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
EP10167804.3 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 (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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CA2747859C (en) 2008-01-17 2018-09-04 Christoph Scharf A device and method for the geometric determination of electrical dipole densities on the cardiac wall
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WO2010093603A1 (en) 2009-02-11 2010-08-19 Boston Scientific Scimed, Inc. Insulated ablation catheter devices and methods of use
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US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
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WO2012166239A1 (en) 2011-06-01 2012-12-06 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capabilities
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US9241761B2 (en) 2011-12-28 2016-01-26 Koninklijke Philips N.V. Ablation probe with ultrasonic imaging capability
CA2860636A1 (en) 2012-01-10 2013-07-18 Boston Scientific Scimed, Inc. Electrophysiology system
US10286231B2 (en) * 2012-01-30 2019-05-14 Vytronus, Inc. Tissue necrosis methods and apparatus
US8945015B2 (en) 2012-01-31 2015-02-03 Koninklijke Philips N.V. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging and treatment
CN104812297B (zh) 2012-08-31 2017-05-17 阿库图森医疗有限公司 导管系统及其医疗使用方法，包括心脏的诊断和治疗使用
CN104661609A (zh) * 2012-09-20 2015-05-27 波士顿科学医学有限公司 近距离超声回波描记术标测
JP6158936B2 (ja) 2012-10-18 2017-07-05 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 超音波データ可視化装置
WO2014064577A1 (en) * 2012-10-23 2014-05-01 Koninklijke Philips N.V. Spatial configuration determination apparatus
JP6422894B2 (ja) 2013-02-08 2018-11-14 アクタス メディカル インクＡｃｕｔｕｓ Ｍｅｄｉｃａｌ，Ｉｎｃ． フレキシブルプリント回路板を備える拡張可能なカテーテルアッセンブリ
WO2015038607A2 (en) * 2013-09-13 2015-03-19 Acutus Medical, Inc. Devices and methods for determination of electrical dipole densities on a cardiac surface
EP3122246B1 (en) 2014-03-25 2022-05-04 Acutus Medical, Inc. Cardiac analysis user interface system and method
JP2017515557A (ja) * 2014-05-02 2017-06-15 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 接触決定装置
EP3206612B1 (en) 2014-10-13 2022-06-29 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
CN106604675B (zh) 2014-10-24 2020-01-10 波士顿科学医学有限公司 具有耦接到消融尖头的柔性电极组件的医疗设备
US9743854B2 (en) 2014-12-18 2017-08-29 Boston Scientific Scimed, Inc. Real-time morphology analysis for lesion assessment
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JP6937321B2 (ja) 2016-05-03 2021-09-22 アクタス メディカル インクＡｃｕｔｕｓ Ｍｅｄｉｃａｌ，Ｉｎｃ． 心臓情報動的表示システム
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US20190059978A1 (en) * 2017-08-29 2019-02-28 Sea-Quan Su Non-invasive radio-frequency ablation system
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Also Published As

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

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