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

Links

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 (enExample)
EP (1) EP2588017B1 (enExample)
JP (1) JP5841140B2 (enExample)
CN (1) CN102985023B (enExample)
RU (1) RU2572748C2 (enExample)
TW (1) TW201204311A (enExample)
WO (1) WO2012001595A1 (enExample)

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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
EP2395934B1 (en) 2009-02-11 2019-04-17 Boston Scientific Scimed, Inc. Insulated ablation catheter devices
CA2766640C (en) 2009-06-30 2016-01-05 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
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
WO2012166239A1 (en) 2011-06-01 2012-12-06 Boston Scientific Scimed, Inc. Ablation probe with ultrasonic imaging capabilities
CN103987336A (zh) 2011-09-14 2014-08-13 波士顿科学西美德公司 具有多种消融模式的消融装置
JP6072804B2 (ja) 2011-09-14 2017-02-01 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. イオン伝導性バルーンを備えたアブレーション装置
JP2015506209A (ja) 2011-12-28 2015-03-02 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. アブレーションプローブならびにアブレーションおよび超音波撮像システム
AU2013207994B2 (en) 2012-01-10 2015-05-07 Boston Scientific Scimed, Inc. Electrophysiology system
EP2809399B1 (en) * 2012-01-30 2023-04-19 Auris Health, Inc. Tissue necrosis apparatus
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US10004459B2 (en) 2012-08-31 2018-06-26 Acutus Medical, Inc. Catheter system and methods of medical uses of same, including diagnostic and treatment uses for the heart
WO2014047281A1 (en) * 2012-09-20 2014-03-27 Boston Scientific Scimed Inc. Nearfield ultrasound echography mapping
CN118452983A (zh) * 2012-10-18 2024-08-09 皇家飞利浦有限公司 超声数据可视化装置
US20150251024A1 (en) * 2012-10-23 2015-09-10 Koninklijke Philips N.V. Spatial configuration determination apparatus
WO2014124231A1 (en) 2013-02-08 2014-08-14 Acutus Medical, Inc. Expandable catheter assembly with flexible printed circuit board
JP6681332B2 (ja) * 2013-09-13 2020-04-15 アクタス メディカル インクAcutus Medical,Inc. 心臓表面での電気双極子密度の判断のための装置および方法
US11278231B2 (en) 2014-03-25 2022-03-22 Acutus Medical, Inc. Cardiac analysis user interface system and method
US20170035387A1 (en) * 2014-05-02 2017-02-09 Koninklijke Philips N.V. Contact determination apparatus
JP2017529169A (ja) 2014-10-13 2017-10-05 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. ミニ電極を用いた組織の診断および治療
WO2016065337A1 (en) 2014-10-24 2016-04-28 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
US9743854B2 (en) 2014-12-18 2017-08-29 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
CN107847173B (zh) 2015-05-12 2022-08-30 阿库图森医疗有限公司 超声测序系统和方法
WO2016183468A1 (en) 2015-05-13 2016-11-17 Acutus Medical, Inc. Localization system and method useful in the acquisition and analysis of cardiac information
CN114129172A (zh) 2016-05-03 2022-03-04 阿库图森医疗有限公司 具有效率算法的心脏标测系统
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
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Also Published As

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

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