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

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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
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energy
ultrasonic
applying
energy application
elements
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JP2013530766A (ja
JP2013530766A5 (enExample
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
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Koninklijke Philips NV
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Koninklijke Philips NV
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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
    • A61B18/18—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
    • A61B18/04—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
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • 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
    • A61B2018/00654—Sensing 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
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/0088—Vibration
    • 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
    • A61B2018/00982—Surgical 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
    • 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
    • A61B2090/374—NMR or MRI
    • 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
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A61B2090/3764—Surgical 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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

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 2010-06-30
EP10167804.3 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 (enExample) 2014-08-07
JP5841140B2 true JP5841140B2 (ja) 2016-01-13

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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 (enExample)
EP (1) EP2588017B1 (enExample)
JP (1) JP5841140B2 (enExample)
CN (1) CN102985023B (enExample)
RU (1) RU2572748C2 (enExample)
TW (1) TW201204311A (enExample)
WO (1) WO2012001595A1 (enExample)

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EP2021846B1 (en) 2006-05-19 2017-05-03 Koninklijke Philips N.V. Ablation device with optimized input power profile
WO2008014629A2 (en) 2006-08-03 2008-02-07 Christoph Scharf Method and device for determining and presenting surface charge and dipole densities on cardiac walls
EP2252203A2 (en) 2008-01-17 2010-11-24 Christoph Scharf A device and method for the geometric determination of electrical dipole densities on the cardiac wall
EP2376011B1 (en) 2009-01-09 2019-07-03 ReCor Medical, Inc. Apparatus for treatment of mitral valve insufficiency
EP2395934B1 (en) 2009-02-11 2019-04-17 Boston Scientific Scimed, Inc. Insulated ablation catheter devices
CA2766640C (en) 2009-06-30 2016-01-05 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
WO2012166239A1 (en) 2011-06-01 2012-12-06 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capabilities
CN103987336A (zh) 2011-09-14 2014-08-13 波士顿科学西美德公司 具有多种消融模式的消融装置
JP6072804B2 (ja) 2011-09-14 2017-02-01 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． イオン伝導性バルーンを備えたアブレーション装置
JP2015506209A (ja) 2011-12-28 2015-03-02 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． アブレーションプローブならびにアブレーションおよび超音波撮像システム
AU2013207994B2 (en) 2012-01-10 2015-05-07 Boston Scientific Scimed, Inc. Electrophysiology system
EP2809399B1 (en) * 2012-01-30 2023-04-19 Auris Health, Inc. Tissue necrosis apparatus
WO2013115941A1 (en) 2012-01-31 2013-08-08 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
US10004459B2 (en) 2012-08-31 2018-06-26 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
CN118452983A (zh) * 2012-10-18 2024-08-09 皇家飞利浦有限公司 超声数据可视化装置
US20150251024A1 (en) * 2012-10-23 2015-09-10 Koninklijke Philips N.V. Spatial configuration determination apparatus
WO2014124231A1 (en) 2013-02-08 2014-08-14 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
US11278231B2 (en) 2014-03-25 2022-03-22 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
JP2017529169A (ja) 2014-10-13 2017-10-05 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． ミニ電極を用いた組織の診断および治療
WO2016065337A1 (en) 2014-10-24 2016-04-28 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
US9743854B2 (en) 2014-12-18 2017-08-29 Boston Scientific Scimed, Inc. Real-time morphology analysis for lesion assessment
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CN107847173B (zh) 2015-05-12 2022-08-30 阿库图森医疗有限公司 超声测序系统和方法
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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
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Also Published As

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

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