ATE333843T1 - Vorrichtung zum mapping - Google Patents

Vorrichtung zum mapping

Info

Publication number
ATE333843T1
ATE333843T1 AT01993250T AT01993250T ATE333843T1 AT E333843 T1 ATE333843 T1 AT E333843T1 AT 01993250 T AT01993250 T AT 01993250T AT 01993250 T AT01993250 T AT 01993250T AT E333843 T1 ATE333843 T1 AT E333843T1
Authority
AT
Austria
Prior art keywords
catheter
apertures
mapping
cap
heart
Prior art date
Application number
AT01993250T
Other languages
English (en)
Inventor
Michel Haissaguerre
Original Assignee
Bard Inc C R
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 Bard Inc C R filed Critical Bard Inc C R
Application granted granted Critical
Publication of ATE333843T1 publication Critical patent/ATE333843T1/de

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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • 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
    • A61B2018/00315—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
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A61B2018/00797—Temperature measured by multiple temperature sensors
    • 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
    • A61B2018/00821—Temperature measured by a thermocouple
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094—Types of switches or controllers
    • A61B2018/00946—Types of switches or controllers slidable
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single 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
    • 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
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • 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
    • A61B2018/1497—Electrodes covering only part of the probe circumference
    • 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
    • A61B18/16—Indifferent or passive electrodes for grounding
    • A61B2018/162—Indifferent or passive electrodes for grounding located on the probe body
    • 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
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Optical Communication System (AREA)
  • Crystals, And After-Treatments Of Crystals (AREA)
  • Superconductors And Manufacturing Methods Therefor (AREA)
AT01993250T 2000-12-11 2001-12-11 Vorrichtung zum mapping ATE333843T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US25463000P 2000-12-11 2000-12-11

Publications (1)

Publication Number Publication Date
ATE333843T1 true ATE333843T1 (de) 2006-08-15

Family

ID=22965008

Family Applications (1)

Application Number Title Priority Date Filing Date
AT01993250T ATE333843T1 (de) 2000-12-11 2001-12-11 Vorrichtung zum mapping

Country Status (4)

Country Link
EP (2) EP1343426B1 (de)
AT (1) ATE333843T1 (de)
DE (1) DE60121800T2 (de)
WO (2) WO2002056783A1 (de)

Families Citing this family (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030181900A1 (en) * 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
US7097644B2 (en) 2001-03-30 2006-08-29 Ethicon Endo-Surgery, Inc. Medical device with improved wall construction
US6918906B2 (en) 2001-03-30 2005-07-19 Gary L. Long Endoscopic ablation system with improved electrode geometry
US7137981B2 (en) 2002-03-25 2006-11-21 Ethicon Endo-Surgery, Inc. Endoscopic ablation system with a distally mounted image sensor
DE60336914D1 (de) 2002-08-24 2011-06-09 Atrial Fibrillation Division Inc Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion
US20040082947A1 (en) 2002-10-25 2004-04-29 The Regents Of The University Of Michigan Ablation catheters
US11039880B2 (en) * 2003-01-21 2021-06-22 Baylis Medical Company Inc. Method of surgical perforation via the delivery of energy
US7163537B2 (en) * 2003-06-02 2007-01-16 Biosense Webster, Inc. Enhanced ablation and mapping catheter and method for treating atrial fibrillation
NL1026422C2 (nl) * 2004-06-15 2005-12-19 Univ Eindhoven Tech Inrichting voor het creeren van een lokaal koud plasma ter plaatse van een object.
US7232438B2 (en) 2004-07-09 2007-06-19 Ethicon Endo-Surgery, Inc. Ablation device with clear probe
US20060089637A1 (en) 2004-10-14 2006-04-27 Werneth Randell L Ablation catheter
US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
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
US7850685B2 (en) 2005-06-20 2010-12-14 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
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
EP2395934B1 (de) 2009-02-11 2019-04-17 Boston Scientific Scimed, Inc. Isolierte ablationskathetervorrichtungen
JP5490235B2 (ja) 2009-06-30 2014-05-14 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 マップ及び切除のための開放洗浄ハイブリッドカテーテル
US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
US9241687B2 (en) 2011-06-01 2016-01-26 Boston Scientific Scimed Inc. Ablation probe with ultrasonic imaging capabilities
US9119636B2 (en) 2011-06-27 2015-09-01 Boston Scientific Scimed Inc. Dispersive belt for an ablation system
EP2755588B1 (de) 2011-09-14 2016-05-18 Boston Scientific Scimed, Inc. Ablationsvorrichtung mit einem ionenleitenden ballon
EP2755587B1 (de) 2011-09-14 2018-11-21 Boston Scientific Scimed, Inc. Ablationsvorrichtung mit mehreren ablationsmodi
US9241761B2 (en) 2011-12-28 2016-01-26 Koninklijke Philips N.V. Ablation probe with ultrasonic imaging capability
US8876817B2 (en) 2012-01-10 2014-11-04 Boston Scientific Scimed Inc. Electrophysiology system and methods
US8945015B2 (en) 2012-01-31 2015-02-03 Koninklijke Philips N.V. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging and treatment
CN104640513A (zh) 2012-09-18 2015-05-20 波士顿科学医学有限公司 映射以及消融闭环冷却的消融导管
WO2014047071A1 (en) * 2012-09-18 2014-03-27 Boston Scientific Scimed, Inc. Map and ablate closed-loop cooled ablation catheter with flat tip
US20150328448A1 (en) * 2014-05-13 2015-11-19 Biotronik Ag Electrode element for electromedical therapy in a human or animal body
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 (de) 2014-10-24 2024-05-01 Boston Scientific Scimed Inc. Medizinische vorrichtungen mit einer flexiblen, an eine ablationsspitze gekoppelten elektrodenanordnung
WO2016100917A1 (en) 2014-12-18 2016-06-23 Boston Scientific Scimed Inc. Real-time morphology analysis for lesion assessment
WO2017087740A1 (en) * 2015-11-20 2017-05-26 St. Jude Medical, Cardiology Division, Inc. Multi-electrode ablator tip having dual-mode, omni-directional feedback capabilities
EP4190239B1 (de) * 2021-12-01 2025-03-19 CathVision ApS Verfahren zur analyse eines intrakardialen elektrogramms
CN114366286B (zh) * 2022-01-27 2024-11-22 四川锦江电子医疗器械科技股份有限公司 消融导管

Family Cites Families (11)

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US5370675A (en) * 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
CA2106410C (en) 1991-11-08 2004-07-06 Stuart D. Edwards Ablation electrode with insulated temperature sensing elements
US5697882A (en) * 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5366443A (en) * 1992-01-07 1994-11-22 Thapliyal And Eggers Partners Method and apparatus for advancing catheters through occluded body lumens
US5383852A (en) 1992-12-04 1995-01-24 C. R. Bard, Inc. Catheter with independent proximal and distal control
US5462527A (en) 1993-06-29 1995-10-31 C.R. Bard, Inc. Actuator for use with steerable catheter
US5611777A (en) 1993-05-14 1997-03-18 C.R. Bard, Inc. Steerable electrode catheter
ATE260069T1 (de) * 1995-10-06 2004-03-15 Cordis Webster Inc Elektroden-katheter mit geteilter spitze
US5779699A (en) * 1996-03-29 1998-07-14 Medtronic, Inc. Slip resistant field focusing ablation catheter electrode
WO1999000060A1 (en) * 1997-06-26 1999-01-07 Advanced Coronary Intervention Electrosurgical catheter for resolving obstructions by radio frequency ablation
US6064905A (en) 1998-06-18 2000-05-16 Cordis Webster, Inc. Multi-element tip electrode mapping catheter

Also Published As

Publication number Publication date
DE60121800T2 (de) 2007-01-04
WO2002056783A1 (en) 2002-07-25
EP1343426A1 (de) 2003-09-17
EP1343427B1 (de) 2006-07-26
WO2002047569A1 (en) 2002-06-20
DE60121800D1 (de) 2006-09-07
EP1343426B1 (de) 2012-10-24
EP1343427A1 (de) 2003-09-17

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