JP7456944B2 - 心伝導ブロックのためのシステムおよび方法 - Google Patents

心伝導ブロックのためのシステムおよび方法 Download PDF

Info

Publication number
JP7456944B2
JP7456944B2 JP2020564790A JP2020564790A JP7456944B2 JP 7456944 B2 JP7456944 B2 JP 7456944B2 JP 2020564790 A JP2020564790 A JP 2020564790A JP 2020564790 A JP2020564790 A JP 2020564790A JP 7456944 B2 JP7456944 B2 JP 7456944B2
Authority
JP
Japan
Prior art keywords
ablation
electrode
catheter
generator
cardiac
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
JP2020564790A
Other languages
English (en)
Japanese (ja)
Other versions
JP2021513432A5 (https=
JP2021513432A (ja
JPWO2019157285A5 (https=
Inventor
ケネス・エス・ウ
ダグラス・マイケル・アッカーマン
Original Assignee
プレシディオ・メディカル・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 プレシディオ・メディカル・インコーポレイテッド filed Critical プレシディオ・メディカル・インコーポレイテッド
Publication of JP2021513432A publication Critical patent/JP2021513432A/ja
Publication of JP2021513432A5 publication Critical patent/JP2021513432A5/ja
Publication of JPWO2019157285A5 publication Critical patent/JPWO2019157285A5/ja
Priority to JP2024040499A priority Critical patent/JP2024069487A/ja
Application granted granted Critical
Publication of JP7456944B2 publication Critical patent/JP7456944B2/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
    • 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
    • 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
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/367—Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • 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
    • 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
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—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
    • A61B2018/00315—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
    • 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
    • A61B2018/00315—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
    • A61B2018/00386—Coronary vessels
    • 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
    • A61B2018/00577—Ablation
    • A61B2018/00583—Coblation, i.e. ablation using a cold plasma
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00702—Power or energy
    • A61B2018/00708—Power or energy switching the power on or off
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical 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
    • 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
    • A61B2018/1266—Generators therefor with DC current output
    • 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
    • A61B2018/1273—Generators therefor including multiple generators in one 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1435—Spiral
    • 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]
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6855—Catheters with a distal curved tip
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6856—Catheters with a distal loop
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6858—Catheters with a distal basket, e.g. expandable basket

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Electromagnetism (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2020564790A 2018-02-09 2019-02-08 心伝導ブロックのためのシステムおよび方法 Active JP7456944B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2024040499A JP2024069487A (ja) 2018-02-09 2024-03-14 心伝導ブロックのためのシステムおよび方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862628810P 2018-02-09 2018-02-09
US62/628,810 2018-02-09
PCT/US2019/017215 WO2019157285A1 (en) 2018-02-09 2019-02-08 Systems and methods for cardiac conduction block

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2024040499A Division JP2024069487A (ja) 2018-02-09 2024-03-14 心伝導ブロックのためのシステムおよび方法

Publications (4)

Publication Number Publication Date
JP2021513432A JP2021513432A (ja) 2021-05-27
JP2021513432A5 JP2021513432A5 (https=) 2022-02-16
JPWO2019157285A5 JPWO2019157285A5 (https=) 2022-02-16
JP7456944B2 true JP7456944B2 (ja) 2024-03-27

Family

ID=67549693

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2020564790A Active JP7456944B2 (ja) 2018-02-09 2019-02-08 心伝導ブロックのためのシステムおよび方法
JP2024040499A Pending JP2024069487A (ja) 2018-02-09 2024-03-14 心伝導ブロックのためのシステムおよび方法

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2024040499A Pending JP2024069487A (ja) 2018-02-09 2024-03-14 心伝導ブロックのためのシステムおよび方法

Country Status (7)

Country Link
US (1) US12465260B2 (https=)
EP (1) EP3749194B1 (https=)
JP (2) JP7456944B2 (https=)
CN (2) CN118557272A (https=)
AU (2) AU2019216750B2 (https=)
CA (1) CA3090776A1 (https=)
WO (1) WO2019157285A1 (https=)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6426085B2 (ja) 2012-06-15 2018-11-21 ケース ウェスタン リザーブ ユニバーシティＣａｓｅ Ｗｅｓｔｅｒｎ Ｒｅｓｅｒｖｅ Ｕｎｉｖｅｒｓｉｔｙ 損傷のない神経組織伝導ブロック用の治療送達装置および方法
US10195434B2 (en) 2012-06-15 2019-02-05 Case Western Reserve University Treatment of pain using electrical nerve conduction block
US20150238764A1 (en) 2013-05-10 2015-08-27 Case Western Reserve University Systems and methods for preventing noise in an electric waveform for neural stimulation, block, or sensing
WO2017062272A1 (en) 2015-10-06 2017-04-13 Case Western Reserve University High-charge capacity electrodes to deliver direct current nerve conduction block
US10864373B2 (en) 2015-12-15 2020-12-15 Case Western Reserve University Systems for treatment of a neurological disorder using electrical nerve conduction block
EP3606599A4 (en) 2017-04-03 2021-01-13 Presidio Medical, Inc. SYSTEMS AND PROCEDURES FOR A DC NERVOUS GUIDE BLOCK
CN118557272A (zh) 2018-02-09 2024-08-30 普雷西迪奥医学有限公司 用于心脏传导阻滞的系统和方法
ES2947433T3 (es) 2018-02-20 2023-08-09 Presidio Medical Inc Sistemas para bloqueo de conducción nerviosa
US11752329B2 (en) 2018-07-01 2023-09-12 Presidio Medical, Inc. Systems and methods for nerve conduction block
US12268865B2 (en) 2019-11-24 2025-04-08 Presidio Medical, Inc. Current bias as a control mechanism for electrode operation
US11730964B2 (en) 2019-11-24 2023-08-22 Presidio Medical, Inc. Pulse generation and stimulation engine systems
CN115334989A (zh) 2020-01-24 2022-11-11 阿弗拉公司 用于心脏消融的系统和相关方法
US20220061733A1 (en) * 2020-09-02 2022-03-03 Biosense Webster (Israel) Ltd. Automatically identifying scar areas within organic tissue using multiple imaging modalities
US20240306975A1 (en) * 2023-03-17 2024-09-19 St. Jude Medical, Cardiology Division, Inc. System and method for assessing conduction block in tissue

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140128865A1 (en) 2012-11-05 2014-05-08 Yossi Gross Controlled renal artery ablation
US20140228837A1 (en) 2011-10-04 2014-08-14 The Board Of Trustees Of The Leland Stanford Junior University Control of cardiac excitability using high frequency signals

Family Cites Families (159)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2283590A1 (fr) 1974-08-30 1976-03-26 Commissariat Energie Atomique Procede de stimulation nerveuse et stimulateur d'application du procede
FR2608036B1 (fr) 1986-12-11 1989-03-03 Inst Nat Sante Rech Med Procede de detection de la direction du regard par analyse du signal electrooculographique et dispositif pour la mise en oeuvre dudit procede
GB8712753D0 (en) 1987-05-30 1987-07-01 Sarclad Int Ltd Electrical discharge method
US4917093A (en) 1987-06-12 1990-04-17 Minnesota Mining And Manufacturing Company Biological tissue stimulator with adjustable high voltage power supply dependent upon load impedance
US5749914A (en) * 1989-01-06 1998-05-12 Advanced Coronary Intervention Catheter for obstructed stent
DE4324185A1 (de) 1993-07-19 1995-01-26 Siemens Ag Elektrode für elektromedizinische Anwendungen
US5868743A (en) * 1995-12-13 1999-02-09 Children's Medical Center Corporation Cardiac ablation system with low temperature target site identification
US6415178B1 (en) 1996-09-16 2002-07-02 Impulse Dynamics N.V. Fencing of cardiac muscles
US5833714A (en) 1996-01-18 1998-11-10 Loeb; Gerald E. Cochlear electrode array employing tantalum metal
WO1998015317A1 (en) 1996-10-07 1998-04-16 Sulzer Intermedics Inc. Controllable drug injection electrode
US6699667B2 (en) 1997-05-14 2004-03-02 Keensense, Inc. Molecular wire injection sensors
US6428537B1 (en) * 1998-05-22 2002-08-06 Scimed Life Systems, Inc. Electrophysiological treatment methods and apparatus employing high voltage pulse to render tissue temporarily unresponsive
US6293266B1 (en) 1998-05-26 2001-09-25 A. Kayser Automotive Systems Gmbh Exhaust gas recirculation device
US6366813B1 (en) 1998-08-05 2002-04-02 Dilorenzo Daniel J. Apparatus and method for closed-loop intracranical stimulation for optimal control of neurological disease
US6139545A (en) 1998-09-09 2000-10-31 Vidaderm Systems and methods for ablating discrete motor nerve regions
US6205359B1 (en) 1998-10-26 2001-03-20 Birinder Bob Boveja Apparatus and method for adjunct (add-on) therapy of partial complex epilepsy, generalized epilepsy and involuntary movement disorders utilizing an external stimulator
US6192279B1 (en) 1999-02-23 2001-02-20 Medtronic, Inc. Non-invasively maneuverable lead system
US6189536B1 (en) 1999-04-15 2001-02-20 Medtronic Inc. Method for protecting implantable devices
US6442424B1 (en) * 1999-05-26 2002-08-27 Impulse Dynamics N.V. Local cardiac motion control using applied electrical signals
US6516227B1 (en) 1999-07-27 2003-02-04 Advanced Bionics Corporation Rechargeable spinal cord stimulator system
US6671561B1 (en) 2000-05-01 2003-12-30 Biosense Webster, Inc. Catheter with electrode having hydrogel layer
US6907295B2 (en) 2001-08-31 2005-06-14 Biocontrol Medical Ltd. Electrode assembly for nerve control
DE10136402C2 (de) 2001-07-26 2003-07-31 Fraunhofer Ges Forschung Physikalisch aktives Pflaster und Verfahren zur Herstellung
US6600956B2 (en) 2001-08-21 2003-07-29 Cyberonics, Inc. Circumneural electrode assembly
EP1460945B1 (en) * 2001-09-14 2013-01-09 ArthroCare Corporation Electrosurgical apparatus for tissue treatment & removal
US6975907B2 (en) 2001-11-13 2005-12-13 Dynamed Systems, Llc Apparatus and method for repair of spinal cord injury
US20060167527A1 (en) 2001-11-13 2006-07-27 Femano Philip A Apparatus and method for repair of spinal cord injury
US7967816B2 (en) * 2002-01-25 2011-06-28 Medtronic, Inc. Fluid-assisted electrosurgical instrument with shapeable electrode
US20080275439A1 (en) * 2002-01-25 2008-11-06 David Francischelli Cardiac ablation and electrical interface system and instrument
US6974533B2 (en) 2002-04-11 2005-12-13 Second Sight Medical Products, Inc. Platinum electrode and method for manufacturing the same
US7519428B1 (en) 2002-06-14 2009-04-14 Advanced Bionics, Llc Dual-range compliance voltage supply for a multi-channel stimulator
EP2462983A1 (en) 2002-06-28 2012-06-13 Boston Scientific Neuromodulation Corporation Microstimulator having self-contained power source and bi-directional telemetry system
US7428438B2 (en) 2002-06-28 2008-09-23 Boston Scientific Neuromodulation Corporation Systems and methods for providing power to a battery in an implantable stimulator
US8423132B2 (en) 2002-12-12 2013-04-16 Bio Control Medical (B.C.M.) Ltd. Efficient dynamic stimulation in an implanted device
EP1428551A1 (de) 2002-12-13 2004-06-16 W.C. Heraeus GmbH & Co. KG Stimulationselektrode, sowie deren Herstellung und Verwendung
US20040181261A1 (en) 2002-12-16 2004-09-16 Joseph Manne Cavernous nerve stimulation device
US7216001B2 (en) 2003-01-22 2007-05-08 Medtronic Xomed, Inc. Apparatus for intraoperative neural monitoring
US20050075709A1 (en) 2003-02-18 2005-04-07 Medtronic, Inc. Biomedical electrode of enhanced surface area
CA2459431A1 (en) 2003-03-03 2004-09-03 Greatbatch-Hittman, Inc. Low polarization coatings for implantable electrodes
US20040215285A1 (en) 2003-04-22 2004-10-28 Pollock Frederick William Pain relief device
US8073538B2 (en) * 2003-11-13 2011-12-06 Cardio Polymers, Inc. Treatment of cardiac arrhythmia by modification of neuronal signaling through fat pads of the heart
CA2553901C (en) 2004-01-22 2015-01-20 Rehabtronics Inc. Method of routing electrical current to bodily tissues via implanted passive conductors
US8417352B2 (en) 2004-10-19 2013-04-09 Meagan Medical, Inc. System and method for stimulating sensory nerves
US20060085048A1 (en) 2004-10-20 2006-04-20 Nervonix, Inc. Algorithms for an active electrode, bioimpedance-based tissue discrimination system
US8239029B2 (en) 2004-10-21 2012-08-07 Advanced Neuromodulation Systems, Inc. Stimulation of the amygdalohippocampal complex to treat neurological conditions
US8019439B2 (en) 2005-01-11 2011-09-13 Boston Scientific Neuromodulation Corporation Lead assembly and method of making same
US7891085B1 (en) 2005-01-11 2011-02-22 Boston Scientific Neuromodulation Corporation Electrode array assembly and method of making same
US8260426B2 (en) 2008-01-25 2012-09-04 Cyberonics, Inc. Method, apparatus and system for bipolar charge utilization during stimulation by an implantable medical device
US7780833B2 (en) 2005-07-26 2010-08-24 John Hawkins Electrochemical ion exchange with textured membranes and cartridge
US7672727B2 (en) 2005-08-17 2010-03-02 Enteromedics Inc. Neural electrode treatment
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US8005526B2 (en) 2005-08-31 2011-08-23 The Regents Of The University Of Michigan Biologically integrated electrode devices
US9913985B2 (en) 2006-04-28 2018-03-13 Second Sight Medical Products, Inc. Method and apparatus to provide safety checks for neural stimulation
US20070073354A1 (en) 2005-09-26 2007-03-29 Knudson Mark B Neural blocking therapy
CA2626571A1 (en) 2005-10-21 2007-05-03 Purdue Research Foundation Telemetrically controllable system for treatment of nervous system injury
AU2007207297B2 (en) 2006-01-23 2011-12-22 2249020 Alberta Ltd. Method of routing electrical current to bodily tissues via implanted passive conductors
JP5101881B2 (ja) 2006-02-24 2012-12-19 三菱電機株式会社 系統連系インバータ装置
US7881808B2 (en) 2006-03-29 2011-02-01 Cardiac Pacemakers, Inc. Conductive polymeric coating with optional biobeneficial topcoat for a medical lead
US8948881B2 (en) 2006-05-19 2015-02-03 Greatbatch Ltd. Method for producing implantable electrode coatings with a plurality of morphologies
JP2007318958A (ja) 2006-05-29 2007-12-06 Matsushita Electric Ind Co Ltd 異常検出回路
US20080208300A1 (en) 2006-06-23 2008-08-28 Seertech Corporation Ionically conductive neural bridge
WO2008005478A2 (en) 2006-07-05 2008-01-10 Brainvital Corporation Treatment of neurological disorders via electrical stimulation, and methods related thereto
US8135478B2 (en) 2006-07-13 2012-03-13 Rainbow Medical Ltd Peltier unidirectional and selective nerve stimulation
WO2008013879A2 (en) 2006-07-26 2008-01-31 Second Sight Medical Products, Inc. Process for cathodic protection of electrode materials
US7742828B2 (en) 2006-09-29 2010-06-22 Tyco Healthcare Group Lp Medical electrode suitable for high-energy stimulation
JP5443989B2 (ja) 2006-10-18 2014-03-19 ボストン サイエンティフィック ニューロモデュレイション コーポレイション 単一の電流路デカップリングキャパシタを備えた多電極埋込型刺激装置
US7949403B2 (en) 2007-02-27 2011-05-24 Accelerated Care Plus Corp. Electrical stimulation device and method for the treatment of neurological disorders
WO2008140376A1 (en) 2007-05-14 2008-11-20 St. Jude Medical Ab Tantalum electrode
CA2694498C (en) 2007-07-20 2014-12-02 Boston Scientific Neuromodulation Corporation Use of stimulation pulse shape to control neural recruitment order and clinical effect
CA2703867C (en) 2007-10-29 2017-06-20 Case Western Reserve University Onset-mitigating high-frequency nerve block
AU2013273851B2 (en) 2007-10-29 2015-01-22 Case Western Reserve University Onset-mitigating high-frequency nerve block
US20090204173A1 (en) 2007-11-05 2009-08-13 Zi-Ping Fang Multi-Frequency Neural Treatments and Associated Systems and Methods
US7909764B1 (en) 2007-11-30 2011-03-22 Pacesetter, Inc. Methods and systems to monitor venous blood oxygen saturation
US20090149797A1 (en) 2007-12-05 2009-06-11 Searete Llc, A Limited Liability Corporation Of The State Of Delaware System for reversible chemical modulation of neural activity
GB0800797D0 (en) 2008-01-16 2008-02-27 Cambridge Entpr Ltd Neural interface
JP5324604B2 (ja) 2008-03-06 2013-10-23 ストライカー・コーポレイション 折り畳むことができる移植可能な電極アレイアセンブリおよび該アセンブリを移植するためのツール
US7890182B2 (en) 2008-05-15 2011-02-15 Boston Scientific Neuromodulation Corporation Current steering for an implantable stimulator device involving fractionalized stimulation pulses
US8884617B2 (en) 2008-06-23 2014-11-11 The Regents Of The University Of California Magnetic particle imaging devices and methods
WO2010042750A2 (en) 2008-10-09 2010-04-15 Aaron David Redish System and method for miniature wireless implantable probe
DE202009018275U1 (de) 2008-10-22 2012-01-02 Advanced Neuromodulation Systems Inc. Elektroden für eine Stimulationsleitung
US9370664B2 (en) 2009-01-15 2016-06-21 Boston Scientific Neuromodulation Corporation Signaling error conditions in an implantable medical device system using simple charging coil telemetry
EP2586488B1 (en) 2009-04-22 2017-03-15 Nevro Corporation Selective high frequency spinal cord modulation for inhibiting pain with reduced side effects, and associated systems
US8214042B2 (en) 2009-05-26 2012-07-03 Boston Scientific Neuromodulation Corporation Techniques for controlling charging of batteries in an external charger and an implantable medical device
US8509903B2 (en) 2009-06-05 2013-08-13 Intelect Medical, Inc. Neuromodulation using energy-efficient waveforms
US20110071590A1 (en) 2009-09-18 2011-03-24 La Corporation De L'ecole Polytechnique De Montreal Sacral neurostimulation to induce micturition in paraplegics
US9174065B2 (en) 2009-10-12 2015-11-03 Kona Medical, Inc. Energetic modulation of nerves
US20110093042A1 (en) 2009-10-21 2011-04-21 Medtronic, Inc. Stimulation with utilization of case electrode
US9008781B2 (en) 2009-10-22 2015-04-14 The Research Foundation Of The City University Of New York Method and system for treatment of mobility dysfunction
WO2011050255A2 (en) 2009-10-22 2011-04-28 Research Foundation Of The City University Of New York Dipole electrical stimulation employing direct current for recovery from spinal cord injury
US8843188B2 (en) 2009-11-23 2014-09-23 Case Western Reserve University Adjustable nerve electrode
US9008800B2 (en) 2009-11-23 2015-04-14 Case Western Reserve University Separated-interface nerve electrode
US9446231B2 (en) 2009-11-23 2016-09-20 Boston Scientific Neuromodulation Corporation Neurostimulation system and method for compounding current to minimize current sources
CN105126248B (zh) 2009-12-23 2018-06-12 赛博恩特医疗器械公司 用于治疗慢性炎症的神经刺激设备和系统
US8535499B2 (en) 2010-02-09 2013-09-17 Stichting Imec Nederland Microfabricated liquid-junction reference electrode
MX2012010841A (es) 2010-03-22 2013-01-29 Univ City New York Res Found Sistema de estimulacion electrica neural mejorado de carga.
EP2603282A4 (en) 2010-08-10 2014-01-08 Univ Case Western Reserve METHOD FOR PAIN TREATMENT BY ELECTRICAL NERVE STIMULATION
WO2012061608A2 (en) 2010-11-03 2012-05-10 The Cleveland Clinic Foundation Apparatus for energy efficient stimulation
US8700144B2 (en) 2011-04-28 2014-04-15 Massachusetts Institute Of Technology Electrode stimulator with energy recycling and current regulation
WO2013044182A1 (en) * 2011-09-22 2013-03-28 The George Washington University Systems and methods for visualizing ablated tissue
EP2760531B1 (en) 2011-09-30 2017-10-25 Nyxoah SA System for nerve modulation using noncontacting electrodes
WO2013052180A2 (en) 2011-10-05 2013-04-11 University Of Kansas Methods and associated neural prosthetic devices for bridging brain areas to improve function
CN104168950A (zh) 2011-12-20 2014-11-26 约翰霍普金斯大学 用于神经假体的安全的直流激励器的人工控制和微型化
US8818515B2 (en) 2012-01-13 2014-08-26 Research Foundation Of The City University Of New York Voltage limited neurostimulation
JP6190828B2 (ja) 2012-03-09 2017-08-30 エンテロメディクス インコーポレイテッド 医療用デバイスにおける使用のための安全特徴
DE102012010262B4 (de) 2012-05-25 2014-07-03 Albrecht Molsberger Therapeutisch anwendbare Gleichstromabgabevorrichtung
EP2852339B1 (en) * 2012-05-29 2020-12-23 Autonomix Medical, Inc. Endoscopic sympathectomy systems
US20150045675A1 (en) 2012-06-01 2015-02-12 Ary Chernomorsky Percutaneous methods and devices for carotid body ablation
JP6426085B2 (ja) 2012-06-15 2018-11-21 ケース ウェスタン リザーブ ユニバーシティＣａｓｅ Ｗｅｓｔｅｒｎ Ｒｅｓｅｒｖｅ Ｕｎｉｖｅｒｓｉｔｙ 損傷のない神経組織伝導ブロック用の治療送達装置および方法
US10195434B2 (en) 2012-06-15 2019-02-05 Case Western Reserve University Treatment of pain using electrical nerve conduction block
US9694181B2 (en) 2012-06-15 2017-07-04 Case Western Reserve University Methods of treatment of a neurological disorder using electrical nerve conduction block
US20140031905A1 (en) 2012-07-12 2014-01-30 Purdue Research Foundation Burst pulse tissue stimulation method and apparatus
US8781039B2 (en) 2012-10-26 2014-07-15 Deere & Company Receiver and method for receiving a composite signal
WO2014071111A1 (en) 2012-11-02 2014-05-08 Brigham And Women's Hospital, Inc. Method and apparatus for suppressing electromagnetic fields induced by a magnetic resonance imaging system in electronic cables and devices
BR112015021387A2 (pt) 2013-03-07 2017-07-18 Univ City New York Res Found método e sistema para tratamento de disfunção neuromotora
US9440076B2 (en) 2013-03-15 2016-09-13 Globus Medical, Inc. Spinal cord stimulator system
WO2014168987A1 (en) * 2013-04-08 2014-10-16 Shifamed Holdings, Llc Cardiac ablation catheters and methods of use thereof
US20140324129A1 (en) 2013-04-30 2014-10-30 Case Western Reserve University Systems and methods for temporary, incomplete, bi-directional, adjustable electrical nerve block
US9205265B2 (en) 2013-05-10 2015-12-08 Case Western Reserve University Systems and methods for removing contaminating noise from an electric waveform for neural stimulation and nerve block
US20150238764A1 (en) 2013-05-10 2015-08-27 Case Western Reserve University Systems and methods for preventing noise in an electric waveform for neural stimulation, block, or sensing
US9119966B2 (en) 2013-05-10 2015-09-01 Case Western Reserve University Systems and methods that provide an electrical waveform for neural stimulation or nerve block
WO2015031136A1 (en) 2013-08-29 2015-03-05 Boston Scientific Neuromodulation Corporation Systems for adjusting the compliance voltage in a neuromodulation device
EP2876435B1 (en) 2013-11-21 2019-01-02 IMEC vzw Method for decreasing the impedance of a titanium nitride electrode
US9707390B2 (en) 2013-12-22 2017-07-18 The Research Foundation Of The City University Of New York Apparatus for modulation of effector organs
LT3082947T (lt) 2013-12-22 2019-07-10 Research Foundation Of The City University Of New York Transspinalinės nuolatinės srovės moduliavimo sistemos
US9707391B2 (en) 2013-12-22 2017-07-18 The Research Foundation Of The City University Of New York Method for modulation of effector organs
US9750938B2 (en) 2014-03-11 2017-09-05 Cardiac Pacemakers, Inc. Visualization of biological environment impact on implanted therapy
WO2015142838A1 (en) 2014-03-18 2015-09-24 Case Western Reserve University Systems and methods for fast and reversible nerve block
US9681828B2 (en) 2014-05-01 2017-06-20 Medtronic Minimed, Inc. Physiological characteristic sensors and methods for forming such sensors
US10342606B2 (en) * 2014-05-06 2019-07-09 Cosman Instruments, Llc Electrosurgical generator
WO2015170281A1 (en) * 2014-05-07 2015-11-12 Rainbow Medical Ltd Controlled tissue ablation techniques
CN106794347B (zh) 2014-05-23 2020-01-17 电核有限责任公司 用于迷走神经刺激的系统和方法
EP3145581B1 (de) 2014-05-23 2019-07-03 Albrecht Molsberger Therapeutisch anwendbare mehrkanal- gleichstromabgabevorrichtung
US10493276B2 (en) 2014-09-23 2019-12-03 Boston Scientific Neuromodulation Corporation Neuromodulation specific to objective function of modulation field for targeted tissue
US20160144183A1 (en) 2014-11-21 2016-05-26 Boston Scientific Neuromodulation Corporation Implantable Stimulator Device Having Small DC-Blocking Capacitors
US10034707B2 (en) * 2014-12-30 2018-07-31 Biosense Webster (Israel) Ltd. Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes
US9962547B2 (en) 2015-02-05 2018-05-08 Stimgenics, Llc Method and apparatus for multimodal electrical modulation of pain
CA2975488C (en) 2015-02-06 2021-09-07 Nalu Medical, Inc. Medical apparatus including an implantable system and an external system
US20160331326A1 (en) 2015-02-13 2016-11-17 National University Of Singapore Flexible neural strip electrodes, flexible neural ribbon electrodes and compartment based embedded nerve tissue electrode interfaces for peripheral nerves
US10195424B2 (en) 2015-02-20 2019-02-05 The Research Foundation Of The City University Of New York Methods and systems for treatment of spinal disorders using trans-spinal direct current stimulation
WO2016154091A1 (en) 2015-03-20 2016-09-29 Ricardo Vallejo Method and apparatus for multimodal electrical modulation of pain
US9872980B2 (en) 2015-04-15 2018-01-23 Pacesetter, Inc. Systems and methods for monitoring charge density of electrical stimulation
AU2016320803A1 (en) 2015-09-08 2018-03-22 Case Western Reserve University Systems and methods for transcutaneous direct current block to alter nerve conduction
WO2017062272A1 (en) 2015-10-06 2017-04-13 Case Western Reserve University High-charge capacity electrodes to deliver direct current nerve conduction block
EP3389769A1 (en) 2015-12-15 2018-10-24 Case Western Reserve University Systems for treatment of a neurological disorder using electrical nerve conduction block
US10864373B2 (en) 2015-12-15 2020-12-15 Case Western Reserve University Systems for treatment of a neurological disorder using electrical nerve conduction block
EP3435847B1 (en) 2016-04-01 2025-12-03 Cardiac Pacemakers, Inc. Alert management for physiological event detection
US10576284B2 (en) 2016-05-10 2020-03-03 Board Of Regents, The University Of Texas System Systems and methods for switched electrode stimulation for low power bioelectronics
ES2910203T3 (es) 2016-08-26 2022-05-11 Univ California Tratamiento de disfunción cardiaca
EP3606599A4 (en) 2017-04-03 2021-01-13 Presidio Medical, Inc. SYSTEMS AND PROCEDURES FOR A DC NERVOUS GUIDE BLOCK
WO2018195332A1 (en) 2017-04-19 2018-10-25 Indiana University Research And Technology Corporation Methods and systems for blocking nerve activity propagation in nerve fibers
US10589089B2 (en) 2017-10-25 2020-03-17 Epineuron Technologies Inc. Systems and methods for delivering neuroregenerative therapy
CN118557272A (zh) * 2018-02-09 2024-08-30 普雷西迪奥医学有限公司 用于心脏传导阻滞的系统和方法
ES2947433T3 (es) 2018-02-20 2023-08-09 Presidio Medical Inc Sistemas para bloqueo de conducción nerviosa
US11752329B2 (en) 2018-07-01 2023-09-12 Presidio Medical, Inc. Systems and methods for nerve conduction block
US11730964B2 (en) 2019-11-24 2023-08-22 Presidio Medical, Inc. Pulse generation and stimulation engine systems
US12268865B2 (en) 2019-11-24 2025-04-08 Presidio Medical, Inc. Current bias as a control mechanism for electrode operation
WO2022251519A2 (en) 2021-05-26 2022-12-01 Presidio Medical, Inc. Pulse generation and stimulation engine systems
JP2024520084A (ja) 2021-05-26 2024-05-21 プレシディオ・メディカル・インコーポレイテッド 遅延された神経抑制を有する急性の遮断
US20240050751A1 (en) 2022-04-14 2024-02-15 Presidio Medical, Inc. Chronic cardiac dysfunction prevention

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140228837A1 (en) 2011-10-04 2014-08-14 The Board Of Trustees Of The Leland Stanford Junior University Control of cardiac excitability using high frequency signals
US20140128865A1 (en) 2012-11-05 2014-05-08 Yossi Gross Controlled renal artery ablation

Also Published As

Publication number Publication date
EP3749194A1 (en) 2020-12-16
EP3749194A4 (en) 2021-11-03
AU2025201798A1 (en) 2025-04-03
CA3090776A1 (en) 2019-08-15
JP2021513432A (ja) 2021-05-27
US20210038101A1 (en) 2021-02-11
CN118557272A (zh) 2024-08-30
US12465260B2 (en) 2025-11-11
EP3749194C0 (en) 2025-09-03
JP2024069487A (ja) 2024-05-21
CN111989036B (zh) 2024-12-06
AU2019216750A1 (en) 2020-08-27
CN111989036A (zh) 2020-11-24
EP3749194B1 (en) 2025-09-03
AU2019216750B2 (en) 2024-12-19
WO2019157285A1 (en) 2019-08-15

Similar Documents

Publication Publication Date Title
JP7456944B2 (ja) 心伝導ブロックのためのシステムおよび方法
US20220338925A1 (en) Enhanced electroporation of cardiac tissue
CN107921258B (zh) 心脏脉冲场消融
CN110267614B (zh) 电穿孔的轮廓参数选择算法
US5759158A (en) Systems and methods for conducting electrophysiological testing using high-voltage energy pulses to stun heart tissue
DK2460486T3 (en) Treatment of atrial fibrillation using high-frequency pacing and ablation of renal nerves
US6743225B2 (en) Electrophysiologic measure of endpoints for ablation lesions created in fibrillating substrates
US6369465B1 (en) Power supply for use in electrophysiological apparatus employing high-voltage pulses to render tissue temporarily unresponsive
JP7757046B2 (ja) 心臓不応期中における不可逆的エレクトロポレーションアブレーションの自動的実行
JP7646979B2 (ja) 気泡の発生を回避するための慎重な不可逆電気穿孔（ｉｒｅ）プロトコル
EP3673846A1 (en) Device for an electrophysiology procedure
US20250268650A1 (en) Modular ring electrodes
CN120676914A (zh) 对提供给患者的起搏脉冲的控制
CN118000897A (zh) 用于组合消融模态的导管、系统和方法

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20220207

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20220207

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20221219

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20230310

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20230519

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230619

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20231010

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20240110

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20240213

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20240314

R150 Certificate of patent or registration of utility model

Ref document number: 7456944

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150