ATE472979T1 - Ablations- und messungs-katheter zur behandlung atrialer fibrillation - Google Patents

Ablations- und messungs-katheter zur behandlung atrialer fibrillation

Info

Publication number
ATE472979T1
ATE472979T1 AT04253132T AT04253132T ATE472979T1 AT E472979 T1 ATE472979 T1 AT E472979T1 AT 04253132 T AT04253132 T AT 04253132T AT 04253132 T AT04253132 T AT 04253132T AT E472979 T1 ATE472979 T1 AT E472979T1
Authority
AT
Austria
Prior art keywords
exposed region
electrode
generally
distal
ablation
Prior art date
Application number
AT04253132T
Other languages
English (en)
Inventor
James K Lee
Martin O'sullivan
Irma Hill
Original Assignee
Biosense Webster Inc
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 Biosense Webster Inc filed Critical Biosense Webster Inc
Application granted granted Critical
Publication of ATE472979T1 publication Critical patent/ATE472979T1/de

Links

Classifications

    • 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
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • 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
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044Sensing electrocardiography, i.e. ECG
    • A61B2017/00048Spectral analysis
    • A61B2017/00053Mapping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • 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
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
AT04253132T 2003-06-02 2004-05-27 Ablations- und messungs-katheter zur behandlung atrialer fibrillation ATE472979T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/452,103 US7163537B2 (en) 2003-06-02 2003-06-02 Enhanced ablation and mapping catheter and method for treating atrial fibrillation

Publications (1)

Publication Number Publication Date
ATE472979T1 true ATE472979T1 (de) 2010-07-15

Family

ID=33159491

Family Applications (1)

Application Number Title Priority Date Filing Date
AT04253132T ATE472979T1 (de) 2003-06-02 2004-05-27 Ablations- und messungs-katheter zur behandlung atrialer fibrillation

Country Status (4)

Country Link
US (2) US7163537B2 (de)
EP (1) EP1484027B1 (de)
AT (1) ATE472979T1 (de)
DE (1) DE602004027973D1 (de)

Families Citing this family (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6733499B2 (en) * 2002-02-28 2004-05-11 Biosense Webster, Inc. Catheter having circular ablation assembly
US20040082947A1 (en) * 2002-10-25 2004-04-29 The Regents Of The University Of Michigan Ablation catheters
US20050033137A1 (en) * 2002-10-25 2005-02-10 The Regents Of The University Of Michigan Ablation catheters and methods for their use
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
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
US7429261B2 (en) * 2004-11-24 2008-09-30 Ablation Frontiers, Inc. Atrial ablation catheter and method of use
US20080091193A1 (en) 2005-05-16 2008-04-17 James Kauphusman Irrigated ablation catheter having magnetic tip for magnetic field control and guidance
US7857810B2 (en) * 2006-05-16 2010-12-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode assembly and methods for improved control of temperature and minimization of coagulation and tissue damage
US8128621B2 (en) 2005-05-16 2012-03-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode assembly and method for control of temperature
CN101309651B (zh) 2005-06-20 2011-12-07 麦德托尼克消融前沿有限公司 消融导管
CA2615267A1 (en) 2005-07-11 2007-01-18 Ablation Frontiers, Inc. Low power tissue ablation system
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US20070156114A1 (en) * 2005-12-29 2007-07-05 Worley Seth J Deflectable catheter with a flexibly attached tip section
US8216233B2 (en) * 2007-03-23 2012-07-10 Salient Surgical Technologies, Inc. Surgical devices and methods of use thereof
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
JP4925206B2 (ja) * 2007-08-11 2012-04-25 日本ライフライン株式会社 電極カテーテル
JP4925210B2 (ja) * 2007-09-29 2012-04-25 日本ライフライン株式会社 電極カテーテル
WO2009022537A1 (ja) * 2007-08-11 2009-02-19 Japan Lifeline Co., Ltd. 電極カテーテル
US8506589B2 (en) * 2007-10-31 2013-08-13 James D. Maloney Nasogastric tube for use during an ablation procedure
US8529443B2 (en) * 2007-10-31 2013-09-10 James D. Maloney Nasogastric tube for use during an ablation procedure
US8052684B2 (en) * 2007-11-30 2011-11-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having parallel external flow and proximally tapered electrode
US8118809B2 (en) * 2007-12-21 2012-02-21 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible conductive polymer electrode and method for ablation
US8221409B2 (en) * 2007-12-21 2012-07-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Thermally insulated irrigation catheter assembly
WO2010028059A1 (en) * 2008-09-02 2010-03-11 Medtronic Ablation Frontiers Llc Irrigated ablation catheter system and methods
US8974453B2 (en) * 2008-12-02 2015-03-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having a flexible manifold
US8540662B2 (en) * 2009-03-24 2013-09-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical devices having an atraumatic distal tip segment
US8926605B2 (en) 2012-02-07 2015-01-06 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature during tissue ablation
US8954161B2 (en) 2012-06-01 2015-02-10 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature and detecting tissue contact prior to and during tissue ablation
US9226791B2 (en) 2012-03-12 2016-01-05 Advanced Cardiac Therapeutics, Inc. Systems for temperature-controlled ablation using radiometric feedback
US9277961B2 (en) 2009-06-12 2016-03-08 Advanced Cardiac Therapeutics, Inc. Systems and methods of radiometrically determining a hot-spot temperature of tissue being treated
US9907607B2 (en) * 2009-12-30 2018-03-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Guide and flexible sleeve for use with catheters
US9179968B2 (en) 2010-05-10 2015-11-10 St. Jude Medical Luxembourg Holding S.À.R.L. Irrigated finned ablation head
US10213856B2 (en) * 2015-10-19 2019-02-26 Biosense Webster (Israel) Ltd. Preparation of micro-electrodes
CN103202727B (zh) * 2012-01-12 2015-11-25 通用电气公司 非侵入式心律失常治疗系统
JP6301926B2 (ja) 2012-08-09 2018-03-28 ユニバーシティ オブ アイオワ リサーチ ファウンデーション カテーテル、カテーテルシステム、及び組織構造を刺通する方法
US9078667B2 (en) 2012-12-11 2015-07-14 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter having reduced force concentration at tissue contact site
US9044156B2 (en) 2012-12-28 2015-06-02 Biosense Webster (Israel) Ltd. Catheter with improved safety line for distal tip and related method
KR101459941B1 (ko) * 2013-08-23 2014-11-07 고려대학교 산학협력단 다전극 맵핑 및 절제 카테터
WO2015103574A1 (en) 2014-01-06 2015-07-09 Iowa Approach Inc. Apparatus and methods for renal denervation ablation
JP6618523B2 (ja) 2014-04-01 2019-12-18 イノベーションズ イン メディスン,エルエルシー 冷却材流を減少させた温度応答性の灌注式アブレーション電極と関連するその製造方法と使用方法
EP4670627A3 (de) 2014-05-07 2026-03-25 Boston Scientific Scimed, Inc. Verfahren und vorrichtung zur selektiven gewebeablation
WO2015175944A1 (en) 2014-05-16 2015-11-19 Gary Long Methods and apparatus for multi-catheter tissue ablation
WO2015192018A1 (en) 2014-06-12 2015-12-17 Iowa Approach Inc. Method and apparatus for rapid and selective tissue ablation with cooling
EP3154463B1 (de) 2014-06-12 2019-03-27 Farapulse, Inc. Vorrichtung für schnelle und selektive transurethrale gewebeablation
EP3206613B1 (de) 2014-10-14 2019-07-03 Farapulse, Inc. Vorrichtung zur schnellen und sicheren lungenvenenherzablation
US9314208B1 (en) 2014-10-28 2016-04-19 Biosense Webster (Israel) Ltd. Basket catheter with microelectrode array distal tip
WO2016081650A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. Ablation devices, systems and methods of using a high-resolution electrode assembly
EP3220844B1 (de) 2014-11-19 2020-11-11 EPiX Therapeutics, Inc. Systeme für hochauflösende gewebekartierung
WO2016081611A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. High-resolution mapping of tissue with pacing
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
US10130423B1 (en) 2017-07-06 2018-11-20 Farapulse, Inc. Systems, devices, and methods for focal ablation
US10172673B2 (en) 2016-01-05 2019-01-08 Farapulse, Inc. Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US12144541B2 (en) 2016-01-05 2024-11-19 Boston Scientific Scimed, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US20170189097A1 (en) 2016-01-05 2017-07-06 Iowa Approach Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
SG11201807618QA (en) 2016-03-15 2018-10-30 Epix Therapeutics Inc Improved devices, systems and methods for irrigated ablation
EP3471631A4 (de) 2016-06-16 2020-03-04 Farapulse, Inc. Systeme, vorrichtungen und verfahren zur abgabe eines führungsdrahtes
EP3614946B1 (de) 2017-04-27 2024-03-20 EPiX Therapeutics, Inc. Bestimmung der art des kontaktes zwischen katheterspitze und gewebe
US9987081B1 (en) 2017-04-27 2018-06-05 Iowa Approach, Inc. Systems, devices, and methods for signal generation
US10617867B2 (en) 2017-04-28 2020-04-14 Farapulse, Inc. Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue
CN115844523A (zh) 2017-09-12 2023-03-28 波士顿科学医学有限公司 用于心室局灶性消融的系统、设备和方法
EP3749238B1 (de) 2018-02-08 2023-08-16 Farapulse, Inc. Vorrichtung zur kontrollierten abgabe von ablationsenergie mit einem gepulsten elektrischen feld an gewebe
US20190336198A1 (en) 2018-05-03 2019-11-07 Farapulse, Inc. Systems, devices, and methods for ablation using surgical clamps
CN116327352A (zh) 2018-05-07 2023-06-27 波士顿科学医学有限公司 心外膜消融导管
EP3790483B1 (de) 2018-05-07 2024-08-28 Boston Scientific Scimed, Inc. Systeme zur filterung von hochspannungsrauschen durch gepulste feldablation
CN115836908A (zh) 2018-05-07 2023-03-24 波士顿科学医学有限公司 用于将消融能量递送到组织的系统、设备和方法
US12102773B2 (en) 2018-06-28 2024-10-01 Biosense Webster (Israel) Ltd. Catheter elements for bond-strength enhancement
CN112955088B (zh) 2018-09-20 2024-11-26 波士顿科学医学有限公司 用于将脉冲电场消融能量输送到心内膜组织的系统、装置和方法
US11172984B2 (en) 2019-05-03 2021-11-16 Biosense Webster (Israel) Ltd. Device, system and method to ablate cardiac tissue
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
US11497541B2 (en) 2019-11-20 2022-11-15 Boston Scientific Scimed, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US11065047B2 (en) 2019-11-20 2021-07-20 Farapulse, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines
US12310652B2 (en) 2020-07-24 2025-05-27 Boston Scientific Scimed, Inc. Hybrid electroporation ablation catheter
JP7536995B2 (ja) 2020-07-24 2024-08-20 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 不可逆電気穿孔によるシングル・ショット心臓アブレーションのための電界印加
US12496123B2 (en) 2020-09-08 2025-12-16 Boston Scientific Scimed, Inc. Contoured electrodes for pulsed electric field ablation, and systems, devices, and methods thereof
WO2022072385A2 (en) 2020-09-30 2022-04-07 Boston Scientific Scimed Inc Pretreatment waveform for irreversible electroporation
EP4284276A1 (de) 2021-01-27 2023-12-06 Boston Scientific Scimed, Inc. Spannungsgesteuerte pulssequenzen für irreversible elektroporationsablationen

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US34502A (en) * 1862-02-25 Improvement in bakers ovens
US4960134A (en) 1988-11-18 1990-10-02 Webster Wilton W Jr Steerable catheter
US5391199A (en) * 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
IL116699A (en) 1996-01-08 2001-09-13 Biosense Ltd Method of building a heart map
US5558091A (en) * 1993-10-06 1996-09-24 Biosense, Inc. Magnetic determination of position and orientation
US5462521A (en) * 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5595264A (en) 1994-08-23 1997-01-21 Trotta, Jr.; Frank P. System and method for automated shopping
US5800428A (en) * 1996-05-16 1998-09-01 Angeion Corporation Linear catheter ablation system
US5891027A (en) * 1996-10-21 1999-04-06 Irvine Biomedical, Inc. Cardiovascular catheter system with an inflatable soft tip
ATE289182T1 (de) 1997-01-03 2005-03-15 Biosense Webster Inc Krümmungsempfindlicher katheter
US6123699A (en) * 1997-09-05 2000-09-26 Cordis Webster, Inc. Omni-directional steerable catheter
US5897529A (en) * 1997-09-05 1999-04-27 Cordis Webster, Inc. Steerable deflectable catheter having improved flexibility
US6171277B1 (en) * 1997-12-01 2001-01-09 Cordis Webster, Inc. Bi-directional control handle for steerable catheter
US6120476A (en) * 1997-12-01 2000-09-19 Cordis Webster, Inc. Irrigated tip catheter
US6183463B1 (en) * 1997-12-01 2001-02-06 Cordis Webster, Inc. Bidirectional steerable cathether with bidirectional control handle
US6198974B1 (en) * 1998-08-14 2001-03-06 Cordis Webster, Inc. Bi-directional steerable catheter
US6210407B1 (en) * 1998-12-03 2001-04-03 Cordis Webster, Inc. Bi-directional electrode catheter
US6267746B1 (en) * 1999-03-22 2001-07-31 Biosense Webster, Inc. Multi-directional steerable catheters and control handles
US6183435B1 (en) * 1999-03-22 2001-02-06 Cordis Webster, Inc. Multi-directional steerable catheters and control handles
US6371955B1 (en) * 1999-08-10 2002-04-16 Biosense Webster, Inc. Atrial branding iron catheter and a method for treating atrial fibrillation
US6408199B1 (en) * 2000-07-07 2002-06-18 Biosense, Inc. Bipolar mapping of intracardiac potentials with electrode having blood permeable covering
ATE333843T1 (de) 2000-12-11 2006-08-15 Bard Inc C R Vorrichtung zum mapping
US7588568B2 (en) 2002-07-19 2009-09-15 Biosense Webster, Inc. Atrial ablation catheter and method for treating atrial fibrillation

Also Published As

Publication number Publication date
US8133220B2 (en) 2012-03-13
US7163537B2 (en) 2007-01-16
US20040243121A1 (en) 2004-12-02
US20070135810A1 (en) 2007-06-14
EP1484027B1 (de) 2010-07-07
EP1484027A1 (de) 2004-12-08
DE602004027973D1 (de) 2010-08-19

Similar Documents

Publication Publication Date Title
ATE472979T1 (de) Ablations- und messungs-katheter zur behandlung atrialer fibrillation
US5250047A (en) Bipolar laparoscopic instrument with replaceable electrode tip assembly
ATE280540T1 (de) Ablationssystem mit einem eine gespaltene spitze aufweisenden katheter und mit schalt- und messmöglichkeiten
US7226444B1 (en) Position-controllable laser surgical instrument
US6852120B1 (en) Irrigation probe for ablation during open heart surgery
DE60312756D1 (de) Katheter mit einer kreisförmigen Ablationseinheit
CA2312539A1 (en) Bipolar electrosurgical instrument including a plurality of balloon electrodes
ES2295168T3 (es) Sonda quirurgica hueca.
US7101370B2 (en) Disposable electrosurgical handpiece for treating tissue
US7611511B2 (en) Bipolar medical instrument and electrosurgical system comprising such an instrument
JP2009539429A5 (de)
ATE465771T1 (de) Vorrichtung zur isolation des ösophagus
WO2006104934A3 (en) Cavity ablation apparatus and method
EP1382310A3 (de) Atriale Ablationskatheter und Verfahren zur Behandlung von Herzkammerflimmern
CA2704732A1 (en) Probes and biofluids for treating and removing deposits from tissue surfaces
ES2174875T3 (es) Cateter electrofisiologico con punta precurvada.
WO1999052459A8 (en) Electro-cautery catheter
EP1803411A3 (de) Injektionsgegossene bespülte Spitzenelektrode und Katheter mit derselben.
KR200497247Y1 (ko) 의료용 연결 장치
ATE288709T1 (de) Multifunktionale teleskopische elektrochirurgische vorrichtung
US12023089B2 (en) Resectoscope with distal electrode guide
ATE344683T1 (de) Katheter mit punktionssensor
WO2004103195A3 (de) Instrument zur unipolaren ablation von herzgewebe
JPS6138569Y2 (de)
CN215899866U (zh) 一种流体辅助可视双极电凝止血装置

Legal Events

Date Code Title Description
RER Ceased as to paragraph 5 lit. 3 law introducing patent treaties