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WO2001008576A3 - Procede et dispositif laser de traitement de tissus - Google Patents

Procede et dispositif laser de traitement de tissus Download PDF

Info

Publication number
WO2001008576A3
WO2001008576A3 PCT/US2000/020926 US0020926W WO0108576A3 WO 2001008576 A3 WO2001008576 A3 WO 2001008576A3 US 0020926 W US0020926 W US 0020926W WO 0108576 A3 WO0108576 A3 WO 0108576A3
Authority
WO
WIPO (PCT)
Prior art keywords
elongate member
tissue
tissue site
distal end
flexible elongate
Prior art date
Application number
PCT/US2000/020926
Other languages
English (en)
Other versions
WO2001008576A2 (fr
WO2001008576A9 (fr
Inventor
Edward L Sinofsky
Jeffrey W Brown
Licoln S Baxter
Original Assignee
Cardiofocus Inc
Edward L Sinofsky
Jeffrey W Brown
Licoln S Baxter
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 Cardiofocus Inc, Edward L Sinofsky, Jeffrey W Brown, Licoln S Baxter filed Critical Cardiofocus Inc
Priority to AU66167/00A priority Critical patent/AU6616700A/en
Publication of WO2001008576A2 publication Critical patent/WO2001008576A2/fr
Publication of WO2001008576A3 publication Critical patent/WO2001008576A3/fr
Publication of WO2001008576A9 publication Critical patent/WO2001008576A9/fr

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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2272—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Electromagnetism (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Laser Surgery Devices (AREA)

Abstract

L'invention concerne des procédés et dispositifs de traitement photothérapeutique, par exemple, d'ablation, de coagulation et/ou modulation de manière photothérapeutique, d'un tissu cible, comme un tissu cardiaque. Ces procédés consistent à introduire un élément souple, de forme allongée, dans un site tissulaire déterminé, au moyen d'un élément souple de forme allongée, comportant une extrémité proximale, une extrémité distale et une première lumière longitudinale s'étendant entre ces deux extrémités, à placer une portion de l'extrémité distale de cet élément contenant des trous, de façon que cette portion poreuse soit située à proximité du site tissulaire, et à injecter une solution à travers la portion poreuse, diluant ainsi le(s) fluide(s) organique(s) et/ou le sang autour du site tissulaire. Un émetteur d'énergie est placé de manière coulissante à travers la lumière, à proximité du site tissulaire, l'énergie étant transmise à travers les trous de l'extrémité distale de l'élément de forme allongée, par l'intermédiaire de l'émetteur d'énergie.
PCT/US2000/020926 1999-07-30 2000-07-31 Procede et dispositif laser de traitement de tissus WO2001008576A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU66167/00A AU6616700A (en) 1999-07-30 2000-07-31 Laser method and apparatus for treatment of tissue

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US36513599A 1999-07-30 1999-07-30
US09/365,135 1999-07-30

Publications (3)

Publication Number Publication Date
WO2001008576A2 WO2001008576A2 (fr) 2001-02-08
WO2001008576A3 true WO2001008576A3 (fr) 2001-05-17
WO2001008576A9 WO2001008576A9 (fr) 2001-06-14

Family

ID=23437609

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/020926 WO2001008576A2 (fr) 1999-07-30 2000-07-31 Procede et dispositif laser de traitement de tissus

Country Status (2)

Country Link
AU (1) AU6616700A (fr)
WO (1) WO2001008576A2 (fr)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2588402C (fr) * 2004-11-17 2017-06-27 Biosense Webster, Inc. Procede d'evaluation en temps reel de l'ablation de tissus
US10413188B2 (en) 2004-11-17 2019-09-17 Lawrence Livermore National Security, Llc Assessment of tissue or lesion depth using temporally resolved light scattering spectroscopy
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
US9655677B2 (en) 2010-05-12 2017-05-23 Shifamed Holdings, Llc Ablation catheters including a balloon and electrodes
CA2797130A1 (fr) 2010-05-12 2011-11-17 Shifamed Holdings, Llc Assemblage d'electrode a faible profil
JP6463731B2 (ja) 2013-04-08 2019-02-06 アパマ・メディカル・インコーポレーテッド 映像化システム
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
EP3376936B1 (fr) 2015-11-16 2024-01-03 Boston Scientific Scimed, Inc. Dispositifs délivrant de l'énergie

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4204528A (en) * 1977-03-10 1980-05-27 Zafmedico Corp. Method and apparatus for fiber-optic intravascular endoscopy
US4860743A (en) * 1986-10-27 1989-08-29 University Of Florida Laser method and apparatus for the recanalization of vessels and the treatment of other cardiac conditions
US5234406A (en) * 1992-04-06 1993-08-10 The Regents Of The University Of California Method and system for continuous spinal delivery of anesthetics
US5380307A (en) * 1992-09-30 1995-01-10 Target Therapeutics, Inc. Catheter with atraumatic drug delivery tip
EP0761257A2 (fr) * 1995-08-25 1997-03-12 Matsushita Electric Industrial Co., Ltd. Sonde à laser pour traitement médical
US5643197A (en) * 1993-12-21 1997-07-01 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5651786A (en) * 1993-09-20 1997-07-29 Abela Laser Systems, Inc. Mapping catheter and method
US5702372A (en) * 1995-02-08 1997-12-30 Medtronic, Inc. Lined infusion catheter
US5833682A (en) * 1996-08-26 1998-11-10 Illumenex Corporation Light delivery system with blood flushing capability
US5876426A (en) * 1996-06-13 1999-03-02 Scimed Life Systems, Inc. System and method of providing a blood-free interface for intravascular light delivery
WO1999022797A1 (fr) * 1997-10-31 1999-05-14 Cardiogenesis Corporation Systeme de catheter de guidage utilise pour effectuer l'ablation de tissu cardiaque

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5207669A (en) 1989-05-26 1993-05-04 C. R. Bard, Inc. Optical fiber diffusion tip for uniform illumination
US5042980A (en) 1989-05-26 1991-08-27 C. R. Bard, Inc. Optical fiber diffusion tip for uniform illumination
US5269777A (en) 1990-11-01 1993-12-14 Pdt Systems, Inc. Diffusion tip for optical fibers
US5253312A (en) 1992-06-26 1993-10-12 Cytocare, Inc. Optical fiber tip for use in a laser delivery system and a method for forming same
WO1996007451A2 (fr) 1994-09-09 1996-03-14 Rare Earth Medical, Inc. Appareil de phototherapie
US5535986A (en) 1995-06-30 1996-07-16 Fisher Controls International, Inc. Torsionallly loaded fluid seals for rotary valves

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4204528A (en) * 1977-03-10 1980-05-27 Zafmedico Corp. Method and apparatus for fiber-optic intravascular endoscopy
US4860743A (en) * 1986-10-27 1989-08-29 University Of Florida Laser method and apparatus for the recanalization of vessels and the treatment of other cardiac conditions
US5234406A (en) * 1992-04-06 1993-08-10 The Regents Of The University Of California Method and system for continuous spinal delivery of anesthetics
US5380307A (en) * 1992-09-30 1995-01-10 Target Therapeutics, Inc. Catheter with atraumatic drug delivery tip
US5651786A (en) * 1993-09-20 1997-07-29 Abela Laser Systems, Inc. Mapping catheter and method
US5643197A (en) * 1993-12-21 1997-07-01 Angeion Corporation Fluid cooled and perfused tip for a catheter
US5702372A (en) * 1995-02-08 1997-12-30 Medtronic, Inc. Lined infusion catheter
EP0761257A2 (fr) * 1995-08-25 1997-03-12 Matsushita Electric Industrial Co., Ltd. Sonde à laser pour traitement médical
US5876426A (en) * 1996-06-13 1999-03-02 Scimed Life Systems, Inc. System and method of providing a blood-free interface for intravascular light delivery
US5833682A (en) * 1996-08-26 1998-11-10 Illumenex Corporation Light delivery system with blood flushing capability
WO1999022797A1 (fr) * 1997-10-31 1999-05-14 Cardiogenesis Corporation Systeme de catheter de guidage utilise pour effectuer l'ablation de tissu cardiaque

Also Published As

Publication number Publication date
AU6616700A (en) 2001-02-19
WO2001008576A2 (fr) 2001-02-08
WO2001008576A9 (fr) 2001-06-14

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