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RU2016124794A - Катетер со штабельным электродным узлом сердечников - Google Patents

Катетер со штабельным электродным узлом сердечников Download PDF

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Publication number
RU2016124794A
RU2016124794A RU2016124794A RU2016124794A RU2016124794A RU 2016124794 A RU2016124794 A RU 2016124794A RU 2016124794 A RU2016124794 A RU 2016124794A RU 2016124794 A RU2016124794 A RU 2016124794A RU 2016124794 A RU2016124794 A RU 2016124794A
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catheter
matrix
distal
core
plane
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RU2016124794A
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English (en)
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Стивен ВУ
Сунгвоо МИН
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Байосенс Вебстер (Изрэйл) Лтд.
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Publication of RU2016124794A publication Critical patent/RU2016124794A/ru

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    • 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
    • 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
    • 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
    • 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
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—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
    • A61B2018/00571—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
    • 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

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

Claims (40)

1. Катетер, содержащий:
удлиненный корпус катетера;
матрицу электродов, дистальную по отношению к корпусу катетера, причем матрица содержит:
по меньшей мере, первую и вторую опоры сердечника, при этом каждая опора сердечника включает в себя основание, имеющее плоскую конфигурацию, и множество сердечников, проходящих от основания; и
один или более электродов, размещенных на сердечниках,
при этом первое основание проходит в первой плоскости, а второе основание проходит во второй плоскости, отличной от первой плоскости.
2. Катетер по п. 1, в котором первая и вторая плоскости являются параллельными.
3. Катетер по п. 1, в котором первая и вторая плоскости не являются параллельными.
4. Катетер по п. 1, в котором каждый сердечник включает в себя проксимальный участок и дистальный участок, причем дистальные участки матрицы проходят в общей третьей плоскости.
5. Катетер по п. 4, в котором третья плоскость параллельна, по меньшей мере, одной из первой и второй плоскостей.
6. Катетер по п. 4, в котором дистальные участки матрицы являются линейными.
7. Катетер по п. 6, в котором дистальные участки матрицы являются параллельными друг другу.
8. Катетер по п. 1, в котором матрица электродов включает в себя стержень, имеющий просвет, в котором закреплены основания, по меньшей мере, первой и второй опор сердечника.
9. Катетер по п. 1, в котором каждый сердечник имеет свободный дистальный конец.
10. Катетер по п. 1, в котором каждый сердечник имеет дистальный конец, который соединен с, по меньшей мере, одним дистальным концом другого сердечника.
11. Катетер, содержащий:
удлиненный корпус катетера;
матрицу электродов, дистальную по отношению к корпусу катетера, причем матрица содержит:
монтажный элемент, имеющий проксимальный конец, прикрепленный дистально по отношению к корпусу катетера;
по меньшей мере, первую и вторую опоры сердечника, при этом каждая опора сердечника включает в себя основание, имеющее плоскую конфигурацию, и множество сердечников, проходящих от основания;
неэлектропроводное покрытие на каждом сердечнике; и
один или более электродов, размещенных на сердечниках,
при этом первое основание закреплено в просвете монтажного элемента в первой плоскости, а второе основание закреплено в просвете во второй плоскости, отличной от первой плоскости.
12. Катетер по п. 11, в котором первая и вторая плоскости являются параллельными.
13. Катетер по п. 11, в котором первая и вторая плоскости не являются параллельными.
14. Катетер по п. 11, в котором каждый сердечник включает в себя проксимальный участок и дистальный участок, и дистальные участки матрицы проходят в общей третьей плоскости.
15. Катетер по п. 14, в котором третья плоскость параллельна, по меньшей мере, одной из первой и второй плоскостей.
16. Катетер по п. 14, в котором дистальные участки матрицы являются линейными.
17. Катетер по п. 16, в котором дистальные участки матрицы являются параллельными друг другу.
18. Катетер, содержащий:
удлиненный корпус катетера;
матрицу электродов, дистальную по отношению к корпусу катетера, причем матрица содержит:
крепежный монтажный стержень, имеющий проксимальный конец, прикрепленный дистально по отношению к корпусу катетера;
по меньшей мере, первую и вторую опоры сердечника, при этом каждая опора сердечника включает в себя основание, имеющее плоскую конфигурацию, и множество сердечников, проходящих от основания;
неэлектропроводное покрытие на каждом сердечнике; и
один или более электродов, размещенных на сердечниках,
при этом первое основание закреплено в просвете стержня в первой плоскости, а второе основание закреплено в просвете стержня во второй плоскости, отличной от первой плоскости,
при этом каждый сердечник имеет дистальный линейный участок, а дистальные линейные участки матрицы параллельны друг другу.
19. Катетер по п. 18, в котором дистальные линейные участки матрицы параллельны продольной оси стержня.
20. Катетер по п. 18, в котором множество сердечников составляет от около двух до шести.
RU2016124794A 2015-06-29 2016-06-22 Катетер со штабельным электродным узлом сердечников RU2016124794A (ru)

Applications Claiming Priority (2)

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US14/754,566 2015-06-29
US14/754,566 US9949656B2 (en) 2015-06-29 2015-06-29 Catheter with stacked spine electrode assembly

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EP (1) EP3111871B1 (ru)
JP (1) JP6786275B2 (ru)
CN (1) CN106264716B (ru)
AU (1) AU2016204353A1 (ru)
CA (1) CA2934211A1 (ru)
IL (1) IL246415B (ru)
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US20180235496A1 (en) 2018-08-23
US20160374582A1 (en) 2016-12-29
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US20210298656A1 (en) 2021-09-30
US20200077912A1 (en) 2020-03-12
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