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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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 (https=
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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    • 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 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 (https=) 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 (https=)
EP (1) EP2588017B1 (https=)
JP (1) JP5841140B2 (https=)
CN (1) CN102985023B (https=)
RU (1) RU2572748C2 (https=)
TW (1) TW201204311A (https=)
WO (1) WO2012001595A1 (https=)

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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
US8974445B2 (en) 2009-01-09 2015-03-10 Recor Medical, Inc. Methods and apparatus for treatment of cardiac valve insufficiency
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US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
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JP5830614B2 (ja) 2012-01-31 2015-12-09 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. 超音波組織撮像のための流体に基づいた音響結合を有するアブレーションプローブ、および、アブレーションおよび超音波撮像システム
EP2890292B1 (en) 2012-08-31 2021-01-13 Acutus Medical, Inc. Catheter system for the heart
WO2014047281A1 (en) * 2012-09-20 2014-03-27 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
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
JP6366591B2 (ja) * 2012-10-23 2018-08-01 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 空間形状決定器具
CN105358070B (zh) 2013-02-08 2018-03-23 阿库图森医疗有限公司 带有柔性印刷电路板的可膨胀导管组件
WO2015038607A2 (en) * 2013-09-13 2015-03-19 Acutus Medical, Inc. Devices and methods for determination of electrical dipole densities on a cardiac surface
JP6739346B2 (ja) 2014-03-25 2020-08-12 アクタス メディカル インクAcutus Medical,Inc. 心臓解析ユーザインタフェースのシステムの作動方法
US20170035387A1 (en) * 2014-05-02 2017-02-09 Koninklijke Philips N.V. Contact determination apparatus
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WO2016065337A1 (en) 2014-10-24 2016-04-28 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
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
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Also Published As

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

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