WO2001080724A3 - Transmural ablation device and method - Google Patents

Transmural ablation device and method Download PDF

Info

Publication number
WO2001080724A3
WO2001080724A3 PCT/US2001/013766 US0113766W WO0180724A3 WO 2001080724 A3 WO2001080724 A3 WO 2001080724A3 US 0113766 W US0113766 W US 0113766W WO 0180724 A3 WO0180724 A3 WO 0180724A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrodes
tissue
probes
transmural ablation
ablation device
Prior art date
Application number
PCT/US2001/013766
Other languages
French (fr)
Other versions
WO2001080724A2 (en
WO2001080724B1 (en
Inventor
Michael D Hooven
James A Chaldekas
Original Assignee
Atricure 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 Atricure Inc filed Critical Atricure Inc
Priority to AU2001257398A priority Critical patent/AU2001257398A1/en
Priority to EP01930908A priority patent/EP1301134A4/en
Priority to CA002407645A priority patent/CA2407645A1/en
Priority to JP2001577830A priority patent/JP2004512859A/en
Publication of WO2001080724A2 publication Critical patent/WO2001080724A2/en
Publication of WO2001080724A3 publication Critical patent/WO2001080724A3/en
Publication of WO2001080724B1 publication Critical patent/WO2001080724B1/en

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
    • A61B18/04Surgical 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • 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
    • A61B2017/00026Conductivity or impedance, e.g. of tissue
    • 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
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2945Curved jaws
    • 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
    • A61B2018/00363Epicardium
    • 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
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • 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
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00755Resistance or impedance
    • 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
    • A61B2018/00875Resistance or impedance
    • 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
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1425Needle
    • A61B2018/1432Needle curved
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/145Probes having pivoting end effectors, e.g. forceps wherein the effectors remain parallel during closing and opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • 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 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body

Abstract

A method and apparatus for transmural ablation using an instrument containing two electrodes (52, 53) or cryogenic probes. A clamping force is exerted on the two electrodes or probes such that the tissue of the hollow organ is clamped therebetween. Bipolar RF energy is then applied between the two electrodes, or the probes are cryogenically cooled, thus ablating the tissue therebetween. A monitoring device (102) measures a suitable parameter, such as impedance or temperature, and indicates when the tissue between the electrodes has been fully ablated.
PCT/US2001/013766 2000-04-27 2001-04-27 Transmural ablation device and method WO2001080724A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2001257398A AU2001257398A1 (en) 2000-04-27 2001-04-27 Transmural ablation device and method
EP01930908A EP1301134A4 (en) 2000-04-27 2001-04-27 Transmural ablation device and method
CA002407645A CA2407645A1 (en) 2000-04-27 2001-04-27 Transmural ablation device and method
JP2001577830A JP2004512859A (en) 2000-04-27 2001-04-27 Transmural cutting device and method

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US20007200P 2000-04-27 2000-04-27
US60/200,072 2000-04-27
US09/747,609 2000-12-22
US09/747,609 US6546935B2 (en) 2000-04-27 2000-12-22 Method for transmural ablation

Publications (3)

Publication Number Publication Date
WO2001080724A2 WO2001080724A2 (en) 2001-11-01
WO2001080724A3 true WO2001080724A3 (en) 2002-03-14
WO2001080724B1 WO2001080724B1 (en) 2002-05-10

Family

ID=26895440

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/013766 WO2001080724A2 (en) 2000-04-27 2001-04-27 Transmural ablation device and method

Country Status (6)

Country Link
US (4) US6546935B2 (en)
EP (1) EP1301134A4 (en)
JP (1) JP2004512859A (en)
AU (1) AU2001257398A1 (en)
CA (1) CA2407645A1 (en)
WO (1) WO2001080724A2 (en)

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WO2001080724A2 (en) 2001-11-01
CA2407645A1 (en) 2001-11-01
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US20010031961A1 (en) 2001-10-18
US20030093068A1 (en) 2003-05-15
US6896673B2 (en) 2005-05-24
JP2004512859A (en) 2004-04-30
EP1301134A2 (en) 2003-04-16
US6517536B2 (en) 2003-02-11
US20030125729A1 (en) 2003-07-03
AU2001257398A1 (en) 2001-11-07
US6546935B2 (en) 2003-04-15
US20020032440A1 (en) 2002-03-14
WO2001080724B1 (en) 2002-05-10
US7241292B2 (en) 2007-07-10

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