JP6402317B2 - 冷凍バルーンアブレーションシステム - Google Patents

冷凍バルーンアブレーションシステム

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Publication number
JP6402317B2
JP6402317B2 JP2016526033A JP2016526033A JP6402317B2 JP 6402317 B2 JP6402317 B2 JP 6402317B2 JP 2016526033 A JP2016526033 A JP 2016526033A JP 2016526033 A JP2016526033 A JP 2016526033A JP 6402317 B2 JP6402317 B2 JP 6402317B2
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JP
Japan
Prior art keywords
balloon
refrigerant delivery
delivery tube
assembly
refrigerant
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.)
Active
Application number
JP2016526033A
Other languages
English (en)
Japanese (ja)
Other versions
JP2016534789A5 (enExample
JP2016534789A (ja
Inventor
ニューウェル，ガブリエル，フランシス・ダブリュ
ホランド，ティモシー，ダグラス
イコー，シーザー，エイ
ウー，パトリック，ピー
ウィリアムズ，リチャード，エス
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.)
Pentax of America Inc
Original Assignee
Pentax of America Inc
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 Pentax of America Inc filed Critical Pentax of America Inc
Publication of JP2016534789A publication Critical patent/JP2016534789A/ja
Publication of JP2016534789A5 publication Critical patent/JP2016534789A5/ja
Application granted granted Critical
Publication of JP6402317B2 publication Critical patent/JP6402317B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • 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
    • A61B2018/00041—Heating, e.g. defrosting
    • 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
    • A61B2018/00184—Moving parts
    • A61B2018/00202—Moving parts rotating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B2018/00184—Moving parts
    • A61B2018/00202—Moving parts rotating
    • A61B2018/00208—Moving parts rotating actively driven, e.g. by a motor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00482—Digestive system
    • A61B2018/00488—Esophagus
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A61B2018/005—Rectum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
    • A61B2018/00648—Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00714—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00744—Fluid flow
    • 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
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/00791—Temperature
    • A61B2018/00815—Temperature measured by a thermistor
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247—Pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2576/00—Medical imaging apparatus involving image processing or analysis
    • A61B2576/02—Medical imaging apparatus involving image processing or analysis specially adapted for a particular organ or body part

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Endoscopes (AREA)
JP2016526033A 2013-11-01 2014-10-31 冷凍バルーンアブレーションシステム Active JP6402317B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361899077P 2013-11-01 2013-11-01
US61/899,077 2013-11-01
PCT/US2014/063518 WO2015066521A1 (en) 2013-11-01 2014-10-31 Cryogenic balloon ablation system

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2018140150A Division JP6811749B2 (ja) 2013-11-01 2018-07-26 冷凍アブレーションカテーテル、冷凍バルーンアブレーションシステム、および、ハンドルアセンブリ

Publications (3)

Publication Number Publication Date
JP2016534789A JP2016534789A (ja) 2016-11-10
JP2016534789A5 JP2016534789A5 (enExample) 2017-11-09
JP6402317B2 true JP6402317B2 (ja) 2018-10-10

Family

ID=53005218

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2016526033A Active JP6402317B2 (ja) 2013-11-01 2014-10-31 冷凍バルーンアブレーションシステム
JP2018140150A Active JP6811749B2 (ja) 2013-11-01 2018-07-26 冷凍アブレーションカテーテル、冷凍バルーンアブレーションシステム、および、ハンドルアセンブリ

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2018140150A Active JP6811749B2 (ja) 2013-11-01 2018-07-26 冷凍アブレーションカテーテル、冷凍バルーンアブレーションシステム、および、ハンドルアセンブリ

Country Status (5)

Country Link
US (2) US9050073B2 (enExample)
EP (1) EP3062720B1 (enExample)
JP (2) JP6402317B2 (enExample)
CN (2) CN107669332B (enExample)
WO (1) WO2015066521A1 (enExample)

Cited By (3)

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JP2018171510A (ja) * 2013-11-01 2018-11-08 ペンタックス・オブ・アメリカ・インコーポレイテッドＰｅｎｔａｘ Ｏｆ Ａｍｅｒｉｃａ， Ｉｎｃ． 冷凍アブレーションカテーテル、冷凍バルーンアブレーションシステム、および、ハンドルアセンブリ
US11266456B2 (en) 2016-05-20 2022-03-08 Pentax Of America, Inc. Cryogenic ablation system with rotatable and translatable catheter
US11298174B2 (en) 2008-11-21 2022-04-12 Pentax Of America, Inc. Cryogenic ablation system and method

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US20150031946A1 (en) * 2013-07-24 2015-01-29 Nidus Medical, Llc Direct vision cryosurgical probe and methods of use
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US10098685B2 (en) * 2013-10-30 2018-10-16 Medtronic Cryocath Lp Feedback system for cryoablation of cardiac tissue
US9763743B2 (en) 2014-07-25 2017-09-19 Arrinex, Inc. Apparatus and method for treating rhinitis
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US11253312B2 (en) 2016-10-17 2022-02-22 Arrinex, Inc. Integrated nasal nerve detector ablation-apparatus, nasal nerve locator, and methods of use
US11890044B2 (en) * 2016-12-09 2024-02-06 St. Jude Medical, Cardiology Division, Inc. Pulmonary vein isolation balloon catheter
PL3360496T3 (pl) * 2017-02-10 2022-06-06 Erbe Elektromedizin Gmbh Urządzenie do połączenia płynowego i kriosonda z takim urządzeniem
JP7300999B2 (ja) 2017-04-28 2023-06-30 アリネックス， インコーポレイテッド 鼻炎の治療において血管を位置特定するためのシステムおよび方法
EP3672509A4 (en) * 2017-08-21 2021-05-12 Boston Scientific Scimed Inc. Method for controlling pressure within inflatable balloon of intravascular catheter system
US10349997B1 (en) * 2017-11-27 2019-07-16 Lewis O'Reilly Cryogenic treatment system
CN113347932B (zh) * 2018-11-07 2025-05-27 伯恩森斯韦伯斯特(以色列)有限责任公司 具有定向气体控制的冷冻球囊
CA3120859A1 (en) * 2018-11-29 2020-06-04 Edwards Lifesciences Corporation Catheterization method and apparatus
CN109431595B (zh) * 2019-01-28 2019-04-26 上海导向医疗系统有限公司 耐低温高压的柔性冷冻消融针装置
WO2021113245A1 (en) 2019-12-02 2021-06-10 Pacira Cryotech, Inc. Cryogenic devices with venting features
CN111481286B (zh) * 2020-04-23 2021-03-23 中国人民解放军陆军特色医学中心 一种疣体冷冻装置
BR112023002707A2 (pt) * 2020-08-14 2023-05-02 Adagio Medical Inc Novo coletor de fluxo para cateter de crioablação
CN112370147B (zh) * 2021-01-15 2021-04-09 上海安钛克医疗科技有限公司 球囊导管的控制手柄、球囊导管及冷冻消融系统
US20220273915A1 (en) * 2021-02-26 2022-09-01 Alucent Biomedical, Inc. Apparatus and methods for restoring tissue
WO2022261146A1 (en) * 2021-06-07 2022-12-15 Agil Therapeutics, Inc. Cryogenic catheter probe, system, and method for selective ablation of mucosa and submucosa of the gastrointestinal tract
US20230165619A1 (en) * 2021-12-01 2023-06-01 Medtronic Cryocath Lp Method to mitigate balloon breach during cryoballoon therapy
WO2024073455A1 (en) * 2022-09-26 2024-04-04 Ágil Therapeutics, Inc. Catheter, system, and method for selective ablation in the mucosa and submucosa of the gastrointestinal tract
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EP3062720A1 (en) 2016-09-07
JP2016534789A (ja) 2016-11-10
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WO2015066521A1 (en) 2015-05-07
EP3062720A4 (en) 2017-07-26
JP2018171510A (ja) 2018-11-08
US20150126985A1 (en) 2015-05-07
US9050073B2 (en) 2015-06-09
US9700364B2 (en) 2017-07-11
EP3062720B1 (en) 2021-04-07
JP6811749B2 (ja) 2021-01-13
CN107669332B (zh) 2020-09-18
CN107669332A (zh) 2018-02-09
US20150196345A1 (en) 2015-07-16

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