WO2007062322A3 - Catheter for manipulation of the esophagus - Google Patents

Catheter for manipulation of the esophagus Download PDF

Info

Publication number
WO2007062322A3
WO2007062322A3 PCT/US2006/061026 US2006061026W WO2007062322A3 WO 2007062322 A3 WO2007062322 A3 WO 2007062322A3 US 2006061026 W US2006061026 W US 2006061026W WO 2007062322 A3 WO2007062322 A3 WO 2007062322A3
Authority
WO
WIPO (PCT)
Prior art keywords
esophagus
catheter
manipulation
heart
esophageal
Prior art date
Application number
PCT/US2006/061026
Other languages
French (fr)
Other versions
WO2007062322A2 (en
Inventor
Steven Miller
Original Assignee
Steven Miller
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 Steven Miller filed Critical Steven Miller
Publication of WO2007062322A2 publication Critical patent/WO2007062322A2/en
Publication of WO2007062322A3 publication Critical patent/WO2007062322A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors 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
    • 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
    • A61B90/00Instruments, 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
    • A61B90/04Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
    • 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
    • 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
    • A61B2018/00482Digestive system
    • A61B2018/00488Esophagus
    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/04Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
    • A61B2090/0409Specification of type of protection measures
    • A61B2090/0427Prevention of contact

Abstract

An esophageal catheter for displacing and fixing the position of the esophagus in relation to the atrium of the heart is composed of a long flexible tube to be inserted into the esophagus. A control wire is associated with the tube to change the shape of the catheter and displace the esophagus relative to the heart to reduce the risk of an esophageal fistula resulting from atrial RF ablation.
PCT/US2006/061026 2005-11-18 2006-11-17 Catheter for manipulation of the esophagus WO2007062322A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/283,104 US7621908B2 (en) 2005-11-18 2005-11-18 Catheter for manipulation of the esophagus
US11/283,104 2005-11-18

Publications (2)

Publication Number Publication Date
WO2007062322A2 WO2007062322A2 (en) 2007-05-31
WO2007062322A3 true WO2007062322A3 (en) 2008-12-31

Family

ID=38054467

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/061026 WO2007062322A2 (en) 2005-11-18 2006-11-17 Catheter for manipulation of the esophagus

Country Status (2)

Country Link
US (1) US7621908B2 (en)
WO (1) WO2007062322A2 (en)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8355801B2 (en) * 2005-09-26 2013-01-15 Biosense Webster, Inc. System and method for measuring esophagus proximity
US9931108B2 (en) * 2005-11-18 2018-04-03 Steven Miller System and method for influencing an anatomical structure
US8273016B2 (en) * 2006-03-10 2012-09-25 Biosense Webster, Inc. Esophagus isolation device
US8454588B2 (en) * 2006-03-17 2013-06-04 The Board Of Trustees Of The Leland Stanford Junior University Method and apparatus to prevent esophageal damage
US8529443B2 (en) * 2007-10-31 2013-09-10 James D. Maloney Nasogastric tube for use during an ablation procedure
US8506589B2 (en) * 2007-10-31 2013-08-13 James D. Maloney Nasogastric tube for use during an ablation procedure
US9833149B2 (en) 2008-03-18 2017-12-05 Circa Scientific, Llc Methods, apparatus and systems for facilitating introduction of shaped medical instruments into the body of a subject
US9155476B2 (en) 2008-03-18 2015-10-13 Circa Scientific, Llc Large surface area temperature sensing device
US9937329B2 (en) 2009-10-06 2018-04-10 Niazi Licensing Corporation Intra-esophageal balloon system
US11497899B2 (en) 2009-10-06 2022-11-15 Niazi Patent Holdings, Llc Intra-esophageal balloon system
US9744339B2 (en) * 2010-05-12 2017-08-29 Circa Scientific, Llc Apparatus for manually manipulating hollow organs
US9186095B2 (en) 2012-09-11 2015-11-17 The Cleveland Clinic Foundaton Evaluation of movement disorders
US10335133B2 (en) 2014-02-28 2019-07-02 Manual Surgical Sciences L.L.C. Expandable devices for positioning organs
US10695041B2 (en) 2014-02-28 2020-06-30 Manual Surgical Sciences Llc Expandable devices for positioning organs
US11419656B2 (en) 2014-04-04 2022-08-23 Cpsi Holdings Llc Thermal regulation catheter system
US10478263B2 (en) 2014-10-08 2019-11-19 Northeast Scientific, Inc. Displacement control wire device and method
US9668720B2 (en) 2015-10-19 2017-06-06 DNP Biomed, LLC Systems, devices, components and methods for displacing and repositioning the esophagus away from the heart during atrial ablation surgical procedures
US10265058B2 (en) 2015-10-19 2019-04-23 DNP Biomed, LLC Systems, devices, components and methods for displacing and repositioning the esophagus away from the heart during atrial ablation surgical procedures
US11045251B2 (en) 2016-06-15 2021-06-29 Steven W. Miller Gastric tube for ablation procedures
US11298203B2 (en) 2016-11-23 2022-04-12 Innovations In Medicine, Llc System and method for deflection of a body lumen
WO2018136768A1 (en) 2017-01-19 2018-07-26 Ohio State Innovation Foundation Systems and methods for mechanical displacement of an esophagus
WO2018223237A1 (en) * 2017-06-07 2018-12-13 Pageard Jean Luc Tissue displacement device and method
US11744993B2 (en) 2021-07-19 2023-09-05 Innovations In Medicine, Llc System and method for deflection mechanism with expandable constraint

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5170803A (en) * 1990-09-28 1992-12-15 Brunswick Biomedical Technologies, Inc. Esophageal displacement electrode
US5681344A (en) * 1995-02-06 1997-10-28 Wilson-Cook Medical Inc. Esophageal dilation balloon catheter containing flexible nitinol wire
US6095990A (en) * 1998-08-31 2000-08-01 Parodi; Juan Carlos Guiding device and method for inserting and advancing catheters and guidewires into a vessel of a patient in endovascular treatments
US6221049B1 (en) * 1998-01-13 2001-04-24 Lumend, Inc. Methods and apparatus for crossing vascular occlusions

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US4581017B1 (en) * 1983-03-07 1994-05-17 Bard Inc C R Catheter systems
US5087244A (en) * 1989-01-31 1992-02-11 C. R. Bard, Inc. Catheter and method for locally applying medication to the wall of a blood vessel or other body lumen
US4930521A (en) * 1989-03-17 1990-06-05 Metzger William T Variable stiffness esophageal catheter
US5570671A (en) * 1989-09-18 1996-11-05 The Research Foundation Of State University Of New York Method for positioning esophageal catheter for determining pressures associated with the left atrium
US5626618A (en) * 1993-09-24 1997-05-06 The Ohio State University Mechanical adjunct to cardiopulmonary resuscitation (CPR), and an electrical adjunct to defibrillation countershock, cardiac pacing, and cardiac monitoring
US5505700A (en) * 1994-06-14 1996-04-09 Cordis Corporation Electro-osmotic infusion catheter
US7052493B2 (en) * 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6913604B2 (en) * 1997-02-27 2005-07-05 Cryocath Technologies Inc. Cryosurgical catheter
US5971983A (en) * 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
US5928181A (en) * 1997-11-21 1999-07-27 Advanced International Technologies, Inc. Cardiac bypass catheter system and method of use
US6259938B1 (en) * 1998-05-15 2001-07-10 Respironics, Inc. Monitoring catheter and method of using same
US6527767B2 (en) * 1998-05-20 2003-03-04 New England Medical Center Cardiac ablation system and method for treatment of cardiac arrhythmias and transmyocardial revascularization
US6148222A (en) * 1998-07-10 2000-11-14 Cardiocommand, Inc. Esophageal catheters and method of use
US7089063B2 (en) * 2000-05-16 2006-08-08 Atrionix, Inc. Deflectable tip catheter with guidewire tracking mechanism
US6754536B2 (en) * 2001-01-31 2004-06-22 Medtronic, Inc Implantable medical device affixed internally within the gastrointestinal tract
US20020116028A1 (en) * 2001-02-20 2002-08-22 Wilson Greatbatch MRI-compatible pacemaker with pulse carrying photonic catheter providing VOO functionality
US6497704B2 (en) * 2001-04-04 2002-12-24 Moshe Ein-Gal Electrosurgical apparatus
US6585718B2 (en) * 2001-05-02 2003-07-01 Cardiac Pacemakers, Inc. Steerable catheter with shaft support system for resisting axial compressive loads

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5170803A (en) * 1990-09-28 1992-12-15 Brunswick Biomedical Technologies, Inc. Esophageal displacement electrode
US5681344A (en) * 1995-02-06 1997-10-28 Wilson-Cook Medical Inc. Esophageal dilation balloon catheter containing flexible nitinol wire
US6221049B1 (en) * 1998-01-13 2001-04-24 Lumend, Inc. Methods and apparatus for crossing vascular occlusions
US6095990A (en) * 1998-08-31 2000-08-01 Parodi; Juan Carlos Guiding device and method for inserting and advancing catheters and guidewires into a vessel of a patient in endovascular treatments

Also Published As

Publication number Publication date
WO2007062322A2 (en) 2007-05-31
US7621908B2 (en) 2009-11-24
US20070118105A1 (en) 2007-05-24

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