JP6893515B2 - 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法 - Google Patents

組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法 Download PDF

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JP6893515B2
JP6893515B2 JP2018534869A JP2018534869A JP6893515B2 JP 6893515 B2 JP6893515 B2 JP 6893515B2 JP 2018534869 A JP2018534869 A JP 2018534869A JP 2018534869 A JP2018534869 A JP 2018534869A JP 6893515 B2 JP6893515 B2 JP 6893515B2
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pulses
pulse
time interval
ablation
waveform
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JP2019500170A5 (enExample
JP2019500170A (ja
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ヴィスワナータン，ラジュ
ロング，ゲイリー
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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
    • 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
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
    • 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
    • A61B2018/00315—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
    • A61B2018/00315—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
    • A61B2018/00363—Epicardium
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00767—Voltage
    • 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
    • A61B18/04—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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)
JP2018534869A 2016-01-05 2016-10-19 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法 Active JP6893515B2 (ja)

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JP2021092461A JP7230111B2 (ja) 2016-01-05 2021-06-01 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法
JP2023021321A JP7568759B2 (ja) 2016-01-05 2023-02-15 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法
JP2024173953A JP2024177361A (ja) 2016-01-05 2024-10-03 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法

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US201662274926P 2016-01-05 2016-01-05
US62/274,926 2016-01-05
PCT/US2016/057664 WO2017119934A1 (en) 2016-01-05 2016-10-19 Systems, apparatuses and methods for delivery of ablative energy to tissue

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JP2019500170A5 JP2019500170A5 (enExample) 2019-12-05
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JP2021092461A Active JP7230111B2 (ja) 2016-01-05 2021-06-01 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法
JP2023021321A Active JP7568759B2 (ja) 2016-01-05 2023-02-15 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法
JP2024173953A Pending JP2024177361A (ja) 2016-01-05 2024-10-03 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法

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JP2023021321A Active JP7568759B2 (ja) 2016-01-05 2023-02-15 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法
JP2024173953A Pending JP2024177361A (ja) 2016-01-05 2024-10-03 組織へのアブレーションエネルギーの送達のためのシステム、装置及び方法

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US (4) US20170189097A1 (enExample)
EP (3) EP4292552A3 (enExample)
JP (4) JP6893515B2 (enExample)
CN (2) CN108778172B (enExample)
WO (1) WO2017119934A1 (enExample)

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EP4026506A1 (en) 2022-07-13
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CN108778172B (zh) 2021-08-13
US20170189097A1 (en) 2017-07-06
US10512779B2 (en) 2019-12-24
US20180043153A1 (en) 2018-02-15
US10709891B2 (en) 2020-07-14
CN113813045B (zh) 2025-03-18
EP4292552A2 (en) 2023-12-20
EP4026506B1 (en) 2023-10-04
EP4292552A3 (en) 2024-03-20
JP2024177361A (ja) 2024-12-19
US10322286B2 (en) 2019-06-18
EP3399931A1 (en) 2018-11-14
WO2017119934A1 (en) 2017-07-13
JP7568759B2 (ja) 2024-10-16
JP2019500170A (ja) 2019-01-10
US20190269912A1 (en) 2019-09-05
CN108778172A (zh) 2018-11-09
CN113813045A (zh) 2021-12-21
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EP3399931A4 (en) 2019-08-07
JP2023053330A (ja) 2023-04-12

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