IT1278372B1 - Catetere, particolarmente per il trattamento di aritmie cardiache. - Google Patents
Catetere, particolarmente per il trattamento di aritmie cardiache.Info
- Publication number
- IT1278372B1 IT1278372B1 IT95TO000104A ITTO950104A IT1278372B1 IT 1278372 B1 IT1278372 B1 IT 1278372B1 IT 95TO000104 A IT95TO000104 A IT 95TO000104A IT TO950104 A ITTO950104 A IT TO950104A IT 1278372 B1 IT1278372 B1 IT 1278372B1
- Authority
- IT
- Italy
- Prior art keywords
- disposed
- catheter
- support element
- ablation electrode
- contact
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6859—Catheters with multiple distal splines
-
- 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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6858—Catheters with a distal basket, e.g. expandable basket
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
-
- 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
- A61B2018/00357—Endocardium
-
- 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
- A61B2018/00839—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
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/143—Needle multiple needles
-
- 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
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
- A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0209—Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/04—Arrangements of multiple sensors of the same type
- A61B2562/043—Arrangements of multiple sensors of the same type in a linear array
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physiology (AREA)
- Otolaryngology (AREA)
- Vascular Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Electrotherapy Devices (AREA)
Priority Applications (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IT95TO000104A IT1278372B1 (it) | 1995-02-15 | 1995-02-15 | Catetere, particolarmente per il trattamento di aritmie cardiache. |
| EP96101808A EP0727184B1 (en) | 1995-02-15 | 1996-02-08 | A catheter, particularly for the treatment of cardiac arrhythmia |
| DE69625259T DE69625259T2 (de) | 1995-02-15 | 1996-02-08 | Katheter, besonders zur Behandlung von Herzarrhythmie |
| ES96101808T ES2187585T3 (es) | 1995-02-15 | 1996-02-08 | Cateter, particularmente para el tratamiento de arritmia cardiaca. |
| AT96101808T ATE229301T1 (de) | 1995-02-15 | 1996-02-08 | Katheter, besonders zur behandlung von herzarrhythmie |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IT95TO000104A IT1278372B1 (it) | 1995-02-15 | 1995-02-15 | Catetere, particolarmente per il trattamento di aritmie cardiache. |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| ITTO950104A0 ITTO950104A0 (it) | 1995-02-15 |
| ITTO950104A1 ITTO950104A1 (it) | 1996-08-15 |
| IT1278372B1 true IT1278372B1 (it) | 1997-11-20 |
Family
ID=11413202
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| IT95TO000104A IT1278372B1 (it) | 1995-02-15 | 1995-02-15 | Catetere, particolarmente per il trattamento di aritmie cardiache. |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP0727184B1 (it) |
| AT (1) | ATE229301T1 (it) |
| DE (1) | DE69625259T2 (it) |
| ES (1) | ES2187585T3 (it) |
| IT (1) | IT1278372B1 (it) |
Families Citing this family (50)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6036687A (en) | 1996-03-05 | 2000-03-14 | Vnus Medical Technologies, Inc. | Method and apparatus for treating venous insufficiency |
| 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 |
| 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 |
| US6200312B1 (en) | 1997-09-11 | 2001-03-13 | Vnus Medical Technologies, Inc. | Expandable vein ligator catheter having multiple electrode leads |
| AU745659B2 (en) * | 1998-03-02 | 2002-03-28 | Atrionix, Inc. | Tissue ablation system and method for forming long linear lesion |
| US6094596A (en) * | 1998-06-19 | 2000-07-25 | Angeron Corporation | Transvenous defibrillation lead system for use in middle cardiac vein |
| CA2348558A1 (en) * | 1998-10-31 | 2000-05-11 | Akbar Abdol Mohammadi | Endocardial catheter system for wavelength measurement, mapping and ablation |
| US7818048B2 (en) * | 2003-06-02 | 2010-10-19 | Biosense Webster, Inc. | Catheter and method for mapping a pulmonary vein |
| EP2150194B1 (en) | 2007-04-27 | 2012-09-12 | Tyco Healthcare Group LP | System for treating hollow anatomical structures |
| US9084610B2 (en) | 2010-10-21 | 2015-07-21 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter apparatuses, systems, and methods for renal neuromodulation |
| WO2012061161A1 (en) | 2010-10-25 | 2012-05-10 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods |
| CN107374723B (zh) | 2012-05-11 | 2020-08-28 | 美敦力Af卢森堡有限责任公司 | 导管设备 |
| US9044575B2 (en) | 2012-10-22 | 2015-06-02 | Medtronic Adrian Luxembourg S.a.r.l. | Catheters with enhanced flexibility and associated devices, systems, and methods |
| WO2014189794A1 (en) | 2013-05-18 | 2014-11-27 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation catheters with shafts for enhanced flexibility and control and associated devices, systems, and methods |
| EP4059563B1 (en) | 2014-01-27 | 2023-09-27 | Medtronic Ireland Manufacturing Unlimited Company | Neuromodulation catheters having jacketed neuromodulation elements and related devices |
| WO2015164280A1 (en) | 2014-04-24 | 2015-10-29 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation catheters having braided shafts and associated systems and methods |
| US10905329B2 (en) | 2016-06-09 | 2021-02-02 | Biosense Webster (Israel) Ltd. | Multi-function conducting elements for a catheter |
| US12029545B2 (en) | 2017-05-30 | 2024-07-09 | Biosense Webster (Israel) Ltd. | Catheter splines as location sensors |
| US20190314083A1 (en) | 2018-04-11 | 2019-10-17 | Biosense Webster (Israel) Ltd. | Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes |
| US11045628B2 (en) | 2018-12-11 | 2021-06-29 | Biosense Webster (Israel) Ltd. | Balloon catheter with high articulation |
| US11207016B2 (en) | 2018-12-28 | 2021-12-28 | Biosense Webster (Israel) Ltd. | Mapping ECG signals using a multipole electrode assembly |
| US11850051B2 (en) | 2019-04-30 | 2023-12-26 | Biosense Webster (Israel) Ltd. | Mapping grid with high density electrode array |
| US11712172B2 (en) | 2019-07-18 | 2023-08-01 | Biosense Webster (Israel) Ltd. | Visual guidance for positioning a distal end of a medical probe |
| US11759150B2 (en) | 2019-08-27 | 2023-09-19 | Biosense Webster (Israel) Ltd. | Accurate basket catheter tracking |
| US11950930B2 (en) | 2019-12-12 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Multi-dimensional acquisition of bipolar signals from a catheter |
| US11517218B2 (en) | 2019-12-20 | 2022-12-06 | Biosense Webster (Israel) Ltd. | Selective graphical presentation of electrophysiological parameters |
| US20210369132A1 (en) | 2020-05-29 | 2021-12-02 | Biosense Webster (Israel) Ltd. | Intraluminal reference electrode for cardiovascular treatment apparatus |
| US11987017B2 (en) | 2020-06-08 | 2024-05-21 | Biosense Webster (Israel) Ltd. | Features to assist in assembly and testing of devices |
| US12048479B2 (en) | 2020-09-10 | 2024-07-30 | Biosense Webster (Israel) Ltd. | Surface mounted electrode catheter |
| US11950840B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes |
| US11950841B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes and diagnostic electrodes |
| US12082875B2 (en) | 2020-09-24 | 2024-09-10 | Biosense Webster (Israel) Ltd | Balloon catheter having a coil for sensing tissue temperature and position of the balloon |
| US11974803B2 (en) | 2020-10-12 | 2024-05-07 | Biosense Webster (Israel) Ltd. | Basket catheter with balloon |
| CN112244846B (zh) * | 2020-10-29 | 2025-07-18 | 苏州赛纳思医疗技术有限公司 | 花序状电生理标测导管装置 |
| US12201786B2 (en) | 2020-12-17 | 2025-01-21 | Biosense Webster (Israel) Ltd. | Measurement of distal end dimension of catheters using magnetic fields |
| US11918383B2 (en) | 2020-12-21 | 2024-03-05 | Biosense Webster (Israel) Ltd. | Visualizing performance of catheter electrodes |
| US12064170B2 (en) | 2021-05-13 | 2024-08-20 | Biosense Webster (Israel) Ltd. | Distal assembly for catheter with lumens running along spines |
| US12364426B2 (en) | 2021-08-12 | 2025-07-22 | Biosense Webster (Israel) Ltd. | Electro-anatomical mapping and annotation presented in electrophysiological procedures |
| US12004804B2 (en) | 2021-09-09 | 2024-06-11 | Biosense Webster (Israel) Ltd. | Basket catheter with mushroom shape distal tip |
| US12478424B2 (en) | 2021-09-10 | 2025-11-25 | Biosense Webster (Israel) Ltd. | Staggered pairs of biased ablation electrodes on basket catheter |
| US12011280B2 (en) | 2021-10-04 | 2024-06-18 | Biosense Webster (Israel) Ltd. | Electrophysiological mapping in the presence of injury current |
| US12533489B2 (en) | 2021-10-08 | 2026-01-27 | Biosense Webster (Israel) Ltd. | Measuring tissue proximity for multi-electrode catheter |
| US12419683B2 (en) | 2021-12-22 | 2025-09-23 | Biosense Webster (Israel) Ltd. | Irreversible electroporation with shorted electrodes |
| US12440263B2 (en) | 2022-01-20 | 2025-10-14 | Biosense Webster (Israel) Ltd. | Systems and methods for tripodic spines forming a spherical basket for improved tissue contact and current delivery |
| US12446946B2 (en) | 2022-01-20 | 2025-10-21 | Biosense Webster (Israel) Ltd. | Systems and methods for a single spiral electrode assembly forming a spherical basket for improved tissue contact and current delivery |
| US12484961B2 (en) | 2022-01-20 | 2025-12-02 | Biosense Webster (Israel) Ltd. | Mechanical retainer systems for electrodes of a basket catheter, and methods of the same |
| US12471989B2 (en) | 2022-04-28 | 2025-11-18 | Biosense Webster (Israel) Ltd. | Strengthened expandable baskets for medical probes and medical probes containing strengthen expandable baskets |
| US12533185B2 (en) | 2022-12-28 | 2026-01-27 | Biosense Webster (Israel) Ltd. | Basket end effector with distal position sensor |
| US12521035B2 (en) | 2022-12-29 | 2026-01-13 | Biosense Webster (Israel) Ltd. | Cylindrical cage systems and methods for distributed tissue contact for mapping and ablation |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5415166A (en) * | 1991-02-15 | 1995-05-16 | Cardiac Pathways Corporation | Endocardial mapping apparatus and cylindrical semiconductor device mounting structure for use therewith and method |
| US5255679A (en) * | 1992-06-02 | 1993-10-26 | Cardiac Pathways Corporation | Endocardial catheter for mapping and/or ablation with an expandable basket structure having means for providing selective reinforcement and pressure sensing mechanism for use therewith, and method |
| US5309910A (en) * | 1992-09-25 | 1994-05-10 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
| EP0673225A4 (en) * | 1993-03-16 | 1996-01-24 | Ep Technologies | ARRANGEMENT FOR MULTI-DIMENSIONAL DISPLAY AND TISSUE ABLATION OF THE HEART. |
-
1995
- 1995-02-15 IT IT95TO000104A patent/IT1278372B1/it active IP Right Grant
-
1996
- 1996-02-08 AT AT96101808T patent/ATE229301T1/de not_active IP Right Cessation
- 1996-02-08 ES ES96101808T patent/ES2187585T3/es not_active Expired - Lifetime
- 1996-02-08 DE DE69625259T patent/DE69625259T2/de not_active Expired - Fee Related
- 1996-02-08 EP EP96101808A patent/EP0727184B1/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| ATE229301T1 (de) | 2002-12-15 |
| ES2187585T3 (es) | 2003-06-16 |
| EP0727184B1 (en) | 2002-12-11 |
| DE69625259T2 (de) | 2003-09-04 |
| ITTO950104A1 (it) | 1996-08-15 |
| EP0727184A1 (en) | 1996-08-21 |
| ITTO950104A0 (it) | 1995-02-15 |
| DE69625259D1 (de) | 2003-01-23 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 0001 | Granted | ||
| TA | Fee payment date (situation as of event date), data collected since 19931001 |
Effective date: 19990226 |