WO2018229768A3 - Intravein ablation - Google Patents

Intravein ablation Download PDF

Info

Publication number
WO2018229768A3
WO2018229768A3 PCT/IL2018/050652 IL2018050652W WO2018229768A3 WO 2018229768 A3 WO2018229768 A3 WO 2018229768A3 IL 2018050652 W IL2018050652 W IL 2018050652W WO 2018229768 A3 WO2018229768 A3 WO 2018229768A3
Authority
WO
WIPO (PCT)
Prior art keywords
ablation
balloon
inflate
sized
intravein
Prior art date
Application number
PCT/IL2018/050652
Other languages
French (fr)
Other versions
WO2018229768A2 (en
WO2018229768A9 (en
Inventor
Yosef HAZAN
Avshalom SHENHAV
Dotan TROMER
Arnon Hadas
Original Assignee
The Trendlines Group Ltd.
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 The Trendlines Group Ltd. filed Critical The Trendlines Group Ltd.
Publication of WO2018229768A2 publication Critical patent/WO2018229768A2/en
Publication of WO2018229768A3 publication Critical patent/WO2018229768A3/en
Publication of WO2018229768A9 publication Critical patent/WO2018229768A9/en

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
    • 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
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • A61B2018/00285—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
    • A61B2018/00315—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
    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter

Landscapes

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

Abstract

An ablation balloon catheter probe is described with a first balloon sized to inflate for pressing against an ostial and/or atrial surface surrounding a pulmonary vein, and a second balloon or balloon assembly, distal to the first, sized to inflate and anchor within the pulmonary vein. Optionally, either or both of the balloons comprise a ring of spaced electrodes configured for RF ablation to form a complete ablation scare around the ring.
PCT/IL2018/050652 2017-06-13 2018-06-13 Intravein ablation WO2018229768A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201762518623P 2017-06-13 2017-06-13
US62/518,623 2017-06-13

Publications (3)

Publication Number Publication Date
WO2018229768A2 WO2018229768A2 (en) 2018-12-20
WO2018229768A3 true WO2018229768A3 (en) 2019-02-07
WO2018229768A9 WO2018229768A9 (en) 2019-02-28

Family

ID=64659115

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2018/050652 WO2018229768A2 (en) 2017-06-13 2018-06-13 Intravein ablation

Country Status (1)

Country Link
WO (1) WO2018229768A2 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021111361A1 (en) 2019-12-04 2021-06-10 Hyblate Medical Ltd. Cardiac tissue ablation device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6572612B2 (en) * 1999-04-05 2003-06-03 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
US6814733B2 (en) * 2002-01-31 2004-11-09 Biosense, Inc. Radio frequency pulmonary vein isolation
US20070032787A1 (en) * 1997-06-27 2007-02-08 Hassett James A Process and device for the treatment of atrial arrhythmia
US20080249463A1 (en) * 2007-04-04 2008-10-09 Carlo Pappone Multi-Electrode Irrigated Balloon Catheter
EP2158866A1 (en) * 2008-08-29 2010-03-03 Peter Osypka Device for ablating the opening of pulmonary veins
US20130237984A1 (en) * 2010-05-05 2013-09-12 Martin J. Sklar Anchored ablation catheter
US20150141982A1 (en) * 2013-11-21 2015-05-21 Biosense Webster (Israel), Ltd. Multi-electrode balloon catheter with circumferential and point electrodes
US20160128767A1 (en) * 2013-06-05 2016-05-12 Metavention, Inc. Modulation of targeted nerve fibers

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070032787A1 (en) * 1997-06-27 2007-02-08 Hassett James A Process and device for the treatment of atrial arrhythmia
US6572612B2 (en) * 1999-04-05 2003-06-03 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
US6814733B2 (en) * 2002-01-31 2004-11-09 Biosense, Inc. Radio frequency pulmonary vein isolation
US20080249463A1 (en) * 2007-04-04 2008-10-09 Carlo Pappone Multi-Electrode Irrigated Balloon Catheter
EP2158866A1 (en) * 2008-08-29 2010-03-03 Peter Osypka Device for ablating the opening of pulmonary veins
US20130237984A1 (en) * 2010-05-05 2013-09-12 Martin J. Sklar Anchored ablation catheter
US20160128767A1 (en) * 2013-06-05 2016-05-12 Metavention, Inc. Modulation of targeted nerve fibers
US20150141982A1 (en) * 2013-11-21 2015-05-21 Biosense Webster (Israel), Ltd. Multi-electrode balloon catheter with circumferential and point electrodes

Also Published As

Publication number Publication date
WO2018229768A2 (en) 2018-12-20
WO2018229768A9 (en) 2019-02-28

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