JP6811319B2 - 狭窄の防止及びアブレーション搬送システム - Google Patents

狭窄の防止及びアブレーション搬送システム Download PDF

Info

Publication number
JP6811319B2
JP6811319B2 JP2019522581A JP2019522581A JP6811319B2 JP 6811319 B2 JP6811319 B2 JP 6811319B2 JP 2019522581 A JP2019522581 A JP 2019522581A JP 2019522581 A JP2019522581 A JP 2019522581A JP 6811319 B2 JP6811319 B2 JP 6811319B2
Authority
JP
Japan
Prior art keywords
balloon structure
elongated body
liquid
ablation
tissue
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
JP2019522581A
Other languages
English (en)
Japanese (ja)
Other versions
JP2019532759A (ja
JP2019532759A5 (https=
Inventor
ピー． ロール、ジェームズ
ピー． ロール、ジェームズ
ペニントン、ダグラス
アール． ウルフマン、デイビッド
アール． ウルフマン、デイビッド
ティ． エッゲルト、ジョエル
ティ． エッゲルト、ジョエル
ディ． パゴリア、ダグラス
ディ． パゴリア、ダグラス
ジェイ． アッシャーバタム、サミュエル
ジェイ． アッシャーバタム、サミュエル
オー． アレム、アデニイ
オー． アレム、アデニイ
エイ． クロス、ジェームズ
エイ． クロス、ジェームズ
カレッジ、トッド
カパ、スラジ
エム． グルバ、サラ
エム． グルバ、サラ
アール． ホームズ、デイビッド
アール． ホームズ、デイビッド
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.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems 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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of JP2019532759A publication Critical patent/JP2019532759A/ja
Publication of JP2019532759A5 publication Critical patent/JP2019532759A5/ja
Application granted granted Critical
Publication of JP6811319B2 publication Critical patent/JP6811319B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart 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
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • 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
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00065—Material properties porous
    • 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
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00125—Coatings on the energy applicator with nanostructure
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/00238—Balloons porous
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00255—Multiple balloons arranged one inside another
    • 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
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • A61B2018/00285—Balloons
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • 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
    • A61B2018/00571—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
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • A61M2025/1013—Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/105—Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1072—Balloon catheters with special features or adapted for special applications having balloons with two or more compartments
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2019522581A 2016-10-26 2017-10-25 狭窄の防止及びアブレーション搬送システム Active JP6811319B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662413249P 2016-10-26 2016-10-26
US62/413,249 2016-10-26
PCT/US2017/058376 WO2018081323A1 (en) 2016-10-26 2017-10-25 Stenosis prevention and ablation delivery system

Publications (3)

Publication Number Publication Date
JP2019532759A JP2019532759A (ja) 2019-11-14
JP2019532759A5 JP2019532759A5 (https=) 2020-10-22
JP6811319B2 true JP6811319B2 (ja) 2021-01-13

Family

ID=60409343

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019522581A Active JP6811319B2 (ja) 2016-10-26 2017-10-25 狭窄の防止及びアブレーション搬送システム

Country Status (5)

Country Link
US (1) US10716621B2 (https=)
EP (2) EP3531948B1 (https=)
JP (1) JP6811319B2 (https=)
CN (1) CN110191688A (https=)
WO (1) WO2018081323A1 (https=)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6811319B2 (ja) 2016-10-26 2021-01-13 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． 狭窄の防止及びアブレーション搬送システム
US11426233B2 (en) 2017-06-06 2022-08-30 Cardiac Pacemakers, Inc. Ablation delivery using a catheter having a semipermeable inflatable balloon structure
US12220594B2 (en) * 2017-10-19 2025-02-11 Robert Der-Yang Tien System and method for treating cancer
CN111479531B (zh) 2017-11-30 2022-11-04 波士顿科学国际有限公司 用于瓣膜修复的连接的锚固件输送系统和方法
US20200205889A1 (en) * 2018-12-28 2020-07-02 Biosense Webster (Israel) Ltd. Balloon Catheter with Distal End Having a Recessed Shape
AU2022254861B2 (en) 2021-04-07 2024-01-18 Btl Medical Development A.S. Pulsed field ablation device and method
IL309432B2 (en) 2021-07-06 2025-02-01 Btl Medical Dev A S Device and method for ablation (burning) by electric pulse field
WO2024075034A1 (en) 2022-10-05 2024-04-11 Btl Medical Technologies S.R.O. Pulsed field ablation device and method

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5256141A (en) 1992-12-22 1993-10-26 Nelson Gencheff Biological material deployment method and apparatus
US8025661B2 (en) * 1994-09-09 2011-09-27 Cardiofocus, Inc. Coaxial catheter instruments for ablation with radiant energy
US5961513A (en) * 1996-01-19 1999-10-05 Ep Technologies, Inc. Tissue heating and ablation systems and methods using porous electrode structures
US6251109B1 (en) * 1997-06-27 2001-06-26 Daig Corporation Process and device for the treatment of atrial arrhythmia
US6500174B1 (en) * 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
US7674259B2 (en) * 2000-12-09 2010-03-09 Tsunami Medtech Medical instruments and techniques for thermally-mediated therapies
US6673290B1 (en) * 1998-11-12 2004-01-06 Scimed Life Systems, Inc. Electrode structure for heating and ablating tissue and method for making and assembling the same
US6529756B1 (en) * 1999-11-22 2003-03-04 Scimed Life Systems, Inc. Apparatus for mapping and coagulating soft tissue in or around body orifices
US6620159B2 (en) * 2001-06-06 2003-09-16 Scimed Life Systems, Inc. Conductive expandable electrode body and method of manufacturing the same
US20050010207A1 (en) * 2002-09-10 2005-01-13 Scimed Life Systems, Inc. Microporous electrode structure and method of making the same
US7736362B2 (en) * 2003-09-15 2010-06-15 Boston Scientific Scimed, Inc. Catheter balloons
US20090247933A1 (en) 2008-03-27 2009-10-01 The Regents Of The University Of California; Angiodynamics, Inc. Balloon catheter method for reducing restenosis via irreversible electroporation
US20100256629A1 (en) 2009-04-06 2010-10-07 Voyage Medical, Inc. Methods and devices for treatment of the ostium
CA2848053A1 (en) * 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Ablation device with ionically conductive balloon
CA2882002C (en) * 2012-08-24 2018-04-17 Symap Medical (Suzhou) , Ltd. Device for mapping and ablating renal nerves distributed on the renal artery
CN103284693B (zh) * 2012-08-24 2014-12-24 苏州信迈医疗器械有限公司 一种能够定位和识别血管壁内或外膜上神经的仪器及使用方法
WO2014168987A1 (en) * 2013-04-08 2014-10-16 Shifamed Holdings, Llc Cardiac ablation catheters and methods of use thereof
EP2999423B1 (en) * 2013-05-20 2021-03-31 Mayo Foundation For Medical Education And Research Devices for ablation of tissue
WO2015027096A1 (en) * 2013-08-22 2015-02-26 Boston Scientific Scimed, Inc. Flexible circuit having improved adhesion to a renal nerve modulation balloon
EP3120792A1 (en) * 2015-07-22 2017-01-25 Fiorenzo Gaita Catheter for cryogenic ablation
CN105147389B (zh) * 2015-10-22 2018-03-16 上海魅丽纬叶医疗科技有限公司 包括球囊阻断型导引导管的射频消融设备及其消融方法
CN105935314B (zh) * 2016-06-17 2018-09-18 赵学 一种具有多点标测功能的射频消融导管
JP6811319B2 (ja) 2016-10-26 2021-01-13 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． 狭窄の防止及びアブレーション搬送システム

Also Published As

Publication number Publication date
EP3531948B1 (en) 2025-09-24
US10716621B2 (en) 2020-07-21
CN110191688A (zh) 2019-08-30
JP2019532759A (ja) 2019-11-14
EP4640265A3 (en) 2025-12-31
EP4640265A2 (en) 2025-10-29
EP3531948A1 (en) 2019-09-04
WO2018081323A1 (en) 2018-05-03
US20180110563A1 (en) 2018-04-26

Similar Documents

Publication Publication Date Title
JP6811319B2 (ja) 狭窄の防止及びアブレーション搬送システム
ES2960299T3 (es) Dispositivos para la ablación endovascular de un nervio esplácnico
US11426233B2 (en) Ablation delivery using a catheter having a semipermeable inflatable balloon structure
ES2743974T3 (es) Aparato para neuromodulación renal
CN109843201B (zh) 治疗性组织调节设备和方法
ES2269214T3 (es) Aparato para la exploracion y coagulacion de tejidos blandos en orificios corporales o alrededor de los mismos.
ES2969524T3 (es) Dispositivos para la ablación endovascular de un nervio esplácnico
ES2247621T3 (es) Sonda de excavacion.
ES2757726T3 (es) Aparatos y sistemas de catéter para la neuromodulación renal
JP5759615B2 (ja) 腎交感神経の除神経およびイオン導入薬物送達のためのイオン導入カテーテルシステムならびに方法
RU2610529C2 (ru) Нервы, подвергающиеся целевой абляции, в нижней полой вене и/или брюшной аорте рядом с ними для лечения гипертензии
US9131982B2 (en) Mediguide-enabled renal denervation system for ensuring wall contact and mapping lesion locations
AU749417B2 (en) Systems and methods for delivering drugs to selected locations within the body
US20150223877A1 (en) Methods and systems for treating nerve structures
ES2855051T3 (es) Un dispositivo para la localización y la ablación de nervios renales distribuidos en la arteria renal
JP2019532759A5 (https=)
JP7692035B2 (ja) 微小孔性部分を伴うバルーンカテーテル
US20220323142A1 (en) Methods, systems and devices for endovascular electroporation of a greater splanchnic nerve

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20190530

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20200522

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20200609

A524 Written submission of copy of amendment under article 19 pct

Free format text: JAPANESE INTERMEDIATE CODE: A524

Effective date: 20200909

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20201117

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20201214

R150 Certificate of patent or registration of utility model

Ref document number: 6811319

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250