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WO2006020920A3 - Catheter apparatus for treatment of heart arrhythmia - Google Patents

Catheter apparatus for treatment of heart arrhythmia Download PDF

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Publication number
WO2006020920A3
WO2006020920A3 PCT/US2005/028832 US2005028832W WO2006020920A3 WO 2006020920 A3 WO2006020920 A3 WO 2006020920A3 US 2005028832 W US2005028832 W US 2005028832W WO 2006020920 A3 WO2006020920 A3 WO 2006020920A3
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
shaft
mapping
treatment
tip section
Prior art date
Application number
PCT/US2005/028832
Other languages
French (fr)
Other versions
WO2006020920A2 (en
Inventor
Jasbir S Sra
Original Assignee
Medtronic Inc
Jasbir S Sra
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
Priority claimed from US10/353,625 external-priority patent/US6926714B1/en
Priority claimed from US10/916,662 external-priority patent/US7311705B2/en
Application filed by Medtronic Inc, Jasbir S Sra filed Critical Medtronic Inc
Priority to EP05785669.2A priority Critical patent/EP1788936B1/en
Priority to JP2007525848A priority patent/JP4846720B2/en
Priority to CA2576884A priority patent/CA2576884C/en
Publication of WO2006020920A2 publication Critical patent/WO2006020920A2/en
Publication of WO2006020920A3 publication Critical patent/WO2006020920A3/en

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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044—Sensing electrocardiography, i.e. ECG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00694—Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body
    • A61B2017/00703—Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body correcting for movement of heart, e.g. ECG-triggered
    • 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
    • A61B2018/00636—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
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A catheter apparatus is provided for use in the treatment of heart arrhythmia having a catheter shaft, a mapping and ablation catheter disposed within the shaft, and a control mechanism coupled to both the shaft and the catheter. The catheter shaft includes a main body and a coaxial tip section joined to the main body. The tip section can be rotated about a central axis and curved in a controlled manner. The mapping and ablation catheter can be extended outward to take the form of a pre-stressed curve. The control mechanism controls axial rotation of the tip section, the degree of deflection of the tip and longitudinal movement of the mapping and ablation catheter.
PCT/US2005/028832 2003-01-29 2005-08-12 Catheter apparatus for treatment of heart arrhythmia WO2006020920A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP05785669.2A EP1788936B1 (en) 2004-08-12 2005-08-12 Catheter apparatus for treatment of heart arrhythmia
JP2007525848A JP4846720B2 (en) 2004-08-12 2005-08-12 Catheter apparatus for treating cardiac arrhythmia
CA2576884A CA2576884C (en) 2004-08-12 2005-08-12 Catheter apparatus for treatment of heart arrhythmia

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US10/353,625 US6926714B1 (en) 2002-02-05 2003-01-29 Method for pulmonary vein isolation and catheter ablation of other structures in the left atrium in atrial fibrillation
US49460703P 2003-08-12 2003-08-12
US53129303P 2003-12-19 2003-12-19
US10/916,662 US7311705B2 (en) 2002-02-05 2004-08-12 Catheter apparatus for treatment of heart arrhythmia
US10/916,662 2004-08-12

Publications (2)

Publication Number Publication Date
WO2006020920A2 WO2006020920A2 (en) 2006-02-23
WO2006020920A3 true WO2006020920A3 (en) 2008-01-24

Family

ID=34139539

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/028832 WO2006020920A2 (en) 2003-01-29 2005-08-12 Catheter apparatus for treatment of heart arrhythmia

Country Status (1)

Country Link
WO (1) WO2006020920A2 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8834464B2 (en) 1999-04-05 2014-09-16 Mark T. Stewart Ablation catheters and associated systems and methods
US8855984B2 (en) 2012-05-14 2014-10-07 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US8888773B2 (en) 2012-05-11 2014-11-18 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
US8934978B2 (en) 2002-04-08 2015-01-13 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for renal neuromodulation
US8956352B2 (en) 2010-10-25 2015-02-17 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US9095321B2 (en) 2012-11-21 2015-08-04 Medtronic Ardian Luxembourg S.A.R.L. Cryotherapeutic devices having integral multi-helical balloons and methods of making the same
US9179974B2 (en) 2013-03-15 2015-11-10 Medtronic Ardian Luxembourg S.A.R.L. Helical push wire electrode

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140018880A1 (en) 2002-04-08 2014-01-16 Medtronic Ardian Luxembourg S.A.R.L. Methods for monopolar renal neuromodulation
US7778686B2 (en) 2002-06-04 2010-08-17 General Electric Company Method and apparatus for medical intervention procedure planning and location and navigation of an intervention tool
US8200466B2 (en) 2008-07-21 2012-06-12 The Board Of Trustees Of The Leland Stanford Junior University Method for tuning patient-specific cardiovascular simulations
US9405886B2 (en) 2009-03-17 2016-08-02 The Board Of Trustees Of The Leland Stanford Junior University Method for determining cardiovascular information
US8157742B2 (en) 2010-08-12 2012-04-17 Heartflow, Inc. Method and system for patient-specific modeling of blood flow
US8315812B2 (en) 2010-08-12 2012-11-20 Heartflow, Inc. Method and system for patient-specific modeling of blood flow
EP2684839A1 (en) 2012-07-13 2014-01-15 CSEM Centre Suisse d'Electronique et de Microtechnique SA - Recherche et Développement Mesoporous coating comprising j-aggregates
US20150073515A1 (en) 2013-09-09 2015-03-12 Medtronic Ardian Luxembourg S.a.r.I. Neuromodulation Catheter Devices and Systems Having Energy Delivering Thermocouple Assemblies and Associated Methods
CN106232043B (en) 2014-04-24 2019-07-23 美敦力阿迪安卢森堡有限公司 Nerve modulation conduit and relevant system and method with braiding axle
US11154186B2 (en) 2015-07-31 2021-10-26 University Of Utah Research Foundation Devices, systems, and methods for imaging and treating a selected tissue
US11602270B2 (en) 2017-02-01 2023-03-14 University Of Utah Research Foundation Devices and methods for mapping cardiac tissue
JP2021509846A (en) 2018-01-05 2021-04-08 マイトリックス， インコーポレイテッド Retractor with drawstring suture and how to use
CN109009068B (en) * 2018-09-10 2024-02-13 科塞尔医疗科技（苏州）有限公司 Petal-shaped annular lung mapping catheter
CN114981695B (en) 2019-12-17 2024-11-12 犹他大学研究基金会 Characterizing Cardiac Tissue Using Catheterized Light Scattering Spectroscopy

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5595183A (en) * 1995-02-17 1997-01-21 Ep Technologies, Inc. Systems and methods for examining heart tissue employing multiple electrode structures and roving electrodes
US5636634A (en) * 1993-03-16 1997-06-10 Ep Technologies, Inc. Systems using guide sheaths for introducing, deploying, and stabilizing cardiac mapping and ablation probes
US6226542B1 (en) * 1998-07-24 2001-05-01 Biosense, Inc. Three-dimensional reconstruction of intrabody organs

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5636634A (en) * 1993-03-16 1997-06-10 Ep Technologies, Inc. Systems using guide sheaths for introducing, deploying, and stabilizing cardiac mapping and ablation probes
US5595183A (en) * 1995-02-17 1997-01-21 Ep Technologies, Inc. Systems and methods for examining heart tissue employing multiple electrode structures and roving electrodes
US6226542B1 (en) * 1998-07-24 2001-05-01 Biosense, Inc. Three-dimensional reconstruction of intrabody organs

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1788936A4 *

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8834464B2 (en) 1999-04-05 2014-09-16 Mark T. Stewart Ablation catheters and associated systems and methods
US9554848B2 (en) 1999-04-05 2017-01-31 Medtronic, Inc. Ablation catheters and associated systems and methods
US9289255B2 (en) 2002-04-08 2016-03-22 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for renal neuromodulation
US8934978B2 (en) 2002-04-08 2015-01-13 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for renal neuromodulation
US8998894B2 (en) 2010-10-25 2015-04-07 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US8956352B2 (en) 2010-10-25 2015-02-17 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US9138292B2 (en) 2012-05-11 2015-09-22 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
US8888773B2 (en) 2012-05-11 2014-11-18 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
US9452017B2 (en) 2012-05-11 2016-09-27 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
US9002690B2 (en) 2012-05-14 2015-04-07 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US8914264B1 (en) 2012-05-14 2014-12-16 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US9168012B2 (en) 2012-05-14 2015-10-27 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US9517040B2 (en) 2012-05-14 2016-12-13 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US8855984B2 (en) 2012-05-14 2014-10-07 Heartflow, Inc. Method and system for providing information from a patient-specific model of blood flow
US9095321B2 (en) 2012-11-21 2015-08-04 Medtronic Ardian Luxembourg S.A.R.L. Cryotherapeutic devices having integral multi-helical balloons and methods of making the same
US9179974B2 (en) 2013-03-15 2015-11-10 Medtronic Ardian Luxembourg S.A.R.L. Helical push wire electrode

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