WO2005081731A3 - System and method for assessing ice ball formation during a cryoablation procedure - Google Patents

System and method for assessing ice ball formation during a cryoablation procedure Download PDF

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Publication number
WO2005081731A3
WO2005081731A3 PCT/US2004/043611 US2004043611W WO2005081731A3 WO 2005081731 A3 WO2005081731 A3 WO 2005081731A3 US 2004043611 W US2004043611 W US 2004043611W WO 2005081731 A3 WO2005081731 A3 WO 2005081731A3
Authority
WO
WIPO (PCT)
Prior art keywords
ice ball
cryoablation procedure
impedance
cryotip
formation
Prior art date
Application number
PCT/US2004/043611
Other languages
French (fr)
Other versions
WO2005081731A2 (en
Inventor
Marshall Sherman
Original Assignee
Cryocor Inc
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 Cryocor Inc filed Critical Cryocor Inc
Publication of WO2005081731A2 publication Critical patent/WO2005081731A2/en
Publication of WO2005081731A3 publication Critical patent/WO2005081731A3/en

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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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid

Abstract

Systems and methods for assessing the formation of an ice ball during a cryoablation procedure are disclosed. The system includes a reference electrode that is placed in contact with the patient and a cryocatheter having a cryotip. An electronic circuit is connected to both the cryotip and the reference electrode to measure the impedance therebetween which can be used to assess the formation of an ice ball during a cryoablation procedure. An exemplary measurement signal has a frequency of approximately 20khz and an RMS voltage of approximately 0.5V. With the cryotip positioned proximate the target tissue, a reference impedance is measured. Next, the conductive tip member is placed in contact with the target tissue and cooled to form an ice ball. During cooling, impedance measurement(s) are taken and compared with the reference impedance to assess the formation of the ice ball.
PCT/US2004/043611 2004-02-10 2004-12-29 System and method for assessing ice ball formation during a cryoablation procedure WO2005081731A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/775,277 US7070594B2 (en) 2004-02-10 2004-02-10 System and method for assessing ice ball formation during a cryoablation procedure
US10/775,277 2004-02-10

Publications (2)

Publication Number Publication Date
WO2005081731A2 WO2005081731A2 (en) 2005-09-09
WO2005081731A3 true WO2005081731A3 (en) 2005-11-10

Family

ID=34827157

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/043611 WO2005081731A2 (en) 2004-02-10 2004-12-29 System and method for assessing ice ball formation during a cryoablation procedure

Country Status (2)

Country Link
US (1) US7070594B2 (en)
WO (1) WO2005081731A2 (en)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040082947A1 (en) * 2002-10-25 2004-04-29 The Regents Of The University Of Michigan Ablation catheters
US20060089637A1 (en) 2004-10-14 2006-04-27 Werneth Randell L Ablation catheter
US8617152B2 (en) 2004-11-15 2013-12-31 Medtronic Ablation Frontiers Llc Ablation system with feedback
US7468062B2 (en) 2004-11-24 2008-12-23 Ablation Frontiers, Inc. Atrial ablation catheter adapted for treatment of septal wall arrhythmogenic foci and method of use
US7429261B2 (en) 2004-11-24 2008-09-30 Ablation Frontiers, Inc. Atrial ablation catheter and method of use
US20060135953A1 (en) * 2004-12-22 2006-06-22 Wlodzimierz Kania Tissue ablation system including guidewire with sensing element
AU2006262447A1 (en) 2005-06-20 2007-01-04 Medtronic Ablation Frontiers Llc Ablation catheter
CA2615267A1 (en) 2005-07-11 2007-01-18 Ablation Frontiers, Inc. Low power tissue ablation system
US8657814B2 (en) * 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US8696656B2 (en) 2005-11-18 2014-04-15 Medtronic Cryocath Lp System and method for monitoring bioimpedance and respiration
US7842031B2 (en) * 2005-11-18 2010-11-30 Medtronic Cryocath Lp Bioimpedance measurement system and method
US8641704B2 (en) 2007-05-11 2014-02-04 Medtronic Ablation Frontiers Llc Ablation therapy system and method for treating continuous atrial fibrillation
JP5233031B2 (en) * 2008-07-15 2013-07-10 株式会社デージーエス・コンピュータ Cryotherapy planning device and cryotherapy device
EP2337516B1 (en) * 2008-10-01 2016-01-06 Erbe Elektromedizin GmbH Electrosurgical hf generator
CN102264315B (en) 2008-12-23 2015-09-23 克莱米迪克斯有限责任公司 Based on isothermal ablation of tissue control system
US8915908B2 (en) * 2009-03-20 2014-12-23 Atricure, Inc. Cryogenic probe
US8888768B2 (en) 2009-04-30 2014-11-18 Cryomedix, Llc Cryoablation system having docking station for charging cryogen containers and related method
US9993279B2 (en) 2013-12-06 2018-06-12 Medtronic Cryocath Lp Distal balloon impedance and temperature recording to monitor pulmonary vein ablation and occlusion
WO2016193125A2 (en) * 2015-06-03 2016-12-08 Koninklijke Philips N.V. Cryotherapy systems
EP3115011A1 (en) 2015-07-10 2017-01-11 AFreeze GmbH Ablation catheter device with electrodes for detecting an electric response of biological material
US11510576B2 (en) 2017-04-27 2022-11-29 Medtronic Cryocath Lp Treatment device having multifunctional sensing elements and method of use
JP2024515877A (en) * 2021-05-24 2024-04-10 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 Cryoablation iceball formation monitoring device, system, and method
US20230293218A1 (en) * 2022-03-17 2023-09-21 Varian Medical Systems, Inc. Apparatuses and methods for monitoring and controlling bleeding during cryoablation treatments

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6190378B1 (en) * 1997-12-05 2001-02-20 Massachusetts Institute Of Technology Cryosurgical instrument and related techniques

Family Cites Families (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3696813A (en) 1971-10-06 1972-10-10 Cryomedics Cryosurgical instrument
GB1438759A (en) 1972-06-02 1976-06-09 Spembly Ltd Cryo-surgical apparatus
US4018227A (en) 1975-10-09 1977-04-19 Cryomedics, Inc. Cryosurgical instrument
US5147355A (en) 1988-09-23 1992-09-15 Brigham And Womens Hospital Cryoablation catheter and method of performing cryoablation
US5069223A (en) * 1990-02-14 1991-12-03 Georgetown University Method of evaluating tissue changes resulting from therapeutic hyperthermia
US5053033A (en) 1990-10-10 1991-10-01 Boston Advanced Technologies, Inc. Inhibition of restenosis by ultraviolet radiation
US5139496A (en) 1990-12-20 1992-08-18 Hed Aharon Z Ultrasonic freeze ablation catheters and probes
US5281215A (en) 1992-04-16 1994-01-25 Implemed, Inc. Cryogenic catheter
US5281213A (en) 1992-04-16 1994-01-25 Implemed, Inc. Catheter for ice mapping and ablation
US5423807A (en) 1992-04-16 1995-06-13 Implemed, Inc. Cryogenic mapping and ablation catheter
GB2283678B (en) 1993-11-09 1998-06-03 Spembly Medical Ltd Cryosurgical catheter probe
GB2289510A (en) 1994-05-10 1995-11-22 Spembly Medical Ltd Connector
US5869971A (en) 1996-05-17 1999-02-09 Sendx Medical, Inc. Method and apparatus for ratiometric measurement of hematocrit
WO2000032126A1 (en) 1997-02-27 2000-06-08 Cryocath Technologies Inc. Cryosurgical catheter
US5899898A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation
US6235019B1 (en) 1997-02-27 2001-05-22 Cryocath Technologies, Inc. Cryosurgical catheter
US6669689B2 (en) 1997-02-27 2003-12-30 Cryocath Technologies Inc. Cryosurgical catheter
US6602247B2 (en) 1997-02-27 2003-08-05 Cryocath Technologies Inc. Apparatus and method for performing a treatment on a selected tissue region
US6024740A (en) 1997-07-08 2000-02-15 The Regents Of The University Of California Circumferential ablation device assembly
US5876399A (en) 1997-05-28 1999-03-02 Irvine Biomedical, Inc. Catheter system and methods thereof
US6245064B1 (en) 1997-07-08 2001-06-12 Atrionix, Inc. Circumferential ablation device assembly
US6117101A (en) 1997-07-08 2000-09-12 The Regents Of The University Of California Circumferential ablation device assembly
US6080151A (en) 1997-07-21 2000-06-27 Daig Corporation Ablation catheter
AU745659B2 (en) 1998-03-02 2002-03-28 Atrionix, Inc. Tissue ablation system and method for forming long linear lesion
US6251105B1 (en) 1998-03-31 2001-06-26 Endocare, Inc. Cryoprobe system
US6569158B1 (en) 1999-01-25 2003-05-27 Cryocath Technologies, Inc. Leak detection system
US6592577B2 (en) 1999-01-25 2003-07-15 Cryocath Technologies Inc. Cooling system
US6635053B1 (en) 1999-01-25 2003-10-21 Cryocath Technologies Inc. Cooling system
US6048919A (en) 1999-01-29 2000-04-11 Chip Coolers, Inc. Thermally conductive composite material
US6562030B1 (en) 1999-04-06 2003-05-13 Cryocath Technologies Inc. Heater control of cryocatheter tip temperature
US6139544A (en) 1999-05-26 2000-10-31 Endocare, Inc. Computer guided cryosurgery
US6391024B1 (en) * 1999-06-17 2002-05-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering
US6237355B1 (en) 1999-06-25 2001-05-29 Cryogen, Inc. Precooled cryogenic ablation system
US6280439B1 (en) 1999-07-12 2001-08-28 Cryocath Technologies, Inc. Adjustable position injection tubing
US6283959B1 (en) 1999-08-23 2001-09-04 Cyrocath Technologies, Inc. Endovascular cryotreatment catheter
US6575966B2 (en) 1999-08-23 2003-06-10 Cryocath Technologies Inc. Endovascular cryotreatment catheter
US6471693B1 (en) 1999-09-10 2002-10-29 Cryocath Technologies Inc. Catheter and system for monitoring tissue contact
US6235018B1 (en) * 1999-10-29 2001-05-22 Cryoflex, Inc. Method and apparatus for monitoring cryosurgical operations
US6407149B1 (en) 1999-12-06 2002-06-18 Cool Options, Inc. Method of manufacturing an evenly colored thermally conductive composite
US6503964B2 (en) 2000-01-11 2003-01-07 Cool Options, Inc. Polymer composition with metal coated carbon flakes
CA2413529C (en) 2000-06-23 2008-12-02 Cryocath Technologies, Inc. Cryotreatment device and method
US6710109B2 (en) 2000-07-13 2004-03-23 Cool Options, Inc. A New Hampshire Corp. Thermally conductive and high strength injection moldable composition
US6551309B1 (en) * 2000-09-14 2003-04-22 Cryoflex, Inc. Dual action cryoprobe and methods of using the same
US6755823B2 (en) 2001-02-28 2004-06-29 Cryocath Technologies Inc. Medical device with enhanced cooling power
US6585728B2 (en) 2001-05-25 2003-07-01 Biosense Webster, Inc. Cryoablation catheter with an improved gas expansion chamber
US6589234B2 (en) 2001-09-27 2003-07-08 Cryocath Technologies Inc. Cryogenic medical device with high pressure resistance tip
US6579287B2 (en) 2001-10-09 2003-06-17 Cryocath Technologies Inc. Cryosurgical ablation device having sequential injection and method therefor
US7393350B2 (en) * 2002-08-06 2008-07-01 Erbe Elektromedizin Gmbh Cryo-surgical apparatus and methods

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6190378B1 (en) * 1997-12-05 2001-02-20 Massachusetts Institute Of Technology Cryosurgical instrument and related techniques

Also Published As

Publication number Publication date
US7070594B2 (en) 2006-07-04
WO2005081731A2 (en) 2005-09-09
US20050177146A1 (en) 2005-08-11

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