DE60024812D1 - Integriertes gerät zur erwärmung und kühlung von gewebe - Google Patents

Integriertes gerät zur erwärmung und kühlung von gewebe

Info

Publication number
DE60024812D1
DE60024812D1 DE60024812T DE60024812T DE60024812D1 DE 60024812 D1 DE60024812 D1 DE 60024812D1 DE 60024812 T DE60024812 T DE 60024812T DE 60024812 T DE60024812 T DE 60024812T DE 60024812 D1 DE60024812 D1 DE 60024812D1
Authority
DE
Germany
Prior art keywords
radio frequency
expandable member
abnormal tissue
tissue
heating
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
DE60024812T
Other languages
English (en)
Other versions
DE60024812T2 (de
Inventor
D Edwards
John Gaiser
David Utley
Scott West
Jay Qin
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.)
Curon Medical Inc
Original Assignee
Curon Medical 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 Curon Medical Inc filed Critical Curon Medical Inc
Application granted granted Critical
Publication of DE60024812D1 publication Critical patent/DE60024812D1/de
Publication of DE60024812T2 publication Critical patent/DE60024812T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • 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
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B18/1477—Needle-like probes
    • A—HUMAN NECESSITIES
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    • 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
    • A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • A—HUMAN NECESSITIES
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    • 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
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    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A—HUMAN NECESSITIES
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    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • A—HUMAN NECESSITIES
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    • A61B2018/00041—Heating, e.g. defrosting
    • A—HUMAN NECESSITIES
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
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    • A61B2018/0022—Balloons
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    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
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    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291—Anchoring means for temporary attachment of a device to tissue using suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B2018/00482—Digestive system
    • A61B2018/00494—Stomach, intestines or bowel
    • 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
    • A61B2018/00553—Sphincter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654—Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • A—HUMAN NECESSITIES
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    • A61B2018/0066—Sensing and controlling the application of energy without feedback, i.e. open loop control
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    • A—HUMAN NECESSITIES
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    • A61B2018/00636—Sensing and controlling the application of energy
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    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
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    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
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    • 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
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    • 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
    • A61B2018/1405—Electrodes having a specific shape
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    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
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    • 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
    • A61B2018/1475—Electrodes retractable in or deployable from a housing
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    • 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
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
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    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
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    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Devices That Are Associated With Refrigeration Equipment (AREA)
  • Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Apparatus Associated With Microorganisms And Enzymes (AREA)
DE60024812T 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe Expired - Lifetime DE60024812T2 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/305,079 US6273886B1 (en) 1998-02-19 1999-05-04 Integrated tissue heating and cooling apparatus
US305079 1999-05-04
PCT/US2000/012204 WO2000066052A1 (en) 1999-05-04 2000-05-02 Integrated tissue heating and cooling apparatus

Publications (2)

Publication Number Publication Date
DE60024812D1 true DE60024812D1 (de) 2006-01-19
DE60024812T2 DE60024812T2 (de) 2006-08-10

Family

ID=23179237

Family Applications (2)

Application Number Title Priority Date Filing Date
DE60024812T Expired - Lifetime DE60024812T2 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe
DE60038581T Expired - Lifetime DE60038581T2 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe

Family Applications After (1)

Application Number Title Priority Date Filing Date
DE60038581T Expired - Lifetime DE60038581T2 (de) 1999-05-04 2000-05-02 Integriertes gerät zur erwärmung und kühlung von gewebe

Country Status (10)

Country Link
US (1) US6273886B1 (de)
EP (2) EP1180992B1 (de)
JP (1) JP2002542891A (de)
AT (2) ATE312577T1 (de)
AU (1) AU4820300A (de)
CA (1) CA2372201A1 (de)
DE (2) DE60024812T2 (de)
ES (1) ES2308375T3 (de)
NO (1) NO20015382L (de)
WO (1) WO2000066052A1 (de)

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US6302875B1 (en) 1996-10-11 2001-10-16 Transvascular, Inc. Catheters and related devices for forming passageways between blood vessels or other anatomical structures
US6733496B2 (en) 2001-06-06 2004-05-11 Oratec Interventions, Inc. Intervertebral disc device employing flexible probe
US6126682A (en) 1996-08-13 2000-10-03 Oratec Interventions, Inc. Method for treating annular fissures in intervertebral discs
US6832997B2 (en) 2001-06-06 2004-12-21 Oratec Interventions, Inc. Electromagnetic energy delivery intervertebral disc treatment devices
US6726685B2 (en) * 2001-06-06 2004-04-27 Oratec Interventions, Inc. Intervertebral disc device employing looped probe
US6480746B1 (en) 1997-08-13 2002-11-12 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6216704B1 (en) 1997-08-13 2001-04-17 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US7317949B2 (en) * 1996-11-08 2008-01-08 Ams Research Corporation Energy induced bulking and buttressing of tissues for incontinence
US6292700B1 (en) 1999-09-10 2001-09-18 Surx, Inc. Endopelvic fascia treatment for incontinence
US6699244B2 (en) 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
US9023031B2 (en) 1997-08-13 2015-05-05 Verathon Inc. Noninvasive devices, methods, and systems for modifying tissues
US20030178032A1 (en) * 1997-08-13 2003-09-25 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6358245B1 (en) 1998-02-19 2002-03-19 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US8906010B2 (en) * 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US7468060B2 (en) * 1998-02-19 2008-12-23 Respiratory Diagnostic, Inc. Systems and methods for treating obesity and other gastrointestinal conditions
JP2002506672A (ja) 1998-03-19 2002-03-05 オーレイテック インターヴェンションズ インコーポレイテッド 手術部位にエネルギーを給送するためのカテーテル
US6640139B1 (en) * 1998-10-20 2003-10-28 Dornier Medtech Holding International Gmbh Thermal therapy with tissue protection
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ATE312577T1 (de) 2005-12-15
CA2372201A1 (en) 2000-11-09
EP1634542A1 (de) 2006-03-15
WO2000066052A1 (en) 2000-11-09
ATE391462T1 (de) 2008-04-15
NO20015382D0 (no) 2001-11-02
DE60038581D1 (de) 2008-05-21
EP1180992A1 (de) 2002-02-27
ES2308375T3 (es) 2008-12-01
NO20015382L (no) 2002-01-03
AU4820300A (en) 2000-11-17
EP1180992B1 (de) 2005-12-14
US6273886B1 (en) 2001-08-14
EP1634542B1 (de) 2008-04-09
DE60038581T2 (de) 2009-06-04
EP1180992A4 (de) 2003-07-30
JP2002542891A (ja) 2002-12-17

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