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WO1998022179A3 - Ultrasonically marked catheter for electrotherapy and system for use of the same - Google Patents

Ultrasonically marked catheter for electrotherapy and system for use of the same Download PDF

Info

Publication number
WO1998022179A3
WO1998022179A3 PCT/EP1997/006459 EP9706459W WO9822179A3 WO 1998022179 A3 WO1998022179 A3 WO 1998022179A3 EP 9706459 W EP9706459 W EP 9706459W WO 9822179 A3 WO9822179 A3 WO 9822179A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrotherapy
catheter
ultrasonic
ultrasonically marked
piezoelectric transducer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP1997/006459
Other languages
French (fr)
Other versions
WO1998022179A2 (en
Inventor
Branko Breyer
Bozidar Ferek-Petric
Achim Kitschmann
Wolfgang Geistert
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.)
Sulzer Osypka GmbH
Original Assignee
Sulzer Osypka GmbH
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 Sulzer Osypka GmbH filed Critical Sulzer Osypka GmbH
Priority to EP97952784A priority Critical patent/EP1039948A2/en
Priority to JP52321398A priority patent/JP2001505454A/en
Publication of WO1998022179A2 publication Critical patent/WO1998022179A2/en
Publication of WO1998022179A3 publication Critical patent/WO1998022179A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/0565Electrode heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Clinical applications
    • A61B8/0833Clinical applications involving detecting or locating foreign bodies or organic structures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A61B2090/3929Active markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Vascular Medicine (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

Ultrasonically marked catheter for electrotherapy comprising a piezoelectric transducer (21) mounted onto a catheter and electrically connected to its proximal end with longitudinal conductors. The piezoelectric transducer electrodes are of appropriate thickness and conductivity for the ablation energy. The outside electrode (22) is either in direct contact with the tissue or, (for HF systems), covered with electrically insulating layer that does not impede the transmission of high frequency waves for electrosurgery. The same conductor within the catheter is used both for ultrasonic guidance purposes and for conveying energy. Ultrasonically marked catheter for electrotherapy improves the guidance of electrosurgical procedures due to the fact that the position of the ultrasonic marker transducer and electrotherapy member are at identical position. This invention represents an essential simplification and therefore reduction in price of the manufacture of the electrotherapy catheter with ultrasonic marking since one single element represents the therapy and the guiding system.
PCT/EP1997/006459 1996-11-20 1997-11-19 Ultrasonically marked catheter for electrotherapy and system for use of the same Ceased WO1998022179A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP97952784A EP1039948A2 (en) 1996-11-20 1997-11-19 Ultrasonically marked catheter for electrotherapy and system for use of the same
JP52321398A JP2001505454A (en) 1996-11-20 1997-11-19 Ultrasound-labeled catheters for electrotherapy and systems using the catheters

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
HRP960551A 1996-11-20
HR960551 1996-11-20

Publications (2)

Publication Number Publication Date
WO1998022179A2 WO1998022179A2 (en) 1998-05-28
WO1998022179A3 true WO1998022179A3 (en) 1998-07-16

Family

ID=10946495

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1997/006459 Ceased WO1998022179A2 (en) 1996-11-20 1997-11-19 Ultrasonically marked catheter for electrotherapy and system for use of the same

Country Status (3)

Country Link
EP (1) EP1039948A2 (en)
JP (1) JP2001505454A (en)
WO (1) WO1998022179A2 (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
HRP20030588A2 (en) * 2003-07-18 2005-10-31 Breyer Branko Ultrasonically marked delivery system for left heart pacing lead
BR112013012194A8 (en) 2010-11-18 2017-04-18 Koninklijke Philips Electronics Nv DETECTION APPARATUS FOR DETECTING AN OBJECT AND COMPUTER PROGRAM FOR DETECTING AN OBJECT
CN106163432B (en) 2014-04-11 2019-11-08 皇家飞利浦有限公司 Needle with film piezo-electric sensor
US11357472B2 (en) 2015-12-15 2022-06-14 Koninklijke Philips N.V. Rotation determination in an ultrasound beam

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4706681A (en) * 1984-07-26 1987-11-17 Telectronics N.V. Cardiac ultrasonically marked leads and method for used same
WO1995017131A1 (en) * 1993-12-22 1995-06-29 Monamed Medizintechnik Gmbh Ultrasonic marked cardiac ablation catheter

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4697595A (en) 1984-07-24 1987-10-06 Telectronics N.V. Ultrasonically marked cardiac catheters
US5076278A (en) 1990-10-15 1991-12-31 Catheter Technology Co. Annular ultrasonic transducers employing curved surfaces useful in catheter localization
US5161536A (en) 1991-03-22 1992-11-10 Catheter Technology Ultrasonic position indicating apparatus and methods
US5425370A (en) 1994-03-23 1995-06-20 Echocath, Inc. Method and apparatus for locating vibrating devices

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4706681A (en) * 1984-07-26 1987-11-17 Telectronics N.V. Cardiac ultrasonically marked leads and method for used same
WO1995017131A1 (en) * 1993-12-22 1995-06-29 Monamed Medizintechnik Gmbh Ultrasonic marked cardiac ablation catheter

Also Published As

Publication number Publication date
JP2001505454A (en) 2001-04-24
EP1039948A2 (en) 2000-10-04
WO1998022179A2 (en) 1998-05-28

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