JP5649573B2 - 対象物を検知するための検知装置 - Google Patents

対象物を検知するための検知装置 Download PDF

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Publication number
JP5649573B2
JP5649573B2 JP2011523479A JP2011523479A JP5649573B2 JP 5649573 B2 JP5649573 B2 JP 5649573B2 JP 2011523479 A JP2011523479 A JP 2011523479A JP 2011523479 A JP2011523479 A JP 2011523479A JP 5649573 B2 JP5649573 B2 JP 5649573B2
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Japan
Prior art keywords
sensing
electrical signal
contact
detection
sensing element
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JP2011523479A
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Japanese (ja)
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JP2012500657A (ja
JP2012500657A5 (cg-RX-API-DMAC7.html
Inventor
ジョアキム カフラート
ジョアキム カフラート
マヤ イー バーレイ
マヤ イー バーレイ
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.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
Koninklijke Philips Electronics NV
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Publication of JP2012500657A5 publication Critical patent/JP2012500657A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • 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
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6858Catheters with a distal basket, e.g. expandable basket
    • 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
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
  • Electrotherapy Devices (AREA)
JP2011523479A 2008-08-22 2009-08-20 対象物を検知するための検知装置 Active JP5649573B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP08162791 2008-08-22
EP08162791.1 2008-08-22
PCT/IB2009/053674 WO2010020958A1 (en) 2008-08-22 2009-08-20 Sensing apparatus for sensing an object

Publications (3)

Publication Number Publication Date
JP2012500657A JP2012500657A (ja) 2012-01-12
JP2012500657A5 JP2012500657A5 (cg-RX-API-DMAC7.html) 2012-10-04
JP5649573B2 true JP5649573B2 (ja) 2015-01-07

Family

ID=41217696

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011523479A Active JP5649573B2 (ja) 2008-08-22 2009-08-20 対象物を検知するための検知装置

Country Status (5)

Country Link
US (1) US8467863B2 (cg-RX-API-DMAC7.html)
EP (1) EP2326243B1 (cg-RX-API-DMAC7.html)
JP (1) JP5649573B2 (cg-RX-API-DMAC7.html)
CN (1) CN102131458B (cg-RX-API-DMAC7.html)
WO (1) WO2010020958A1 (cg-RX-API-DMAC7.html)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6045916B2 (ja) * 2010-02-26 2016-12-14 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 組織識別能力を持つ介入的な切除デバイス
US9002442B2 (en) 2011-01-13 2015-04-07 Rhythmia Medical, Inc. Beat alignment and selection for cardiac mapping
US9277872B2 (en) 2011-01-13 2016-03-08 Rhythmia Medical, Inc. Electroanatomical mapping
US9510772B2 (en) 2012-04-10 2016-12-06 Cardionxt, Inc. System and method for localizing medical instruments during cardiovascular medical procedures
JP2016502885A (ja) 2012-12-20 2016-02-01 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. マッピング中の電極接触のリアルタイムフィードバック
US9078583B2 (en) 2013-08-22 2015-07-14 Aftx, Inc. Methods, systems, and apparatus for identification and characterization of rotors associated with atrial fibrillation
US10368760B2 (en) 2013-06-11 2019-08-06 St. Jude Medical, Atrial Fibrillation Divison, Inc. Multi-electrode impedance sensing
WO2015063192A1 (en) * 2013-10-30 2015-05-07 Koninklijke Philips N.V. Registration of tissue slice image
US20160270683A1 (en) * 2013-11-01 2016-09-22 Koninklijke Philips N.V. System for determining electrical characteristics on a surface of a heart
US9763586B2 (en) 2013-12-19 2017-09-19 Cardiac Pacemakers, Inc. System and method for locating neural tissue
US9554718B2 (en) 2014-01-29 2017-01-31 Biosense Webster (Israel) Ltd. Double bipolar configuration for atrial fibrillation annotation
WO2015171492A1 (en) 2014-05-05 2015-11-12 Cardionxt, Inc. Methods, systems, and apparatus for identification, characterization, and treatment of rotors associated with fibrillation
WO2016134264A1 (en) * 2015-02-20 2016-08-25 Boston Scientific Scimed Inc. Tissue contact sensing using a medical device
US10751119B2 (en) * 2015-07-15 2020-08-25 Texas Heart Institute Method and device for detection of arrhythmias and myocardial injury
JP6695961B2 (ja) * 2015-08-05 2020-05-20 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. 拡張可能バルーンマッピング及びアブレーションデバイス
CN107847197A (zh) * 2015-08-05 2018-03-27 波士顿科学医学有限公司 用于膀胱标测的智能装置
WO2017027282A1 (en) * 2015-08-07 2017-02-16 Boston Scientific Scimed Inc. Force sensing catheters having super-elastic structural strain sensors
EP3352662B1 (en) 2015-09-26 2019-08-14 Boston Scientific Scimed Inc. Intracardiac egm signals for beat matching and acceptance
CN108601618B (zh) 2016-01-29 2021-05-25 波士顿科学医学有限公司 具有阻抗引导的取向的力感测导管
US11369431B2 (en) 2016-06-11 2022-06-28 Boston Scientific Scimed Inc. Inductive double flat coil displacement sensor
US10750974B2 (en) 2017-10-24 2020-08-25 St. Jude Medical, Cardiology Division, Inc. System for measuring impedance between a plurality of electrodes of a medical device
US11612334B2 (en) 2017-12-19 2023-03-28 St. Jude Medical, Cardiology Division, Inc. Methods of assessing contact between an electrode and tissue using complex impedance measurements
US10856768B2 (en) * 2018-01-25 2020-12-08 Biosense Webster (Israel) Ltd. Intra-cardiac scar tissue identification using impedance sensing and contact measurement
US20210077184A1 (en) * 2019-09-16 2021-03-18 Biosense Webster (Israel) Ltd. Catheter with thin-film electrodes on expandable membrane
US11931182B2 (en) * 2019-12-09 2024-03-19 Biosense Webster (Israel) Ltd. Catheter with plurality of sensing electrodes used as ablation electrode
CN116035586B (zh) * 2023-03-31 2023-06-27 中国医学科学院阜外医院 标测导管

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5098430A (en) 1990-03-16 1992-03-24 Beacon Laboratories, Inc. Dual mode electrosurgical pencil
US5147370A (en) 1991-06-12 1992-09-15 Mcnamara Thomas O Nitinol stent for hollow body conduits
US6603996B1 (en) * 2000-06-07 2003-08-05 Graydon Ernest Beatty Software for mapping potential distribution of a heart chamber
ATE160273T1 (de) 1992-09-23 1997-12-15 Endocardial Solutions Inc Endokard-mapping system
US6240307B1 (en) * 1993-09-23 2001-05-29 Endocardial Solutions, Inc. Endocardial mapping system
US5300048A (en) 1993-05-12 1994-04-05 Sabin Corporation Flexible, highly radiopaque plastic material catheter
US5485849A (en) * 1994-01-31 1996-01-23 Ep Technologies, Inc. System and methods for matching electrical characteristics and propagation velocities in cardiac tissue
US5472442A (en) 1994-03-23 1995-12-05 Valleylab Inc. Moveable switchable electrosurgical handpiece
EP0879015A4 (en) * 1996-01-19 1999-11-17 Ep Technologies MULTIFUNCTIONAL ELECTRODE STRUCTURES FOR ELECTRICAL ANALYSIS AND HEATING OF BODY TISSUES
US5836874A (en) * 1996-04-08 1998-11-17 Ep Technologies, Inc. Multi-function electrode structures for electrically analyzing and heating body tissue
DE19731931C2 (de) 1997-07-24 2001-04-19 Erbe Elektromedizin Einrichtung zur HF-Koagulation biologischer Gewebe mittels eines flexiblen Endoskops
US7194294B2 (en) 1999-01-06 2007-03-20 Scimed Life Systems, Inc. Multi-functional medical catheter and methods of use
DE19947907A1 (de) * 1999-10-06 2001-04-19 Thomas Wolffgram Katheter für die kombinierte Untersuchung des linken Ventrikels sowie der rechten und der linken Koronararterien
US6892091B1 (en) * 2000-02-18 2005-05-10 Biosense, Inc. Catheter, method and apparatus for generating an electrical map of a chamber of the heart
US6855161B2 (en) 2000-12-27 2005-02-15 Advanced Cardiovascular Systems, Inc. Radiopaque nitinol alloys for medical devices
US6584345B2 (en) * 2001-03-13 2003-06-24 Biosense, Inc. Apparatus and method for measuring a plurality of electrical signals from the body of a patient
GB0129390D0 (en) * 2001-12-07 2002-01-30 Clark Terrence D Electrodynamic sensors and applications thereof
US20080312521A1 (en) * 2007-06-14 2008-12-18 Solomon Edward G System and method for determining electrode-tissue contact using phase difference

Also Published As

Publication number Publication date
EP2326243B1 (en) 2017-05-03
EP2326243A1 (en) 2011-06-01
JP2012500657A (ja) 2012-01-12
US20110144509A1 (en) 2011-06-16
WO2010020958A1 (en) 2010-02-25
US8467863B2 (en) 2013-06-18
CN102131458A (zh) 2011-07-20
CN102131458B (zh) 2014-06-11

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