JP7636417B2 - 肺静脈絶縁カテーテルおよび関連付けられるデバイス、システム、ならびに方法 - Google Patents

肺静脈絶縁カテーテルおよび関連付けられるデバイス、システム、ならびに方法 Download PDF

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JP7636417B2
JP7636417B2 JP2022536751A JP2022536751A JP7636417B2 JP 7636417 B2 JP7636417 B2 JP 7636417B2 JP 2022536751 A JP2022536751 A JP 2022536751A JP 2022536751 A JP2022536751 A JP 2022536751A JP 7636417 B2 JP7636417 B2 JP 7636417B2
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mesh electrode
catheter
strut
distal
tip section
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JP2023506263A5 (enExample
JP2023506263A (ja
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ドロン ハーレブ，
アンドリュー マイルズ ウォレス，
ポール ブライアン ハルツ，
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アフェラ， インコーポレイテッド
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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
    • A61B18/1492—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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654—Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • 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
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • 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
    • 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
    • A61B2018/00744—Fluid flow
    • 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
    • A61B2018/00761—Duration
    • 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
    • A61B2018/00791—Temperature
    • A61B2018/00821—Temperature measured by a thermocouple
    • 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
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
JP2022536751A 2019-12-16 2020-12-16 肺静脈絶縁カテーテルおよび関連付けられるデバイス、システム、ならびに方法 Active JP7636417B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962948736P 2019-12-16 2019-12-16
US62/948,736 2019-12-16
PCT/US2020/065314 WO2021126980A1 (en) 2019-12-16 2020-12-16 Pulmonary vein isolation catheters and associated devices, systems, and methods

Publications (3)

Publication Number Publication Date
JP2023506263A JP2023506263A (ja) 2023-02-15
JP2023506263A5 JP2023506263A5 (enExample) 2023-12-26
JP7636417B2 true JP7636417B2 (ja) 2025-02-26

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US (2) US20230012307A1 (enExample)
EP (1) EP4076244A4 (enExample)
JP (1) JP7636417B2 (enExample)
CN (1) CN115103645A (enExample)
WO (1) WO2021126980A1 (enExample)

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CN114681038B (zh) * 2020-12-31 2025-11-25 杭州德诺电生理医疗科技有限公司 消融装置以及消融系统
WO2022240718A1 (en) 2021-05-10 2022-11-17 Hugo Andres Belalcazar High voltage ablation catheter system
US20230181242A1 (en) 2021-12-10 2023-06-15 Biosense Webster (Israel) Ltd. Basket Catheter with Electrically-Connected Spines Forming a Distributed Electrode
US20230210589A1 (en) * 2021-12-30 2023-07-06 Biosense Webster (Israel) Ltd. Basket Catheter Having Ablation Electrodes and Temperature Sensors
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US20230210588A1 (en) * 2021-12-30 2023-07-06 Biosense Webster (Israel) Ltd. Basket Catheter Having Ablation Electrodes and Electro-Anatomical Sensing Electrodes
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CN114404035B (zh) * 2022-01-21 2024-08-16 杭州德诺电生理医疗科技有限公司 消融装置
CN115645035A (zh) * 2022-01-25 2023-01-31 洲瓴(上海)医疗器械有限公司 脉冲消融装置
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
CN116919577B (zh) * 2022-04-06 2026-05-26 杭州德诺电生理医疗科技有限公司 消融导管及消融系统
US12667415B2 (en) 2022-04-28 2026-06-30 Biosense Webster (Israel) Ltd. Basket catheter with cloverleaf structure to provide predetermined lateral stiffness and axial strain
CN116115329A (zh) * 2022-12-29 2023-05-16 融和医疗科技(浙江)有限公司 一种介入消融装置及医疗介入装置
WO2024041285A1 (zh) * 2022-08-26 2024-02-29 融和医疗科技(浙江)有限公司 一种对象消融系统、控制方法、装置、介质及电子设备
JP2024040837A (ja) * 2022-09-13 2024-03-26 日本ライフライン株式会社 カテーテル
EP4593746A1 (en) 2022-09-28 2025-08-06 St. Jude Medical, Cardiology Division, Inc. High density paddle catheter with distal coupler and distal electrode
WO2024075034A1 (en) 2022-10-05 2024-04-11 Btl Medical Technologies S.R.O. Pulsed field ablation device and method
US20240206965A1 (en) * 2022-12-27 2024-06-27 Biosense Webster (Israel) Ltd. Deformed spine electrode basket and methods of the same
US12533185B2 (en) 2022-12-28 2026-01-27 Biosense Webster (Israel) Ltd. Basket end effector with distal position sensor
US20240216051A1 (en) * 2022-12-29 2024-07-04 Biosense Webster (Israel) Ltd. Contact force sensors for basket catheters and methods of using thereof
US12678223B2 (en) 2022-12-29 2026-07-14 Biosense Webster (Israel) Ltd. Systems and methods for cylindrical cage mapping and ablation catheters having flexible circuits
US12667417B2 (en) * 2022-12-29 2026-06-30 Biosense Webster (Israel) Ltd. Systems and methods for cylindrical cage mapping and ablation catheters having integrated electrodes
US20240216055A1 (en) * 2022-12-29 2024-07-04 Biosense Webster (Israel) Ltd. Fractal cylindrical cage systems and methods for distributed tissue contact for mapping and ablation
US20250099160A1 (en) * 2023-09-22 2025-03-27 Biosense Webster (Israel) Ltd. Medical device with an end effector including connecting hubs and an electrode array
CN117224856A (zh) * 2023-10-27 2023-12-15 丹阳慧创医疗设备有限公司 一种光疗装置
US20250186108A1 (en) * 2023-12-06 2025-06-12 Biosense Webster (Israel) Ltd. Estimation of catheter proximity to tissue using contact force sensing
WO2026070589A1 (ja) * 2024-09-27 2026-04-02 テルモ株式会社 医療デバイス

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JP2015073907A (ja) 2013-10-11 2015-04-20 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． 患者別の予形成された心臓カテーテル
JP2019503773A (ja) 2016-01-05 2019-02-14 ファラパルス，インコーポレイテッド パルス電界の焼灼エネルギーを心内膜組織に送出するためのシステム、装置、及び方法
JP2019513032A (ja) 2016-03-09 2019-05-23 カーディオノミック，インク． 心収縮神経刺激システムおよび方法

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