DE69621845D1 - Flexibele gewebeablationselemente zum beibringen länglicher läsionen - Google Patents

Flexibele gewebeablationselemente zum beibringen länglicher läsionen

Info

Publication number
DE69621845D1
DE69621845D1 DE69621845T DE69621845T DE69621845D1 DE 69621845 D1 DE69621845 D1 DE 69621845D1 DE 69621845 T DE69621845 T DE 69621845T DE 69621845 T DE69621845 T DE 69621845T DE 69621845 D1 DE69621845 D1 DE 69621845D1
Authority
DE
Germany
Prior art keywords
tissue ablation
long lengths
ablation elements
flexible tissue
teach
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.)
Expired - Lifetime
Application number
DE69621845T
Other languages
English (en)
Other versions
DE69621845T2 (de
Inventor
D Fleischman
B Thompson
Dorin Panescu
K Swanson
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.)
Boston Scientific Ltd Barbados
Original Assignee
Boston Scientific Ltd Barbados
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 Boston Scientific Ltd Barbados filed Critical Boston Scientific Ltd Barbados
Publication of DE69621845D1 publication Critical patent/DE69621845D1/de
Application granted granted Critical
Publication of DE69621845T2 publication Critical patent/DE69621845T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • 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
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/06—Electrodes for high-frequency therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/40—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01K—MEASURING TEMPERATURE; MEASURING QUANTITY OF HEAT; THERMALLY-SENSITIVE ELEMENTS NOT OTHERWISE PROVIDED FOR
    • G01K1/00—Details of thermometers not specially adapted for particular types of thermometer
    • G01K1/02—Means for indicating or recording specially adapted for thermometers
    • G01K1/026—Means for indicating or recording specially adapted for thermometers arrangements for monitoring a plurality of temperatures, e.g. by multiplexing
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01K—MEASURING TEMPERATURE; MEASURING QUANTITY OF HEAT; THERMALLY-SENSITIVE ELEMENTS NOT OTHERWISE PROVIDED FOR
    • G01K3/00—Thermometers giving results other than momentary value of temperature
    • G01K3/08—Thermometers giving results other than momentary value of temperature giving differences of values; giving differentiated values
    • G01K3/14—Thermometers giving results other than momentary value of temperature giving differences of values; giving differentiated values in respect of space
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00088—Temperature using thermistors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/0088—Material properties ceramic
    • 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
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • 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
    • A61B2018/00053—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
    • A61B2018/00636—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
    • 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
    • A61B2018/1435—Spiral
DE69621845T 1995-11-13 1996-11-08 Flexibele gewebeablationselemente zum beibringen länglicher läsionen Expired - Lifetime DE69621845T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/558,131 US5797905A (en) 1994-08-08 1995-11-13 Flexible tissue ablation elements for making long lesions
PCT/US1996/018101 WO1997017904A1 (en) 1995-11-13 1996-11-08 Flexible tissue ablation elements for making long lesions

Publications (2)

Publication Number Publication Date
DE69621845D1 true DE69621845D1 (de) 2002-07-18
DE69621845T2 DE69621845T2 (de) 2003-01-02

Family

ID=24228339

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69621845T Expired - Lifetime DE69621845T2 (de) 1995-11-13 1996-11-08 Flexibele gewebeablationselemente zum beibringen länglicher läsionen

Country Status (7)

Country Link
US (1) US5797905A (de)
EP (1) EP0955917B1 (de)
JP (1) JP3756522B2 (de)
CA (1) CA2237563C (de)
DE (1) DE69621845T2 (de)
ES (1) ES2176512T3 (de)
WO (1) WO1997017904A1 (de)

Families Citing this family (170)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6113591A (en) * 1994-06-27 2000-09-05 Ep Technologies, Inc. Systems and methods for sensing sub-surface temperatures in body tissue
US6245068B1 (en) 1994-08-08 2001-06-12 Scimed Life Systems, Inc. Resilient radiopaque electrophysiology electrodes and probes including the same
US5814029A (en) * 1994-11-03 1998-09-29 Daig Corporation Guiding introducer system for use in ablation and mapping procedures in the left ventricle
US6053912A (en) * 1995-05-01 2000-04-25 Ep Techonologies, Inc. Systems and methods for sensing sub-surface temperatures in body tissue during ablation with actively cooled electrodes
US6030379A (en) * 1995-05-01 2000-02-29 Ep Technologies, Inc. Systems and methods for seeking sub-surface temperature conditions during tissue ablation
DE29519651U1 (de) * 1995-12-14 1996-02-01 Muntermann Axel Vorrichtung zur linienförmigen Radiofrequenz-Katheterablation endomyokardialen Gewebes
US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
DE19721362B4 (de) * 1997-04-01 2011-05-26 Axel Muntermann Vorrichtung und Eichverfahren zur Katheterablation
US5971983A (en) * 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
US6012457A (en) 1997-07-08 2000-01-11 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
US6024740A (en) 1997-07-08 2000-02-15 The Regents Of The University Of California Circumferential ablation device assembly
US6042590A (en) * 1997-06-16 2000-03-28 Novomedics, Llc Apparatus and methods for fallopian tube occlusion
US5938660A (en) * 1997-06-27 1999-08-17 Daig Corporation Process and device for the treatment of atrial arrhythmia
US6251109B1 (en) * 1997-06-27 2001-06-26 Daig Corporation Process and device for the treatment of atrial arrhythmia
US6164283A (en) 1997-07-08 2000-12-26 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
US6500174B1 (en) 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
US6514249B1 (en) 1997-07-08 2003-02-04 Atrionix, Inc. Positioning system and method for orienting an ablation element within a pulmonary vein ostium
US6245064B1 (en) 1997-07-08 2001-06-12 Atrionix, Inc. Circumferential ablation device assembly
US6547788B1 (en) * 1997-07-08 2003-04-15 Atrionx, Inc. Medical device with sensor cooperating with expandable member
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
US6080151A (en) 1997-07-21 2000-06-27 Daig Corporation Ablation catheter
US6645200B1 (en) 1997-10-10 2003-11-11 Scimed Life Systems, Inc. Method and apparatus for positioning a diagnostic or therapeutic element within the body and tip electrode for use with same
US6464699B1 (en) 1997-10-10 2002-10-15 Scimed Life Systems, Inc. Method and apparatus for positioning a diagnostic or therapeutic element on body tissue and mask element for use with same
US6200315B1 (en) * 1997-12-18 2001-03-13 Medtronic, Inc. Left atrium ablation catheter
US6522930B1 (en) * 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
US6527767B2 (en) 1998-05-20 2003-03-04 New England Medical Center Cardiac ablation system and method for treatment of cardiac arrhythmias and transmyocardial revascularization
US6302903B1 (en) * 1998-07-07 2001-10-16 Medtronic, Inc. Straight needle apparatus for creating a virtual electrode used for the ablation of tissue
US6251128B1 (en) * 1998-09-01 2001-06-26 Fidus Medical Technology Corporation Microwave ablation catheter with loop configuration
US6607502B1 (en) 1998-11-25 2003-08-19 Atrionix, Inc. Apparatus and method incorporating an ultrasound transducer onto a delivery member
US6217528B1 (en) 1999-02-11 2001-04-17 Scimed Life Systems, Inc. Loop structure having improved tissue contact capability
ATE353001T1 (de) 1999-05-11 2007-02-15 Atrionix Inc Ballonverankerungsdraht
US6758830B1 (en) 1999-05-11 2004-07-06 Atrionix, Inc. Catheter positioning system
WO2001037723A2 (en) 1999-11-22 2001-05-31 Boston Scientific Limited Loop structures for supporting diagnostic and therapeutic elements in contact with body tissue
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
US7570982B2 (en) * 2000-01-27 2009-08-04 Biosense Webster, Inc. Catheter having mapping assembly
US6628976B1 (en) 2000-01-27 2003-09-30 Biosense Webster, Inc. Catheter having mapping assembly
US6711428B2 (en) * 2000-01-27 2004-03-23 Biosense Webster, Inc. Catheter having mapping assembly
US6795721B2 (en) 2000-01-27 2004-09-21 Biosense Webster, Inc. Bidirectional catheter having mapping assembly
JP2003535621A (ja) * 2000-02-15 2003-12-02 イーバ コーポレイション 送達カテーテル・アセンブリ、および手術処置中に手術用部品を血管に固定する方法
US8048070B2 (en) * 2000-03-06 2011-11-01 Salient Surgical Technologies, Inc. Fluid-assisted medical devices, systems and methods
US6689131B2 (en) 2001-03-08 2004-02-10 Tissuelink Medical, Inc. Electrosurgical device having a tissue reduction sensor
ES2643763T3 (es) 2000-03-06 2017-11-24 Salient Surgical Technologies, Inc. Sistema de suministro de fluido y controlador para dispositivos electroquirúrgicos
US6558385B1 (en) 2000-09-22 2003-05-06 Tissuelink Medical, Inc. Fluid-assisted medical device
US7811282B2 (en) * 2000-03-06 2010-10-12 Salient Surgical Technologies, Inc. Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof
CA2405348A1 (en) 2000-04-13 2001-11-01 Ocean Spray Cranberries, Inc. Novel compositions derived from cranberry and grapefruit and therapeutic uses therefor
US6599288B2 (en) 2000-05-16 2003-07-29 Atrionix, Inc. Apparatus and method incorporating an ultrasound transducer onto a delivery member
DE60109444T2 (de) 2000-06-13 2006-04-13 Atrionix, Inc., Irwindale Chirurgische ablationssonde zum formen einer ringförmigen läsion
US7789876B2 (en) * 2000-08-14 2010-09-07 Tyco Healthcare Group, Lp Method and apparatus for positioning a catheter relative to an anatomical junction
US6669692B1 (en) * 2000-08-21 2003-12-30 Biosense Webster, Inc. Ablation catheter with cooled linear electrode
US6942661B2 (en) 2000-08-30 2005-09-13 Boston Scientific Scimed, Inc. Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue
US6926669B1 (en) * 2000-10-10 2005-08-09 Medtronic, Inc. Heart wall ablation/mapping catheter and method
US6916306B1 (en) 2000-11-10 2005-07-12 Boston Scientific Scimed, Inc. Steerable loop structures for supporting diagnostic and therapeutic elements in contact with body tissue
US6475179B1 (en) 2000-11-10 2002-11-05 New England Medical Center Tissue folding device for tissue ablation, and method thereof
US6564096B2 (en) 2001-02-28 2003-05-13 Robert A. Mest Method and system for treatment of tachycardia and fibrillation
US6827714B2 (en) 2001-03-07 2004-12-07 Scimed Life Systems, Inc. Internal indifferent electrode device for use with lesion creation apparatus and method of forming lesions using the same
JP4341907B2 (ja) 2001-09-05 2009-10-14 セイリアント・サージカル・テクノロジーズ・インコーポレーテッド 流体補助式の医療機器、システム及び方法
US6939350B2 (en) 2001-10-22 2005-09-06 Boston Scientific Scimed, Inc. Apparatus for supporting diagnostic and therapeutic elements in contact with tissue including electrode cooling device
US7674258B2 (en) 2002-09-24 2010-03-09 Endoscopic Technologies, Inc. (ESTECH, Inc.) Electrophysiology electrode having multiple power connections and electrophysiology devices including the same
US7785324B2 (en) 2005-02-25 2010-08-31 Endoscopic Technologies, Inc. (Estech) Clamp based lesion formation apparatus and methods configured to protect non-target tissue
US7753908B2 (en) 2002-02-19 2010-07-13 Endoscopic Technologies, Inc. (Estech) Apparatus for securing an electrophysiology probe to a clamp
US6907298B2 (en) * 2002-01-09 2005-06-14 Medtronic, Inc. Method and apparatus for imparting curves in implantable elongated medical instruments
US6932816B2 (en) 2002-02-19 2005-08-23 Boston Scientific Scimed, Inc. Apparatus for converting a clamp into an electrophysiology device
US20030158548A1 (en) 2002-02-19 2003-08-21 Phan Huy D. Surgical system including clamp and apparatus for securing an energy transmission device to the clamp and method of converting a clamp into an electrophysiology device
US6733499B2 (en) * 2002-02-28 2004-05-11 Biosense Webster, Inc. Catheter having circular ablation assembly
US20040106896A1 (en) * 2002-11-29 2004-06-03 The Regents Of The University Of California System and method for forming a non-ablative cardiac conduction block
US6866662B2 (en) * 2002-07-23 2005-03-15 Biosense Webster, Inc. Ablation catheter having stabilizing array
US20040034365A1 (en) * 2002-08-16 2004-02-19 Lentz David J. Catheter having articulation system
AU2003288945A1 (en) 2002-10-29 2004-05-25 Tissuelink Medical, Inc. Fluid-assisted electrosurgical scissors and methods
US7142903B2 (en) * 2003-03-12 2006-11-28 Biosense Webster, Inc. Catheter with contractable mapping assembly
US20040186467A1 (en) * 2003-03-21 2004-09-23 Swanson David K. Apparatus for maintaining contact between diagnostic and therapeutic elements and tissue and systems including the same
US20040249430A1 (en) * 2003-06-03 2004-12-09 Medtronic, Inc. Implantable medical electrical lead
US7789877B2 (en) * 2003-07-02 2010-09-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter electrode arrangement
US8147486B2 (en) * 2003-09-22 2012-04-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device with flexible printed circuit
US7234225B2 (en) * 2003-09-22 2007-06-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Method for manufacturing medical device having embedded traces and formed electrodes
US7229437B2 (en) * 2003-09-22 2007-06-12 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device having integral traces and formed electrodes
US7435248B2 (en) * 2003-09-26 2008-10-14 Boston Scientific Scimed, Inc. Medical probes for creating and diagnosing circumferential lesions within or around the ostium of a vessel
ATE355097T1 (de) * 2003-10-02 2006-03-15 Medtronic Inc Implantierbare medizinische leitung und herstellungsverfahren
US20050119653A1 (en) * 2003-12-02 2005-06-02 Swanson David K. Surgical methods and apparatus for forming lesions in tissue and confirming whether a therapeutic lesion has been formed
US7608072B2 (en) * 2003-12-02 2009-10-27 Boston Scientific Scimed, Inc. Surgical methods and apparatus for maintaining contact between tissue and electrophysiology elements and confirming whether a therapeutic lesion has been formed
US8052676B2 (en) 2003-12-02 2011-11-08 Boston Scientific Scimed, Inc. Surgical methods and apparatus for stimulating tissue
US8002770B2 (en) 2003-12-02 2011-08-23 Endoscopic Technologies, Inc. (Estech) Clamp based methods and apparatus for forming lesions in tissue and confirming whether a therapeutic lesion has been formed
JP2007519489A (ja) 2004-01-30 2007-07-19 エヌエムティー メディカル， インコーポレイティッド 噴門口の閉鎖用の溶接システム
US7727232B1 (en) 2004-02-04 2010-06-01 Salient Surgical Technologies, Inc. Fluid-assisted medical devices and methods
US7933661B2 (en) * 2004-02-04 2011-04-26 Medtronic, Inc. Lead retention means
US7371233B2 (en) * 2004-02-19 2008-05-13 Boston Scientific Scimed, Inc. Cooled probes and apparatus for maintaining contact between cooled probes and tissue
DE102004014753B3 (de) * 2004-03-25 2005-11-24 Epcos Ag Keramisches Bauelement mit verbesserter Korrosionsbeständigkeit und Verfahren zur Herstellung
US8007495B2 (en) 2004-03-31 2011-08-30 Biosense Webster, Inc. Catheter for circumferential ablation at or near a pulmonary vein
US7824408B2 (en) 2004-08-05 2010-11-02 Tyco Healthcare Group, Lp Methods and apparatus for coagulating and/or constricting hollow anatomical structures
US7549988B2 (en) 2004-08-30 2009-06-23 Boston Scientific Scimed, Inc. Hybrid lesion formation apparatus, systems and methods
US20070016272A1 (en) 2004-09-27 2007-01-18 Thompson Russell B Systems and methods for treating a hollow anatomical structure
US20060089637A1 (en) 2004-10-14 2006-04-27 Werneth Randell L Ablation catheter
US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
US7468062B2 (en) 2004-11-24 2008-12-23 Ablation Frontiers, Inc. Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use
US7429261B2 (en) 2004-11-24 2008-09-30 Ablation Frontiers, Inc. Atrial ablation catheter and method of use
US7727231B2 (en) 2005-01-08 2010-06-01 Boston Scientific Scimed, Inc. Apparatus and methods for forming lesions in tissue and applying stimulation energy to tissue in which lesions are formed
US7776033B2 (en) * 2005-01-08 2010-08-17 Boston Scientific Scimed, Inc. Wettable structures including conductive fibers and apparatus including the same
US7862561B2 (en) * 2005-01-08 2011-01-04 Boston Scientific Scimed, Inc. Clamp based lesion formation apparatus with variable spacing structures
US7892228B2 (en) * 2005-02-25 2011-02-22 Boston Scientific Scimed, Inc. Dual mode lesion formation apparatus, systems and methods
US7862562B2 (en) * 2005-02-25 2011-01-04 Boston Scientific Scimed, Inc. Wrap based lesion formation apparatus and methods configured to protect non-target tissue
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures
US8016822B2 (en) 2005-05-28 2011-09-13 Boston Scientific Scimed, Inc. Fluid injecting devices and methods and apparatus for maintaining contact between fluid injecting devices and tissue
AU2006262447A1 (en) 2005-06-20 2007-01-04 Medtronic Ablation Frontiers Llc Ablation catheter
AU2006268238A1 (en) 2005-07-11 2007-01-18 Medtronic Ablation Frontiers Llc Low power tissue ablation system
US8945151B2 (en) 2005-07-13 2015-02-03 Atricure, Inc. Surgical clip applicator and apparatus including the same
CN102225023B (zh) 2005-07-21 2014-04-02 泰科医疗集团有限合伙公司 治疗中空解剖结构的系统和方法
US7879030B2 (en) * 2005-07-27 2011-02-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Multipolar, virtual-electrode catheter with at least one surface electrode and method for ablation
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US9259267B2 (en) 2005-09-06 2016-02-16 W.L. Gore & Associates, Inc. Devices and methods for treating cardiac tissue
US7797056B2 (en) 2005-09-06 2010-09-14 Nmt Medical, Inc. Removable intracardiac RF device
US20070088388A1 (en) * 2005-09-19 2007-04-19 Opolski Steven W Delivery device for implant with dual attachment sites
US20070244371A1 (en) * 2006-04-04 2007-10-18 Nguyen Hoa D Phlebectomy illumination device and methods
US20080161799A1 (en) * 2006-12-29 2008-07-03 Todd Stangenes Position independent catheter
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
US10220187B2 (en) 2010-06-16 2019-03-05 St. Jude Medical, Llc Ablation catheter having flexible tip with multiple flexible electrode segments
US11395694B2 (en) * 2009-05-07 2022-07-26 St. Jude Medical, Llc Irrigated ablation catheter with multiple segmented ablation electrodes
EP2209517A4 (de) 2007-10-05 2011-03-30 Maquet Cardiovascular Llc Vorrichtungen und verfahren für minimal invasive chirurgische eingriffe
US8882756B2 (en) 2007-12-28 2014-11-11 Medtronic Advanced Energy Llc Fluid-assisted electrosurgical devices, methods and systems
JP5169551B2 (ja) * 2008-07-07 2013-03-27 日本ゼオン株式会社 電極カテーテル
US9254168B2 (en) 2009-02-02 2016-02-09 Medtronic Advanced Energy Llc Electro-thermotherapy of tissue using penetrating microelectrode array
US8632533B2 (en) 2009-02-23 2014-01-21 Medtronic Advanced Energy Llc Fluid-assisted electrosurgical device
US20100280328A1 (en) * 2009-05-01 2010-11-04 Tyco Healthcare Group, Lp Methods and systems for illumination during phlebectomy procedures
JP5903043B2 (ja) * 2009-07-24 2016-04-13 サピエンス ステアリング ブレイン スティムレーション ベー ヴィ 電気刺激のための医療用具
US9345541B2 (en) 2009-09-08 2016-05-24 Medtronic Advanced Energy Llc Cartridge assembly for electrosurgical devices, electrosurgical unit and methods of use thereof
US9592090B2 (en) 2010-03-11 2017-03-14 Medtronic Advanced Energy Llc Bipolar electrosurgical cutter with position insensitive return electrode contact
US9795765B2 (en) 2010-04-09 2017-10-24 St. Jude Medical International Holding S.À R.L. Variable stiffness steering mechanism for catheters
EP2563256B1 (de) 2010-04-26 2019-08-28 Medtronic Holding Company Sàrl Elektrochirurgische vorrichtung
US20110295249A1 (en) * 2010-05-28 2011-12-01 Salient Surgical Technologies, Inc. Fluid-Assisted Electrosurgical Devices, and Methods of Manufacture Thereof
US9138289B2 (en) 2010-06-28 2015-09-22 Medtronic Advanced Energy Llc Electrode sheath for electrosurgical device
US8920417B2 (en) 2010-06-30 2014-12-30 Medtronic Advanced Energy Llc Electrosurgical devices and methods of use thereof
US8906012B2 (en) 2010-06-30 2014-12-09 Medtronic Advanced Energy Llc Electrosurgical devices with wire electrode
US9023040B2 (en) 2010-10-26 2015-05-05 Medtronic Advanced Energy Llc Electrosurgical cutting devices
US9427281B2 (en) 2011-03-11 2016-08-30 Medtronic Advanced Energy Llc Bronchoscope-compatible catheter provided with electrosurgical device
US20130066359A1 (en) * 2011-09-13 2013-03-14 Stryker Nv Operations Limited Vaso-occlusive device
US9750565B2 (en) 2011-09-30 2017-09-05 Medtronic Advanced Energy Llc Electrosurgical balloons
US8870864B2 (en) 2011-10-28 2014-10-28 Medtronic Advanced Energy Llc Single instrument electrosurgery apparatus and its method of use
US9226792B2 (en) 2012-06-12 2016-01-05 Medtronic Advanced Energy Llc Debridement device and method
WO2014010041A1 (ja) * 2012-07-11 2014-01-16 テルモ株式会社 医療用デバイス
US11234760B2 (en) 2012-10-05 2022-02-01 Medtronic Advanced Energy Llc Electrosurgical device for cutting and removing tissue
CN102908191A (zh) 2012-11-13 2013-02-06 陈绍良 多极同步肺动脉射频消融导管
US11241267B2 (en) 2012-11-13 2022-02-08 Pulnovo Medical (Wuxi) Co., Ltd Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US10260181B2 (en) * 2013-01-14 2019-04-16 Lake Region Medical, Inc. Directional mesh and associated systems
US20140200639A1 (en) * 2013-01-16 2014-07-17 Advanced Neuromodulation Systems, Inc. Self-expanding neurostimulation leads having broad multi-electrode arrays
US9877707B2 (en) 2013-03-07 2018-01-30 Kyphon SÀRL Systems and methods for track coagulation
CA2906286C (en) 2013-03-15 2022-06-21 9234438 Canada Inc. Electrosurgical mapping tools and methods
US9855404B2 (en) 2013-05-03 2018-01-02 St. Jude Medical International Holding S.À R.L. Dual bend radii steering catheter
EP3062695B1 (de) 2013-10-31 2020-12-02 Boston Scientific Scimed, Inc. Medizinische vorrichtung für hochauflösende kartierung unter verwendung von lokalisiertem abgleich
CN105636514B (zh) 2013-11-01 2020-06-05 波士顿科学医学有限公司 使用延迟内插的心脏标测
US10314647B2 (en) 2013-12-23 2019-06-11 Medtronic Advanced Energy Llc Electrosurgical cutting instrument
US10813686B2 (en) 2014-02-26 2020-10-27 Medtronic Advanced Energy Llc Electrosurgical cutting instrument
US9182758B1 (en) * 2014-02-28 2015-11-10 Michael H S Dunlop Computer-implemented system and method for capability zone-based manufacturing quality control
CN106061372A (zh) 2014-03-07 2016-10-26 波士顿科学医学有限公司 用于标测心脏组织的医疗装置
WO2015138167A1 (en) 2014-03-11 2015-09-17 Boston Scientific Scimed, Inc. Medical devices for mapping cardiac tissue
SG10201800251YA (en) * 2014-07-11 2018-02-27 Pulnovo Medical Wuxi Co Ltd Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US9974599B2 (en) 2014-08-15 2018-05-22 Medtronic Ps Medical, Inc. Multipurpose electrosurgical device
WO2016081611A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. High-resolution mapping of tissue with pacing
CA2967829A1 (en) 2014-11-19 2016-05-26 Advanced Cardiac Therapeutics, Inc. Systems and methods for high-resolution mapping of tissue
EP3220843B1 (de) 2014-11-19 2020-01-01 EPiX Therapeutics, Inc. Ablationsvorrichtungen und verfahren zur verwendung einer hochauflösenden elektrodenanordnung
US10188456B2 (en) 2015-02-18 2019-01-29 Medtronic Xomed, Inc. Electrode assembly for RF energy enabled tissue debridement device
US10376302B2 (en) 2015-02-18 2019-08-13 Medtronic Xomed, Inc. Rotating electrical connector for RF energy enabled tissue debridement device
JP6661652B2 (ja) 2015-02-18 2020-03-11 メドトロニック・ゾーメド・インコーポレーテッド Ｒｆエネルギー使用可能な組織デブリドマンデバイス
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US11389227B2 (en) 2015-08-20 2022-07-19 Medtronic Advanced Energy Llc Electrosurgical device with multivariate control
US11051875B2 (en) 2015-08-24 2021-07-06 Medtronic Advanced Energy Llc Multipurpose electrosurgical device
US10441339B2 (en) 2015-11-17 2019-10-15 Medtronic Holding Company Sárl Spinal tissue ablation apparatus, system, and method
US10716612B2 (en) 2015-12-18 2020-07-21 Medtronic Advanced Energy Llc Electrosurgical device with multiple monopolar electrode assembly
KR20180124070A (ko) 2016-03-15 2018-11-20 에픽스 테라퓨틱스, 인크. 관개 절제를 위한 개선된 장치, 시스템 및 방법
EP3614946B1 (de) 2017-04-27 2024-03-20 EPiX Therapeutics, Inc. Bestimmung der art des kontaktes zwischen katheterspitze und gewebe
WO2018204586A1 (en) * 2017-05-05 2018-11-08 Cryterion Medical, Inc. Corewire for mapping catheter for intravascular catheter system
CN107349010A (zh) * 2017-07-07 2017-11-17 昆山雷盛医疗科技有限公司 射频消融探头及其制备方法
CN111067617A (zh) * 2019-12-27 2020-04-28 苏州恒瑞宏远医疗科技有限公司 射频闭合导管及其制作方法

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4633889A (en) * 1984-12-12 1987-01-06 Andrew Talalla Stimulation of cauda-equina spinal nerves
US4960133A (en) * 1988-11-21 1990-10-02 Brunswick Manufacturing Co., Inc. Esophageal electrode
US5016808A (en) * 1989-09-14 1991-05-21 Cardiac Pacemakers, Inc. Implantable tapered spiral endocardial lead for use in internal defibrillation
US5254088A (en) * 1990-02-02 1993-10-19 Ep Technologies, Inc. Catheter steering mechanism
US5334193A (en) * 1992-11-13 1994-08-02 American Cardiac Ablation Co., Inc. Fluid cooled ablation catheter
CA2174129C (en) * 1993-10-14 2004-03-09 Sidney D. Fleischman Electrode elements for forming lesion patterns
US5545193A (en) * 1993-10-15 1996-08-13 Ep Technologies, Inc. Helically wound radio-frequency emitting electrodes for creating lesions in body tissue
US5676662A (en) * 1995-03-17 1997-10-14 Daig Corporation Ablation catheter

Also Published As

Publication number Publication date
WO1997017904A1 (en) 1997-05-22
JP3756522B2 (ja) 2006-03-15
CA2237563A1 (en) 1997-05-22
ES2176512T3 (es) 2002-12-01
EP0955917A4 (de) 1999-11-17
EP0955917B1 (de) 2002-06-12
DE69621845T2 (de) 2003-01-02
EP0955917A1 (de) 1999-11-17
CA2237563C (en) 2003-06-17
JP2000500363A (ja) 2000-01-18
US5797905A (en) 1998-08-25

Similar Documents

Publication Publication Date Title
DE69621845D1 (de) Flexibele gewebeablationselemente zum beibringen länglicher läsionen
DE69530370D1 (de) Flexibles mikrochirurgisches instrument
DE69517153T2 (de) Mit endoskop funktionierendes instrument
DE69617297D1 (de) Chirurgischer Dissektor
DE69625502D1 (de) Elektrochirurgisches handinstrument
DE69807773D1 (de) Flexibles chirurgisches Drainagerohr mit mehreren individuellen Leitungen
DE29623581U1 (de) Zahnbürste mit flexiblem Zahnbürstenkopf
DE69626151D1 (de) Endoskop
DE69634014D1 (de) Elektrochirurgisches Gerät
DE19681437T1 (de) Endoskop
DE29504623U1 (de) Endoskop
DE69620006T2 (de) Sequenzierverfahren
DE29503478U1 (de) Endoskop
DE69630976D1 (de) Zusammensetzung zum kauen
DE59704780D1 (de) Flexibler Mehrachstransfer
FR2740934B1 (fr) Structure chauffante souple
KR960016582U (ko) 스프링쿨러용 플렉시블 조인트
ITMI951213A0 (it) Procedimento per combattere organismi nocivi
ITMI950222A0 (it) Tessuto
IT1282699B1 (it) Apparecchiatura per produrre tubi flessibili nervati
FI954070A (fi) Läpivienti joustavaa kattoa varten
ATA7396A (de) Gerät zum auslosen
DE9403434U1 (de) Flexibles Wasserspielgerät
DE9404496U1 (de) Einrichtung zum lösbaren Befestigen
KR950034015U (ko) 플렉시블기판

Legal Events

Date Code Title Description
8364 No opposition during term of opposition