DE60336914D1 - Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion - Google Patents

Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion

Info

Publication number
DE60336914D1
DE60336914D1 DE60336914T DE60336914T DE60336914D1 DE 60336914 D1 DE60336914 D1 DE 60336914D1 DE 60336914 T DE60336914 T DE 60336914T DE 60336914 T DE60336914 T DE 60336914T DE 60336914 D1 DE60336914 D1 DE 60336914D1
Authority
DE
Germany
Prior art keywords
distal end
hollow
fossa ovalis
locating
medical device
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
DE60336914T
Other languages
English (en)
Inventor
Subramaniam C Krishnan
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.)
ATRIAL FIBRILLATION DIVISION Inc
Original Assignee
ATRIAL FIBRILLATION DIVISION 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 ATRIAL FIBRILLATION DIVISION Inc filed Critical ATRIAL FIBRILLATION DIVISION Inc
Application granted granted Critical
Publication of DE60336914D1 publication Critical patent/DE60336914D1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0033Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
    • A61B5/0036Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room including treatment, e.g., using an implantable medical device, ablating, ventilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/065Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A61B5/068Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe using impedance sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333Recording apparatus specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0662Guide tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044Sensing electrocardiography, i.e. ECG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M2025/0166Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
DE60336914T 2002-08-24 2003-08-25 Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion Expired - Lifetime DE60336914D1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US40584902P 2002-08-24 2002-08-24
PCT/US2003/026776 WO2004026134A1 (en) 2002-08-24 2003-08-25 Method and apparatus for locating the fossa ovalis and performing transseptal puncture

Publications (1)

Publication Number Publication Date
DE60336914D1 true DE60336914D1 (de) 2011-06-09

Family

ID=32030628

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60336914T Expired - Lifetime DE60336914D1 (de) 2002-08-24 2003-08-25 Verfahren und gerät zur lokalisierung der fossa ovalis und durchführung einer transseptalen punktion

Country Status (7)

Country Link
US (5) US20040133113A1 (de)
EP (1) EP1542587B1 (de)
JP (1) JP4511935B2 (de)
AT (1) ATE506891T1 (de)
AU (1) AU2003262896B2 (de)
DE (1) DE60336914D1 (de)
WO (1) WO2004026134A1 (de)

Families Citing this family (106)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040082859A1 (en) 2002-07-01 2004-04-29 Alan Schaer Method and apparatus employing ultrasound energy to treat body sphincters
JP4511935B2 (ja) * 2002-08-24 2010-07-28 サブラマニアム シー. クリシュナン 経中隔穿刺装置
US7270662B2 (en) 2004-01-21 2007-09-18 Naheed Visram Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device
US7947040B2 (en) * 2003-01-21 2011-05-24 Baylis Medical Company Inc Method of surgical perforation via the delivery of energy
US9597146B2 (en) * 2003-01-21 2017-03-21 Baylis Medical Company Inc. Method of surgical perforation via the delivery of energy
US6994094B2 (en) * 2003-04-29 2006-02-07 Biosense, Inc. Method and device for transseptal facilitation based on injury patterns
US20040220461A1 (en) * 2003-04-29 2004-11-04 Yitzhack Schwartz Transseptal facilitation using sheath with electrode arrangement
US20050038481A1 (en) * 2003-08-11 2005-02-17 Edward Chinchoy Evaluating ventricular synchrony based on phase angle between sensor signals
US11478152B2 (en) 2005-02-02 2022-10-25 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8050746B2 (en) 2005-02-02 2011-11-01 Voyage Medical, Inc. Tissue visualization device and method variations
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US8934962B2 (en) 2005-02-02 2015-01-13 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US7918787B2 (en) 2005-02-02 2011-04-05 Voyage Medical, Inc. Tissue visualization and manipulation systems
US7860556B2 (en) 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue imaging and extraction systems
US7930016B1 (en) 2005-02-02 2011-04-19 Voyage Medical, Inc. Tissue closure system
US10064540B2 (en) 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US7860555B2 (en) 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US20080015569A1 (en) 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
DE602006019063D1 (de) * 2005-03-03 2011-02-03 Atrial Fibrillation Division Inc Vorrichtung zur auffindung der fossa ovalis mittels erzeugung einer virtuellen fossa ovalis und durchführung einer transseptalen punktur
US8221310B2 (en) 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
US20080027350A1 (en) * 2006-07-13 2008-01-31 Advanced Cardiovascular Systems, Inc. Methods and apparatus for localization, diagnosis, contact or activity detection of bio-electric tissue
EP3603500B1 (de) 2006-08-03 2021-03-31 Christoph Scharf Vorrichtung zur bestimmung und darstellung von oberflächenladung und dipoldichten an herzwänden
US20080097476A1 (en) 2006-09-01 2008-04-24 Voyage Medical, Inc. Precision control systems for tissue visualization and manipulation assemblies
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
US11666377B2 (en) 2006-09-29 2023-06-06 Boston Scientific Medical Device Limited Electrosurgical device
US20210121227A1 (en) 2006-09-29 2021-04-29 Baylis Medical Company Inc. Connector system for electrosurgical device
US10335131B2 (en) 2006-10-23 2019-07-02 Intuitive Surgical Operations, Inc. Methods for preventing tissue migration
US20080183036A1 (en) 2006-12-18 2008-07-31 Voyage Medical, Inc. Systems and methods for unobstructed visualization and ablation
US8131350B2 (en) 2006-12-21 2012-03-06 Voyage Medical, Inc. Stabilization of visualization catheters
US8758229B2 (en) 2006-12-21 2014-06-24 Intuitive Surgical Operations, Inc. Axial visualization systems
US8265745B2 (en) * 2006-12-29 2012-09-11 St. Jude Medical, Atrial Fibillation Division, Inc. Contact sensor and sheath exit sensor
US20100280563A1 (en) * 2007-02-28 2010-11-04 Anne Norlin-Weissenrieder Device and method for detecting and treating a myocardial infarction using photobiomodulation
EP2148608A4 (de) 2007-04-27 2010-04-28 Voyage Medical Inc Steuerbarer gewebe-visualisierungs- und manipulationskatheter mit komplexer gestalt
US8657805B2 (en) 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
EP3025636B1 (de) 2007-05-11 2017-11-01 Intuitive Surgical Operations, Inc. Visuelle elektrodenablationssysteme
US8235985B2 (en) 2007-08-31 2012-08-07 Voyage Medical, Inc. Visualization and ablation system variations
WO2009090547A2 (en) 2008-01-17 2009-07-23 Christoph Scharf A device and method for the geometric determination of electrical dipole densities on the cardiac wall
US8858609B2 (en) 2008-02-07 2014-10-14 Intuitive Surgical Operations, Inc. Stent delivery under direct visualization
US9101735B2 (en) 2008-07-07 2015-08-11 Intuitive Surgical Operations, Inc. Catheter control systems
US8894643B2 (en) 2008-10-10 2014-11-25 Intuitive Surgical Operations, Inc. Integral electrode placement and connection systems
US8333012B2 (en) 2008-10-10 2012-12-18 Voyage Medical, Inc. Method of forming electrode placement and connection systems
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems
US8317810B2 (en) 2008-12-29 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Tissue puncture assemblies and methods for puncturing tissue
US8388549B2 (en) 2008-12-29 2013-03-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Anatomical thermal sensing device and method
WO2010080886A1 (en) 2009-01-09 2010-07-15 Recor Medical, Inc. Methods and apparatus for treatment of mitral valve in insufficiency
US8694071B2 (en) 2010-02-12 2014-04-08 Intuitive Surgical Operations, Inc. Image stabilization techniques and methods
US9814522B2 (en) 2010-04-06 2017-11-14 Intuitive Surgical Operations, Inc. Apparatus and methods for ablation efficacy
US8845631B2 (en) 2010-04-28 2014-09-30 Medtronic Ablation Frontiers Llc Systems and methods of performing medical procedures
US9072872B2 (en) 2010-10-29 2015-07-07 Medtronic, Inc. Telescoping catheter delivery system for left heart endocardial device placement
EP2683293B1 (de) 2011-03-10 2019-07-17 Acutus Medical, Inc. Vorrichtung zur geometrischen bestimmung von elektrischen dipoldichten auf der herzwand
JP6416084B2 (ja) 2012-05-31 2018-10-31 ベイリス メディカル カンパニー インコーポレイテッドBaylis Medical Company Inc. 医療機器
EP3868283A1 (de) 2012-08-31 2021-08-25 Acutus Medical Inc. Kathetersystem für das herz
US8918165B2 (en) * 2012-09-28 2014-12-23 St. Jude Medical Ab Medical device for positioning of a lead
US10912476B2 (en) * 2013-01-16 2021-02-09 University Of Vermont Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation
US9254093B2 (en) 2013-01-16 2016-02-09 University Of Vermont Methods and systems for minimizing and treating cardiac fibrillation
JP6422894B2 (ja) 2013-02-08 2018-11-14 アクタス メディカル インクAcutus Medical,Inc. フレキシブルプリント回路板を備える拡張可能なカテーテルアッセンブリ
US11937873B2 (en) 2013-03-12 2024-03-26 Boston Scientific Medical Device Limited Electrosurgical device having a lumen
US9545265B2 (en) 2013-04-15 2017-01-17 Transseptal Solutions Ltd. Fossa ovalis penetration using balloons
US9788858B2 (en) 2013-04-15 2017-10-17 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements
US9700351B2 (en) 2013-04-15 2017-07-11 Transseptal Solutions Ltd. Fossa ovalis penetration
US9278220B2 (en) * 2013-07-23 2016-03-08 Medtronic, Inc. Identification of healthy versus unhealthy substrate for pacing from a multipolar lead
AU2014318872B2 (en) 2013-09-13 2018-09-13 Acutus Medical, Inc. Devices and methods for determination of electrical dipole densities on a cardiac surface
US9554718B2 (en) 2014-01-29 2017-01-31 Biosense Webster (Israel) Ltd. Double bipolar configuration for atrial fibrillation annotation
WO2015148470A1 (en) 2014-03-25 2015-10-01 Acutus Medical, Inc. Cardiac analysis user interface system and method
CN105193476A (zh) * 2014-06-19 2015-12-30 吕斐 房间隔穿刺组件及房间隔穿刺方法
JP2017531536A (ja) * 2014-09-29 2017-10-26 ニューヨーク インスティチュート オブ テクノロジーNew York Institute Of Technology ヒス心電図交互現象を記録するために使用するカテーテル及び種々の状態への適用
EP3206603B1 (de) 2014-10-14 2019-10-02 Transseptal Solutions Ltd. Penetrationsvorrichtung der fossa ovalis
US9668674B2 (en) 2015-03-03 2017-06-06 Transseptal Solutions Ltd. Measurement of appendage openings
US9706982B2 (en) 2015-03-03 2017-07-18 Transseptal Solutions Ltd. Treatment of appendage openings
US20160338729A1 (en) * 2015-05-19 2016-11-24 Jim Hassett Catheter system for left heart access
AU2016262547B9 (en) 2015-05-12 2021-03-04 Acutus Medical, Inc. Ultrasound sequencing system and method
WO2016183179A1 (en) 2015-05-12 2016-11-17 Acutus Medical, Inc. Cardiac virtualization test tank and testing system and method
WO2016183468A1 (en) 2015-05-13 2016-11-17 Acutus Medical, Inc. Localization system and method useful in the acquisition and analysis of cardiac information
CN106308794B (zh) * 2015-06-30 2020-06-30 四川锦江电子科技有限公司 一种标测鞘管心脏卵圆窝定位方法
WO2017042743A1 (en) 2015-09-09 2017-03-16 Baylis Medical Company Inc. Epicardial access system & methods
US10398503B2 (en) 2015-10-14 2019-09-03 Transseptal Soulutions Ltd. Fossa ovalis penetration
CN106618685B (zh) * 2015-10-30 2019-10-11 四川锦江电子科技有限公司 一种用于房间隔穿刺的鞘管
EP3973908A1 (de) 2016-05-03 2022-03-30 Acutus Medical Inc. Herzkartierungssystem mit effizienzalgorithmus
EP3547910A4 (de) * 2016-12-05 2020-07-15 University of Vermont Katheter, systeme und zugehörige verfahren zur abbildung, minimierung und behandlung von vorhofflimmern
WO2018175348A1 (en) * 2017-03-20 2018-09-27 Anand Ganapathy Sensing system for pericardial access
US10143839B1 (en) 2017-07-05 2018-12-04 Medtronic, Inc. Lead navigation guidance
EP3459469A1 (de) 2017-09-23 2019-03-27 Universität Zürich Medizinische okklusionsvorrichtung
US10898720B2 (en) 2017-10-17 2021-01-26 Medtronic, Inc. Impedance sensing
CA3082622C (en) 2017-12-05 2021-02-02 Wesley Robert PEDERSEN Transseptal guide wire puncture system
EP3790487B1 (de) * 2018-05-08 2023-08-23 Boston Scientific Medical Device Limited Vorrichtungen zur punktierung von gewebe
WO2020112776A1 (en) * 2018-11-29 2020-06-04 Rush University Medical Center Telemetry electrodes for continuous atrial electrogram monitoring
AU2020317077A1 (en) * 2019-07-19 2022-01-27 Boston Scientific Medical Device Limited Medical dilator, and systems, methods, and kits for medical dilation
JP2022549717A (ja) 2019-09-26 2022-11-28 ウニベルシタット チューリッヒ 左心耳閉鎖デバイス
US11759190B2 (en) 2019-10-18 2023-09-19 Boston Scientific Medical Device Limited Lock for medical devices, and related systems and methods
US11801087B2 (en) 2019-11-13 2023-10-31 Boston Scientific Medical Device Limited Apparatus and methods for puncturing tissue
US11724070B2 (en) 2019-12-19 2023-08-15 Boston Scientific Medical Device Limited Methods for determining a position of a first medical device with respect to a second medical device, and related systems and medical devices
US11457903B2 (en) 2020-01-21 2022-10-04 Pressure Products Medical Supplies, Inc. Cardiac transseptal instruments, assemblies, and method of use of the same
US11931098B2 (en) 2020-02-19 2024-03-19 Boston Scientific Medical Device Limited System and method for carrying out a medical procedure
US11819243B2 (en) 2020-03-19 2023-11-21 Boston Scientific Medical Device Limited Medical sheath and related systems and methods
US11826075B2 (en) 2020-04-07 2023-11-28 Boston Scientific Medical Device Limited Elongated medical assembly
JP2023521165A (ja) 2020-06-17 2023-05-23 ボストン サイエンティフィック メディカル デバイス リミテッド 電気解剖学的マッピングシステム
US11938285B2 (en) 2020-06-17 2024-03-26 Boston Scientific Medical Device Limited Stop-movement device for elongated medical assembly
US11937796B2 (en) 2020-06-18 2024-03-26 Boston Scientific Medical Device Limited Tissue-spreader assembly
US20220047324A1 (en) * 2020-08-12 2022-02-17 Baylis Medical Company Inc. System of medical devices and method for pericardial puncture
WO2022046777A1 (en) * 2020-08-25 2022-03-03 Cross Vascular, Inc. Transseptal crossing system
CN116847797A (zh) * 2021-01-14 2023-10-03 波士顿科学医疗设备有限公司 医用扩张器以及用于医用扩张的系统、方法和套件
EP4119054A1 (de) * 2021-07-13 2023-01-18 Ablacon Inc. Biosignalbasierte intrakardiale navigationssysteme, vorrichtungen, komponenten und verfahren
US20230106727A1 (en) * 2021-10-04 2023-04-06 Biosense Webster (Israel) Ltd. Electrophysiological Mapping in the Presence of Injury Current

Family Cites Families (140)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5917290Y2 (ja) 1979-06-04 1984-05-21 オリンパス光学工業株式会社 内視鏡用高周波ナイフ
US4562846A (en) * 1983-09-15 1986-01-07 Duke University System and process for monitoring myocardial integrity
JPS62133969A (ja) 1985-12-06 1987-06-17 日本シヤ−ウツド株式会社 血管内留置用使い捨てカテ−テル導入装置
US4991578A (en) * 1989-04-04 1991-02-12 Siemens-Pacesetter, Inc. Method and system for implanting self-anchoring epicardial defibrillation electrodes
US5176140A (en) 1989-08-14 1993-01-05 Olympus Optical Co., Ltd. Ultrasonic probe
US5569220A (en) 1991-01-24 1996-10-29 Cordis Webster, Inc. Cardiovascular catheter having high torsional stiffness
EP0500215A1 (de) * 1991-01-30 1992-08-26 ANGELASE, Inc. Verfahren und Apparat zur Messung von Tachyarrhythmien
US5156151A (en) 1991-02-15 1992-10-20 Cardiac Pathways Corporation Endocardial mapping and ablation system and catheter probe
US5246014A (en) * 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
US5336252A (en) * 1992-06-22 1994-08-09 Cohen Donald M System and method for implanting cardiac electrical leads
US6240307B1 (en) 1993-09-23 2001-05-29 Endocardial Solutions, Inc. Endocardial mapping system
US5364352A (en) 1993-03-12 1994-11-15 Heart Rhythm Technologies, Inc. Catheter for electrophysiological procedures
US5545200A (en) 1993-07-20 1996-08-13 Medtronic Cardiorhythm Steerable electrophysiology catheter
US6001085A (en) * 1993-08-13 1999-12-14 Daig Corporation Coronary sinus catheter
ES2260758T3 (es) 1993-10-14 2006-11-01 Boston Scientific Limited Elementos de electrodo para formar patrones de lesion.
US5582609A (en) 1993-10-14 1996-12-10 Ep Technologies, Inc. Systems and methods for forming large lesions in body tissue using curvilinear electrode elements
US5378230A (en) 1993-11-01 1995-01-03 Mahurkar; Sakharam D. Triple-lumen critical care catheter
US5497774A (en) * 1993-11-03 1996-03-12 Daig Corporation Guiding introducer for left atrium
US5487385A (en) 1993-12-03 1996-01-30 Avitall; Boaz Atrial mapping and ablation catheter system
US5462521A (en) 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5494042A (en) * 1994-01-28 1996-02-27 Ep Technologies, Inc. Systems and methods for deriving electrical characteristics of cardiac tissue for output in iso-characteristic displays
US5617854A (en) * 1994-06-22 1997-04-08 Munsif; Anand Shaped catheter device and method
US6030382A (en) 1994-08-08 2000-02-29 Ep Technologies, Inc. Flexible tissue ablatin elements for making long lesions
US5810802A (en) 1994-08-08 1998-09-22 E.P. Technologies, Inc. Systems and methods for controlling tissue ablation using multiple temperature sensing elements
US6690963B2 (en) 1995-01-24 2004-02-10 Biosense, Inc. System for determining the location and orientation of an invasive medical instrument
US5681280A (en) 1995-05-02 1997-10-28 Heart Rhythm Technologies, Inc. Catheter control system
DE19541566A1 (de) 1995-11-08 1997-05-15 Laser & Med Tech Gmbh Applikationssystem für die HF-Chirurgie zur interstitiellen Thermotherapie in bipolarer Technik (HF-ITT)
US5697377A (en) 1995-11-22 1997-12-16 Medtronic, Inc. Catheter mapping system and method
US5833632A (en) 1995-12-07 1998-11-10 Sarcos, Inc. Hollow guide wire apparatus catheters
US5755760A (en) 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
AUPN957296A0 (en) 1996-04-30 1996-05-23 Cardiac Crc Nominees Pty Limited A system for simultaneous unipolar multi-electrode ablation
US5800428A (en) 1996-05-16 1998-09-01 Angeion Corporation Linear catheter ablation system
US20050245894A1 (en) 1996-05-20 2005-11-03 Medtronic Vascular, Inc. Methods and apparatuses for drug delivery to an intravascular occlusion
US5908445A (en) * 1996-10-28 1999-06-01 Ep Technologies, Inc. Systems for visualizing interior tissue regions including an actuator to move imaging element
US5893885A (en) 1996-11-01 1999-04-13 Cordis Webster, Inc. Multi-electrode ablation catheter
US5931848A (en) * 1996-12-02 1999-08-03 Angiotrax, Inc. Methods for transluminally performing surgery
US5954719A (en) 1996-12-11 1999-09-21 Irvine Biomedical, Inc. System for operating a RF ablation generator
US6076012A (en) * 1996-12-19 2000-06-13 Ep Technologies, Inc. Structures for supporting porous electrode elements
US6235022B1 (en) 1996-12-20 2001-05-22 Cardiac Pathways, Inc RF generator and pump apparatus and system and method for cooled ablation
US5919188A (en) 1997-02-04 1999-07-06 Medtronic, Inc. Linear ablation catheter
US5772642A (en) 1997-02-19 1998-06-30 Medtronic, Inc. Closed end catheter
US6272370B1 (en) 1998-08-07 2001-08-07 The Regents Of University Of Minnesota MR-visible medical device for neurological interventions using nonlinear magnetic stereotaxis and a method imaging
US7347840B2 (en) 2000-03-02 2008-03-25 Pyng Medical Corp. Patch for locating a target zone for penetration
US5782900A (en) 1997-06-23 1998-07-21 Irvine Biomedical, Inc. Catheter system having safety means
US6010500A (en) 1997-07-21 2000-01-04 Cardiac Pathways Corporation Telescoping apparatus and method for linear lesion ablation
US6120476A (en) 1997-12-01 2000-09-19 Cordis Webster, Inc. Irrigated tip catheter
US6273876B1 (en) 1997-12-05 2001-08-14 Intratherapeutics, Inc. Catheter segments having circumferential supports with axial projection
ES2270502T3 (es) 1998-01-22 2007-04-01 Biosense Webster, Inc. Medicion intracorporal.
US7879022B2 (en) 1998-02-06 2011-02-01 Medrad, Inc. Rapid exchange fluid jet thrombectomy device and method
US5951471A (en) 1998-03-09 1999-09-14 Irvine Biomedical, Inc. Catheter-based coronary sinus mapping and ablation
US6308090B1 (en) 1998-03-09 2001-10-23 Irvine Biomedical, Inc. Devices and methods for coronary sinus mapping
EP1073937A4 (de) 1998-04-24 2002-08-14 Digital Optics Corp Bilderzeugung durch diffusion und verwandte verfahren
US6522930B1 (en) 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
US6623474B1 (en) * 1998-06-04 2003-09-23 Biosense Webster, Inc. Injection catheter with needle stop
US7263397B2 (en) 1998-06-30 2007-08-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for catheter navigation and location and mapping in the heart
US6889089B2 (en) 1998-07-28 2005-05-03 Scimed Life Systems, Inc. Apparatus and method for treating tumors near the surface of an organ
US6198974B1 (en) 1998-08-14 2001-03-06 Cordis Webster, Inc. Bi-directional steerable catheter
US6210406B1 (en) 1998-12-03 2001-04-03 Cordis Webster, Inc. Split tip electrode catheter and signal processing RF ablation system
US6464632B1 (en) 1999-02-13 2002-10-15 James M. Taylor Flexible inner liner for the working channel of an endoscope
US6251134B1 (en) 1999-02-28 2001-06-26 Inflow Dynamics Inc. Stent with high longitudinal flexibility
US6743196B2 (en) 1999-03-01 2004-06-01 Coaxia, Inc. Partial aortic occlusion devices and methods for cerebral perfusion augmentation
US6325797B1 (en) 1999-04-05 2001-12-04 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
US6210409B1 (en) 1999-05-03 2001-04-03 Alan G. Ellman Electrosurgical handpiece for treating tissue
US6726712B1 (en) 1999-05-14 2004-04-27 Boston Scientific Scimed Prosthesis deployment device with translucent distal end
US6233476B1 (en) 1999-05-18 2001-05-15 Mediguide Ltd. Medical positioning system
US7386339B2 (en) 1999-05-18 2008-06-10 Mediguide Ltd. Medical imaging and navigation system
EP1196213B1 (de) 1999-07-06 2005-11-02 Medtronic, Inc. System zum einführen von kathetern
US6350253B1 (en) 1999-07-19 2002-02-26 I-Flow Corporation Catheter for uniform delivery of medication
US6328699B1 (en) * 2000-01-11 2001-12-11 Cedars-Sinai Medical Center Permanently implantable system and method for detecting, diagnosing and treating congestive heart failure
US6517477B1 (en) 2000-01-27 2003-02-11 Scimed Life Systems, Inc. Catheter introducer system for exploration of body cavities
AU2001238012A1 (en) * 2000-02-01 2001-08-14 Surgi-Vision, Inc. Magnetic resonance imaging transseptal needle antenna
US6493590B1 (en) 2000-02-09 2002-12-10 Micronet Medical, Inc. Flexible band electrodes for medical leads
WO2001064123A2 (en) 2000-02-29 2001-09-07 Johns Hopkins University Circumferential pulmonary vein ablation using a laser and fiberoptic balloon catheter
US7056294B2 (en) 2000-04-13 2006-06-06 Ev3 Sunnyvale, Inc Method and apparatus for accessing the left atrial appendage
US6650923B1 (en) 2000-04-13 2003-11-18 Ev3 Sunnyvale, Inc. Method for accessing the left atrium of the heart by locating the fossa ovalis
US6488680B1 (en) 2000-04-27 2002-12-03 Medtronic, Inc. Variable length electrodes for delivery of irrigated ablation
US6405067B1 (en) 2000-07-07 2002-06-11 Biosense Webster, Inc. Catheter with tip electrode having a recessed ring electrode mounted thereon
AU2434501A (en) 2000-09-07 2002-03-22 Sherwood Serv Ag Apparatus for and treatment of the intervertebral disc
US6662034B2 (en) 2000-11-15 2003-12-09 Stereotaxis, Inc. Magnetically guidable electrophysiology catheter
US20030009094A1 (en) 2000-11-15 2003-01-09 Segner Garland L. Electrophysiology catheter
US7081114B2 (en) 2000-11-29 2006-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrophysiology/ablation catheter having lariat configuration of variable radius
WO2002047569A1 (en) 2000-12-11 2002-06-20 C.R. Bard, Inc. Microelectrode catheter for mapping and ablation
US7047068B2 (en) * 2000-12-11 2006-05-16 C.R. Bard, Inc. Microelectrode catheter for mapping and ablation
US6814718B2 (en) 2001-01-09 2004-11-09 Rex Medical, L.P Dialysis catheter
NO20010184A (no) * 2001-01-11 2002-04-22 Medinnova As Anordning for lokalisering av fossa ovalis
US6969373B2 (en) 2001-04-13 2005-11-29 Tricardia, Llc Syringe system
US6972016B2 (en) 2001-05-01 2005-12-06 Cardima, Inc. Helically shaped electrophysiology catheter
US6611699B2 (en) 2001-06-28 2003-08-26 Scimed Life Systems, Inc. Catheter with an irrigated composite tip electrode
AU2002357166A1 (en) 2001-12-12 2003-06-23 Tissuelink Medical, Inc. Fluid-assisted medical devices, systems and methods
US6817999B2 (en) 2002-01-03 2004-11-16 Afx, Inc. Flexible device for ablation of biological tissue
US7493156B2 (en) 2002-01-07 2009-02-17 Cardiac Pacemakers, Inc. Steerable guide catheter with pre-shaped rotatable shaft
US7717899B2 (en) 2002-01-28 2010-05-18 Cardiac Pacemakers, Inc. Inner and outer telescoping catheter delivery system
US7462184B2 (en) 2002-05-06 2008-12-09 Pressure Products Medical Supplies Inc. Introducer for accessing the coronary sinus of a heart
JP4511935B2 (ja) 2002-08-24 2010-07-28 サブラマニアム シー. クリシュナン 経中隔穿刺装置
US6780183B2 (en) 2002-09-16 2004-08-24 Biosense Webster, Inc. Ablation catheter having shape-changing balloon
US7082335B2 (en) 2002-09-30 2006-07-25 Medtronic, Inc. Multipolar pacing method and apparatus
US8712549B2 (en) 2002-12-11 2014-04-29 Proteus Digital Health, Inc. Method and system for monitoring and treating hemodynamic parameters
US7013169B2 (en) 2003-01-27 2006-03-14 Cardiac Pacemakers, Inc. Dual steer preshaped catheter
US7182752B2 (en) 2003-04-08 2007-02-27 Surgiquest, Incorporated Continuous gas flow trocar assembly
US20040220461A1 (en) 2003-04-29 2004-11-04 Yitzhack Schwartz Transseptal facilitation using sheath with electrode arrangement
US6980843B2 (en) 2003-05-21 2005-12-27 Stereotaxis, Inc. Electrophysiology catheter
US6921397B2 (en) 2003-05-27 2005-07-26 Cardia, Inc. Flexible delivery device
US20050004563A1 (en) 2003-07-01 2005-01-06 Racz N. Sandor Apparatus and methods for sensing and cooling during application of thermal energy for treating degenerative spinal discs
US20050033136A1 (en) 2003-08-01 2005-02-10 Assaf Govari Catheter with electrode strip
US7824392B2 (en) 2003-08-20 2010-11-02 Boston Scientific Scimed, Inc. Catheter with thin-walled braid
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
NL1024658C2 (nl) 2003-10-29 2005-05-02 Univ Medisch Centrum Utrecht Katheter en werkwijze, in het bijzonder voor ablatie en dergelijke techniek.
US20050149097A1 (en) 2003-12-30 2005-07-07 Regnell Sandra J. Transseptal needle
US7565208B2 (en) 2004-03-25 2009-07-21 Boston Scientific Scimed, Inc. Catheter with sensor tips, tool and device and methods of use of same
US20080319418A1 (en) 2004-03-30 2008-12-25 Cathrx Pty Ltd Catheter Steering Device
US7389148B1 (en) 2004-05-05 2008-06-17 Pacesetter, Inc. Electrode design for defibrillation and/or sensing capabilities
WO2005113057A1 (en) 2004-05-17 2005-12-01 C. R. Bard, Inc. Articulated catheter
US7197354B2 (en) 2004-06-21 2007-03-27 Mediguide Ltd. System for determining the position and orientation of a catheter
US7481808B2 (en) 2004-06-30 2009-01-27 Ethicon, Inc. Flexible electrode device and surgical apparatus equipped with same
US7819868B2 (en) 2005-06-21 2010-10-26 St. Jude Medical, Atrial Fibrilation Division, Inc. Ablation catheter with fluid distribution structures
US20070005053A1 (en) 2005-06-30 2007-01-04 Dando Jeremy D Ablation catheter with contoured openings in insulated electrodes
US7536218B2 (en) 2005-07-15 2009-05-19 Biosense Webster, Inc. Hybrid magnetic-based and impedance-based position sensing
US7416552B2 (en) 2005-08-22 2008-08-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Multipolar, multi-lumen, virtual-electrode catheter with at least one surface electrode and method for ablation
US7623899B2 (en) 2005-09-16 2009-11-24 Biosense Webster, Inc. Catheter with flexible pre-shaped tip section
AU2006321918B2 (en) 2005-12-06 2011-08-25 St. Jude Medical, Atrial Fibrillation Division Inc. Assessment of electrode coupling for tissue ablation
US20070156114A1 (en) 2005-12-29 2007-07-05 Worley Seth J Deflectable catheter with a flexibly attached tip section
US7641757B2 (en) 2006-01-12 2010-01-05 Pacesetter, Inc. Method of making a tubular body for a catheter, sheath or lead
US20070179491A1 (en) 2006-01-31 2007-08-02 Medtronic, Inc. Sensing needle for ablation therapy
US20080234660A2 (en) 2006-05-16 2008-09-25 Sarah Cumming Steerable Catheter Using Flat Pull Wires and Method of Making Same
US20080091169A1 (en) 2006-05-16 2008-04-17 Wayne Heideman Steerable catheter using flat pull wires and having torque transfer layer made of braided flat wires
WO2008045877A2 (en) 2006-10-10 2008-04-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrode tip and ablation system
US7883508B2 (en) 2006-12-29 2011-02-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Contact-sensitive pressure-sensitive conductive composite electrode and method for ablation
US7706891B2 (en) 2007-03-21 2010-04-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter employing shape memory alloy shaping wire or pull wire and method of its manufacture
US8187267B2 (en) 2007-05-23 2012-05-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter with flexible tip and methods of making the same
US8517999B2 (en) 2007-04-04 2013-08-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter with improved fluid flow
US8764742B2 (en) 2007-04-04 2014-07-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter
US8979837B2 (en) 2007-04-04 2015-03-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible tip catheter with extended fluid lumen
US8577447B2 (en) 2007-05-01 2013-11-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Optic-based contact sensing assembly and system
US8734440B2 (en) 2007-07-03 2014-05-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Magnetically guided catheter
WO2009023385A1 (en) 2007-07-03 2009-02-19 Irvine Biomedical, Inc. Magnetically guided catheter with flexible tip
US11395694B2 (en) 2009-05-07 2022-07-26 St. Jude Medical, Llc Irrigated ablation catheter with multiple segmented ablation electrodes
US7914515B2 (en) 2007-07-18 2011-03-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter and introducer catheter having torque transfer layer and method of manufacture
US8641664B2 (en) 2008-03-27 2014-02-04 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system with dynamic response
US8343096B2 (en) 2008-03-27 2013-01-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
US8494608B2 (en) 2008-04-18 2013-07-23 Medtronic, Inc. Method and apparatus for mapping a structure

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US8128573B2 (en) 2012-03-06
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EP1542587B1 (de) 2011-04-27
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US20110087120A1 (en) 2011-04-14
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US9504398B2 (en) 2016-11-29
US7824341B2 (en) 2010-11-02
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US20080103400A1 (en) 2008-05-01

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