JP7774074B2 - 腫瘍アブレーション器具及び技術 - Google Patents
腫瘍アブレーション器具及び技術Info
- Publication number
- JP7774074B2 JP7774074B2 JP2023561062A JP2023561062A JP7774074B2 JP 7774074 B2 JP7774074 B2 JP 7774074B2 JP 2023561062 A JP2023561062 A JP 2023561062A JP 2023561062 A JP2023561062 A JP 2023561062A JP 7774074 B2 JP7774074 B2 JP 7774074B2
- Authority
- JP
- Japan
- Prior art keywords
- electrode
- tumor
- bioimpedance
- electroporation
- applications
- 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
Links
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
- 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
- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00982—General structural features
- A61B2017/00991—Telescopic means
-
- 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
- A61B2018/0016—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
- A61B2018/00166—Multiple lumina
-
- 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
- A61B2018/00184—Moving parts
-
- 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
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
-
- 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
- A61B2018/00541—Lung or bronchi
-
- 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
- A61B2018/00613—Irreversible electroporation
-
- 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
- A61B2018/0072—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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00732—Frequency
-
- 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
- A61B2018/00767—Voltage
-
- 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
- A61B18/04—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
- A61B2018/1425—Needle
-
- 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
- A61B2018/1425—Needle
- A61B2018/143—Needle multiple needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/06—Electrodes for high-frequency therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Cardiology (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Surgical Instruments (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Electrotherapy Devices (AREA)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2025189311A JP2026027412A (ja) | 2021-05-22 | 2025-11-10 | 腫瘍アブレーション器具及び技術 |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US202163191992P | 2021-05-22 | 2021-05-22 | |
| US63/191,992 | 2021-05-22 | ||
| PCT/IB2022/054313 WO2022248957A1 (en) | 2021-05-22 | 2022-05-10 | Tumor ablation tools and techniques |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2025189311A Division JP2026027412A (ja) | 2021-05-22 | 2025-11-10 | 腫瘍アブレーション器具及び技術 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2024520990A JP2024520990A (ja) | 2024-05-28 |
| JP2024520990A5 JP2024520990A5 (https=) | 2025-05-07 |
| JP7774074B2 true JP7774074B2 (ja) | 2025-11-20 |
Family
ID=84228486
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2023561062A Active JP7774074B2 (ja) | 2021-05-22 | 2022-05-10 | 腫瘍アブレーション器具及び技術 |
| JP2025189311A Pending JP2026027412A (ja) | 2021-05-22 | 2025-11-10 | 腫瘍アブレーション器具及び技術 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2025189311A Pending JP2026027412A (ja) | 2021-05-22 | 2025-11-10 | 腫瘍アブレーション器具及び技術 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20240206937A1 (https=) |
| EP (1) | EP4340759A4 (https=) |
| JP (2) | JP7774074B2 (https=) |
| CN (1) | CN117241751A (https=) |
| AU (1) | AU2022282840A1 (https=) |
| CA (1) | CA3216185A1 (https=) |
| WO (1) | WO2022248957A1 (https=) |
Citations (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2001037775A (ja) | 1999-07-26 | 2001-02-13 | Olympus Optical Co Ltd | 治療装置 |
| JP2002507924A (ja) | 1997-07-03 | 2002-03-12 | ネオサーミア コーポレイション | 生体組織の所定体積の治療的焼灼のための方法および装置 |
| US20040024399A1 (en) | 1995-04-13 | 2004-02-05 | Arthrocare Corporation | Method for repairing damaged intervertebral discs |
| JP2005503864A (ja) | 2001-09-28 | 2005-02-10 | リタ メディカル システムズ インコーポレイテッド | インピーダンス制御組織剥離装置および方法 |
| JP2010012145A (ja) | 2008-07-07 | 2010-01-21 | Nippon Zeon Co Ltd | 電極カテーテル |
| JP2013244408A (ja) | 2012-05-23 | 2013-12-09 | Biosense Webster (Israel) Ltd | 気管支カテーテル |
| US20160158561A1 (en) | 2007-05-17 | 2016-06-09 | Cardiac Pacemakers, Inc. | Systems and methods for fixating transvenously implanted medical devices |
| JP2017527395A (ja) | 2014-09-15 | 2017-09-21 | エシコン・インコーポレイテッドEthicon, Incorporated | 治療薬を組織に標的化送達するためのシステム |
| JP2018535066A (ja) | 2015-09-30 | 2018-11-29 | ジ・エ・エッメ・エッセ・エッレ・エッレ | 組織を電磁アブレーションするデバイス |
| 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 |
| JP2019111311A (ja) | 2017-12-22 | 2019-07-11 | 財團法人工業技術研究院Industrial Technology Research Institute | バイポーラ電極プローブ |
| US20200008883A1 (en) | 2017-03-08 | 2020-01-09 | Children's National Medical Center | Fluoroless vascular sheath manipulation and electrogram monitoring |
| US20200155227A1 (en) | 2018-10-23 | 2020-05-21 | Boston Scientific Scimed, Inc. | Ablation probe system with center working channel |
| US20200269059A1 (en) | 2019-02-20 | 2020-08-27 | Ablation Innovations, LLC | Apparatus, systems, and methods to improve atrial fibrillation outcomes involving the left atrial appendage |
| WO2021044312A1 (en) | 2019-09-04 | 2021-03-11 | Arga' Medtech Sa | Ablation assembly to treat target regions of tissue in organs |
| JP2021526051A (ja) | 2018-05-30 | 2021-09-30 | クレオ・メディカル・リミテッドCreo Medical Limited | 電気手術器具 |
| WO2022090436A1 (en) | 2020-10-29 | 2022-05-05 | Koninklijke Philips N.V. | Catheter, catheter system and processing system for determining parameters during a tissue puncturing process |
| JP2022529058A (ja) | 2019-04-18 | 2022-06-16 | ギャラリー,インコーポレイテッド | 異常組織を治療するための器械、及びシステム、 |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5683384A (en) * | 1993-11-08 | 1997-11-04 | Zomed | Multiple antenna ablation apparatus |
| US6706039B2 (en) | 1998-07-07 | 2004-03-16 | Medtronic, Inc. | Method and apparatus for creating a bi-polar virtual electrode used for the ablation of tissue |
| US8414580B2 (en) * | 2004-04-20 | 2013-04-09 | Boston Scientific Scimed, Inc. | Co-access bipolar ablation probe |
| US8361066B2 (en) * | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
| US20120310230A1 (en) | 2011-06-01 | 2012-12-06 | Angiodynamics, Inc. | Coaxial dual function probe and method of use |
| WO2014031800A1 (en) * | 2012-08-22 | 2014-02-27 | Energize Medical Llc | Therapeutic energy systems |
| US20210137410A1 (en) * | 2014-12-15 | 2021-05-13 | Virginia Tech Intellectual Properties, Inc. | Intelligent surgical probe for real-time monitoring of electroporation-based therapies |
-
2022
- 2022-05-10 CN CN202280031236.4A patent/CN117241751A/zh active Pending
- 2022-05-10 CA CA3216185A patent/CA3216185A1/en active Pending
- 2022-05-10 AU AU2022282840A patent/AU2022282840A1/en active Pending
- 2022-05-10 US US18/288,335 patent/US20240206937A1/en active Pending
- 2022-05-10 WO PCT/IB2022/054313 patent/WO2022248957A1/en not_active Ceased
- 2022-05-10 JP JP2023561062A patent/JP7774074B2/ja active Active
- 2022-05-10 EP EP22810722.3A patent/EP4340759A4/en active Pending
-
2025
- 2025-11-10 JP JP2025189311A patent/JP2026027412A/ja active Pending
Patent Citations (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040024399A1 (en) | 1995-04-13 | 2004-02-05 | Arthrocare Corporation | Method for repairing damaged intervertebral discs |
| JP2002507924A (ja) | 1997-07-03 | 2002-03-12 | ネオサーミア コーポレイション | 生体組織の所定体積の治療的焼灼のための方法および装置 |
| JP2001037775A (ja) | 1999-07-26 | 2001-02-13 | Olympus Optical Co Ltd | 治療装置 |
| JP2005503864A (ja) | 2001-09-28 | 2005-02-10 | リタ メディカル システムズ インコーポレイテッド | インピーダンス制御組織剥離装置および方法 |
| US20160158561A1 (en) | 2007-05-17 | 2016-06-09 | Cardiac Pacemakers, Inc. | Systems and methods for fixating transvenously implanted medical devices |
| JP2010012145A (ja) | 2008-07-07 | 2010-01-21 | Nippon Zeon Co Ltd | 電極カテーテル |
| JP2013244408A (ja) | 2012-05-23 | 2013-12-09 | Biosense Webster (Israel) Ltd | 気管支カテーテル |
| JP2017527395A (ja) | 2014-09-15 | 2017-09-21 | エシコン・インコーポレイテッドEthicon, Incorporated | 治療薬を組織に標的化送達するためのシステム |
| JP2018535066A (ja) | 2015-09-30 | 2018-11-29 | ジ・エ・エッメ・エッセ・エッレ・エッレ | 組織を電磁アブレーションするデバイス |
| 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 |
| US20200008883A1 (en) | 2017-03-08 | 2020-01-09 | Children's National Medical Center | Fluoroless vascular sheath manipulation and electrogram monitoring |
| JP2019111311A (ja) | 2017-12-22 | 2019-07-11 | 財團法人工業技術研究院Industrial Technology Research Institute | バイポーラ電極プローブ |
| JP2021526051A (ja) | 2018-05-30 | 2021-09-30 | クレオ・メディカル・リミテッドCreo Medical Limited | 電気手術器具 |
| US20200155227A1 (en) | 2018-10-23 | 2020-05-21 | Boston Scientific Scimed, Inc. | Ablation probe system with center working channel |
| US20200269059A1 (en) | 2019-02-20 | 2020-08-27 | Ablation Innovations, LLC | Apparatus, systems, and methods to improve atrial fibrillation outcomes involving the left atrial appendage |
| JP2022529058A (ja) | 2019-04-18 | 2022-06-16 | ギャラリー,インコーポレイテッド | 異常組織を治療するための器械、及びシステム、 |
| WO2021044312A1 (en) | 2019-09-04 | 2021-03-11 | Arga' Medtech Sa | Ablation assembly to treat target regions of tissue in organs |
| JP2022546736A (ja) | 2019-09-04 | 2022-11-07 | アルガ′ メドテック エスア | 臓器内の組織の標的領域を治療するためのアブレーションアセンブリ |
| WO2022090436A1 (en) | 2020-10-29 | 2022-05-05 | Koninklijke Philips N.V. | Catheter, catheter system and processing system for determining parameters during a tissue puncturing process |
Also Published As
| Publication number | Publication date |
|---|---|
| EP4340759A1 (en) | 2024-03-27 |
| CA3216185A1 (en) | 2022-12-01 |
| AU2022282840A1 (en) | 2023-11-02 |
| CN117241751A (zh) | 2023-12-15 |
| JP2026027412A (ja) | 2026-02-18 |
| US20240206937A1 (en) | 2024-06-27 |
| WO2022248957A1 (en) | 2022-12-01 |
| JP2024520990A (ja) | 2024-05-28 |
| EP4340759A4 (en) | 2025-04-16 |
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