WO2005046456A3 - Dispositifs et procedes d'ablation cardiaque - Google Patents

Dispositifs et procedes d'ablation cardiaque

Info

Publication number
WO2005046456A3
WO2005046456A3 PCT/US2004/037893 US2004037893W WO2005046456A3 WO 2005046456 A3 WO2005046456 A3 WO 2005046456A3 US 2004037893 W US2004037893 W US 2004037893W WO 2005046456 A3 WO2005046456 A3 WO 2005046456A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
ablation
epicardial
methods
ablation devices
Prior art date
Application number
PCT/US2004/037893
Other languages
English (en)
Other versions
WO2005046456A2 (fr
Inventor
Arthur A Bertolero
Tamer Ibrahim
Original Assignee
Endoscopic Technologies Inc
Arthur A Bertolero
Tamer Ibrahim
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 Endoscopic Technologies Inc, Arthur A Bertolero, Tamer Ibrahim filed Critical Endoscopic Technologies Inc
Priority to EP04810889A priority Critical patent/EP1689285A4/fr
Publication of WO2005046456A2 publication Critical patent/WO2005046456A2/fr
Publication of WO2005046456A3 publication Critical patent/WO2005046456A3/fr

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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—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
    • 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
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—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
    • 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
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/201—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser with beam delivery through a hollow tube, e.g. forming an articulated arm ; Hand-pieces therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • 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
    • A61B2018/00363—Epicardium
    • 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
    • A61B2018/00696—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
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention porte sur des dispositifs et des procédés d'ablation de tissus cardiaques afin de traiter des arythmies cardiaques telle une fibrillation auriculaire. Bien que ces dispositifs et ces procédés soient souvent utilisés pour pratiquer l'ablation des tissus épicardiaux à proximité d'au moins une veine pulmonaire, plusieurs modes de réalisation peuvent servir à enlever d'autres tissus cardiaques à d'autres endroits du coeur. Les dispositifs comprennent généralement au moins un élément de mise en contact des tissus, et au moins un élément d'ablation afin d'enlever les tissus. Plusieurs modes de réalisation présentent certaines caractéristiques, telles des ouvertures d'aspiration, qui permettent de fixer le dispositif à la surface épicardiale avec suffisamment de force pour permettre aux tissus de se stabiliser au moyen du dispositif. Par exemple, certains modes de réalisation servent à stabiliser un battement cardiaque afin d'effectuer l'ablation du coeur. Plusieurs de ces dispositifs peuvent être introduits dans un patient au moyen de dispositifs d'introduction à invasion minimale et similaires. Bine que ces dispositifs et ces procédés puissent servir à enlever des tissus épicardiaux afin de traiter la fibrillation auriculaire, ils peuvent également être utilisés en médecine vétérinaire ou dans le domaine de la recherche, afin de traiter différentes conditions cardiaques autres que la fibrillation auriculaire et/ou procéder à l'ablation de tissus cardiaques autres que l'épicarde.
PCT/US2004/037893 2003-11-12 2004-11-12 Dispositifs et procedes d'ablation cardiaque WO2005046456A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP04810889A EP1689285A4 (fr) 2003-11-12 2004-11-12 Dispositifs et procedes d'ablation cardiaque

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US51972603P 2003-11-12 2003-11-12
US60/519,726 2003-11-12

Publications (2)

Publication Number Publication Date
WO2005046456A2 WO2005046456A2 (fr) 2005-05-26
WO2005046456A3 true WO2005046456A3 (fr) 2006-08-24

Family

ID=34590439

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/037893 WO2005046456A2 (fr) 2003-11-12 2004-11-12 Dispositifs et procedes d'ablation cardiaque

Country Status (2)

Country Link
EP (1) EP1689285A4 (fr)
WO (1) WO2005046456A2 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8858552B2 (en) 2002-06-14 2014-10-14 Ncontact Surgical, Inc. Vacuum coagulation probes
US8998900B2 (en) 2003-04-29 2015-04-07 Ncontact Surgical, Inc. Vacuum coagulation probes
US9308042B2 (en) 2002-06-14 2016-04-12 Ncontact Surgical, Inc. Vacuum coagulation probes
US9439714B2 (en) 2003-04-29 2016-09-13 Atricure, Inc. Vacuum coagulation probes

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6893442B2 (en) 2002-06-14 2005-05-17 Ablatrics, Inc. Vacuum coagulation probe for atrial fibrillation treatment
JP5562249B2 (ja) 2007-12-06 2014-07-30 コーニンクレッカ フィリップス エヌ ヴェ 対象物にエネルギーを印加するための装置、方法、及びコンピュータプログラム

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6237605B1 (en) * 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US6514250B1 (en) * 2000-04-27 2003-02-04 Medtronic, Inc. Suction stabilized epicardial ablation devices

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6849075B2 (en) * 2001-12-04 2005-02-01 Estech, Inc. Cardiac ablation devices and methods

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6237605B1 (en) * 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US6514250B1 (en) * 2000-04-27 2003-02-04 Medtronic, Inc. Suction stabilized epicardial ablation devices

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1689285A4 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8858552B2 (en) 2002-06-14 2014-10-14 Ncontact Surgical, Inc. Vacuum coagulation probes
US9308042B2 (en) 2002-06-14 2016-04-12 Ncontact Surgical, Inc. Vacuum coagulation probes
US8998900B2 (en) 2003-04-29 2015-04-07 Ncontact Surgical, Inc. Vacuum coagulation probes
US9439714B2 (en) 2003-04-29 2016-09-13 Atricure, Inc. Vacuum coagulation probes

Also Published As

Publication number Publication date
EP1689285A2 (fr) 2006-08-16
WO2005046456A2 (fr) 2005-05-26
EP1689285A4 (fr) 2008-01-02

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