JP6847960B2 - パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法 - Google Patents

パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法 Download PDF

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JP6847960B2
JP6847960B2 JP2018534873A JP2018534873A JP6847960B2 JP 6847960 B2 JP6847960 B2 JP 6847960B2 JP 2018534873 A JP2018534873 A JP 2018534873A JP 2018534873 A JP2018534873 A JP 2018534873A JP 6847960 B2 JP6847960 B2 JP 6847960B2
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electrodes
spines
spine
electrode
ablation
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JP2019503773A5 (enExample
JP2019503773A (ja
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ヴィスワナータン，ラジュ
エル． ロング，ゲイリー
エル． ロング，ゲイリー
パギアード，ジャン−リュック
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ファラパルス，インコーポレイテッド
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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
    • A61B18/04—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
    • A61B18/12—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • 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
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00357—Endocardium
    • 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
    • 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
    • A61B2018/00613—Irreversible electroporation
    • 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
    • A61B2018/00654—Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • 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
    • A61B2018/124—Generators therefor switching the output to different electrodes, e.g. sequentially
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1407—Loop
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)
JP2018534873A 2016-01-05 2017-01-04 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法 Active JP6847960B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662274943P 2016-01-05 2016-01-05
US62/274,943 2016-01-05
PCT/US2017/012099 WO2017120169A1 (en) 2016-01-05 2017-01-04 Systems, devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue

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JP2021033231A Division JP7220242B2 (ja) 2016-01-05 2021-03-03 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法

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JP2019503773A JP2019503773A (ja) 2019-02-14
JP2019503773A5 JP2019503773A5 (enExample) 2019-11-14
JP6847960B2 true JP6847960B2 (ja) 2021-03-24

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JP2018534873A Active JP6847960B2 (ja) 2016-01-05 2017-01-04 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2021033231A Active JP7220242B2 (ja) 2016-01-05 2021-03-03 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2023011815A Active JP7442076B2 (ja) 2016-01-05 2023-01-30 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2024017113A Active JP7633444B2 (ja) 2016-01-05 2024-02-07 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2025018020A Pending JP2025065328A (ja) 2016-01-05 2025-02-06 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法

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JP2023011815A Active JP7442076B2 (ja) 2016-01-05 2023-01-30 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2024017113A Active JP7633444B2 (ja) 2016-01-05 2024-02-07 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2025018020A Pending JP2025065328A (ja) 2016-01-05 2025-02-06 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法

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EP (3) EP4606419A3 (enExample)
JP (5) JP6847960B2 (enExample)
CN (1) CN108778173A (enExample)
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021090832A (ja) * 2016-01-05 2021-06-17 ファラパルス，インコーポレイテッド パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法

Families Citing this family (78)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9119633B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11389232B2 (en) 2006-06-28 2022-07-19 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
US9011423B2 (en) 2012-05-21 2015-04-21 Kardium, Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10827977B2 (en) 2012-05-21 2020-11-10 Kardium Inc. Systems and methods for activating transducers
US9198592B2 (en) 2012-05-21 2015-12-01 Kardium Inc. Systems and methods for activating transducers
EP3603501B1 (en) 2012-08-09 2025-07-23 University of Iowa Research Foundation Catheter systems for surrounding a tissue structure
EP3091921B1 (en) 2014-01-06 2019-06-19 Farapulse, Inc. Apparatus for renal denervation ablation
WO2015171921A2 (en) 2014-05-07 2015-11-12 Mickelson Steven R Methods and apparatus for selective tissue ablation
EP3142584A1 (en) 2014-05-16 2017-03-22 Iowa Approach Inc. Methods and apparatus for multi-catheter tissue ablation
EP4559428A3 (en) 2014-06-12 2025-08-20 Boston Scientific Scimed, Inc. Method and apparatus for rapid and selective tissue ablation with cooling
EP3154463B1 (en) 2014-06-12 2019-03-27 Farapulse, Inc. Apparatus for rapid and selective transurethral tissue ablation
EP3206613B1 (en) 2014-10-14 2019-07-03 Farapulse, Inc. 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
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
US12144541B2 (en) 2016-01-05 2024-11-19 Boston Scientific Scimed, Inc. Systems, apparatuses and methods for delivery of ablative energy to 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
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
WO2020206328A1 (en) * 2019-04-04 2020-10-08 Farapulse, Inc. Systems, devices, and methods for focal ablation
EP3471631A4 (en) 2016-06-16 2020-03-04 Farapulse, Inc. Systems, apparatuses, and methods for guide wire delivery
EP4209190A1 (en) 2016-06-27 2023-07-12 Galvanize Therapeutics, Inc. System comprising a generator and a catheter with an electrode for treating a lung passageway
US12403305B2 (en) 2016-06-27 2025-09-02 Galvanize Therapeutics, Inc. Immunostimulation in the treatment of viral infection
US9987081B1 (en) 2017-04-27 2018-06-05 Iowa Approach, Inc. Systems, devices, and methods for signal generation
US10617867B2 (en) 2017-04-28 2020-04-14 Farapulse, Inc. Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue
CN115844523A (zh) 2017-09-12 2023-03-28 波士顿科学医学有限公司 用于心室局灶性消融的系统、设备和方法
CN111491582B (zh) 2017-11-28 2023-12-05 圣犹达医疗用品心脏病学部门有限公司 受控式可膨胀导管
JP2021508533A (ja) 2017-12-26 2021-03-11 ギャラリー，インコーポレイテッド 様々な用途のためのエネルギー送達の最適化
EP3740148A1 (en) * 2018-01-18 2020-11-25 Farapulse, Inc. Systems, devices, and methods for focal ablation
EP4275738B1 (en) 2018-02-08 2025-12-17 Boston Scientific Scimed, Inc. Apparatus for controlled delivery of pulsed electric field ablative energy to tissue
US20190336198A1 (en) 2018-05-03 2019-11-07 Farapulse, Inc. Systems, devices, and methods for ablation using surgical clamps
WO2019217317A1 (en) * 2018-05-07 2019-11-14 Farapulse, Inc. Systems, apparatuses, and methods for filtering high voltage noise induced by pulsed electric field ablation
JP2021522903A (ja) 2018-05-07 2021-09-02 ファラパルス，インコーポレイテッド 組織へアブレーションエネルギーを送達するためのシステム、装置、および方法
WO2019217300A1 (en) 2018-05-07 2019-11-14 Farapulse, Inc. Epicardial ablation catheter
EP3768185B1 (en) 2018-05-21 2023-06-14 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
WO2020061359A1 (en) 2018-09-20 2020-03-26 Farapulse, Inc. Systems, apparatuses, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
CN212346702U (zh) * 2018-11-09 2021-01-15 杭州诺生医疗科技有限公司 多组件房间隔造口系统及其房间隔造口装置
CN109820592B (zh) * 2018-12-31 2021-01-22 杭州睿笛生物科技有限公司 一种基于心电波形的自适应脉冲消融仪
CN113573655B (zh) * 2019-03-15 2025-05-27 波士顿科学国际有限公司 用于选择性细胞消融的空间复用波形
JP6778973B2 (ja) * 2019-04-24 2020-11-04 株式会社Ｍｉｔテクノロジー 薬物等投与装置及びその作動方法並びにサポータ
JP7543410B2 (ja) * 2019-09-02 2024-09-02 ミライ メディカル リミテッド エレクトロポレーション装置および方法
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
US11497541B2 (en) 2019-11-20 2022-11-15 Boston Scientific Scimed, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US11065047B2 (en) 2019-11-20 2021-07-20 Farapulse, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines
EP4076244A4 (en) * 2019-12-16 2024-01-10 Affera, Inc. Pulmonary vein isolation catheters and associated devices, systems, and methods
AU2020405195A1 (en) * 2019-12-18 2022-07-07 Cardiofocus, Inc. Treatment of cardiac tissue with pulsed electric fields
CN113017819A (zh) * 2019-12-24 2021-06-25 深圳市赛诺思医疗科技有限公司 脉冲消融装置
CN111358552A (zh) * 2020-04-27 2020-07-03 南京亿高微波系统工程有限公司 一种用于癌栓梗阻消融治疗的微波消融电极
CN115666431A (zh) * 2020-05-26 2023-01-31 波士顿科学医学有限公司 用于不可逆电穿孔消融的用户界面上动态空间数据的叠加
US20220022954A1 (en) * 2020-07-24 2022-01-27 Boston Scientific Scimed, Inc. Electroporation catheter having tissue-contactless electrodes
US12310652B2 (en) 2020-07-24 2025-05-27 Boston Scientific Scimed, Inc. Hybrid electroporation ablation catheter
CN116322541A (zh) * 2020-07-24 2023-06-23 波士顿科学医学有限公司 用于不可逆电穿孔的食管导管
EP4185228A1 (en) 2020-07-24 2023-05-31 Boston Scientific Scimed Inc. Electric field application for single shot cardiac ablation by irreversible electroporation
EP4167886B1 (en) 2020-08-18 2024-05-01 St. Jude Medical, Cardiology Division, Inc. High-density electrode catheters with magnetic position tracking
KR20220037903A (ko) * 2020-09-18 2022-03-25 (주) 타우피엔유메디칼 심방세동 시술용 카테터 및 이를 이용한 심방세동 시술 방법
US11950840B2 (en) * 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes
US11950841B2 (en) * 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes and diagnostic electrodes
WO2022072385A2 (en) * 2020-09-30 2022-04-07 Boston Scientific Scimed Inc Pretreatment waveform for irreversible electroporation
WO2022076650A1 (en) * 2020-10-07 2022-04-14 Northwestern University Integration of electrophysiology mapping systems with electroporation synchronized with pacing
WO2022079235A1 (en) 2020-10-17 2022-04-21 Aurigen Medical Limited A device for treatment of the left atrial appendage
US12290306B2 (en) 2020-10-19 2025-05-06 Biosense Webster (Israel) Ltd. Using unipolar configuration for irreversible-electroporation (IRE)
US12343071B2 (en) 2021-01-27 2025-07-01 Boston Scientific Scimed, Inc Voltage controlled pulse sequences for irreversible electroporation ablations
PL4056135T3 (pl) * 2021-03-09 2023-10-02 Circle Safe Stymulacja nerwu przeponowego
MX2023011506A (es) 2021-04-07 2023-12-07 Btl Medical Dev A S Dispositivo y metodo de ablacion de campo pulsado.
CN113143447A (zh) * 2021-04-09 2021-07-23 上海捍宇医疗科技股份有限公司 一种用于将脉冲电场消融能量递送到心内膜组织的装置
EP4346667B1 (en) * 2021-05-28 2025-10-08 Boston Scientific Scimed Inc. Catheters for mapping and electroporation ablation
HUE072155T2 (hu) 2021-07-06 2025-10-28 Btl Medical Dev A S Impulzusos elektromos teret alkalmazó ablációs eszköz
EP4119082B1 (en) 2021-07-13 2024-05-15 Aurigen Medical Limited A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter
EP4119083B1 (en) 2021-07-13 2024-05-29 Aurigen Medical Limited A system comprising an elongated catheter and an implant detachably attached to a distal end of the elongated catheter
CN114209413B (zh) * 2021-12-09 2024-09-03 杭州睿笛生物科技有限公司 多级可控的复合脉冲发生控制系统
CN114271931B (zh) * 2021-12-23 2023-09-12 心航路医学科技(广州)有限公司 一种脉冲消融系统
CN114376718B (zh) * 2022-02-21 2022-07-22 安徽省立医院(中国科学技术大学附属第一医院) 一种心律失常射频消融保护装置
CN114711958B (zh) * 2022-03-16 2023-04-07 苏州艾科脉医疗技术有限公司 一种脉冲电场多极消融装置
CN115137465A (zh) * 2022-07-08 2022-10-04 洲瓴(上海)医疗器械有限公司 脉冲电场消融用电极导管
EP4598461A1 (en) 2022-10-05 2025-08-13 BTL Medical Development A.S. Pulsed field ablation device and method
US12150702B1 (en) 2024-06-03 2024-11-26 Physcade, Inc. Generator and catheter for tissue ablation

Family Cites Families (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5313943A (en) * 1992-09-25 1994-05-24 Ep Technologies, Inc. Catheters and methods for performing cardiac diagnosis and treatment
US5702438A (en) * 1995-06-08 1997-12-30 Avitall; Boaz Expandable recording and ablation catheter system
US6023638A (en) * 1995-07-28 2000-02-08 Scimed Life Systems, Inc. System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue
US6071281A (en) * 1998-05-05 2000-06-06 Ep Technologies, Inc. Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body and remote power control unit for use with same
AU3453599A (en) * 1998-03-26 1999-10-18 Boston Scientific Corporation Interactive systems and methods for controlling the use of diagnostic or therapeutic instruments in interior body regions
US6115626A (en) * 1998-03-26 2000-09-05 Scimed Life Systems, Inc. Systems and methods using annotated images for controlling the use of diagnostic or therapeutic instruments in instruments in interior body regions
US6669693B2 (en) * 2001-11-13 2003-12-30 Mayo Foundation For Medical Education And Research Tissue ablation device and methods of using
US7653438B2 (en) * 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
EP1509279A4 (en) * 2002-05-17 2009-10-28 Stan F Obino DEVICE AND METHOD FOR THE TREATMENT OF HEART DISEASES
US7179256B2 (en) * 2003-10-24 2007-02-20 Biosense Webster, Inc. Catheter with ablation needle and mapping assembly
US7783352B1 (en) * 2006-06-23 2010-08-24 Pacesetter, Inc. Optimizing anti-tachycardia pacing for terminating atrial fibrillation
US20090254082A1 (en) * 2006-07-10 2009-10-08 Niels Kornerup Electrosurgical instrument
EP2139416B1 (en) * 2007-05-09 2015-08-19 Irvine Biomedical, Inc. Basket catheter having multiple electrodes
US8357149B2 (en) * 2008-06-05 2013-01-22 Biosense Webster, Inc. Filter for simultaneous pacing and ablation
PL2370015T3 (pl) * 2008-11-11 2017-07-31 Shifamed Holdings, Llc Niskoprofilowy zespół elektrodowy
US9095262B2 (en) * 2011-01-05 2015-08-04 Mehdi Razavi Guided ablation devices, systems, and methods
CA2850434C (en) * 2011-09-30 2021-03-16 Adi Mashiach Apparatus and methods for implant coupling indication
EP3603501B1 (en) * 2012-08-09 2025-07-23 University of Iowa Research Foundation Catheter systems for surrounding a tissue structure
US10537286B2 (en) * 2013-01-08 2020-01-21 Biosense Webster (Israel) Ltd. Catheter with multiple spines of different lengths arranged in one or more distal assemblies
EP2950734B1 (en) 2013-01-31 2019-05-08 Renal Dynamics Ltd. Unipolar and/or bipolar ablation catheter
CN108209986B (zh) * 2013-02-08 2020-11-10 阿库图森医疗有限公司 带有柔性印刷电路板的可膨胀导管组件
US9031642B2 (en) * 2013-02-21 2015-05-12 Medtronic, Inc. Methods for simultaneous cardiac substrate mapping using spatial correlation maps between neighboring unipolar electrograms
US9474486B2 (en) * 2013-03-08 2016-10-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Basket for a multi-electrode array catheter
US10575743B2 (en) * 2013-04-11 2020-03-03 Biosense Webster (Israel) Ltd. High electrode density basket catheter
US20140330266A1 (en) * 2013-05-03 2014-11-06 St. Jude Medical, Cardiology Division, Inc. Ablation system, methods, and controllers
US20160113709A1 (en) * 2013-06-05 2016-04-28 Tel Hashomer Medical Research Infrastructure And Services Ltd Myocardial ablation by irreversible electroporation
CA2976749C (en) * 2014-03-20 2023-08-01 Atricath S.P.A. Ablation catheter and ablation apparatus
US10342606B2 (en) * 2014-05-06 2019-07-09 Cosman Instruments, Llc Electrosurgical generator
WO2015171921A2 (en) * 2014-05-07 2015-11-12 Mickelson Steven R Methods and apparatus for selective tissue ablation
EP4559428A3 (en) * 2014-06-12 2025-08-20 Boston Scientific Scimed, Inc. Method and apparatus for rapid and selective tissue ablation with cooling
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
WO2017120169A1 (en) * 2016-01-05 2017-07-13 Iowa Approach, Inc. Systems, devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021090832A (ja) * 2016-01-05 2021-06-17 ファラパルス，インコーポレイテッド パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP7220242B2 (ja) 2016-01-05 2023-02-09 ファラパルス，インコーポレイテッド パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2024036608A (ja) * 2016-01-05 2024-03-15 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 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP7633444B2 (ja) 2016-01-05 2025-02-19 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 パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法

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