JP7125349B2 - 画像誘導後鼻神経アブレーションの方法およびデバイス - Google Patents

画像誘導後鼻神経アブレーションの方法およびデバイス Download PDF

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JP7125349B2
JP7125349B2 JP2018543156A JP2018543156A JP7125349B2 JP 7125349 B2 JP7125349 B2 JP 7125349B2 JP 2018543156 A JP2018543156 A JP 2018543156A JP 2018543156 A JP2018543156 A JP 2018543156A JP 7125349 B2 JP7125349 B2 JP 7125349B2
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imaging assembly
cannula
imaging
ablation
camera
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JP2019511266A5 (enExample
JP2019511266A (ja
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モイガン サアダート，
ウィリアム ジェイソン フォックス，
ヴァヒド サアダート，
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アリネックス， インコーポレイテッド
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
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  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
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  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Laser Surgery Devices (AREA)
JP2018543156A 2016-02-11 2017-02-13 画像誘導後鼻神経アブレーションの方法およびデバイス Active JP7125349B2 (ja)

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US201662294142P 2016-02-11 2016-02-11
US62/294,142 2016-02-11
PCT/US2017/017741 WO2017139805A1 (en) 2016-02-11 2017-02-13 Method and device for image guided post-nasal nerve ablation

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JP2019511266A JP2019511266A (ja) 2019-04-25
JP2019511266A5 JP2019511266A5 (enExample) 2022-03-09
JP7125349B2 true JP7125349B2 (ja) 2022-08-24

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115040232A (zh) 2015-05-12 2022-09-13 爱尔兰国立高威大学 用于治疗性鼻神经调节的装置及相关的方法和系统
US12268433B2 (en) 2015-05-12 2025-04-08 National University Of Ireland, Galway Devices for therapeutic nasal neuromodulation and associated methods and systems
CN109561923B (zh) 2016-02-11 2022-03-01 阿里内克斯股份有限公司 用于图像引导的鼻后神经消融的方法和设备
US11253312B2 (en) 2016-10-17 2022-02-22 Arrinex, Inc. Integrated nasal nerve detector ablation-apparatus, nasal nerve locator, and methods of use
DE102017107978B4 (de) * 2017-04-12 2019-01-10 Konstantin Bob Endoskopkopf mit schwenkbarer Kamera- und Arbeitskanal-Einheit
US11278356B2 (en) * 2017-04-28 2022-03-22 Arrinex, Inc. Systems and methods for locating blood vessels in the treatment of rhinitis
US11950869B2 (en) * 2017-08-30 2024-04-09 Intuitive Surgical Operations, Inc. System and method for providing on-demand functionality during a medical procedure
CN108294821A (zh) * 2018-01-24 2018-07-20 深圳市凯思特医疗科技股份有限公司 激光成像靶向消融导管
US11294414B2 (en) * 2018-04-05 2022-04-05 Medos International Sàrl Surgical instruments with rotation stop devices
EP3806766B1 (en) * 2018-06-14 2023-12-13 Arrinex, Inc. Drug delivery systems for treating the nasal cavity
US11986232B2 (en) 2018-07-20 2024-05-21 Arrinex, Inc. Systems and methods for improved treatment of headache
US11583170B2 (en) * 2018-08-02 2023-02-21 Boston Scientific Scimed, Inc. Devices for treatment of body lumens
US11547473B2 (en) 2018-12-11 2023-01-10 Neurent Medical Limited Systems and methods for therapeutic nasal neuromodulation
US11786296B2 (en) * 2019-02-15 2023-10-17 Accularent, Inc. Instrument for endoscopic posterior nasal nerve ablation
WO2020194051A2 (en) * 2019-03-27 2020-10-01 3Nt Medical Ltd. Handle for paranasal sinus access device
US12011213B2 (en) 2019-03-29 2024-06-18 Acclarent, Inc. System and method for treating epistaxis
US11534235B2 (en) 2019-04-04 2022-12-27 Acclarent, Inc. Needle instrument for posterior nasal neurectomy ablation
US11464567B2 (en) 2019-06-07 2022-10-11 Valam Corporation Device and methods of laser treatment for rhinitis
US11317970B2 (en) 2019-06-07 2022-05-03 Valam Corporation Device and methods of laser treatment for rhinitis
WO2020252312A1 (en) * 2019-06-14 2020-12-17 Arrinex, Inc. Cryotherapy systems and methods
WO2021007348A1 (en) * 2019-07-09 2021-01-14 Arrinex, Inc. Devices and methods for treating ear, nose, and throat afflictions
US12121281B2 (en) 2019-08-07 2024-10-22 Christopher M. Shaari Systems and methods for cryogenic treatment of headache
CN114727815A (zh) * 2019-11-18 2022-07-08 瑟卡科学有限公司 用于心外膜消融的具有柔性轴的器械端口
EP4069053A1 (en) * 2019-12-03 2022-10-12 CooperSurgical, Inc. Endoscopic cannulas and related methods
US20230056943A1 (en) * 2019-12-13 2023-02-23 Dinesh Vyas Stapler apparatus and methods for use
US12290258B2 (en) * 2019-12-13 2025-05-06 Dinesh Vyas Stapler apparatus and methods for use
WO2021205230A1 (en) 2020-04-09 2021-10-14 Neurent Medical Limited Systems and methods for therapeutic nasal treatment
US11883091B2 (en) 2020-04-09 2024-01-30 Neurent Medical Limited Systems and methods for improving sleep with therapeutic nasal treatment
CA3179661A1 (en) * 2020-05-26 2021-12-02 Albert K. Chin Oscillating endoscopic catheter for fallopian tube navigation
US11986199B2 (en) * 2020-07-16 2024-05-21 EndoGear, LLC Grasping device for independent tissue manipulation during gastrointestinal endoscopic procedures and methods of use
US12016612B2 (en) 2020-08-19 2024-06-25 Acclarent, Inc. ENT ablation instrument with electrode loop
US20220087739A1 (en) * 2020-09-18 2022-03-24 Acclarent, Inc. Ent instrument with expandable ablation feature
JP7893755B2 (ja) * 2020-09-28 2026-07-22 アリネックス， インコーポレイテッド 耳、鼻、および咽喉の不調を処置するためのクライオ療法システム
US12022996B2 (en) 2020-10-15 2024-07-02 American Endoscopic Innovations, LLC Endoscopic system with attached instruments
JP2023550042A (ja) * 2020-11-12 2023-11-30 カーディオフォーカス，インコーポレーテッド 複数の内視鏡及び撮像チップ内視鏡を備えたアブレーションカテーテルならびに内視鏡画像の配向を変更するためのシステム
CN112842517A (zh) * 2021-02-22 2021-05-28 河南省中医院（河南中医药大学第二附属医院） 微创式腺样体消融装置
US12357817B2 (en) 2021-04-06 2025-07-15 Aerin Medical Inc. Nasal neuromodulation devices and methods
US12318138B2 (en) 2021-06-15 2025-06-03 Valam Corporation Device and methods of laser treatment for rhinology
CN223158354U (zh) * 2021-06-29 2025-07-29 雷森特公司 铰接套管组件
US12318252B2 (en) 2021-09-13 2025-06-03 FemDx Medsystems, Inc. Combined ultrasonic and direct visual hysteroscope
US11806072B2 (en) * 2021-11-15 2023-11-07 Dorna Hakimimehr Method and apparatus for treating peripheral olfactory dysfunction
WO2023119022A1 (en) * 2021-12-21 2023-06-29 Acclarent, Inc. Ent instrument with deformable guide having translatable imaging feature
US20230200637A1 (en) * 2021-12-29 2023-06-29 Dorna Hakimimehr Devices and methods for endoscopic neuroablation in the tympanic cavity
US20230320800A1 (en) * 2022-03-24 2023-10-12 Xcelerate, Inc. Surgical Tool with Targeting Guidance
EP4292555A1 (en) * 2022-06-15 2023-12-20 Valam Corporation Laser treatment for rhinology
CN117653209A (zh) * 2022-09-06 2024-03-08 通用电气精准医疗有限责任公司 用于超声辅助内窥镜检查的方法和系统
US12678210B2 (en) * 2024-02-02 2026-07-14 32 Surgical, LLC Cryogenic device and method for treatment of rhinitis
US20260123989A1 (en) * 2024-11-05 2026-05-07 Valent Medical Inc. Methods of Diode Laser Treatment of Nasal Valve Region
CN119837628B (zh) * 2025-03-18 2025-07-15 成都美创医疗科技股份有限公司 一种鼻炎消融电极

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130281778A1 (en) 2012-04-19 2013-10-24 Terumo Kabushiki Kaisha Treatment instrument for medical use and method
US20150164571A1 (en) 2013-09-30 2015-06-18 Nidus Medical, Llc Apparatus and methods for treating rhinitis

Family Cites Families (182)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6832996B2 (en) 1995-06-07 2004-12-21 Arthrocare Corporation Electrosurgical systems and methods for treating tissue
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US5843077A (en) 1994-06-24 1998-12-01 Somnus Medical Technologies, Inc. Minimally invasive apparatus for internal ablation of turbinates with surface cooling
US5746224A (en) 1994-06-24 1998-05-05 Somnus Medical Technologies, Inc. Method for ablating turbinates
FR2723305B1 (fr) 1994-08-04 1996-11-22 Kamami Yves Victor Piece a main pour dispositif de chirurgie du nez par laser
US5527351A (en) 1994-09-21 1996-06-18 Friedman; Mark H. Treatment of vascular and tension headache atypical facial pain allergic rhinitis and cervical muscle hyperactivity
US6149620A (en) 1995-11-22 2000-11-21 Arthrocare Corporation System and methods for electrosurgical tissue treatment in the presence of electrically conductive fluid
US5733280A (en) 1995-11-15 1998-03-31 Avitall; Boaz Cryogenic epicardial mapping and ablation
US5899898A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation
US5902299A (en) 1997-07-29 1999-05-11 Jayaraman; Swaminathan Cryotherapy method for reducing tissue injury after balloon angioplasty or stent implantation
US6045549A (en) 1997-09-30 2000-04-04 Somnus Medical Technologies, Inc. Tissue ablation apparatus and device for use therein and method
EP1880686B1 (en) 1997-10-23 2017-06-21 Arthrocare Corporation Systems for tissue resection, ablation and aspiration
US5971979A (en) 1997-12-02 1999-10-26 Odyssey Technologies, Inc. Method for cryogenic inhibition of hyperplasia
WO1999030655A1 (en) 1997-12-15 1999-06-24 Arthrocare Corporation Systems and methods for electrosurgical treatment of the head and neck
US6277064B1 (en) 1997-12-30 2001-08-21 Inbae Yoon Surgical instrument with rotatably mounted offset endoscope
US7291144B2 (en) 1998-03-31 2007-11-06 Innercool Therapies, Inc. Method and device for performing cooling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation
US6685732B2 (en) 1998-03-31 2004-02-03 Innercool Therapies, Inc. Method and device for performing cooling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing microporous balloon
US7001378B2 (en) 1998-03-31 2006-02-21 Innercool Therapies, Inc. Method and device for performing cooling or cryo-therapies, for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection
US6905494B2 (en) 1998-03-31 2005-06-14 Innercool Therapies, Inc. Method and device for performing cooling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection
US6602276B2 (en) 1998-03-31 2003-08-05 Innercool Therapies, Inc. Method and device for performing cooling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation
US6106518A (en) 1998-04-09 2000-08-22 Cryocath Technologies, Inc. Variable geometry tip for a cryosurgical ablation device
EP1158906B1 (en) 1999-02-10 2008-08-13 Swaminathan Jayaraman Balloon catheter for cryotherapy
US6468297B1 (en) 1999-02-24 2002-10-22 Cryovascular Systems, Inc. Cryogenically enhanced intravascular interventions
US6514245B1 (en) 1999-03-15 2003-02-04 Cryovascular Systems, Inc. Safety cryotherapy catheter
US6428534B1 (en) 1999-02-24 2002-08-06 Cryovascular Systems, Inc. Cryogenic angioplasty catheter
US6432102B2 (en) 1999-03-15 2002-08-13 Cryovascular Systems, Inc. Cryosurgical fluid supply
US6648879B2 (en) 1999-02-24 2003-11-18 Cryovascular Systems, Inc. Safety cryotherapy catheter
US6270476B1 (en) 1999-04-23 2001-08-07 Cryocath Technologies, Inc. Catheter
US7935108B2 (en) 1999-07-14 2011-05-03 Cardiofocus, Inc. Deflectable sheath catheters
US6575966B2 (en) 1999-08-23 2003-06-10 Cryocath Technologies Inc. Endovascular cryotreatment catheter
US6283959B1 (en) 1999-08-23 2001-09-04 Cyrocath Technologies, Inc. Endovascular cryotreatment catheter
US7527622B2 (en) 1999-08-23 2009-05-05 Cryocath Technologies Inc. Endovascular cryotreatment catheter
US6361531B1 (en) * 2000-01-21 2002-03-26 Medtronic Xomed, Inc. Focused ultrasound ablation devices having malleable handle shafts and methods of using the same
DE10004264C2 (de) 2000-02-01 2002-06-13 Storz Karl Gmbh & Co Kg Vorrichtung zur intrakorporalen, minimal-invasiven Behandlung eines Patienten
AU2001243374B2 (en) 2000-03-01 2005-02-03 Zoll Circulation, Inc. Cooling therapies/device for angioplasty with restenosis
US6375654B1 (en) 2000-05-19 2002-04-23 Cardiofocus, Inc. Catheter system with working portion radially expandable upon rotation
US6526318B1 (en) 2000-06-16 2003-02-25 Mehdi M. Ansarinia Stimulation method for the sphenopalatine ganglia, sphenopalatine nerve, or vidian nerve for treatment of medical conditions
ATE308933T1 (de) 2000-06-23 2005-11-15 Cryocath Technologies Inc Vorrichtung zur kryobehandlung
US6537271B1 (en) 2000-07-06 2003-03-25 Cryogen, Inc. Balloon cryogenic catheter
US6673066B2 (en) 2000-11-10 2004-01-06 Cardiostream, Inc. Apparatus and method to diagnose and treat vulnerable plaque
US6666858B2 (en) 2001-04-12 2003-12-23 Scimed Life Systems, Inc. Cryo balloon for atrial ablation
HU224941B1 (en) 2001-08-10 2006-04-28 Bgi Innovacios Kft Phototerapy apparatus
US6786900B2 (en) 2001-08-13 2004-09-07 Cryovascular Systems, Inc. Cryotherapy methods for treating vessel dissections and side branch occlusion
WO2004000092A2 (en) 2001-08-13 2003-12-31 Cryovascular Systems, Inc. Cryotherapy methods for treating vessel dissections and side branch occlusion
AU2002326548A1 (en) 2001-08-17 2003-04-14 Innercool Therapies, Inc. Preparation of working fluid for use in cryotherapies
US6736809B2 (en) 2001-09-26 2004-05-18 Cryocath Technologies Inc. Method and device for treatment of aneurysms
EP1429820A4 (en) 2001-09-27 2007-11-14 Galil Medical Ltd APPARATUS AND METHOD FOR CRYOGENIC ANGIOPLASTY
EP1437977B1 (en) 2001-10-02 2014-05-21 ArthroCare Corporation Apparatus for electrosurgical removal and digestion of tissue
US6709431B2 (en) 2001-12-18 2004-03-23 Scimed Life Systems, Inc. Cryo-temperature monitoring
AU2003215263A1 (en) 2002-02-13 2003-09-04 Arthrocare Corporation Electrosurgical apparatus and methods for treating joint tissue
US8145317B2 (en) 2002-04-08 2012-03-27 Ardian, Inc. Methods for renal neuromodulation
US7653438B2 (en) 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
US8347891B2 (en) 2002-04-08 2013-01-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen
US7162303B2 (en) 2002-04-08 2007-01-09 Ardian, Inc. Renal nerve stimulation method and apparatus for treatment of patients
US7617005B2 (en) 2002-04-08 2009-11-10 Ardian, Inc. Methods and apparatus for thermally-induced renal neuromodulation
US7620451B2 (en) 2005-12-29 2009-11-17 Ardian, Inc. Methods and apparatus for pulsed electric field neuromodulation via an intra-to-extravascular approach
US20070129761A1 (en) 2002-04-08 2007-06-07 Ardian, Inc. Methods for treating heart arrhythmia
US7853333B2 (en) 2002-04-08 2010-12-14 Ardian, Inc. Methods and apparatus for multi-vessel renal neuromodulation
US6989009B2 (en) 2002-04-19 2006-01-24 Scimed Life Systems, Inc. Cryo balloon
US6921385B2 (en) 2002-08-05 2005-07-26 Alcon, Inc. Apparatus for delivery of fluid to opthalmic surgical handpiece
US7060062B2 (en) 2003-06-04 2006-06-13 Cryo Vascular Systems, Inc. Controllable pressure cryogenic balloon treatment system and method
US7104984B2 (en) 2003-08-22 2006-09-12 Cryocor, Inc. Reshapeable tip for a cryoprobe
US20050075702A1 (en) 2003-10-01 2005-04-07 Medtronic, Inc. Device and method for inhibiting release of pro-inflammatory mediator
US7418292B2 (en) 2003-10-01 2008-08-26 Medtronic, Inc. Device and method for attenuating an immune response
US7727228B2 (en) 2004-03-23 2010-06-01 Medtronic Cryocath Lp Method and apparatus for inflating and deflating balloon catheters
US8491636B2 (en) 2004-03-23 2013-07-23 Medtronic Cryopath LP Method and apparatus for inflating and deflating balloon catheters
US9555223B2 (en) 2004-03-23 2017-01-31 Medtronic Cryocath Lp Method and apparatus for inflating and deflating balloon catheters
US8512229B2 (en) 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US7654997B2 (en) 2004-04-21 2010-02-02 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat
US7559925B2 (en) 2006-09-15 2009-07-14 Acclarent Inc. Methods and devices for facilitating visualization in a surgical environment
US20060063973A1 (en) * 2004-04-21 2006-03-23 Acclarent, Inc. Methods and apparatus for treating disorders of the ear, nose and throat
US7582083B2 (en) 2004-05-10 2009-09-01 Boston Scientific Scimed, Inc. Probe based low temperature lesion formation apparatus, systems and methods
US8177779B2 (en) 2004-06-02 2012-05-15 Boston Scientific Scimed, Inc. Controllable pressure cryogenic balloon treatment system and method
EP1773227B1 (en) 2004-06-24 2016-04-13 ArthroCare Corporation Electrosurgical device having planar vertical electrodes
ES2728374T3 (es) 2005-01-18 2019-10-24 Acclarent Inc Sistemas para tratar trastornos del oído, nariz y garganta
US7794455B2 (en) 2005-04-29 2010-09-14 Medtronic Cryocath Lp Wide area ablation of myocardial tissue
US7740627B2 (en) 2005-04-29 2010-06-22 Medtronic Cryocath Lp Surgical method and apparatus for treating atrial fibrillation
US7442190B2 (en) 2005-05-13 2008-10-28 Cryocath Technologies Inc. Contact assessment of balloon catheters
US7727191B2 (en) 2005-05-13 2010-06-01 Medtronic Cryocath Lp Compliant balloon catheter
DE102005050344A1 (de) * 2005-10-20 2007-05-03 Siemens Ag Kryokatheter zur Einführung in ein Körpergefäß sowie medizinische Untersuchungs- und Behandlungsvorrichtung
US8676324B2 (en) 2005-11-10 2014-03-18 ElectroCore, LLC Electrical and magnetic stimulators used to treat migraine/sinus headache, rhinitis, sinusitis, rhinosinusitis, and comorbid disorders
JP5276987B2 (ja) 2005-11-15 2013-08-28 ザ・ジョンズ・ホプキンス・ユニバーシティー バイオセンシング及び外科的処置のための能動的カニューレ
US8696656B2 (en) 2005-11-18 2014-04-15 Medtronic Cryocath Lp System and method for monitoring bioimpedance and respiration
US7842031B2 (en) 2005-11-18 2010-11-30 Medtronic Cryocath Lp Bioimpedance measurement system and method
US9357977B2 (en) * 2006-01-12 2016-06-07 Gynesonics, Inc. Interventional deployment and imaging system
US7879034B2 (en) 2006-03-02 2011-02-01 Arthrocare Corporation Internally located return electrode electrosurgical apparatus, system and method
US9211393B2 (en) 2006-06-05 2015-12-15 Medtronic Cryocath Lp Distal cooling distribution system for a medical device
US20070299433A1 (en) 2006-06-27 2007-12-27 C2 Therapeutics Barrett's Esophagus Cryogenic Ablation System
US9814511B2 (en) 2006-06-28 2017-11-14 Medtronic Cryocath Lp Variable geometry cooling chamber
EP2465470B1 (en) 2006-06-28 2015-10-28 Medtronic Ardian Luxembourg S.à.r.l. Systems for thermally-induced renal neuromodulation
US20080027423A1 (en) * 2006-07-25 2008-01-31 Zoom Therapeutics, Inc. Systems for treatment of nasal tissue
US8617149B2 (en) 2006-10-02 2013-12-31 Boston Scientific Scimed, Inc. Common bond, double-balloon catheter
WO2008051918A2 (en) 2006-10-23 2008-05-02 Allux Medical, Inc. Methods, devices and kits for phototherapy and photodynamic therapy treatment of body cavities
US9089256B2 (en) * 2008-06-27 2015-07-28 Intuitive Surgical Operations, Inc. Medical robotic system providing an auxiliary view including range of motion limitations for articulatable instruments extending out of a distal end of an entry guide
US20080312644A1 (en) 2007-06-14 2008-12-18 Boston Scientific Scimed, Inc. Cryogenic balloon ablation instruments and systems
WO2009065061A1 (en) 2007-11-14 2009-05-22 Myoscience, Inc. Pain management using cryogenic remodeling
CN101969858B (zh) 2008-01-10 2013-11-27 柯惠Lp公司 用于手术装置的成像系统
EP2249733B1 (en) 2008-01-11 2016-12-28 Boston Scientific Scimed, Inc. Ablation devices
US8483831B1 (en) 2008-02-15 2013-07-09 Holaira, Inc. System and method for bronchial dilation
US8579890B2 (en) 2008-03-13 2013-11-12 Boston Scientific Scimed, Inc. Cryo-ablation refrigerant distribution catheter
EP2320821B2 (en) 2008-05-09 2020-12-30 Nuvaira, Inc. Systems for treating a bronchial tree
US8187261B2 (en) 2008-05-29 2012-05-29 Boston Scientific Scimed, Inc. Regulating internal pressure of a cryotherapy balloon catheter
EP3108800B1 (en) * 2008-07-18 2019-01-02 Boston Scientific Scimed, Inc. Endoscope with guide
US8388600B1 (en) 2008-09-04 2013-03-05 Dolor Technologies Apparatus, system, and method for treating atypical headaches
US8465481B2 (en) 2008-10-20 2013-06-18 Boston Scientific Scimed, Inc. Providing cryotherapy with a balloon catheter having a non-uniform thermal profile
US8226601B2 (en) 2008-11-12 2012-07-24 Sanovas, Inc. Resector balloon system
US8382746B2 (en) 2008-11-21 2013-02-26 C2 Therapeutics, Inc. Cryogenic ablation system and method
US8652129B2 (en) 2008-12-31 2014-02-18 Medtronic Ardian Luxembourg S.A.R.L. Apparatus, systems, and methods for achieving intravascular, thermally-induced renal neuromodulation
US20100168739A1 (en) 2008-12-31 2010-07-01 Ardian, Inc. Apparatus, systems, and methods for achieving intravascular, thermally-induced renal neuromodulation
US8480664B2 (en) 2009-01-15 2013-07-09 Boston Scientific Scimed, Inc. Controlling depth of cryoablation
WO2010111122A1 (en) 2009-03-23 2010-09-30 Boston Scientific Scimed, Inc. Systems apparatus for distributing coolant within a cryo-ablation device
JP5667185B2 (ja) 2009-07-31 2015-02-12 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． 冷凍アブレーションカテーテルアセンブリおよび冷凍アブレーションシステム
JP5542937B2 (ja) 2009-08-14 2014-07-09 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 改善されたアンカ性能を備えたマッピングカテーテルを有する医療アブレーションシステムを製造および使用するためのシステムおよび方法
CN104856757B (zh) 2009-10-27 2017-06-23 赫莱拉公司 具有可冷却的能量发射组件的递送装置
US20110184402A1 (en) 2009-11-02 2011-07-28 Cpsi Biotech Flexible Cryogenic Probe Tip
US8986293B2 (en) 2010-01-27 2015-03-24 Medtronic Cryocath Lp Cryoballoon refrigerant dispersion control
US9089314B2 (en) 2010-01-27 2015-07-28 Medtronic Cryocath Lp Partially compliant balloon device
US8926602B2 (en) 2010-01-28 2015-01-06 Medtronic Cryocath Lp Triple balloon catheter
US9445859B2 (en) 2010-01-29 2016-09-20 Medtronic Cryocath Lp Multifunctional ablation device
WO2011137189A1 (en) 2010-04-27 2011-11-03 Cornell Research Foundation System and methods for mapping and searching objects in multidimensional space
US9931152B2 (en) 2010-07-27 2018-04-03 Medtronic Cryocath Lp Dual injection tube cryocatheter and method for using same
US8679105B2 (en) 2010-07-28 2014-03-25 Medtronic Cryocath Lp Device and method for pulmonary vein isolation
US8672930B2 (en) 2010-07-28 2014-03-18 Medtronic Cryocath Lp Endoluminal ablation cryoballoon and method
CA2807277C (en) 2010-08-05 2020-05-12 Medtronic Af Luxembourg S.A.R.L. Cryoablation apparatuses, systems, and methods for renal neuromodulation
EP2608837B1 (en) 2010-08-26 2016-05-04 Cryomedix, LLC Cryoablation balloon catheter
US20120088968A1 (en) * 2010-10-11 2012-04-12 Epic Medical Inc. Methods and devices for visualization and access
US8911434B2 (en) 2010-10-22 2014-12-16 Medtronic Cryocath Lp Balloon catheter with deformable fluid delivery conduit
US9060755B2 (en) 2010-10-26 2015-06-23 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
US9060754B2 (en) 2010-10-26 2015-06-23 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
US9011420B2 (en) 2010-10-27 2015-04-21 Medtronic Cryocath Lp Compatible cryogenic cooling system
US9821159B2 (en) 2010-11-16 2017-11-21 The Board Of Trustees Of The Leland Stanford Junior University Stimulation devices and methods
US8827952B2 (en) 2010-12-06 2014-09-09 Boston Scientific Scimed, Inc. Biasing mechanism for a balloon catheter
US9168079B2 (en) 2010-12-27 2015-10-27 Medtronic Cryocath Lp Method and system to prevent complete obstruction in catheter in case of a kink
US8747401B2 (en) 2011-01-20 2014-06-10 Arthrocare Corporation Systems and methods for turbinate reduction
CN103930061B (zh) 2011-04-25 2016-09-14 美敦力阿迪安卢森堡有限责任公司 用于限制导管壁低温消融的有关低温球囊限制部署的装置及方法
US9415194B2 (en) 2011-06-14 2016-08-16 Aerin Medical Inc. Post nasal drip treatment
EP3549543B8 (en) 2011-06-14 2023-08-23 Aerin Medical, Inc. Device for treating nasal airways
US8986301B2 (en) 2012-06-13 2015-03-24 Aerin Medical Inc. Methods and devices to treat nasal airways
US20130018366A1 (en) 2011-07-11 2013-01-17 C2 Therapeutics Focal Ablation Assembly
US9084592B2 (en) 2011-07-11 2015-07-21 C2 Therapeutics, Inc. Focal ablation assembly
WO2013035192A1 (ja) 2011-09-09 2013-03-14 医療法人社団アドベント 鼻炎の症状を外科的に治療するための方法及び装置
WO2013052501A1 (en) 2011-10-05 2013-04-11 Innovative Pulmonary Solutions, Inc. Apparatus for injuring nerve tissue
US9220556B2 (en) 2012-01-27 2015-12-29 Medtronic Cryocath Lp Balloon design to enhance cooling uniformity
US20130253387A1 (en) 2012-03-08 2013-09-26 Sonitec, LLC Vibratory energy systems and methods for occluded body cavities
US9241752B2 (en) 2012-04-27 2016-01-26 Medtronic Ardian Luxembourg S.A.R.L. Shafts with pressure relief in cryotherapeutic catheters and associated devices, systems, and methods
CN104470454B (zh) 2012-05-18 2018-06-08 努瓦拉公司 紧凑传送的肺部治疗系统和改善肺部功能的方法
US9398933B2 (en) 2012-12-27 2016-07-26 Holaira, Inc. Methods for improving drug efficacy including a combination of drug administration and nerve modulation
US9254166B2 (en) 2013-01-17 2016-02-09 Arthrocare Corporation Systems and methods for turbinate reduction
US9522030B2 (en) 2013-01-23 2016-12-20 Medtronic Cryocath Lp Purge phase for cryoablation systems
US20140228875A1 (en) 2013-02-08 2014-08-14 Nidus Medical, Llc Surgical device with integrated visualization and cauterization
US9265956B2 (en) 2013-03-08 2016-02-23 Oculeve, Inc. Devices and methods for treating dry eye in animals
EP2967817B1 (en) 2013-03-12 2021-03-10 Oculeve, Inc. Implant delivery devices and systems
US10368937B2 (en) 2013-03-13 2019-08-06 Nuvaira, Inc. Fluid delivery system and method for treatment
US20140276698A1 (en) 2013-03-14 2014-09-18 Medtronic Cryocath Lp Method and apparatus for cryoadhesion
US9084590B2 (en) 2013-03-14 2015-07-21 Medtronic Cryocath Lp Device and method for improved safety and efficacy for cryoablation
WO2014148116A1 (ja) * 2013-03-19 2014-09-25 オリンパスメディカルシステムズ株式会社 内視鏡装置
CN108744272A (zh) 2013-04-19 2018-11-06 奥库利维公司 鼻刺激装置和方法
DE102013213247A1 (de) * 2013-07-05 2015-01-08 Olympus Winter & Ibe Gmbh Videoendoskopiesystem, Kopplungseinrichtung, Videoendoskop und Kontrolleinrichtung
US20150031946A1 (en) 2013-07-24 2015-01-29 Nidus Medical, Llc Direct vision cryosurgical probe and methods of use
US10098685B2 (en) 2013-10-30 2018-10-16 Medtronic Cryocath Lp Feedback system for cryoablation of cardiac tissue
CN107669332B (zh) 2013-11-01 2020-09-18 美国宾得公司 低温消融导管、手柄组件以及低温球囊消融系统
US9993279B2 (en) 2013-12-06 2018-06-12 Medtronic Cryocath Lp Distal balloon impedance and temperature recording to monitor pulmonary vein ablation and occlusion
US10441338B2 (en) 2014-01-14 2019-10-15 Medtronic Cryocath Lp Balloon catheter with fluid injection elements
EP2901951A1 (en) 2014-01-30 2015-08-05 Oncotherm Kft. Shape-adapting electrode for electromagnetic energy transfer
US9439709B2 (en) 2014-01-31 2016-09-13 Cryofocus Medtech (Shanghai) Co., Ltd. Cryoablation balloon catheter with guide wire lumen
RU2698711C2 (ru) 2014-02-25 2019-08-29 Окулив, Инк. Составы полимеров для носослёзной стимуляции
US10492842B2 (en) 2014-03-07 2019-12-03 Medtronic Ardian Luxembourg S.A.R.L. Monitoring and controlling internally administered cryotherapy
US9855089B2 (en) 2014-03-21 2018-01-02 Medtronic Cryocath Lp Shape changing ablation balloon
US9925359B2 (en) 2014-03-21 2018-03-27 Medtronic Cryocath Lp Balloon design to reduce distal length
WO2015153696A1 (en) 2014-04-03 2015-10-08 Aerin Medical Inc. Post nasal drip treatment
US9763743B2 (en) 2014-07-25 2017-09-19 Arrinex, Inc. Apparatus and method for treating rhinitis
EP3673952A1 (en) 2014-07-25 2020-07-01 Oculeve, Inc. Stimulation patterns for treating dry eye
AU2015335772B2 (en) 2014-10-22 2020-07-09 Oculeve, Inc. Contact lens for increasing tear production
US10207108B2 (en) 2014-10-22 2019-02-19 Oculeve, Inc. Implantable nasal stimulator systems and methods
US10045758B2 (en) * 2014-11-26 2018-08-14 Visura Technologies, LLC Apparatus, systems and methods for proper transesophageal echocardiography probe positioning by using camera for ultrasound imaging
CN115040232A (zh) 2015-05-12 2022-09-13 爱尔兰国立高威大学 用于治疗性鼻神经调节的装置及相关的方法和系统
US9414878B1 (en) 2015-05-15 2016-08-16 C2 Therapeutics, Inc. Cryogenic balloon ablation system
US10512763B2 (en) 2015-08-25 2019-12-24 Acclarent, Inc. Dilation catheter with expandable stop element
WO2017047543A1 (ja) 2015-09-14 2017-03-23 テルモ株式会社 アブレーションカテーテル
WO2017047545A1 (ja) 2015-09-14 2017-03-23 テルモ株式会社 アブレーションカテーテル
CN109561923B (zh) 2016-02-11 2022-03-01 阿里内克斯股份有限公司 用于图像引导的鼻后神经消融的方法和设备

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130281778A1 (en) 2012-04-19 2013-10-24 Terumo Kabushiki Kaisha Treatment instrument for medical use and method
US20150164571A1 (en) 2013-09-30 2015-06-18 Nidus Medical, Llc Apparatus and methods for treating rhinitis

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