JP4776542B2 - 特にアブレーション及び同様の技法のためのカテーテル及び方法 - Google Patents

特にアブレーション及び同様の技法のためのカテーテル及び方法 Download PDF

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Publication number
JP4776542B2
JP4776542B2 JP2006537907A JP2006537907A JP4776542B2 JP 4776542 B2 JP4776542 B2 JP 4776542B2 JP 2006537907 A JP2006537907 A JP 2006537907A JP 2006537907 A JP2006537907 A JP 2006537907A JP 4776542 B2 JP4776542 B2 JP 4776542B2
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Prior art keywords
catheter
electrode
passage
longitudinal axis
outlet opening
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Expired - Fee Related
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Japanese (ja)
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JP2007509693A5 (https=
JP2007509693A (ja
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ヴィットカンペ,フレデリック・ヘンリクス・マセウス
ナカガワ,ヒロシ
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ユニヴェルツィテーア・メディス・セントルム・ユトレヒト
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00089Thermal conductivity
    • A61B2018/00101Thermal conductivity low, i.e. thermally insulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00363Epicardium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00815Temperature measured by a thermistor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2006537907A 2003-10-29 2004-10-20 特にアブレーション及び同様の技法のためのカテーテル及び方法 Expired - Fee Related JP4776542B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
NL1024658 2003-10-29
NL1024658A NL1024658C2 (nl) 2003-10-29 2003-10-29 Katheter en werkwijze, in het bijzonder voor ablatie en dergelijke techniek.
PCT/NL2004/000741 WO2005048858A1 (en) 2003-10-29 2004-10-20 Catheter and method, in particular for ablation and like technique

Publications (3)

Publication Number Publication Date
JP2007509693A JP2007509693A (ja) 2007-04-19
JP2007509693A5 JP2007509693A5 (https=) 2007-12-13
JP4776542B2 true JP4776542B2 (ja) 2011-09-21

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JP2006537907A Expired - Fee Related JP4776542B2 (ja) 2003-10-29 2004-10-20 特にアブレーション及び同様の技法のためのカテーテル及び方法

Country Status (11)

Country Link
US (3) US7815635B2 (https=)
EP (1) EP1686908B1 (https=)
JP (1) JP4776542B2 (https=)
KR (1) KR101218957B1 (https=)
CN (1) CN100586393C (https=)
AU (1) AU2004290563B2 (https=)
BR (1) BRPI0415696B8 (https=)
CA (1) CA2543524C (https=)
NL (1) NL1024658C2 (https=)
RU (1) RU2006118345A (https=)
WO (1) WO2005048858A1 (https=)

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US7815635B2 (en) 2010-10-19
AU2004290563B2 (en) 2010-09-23
CN100586393C (zh) 2010-02-03
BRPI0415696A (pt) 2006-12-26
US7998141B2 (en) 2011-08-16
RU2006118345A (ru) 2007-12-10
WO2005048858A1 (en) 2005-06-02
US8287533B2 (en) 2012-10-16
US20110022046A1 (en) 2011-01-27
BRPI0415696B1 (pt) 2018-04-03
EP1686908B1 (en) 2014-12-03
JP2007509693A (ja) 2007-04-19
EP1686908A1 (en) 2006-08-09
KR101218957B1 (ko) 2013-01-04
US20110301596A1 (en) 2011-12-08
US20080045943A1 (en) 2008-02-21
CA2543524C (en) 2012-10-09
CN1897885A (zh) 2007-01-17
NL1024658C2 (nl) 2005-05-02
BRPI0415696B8 (pt) 2021-06-22
AU2004290563A1 (en) 2005-06-02
KR20060123207A (ko) 2006-12-01

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