JP6301926B2 - カテーテル、カテーテルシステム、及び組織構造を刺通する方法 - Google Patents

カテーテル、カテーテルシステム、及び組織構造を刺通する方法 Download PDF

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JP6301926B2
JP6301926B2 JP2015526522A JP2015526522A JP6301926B2 JP 6301926 B2 JP6301926 B2 JP 6301926B2 JP 2015526522 A JP2015526522 A JP 2015526522A JP 2015526522 A JP2015526522 A JP 2015526522A JP 6301926 B2 JP6301926 B2 JP 6301926B2
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Prior art keywords
catheter
ablation
electrodes
needle
distal
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JP2015532604A (ja
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スティーヴン リチャード ミケルセン
スティーヴン リチャード ミケルセン
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ユニバーシティ オブ アイオワ リサーチ ファウンデーション
ユニバーシティ オブ アイオワ リサーチ ファウンデーション
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings
    • 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
    • A61B18/1206—Generators therefor
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    • 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
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    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
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    • A61M25/00—Catheters; Hollow probes
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    • A61M25/00—Catheters; Hollow probes
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    • A61M25/00—Catheters; Hollow probes
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    • A61M25/0606—"Over-the-needle" catheter assemblies, e.g. I.V. catheters
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    • A61M25/00—Catheters; Hollow probes
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    • A61B2018/00577—Ablation
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    • A61B2018/0075—Phase
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    • 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
    • A61B18/1206—Generators therefor
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    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
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    • 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
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    • A61B2018/128—Generators therefor generating two or more frequencies
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    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
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    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pathology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
JP2015526522A 2012-08-09 2013-03-14 カテーテル、カテーテルシステム、及び組織構造を刺通する方法 Expired - Fee Related JP6301926B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261681552P 2012-08-09 2012-08-09
US61/681,552 2012-08-09
PCT/US2013/031252 WO2014025394A1 (en) 2012-08-09 2013-03-14 Catheters, catheter systems, and methods for puncturing through a tissue structure

Related Child Applications (1)

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JP2018036714A Division JP2018089431A (ja) 2012-08-09 2018-03-01 カテーテル、カテーテルシステム、及び組織構造を刺通する方法

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JP2015532604A JP2015532604A (ja) 2015-11-12
JP6301926B2 true JP6301926B2 (ja) 2018-03-28

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JP2018036714A Pending JP2018089431A (ja) 2012-08-09 2018-03-01 カテーテル、カテーテルシステム、及び組織構造を刺通する方法

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Country Status (5)

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US (6) US9861802B2 (enExample)
EP (3) EP2882336B1 (enExample)
JP (2) JP6301926B2 (enExample)
CA (1) CA2881462C (enExample)
WO (1) WO2014025394A1 (enExample)

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WO2019215621A1 (en) * 2018-05-08 2019-11-14 Baylis Medical Company Inc. Apparatus and methods for puncturing tissue
US11896302B2 (en) 2021-04-28 2024-02-13 Neurolightech Inc. Cautery device and cautery system

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US11389232B2 (en) 2006-06-28 2022-07-19 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9119633B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US8906011B2 (en) 2007-11-16 2014-12-09 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10695126B2 (en) 2008-10-06 2020-06-30 Santa Anna Tech Llc Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue
US10064697B2 (en) 2008-10-06 2018-09-04 Santa Anna Tech Llc Vapor based ablation system for treating various indications
CN102238920B (zh) 2008-10-06 2015-03-25 维兰德.K.沙马 用于组织消融的方法和装置
JP6318088B2 (ja) 2011-07-26 2018-04-25 アンフォラ メディカル， インコーポレイテッド 骨盤神経組織を変調するための装置および方法
US9198592B2 (en) 2012-05-21 2015-12-01 Kardium Inc. Systems and methods for activating transducers
US10827977B2 (en) 2012-05-21 2020-11-10 Kardium Inc. Systems and methods for activating transducers
US9693832B2 (en) 2012-05-21 2017-07-04 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
CA2881462C (en) * 2012-08-09 2020-07-14 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
EP2945556A4 (en) 2013-01-17 2016-08-31 Virender K Sharma METHOD AND DEVICE FOR TISSUE REMOVAL
WO2015103574A1 (en) 2014-01-06 2015-07-09 Iowa Approach Inc. Apparatus and methods for renal denervation ablation
WO2015120079A1 (en) 2014-02-04 2015-08-13 Amphora Medical, Inc. Devices and methods for treating conditions caused by affarent nerve signals
WO2015171921A2 (en) 2014-05-07 2015-11-12 Mickelson Steven R Methods and apparatus for selective tissue ablation
WO2015175944A1 (en) 2014-05-16 2015-11-19 Gary Long Methods and apparatus for multi-catheter tissue ablation
CN106999242A (zh) 2014-05-23 2017-08-01 安福拉医药公司 用于治疗骨盆病症的方法及装置
WO2015192027A1 (en) 2014-06-12 2015-12-17 Iowa Approach Inc. Method and apparatus for rapid and selective transurethral tissue ablation
EP3154464B1 (en) 2014-06-12 2025-03-12 Boston Scientific Scimed, Inc. Apparatus for rapid and selective tissue ablation with cooling
WO2016060983A1 (en) 2014-10-14 2016-04-21 Iowa Approach Inc. Method and apparatus for rapid and safe pulmonary vein cardiac ablation
US10368936B2 (en) 2014-11-17 2019-08-06 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10722184B2 (en) 2014-11-17 2020-07-28 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
WO2017106706A1 (en) * 2015-12-18 2017-06-22 Boston Scientific Scimed, Inc. Illuminable needle devices, systems, and methods
EP4606419A3 (en) * 2016-01-05 2025-11-05 Boston Scientific Scimed, Inc. System for delivery of pulsed electric field ablative energy to endocardial tissue
US10130423B1 (en) 2017-07-06 2018-11-20 Farapulse, Inc. Systems, devices, and methods for focal ablation
US20170189097A1 (en) 2016-01-05 2017-07-06 Iowa Approach Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US10172673B2 (en) 2016-01-05 2019-01-08 Farapulse, Inc. Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
CN108778172B (zh) 2016-01-05 2021-08-13 法拉普尔赛股份有限公司 用于将消融能量递送至组织的系统、设备和方法
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
US12144541B2 (en) 2016-01-05 2024-11-19 Boston Scientific Scimed, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US10512505B2 (en) 2018-05-07 2019-12-24 Farapulse, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
CN108882957B (zh) * 2016-02-10 2022-09-16 埃米尔·贝尔森 个性化的心房颤动消融
US12364537B2 (en) 2016-05-02 2025-07-22 Santa Anna Tech Llc Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue
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AU2017357918A1 (en) * 2016-11-11 2019-06-06 Avenu Medical, Inc. Systems and methods for percutaneous intravascular access and guidewire placement
EP3884895B1 (en) * 2016-11-29 2022-10-05 St. Jude Medical, Cardiology Division, Inc. Electroporation systems and catheters for electroporation systems
US9987081B1 (en) * 2017-04-27 2018-06-05 Iowa Approach, Inc. Systems, devices, and methods for signal generation
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US9724170B2 (en) 2017-08-08
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US9861802B2 (en) 2018-01-09
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US20180200497A1 (en) 2018-07-19
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US20180093088A1 (en) 2018-04-05
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US20220323739A1 (en) 2022-10-13
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US20210031020A1 (en) 2021-02-04
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