JP6608924B2 - 多極同時肺動脈高周波アブレーションカテーテル - Google Patents

多極同時肺動脈高周波アブレーションカテーテル Download PDF

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Publication number
JP6608924B2
JP6608924B2 JP2017522463A JP2017522463A JP6608924B2 JP 6608924 B2 JP6608924 B2 JP 6608924B2 JP 2017522463 A JP2017522463 A JP 2017522463A JP 2017522463 A JP2017522463 A JP 2017522463A JP 6608924 B2 JP6608924 B2 JP 6608924B2
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electrode
ablation
pulmonary artery
annular ring
length
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JP2017521214A (ja
JP2017521214A5 (cg-RX-API-DMAC7.html
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シャオリャン チェン
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プルノヴォ メディカル (ウーシー) カンパニー リミテッド
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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
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541Lung or bronchi
    • 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
    • A61B2018/00773Sensed 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
    • 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
    • A61B2018/1226Generators therefor powered by a battery
    • 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
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1407Loop
    • 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
    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2017522463A 2014-07-11 2015-07-10 多極同時肺動脈高周波アブレーションカテーテル Active JP6608924B2 (ja)

Applications Claiming Priority (11)

Application Number Priority Date Filing Date Title
US201462023781P 2014-07-11 2014-07-11
US62/023,781 2014-07-11
US14/666,214 US9827036B2 (en) 2012-11-13 2015-03-23 Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US14/666,214 2015-03-23
US14/672,013 US9918776B2 (en) 2012-11-13 2015-03-27 Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US14/672,010 US9820800B2 (en) 2012-11-13 2015-03-27 Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US14/672,021 US9872720B2 (en) 2012-11-13 2015-03-27 Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US14/672,010 2015-03-27
US14/672,021 2015-03-27
US14/672,013 2015-03-27
PCT/US2015/039930 WO2016007851A1 (en) 2014-07-11 2015-07-10 Multi-pole synchronous pulmonary artery radiofrequency ablation catheter

Related Child Applications (1)

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JP2019193400A Division JP2020044338A (ja) 2014-07-11 2019-10-24 多極同時肺動脈高周波アブレーションカテーテル

Publications (3)

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JP2017521214A JP2017521214A (ja) 2017-08-03
JP2017521214A5 JP2017521214A5 (cg-RX-API-DMAC7.html) 2018-06-28
JP6608924B2 true JP6608924B2 (ja) 2019-11-20

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JP2017522463A Active JP6608924B2 (ja) 2014-07-11 2015-07-10 多極同時肺動脈高周波アブレーションカテーテル
JP2019193400A Pending JP2020044338A (ja) 2014-07-11 2019-10-24 多極同時肺動脈高周波アブレーションカテーテル
JP2021192988A Active JP7653346B2 (ja) 2014-07-11 2021-11-29 多極同時肺動脈高周波アブレーションカテーテル
JP2024209230A Pending JP2025027101A (ja) 2014-07-11 2024-12-02 多極同時肺動脈高周波アブレーションカテーテル

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JP2019193400A Pending JP2020044338A (ja) 2014-07-11 2019-10-24 多極同時肺動脈高周波アブレーションカテーテル
JP2021192988A Active JP7653346B2 (ja) 2014-07-11 2021-11-29 多極同時肺動脈高周波アブレーションカテーテル
JP2024209230A Pending JP2025027101A (ja) 2014-07-11 2024-12-02 多極同時肺動脈高周波アブレーションカテーテル

Country Status (10)

Country Link
EP (3) EP3166524B1 (cg-RX-API-DMAC7.html)
JP (4) JP6608924B2 (cg-RX-API-DMAC7.html)
KR (4) KR102650430B1 (cg-RX-API-DMAC7.html)
CN (2) CN107072707B (cg-RX-API-DMAC7.html)
AU (5) AU2015287691B2 (cg-RX-API-DMAC7.html)
BR (1) BR112017000610B1 (cg-RX-API-DMAC7.html)
CA (2) CA3201993A1 (cg-RX-API-DMAC7.html)
RU (1) RU2692219C2 (cg-RX-API-DMAC7.html)
SG (2) SG10201800251YA (cg-RX-API-DMAC7.html)
WO (1) WO2016007851A1 (cg-RX-API-DMAC7.html)

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8696581B2 (en) 2010-10-18 2014-04-15 CardioSonic Ltd. Ultrasound transducer and uses thereof
EP2788078B1 (en) 2011-12-09 2020-09-02 Metavention, Inc. Therapeutic neuromodulation of the hepatic system
US20150111918A1 (en) 2012-03-08 2015-04-23 Medtronic Ardian Luxembourg S.a.r.l Immune system neuromodulation and associated systems and methods
US11357447B2 (en) 2012-05-31 2022-06-14 Sonivie Ltd. Method and/or apparatus for measuring renal denervation effectiveness
US11241267B2 (en) 2012-11-13 2022-02-08 Pulnovo Medical (Wuxi) Co., Ltd Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
CN102908191A (zh) 2012-11-13 2013-02-06 陈绍良 多极同步肺动脉射频消融导管
US9827036B2 (en) 2012-11-13 2017-11-28 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US12082868B2 (en) 2012-11-13 2024-09-10 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
JP2017536187A (ja) 2014-12-03 2017-12-07 メタベンション インコーポレイテッド 神経または他の組織を調節するためのシステムおよび方法
WO2016123390A1 (en) 2015-01-28 2016-08-04 St. Jude Medical, Cardiology Division, Inc. Thermal mapping catheter
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
RU2694583C1 (ru) * 2016-12-13 2019-07-16 Федеральное государственное бюджетное научное учреждение "Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний" (НИИ КПССЗ) Способ лечения резистивной артериальной легочной гипертензии
CN110621345A (zh) 2017-03-20 2019-12-27 索尼维有限公司 肺动脉高压治疗
EP4327771A3 (en) 2017-11-28 2024-05-29 St. Jude Medical, Cardiology Division, Inc. Lumen management catheter
EP4230165A1 (en) 2018-05-21 2023-08-23 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
CN113692248B (zh) * 2018-12-13 2024-10-25 Nxt生物医疗有限责任公司 血氧治疗方法和装置
CN110897710B (zh) * 2019-11-30 2021-08-31 杭州堃博生物科技有限公司 肺部神经消融系统的控制方法、系统以及计算机介质
US20220047326A1 (en) * 2020-08-13 2022-02-17 Biosense Webster (Israel) Ltd. Applying Bipolar Ablation Energy Between Shorted Electrode Groups
WO2022038546A1 (en) 2020-08-18 2022-02-24 St. Jude Medical, Cardiology Division, Inc. High-density electrode catheters with magnetic position tracking
US12082877B2 (en) * 2021-01-22 2024-09-10 CRC EP, Inc. Ablation catheter and operation method of same
MX2023011506A (es) 2021-04-07 2023-12-07 Btl Medical Dev A S Dispositivo y metodo de ablacion de campo pulsado.
EP4108197A1 (en) 2021-06-24 2022-12-28 Gradient Denervation Technologies Systems for treating tissue
EP4595912A3 (en) 2021-07-06 2025-10-22 BTL Medical Development A.S. Pulsed field ablation device
IL319700A (en) 2022-10-05 2025-05-01 Btl Medical Dev A S Device and method for ablation (burning) by electric pulse field
WO2025227077A1 (en) * 2024-04-25 2025-10-30 Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Radiofrequency ablation device

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU680569B2 (en) * 1993-11-10 1997-07-31 Cardiorhythm Electrode array catheter
US5797905A (en) * 1994-08-08 1998-08-25 E. P. Technologies Inc. Flexible tissue ablation elements for making long lesions
US6575969B1 (en) * 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US5755760A (en) 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
US20050010095A1 (en) * 1999-04-05 2005-01-13 Medtronic, Inc. Multi-purpose catheter apparatus and method of use
US9694121B2 (en) * 1999-08-09 2017-07-04 Cardiokinetix, Inc. Systems and methods for improving cardiac function
EP2712567A1 (en) * 1999-11-22 2014-04-02 Boston Scientific Limited Loop structures for supporting diagnostic and therapeutic elements in contact with body tissue
JP3895531B2 (ja) * 2000-09-01 2007-03-22 オリンパス株式会社 電気手術装置
US6866662B2 (en) * 2002-07-23 2005-03-15 Biosense Webster, Inc. Ablation catheter having stabilizing array
EP1565118B1 (en) * 2002-10-31 2016-03-09 Boston Scientific Scimed, Inc. Electrophysiology catheter with biased tip
US7235070B2 (en) * 2003-07-02 2007-06-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation fluid manifold for ablation catheter
US8657814B2 (en) * 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
JP2009543607A (ja) * 2006-07-10 2009-12-10 ボエッジ メディカル, インコーポレイテッド 心房細動の治療のための方法および装置
JP4027411B1 (ja) * 2007-03-29 2007-12-26 日本ライフライン株式会社 電極カテーテル
US8712550B2 (en) * 2008-12-30 2014-04-29 Biosense Webster, Inc. Catheter with multiple electrode assemblies for use at or near tubular regions of the heart
US8540662B2 (en) * 2009-03-24 2013-09-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical devices having an atraumatic distal tip segment
AU2010319477A1 (en) * 2009-11-11 2012-05-24 Holaira, Inc. Systems, apparatuses, and methods for treating tissue and controlling stenosis
US9907607B2 (en) * 2009-12-30 2018-03-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Guide and flexible sleeve for use with catheters
US8369923B2 (en) * 2010-04-14 2013-02-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Dual-deflecting electrophysiology catheter
US9943363B2 (en) * 2010-04-28 2018-04-17 Biosense Webster, Inc. Irrigated ablation catheter with improved fluid flow
KR20140022772A (ko) * 2010-10-25 2014-02-25 메드트로닉 아르디언 룩셈부르크 에스에이알엘 신장 신경조절을 위한 다중전극 어레이를 구비하는 카테터 및 관련 시스템
US8792962B2 (en) * 2010-12-30 2014-07-29 Biosense Webster, Inc. Catheter with single axial sensors
CN203122581U (zh) * 2011-08-26 2013-08-14 王捷 具有肾神经标测功能的导管
WO2013076588A2 (en) * 2011-11-07 2013-05-30 Medtronic Ardian Luxembourg S.A.R.L. Endovascular nerve monitoring devices and associated systems and methods
US9005100B2 (en) * 2011-12-15 2015-04-14 The Board Of Trustees Of The Leland Stanford Jr. University Apparatus and methods for treating pulmonary hypertension
CN102908191A (zh) * 2012-11-13 2013-02-06 陈绍良 多极同步肺动脉射频消融导管
CN202982207U (zh) * 2012-11-13 2013-06-12 陈绍良 治疗肺动脉高压的多极同步射频消融导管
US9050010B2 (en) * 2012-12-31 2015-06-09 Biosense Webster (Israel) Ltd. Double loop lasso with single puller wire for bi-directional actuation
CN103908334A (zh) * 2012-12-31 2014-07-09 上海微创电生理医疗科技有限公司 多电极消融导管

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AU2015287691A1 (en) 2017-02-02
AU2020250197A1 (en) 2020-11-05
KR20240042155A (ko) 2024-04-01
JP2025027101A (ja) 2025-02-26
JP2020044338A (ja) 2020-03-26
EP4014908A1 (en) 2022-06-22
WO2016007851A1 (en) 2016-01-14
JP2022028883A (ja) 2022-02-16
AU2020250197B2 (en) 2022-02-03
KR102219632B1 (ko) 2021-02-25
KR102650430B1 (ko) 2024-03-25
AU2015287691A2 (en) 2017-03-02
AU2023286013A1 (en) 2024-01-25
KR102766112B1 (ko) 2025-02-12
KR102513522B1 (ko) 2023-03-23
WO2016007851A8 (en) 2017-02-16
KR20210021093A (ko) 2021-02-24
JP7653346B2 (ja) 2025-03-28
EP3166524A4 (en) 2018-04-11
KR20170034397A (ko) 2017-03-28
CN107072707B (zh) 2020-09-04
EP4014908B1 (en) 2025-11-05
SG10201800251YA (en) 2018-02-27
RU2017101338A3 (cg-RX-API-DMAC7.html) 2018-11-28
EP4014908C0 (en) 2025-11-05
EP4647111A2 (en) 2025-11-12
SG11201700223PA (en) 2017-02-27
AU2023286013B2 (en) 2025-12-18
AU2019204804B2 (en) 2020-07-09
AU2022202710A1 (en) 2022-05-19
BR112017000610A2 (pt) 2018-01-23
RU2017101338A (ru) 2018-08-14
CN112704559B (zh) 2023-03-28
EP3166524B1 (en) 2023-01-04
CN107072707A (zh) 2017-08-18
KR20230042403A (ko) 2023-03-28
AU2019204804A1 (en) 2019-07-25
BR112017000610B1 (pt) 2022-09-27
AU2022202710B2 (en) 2023-09-28
CA3201993A1 (en) 2016-01-14
EP3166524A1 (en) 2017-05-17
CN112704559A (zh) 2021-04-27
AU2015287691B2 (en) 2019-04-11
RU2692219C2 (ru) 2019-06-21
JP2017521214A (ja) 2017-08-03
CA2954897A1 (en) 2016-01-14

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