JP7282381B2 - アブレーションプローブ - Google Patents

アブレーションプローブ Download PDF

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Publication number
JP7282381B2
JP7282381B2 JP2019554411A JP2019554411A JP7282381B2 JP 7282381 B2 JP7282381 B2 JP 7282381B2 JP 2019554411 A JP2019554411 A JP 2019554411A JP 2019554411 A JP2019554411 A JP 2019554411A JP 7282381 B2 JP7282381 B2 JP 7282381B2
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Japan
Prior art keywords
applicator
coolant
ablation probe
tube
deformable member
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JP2019554411A
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Japanese (ja)
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JP2020512156A (ja
Inventor
ジミー イートン－イバンス
ジュゼッペ ルビオ
ジョナサン ブーシャー－ヘイズ
マーティン オハロラン
マーク ブルッツィ
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ナショナル ユニバーシティ オブ アイルランド ゴールウェイ
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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
    • A61B18/1477—Needle-like probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • A61B1/2676—Bronchoscopes
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • A61B2018/00285—Balloons
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • 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
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1869—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument interstitially inserted into the body, e.g. needles

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Pulmonology (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
JP2019554411A 2017-03-31 2018-03-29 アブレーションプローブ Active JP7282381B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP17164403.2 2017-03-31
EP17164403.2A EP3381393A1 (en) 2017-03-31 2017-03-31 An ablation probe
PCT/EP2018/058252 WO2018178317A1 (en) 2017-03-31 2018-03-29 An ablation probe

Publications (2)

Publication Number Publication Date
JP2020512156A JP2020512156A (ja) 2020-04-23
JP7282381B2 true JP7282381B2 (ja) 2023-05-29

Family

ID=58464458

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2019554411A Active JP7282381B2 (ja) 2017-03-31 2018-03-29 アブレーションプローブ
JP2020552853A Pending JP2021519644A (ja) 2017-03-31 2019-03-29 アブレーションプローブ

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2020552853A Pending JP2021519644A (ja) 2017-03-31 2019-03-29 アブレーションプローブ

Country Status (7)

Country Link
US (1) US12053233B2 (https=)
EP (2) EP3381393A1 (https=)
JP (2) JP7282381B2 (https=)
CN (2) CN111107799B (https=)
AU (2) AU2018242139B2 (https=)
CA (2) CA3058534A1 (https=)
WO (1) WO2018178317A1 (https=)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3773293A1 (en) 2018-03-29 2021-02-17 National University of Ireland Galway An ablation probe
EP3695798A1 (en) * 2019-02-13 2020-08-19 National University of Ireland Galway An ablation probe
GB2583490A (en) * 2019-04-30 2020-11-04 Creo Medical Ltd Electrosurgical system
CN111012485A (zh) * 2020-01-07 2020-04-17 南京康友医疗科技有限公司 一种微波消融针头及微波消融针
CN111685867B (zh) * 2020-06-22 2020-12-01 镇江恒生涓恩医疗器械有限公司 一种多级稳定型消融电极
CN112932657A (zh) * 2021-02-25 2021-06-11 南京康友医疗科技有限公司 射频消融电极
CN113576659A (zh) * 2021-09-10 2021-11-02 苏州锐诺医疗技术有限公司 微波消融针
CN114569242B (zh) * 2022-03-05 2024-08-13 南京德文医学科技有限公司 一种非水冷式微波消融导管
US12588948B2 (en) * 2022-06-24 2026-03-31 Walmart Apollo, Llc Fluid-cooled low-profile microwave ablation probe with spherical ablation zone

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JP2004187703A (ja) 2002-12-06 2004-07-08 Azwell Inc マイクロ波手術器
JP2012187405A (ja) 2011-03-09 2012-10-04 Vivant Medical Inc 流体冷却されるアンテナアセンブリへの熱フィードバック制御された流量の流体流のためのシステムおよびそれを用いて組織にエネルギーを導く方法
JP2014516616A (ja) 2011-04-08 2014-07-17 コビディエン エルピー 生得または人口管腔用の可撓性マイクロ波カテーテル
JP2015509390A (ja) 2012-02-17 2015-03-30 エッチ．エス． ‐ ホスピタル、サーヴィス、ソシエタ、ペル、アチオニＨ．Ｓ． − Ｈｏｓｐｉｔａｌ Ｓｅｒｖｉｃｅ Ｓ．Ｐ．Ａ． 組織切除のためのマイクロ波装置

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Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004187703A (ja) 2002-12-06 2004-07-08 Azwell Inc マイクロ波手術器
JP2012187405A (ja) 2011-03-09 2012-10-04 Vivant Medical Inc 流体冷却されるアンテナアセンブリへの熱フィードバック制御された流量の流体流のためのシステムおよびそれを用いて組織にエネルギーを導く方法
JP2014516616A (ja) 2011-04-08 2014-07-17 コビディエン エルピー 生得または人口管腔用の可撓性マイクロ波カテーテル
JP2015509390A (ja) 2012-02-17 2015-03-30 エッチ．エス． ‐ ホスピタル、サーヴィス、ソシエタ、ペル、アチオニＨ．Ｓ． − Ｈｏｓｐｉｔａｌ Ｓｅｒｖｉｃｅ Ｓ．Ｐ．Ａ． 組織切除のためのマイクロ波装置

Also Published As

Publication number Publication date
US12053233B2 (en) 2024-08-06
EP3381393A1 (en) 2018-10-03
EP3600102B1 (en) 2024-07-10
AU2018242139B2 (en) 2023-10-26
WO2018178317A1 (en) 2018-10-04
CA3095592A1 (en) 2019-10-03
EP3600102C0 (en) 2024-07-10
JP2020512156A (ja) 2020-04-23
US20210161586A1 (en) 2021-06-03
CN111107799B (zh) 2024-01-05
JP2021519644A (ja) 2021-08-12
CN112243365A (zh) 2021-01-19
AU2019240944A1 (en) 2020-10-22
CA3058534A1 (en) 2018-10-04
EP3600102A1 (en) 2020-02-05
AU2018242139A1 (en) 2019-11-14
CN111107799A (zh) 2020-05-05

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