WO2002017804A3 - Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue - Google Patents

Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue Download PDF

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Publication number
WO2002017804A3
WO2002017804A3 PCT/EP2001/009182 EP0109182W WO0217804A3 WO 2002017804 A3 WO2002017804 A3 WO 2002017804A3 EP 0109182 W EP0109182 W EP 0109182W WO 0217804 A3 WO0217804 A3 WO 0217804A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
contact
therapeutic elements
fluid cooled
cooled apparatus
Prior art date
Application number
PCT/EP2001/009182
Other languages
French (fr)
Other versions
WO2002017804A2 (en
Inventor
David K Swanson
Russell B Thompson
Original Assignee
Boston Scient Ltd
David K Swanson
Russell B Thompson
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 US09/652,099 external-priority patent/US6579288B1/en
Application filed by Boston Scient Ltd, David K Swanson, Russell B Thompson filed Critical Boston Scient Ltd
Priority to JP2002522782A priority Critical patent/JP2004507314A/en
Priority to AU2001289793A priority patent/AU2001289793A1/en
Priority to AT01969580T priority patent/ATE256996T1/en
Priority to EP01969580A priority patent/EP1313404B1/en
Priority to CA002420513A priority patent/CA2420513A1/en
Priority to DE60101685T priority patent/DE60101685T2/en
Publication of WO2002017804A2 publication Critical patent/WO2002017804A2/en
Publication of WO2002017804A3 publication Critical patent/WO2002017804A3/en

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Classifications

    • 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
    • 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
    • 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
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • 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
    • A61B18/04Surgical 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
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • 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
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • 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
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    • A61B2017/00831Material properties
    • A61B2017/00902Material properties transparent or translucent
    • A61B2017/00907Material properties transparent or translucent for light
    • AHUMAN NECESSITIES
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    • 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
    • A61B2017/22038Implements 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 a guide wire
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
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    • A61B2018/00059Material properties
    • A61B2018/00065Material properties porous
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    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
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    • A61B2018/00089Thermal conductivity
    • A61B2018/00101Thermal conductivity low, i.e. thermally insulating
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    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00136Coatings on the energy applicator with polymer
    • AHUMAN NECESSITIES
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/0016Energy applicators arranged in a two- or three dimensional array
    • AHUMAN NECESSITIES
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
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    • 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
    • A61B2018/00791Temperature
    • A61B2018/00797Temperature measured by multiple temperature sensors
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00815Temperature measured by a thermistor
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • A61B2018/00821Temperature measured by a thermocouple
    • AHUMAN NECESSITIES
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    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00898Alarms or notifications created in response to an abnormal condition
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    • A61B2018/0091Handpieces of the surgical instrument or device
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    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • AHUMAN NECESSITIES
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    • 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
    • A61B18/1206Generators therefor
    • A61B2018/124Generators therefor switching the output to different electrodes, e.g. sequentially
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    • 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
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    • 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
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    • 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
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    • 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
    • A61B2018/142Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
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    • 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
    • A61B2018/1475Electrodes retractable in or deployable from a housing

Abstract

Surgical apparatus, for positioning diagnostic an therapeutic elements on an organ surface, that include tissue cooling apparatus.
PCT/EP2001/009182 2000-08-30 2001-08-08 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue WO2002017804A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
JP2002522782A JP2004507314A (en) 2000-08-30 2001-08-08 Fluid cooled device for contacting tissue to support a diagnostic and therapeutic element
AU2001289793A AU2001289793A1 (en) 2000-08-30 2001-08-08 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue
AT01969580T ATE256996T1 (en) 2000-08-30 2001-08-08 LIQUID COOLED SURGICAL DEVICE
EP01969580A EP1313404B1 (en) 2000-08-30 2001-08-08 Fluid cooled surgical apparatus
CA002420513A CA2420513A1 (en) 2000-08-30 2001-08-08 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue
DE60101685T DE60101685T2 (en) 2000-08-30 2001-08-08 LIQUID-COOLED SURGICAL DEVICE

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US09/652,099 US6579288B1 (en) 1997-10-10 2000-08-30 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue
US09/652,099 2000-08-30
US09/761,981 2001-01-17
US09/761,981 US6942661B2 (en) 2000-08-30 2001-01-17 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue

Publications (2)

Publication Number Publication Date
WO2002017804A2 WO2002017804A2 (en) 2002-03-07
WO2002017804A3 true WO2002017804A3 (en) 2002-07-18

Family

ID=27096221

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2001/009182 WO2002017804A2 (en) 2000-08-30 2001-08-08 Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue

Country Status (9)

Country Link
US (2) US6942661B2 (en)
EP (1) EP1313404B1 (en)
JP (1) JP2004507314A (en)
AT (1) ATE256996T1 (en)
AU (1) AU2001289793A1 (en)
CA (1) CA2420513A1 (en)
DE (1) DE60101685T2 (en)
ES (1) ES2211826T3 (en)
WO (1) WO2002017804A2 (en)

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WO2002017804A2 (en) 2002-03-07
DE60101685T2 (en) 2004-12-09
EP1313404A2 (en) 2003-05-28
DE60101685D1 (en) 2004-02-05
US20030014048A1 (en) 2003-01-16
ES2211826T3 (en) 2004-07-16
EP1313404B1 (en) 2004-01-02
AU2001289793A1 (en) 2002-03-13
ATE256996T1 (en) 2004-01-15
CA2420513A1 (en) 2002-03-07
JP2004507314A (en) 2004-03-11
US7303558B2 (en) 2007-12-04
US20020026187A1 (en) 2002-02-28

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