ATE252870T1 - Vorrichtung zur mehrdimensionalen darstellung und zur gewebeablation des herzens - Google Patents

Vorrichtung zur mehrdimensionalen darstellung und zur gewebeablation des herzens

Info

Publication number
ATE252870T1
ATE252870T1 AT95917620T AT95917620T ATE252870T1 AT E252870 T1 ATE252870 T1 AT E252870T1 AT 95917620 T AT95917620 T AT 95917620T AT 95917620 T AT95917620 T AT 95917620T AT E252870 T1 ATE252870 T1 AT E252870T1
Authority
AT
Austria
Prior art keywords
heart
ablation
origin
electrodes
physical
Prior art date
Application number
AT95917620T
Other languages
English (en)
Inventor
Jawahar M Desai
Original Assignee
Jawahar M Desai
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 Jawahar M Desai filed Critical Jawahar M Desai
Application granted granted Critical
Publication of ATE252870T1 publication Critical patent/ATE252870T1/de

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
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363Detecting tachycardia or bradycardia
    • 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
    • A61B18/1206Generators therefor
    • 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
    • A61B2018/0016Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/0066Sensing and controlling the application of energy without feedback, i.e. open loop control
    • 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
    • A61B2018/1465Deformable electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/16Details of sensor housings or probes; Details of structural supports for sensors
    • A61B2562/17Comprising radiolucent components

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Laser Surgery Devices (AREA)
  • Electrotherapy Devices (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
AT95917620T 1995-04-20 1995-04-20 Vorrichtung zur mehrdimensionalen darstellung und zur gewebeablation des herzens ATE252870T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US1995/004943 WO1996032897A1 (en) 1995-04-20 1995-04-20 Apparatus for cardiac mapping and ablation

Publications (1)

Publication Number Publication Date
ATE252870T1 true ATE252870T1 (de) 2003-11-15

Family

ID=37763971

Family Applications (1)

Application Number Title Priority Date Filing Date
AT95917620T ATE252870T1 (de) 1995-04-20 1995-04-20 Vorrichtung zur mehrdimensionalen darstellung und zur gewebeablation des herzens

Country Status (7)

Country Link
EP (2) EP0830091B1 (de)
JP (1) JP3712265B2 (de)
AT (1) ATE252870T1 (de)
AU (1) AU697414B2 (de)
CA (1) CA2225705A1 (de)
DE (1) DE69532046T2 (de)
WO (1) WO1996032897A1 (de)

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US6012457A (en) 1997-07-08 2000-01-11 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
US5971983A (en) 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
US6652515B1 (en) * 1997-07-08 2003-11-25 Atrionix, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6869431B2 (en) 1997-07-08 2005-03-22 Atrionix, Inc. Medical device with sensor cooperating with expandable member
US6117101A (en) 1997-07-08 2000-09-12 The Regents Of The University Of California Circumferential ablation device assembly
US6966908B2 (en) 1997-07-08 2005-11-22 Atrionix, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6997925B2 (en) 1997-07-08 2006-02-14 Atrionx, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6500174B1 (en) 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
JP4550186B2 (ja) * 1999-09-06 2010-09-22 株式会社東芝 電気生理マッピング装置
US7097641B1 (en) 1999-12-09 2006-08-29 Cryocath Technologies Inc. Catheter with cryogenic and heating ablation
EP1227766B1 (de) 2000-09-08 2005-05-18 Atrionix, Inc. Medizinisches gerät mit einem sensor in kooperation mit einem ausdehnbaren teil
US6725085B2 (en) * 2000-09-22 2004-04-20 Armin Schwartzman Method and apparatus for characterizing cardiac tissue from local electrograms
US6932804B2 (en) 2003-01-21 2005-08-23 The Regents Of The University Of California System and method for forming a non-ablative cardiac conduction block
US7317950B2 (en) 2002-11-16 2008-01-08 The Regents Of The University Of California Cardiac stimulation system with delivery of conductive agent
US7670335B2 (en) 2003-07-21 2010-03-02 Biosense Webster, Inc. Ablation device with spiral array ultrasound transducer
US7247269B2 (en) 2003-07-21 2007-07-24 Biosense Webster, Inc. Method for making a spiral array ultrasound transducer
JP4970049B2 (ja) 2003-12-31 2012-07-04 バイオセンス・ウエブスター・インコーポレーテツド 2つの可膨張性部材を備えた周囲切除装置アセンブリ
US20060089637A1 (en) 2004-10-14 2006-04-27 Werneth Randell L Ablation catheter
US7429261B2 (en) 2004-11-24 2008-09-30 Ablation Frontiers, Inc. Atrial ablation catheter and method of use
US7468062B2 (en) 2004-11-24 2008-12-23 Ablation Frontiers, Inc. Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures
AU2006262447A1 (en) 2005-06-20 2007-01-04 Medtronic Ablation Frontiers Llc Ablation catheter
AU2006268238A1 (en) 2005-07-11 2007-01-18 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US8728073B2 (en) 2006-10-10 2014-05-20 Biosense Webster, Inc. Multi-region staged inflation balloon
US7907994B2 (en) * 2007-01-11 2011-03-15 Biosense Webster, Inc. Automated pace-mapping for identification of cardiac arrhythmic conductive pathways and foci
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
US8512387B2 (en) 2007-09-07 2013-08-20 Robert S. Fishel Esophageal cooling system for ablation procedures associated with cardiac arrhythmias
WO2009045265A1 (en) 2007-10-05 2009-04-09 Maquet Cardiovascular, Llc Devices and methods for minimally-invasive surgical procedures
US8676303B2 (en) 2008-05-13 2014-03-18 The Regents Of The University Of California Methods and systems for treating heart instability
US8882761B2 (en) * 2008-07-15 2014-11-11 Catheffects, Inc. Catheter and method for improved ablation
CA2942986A1 (en) 2008-10-09 2010-04-15 The Regents Of The University Of California Methods, system and apparatus for the detection, diagnosis and treatment of biological rhythm disorders
US9332915B2 (en) 2013-03-15 2016-05-10 The Regents Of The University Of California System and method to identify sources associated with biological rhythm disorders
US10434319B2 (en) 2009-10-09 2019-10-08 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US9392948B2 (en) 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
BR112012025468A2 (pt) 2010-04-08 2019-09-24 The Regents Of The University Of California sistema para reconstruir sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente, montagem para reconstruir sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente e método de recontrução dos sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente
US9271680B2 (en) * 2010-09-17 2016-03-01 Cardioinsight Technologies, Inc. System and methods for computing activation maps
CA2835001A1 (en) 2011-05-02 2012-11-08 Topera, Inc. System and method for targeting heart rhythm disorders using shaped ablation
US9107600B2 (en) 2011-05-02 2015-08-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9050006B2 (en) 2011-05-02 2015-06-09 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US8165666B1 (en) 2011-05-02 2012-04-24 Topera, Inc. System and method for reconstructing cardiac activation information
CN107405099B (zh) * 2015-05-11 2021-02-09 圣犹达医疗用品心脏病学部门有限公司 高密度标测和消融导管
WO2017184679A1 (en) * 2016-04-19 2017-10-26 Rutgers, The State University Of New Jersey System and method for characterizing arrhythmias
US11033327B2 (en) 2017-10-30 2021-06-15 St. Jude Medical, Cardiology Division, Inc. Electrophysiology catheter with modular electrode structure
US11559350B2 (en) 2017-11-28 2023-01-24 St. Jude Medical, Cardiology Division, Inc. Electrophysiology device with electrodes having increased surface area
US11218142B2 (en) * 2018-06-25 2022-01-04 Biosense Webster (Israel) Ltd. Signal quality in a multiplexing system by actively disconnecting unused connections
US11116435B2 (en) * 2019-08-26 2021-09-14 Biosense Webster (Israel) Ltd. Automatic identification of a location of focal source in atrial fibrillation (AF)
US20210059549A1 (en) * 2019-08-26 2021-03-04 Biosense Webster (Israel) Ltd. Error estimation of local activation times (lat) measured by multiple electrode catheter
CN113570569B (zh) * 2021-07-26 2024-04-16 东北大学 一种基于深度学习的心脏室间隔抖动自动检测系统

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US4649924A (en) * 1984-08-14 1987-03-17 Consiglio Nazionale Delle Ricerche Method for the detection of intracardiac electrical potential fields
US4940064A (en) * 1986-11-14 1990-07-10 Desai Jawahar M Catheter for mapping and ablation and method therefor
FR2622098B1 (fr) * 1987-10-27 1990-03-16 Glace Christian Procede et sonde azimutale pour reperer le point d'emergence des tachycardies ventriculaires
US5233515A (en) * 1990-06-08 1993-08-03 Cosman Eric R Real-time graphic display of heat lesioning parameters in a clinical lesion generator system
EP0481684A3 (en) * 1990-10-19 1993-03-03 Angelase, Inc. Location and ablation of an active site of ventricular tachycardia
US5156151A (en) * 1991-02-15 1992-10-20 Cardiac Pathways Corporation Endocardial mapping and ablation system and catheter probe
US5383917A (en) * 1991-07-05 1995-01-24 Jawahar M. Desai Device and method for multi-phase radio-frequency ablation
US5324284A (en) * 1992-06-05 1994-06-28 Cardiac Pathways, Inc. Endocardial mapping and ablation system utilizing a separately controlled ablation catheter and method
ATE160273T1 (de) * 1992-09-23 1997-12-15 Endocardial Solutions Inc Endokard-mapping system
WO1994022366A1 (en) * 1993-04-07 1994-10-13 Cardiac Pathways Corporation Apparatus and method for ventricular mapping and ablation
US5391199A (en) * 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US5494042A (en) * 1994-01-28 1996-02-27 Ep Technologies, Inc. Systems and methods for deriving electrical characteristics of cardiac tissue for output in iso-characteristic displays

Also Published As

Publication number Publication date
EP0830091B1 (de) 2003-10-29
EP0830091A1 (de) 1998-03-25
AU697414B2 (en) 1998-10-08
JPH11503644A (ja) 1999-03-30
JP3712265B2 (ja) 2005-11-02
AU2360695A (en) 1996-11-07
DE69532046T2 (de) 2004-06-24
DE69532046D1 (de) 2003-12-04
WO1996032897A1 (en) 1996-10-24
CA2225705A1 (en) 1996-10-24
EP1419742A2 (de) 2004-05-19
EP1419742A3 (de) 2004-05-26

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