WO2017118986A3 - Dispositif et procédés de mesures électrophysiologiques de sinus coronaire - Google Patents

Dispositif et procédés de mesures électrophysiologiques de sinus coronaire Download PDF

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Publication number
WO2017118986A3
WO2017118986A3 PCT/IL2017/050020 IL2017050020W WO2017118986A3 WO 2017118986 A3 WO2017118986 A3 WO 2017118986A3 IL 2017050020 W IL2017050020 W IL 2017050020W WO 2017118986 A3 WO2017118986 A3 WO 2017118986A3
Authority
WO
WIPO (PCT)
Prior art keywords
methods
coronary sinus
measurements device
electrophysiology measurements
array body
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.)
Ceased
Application number
PCT/IL2017/050020
Other languages
English (en)
Other versions
WO2017118986A2 (fr
Inventor
Lior Yankelson
Omer Shezifi
Dima Pinhasov
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.)
Medical Research Infrastructure and Health Services Fund of the Tel Aviv Medical Center
Original Assignee
Medical Research Infrastructure and Health Services Fund of the Tel Aviv Medical Center
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 claimed from PCT/IL2016/050024 external-priority patent/WO2016110856A1/fr
Application filed by Medical Research Infrastructure and Health Services Fund of the Tel Aviv Medical Center filed Critical Medical Research Infrastructure and Health Services Fund of the Tel Aviv Medical Center
Priority to EP17735931.2A priority Critical patent/EP3402396A4/fr
Priority to US16/068,689 priority patent/US20190046062A1/en
Publication of WO2017118986A2 publication Critical patent/WO2017118986A2/fr
Publication of WO2017118986A3 publication Critical patent/WO2017118986A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • 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
    • 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
    • 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
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • 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
    • A61B2018/00297—Means for providing haptic feedback
    • 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

Landscapes

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

Abstract

L'invention concerne un réseau d'électrodes conçu pour être inséré au moins partiellement dans un vaisseau sanguin, comprenant : un corps de réseau auto-expansible ; au moins deux électrodes espacées axialement connectées audit corps de réseau ; dans lequel au moins une partie dudit corps de réseau se dilate pour prendre une configuration ouverte et pousse au moins une électrode sélectionnée contre le tissu interne du vaisseau sanguin avec une force conçue pour ne pas endommager un tissu veineux.
PCT/IL2017/050020 2015-01-08 2017-01-05 Dispositif et procédés de mesures électrophysiologiques de sinus coronaire Ceased WO2017118986A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP17735931.2A EP3402396A4 (fr) 2016-01-07 2017-01-05 Dispositif et procédés de mesures électrophysiologiques de sinus coronaire
US16/068,689 US20190046062A1 (en) 2015-01-08 2017-01-05 Coronary sinus electrophysiology measurements device and methods

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
PCT/IL2016/050024 WO2016110856A1 (fr) 2015-01-08 2016-01-07 Stimulation cardiaque de voies auriculo-ventriculaires et/ou de tissus associés
ILPCT/IL2016/050024 2016-01-07
US201662330365P 2016-05-02 2016-05-02
US62/330,365 2016-05-02

Publications (2)

Publication Number Publication Date
WO2017118986A2 WO2017118986A2 (fr) 2017-07-13
WO2017118986A3 true WO2017118986A3 (fr) 2017-09-21

Family

ID=59273709

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2017/050020 Ceased WO2017118986A2 (fr) 2015-01-08 2017-01-05 Dispositif et procédés de mesures électrophysiologiques de sinus coronaire

Country Status (2)

Country Link
EP (1) EP3402396A4 (fr)
WO (1) WO2017118986A2 (fr)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2856732A1 (fr) 2011-12-09 2013-06-13 Metavention, Inc. Neuromodulation therapeutique du systeme hepatique
US20150111918A1 (en) 2012-03-08 2015-04-23 Medtronic Ardian Luxembourg S.a.r.l Immune system neuromodulation and associated systems and methods
EP3226795B1 (fr) 2014-12-03 2020-08-26 Metavention, Inc. Systèmes de modulation de nerfs ou d'autres tissus
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
CN109394211B (zh) * 2018-12-18 2021-08-06 新乡医学院 一种在体电生理记录金属电极的制备方法

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US5342295A (en) * 1993-09-24 1994-08-30 Cardiac Pathways Corporation Catheter assembly, catheter and multi-port introducer for use therewith
US5722401A (en) * 1994-10-19 1998-03-03 Cardiac Pathways Corporation Endocardial mapping and/or ablation catheter probe
US20010007070A1 (en) * 1999-04-05 2001-07-05 Medtronic, Inc. Ablation catheter assembly and method for isolating a pulmonary vein
US20020177765A1 (en) * 2001-05-24 2002-11-28 Bowe Wade A. Ablation and high-resolution mapping catheter system for pulmonary vein foci elimination
US6514214B2 (en) * 2001-02-13 2003-02-04 Scimed Life Systems, Inc. Intravascular temperature sensor
US20030109914A1 (en) * 2000-08-30 2003-06-12 Randy Westlund Coronary vein leads having an atraumatic TIP and method therefor
US20040243011A1 (en) * 2003-06-02 2004-12-02 Plaza Claudio P. Catheter and method for mapping a pulmonary vein
US20040242984A1 (en) * 2003-06-02 2004-12-02 Plaza Claudio P. Catheter and method for mapping a pulmonary vein
US20050070887A1 (en) * 2003-09-26 2005-03-31 Scimed Life Systems, Inc. Medical probes for creating and diagnosing circumferential lesions within or around the ostium of a vessel
US20080228060A1 (en) * 2007-03-09 2008-09-18 Tegg Troy T High density mapping catheter
US20100069733A1 (en) * 2008-09-05 2010-03-18 Nathan Kastelein Electrophysiology catheter with electrode loop

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6064905A (en) 1998-06-18 2000-05-16 Cordis Webster, Inc. Multi-element tip electrode mapping catheter
US9220433B2 (en) * 2011-06-30 2015-12-29 Biosense Webster (Israel), Ltd. Catheter with variable arcuate distal section
US10537286B2 (en) * 2013-01-08 2020-01-21 Biosense Webster (Israel) Ltd. Catheter with multiple spines of different lengths arranged in one or more distal assemblies

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US5342295A (en) * 1993-09-24 1994-08-30 Cardiac Pathways Corporation Catheter assembly, catheter and multi-port introducer for use therewith
US5722401A (en) * 1994-10-19 1998-03-03 Cardiac Pathways Corporation Endocardial mapping and/or ablation catheter probe
US20010007070A1 (en) * 1999-04-05 2001-07-05 Medtronic, Inc. Ablation catheter assembly and method for isolating a pulmonary vein
US20030109914A1 (en) * 2000-08-30 2003-06-12 Randy Westlund Coronary vein leads having an atraumatic TIP and method therefor
US6514214B2 (en) * 2001-02-13 2003-02-04 Scimed Life Systems, Inc. Intravascular temperature sensor
US20020177765A1 (en) * 2001-05-24 2002-11-28 Bowe Wade A. Ablation and high-resolution mapping catheter system for pulmonary vein foci elimination
US20040243011A1 (en) * 2003-06-02 2004-12-02 Plaza Claudio P. Catheter and method for mapping a pulmonary vein
US20040242984A1 (en) * 2003-06-02 2004-12-02 Plaza Claudio P. Catheter and method for mapping a pulmonary vein
US20050070887A1 (en) * 2003-09-26 2005-03-31 Scimed Life Systems, Inc. Medical probes for creating and diagnosing circumferential lesions within or around the ostium of a vessel
US20080228060A1 (en) * 2007-03-09 2008-09-18 Tegg Troy T High density mapping catheter
US20100069733A1 (en) * 2008-09-05 2010-03-18 Nathan Kastelein Electrophysiology catheter with electrode loop

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP3402396A4 *

Also Published As

Publication number Publication date
EP3402396A2 (fr) 2018-11-21
WO2017118986A2 (fr) 2017-07-13
EP3402396A4 (fr) 2019-10-09

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