JP5072962B2 - 組織をアブレーションする装置および方法 - Google Patents

組織をアブレーションする装置および方法 Download PDF

Info

Publication number
JP5072962B2
JP5072962B2 JP2009516720A JP2009516720A JP5072962B2 JP 5072962 B2 JP5072962 B2 JP 5072962B2 JP 2009516720 A JP2009516720 A JP 2009516720A JP 2009516720 A JP2009516720 A JP 2009516720A JP 5072962 B2 JP5072962 B2 JP 5072962B2
Authority
JP
Japan
Prior art keywords
ablation
ablation elements
preset
elements
ablation device
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
Application number
JP2009516720A
Other languages
English (en)
Japanese (ja)
Other versions
JP2009540960A (ja
JP2009540960A5 (cg-RX-API-DMAC7.html
Inventor
ジョーン イー． クロウ
ジョナサン エル． ポッドモア
マイケル ホルツバウアー
Original Assignee
セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド
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
Application filed by セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド filed Critical セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド
Publication of JP2009540960A publication Critical patent/JP2009540960A/ja
Publication of JP2009540960A5 publication Critical patent/JP2009540960A5/ja
Application granted granted Critical
Publication of JP5072962B2 publication Critical patent/JP5072962B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00363—Epicardium
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Laser Surgery Devices (AREA)
JP2009516720A 2006-06-23 2007-06-21 組織をアブレーションする装置および方法 Expired - Fee Related JP5072962B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US81585206P 2006-06-23 2006-06-23
US60/815,852 2006-06-23
US11/646,526 US20070299435A1 (en) 2006-06-23 2006-12-28 Apparatus and method for ablating tissue
US11/646,526 2006-12-28
PCT/US2007/071762 WO2007149970A2 (en) 2006-06-23 2007-06-21 Apparatus and method for ablating tissue

Publications (3)

Publication Number Publication Date
JP2009540960A JP2009540960A (ja) 2009-11-26
JP2009540960A5 JP2009540960A5 (cg-RX-API-DMAC7.html) 2010-08-05
JP5072962B2 true JP5072962B2 (ja) 2012-11-14

Family

ID=38834383

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009516720A Expired - Fee Related JP5072962B2 (ja) 2006-06-23 2007-06-21 組織をアブレーションする装置および方法

Country Status (7)

Country Link
US (1) US20070299435A1 (cg-RX-API-DMAC7.html)
EP (1) EP2032058A4 (cg-RX-API-DMAC7.html)
JP (1) JP5072962B2 (cg-RX-API-DMAC7.html)
CN (1) CN101472531B (cg-RX-API-DMAC7.html)
AU (1) AU2007260895B2 (cg-RX-API-DMAC7.html)
CA (1) CA2654091A1 (cg-RX-API-DMAC7.html)
WO (1) WO2007149970A2 (cg-RX-API-DMAC7.html)

Families Citing this family (54)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6306132B1 (en) 1999-06-17 2001-10-23 Vivant Medical Modular biopsy and microwave ablation needle delivery apparatus adapted to in situ assembly and method of use
US8974446B2 (en) 2001-10-11 2015-03-10 St. Jude Medical, Inc. Ultrasound ablation apparatus with discrete staggered ablation zones
US7197363B2 (en) 2002-04-16 2007-03-27 Vivant Medical, Inc. Microwave antenna having a curved configuration
US6752767B2 (en) 2002-04-16 2004-06-22 Vivant Medical, Inc. Localization element with energized tip
US7311703B2 (en) 2003-07-18 2007-12-25 Vivant Medical, Inc. Devices and methods for cooling microwave antennas
US8068921B2 (en) 2006-09-29 2011-11-29 Vivant Medical, Inc. Microwave antenna assembly and method of using the same
US8102734B2 (en) * 2007-02-08 2012-01-24 St. Jude Medical, Atrial Fibrillation Division, Inc. High intensity focused ultrasound transducer with acoustic lens
US8292880B2 (en) 2007-11-27 2012-10-23 Vivant Medical, Inc. Targeted cooling of deployable microwave antenna
US8608739B2 (en) 2008-07-22 2013-12-17 Covidien Lp Electrosurgical devices, systems and methods of using the same
US9108037B2 (en) 2009-03-09 2015-08-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Apparatus and method for tissue ablation with near-field cooling
US8355803B2 (en) 2009-09-16 2013-01-15 Vivant Medical, Inc. Perfused core dielectrically loaded dipole microwave antenna probe
CN102596320B (zh) * 2009-10-30 2016-09-07 瑞蔻医药有限公司 通过经皮超声波去肾神经治疗高血压的方法和装置
CA2781951A1 (en) 2009-11-13 2011-05-19 St. Jude Medical, Inc. Assembly of staggered ablation elements
US8911434B2 (en) 2010-10-22 2014-12-16 Medtronic Cryocath Lp Balloon catheter with deformable fluid delivery conduit
US8909316B2 (en) 2011-05-18 2014-12-09 St. Jude Medical, Cardiology Division, Inc. Apparatus and method of assessing transvascular denervation
AU2012298709B2 (en) 2011-08-25 2015-04-16 Covidien Lp Systems, devices, and methods for treatment of luminal tissue
US9427579B2 (en) 2011-09-29 2016-08-30 Pacesetter, Inc. System and method for performing renal denervation verification
US10076383B2 (en) 2012-01-25 2018-09-18 Covidien Lp Electrosurgical device having a multiplexer
US8934988B2 (en) 2012-03-16 2015-01-13 St. Jude Medical Ab Ablation stent with meander structure
US9113929B2 (en) 2012-04-19 2015-08-25 St. Jude Medical, Cardiology Division, Inc. Non-electric field renal denervation electrode
US9179997B2 (en) 2013-03-06 2015-11-10 St. Jude Medical, Cardiology Division, Inc. Thermochromic polyvinyl alcohol based hydrogel artery
EP2777740A3 (en) 2013-03-12 2015-01-21 St. Jude Medical, Cardiology Division, Inc. Catheter system
US10716914B2 (en) 2013-03-12 2020-07-21 St. Jude Medical, Cardiology Division, Inc. Catheter system
EP2777741A3 (en) 2013-03-12 2015-01-21 St. Jude Medical, Cardiology Division, Inc. Catheter system
US9510902B2 (en) 2013-03-13 2016-12-06 St. Jude Medical, Cardiology Division, Inc. Ablation catheters and systems including rotational monitoring means
US8876813B2 (en) 2013-03-14 2014-11-04 St. Jude Medical, Inc. Methods, systems, and apparatus for neural signal detection
US9131982B2 (en) 2013-03-14 2015-09-15 St. Jude Medical, Cardiology Division, Inc. Mediguide-enabled renal denervation system for ensuring wall contact and mapping lesion locations
US20140276767A1 (en) 2013-03-15 2014-09-18 St. Jude Medical, Cardiology Division, Inc. Ablation system, methods, and controllers
US9974477B2 (en) 2013-03-15 2018-05-22 St. Jude Medical, Cardiology Division, Inc. Quantification of renal denervation via alterations in renal blood flow pre/post ablation
EP2967728A1 (en) 2013-03-15 2016-01-20 St. Jude Medical, Cardiology Division, Inc. Ablation system, methods, and controllers
US9179973B2 (en) 2013-03-15 2015-11-10 St. Jude Medical, Cardiology Division, Inc. Feedback systems and methods for renal denervation utilizing balloon catheter
US9186212B2 (en) 2013-03-15 2015-11-17 St. Jude Medical, Cardiology Division, Inc. Feedback systems and methods utilizing two or more sites along denervation catheter
EP2988691B1 (en) 2013-04-25 2018-03-28 St. Jude Medical, Cardiology Division, Inc. Electrode assembly for catheter system
US9872728B2 (en) 2013-06-28 2018-01-23 St. Jude Medical, Cardiology Division, Inc. Apparatuses and methods for affixing electrodes to an intravascular balloon
US20150011991A1 (en) 2013-07-03 2015-01-08 St. Jude Medical, Cardiology Division, Inc. Electrode Assembly For Catheter System
USD914883S1 (en) 2013-10-23 2021-03-30 St. Jude Medical, Cardiology Division, Inc. Ablation generator
US10856936B2 (en) 2013-10-23 2020-12-08 St. Jude Medical, Cardiology Division, Inc. Electrode assembly for catheter system including thermoplastic-based struts
USD747491S1 (en) 2013-10-23 2016-01-12 St. Jude Medical, Cardiology Division, Inc. Ablation generator
USD774043S1 (en) 2013-10-23 2016-12-13 St. Jude Medical, Cardiology Division, Inc. Display screen with graphical user interface for ablation generator
US9913961B2 (en) 2013-10-24 2018-03-13 St. Jude Medical, Cardiology Division, Inc. Flexible catheter shaft and method of manufacture
US10034705B2 (en) 2013-10-24 2018-07-31 St. Jude Medical, Cardiology Division, Inc. High strength electrode assembly for catheter system including novel electrode
US9999748B2 (en) 2013-10-24 2018-06-19 St. Jude Medical, Cardiology Division, Inc. Flexible catheter shaft and method of manufacture
WO2015065636A1 (en) 2013-10-28 2015-05-07 St. Jude Medical, Cardiology Division, Inc. Electrode assembly for catheter system including interlinked struts
US9861433B2 (en) 2013-11-05 2018-01-09 St. Jude Medical, Cardiology Division, Inc. Helical-shaped ablation catheter and methods of use
EP2937053A1 (en) 2014-04-24 2015-10-28 St. Jude Medical, Cardiology Division, Inc. Ablation systems including pulse rate detector and feedback mechanism and methods of use
US10080600B2 (en) 2015-01-21 2018-09-25 Covidien Lp Monopolar electrode with suction ability for CABG surgery
CN104874091A (zh) * 2015-06-26 2015-09-02 吴奇 一种可视光纤球囊导管
US11439460B2 (en) 2016-06-23 2022-09-13 St. Jude Medical, Cardiology Division, Inc. Catheter system and electrode assembly for intraprocedural evaluation of renal denervation
CN109788908A (zh) * 2016-09-27 2019-05-21 心脏起搏器股份公司 具有闭合远端环的标测和/或消融导管
GB2559595B (en) * 2017-02-10 2021-09-01 Creo Medical Ltd Electrosurgical apparatus and electrosurgical instrument
US20190090948A1 (en) * 2017-09-26 2019-03-28 Covidien Lp Flexible ablation catheter with stiff section around radiator
CN110811821A (zh) * 2018-08-14 2020-02-21 复旦大学附属中山医院 消融导管
EP4295790A3 (en) 2019-01-10 2024-02-21 AtriCure, Inc. Surgical clamp
CN114848131B (zh) * 2022-03-28 2023-09-05 上海睿刀医疗科技有限公司 消融组件和消融装置

Family Cites Families (45)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5327889A (en) * 1992-12-01 1994-07-12 Cardiac Pathways Corporation Mapping and ablation catheter with individually deployable arms and method
CA2109980A1 (en) * 1992-12-01 1994-06-02 Mir A. Imran Steerable catheter with adjustable bend location and/or radius and method
US5391147A (en) * 1992-12-01 1995-02-21 Cardiac Pathways Corporation Steerable catheter with adjustable bend location and/or radius and method
US6161543A (en) * 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US5611777A (en) * 1993-05-14 1997-03-18 C.R. Bard, Inc. Steerable electrode catheter
US5607462A (en) * 1993-09-24 1997-03-04 Cardiac Pathways Corporation Catheter assembly, catheter and multi-catheter introducer for use therewith
US5908446A (en) * 1994-07-07 1999-06-01 Cardiac Pathways Corporation Catheter assembly, catheter and multi-port introducer for use therewith
US5400783A (en) * 1993-10-12 1995-03-28 Cardiac Pathways Corporation Endocardial mapping apparatus with rotatable arm and method
US5673695A (en) * 1995-08-02 1997-10-07 Ep Technologies, Inc. Methods for locating and ablating accessory pathways in the heart
US5575810A (en) * 1993-10-15 1996-11-19 Ep Technologies, Inc. Composite structures and methods for ablating tissue to form complex lesion patterns in the treatment of cardiac conditions and the like
US5730127A (en) * 1993-12-03 1998-03-24 Avitall; Boaz Mapping and ablation catheter system
US5921924A (en) * 1993-12-03 1999-07-13 Avitall; Boaz Mapping and ablation catheter system utilizing multiple control elements
US5617854A (en) * 1994-06-22 1997-04-08 Munsif; Anand Shaped catheter device and method
US5680860A (en) * 1994-07-07 1997-10-28 Cardiac Pathways Corporation Mapping and/or ablation catheter with coilable distal extremity and method for using same
US6071274A (en) * 1996-12-19 2000-06-06 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US5836947A (en) * 1994-10-07 1998-11-17 Ep Technologies, Inc. Flexible structures having movable splines for supporting electrode elements
US5885278A (en) * 1994-10-07 1999-03-23 E.P. Technologies, Inc. Structures for deploying movable electrode elements
US5755760A (en) * 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
US5882346A (en) * 1996-07-15 1999-03-16 Cardiac Pathways Corporation Shapable catheter using exchangeable core and method of use
US5826576A (en) * 1996-08-08 1998-10-27 Medtronic, Inc. Electrophysiology catheter with multifunction wire and method for making
US6237605B1 (en) * 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US6719755B2 (en) * 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US6840936B2 (en) * 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US7052493B2 (en) * 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6311692B1 (en) * 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US6071279A (en) * 1996-12-19 2000-06-06 Ep Technologies, Inc. Branched structures for supporting multiple electrode elements
US5910129A (en) * 1996-12-19 1999-06-08 Ep Technologies, Inc. Catheter distal assembly with pull wires
US6048329A (en) * 1996-12-19 2000-04-11 Ep Technologies, Inc. Catheter distal assembly with pull wires
US6203525B1 (en) * 1996-12-19 2001-03-20 Ep Technologies, Inc. Catheterdistal assembly with pull wires
US6076012A (en) * 1996-12-19 2000-06-13 Ep Technologies, Inc. Structures for supporting porous electrode elements
US6010500A (en) * 1997-07-21 2000-01-04 Cardiac Pathways Corporation Telescoping apparatus and method for linear lesion ablation
US6014579A (en) * 1997-07-21 2000-01-11 Cardiac Pathways Corp. Endocardial mapping catheter with movable electrode
US6200315B1 (en) * 1997-12-18 2001-03-13 Medtronic, Inc. Left atrium ablation catheter
US6066126A (en) * 1997-12-18 2000-05-23 Medtronic, Inc. Precurved, dual curve cardiac introducer sheath
US6146395A (en) * 1998-03-05 2000-11-14 Scimed Life Systems, Inc. Ablation burr
US6325797B1 (en) * 1999-04-05 2001-12-04 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
US6702811B2 (en) * 1999-04-05 2004-03-09 Medtronic, Inc. Ablation catheter assembly with radially decreasing helix and method of use
US6371955B1 (en) * 1999-08-10 2002-04-16 Biosense Webster, Inc. Atrial branding iron catheter and a method for treating atrial fibrillation
US6745080B2 (en) * 1999-11-22 2004-06-01 Scimed Life Systems, Inc. Helical and pre-oriented loop structures for supporting diagnostic and therapeutic elements in contact with body tissue
US6711444B2 (en) * 1999-11-22 2004-03-23 Scimed Life Systems, Inc. Methods of deploying helical diagnostic and therapeutic element supporting structures within the body
US6375654B1 (en) * 2000-05-19 2002-04-23 Cardiofocus, Inc. Catheter system with working portion radially expandable upon rotation
CN2624846Y (zh) * 2003-06-27 2004-07-14 周更须 医用手持式带负压吸引心内射频探头
US7122034B2 (en) * 2004-05-27 2006-10-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Curved ablation catheter
US20060089637A1 (en) * 2004-10-14 2006-04-27 Werneth Randell L Ablation catheter
US7468062B2 (en) * 2004-11-24 2008-12-23 Ablation Frontiers, Inc. Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use

Also Published As

Publication number Publication date
AU2007260895A1 (en) 2007-12-27
US20070299435A1 (en) 2007-12-27
EP2032058A4 (en) 2010-11-03
WO2007149970A2 (en) 2007-12-27
EP2032058A2 (en) 2009-03-11
CA2654091A1 (en) 2007-12-27
JP2009540960A (ja) 2009-11-26
WO2007149970A3 (en) 2008-04-10
CN101472531B (zh) 2011-06-22
CN101472531A (zh) 2009-07-01
AU2007260895B2 (en) 2012-12-06

Similar Documents

Publication Publication Date Title
JP5072962B2 (ja) 組織をアブレーションする装置および方法
JP2009540960A5 (cg-RX-API-DMAC7.html)
WO2008083318A2 (en) Ablation device and method with connector
US7037306B2 (en) System for creating linear lesions for the treatment of atrial fibrillation
AU2004205242B2 (en) Apparatus and method for ablating tissue
CA2726934C (en) System and method for delivering energy to tissue
JP5054116B2 (ja) 真空式凝固プローブ
AU2002315167B2 (en) Methods and devices for ablation
JP2009504313A (ja) 吸引式凝固プローブ
JP2007503290A (ja) 高密度焦点式超音波を使用して心房細動を非侵襲的に処置するための方法および装置
AU2002315167A1 (en) Methods and devices for ablation
JP2009540962A (ja) アブレーションおよび可視化装置
JP5090445B2 (ja) イントロデューサ用トルク伝達手段および方法
WO2001008575A2 (en) Optical fiber basket device for cardiac photoablation
EP1838390A1 (en) Epicardial ablation using focused ultrasound
US7678109B2 (en) Ablation device and method comprising movable ablation elements
US20140243810A1 (en) Catheter assembly for treatment of hypertrophic tissue

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100617

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20100617

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20120313

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20120315

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120525

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20120814

A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20120821

R150 Certificate of patent or registration of utility model

Free format text: JAPANESE INTERMEDIATE CODE: R150

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20150831

Year of fee payment: 3

LAPS Cancellation because of no payment of annual fees