JP7254096B2 - 環状マッピングカテーテル - Google Patents

環状マッピングカテーテル Download PDF

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Publication number
JP7254096B2
JP7254096B2 JP2020560536A JP2020560536A JP7254096B2 JP 7254096 B2 JP7254096 B2 JP 7254096B2 JP 2020560536 A JP2020560536 A JP 2020560536A JP 2020560536 A JP2020560536 A JP 2020560536A JP 7254096 B2 JP7254096 B2 JP 7254096B2
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Prior art keywords
annular
electrodes
catheter
mapping catheter
distal assembly
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JP2020560536A
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English (en)
Japanese (ja)
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JP2021511170A (ja
JP2021511170A5 (https=
JPWO2019141284A5 (https=
Inventor
ジ フェン,
ジエ ゴン,
リロン ワン,
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Synaptic Medical Beijing Co Ltd
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Synaptic Medical Beijing Co Ltd
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Publication of JPWO2019141284A5 publication Critical patent/JPWO2019141284A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6856Catheters with a distal loop
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6867Arrangements 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 specially adapted to be attached or implanted in a specific body part
    • A61B5/6876Blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044Sensing electrocardiography, i.e. ECG
    • A61B2017/00048Spectral analysis
    • A61B2017/00053Mapping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00331Steering mechanisms with preformed bends
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00375Ostium, e.g. ostium of pulmonary vein or artery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2020560536A 2018-01-22 2019-01-22 環状マッピングカテーテル Active JP7254096B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN201810058930.0 2018-01-22
CN201810058930.0A CN110063784A (zh) 2018-01-22 2018-01-22 一种环形标测导管
PCT/CN2019/072634 WO2019141284A1 (zh) 2018-01-22 2019-01-22 一种环形标测导管

Publications (4)

Publication Number Publication Date
JP2021511170A JP2021511170A (ja) 2021-05-06
JP2021511170A5 JP2021511170A5 (https=) 2022-01-31
JPWO2019141284A5 JPWO2019141284A5 (https=) 2022-01-31
JP7254096B2 true JP7254096B2 (ja) 2023-04-07

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020560536A Active JP7254096B2 (ja) 2018-01-22 2019-01-22 環状マッピングカテーテル

Country Status (5)

Country Link
US (1) US11872057B2 (https=)
EP (1) EP3744275B1 (https=)
JP (1) JP7254096B2 (https=)
CN (2) CN110063784A (https=)
WO (1) WO2019141284A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020263534A1 (en) * 2019-06-27 2020-12-30 Verily Life Sciences Llc Thin film mapping catheter
EP3815641A1 (en) * 2019-11-04 2021-05-05 Koninklijke Philips N.V. Electroyphysiological guidance and visualization for balloon, and methods therapy and associated devices, systems
CN115969508A (zh) * 2023-02-01 2023-04-18 梅达沃科技(上海)有限公司 一种环状标测和消融导管及系统
CN116439716B (zh) * 2023-03-27 2024-04-09 上海玮启医疗器械有限公司 一种标测件和标测导管
CN117481789B (zh) * 2024-01-03 2024-04-02 梅奥心磁(杭州)医疗科技有限公司 一种双能量多功能电生理导管

Citations (5)

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JP2007533410A (ja) 2004-04-19 2007-11-22 プロリズム,インコーポレイテッド センサ構造体を有する融除装置
US20080058765A1 (en) 2006-08-31 2008-03-06 Pierri Jais Catheter for linear and circular mapping
JP2009142640A (ja) 2007-08-08 2009-07-02 Prorhythm Inc 小型円形マッピングカテーテル
US20150018809A1 (en) 2013-07-15 2015-01-15 Medtronic Cryocath Lp Heated electrodes for continued visualization of pulmonary vein potentials
JP2017159056A (ja) 2012-05-09 2017-09-14 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 高血圧症を治療するための下大静脈及び/又は腹大動脈内若しくはその近くの神経を標的とするアブレーション

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US20050234437A1 (en) * 1999-07-14 2005-10-20 Cardiofocus, Inc. Deflectable sheath catheters with out-of-plane bent tip
WO2002085192A2 (en) * 2001-04-23 2002-10-31 Transurgical, Inc. Improvements in ablation therapy
US6764486B2 (en) * 2002-04-24 2004-07-20 Biotronik Mess- und Therapieger{haeck over (a)}te GmbH & Co. Ingenieurbüro Berlin Ablation device for cardiac tissue, especially for forming a circular lesion around a vessel orifice in the heart
US7412273B2 (en) * 2004-11-15 2008-08-12 Biosense Webster, Inc. Soft linear mapping catheter with stabilizing tip
CA2735240A1 (en) * 2008-10-04 2010-04-08 Boston Scientific Scimed, Inc. Loop structures for supporting diagnostic and/or therapeutic elements in contact with tissue
US8475450B2 (en) * 2008-12-30 2013-07-02 Biosense Webster, Inc. Dual-purpose lasso catheter with irrigation
CN202020439U (zh) * 2010-12-16 2011-11-02 心诺普医疗技术(北京)有限公司 灌注式环形标测导管
CN105848716A (zh) * 2013-04-30 2016-08-10 湖区制造公司,商用名湖区医药 倒环烧蚀装置
KR101464085B1 (ko) * 2013-09-03 2014-11-21 연세대학교 산학협력단 혈관 조영이 가능한 다전극 맵핑 폐정맥형 원형 카테터
ES2762122T3 (es) * 2013-10-24 2020-05-22 Medtronic Ardian Luxembourg Aparatos de catéter para la modulación de nervios en comunicación con el sistema pulmonar y sistemas asociados
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CN107583171A (zh) * 2016-07-08 2018-01-16 四川锦江电子科技有限公司 标测导管及具有其的标测导管组件

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007533410A (ja) 2004-04-19 2007-11-22 プロリズム,インコーポレイテッド センサ構造体を有する融除装置
US20080058765A1 (en) 2006-08-31 2008-03-06 Pierri Jais Catheter for linear and circular mapping
JP2009142640A (ja) 2007-08-08 2009-07-02 Prorhythm Inc 小型円形マッピングカテーテル
JP2017159056A (ja) 2012-05-09 2017-09-14 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 高血圧症を治療するための下大静脈及び/又は腹大動脈内若しくはその近くの神経を標的とするアブレーション
US20150018809A1 (en) 2013-07-15 2015-01-15 Medtronic Cryocath Lp Heated electrodes for continued visualization of pulmonary vein potentials

Also Published As

Publication number Publication date
EP3744275A1 (en) 2020-12-02
US11872057B2 (en) 2024-01-16
EP3744275A4 (en) 2021-10-27
US20200359967A1 (en) 2020-11-19
CN110063784A (zh) 2019-07-30
EP3744275B1 (en) 2024-03-13
CN111629678A (zh) 2020-09-04
JP2021511170A (ja) 2021-05-06
WO2019141284A1 (zh) 2019-07-25
CN111629678B (zh) 2024-03-15

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