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EP3849448A4 - Systèmes d'ablation à vapeur chauffée et procédés de traitement d'états cardiaques - Google Patents

Systèmes d'ablation à vapeur chauffée et procédés de traitement d'états cardiaques Download PDF

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Publication number
EP3849448A4
EP3849448A4 EP19860901.8A EP19860901A EP3849448A4 EP 3849448 A4 EP3849448 A4 EP 3849448A4 EP 19860901 A EP19860901 A EP 19860901A EP 3849448 A4 EP3849448 A4 EP 3849448A4
Authority
EP
European Patent Office
Prior art keywords
treatment
methods
heated steam
heart conditions
ablation systems
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.)
Pending
Application number
EP19860901.8A
Other languages
German (de)
English (en)
Other versions
EP3849448A1 (fr
Inventor
Virender K. Sharma
Kevin Holbrook
Holger Friedrich
Eric Steven FAIN
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.)
Aqua Heart Inc
Original Assignee
Aqua Heart Inc
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 Aqua Heart Inc filed Critical Aqua Heart Inc
Publication of EP3849448A1 publication Critical patent/EP3849448A1/fr
Publication of EP3849448A4 publication Critical patent/EP3849448A4/fr
Pending 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
    • 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
    • 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
    • A61B2018/0022—Balloons
    • A61B2018/00232—Balloons having an irregular 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • 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
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00255—Multiple balloons arranged one inside another
    • 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
    • A61B2018/00315—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
    • A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B2018/044—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • 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
    • A61B2018/044—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/046—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in liquid form
    • 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
    • A61B2018/044—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/048—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in gaseous form
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
EP19860901.8A 2018-09-11 2019-09-11 Systèmes d'ablation à vapeur chauffée et procédés de traitement d'états cardiaques Pending EP3849448A4 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862729777P 2018-09-11 2018-09-11
US201962844222P 2019-05-07 2019-05-07
PCT/US2019/050662 WO2020056031A1 (fr) 2018-09-11 2019-09-11 Systèmes d'ablation à vapeur chauffée et procédés de traitement d'états cardiaques

Publications (2)

Publication Number Publication Date
EP3849448A1 EP3849448A1 (fr) 2021-07-21
EP3849448A4 true EP3849448A4 (fr) 2022-06-15

Family

ID=69778152

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19860901.8A Pending EP3849448A4 (fr) 2018-09-11 2019-09-11 Systèmes d'ablation à vapeur chauffée et procédés de traitement d'états cardiaques

Country Status (5)

Country Link
EP (1) EP3849448A4 (fr)
JP (1) JP2022511318A (fr)
CN (1) CN113015495A (fr)
AU (2) AU2019338398A1 (fr)
WO (1) WO2020056031A1 (fr)

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US11819229B2 (en) 2019-06-19 2023-11-21 Boston Scientific Scimed, Inc. Balloon surface photoacoustic pressure wave generation to disrupt vascular lesions
US11717139B2 (en) 2019-06-19 2023-08-08 Bolt Medical, Inc. Plasma creation via nonaqueous optical breakdown of laser pulse energy for breakup of vascular calcium
US12402946B2 (en) 2019-06-19 2025-09-02 Boston Scientific Scimed, Inc. Breakdown of laser pulse energy for breakup of vascular calcium
US11660427B2 (en) 2019-06-24 2023-05-30 Boston Scientific Scimed, Inc. Superheating system for inertial impulse generation to disrupt vascular lesions
US12280223B2 (en) 2019-06-26 2025-04-22 Boston Scientific Scimed, Inc. Focusing element for plasma system to disrupt vascular lesions
US11583339B2 (en) 2019-10-31 2023-02-21 Bolt Medical, Inc. Asymmetrical balloon for intravascular lithotripsy device and method
US12102384B2 (en) 2019-11-13 2024-10-01 Bolt Medical, Inc. Dynamic intravascular lithotripsy device with movable energy guide
US12274497B2 (en) 2019-12-18 2025-04-15 Bolt Medical, Inc. Multiplexer for laser-driven intravascular lithotripsy device
US12446961B2 (en) 2020-02-10 2025-10-21 Bolt Medical, Inc. System and method for pressure monitoring within a catheter system
US11672599B2 (en) 2020-03-09 2023-06-13 Bolt Medical, Inc. Acoustic performance monitoring system and method within intravascular lithotripsy device
US20210290286A1 (en) 2020-03-18 2021-09-23 Bolt Medical, Inc. Optical analyzer assembly and method for intravascular lithotripsy device
US11707323B2 (en) 2020-04-03 2023-07-25 Bolt Medical, Inc. Electrical analyzer assembly for intravascular lithotripsy device
US12295654B2 (en) 2020-06-03 2025-05-13 Boston Scientific Scimed, Inc. System and method for maintaining balloon integrity within intravascular lithotripsy device with plasma generator
US12207870B2 (en) 2020-06-15 2025-01-28 Boston Scientific Scimed, Inc. Spectroscopic tissue identification for balloon intravascular lithotripsy guidance
US12016610B2 (en) 2020-12-11 2024-06-25 Bolt Medical, Inc. Catheter system for valvuloplasty procedure
US11672585B2 (en) 2021-01-12 2023-06-13 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
WO2022154954A1 (fr) 2021-01-12 2022-07-21 Bolt Medical, Inc. Ensemble ballonnet pour système de cathéter de valvuloplastie
CN112998844B (zh) * 2021-02-05 2021-12-21 上海睿刀医疗科技有限公司 一种球囊电极导管
WO2022216488A1 (fr) * 2021-04-06 2022-10-13 Bolt Medical, Inc. Ballonnet de lithotripsie intravasculaire
US11648057B2 (en) 2021-05-10 2023-05-16 Bolt Medical, Inc. Optical analyzer assembly with safety shutdown system for intravascular lithotripsy device
US11806075B2 (en) 2021-06-07 2023-11-07 Bolt Medical, Inc. Active alignment system and method for laser optical coupling
CN113926061B (zh) * 2021-11-18 2023-04-07 苏州海宇新辰医疗科技有限公司 球囊导管
US11839391B2 (en) 2021-12-14 2023-12-12 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
CN114469324B (zh) * 2022-01-26 2022-10-11 中国医学科学院阜外医院 射频消融导管及射频消融系统
CN114668380A (zh) * 2022-03-23 2022-06-28 南京航空航天大学 一种基于生物阻抗的蒸汽消融实时疗效评估方法
CN115024810B (zh) * 2022-06-09 2025-09-26 杭州堃博生物科技有限公司 蒸汽消融的数据处理方法、装置、系统、设备与介质
CN115944351B (zh) * 2022-06-15 2025-10-28 上海百心安生物技术股份有限公司 一种防短路脉冲球囊扩张导管
CN115105759A (zh) * 2022-07-12 2022-09-27 四川大学华西医院 一种利用放射源的心肌病理组织致快速心律失常治疗导管
WO2024073615A1 (fr) * 2022-09-28 2024-04-04 Sharma Virender K Procédés et systèmes d'amélioration thermique de l'électroporation
CN116898558B (zh) * 2023-06-26 2024-04-30 苏州海宇新辰医疗科技有限公司 一种心脏冷冻消融用球囊导管
CN116747013B (zh) * 2023-06-30 2024-06-18 苏州海宇新辰医疗科技有限公司 一种双层消融球囊导管
CN117752404B (zh) * 2024-02-22 2024-05-07 四川锦江电子医疗器械科技股份有限公司 一种心脏电生理标测和消融导管
CN118830912B (zh) * 2024-07-02 2025-07-22 南京康友医疗科技有限公司 一种柔性脉冲电场消融导管及其工作方法
CN120114162A (zh) * 2025-03-24 2025-06-10 南京航空航天大学 一种基于荧光2d成像的蒸汽消融实时评估装置

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US20170367755A1 (en) * 2008-10-06 2017-12-28 Santa Anna Tech Llc Ablation Catheter with Integrated Cooling
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US20100160905A1 (en) * 2000-12-09 2010-06-24 Shadduck John H Medical instruments and techniques for thermally-mediated therapies
US20170367755A1 (en) * 2008-10-06 2017-12-28 Santa Anna Tech Llc Ablation Catheter with Integrated Cooling
WO2018089773A1 (fr) * 2016-11-10 2018-05-17 Fractyl Laboratories, Inc. Systèmes, dispositifs et procédés destinés à effectuer des interventions médicales dans l'intestin

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Also Published As

Publication number Publication date
CN113015495A (zh) 2021-06-22
AU2019338398A1 (en) 2021-05-20
AU2025248696A1 (en) 2025-10-30
JP2022511318A (ja) 2022-01-31
EP3849448A1 (fr) 2021-07-21
WO2020056031A1 (fr) 2020-03-19

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