description 1
- GUTLYIVDDKVIGB-UHFFFAOYSA-N cobalt atom Chemical compound [Co] GUTLYIVDDKVIGB-UHFFFAOYSA-N 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000028299 esophageal disease Diseases 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000008020 evaporation Effects 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 206010017758 gastric cancer Diseases 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 208000021302 gastroesophageal reflux disease Diseases 0.000 description 1
- 208000018578 heart valve disease Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 208000037803 restenosis Diseases 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000005476 soldering Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 201000011549 stomach cancer Diseases 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 206010046766 uterine cancer Diseases 0.000 description 1
- 208000027185 varicose disease Diseases 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—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
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
-
- 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
- A61B2018/00017—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids with gas
-
- 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
- A61B2018/0025—Multiple balloons
- A61B2018/00255—Multiple balloons arranged one inside another
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- 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
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
-
- 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
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Otolaryngology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Magnetic Treatment Devices (AREA)
- Particle Accelerators (AREA)
- Discharge Heating (AREA)
- Fixed Capacitors And Capacitor Manufacturing Machines (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/231,738 US6929639B2 (en) | 2002-08-30 | 2002-08-30 | Cryo ablation coil |
| PCT/US2003/024129 WO2004019798A1 (en) | 2002-08-30 | 2003-07-31 | Cryo ablation coil |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2005537089A JP2005537089A (ja) | 2005-12-08 |
| JP2005537089A5 JP2005537089A5 (enExample) | 2008-11-06 |
| JP4416654B2 true JP4416654B2 (ja) | 2010-02-17 |
Family
ID=31976800
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2004532847A Expired - Fee Related JP4416654B2 (ja) | 2002-08-30 | 2003-07-31 | 寒冷切除用コイル |
Country Status (7)
| Country | Link |
|---|---|
| US (2) | US6929639B2 (enExample) |
| EP (1) | EP1531747B1 (enExample) |
| JP (1) | JP4416654B2 (enExample) |
| AT (1) | ATE540632T1 (enExample) |
| AU (1) | AU2003268047A1 (enExample) |
| CA (1) | CA2496575C (enExample) |
| WO (1) | WO2004019798A1 (enExample) |
Families Citing this family (148)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
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| US7756583B2 (en) | 2002-04-08 | 2010-07-13 | Ardian, Inc. | Methods and apparatus for intravascularly-induced neuromodulation |
| US8347891B2 (en) | 2002-04-08 | 2013-01-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen |
| ES2564694T3 (es) | 2003-09-12 | 2016-03-28 | Vessix Vascular, Inc. | Sistema de remodelación y / o ablación excéntrica seleccionable de material ateroesclerótico |
| EP1706050A2 (en) | 2003-12-22 | 2006-10-04 | AMS Research Corporation | Cryosurgical devices and methods for endometrial ablation |
| US7291142B2 (en) * | 2004-05-10 | 2007-11-06 | Boston Scientific Scimed, Inc. | Low temperature lesion formation apparatus, systems and methods |
| US7288088B2 (en) * | 2004-05-10 | 2007-10-30 | Boston Scientific Scimed, Inc. | Clamp based low temperature lesion formation apparatus, systems and methods |
| US7582083B2 (en) | 2004-05-10 | 2009-09-01 | Boston Scientific Scimed, Inc. | Probe based low temperature lesion formation apparatus, systems and methods |
| US8396548B2 (en) | 2008-11-14 | 2013-03-12 | Vessix Vascular, Inc. | Selective drug delivery in a lumen |
| US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
| US20060069385A1 (en) * | 2004-09-28 | 2006-03-30 | Scimed Life Systems, Inc. | Methods and apparatus for tissue cryotherapy |
| US7740627B2 (en) | 2005-04-29 | 2010-06-22 | Medtronic Cryocath Lp | Surgical method and apparatus for treating atrial fibrillation |
| US7794455B2 (en) | 2005-04-29 | 2010-09-14 | Medtronic Cryocath Lp | Wide area ablation of myocardial tissue |
| US20060270981A1 (en) * | 2005-05-13 | 2006-11-30 | Leonilda Capuano | Coiled injection tube |
| US8992515B2 (en) | 2005-05-13 | 2015-03-31 | Medtronic Cryocath Lp | Coolant injection tube |
| US8019435B2 (en) | 2006-05-02 | 2011-09-13 | Boston Scientific Scimed, Inc. | Control of arterial smooth muscle tone |
| CA2905086C (en) * | 2006-05-12 | 2021-03-30 | Hira V. Thapliyal | Device for ablating body tissue |
| US9211393B2 (en) * | 2006-06-05 | 2015-12-15 | Medtronic Cryocath Lp | Distal cooling distribution system for a medical device |
| ES2560006T3 (es) | 2006-10-18 | 2016-02-17 | Vessix Vascular, Inc. | Inducción de efectos de temperatura deseables sobre tejido corporal |
| WO2008049087A2 (en) | 2006-10-18 | 2008-04-24 | Minnow Medical, Inc. | System for inducing desirable temperature effects on body tissue |
| EP2076193A4 (en) | 2006-10-18 | 2010-02-03 | Minnow Medical Inc | MATCHED RF-ENERGY AND ELECTRO-TISSUE CHARACTERIZATION FOR THE SELECTIVE TREATMENT OF TARGET TISSUE |
| US20080161890A1 (en) * | 2007-01-03 | 2008-07-03 | Boston Scientific Scimed, Inc. | Methods, systems, and apparatuses for protecting esophageal tissue during ablation |
| EP2022397A1 (en) * | 2007-08-08 | 2009-02-11 | ProRhythm, Inc. | Miniature circular mapping catheter |
| WO2009128014A1 (en) * | 2008-04-16 | 2009-10-22 | Arbel Medical Ltd | Cryosurgical instrument with enhanced heat exchange |
| US9155588B2 (en) | 2008-06-13 | 2015-10-13 | Vytronus, Inc. | System and method for positioning an elongate member with respect to an anatomical structure |
| EP2296573B1 (en) * | 2008-06-14 | 2019-09-25 | Vytronus, Inc. | System for delivering energy to tissue |
| WO2009153755A2 (en) * | 2008-06-18 | 2009-12-23 | Arbel Medical Ltd. | Cryosurgical instrument insulating system |
| US8945106B2 (en) * | 2008-07-03 | 2015-02-03 | Steve Arless | Tip design for cryogenic probe with inner coil injection tube |
| US10363057B2 (en) | 2008-07-18 | 2019-07-30 | Vytronus, Inc. | System and method for delivering energy to tissue |
| EP2147662A1 (en) * | 2008-07-23 | 2010-01-27 | Abbott Laboratories Vascular Enterprises Limited | Stent delivery system |
| WO2010033785A1 (en) * | 2008-09-22 | 2010-03-25 | Boston Scientific Scimed, Inc. | Biasing a catheter balloon |
| US20100076634A1 (en) * | 2008-09-22 | 2010-03-25 | Ford Global Technologies, Llc | Method for Controlling a Micro-Hybrid Electric Vehicle with an Automatic Transmission |
| US10695126B2 (en) | 2008-10-06 | 2020-06-30 | Santa Anna Tech Llc | Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue |
| US8465481B2 (en) * | 2008-10-20 | 2013-06-18 | Boston Scientific Scimed, Inc. | Providing cryotherapy with a balloon catheter having a non-uniform thermal profile |
| US9192789B2 (en) * | 2008-10-30 | 2015-11-24 | Vytronus, Inc. | System and method for anatomical mapping of tissue and planning ablation paths therein |
| US8414508B2 (en) | 2008-10-30 | 2013-04-09 | Vytronus, Inc. | System and method for delivery of energy to tissue while compensating for collateral tissue |
| US9033885B2 (en) * | 2008-10-30 | 2015-05-19 | Vytronus, Inc. | System and method for energy delivery to tissue while monitoring position, lesion depth, and wall motion |
| US11298568B2 (en) | 2008-10-30 | 2022-04-12 | Auris Health, Inc. | System and method for energy delivery to tissue while monitoring position, lesion depth, and wall motion |
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| US8475379B2 (en) * | 2008-11-17 | 2013-07-02 | Vytronus, Inc. | Systems and methods for ablating body tissue |
| KR20110104504A (ko) | 2008-11-17 | 2011-09-22 | 미노우 메디컬, 인코포레이티드 | 조직 토폴로지의 지식 여하에 따른 에너지의 선택적 축적 |
| JP5941281B2 (ja) | 2008-11-17 | 2016-06-29 | バイトロナス, インコーポレイテッド | 体組織を切除するシステムおよび方法 |
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| US20050182396A1 (en) | 2005-08-18 |
| JP2005537089A (ja) | 2005-12-08 |
| CA2496575C (en) | 2012-02-21 |
| WO2004019798A1 (en) | 2004-03-11 |
| ATE540632T1 (de) | 2012-01-15 |
| US7172589B2 (en) | 2007-02-06 |
| US6929639B2 (en) | 2005-08-16 |
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