CA2197065A1 - Appareil pour ablation cardiaque - Google Patents
Appareil pour ablation cardiaqueInfo
- Publication number
- CA2197065A1 CA2197065A1 CA002197065A CA2197065A CA2197065A1 CA 2197065 A1 CA2197065 A1 CA 2197065A1 CA 002197065 A CA002197065 A CA 002197065A CA 2197065 A CA2197065 A CA 2197065A CA 2197065 A1 CA2197065 A1 CA 2197065A1
- Authority
- CA
- Canada
- Prior art keywords
- site
- origin
- electrode
- catheter
- electrodes
- Prior art date
- Legal status (The legal status 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 status listed.)
- Abandoned
Links
- 238000013153 catheter ablation Methods 0.000 title description 6
- 210000002216 heart Anatomy 0.000 claims abstract description 50
- 238000013507 mapping Methods 0.000 claims abstract description 42
- 208000001871 Tachycardia Diseases 0.000 claims abstract description 41
- 230000006794 tachycardia Effects 0.000 claims abstract description 41
- 230000000747 cardiac effect Effects 0.000 claims abstract description 7
- 210000001174 endocardium Anatomy 0.000 claims description 21
- 238000002679 ablation Methods 0.000 abstract description 27
- 238000000034 method Methods 0.000 abstract description 23
- 238000003384 imaging method Methods 0.000 abstract description 20
- 230000000007 visual effect Effects 0.000 abstract description 14
- 230000000694 effects Effects 0.000 abstract description 3
- 230000004913 activation Effects 0.000 description 14
- 206010047302 ventricular tachycardia Diseases 0.000 description 14
- 230000003902 lesion Effects 0.000 description 11
- 206010003119 arrhythmia Diseases 0.000 description 10
- 230000002093 peripheral effect Effects 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 6
- 230000002861 ventricular Effects 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 238000010276 construction Methods 0.000 description 4
- 238000002565 electrocardiography Methods 0.000 description 4
- 238000004458 analytical method Methods 0.000 description 3
- 230000037361 pathway Effects 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 201000008803 Wolff-Parkinson-white syndrome Diseases 0.000 description 2
- 230000017488 activation-induced cell death of T cell Effects 0.000 description 2
- 210000000709 aorta Anatomy 0.000 description 2
- 230000006793 arrhythmia Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000005242 cardiac chamber Anatomy 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 210000003191 femoral vein Anatomy 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 238000005070 sampling Methods 0.000 description 2
- 208000006808 Atrioventricular Nodal Reentry Tachycardia Diseases 0.000 description 1
- 241000974840 Ellipes Species 0.000 description 1
- 238000012274 Preoperative evaluation Methods 0.000 description 1
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 1
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 1
- 210000002376 aorta thoracic Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 238000002571 electroretinography Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 210000005244 lower chamber Anatomy 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000004115 mitral valve Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 230000001338 necrotic effect Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 210000005243 upper chamber Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/46—Arrangements for interfacing with the operator or the patient
- A61B6/461—Displaying means of special interest
- A61B6/464—Displaying means of special interest involving a plurality of displays
-
- 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
- A61B18/1206—Generators 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
- A61B2018/00053—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
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/0066—Sensing and controlling the application of energy without feedback, i.e. open loop control
-
- 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
- A61B2018/1465—Deformable electrodes
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Cardiology (AREA)
- Human Computer Interaction (AREA)
- Biophysics (AREA)
- High Energy & Nuclear Physics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Surgical Instruments (AREA)
Abstract
Cette invention concerne un système et un procédé de cartographie et d'ablation cardiaques faisant appel à un cathéter à électrodes multiples, lequel est introduit de manière percutanée dans le coeur d'un patient et peut se déployer à proximité de divers sites endocardiaques. Les électrodes peuvent être connectées à une unité de cartographie, une unité électrique d'ablation, une unité de stimulation, toutes ces unités étant commandées par ordinateur. Les signaux d'électrogrammes intracardiaques provenant d'un site d'origine de tachycardie sont détectés par les électrodes. Les temps d'arrivée de ces signaux sont traités en vue de l'élaboration de diverses cartes visuelles de manière à obtenir un guidage en temps réel lors de l'acheminement du cathéter vers le site d'origine de tachycardie. En variante, ce système comprend également un système d'imagerie physique capable de fournir diverses vues physiques par imagerie du cathéter et du coeur. Ces vues physiques sont incorporées aux diverses cartes visuelles de manière à produire une représentation plus physique. Une fois que les électrodes se trouvent sur le site d'origine de tachycardie, de l'énergie électrique est envoyée par l'unité électrique d'ablation afin d'effectuer ladite ablation.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/US1995/004943 WO1996032897A1 (fr) | 1995-04-20 | 1995-04-20 | Appareil de cartographie cardiaque utilisable pour des ablations |
| US08/485,357 | 1995-06-07 | ||
| US08/485,357 US5657755A (en) | 1993-03-11 | 1995-06-07 | Apparatus and method for cardiac ablation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2197065A1 true CA2197065A1 (fr) | 1996-10-24 |
Family
ID=26789607
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002197065A Abandoned CA2197065A1 (fr) | 1995-04-20 | 1996-04-18 | Appareil pour ablation cardiaque |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP0766527A1 (fr) |
| AU (1) | AU5487696A (fr) |
| CA (1) | CA2197065A1 (fr) |
| WO (1) | WO1996032885A1 (fr) |
Families Citing this family (52)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6139527A (en) * | 1996-03-05 | 2000-10-31 | Vnus Medical Technologies, Inc. | Method and apparatus for treating hemorrhoids |
| WO1997032532A1 (fr) | 1996-03-05 | 1997-09-12 | Vnus Medical Technologies, Inc. | Systeme utilisant un catheter vasculaire pour rechauffer des tissus |
| US6036687A (en) * | 1996-03-05 | 2000-03-14 | Vnus Medical Technologies, Inc. | Method and apparatus for treating venous insufficiency |
| US6461357B1 (en) | 1997-02-12 | 2002-10-08 | Oratec Interventions, Inc. | Electrode for electrosurgical ablation of tissue |
| US7069087B2 (en) | 2000-02-25 | 2006-06-27 | Oratec Interventions, Inc. | Apparatus and method for accessing and performing a function within an intervertebral disc |
| US6126682A (en) | 1996-08-13 | 2000-10-03 | Oratec Interventions, Inc. | Method for treating annular fissures in intervertebral discs |
| US6699244B2 (en) | 1997-02-12 | 2004-03-02 | Oratec Interventions, Inc. | Electrosurgical instrument having a chamber to volatize a liquid |
| US6246913B1 (en) | 1997-02-14 | 2001-06-12 | Oractec Interventions, Inc. | Method and apparatus for the treatment of strabismus |
| 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 |
| US6024740A (en) | 1997-07-08 | 2000-02-15 | The Regents Of The University Of California | Circumferential ablation device assembly |
| 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 |
| 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 |
| 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 |
| 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 |
| US6179832B1 (en) | 1997-09-11 | 2001-01-30 | Vnus Medical Technologies, Inc. | Expandable catheter having two sets of electrodes |
| US6401719B1 (en) | 1997-09-11 | 2002-06-11 | Vnus Medical Technologies, Inc. | Method of ligating hollow anatomical structures |
| US6200312B1 (en) | 1997-09-11 | 2001-03-13 | Vnus Medical Technologies, Inc. | Expandable vein ligator catheter having multiple electrode leads |
| US6258084B1 (en) | 1997-09-11 | 2001-07-10 | Vnus Medical Technologies, Inc. | Method for applying energy to biological tissue including the use of tumescent tissue compression |
| US6014589A (en) | 1997-11-12 | 2000-01-11 | Vnus Medical Technologies, Inc. | Catheter having expandable electrodes and adjustable stent |
| JP2002506672A (ja) | 1998-03-19 | 2002-03-05 | オーレイテック インターヴェンションズ インコーポレイテッド | 手術部位にエネルギーを給送するためのカテーテル |
| DE19817553A1 (de) * | 1998-04-15 | 1999-10-21 | Biotronik Mess & Therapieg | Ablationsanordnung |
| US7449019B2 (en) | 1999-01-25 | 2008-11-11 | Smith & Nephew, Inc. | Intervertebral decompression |
| AU6682401A (en) | 2000-06-13 | 2001-12-24 | Atrionix Inc | Surgical ablation probe for forming a circumferential lesion |
| 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 |
| US7306593B2 (en) | 2002-10-21 | 2007-12-11 | Biosense, Inc. | Prediction and assessment of ablation of cardiac tissue |
| US7001383B2 (en) | 2002-10-21 | 2006-02-21 | Biosense, Inc. | Real-time monitoring and mapping of ablation lesion formation in the heart |
| US7317950B2 (en) | 2002-11-16 | 2008-01-08 | The Regents Of The University Of California | Cardiac stimulation system with delivery of conductive agent |
| US7150747B1 (en) | 2003-01-22 | 2006-12-19 | Smith & Nephew, Inc. | Electrosurgical cutter |
| US20060089637A1 (en) | 2004-10-14 | 2006-04-27 | Werneth Randell L | Ablation catheter |
| 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 |
| US8932208B2 (en) | 2005-05-26 | 2015-01-13 | Maquet Cardiovascular Llc | Apparatus and methods for performing minimally-invasive surgical procedures |
| EP1895927A4 (fr) | 2005-06-20 | 2011-03-09 | Medtronic Ablation Frontiers | Catheter d'ablation |
| CA2615267A1 (fr) | 2005-07-11 | 2007-01-18 | Ablation Frontiers, Inc. | Systeme d'ablation de tissu a faible consommation d'energie |
| US8657814B2 (en) | 2005-08-22 | 2014-02-25 | Medtronic Ablation Frontiers Llc | User interface for tissue ablation system |
| AU2008245600B2 (en) | 2007-04-27 | 2013-07-04 | Covidien Lp | Systems and methods for treating hollow anatomical structures |
| US8641704B2 (en) | 2007-05-11 | 2014-02-04 | Medtronic Ablation Frontiers Llc | Ablation therapy system and method for treating continuous atrial fibrillation |
| WO2009045265A1 (fr) | 2007-10-05 | 2009-04-09 | Maquet Cardiovascular, Llc | Dispositifs et procédés pour interventions chirurgicales mini-invasives |
| US8676303B2 (en) | 2008-05-13 | 2014-03-18 | The Regents Of The University Of California | Methods and systems for treating heart instability |
| US9770297B2 (en) | 2008-06-04 | 2017-09-26 | Covidien Lp | Energy devices and methods for treating hollow anatomical structures |
| EP2339961B1 (fr) | 2008-10-09 | 2018-03-07 | The Regents of the University of California | Machine pour la localisation automatique de sources de troubles de rythme biologique |
| EP2482719A4 (fr) * | 2009-09-29 | 2016-03-09 | Bard Inc C R | Stylets pour utilisation avec appareil pour placement intravasculaire d'un cathéter |
| 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 |
| CN102917638B (zh) | 2010-04-08 | 2015-11-25 | 加利福尼亚大学董事会 | 用于检测、诊断和治疗生物节律紊乱的方法、系统和设备 |
| 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 |
| CN103718191B (zh) | 2011-05-02 | 2018-02-02 | 加利福尼亚大学董事会 | 使用成形消融术来靶向心律紊乱的系统和方法 |
| US8165666B1 (en) | 2011-05-02 | 2012-04-24 | Topera, Inc. | System and method for reconstructing cardiac activation information |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5156151A (en) * | 1991-02-15 | 1992-10-20 | Cardiac Pathways Corporation | Endocardial mapping and ablation system and catheter probe |
| DE69315354T2 (de) * | 1992-09-23 | 1998-03-19 | Endocardial Solutions Inc | Endokard-mapping system |
| 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 |
-
1996
- 1996-04-18 CA CA002197065A patent/CA2197065A1/fr not_active Abandoned
- 1996-04-18 EP EP96911811A patent/EP0766527A1/fr not_active Withdrawn
- 1996-04-18 AU AU54876/96A patent/AU5487696A/en not_active Abandoned
- 1996-04-18 WO PCT/US1996/005443 patent/WO1996032885A1/fr not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| AU5487696A (en) | 1996-11-07 |
| WO1996032885A1 (fr) | 1996-10-24 |
| EP0766527A1 (fr) | 1997-04-09 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| FZDE | Discontinued |