JP4549646B2 - レーザによる肺静脈隔離 - Google Patents
レーザによる肺静脈隔離 Download PDFInfo
- Publication number
- JP4549646B2 JP4549646B2 JP2003323394A JP2003323394A JP4549646B2 JP 4549646 B2 JP4549646 B2 JP 4549646B2 JP 2003323394 A JP2003323394 A JP 2003323394A JP 2003323394 A JP2003323394 A JP 2003323394A JP 4549646 B2 JP4549646 B2 JP 4549646B2
- Authority
- JP
- Japan
- Prior art keywords
- instrument
- laser light
- anchor
- pulmonary vein
- light energy
- 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
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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
- A61B18/18—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
- A61B18/22—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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- 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
- 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
- A61B18/22—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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2255—Optical elements at the distal end of probe tips
- A61B2018/2272—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Electromagnetism (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Optics & Photonics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Otolaryngology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Laser Surgery Devices (AREA)
- Surgical Instruments (AREA)
- Radiation-Therapy Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Semiconductor Lasers (AREA)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/245,613 US6997924B2 (en) | 2002-09-17 | 2002-09-17 | Laser pulmonary vein isolation |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2004105735A JP2004105735A (ja) | 2004-04-08 |
| JP2004105735A5 JP2004105735A5 (https=) | 2006-11-02 |
| JP4549646B2 true JP4549646B2 (ja) | 2010-09-22 |
Family
ID=31946406
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2003323394A Expired - Fee Related JP4549646B2 (ja) | 2002-09-17 | 2003-09-16 | レーザによる肺静脈隔離 |
Country Status (14)
| Country | Link |
|---|---|
| US (1) | US6997924B2 (https=) |
| EP (1) | EP1400215B1 (https=) |
| JP (1) | JP4549646B2 (https=) |
| KR (1) | KR20040025612A (https=) |
| AT (1) | ATE357189T1 (https=) |
| AU (1) | AU2003246062B2 (https=) |
| CA (1) | CA2440495C (https=) |
| CY (1) | CY1106599T1 (https=) |
| DE (1) | DE60312617T2 (https=) |
| DK (1) | DK1400215T3 (https=) |
| ES (1) | ES2283720T3 (https=) |
| IL (1) | IL157714A (https=) |
| PT (1) | PT1400215E (https=) |
| SI (1) | SI1400215T1 (https=) |
Families Citing this family (181)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6572609B1 (en) | 1999-07-14 | 2003-06-03 | Cardiofocus, Inc. | Phototherapeutic waveguide apparatus |
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| US9033961B2 (en) * | 1999-07-14 | 2015-05-19 | Cardiofocus, Inc. | Cardiac ablation catheters for forming overlapping lesions |
| US8540704B2 (en) | 1999-07-14 | 2013-09-24 | Cardiofocus, Inc. | Guided cardiac ablation catheters |
| US7935108B2 (en) | 1999-07-14 | 2011-05-03 | Cardiofocus, Inc. | Deflectable sheath catheters |
| WO2004030563A1 (ja) * | 2002-10-02 | 2004-04-15 | Olympus Corporation | 手術システム |
| WO2004105807A2 (en) * | 2003-05-27 | 2004-12-09 | Venture Manufacturing, Llc | Balloon centered radially expanding ablation device |
| US9861836B2 (en) | 2005-06-16 | 2018-01-09 | Biosense Webster, Inc. | Less invasive methods for ablation of fat pads |
| US20070156502A1 (en) * | 2005-12-31 | 2007-07-05 | Zagros Bigvand | Tracking and managing contacts through a structured hierarchy |
| US20070217199A1 (en) * | 2006-03-17 | 2007-09-20 | Light Dimensions, Inc. | Light-based dermal enhancing apparatus and methods of use |
| US20080092279A1 (en) * | 2006-09-01 | 2008-04-24 | Wen-Tsai Chiang | Baseball batter's helmet with adjustable protective padding system |
| USD585997S1 (en) | 2006-10-13 | 2009-02-03 | Light Dimensions, Inc. | Light-based dermal enhancing apparatus |
| WO2008104973A1 (en) * | 2007-02-26 | 2008-09-04 | Vision - Sciences Inc. | Endoscopic reflector |
| US8357152B2 (en) | 2007-10-08 | 2013-01-22 | Biosense Webster (Israel), Ltd. | Catheter with pressure sensing |
| US8535308B2 (en) | 2007-10-08 | 2013-09-17 | Biosense Webster (Israel), Ltd. | High-sensitivity pressure-sensing probe |
| US8437832B2 (en) * | 2008-06-06 | 2013-05-07 | Biosense Webster, Inc. | Catheter with bendable tip |
| US8932207B2 (en) * | 2008-07-10 | 2015-01-13 | Covidien Lp | Integrated multi-functional endoscopic tool |
| US9101734B2 (en) * | 2008-09-09 | 2015-08-11 | Biosense Webster, Inc. | Force-sensing catheter with bonded center strut |
| US9326700B2 (en) | 2008-12-23 | 2016-05-03 | Biosense Webster (Israel) Ltd. | Catheter display showing tip angle and pressure |
| US8475450B2 (en) * | 2008-12-30 | 2013-07-02 | Biosense Webster, Inc. | Dual-purpose lasso catheter with irrigation |
| US8600472B2 (en) * | 2008-12-30 | 2013-12-03 | Biosense Webster (Israel), Ltd. | Dual-purpose lasso catheter with irrigation using circumferentially arranged ring bump electrodes |
| US8606377B2 (en) * | 2009-07-23 | 2013-12-10 | Biosense Webster, Inc. | Preventing disruptive computer events during medical procedures |
| WO2011041629A2 (en) * | 2009-10-02 | 2011-04-07 | Cardiofocus, Inc. | Cardiac ablation system with pulsed aiming light |
| EP2482744A4 (en) * | 2009-10-02 | 2017-01-04 | Cardiofocus, Inc. | Cardiac ablation system with inflatable member having multiple inflation settings |
| US20110082452A1 (en) * | 2009-10-02 | 2011-04-07 | Cardiofocus, Inc. | Cardiac ablation system with automatic safety shut-off feature |
| US8702688B2 (en) * | 2009-10-06 | 2014-04-22 | Cardiofocus, Inc. | Cardiac ablation image analysis system and process |
| US10688278B2 (en) | 2009-11-30 | 2020-06-23 | Biosense Webster (Israel), Ltd. | Catheter with pressure measuring tip |
| US8920415B2 (en) * | 2009-12-16 | 2014-12-30 | Biosense Webster (Israel) Ltd. | Catheter with helical electrode |
| US8668686B2 (en) | 2009-12-23 | 2014-03-11 | Biosense Webster (Israel) Ltd. | Sensing contact of ablation catheter using differential temperature measurements |
| US9962217B2 (en) | 2009-12-23 | 2018-05-08 | Biosense Webster (Israel) Ltd. | Estimation and mapping of ablation volume |
| US8521462B2 (en) | 2009-12-23 | 2013-08-27 | Biosense Webster (Israel), Ltd. | Calibration system for a pressure-sensitive catheter |
| US8926604B2 (en) * | 2009-12-23 | 2015-01-06 | Biosense Webster (Israel) Ltd. | Estimation and mapping of ablation volume |
| US8529476B2 (en) | 2009-12-28 | 2013-09-10 | Biosense Webster (Israel), Ltd. | Catheter with strain gauge sensor |
| US8608735B2 (en) | 2009-12-30 | 2013-12-17 | Biosense Webster (Israel) Ltd. | Catheter with arcuate end section |
| US8374670B2 (en) * | 2010-01-22 | 2013-02-12 | Biosense Webster, Inc. | Catheter having a force sensing distal tip |
| US8798952B2 (en) | 2010-06-10 | 2014-08-05 | Biosense Webster (Israel) Ltd. | Weight-based calibration system for a pressure sensitive catheter |
| US8226580B2 (en) | 2010-06-30 | 2012-07-24 | Biosense Webster (Israel), Ltd. | Pressure sensing for a multi-arm catheter |
| US8380276B2 (en) | 2010-08-16 | 2013-02-19 | Biosense Webster, Inc. | Catheter with thin film pressure sensing distal tip |
| US8731859B2 (en) | 2010-10-07 | 2014-05-20 | Biosense Webster (Israel) Ltd. | Calibration system for a force-sensing catheter |
| US8979772B2 (en) | 2010-11-03 | 2015-03-17 | Biosense Webster (Israel), Ltd. | Zero-drift detection and correction in contact force measurements |
| US9737353B2 (en) | 2010-12-16 | 2017-08-22 | Biosense Webster (Israel) Ltd. | System for controlling tissue ablation using temperature sensors |
| US9220433B2 (en) | 2011-06-30 | 2015-12-29 | Biosense Webster (Israel), Ltd. | Catheter with variable arcuate distal section |
| US9662169B2 (en) | 2011-07-30 | 2017-05-30 | Biosense Webster (Israel) Ltd. | Catheter with flow balancing valve |
| US9101333B2 (en) | 2011-11-14 | 2015-08-11 | Biosense Webster (Israel) Ltd. | Integrative atrial fibrillation ablation |
| US10456196B2 (en) | 2011-12-15 | 2019-10-29 | Biosense Webster (Israel) Ltd. | Monitoring and tracking bipolar ablation |
| US8956353B2 (en) | 2011-12-29 | 2015-02-17 | Biosense Webster (Israel) Ltd. | Electrode irrigation using micro-jets |
| US9687289B2 (en) | 2012-01-04 | 2017-06-27 | Biosense Webster (Israel) Ltd. | Contact assessment based on phase measurement |
| US9883906B2 (en) | 2012-04-22 | 2018-02-06 | Newuro, B.V. | Bladder tissue modification for overactive bladder disorders |
| US10610294B2 (en) | 2012-04-22 | 2020-04-07 | Newuro, B.V. | Devices and methods for transurethral bladder partitioning |
| US20130317339A1 (en) | 2012-05-23 | 2013-11-28 | Biosense Webster (Israel), Ltd. | Endobronchial catheter |
| US8986300B2 (en) | 2012-06-25 | 2015-03-24 | Biosense Webster (Israel) Ltd. | Irrigated electrodes with enhanced heat conduction |
| US8577450B1 (en) | 2012-07-23 | 2013-11-05 | Biosense Webster (Israel) Ltd. | Graphic interface for multi-spine probe |
| US9168004B2 (en) | 2012-08-20 | 2015-10-27 | Biosense Webster (Israel) Ltd. | Machine learning in determining catheter electrode contact |
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| US11096741B2 (en) | 2012-10-10 | 2021-08-24 | Biosense Webster (Israel) Ltd. | Ablation power control based on contact force |
| US9050056B2 (en) | 2012-12-26 | 2015-06-09 | Biosense Webster (Israel) Ltd. | Reduced X-ray exposure by simulating images |
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| US10265025B2 (en) | 2013-06-25 | 2019-04-23 | Biosense Webster (Israel) Ltd. | Electrocardiogram noise reduction |
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| JP2018504154A (ja) | 2014-12-03 | 2018-02-15 | カーディオフォーカス,インコーポレーテッド | アブレーション処置中の肺静脈隔離の目視確認のためのシステム及び方法 |
| US20160174864A1 (en) | 2014-12-18 | 2016-06-23 | Biosense Webster (Israel) Ltd. | Far Field-Insensitive Intracardiac Catheter Electrodes |
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| US10307078B2 (en) | 2015-02-13 | 2019-06-04 | Biosense Webster (Israel) Ltd | Training of impedance based location system using registered catheter images |
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| US10682176B2 (en) | 2015-08-25 | 2020-06-16 | Biosense Webster (Israel) Ltd. | System and method for controlling catheter power based on contact force |
| US10327859B2 (en) | 2015-09-21 | 2019-06-25 | Biosense Webster (Israel) Ltd. | Catheter stability indication |
| EP3368135B1 (en) * | 2015-10-27 | 2022-02-23 | Mayo Foundation for Medical Education and Research | Systems for ablation of tissue |
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| US10383543B2 (en) | 2015-11-11 | 2019-08-20 | Biosense Webster (Israel) Ltd. | Symmetric short contact force sensor with four coils |
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| US10555776B2 (en) | 2016-03-08 | 2020-02-11 | Biosense Webster (Israel) Ltd. | Magnetic resonance thermometry during ablation |
| US10136828B2 (en) | 2016-03-31 | 2018-11-27 | Biosense Webster (Israel) Ltd. | Mapping of atrial fibrillation |
| US10638976B2 (en) | 2016-04-28 | 2020-05-05 | Biosense Webster (Israel) Ltd | Method of constructing irrigated balloon catheter |
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| US20180325585A1 (en) | 2017-05-15 | 2018-11-15 | Biosense Webster (Israel) Ltd. | Networked thermistors |
| US12029545B2 (en) | 2017-05-30 | 2024-07-09 | Biosense Webster (Israel) Ltd. | Catheter splines as location sensors |
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| US10751121B2 (en) | 2017-06-29 | 2020-08-25 | Biosense Webster (Israel) Ltd. | Ultrasound transducers on predetermined radii of balloon catheter |
| US11109788B2 (en) | 2017-07-17 | 2021-09-07 | Biosense Webster (Israel) Ltd. | Catheter with Fibonacci distributed electrodes |
| US10869713B2 (en) | 2017-07-21 | 2020-12-22 | Biosense Webster (Israel) Ltd. | Ablation power supply |
| US11304603B2 (en) | 2017-08-21 | 2022-04-19 | Biosense Webster (Israel) Ltd. | Advanced current location (ACL) automatic map rotation to detect holes in current position map (CPM) mapping |
| US10682181B2 (en) | 2017-09-06 | 2020-06-16 | Biosense Webster (Israel) Ltd. | Methods and systems for modeling and registration of 3-dimensional images of the heart |
| US10441188B2 (en) | 2017-09-12 | 2019-10-15 | Biosense Webster (Israel) Ltd. | Automatic display of earliest LAT point |
| US10765475B2 (en) | 2017-10-31 | 2020-09-08 | Biosense Webster (Israel) Ltd. | All-in-one spiral catheter |
| US10974031B2 (en) | 2017-12-28 | 2021-04-13 | Biosense Webster (Israel) Ltd. | Balloon catheter with internal distal end |
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2002
- 2002-09-17 US US10/245,613 patent/US6997924B2/en not_active Expired - Lifetime
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- 2003-09-02 IL IL157714A patent/IL157714A/en active IP Right Grant
- 2003-09-11 CA CA2440495A patent/CA2440495C/en not_active Expired - Fee Related
- 2003-09-12 AU AU2003246062A patent/AU2003246062B2/en not_active Ceased
- 2003-09-16 EP EP03255782A patent/EP1400215B1/en not_active Expired - Lifetime
- 2003-09-16 SI SI200330842T patent/SI1400215T1/sl unknown
- 2003-09-16 AT AT03255782T patent/ATE357189T1/de not_active IP Right Cessation
- 2003-09-16 DE DE60312617T patent/DE60312617T2/de not_active Expired - Lifetime
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| DE60312617T2 (de) | 2007-12-06 |
| CA2440495A1 (en) | 2004-03-17 |
| IL157714A (en) | 2009-09-01 |
| SI1400215T1 (sl) | 2007-08-31 |
| KR20040025612A (ko) | 2004-03-24 |
| IL157714A0 (en) | 2004-03-28 |
| DK1400215T3 (da) | 2007-07-23 |
| ATE357189T1 (de) | 2007-04-15 |
| PT1400215E (pt) | 2007-04-30 |
| US20040054360A1 (en) | 2004-03-18 |
| CY1106599T1 (el) | 2012-01-25 |
| AU2003246062B2 (en) | 2008-05-29 |
| EP1400215B1 (en) | 2007-03-21 |
| DE60312617D1 (de) | 2007-05-03 |
| AU2003246062A1 (en) | 2004-04-01 |
| CA2440495C (en) | 2012-03-20 |
| JP2004105735A (ja) | 2004-04-08 |
| EP1400215A1 (en) | 2004-03-24 |
| US6997924B2 (en) | 2006-02-14 |
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