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ATE511787T1 - Gewebeablationsvorrichtung mit photoakustischer läsionsbildungsrückmeldung - Google Patents

Gewebeablationsvorrichtung mit photoakustischer läsionsbildungsrückmeldung

Info

Publication number
ATE511787T1
ATE511787T1 AT08868228T AT08868228T ATE511787T1 AT E511787 T1 ATE511787 T1 AT E511787T1 AT 08868228 T AT08868228 T AT 08868228T AT 08868228 T AT08868228 T AT 08868228T AT E511787 T1 ATE511787 T1 AT E511787T1
Authority
AT
Austria
Prior art keywords
tissue
photoacoustic
tissue ablation
ablation device
lesion formation
Prior art date
Application number
AT08868228T
Other languages
English (en)
Inventor
Robert Manzke
Raymond Chan
Ladislav Jankovic
Daniel R Elgort
Khalid Shahzad
Original Assignee
Koninkl Philips Electronics Nv
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 Koninkl Philips Electronics Nv filed Critical Koninkl Philips Electronics Nv
Application granted granted Critical
Publication of ATE511787T1 publication Critical patent/ATE511787T1/de

Links

Classifications

    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0093Detecting, measuring or recording by applying one single type of energy and measuring its conversion into another type of energy
    • A61B5/0095Detecting, measuring or recording by applying one single type of energy and measuring its conversion into another type of energy by applying light and detecting acoustic waves, i.e. photoacoustic measurements
    • 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
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/201Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser with beam delivery through a hollow tube, e.g. forming an articulated arm ; Hand-pieces therefor
    • 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
    • A61B2017/00057Light
    • 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
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00392Transmyocardial revascularisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Acoustics & Sound (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
AT08868228T 2007-12-28 2008-12-15 Gewebeablationsvorrichtung mit photoakustischer läsionsbildungsrückmeldung ATE511787T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US1721407P 2007-12-28 2007-12-28
PCT/IB2008/055312 WO2009083859A1 (en) 2007-12-28 2008-12-15 Tissue ablation device with photoacoustic lesion formation feedback

Publications (1)

Publication Number Publication Date
ATE511787T1 true ATE511787T1 (de) 2011-06-15

Family

ID=40578698

Family Applications (1)

Application Number Title Priority Date Filing Date
AT08868228T ATE511787T1 (de) 2007-12-28 2008-12-15 Gewebeablationsvorrichtung mit photoakustischer läsionsbildungsrückmeldung

Country Status (7)

Country Link
US (1) US8617148B2 (de)
EP (1) EP2229096B1 (de)
JP (1) JP5698538B2 (de)
CN (1) CN101909516B (de)
AT (1) ATE511787T1 (de)
RU (1) RU2494697C2 (de)
WO (1) WO2009083859A1 (de)

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US10499937B2 (en) 2006-05-19 2019-12-10 Recor Medical, Inc. Ablation device with optimized input power profile and method of using the same
US8974445B2 (en) 2009-01-09 2015-03-10 Recor Medical, Inc. Methods and apparatus for treatment of cardiac valve insufficiency
DE102009024589A1 (de) * 2009-06-10 2010-12-23 Siemens Aktiengesellschaft Thermotherapievorrichtung und Verfahren zum Durchführen einer Thermotherapie
US20110257563A1 (en) * 2009-10-26 2011-10-20 Vytronus, Inc. Methods and systems for ablating tissue
WO2011097291A1 (en) * 2010-02-02 2011-08-11 Nellcor Puritan Bennett Llc Continuous light emission photoacoustic spectroscopy
WO2011107117A1 (en) * 2010-03-04 2011-09-09 Fotona D.D. Laser system for ablative treatment of body tissue
US20120022338A1 (en) * 2010-05-28 2012-01-26 The General Hospital Corporation Apparatus, systems, methods and computer-accessible medium for analyzing information regarding cardiovascular diseases and functions
CA2862611C (en) 2011-02-24 2020-11-03 Eximo Medical Ltd. Hybrid catheter for tissue resection
EP2691041A2 (de) 2011-03-29 2014-02-05 Koninklijke Philips N.V. Ablationsüberwachung auf funktionsüberwachungsbasis
AU2012258902A1 (en) * 2011-05-20 2014-01-16 Doheny Eye Institute Ocular ultrasound probe
EP2734259B1 (de) * 2011-07-20 2016-11-23 Boston Scientific Scimed, Inc. Perkutane vorrichtung zur visualisierung; anvisierung und ablation von nerven
WO2013123014A1 (en) 2012-02-14 2013-08-22 St. Jude Medical, Atrial Fibrillation Division, Inc. System for assessing effects of ablation therapy on cardiac tissue using photoacoustics
US9993297B2 (en) 2013-01-31 2018-06-12 Digma Medical Ltd. Methods and systems for reducing neural activity in an organ of a subject
CN110420057B (zh) * 2013-10-15 2022-10-14 尼普洛株式会社 消融系统及消融设备
CN103919607A (zh) * 2013-12-11 2014-07-16 李志芳 组织光热效应治疗优化与监测方法与装置
WO2015097679A1 (en) 2013-12-24 2015-07-02 Ecole Polytechnique Federale De Lausanne (Epfl) Ablation device and method for subsurface biological tissue ablation
EP3074090B1 (de) * 2014-02-10 2017-11-22 St. Jude Medical, Cardiology Division, Inc. Vorrichtung zur ablation und fotoakustischen bildgebung
US10537387B2 (en) 2014-04-17 2020-01-21 Digma Medical Ltd. Methods and systems for blocking neural activity in an organ of a subject, preferably in the small intestine or the duodenum
CN104000624B (zh) * 2014-04-24 2016-04-13 温州医科大学 一种贴于眼表用于眼轴测量的超声探头
JP2017513645A (ja) * 2014-04-28 2017-06-01 カーディオフォーカス,インコーポレーテッド アブレーション処置の際にicg色素組成物を用いて組織を視覚化するためのシステムおよび方法
CN111242092A (zh) * 2015-07-29 2020-06-05 财团法人工业技术研究院 生物辨识装置与穿戴式载体
US10679081B2 (en) * 2015-07-29 2020-06-09 Industrial Technology Research Institute Biometric device and wearable carrier
WO2017191644A1 (en) 2016-05-05 2017-11-09 Eximo Medical Ltd Apparatus and methods for resecting and/or ablating an undesired tissue
US10575904B1 (en) 2016-08-14 2020-03-03 Digma Medical Ltd. Apparatus and method for selective submucosal ablation
CN114569245B (zh) 2016-08-14 2024-09-17 迪格玛医疗有限公司 用于胃肠道壁中的神经消融的装置和方法
WO2018139853A2 (ko) * 2017-01-26 2018-08-02 스페클립스 주식회사 색소 병변의 진단 장치에 사용되는 핸드피스
JP2019017411A (ja) * 2017-07-11 2019-02-07 株式会社日立製作所 光音響型カテーテルシステム及び光音響型カテーテル制御方法
EP3443886A1 (de) * 2017-08-16 2019-02-20 Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt (GmbH) Vorrichtung zur endoskopischen optoakustischen bildgebung, insbesondere zur endoskopischen optoakustischen bildgebung von hohlräumen und hohlen objekten
CN108325938A (zh) * 2018-05-15 2018-07-27 汪智静 一种电池供电的便携式超声波清洗机
KR102279688B1 (ko) 2019-03-22 2021-07-20 스페클립스 주식회사 레이저 유도 붕괴 스펙트럼 분석을 이용하는 진단 방법 및 이를 수행하는 진단 장치
JP2023536415A (ja) * 2020-07-21 2023-08-25 ジャイラス エーシーエムアイ インク ディー/ビー/エー オリンパス サージカル テクノロジーズ アメリカ 音響フィードバックを使用するレーザ治療
CN112842519B (zh) * 2021-01-22 2022-07-29 上海科技大学 一种用于引导激光治疗的光声探测装置
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Also Published As

Publication number Publication date
RU2494697C2 (ru) 2013-10-10
EP2229096B1 (de) 2011-06-08
EP2229096A1 (de) 2010-09-22
JP2011507651A (ja) 2011-03-10
CN101909516A (zh) 2010-12-08
US20100280504A1 (en) 2010-11-04
WO2009083859A1 (en) 2009-07-09
RU2010131476A (ru) 2012-02-10
US8617148B2 (en) 2013-12-31
CN101909516B (zh) 2012-07-04
JP5698538B2 (ja) 2015-04-08

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