TW201204311A - Energy application apparatus for applying energy to an object - Google Patents
Energy application apparatus for applying energy to an object Download PDFInfo
- 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
Links
- 238000002679 ablation Methods 0.000 claims abstract description 122
- 230000006378 damage Effects 0.000 claims description 33
- 238000000034 method Methods 0.000 claims description 31
- 230000000694 effects Effects 0.000 claims description 14
- 238000003973 irrigation Methods 0.000 claims description 12
- 230000002262 irrigation Effects 0.000 claims description 12
- 238000004590 computer program Methods 0.000 claims description 11
- 239000012530 fluid Substances 0.000 claims description 7
- 238000002604 ultrasonography Methods 0.000 abstract description 6
- 210000001519 tissue Anatomy 0.000 description 41
- 230000000875 corresponding effect Effects 0.000 description 17
- 210000005003 heart tissue Anatomy 0.000 description 16
- 230000008859 change Effects 0.000 description 10
- 230000001276 controlling effect Effects 0.000 description 8
- 230000004913 activation Effects 0.000 description 6
- 230000003902 lesion Effects 0.000 description 6
- 210000003492 pulmonary vein Anatomy 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 239000000463 material Substances 0.000 description 5
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- 238000012935 Averaging Methods 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 4
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- 229920002689 polyvinyl acetate Polymers 0.000 description 4
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- 238000001816 cooling Methods 0.000 description 3
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- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 1
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- 230000015556 catabolic process Effects 0.000 description 1
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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
- A61B18/14—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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
-
- 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
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
-
- 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
- A61B2018/00654—Sensing 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
-
- 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
- A61B2018/0088—Vibration
-
- 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
- A61B2018/00982—Surgical 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
-
- 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
- A61B2090/374—NMR or MRI
-
- 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
- A61B90/36—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
- A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
- A61B2090/3764—Surgical 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
-
- 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
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
-
- 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
- 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
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)
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) |
Families Citing this family (38)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007136566A2 (en) | 2006-05-19 | 2007-11-29 | Prorhythm, Inc. | Ablation device with optimized input power profile and method of using the same |
| 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 |
| EP4031046A1 (en) * | 2019-11-05 | 2022-07-27 | Boston Scientific Scimed, Inc. | Medical systems for ablating tissue |
| US12036063B2 (en) | 2020-07-31 | 2024-07-16 | Avent, Inc. | Airway detection using acoustic signals |
| US12220544B2 (en) | 2020-07-31 | 2025-02-11 | Avent, Inc. | Airway detection using ultrasound |
Family Cites Families (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6315776B1 (en) | 1994-06-24 | 2001-11-13 | Vidacare, Inc. | Thin layer ablation apparatus |
| US7194294B2 (en) | 1999-01-06 | 2007-03-20 | Scimed Life Systems, Inc. | Multi-functional medical catheter and methods of use |
| US6206831B1 (en) * | 1999-01-06 | 2001-03-27 | Scimed Life Systems, Inc. | Ultrasound-guided ablation catheter and methods of use |
| US7494467B2 (en) | 2004-04-16 | 2009-02-24 | Ethicon Endo-Surgery, Inc. | Medical system having multiple ultrasound transducers or an ultrasound transducer and an RF electrode |
| US20050283074A1 (en) * | 2004-06-22 | 2005-12-22 | Siemens Medical Solutions Usa, Inc. | Ultrasound feedback for tissue ablation procedures |
| US8007440B2 (en) * | 2005-02-08 | 2011-08-30 | Volcano Corporation | Apparatus and methods for low-cost intravascular ultrasound imaging and for crossing severe vascular occlusions |
| US20070005053A1 (en) | 2005-06-30 | 2007-01-04 | Dando Jeremy D | Ablation catheter with contoured openings in insulated electrodes |
| US8702609B2 (en) * | 2007-07-27 | 2014-04-22 | Meridian Cardiovascular Systems, Inc. | Image-guided intravascular therapy catheters |
| WO2009032421A2 (en) | 2007-07-27 | 2009-03-12 | Meridian Cardiovascular Systems, Inc. | Image guided intracardiac catheters |
| US9044261B2 (en) * | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
| FR2921499B1 (fr) * | 2007-09-26 | 2009-11-13 | Snecma | Structure orientable de type catheter ou endoscope |
| WO2009090588A1 (en) * | 2008-01-15 | 2009-07-23 | Koninklijke Philips Electronics N.V. | Apparatus, method and computer program for applying energy to an object |
| US20100049099A1 (en) | 2008-07-18 | 2010-02-25 | Vytronus, Inc. | Method and system for positioning an energy source |
| US9901321B2 (en) * | 2009-01-14 | 2018-02-27 | Koninklijke Philips N.V. | Monitoring apparatus for monitoring an ablation procedure |
| WO2010140069A1 (en) * | 2009-06-04 | 2010-12-09 | Koninklijke Philips Electronics N.V. | Visualization apparatus |
-
2011
- 2011-06-24 JP JP2013517619A patent/JP5841140B2/ja not_active Expired - Fee Related
- 2011-06-24 WO PCT/IB2011/052771 patent/WO2012001595A1/en not_active Ceased
- 2011-06-24 CN CN201180032308.9A patent/CN102985023B/zh active Active
- 2011-06-24 US US13/704,005 patent/US10792099B2/en active Active
- 2011-06-24 RU RU2013103790/14A patent/RU2572748C2/ru not_active IP Right Cessation
- 2011-06-24 EP EP11734186.7A patent/EP2588017B1/en active Active
- 2011-06-29 TW TW100122947A patent/TW201204311A/zh unknown
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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