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
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 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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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

Country Status (7)

Country Link
US (1) US20230105390A1 (https=)
EP (1) EP4412547A1 (https=)
JP (2) JP7808685B2 (https=)
CN (1) CN118055735A (https=)
AU (1) AU2022359265B2 (https=)
CA (1) CA3234443A1 (https=)
WO (1) WO2023059509A1 (https=)

Families Citing this family (8)

* 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
US12564440B2 (en) 2021-04-26 2026-03-03 Pulse Biosciences, Inc. Multi-strut ablation and sensing catheter devices and methods
AU2022263951B2 (en) 2021-04-26 2024-12-05 Pulse Biosciences, Inc. Circumferential ablation 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
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
CN118076308A (zh) * 2021-10-04 2024-05-24 波士顿科学医学有限公司 具有集成导航传感器的心脏消融导管
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
WO2023059509A1 (en) 2023-04-13
AU2022359265B2 (en) 2025-06-12
US20230105390A1 (en) 2023-04-06
CA3234443A1 (en) 2023-04-13
JP2024536350A (ja) 2024-10-04
CN118055735A (zh) 2024-05-17
AU2022359265A1 (en) 2024-03-28
JP2026040492A (ja) 2026-03-09
EP4412547A1 (en) 2024-08-14

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