WO1997045156A3 - Tissue heating and ablation systems and methods using porous electrode structures - Google Patents

Tissue heating and ablation systems and methods using porous electrode structures Download PDF

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Publication number
WO1997045156A3
WO1997045156A3 PCT/US1997/001177 US9701177W WO9745156A3 WO 1997045156 A3 WO1997045156 A3 WO 1997045156A3 US 9701177 W US9701177 W US 9701177W WO 9745156 A3 WO9745156 A3 WO 9745156A3
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WO
WIPO (PCT)
Prior art keywords
crystal structure
crystal
methods
electrode structures
porous electrode
Prior art date
Application number
PCT/US1997/001177
Other languages
French (fr)
Other versions
WO1997045156A2 (en
WO1997045156A9 (en
Inventor
David K Swanson
Dorin Panescu
James G Whayne
Patrick M Owens
Sidney D Fleischman
Russell B Thompson
Jerome Jackson
Original Assignee
Ep Technologies
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 US08/634,334 external-priority patent/US5830213A/en
Priority claimed from US08/631,074 external-priority patent/US6071278A/en
Priority claimed from US08/631,252 external-priority patent/US5797903A/en
Priority claimed from US08/631,356 external-priority patent/US5840076A/en
Priority claimed from US08/631,577 external-priority patent/US5879348A/en
Priority claimed from US08/644,605 external-priority patent/US5868736A/en
Priority claimed from US08/631,575 external-priority patent/US5961513A/en
Priority claimed from US08/634,338 external-priority patent/US5846239A/en
Priority to JP53838397A priority Critical patent/JP4361136B2/en
Application filed by Ep Technologies filed Critical Ep Technologies
Priority to CA002243481A priority patent/CA2243481C/en
Priority to EP97944275A priority patent/EP0975386A1/en
Publication of WO1997045156A2 publication Critical patent/WO1997045156A2/en
Publication of WO1997045156A9 publication Critical patent/WO1997045156A9/en
Publication of WO1997045156A3 publication Critical patent/WO1997045156A3/en

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    • 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
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00065—Material properties porous
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00095—Thermal conductivity high, i.e. heat conducting
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00113—Coatings on the energy applicator with foam
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A61B2018/00148—Coatings on the energy applicator with metal
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00761—Duration
    • 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
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B2018/00886—Duration
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/1253—Generators therefor characterised by the output polarity monopolar
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • 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
    • A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation

Abstract

A method is provided for detaching a single-crystal film (32) from an epilayer/substrate crystal structure (30) or bulk crystal structure (10B). The method includes the steps of implanting ions (38) into the crystal structure to form a damage layer (36) within the crystal structure at an implantation depth below a top surface of the crystal structure, and chemically etching the damage layer to effect detachment of the single crystal film from the crystal structure. The method of the present invention is especially useful for detaching single-crystal metal oxide films from metal oxide crystal structures.
PCT/US1997/001177 1996-01-19 1997-01-17 Tissue heating and ablation systems and methods using porous electrode structures WO1997045156A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP97944275A EP0975386A1 (en) 1996-01-19 1997-01-17 Tissue heating and ablation systems and methods using porous electrode structures
CA002243481A CA2243481C (en) 1996-01-19 1997-01-17 Tissue heating and ablation systems and methods using porous electrode structures
JP53838397A JP4361136B2 (en) 1996-01-19 1997-01-17 Tissue heat excision system and method using porous electrode structure

Applications Claiming Priority (26)

Application Number Priority Date Filing Date Title
US1022596P 1996-01-19 1996-01-19
US1035496P 1996-01-19 1996-01-19
US1022396P 1996-01-19 1996-01-19
US60/010,225 1996-01-19
US60/010,354 1996-01-19
US60/010,223 1996-01-19
US63157396A 1996-04-12 1996-04-12
US63433996A 1996-04-12 1996-04-12
US08/634,338 US5846239A (en) 1996-04-12 1996-04-12 Tissue heating and ablation systems and methods using segmented porous electrode structures
US08/631,577 1996-04-12
US08/634,334 US5830213A (en) 1996-04-12 1996-04-12 Systems for heating and ablating tissue using multifunctional electrode structures
US08/631,074 1996-04-12
US08/631,575 US5961513A (en) 1996-01-19 1996-04-12 Tissue heating and ablation systems and methods using porous electrode structures
US08/634,339 1996-04-12
US08/644,605 US5868736A (en) 1996-04-12 1996-04-12 Systems and methods to control tissue heating or ablation with porous electrode structures
US08/631,356 1996-04-12
US08/631,575 1996-04-12
US08/631,577 US5879348A (en) 1996-04-12 1996-04-12 Electrode structures formed from flexible, porous, or woven materials
US08/631,356 US5840076A (en) 1996-04-12 1996-04-12 Tissue heating and ablation systems and methods using electrode structures with distally oriented porous regions
US08/644,605 1996-04-12
US08/634,338 1996-04-12
US631,252 1996-04-12
US08/631,252 US5797903A (en) 1996-04-12 1996-04-12 Tissue heating and ablation systems and methods using porous electrode structures with electrically conductive surfaces
US08/631,573 1996-04-12
US08/631,074 US6071278A (en) 1996-02-28 1996-04-12 Tissue heating and ablation systems and methods using porous electrode structures with specified electrical resistivities
US08/634,334 1996-04-12

Publications (3)

Publication Number Publication Date
WO1997045156A2 WO1997045156A2 (en) 1997-12-04
WO1997045156A9 WO1997045156A9 (en) 1998-03-12
WO1997045156A3 true WO1997045156A3 (en) 2004-10-21

Family

ID=27584410

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1997/001177 WO1997045156A2 (en) 1996-01-19 1997-01-17 Tissue heating and ablation systems and methods using porous electrode structures

Country Status (2)

Country Link
EP (1) EP0975386A1 (en)
WO (1) WO1997045156A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures

Families Citing this family (33)

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US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6500174B1 (en) * 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
US6097976A (en) * 1998-02-27 2000-08-01 Ep Technologies, Inc. Catheter distal end assemblies with bonded surface coatings
US6522930B1 (en) 1998-05-06 2003-02-18 Atrionix, Inc. Irrigated ablation device assembly
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
US6475179B1 (en) 2000-11-10 2002-11-05 New England Medical Center Tissue folding device for tissue ablation, and method thereof
AU2003209287A1 (en) 2002-01-15 2003-07-30 The Regents Of The University Of California System and method providing directional ultrasound therapy to skeletal joints
EP1503685B1 (en) 2002-01-23 2012-10-31 The Regents of The University of California Implantable thermal treatment apparatus
US7756583B2 (en) 2002-04-08 2010-07-13 Ardian, Inc. Methods and apparatus for intravascularly-induced neuromodulation
US8347891B2 (en) 2002-04-08 2013-01-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen
DE202004021946U1 (en) 2003-09-12 2013-05-29 Vessix Vascular, Inc. Selectable eccentric remodeling and / or ablation of atherosclerotic material
US8396548B2 (en) 2008-11-14 2013-03-12 Vessix Vascular, Inc. Selective drug delivery in a lumen
US10154792B2 (en) 2005-03-01 2018-12-18 Checkpoint Surgical, Inc. Stimulation device adapter
ES2565342T3 (en) 2005-03-28 2016-04-04 Vessix Vascular, Inc. Intraluminal electrical characterization of tissue and regulated RF energy for selective treatment of atheroma and other target tissues
ES2560006T3 (en) 2006-10-18 2016-02-17 Vessix Vascular, Inc. Induction of desirable temperature effects on body tissue
EP2954868A1 (en) 2006-10-18 2015-12-16 Vessix Vascular, Inc. Tuned rf energy and electrical tissue characterization for selective treatment of target tissues
JP5559539B2 (en) 2006-10-18 2014-07-23 べシックス・バスキュラー・インコーポレイテッド System that induces desirable temperature effects on body tissue
US8496653B2 (en) 2007-04-23 2013-07-30 Boston Scientific Scimed, Inc. Thrombus removal
JP2010540160A (en) 2007-10-05 2010-12-24 マッケ カーディオバスキュラー，エルエルシー Apparatus and method for minimally invasive surgical procedures
EP2355737B1 (en) 2008-11-17 2021-08-11 Boston Scientific Scimed, Inc. Selective accumulation of energy without knowledge of tissue topography
EP2395934B1 (en) 2009-02-11 2019-04-17 Boston Scientific Scimed, Inc. Insulated ablation catheter devices
US8551096B2 (en) 2009-05-13 2013-10-08 Boston Scientific Scimed, Inc. Directional delivery of energy and bioactives
JP2013523318A (en) 2010-04-09 2013-06-17 べシックス・バスキュラー・インコーポレイテッド Power generation and control equipment for tissue treatment
CN103517731B (en) 2011-04-08 2016-08-31 柯惠有限合伙公司 For removing iontophoresis formula drug delivery system and the method for renal sympathetic nerve and iontophoresis formula drug delivery
JP6072804B2 (en) 2011-09-14 2017-02-01 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Ablation device with ion conductive balloon
EP2755587B1 (en) 2011-09-14 2018-11-21 Boston Scientific Scimed, Inc. Ablation device with multiple ablation modes
JP2015506234A (en) 2012-01-10 2015-03-02 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Electrophysiology system
EP2809253B8 (en) 2012-01-31 2016-09-21 Boston Scientific Scimed, Inc. Ablation probe with fluid-based acoustic coupling for ultrasonic tissue imaging
US10709490B2 (en) 2014-05-07 2020-07-14 Medtronic Ardian Luxembourg S.A.R.L. Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods
EP3206612B1 (en) 2014-10-13 2022-06-29 Boston Scientific Scimed Inc. Tissue diagnosis and treatment using mini-electrodes
EP4316361A2 (en) 2014-10-24 2024-02-07 Boston Scientific Scimed Inc. Medical devices with a flexible electrode assembly coupled to an ablation tip
EP3232969A1 (en) 2014-12-18 2017-10-25 Boston Scientific Scimed Inc. Real-time morphology analysis for lesion assessment
US10034707B2 (en) 2014-12-30 2018-07-31 Biosense Webster (Israel) Ltd. Catheter with irrigated tip electrode with porous substrate and high density surface micro-electrodes

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US5562720A (en) * 1992-05-01 1996-10-08 Vesta Medical, Inc. Bipolar/monopolar endometrial ablation device and method
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Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures

Also Published As

Publication number Publication date
EP0975386A4 (en) 2000-02-02
EP0975386A1 (en) 2000-02-02
WO1997045156A2 (en) 1997-12-04

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