JP4846720B2 - 心不整脈を治療するためのカテーテル装置 - Google Patents

心不整脈を治療するためのカテーテル装置 Download PDF

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Publication number
JP4846720B2
JP4846720B2 JP2007525848A JP2007525848A JP4846720B2 JP 4846720 B2 JP4846720 B2 JP 4846720B2 JP 2007525848 A JP2007525848 A JP 2007525848A JP 2007525848 A JP2007525848 A JP 2007525848A JP 4846720 B2 JP4846720 B2 JP 4846720B2
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JP
Japan
Prior art keywords
catheter
ablation
tip
catheter shaft
section
Prior art date
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Expired - Lifetime
Application number
JP2007525848A
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English (en)
Japanese (ja)
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JP2008509751A (ja
JP2008509751A5 (enExample
Inventor
スラ,ジャスバー・エス
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.)
Medtronic Inc
Original Assignee
Medtronic Inc
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
Priority claimed from US10/916,662 external-priority patent/US7311705B2/en
Application filed by Medtronic Inc filed Critical Medtronic Inc
Priority claimed from PCT/US2005/028832 external-priority patent/WO2006020920A2/en
Publication of JP2008509751A publication Critical patent/JP2008509751A/ja
Publication of JP2008509751A5 publication Critical patent/JP2008509751A5/ja
Application granted granted Critical
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Expired - Lifetime legal-status Critical Current

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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
    • 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
    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • 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
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • 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
    • A61B2018/00375Ostium, e.g. ostium of pulmonary vein or artery
    • 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
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • 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
    • A61B2018/00797Temperature measured by multiple temperature sensors
    • 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
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical 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
    • A61B2018/1861Surgical 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 with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08LCOMPOSITIONS OF MACROMOLECULAR COMPOUNDS
    • C08L2201/00Properties
    • C08L2201/12Shape memory

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
JP2007525848A 2004-08-12 2005-08-12 心不整脈を治療するためのカテーテル装置 Expired - Lifetime JP4846720B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/916,662 US7311705B2 (en) 2002-02-05 2004-08-12 Catheter apparatus for treatment of heart arrhythmia
US10/916,662 2004-08-12
PCT/US2005/028832 WO2006020920A2 (en) 2003-01-29 2005-08-12 Catheter apparatus for treatment of heart arrhythmia

Publications (3)

Publication Number Publication Date
JP2008509751A JP2008509751A (ja) 2008-04-03
JP2008509751A5 JP2008509751A5 (enExample) 2008-09-25
JP4846720B2 true JP4846720B2 (ja) 2011-12-28

Family

ID=37951618

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2007525848A Expired - Lifetime JP4846720B2 (ja) 2004-08-12 2005-08-12 心不整脈を治療するためのカテーテル装置

Country Status (3)

Country Link
EP (1) EP1788936B1 (enExample)
JP (1) JP4846720B2 (enExample)
CA (1) CA2576884C (enExample)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7778686B2 (en) 2002-06-04 2010-08-17 General Electric Company Method and apparatus for medical intervention procedure planning and location and navigation of an intervention tool
EP2684839A1 (en) 2012-07-13 2014-01-15 CSEM Centre Suisse d'Electronique et de Microtechnique SA - Recherche et Développement Mesoporous coating comprising j-aggregates
EP3146924B1 (en) * 2015-09-24 2022-11-09 Medinice S.A. Cryoapplicator for minimally invasive surgical cardiac ablation
CN116407289B (zh) * 2023-03-09 2024-06-04 极限人工智能有限公司 一种用于血管介入手术的导管弯曲控制系统及手术装置

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5471982A (en) * 1992-09-29 1995-12-05 Ep Technologies, Inc. Cardiac mapping and ablation systems
WO1994021168A1 (en) * 1993-03-16 1994-09-29 Ep Technologies, Inc. Cardiac mapping and ablation systems
US5636634A (en) * 1993-03-16 1997-06-10 Ep Technologies, Inc. Systems using guide sheaths for introducing, deploying, and stabilizing cardiac mapping and ablation probes
EP0861676B1 (en) * 1993-11-10 2003-10-01 Medtronic Cardiorhythm Electrode array catheter
US6416510B1 (en) * 1997-03-13 2002-07-09 Biocardia, Inc. Drug delivery catheters that attach to tissue and methods for their use
US6200315B1 (en) * 1997-12-18 2001-03-13 Medtronic, Inc. Left atrium ablation catheter
US6702811B2 (en) * 1999-04-05 2004-03-09 Medtronic, Inc. Ablation catheter assembly with radially decreasing helix and method of use
US6485489B2 (en) * 1999-10-02 2002-11-26 Quantum Cor, Inc. Catheter system for repairing a mitral valve annulus
US20020087151A1 (en) * 2000-12-29 2002-07-04 Afx, Inc. Tissue ablation apparatus with a sliding ablation instrument and method
WO2002087676A2 (en) * 2001-04-27 2002-11-07 C.R. Bard, Inc. Electrophysiology catheter for mapping and/or ablation
US7493156B2 (en) * 2002-01-07 2009-02-17 Cardiac Pacemakers, Inc. Steerable guide catheter with pre-shaped rotatable shaft

Also Published As

Publication number Publication date
JP2008509751A (ja) 2008-04-03
EP1788936A4 (en) 2010-10-06
CA2576884C (en) 2017-11-07
CA2576884A1 (en) 2006-02-23
EP1788936B1 (en) 2018-11-28
EP1788936A2 (en) 2007-05-30

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