WO2004028233A3 - Methods and devices for ablation - Google Patents

Methods and devices for ablation Download PDF

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Publication number
WO2004028233A3
WO2004028233A3 PCT/US2003/030163 US0330163W WO2004028233A3 WO 2004028233 A3 WO2004028233 A3 WO 2004028233A3 US 0330163 W US0330163 W US 0330163W WO 2004028233 A3 WO2004028233 A3 WO 2004028233A3
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WO
WIPO (PCT)
Prior art keywords
methods
devices
ablation
ablating
time periods
Prior art date
Application number
PCT/US2003/030163
Other languages
French (fr)
Other versions
WO2004028233A2 (en
Inventor
Matthias Vaska
John E Crowe
Gary Henry Miller
Jonathan Podmore
Gerard Champsaur
Drew Hoffman
Casey Tansey
Original Assignee
Epicor Medical Inc
Matthias Vaska
John E Crowe
Gary Henry Miller
Jonathan Podmore
Gerard Champsaur
Drew Hoffman
Casey Tansey
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 Epicor Medical Inc, Matthias Vaska, John E Crowe, Gary Henry Miller, Jonathan Podmore, Gerard Champsaur, Drew Hoffman, Casey Tansey filed Critical Epicor Medical Inc
Priority to AU2003275243A priority Critical patent/AU2003275243C1/en
Priority to CA2499223A priority patent/CA2499223C/en
Priority to EP03759515A priority patent/EP1542606A4/en
Publication of WO2004028233A2 publication Critical patent/WO2004028233A2/en
Publication of WO2004028233A3 publication Critical patent/WO2004028233A3/en

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Abstract

An ablating device and method. The method includes providing an ablating device (38) having a plurality of ultrasound ablating elements (76) into an epicardal space, directing ultrasound energy at a first frequency for a first plurality of time periods, and directing ultrasound energy for a second plurality of time periods. Also, devices and methods for measuring a cardiac ablation length, and a device a movable cover with a flowable substance are disclosed.
PCT/US2003/030163 2002-09-24 2003-09-23 Methods and devices for ablation WO2004028233A2 (en)

Priority Applications (3)

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AU2003275243A AU2003275243C1 (en) 2002-09-24 2003-09-23 Methods and devices for ablation
CA2499223A CA2499223C (en) 2002-09-24 2003-09-23 Methods and devices for ablation
EP03759515A EP1542606A4 (en) 2002-09-24 2003-09-23 Methods and devices for ablation

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/255,134 2002-09-24
US10/255,134 US7052493B2 (en) 1996-10-22 2002-09-24 Methods and devices for ablation

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WO2004028233A3 true WO2004028233A3 (en) 2004-06-24

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US (5) US7052493B2 (en)
EP (1) EP1542606A4 (en)
AU (1) AU2003275243C1 (en)
CA (1) CA2499223C (en)
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8858552B2 (en) 2002-06-14 2014-10-14 Ncontact Surgical, Inc. Vacuum coagulation probes
US8998900B2 (en) 2003-04-29 2015-04-07 Ncontact Surgical, Inc. Vacuum coagulation probes
US9308042B2 (en) 2002-06-14 2016-04-12 Ncontact Surgical, Inc. Vacuum coagulation probes
US9439714B2 (en) 2003-04-29 2016-09-13 Atricure, Inc. Vacuum coagulation probes

Families Citing this family (221)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6161543A (en) 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US6311692B1 (en) 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US8709007B2 (en) 1997-10-15 2014-04-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Devices and methods for ablating cardiac tissue
US8308719B2 (en) 1998-09-21 2012-11-13 St. Jude Medical, Atrial Fibrillation Division, Inc. Apparatus and method for ablating tissue
US20070282324A1 (en) * 1999-07-19 2007-12-06 Matthias Vaska Apparatus and method for diagnosis and therapy of electrophysiological disease
US6689131B2 (en) 2001-03-08 2004-02-10 Tissuelink Medical, Inc. Electrosurgical device having a tissue reduction sensor
ES2643763T3 (en) 2000-03-06 2017-11-24 Salient Surgical Technologies, Inc. Fluid supply system and controller for electrosurgical devices
US8048070B2 (en) 2000-03-06 2011-11-01 Salient Surgical Technologies, Inc. Fluid-assisted medical devices, systems and methods
US6558385B1 (en) 2000-09-22 2003-05-06 Tissuelink Medical, Inc. Fluid-assisted medical device
US7811282B2 (en) 2000-03-06 2010-10-12 Salient Surgical Technologies, Inc. Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof
US20030032898A1 (en) 2001-05-29 2003-02-13 Inder Raj. S. Makin Method for aiming ultrasound for medical treatment
US7846096B2 (en) 2001-05-29 2010-12-07 Ethicon Endo-Surgery, Inc. Method for monitoring of medical treatment using pulse-echo ultrasound
US7653438B2 (en) 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal 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
US6893442B2 (en) * 2002-06-14 2005-05-17 Ablatrics, Inc. Vacuum coagulation probe for atrial fibrillation treatment
US20040082859A1 (en) 2002-07-01 2004-04-29 Alan Schaer Method and apparatus employing ultrasound energy to treat body sphincters
WO2004039416A2 (en) 2002-10-29 2004-05-13 Tissuelink Medical, Inc. Fluid-assisted electrosurgical scissors and methods
US7344543B2 (en) * 2003-07-01 2008-03-18 Medtronic, Inc. Method and apparatus for epicardial left atrial appendage isolation in patients with atrial fibrillation
US20050059963A1 (en) * 2003-09-12 2005-03-17 Scimed Life Systems, Inc. Systems and method for creating transmural lesions
US7238180B2 (en) * 2003-10-30 2007-07-03 Medicalcv Inc. Guided ablation with end-fire fiber
WO2005044124A1 (en) 2003-10-30 2005-05-19 Medical Cv, Inc. Apparatus and method for laser treatment
US7232437B2 (en) * 2003-10-30 2007-06-19 Medical Cv, Inc. Assessment of lesion transmurality
US7238179B2 (en) * 2003-10-30 2007-07-03 Medical Cv, Inc. Apparatus and method for guided ablation treatment
EP1689289B1 (en) * 2003-11-07 2016-12-21 Carnegie Mellon University Robot for minimally invasive interventions
US7727232B1 (en) 2004-02-04 2010-06-01 Salient Surgical Technologies, Inc. Fluid-assisted medical devices and methods
JP2008516638A (en) * 2004-05-14 2008-05-22 カーディマ・インコーポレイテッド Removal probe with reinforcing member
US7473250B2 (en) * 2004-05-21 2009-01-06 Ethicon Endo-Surgery, Inc. Ultrasound medical system and method
US7806839B2 (en) 2004-06-14 2010-10-05 Ethicon Endo-Surgery, Inc. System and method for ultrasound therapy using grating lobes
US7458971B2 (en) * 2004-09-24 2008-12-02 Boston Scientific Scimed, Inc. RF ablation probe with unibody electrode element
US7842076B2 (en) * 2004-12-20 2010-11-30 Tyco Healthcare Group, Lp Systems and methods for treating a hollow anatomical structure
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US7860555B2 (en) 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system
US10064540B2 (en) 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US7930016B1 (en) 2005-02-02 2011-04-19 Voyage Medical, Inc. Tissue closure system
US20080015569A1 (en) 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US7860556B2 (en) 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue imaging and extraction systems
US8050746B2 (en) 2005-02-02 2011-11-01 Voyage Medical, Inc. Tissue visualization device and method variations
US11478152B2 (en) 2005-02-02 2022-10-25 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US7918787B2 (en) 2005-02-02 2011-04-05 Voyage Medical, Inc. Tissue visualization and manipulation systems
US20060178662A1 (en) * 2005-02-04 2006-08-10 Ripley Kenneth L Warming gradient control for a cryoablation applicator
US8080024B2 (en) * 2005-04-28 2011-12-20 Ams Research Corporation Protective enclosure for medical device components
US20060270900A1 (en) * 2005-05-26 2006-11-30 Chin Albert K Apparatus and methods for performing ablation
US9861836B2 (en) * 2005-06-16 2018-01-09 Biosense Webster, Inc. Less invasive methods for ablation of fat pads
US20070073280A1 (en) * 2005-09-16 2007-03-29 Medicalcv, Inc. End-fire guided ablation
US20070073281A1 (en) * 2005-09-16 2007-03-29 Medicalcv, Inc. Guided ablation with motion control
US8721597B2 (en) * 2006-11-09 2014-05-13 Ncontact Surgical, Inc. Diaphragm entry for posterior surgical access
US10433859B2 (en) * 2005-10-12 2019-10-08 Atricure, Inc. Diaphragm entry for posterior surgical access
US9808280B2 (en) * 2005-10-12 2017-11-07 Atricure, Inc. Diaphragm entry for posterior surgical access
US8211011B2 (en) * 2006-11-09 2012-07-03 Ncontact Surgical, Inc. Diaphragm entry for posterior surgical access
US8221310B2 (en) 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
US9931108B2 (en) * 2005-11-18 2018-04-03 Steven Miller System and method for influencing an anatomical structure
US7621908B2 (en) * 2005-11-18 2009-11-24 Miller Steven W Catheter for manipulation of the esophagus
US9107798B2 (en) * 2006-03-09 2015-08-18 Slender Medical Ltd. Method and system for lipolysis and body contouring
US20070270679A1 (en) 2006-05-17 2007-11-22 Duy Nguyen Deflectable variable radius catheters
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
US7699845B2 (en) * 2006-06-23 2010-04-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation device and method with connector
US20070299438A1 (en) * 2006-06-23 2007-12-27 Holzbaur Michael C Torque transfer agent for introducer and method
US20070299403A1 (en) * 2006-06-23 2007-12-27 Crowe John E Directional introducer
US20070299393A1 (en) * 2006-06-23 2007-12-27 Podmore Jonathan L Device and method for surgical treatments
US8052683B2 (en) * 2006-06-23 2011-11-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Device for ablation and visualization
US7678109B2 (en) * 2006-06-23 2010-03-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation device and method comprising movable ablation elements
US20070299435A1 (en) * 2006-06-23 2007-12-27 Crowe John E Apparatus and method for ablating tissue
US20080097476A1 (en) 2006-09-01 2008-04-24 Voyage Medical, Inc. Precision control systems for tissue visualization and manipulation assemblies
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
WO2008028149A2 (en) 2006-09-01 2008-03-06 Voyage Medical, Inc. Electrophysiology mapping and visualization system
NZ549911A (en) * 2006-10-19 2009-04-30 Syft Technologies Ltd Improvements in or relating to SIFT-MS instruments
US10335131B2 (en) 2006-10-23 2019-07-02 Intuitive Surgical Operations, Inc. Methods for preventing tissue migration
JP5054116B2 (en) * 2006-11-09 2012-10-24 エヌコンタクト サージカル， インコーポレイテッド Vacuum coagulation probe
US20080183036A1 (en) 2006-12-18 2008-07-31 Voyage Medical, Inc. Systems and methods for unobstructed visualization and ablation
US8758229B2 (en) 2006-12-21 2014-06-24 Intuitive Surgical Operations, Inc. Axial visualization systems
US8131350B2 (en) 2006-12-21 2012-03-06 Voyage Medical, Inc. Stabilization of visualization catheters
US20080161743A1 (en) * 2006-12-28 2008-07-03 Crowe John E Ablation device having a piezoelectric pump
US20080161705A1 (en) * 2006-12-29 2008-07-03 Podmore Jonathan L Devices and methods for ablating near AV groove
US8444637B2 (en) 2006-12-29 2013-05-21 St. Jude Medical, Atrial Filbrillation Division, Inc. Steerable ablation device
US8641707B2 (en) * 2006-12-29 2014-02-04 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device having a bimaterial valve
US20080161692A1 (en) * 2006-12-29 2008-07-03 Podmore Jonathan L Devices and methods for ablation
WO2008091610A2 (en) 2007-01-23 2008-07-31 Cvdevices, Llc Systems and methods for epicardial navigation
US20080183166A1 (en) * 2007-01-29 2008-07-31 Gary Miller Devices and methods for ablating tissue
KR20090121292A (en) * 2007-02-22 2009-11-25 라모트 앳 텔-아비브 유니버시티 리미티드 Treating weakened vessel wall such as vulnerable plaque or aneurysms
US7706891B2 (en) * 2007-03-21 2010-04-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter employing shape memory alloy shaping wire or pull wire and method of its manufacture
US8597288B2 (en) * 2008-10-01 2013-12-03 St. Jude Medical, Artial Fibrillation Division, Inc. Vacuum-stabilized ablation system
US9314298B2 (en) * 2007-04-17 2016-04-19 St. Jude Medical, Atrial Fibrillation Divisions, Inc. Vacuum-stabilized ablation system
JP2010524651A (en) 2007-04-27 2010-07-22 ボエッジ メディカル， インコーポレイテッド Complex shape steerable tissue visualization and manipulation catheter
US8657805B2 (en) 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
EP3025636B1 (en) 2007-05-11 2017-11-01 Intuitive Surgical Operations, Inc. Visual electrode ablation systems
US8377050B2 (en) * 2007-06-08 2013-02-19 Boston Scientific Scimed, Inc. Cryo-applicator cross-section configuration
JP5453259B2 (en) * 2007-07-26 2014-03-26 シネロン メディカル リミテッド Ultrasound tissue treatment method and apparatus
US8235985B2 (en) 2007-08-31 2012-08-07 Voyage Medical, Inc. Visualization and ablation system variations
WO2009045265A1 (en) 2007-10-05 2009-04-09 Maquet Cardiovascular, Llc Devices and methods for minimally-invasive surgical procedures
US8267930B2 (en) 2007-12-20 2012-09-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Apparatus and method for cooling and moving ablation elements
US8353907B2 (en) * 2007-12-21 2013-01-15 Atricure, Inc. Ablation device with internally cooled electrodes
US8273083B2 (en) * 2007-12-21 2012-09-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Universal cell carrier
US20090163807A1 (en) * 2007-12-21 2009-06-25 Sliwa John W Finger-mounted or robot-mounted transducer device
US9370396B2 (en) 2007-12-26 2016-06-21 St. Jude Medical, Atrial Fibrillation Division, Inc. Transition apparatus for use with a medical device having an elongate element
US20100331854A1 (en) * 2008-01-07 2010-12-30 Ilan Greenberg Device and method for performing treatment in a pericardial space
US8235988B2 (en) 2008-01-24 2012-08-07 Coherex Medical, Inc. Systems and methods for reduction of atrial fibrillation
US8858609B2 (en) 2008-02-07 2014-10-14 Intuitive Surgical Operations, Inc. Stent delivery under direct visualization
US20090248011A1 (en) * 2008-02-28 2009-10-01 Hlavka Edwin J Chronic venous insufficiency treatment
US9603674B2 (en) * 2008-05-30 2017-03-28 The Regents Of The University Of California Method to protect the esophagus and other mediastinal structures during cardiac and thoracic interventions
US20100004536A1 (en) * 2008-07-03 2010-01-07 Avner Rosenberg Method and apparatus for ultrasound tissue treatment
US9101735B2 (en) 2008-07-07 2015-08-11 Intuitive Surgical Operations, Inc. Catheter control systems
US20100017750A1 (en) 2008-07-16 2010-01-21 Avner Rosenberg User interface
US9089700B2 (en) 2008-08-11 2015-07-28 Cibiem, Inc. Systems and methods for treating dyspnea, including via electrical afferent signal blocking
EP2364128A4 (en) 2008-09-30 2013-07-24 Dfine Inc System for use in treatment of vertebral fractures
US8333012B2 (en) 2008-10-10 2012-12-18 Voyage Medical, Inc. Method of forming electrode placement and connection systems
US8894643B2 (en) 2008-10-10 2014-11-25 Intuitive Surgical Operations, Inc. Integral electrode placement and connection systems
US9980774B2 (en) * 2008-10-21 2018-05-29 Microcube, Llc Methods and devices for delivering microwave energy
US8968287B2 (en) * 2008-10-21 2015-03-03 Microcube, Llc Methods and devices for applying energy to bodily tissues
US8808281B2 (en) 2008-10-21 2014-08-19 Microcube, Llc Microwave treatment devices and methods
US11291503B2 (en) 2008-10-21 2022-04-05 Microcube, Llc Microwave treatment devices and methods
US11219484B2 (en) 2008-10-21 2022-01-11 Microcube, Llc Methods and devices for delivering microwave energy
US9084869B2 (en) 2008-10-31 2015-07-21 Cathrx, Ltd Catheter assembly
CN102256560B (en) 2008-11-10 2014-07-09 微立方有限责任公司 Methods and devices for applying energy to bodily tissues
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems
WO2010077980A1 (en) * 2008-12-16 2010-07-08 Aardvark Medical, Inc. Methods and systems for delivery of fluids, aerosols and acoustic energy to tissue surfaces, cavities and obstructed passages such as intranasal ostia
US8974445B2 (en) 2009-01-09 2015-03-10 Recor Medical, Inc. Methods and apparatus for treatment of cardiac valve insufficiency
US8480664B2 (en) * 2009-01-15 2013-07-09 Boston Scientific Scimed, Inc. Controlling depth of cryoablation
US20100241113A1 (en) * 2009-03-20 2010-09-23 Boston Scientific Scimed, Inc. Protecting the phrenic nerve while ablating cardiac tissue
US8287532B2 (en) * 2009-04-13 2012-10-16 Biosense Webster, Inc. Epicardial mapping and ablation catheter
US20100298832A1 (en) 2009-05-20 2010-11-25 Osseon Therapeutics, Inc. Steerable curvable vertebroplasty drill
US20110028848A1 (en) * 2009-07-31 2011-02-03 Cem Shaquer Methods and Apparatus for Detecting and Mapping Tissue Interfaces
US8694071B2 (en) 2010-02-12 2014-04-08 Intuitive Surgical Operations, Inc. Image stabilization techniques and methods
US20110208054A1 (en) * 2010-02-25 2011-08-25 Medtronic, Inc. Ablation device and method for creating an elongate lesion using selectively actuated transducer controlled by lesion completion sensor
US9814522B2 (en) 2010-04-06 2017-11-14 Intuitive Surgical Operations, Inc. Apparatus and methods for ablation efficacy
US11419632B2 (en) 2010-04-23 2022-08-23 Mark D. Wieczorek, P.C. Transseptal access device and method of use
US8940008B2 (en) 2010-04-23 2015-01-27 Assist Medical Llc Transseptal access device and method of use
US10220134B2 (en) 2010-04-23 2019-03-05 Mark D. Wieczorek Transseptal access device and method of use
US9526507B2 (en) 2010-04-29 2016-12-27 Dfine, Inc. System for use in treatment of vertebral fractures
CN102958456B (en) 2010-04-29 2015-12-16 Dfine有限公司 Be used for the treatment of the system of vertebral fracture
WO2011137357A1 (en) * 2010-04-29 2011-11-03 Dfine, Inc. System for use in treatment of vertebral fractures
US9655677B2 (en) 2010-05-12 2017-05-23 Shifamed Holdings, Llc Ablation catheters including a balloon and electrodes
WO2011143468A2 (en) 2010-05-12 2011-11-17 Shifamed, Llc Low profile electrode assembly
US8617150B2 (en) 2010-05-14 2013-12-31 Liat Tsoref Reflectance-facilitated ultrasound treatment
US9242122B2 (en) 2010-05-14 2016-01-26 Liat Tsoref Reflectance-facilitated ultrasound treatment and monitoring
US8956346B2 (en) * 2010-05-14 2015-02-17 Rainbow Medical, Ltd. Reflectance-facilitated ultrasound treatment and monitoring
US9498278B2 (en) 2010-09-08 2016-11-22 Covidien Lp Asymmetrical electrodes for bipolar vessel sealing
EP2632377B1 (en) * 2010-10-25 2020-01-15 Medtronic Ardian Luxembourg S.à.r.l. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems
WO2012080910A1 (en) * 2010-12-14 2012-06-21 Khan, Aslam Stylus and treatment head for use with a medical device
US9072518B2 (en) 2011-05-31 2015-07-07 Atricure, Inc. High-voltage pulse ablation systems and methods
WO2013013098A1 (en) * 2011-07-19 2013-01-24 Adagio Medical, Inc. System and method for creation of cox maze lesions
US8989873B2 (en) * 2011-07-20 2015-03-24 Medtronic, Inc. Intravascular medical device with advancable electrode
US9393001B2 (en) * 2011-07-29 2016-07-19 Olympus Corporation Operation method of endoscope
US9687289B2 (en) * 2012-01-04 2017-06-27 Biosense Webster (Israel) Ltd. Contact assessment based on phase measurement
US20130178908A1 (en) * 2012-01-09 2013-07-11 Endoheart Ag Electrophysiological endocardiology tool
US9707414B2 (en) 2012-02-14 2017-07-18 Rainbow Medical Ltd. Reflectance-facilitated ultrasound treatment and monitoring
WO2013163322A1 (en) 2012-04-24 2013-10-31 Cibiem, Inc. Endovascular catheters and methods for carotid body ablation
ES2614272T3 (en) 2012-05-11 2017-05-30 Medtronic Ardian Luxembourg S.à.r.l. Multiple electrode catheter assemblies for renal neuromodulation and associated systems and methods
WO2013181660A1 (en) 2012-06-01 2013-12-05 Cibiem, Inc. Methods and devices for cryogenic carotid body ablation
US9398930B2 (en) 2012-06-01 2016-07-26 Cibiem, Inc. Percutaneous methods and devices for carotid body ablation
US9955946B2 (en) 2014-03-12 2018-05-01 Cibiem, Inc. Carotid body ablation with a transvenous ultrasound imaging and ablation catheter
WO2014005155A1 (en) 2012-06-30 2014-01-03 Cibiem, Inc. Carotid body ablation via directed energy
WO2014025394A1 (en) 2012-08-09 2014-02-13 University Of Iowa Research Foundation Catheters, catheter systems, and methods for puncturing through a tissue structure
CN104902836B (en) 2012-11-05 2017-08-08 毕达哥拉斯医疗有限公司 Controlled tissue melts
US9770593B2 (en) 2012-11-05 2017-09-26 Pythagoras Medical Ltd. Patient selection using a transluminally-applied electric current
US9078667B2 (en) 2012-12-11 2015-07-14 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter having reduced force concentration at tissue contact site
EP2939619B1 (en) * 2012-12-28 2020-02-12 Synaptic Medical (Beijing) Co. Ltd. Pericardium puncture needle assembly
US9744341B2 (en) * 2013-01-15 2017-08-29 Palo Alto Research Center Incorporated Devices and methods for intraluminal retention and drug delivery
US9675263B2 (en) * 2013-02-25 2017-06-13 Medtronic Cryocath Lp Retractable mapping jacket
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
JP6463731B2 (en) 2013-04-08 2019-02-06 アパマ・メディカル・インコーポレーテッド Imaging system
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
US20150073515A1 (en) 2013-09-09 2015-03-12 Medtronic Ardian Luxembourg S.a.r.I. Neuromodulation Catheter Devices and Systems Having Energy Delivering Thermocouple Assemblies and Associated Methods
WO2015103574A1 (en) 2014-01-06 2015-07-09 Iowa Approach Inc. Apparatus and methods for renal denervation ablation
DE102014201859A1 (en) * 2014-02-03 2015-08-06 Olympus Winter & Ibe Gmbh Electrosurgical instrument
CN106659531A (en) 2014-05-07 2017-05-10 毕达哥拉斯医疗有限公司 Controlled tissue ablation techniques
WO2015171921A2 (en) 2014-05-07 2015-11-12 Mickelson Steven R Methods and apparatus for selective tissue ablation
EP3154464A4 (en) 2014-06-12 2018-01-24 Iowa Approach Inc. Method and apparatus for rapid and selective tissue ablation with cooling
WO2015192027A1 (en) 2014-06-12 2015-12-17 Iowa Approach Inc. Method and apparatus for rapid and selective transurethral tissue ablation
EP3160359B1 (en) * 2014-06-24 2021-05-19 Apama Medical, Inc. Tissue ablation and monitoring thereof
WO2016031503A1 (en) * 2014-08-26 2016-03-03 国立大学法人名古屋工業大学 Contact detection instrument
WO2016060983A1 (en) 2014-10-14 2016-04-21 Iowa Approach Inc. Method and apparatus for rapid and safe pulmonary vein cardiac ablation
CN107530124B (en) * 2014-11-14 2021-07-20 美敦力阿迪安卢森堡有限公司 Catheter apparatus for modulating nerves in communication with the pulmonary system and associated systems and methods
USD753302S1 (en) * 2015-02-11 2016-04-05 Baylis Medical Company Inc. Electrosurgical device with a curve
US10383685B2 (en) 2015-05-07 2019-08-20 Pythagoras Medical Ltd. Techniques for use with nerve tissue
EP3302676B1 (en) * 2015-05-29 2023-07-12 Microvention, Inc. Catheter circuit
US11723718B2 (en) 2015-06-02 2023-08-15 Heartlander Surgical, Inc. Therapy delivery system that operates on the surface of an anatomical entity
WO2017031362A1 (en) * 2015-08-19 2017-02-23 Northwestern University Ablation devices and methods
US10856857B2 (en) * 2015-09-06 2020-12-08 Onepass Medical Needle-handling device
EP3376936B1 (en) 2015-11-16 2024-01-03 Boston Scientific Scimed, Inc. Energy delivery devices
US11160607B2 (en) 2015-11-20 2021-11-02 Biosense Webster (Israel) Ltd. Hyper-apertured ablation electrode
US10864031B2 (en) * 2015-11-30 2020-12-15 Adagio Medical, Inc. Ablation method for creating elongate continuous lesions enclosing multiple vessel entries
US10130423B1 (en) 2017-07-06 2018-11-20 Farapulse, Inc. Systems, devices, and methods for focal ablation
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
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
CN108882864A (en) * 2016-04-01 2018-11-23 柯柏拉医疗股份有限公司 Shaped epicardial lead and place system and method
US10350408B2 (en) * 2016-04-28 2019-07-16 Medtronic, Inc. Interventional medical systems, associated assemblies and methods
EP3457975A2 (en) 2016-05-18 2019-03-27 Pythagoras Medical Ltd. Helical catheter
WO2017218734A1 (en) 2016-06-16 2017-12-21 Iowa Approach, Inc. Systems, apparatuses, and methods for guide wire delivery
US10736632B2 (en) 2016-07-06 2020-08-11 Evalve, Inc. Methods and devices for valve clip excision
US11071564B2 (en) 2016-10-05 2021-07-27 Evalve, Inc. Cardiac valve cutting device
US10478241B2 (en) 2016-10-27 2019-11-19 Merit Medical Systems, Inc. Articulating osteotome with cement delivery channel
WO2018097992A2 (en) 2016-11-22 2018-05-31 Dfine, Inc. Swivel hub
JP7256119B2 (en) 2016-11-28 2023-04-11 ディファイン インコーポレイテッド Tumor resection device and related method
EP3551100B1 (en) 2016-12-09 2021-11-10 Dfine, Inc. Medical devices for treating hard tissues
WO2018129180A1 (en) 2017-01-06 2018-07-12 Dfine, Inc. Osteotome with a distal portion for simultaneous advancement and articulation
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
US11583249B2 (en) * 2017-09-08 2023-02-21 Biosense Webster (Israel) Ltd. Method and apparatus for performing non-fluoroscopic transseptal procedure
CN115844523A (en) 2017-09-12 2023-03-28 波士顿科学医学有限公司 Systems, devices, and methods for ventricular focal ablation
EP3459469A1 (en) 2017-09-23 2019-03-27 Universität Zürich Medical occluder device
US11648047B2 (en) 2017-10-06 2023-05-16 Vive Scientific, Llc System and method to treat obstructive sleep apnea
US10828064B2 (en) 2018-03-01 2020-11-10 Torax Medical, Inc. Laparoscopic sizing instrument
EP3790486A1 (en) 2018-05-07 2021-03-17 Farapulse, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
CN112118798A (en) 2018-05-07 2020-12-22 法拉普尔赛股份有限公司 Systems, devices, and methods for filtering high voltage noise induced by pulsed electric field ablation
CN112087978B (en) 2018-05-07 2023-01-17 波士顿科学医学有限公司 Epicardial ablation catheter
US10645017B2 (en) 2018-05-09 2020-05-05 Biosig Technologies, Inc. Systems, apparatus, and methods for conveying biomedical signals between a patient and monitoring and treatment devices
JP2022501112A (en) 2018-09-20 2022-01-06 ファラパルス，インコーポレイテッド Systems, devices, and methods for the delivery of pulsed field ablation energy to endocardial tissue
US20200121460A1 (en) * 2018-10-22 2020-04-23 Evalve, Inc. Tissue cutting systems, devices and methods
WO2020097339A1 (en) 2018-11-08 2020-05-14 Dfine, Inc. Tumor ablation device and related systems and methods
EP4027926A1 (en) 2019-09-13 2022-07-20 Alleviant Medical, Inc. Systems, devices, and methods for forming an anastomosis
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
US11944315B2 (en) 2019-09-26 2024-04-02 Universität Zürich Left atrial appendage occlusion devices
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
EP4340933A1 (en) * 2021-05-17 2024-03-27 Boston Scientific Scimed Inc. Energy delivery system and device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6237605B1 (en) * 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US20020042610A1 (en) * 1996-10-22 2002-04-11 Epicor, Inc. Methods and devices for ablation

Family Cites Families (356)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US542807A (en) * 1895-07-16 George b
US984756A (en) * 1909-09-08 1911-02-21 Paul Frisch Surgical forceps.
US2241451A (en) * 1940-06-19 1941-05-13 Harry S Fist Surgical measuring instrument
US3369550A (en) * 1967-02-17 1968-02-20 Thomas A. Armao Cryogenic clamps
US3862627A (en) * 1973-08-16 1975-01-28 Sr Wendel J Hans Suction electrode
US4022215A (en) 1973-12-10 1977-05-10 Benson Jerrel W Cryosurgical system
US4072152A (en) * 1976-02-23 1978-02-07 Linehan John H Orthopedic cryosurgical apparatus
US4207874A (en) * 1978-03-27 1980-06-17 Choy Daniel S J Laser tunnelling device
US4375818A (en) * 1979-03-12 1983-03-08 Olympus Optical Company Ltd. Ultrasonic diagnosis system assembled into endoscope
US4353371A (en) 1980-09-24 1982-10-12 Cosman Eric R Longitudinally, side-biting, bipolar coagulating, surgical instrument
GB2094636A (en) 1981-03-12 1982-09-22 Spembly Ltd A cryosurgical probe
US5370675A (en) 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
US5143073A (en) * 1983-12-14 1992-09-01 Edap International, S.A. Wave apparatus system
SE8502048D0 (en) 1985-04-26 1985-04-26 Astra Tech Ab VACUUM FIXED HALLS FOR MEDICAL USE
US4655216A (en) * 1985-07-23 1987-04-07 Alfred Tischer Combination instrument for laparoscopical tube sterilization
US4917095A (en) * 1985-11-18 1990-04-17 Indianapolis Center For Advanced Research, Inc. Ultrasound location and therapy method and apparatus for calculi in the body
US5000185A (en) 1986-02-28 1991-03-19 Cardiovascular Imaging Systems, Inc. Method for intravascular two-dimensional ultrasonography and recanalization
US4872346A (en) 1986-07-18 1989-10-10 Indianapolis Center For Advanced Research Multiple frequencies from single crystal
US5231995A (en) 1986-11-14 1993-08-03 Desai Jawahar M Method for catheter mapping and ablation
US4786155A (en) 1986-12-16 1988-11-22 Fantone Stephen D Operating microscope providing an image of an obscured object
DE8701218U1 (en) 1987-01-26 1988-05-26 Siemens Ag, 1000 Berlin Und 8000 Muenchen, De
US4802475A (en) * 1987-06-22 1989-02-07 Weshahy Ahmed H A G Methods and apparatus of applying intra-lesional cryotherapy
US4815470A (en) * 1987-11-13 1989-03-28 Advanced Diagnostic Medical Systems, Inc. Inflatable sheath for ultrasound probe
US4957099A (en) 1988-02-10 1990-09-18 Siemens Aktiengesellschaft Shock wave source for extracorporeal lithotripsy
US5014750A (en) 1988-03-14 1991-05-14 Baxter International Inc. Systems having fixed and variable flow rate control mechanisms
US5588432A (en) 1988-03-21 1996-12-31 Boston Scientific Corporation Catheters for imaging, sensing electrical potentials, and ablating tissue
US4924863A (en) 1988-05-04 1990-05-15 Mmtc, Inc. Angioplastic method for removing plaque from a vas
US4889137A (en) 1988-05-05 1989-12-26 The United States Of America As Reprsented By The Department Of Health And Human Services Method for improved use of heart/lung machine
US5147355A (en) 1988-09-23 1992-09-15 Brigham And Womens Hospital Cryoablation catheter and method of performing cryoablation
US5108390A (en) * 1988-11-14 1992-04-28 Frigitronics, Inc. Flexible cryoprobe
GB8829525D0 (en) 1988-12-17 1989-02-01 Spembly Medical Ltd Cryosurgical apparatus
US4976711A (en) 1989-04-13 1990-12-11 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US4936281A (en) * 1989-04-13 1990-06-26 Everest Medical Corporation Ultrasonically enhanced RF ablation catheter
DE3917328A1 (en) * 1989-05-27 1990-11-29 Wolf Gmbh Richard BIPOLAR COAGULATION INSTRUMENT
US5013312A (en) * 1990-03-19 1991-05-07 Everest Medical Corporation Bipolar scalpel for harvesting internal mammary artery
US5109830A (en) 1990-04-10 1992-05-05 Candela Laser Corporation Apparatus for navigation of body cavities
US5073164A (en) 1990-05-02 1991-12-17 Hollister William H Suction catheter
ZA917281B (en) 1990-09-26 1992-08-26 Cryomedical Sciences Inc Cryosurgical instrument and system and method of cryosurgery
US5190541A (en) * 1990-10-17 1993-03-02 Boston Scientific Corporation Surgical instrument and method
US5269291A (en) 1990-12-10 1993-12-14 Coraje, Inc. Miniature ultrasonic transducer for plaque ablation
US5324255A (en) 1991-01-11 1994-06-28 Baxter International Inc. Angioplasty and ablative devices having onboard ultrasound components and devices and methods for utilizing ultrasound to treat or prevent vasopasm
US5465717A (en) 1991-02-15 1995-11-14 Cardiac Pathways Corporation Apparatus and Method for ventricular mapping and ablation
US5156151A (en) * 1991-02-15 1992-10-20 Cardiac Pathways Corporation Endocardial mapping and ablation system and catheter probe
EP0766533A1 (en) 1991-05-17 1997-04-09 InnerDyne, Inc. Method and device for thermal ablation
CA2109714A1 (en) 1991-05-29 1992-12-10 Frederic H. Moll Retraction apparatus and methods for endoscopic surgery
US5452733A (en) 1993-02-22 1995-09-26 Stanford Surgical Technologies, Inc. Methods for performing thoracoscopic coronary artery bypass
US5584803A (en) 1991-07-16 1996-12-17 Heartport, Inc. System for cardiac procedures
US5558644A (en) 1991-07-16 1996-09-24 Heartport, Inc. Retrograde delivery catheter and method for inducing cardioplegic arrest
US5735290A (en) * 1993-02-22 1998-04-07 Heartport, Inc. Methods and systems for performing thoracoscopic coronary bypass and other procedures
US5571215A (en) 1993-02-22 1996-11-05 Heartport, Inc. Devices and methods for intracardiac procedures
US5520682A (en) * 1991-09-06 1996-05-28 Cryomedical Sciences, Inc. Cryosurgical instrument with vent means and method using same
US5254116A (en) 1991-09-06 1993-10-19 Cryomedical Sciences, Inc. Cryosurgical instrument with vent holes and method using same
US5197964A (en) * 1991-11-12 1993-03-30 Everest Medical Corporation Bipolar instrument utilizing one stationary electrode and one movable electrode
US5217001A (en) 1991-12-09 1993-06-08 Nakao Naomi L Endoscope sheath and related method
DE69229495T2 (en) * 1991-12-11 1999-12-16 Sony Corp Disk cartridge loading mechanism for use in disk recording and / or reproducing apparatus
US5683366A (en) * 1992-01-07 1997-11-04 Arthrocare Corporation System and method for electrosurgical tissue canalization
FR2685872A1 (en) 1992-01-07 1993-07-09 Edap Int APPARATUS OF EXTRACORPOREAL ULTRASONIC HYPERTHERMIA WITH VERY HIGH POWER AND ITS OPERATING METHOD.
US5366443A (en) * 1992-01-07 1994-11-22 Thapliyal And Eggers Partners Method and apparatus for advancing catheters through occluded body lumens
US5222501A (en) * 1992-01-31 1993-06-29 Duke University Methods for the diagnosis and ablation treatment of ventricular tachycardia
WO1993016633A1 (en) 1992-02-20 1993-09-02 Humanteknik Ab A device for securing an object to a surface by vacuum
US5263493A (en) 1992-02-24 1993-11-23 Boaz Avitall Deflectable loop electrode array mapping and ablation catheter for cardiac chambers
US5555883A (en) 1992-02-24 1996-09-17 Avitall; Boaz Loop electrode array mapping and ablation catheter for cardiac chambers
WO1993019705A1 (en) 1992-03-31 1993-10-14 Massachusetts Institute Of Technology Apparatus and method for acoustic heat generation and hyperthermia
US5540681A (en) * 1992-04-10 1996-07-30 Medtronic Cardiorhythm Method and system for radiofrequency ablation of tissue
WO1993020768A1 (en) * 1992-04-13 1993-10-28 Ep Technologies, Inc. Steerable microwave antenna systems for cardiac ablation
US5423807A (en) 1992-04-16 1995-06-13 Implemed, Inc. Cryogenic mapping and ablation catheter
US5281215A (en) * 1992-04-16 1994-01-25 Implemed, Inc. Cryogenic catheter
US5443463A (en) 1992-05-01 1995-08-22 Vesta Medical, Inc. Coagulating forceps
US5562720A (en) 1992-05-01 1996-10-08 Vesta Medical, Inc. Bipolar/monopolar endometrial ablation device and method
US5443470A (en) 1992-05-01 1995-08-22 Vesta Medical, Inc. Method and apparatus for endometrial ablation
US5277201A (en) 1992-05-01 1994-01-11 Vesta Medical, Inc. Endometrial ablation apparatus and method
US5295484A (en) 1992-05-19 1994-03-22 Arizona Board Of Regents For And On Behalf Of The University Of Arizona Apparatus and method for intra-cardiac ablation of arrhythmias
US5324284A (en) 1992-06-05 1994-06-28 Cardiac Pathways, Inc. Endocardial mapping and ablation system utilizing a separately controlled ablation catheter and method
US5341807A (en) 1992-06-30 1994-08-30 American Cardiac Ablation Co., Inc. Ablation catheter positioning system
WO1994002077A2 (en) * 1992-07-15 1994-02-03 Angelase, Inc. Ablation catheter system
US5435308A (en) 1992-07-16 1995-07-25 Abbott Laboratories Multi-purpose multi-parameter cardiac catheter
US5290586A (en) * 1992-09-10 1994-03-01 International Business Machines Corporation Method to monitor Meta-Paete cure on metallized substrates
WO1994007446A1 (en) * 1992-10-05 1994-04-14 Boston Scientific Corporation Device and method for heating tissue
US5687737A (en) 1992-10-09 1997-11-18 Washington University Computerized three-dimensional cardiac mapping with interactive visual displays
US5269756A (en) 1992-11-13 1993-12-14 Medicpro Inc. Irrigation apparatus and method for suction catheters
US5676693A (en) 1992-11-13 1997-10-14 Scimed Life Systems, Inc. Electrophysiology device
US5348554A (en) 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
CA2109980A1 (en) 1992-12-01 1994-06-02 Mir A. Imran Steerable catheter with adjustable bend location and/or radius and method
US5469853A (en) 1992-12-11 1995-11-28 Tetrad Corporation Bendable ultrasonic probe and sheath for use therewith
US5409483A (en) 1993-01-22 1995-04-25 Jeffrey H. Reese Direct visualization surgical probe
US7213601B2 (en) * 1993-02-22 2007-05-08 Heartport, Inc Minimally-invasive devices and methods for treatment of congestive heart failure
US5797960A (en) 1993-02-22 1998-08-25 Stevens; John H. Method and apparatus for thoracoscopic intracardiac procedures
US6161543A (en) 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US5817021A (en) 1993-04-15 1998-10-06 Siemens Aktiengesellschaft Therapy apparatus for treating conditions of the heart and heart-proximate vessels
US6254600B1 (en) 1993-05-10 2001-07-03 Arthrocare Corporation Systems for tissue ablation and aspiration
US5860974A (en) 1993-07-01 1999-01-19 Boston Scientific Corporation Heart ablation catheter with expandable electrode and method of coupling energy to an electrode on a catheter shaft
CA2165829A1 (en) 1993-07-01 1995-01-19 John E. Abele Imaging, electrical potential sensing, and ablation catheters
US5571088A (en) 1993-07-01 1996-11-05 Boston Scientific Corporation Ablation catheters
US5630837A (en) 1993-07-01 1997-05-20 Boston Scientific Corporation Acoustic ablation
US5545200A (en) 1993-07-20 1996-08-13 Medtronic Cardiorhythm Steerable electrophysiology catheter
US5487757A (en) * 1993-07-20 1996-01-30 Medtronic Cardiorhythm Multicurve deflectable catheter
US5928191A (en) 1993-07-30 1999-07-27 E.P. Technologies, Inc. Variable curve electrophysiology catheter
US5921982A (en) 1993-07-30 1999-07-13 Lesh; Michael D. Systems and methods for ablating body tissue
US5385148A (en) * 1993-07-30 1995-01-31 The Regents Of The University Of California Cardiac imaging and ablation catheter
WO1995005212A2 (en) * 1993-08-11 1995-02-23 Electro-Catheter Corporation Improved ablation electrode
US5431649A (en) 1993-08-27 1995-07-11 Medtronic, Inc. Method and apparatus for R-F ablation
US5405376A (en) * 1993-08-27 1995-04-11 Medtronic, Inc. Method and apparatus for ablation
US5437651A (en) 1993-09-01 1995-08-01 Research Medical, Inc. Medical suction apparatus
US5396887A (en) 1993-09-23 1995-03-14 Cardiac Pathways Corporation Apparatus and method for detecting contact pressure
US5607462A (en) * 1993-09-24 1997-03-04 Cardiac Pathways Corporation Catheter assembly, catheter and multi-catheter introducer for use therewith
US5496312A (en) 1993-10-07 1996-03-05 Valleylab Inc. Impedance and temperature generator control
US5400783A (en) 1993-10-12 1995-03-28 Cardiac Pathways Corporation Endocardial mapping apparatus with rotatable arm and method
CA2174129C (en) 1993-10-14 2004-03-09 Sidney D. Fleischman Electrode elements for forming lesion patterns
US5673695A (en) 1995-08-02 1997-10-07 Ep Technologies, Inc. Methods for locating and ablating accessory pathways in the heart
US5582609A (en) 1993-10-14 1996-12-10 Ep Technologies, Inc. Systems and methods for forming large lesions in body tissue using curvilinear electrode elements
WO1995010319A1 (en) 1993-10-15 1995-04-20 Ep Technologies, Inc. Electrodes for creating lesions in body tissue
US6146379A (en) 1993-10-15 2000-11-14 Ep Technologies, Inc. Systems and methods for creating curvilinear lesions in body tissue
US5545193A (en) * 1993-10-15 1996-08-13 Ep Technologies, Inc. Helically wound radio-frequency emitting electrodes for creating lesions in body tissue
WO1995010225A1 (en) 1993-10-15 1995-04-20 Ep Technologies, Inc. Multiple electrode element for mapping and ablating
US5575810A (en) 1993-10-15 1996-11-19 Ep Technologies, Inc. Composite structures and methods for ablating tissue to form complex lesion patterns in the treatment of cardiac conditions and the like
WO1995010321A1 (en) 1993-10-15 1995-04-20 Ep Technologies, Inc. Creating curvilinear lesions in body tissue
WO1995010322A1 (en) 1993-10-15 1995-04-20 Ep Technologies, Inc. Creating complex lesion patterns in body tissue
WO1995010978A1 (en) 1993-10-19 1995-04-27 Ep Technologies, Inc. Segmented electrode assemblies for ablation of tissue
US5628316A (en) 1993-11-03 1997-05-13 Swartz; John F. Guiding introducer system for use in the right atrium
US5564440A (en) 1993-11-03 1996-10-15 Daig Corporation Method for mopping and/or ablation of anomalous conduction pathways
US5497774A (en) 1993-11-03 1996-03-12 Daig Corporation Guiding introducer for left atrium
US5640955A (en) 1995-02-14 1997-06-24 Daig Corporation Guiding introducers for use in the treatment of accessory pathways around the mitral valve using a retrograde approach
US5722400A (en) * 1995-02-16 1998-03-03 Daig Corporation Guiding introducers for use in the treatment of left ventricular tachycardia
US5656028A (en) 1993-11-03 1997-08-12 Daig Corporation Process for the nonsurgical mapping and/or treatment of ectopic atrial tachycardia using a guiding introducer
US5575766A (en) * 1993-11-03 1996-11-19 Daig Corporation Process for the nonsurgical mapping and treatment of atrial arrhythmia using catheters guided by shaped guiding introducers
US5427119A (en) 1993-11-03 1995-06-27 Daig Corporation Guiding introducer for right atrium
US5472441A (en) 1993-11-08 1995-12-05 Zomed International Device for treating cancer and non-malignant tumors and methods
US5536267A (en) 1993-11-08 1996-07-16 Zomed International Multiple electrode ablation apparatus
US5730127A (en) * 1993-12-03 1998-03-24 Avitall; Boaz Mapping and ablation catheter system
US5487385A (en) 1993-12-03 1996-01-30 Avitall; Boaz Atrial mapping and ablation catheter system
US5921924A (en) 1993-12-03 1999-07-13 Avitall; Boaz Mapping and ablation catheter system utilizing multiple control elements
US5462521A (en) 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
EP0735842B1 (en) 1993-12-22 1999-03-31 Sulzer Osypka GmbH Ultrasonic marked cardiac ablation catheter
US5437664A (en) 1994-01-18 1995-08-01 Endovascular, Inc. Apparatus and method for venous ligation
US5462545A (en) * 1994-01-31 1995-10-31 New England Medical Center Hospitals, Inc. Catheter electrodes
US5501698A (en) 1994-02-14 1996-03-26 Heartport, Inc. Endoscopic microsurgical instruments and methods
DE69516444T2 (en) * 1994-03-11 2001-01-04 Intravascular Res Ltd Ultrasonic transducer arrangement and method for its production
US5807308A (en) * 1996-02-23 1998-09-15 Somnus Medical Technologies, Inc. Method and apparatus for treatment of air way obstructions
GB2289510A (en) 1994-05-10 1995-11-22 Spembly Medical Ltd Connector
GB2289414B (en) 1994-05-10 1998-05-13 Spembly Medical Ltd Cryosurgical instrument
US5560362A (en) 1994-06-13 1996-10-01 Acuson Corporation Active thermal control of ultrasound transducers
US5617854A (en) * 1994-06-22 1997-04-08 Munsif; Anand Shaped catheter device and method
US5681278A (en) 1994-06-23 1997-10-28 Cormedics Corp. Coronary vasculature treatment method
US5505730A (en) 1994-06-24 1996-04-09 Stuart D. Edwards Thin layer ablation apparatus
US5575788A (en) 1994-06-24 1996-11-19 Stuart D. Edwards Thin layer ablation apparatus
US5746224A (en) * 1994-06-24 1998-05-05 Somnus Medical Technologies, Inc. Method for ablating turbinates
US5681308A (en) 1994-06-24 1997-10-28 Stuart D. Edwards Ablation apparatus for cardiac chambers
US5823197A (en) 1994-06-24 1998-10-20 Somnus Medical Technologies, Inc. Method for internal ablation of turbinates
US5680860A (en) 1994-07-07 1997-10-28 Cardiac Pathways Corporation Mapping and/or ablation catheter with coilable distal extremity and method for using same
US5690611A (en) 1994-07-08 1997-11-25 Daig Corporation Process for the treatment of atrial arrhythima using a catheter guided by shaped giding introducers
US5545195A (en) 1994-08-01 1996-08-13 Boston Scientific Corporation Interstitial heating of tissue
US5810802A (en) 1994-08-08 1998-09-22 E.P. Technologies, Inc. Systems and methods for controlling tissue ablation using multiple temperature sensing elements
US5797905A (en) 1994-08-08 1998-08-25 E. P. Technologies Inc. Flexible tissue ablation elements for making long lesions
US6558375B1 (en) 2000-07-14 2003-05-06 Cardiofocus, Inc. Cardiac ablation instrument
US6579285B2 (en) * 1994-09-09 2003-06-17 Cardiofocus, Inc. Photoablation with infrared radiation
US5885278A (en) 1994-10-07 1999-03-23 E.P. Technologies, Inc. Structures for deploying movable electrode elements
US5836947A (en) 1994-10-07 1998-11-17 Ep Technologies, Inc. Flexible structures having movable splines for supporting electrode elements
US6071274A (en) 1996-12-19 2000-06-06 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US6142994A (en) 1994-10-07 2000-11-07 Ep Technologies, Inc. Surgical method and apparatus for positioning a diagnostic a therapeutic element within the body
US6464700B1 (en) 1994-10-07 2002-10-15 Scimed Life Systems, Inc. Loop structures for positioning a diagnostic or therapeutic element on the epicardium or other organ surface
US6152920A (en) 1997-10-10 2000-11-28 Ep Technologies, Inc. Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body
WO1996010961A1 (en) 1994-10-07 1996-04-18 Ep Technologies, Inc. Flexible structures for supporting electrode elements
US5722402A (en) * 1994-10-11 1998-03-03 Ep Technologies, Inc. Systems and methods for guiding movable electrode elements within multiple-electrode structures
US5830214A (en) * 1994-11-08 1998-11-03 Heartport, Inc. Fluid-evacuating electrosurgical device
US5595183A (en) * 1995-02-17 1997-01-21 Ep Technologies, Inc. Systems and methods for examining heart tissue employing multiple electrode structures and roving electrodes
WO1996026675A1 (en) 1995-02-28 1996-09-06 Boston Scientific Corporation Deflectable catheter for ablating cardiac tissue
US5676662A (en) 1995-03-17 1997-10-14 Daig Corporation Ablation catheter
US5626607A (en) * 1995-04-03 1997-05-06 Heartport, Inc. Clamp assembly and method of use
WO1996034646A1 (en) 1995-05-01 1996-11-07 Medtronic Cardiorhythm Dual curve ablation catheter and method
US5688267A (en) 1995-05-01 1997-11-18 Ep Technologies, Inc. Systems and methods for sensing multiple temperature conditions during tissue ablation
US6030379A (en) 1995-05-01 2000-02-29 Ep Technologies, Inc. Systems and methods for seeking sub-surface temperature conditions during tissue ablation
US5735280A (en) 1995-05-02 1998-04-07 Heart Rhythm Technologies, Inc. Ultrasound energy delivery system and method
WO1996034567A1 (en) 1995-05-02 1996-11-07 Heart Rhythm Technologies, Inc. System for controlling the energy delivered to a patient for ablation
US6575969B1 (en) 1995-05-04 2003-06-10 Sherwood Services Ag Cool-tip radiofrequency thermosurgery electrode system for tumor ablation
US5697949A (en) 1995-05-18 1997-12-16 Symbiosis Corporation Small diameter endoscopic instruments
US6837887B2 (en) 1995-06-07 2005-01-04 Arthrocare Corporation Articulated electrosurgical probe and methods
US5718241A (en) * 1995-06-07 1998-02-17 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias with no discrete target
US6293943B1 (en) 1995-06-07 2001-09-25 Ep Technologies, Inc. Tissue heating and ablation systems and methods which predict maximum tissue temperature
US6090104A (en) 1995-06-07 2000-07-18 Cordis Webster, Inc. Catheter with a spirally wound flat ribbon electrode
US5827216A (en) 1995-06-07 1998-10-27 Cormedics Corp. Method and apparatus for accessing the pericardial space
US6022346A (en) 1995-06-07 2000-02-08 Ep Technologies, Inc. Tissue heating and ablation systems and methods using self-heated electrodes
US6113592A (en) 1995-06-09 2000-09-05 Engineering & Research Associates, Inc. Apparatus and method for controlling ablation depth
US5697925A (en) 1995-06-09 1997-12-16 Engineering & Research Associates, Inc. Apparatus and method for thermal ablation
US6023638A (en) 1995-07-28 2000-02-08 Scimed Life Systems, Inc. System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue
US5678550A (en) 1995-08-11 1997-10-21 The United States Of America As Represented By The Secretary Of The Department Of Health And Human Services Apparatus and method for in situ detection of areas of cardiac electrical activity
US5800484A (en) 1995-08-15 1998-09-01 Rita Medical Systems, Inc. Multiple antenna ablation apparatus with expanded electrodes
AUPN487495A0 (en) 1995-08-18 1995-09-14 Cardiac Crc Nominees Pty Limited A multipolar transmural probe
US5836311A (en) 1995-09-20 1998-11-17 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
US5590657A (en) 1995-11-06 1997-01-07 The Regents Of The University Of Michigan Phased array ultrasound system and method for cardiac ablation
US5716389A (en) * 1995-11-13 1998-02-10 Walinsky; Paul Cardiac ablation catheter arrangement with movable guidewire
US5733280A (en) 1995-11-15 1998-03-31 Avitall; Boaz Cryogenic epicardial mapping and ablation
US5823955A (en) 1995-11-20 1998-10-20 Medtronic Cardiorhythm Atrioventricular valve tissue ablation catheter and method
US5868743A (en) * 1995-12-13 1999-02-09 Children's Medical Center Corporation Cardiac ablation system with low temperature target site identification
US5827281A (en) 1996-01-05 1998-10-27 Levin; John M. Insulated surgical scissors
AU712539B2 (en) * 1996-01-08 1999-11-11 Biosense, Inc. Methods and apparatus for myocardial revascularization
WO1997045156A2 (en) 1996-01-19 1997-12-04 Ep Technologies, Inc. Tissue heating and ablation systems and methods using porous electrode structures
WO1997025916A1 (en) 1996-01-19 1997-07-24 Ep Technologies, Inc. Expandable-collapsible electrode structures with electrically conductive walls
WO1997025918A1 (en) 1996-01-19 1997-07-24 Ep Technologies, Inc. Electrode structures formed from flexible, porous, or woven materials
US5671747A (en) 1996-01-24 1997-09-30 Hewlett-Packard Company Ultrasound probe having interchangeable accessories
US5792317A (en) * 1996-02-07 1998-08-11 Gl&V-Paper Machine Group, Inc. Wet end starch application
US5904711A (en) * 1996-02-08 1999-05-18 Heartport, Inc. Expandable thoracoscopic defibrillation catheter system and method
IL119137A0 (en) 1996-02-15 1996-11-14 Biosense Ltd Intrabody energy focusing
US5810721A (en) 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5800482A (en) 1996-03-06 1998-09-01 Cardiac Pathways Corporation Apparatus and method for linear lesion ablation
US5895417A (en) * 1996-03-06 1999-04-20 Cardiac Pathways Corporation Deflectable loop design for a linear lesion ablation apparatus
US6015407A (en) 1996-03-06 2000-01-18 Cardiac Pathways Corporation Combination linear ablation and cooled tip RF catheters
US5755760A (en) * 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
US5676692A (en) 1996-03-28 1997-10-14 Indianapolis Center For Advanced Research, Inc. Focussed ultrasound tissue treatment method
US6302880B1 (en) 1996-04-08 2001-10-16 Cardima, Inc. Linear ablation assembly
US5863291A (en) * 1996-04-08 1999-01-26 Cardima, Inc. Linear ablation assembly
US6063077A (en) 1996-04-08 2000-05-16 Cardima, Inc. Linear ablation device and assembly
US5738649A (en) 1996-04-16 1998-04-14 Cardeon Corporation Peripheral entry biventricular catheter system for providing access to the heart for cardiopulmonary surgery or for prolonged circulatory support of the heart
NL1003024C2 (en) 1996-05-03 1997-11-06 Tjong Hauw Sie Stimulus conduction blocking instrument.
US5800428A (en) 1996-05-16 1998-09-01 Angeion Corporation Linear catheter ablation system
AU2191697A (en) 1996-05-22 1997-12-09 Stuart D Edwards Apparatus and methods for ablating turbinates
US5730074A (en) * 1996-06-07 1998-03-24 Farmer Fabrications, Inc. Liquid dispenser for seed planter
US5776176A (en) 1996-06-17 1998-07-07 Urologix Inc. Microwave antenna for arterial for arterial microwave applicator
US5861021A (en) 1996-06-17 1999-01-19 Urologix Inc Microwave thermal therapy of cardiac tissue
US5882346A (en) * 1996-07-15 1999-03-16 Cardiac Pathways Corporation Shapable catheter using exchangeable core and method of use
US5720775A (en) * 1996-07-31 1998-02-24 Cordis Corporation Percutaneous atrial line ablation catheter
US5993447A (en) 1996-08-16 1999-11-30 United States Surgical Apparatus for thermal treatment of tissue
US5846218A (en) 1996-09-05 1998-12-08 Pharmasonics, Inc. Balloon catheters having ultrasonically driven interface surfaces and methods for their use
US5697928A (en) 1996-09-23 1997-12-16 Uab Research Foundation Cardic electrode catheter
US5891134A (en) * 1996-09-24 1999-04-06 Goble; Colin System and method for applying thermal energy to tissue
US6311692B1 (en) 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6840936B2 (en) 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US20040260278A1 (en) 1996-10-22 2004-12-23 Anderson Scott C. Apparatus and method for ablating tissue
US6805128B1 (en) 1996-10-22 2004-10-19 Epicor Medical, Inc. Apparatus and method for ablating tissue
US5893848A (en) * 1996-10-24 1999-04-13 Plc Medical Systems, Inc. Gauging system for monitoring channel depth in percutaneous endocardial revascularization
US5722403A (en) 1996-10-28 1998-03-03 Ep Technologies, Inc. Systems and methods using a porous electrode for ablating and visualizing interior tissue regions
US5785706A (en) 1996-11-18 1998-07-28 Daig Corporation Nonsurgical mapping and treatment of cardiac arrhythmia using a catheter contained within a guiding introducer containing openings
US5941893A (en) 1996-12-02 1999-08-24 Angiotrax, Inc. Apparatus for transluminally performing surgery
US5931810A (en) 1996-12-05 1999-08-03 Comedicus Incorporated Method for accessing the pericardial space
US6206004B1 (en) 1996-12-06 2001-03-27 Comedicus Incorporated Treatment method via the pericardial space
US5782828A (en) 1996-12-11 1998-07-21 Irvine Biomedical, Inc. Ablation catheter with multiple flexible curves
US6071279A (en) 1996-12-19 2000-06-06 Ep Technologies, Inc. Branched structures for supporting multiple electrode elements
US5871449A (en) * 1996-12-27 1999-02-16 Brown; David Lloyd Device and method for locating inflamed plaque in an artery
US5916213A (en) 1997-02-04 1999-06-29 Medtronic, Inc. Systems and methods for tissue mapping and ablation
US5844349A (en) 1997-02-11 1998-12-01 Tetrad Corporation Composite autoclavable ultrasonic transducers and methods of making
US5788636A (en) 1997-02-25 1998-08-04 Acuson Corporation Method and system for forming an ultrasound image of a tissue while simultaneously ablating the tissue
US5899898A (en) 1997-02-27 1999-05-04 Cryocath Technologies Inc. Cryosurgical linear ablation
WO1998037822A1 (en) 1997-02-27 1998-09-03 Cryocath Technologies Inc. Method and apparatus for linear ablation
US5897554A (en) * 1997-03-01 1999-04-27 Irvine Biomedical, Inc. Steerable catheter having a loop electrode
US5873845A (en) * 1997-03-17 1999-02-23 General Electric Company Ultrasound transducer with focused ultrasound refraction plate
WO1998042505A1 (en) 1997-03-21 1998-10-01 Electro-Science Laboratories, Inc. Silicon nitride coating compositions
US5954661A (en) 1997-03-31 1999-09-21 Thomas Jefferson University Tissue characterization and treatment using pacing
US5879295A (en) * 1997-04-02 1999-03-09 Medtronic, Inc. Enhanced contact steerable bowing electrode catheter assembly
US5968010A (en) 1997-04-30 1999-10-19 Beth Israel Deaconess Medical Center, Inc. Method for transvenously accessing the pericardial space via the right atrium
US5906580A (en) * 1997-05-05 1999-05-25 Creare Inc. Ultrasound system and method of administering ultrasound including a plurality of multi-layer transducer elements
US5971983A (en) 1997-05-09 1999-10-26 The Regents Of The University Of California Tissue ablation device and method of use
US6012457A (en) * 1997-07-08 2000-01-11 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
US5849028A (en) 1997-05-16 1998-12-15 Irvine Biomedical, Inc. Catheter and method for radiofrequency ablation of cardiac tissue
US6217576B1 (en) * 1997-05-19 2001-04-17 Irvine Biomedical Inc. Catheter probe for treating focal atrial fibrillation in pulmonary veins
US5876399A (en) * 1997-05-28 1999-03-02 Irvine Biomedical, Inc. Catheter system and methods thereof
EP0998248A4 (en) * 1997-06-13 2001-03-21 Arthrocare Corp Electrosurgical systems and methods for recanalization of occluded body lumens
US6117101A (en) * 1997-07-08 2000-09-12 The Regents Of The University Of California Circumferential ablation device assembly
ATE433306T1 (en) 1997-07-08 2009-06-15 Univ California DEVICE FOR CIRCUMFERENTIAL ABLATION
US6514249B1 (en) * 1997-07-08 2003-02-04 Atrionix, Inc. Positioning system and method for orienting an ablation element within a pulmonary vein ostium
US6245064B1 (en) 1997-07-08 2001-06-12 Atrionix, Inc. Circumferential ablation device assembly
US6164283A (en) 1997-07-08 2000-12-26 The Regents Of The University Of California Device and method for forming a circumferential conduction block in a pulmonary vein
AUPO820897A0 (en) 1997-07-24 1997-08-14 Cardiac Crc Nominees Pty Limited An intraoperative endocardial and epicardial ablation probe
AU732188B2 (en) 1997-08-13 2001-04-12 Surx, Inc. Noninvasive devices, methods, and systems for shrinking of tissues
US6139563A (en) 1997-09-25 2000-10-31 Allegiance Corporation Surgical device with malleable shaft
US20020013579A1 (en) 1997-10-03 2002-01-31 Thomas A. Silvestrini Rotating electrosurgical blade for corneal reshaping
US6120496A (en) 1998-05-05 2000-09-19 Scimed Life Systems, Inc. Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body and coupling device for use with same
US6610055B1 (en) 1997-10-10 2003-08-26 Scimed Life Systems, Inc. Surgical method for positioning a diagnostic or therapeutic element on the epicardium or other organ surface
US8709007B2 (en) * 1997-10-15 2014-04-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Devices and methods for ablating cardiac tissue
US6007499A (en) 1997-10-31 1999-12-28 University Of Washington Method and apparatus for medical procedures using high-intensity focused ultrasound
US6120500A (en) 1997-11-12 2000-09-19 Daig Corporation Rail catheter ablation and mapping system
US6917834B2 (en) 1997-12-03 2005-07-12 Boston Scientific Scimed, Inc. Devices and methods for creating lesions in endocardial and surrounding tissue to isolate focal arrhythmia substrates
US6270471B1 (en) 1997-12-23 2001-08-07 Misonix Incorporated Ultrasonic probe with isolated outer cannula
US6325798B1 (en) * 1998-02-19 2001-12-04 Curon Medical, Inc. Vacuum-assisted systems and methods for treating sphincters and adjoining tissue regions
US6142993A (en) 1998-02-27 2000-11-07 Ep Technologies, Inc. Collapsible spline structure using a balloon as an expanding actuator
WO1999049788A1 (en) 1998-03-30 1999-10-07 Focus Surgery, Inc. Ablation system
US6042580A (en) * 1998-05-05 2000-03-28 Cardiac Pacemakers, Inc. Electrode having composition-matched, common-lead thermocouple wire for providing multiple temperature-sensitive junctions
US6059778A (en) 1998-05-05 2000-05-09 Cardiac Pacemakers, Inc. RF ablation apparatus and method using unipolar and bipolar techniques
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
US6231518B1 (en) * 1998-05-26 2001-05-15 Comedicus Incorporated Intrapericardial electrophysiological procedures
US6186951B1 (en) 1998-05-26 2001-02-13 Riverside Research Institute Ultrasonic systems and methods for fluid perfusion and flow rate measurement
US6241727B1 (en) 1998-05-27 2001-06-05 Irvine Biomedical, Inc. Ablation catheter system having circular lesion capabilities
US6241722B1 (en) 1998-06-17 2001-06-05 Cryogen, Inc. Cryogenic device, system and method of using same
US6238393B1 (en) 1998-07-07 2001-05-29 Medtronic, Inc. Method and apparatus for creating a bi-polar virtual electrode used for the ablation of tissue
US6016811A (en) 1998-09-01 2000-01-25 Fidus Medical Technology Corporation Method of using a microwave ablation catheter with a loop configuration
US6251128B1 (en) 1998-09-01 2001-06-26 Fidus Medical Technology Corporation Microwave ablation catheter with loop configuration
US6042556A (en) * 1998-09-04 2000-03-28 University Of Washington Method for determining phase advancement of transducer elements in high intensity focused ultrasound
US6245065B1 (en) 1998-09-10 2001-06-12 Scimed Life Systems, Inc. Systems and methods for controlling power in an electrosurgical probe
US6385472B1 (en) * 1999-09-10 2002-05-07 Stereotaxis, Inc. Magnetically navigable telescoping catheter and method of navigating telescoping catheter
US6425867B1 (en) 1998-09-18 2002-07-30 University Of Washington Noise-free real time ultrasonic imaging of a treatment site undergoing high intensity focused ultrasound therapy
US6245062B1 (en) * 1998-10-23 2001-06-12 Afx, Inc. Directional reflector shield assembly for a microwave ablation instrument
US6296619B1 (en) 1998-12-30 2001-10-02 Pharmasonics, Inc. Therapeutic ultrasonic catheter for delivering a uniform energy dose
US6206831B1 (en) * 1999-01-06 2001-03-27 Scimed Life Systems, Inc. Ultrasound-guided ablation catheter and methods of use
US6423057B1 (en) 1999-01-25 2002-07-23 The Arizona Board Of Regents On Behalf Of The University Of Arizona Method and apparatus for monitoring and controlling tissue temperature and lesion formation in radio-frequency ablation procedures
US6461314B1 (en) 1999-02-02 2002-10-08 Transurgical, Inc. Intrabody hifu applicator
US6217528B1 (en) * 1999-02-11 2001-04-17 Scimed Life Systems, Inc. Loop structure having improved tissue contact capability
US6508774B1 (en) 1999-03-09 2003-01-21 Transurgical, Inc. Hifu applications with feedback control
US6492762B1 (en) 1999-03-22 2002-12-10 Transurgical, Inc. Ultrasonic transducer, transducer array, and fabrication method
US20010007070A1 (en) 1999-04-05 2001-07-05 Medtronic, Inc. Ablation catheter assembly and method for isolating a pulmonary vein
US6325797B1 (en) * 1999-04-05 2001-12-04 Medtronic, Inc. Ablation catheter and method for isolating a pulmonary vein
US6270476B1 (en) 1999-04-23 2001-08-07 Cryocath Technologies, Inc. Catheter
US6398792B1 (en) 1999-06-21 2002-06-04 O'connor Lawrence Angioplasty catheter with transducer using balloon for focusing of ultrasonic energy and method for use
US6235024B1 (en) 1999-06-21 2001-05-22 Hosheng Tu Catheters system having dual ablation capability
US6461356B1 (en) 1999-07-01 2002-10-08 C.R. Bard, Inc. Medical device having an incrementally displaceable electrode
US6290699B1 (en) 1999-07-07 2001-09-18 Uab Research Foundation Ablation tool for forming lesions in body tissue
US20070282324A1 (en) 1999-07-19 2007-12-06 Matthias Vaska Apparatus and method for diagnosis and therapy of electrophysiological disease
WO2001005306A1 (en) 1999-07-19 2001-01-25 Epicor, Inc. Apparatus and method for ablating tissue
US6287261B1 (en) 1999-07-21 2001-09-11 Scimed Life Systems, Inc. Focused ultrasound transducers and systems
US6371955B1 (en) * 1999-08-10 2002-04-16 Biosense Webster, Inc. Atrial branding iron catheter and a method for treating atrial fibrillation
US6332881B1 (en) 1999-09-01 2001-12-25 Cardima, Inc. Surgical ablation tool
US6607520B2 (en) * 1999-09-15 2003-08-19 The General Hospital Corporation Coiled ablation catheter system
US6368275B1 (en) * 1999-10-07 2002-04-09 Acuson Corporation Method and apparatus for diagnostic medical information gathering, hyperthermia treatment, or directed gene therapy
EP1227763A4 (en) 1999-10-18 2005-06-15 Focus Surgery Inc Split beam transducer
US6745080B2 (en) 1999-11-22 2004-06-01 Scimed Life Systems, Inc. Helical and pre-oriented loop structures for supporting diagnostic and therapeutic elements in contact with body tissue
US6645199B1 (en) 1999-11-22 2003-11-11 Scimed Life Systems, Inc. Loop structures for supporting diagnostic and therapeutic elements contact with body tissue and expandable push devices for use with same
AU2598201A (en) 1999-12-23 2001-07-03 Therus Corporation Ultrasound transducers for imaging and therapy
US6409720B1 (en) 2000-01-19 2002-06-25 Medtronic Xomed, Inc. Methods of tongue reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6413254B1 (en) 2000-01-19 2002-07-02 Medtronic Xomed, Inc. Method of tongue reduction by thermal ablation using high intensity focused ultrasound
US6692450B1 (en) 2000-01-19 2004-02-17 Medtronic Xomed, Inc. Focused ultrasound ablation devices having selectively actuatable ultrasound emitting elements and methods of using the same
US6361531B1 (en) * 2000-01-21 2002-03-26 Medtronic Xomed, Inc. Focused ultrasound ablation devices having malleable handle shafts and methods of using the same
US6663622B1 (en) 2000-02-11 2003-12-16 Iotek, Inc. Surgical devices and methods for use in tissue ablation procedures
WO2001070112A1 (en) 2000-03-20 2001-09-27 Pharmasonics, Inc. High output therapeutic ultrasound transducer
EP1267737B1 (en) 2000-03-24 2005-10-19 Boston Scientific Limited Loop structure for positioning a diagnostic or therapeutic element on the epicardium or other organ surface
AU2001245971A1 (en) 2000-03-24 2001-10-08 Transurgical, Inc. Apparatus and method for intrabody thermal treatment
US6419648B1 (en) 2000-04-21 2002-07-16 Insightec-Txsonics Ltd. Systems and methods for reducing secondary hot spots in a phased array focused ultrasound system
US6514250B1 (en) 2000-04-27 2003-02-04 Medtronic, Inc. Suction stabilized epicardial ablation devices
US6546935B2 (en) * 2000-04-27 2003-04-15 Atricure, Inc. Method for transmural ablation
AU2001257328A1 (en) 2000-04-28 2001-11-12 Focus Surgery, Inc. Ablation system with visualization
ATE427711T1 (en) * 2000-05-03 2009-04-15 Bard Inc C R DEVICE FOR IMAGING AND ABLATION IN ELECTROPHYSIOLOGICAL PROCEDURES
AU6682401A (en) * 2000-06-13 2001-12-24 Atrionix Inc Surgical ablation probe for forming a circumferential lesion
US6477396B1 (en) 2000-07-07 2002-11-05 Biosense Webster, Inc. Mapping and ablation catheter
WO2002005720A1 (en) 2000-07-13 2002-01-24 Transurgical, Inc. Energy application with inflatable annular lens
CA2415134C (en) 2000-07-13 2015-09-22 Transurgical, Inc. Thermal treatment methods and apparatus with focused energy application
US6811562B1 (en) 2000-07-31 2004-11-02 Epicor, Inc. Procedures for photodynamic cardiac ablation therapy and devices for those procedures
US6669692B1 (en) 2000-08-21 2003-12-30 Biosense Webster, Inc. Ablation catheter with cooled linear electrode
US6942661B2 (en) 2000-08-30 2005-09-13 Boston Scientific Scimed, Inc. Fluid cooled apparatus for supporting diagnostic and therapeutic elements in contact with tissue
US6436059B1 (en) 2000-09-12 2002-08-20 Claudio I. Zanelli Detection of imd contact and alignment based on changes in frequency response characteristics
JP2002093160A (en) * 2000-09-18 2002-03-29 Mitsubishi Electric Corp Semiconductor memory
EP1339311A4 (en) 2000-09-19 2008-04-30 Focus Surgery Inc Tissue treatment method and apparatus
US6641579B1 (en) 2000-09-29 2003-11-04 Spectrasonics Imaging, Inc. Apparatus and method for ablating cardiac tissue
US6926669B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Heart wall ablation/mapping catheter and method
WO2002040093A2 (en) 2000-11-17 2002-05-23 Gendel Limited Ablation of cells using combined electric field and ultrasound therapy
US20020087151A1 (en) 2000-12-29 2002-07-04 Afx, Inc. Tissue ablation apparatus with a sliding ablation instrument and method
US6575921B2 (en) * 2001-02-09 2003-06-10 Acorn Cardiovascular, Inc. Device for heart measurement
US6743225B2 (en) 2001-03-27 2004-06-01 Uab Research Foundation Electrophysiologic measure of endpoints for ablation lesions created in fibrillating substrates
US6771996B2 (en) * 2001-05-24 2004-08-03 Cardiac Pacemakers, Inc. Ablation and high-resolution mapping catheter system for pulmonary vein foci elimination
US6740080B2 (en) * 2001-08-31 2004-05-25 Cardiac Pacemakers, Inc. Ablation system with selectable current path means
US6767346B2 (en) 2001-09-20 2004-07-27 Endocare, Inc. Cryosurgical probe with bellows shaft
US7399300B2 (en) 2001-12-04 2008-07-15 Endoscopic Technologies, Inc. Cardiac ablation devices and methods
US6942662B2 (en) 2001-12-27 2005-09-13 Gyrus Group Plc Surgical Instrument
US20070293855A1 (en) * 2002-02-15 2007-12-20 Sliwa John W Jr Methods and devices for ablation
US7819860B2 (en) 2003-06-10 2010-10-26 Medtronic Cryocath Lp Surgical clamp having trasmurality assessment capabilities
US7494459B2 (en) 2003-06-26 2009-02-24 Biophan Technologies, Inc. Sensor-equipped and algorithm-controlled direct mechanical ventricular assist device
US7699845B2 (en) 2006-06-23 2010-04-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation device and method with connector
US20090192603A1 (en) * 2008-01-25 2009-07-30 Medtronic, Inc. Adjustable Sizer Devices for Minimally Invasive Cardiac Surgery
US8979882B2 (en) 2008-07-21 2015-03-17 Arstasis, Inc. Devices, methods, and kits for forming tracts in tissue

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6237605B1 (en) * 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US20020042610A1 (en) * 1996-10-22 2002-04-11 Epicor, Inc. Methods and devices for ablation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1542606A4 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8858552B2 (en) 2002-06-14 2014-10-14 Ncontact Surgical, Inc. Vacuum coagulation probes
US9308042B2 (en) 2002-06-14 2016-04-12 Ncontact Surgical, Inc. Vacuum coagulation probes
US8998900B2 (en) 2003-04-29 2015-04-07 Ncontact Surgical, Inc. Vacuum coagulation probes
US9439714B2 (en) 2003-04-29 2016-09-13 Atricure, Inc. Vacuum coagulation probes

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WO2004028233A2 (en) 2004-04-08
CA2499223A1 (en) 2004-04-08
EP1542606A4 (en) 2010-12-08
US7857811B2 (en) 2010-12-28
US7052493B2 (en) 2006-05-30
US20060184167A1 (en) 2006-08-17
US20080045936A1 (en) 2008-02-21
US9055959B2 (en) 2015-06-16
AU2003275243A1 (en) 2004-04-19
CA2499223C (en) 2013-06-18
US7824403B2 (en) 2010-11-02
US20090192506A9 (en) 2009-07-30
US20040054363A1 (en) 2004-03-18
US7824402B2 (en) 2010-11-02
AU2003275243C1 (en) 2010-01-21
AU2003275243B2 (en) 2009-04-02
US20060200119A1 (en) 2006-09-07
EP1542606A2 (en) 2005-06-22

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