TW201204311A - Energy application apparatus for applying energy to an object - Google Patents

Energy application apparatus for applying energy to an object Download PDF

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Publication number
TW201204311A
TW201204311A TW100122947A TW100122947A TW201204311A TW 201204311 A TW201204311 A TW 201204311A TW 100122947 A TW100122947 A TW 100122947A TW 100122947 A TW100122947 A TW 100122947A TW 201204311 A TW201204311 A TW 201204311A
Authority
TW
Taiwan
Prior art keywords
energy application
energy
ultrasonic
elements
ablation
Prior art date
Application number
TW100122947A
Other languages
English (en)
Chinese (zh)
Inventor
Szabolcs Deladi
Erik Godefridus Antonius Harks
Gerardus Henricus Maria Gijsbers
Jan Frederik Suijver
Original Assignee
Koninkl Philips Electronics Nv
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 Koninkl Philips Electronics Nv filed Critical Koninkl Philips Electronics Nv
Publication of TW201204311A publication Critical patent/TW201204311A/zh

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/0088Vibration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/374NMR or MRI
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A61B2090/3764Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT] with a rotating C-arm having a cone beam emitting source
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
TW100122947A 2010-06-30 2011-06-29 Energy application apparatus for applying energy to an object TW201204311A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP10167804 2010-06-30

Publications (1)

Publication Number Publication Date
TW201204311A true TW201204311A (en) 2012-02-01

Family

ID=44628772

Family Applications (1)

Application Number Title Priority Date Filing Date
TW100122947A TW201204311A (en) 2010-06-30 2011-06-29 Energy application apparatus for applying energy to an object

Country Status (7)

Country Link
US (1) US10792099B2 (OSRAM)
EP (1) EP2588017B1 (OSRAM)
JP (1) JP5841140B2 (OSRAM)
CN (1) CN102985023B (OSRAM)
RU (1) RU2572748C2 (OSRAM)
TW (1) TW201204311A (OSRAM)
WO (1) WO2012001595A1 (OSRAM)

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CA2932956C (en) 2006-08-03 2020-04-14 Christoph Scharf Method and device for determining and presenting surface charge and dipole densities on cardiac walls
EP2252203A2 (en) 2008-01-17 2010-11-24 Christoph Scharf A device and method for the geometric determination of electrical dipole densities on the cardiac wall
EP2376011B1 (en) 2009-01-09 2019-07-03 ReCor Medical, Inc. Apparatus for treatment of mitral valve insufficiency
US8945117B2 (en) 2009-02-11 2015-02-03 Boston Scientific Scimed, Inc. Insulated ablation catheter devices and methods of use
US8414579B2 (en) 2009-06-30 2013-04-09 Boston Scientific Scimed, Inc. Map and ablate open irrigated hybrid catheter
US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
AU2012225250B2 (en) 2011-03-10 2016-12-08 Enchannel Medical, Ltd. Device and method for the geometric determination of electrical dipole densities on the cardiac wall
JP2014516723A (ja) 2011-06-01 2014-07-17 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 超音波映像性能を備えた切除プローブ
WO2013040297A1 (en) 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Ablation device with ionically conductive balloon
EP2755587B1 (en) 2011-09-14 2018-11-21 Boston Scientific Scimed, Inc. Ablation device with multiple ablation modes
WO2013102072A1 (en) 2011-12-28 2013-07-04 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capability
US8876817B2 (en) 2012-01-10 2014-11-04 Boston Scientific Scimed Inc. Electrophysiology system and methods
AU2013215164A1 (en) 2012-01-30 2014-08-14 Vytronus, Inc. Tissue necrosis methods and apparatus
JP5830614B2 (ja) 2012-01-31 2015-12-09 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. 超音波組織撮像のための流体に基づいた音響結合を有するアブレーションプローブ、および、アブレーションおよび超音波撮像システム
CN104812297B (zh) 2012-08-31 2017-05-17 阿库图森医疗有限公司 导管系统及其医疗使用方法,包括心脏的诊断和治疗使用
US20140081262A1 (en) * 2012-09-20 2014-03-20 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
EP2908731B1 (en) * 2012-10-18 2023-11-08 Koninklijke Philips N.V. Ultrasound data visualization apparatus
US20150251024A1 (en) * 2012-10-23 2015-09-10 Koninklijke Philips N.V. Spatial configuration determination apparatus
JP6422894B2 (ja) 2013-02-08 2018-11-14 アクタス メディカル インクAcutus Medical,Inc. フレキシブルプリント回路板を備える拡張可能なカテーテルアッセンブリ
WO2015038607A2 (en) * 2013-09-13 2015-03-19 Acutus Medical, Inc. Devices and methods for determination of electrical dipole densities on a cardiac surface
WO2015148470A1 (en) 2014-03-25 2015-10-01 Acutus Medical, Inc. Cardiac analysis user interface system and method
EP3137159A1 (en) * 2014-05-02 2017-03-08 Koninklijke Philips N.V. Contact determination apparatus
CN106793968A (zh) 2014-10-13 2017-05-31 波士顿科学医学有限公司 使用微电极的组织诊断和治疗
EP4316361A3 (en) 2014-10-24 2024-05-01 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
WO2016100917A1 (en) 2014-12-18 2016-06-23 Boston Scientific Scimed Inc. Real-time morphology analysis for lesion assessment
US10593234B2 (en) 2015-05-12 2020-03-17 Acutus Medical, Inc. Cardiac virtualization test tank and testing system and method
CA2984921A1 (en) 2015-05-12 2016-11-17 Acutus Medical, Inc. Ultrasound sequencing system and method
WO2016183468A1 (en) 2015-05-13 2016-11-17 Acutus Medical, Inc. Localization system and method useful in the acquisition and analysis of cardiac information
US11399759B2 (en) 2016-05-03 2022-08-02 Acutus Medical, Inc. Cardiac mapping system with efficiency algorithm
CN108236500B (zh) * 2016-12-23 2020-12-04 上海微创电生理医疗科技股份有限公司 电生理导管
US20190059978A1 (en) * 2017-08-29 2019-02-28 Sea-Quan Su Non-invasive radio-frequency ablation system
WO2020044117A2 (en) * 2018-08-31 2020-03-05 The College Of The Holy & Undivided Trinity Of Queen Elizabeth Ultrasound based three-dimensional lesion verification within a vasculature
CN112888364B (zh) 2018-11-09 2025-04-04 阿库图斯医疗有限公司 用于计算患者信息的系统和方法
JP2022535134A (ja) 2019-06-04 2022-08-04 アクタス メディカル インク 体内で位置特定を実行するためのシステム及び方法
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Also Published As

Publication number Publication date
US20130158537A1 (en) 2013-06-20
US10792099B2 (en) 2020-10-06
RU2572748C2 (ru) 2016-01-20
JP5841140B2 (ja) 2016-01-13
CN102985023B (zh) 2015-11-25
RU2013103790A (ru) 2014-08-10
EP2588017B1 (en) 2021-01-13
CN102985023A (zh) 2013-03-20
EP2588017A1 (en) 2013-05-08
JP2013530766A (ja) 2013-08-01
WO2012001595A1 (en) 2012-01-05

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