IN2012DN00989A - - Google Patents

Info

Publication number
IN2012DN00989A
IN2012DN00989A IN989DEN2012A IN2012DN00989A IN 2012DN00989 A IN2012DN00989 A IN 2012DN00989A IN 989DEN2012 A IN989DEN2012 A IN 989DEN2012A IN 2012DN00989 A IN2012DN00989 A IN 2012DN00989A
Authority
IN
India
Prior art keywords
tissue
ablation
guiding device
ablation catheter
ablating
Prior art date
Application number
Inventor
A Spence Paul
P Warren Sean
J Wells Erica
Kurt Dierking W
R Bachman Daniel
Tompkins Landon
Original Assignee
Scr 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 Scr Inc filed Critical Scr Inc
Publication of IN2012DN00989A publication Critical patent/IN2012DN00989A/en

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
    • 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
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • 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
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip
    • A61M2025/09183—Guide wires having specific characteristics at the distal tip having tools at the distal tip

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

A system (60) for ablating internal heart tissue (12) in an ablation pattern (50) on a surface of the tissue within the heart. The system (60) includes an ablation catheter (14) with a distal end having an ablating tip portion (20) operative to allow selective ablation of tissue. A guiding device (62) is engageable with the ablation catheter (14) and includes a tissue anchoring portion (74) operable to engage with tissue proximate to the tissue to be ablated so as to temporarily anchor the guiding device (62) relative to the tissue (12). Engagement of the guiding device (62) with the ablation catheter (14) operates to assist with guiding the ablating tip portion (20) in moving along the pattern (50). Various devices and methods of use are further disclosed.
IN989DEN2012 2009-08-05 2010-08-05 IN2012DN00989A (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US23151709P 2009-08-05 2009-08-05
US29460910P 2010-01-13 2010-01-13
US32092710P 2010-04-05 2010-04-05
PCT/US2010/044565 WO2011017530A1 (en) 2009-08-05 2010-08-05 Systems, devices and methods for treating the heart with ablation

Publications (1)

Publication Number Publication Date
IN2012DN00989A true IN2012DN00989A (en) 2015-04-10

Family

ID=43544664

Family Applications (1)

Application Number Title Priority Date Filing Date
IN989DEN2012 IN2012DN00989A (en) 2009-08-05 2010-08-05

Country Status (4)

Country Link
US (3) US9216055B2 (en)
CN (1) CN102639071B (en)
IN (1) IN2012DN00989A (en)
WO (1) WO2011017530A1 (en)

Families Citing this family (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IN2012DN00989A (en) * 2009-08-05 2015-04-10 Scr Inc
RU2013121803A (en) * 2010-10-14 2014-11-20 Конинклейке Филипс Электроникс Н.В. DEFINING PROPERTIES DEVICE FOR DETERMINING PROPERTIES OF THE OBJECT
WO2012068273A1 (en) * 2010-11-16 2012-05-24 Tva Medical, Inc. Devices and methods for forming a fistula
WO2014025394A1 (en) 2012-08-09 2014-02-13 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
EP3091921B1 (en) 2014-01-06 2019-06-19 Farapulse, Inc. Apparatus for renal denervation ablation
US10028785B2 (en) 2014-02-06 2018-07-24 Acublate, Inc. Apparatus and method for self-guided ablation
EP3495018B1 (en) 2014-05-07 2023-09-06 Farapulse, Inc. Apparatus for selective tissue ablation
EP3142584A1 (en) 2014-05-16 2017-03-22 Iowa Approach Inc. Methods and apparatus for multi-catheter tissue ablation
WO2015192027A1 (en) 2014-06-12 2015-12-17 Iowa Approach Inc. Method and apparatus for rapid and selective transurethral tissue ablation
EP4559428A3 (en) 2014-06-12 2025-08-20 Boston Scientific Scimed, Inc. Method and apparatus for rapid and selective tissue ablation with cooling
EP3206613B1 (en) 2014-10-14 2019-07-03 Farapulse, Inc. Apparatus for rapid and safe pulmonary vein cardiac ablation
CN104840256B (en) * 2015-04-30 2017-05-17 常州朗合医疗器械有限公司 Medical marking device for positioning
CN105078575A (en) * 2015-04-30 2015-11-25 马家骏 Medical marker device for positioning
US10864031B2 (en) * 2015-11-30 2020-12-15 Adagio Medical, Inc. Ablation method for creating elongate continuous lesions enclosing multiple vessel entries
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
US20170189097A1 (en) 2016-01-05 2017-07-06 Iowa Approach Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US12144541B2 (en) 2016-01-05 2024-11-19 Boston Scientific Scimed, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
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
WO2017218734A1 (en) 2016-06-16 2017-12-21 Iowa Approach, Inc. Systems, apparatuses, and methods for guide wire delivery
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
JP7586706B2 (en) 2017-09-12 2024-11-19 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 Systems, devices and methods for focal ventricular ablation - Patents.com
CN107928783B (en) * 2017-12-29 2024-09-06 山前(珠海)医疗科技有限公司 Cryoablation catheter, cryoablation operating device and cryoablation equipment
WO2019157359A1 (en) 2018-02-08 2019-08-15 Farapulse, Inc. Method and apparatus for controlled delivery of pulsed electric field ablative energy to tissue
US20190336198A1 (en) 2018-05-03 2019-11-07 Farapulse, Inc. Systems, devices, and methods for ablation using surgical clamps
CN115836908A (en) 2018-05-07 2023-03-24 波士顿科学医学有限公司 Systems, devices, and methods for delivering ablation energy to tissue
CN116327352A (en) 2018-05-07 2023-06-27 波士顿科学医学有限公司 epicardial ablation catheter
WO2019217317A1 (en) 2018-05-07 2019-11-14 Farapulse, Inc. Systems, apparatuses, and methods for filtering high voltage noise induced by pulsed electric field ablation
JP7619937B2 (en) 2018-09-20 2025-01-22 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 Systems, devices and methods for delivery of pulsed electric field ablation energy to endocardial tissue - Patents.com
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
JP7536995B2 (en) 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 Electric field application for single-shot cardiac ablation by irreversible electroporation
US12310652B2 (en) 2020-07-24 2025-05-27 Boston Scientific Scimed, Inc. Hybrid electroporation ablation catheter
CN116157085A (en) 2020-09-08 2023-05-23 波士顿科学医学有限公司 Corrugated electrode for pulsed electric field ablation, system, device and method thereof
JP7564353B2 (en) 2020-09-30 2024-10-08 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 Pretreatment waveforms for irreversible electroporation
CN116744870A (en) 2021-01-27 2023-09-12 波士顿科学医学有限公司 Voltage-controlled pulse sequences for irreversible electroporation ablation

Family Cites Families (45)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69434664T2 (en) 1993-10-14 2006-11-09 Boston Scientific Ltd., Barbados ELECTRODES FOR GENERATING SPECIFIC PATTERNS OF PATHOLOGICALLY MODIFIED TISSUE
US6146379A (en) 1993-10-15 2000-11-14 Ep Technologies, Inc. Systems and methods for creating curvilinear lesions in body tissue
US5575810A (en) 1993-10-15 1996-11-19 Ep Technologies, Inc. Composite structures and methods for ablating tissue to form complex lesion patterns in the treatment of cardiac conditions and the like
US5575766A (en) 1993-11-03 1996-11-19 Daig Corporation Process for the nonsurgical mapping and treatment of atrial arrhythmia using catheters guided by shaped guiding introducers
US5730127A (en) 1993-12-03 1998-03-24 Avitall; Boaz Mapping and ablation catheter system
US5499632A (en) * 1994-05-04 1996-03-19 Devices For Vascular Intervention Guide wire migration controller
US5690611A (en) 1994-07-08 1997-11-25 Daig Corporation Process for the treatment of atrial arrhythima using a catheter guided by shaped giding introducers
DE4425195C1 (en) 1994-07-16 1995-11-16 Osypka Peter Heart catheter with multiple electrode device
US5885278A (en) * 1994-10-07 1999-03-23 E.P. Technologies, Inc. Structures for deploying movable electrode elements
US6142994A (en) 1994-10-07 2000-11-07 Ep Technologies, Inc. Surgical method and apparatus for positioning a diagnostic a therapeutic element within the body
US6235021B1 (en) 1995-05-01 2001-05-22 Scimed Life Systems, Inc. Ablation sheath
CN1079851C (en) 1995-12-25 2002-02-27 帝人株式会社 Thermally bonded composite fibers and high elastic fiber spheroids formed therefrom
NL1003024C2 (en) 1996-05-03 1997-11-06 Tjong Hauw Sie Stimulus conduction blocking instrument.
US5741249A (en) 1996-10-16 1998-04-21 Fidus Medical Technology Corporation Anchoring tip assembly for microwave ablation catheter
US6840936B2 (en) 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US5879295A (en) 1997-04-02 1999-03-09 Medtronic, Inc. Enhanced contact steerable bowing electrode catheter assembly
US5971983A (en) 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
BR9811101A (en) 1997-07-08 2001-12-26 Univ California Device assembly and circumferential ablation method
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
EP1059886A2 (en) 1998-03-02 2000-12-20 Atrionix, Inc. Tissue ablation system and method for forming long linear lesion
US6702811B2 (en) 1999-04-05 2004-03-09 Medtronic, Inc. Ablation catheter assembly with radially decreasing helix and method of use
US6325797B1 (en) 1999-04-05 2001-12-04 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
DE60033232T2 (en) 1999-05-11 2007-11-15 Atrionix Inc., Palo Alto BALLOON ANCHOR WIRE
US6645199B1 (en) 1999-11-22 2003-11-11 Scimed Life Systems, Inc. Loop structures for supporting diagnostic and therapeutic elements contact with body tissue and expandable push devices for use with same
US6529756B1 (en) 1999-11-22 2003-03-04 Scimed Life Systems, Inc. Apparatus for mapping and coagulating soft tissue in or around body orifices
US6652517B1 (en) 2000-04-25 2003-11-25 Uab Research Foundation Ablation catheter, system, and method of use thereof
US6752805B2 (en) 2000-06-13 2004-06-22 Atrionix, Inc. Surgical ablation probe for forming a circumferential lesion
DE10037660A1 (en) 2000-07-31 2002-02-21 Curative Ag Ablation catheter for alveolar separation forms adjustable contact pattern treats auricular arrhythmia
US6771996B2 (en) 2001-05-24 2004-08-03 Cardiac Pacemakers, Inc. Ablation and high-resolution mapping catheter system for pulmonary vein foci elimination
US20030051362A1 (en) 2001-09-14 2003-03-20 Buckman Robert F. Incision template and methods for use
US6585733B2 (en) 2001-09-28 2003-07-01 Ethicon, Inc. Surgical treatment for atrial fibrillation using radiofrequency technology
AU2002362441A1 (en) 2001-10-01 2003-04-14 Am Discovery, Incorporated Devices for treating atrial fibrilation
US20070038056A1 (en) 2001-10-11 2007-02-15 Carlo Pappone System and methods for locating and ablating arrhythomogenic tissues
US7008418B2 (en) 2002-05-09 2006-03-07 Stereotaxis, Inc. Magnetically assisted pulmonary vein isolation
US7294143B2 (en) 2002-05-16 2007-11-13 Medtronic, Inc. Device and method for ablation of cardiac tissue
US6984232B2 (en) 2003-01-17 2006-01-10 St. Jude Medical, Daig Division, Inc. Ablation catheter assembly having a virtual electrode comprising portholes
US6941953B2 (en) 2003-02-20 2005-09-13 Medwaves, Inc. Preformed catheter set for use with a linear ablation system to produce ablation lines in the left and right atrium for treatment of atrial fibrillation
US7097643B2 (en) * 2003-03-03 2006-08-29 Sinus Rhythm Technologies, Inc. Electrical block positioning devices and methods of use therefor
US7250049B2 (en) 2004-05-27 2007-07-31 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter with suspension system incorporating rigid and flexible components
US7331959B2 (en) * 2004-05-27 2008-02-19 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter electrode and rail system for cardiac ablation
US7681579B2 (en) 2005-08-02 2010-03-23 Biosense Webster, Inc. Guided procedures for treating atrial fibrillation
EP2001383A4 (en) 2006-03-17 2011-01-19 Microcube Llc Devices and methods for creating continuous lesions
CA2652126C (en) 2006-05-12 2015-12-01 Hira V. Thapliyal Device for ablating body tissue
KR20110082517A (en) 2008-10-04 2011-07-19 보스톤 싸이엔티픽 싸이메드 인코포레이티드 Loop structure supporting the diagnostic and / or therapeutic element in contact with tissue
IN2012DN00989A (en) * 2009-08-05 2015-04-10 Scr Inc

Also Published As

Publication number Publication date
WO2011017530A1 (en) 2011-02-10
US20160058506A1 (en) 2016-03-03
CN102639071A (en) 2012-08-15
US20170035503A1 (en) 2017-02-09
US20120184953A1 (en) 2012-07-19
US9504523B2 (en) 2016-11-29
US9216055B2 (en) 2015-12-22
CN102639071B (en) 2016-01-20
US9713495B2 (en) 2017-07-25

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