JP6495233B2 - 組織焼灼の測定及び制御のための方法 - Google Patents

組織焼灼の測定及び制御のための方法 Download PDF

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JP6495233B2
JP6495233B2 JP2016503456A JP2016503456A JP6495233B2 JP 6495233 B2 JP6495233 B2 JP 6495233B2 JP 2016503456 A JP2016503456 A JP 2016503456A JP 2016503456 A JP2016503456 A JP 2016503456A JP 6495233 B2 JP6495233 B2 JP 6495233B2
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tissue region
tissue
measurement
energy
phase
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JP2016513579A5 (enExample
JP2016513579A (ja
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ウェイン オガタ
ウェイン オガタ
シアン イアン グ
シアン イアン グ
スティーヴン マイア
スティーヴン マイア
アリレザー ヤバリ
アリレザー ヤバリ
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RetroVascular Inc
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RetroVascular Inc
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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
    • A61B18/04Surgical 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
    • 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
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • 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
    • A61B2017/00057Light
    • 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
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
    • 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
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • 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
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • A61B2018/00708Power or energy switching the power on or off
    • 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
    • A61B2018/00779Power or energy
    • 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
    • A61B2018/00779Power or energy
    • A61B2018/00785Reflected power
    • 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
    • A61B2018/00791Temperature
    • 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
    • A61B2018/00827Current
    • 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
    • A61B2018/00869Phase
    • 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
    • A61B2018/00875Resistance or impedance
    • 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
    • A61B2018/00892Voltage

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2016503456A 2013-03-15 2014-03-17 組織焼灼の測定及び制御のための方法 Active JP6495233B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361800886P 2013-03-15 2013-03-15
US61/800,886 2013-03-15
PCT/US2014/030751 WO2014145903A2 (en) 2013-03-15 2014-03-17 Methods for tissue ablation measurement and control and devices thereof

Publications (3)

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JP2016513579A JP2016513579A (ja) 2016-05-16
JP2016513579A5 JP2016513579A5 (enExample) 2017-04-20
JP6495233B2 true JP6495233B2 (ja) 2019-04-03

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JP2016503456A Active JP6495233B2 (ja) 2013-03-15 2014-03-17 組織焼灼の測定及び制御のための方法

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US (1) US10201383B2 (enExample)
EP (1) EP2967716B1 (enExample)
JP (1) JP6495233B2 (enExample)
CN (1) CN105050521B (enExample)
WO (1) WO2014145903A2 (enExample)

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KR101835043B1 (ko) * 2015-11-03 2018-03-08 (주) 인텍플러스 조직절제기 및 조직절제시스템
US11857748B2 (en) 2016-10-20 2024-01-02 Asahi Medical Technologies, Inc. Method and device for enhanced composition delivery
US11259778B2 (en) 2017-03-22 2022-03-01 Boston Scientific Scimed Inc. All optical atrial ablation device
CN108596132B (zh) * 2018-04-28 2022-07-29 上海微创电生理医疗科技股份有限公司 消融灶评价方法及系统
EP3569171B1 (de) * 2018-05-14 2024-03-13 Erbe Elektromedizin GmbH Vorrichtung und verfahren zum vorgeben von betriebsparametern zur erzeugung eines plasmas in wässriger umgebung
EP3578226A1 (en) * 2018-06-07 2019-12-11 Koninklijke Philips N.V. A temporal thermal ablation representation for therapy delivery
CN109045490B (zh) * 2018-08-22 2020-11-10 北京博纵科技有限公司 一种超声与皮肤量化一体的美容系统
CN109045489B (zh) * 2018-08-22 2021-05-14 北京博纵科技有限公司 一种用于皮肤深层的可调超声美容成像系统及其采集方法
US11612424B2 (en) * 2018-11-07 2023-03-28 Medtronic, Inc. Methods of recognizing and eliminating arcs and arc induced plasma during energy delivery in tissue
EP3685781B8 (de) 2019-01-24 2022-06-29 Erbe Elektromedizin GmbH Vorrichtung zur gewebekoagulation
US12114918B2 (en) * 2019-08-15 2024-10-15 Biosense Webster (Israel) Ltd. Dynamic ablation and sensing according to contact of segmented electrodes
US11793565B2 (en) * 2020-09-29 2023-10-24 Biosense Webster (Israel) Ltd. Detecting electrode contact using absolute and relative thresholds
CN114831725B (zh) * 2022-05-05 2024-01-26 以诺康医疗科技(苏州)有限公司 一种电外科发生器、电外科系统及其控制方法
EP4536118A1 (en) * 2022-06-10 2025-04-16 Clearstream Technologies Limited A system for forming a fistula between two adjacent vessels

Family Cites Families (16)

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DE3683647D1 (de) 1986-07-17 1992-03-05 Erbe Elektromedizin Hochfrequenz-chirurgiegeraet fuer die thermische koagulation biologischer gewebe.
US5318563A (en) * 1992-06-04 1994-06-07 Valley Forge Scientific Corporation Bipolar RF generator
US5893848A (en) * 1996-10-24 1999-04-13 Plc Medical Systems, Inc. Gauging system for monitoring channel depth in percutaneous endocardial revascularization
US20100042093A9 (en) * 1998-10-23 2010-02-18 Wham Robert H System and method for terminating treatment in impedance feedback algorithm
US6796981B2 (en) * 1999-09-30 2004-09-28 Sherwood Services Ag Vessel sealing system
US6869430B2 (en) * 2000-03-31 2005-03-22 Rita Medical Systems, Inc. Tissue biopsy and treatment apparatus and method
US6813515B2 (en) * 2002-01-04 2004-11-02 Dune Medical Devices Ltd. Method and system for examining tissue according to the dielectric properties thereof
US7232437B2 (en) * 2003-10-30 2007-06-19 Medical Cv, Inc. Assessment of lesion transmurality
DE102004054575A1 (de) * 2004-11-11 2006-05-24 Erbe Elektromedizin Gmbh Regelung für ein HF-Chirurgiegerät
CN102389333B (zh) * 2005-07-21 2014-08-27 泰科医疗集团有限合伙公司 治疗中空解剖结构的系统和方法
EP1984062B1 (en) 2006-02-13 2016-05-11 RetroVascular, inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking
US8512332B2 (en) 2007-09-21 2013-08-20 Covidien Lp Real-time arc control in electrosurgical generators
US9561073B2 (en) * 2007-09-26 2017-02-07 Retrovascular, Inc. Energy facilitated composition delivery
US8333759B2 (en) * 2009-01-12 2012-12-18 Covidien Lp Energy delivery algorithm for medical devices
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US10588684B2 (en) * 2010-07-19 2020-03-17 Covidien Lp Hydraulic conductivity monitoring to initiate tissue division

Also Published As

Publication number Publication date
EP2967716A4 (en) 2016-09-07
US10201383B2 (en) 2019-02-12
WO2014145903A3 (en) 2014-11-06
EP2967716B1 (en) 2019-04-10
CN105050521B (zh) 2019-04-12
WO2014145903A2 (en) 2014-09-18
JP2016513579A (ja) 2016-05-16
CN105050521A (zh) 2015-11-11
US20140309632A1 (en) 2014-10-16
EP2967716A2 (en) 2016-01-20

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