[go: up one dir, main page]

RU2015156052A - Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности - Google Patents

Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности Download PDF

Info

Publication number
RU2015156052A
RU2015156052A RU2015156052A RU2015156052A RU2015156052A RU 2015156052 A RU2015156052 A RU 2015156052A RU 2015156052 A RU2015156052 A RU 2015156052A RU 2015156052 A RU2015156052 A RU 2015156052A RU 2015156052 A RU2015156052 A RU 2015156052A
Authority
RU
Russia
Prior art keywords
porous substrate
catheter
chamber
conductive fluid
catheter according
Prior art date
Application number
RU2015156052A
Other languages
English (en)
Other versions
RU2015156052A3 (ru
Inventor
Атанассиос ПАПАИОАННУ
Кристофер Томас БИКЛЕР
Ассаф ГОВАРИ
Original Assignee
Байосенс Вебстер (Изрэйл) Лтд.
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 Байосенс Вебстер (Изрэйл) Лтд. filed Critical Байосенс Вебстер (Изрэйл) Лтд.
Publication of RU2015156052A publication Critical patent/RU2015156052A/ru
Publication of RU2015156052A3 publication Critical patent/RU2015156052A3/ru

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
    • 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
    • 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
    • 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
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00041—Heating, e.g. defrosting
    • 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
    • A61B2018/00065—Material properties porous
    • 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
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • 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
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed 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
    • 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
    • A61B2018/00791—Temperature
    • 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
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • 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
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • 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
    • A61B2018/1497—Electrodes covering only part of the probe circumference
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • 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
    • A61B2562/12—Manufacturing methods specially adapted for producing sensors for in-vivo measurements
    • A61B2562/125—Manufacturing methods specially adapted for producing sensors for in-vivo measurements characterised by the manufacture of electrodes

Landscapes

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

Claims (37)

1. Катетер, содержащий
удлиненный корпус катетера;
дистальный электродный элемент, имеющий пористую подложку и множество поверхностных электродов на частях наружной поверхности пористой подложки, при этом пористая подложка имеет внутреннюю камеру, выполненную с возможностью приема проводящей текучей среды;
множество питающих проводов, каждый из которых соединен с соответствующим поверхностным электродом; и
питающий провод, имеющий дистальную часть, проходящую во внутреннюю камеру, причем этот питающий провод выполнен с возможностью электризации проводящей текучей среды в камере,
при этом пористая подложка выполнена с возможностью пропускания проводящей текучей среды из камеры к наружной поверхности пористой подложки.
2. Катетер по п. 1, в котором пористая подложка содержит совместимый с МРТ материал.
3. Катетер по п. 1, в котором поверхностные электроды содержат совместимый с МРТ материал.
4. Катетер по п. 1, в котором пористая подложка содержит по меньшей мере один материал из группы, состоящей из керамического материала, полиэтилена и тефлона.
5. Катетер по п. 1, дополнительно содержащий промежуточную отклоняющуюся секцию между корпусом катетера и дистальным электродом.
6. Катетер по п. 1, дополнительно содержащий трубку орошения, выполненную с возможностью подачи проводящей текучей среды в камеру.
7. Катетер по п. 1, в котором каждый поверхностный электрод имеет площадь поверхности, находящуюся в диапазоне от 0,2 мм2 до 2 мм2.
8. Катетер по п. 1, в котором дистальная часть питающего провода в камере является нелинейной.
9. Катетер по п. 1, в котором упомянутое множество поверхностных электродов находится в диапазоне от примерно одного до двадцати.
10. Катетер по п. 1, в котором упомянутое множество поверхностных электродов имеют форму в соответствии с конфигурацией с выступом.
11. Катетер, содержащий:
удлиненный корпус катетера;
дистальный электродный элемент, имеющий пористую подложку и множество поверхностных электродов, при этом пористая подложка имеет по меньшей мере одну открытую площадь поверхности, простирающуюся между по меньшей мере парой поверхностных электродов, причем пористая подложка имеет внутреннюю камеру, выполненную с возможностью приема проводящей текучей среды;
множество питающих проводов, каждый из которых соединен с соответствующим поверхностным электродом; и
питающий провод, имеющий дистальную часть, проходящую во внутреннюю камеру, причем этот питающий провод выполнен с возможностью электризации проводящей текучей среды в камере,
при этом пористая подложка выполнена с возможностью пропускания проводящей текучей среды из камеры к упомянутой по меньшей мере одной открытой площади поверхности.
12. Катетер по п. 11, в котором пористая подложка содержит совместимый с МРТ материал.
13. Катетер по п. 11, в котором поверхностные электроды содержат совместимый с МРТ материал.
14. Катетер по п. 12, в котором пористая подложка содержит керамический материал.
15. Катетер по п. 11, дополнительно содержащий промежуточную отклоняющуюся секцию между корпусом катетера и дистальным электродным элементом.
16. Катетер по п. 11, дополнительно содержащий трубку орошения, выполненную с возможностью подачи текучей среды в камеру.
17. Катетер по п. 11, в котором дистальная часть питающего провода в камере свернута в виде спирали.
18. Катетер по п. 11, в котором упомянутое множество поверхностных электродов находится в диапазоне от примерно шести до двенадцати.
19. Катетер по п. 11, дополнительно содержащий заглушку на проксимальном конце пористой подложки.
20. Катетер, содержащий:
удлиненный корпус катетера;
промежуточную отклоняющуюся секцию дистально от корпуса катетера;
дистальный электродный элемент, имеющий пористую подложку и множество поверхностных электродов, при этом пористая подложка имеет по меньшей мере одну открытую площадь поверхности, простирающуюся между по меньшей мере парой поверхностных электродов, причем пористая подложка имеет внутреннюю камеру, выполненную с возможностью приема проводящей текучей среды;
множество питающих проводов, каждый из которых соединен с соответствующим поверхностным электродом;
трубку орошения, выполненную с возможностью пропускания проводящей текучей среды в камеру;
питающий провод, имеющий дистальную часть, проходящую во внутреннюю камеру, причем этот питающий провод выполнен с возможностью электризации проводящей текучей среды в камере,
при этом пористая подложка выполнена с возможностью пропускания проводящей текучей среды из камеры к упомянутой по меньшей мере одной открытой площади поверхности.
RU2015156052A 2014-12-30 2015-12-28 Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности RU2015156052A (ru)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/586,907 US10034707B2 (en) 2014-12-30 2014-12-30 Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes
US14/586,907 2014-12-30

Publications (2)

Publication Number Publication Date
RU2015156052A true RU2015156052A (ru) 2017-07-05
RU2015156052A3 RU2015156052A3 (ru) 2019-06-06

Family

ID=55069721

Family Applications (1)

Application Number Title Priority Date Filing Date
RU2015156052A RU2015156052A (ru) 2014-12-30 2015-12-28 Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности

Country Status (8)

Country Link
US (4) US10034707B2 (ru)
EP (3) EP3040043B1 (ru)
JP (1) JP6716249B2 (ru)
CN (1) CN105726118B (ru)
AU (1) AU2015268765A1 (ru)
CA (1) CA2916105A1 (ru)
IL (1) IL243399B (ru)
RU (1) RU2015156052A (ru)

Families Citing this family (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US10034707B2 (en) * 2014-12-30 2018-07-31 Biosense Webster (Israel) Ltd. Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes
EP3685782B1 (en) 2015-04-29 2021-11-03 Innoblative Designs, Inc. Cavitary tissue ablation
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
CA3000013C (en) * 2015-10-29 2024-04-02 Innoblative Designs, Inc. Screen sphere tissue ablation devices and methods
US12207863B2 (en) 2015-10-29 2025-01-28 Innoblative Designs, Inc. Screen sphere tissue ablation devices and methods
EP3359073B1 (en) 2015-11-20 2020-02-12 St. Jude Medical, Cardiology Division, Inc. Multi-electrode ablator tip having dual-mode, omni-directional feedback capabilities
JP6630836B2 (ja) 2016-02-02 2020-01-15 イノブレイティブ デザインズ， インコーポレイテッド 空洞性組織アブレーションシステム
WO2017151431A1 (en) 2016-03-01 2017-09-08 Innoblative Designs, Inc. Resecting and coagulating tissue
WO2017192477A1 (en) 2016-05-02 2017-11-09 Affera, Inc. Method of inserting a catheter with an expandable tip and a system comprising a catheter, a sheath and an insertion sleeve
US10702177B2 (en) * 2016-08-24 2020-07-07 Biosense Webster (Israel) Ltd. Catheter with bipole electrode spacer and related methods
US11911093B2 (en) 2016-09-12 2024-02-27 Biosense Webster (Israel) Ltd. Irrigation system for a catheter
US11559349B2 (en) * 2016-09-12 2023-01-24 Biosense Webster (Israel) Ltd. Ablation catheter with a flexible printed circuit board
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
EP3525703B1 (en) 2016-10-17 2021-07-07 Innoblative Designs, Inc. Treatment devices
JP6875757B2 (ja) 2016-11-08 2021-05-26 イノブレイティブ デザインズ， インコーポレイテッド 電気手術の組織および脈管シールデバイス
US11369301B2 (en) * 2017-01-27 2022-06-28 Medtronic Cryocath Lp Highly flexible mapping and treatment device
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US11103304B2 (en) * 2017-06-13 2021-08-31 Biosense Webster (Israel) Ltd. Catheter with composite insert support member
US11284939B2 (en) * 2017-07-06 2022-03-29 Biosense Webster (Israel) Ltd. Irrigated catheter with improved ablation tip electrode fluid distribution
WO2019023328A1 (en) 2017-07-26 2019-01-31 Innoblative Designs, Inc. MINIMALLY INVASIVE JOINT ASSEMBLY HAVING ABLATION CAPABILITIES
US11490951B2 (en) * 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
EP3473200B1 (de) * 2017-10-23 2020-10-07 VascoMed GmbH Ablationskatheter mit mikroelektrode und verfahren zum herstellen eines ablationskatheters
US11033327B2 (en) * 2017-10-30 2021-06-15 St. Jude Medical, Cardiology Division, Inc. Electrophysiology catheter with modular electrode structure
EP3750593B1 (en) * 2018-02-06 2022-09-07 Kaneka Corporation Catheter and method for producing same
CN118557272A (zh) * 2018-02-09 2024-08-30 普雷西迪奥医学有限公司 用于心脏传导阻滞的系统和方法
US10966783B2 (en) * 2018-03-19 2021-04-06 Biosense Webster (Israel) Ltd. Catheter with multifunctional microinjection—molded housing
US11058480B2 (en) * 2018-04-27 2021-07-13 RELIGN Corporation Arthroscopic devices and methods
US11911094B2 (en) * 2018-05-25 2024-02-27 Biosense Webster (Israel) Ltd. Heat transfer through a catheter tip
EP3813936B1 (en) * 2018-06-06 2025-11-05 Robert F. Rioux Portable wound treatment system
EP3823548B1 (en) * 2018-07-19 2025-01-22 The University Of Sydney Ablation lesion device
US11737818B2 (en) * 2018-08-14 2023-08-29 Biosense Webster (Israel) Ltd. Heat transfer during ablation procedures
US11766206B2 (en) * 2018-12-20 2023-09-26 Biosense Webster (Israel) Ltd. Electrode arrangement to sense cardiac wave vector
US20200205737A1 (en) * 2018-12-28 2020-07-02 Biosense Webster (Israel) Ltd. Flexible Nested Sensing Electrodes
US11207016B2 (en) * 2018-12-28 2021-12-28 Biosense Webster (Israel) Ltd. Mapping ECG signals using a multipole electrode assembly
WO2020236689A1 (en) * 2019-05-20 2020-11-26 Innoblative Designs, Inc. Tissue ablation devices and methods
EP3958774B1 (en) * 2019-07-02 2023-08-16 St. Jude Medical, Cardiology Division, Inc. Reduced impedance electrode design
USD1074999S1 (en) 2019-12-16 2025-05-13 Affera, Inc. Catheter tip with electrode panel(s)
US12471982B2 (en) 2020-12-02 2025-11-18 Cilag Gmbh International Method for tissue treatment by surgical instrument
US12527622B2 (en) 2021-04-26 2026-01-20 Innoblative Designs, Inc. System for minimally invasive tissue ablation and sealing
USD1014762S1 (en) 2021-06-16 2024-02-13 Affera, Inc. Catheter tip with electrode panel(s)
WO2023021618A1 (ja) * 2021-08-18 2023-02-23 日本ライフライン株式会社 電極カテーテル
US11957342B2 (en) 2021-11-01 2024-04-16 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation
US12508021B2 (en) 2021-11-01 2025-12-30 Cilag Gmbh International Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation
CN115517757B (zh) * 2022-11-28 2023-03-31 成都美创医疗科技股份有限公司 一种外刀组件及外出水止血刨刀
CN117442325B (zh) * 2023-10-25 2024-08-27 四川锦江生命科技有限公司 一种多极消融电极导管

Family Cites Families (68)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR92E (fr) 1901-08-19 1902-10-20 Lemaire Nouveau gazogène pour moteur à gaz
CA962806A (en) 1970-06-04 1975-02-18 Ontario Research Foundation Surgical prosthetic device
US3890977A (en) 1974-03-01 1975-06-24 Bruce C Wilson Kinetic memory electrodes, catheters and cannulae
US4934381A (en) 1975-05-09 1990-06-19 Macgregor David C Porous carbon pacemaker electrode
US4101984A (en) 1975-05-09 1978-07-25 Macgregor David C Cardiovascular prosthetic devices and implants with porous systems
US4167607A (en) 1977-12-19 1979-09-11 Diamond Shamrock Technologies S.A. Halogen electrodes and storage batteries
US4506680A (en) 1983-03-17 1985-03-26 Medtronic, Inc. Drug dispensing body implantable lead
AU570439B2 (en) 1983-03-28 1988-03-17 Compression Labs, Inc. A combined intraframe and interframe transform coding system
US4574094A (en) 1983-06-09 1986-03-04 Kollmorgen Technologies Corporation Metallization of ceramics
US4547094A (en) 1984-01-30 1985-10-15 Kennedy William R Mine stopping
US4844099A (en) 1986-11-24 1989-07-04 Telectronics, N.V. Porous pacemaker electrode tip using a porous substrate
JP2544398B2 (ja) 1987-08-27 1996-10-16 富士通株式会社 Ａ１ｎセラミックスのメタライズ方法
US4819662A (en) 1987-10-26 1989-04-11 Cardiac Pacemakers, Inc. Cardiac electrode with drug delivery capabilities
US4917670A (en) 1988-03-22 1990-04-17 Hurley Ronald J Continuous spinal anesthesia administering apparatus and method
US4984581A (en) 1988-10-12 1991-01-15 Flexmedics Corporation Flexible guide having two-way shape memory alloy
US5383923A (en) 1990-10-20 1995-01-24 Webster Laboratories, Inc. Steerable catheter having puller wire with shape memory
US5269752A (en) 1991-09-12 1993-12-14 Bennett Laurence M Method of extracorporeal treatment using a kink resistant catheter
US5357979A (en) 1992-12-01 1994-10-25 Intelliwire, Inc. Flexible elongate device having a distal extremity with current controlled adjustable stiffness and adjustable bend location and method
US5336222A (en) 1993-03-29 1994-08-09 Boston Scientific Corporation Integrated catheter for diverse in situ tissue therapy
US5690805A (en) 1993-05-17 1997-11-25 Electrochemicals Inc. Direct metallization process
US5391199A (en) 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US5558091A (en) 1993-10-06 1996-09-24 Biosense, Inc. Magnetic determination of position and orientation
US5797903A (en) 1996-04-12 1998-08-25 Ep Technologies, Inc. Tissue heating and ablation systems and methods using porous electrode structures with electrically conductive surfaces
US5462521A (en) * 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
DE69531980T2 (de) 1994-08-23 2004-07-29 At & T Corp. Metallisierung von keramischen Materialien durch Auftrag einer haftenden reduzierbaren Schicht
US5681344A (en) 1995-02-06 1997-10-28 Wilson-Cook Medical Inc. Esophageal dilation balloon catheter containing flexible nitinol wire
US5688267A (en) 1995-05-01 1997-11-18 Ep Technologies, Inc. Systems and methods for sensing multiple temperature conditions during tissue ablation
US5843076A (en) 1995-06-12 1998-12-01 Cordis Webster, Inc. Catheter with an electromagnetic guidance sensor
WO1997045156A2 (en) 1996-01-19 1997-12-04 Ep Technologies, Inc. Tissue heating and ablation systems and methods using porous electrode structures
US6475213B1 (en) * 1996-01-19 2002-11-05 Ep Technologies, Inc. Method of ablating body tissue
US5846238A (en) 1996-01-19 1998-12-08 Ep Technologies, Inc. Expandable-collapsible electrode structures with distal end steering or manipulation
JP4361136B2 (ja) * 1996-01-19 2009-11-11 ボストン サイエンティフィック リミテッド 多孔質電極構造体を利用した組織の加熱切除システムと方法
US5868736A (en) 1996-04-12 1999-02-09 Ep Technologies, Inc. Systems and methods to control tissue heating or ablation with porous electrode structures
US6032077A (en) * 1996-03-06 2000-02-29 Cardiac Pathways Corporation Ablation catheter with electrical coupling via foam drenched with a conductive fluid
US5910129A (en) 1996-12-19 1999-06-08 Ep Technologies, Inc. Catheter distal assembly with pull wires
US5913856A (en) 1997-05-19 1999-06-22 Irvine Biomedical, Inc. Catheter system having a porous shaft and fluid irrigation capabilities
US6241666B1 (en) * 1997-07-03 2001-06-05 Cardiac Pathways Corp. Ablation catheter tip with a buffer layer covering the electrode
US5964757A (en) 1997-09-05 1999-10-12 Cordis Webster, Inc. Steerable direct myocardial revascularization catheter
US6123699A (en) 1997-09-05 2000-09-26 Cordis Webster, Inc. Omni-directional steerable catheter
US6120476A (en) 1997-12-01 2000-09-19 Cordis Webster, Inc. Irrigated tip catheter
US6522930B1 (en) * 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
US6171275B1 (en) 1998-12-03 2001-01-09 Cordis Webster, Inc. Irrigated split tip electrode catheter
US6466818B1 (en) 1999-01-15 2002-10-15 Biosense Webster, Inc. Porous irrigated tip electrode catheter
US6405078B1 (en) 1999-01-15 2002-06-11 Biosense Webster, Inc. Porous irrigated tip electrode catheter
US6363287B1 (en) * 1999-10-27 2002-03-26 Medtronic, Inc. Steroid elution electrodes LVCV, left atrial medical/elecrical leads
US6458127B1 (en) 1999-11-22 2002-10-01 Csaba Truckai Polymer embolic elements with metallic coatings for occlusion of vascular malformations
US6458123B1 (en) 2000-04-27 2002-10-01 Biosense Webster, Inc. Ablation catheter with positional sensor
US6454766B1 (en) * 2000-05-05 2002-09-24 Scimed Life Systems, Inc. Microporous electrode structure and method of making the same
US6669692B1 (en) 2000-08-21 2003-12-30 Biosense Webster, Inc. Ablation catheter with cooled linear electrode
US6611699B2 (en) * 2001-06-28 2003-08-26 Scimed Life Systems, Inc. Catheter with an irrigated composite tip electrode
US20040092806A1 (en) * 2001-12-11 2004-05-13 Sagon Stephen W Microelectrode catheter for mapping and ablation
AU2002357166A1 (en) 2001-12-12 2003-06-23 Tissuelink Medical, Inc. Fluid-assisted medical devices, systems and methods
US7967816B2 (en) 2002-01-25 2011-06-28 Medtronic, Inc. Fluid-assisted electrosurgical instrument with shapeable electrode
US7104989B2 (en) 2003-09-05 2006-09-12 Medtronic, Inc. RF ablation catheter including a virtual electrode assembly
US8262653B2 (en) 2004-04-02 2012-09-11 Biosense Webster, Inc. Irrigated catheter having a porous tip electrode
US7066935B2 (en) 2004-04-30 2006-06-27 Medtronic, Inc. Ion eluting tuna device
US7623899B2 (en) 2005-09-16 2009-11-24 Biosense Webster, Inc. Catheter with flexible pre-shaped tip section
FR2891954B1 (fr) * 2005-10-12 2008-01-04 Hispano Suiza Sa Raccord coude pour cable electrique multifils
US7857809B2 (en) 2005-12-30 2010-12-28 Biosense Webster, Inc. Injection molded irrigated tip electrode and catheter having the same
EP3000390A1 (en) * 2007-03-26 2016-03-30 Boston Scientific Limited High resolution electrophysiology catheter
US8734440B2 (en) * 2007-07-03 2014-05-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Magnetically guided catheter
US8235985B2 (en) * 2007-08-31 2012-08-07 Voyage Medical, Inc. Visualization and ablation system variations
CN105105844B (zh) * 2010-05-12 2017-12-15 施菲姆德控股有限责任公司 小轮廓的电极组件
US10201385B2 (en) 2011-09-01 2019-02-12 Biosense Webster (Israel) Ltd. Catheter adapted for direct tissue contact
CN102631240A (zh) 2012-04-13 2012-08-15 上海微创电生理医疗科技有限公司 冷盐水灌注型射频消融导管
CN104540465A (zh) * 2012-08-24 2015-04-22 波士顿科学西美德公司 带有含单独微孔隙区域的球囊的血管内导管
EP2897544B1 (en) * 2012-09-18 2018-12-12 Boston Scientific Scimed, Inc. Map and ablate closed-loop cooled ablation catheter
US10034707B2 (en) * 2014-12-30 2018-07-31 Biosense Webster (Israel) Ltd. Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes

Also Published As

Publication number Publication date
US20160184008A1 (en) 2016-06-30
EP3202358A1 (en) 2017-08-09
US20210177510A1 (en) 2021-06-17
CA2916105A1 (en) 2016-06-30
IL243399B (en) 2018-12-31
EP4014910A1 (en) 2022-06-22
US20190380775A1 (en) 2019-12-19
JP2016127919A (ja) 2016-07-14
AU2015268765A1 (en) 2016-07-14
EP4014910B1 (en) 2025-04-30
RU2015156052A3 (ru) 2019-06-06
US10925668B2 (en) 2021-02-23
CN105726118A (zh) 2016-07-06
EP4014910C0 (en) 2025-04-30
EP3040043A1 (en) 2016-07-06
US12064169B2 (en) 2024-08-20
JP6716249B2 (ja) 2020-07-01
US10034707B2 (en) 2018-07-31
US20180344395A1 (en) 2018-12-06
US10390880B2 (en) 2019-08-27
CN105726118B (zh) 2020-11-06
EP3202358B8 (en) 2022-03-02
EP3040043B1 (en) 2018-01-31
EP3202358B1 (en) 2022-01-26

Similar Documents

Publication Publication Date Title
RU2015156052A (ru) Катетер с орошаемым точечным электродом с пористой подложкой и поверхностными микроэлектродами высокой плотности
RU2015149762A (ru) Катетер с гибким дистальным кончиком для картирования и абляции трубчатой области
RU2017113694A (ru) Орошаемый балонный катетер, имеющий электродный узел с гибкой схемой
RU2015153896A (ru) Баллон для абляции вокруг легочных вен
RU2012137203A (ru) Катетер, предназначенный для непосредственного контакта с тканями
RU2016124801A (ru) Катетер, содержащий закрытый электродный узел с сердечниками одинаковой длины
IL279105A (en) A catheter with multiple sensing electrodes used as an ablation electrode
RU2016124794A (ru) Катетер со штабельным электродным узлом сердечников
RU2017142598A (ru) Орошаемый баллонный катетер с опорными стержнями и изменяемой формой
RU2017101338A (ru) Многополюсный синхронный радиочастотный абляционный катетер для легочной артерии
RU2012127341A (ru) Катетер с регулируемой дугообразной дистальной секцией
RU2016109156A (ru) Устройства кардиостимуляции без проводов
RU2016136669A (ru) Корзинчатый катетер с индивидуальным управлением ребрами
RU2015145807A (ru) Корзинчатый катетер с микроэлектродной матрицей на дистальном кончике
JP2018537146A5 (ru)
IL273997B2 (en) A spiral catheter includes everything
RU2015149210A (ru) Катетер с электродной матрицей высокой плотности на основе сердечников
RU2017110139A (ru) Преобразуемый корзинчатый катетер
EP4272631A3 (en) Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes
JP2015144906A5 (ru)
EP4424352A3 (en) Steerable medical device with braided structure and the preparing method thereof
JP2010515537A5 (ru)
RU2021138708A (ru) Устройство доставки аэрозоля с усовершенствованным атомайзером
EP2380518A3 (en) Dual-purpose lasso catheter with irrigation using circumferentially arranged ring bump electrodes
JP2017500913A5 (ru)

Legal Events

Date Code Title Description
FA92 Acknowledgement of application withdrawn (lack of supplementary materials submitted)

Effective date: 20191031