JP5829526B2 - アブレーション処置を監視するモニタリング装置 - Google Patents

アブレーション処置を監視するモニタリング装置 Download PDF

Info

Publication number
JP5829526B2
JP5829526B2 JP2011544959A JP2011544959A JP5829526B2 JP 5829526 B2 JP5829526 B2 JP 5829526B2 JP 2011544959 A JP2011544959 A JP 2011544959A JP 2011544959 A JP2011544959 A JP 2011544959A JP 5829526 B2 JP5829526 B2 JP 5829526B2
Authority
JP
Japan
Prior art keywords
ablation
depth
ultrasonic
ultrasound
signal
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
JP2011544959A
Other languages
English (en)
Japanese (ja)
Other versions
JP2012515013A5 (enExample
JP2012515013A (ja
Inventor
エリク アー ハークス
エリク アー ハークス
スザボルクス デラディ
スザボルクス デラディ
ジャン エフ スアイバー
ジャン エフ スアイバー
ラディスラブ ジャンコビック
ラディスラブ ジャンコビック
ヤン エス シ
ヤン エス シ
ワウター エイチ ジェイ レンセン
ワウター エイチ ジェイ レンセン
マヤ イー バーレイ
マヤ イー バーレイ
ダー ヴァート ナイス シー ヴァン
ダー ヴァート ナイス シー ヴァン
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
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 Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2012515013A publication Critical patent/JP2012515013A/ja
Publication of JP2012515013A5 publication Critical patent/JP2012515013A5/ja
Application granted granted Critical
Publication of JP5829526B2 publication Critical patent/JP5829526B2/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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0858—Clinical applications involving measuring tissue layers, e.g. skin, interfaces
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/486—Diagnostic techniques involving arbitrary m-mode
    • 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
    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • 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
    • 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
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00738—Depth, e.g. depth of ablation
    • 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
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • 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
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Surgical Instruments (AREA)
JP2011544959A 2009-01-14 2010-01-08 アブレーション処置を監視するモニタリング装置 Expired - Fee Related JP5829526B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14449409P 2009-01-14 2009-01-14
US61/144,494 2009-01-14
PCT/IB2010/050059 WO2010082146A1 (en) 2009-01-14 2010-01-08 Monitoring apparatus for monitoring an ablation procedure

Publications (3)

Publication Number Publication Date
JP2012515013A JP2012515013A (ja) 2012-07-05
JP2012515013A5 JP2012515013A5 (enExample) 2013-02-28
JP5829526B2 true JP5829526B2 (ja) 2015-12-09

Family

ID=42018330

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011544959A Expired - Fee Related JP5829526B2 (ja) 2009-01-14 2010-01-08 アブレーション処置を監視するモニタリング装置

Country Status (6)

Country Link
US (3) US9901321B2 (enExample)
EP (1) EP2387361B1 (enExample)
JP (1) JP5829526B2 (enExample)
CN (1) CN102281819B (enExample)
ES (1) ES2807574T3 (enExample)
WO (1) WO2010082146A1 (enExample)

Families Citing this family (122)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US7837676B2 (en) * 2003-02-20 2010-11-23 Recor Medical, Inc. Cardiac ablation devices
WO2007136566A2 (en) 2006-05-19 2007-11-29 Prorhythm, Inc. Ablation device with optimized input power profile and method of using the same
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US8974445B2 (en) 2009-01-09 2015-03-10 Recor Medical, Inc. Methods and apparatus for treatment of cardiac valve insufficiency
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
US9808323B2 (en) * 2009-06-04 2017-11-07 Koninklijke Philips N.V. Visualization apparatus
EP2448510B1 (en) 2009-06-30 2016-08-31 Boston Scientific Scimed, Inc. Map and ablate open irrigated hybrid catheter
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
CN102985023B (zh) * 2010-06-30 2015-11-25 皇家飞利浦电子股份有限公司 用于向对象施加能量的能量施加设备
JP6230912B2 (ja) * 2010-10-14 2017-11-15 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 物体の特性を決定する特性決定装置
EP2640273B1 (en) * 2010-11-18 2019-05-22 Koninklijke Philips N.V. Filtering apparatus for filtering an ultrasound signal
US10238364B2 (en) 2010-11-18 2019-03-26 Koninklijke Philips N.V. Medical device with ultrasound transducers embedded in flexible foil
JP6133779B2 (ja) 2010-11-18 2017-05-24 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 対象を感知する感知装置
JP6265741B2 (ja) * 2010-11-18 2018-01-24 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． オブジェクトの特性の検出に用いる装置
US8777857B2 (en) 2011-04-14 2014-07-15 St. Jude Medical, Inc. Single transducer with angular orientation for lesion feedback in ablation catheter
US8545408B2 (en) 2011-05-23 2013-10-01 St. Jude Medical, Inc. Combination catheter for forward and side lesioning with acoustic lesion feedback capability
US8545409B2 (en) 2011-04-14 2013-10-01 St. Jude Medical, Inc. Arrangement and interface for RF ablation system with acoustic feedback
JP2014516723A (ja) 2011-06-01 2014-07-17 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 超音波映像性能を備えた切除プローブ
US20140163372A1 (en) * 2011-07-22 2014-06-12 Koninklijke Philips N.V. Ablation apparatus
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
JP6117209B2 (ja) 2011-09-14 2017-04-19 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． 複数のアブレーションモードを備えたアブレーション装置及び同アブレーション装置を含むシステム
US10251625B2 (en) 2011-12-08 2019-04-09 Koninklijke Philips N.V. Examination system with multiple ultrasound transducers
US9241761B2 (en) 2011-12-28 2016-01-26 Koninklijke Philips N.V. Ablation probe with ultrasonic imaging capability
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
EP2809253B8 (en) 2012-01-31 2016-09-21 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
JP6122096B2 (ja) 2012-03-23 2017-04-26 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 周期的に動く物体を画像化するイメージングシステム
WO2013140358A1 (en) 2012-03-23 2013-09-26 Koninklijke Philips N.V. Imaging system for imaging a periodically moving object
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9579501B2 (en) 2012-08-30 2017-02-28 Cardiac Pacemakers, Inc. His bundle lead delivery system
US10226297B2 (en) * 2012-09-06 2019-03-12 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
US10231782B2 (en) 2012-09-06 2019-03-19 Covidien Lp Medical devices and methods incorporating frustrated total internal reflection for energy-efficient sealing and cutting of tissue using light energy
WO2014047281A1 (en) * 2012-09-20 2014-03-27 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
EP2908731B1 (en) 2012-10-18 2023-11-08 Koninklijke Philips N.V. Ultrasound data visualization apparatus
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
EP2911589A1 (en) * 2012-10-23 2015-09-02 Koninklijke Philips N.V. Spatial configuration determination apparatus
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
EP2953548A1 (en) * 2013-02-11 2015-12-16 Koninklijke Philips N.V. Ultrasound imaging system and method
WO2014145146A1 (en) * 2013-03-15 2014-09-18 Medtronic Ardian Luxembourg S.A.R.L. Controlled neuromodulation systems and methods of use
WO2015024907A1 (en) * 2013-08-21 2015-02-26 Koninklijke Philips N.V. Monitoring apparatus
US10835313B2 (en) 2014-01-30 2020-11-17 Medlumics S.L. Radiofrequency ablation catheter with optical tissue evaluation
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US10470742B2 (en) * 2014-04-28 2019-11-12 Covidien Lp Systems and methods for speckle reduction
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
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
US20170311922A1 (en) * 2014-11-18 2017-11-02 Koninklijke Philips N.V. Visualization apparatus for property change of a tissue
SG11201703943VA (en) 2014-11-19 2017-06-29 Advanced Cardiac Therapeutics Inc Ablation devices, systems and methods of using a high-resolution electrode assembly
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
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
US10327734B2 (en) * 2014-12-30 2019-06-25 Biosense Webster (Israel) Ltd. Measurement of tissue thickness using ultrasound and force measurements
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10194981B2 (en) 2015-07-29 2019-02-05 Medlumics S.L. Radiofrequency ablation catheter with optical tissue evaluation
US11259876B2 (en) 2015-09-28 2022-03-01 Koninklijke Philips N.V. Single-port surgical procedure using image guided articulated robot
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
MX379675B (es) * 2015-09-30 2025-03-11 Ethicon Llc Método y aparato para seleccionar operaciones de un instrumento quirúrgico basadas en la intención del usuario.
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10548666B2 (en) * 2015-11-17 2020-02-04 Covidien Lp Systems and methods for ultrasound image-guided ablation antenna placement
US11160607B2 (en) * 2015-11-20 2021-11-02 Biosense Webster (Israel) Ltd. Hyper-apertured ablation electrode
US11134978B2 (en) 2016-01-15 2021-10-05 Cilag Gmbh International Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US12193698B2 (en) 2016-01-15 2025-01-14 Cilag Gmbh International Method for self-diagnosing operation of a control switch in a surgical instrument system
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10595818B2 (en) * 2016-03-19 2020-03-24 Makaha Medical, Llc. Medical systems and methods for density assessment using ultrasound
US11076808B2 (en) 2016-03-26 2021-08-03 Makaha Medical, LLC Flexible medical device with marker band and sensor
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10806503B2 (en) * 2017-02-06 2020-10-20 General Electric Company Methods and systems for electrophysiology ablation gap analysis
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
EP3773886B1 (en) 2018-04-02 2022-04-27 Cardiac Pacemakers, Inc. Bundle of his lead delivery catheter and system
JP7564083B2 (ja) 2018-08-22 2024-10-08 ヒーリアム メディカル リミテッド カテーテル超音波トランスデューサコンテナ
CA3110612A1 (en) 2018-08-31 2020-03-05 The College Of The Holy & Undivided Trinity Of Queen Elizabeth Ultrasound based three-dimensional lesion verification within a vasculature
EP3620801B1 (de) * 2018-09-07 2021-03-03 Erbe Elektromedizin GmbH Gerät zur speisung eines medizinischen instruments und verfahren zur instrumentenüberwachung
US20200093397A1 (en) * 2018-09-24 2020-03-26 Apn Health, Llc Determining catheter-tip 3d location and orientation using fluoroscopy and impedance measurements
EP3654342A1 (en) * 2018-11-13 2020-05-20 Koninklijke Philips N.V. System for assisting in providing template treatment parameters for ablation treatment
US11364073B2 (en) * 2019-02-20 2022-06-21 Biosense Webster (Israel) Ltd. Cardiac map segmentation
CN113950294B (zh) * 2019-05-31 2025-02-11 皇家飞利浦有限公司 用于基于图像的设备分割的基于被动超声传感器的初始化
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US12349961B2 (en) 2019-12-30 2025-07-08 Cilag Gmbh International Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
CN113117260B (zh) * 2019-12-30 2023-04-18 重庆融海超声医学工程研究中心有限公司 聚焦超声装置及聚焦超声装置控制方法
US12343063B2 (en) 2019-12-30 2025-07-01 Cilag Gmbh International Multi-layer clamp arm pad for enhanced versatility and performance of a surgical device
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11986234B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Surgical system communication pathways
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US20210196357A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with asynchronous energizing electrodes
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US12336747B2 (en) 2019-12-30 2025-06-24 Cilag Gmbh International Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US12262937B2 (en) 2019-12-30 2025-04-01 Cilag Gmbh International User interface for surgical instrument with combination energy modality end-effector
CN111557734B (zh) * 2020-05-07 2021-11-02 徐州佳智信息科技有限公司 一种基于vr场景的激光消融导航系统
CN114788729A (zh) * 2021-01-24 2022-07-26 中国人民解放军北部战区总医院 一种集超声成像与射频消融于一体的导管
CN114869455B (zh) * 2021-05-27 2025-05-30 上海商阳医疗科技有限公司 脉冲消融参数的获取方法、系统、电子设备和存储介质
CN116172695B (zh) * 2023-03-02 2024-03-01 哈尔滨工业大学（威海） 一种介入式血管内多模态成像及消融一体化导管
WO2025234035A1 (ja) * 2024-05-08 2025-11-13 オリンパスメディカルシステムズ株式会社 医療装置、内視鏡システム、制御方法、及び制御プログラム

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5196006A (en) * 1989-04-25 1993-03-23 Summit Technology, Inc. Method and apparatus for excision endpoint control
US5409000A (en) * 1993-09-14 1995-04-25 Cardiac Pathways Corporation Endocardial mapping and ablation system utilizing separately controlled steerable ablation catheter with ultrasonic imaging capabilities and method
US6024703A (en) * 1997-05-07 2000-02-15 Eclipse Surgical Technologies, Inc. Ultrasound device for axial ranging
WO1999002096A1 (en) * 1997-07-08 1999-01-21 The Regents Of The University Of California Circumferential ablation device assembly and method
US8709007B2 (en) * 1997-10-15 2014-04-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Devices and methods for ablating cardiac tissue
US6066096A (en) 1998-05-08 2000-05-23 Duke University Imaging probes and catheters for volumetric intraluminal ultrasound imaging and related systems
US6287297B1 (en) * 1999-03-05 2001-09-11 Plc Medical Systems, Inc. Energy delivery system and method for performing myocardial revascular
US6827715B2 (en) * 2002-01-25 2004-12-07 Medtronic, Inc. System and method of performing an electrosurgical procedure
US6746401B2 (en) 2002-05-06 2004-06-08 Scimed Life Systems, Inc. Tissue ablation visualization
EP1766608B1 (en) 2004-06-07 2017-08-09 Koninklijke Philips N.V. Acoustic device with variable focal length
US20050283074A1 (en) 2004-06-22 2005-12-22 Siemens Medical Solutions Usa, Inc. Ultrasound feedback for tissue ablation procedures
US20060241445A1 (en) * 2005-04-26 2006-10-26 Altmann Andres C Three-dimensional cardial imaging using ultrasound contour reconstruction
WO2007008954A2 (en) * 2005-07-11 2007-01-18 Ablation Frontiers Low power tissue ablation system
US20080319316A1 (en) 2005-08-30 2008-12-25 Koninklijke Philips Electronics N.V. Combination Imaging and Therapy Transducer
US20070073135A1 (en) 2005-09-13 2007-03-29 Warren Lee Integrated ultrasound imaging and ablation probe
US20080097207A1 (en) * 2006-09-12 2008-04-24 Siemens Medical Solutions Usa, Inc. Ultrasound therapy monitoring with diagnostic ultrasound
WO2008065570A1 (en) 2006-11-30 2008-06-05 Koninklijke Philips Electronics, N.V. Catheter with ultrasound transducer and variable focus lens used in aneurysm assessment
US20080221448A1 (en) 2007-03-07 2008-09-11 Khuri-Yakub Butrus T Image-guided delivery of therapeutic tools duing minimally invasive surgeries and interventions

Also Published As

Publication number Publication date
WO2010082146A1 (en) 2010-07-22
US9901321B2 (en) 2018-02-27
CN102281819A (zh) 2011-12-14
US20180199911A1 (en) 2018-07-19
US20120004547A1 (en) 2012-01-05
EP2387361A1 (en) 2011-11-23
US11707253B2 (en) 2023-07-25
EP2387361B1 (en) 2020-05-06
US11096659B2 (en) 2021-08-24
ES2807574T3 (es) 2021-02-23
JP2012515013A (ja) 2012-07-05
US20210378629A1 (en) 2021-12-09
CN102281819B (zh) 2014-12-17

Similar Documents

Publication Publication Date Title
US11707253B2 (en) Monitoring apparatus for monitoring an ablation procedure
EP2588017B1 (en) Energy application apparatus for applying energy to an object
JP5306603B2 (ja) ペーシングによる破壊査定
US9833641B2 (en) System and method for energy delivery to tissue while monitoring position, lesion depth, and wall motion
US9033885B2 (en) System and method for energy delivery to tissue while monitoring position, lesion depth, and wall motion
JP6118247B2 (ja) 対象物の特性を決定するための特性決定装置
RU2540090C2 (ru) Устройство визуализации
JP6866458B2 (ja) 超音波及び力測定を使用する組織厚の測定のための装置
US20040267120A1 (en) Method and instrumentation to sense thermal lesion formation by ultrasound imaging
US11298568B2 (en) System and method for energy delivery to tissue while monitoring position, lesion depth, and wall motion

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20130104

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20130104

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20131002

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20131007

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20140106

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20140129

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20140528

A911 Transfer to examiner for re-examination before appeal (zenchi)

Free format text: JAPANESE INTERMEDIATE CODE: A911

Effective date: 20140605

A912 Re-examination (zenchi) completed and case transferred to appeal board

Free format text: JAPANESE INTERMEDIATE CODE: A912

Effective date: 20140711

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20150901

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20151022

R150 Certificate of patent or registration of utility model

Ref document number: 5829526

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

LAPS Cancellation because of no payment of annual fees