WO2003026480A3 - Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia - Google Patents

Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia Download PDF

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Publication number
WO2003026480A3
WO2003026480A3 PCT/US2002/030159 US0230159W WO03026480A3 WO 2003026480 A3 WO2003026480 A3 WO 2003026480A3 US 0230159 W US0230159 W US 0230159W WO 03026480 A3 WO03026480 A3 WO 03026480A3
Authority
WO
WIPO (PCT)
Prior art keywords
ionizing radiation
treatment
methods
apparatus employing
cardiac arrhythmia
Prior art date
Application number
PCT/US2002/030159
Other languages
French (fr)
Other versions
WO2003026480A2 (en
Inventor
Raoul Bonan
Charles E Larsen
Roelof Trip
Douglas B Schumer
Jack C Griffis Iii
Andrew L Lerohl
Original Assignee
Novoste Corp
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 Novoste Corp filed Critical Novoste Corp
Priority to JP2003530126A priority Critical patent/JP2005532832A/en
Priority to CA002460174A priority patent/CA2460174A1/en
Priority to AU2002331891A priority patent/AU2002331891A1/en
Priority to EP02768885A priority patent/EP1429649A4/en
Publication of WO2003026480A2 publication Critical patent/WO2003026480A2/en
Publication of WO2003026480A3 publication Critical patent/WO2003026480A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • 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
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • 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
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • 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
    • A61B2018/00571Surgical 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
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0034Multi-lumen catheters with stationary elements characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/004Multi-lumen catheters with stationary elements characterized by lumina being arranged circumferentially

Abstract

Method and apparatus (20) employing ionizing radiation for forming lines of ablation or lesions in cardiac tissue to treat atrial fibrillation or other electrophysiological problems with the heart. The apparatus (20) may include a catheter (20) in which a radiation source (42) is advanced hydraulically after the catheter (20) is in place within the heart. Various fixation devices (72) are also disclosed for fixing the location of the catheter (20) within the heart.
PCT/US2002/030159 2001-09-24 2002-09-23 Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia WO2003026480A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2003530126A JP2005532832A (en) 2001-09-24 2002-09-23 Method and apparatus using ionizing radiation for the treatment of arrhythmias
CA002460174A CA2460174A1 (en) 2001-09-24 2002-09-23 Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia
AU2002331891A AU2002331891A1 (en) 2001-09-24 2002-09-23 Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia
EP02768885A EP1429649A4 (en) 2001-09-24 2002-09-23 Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US32429901P 2001-09-24 2001-09-24
US60/324,299 2001-09-24

Publications (2)

Publication Number Publication Date
WO2003026480A2 WO2003026480A2 (en) 2003-04-03
WO2003026480A3 true WO2003026480A3 (en) 2003-05-22

Family

ID=23262994

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/030159 WO2003026480A2 (en) 2001-09-24 2002-09-23 Methods and apparatus employing ionizing radiation for treatment of cardiac arrhythmia

Country Status (7)

Country Link
US (3) US7182725B2 (en)
EP (1) EP1429649A4 (en)
JP (1) JP2005532832A (en)
CN (1) CN1556719A (en)
AU (1) AU2002331891A1 (en)
CA (1) CA2460174A1 (en)
WO (1) WO2003026480A2 (en)

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US20110196186A1 (en) 2011-08-11
AU2002331891A1 (en) 2003-04-07
US7182725B2 (en) 2007-02-27
EP1429649A4 (en) 2008-08-20
US20070173812A1 (en) 2007-07-26
JP2005532832A (en) 2005-11-04
CN1556719A (en) 2004-12-22
US8012078B2 (en) 2011-09-06
WO2003026480A2 (en) 2003-04-03
US20030153802A1 (en) 2003-08-14
EP1429649A2 (en) 2004-06-23
CA2460174A1 (en) 2003-04-03

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