JP4904293B2 - 卵円窩の位置を決定し、仮想卵円窩を作り、中隔横断穿刺を実行するための方法及び装置 - Google Patents
卵円窩の位置を決定し、仮想卵円窩を作り、中隔横断穿刺を実行するための方法及び装置 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/063—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using impedance measurements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
- A61B5/1076—Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
- A61B2017/00044—Sensing electrocardiography, i.e. ECG
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
- A61B2017/00044—Sensing electrocardiography, i.e. ECG
- A61B2017/00048—Spectral analysis
- A61B2017/00053—Mapping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
Description
中隔横断穿刺は、卵円窩を通る房間中隔の針穿刺を指し、カテーテルを左心房に経皮的に導入するための標準的な技法である。この技法については、ロス(Ross)とコープ(Cope)が同時に1959年に述べた。ブロッケンブロウ(Brockenbrough)とその同僚は、針とガイドカテーテル装置の設計を1960年代に修正した。1960年代の選択的冠動脈造影法の開発は、逆行アプローチを使用する心臓の左側のカテーテル挿入の改善に繋がった。この開発は、中隔横断穿刺技法からの合併症の発症と相まって、穿刺技法の使用を減退させることになった。バルーン僧帽弁形成術、並びに左心房から起こる(又は、左側バイパス路を使用する)不整脈のカテーテル切除は、近年のこの技法の使用の急激な増大に繋がった。
この点に鑑み、出願人は、2003年8月25日出願の当出願人の米国特許出願第10/648,844号(以下「第844号出願」と称し、ここに参照することによりその内容は本明細書に含まれる)に記載されている様に、卵円窩の位置を決定し、中隔横断穿刺を実行するための装置及び方法を、以前に開発している。第844号出願は、とりわけ、添付図面の図1(及び第844号出願の図7)に示す様に、拡張器先端に電極を組み込んだ中隔横断装置を説明している。具体的には、「尖端」及び「環状」電極を、中隔横断装置の拡張器先端に組み込むことによって、拡張器先端が上大静脈から引き下ろされるときに、房間中隔の電気生理学的特性を測定することができる。卵円窩は、房間中隔の残りの部分と比べると幅広で分裂した(fractionated)低電圧の単極及び双極の電位図が存在することによって、識別される。この他の識別特性には、例えば、低いスルーレート、高いペーシング閾値、及び低いインピーダンスが含まれる。
患者体内のヒス束と房間中隔の面と冠状静脈洞口の位置を決定する工程と、
卵円窩とヒス束と冠状静脈洞口の間の1つ又は複数の所定の距離に基づいて、卵円窩の位置を決定する工程と、を含んでいる。
中空の管腔と、
カテーテルの遠位端に配置されている第1電極と、
カテーテル上に位置決めされ、第1電極から近位側に間隔を空けて配置されている第2電極と、を備えており、第1電極と第2電極は、エレクトロ・アナトミカルナビゲーションシステムに作動可能に接続されている。
カテーテルは、中隔横断穿刺のためにシースに挿入されるように構成されており、中隔針は、針の先端がカテーテルの遠位端を越えて突き出るまで、管腔を通して押圧することができる。カテーテルは、更に、中隔横断穿刺処置中に、カテーテルの管腔内に位置決めされている中隔針上でカテーテルを押圧することによって、カテーテルの遠位端を、卵円窩を穿通するのに適した拡張器として使用できるように構成されている。カテーテルの遠位端は先が細くなっており(tapered)、第2電極は、第1電極から、約2から約4mmの距離だけ離して配置されている。
図面に記載されている実施形態は、本来的に分かり易くするためのものであって、請求項に定義されている本発明を限定するものではない。更に、図面及び本発明の個々の特徴は、詳細な説明を読めば、より明白になり完全に理解頂けるであろう。
単極電圧低減
双極電圧低減
信号分裂
信号の広幅化
信号スルーレートの低減
局所的な心筋インピーダンスの低減
位相角度の増加
ペーシング閾値の増加
の内の1つ又は複数に基づいて位置が特定される(識別された変化は、卵円窩を囲んでいる組織との関係においてのものである)。本発明は、更に、第844号出願に記載されている方法及び装置を更に発展させている。
A=卵円窩の横方向寸法
B=卵円窩の頭尾方向寸法
C=冠状静脈洞口の後方リップから卵円窩の前縁までの距離
D=冠状静脈洞口の後方リップから卵円窩の中間点までの距離
E=冠状静脈洞口の後方リップから卵円窩の後縁までの距離
である。卵円窩は、通常、ほぼ卵型なので、測定値C−Dは、図7に示すように垂直方向の接線から取った。
a)卵円窩の頭部限界は、ヒス束カテーテルの約2から3mm上にある、
b)卵円窩の尾部限界は、ほぼ冠状静脈洞口の床にある、
c)仮想卵円窩は、房間中隔の面の僅かに左(約2mm)に作られる、
d)(房間中隔の面に90度垂直なRAO図における)仮想卵円窩の、前縁を示している前方限界は、冠状静脈洞口から約12mmである、
e)仮想卵円窩の、後縁を示している後方限界は、冠状静脈洞口から約30mmである
f)卵円窩の中間点は、冠状静脈洞口から約20mmである、
g)仮想卵円窩の頭尾方向寸法は、約18mmである、
h)仮想卵円窩の横方向寸法は、約20mmである、の内の1つ又は複数を含んでいる。
Claims (8)
- 患者体内の卵円窩の位置を決定するための装置において、表示スクリーンに関連付けられて、患者の心臓内のカテーテルの三次元位置を決定し、カテーテルの位置を表す位置データを表示するようになされているエレクトロ・アナトミカルナビゲーションシステムを備えており、前記エレクトロ・アナトミカルナビゲーションシステムは、卵円窩、ヒス束及び冠状静脈洞口の間の1つ又は複数の測定された距離に基づいて、患者の卵円窩の位置を識別し、前記卵円窩の位置の視覚表現を前記表示スクリーンに表示するようになされている、装置。
- 中隔横断穿刺を行うようになされている中隔横断装置を更に備えており、前記中隔横断装置はカテーテルを含んでおり、前記カテーテルは、
中空の管腔と、
前記カテーテルの遠位端に位置決めされている第1電極と、
前記カテーテル上に位置決めされ、前記第1電極から近位側に離間している第2電極とを備え、前記第1及び第2電極は、前記エレクトロ・アナトミカルナビゲーションシステムに作動可能に接続されており、
前記カテーテルは、中隔横断穿刺のためにシース内に挿入され、中隔針が、前記針の先端が前記カテーテルの前記遠位端を越えて突き出るまで、前記管腔を通して押圧されるようになされており、更に、前記カテーテルは、その長さに沿って十分な剛性を有し、前記カテーテルの前記遠位端は、該遠位端が、中隔横断穿刺処置中に、前記カテーテルの前記管腔内に位置決めされている中隔針上で前記カテーテルを押圧することによって、前記卵円窩を穿通するのに適した拡張器として使用できるように、十分な剛性を有している、請求項1に記載の装置。 - 前記カテーテルの前記遠位端はテーパーが付けられており、前記第2電極は、前記第1電極から、約2から約4mmの距離だけ離間して配置されている、請求項2に記載の装置。
- 前記エレクトロ・アナトミカルナビゲーションシステムは、更に、前記患者の卵円窩の位置を識別するための命令を含んでいる、請求項1に記載の装置。
- 前記卵円窩の位置の視覚表現は、雲状領域を含む、請求項1に記載の装置。
- 前記所定の距離は、冠状静脈洞口の後方リップから卵円窩の前縁までの距離、冠状静脈洞口の後方リップから卵円窩の中間点までの距離、及び冠状静脈洞口の後方リップから卵円窩の後縁までの距離を含む、請求項1に記載の装置。
- 前記中隔横断装置は、更に、前記卵円窩及び周囲の心臓組織の電気生理学的活動を測定することによって前記卵円窩の位置を識別する、請求項2に記載の装置。
- 患者体内の卵円窩の位置を決定するための装置において、表示スクリーンに関連付けられて、患者の心臓内のカテーテルの三次元位置を決定し、カテーテルの位置を表す位置データを表示するようになされているエレクトロ・アナトミカルナビゲーションシステムを備えており、前記エレクトロ・アナトミカルナビゲーションシステムは、房間中隔の面における冠状静脈洞口からの1つ又は複数の距離に基づいて患者の卵円窩の位置が決定されるように、冠状静脈洞口と房間中隔の面を測定することによって前記卵円窩の位置を測定し、前記卵円窩の位置の視覚表現を前記表示スクリーンに表示するようになされている、装置。
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US65811105P | 2005-03-03 | 2005-03-03 | |
US60/658,111 | 2005-03-03 | ||
PCT/US2006/007705 WO2006094222A2 (en) | 2005-03-03 | 2006-03-03 | Method and apparatus for locating the fossa ovalis, creating a virtual fossa ovalis and performing transseptal puncture |
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JP4904293B2 true JP4904293B2 (ja) | 2012-03-28 |
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EP (1) | EP1853162B9 (ja) |
JP (1) | JP4904293B2 (ja) |
AT (1) | ATE492209T1 (ja) |
AU (1) | AU2006218484B2 (ja) |
BR (1) | BRPI0606270A2 (ja) |
CA (1) | CA2601284C (ja) |
DE (1) | DE602006019063D1 (ja) |
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Families Citing this family (90)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11331121B2 (en) * | 2006-09-29 | 2022-05-17 | Baylis Medical Company Inc. | Transseptal needle |
US20210121227A1 (en) | 2006-09-29 | 2021-04-29 | Baylis Medical Company Inc. | Connector system for electrosurgical device |
US11666377B2 (en) | 2006-09-29 | 2023-06-06 | Boston Scientific Medical Device Limited | Electrosurgical device |
US8500697B2 (en) | 2007-10-19 | 2013-08-06 | Pressure Products Medical Supplies, Inc. | Transseptal guidewire |
US9572583B2 (en) | 2007-11-21 | 2017-02-21 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Methods and systems for occluding vessels during cardiac ablation |
US9283051B2 (en) | 2008-04-29 | 2016-03-15 | Virginia Tech Intellectual Properties, Inc. | System and method for estimating a treatment volume for administering electrical-energy based therapies |
US10117707B2 (en) | 2008-04-29 | 2018-11-06 | Virginia Tech Intellectual Properties, Inc. | System and method for estimating tissue heating of a target ablation zone for electrical-energy based therapies |
US8992517B2 (en) | 2008-04-29 | 2015-03-31 | Virginia Tech Intellectual Properties Inc. | Irreversible electroporation to treat aberrant cell masses |
US10245098B2 (en) | 2008-04-29 | 2019-04-02 | Virginia Tech Intellectual Properties, Inc. | Acute blood-brain barrier disruption using electrical energy based therapy |
US11254926B2 (en) | 2008-04-29 | 2022-02-22 | Virginia Tech Intellectual Properties, Inc. | Devices and methods for high frequency electroporation |
US10272178B2 (en) | 2008-04-29 | 2019-04-30 | Virginia Tech Intellectual Properties Inc. | Methods for blood-brain barrier disruption using electrical energy |
US11272979B2 (en) | 2008-04-29 | 2022-03-15 | Virginia Tech Intellectual Properties, Inc. | System and method for estimating tissue heating of a target ablation zone for electrical-energy based therapies |
US10702326B2 (en) | 2011-07-15 | 2020-07-07 | Virginia Tech Intellectual Properties, Inc. | Device and method for electroporation based treatment of stenosis of a tubular body part |
CA2722296A1 (en) | 2008-04-29 | 2009-11-05 | Virginia Tech Intellectual Properties, Inc. | Irreversible electroporation to create tissue scaffolds |
US10238447B2 (en) | 2008-04-29 | 2019-03-26 | Virginia Tech Intellectual Properties, Inc. | System and method for ablating a tissue site by electroporation with real-time monitoring of treatment progress |
US9867652B2 (en) | 2008-04-29 | 2018-01-16 | Virginia Tech Intellectual Properties, Inc. | Irreversible electroporation using tissue vasculature to treat aberrant cell masses or create tissue scaffolds |
US9198733B2 (en) | 2008-04-29 | 2015-12-01 | Virginia Tech Intellectual Properties, Inc. | Treatment planning for electroporation-based therapies |
US8388549B2 (en) | 2008-12-29 | 2013-03-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Anatomical thermal sensing device and method |
US8317810B2 (en) * | 2008-12-29 | 2012-11-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Tissue puncture assemblies and methods for puncturing tissue |
CN102421386A (zh) * | 2009-03-31 | 2012-04-18 | 安吉戴尼克公司 | 用于估计医疗装置的治疗区和互动式地计划患者治疗的系统和方法 |
US11638603B2 (en) | 2009-04-09 | 2023-05-02 | Virginia Tech Intellectual Properties, Inc. | Selective modulation of intracellular effects of cells using pulsed electric fields |
US11382681B2 (en) | 2009-04-09 | 2022-07-12 | Virginia Tech Intellectual Properties, Inc. | Device and methods for delivery of high frequency electrical pulses for non-thermal ablation |
WO2010138919A2 (en) | 2009-05-28 | 2010-12-02 | Angiodynamics, Inc. | System and method for synchronizing energy delivery to the cardiac rhythm |
US9895189B2 (en) | 2009-06-19 | 2018-02-20 | Angiodynamics, Inc. | Methods of sterilization and treating infection using irreversible electroporation |
US9700368B2 (en) | 2010-10-13 | 2017-07-11 | Angiodynamics, Inc. | System and method for electrically ablating tissue of a patient |
US9072872B2 (en) | 2010-10-29 | 2015-07-07 | Medtronic, Inc. | Telescoping catheter delivery system for left heart endocardial device placement |
WO2012088149A2 (en) | 2010-12-20 | 2012-06-28 | Virginia Tech Intellectual Properties, Inc. | High-frequency electroporation for cancer therapy |
DE102011076217A1 (de) * | 2011-05-20 | 2012-11-22 | Siemens Aktiengesellschaft | Verfahren zur Unterstützung einer einen minimalinvasiven, eine Punktion eines Septums insbesondere eines Herzens umfassenden Eingriff mit einem Katheter durchführenden Person und Röntgeneinrichtung |
US9078665B2 (en) | 2011-09-28 | 2015-07-14 | Angiodynamics, Inc. | Multiple treatment zone ablation probe |
US10898291B2 (en) | 2012-05-31 | 2021-01-26 | Baylis Medical Company Inc. | Radiofrequency perforation apparatus |
US9233225B2 (en) | 2012-11-10 | 2016-01-12 | Curvo Medical, Inc. | Coaxial bi-directional catheter |
US9549666B2 (en) | 2012-11-10 | 2017-01-24 | Curvo Medical, Inc. | Coaxial micro-endoscope |
US11937873B2 (en) | 2013-03-12 | 2024-03-26 | Boston Scientific Medical Device Limited | Electrosurgical device having a lumen |
US9788858B2 (en) | 2013-04-15 | 2017-10-17 | Transseptal Solutions Ltd. | Fossa ovalis penetration using probing elements |
US9700351B2 (en) | 2013-04-15 | 2017-07-11 | Transseptal Solutions Ltd. | Fossa ovalis penetration |
US9545265B2 (en) | 2013-04-15 | 2017-01-17 | Transseptal Solutions Ltd. | Fossa ovalis penetration using balloons |
CA2911661C (en) * | 2013-05-08 | 2021-06-01 | Clph, Llc | Catheters and dilators for trans-septal procedures and methods for making and using them |
BR112016002781B1 (pt) | 2013-08-07 | 2021-11-09 | Baylis Medical Company Inc. | Dispositivos para puncionar tecido, kit compreendendo os dispositivos e uso dos mesmos |
US11529171B2 (en) * | 2014-03-14 | 2022-12-20 | Cardiacassist, Inc. | Image-guided transseptal puncture device |
EP3143124A4 (en) | 2014-05-12 | 2018-01-17 | Virginia Tech Intellectual Properties, Inc. | Selective modulation of intracellular effects of cells using pulsed electric fields |
EP3145434A4 (en) * | 2014-05-21 | 2018-03-07 | The Royal Institution for the Advancement of Learning / McGill University | Methods and systems for anatomical structure and transcatheter device visualization |
EP3206603B1 (en) | 2014-10-14 | 2019-10-02 | Transseptal Solutions Ltd. | Fossa ovalis penetration apparatus |
PL227985B1 (pl) | 2014-11-07 | 2018-02-28 | Medidata Społka Z Ograniczoną Odpowiedzialnością | Elektrofizjologiczny cewnik diagnostyczny zwłaszcza do pozyskiwania biopsji endomiokardialnej tkanek serca |
WO2016100325A1 (en) | 2014-12-15 | 2016-06-23 | Virginia Tech Intellectual Properties, Inc. | Devices, systems, and methods for real-time monitoring of electrophysical effects during tissue treatment |
US9668674B2 (en) | 2015-03-03 | 2017-06-06 | Transseptal Solutions Ltd. | Measurement of appendage openings |
US9706982B2 (en) | 2015-03-03 | 2017-07-18 | Transseptal Solutions Ltd. | Treatment of appendage openings |
WO2016181317A2 (en) | 2015-05-12 | 2016-11-17 | Navix International Limited | Calculation of an ablation plan |
US11723718B2 (en) * | 2015-06-02 | 2023-08-15 | Heartlander Surgical, Inc. | Therapy delivery system that operates on the surface of an anatomical entity |
CN108024694B (zh) | 2015-09-09 | 2021-04-27 | 贝利斯医疗公司 | 心外膜的进入系统和方法 |
US10398503B2 (en) | 2015-10-14 | 2019-09-03 | Transseptal Soulutions Ltd. | Fossa ovalis penetration |
WO2018011757A1 (en) | 2016-07-14 | 2018-01-18 | Navix International Limited | Characteristic track catheter navigation |
CN107693089A (zh) * | 2016-08-09 | 2018-02-16 | 上海交通大学医学院附属新华医院 | 三维房间隔穿刺系统 |
US11007016B2 (en) | 2016-09-22 | 2021-05-18 | Walter Kusumoto | Intracardiac ultrasound catheter handheld adapter |
US11382566B1 (en) | 2016-11-21 | 2022-07-12 | Walter Kusumoto | Lead placement assisted by electrophysiology mapping |
WO2018057940A1 (en) | 2016-09-22 | 2018-03-29 | Kusumoto Walter | Pericardiocentesis needle guided by cardiac electrophysiology mapping |
CA3041538A1 (en) * | 2016-11-08 | 2018-05-17 | Henry Ford Health System | Selecting a medical device for use in a medical procedure |
CN110072449B (zh) | 2016-11-16 | 2023-02-24 | 纳维斯国际有限公司 | 通过电标测进行的食道位置检测 |
WO2018092062A1 (en) | 2016-11-16 | 2018-05-24 | Navix International Limited | Real-time display of tissue deformation by interactions with an intra-body probe |
US10709507B2 (en) | 2016-11-16 | 2020-07-14 | Navix International Limited | Real-time display of treatment-related tissue changes using virtual material |
EP3541313B1 (en) | 2016-11-16 | 2023-05-10 | Navix International Limited | Estimators for ablation effectiveness |
WO2018092059A1 (en) | 2016-11-16 | 2018-05-24 | Navix International Limited | Tissue model dynamic visual rendering |
US10905492B2 (en) | 2016-11-17 | 2021-02-02 | Angiodynamics, Inc. | Techniques for irreversible electroporation using a single-pole tine-style internal device communicating with an external surface electrode |
WO2018207128A1 (en) * | 2017-05-10 | 2018-11-15 | Navix International Limited | Property- and position-based catheter probe target identification |
CN107280714A (zh) * | 2017-06-27 | 2017-10-24 | 李毅刚 | 血管介入诊疗系统 |
US11583249B2 (en) * | 2017-09-08 | 2023-02-21 | Biosense Webster (Israel) Ltd. | Method and apparatus for performing non-fluoroscopic transseptal procedure |
KR102053449B1 (ko) * | 2017-09-25 | 2019-12-06 | (주) 타우피엔유메디칼 | 캡쳐카테터 |
CN111225714A (zh) | 2017-10-17 | 2020-06-02 | 美敦力公司 | 希氏束和束支起搏调整 |
US11607537B2 (en) | 2017-12-05 | 2023-03-21 | Virginia Tech Intellectual Properties, Inc. | Method for treating neurological disorders, including tumors, with electroporation |
CN111601633A (zh) | 2017-12-05 | 2020-08-28 | 韦斯利·罗伯特·佩德森 | 穿中隔导丝穿刺系统 |
US10413363B2 (en) * | 2017-12-15 | 2019-09-17 | Medtronic, Inc. | Augmented reality solution to optimize the directional approach and therapy delivery of interventional cardiology tools |
US11622745B2 (en) * | 2018-02-06 | 2023-04-11 | Koninklijke Philips N.V. | Trans-septal puncture guidance heart repair |
US11311329B2 (en) | 2018-03-13 | 2022-04-26 | Virginia Tech Intellectual Properties, Inc. | Treatment planning for immunotherapy based treatments using non-thermal ablation techniques |
US11925405B2 (en) | 2018-03-13 | 2024-03-12 | Virginia Tech Intellectual Properties, Inc. | Treatment planning system for immunotherapy enhancement via non-thermal ablation |
WO2019195282A1 (en) | 2018-04-02 | 2019-10-10 | Cardiac Pacemakers Inc | Bundle of his lead delivery catheter, system and method |
US11679265B2 (en) | 2019-02-14 | 2023-06-20 | Medtronic, Inc. | Lead-in-lead systems and methods for cardiac therapy |
US11950835B2 (en) | 2019-06-28 | 2024-04-09 | Virginia Tech Intellectual Properties, Inc. | Cycled pulsing to mitigate thermal damage for multi-electrode irreversible electroporation therapy |
US11759190B2 (en) | 2019-10-18 | 2023-09-19 | Boston Scientific Medical Device Limited | Lock for medical devices, and related systems and methods |
US11801087B2 (en) | 2019-11-13 | 2023-10-31 | Boston Scientific Medical Device Limited | Apparatus and methods for puncturing tissue |
US11724070B2 (en) | 2019-12-19 | 2023-08-15 | Boston Scientific Medical Device Limited | Methods for determining a position of a first medical device with respect to a second medical device, and related systems and medical devices |
CN111012450B (zh) * | 2019-12-24 | 2022-04-26 | 四川锦江电子科技有限公司 | 用于房间隔穿刺的导引鞘管、导管及卵圆窝检测方法 |
US11931098B2 (en) | 2020-02-19 | 2024-03-19 | Boston Scientific Medical Device Limited | System and method for carrying out a medical procedure |
US11819243B2 (en) | 2020-03-19 | 2023-11-21 | Boston Scientific Medical Device Limited | Medical sheath and related systems and methods |
US11826075B2 (en) | 2020-04-07 | 2023-11-28 | Boston Scientific Medical Device Limited | Elongated medical assembly |
US11938285B2 (en) | 2020-06-17 | 2024-03-26 | Boston Scientific Medical Device Limited | Stop-movement device for elongated medical assembly |
EP4167890A1 (en) | 2020-06-17 | 2023-04-26 | Boston Scientific Medical Device Limited | Electroanatomical mapping system |
US11937796B2 (en) | 2020-06-18 | 2024-03-26 | Boston Scientific Medical Device Limited | Tissue-spreader assembly |
US11752347B2 (en) | 2020-07-31 | 2023-09-12 | Medtronic, Inc. | Cardiac conduction system pacing |
WO2022046777A1 (en) | 2020-08-25 | 2022-03-03 | Cross Vascular, Inc. | Transseptal crossing system |
CN116490239A (zh) | 2020-11-09 | 2023-07-25 | 敏捷设备有限公司 | 用于操纵导管的装置 |
KR102618028B1 (ko) | 2021-11-24 | 2023-12-27 | (주)스페이스이브이 | 냉온장기가 장착된 전기자전거 및 냉온장기가 장착된 전기자전거를 이용하여 냉온장기 내의 물품을 배송지까지 배송하는 방법과 이를 위한 시스템 |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH08322939A (ja) * | 1995-06-01 | 1996-12-10 | Daig Corp | 冠状静脈洞カテーテル |
JPH09168519A (ja) * | 1995-11-22 | 1997-06-30 | Medtronic Inc | カテーテル・マッピングのためのシステム及び方法 |
JP2001061789A (ja) * | 1999-07-22 | 2001-03-13 | Biosense Inc | マッピングによる状態表示方法 |
WO2002058780A1 (en) * | 2001-01-11 | 2002-08-01 | Medinnova Sf | Device and method for localization of fossa ovalis |
JP2002238844A (ja) * | 2001-02-16 | 2002-08-27 | Olympus Optical Co Ltd | 内視鏡装置 |
WO2004026134A1 (en) * | 2002-08-24 | 2004-04-01 | Krishnan Subramaniam C | Method and apparatus for locating the fossa ovalis and performing transseptal puncture |
JP2004321816A (ja) * | 2003-04-29 | 2004-11-18 | Biosense Webster Inc | 電極構造を備えたシースを用いる経中隔促進方法及び装置 |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5176140A (en) * | 1989-08-14 | 1993-01-05 | Olympus Optical Co., Ltd. | Ultrasonic probe |
EP0500215A1 (en) * | 1991-01-30 | 1992-08-26 | ANGELASE, Inc. | Process and apparatus for mapping of tachyarrhythmia |
US5336252A (en) * | 1992-06-22 | 1994-08-09 | Cohen Donald M | System and method for implanting cardiac electrical leads |
US5391199A (en) * | 1993-07-20 | 1995-02-21 | Biosense, Inc. | Apparatus and method for treating cardiac arrhythmias |
US6001085A (en) * | 1993-08-13 | 1999-12-14 | Daig Corporation | Coronary sinus catheter |
US5497774A (en) * | 1993-11-03 | 1996-03-12 | Daig Corporation | Guiding introducer for left atrium |
US5494042A (en) * | 1994-01-28 | 1996-02-27 | Ep Technologies, Inc. | Systems and methods for deriving electrical characteristics of cardiac tissue for output in iso-characteristic displays |
US5617854A (en) * | 1994-06-22 | 1997-04-08 | Munsif; Anand | Shaped catheter device and method |
US5908445A (en) * | 1996-10-28 | 1999-06-01 | Ep Technologies, Inc. | Systems for visualizing interior tissue regions including an actuator to move imaging element |
US6076012A (en) * | 1996-12-19 | 2000-06-13 | Ep Technologies, Inc. | Structures for supporting porous electrode elements |
US7347840B2 (en) * | 2000-03-02 | 2008-03-25 | Pyng Medical Corp. | Patch for locating a target zone for penetration |
US6623474B1 (en) * | 1998-06-04 | 2003-09-23 | Biosense Webster, Inc. | Injection catheter with needle stop |
US6328699B1 (en) * | 2000-01-11 | 2001-12-11 | Cedars-Sinai Medical Center | Permanently implantable system and method for detecting, diagnosing and treating congestive heart failure |
CA2398967A1 (en) * | 2000-02-01 | 2001-08-09 | Albert C. Lardo | Magnetic resonance imaging transseptal needle antenna |
US7056294B2 (en) | 2000-04-13 | 2006-06-06 | Ev3 Sunnyvale, Inc | Method and apparatus for accessing the left atrial appendage |
US6650923B1 (en) | 2000-04-13 | 2003-11-18 | Ev3 Sunnyvale, Inc. | Method for accessing the left atrium of the heart by locating the fossa ovalis |
US7717899B2 (en) | 2002-01-28 | 2010-05-18 | Cardiac Pacemakers, Inc. | Inner and outer telescoping catheter delivery system |
US7462184B2 (en) | 2002-05-06 | 2008-12-09 | Pressure Products Medical Supplies Inc. | Introducer for accessing the coronary sinus of a heart |
-
2006
- 2006-03-03 BR BRPI0606270-9A patent/BRPI0606270A2/pt not_active IP Right Cessation
- 2006-03-03 CA CA2601284A patent/CA2601284C/en not_active Expired - Fee Related
- 2006-03-03 US US11/367,941 patent/US7815577B2/en active Active
- 2006-03-03 WO PCT/US2006/007705 patent/WO2006094222A2/en active Application Filing
- 2006-03-03 JP JP2007558284A patent/JP4904293B2/ja not_active Expired - Fee Related
- 2006-03-03 DE DE602006019063T patent/DE602006019063D1/de active Active
- 2006-03-03 AT AT06736947T patent/ATE492209T1/de not_active IP Right Cessation
- 2006-03-03 EP EP06736947A patent/EP1853162B9/en not_active Not-in-force
- 2006-03-03 AU AU2006218484A patent/AU2006218484B2/en not_active Ceased
-
2007
- 2007-08-06 IL IL185054A patent/IL185054A0/en unknown
-
2010
- 2010-10-12 US US12/902,897 patent/US8834384B2/en active Active
- 2010-12-16 US US12/970,816 patent/US20110087175A1/en not_active Abandoned
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH08322939A (ja) * | 1995-06-01 | 1996-12-10 | Daig Corp | 冠状静脈洞カテーテル |
JPH09168519A (ja) * | 1995-11-22 | 1997-06-30 | Medtronic Inc | カテーテル・マッピングのためのシステム及び方法 |
JP2001061789A (ja) * | 1999-07-22 | 2001-03-13 | Biosense Inc | マッピングによる状態表示方法 |
WO2002058780A1 (en) * | 2001-01-11 | 2002-08-01 | Medinnova Sf | Device and method for localization of fossa ovalis |
JP2002238844A (ja) * | 2001-02-16 | 2002-08-27 | Olympus Optical Co Ltd | 内視鏡装置 |
WO2004026134A1 (en) * | 2002-08-24 | 2004-04-01 | Krishnan Subramaniam C | Method and apparatus for locating the fossa ovalis and performing transseptal puncture |
JP2005536313A (ja) * | 2002-08-24 | 2005-12-02 | サブラマニアム シー. クリシュナン | 卵円窩の位置を特定する方法及び装置 |
JP2004321816A (ja) * | 2003-04-29 | 2004-11-18 | Biosense Webster Inc | 電極構造を備えたシースを用いる経中隔促進方法及び装置 |
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CA2601284C (en) | 2011-11-01 |
BRPI0606270A2 (pt) | 2009-06-09 |
EP1853162B1 (en) | 2010-12-22 |
EP1853162A2 (en) | 2007-11-14 |
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AU2006218484A1 (en) | 2006-09-08 |
IL185054A0 (en) | 2008-01-20 |
US20060276710A1 (en) | 2006-12-07 |
WO2006094222A3 (en) | 2007-09-20 |
US20110077507A1 (en) | 2011-03-31 |
JP2008531221A (ja) | 2008-08-14 |
AU2006218484B2 (en) | 2009-04-02 |
CA2601284A1 (en) | 2006-09-08 |
EP1853162A4 (en) | 2009-07-22 |
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