WO2003099372A3 - Vorrichtung zum elektrochirurgischen veröden von körpergewebe - Google Patents

Vorrichtung zum elektrochirurgischen veröden von körpergewebe Download PDF

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Publication number
WO2003099372A3
WO2003099372A3 PCT/EP2003/005439 EP0305439W WO03099372A3 WO 2003099372 A3 WO2003099372 A3 WO 2003099372A3 EP 0305439 W EP0305439 W EP 0305439W WO 03099372 A3 WO03099372 A3 WO 03099372A3
Authority
WO
WIPO (PCT)
Prior art keywords
high frequency
active electrodes
body tissue
electrodes
electrosurgically
Prior art date
Application number
PCT/EP2003/005439
Other languages
English (en)
French (fr)
Other versions
WO2003099372A2 (de
Inventor
Kai Desinger
Thomas Stein
Andre Roggan
Thomas Prezewovsky
Original Assignee
Celon Ag Medical Instruments
Kai Desinger
Thomas Stein
Andre Roggan
Thomas Prezewovsky
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 DE2002124154 external-priority patent/DE10224154A1/de
Application filed by Celon Ag Medical Instruments, Kai Desinger, Thomas Stein, Andre Roggan, Thomas Prezewovsky filed Critical Celon Ag Medical Instruments
Priority to AT03735453T priority Critical patent/ATE515285T1/de
Priority to EP03735453A priority patent/EP1511534B1/de
Priority to US10/515,945 priority patent/US8216219B2/en
Priority to AU2003237671A priority patent/AU2003237671A1/en
Priority to JP2004506895A priority patent/JP4338631B2/ja
Publication of WO2003099372A2 publication Critical patent/WO2003099372A2/de
Publication of WO2003099372A3 publication Critical patent/WO2003099372A3/de

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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1477—Needle-like probes
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • 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
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
    • A61B2018/143—Needle multiple needles

Abstract

Die erfindungsgemässe Applikationsvorrichtung zum Applizieren eines Hochfrequenzstroms zum thermischen Veröden von Körpergewebe umfasst eine Elektrodenmenge (7) mit mindestens drei mit dem Körpergewebe elektrisch leitend verbundenen aktiven Elektroden (1 - 6), einen mit den aktiven Elektroden (1 - 6) individuell elektrisch verbindbaren Hochfrequenzgenerator (17) zum Erzeugen einer Hochfrequenzspannung und eine Messeinrichtung (13) zum Messen der Impedanz des Gewebes zwischen den aktiven Elektroden (1 - 6). Ausserdem umfasst die Applikationsvorrichtung eine Auswahleinrichtung (15) zum Auswählen einer mindestens zwei aktive Elektroden (5, 6) umfassenden Untermenge (19) aus der Elektrodenmenge (7), wobei die Auswahl anhand der gemessenen Impedanz erfolgt. Des weiteren ist eine Steuereinrichtung (11) vorhanden, die derart ausgestaltet ist, dass zwischen den aktiven Elektroden (5, 6) der ausgewählten Untermenge (19) jeweils die Hochfrequenzspannung angelegt wird, so dass zwischen den ausgewählten aktiven Elektroden (5, 6) ein Hochfrequenzstrom durch das Körpergewebe fliesst.
PCT/EP2003/005439 2002-05-27 2003-05-23 Vorrichtung zum elektrochirurgischen veröden von körpergewebe WO2003099372A2 (de)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AT03735453T ATE515285T1 (de) 2002-05-27 2003-05-23 Vorrichtung zum elektrochirurgischen veröden von körpergewebe
EP03735453A EP1511534B1 (de) 2002-05-27 2003-05-23 Vorrichtung zum elektrochirurgischen veröden von körpergewebe
US10/515,945 US8216219B2 (en) 2002-05-27 2003-05-23 Device for electrosurgically destroying body tissue
AU2003237671A AU2003237671A1 (en) 2002-05-27 2003-05-23 Device for electrosurgically destroying body tissue
JP2004506895A JP4338631B2 (ja) 2002-05-27 2003-05-23 体組織をエレクトロサージェリィにより硬化（サーマルスクリローシス）させるための装置

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
DE2002124154 DE10224154A1 (de) 2002-05-27 2002-05-27 Vorrichtung zum elektrochirurgischen Veröden von Körpergewebe
DE10224154.6 2002-05-27
DE10317243 2003-04-10
DE10317243.2 2003-04-10

Publications (2)

Publication Number Publication Date
WO2003099372A2 WO2003099372A2 (de) 2003-12-04
WO2003099372A3 true WO2003099372A3 (de) 2004-04-22

Family

ID=29585327

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2003/005439 WO2003099372A2 (de) 2002-05-27 2003-05-23 Vorrichtung zum elektrochirurgischen veröden von körpergewebe

Country Status (6)

Country Link
US (1) US8216219B2 (de)
EP (1) EP1511534B1 (de)
JP (1) JP4338631B2 (de)
AT (1) ATE515285T1 (de)
AU (1) AU2003237671A1 (de)
WO (1) WO2003099372A2 (de)

Families Citing this family (68)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
US10130415B2 (en) * 2002-06-10 2018-11-20 Wisconsin Alumni Research Foundation Circumferential electrode array for tissue ablation
US7367974B2 (en) * 2004-09-20 2008-05-06 Wisconsin Alumni Research Foundation Electrode array for tissue ablation
US7044948B2 (en) 2002-12-10 2006-05-16 Sherwood Services Ag Circuit for controlling arc energy from an electrosurgical generator
WO2004098385A2 (en) * 2003-05-01 2004-11-18 Sherwood Services Ag Method and system for programing and controlling an electrosurgical generator system
CA2542798C (en) 2003-10-23 2015-06-23 Sherwood Services Ag Thermocouple measurement circuit
US7396336B2 (en) 2003-10-30 2008-07-08 Sherwood Services Ag Switched resonant ultrasonic power amplifier system
DE102004026179B4 (de) * 2004-05-14 2009-01-22 Erbe Elektromedizin Gmbh Elektrochirurgisches Instrument
DE102004041681A1 (de) * 2004-08-20 2006-02-23 Celon Ag Medical Instruments Vorrichtung zum elektrochirurgischen Veröden von Körpergewebe
US7166104B2 (en) * 2004-08-30 2007-01-23 Boston Scientific Scimed, Inc. Composite material braided insulator
US9031667B2 (en) * 2005-03-04 2015-05-12 InterventionTechnology Pty Ltd Minimal device and method for effecting hyperthermia derived anesthesia
US8603083B2 (en) * 2005-07-15 2013-12-10 Atricure, Inc. Matrix router for surgical ablation
US7947039B2 (en) * 2005-12-12 2011-05-24 Covidien Ag Laparoscopic apparatus for performing electrosurgical procedures
EP2001385B1 (de) 2006-01-17 2016-03-23 Endymed Medical Ltd. Elektrochirurgische verfahren und vorrichtung mit phasengesteuerter hf-energie
CA2574934C (en) 2006-01-24 2015-12-29 Sherwood Services Ag System and method for closed loop monitoring of monopolar electrosurgical apparatus
US7651493B2 (en) * 2006-03-03 2010-01-26 Covidien Ag System and method for controlling electrosurgical snares
US7794457B2 (en) * 2006-09-28 2010-09-14 Covidien Ag Transformer for RF voltage sensing
US9924998B2 (en) 2007-01-12 2018-03-27 Atricure, Inc. Ablation system, clamp and method of use
WO2008125962A2 (en) * 2007-03-01 2008-10-23 Endymed Medical Ltd. Electrosurgical methods and devices employing semiconductor chips
US20090076500A1 (en) * 2007-09-14 2009-03-19 Lazure Technologies, Llc Multi-tine probe and treatment by activation of opposing tines
EP2197533B1 (de) * 2007-09-14 2015-04-01 Lazure Technologies, LLC Ablation von prostatakrebs
US8298226B2 (en) * 2008-05-23 2012-10-30 Gyrus Medical Limited Electrosurgical generator and system
GB0809461D0 (en) * 2008-05-23 2008-07-02 Gyrus Medical Ltd An electrosurgical generator and system
US8398627B2 (en) 2008-05-23 2013-03-19 Gyrus Medical Limited Electrosurgical generator and system
US9700366B2 (en) * 2008-08-01 2017-07-11 Covidien Lp Polyphase electrosurgical system and method
US20100152726A1 (en) 2008-12-16 2010-06-17 Arthrocare Corporation Electrosurgical system with selective control of active and return electrodes
US8262652B2 (en) 2009-01-12 2012-09-11 Tyco Healthcare Group Lp Imaginary impedance process monitoring and intelligent shut-off
US20110118731A1 (en) * 2009-11-16 2011-05-19 Tyco Healthcare Group Lp Multi-Phase Electrode
US9486625B2 (en) 2011-08-08 2016-11-08 Medamp Electronics, Llc Method for treating benign prostate hyperplasia
WO2013022939A1 (en) * 2011-08-08 2013-02-14 Ruse Richard B Method and apparatus for treating cancer
US11903632B2 (en) * 2011-10-15 2024-02-20 Diros Technology Inc. Method and apparatus for precisely controlling the size and shape of radiofrequency ablations
JP6301926B2 (ja) 2012-08-09 2018-03-28 ユニバーシティ オブ アイオワ リサーチ ファウンデーション カテーテル、カテーテルシステム、及び組織構造を刺通する方法
EP2967397B1 (de) 2013-03-15 2023-07-12 Medtronic Holding Company Sàrl Elektrochirurgische kartierungswerkzeuge
US10779875B2 (en) 2013-05-06 2020-09-22 Novocure Gmbh Optimizing treatment using TTfields by changing the frequency during the course of long term tumor treatment
US9872719B2 (en) 2013-07-24 2018-01-23 Covidien Lp Systems and methods for generating electrosurgical energy using a multistage power converter
US9655670B2 (en) 2013-07-29 2017-05-23 Covidien Lp Systems and methods for measuring tissue impedance through an electrosurgical cable
EP3046494A1 (de) 2013-11-13 2016-07-27 Gyrus ACMI, Inc., d.b.a. Olympus Surgical Technologies America Positionierungsvorrichtung und verfahren für fibroseablation
EP3091921B1 (de) 2014-01-06 2019-06-19 Farapulse, Inc. Vorrichtung für nierendenervierungsablation
JP2017512562A (ja) * 2014-03-15 2017-05-25 ロバート エフ． リウー， 辺縁組織切除のためのシステムおよび方法
WO2015171921A2 (en) 2014-05-07 2015-11-12 Mickelson Steven R Methods and apparatus for selective tissue ablation
EP3142584A1 (de) * 2014-05-16 2017-03-22 Iowa Approach Inc. Verfahren und vorrichtung zur mehrfachkatheter-gewebeablation
EP3154464A4 (de) 2014-06-12 2018-01-24 Iowa Approach Inc. Verfahren und vorrichtung zur schnellen und selektiven gewebeablation mit kühlung
WO2015192027A1 (en) 2014-06-12 2015-12-17 Iowa Approach Inc. Method and apparatus for rapid and selective transurethral tissue ablation
WO2016060983A1 (en) 2014-10-14 2016-04-21 Iowa Approach Inc. Method and apparatus for rapid and safe pulmonary vein cardiac ablation
US10130423B1 (en) 2017-07-06 2018-11-20 Farapulse, Inc. Systems, devices, and methods for focal ablation
US10172673B2 (en) 2016-01-05 2019-01-08 Farapulse, Inc. Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US20170189097A1 (en) 2016-01-05 2017-07-06 Iowa Approach Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
WO2017218734A1 (en) 2016-06-16 2017-12-21 Iowa Approach, Inc. Systems, apparatuses, and methods for guide wire delivery
DE102016214704A1 (de) * 2016-08-08 2018-02-08 Olympus Winter & Ibe Gmbh Elektrochirurgiesystem mit Messeinheit
EP3522807A1 (de) 2016-10-04 2019-08-14 Avent, Inc. Gekühlte hf-sonden
US9987081B1 (en) 2017-04-27 2018-06-05 Iowa Approach, Inc. Systems, devices, and methods for signal generation
US10617867B2 (en) 2017-04-28 2020-04-14 Farapulse, Inc. Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue
CN115844523A (zh) 2017-09-12 2023-03-28 波士顿科学医学有限公司 用于心室局灶性消融的系统、设备和方法
CN109581057A (zh) * 2017-09-28 2019-04-05 四川锦江电子科技有限公司 一种多极消融导管的阻抗检测装置
WO2019071269A2 (en) 2017-10-06 2019-04-11 Powell Charles Lee SYSTEM AND METHOD FOR TREATING AN OBSTRUCTIVE SLEEP APNEA
US11446079B2 (en) * 2018-01-17 2022-09-20 Covidien Lp Surgical instruments incorporating ultrasonic and electrosurgical functionality
WO2019217317A1 (en) 2018-05-07 2019-11-14 Farapulse, Inc. Systems, apparatuses, and methods for filtering high voltage noise induced by pulsed electric field ablation
CN115836908A (zh) 2018-05-07 2023-03-24 波士顿科学医学有限公司 用于将消融能量递送到组织的系统、设备和方法
CN112087978B (zh) 2018-05-07 2023-01-17 波士顿科学医学有限公司 心外膜消融导管
US10687892B2 (en) 2018-09-20 2020-06-23 Farapulse, Inc. Systems, apparatuses, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
US11065047B2 (en) 2019-11-20 2021-07-20 Farapulse, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US11497541B2 (en) 2019-11-20 2022-11-15 Boston Scientific Scimed, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines
JP2024500569A (ja) * 2020-12-10 2024-01-09 ワンパス メディカル リミテッド 多針アブレーションプローブ
DE102020133346A1 (de) 2020-12-14 2022-06-15 Olympus Winter & Ibe Gmbh Elektrochirurgisches System, elektrochirurgischer Applikator und elektrochirurgischer Generator
JP7437662B1 (ja) 2023-04-17 2024-02-26 株式会社吉田製作所 側枝治療装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5383917A (en) * 1991-07-05 1995-01-24 Jawahar M. Desai Device and method for multi-phase radio-frequency ablation
US5928159A (en) * 1995-03-03 1999-07-27 Neothermia Corporation Apparatus and method for characterization and treatment of tumors
US6092528A (en) * 1994-06-24 2000-07-25 Edwards; Stuart D. Method to treat esophageal sphincters
US6123702A (en) * 1998-09-10 2000-09-26 Scimed Life Systems, Inc. Systems and methods for controlling power in an electrosurgical probe
WO2002032335A1 (en) * 2000-07-25 2002-04-25 Rita Medical Systems Inc. Apparatus for detecting and treating tumors using localized impedance measurement

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6293942B1 (en) * 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
US6301496B1 (en) * 1998-07-24 2001-10-09 Biosense, Inc. Vector mapping of three-dimensionally reconstructed intrabody organs and method of display
US7422586B2 (en) * 2001-02-28 2008-09-09 Angiodynamics, Inc. Tissue surface treatment apparatus and method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5383917A (en) * 1991-07-05 1995-01-24 Jawahar M. Desai Device and method for multi-phase radio-frequency ablation
US6092528A (en) * 1994-06-24 2000-07-25 Edwards; Stuart D. Method to treat esophageal sphincters
US5928159A (en) * 1995-03-03 1999-07-27 Neothermia Corporation Apparatus and method for characterization and treatment of tumors
US6123702A (en) * 1998-09-10 2000-09-26 Scimed Life Systems, Inc. Systems and methods for controlling power in an electrosurgical probe
WO2002032335A1 (en) * 2000-07-25 2002-04-25 Rita Medical Systems Inc. Apparatus for detecting and treating tumors using localized impedance measurement

Also Published As

Publication number Publication date
WO2003099372A2 (de) 2003-12-04
ATE515285T1 (de) 2011-07-15
JP2005527306A (ja) 2005-09-15
JP4338631B2 (ja) 2009-10-07
AU2003237671A8 (en) 2003-12-12
EP1511534A2 (de) 2005-03-09
AU2003237671A1 (en) 2003-12-12
US8216219B2 (en) 2012-07-10
US20060015095A1 (en) 2006-01-19
EP1511534B1 (de) 2011-07-06

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