JP5568140B2 - アブレーション治療の有効送達を評価するためのシステムおよび方法 - Google Patents

アブレーション治療の有効送達を評価するためのシステムおよび方法 Download PDF

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JP5568140B2
JP5568140B2 JP2012539888A JP2012539888A JP5568140B2 JP 5568140 B2 JP5568140 B2 JP 5568140B2 JP 2012539888 A JP2012539888 A JP 2012539888A JP 2012539888 A JP2012539888 A JP 2012539888A JP 5568140 B2 JP5568140 B2 JP 5568140B2
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ablation
index
tissue
generated
catheter
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JP2013511330A (ja
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ディー． カーティス デノ
ステファン ピー． ミラー
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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
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    • 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
    • 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 diagnostic devices within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A61B5/068—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe using impedance sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4848—Monitoring or testing the effects of treatment, e.g. of medication
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6843—Monitoring or controlling sensor contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6844—Monitoring or controlling distance between sensor and tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6885—Monitoring or controlling sensor contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • 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
    • 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
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N7/022—Localised ultrasound hyperthermia intracavitary

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Human Computer Interaction (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
JP2012539888A 2009-11-20 2010-09-24 アブレーション治療の有効送達を評価するためのシステムおよび方法 Active JP5568140B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12/622,626 2009-11-20
US12/622,626 US8454589B2 (en) 2009-11-20 2009-11-20 System and method for assessing effective delivery of ablation therapy
PCT/US2010/050239 WO2011062681A1 (en) 2009-11-20 2010-09-24 System and method for assessing effective delivery of ablation therapy

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JP2013511330A JP2013511330A (ja) 2013-04-04
JP2013511330A5 JP2013511330A5 (enExample) 2014-06-19
JP5568140B2 true JP5568140B2 (ja) 2014-08-06

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US (5) US8454589B2 (enExample)
EP (1) EP2501280B1 (enExample)
JP (1) JP5568140B2 (enExample)
WO (1) WO2011062681A1 (enExample)

Families Citing this family (76)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8403925B2 (en) 2006-12-06 2013-03-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing lesions in tissue
EP3797721A1 (en) 2006-03-24 2021-03-31 Neuwave Medical, Inc. Transmission line with heat transfer ability
US11389235B2 (en) 2006-07-14 2022-07-19 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US10376314B2 (en) 2006-07-14 2019-08-13 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US9192789B2 (en) * 2008-10-30 2015-11-24 Vytronus, Inc. System and method for anatomical mapping of tissue and planning ablation paths therein
US8948476B2 (en) * 2010-12-20 2015-02-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Determination of cardiac geometry responsive to doppler based imaging of blood flow characteristics
US20100168557A1 (en) * 2008-12-30 2010-07-01 Deno D Curtis Multi-electrode ablation sensing catheter and system
US8900150B2 (en) 2008-12-30 2014-12-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Intracardiac imaging system utilizing a multipurpose catheter
US9610118B2 (en) 2008-12-31 2017-04-04 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for the cancellation of motion artifacts in medical interventional navigation
JP5693471B2 (ja) 2009-02-11 2015-04-01 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 絶縁された切除カテーテルデバイスおよびその使用法
WO2011017168A2 (en) 2009-07-28 2011-02-10 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US8454589B2 (en) 2009-11-20 2013-06-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing effective delivery of ablation therapy
ES2856026T3 (es) 2010-05-03 2021-09-27 Neuwave Medical Inc Sistemas de suministro de energía
US9247985B2 (en) * 2011-07-27 2016-02-02 Biosense Webster (Israel) Ltd. Test jig for ablator
US10149626B1 (en) 2011-08-27 2018-12-11 American Medical Technologies, Llc Methods and systems for mapping and ablation of cardiac arrhythmias comprising atrial flutter
CN103917185A (zh) 2011-09-14 2014-07-09 波士顿科学西美德公司 带有离子导电性球囊的消融装置
US10456196B2 (en) * 2011-12-15 2019-10-29 Biosense Webster (Israel) Ltd. Monitoring and tracking bipolar ablation
US9192438B2 (en) 2011-12-21 2015-11-24 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US10595937B2 (en) 2011-12-29 2020-03-24 St. Jude Medical, Atrial Fibrillation Division, Inc. System for optimized coupling of ablation catheters to body tissues and evaluation of lesions formed by the catheters
US10194885B2 (en) 2011-12-30 2019-02-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Automatic monitoring for and detection of tissue pop
WO2013106557A1 (en) 2012-01-10 2013-07-18 Boston Scientific Scimed, Inc. Electrophysiology system
US20130288218A1 (en) * 2012-04-27 2013-10-31 Medtronic Cryocath Lp Cardiac model for simulating medical procedures
US8900225B2 (en) 2012-05-07 2014-12-02 Biosense Webster (Israel) Ltd. Automatic ablation tracking
EP2934288A1 (en) 2012-12-20 2015-10-28 Boston Scientific Scimed, Inc. Real-time feedback for electrode contact during mapping
US11304621B2 (en) * 2013-07-09 2022-04-19 Biosense Webster (Israel) Ltd. Radiation-free position calibration of a fluoroscope
CN105636514B (zh) 2013-11-01 2020-06-05 波士顿科学医学有限公司 使用延迟内插的心脏标测
CN106413527A (zh) * 2014-01-13 2017-02-15 波士顿科学医学有限公司 心脏组织标测医疗装置
JP2017506572A (ja) 2014-03-07 2017-03-09 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 心臓組織をマッピングするための医療用デバイス
US9687167B2 (en) 2014-03-11 2017-06-27 Boston Scientific Scimed, Inc. Medical devices for mapping cardiac tissue
EP3139853B1 (en) 2014-05-07 2018-12-19 Pythagoras Medical Ltd. Controlled tissue ablation apparatus
WO2016061002A1 (en) 2014-10-13 2016-04-21 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
EP4316361A3 (en) 2014-10-24 2024-05-01 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
WO2016081611A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. High-resolution mapping of tissue with pacing
JP6825789B2 (ja) 2014-11-19 2021-02-03 エピックス セラピューティクス，インコーポレイテッド 組織の高分解能マッピングのためのシステムおよび方法
SG11201703943VA (en) 2014-11-19 2017-06-29 Advanced Cardiac Therapeutics Inc Ablation devices, systems and methods of using a high-resolution electrode assembly
CN106999080B (zh) 2014-12-18 2020-08-18 波士顿科学医学有限公司 针对病变评估的实时形态分析
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US10383685B2 (en) 2015-05-07 2019-08-20 Pythagoras Medical Ltd. Techniques for use with nerve tissue
JP2018520718A (ja) 2015-05-12 2018-08-02 ナヴィックス インターナショナル リミテッドＮａｖｉｘ Ｉｎｔｅｒｎａｔｉｏｎａｌ Ｌｉｍｉｔｅｄ 誘電特性分析による接触品質評価
CN107635503B (zh) * 2015-05-12 2021-09-07 纳维斯国际有限公司 通过介电性质分析进行损伤估计
US11039888B2 (en) 2015-05-12 2021-06-22 Navix International Limited Calculation of an ablation plan
US20170065353A1 (en) * 2015-09-04 2017-03-09 Biosense Webster (Israel) Ltd. Identifying and presenting suspected map shifts
CN108366820B (zh) 2015-10-26 2021-04-02 纽韦弗医疗设备公司 能量递送系统及其用途
US10588692B2 (en) * 2015-11-06 2020-03-17 Biosense Webster (Israel) Ltd. Pulmonary vein isolation gap finder
US10792097B2 (en) 2015-12-03 2020-10-06 Biosense Webster (Israel) Ltd. Ablation line contiguity index
CN109069840B (zh) 2016-02-04 2022-03-15 心脏起搏器股份公司 具有用于无引线心脏装置的力传感器的递送系统
JP6923549B2 (ja) 2016-03-15 2021-08-18 エピックス セラピューティクス，インコーポレイテッド 灌注式焼灼のための改良されたシステム
CN109069203B (zh) 2016-04-15 2021-06-22 纽韦弗医疗设备公司 用于能量输送的系统和方法
EP3432819B1 (en) * 2016-05-03 2020-10-14 St. Jude Medical, Cardiology Division, Inc. Lesion prediction based in part on tissue characterization
WO2017199240A2 (en) 2016-05-18 2017-11-23 Pythagoras Medical Ltd. Helical catheter
US11350996B2 (en) 2016-07-14 2022-06-07 Navix International Limited Characteristic track catheter navigation
US11547479B2 (en) * 2016-08-25 2023-01-10 Gyrus Acmi Inc. Automatic irrigation-coordinated lithotripsy
US20180055557A1 (en) * 2016-09-01 2018-03-01 Rainbow Medical Ltd. Ablation management
US11331029B2 (en) 2016-11-16 2022-05-17 Navix International Limited Esophagus position detection by electrical mapping
WO2018092071A1 (en) 2016-11-16 2018-05-24 Navix International Limited Estimators for ablation effectiveness
US10709507B2 (en) 2016-11-16 2020-07-14 Navix International Limited Real-time display of treatment-related tissue changes using virtual material
WO2018092062A1 (en) 2016-11-16 2018-05-24 Navix International Limited Real-time display of tissue deformation by interactions with an intra-body probe
WO2018092059A1 (en) 2016-11-16 2018-05-24 Navix International Limited Tissue model dynamic visual rendering
US10327851B2 (en) * 2016-12-13 2019-06-25 Biosense Webster (Israel) Ltd. Method and apparatus for ablation planning and control
US11646113B2 (en) * 2017-04-24 2023-05-09 Biosense Webster (Israel) Ltd. Systems and methods for determining magnetic location of wireless tools
CN110809448B (zh) 2017-04-27 2022-11-25 Epix疗法公司 确定导管尖端与组织之间接触的性质
US11596477B2 (en) * 2017-11-20 2023-03-07 Covidien Lp Systems and methods for generating energy delivery heat maps
US11672596B2 (en) 2018-02-26 2023-06-13 Neuwave Medical, Inc. Energy delivery devices with flexible and adjustable tips
US11219488B2 (en) 2018-04-25 2022-01-11 Biosense Webster (Israel) Ltd. Determining catheter touch location using force-vector information
WO2020171998A2 (en) 2019-02-21 2020-08-27 St. Jude Medical, Cardiology Division, Inc. Systems and methods for assessing ablation lesions
US11832879B2 (en) 2019-03-08 2023-12-05 Neuwave Medical, Inc. Systems and methods for energy delivery
CN110251225B (zh) * 2019-05-08 2020-10-27 首都医科大学宣武医院 一种立体交叉毁损网格的建立方法及病灶毁损系统
EP3932351A1 (en) * 2020-06-30 2022-01-05 Koninklijke Philips N.V. Contact sensing for an ablation catheter
US12076071B2 (en) 2020-08-14 2024-09-03 Kardium Inc. Systems and methods for treating tissue with pulsed field ablation
US11974817B2 (en) * 2021-02-01 2024-05-07 Biosense Webster (Israel) Ltd. Catheter representation via voxels within organ
MX2023011506A (es) 2021-04-07 2023-12-07 Btl Medical Dev A S Dispositivo y metodo de ablacion de campo pulsado.
HUE072155T2 (hu) 2021-07-06 2025-10-28 Btl Medical Dev A S Impulzusos elektromos teret alkalmazó ablációs eszköz
CN115886989B (zh) * 2021-08-11 2025-12-02 上海鸿电医疗科技有限公司 消融系统
WO2023114588A1 (en) * 2021-12-17 2023-06-22 St. Jude Medical, Cardiology Division, Inc. Method and system for visualizing ablation procedure data
EP4598461A1 (en) 2022-10-05 2025-08-13 BTL Medical Development A.S. Pulsed field ablation device and method
EP4427681A1 (en) 2023-03-09 2024-09-11 St. Jude Medical, Cardiology Division, Inc. Guidance for navigation and positioning of intravascularly delivered devices

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995020348A1 (en) * 1994-01-28 1995-08-03 Ep Technologies, Inc. Matching electrical characteristics and propagation velocities to locate ablation sites
US7263397B2 (en) 1998-06-30 2007-08-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for catheter navigation and location and mapping in the heart
US7806829B2 (en) 1998-06-30 2010-10-05 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for navigating an ultrasound catheter to image a beating heart
US7386339B2 (en) 1999-05-18 2008-06-10 Mediguide Ltd. Medical imaging and navigation system
US6391024B1 (en) * 1999-06-17 2002-05-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering
JP2001190587A (ja) * 2000-01-06 2001-07-17 Toshiba Corp 超音波治療装置
CA2408176A1 (en) * 2000-05-12 2001-11-22 Cardima, Inc. Multi-channel rf energy delivery with coagulum reduction
US20020183739A1 (en) * 2001-03-30 2002-12-05 Long Gary L. Endoscopic ablation system with sealed sheath
US7001383B2 (en) * 2002-10-21 2006-02-21 Biosense, Inc. Real-time monitoring and mapping of ablation lesion formation in the heart
DE10340544B4 (de) * 2003-09-01 2006-08-03 Siemens Ag Vorrichtung zur visuellen Unterstützung einer elektrophysiologischen Katheteranwendung im Herzen
US7699838B2 (en) * 2005-02-16 2010-04-20 Case Western Reserve University System and methods for image-guided thermal treatment of tissue
CA2605360C (en) * 2005-04-21 2017-03-28 Asthmatx, Inc. Control methods and devices for energy delivery
US7740584B2 (en) * 2005-08-16 2010-06-22 The General Electric Company Method and system for mapping physiology information onto ultrasound-based anatomic structure
US8657814B2 (en) * 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US7766833B2 (en) * 2005-11-23 2010-08-03 General Electric Company Ablation array having independently activated ablation elements
US8449535B2 (en) 2005-12-06 2013-05-28 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing coupling between an electrode and tissue
AU2006321918B2 (en) 2005-12-06 2011-08-25 St. Jude Medical, Atrial Fibrillation Division Inc. Assessment of electrode coupling for tissue ablation
US8403925B2 (en) 2006-12-06 2013-03-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing lesions in tissue
US8155416B2 (en) * 2008-02-04 2012-04-10 INTIO, Inc. Methods and apparatuses for planning, performing, monitoring and assessing thermal ablation
US7766907B2 (en) * 2006-12-28 2010-08-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter with sensor array and discrimination circuit to minimize variation in power density
US8702690B2 (en) 2007-11-16 2014-04-22 St. Jude Medical, Atrial Fibrillation Division, Inc. Device and method for real-time lesion estimation during ablation
US10660690B2 (en) 2007-12-28 2020-05-26 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for measurement of an impedance using a catheter such as an ablation catheter
US8454589B2 (en) 2009-11-20 2013-06-04 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing effective delivery of ablation therapy

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US8454589B2 (en) 2013-06-04
EP2501280A1 (en) 2012-09-26
EP2501280B1 (en) 2018-10-24
US10130419B2 (en) 2018-11-20
JP2013511330A (ja) 2013-04-04
US20110125150A1 (en) 2011-05-26
EP2501280A4 (en) 2014-11-26
US20160095651A1 (en) 2016-04-07
US11324550B2 (en) 2022-05-10
US20220338922A1 (en) 2022-10-27
US9173611B2 (en) 2015-11-03
US20130310674A1 (en) 2013-11-21
US20190151014A1 (en) 2019-05-23
US12201352B2 (en) 2025-01-21
WO2011062681A1 (en) 2011-05-26

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