RU2017113694A - Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой - Google Patents

Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой Download PDF

Info

Publication number
RU2017113694A
RU2017113694A RU2017113694A RU2017113694A RU2017113694A RU 2017113694 A RU2017113694 A RU 2017113694A RU 2017113694 A RU2017113694 A RU 2017113694A RU 2017113694 A RU2017113694 A RU 2017113694A RU 2017113694 A RU2017113694 A RU 2017113694A
Authority
RU
Russia
Prior art keywords
electrophysiological catheter
catheter according
electrode
fingers
contact
Prior art date
Application number
RU2017113694A
Other languages
English (en)
Other versions
RU2017113694A3 (ru
Inventor
Кристофер Томас БИКЛЕР
Джозеф Томас КИЗ
Ассаф ГОВАРИ
Original Assignee
Байосенс Вебстер (Изрэйл) Лтд.
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
Priority claimed from US15/141,751 external-priority patent/US10638976B2/en
Priority claimed from US15/172,118 external-priority patent/US20170347896A1/en
Application filed by Байосенс Вебстер (Изрэйл) Лтд. filed Critical Байосенс Вебстер (Изрэйл) Лтд.
Publication of RU2017113694A publication Critical patent/RU2017113694A/ru
Publication of RU2017113694A3 publication Critical patent/RU2017113694A3/ru

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
    • 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
    • A61B18/04—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
    • 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
    • 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
    • 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
    • A61B5/6857—Catheters with a distal pigtail shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C65/00—Joining or sealing of preformed parts, e.g. welding of plastics materials; Apparatus therefor
    • B29C65/02—Joining or sealing of preformed parts, e.g. welding of plastics materials; Apparatus therefor by heating, with or without pressure
    • B29C65/14—Joining or sealing of preformed parts, e.g. welding of plastics materials; Apparatus therefor by heating, with or without pressure using wave energy, i.e. electromagnetic radiation, or particle radiation
    • B29C65/16—Laser beams
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C65/00—Joining or sealing of preformed parts, e.g. welding of plastics materials; Apparatus therefor
    • B29C65/48—Joining or sealing of preformed parts, e.g. welding of plastics materials; Apparatus therefor using adhesives, i.e. using supplementary joining material; solvent bonding
    • G—PHYSICS
    • G03—PHOTOGRAPHY; CINEMATOGRAPHY; ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ELECTROGRAPHY; HOLOGRAPHY
    • G03F—PHOTOMECHANICAL PRODUCTION OF TEXTURED OR PATTERNED SURFACES, e.g. FOR PRINTING, FOR PROCESSING OF SEMICONDUCTOR DEVICES; MATERIALS THEREFOR; ORIGINALS THEREFOR; APPARATUS SPECIALLY ADAPTED THEREFOR
    • G03F7/00—Photomechanical, e.g. photolithographic, production of textured or patterned surfaces, e.g. printing surfaces; Materials therefor, e.g. comprising photoresists; Apparatus specially adapted therefor
    • G03F7/16—Coating processes; Apparatus therefor
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05K—PRINTED CIRCUITS; CASINGS OR CONSTRUCTIONAL DETAILS OF ELECTRIC APPARATUS; MANUFACTURE OF ASSEMBLAGES OF ELECTRICAL COMPONENTS
    • H05K3/00—Apparatus or processes for manufacturing printed circuits
    • H05K3/40—Forming printed elements for providing electric connections to or between printed circuits
    • H05K3/4038—Through-connections; Vertical interconnect access [VIA] connections
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05K—PRINTED CIRCUITS; CASINGS OR CONSTRUCTIONAL DETAILS OF ELECTRIC APPARATUS; MANUFACTURE OF ASSEMBLAGES OF ELECTRICAL COMPONENTS
    • H05K3/00—Apparatus or processes for manufacturing printed circuits
    • H05K3/46—Manufacturing multilayer circuits
    • H05K3/4644—Manufacturing multilayer circuits by building the multilayer layer by layer, i.e. build-up multilayer circuits
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • A61B2018/00214—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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00261—Multiple balloons arranged in a line
    • 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
    • A61B2018/00357—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
    • A61B2018/00315—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
    • 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
    • A61B2018/00773—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
    • A61B2018/00892—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
    • 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
    • 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
    • A61B2018/1407—Loop
    • 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
    • A61B2018/1417—Ball
    • 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
    • A61B2018/1465—Deformable electrodes
    • 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
    • A61B2018/1497—Electrodes covering only part of the probe circumference
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/12—Manufacturing methods specially adapted for producing sensors for in-vivo measurements
    • A61B2562/125—Manufacturing methods specially adapted for producing sensors for in-vivo measurements characterised by the manufacture of electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/16—Details of sensor housings or probes; Details of structural supports for sensors
    • A61B2562/164—Details of sensor housings or probes; Details of structural supports for sensors the sensor is mounted in or on a conformable substrate or carrier
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29L—INDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00—Other particular articles
    • B29L2031/753—Medical equipment; Accessories therefor
    • B29L2031/7542—Catheters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Manufacturing & Machinery (AREA)
  • Mechanical Engineering (AREA)
  • General Physics & Mathematics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Toxicology (AREA)
  • Physiology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Electrotherapy Devices (AREA)

Claims (31)

1. Электрофизиологический катетер, приспособленный для использования в устье, содержащий:
баллон, имеющий мембрану, причем баллон имеет дистальный конец и проксимальный конец, образующие продольную ось; и
контактный электрод, поддерживаемый на мембране, причем контактный электрод выполнен с возможностью контакта с устьем, при этом контактный электрод имеет конфигурацию «рыбья кость» с продольно удлиненным участком и множеством поперечных пальцев.
2. Электрофизиологический катетер по п. 1, в котором по меньшей мере два из поперечных пальцев имеют разные длины.
3. Электрофизиологический катетер по п. 1, в котором контактный электрод имеет более длинные пальцы и более короткие пальцы, причем более длинные пальцы расположены рядом с экваториальной областью баллона.
4. Электрофизиологический катетер по п. 1, в котором указанное множество пальцев включает дистальный палец, проксимальный палец и промежуточные пальцы, причем каждый из промежуточных пальцев имеет смежный более короткий палец.
5. Электрофизиологический катетер по п. 1, в котором ширина удлиненного участка больше ширины каждого пальца.
6. Электрофизиологический катетер по п. 1, в котором указанное множество пальцев по существу равномерно распределено вдоль удлиненного участка.
7. Электрофизиологический катетер по п. 1, в котором пальцы в указанном множестве пальцев имеют по существу равномерную ширину.
8. Электрофизиологический катетер по п. 1, в котором контактный электрод содержит золото.
9. Электрофизиологический катетер по п. 8, в котором контактный электрод содержит затравочный слой под золотом.
10. Электрофизиологический катетер по п. 1, дополнительно содержащий множество контактных электродов, по существу равномерно радиально распределенных на мембране баллона.
11. Электрофизиологический катетер, содержащий:
баллон с мембраной; и
электродный узел с гибкой схемой, находящийся на мембране и имеющий:
подложку, имеющую первую поверхность и вторую поверхность;
контактный электрод на первой поверхности;
проводной электрод на второй поверхности; и
проводящую перемычку, проходящую через подложку и выполненную с возможностью электропроводного соединения контактного электрода и проводного электрода.
12. Электрофизиологический катетер по п. 11, в котором подложка включает первое отверстие для орошения и мембрана включает второе отверстие для орошения, совмещенное с первым отверстием для орошения.
13. Электрофизиологический катетер по п. 12, в котором контактный электрод включает изолирующую область, окружающую первое отверстие для орошения.
14. Электрофизиологический катетер по п. 12, в котором проводной электрод включает изолирующую область, окружающую первое отверстие для орошения.
15. Электрофизиологический катетер по п. 11, в котором контактный электрод имеет удлиненный участок и множество поперечных пальцев.
16. Электрофизиологический катетер по п. 15, в котором проводной электрод имеет удлиненный корпус, продольно совмещенный с удлиненным участком.
17. Электрофизиологический катетер по п. 11, в котором проводной электрод включает контактную площадку.
18. Электрофизиологический катетер по п. 17, в котором электродный узел с гибкой схемой включает пару проводов, электропроводно соединенных с контактной площадкой.
19. Электрофизиологический катетер по п. 11, в котором электрод с гибкой схемой включает:
контактный микроэлектрод;
проводной микроэлектрод; и
проводящую перемычку, выполненную с возможностью электропроводного соединения контактного микроэлектрода и проводного электрода.
20. Электрофизиологический катетер по п. 19, в котором электрод с гибкой схемой включает по меньшей мере одну изолирующую область, выполненную с возможностью физической и электрической изоляции микроэлектродов от контактного электрода и проводного электрода.
RU2017113694A 2016-04-28 2017-04-20 Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой RU2017113694A (ru)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US15/141,751 2016-04-28
US15/141,751 US10638976B2 (en) 2016-04-28 2016-04-28 Method of constructing irrigated balloon catheter
US15/172,118 2016-06-02
US15/172,118 US20170347896A1 (en) 2016-06-02 2016-06-02 Balloon catheter and related impedance-based methods for detecting occlusion
US15/360,964 US10653480B2 (en) 2016-04-28 2016-11-23 Method for constructing irrigated balloon catheter with flexible circuit electrode assembly
US15/360,966 2016-11-23
US15/360,964 2016-11-23
US15/360,966 US10660700B2 (en) 2016-04-28 2016-11-23 Irrigated balloon catheter with flexible circuit electrode assembly

Publications (2)

Publication Number Publication Date
RU2017113694A true RU2017113694A (ru) 2018-10-23
RU2017113694A3 RU2017113694A3 (ru) 2020-07-30

Family

ID=58638759

Family Applications (2)

Application Number Title Priority Date Filing Date
RU2017113700A RU2017113700A (ru) 2016-04-28 2017-04-20 Способы изготовления орошаемого катетера с электродным узлом с гибкой схемой
RU2017113694A RU2017113694A (ru) 2016-04-28 2017-04-20 Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой

Family Applications Before (1)

Application Number Title Priority Date Filing Date
RU2017113700A RU2017113700A (ru) 2016-04-28 2017-04-20 Способы изготовления орошаемого катетера с электродным узлом с гибкой схемой

Country Status (10)

Country Link
US (3) US10660700B2 (ru)
EP (5) EP3300680B1 (ru)
JP (2) JP6949542B2 (ru)
CN (2) CN107361840B (ru)
AU (2) AU2017202466A1 (ru)
CA (2) CA2963527A1 (ru)
DK (1) DK3238647T3 (ru)
ES (1) ES2766602T3 (ru)
IL (3) IL251715B (ru)
RU (2) RU2017113700A (ru)

Families Citing this family (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6441679B2 (ja) 2011-12-09 2018-12-19 メタベンション インコーポレイテッド 肝臓系の治療的な神経調節
WO2014197625A1 (en) 2013-06-05 2014-12-11 Metavention, Inc. Modulation of targeted nerve fibers
US11534239B2 (en) 2014-12-22 2022-12-27 Biosense Webster (Israel) Ltd. Systems and method or uses of ablating cardiac tissue
US10638976B2 (en) 2016-04-28 2020-05-05 Biosense Webster (Israel) Ltd Method of constructing irrigated balloon catheter
US10660700B2 (en) 2016-04-28 2020-05-26 Biosense Webster (Israel) Ltd. Irrigated balloon catheter with flexible circuit electrode assembly
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
US11400205B2 (en) 2016-11-23 2022-08-02 Biosense Webster (Israel) Ltd. Balloon-in-balloon irrigation balloon catheter
US11751937B2 (en) 2017-07-25 2023-09-12 Affera, Inc. Ablation catheters and related systems and methods
WO2019023280A1 (en) * 2017-07-25 2019-01-31 Affera, Inc. ABLATION CATHETERS AND ASSOCIATED SYSTEMS AND METHODS
US20190175262A1 (en) * 2017-12-11 2019-06-13 Biosense Webster (Israel) Ltd. Balloon catheter distal end comprising electrodes and thermocouples
US20190183567A1 (en) * 2017-12-19 2019-06-20 Biosense Webster (Israel) Ltd. Balloon Catheter with Bulbous Shaped Radiofrequency (RF) Ablation Electrodes
US20190298441A1 (en) 2018-03-28 2019-10-03 Biosense Webster (Israel) Ltd. Irrigated electrophysiology catheter with distinguishable electrodes for multi-electrode identification and orientation under 2-d visualization
US11864825B2 (en) * 2018-05-02 2024-01-09 Biosense Webster (Israel) Ltd. Ablation catheter with selective radial energy delivery
US11712294B2 (en) 2018-05-25 2023-08-01 Biosense Webster (Israel) Ltd. Heat transfer through a catheter tip
US11911094B2 (en) * 2018-05-25 2024-02-27 Biosense Webster (Israel) Ltd. Heat transfer through a catheter tip
US11123135B2 (en) * 2018-05-30 2021-09-21 Biosense Webster (Israel) Ltd. Enhanced large-diameter balloon catheter
EP3768186B1 (en) * 2018-05-31 2022-09-14 St. Jude Medical, Cardiology Division, Inc. Catheter handle with compliant circuit
US11779280B2 (en) 2018-06-29 2023-10-10 Biosense Webster (Israel) Ltd. Reference wires to remove noise and artifacts in cardiac mapping catheter
US20200001054A1 (en) * 2018-06-29 2020-01-02 Biosense Webster (Israel) Ltd. Reinforcement for irrigated electrophysiology balloon catheter with flexible-circuit electrodes
US11642165B2 (en) 2018-06-29 2023-05-09 Biosense Webster (Israel) Ltd. Catheter with mechanically expandable element having flex circuit
US20200030024A1 (en) * 2018-07-30 2020-01-30 Biosense Webster (Israel) Ltd. Flexible-circuit tip for a split-tip catheter
US20200038101A1 (en) 2018-08-03 2020-02-06 Biosense Webster (Israel) Ltd. Unipolar reference electrode for electrophysiology mapping catheter
US11737818B2 (en) * 2018-08-14 2023-08-29 Biosense Webster (Israel) Ltd. Heat transfer during ablation procedures
US11690982B1 (en) * 2018-08-16 2023-07-04 Professional Plating Inc. Microminiature patterned metal on medical grade balloons
CN109009407A (zh) * 2018-09-10 2018-12-18 科塞尔医疗科技（苏州）有限公司 可实现标测功能的冷冻消融球囊导管及方法
US11071585B2 (en) 2018-09-14 2021-07-27 Biosense Webster (Israel) Ltd. Systems and methods of ablating cardiac tissue
CN113164200A (zh) 2018-09-14 2021-07-23 伯恩森斯韦伯斯特(以色列)有限责任公司 消融心脏组织的系统和方法或用途
WO2020053831A1 (en) 2018-09-14 2020-03-19 Biosense Webster (Israel) Ltd. Systems for ablating cardiac tissue
US20200138512A1 (en) * 2018-11-06 2020-05-07 Biosense Webster (Israel) Ltd. Attaining Higher Impedances for Large Indifferent Electrodes
US11717344B2 (en) 2018-11-19 2023-08-08 Biosense Webster (Israel) Ltd. Medical probe with wiring disposed between two expandable membranes
EP3883487A1 (en) 2018-11-21 2021-09-29 Biosense Webster (Israel) Ltd. Ablation catheter with stacked circuit assembly
US11751936B2 (en) * 2018-11-21 2023-09-12 Biosense Webster (Israel) Ltd. Configuring perimeter of balloon electrode as location sensor
US20200205737A1 (en) * 2018-12-28 2020-07-02 Biosense Webster (Israel) Ltd. Flexible Nested Sensing Electrodes
USD969138S1 (en) 2019-05-31 2022-11-08 Biosense Webster (Israel) Ltd. Display screen with a graphical user interface
USD968421S1 (en) 2019-05-31 2022-11-01 Biosense Webster (Israel) Ltd. Display screen with a graphical user interface
USD968422S1 (en) 2019-05-31 2022-11-01 Biosense Webster (Israel) Ltd. Display screen with transitional graphical user interface
US11744480B2 (en) 2019-06-25 2023-09-05 Biosense Webster (Israel) Ltd. Catheter deflection system with deflection load limiter
US20200405385A1 (en) 2019-06-25 2020-12-31 Biosense Webster (Israel) Ltd. Irrigation fluid monitor and alarm
US20210004145A1 (en) * 2019-07-01 2021-01-07 Biosense Webster (Israel) Ltd. Ablation system with graphical user interface
US12004878B2 (en) * 2019-07-03 2024-06-11 Biosense Webster (Israel) Ltd. Composite catheter with single axial sensors and ring electrodes and related methods
US20210001083A1 (en) * 2019-07-03 2021-01-07 Biosense Webster (Israel) Ltd. Sensing and mapping catheter for guiding and supporting balloon catheter
US11540878B2 (en) 2019-07-17 2023-01-03 Biosense Webster (Israel) Ltd. Blooming leaflet catheter with high density electrode array
JP7172917B2 (ja) 2019-09-02 2022-11-16 トヨタ自動車株式会社 ハット型断面部品の製造装置および製造方法
US12016620B2 (en) 2019-09-03 2024-06-25 Biosense Webster (Israel) Ltd. Catheter construction to eliminate static and noise
US20210059745A1 (en) 2019-09-03 2021-03-04 Biosense Webster (Israel) Ltd. Mapping catheter with flex panel electrode assembly
US20210077184A1 (en) 2019-09-16 2021-03-18 Biosense Webster (Israel) Ltd. Catheter with thin-film electrodes on expandable membrane
US11896395B2 (en) 2019-09-17 2024-02-13 Biosense Webster (Israel) Ltd. Catheter with insert-molded microelectrode
US20210077183A1 (en) 2019-09-18 2021-03-18 Biosense Webster (Israel) Ltd. Catheter with thin-film electrodes on expandable mechanical structure
US20210085386A1 (en) 2019-09-20 2021-03-25 Biosense Webster (Israel) Ltd. Catheter instrument with three pull wires
US20210113812A1 (en) * 2019-10-22 2021-04-22 Biosense Webster (Israel) Ltd. Flared insert member for use with catheter assembly
US20210121231A1 (en) 2019-10-23 2021-04-29 Biosense Webster (Israel) Ltd. Cardiac mapping catheter with square-spaced electrodes
US11918751B2 (en) 2019-11-12 2024-03-05 Biosense Webster (Israel) Ltd. Catheter with vapor deposited features on tip
US20210169567A1 (en) * 2019-12-09 2021-06-10 Biosense Webster (Israel) Ltd. Irreversible-electroporation (ire) balloon catheter with membrane-insulated high-voltage balloon wires
US20210177506A1 (en) 2019-12-16 2021-06-17 Biosense Webster (Israel) Ltd. Catheter deflection control assembly
US11918282B2 (en) 2020-04-17 2024-03-05 Biosense Webster (Israel) Ltd. Pressure relief feature for irrigated RF balloon catheter
EP3915501B1 (en) 2020-05-29 2022-09-14 Biosense Webster (Israel) Ltd. Intraluminal reference electrode for cardiovascular treatment apparatus
US20220104872A1 (en) 2020-10-07 2022-04-07 Biosense Webster (Israel) Ltd. Printed Proximal Electrodes of an Expandable Catheter for Use as a Common Electrode
US11974803B2 (en) 2020-10-12 2024-05-07 Biosense Webster (Israel) Ltd. Basket catheter with balloon
CN112353484B (zh) * 2020-10-20 2022-02-25 上海交通大学 一种柔性微传感器系统、可延展柔性器件及制备方法
US20220133402A1 (en) * 2020-10-30 2022-05-05 Biosense Webster (Israel) Ltd. Balloon Catheter with Split Electrodes
US11957852B2 (en) 2021-01-14 2024-04-16 Biosense Webster (Israel) Ltd. Intravascular balloon with slidable central irrigation tube
CN112545643B (zh) * 2021-02-23 2021-05-28 上海安钛克医疗科技有限公司 电极、球囊导管及消融系统
CN113081239B (zh) * 2021-03-31 2024-01-09 上海诺生医疗科技有限公司 笼状电极导管以及包括该笼状电极导管的消融设备
CN113995501A (zh) * 2021-05-25 2022-02-01 圣犹达医疗用品心脏病学部门有限公司 用于配设有网篮和球囊的电穿孔设备的系统和方法
US20230054269A1 (en) * 2021-08-23 2023-02-23 Biosense Webster (Israel) Ltd. Basket Catheter with Porous Sheath
US20230061561A1 (en) 2021-08-27 2023-03-02 Biosense Webster (Israel) Ltd. Reinforcement and stress relief for an irrigated electrophysiology balloon catheter with flexible-circuit electrodes
US20230181241A1 (en) 2021-12-10 2023-06-15 Biosense Webster (Israel) Ltd. Electrical paths along flexible section of deflectable sheath
US20230190367A1 (en) 2021-12-17 2023-06-22 Biosense Webster (Israel) Ltd. Catheter end effector with laterally projecting body
US20230200897A1 (en) 2021-12-23 2023-06-29 Biosense Webster (Israel) Ltd. Cover for flexible-circuit electrodes of an electrophysiology balloon catheter
US20230200895A1 (en) 2021-12-27 2023-06-29 Biosense Webster (Israel) Ltd. Catheter end effector with resilient frame and flexible interior
US20230200896A1 (en) 2021-12-29 2023-06-29 Biosense Webster (Israel) Ltd. Catheter balloon having increased resilience to internal pressurization
US20230210592A1 (en) 2021-12-30 2023-07-06 Biosense Webster (Israel) Ltd. Dual balloons for pulmonary vein isolation
WO2023167125A1 (ja) * 2022-03-01 2023-09-07 テルモ株式会社 医療デバイス
US20230310071A1 (en) 2022-04-05 2023-10-05 Biosense Webster (Israel) Ltd. Catheter with external magnetic coils
US20240091502A1 (en) 2022-09-20 2024-03-21 Biosense Webster (Israel) Ltd. Catheter shaft with multi-plane articulation and rotation
US20240099768A1 (en) 2022-09-22 2024-03-28 Biosense Webster (Israel) Ltd. Two-segment deflectin catheter with side exit guidwire lumen
US20240123210A1 (en) 2022-10-18 2024-04-18 Biosense Webster (Israel) Ltd. Catheter insertion tool
WO2024088366A1 (zh) * 2022-10-27 2024-05-02 上海蓝帆博奥医疗科技有限公司 用于冲击波医用装置的球囊装置和冲击波医用装置
US20240138905A1 (en) 2022-10-27 2024-05-02 Biosense Webster (Israel) Ltd. Irrigation tubing with regulated fluid emission
US20240197231A1 (en) 2022-12-15 2024-06-20 Biosense Webster (Israel) Ltd. Catheter end effector with woven flex circuit

Family Cites Families (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1344459A (fr) 1962-10-18 1963-11-29 Procédé et appareil pour l'étude électrique des organismes vivants
US4232676A (en) * 1978-11-16 1980-11-11 Corning Glass Works Surgical cutting instrument
US4587975A (en) 1984-07-02 1986-05-13 Cardiac Pacemakers, Inc. Dimension sensitive angioplasty catheter
EP0249823B1 (de) 1986-06-16 1991-12-18 Pacesetter AB Vorrichtung zur Steuerung eines Herzschrittmachers mittels Impedanzmessung an Körpergeweben
US5178957A (en) 1989-05-02 1993-01-12 Minnesota Mining And Manufacturing Company Noble metal-polymer composites and flexible thin-film conductors prepared therefrom
US20020002369A1 (en) 1993-08-23 2002-01-03 Hood Larry L. Method and apparatus for modifying visual acuity by moving a focal point of energy within a cornea
US5797903A (en) * 1996-04-12 1998-08-25 Ep Technologies, Inc. Tissue heating and ablation systems and methods using porous electrode structures with electrically conductive surfaces
US5584830A (en) 1994-03-30 1996-12-17 Medtronic Cardiorhythm Method and system for radiofrequency ablation of cardiac tissue
EP0767628B1 (en) 1994-06-27 2004-01-14 Boston Scientific Limited Non-linear control systems for heating and ablating body tissue
NL1001890C2 (nl) 1995-12-13 1997-06-17 Cordis Europ Catheter met plaatvormige elektrode-reeks.
WO1997025917A1 (en) * 1996-01-19 1997-07-24 Ep Technologies, Inc. Multi-function electrode structures for electrically analyzing and heating body tissue
US6719755B2 (en) 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US5971983A (en) 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
US6024740A (en) 1997-07-08 2000-02-15 The Regents Of The University Of California Circumferential ablation device assembly
US6012457A (en) 1997-07-08 2000-01-11 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
US6997925B2 (en) 1997-07-08 2006-02-14 Atrionx, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6652515B1 (en) 1997-07-08 2003-11-25 Atrionix, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6966908B2 (en) 1997-07-08 2005-11-22 Atrionix, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6500174B1 (en) 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
US6164283A (en) 1997-07-08 2000-12-26 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
JP3857788B2 (ja) 1997-09-01 2006-12-13 テルモ株式会社 循環器情報計測システム
US6042580A (en) 1998-05-05 2000-03-28 Cardiac Pacemakers, Inc. Electrode having composition-matched, common-lead thermocouple wire for providing multiple temperature-sensitive junctions
US6522930B1 (en) 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
US6301496B1 (en) 1998-07-24 2001-10-09 Biosense, Inc. Vector mapping of three-dimensionally reconstructed intrabody organs and method of display
US6226542B1 (en) 1998-07-24 2001-05-01 Biosense, Inc. Three-dimensional reconstruction of intrabody organs
US6123718A (en) 1998-11-02 2000-09-26 Polymerex Medical Corp. Balloon catheter
US6986744B1 (en) 1999-02-02 2006-01-17 Transonic Systems, Inc. Method and apparatus for determining blood flow during a vascular corrective procedure
US6702811B2 (en) 1999-04-05 2004-03-09 Medtronic, Inc. Ablation catheter assembly with radially decreasing helix and method of use
US6471693B1 (en) 1999-09-10 2002-10-29 Cryocath Technologies Inc. Catheter and system for monitoring tissue contact
US7020400B2 (en) 1999-12-24 2006-03-28 Altera Corporation Multi-wavelength optical communication system
US6892091B1 (en) 2000-02-18 2005-05-10 Biosense, Inc. Catheter, method and apparatus for generating an electrical map of a chamber of the heart
US6546935B2 (en) 2000-04-27 2003-04-15 Atricure, Inc. Method for transmural ablation
US6962587B2 (en) 2000-07-25 2005-11-08 Rita Medical Systems, Inc. Method for detecting and treating tumors using localized impedance measurement
US6814733B2 (en) 2002-01-31 2004-11-09 Biosense, Inc. Radio frequency pulmonary vein isolation
US6997924B2 (en) 2002-09-17 2006-02-14 Biosense Inc. Laser pulmonary vein isolation
US7156816B2 (en) 2002-11-26 2007-01-02 Biosense, Inc. Ultrasound pulmonary vein isolation
JP2005052424A (ja) 2003-08-05 2005-03-03 Matsushita Electric Ind Co Ltd 超音波診断装置
US20050059862A1 (en) * 2003-09-12 2005-03-17 Scimed Life Systems, Inc. Cannula with integrated imaging and optical capability
US7435248B2 (en) 2003-09-26 2008-10-14 Boston Scientific Scimed, Inc. Medical probes for creating and diagnosing circumferential lesions within or around the ostium of a vessel
US9713730B2 (en) 2004-09-10 2017-07-25 Boston Scientific Scimed, Inc. Apparatus and method for treatment of in-stent restenosis
US20060135953A1 (en) 2004-12-22 2006-06-22 Wlodzimierz Kania Tissue ablation system including guidewire with sensing element
DE102005012739B4 (de) 2005-03-19 2010-09-16 MAX-PLANCK-Gesellschaft zur Förderung der Wissenschaften e.V. Verfahren zur Herstellung räumlicher Feinstrukturen
US7442190B2 (en) 2005-05-13 2008-10-28 Cryocath Technologies Inc. Contact assessment of balloon catheters
US7536218B2 (en) 2005-07-15 2009-05-19 Biosense Webster, Inc. Hybrid magnetic-based and impedance-based position sensing
US7756576B2 (en) 2005-08-26 2010-07-13 Biosense Webster, Inc. Position sensing and detection of skin impedance
DE602006011764D1 (de) 2005-09-21 2010-03-04 Surmodics Inc In situ okklusionszusammensetzungen mit natürlichen biologisch abbaubaren polysacchariden
US8696656B2 (en) 2005-11-18 2014-04-15 Medtronic Cryocath Lp System and method for monitoring bioimpedance and respiration
US7842031B2 (en) 2005-11-18 2010-11-30 Medtronic Cryocath Lp Bioimpedance measurement system and method
US20070287994A1 (en) 2006-06-12 2007-12-13 Pankaj Amrit Patel Endoscopically Introducible Expandable Bipolar Probe
EP3257462B1 (en) 2006-10-18 2022-12-21 Vessix Vascular, Inc. System for inducing desirable temperature effects on body tissue
US8764742B2 (en) 2007-04-04 2014-07-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
JP2009089806A (ja) * 2007-10-05 2009-04-30 Asahi Intecc Co Ltd バルーンカテーテル
US8357152B2 (en) 2007-10-08 2013-01-22 Biosense Webster (Israel), Ltd. Catheter with pressure sensing
US9289141B2 (en) 2007-10-12 2016-03-22 Micropen Technologies Corporation Apparatus and methods for the measurement of cardiac output
US9101431B2 (en) * 2007-11-01 2015-08-11 Stephen B. Murphy Guide for acetabular component positioning
US9572583B2 (en) 2007-11-21 2017-02-21 St. Jude Medical, Atrial Fibrillation Division, Inc. Methods and systems for occluding vessels during cardiac ablation
US9126023B1 (en) 2007-12-14 2015-09-08 Gmedelaware 2 Llc Balloon expandable cement director and related methods
US8103327B2 (en) * 2007-12-28 2012-01-24 Rhythmia Medical, Inc. Cardiac mapping catheter
DE102008062021A1 (de) 2008-08-18 2010-03-04 Epcos Ag Piezoaktor in Vielschichtbauweise
US8295902B2 (en) 2008-11-11 2012-10-23 Shifamed Holdings, Llc Low profile electrode assembly
WO2013154776A2 (en) 2012-04-13 2013-10-17 Covidien Lp Energy delivery device and methods of use
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
US20100160906A1 (en) * 2008-12-23 2010-06-24 Asthmatx, Inc. Expandable energy delivery devices having flexible conductive elements and associated systems and methods
US8551096B2 (en) * 2009-05-13 2013-10-08 Boston Scientific Scimed, Inc. Directional delivery of energy and bioactives
US10688278B2 (en) 2009-11-30 2020-06-23 Biosense Webster (Israel), Ltd. Catheter with pressure measuring tip
EP2568905A4 (en) 2010-05-12 2017-07-26 Shifamed Holdings, LLC Low profile electrode assembly
US20110295247A1 (en) 2010-05-28 2011-12-01 Hansen Medical, Inc. System and method for automated minimally invasive therapy using radiometry
JP5615073B2 (ja) 2010-07-20 2014-10-29 オムロンヘルスケア株式会社 測定装置
US9463062B2 (en) 2010-07-30 2016-10-11 Boston Scientific Scimed, Inc. Cooled conductive balloon RF catheter for renal nerve ablation
WO2012054762A2 (en) 2010-10-20 2012-04-26 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having expandable mesh structures for renal neuromodulation and associated systems and methods
US11246653B2 (en) 2010-12-07 2022-02-15 Boaz Avitall Catheter systems for cardiac arrhythmia ablation
US20120191079A1 (en) 2011-01-20 2012-07-26 Hansen Medical, Inc. System and method for endoluminal and translumenal therapy
US8974450B2 (en) * 2011-02-03 2015-03-10 Covidien Lp System and method for ablation procedure monitoring using electrodes
WO2012122517A2 (en) 2011-03-10 2012-09-13 Acutus Medical, Inc. Device and method for the geometric determination of electrical dipole densities on the cardiac wall
JP6320920B2 (ja) * 2011-08-05 2018-05-09 エムシーテン、インコーポレイテッド センシング素子を利用したバルーン・カテーテルの装置及び製造方法
KR20140053377A (ko) 2011-09-30 2014-05-07 코비디엔 엘피 에너지 전달 장치 및 그 이용 방법
JP6277130B2 (ja) 2011-10-05 2018-02-14 エムシーテン、インコーポレイテッド 医療用の装置およびそれの製造方法
CN104244856B (zh) * 2011-12-23 2017-03-29 维西克斯血管公司 重建身体通道的组织或身体通路附近的组织的方法及设备
US20130261692A1 (en) 2012-03-27 2013-10-03 Urologix Inc. Neuromodulation system and related methods
WO2014008489A1 (en) 2012-07-04 2014-01-09 Cibiem, Inc. Devices and systems for carotid body ablation
CN105188587A (zh) 2013-03-13 2015-12-23 波士顿科学医学有限公司 具有线性离子化传导性气球的可转向消融设备
US20140276756A1 (en) 2013-03-15 2014-09-18 Boston Scientific Scimed, Inc. Wall-sparing renal nerve ablation catheter with spaced electrode structures
CN105228547B (zh) 2013-04-08 2019-05-14 阿帕玛医疗公司 心脏消融导管
CN203539434U (zh) 2013-04-12 2014-04-16 上海微创电生理医疗科技有限公司 多电极消融导管
JP2016523147A (ja) * 2013-06-21 2016-08-08 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 同乗型電極支持体を備えた腎除神経バルーンカテーテル
EP3024405A1 (en) * 2013-07-22 2016-06-01 Boston Scientific Scimed, Inc. Renal nerve ablation catheter having twist balloon
CN105555220B (zh) * 2013-07-22 2019-05-17 波士顿科学国际有限公司 用于肾神经消融的医疗器械
CN105473093B (zh) * 2013-08-22 2019-02-05 波士顿科学国际有限公司 具有至肾神经调制球囊的改善的粘附力的柔性电路
US20160199126A1 (en) 2013-10-04 2016-07-14 Japan Electel Inc. Balloon catheter ablation system
JP6259098B2 (ja) * 2013-10-15 2018-01-10 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 医療デバイスおよび同医療デバイスを製造する方法
US20150119877A1 (en) * 2013-10-25 2015-04-30 Covidien Lp Electrode ablation balloon catheter
US10568686B2 (en) * 2013-11-21 2020-02-25 Biosense Webster (Israel) Ltd. Multi-electrode balloon catheter with circumferential and point electrodes
JP6322402B2 (ja) * 2013-12-06 2018-05-09 株式会社グッドマン ガイディングカテーテル
US9993279B2 (en) 2013-12-06 2018-06-12 Medtronic Cryocath Lp Distal balloon impedance and temperature recording to monitor pulmonary vein ablation and occlusion
JP2015112114A (ja) * 2013-12-06 2015-06-22 株式会社グッドマン 神経電位測定用カテーテル
US9956035B2 (en) * 2014-03-27 2018-05-01 Biosense Webster (Israel) Ltd. Temperature measurement in catheter
WO2015200518A1 (en) 2014-06-24 2015-12-30 Apama Medical, Inc. Tissue ablation and monitoring thereof
US20160175041A1 (en) 2014-12-22 2016-06-23 Biosense Webster (Israel) Ltd. Balloon for ablation around pulmonary veins
US9782099B2 (en) 2014-12-31 2017-10-10 Biosense Webster (Israel) Ltd. Basket catheter with improved spine flexibility
CA2984207C (en) 2015-05-12 2024-05-21 National University Of Ireland Galway Devices for therapeutic nasal neuromodulation and associated methods and systems
US10638976B2 (en) 2016-04-28 2020-05-05 Biosense Webster (Israel) Ltd Method of constructing irrigated balloon catheter
US10660700B2 (en) 2016-04-28 2020-05-26 Biosense Webster (Israel) Ltd. Irrigated balloon catheter with flexible circuit electrode assembly
US20170347896A1 (en) 2016-06-02 2017-12-07 Biosense Webster (Israel) Ltd. Balloon catheter and related impedance-based methods for detecting occlusion
US20180161093A1 (en) 2016-12-08 2018-06-14 Biosense Webster (Israel) Ltd. Irrigated balloon catheter with support spines and variable shape

Also Published As

Publication number Publication date
IL251716A0 (en) 2017-06-29
RU2017113700A (ru) 2018-10-22
AU2017202466A1 (en) 2017-11-16
CA2963527A1 (en) 2017-10-28
EP3238646A2 (en) 2017-11-01
JP6949542B2 (ja) 2021-10-13
JP2017202306A (ja) 2017-11-16
CA2963824A1 (en) 2017-10-28
RU2017113700A3 (ru) 2020-06-10
IL276635B2 (en) 2024-01-01
IL251715B (en) 2020-08-31
EP4230164A1 (en) 2023-08-23
US20170311829A1 (en) 2017-11-02
CN107307904B (zh) 2021-11-02
AU2017202467A1 (en) 2017-11-16
RU2017113694A3 (ru) 2020-07-30
IL251715A0 (en) 2017-06-29
CN107361840A (zh) 2017-11-21
EP3300680B1 (en) 2020-06-03
US20200261152A1 (en) 2020-08-20
CN107307904A (zh) 2017-11-03
EP3238646A3 (en) 2018-01-17
EP3861954A1 (en) 2021-08-11
US10653480B2 (en) 2020-05-19
EP3238647A1 (en) 2017-11-01
US10660700B2 (en) 2020-05-26
IL276635B1 (en) 2023-09-01
JP2017202305A (ja) 2017-11-16
EP3238647B1 (en) 2019-10-23
ES2766602T3 (es) 2020-06-12
CN107361840B (zh) 2021-10-15
DK3238647T3 (da) 2020-01-06
IL276635A (en) 2020-09-30
US20170312022A1 (en) 2017-11-02
JP7066330B2 (ja) 2022-05-13
EP3300680A1 (en) 2018-04-04
IL251716B (en) 2020-09-30

Similar Documents

Publication Publication Date Title
RU2017113694A (ru) Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой
JP2022016562A5 (ru)
JP2019063546A5 (ru)
RU2015156052A (ru) Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности
JP2019030685A5 (ru)
JP2017500913A5 (ru)
RU2017142598A (ru) Орошаемый баллонный катетер с опорными стержнями и изменяемой формой
RU2016136669A (ru) Корзинчатый катетер с индивидуальным управлением ребрами
RU2015149762A (ru) Катетер с гибким дистальным кончиком для картирования и абляции трубчатой области
ATE463277T1 (de) Elektroden zum anlegen eines elektrischen felds in vivo über einen längeren zeitraum
RU2015145807A (ru) Корзинчатый катетер с микроэлектродной матрицей на дистальном кончике
WO2012118660A3 (en) Electrical ablation devices and methods
EP4272631A3 (en) Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes
WO2020039392A3 (en) Curved high density electrode mapping catheter
ATE507870T1 (de) Transseptale/transmyokardiale ventrikuläre pacing-ableitung
JP2017516523A5 (ru)
RU2012137203A (ru) Катетер, предназначенный для непосредственного контакта с тканями
WO2008002654A3 (en) Methods and apparatus for assessing and improving electrode contact with cardiac tissue
IL294498A (en) Angled electrodes to improve tissue contact and current transfer
WO2014186116A8 (en) Electrical stimulation leads and systems with anchoring units and methods of making and using
JP2011524789A5 (ru)
US4760852A (en) Heart pacemaker electrode having two portions of different conductive properties for stimulating and sensing
WO2008025078A8 (en) Flexible electrode assembly and apparatus for measuring electrophysiological signals
JP2009529381A (ja) カテーテル用の電極鞘
ATE513509T1 (de) Stapediusmuskelelektrode

Legal Events

Date Code Title Description
FA92 Acknowledgement of application withdrawn (lack of supplementary materials submitted)

Effective date: 20201207