JP7808685B2 - エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法 - Google Patents

エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法

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Publication number
JP7808685B2
JP7808685B2 JP2024520605A JP2024520605A JP7808685B2 JP 7808685 B2 JP7808685 B2 JP 7808685B2 JP 2024520605 A JP2024520605 A JP 2024520605A JP 2024520605 A JP2024520605 A JP 2024520605A JP 7808685 B2 JP7808685 B2 JP 7808685B2
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JP
Japan
Prior art keywords
electrodes
ablation
catheter
electrode
splines
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
JP2024520605A
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English (en)
Japanese (ja)
Other versions
JP2024536350A (ja
Inventor
レニー グトブロト、サラ
エドモンド グッゲンベルガー、カート
カウフスマン、ジェームズ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
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Publication date
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of JP2024536350A publication Critical patent/JP2024536350A/ja
Priority to JP2025229449A priority Critical patent/JP2026040492A/ja
Application granted granted Critical
Publication of JP7808685B2 publication Critical patent/JP7808685B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • 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
    • A61B18/1492—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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • A61B2018/00357—Endocardium
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A61B2034/2053—Tracking an applied voltage gradient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Robotics (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
JP2024520605A 2021-10-04 2022-09-30 エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法 Active JP7808685B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025229449A JP2026040492A (ja) 2021-10-04 2025-12-04 エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202163252128P 2021-10-04 2021-10-04
US63/252,128 2021-10-04
PCT/US2022/045340 WO2023059509A1 (en) 2021-10-04 2022-09-30 Systems and methods for deployment detection of electroporation ablation catheters

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025229449A Division JP2026040492A (ja) 2021-10-04 2025-12-04 エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法

Publications (2)

Publication Number Publication Date
JP2024536350A JP2024536350A (ja) 2024-10-04
JP7808685B2 true JP7808685B2 (ja) 2026-01-29

Family

ID=84245965

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2024520605A Active JP7808685B2 (ja) 2021-10-04 2022-09-30 エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法
JP2025229449A Pending JP2026040492A (ja) 2021-10-04 2025-12-04 エレクトロポレーションアブレーションカテーテルの展開検出のためのシステムおよび方法

Family Applications After (1)

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Country Status (7)

Country Link
US (1) US20230105390A1 (cg-RX-API-DMAC7.html)
EP (1) EP4412547A1 (cg-RX-API-DMAC7.html)
JP (2) JP7808685B2 (cg-RX-API-DMAC7.html)
CN (1) CN118055735A (cg-RX-API-DMAC7.html)
AU (1) AU2022359265B2 (cg-RX-API-DMAC7.html)
CA (1) CA3234443A1 (cg-RX-API-DMAC7.html)
WO (1) WO2023059509A1 (cg-RX-API-DMAC7.html)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12076071B2 (en) 2020-08-14 2024-09-03 Kardium Inc. Systems and methods for treating tissue with pulsed field ablation
US12446944B2 (en) 2021-04-26 2025-10-21 Pulse Biosciences, Inc. Mapping and ablation applicators
JP7749695B2 (ja) 2021-04-26 2025-10-06 パルス バイオサイエンシズ インコーポレイテッド 周方向アブレーションデバイス及び方法
US12564440B2 (en) 2021-04-26 2026-03-03 Pulse Biosciences, Inc. Multi-strut ablation and sensing catheter devices and methods
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US12488491B2 (en) * 2022-07-26 2025-12-02 Biosense Webster (Israel) Ltd. Tracking coordinates of electrodes
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
CN118415746B (zh) * 2024-07-02 2024-09-24 长沙金维医疗科技有限公司 一种肾动脉交感神经消融导管

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190030328A1 (en) 2017-07-28 2019-01-31 Medtronic, Inc. Expandable elements for delivery of electric fields
JP2019202139A (ja) 2018-05-21 2019-11-28 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． バルーンカテーテルのインピーダンス位置測定値のスケーリング
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190350649A1 (en) * 2018-05-21 2019-11-21 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
US20200397338A1 (en) * 2019-06-19 2020-12-24 Biosense Webster (Israel) Ltd. Multi-Arm Probe Rendering
US12396789B2 (en) * 2020-10-15 2025-08-26 Biosense Webster (Israel) Ltd. Determining shape of expandable distal member of a catheter
EP4412549A1 (en) * 2021-10-04 2024-08-14 Boston Scientific Scimed Inc. Cardiac ablation catheters with integrated navigation sensors
WO2024155619A1 (en) * 2023-01-18 2024-07-25 Boston Scientific Scimed, Inc. Catheter with asymmetrical field delivery

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190030328A1 (en) 2017-07-28 2019-01-31 Medtronic, Inc. Expandable elements for delivery of electric fields
JP2019202139A (ja) 2018-05-21 2019-11-28 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． バルーンカテーテルのインピーダンス位置測定値のスケーリング
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines

Also Published As

Publication number Publication date
CA3234443A1 (en) 2023-04-13
EP4412547A1 (en) 2024-08-14
JP2026040492A (ja) 2026-03-09
US20230105390A1 (en) 2023-04-06
CN118055735A (zh) 2024-05-17
JP2024536350A (ja) 2024-10-04
AU2022359265B2 (en) 2025-06-12
WO2023059509A1 (en) 2023-04-13
AU2022359265A1 (en) 2024-03-28

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