JP6962817B2 - 接触検知システムおよび方法 - Google Patents

接触検知システムおよび方法 Download PDF

Info

Publication number
JP6962817B2
JP6962817B2 JP2017549525A JP2017549525A JP6962817B2 JP 6962817 B2 JP6962817 B2 JP 6962817B2 JP 2017549525 A JP2017549525 A JP 2017549525A JP 2017549525 A JP2017549525 A JP 2017549525A JP 6962817 B2 JP6962817 B2 JP 6962817B2
Authority
JP
Japan
Prior art keywords
contact
impedance
electrode
electrodes
frequency
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
JP2017549525A
Other languages
English (en)
Japanese (ja)
Other versions
JP2018510709A (ja
JP2018510709A5 (enExample
Inventor
イー． ジョンソン，ジェシ
パネスク，ドリン
Original Assignee
エピックス セラピューティクス，インコーポレイテッド
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 エピックス セラピューティクス，インコーポレイテッド filed Critical エピックス セラピューティクス，インコーポレイテッド
Publication of JP2018510709A publication Critical patent/JP2018510709A/ja
Publication of JP2018510709A5 publication Critical patent/JP2018510709A5/ja
Application granted granted Critical
Publication of JP6962817B2 publication Critical patent/JP6962817B2/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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6885—Monitoring or controlling sensor contact pressure
    • 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
    • A61B2018/00297—Means for providing haptic feedback
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00827—Current
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00892—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
    • 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
    • A61B2018/128—Generators therefor generating two or more frequencies
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • 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
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Cardiology (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2017549525A 2015-03-25 2015-11-18 接触検知システムおよび方法 Active JP6962817B2 (ja)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201562138338P 2015-03-25 2015-03-25
US62/138,338 2015-03-25
US201562195717P 2015-07-22 2015-07-22
US62/195,717 2015-07-22
US201562243289P 2015-10-19 2015-10-19
US62/243,289 2015-10-19
PCT/US2015/061311 WO2016153561A1 (en) 2015-03-25 2015-11-18 Contact sensing systems and methods

Publications (3)

Publication Number Publication Date
JP2018510709A JP2018510709A (ja) 2018-04-19
JP2018510709A5 JP2018510709A5 (enExample) 2018-12-27
JP6962817B2 true JP6962817B2 (ja) 2021-11-05

Family

ID=56978425

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2017549525A Active JP6962817B2 (ja) 2015-03-25 2015-11-18 接触検知システムおよび方法

Country Status (5)

Country Link
EP (2) EP3273855A4 (enExample)
JP (1) JP6962817B2 (enExample)
AU (1) AU2015387440A1 (enExample)
CA (1) CA2978890A1 (enExample)
WO (1) WO2016153561A1 (enExample)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016081611A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. High-resolution mapping of tissue with pacing
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
CN110809448B (zh) * 2017-04-27 2022-11-25 Epix疗法公司 确定导管尖端与组织之间接触的性质
JP7025541B2 (ja) * 2017-10-24 2022-02-24 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 医療デバイスの複数の電極間のインピーダンスを測定するためのシステム
US11389078B2 (en) * 2018-08-09 2022-07-19 Biosense Webster (Israel) Ltd. Reducing capacitance effects in active current location (ACL)
US11642166B2 (en) 2018-10-05 2023-05-09 Epix Therapeutics, Inc. Lesion formation assessment and display
EP3763289A1 (en) * 2019-07-12 2021-01-13 Koninklijke Philips N.V. Estimating contact angle between a catheter and tissue, and associated devices, systems and methods
PL3903710T3 (pl) * 2020-04-27 2023-09-04 Rob Surgical Systems, Sl Układ chirurgiczny z percepcją sensoryczną do chirurgii laparoskopowej wspomaganej robotem
JP2022152469A (ja) * 2021-03-29 2022-10-12 吉野川電線株式会社 焼灼装置
CN113456050B (zh) * 2021-07-23 2023-12-19 芯海科技（深圳）股份有限公司 人体阻抗测量装置及人体阻抗测量方法
US20240366295A1 (en) 2021-07-26 2024-11-07 Sigt, Llc Tissue Ablation and Lesion Assessment System
WO2023052935A1 (en) * 2021-09-29 2023-04-06 Cilag Gmbh International Surgical devices, systems, and methods for control of one visualization with another
CN115887909B (zh) * 2022-11-29 2025-09-19 赛福凯尔(绍兴)医疗科技有限公司 一种用于抑制肿瘤细胞的可穿戴设备
CN115998303B (zh) * 2023-03-24 2023-06-16 中国医学科学院阜外医院 非接触式标测系统
CN116807605B (zh) * 2023-06-19 2024-10-22 上海方润医疗科技股份有限公司 一种参数灵活配置的射频消融电极及射频消融系统

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2106410C (en) * 1991-11-08 2004-07-06 Stuart D. Edwards Ablation electrode with insulated temperature sensing elements
US5447529A (en) * 1994-01-28 1995-09-05 Philadelphia Heart Institute Method of using endocardial impedance for determining electrode-tissue contact, appropriate sites for arrhythmia ablation and tissue heating during ablation
US5944022A (en) * 1997-04-28 1999-08-31 American Cardiac Ablation Co. Inc. Catheter positioning system
US6391024B1 (en) * 1999-06-17 2002-05-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering
US20090030332A1 (en) * 2005-01-26 2009-01-29 Schecter Stuart O microfabricated cardiac sensor with tactile feedback and method and apparatus for calibrating the same using a plurality of signals
US8998890B2 (en) * 2005-12-06 2015-04-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Assessment of electrode coupling for tissue ablation
AU2006321918B2 (en) * 2005-12-06 2011-08-25 St. Jude Medical, Atrial Fibrillation Division Inc. Assessment of electrode coupling for tissue ablation
US20080312521A1 (en) * 2007-06-14 2008-12-18 Solomon Edward G System and method for determining electrode-tissue contact using phase difference
US8954161B2 (en) * 2012-06-01 2015-02-10 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature and detecting tissue contact prior to and during tissue ablation
CN104246855B (zh) * 2009-06-29 2017-08-15 皇家飞利浦电子股份有限公司 肿瘤消融培训系统
US8834388B2 (en) * 2010-04-30 2014-09-16 Medtronic Ablation Frontiers Llc Method and apparatus to regulate a tissue temperature
US10595937B2 (en) * 2011-12-29 2020-03-24 St. Jude Medical, Atrial Fibrillation Division, Inc. System for optimized coupling of ablation catheters to body tissues and evaluation of lesions formed by the catheters
US9168004B2 (en) * 2012-08-20 2015-10-27 Biosense Webster (Israel) Ltd. Machine learning in determining catheter electrode contact
SG11201703943VA (en) * 2014-11-19 2017-06-29 Advanced Cardiac Therapeutics Inc Ablation devices, systems and methods of using a high-resolution electrode assembly

Also Published As

Publication number Publication date
CA2978890A1 (en) 2016-09-29
AU2015387440A1 (en) 2017-10-12
JP2018510709A (ja) 2018-04-19
EP3273855A1 (en) 2018-01-31
WO2016153561A1 (en) 2016-09-29
EP3750500A1 (en) 2020-12-16
EP3273855A4 (en) 2018-12-05
EP3750500B1 (en) 2022-04-13

Similar Documents

Publication Publication Date Title
US11576714B2 (en) Contact sensing systems and methods
JP6962817B2 (ja) 接触検知システムおよび方法
US11617618B2 (en) Contact assessment between an ablation catheter and tissue
US12121291B2 (en) Methods of determining catheter orientation
US12349965B2 (en) Lesion formation assessment and display
EP3220843B1 (en) Ablation devices and methods of using a high-resolution electrode assembly
EP2892454B1 (en) Electrogram-based ablation control
JP6825789B2 (ja) 組織の高分解能マッピングのためのシステムおよび方法
WO2016081611A1 (en) High-resolution mapping of tissue with pacing

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20171117

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20180201

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20181119

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20181119

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20190925

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20191001

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20191225

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20200602

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20201002

C60 Trial request (containing other claim documents, opposition documents)

Free format text: JAPANESE INTERMEDIATE CODE: C60

Effective date: 20201002

A911 Transfer to examiner for re-examination before appeal (zenchi)

Free format text: JAPANESE INTERMEDIATE CODE: A911

Effective date: 20201029

C21 Notice of transfer of a case for reconsideration by examiners before appeal proceedings

Free format text: JAPANESE INTERMEDIATE CODE: C21

Effective date: 20201110

A912 Re-examination (zenchi) completed and case transferred to appeal board

Free format text: JAPANESE INTERMEDIATE CODE: A912

Effective date: 20201127

C211 Notice of termination of reconsideration by examiners before appeal proceedings

Free format text: JAPANESE INTERMEDIATE CODE: C211

Effective date: 20201201

C22 Notice of designation (change) of administrative judge

Free format text: JAPANESE INTERMEDIATE CODE: C22

Effective date: 20210420

C13 Notice of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: C13

Effective date: 20210615

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210712

C23 Notice of termination of proceedings

Free format text: JAPANESE INTERMEDIATE CODE: C23

Effective date: 20210810

C03 Trial/appeal decision taken

Free format text: JAPANESE INTERMEDIATE CODE: C03

Effective date: 20210914

C30A Notification sent

Free format text: JAPANESE INTERMEDIATE CODE: C3012

Effective date: 20210914

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20211014

R150 Certificate of patent or registration of utility model

Ref document number: 6962817

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250