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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JP
Japan
Prior art keywords
sensing
electrical signal
contact
detection
sensing element
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
JP2011523479A
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English (en)
Japanese (ja)
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JP2012500657A (ja
JP2012500657A5 (enExample
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 JP2012500657A publication Critical patent/JP2012500657A/ja
Publication of JP2012500657A5 publication Critical patent/JP2012500657A5/ja
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Expired - Fee Related legal-status Critical Current
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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
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • 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
    • A61B5/05—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
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6858—Catheters with a distal basket, e.g. expandable basket
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • 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
    • A61B2017/00084—Temperature
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)
JP2011523479A 2008-08-22 2009-08-20 対象物を検知するための検知装置 Expired - Fee Related 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 (enExample) 2012-10-04
JP5649573B2 true JP5649573B2 (ja) 2015-01-07

Family

ID=41217696

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011523479A Expired - Fee Related 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 (enExample)
EP (1) EP2326243B1 (enExample)
JP (1) JP5649573B2 (enExample)
CN (1) CN102131458B (enExample)
WO (1) WO2010020958A1 (enExample)

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RU2012140962A (ru) * 2010-02-26 2014-04-10 Конинклейке Филипс Электроникс Н.В. Интервенционное устройство для абляции, способное различать ткани
US9277872B2 (en) 2011-01-13 2016-03-08 Rhythmia Medical, Inc. Electroanatomical mapping
US9002442B2 (en) 2011-01-13 2015-04-07 Rhythmia Medical, Inc. Beat alignment and selection for cardiac mapping
US9510772B2 (en) 2012-04-10 2016-12-06 Cardionxt, Inc. System and method for localizing medical instruments during cardiovascular medical procedures
WO2014100631A1 (en) * 2012-12-20 2014-06-26 Boston Scientific Scimed, Inc. Real-time feedback for electrode contact during mapping
EP3007613B1 (en) 2013-06-11 2018-05-30 St. Jude Medical Atrial Fibrillation Division Inc. Multi-electrode impedance sensing
EP3035843B1 (en) 2013-08-22 2021-11-03 AFTx, Inc. Methods, systems, and apparatus for identification and characterization of rotors associated with atrial fibrillation
JP6382973B2 (ja) * 2013-10-30 2018-08-29 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． レジストレーション方法、コンピュータプログラム及び記憶媒体
US20160270683A1 (en) * 2013-11-01 2016-09-22 Koninklijke Philips N.V. System for determining electrical characteristics on a surface of a heart
EP3082575A2 (en) 2013-12-19 2016-10-26 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
EP3139830A4 (en) 2014-05-05 2018-01-24 Cardionxt, Inc. Methods, systems, and apparatus for identification, characterization, and treatment of rotors associated with fibrillation
EP3258832A1 (en) * 2015-02-20 2017-12-27 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
JP6615977B2 (ja) * 2015-08-05 2019-12-04 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 膀胱マッピングのためのスマート装置
CN107847271B (zh) * 2015-08-05 2021-08-17 波士顿科学医学有限公司 可扩展球囊标测与消融装置
US20170035358A1 (en) * 2015-08-07 2017-02-09 Boston Scientific Scimed Inc. Force sensing catheters having super-elastic structural strain sensors
WO2017053921A1 (en) 2015-09-26 2017-03-30 Boston Scientific Scimed Inc. Intracardiac egm signals for beat matching and acceptance
AU2017212715B2 (en) 2016-01-29 2019-08-08 Boston Scientific Scimed, Inc. Force sensing catheter with impedance-guided orientation
US11369431B2 (en) 2016-06-11 2022-06-28 Boston Scientific Scimed Inc. Inductive double flat coil displacement sensor
CN111246816B (zh) 2017-10-24 2023-07-14 圣犹达医疗用品心脏病学部门有限公司 用于测量医疗设备的多个电极之间的阻抗的系统
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

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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
US6240307B1 (en) * 1993-09-23 2001-05-29 Endocardial Solutions, Inc. Endocardial mapping system
DE69315354T2 (de) 1992-09-23 1998-03-19 Endocardial Solutions Inc Endokard-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
WO1997025917A1 (en) * 1996-01-19 1997-07-24 Ep Technologies, Inc. Multi-function electrode structures for electrically analyzing and heating body tissue
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
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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
US8467863B2 (en) 2013-06-18
JP2012500657A (ja) 2012-01-12
CN102131458A (zh) 2011-07-20
EP2326243B1 (en) 2017-05-03
EP2326243A1 (en) 2011-06-01
US20110144509A1 (en) 2011-06-16
CN102131458B (zh) 2014-06-11
WO2010020958A1 (en) 2010-02-25

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