JP5841140B2 - エネルギーを対象物に付与するためのエネルギー付与装置 - Google Patents

エネルギーを対象物に付与するためのエネルギー付与装置 Download PDF

Info

Publication number
JP5841140B2
JP5841140B2 JP2013517619A JP2013517619A JP5841140B2 JP 5841140 B2 JP5841140 B2 JP 5841140B2 JP 2013517619 A JP2013517619 A JP 2013517619A JP 2013517619 A JP2013517619 A JP 2013517619A JP 5841140 B2 JP5841140 B2 JP 5841140B2
Authority
JP
Japan
Prior art keywords
energy
ultrasonic
applying
energy application
elements
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
JP2013517619A
Other languages
English (en)
Japanese (ja)
Other versions
JP2013530766A (ja
JP2013530766A5 (cg-RX-API-DMAC7.html
Inventor
スザボルクス デラヂ
スザボルクス デラヂ
エリック ゴデフリダス アントニウス ハルクス
エリック ゴデフリダス アントニウス ハルクス
ゲラルデュス ヘンリクス マリア ガイスバース
ゲラルデュス ヘンリクス マリア ガイスバース
ジャン フレデリック スアイバー
ジャン フレデリック スアイバー
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 JP2013530766A publication Critical patent/JP2013530766A/ja
Publication of JP2013530766A5 publication Critical patent/JP2013530766A5/ja
Application granted granted Critical
Publication of JP5841140B2 publication Critical patent/JP5841140B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • 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
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/0088Vibration
    • 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
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/374NMR or MRI
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A61B2090/3764Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT] with a rotating C-arm having a cone beam emitting source
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
JP2013517619A 2010-06-30 2011-06-24 エネルギーを対象物に付与するためのエネルギー付与装置 Expired - Fee Related JP5841140B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP10167804.3 2010-06-30
EP10167804 2010-06-30
PCT/IB2011/052771 WO2012001595A1 (en) 2010-06-30 2011-06-24 Energy application apparatus for applying energy to an object

Publications (3)

Publication Number Publication Date
JP2013530766A JP2013530766A (ja) 2013-08-01
JP2013530766A5 JP2013530766A5 (cg-RX-API-DMAC7.html) 2014-08-07
JP5841140B2 true JP5841140B2 (ja) 2016-01-13

Family

ID=44628772

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2013517619A Expired - Fee Related JP5841140B2 (ja) 2010-06-30 2011-06-24 エネルギーを対象物に付与するためのエネルギー付与装置

Country Status (7)

Country Link
US (1) US10792099B2 (cg-RX-API-DMAC7.html)
EP (1) EP2588017B1 (cg-RX-API-DMAC7.html)
JP (1) JP5841140B2 (cg-RX-API-DMAC7.html)
CN (1) CN102985023B (cg-RX-API-DMAC7.html)
RU (1) RU2572748C2 (cg-RX-API-DMAC7.html)
TW (1) TW201204311A (cg-RX-API-DMAC7.html)
WO (1) WO2012001595A1 (cg-RX-API-DMAC7.html)

Families Citing this family (38)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007136566A2 (en) 2006-05-19 2007-11-29 Prorhythm, Inc. Ablation device with optimized input power profile and method of using the same
CA2932956C (en) 2006-08-03 2020-04-14 Christoph Scharf Method and device for determining and presenting surface charge and dipole densities on cardiac walls
WO2009090547A2 (en) 2008-01-17 2009-07-23 Christoph Scharf A device and method for the geometric determination of electrical dipole densities on the cardiac wall
WO2010080886A1 (en) 2009-01-09 2010-07-15 Recor Medical, Inc. Methods and apparatus for treatment of mitral valve in insufficiency
US8945117B2 (en) 2009-02-11 2015-02-03 Boston Scientific Scimed, Inc. Insulated ablation catheter devices and methods of use
EP3106116B1 (en) 2009-06-30 2018-08-01 Boston Scientific Scimed, Inc. Map and ablate open irrigated hybrid catheter
US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
WO2012122517A2 (en) 2011-03-10 2012-09-13 Acutus Medical, Inc. Device and method for the geometric determination of electrical dipole densities on the cardiac wall
EP2713888B1 (en) 2011-06-01 2019-09-04 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capabilities
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
CA2847846A1 (en) 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Ablation device with multiple ablation modes
EP2797536B1 (en) 2011-12-28 2016-04-13 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capability
EP2802282A1 (en) 2012-01-10 2014-11-19 Boston Scientific Scimed, Inc. Electrophysiology system
JP2015511137A (ja) * 2012-01-30 2015-04-16 ビトロンユーエス, インコーポレイテッド 組織壊死の方法および装置
WO2013115941A1 (en) 2012-01-31 2013-08-08 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
WO2014036439A2 (en) 2012-08-31 2014-03-06 Acutus Medical, Inc. Catheter system and methods of medical uses of same, including diagnostic and treatment uses for the heart
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
EP2911589A1 (en) * 2012-10-23 2015-09-02 Koninklijke Philips N.V. Spatial configuration determination apparatus
EP3777703B1 (en) 2013-02-08 2023-04-05 Acutus Medical Inc. Expandable catheter assembly with flexible printed circuit board
JP6681332B2 (ja) 2013-09-13 2020-04-15 アクタス メディカル インクAcutus Medical,Inc. 心臓表面での電気双極子密度の判断のための装置および方法
WO2015148470A1 (en) 2014-03-25 2015-10-01 Acutus Medical, Inc. Cardiac analysis user interface system and method
US20170035387A1 (en) * 2014-05-02 2017-02-09 Koninklijke Philips N.V. Contact determination apparatus
WO2016061002A1 (en) 2014-10-13 2016-04-21 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
WO2016065337A1 (en) 2014-10-24 2016-04-28 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
WO2016100917A1 (en) 2014-12-18 2016-06-23 Boston Scientific Scimed Inc. Real-time morphology analysis for lesion assessment
WO2016183179A1 (en) 2015-05-12 2016-11-17 Acutus Medical, Inc. Cardiac virtualization test tank and testing system and method
CN115299988A (zh) 2015-05-12 2022-11-08 阿库图森医疗有限公司 超声测序系统和方法
CN107847745B (zh) 2015-05-13 2022-06-24 阿库图森医疗有限公司 用于采集和分析心脏信息的定位系统和方法
EP3451917B1 (en) 2016-05-03 2021-09-01 Acutus Medical Inc. Cardiac mapping system with efficiency algorithm
CN108236500B (zh) * 2016-12-23 2020-12-04 上海微创电生理医疗科技股份有限公司 电生理导管
US20190059978A1 (en) * 2017-08-29 2019-02-28 Sea-Quan Su Non-invasive radio-frequency ablation system
JP7515484B2 (ja) * 2018-08-31 2024-07-12 ザ カレッジ オブ ザ ホーリー アンド アンディバイデッド トリニティ オブ クイーン エリザベス 超音波ベースの脈管内の3次元外傷検証
WO2020097438A1 (en) 2018-11-09 2020-05-14 Acutus Medical, Inc. Systems and methods for calculating patient information
AU2020287341A1 (en) 2019-06-04 2021-11-25 Enchannel Medical, Ltd. Systems and methods for performing localization within a body
AU2020380277A1 (en) * 2019-11-05 2022-05-26 Boston Scientific Scimed, Inc. Medical systems for ablating tissue
US12220544B2 (en) 2020-07-31 2025-02-11 Avent, Inc. Airway detection using ultrasound
US12036063B2 (en) 2020-07-31 2024-07-16 Avent, Inc. Airway detection using acoustic signals

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6315776B1 (en) * 1994-06-24 2001-11-13 Vidacare, Inc. Thin layer ablation apparatus
US6206831B1 (en) * 1999-01-06 2001-03-27 Scimed Life Systems, Inc. Ultrasound-guided ablation catheter and methods of use
US7194294B2 (en) 1999-01-06 2007-03-20 Scimed Life Systems, Inc. Multi-functional medical catheter and methods of use
US7494467B2 (en) 2004-04-16 2009-02-24 Ethicon Endo-Surgery, Inc. Medical system having multiple ultrasound transducers or an ultrasound transducer and an RF electrode
US20050283074A1 (en) * 2004-06-22 2005-12-22 Siemens Medical Solutions Usa, Inc. Ultrasound feedback for tissue ablation procedures
US8007440B2 (en) * 2005-02-08 2011-08-30 Volcano Corporation Apparatus and methods for low-cost intravascular ultrasound imaging and for crossing severe vascular occlusions
US20070005053A1 (en) * 2005-06-30 2007-01-04 Dando Jeremy D Ablation catheter with contoured openings in insulated electrodes
WO2009032421A2 (en) 2007-07-27 2009-03-12 Meridian Cardiovascular Systems, Inc. Image guided intracardiac catheters
US8702609B2 (en) * 2007-07-27 2014-04-22 Meridian Cardiovascular Systems, Inc. Image-guided intravascular therapy catheters
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
FR2921499B1 (fr) * 2007-09-26 2009-11-13 Snecma Structure orientable de type catheter ou endoscope
WO2009090588A1 (en) * 2008-01-15 2009-07-23 Koninklijke Philips Electronics N.V. Apparatus, method and computer program for applying energy to an object
US20100049099A1 (en) * 2008-07-18 2010-02-25 Vytronus, Inc. Method and system for positioning an energy source
CN102281819B (zh) * 2009-01-14 2014-12-17 皇家飞利浦电子股份有限公司 用于监测消融程序的监测设备
WO2010140069A1 (en) * 2009-06-04 2010-12-09 Koninklijke Philips Electronics N.V. Visualization apparatus

Also Published As

Publication number Publication date
JP2013530766A (ja) 2013-08-01
WO2012001595A1 (en) 2012-01-05
RU2013103790A (ru) 2014-08-10
EP2588017A1 (en) 2013-05-08
US10792099B2 (en) 2020-10-06
EP2588017B1 (en) 2021-01-13
TW201204311A (en) 2012-02-01
RU2572748C2 (ru) 2016-01-20
US20130158537A1 (en) 2013-06-20
CN102985023B (zh) 2015-11-25
CN102985023A (zh) 2013-03-20

Similar Documents

Publication Publication Date Title
JP5841140B2 (ja) エネルギーを対象物に付与するためのエネルギー付与装置
US11707253B2 (en) Monitoring apparatus for monitoring an ablation procedure
US10070937B2 (en) Visualization apparatus
CN112890947A (zh) 在心脏组织上使用可逆电穿孔
JP6381995B2 (ja) アブレーション中のスチームポップ現象のリアルタイム予測
JP6118247B2 (ja) 対象物の特性を決定するための特性決定装置
JP2019076731A (ja) 送信コイルを備えた食道プローブ
KR20050074925A (ko) 심장 조직 절개에 대한 예측과 평가
JP6487932B2 (ja) ヒートシンクパラメータ決定装置
JP2015208684A (ja) アブレーション中のスチームポップの防止
CN105726065A (zh) 使用超声测量和力测量来测量组织厚度
JP2019022660A (ja) パルス電力を使用する組織厚さ
JP6018341B2 (ja) モニタリング装置
CN119403509A (zh) 介入式引导

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20140623

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20140623

RD02 Notification of acceptance of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7422

Effective date: 20140623

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20150130

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20150302

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: 20151020

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20151112

R150 Certificate of patent or registration of utility model

Ref document number: 5841140

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