FR3117763B1 - Catheter d’electroporation unipolaire et bipolaire - Google Patents

Catheter d’electroporation unipolaire et bipolaire Download PDF

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Publication number
FR3117763B1
FR3117763B1 FR2014047A FR2014047A FR3117763B1 FR 3117763 B1 FR3117763 B1 FR 3117763B1 FR 2014047 A FR2014047 A FR 2014047A FR 2014047 A FR2014047 A FR 2014047A FR 3117763 B1 FR3117763 B1 FR 3117763B1
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FR
France
Prior art keywords
unipolar
catheter
electroporation catheter
electrodes
medical device
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.)
Active
Application number
FR2014047A
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English (en)
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FR3117763A1 (fr
Inventor
Pierre Jais
Rémi Dubois
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Centre Hospitalier Universitaire de Bordeaux
Universite de Bordeaux
Fondation Bordeaux Universite
Original Assignee
Centre Hospitalier Universitaire de Bordeaux
Universite de Bordeaux
Fondation Bordeaux Universite
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
Priority to FR2014047A priority Critical patent/FR3117763B1/fr
Application filed by Centre Hospitalier Universitaire de Bordeaux, Universite de Bordeaux, Fondation Bordeaux Universite filed Critical Centre Hospitalier Universitaire de Bordeaux
Priority to CN202180089864.3A priority patent/CN116744869A/zh
Priority to PCT/EP2021/087144 priority patent/WO2022136468A1/fr
Priority to EP21840051.3A priority patent/EP4267025A1/fr
Priority to US18/259,026 priority patent/US20240299073A1/en
Priority to JP2023538701A priority patent/JP2024500931A/ja
Priority to AU2021405497A priority patent/AU2021405497A1/en
Priority to CA3201061A priority patent/CA3201061A1/fr
Publication of FR3117763A1 publication Critical patent/FR3117763A1/fr
Application granted granted Critical
Publication of FR3117763B1 publication Critical patent/FR3117763B1/fr
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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
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
    • 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
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00172—Connectors and adapters 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
    • A61B2018/00184—Moving parts
    • 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
    • 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
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00315—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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00613—Irreversible electroporation
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • 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
    • A61B2018/00779—Power or energy
    • 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
    • A61B2018/00827—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
    • A61B2018/00636—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
    • 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
    • A61B2018/124—Generators therefor switching the output to different electrodes, e.g. sequentially
    • 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
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/1253—Generators therefor characterised by the output polarity monopolar
    • 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
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

CATHETER D ’ELECTROPORATION UNIPOLAIRE ET BIPOLAIRE L’invention concerne un dispositif médical comportant un cathéter (10) comportant une portion distale (20) mobile comportant un corps (22) évoluant longitudinalement au sein d’une première lumière (24) et une pluralité de branches (30), une extrémité distale (36) de chaque branche (30) comportant une zone active électriquement (34) et étant mobile entre une position rétractée et une position déployée, ledit dispositif médical étant configurable électriquement pour délivrer une première quantité d’énergie électrique à un premier ensemble d’électrodes dans la position déployée et une seconde quantité d’énergie électrique à un second ensemble d’électrodes dans la position rétractée. Figure pour l’abrégé : Fig.1
FR2014047A 2020-12-23 2020-12-23 Catheter d’electroporation unipolaire et bipolaire Active FR3117763B1 (fr)

Priority Applications (8)

Application Number Priority Date Filing Date Title
FR2014047A FR3117763B1 (fr) 2020-12-23 2020-12-23 Catheter d’electroporation unipolaire et bipolaire
PCT/EP2021/087144 WO2022136468A1 (fr) 2020-12-23 2021-12-21 Catheter d'electroporation unipolaire et bipolaire
EP21840051.3A EP4267025A1 (fr) 2020-12-23 2021-12-21 Catheter d'electroporation unipolaire et bipolaire
US18/259,026 US20240299073A1 (en) 2020-12-23 2021-12-21 Monopolar and bipolar electroporation catheter
CN202180089864.3A CN116744869A (zh) 2020-12-23 2021-12-21 单极和双极电穿孔导管
JP2023538701A JP2024500931A (ja) 2020-12-23 2021-12-21 単極性及び双極性エレクトロポレーションカテーテル
AU2021405497A AU2021405497A1 (en) 2020-12-23 2021-12-21 Unipolar and bipolar electroporation catheter
CA3201061A CA3201061A1 (fr) 2020-12-23 2021-12-21 Catheter d'electroporation unipolaire et bipolaire

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR2014047 2020-12-23
FR2014047A FR3117763B1 (fr) 2020-12-23 2020-12-23 Catheter d’electroporation unipolaire et bipolaire

Publications (2)

Publication Number Publication Date
FR3117763A1 FR3117763A1 (fr) 2022-06-24
FR3117763B1 true FR3117763B1 (fr) 2024-05-03

Family

ID=75108516

Family Applications (1)

Application Number Title Priority Date Filing Date
FR2014047A Active FR3117763B1 (fr) 2020-12-23 2020-12-23 Catheter d’electroporation unipolaire et bipolaire

Country Status (8)

Country Link
US (1) US20240299073A1 (fr)
EP (1) EP4267025A1 (fr)
JP (1) JP2024500931A (fr)
CN (1) CN116744869A (fr)
AU (1) AU2021405497A1 (fr)
CA (1) CA3201061A1 (fr)
FR (1) FR3117763B1 (fr)
WO (1) WO2022136468A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CR20250188A (es) 2022-10-05 2025-08-22 Btl Medical Dev A S Dispositivo y método de ablación de campo pulsado
US20240197231A1 (en) * 2022-12-15 2024-06-20 Biosense Webster (Israel) Ltd. Catheter end effector with woven flex circuit
US20240215921A1 (en) * 2022-12-28 2024-07-04 Biosense Webster (Israel) Ltd. Electrode arrangement for planar catheter end effector

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6296639B1 (en) * 1999-02-12 2001-10-02 Novacept Apparatuses and methods for interstitial tissue removal
US20010007070A1 (en) * 1999-04-05 2001-07-05 Medtronic, Inc. Ablation catheter assembly and method for isolating a pulmonary vein
US9452016B2 (en) * 2011-01-21 2016-09-27 Kardium Inc. Catheter system
WO2013052590A1 (fr) * 2011-10-04 2013-04-11 Vessix Vascular, Inc. Appareil et procédé de traitement d'une resténose sur endoprothèse
US9351789B2 (en) * 2013-05-31 2016-05-31 Medtronic Ablation Frontiers Llc Adjustable catheter for ostial, septal, and roof ablation in atrial fibrillation patients
EP3151773B1 (fr) * 2014-06-04 2018-04-04 Boston Scientific Scimed, Inc. Ensemble électrode
EP3282991A1 (fr) * 2015-04-17 2018-02-21 Boston Scientific Scimed Inc. Diagnostic et traitement de tissus à l'aide d'électrodes et de mini-électrodes
US9895073B2 (en) * 2015-07-29 2018-02-20 Biosense Webster (Israel) Ltd. Dual basket catheter
US20170105793A1 (en) * 2015-10-15 2017-04-20 Boston Scientific Scimed, Inc. Energy delivery devices and related methods of use
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
US11801082B2 (en) * 2017-06-05 2023-10-31 St. Jude Medical, Cardiology Division, Inc. Balloon-in-basket ablation catheter
JP7499702B2 (ja) * 2018-05-21 2024-06-14 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 高周波アブレーション及び直流電気穿孔カテーテル
EP3578124A1 (fr) * 2018-06-05 2019-12-11 National University of Ireland Galway Appareil d'électrophysiologie
EP3836859B1 (fr) * 2018-08-13 2025-03-05 Cardionomic, Inc. Systèmes pour affecter la contractilité et/ou la relaxation cardiaques
EP3946123B1 (fr) * 2019-04-04 2024-05-29 Boston Scientific Scimed, Inc. Appareil pour l'ablation focale
WO2020236558A1 (fr) * 2019-05-17 2020-11-26 Mayo Foundation For Medical Education And Research Cathéters qui délivrent un champ électrique pulsé pour une ablation cellulaire ciblée
WO2020251857A1 (fr) * 2019-06-13 2020-12-17 St. Jude Medical, Cardiology Division, Inc. Panier d'électrodes ayant une bande circonférentielle à haute densité d'électrodes
US12349962B2 (en) * 2020-07-13 2025-07-08 Biosense Webster (Israel) Ltd. Sequential activation of electrode-pairs during irreversible electroporation (IRE)

Also Published As

Publication number Publication date
WO2022136468A1 (fr) 2022-06-30
US20240299073A1 (en) 2024-09-12
CA3201061A1 (fr) 2022-06-30
AU2021405497A1 (en) 2023-06-29
FR3117763A1 (fr) 2022-06-24
JP2024500931A (ja) 2024-01-10
EP4267025A1 (fr) 2023-11-01
CN116744869A (zh) 2023-09-12

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