91 results about "Ablative surgery" patented technology

A catheter system for controlled sympathectomy procedures is disclosed. A catheter system for controlled micro ablation procedures is disclosed. Methods for performing a controlled surgical procedure are disclosed. A system for performing controlled surgical procedures in a minimally invasive manner is disclosed.

A high and low temperature composite ablation surgery system, relating to the technical field of cryotherapy, used to improve the safety and effectiveness of therapy, and comprising a main unit (100) and a cryogenic-thermal ablation probe (200) connected to the main unit (100). The main unit (100) comprises a cold working medium supply system (300), a hot working medium supply system (400), and a working medium distribution system (500). The working medium distribution system (500) can respectively control the cold working medium supply system (300) to deliver a cold working medium to the cryogenic-thermal ablation probe (200) and control the hot working medium supply system (400) to deliver a hot working medium to the cryogenic-thermal ablation probe (200). Therefore, after low-temperature therapy is completed, a therapy area can be quickly rewarmed, thereby providing a basis for improving the safety, economy and convenience of the surgery.

The invention discloses a prostate ablation operation needle insertion position construction method and a navigation system, and the method employs a three-dimensional model constructed by an MRI image, and determines the position of a needle insertion point and the number of inserted needles according to the ratio of the longitudinal axis distance between cystamen and verufugu to the diameter of a cylinder of single ablation needle ablation. If the upper and lower diameters of the prostate lateral lobes of the horizontal section corresponding to a single needle insertion point are smaller than 4cm, one needle is inserted into the horizontal plane; if the upper diameter and the lower diameter are greater than or equal to 4cm, entering two stitches; if the maximum diameter of the prostate lateral lobe at a certain longitudinal axis position in the horizontal direction is larger than 1 cm, a needle inserting point is additionally added, and if the length of the part protruding to the middle lobe of the bladder is larger than 1 cm, the needle inserting point is additionally added. The needle inserting point is utilized to enter a surgical navigation system, and the operation is accurately carried out in a unified mode under the guidance of the navigation system. A good treatment effect can be achieved when the hot steam ablation needle is punctured into a hyperplastic prostate near the urethra through the needle insertion point for ablation, the needle insertion point is constructed on the coronal section to ensure the ablation range, and the surgical risk is reduced.

The invention provides a pulse ablation operation system for pulmonary arterial hypertension, which comprises an intravascular 3D (three-dimensional) ultrasonic imaging module, an ablation operation planning module and a pulse ablation module, virtual operation planning is performed through information interaction among the modules, and a high-precision and high-efficiency pulmonary arterial hypertension pulse ablation operation is completed; the operation method based on the system comprises the following steps: S1) importing an intravascular 3D ultrasonic image model; s2) acquiring image data of the pulmonary artery and adjacent tissues thereof; s3) based on the image data, calculating a pulmonary artery wall narrow area, determining a pulse ablation depth, and virtualizing an operation plan; s4) calculating the surgical path constraint and the stress condition of the blood vessel wall to assess the surgical risk; after the pulmonary artery stenosis is simulated to be improved, predicting blood flow improvement; the method has the advantages that systematic virtual operation planning is achieved, images are complete and clear, data are fed back in real time and can be adjusted, precision and efficiency are improved, surrounding tissue damage is avoided, and operation comfort is improved.

The invention discloses an endoscopic soft plasma radiofrequency ablation operation electrode tool bit, and relates to the technical field of minimally invasive medical equipment, the endoscopic soft plasma radiofrequency ablation operation electrode tool bit comprises an electrode assembly, an outer insulation sheath tube and a handle, the electrode assembly comprises an electrode holder, four mounting grooves are formed in the front end of the electrode holder in the circumferential direction of the electrode holder, and an electrode slice is fixedly mounted in each mounting groove; a conductive wire is fixedly arranged at the bottom of each electrode plate, a water outlet hole is formed in the center of the electrode holder in the length direction in a penetrating mode, a slidable cutting electrode is arranged in the water outlet hole, a water outlet gap is reserved between the cutting electrode and the electrode holder, and a ball head is arranged at the front end of the cutting electrode. The ball head is used for lifting tissue in the operation process, and a plurality of water inlets are formed in the rear end of the electrode holder in the circumferential direction. By means of the arranged electrode assembly, minimally invasive operation can be achieved through an endoscope channel under endoscope visibility, and vaporization, cutting, ablation shrinkage and hemostasis can be carried out on pathological tissue parts such as digestive tract mucosa, respiratory tract mucosa and polyp.

Techniques for catheter path planning for a cardiac ablation procedure to treat an arrhythmia of a patient are provided. One technique receives data that includes a three-dimensional (3D) image of the heart of the patient and an electrocardiogram collected from the patient and that includes a catheter specification. The technique applies a path planning system to the 3D image, a location (e.g., source location or target location), and the catheter specification to generate a candidate path from a starting point to a target point that is based on the location. The technique outputs an indication of the candidate path to help inform the ablation procedure to treat the arrhythmia of the patient.

The invention relates to the technical field of ablation path planning, in particular to a liver cancer thermal ablation path planning system based on deep reinforcement learning. The system comprises a target and dangerous area mask generation module, a pipeline distance field construction module, a thermal field prediction module, a breathing deformation prediction module, a multi-scale feature fusion module, a behavior preference reward module, a composite reward function module and a decision output module. Clinical pain points such as breathing interference, dangerous area avoidance and individualized adaptation are broken, the precision and safety of the liver cancer thermal ablation operation are improved, normal tissue damage and complications are reduced, intelligent decision support is provided for interventional therapy, and liver cancer minimally invasive therapy is promoted to be upgraded to precision and intelligence.

The invention discloses an efficient freezing radiofrequency ablation catheter and ablation system, and belongs to the technical field of freezing ablation, the efficient freezing radiofrequency ablation catheter comprises a needle head part, a catheter part, a handle part, a water injection connector part, a catheter extension tube part and a plug assembly; the needle head part is of a metal head structure, and the near end of the needle head part is connected with the inner and outer multilayer structures of the catheter part; the catheter part is of a multi-layer flexible tube structure and is used for connecting the handle part and the needle head part; the handle part is held by a user, the near end of the handle part is connected with the catheter extension tube part and the water injection joint part, and the far end of the handle part is connected with the catheter part; the water injection joint part is used as a water quantity control water inlet; the catheter extension tube part expands the use range; the plug assembly realizes plugging and fixation of a product. The flexible ablation catheter can be widely applied to natural orifice ablation operations and has the advantages of integration of cold and hot ablation design, diversity of ablation application range, high ablation efficiency and the like.

The utility model provides a supporting device, which is suitable for supporting tissues to be ablated in a specific chamber in an ablation operation, and comprises a supporting component capable of entering or moving out of the specific chamber under the driving of a driving device; under the condition that the supporting assembly enters the specific cavity, the space between the to-be-ablated tissue and the inner wall of the specific cavity can be at least partially filled with the supporting assembly, and then the to-be-ablated tissue is supported and the inner wall of the specific cavity is protected.

1. Name of the design product: Electrode ablation needle. 2. Use of the design product: For performing tumor ablation surgery. 3. Design key points of the design product: Lies in the shape. 4. Picture or photograph that best shows the design key points: Perspective view.

The invention provides an image assisting method and system, an electronic device, a storage medium and a program product, and belongs to the technical field of intelligent medicines.The method comprises the steps that an operation image is obtained based on a camera device on a hot steam ablation operation catheter; based on the parameters of the camera equipment, generating image coordinates and superposing the image coordinates on the surgical image; based on the image coordinates, determining a sheath tube moving distance of the hot steam ablation operation; under the condition that the movement distance of the sheathing canal reaches the target distance, a surgical operation prompt is initiated. According to the method, the camera device on the hot steam ablation operation catheter is used for obtaining the operation image, additional endoscope equipment is not needed, the sheath tube moving distance of the hot steam ablation operation is determined through the image coordinates overlapped on the operation image, and under the condition that the sheath tube moving distance reaches the target distance, the operation prompt is initiated; the defects that judgment of a doctor on the moving distance of the sheathing canal completely depends on visual estimation and operation hand feeling, standard operation is difficult to achieve, and the uniformity of the operation effect is affected are overcome.

Devices and methods can be used to treat heart conditions, hypertension, and other medical disorders. For example, devices and methods for treating atrial fibrillation by performing thoracic vein ablation procedures, including pulmonary vein myocardium ablation are described herein. In some embodiments, the ablation is performed in coordination with the delivery a pharmacological agent that can abate the formation of tissue stenosis or neointimal hyperplasia caused by the ablation.

The application discloses a robot special-shaped bending visual sheath and a surgical device, a sheath pipe (1) is arranged at one end of a transmission handle (8), a catheter channel is arranged in the sheath pipe (1); the transmission handle (8) comprises a first bevel gear (2) and a first bending mechanism; the first bevel gear (2) is sleeved on the sheath pipe (1) and is used for driving the sheath pipe (1) to rotate around a central axis, so that the catheter is rotated; the first bending mechanism comprises a second bevel gear (3), one end of the second bevel gear (3) is provided with a limiting groove used for connecting the first bevel gear (2), the limiting groove is used for limiting the radial movement of the second bevel gear (3), the second bevel gear (3) can rotate relative to the first bevel gear (2), a first traction wire connecting barrel is arranged on the inner wall of the second bevel gear (3) in a threaded mode, and the first traction wire connecting barrel is symmetrically provided with a first connecting hole and a second connecting hole at one end. The robot special-shaped bending visual sheath can realize precise bending, and the convenience and safety of ablation surgery are improved.

The present application provides a balloon, a balloon catheter, an ablation catheter, and a tubular ultrasonic focusing apparatus and method, which relate to the field of medical devices. An expanded state of the balloon comprises a first extension section, a lens section, and a second extension section. The lens section is disposed between the first extension section and the second extension section in an axial direction. The lens section comprises a converging structure made of an energy-permeable material, wherein the converging structure is configured to converge energy from the lens section to a target converging region. The balloon catheter comprises a balloon, an energy generator, a first axial fixing member, and a second axial fixing member. The energy generator is disposed in a hollow channel of the lens section, and the energy generator has a length corresponding to the lens section in an axial direction. When the balloon catheter provided in embodiments of the present application is applied to an ablation surgery, accurate focusing on a target ablation region can be achieved based on the lens section, and damage to surrounding tissues can be minimized while precisely targeting nerves in the target ablation region, thereby improving the effect of the ablation surgery. In addition, by means of a focusing / weak focusing region formed by an acoustic beam adjustment structure, the ablation depth and precision can be adjusted, and synchronous temperature rise in the target region is achieved. The balloon catheter has the advantages of uniform and consistent ablation effect and obvious distal boundary, and can achieve the precise ablation of renal artery branches and trunks, which ensures the thoroughness of ablation, reduces damage to surrounding normal tissues to the greatest extent, meets the clinical requirements of "ablation to completion", and improves the effectiveness and safety of treatment.

A system and method for enhancing visual accuracy comprising a computer processor and memory that executes software to capture the 3D map of the heart images, heart valves, and electro-anatomic data of the heart chambers, and project it into a 3D monitor instead of a 2D monitor, where in the displayed 3D map of the heart images, heart valves, heart chambers anatomy and catheters, is still rendered as a 2D map, which then can be visualized as a real 3D images and map by using / wearing special glasses (3D glasses) designed to view the 3D map of the heart chambers and catheters as 3D in real time.

A heat transfer device for circulating a heat transfer medium therein, and a method for protecting the esophagus and other areas of the body during ablation or thermogenic procedures performed nearby. The device typically includes an elongated outer shaft and an elongated inner shaft positioned within an outflow shaft. A distal end includes a fluid opening allowing fluid communication between the outer and inner shafts. A heat-insulating member, such as a sleeve, is positioned along a portion of the inner surface of the outer shaft, thereby defining the insulated and active heat transfer portions of the heat transfer device. The outer shaft may also include radiopaque or other imaging materials, enabling the device to be detected using imaging methods. During ablation procedures, cooling fluid circulates through the device to protect the esophagus from damage.

This invention relates to the field of medical technology and discloses a needle insertion guidance method, device, equipment, and storage medium. The needle insertion guidance method includes: importing medical image data; performing three-dimensional reconstruction based on the medical image data to obtain a three-dimensional model corresponding to the medical image data; planning the needle insertion path information of the electrode needle based on a virtual target location; generating a virtual reference plane where the limiting end of the electrode needle is located based on the needle insertion path information; obtaining the pose adjustment information of the robotic arm based on the needle insertion path information and the virtual reference plane; driving the robotic arm to adjust to the needle insertion pose based on the pose adjustment information, wherein the pinhole array plate at the end of the robotic arm corresponds to the virtual reference plane during the needle insertion pose; after the electrode needle is installed on the pinhole array plate and the limiting end abuts against the pinhole array plate, an ablation signal is transmitted to the electrode needle, causing the electrode needle to ablate the real target location. This invention reconstructs the needle insertion plane, enabling the robotic arm to accurately move to the needle insertion pose, improving the accuracy of needle insertion and the success rate of ablation surgery.

The embodiment of the invention provides an operation planning system and method, electronic equipment and a storage medium, two-dimensional image data and a three-dimensional model of a focus are acquired through an input module, and the three-dimensional model is constructed based on the two-dimensional image data; the display module displays the two-dimensional image data and the three-dimensional model; the processing module obtains an ablation needle drawn by a user in the two-dimensional image data, and determines an ablation area corresponding to each layer of two-dimensional image data and an ablation shape in the three-dimensional model when ablation is carried out based on the ablation needle; the display module displays the ablation shape in the three-dimensional model, a visual ablation range can be provided for a doctor, and therefore the doctor is assisted in making a decision of an ablation operation.

A timing system during an ablation procedure having a time to isolation includes an automated timer that receives a first time setting. The first time setting provides a maximum time that the ablation procedure can continue without reaching the time to isolation. A catheter system including the timing system can also include a control system that is configured to automatically stop the ablation procedure if the first time setting expires without reaching the time to isolation. The operator can input the first time setting via a graphical display of the catheter system. The automated timer can generate an expiration signal if the first time setting expires without reaching the time to isolation. The automated timer can further receive a second time setting from the operator that provides a maximum time that the ablation procedure can continue after reaching the time to isolation.

Systems and methods for ablating tissue within a vertebral body. A drill shaft is guided through an access cannula to form a tissue path. It is determined that a first mark or a second mark on the drill shaft overlaps with the cannula hub of the access cannula. The first and second marks may be of different colors. The colors are correlated with complementary marks associated with the first and second probes. Based on the correlation, through the access cannula, a first probe or a second probe is selected to be guided into the formed tissue path to ablate the tissue. The marks may be longitudinally positioned on the drill shaft such that they are recessed along one side surface of the drill shaft. The marks may be substantially coincident, or the length of the second mark may be greater than the length of the first mark.

The invention provides a balloon, a balloon catheter and an ablation catheter, and relates to the field of medical instruments. The expansion state of the balloon comprises a first extension section, a lens section and a second extension section; the lens section is arranged between the first extension section and the second extension section in the axial direction; the lens section comprises a converging structure made of an energy-permeable material; wherein the convergence structure is configured to converge energy from the lens section to a target convergence area. The balloon catheter comprises a balloon, an energy generator, a first axial fixing piece and a second axial fixing piece, the energy generator is arranged in the hollow channel of the lens section, and the energy generator has the length corresponding to the length of the lens section in the axial direction. The balloon catheter provided by the embodiment of the invention is applied to an ablation operation, accurate focusing of the target ablation area can be achieved based on the lens section, damage to surrounding tissues can be minimized while nerves in the target ablation area can be accurately targeted, and the effect of the ablation operation is improved.

The present invention relates to a radiofrequency ablation device, comprising a transmission tube and a plurality of ablation arms; the plurality of ablation arms are respectively connected to the transmission tube, the plurality of ablation arms are collectively ring-shaped, the plurality of ablation arms are respectively provided with ablation parts, the ablation parts are electrically connected to ablation wires, the ablation wires are passed through the ablation arms and the tube walls of the transmission tubes, and the ablation wires are used to connect radiofrequency equipment. The radiofrequency ablation device can guide the ablation segments of the plurality of transmission tubes to fit the pulmonary vein orifices during atrial fibrillation treatment surgery, so as to form a ring ablation, and the operation is simple and convenient, which can greatly shorten the ablation surgery time, is conducive to wide promotion, and meets the surgical needs of a large number of atrial fibrillation patients. In addition, in addition to isolating the pulmonary vein electrical signals, the radiofrequency ablation device can also make a certain degree of improvement to the autonomic nerve plexus outside the pulmonary vein orifices, thereby further improving the effectiveness of atrial fibrillation ablation surgery.

The utility model provides an inverted-V-shaped ablation catheter applied to a special part of a heart, and relates to the technical field of medical instruments. The inverted-V-shaped ablation catheter applied to the special part of the heart comprises a handle and a catheter body arranged on the handle, and the end, away from the handle, of the catheter body is a bent section; a first pull wire is arranged in the guide pipe, one end of the first pull wire is connected with the bent section, and the other end of the first pull wire penetrates through the handle; a second pull wire is arranged in the catheter, the bent section is provided with a bent part, a connecting point and a sliding hole, the connecting point is located between the bent part and the free end of the bent section, and the sliding hole is located between the bent part and the handle; one end of the second pull wire penetrates out of the sliding hole and is connected with the connecting point, and the other end of the second pull wire penetrates through the handle. According to the utility model, the head end of the ablation catheter can be bent into an inverted V shape, so that the head end of the ablation catheter can conveniently reach a special ablation target spot part, the arrival rate is improved, and the ablation operation effect is further improved.

A balloon catheter that has one or more ultrasonic transducers to map a body cavity and to measure thicknesses of walls in the body cavity during an ablation procedure. The balloon of the catheter is deployable through a lumen into the body cavity with a flexible printed circuit board that has a first side attached to the exterior wall of the inflatable balloon and a second side opposite the first side. There is also provided an ultrasonic transducer mounted on the first side of the flexible printed circuit board and encapsulated between the exterior wall of the balloon and the flexible printed circuit board. A method of making or using the balloon catheter is also provided.

A method is provided. The method includes receiving, by an optimization engine, inputs from previous ablation procedures. The method also includes training, by the optimization engine, a machine learning algorithm of the optimization engine to learn scenarios for the previous ablation procedures. The method also includes generating, by the optimization engine, ablation indices for the scenarios.

The application relates to the technical field of medical systems, in particular to an AI-assisted precise ablation operation robot, and the technical scheme acquires tissue information on a track, fluctuation characteristics of organs and path track information through a data acquisition terminal, analyzes ablation risks and tissue risks caused by the fluctuation characteristics of the organs on the path track and the tolerance characteristics of the tissue information, and evaluates the track risks by comprehensively analyzing the ablation risks and the tissue risks, so that the ablation path is optimized through multi-modal data fusion and dynamic risk evaluation, the damage risk to surrounding healthy tissues is reduced while ensuring sufficient coverage of a lesion, and the core innovation lies in layered quantification of ablation risks and tissue risks caused by organ fluctuation, so that safer and more precise ablation treatment is realized.

The invention relates to the technical field of medical instruments, in particular to a pulse ablation device which comprises a handle, a first supporting rod, a second supporting rod, an ablation positive electrode, an ablation negative electrode and a wiring terminal. When a pulsed electric field ablation operation is carried out, the handle is used for being grabbed by an operator, the first supporting rod can generate plastic deformation, the ablation positive electrode and the ablation negative electrode can synchronously move and rotate so as to adapt to tissues to be ablated in different directions and different angles, and the flexibility of the operation is improved. The pulse power supply supplies power to the ablation positive electrode and the ablation negative electrode, and the ablation positive electrode and the ablation negative electrode are used for generating a pulse electric field so as to ablate abnormal tissue. The liquid conducting medium in the conducting medium storage tank serves as a liquid conducting load, so that an electric field formed by the ablation positive electrode and the ablation negative electrode is always stable, even if the ablation positive electrode and / or the ablation negative electrode are / is in poor contact with the tissue to be ablated, the intensity of the pulsed electric field can still be guaranteed, and the ablation operation failure is avoided.

Systems, methods, and computer readable media for catheter-based birefringence mapping for ablation procedures are described herein. A system includes a catheter including an optical fiber coupled with a computing device including a processor that can use optical measurements, in particular birefringence measurements, to create a three-dimensional map showing optical properties of tissue, and a mapping system.

The invention relates to the technical field of medical systems, in particular to an AI-assisted precise ablation surgical robot, and adopts the technical scheme that tissue information on a trajectory, fluctuation characteristics of organs and path trajectory information are acquired through a data acquisition terminal; ablation risks and tissue risks caused by fluctuation characteristics of visceral organs on a path trajectory and tolerance characteristics of tissue information are analyzed, and meanwhile, trajectory risks are evaluated by integrating analysis results of the ablation risks and the tissue risks, so that the method has the advantages that an ablation path is optimized through multi-modal data fusion and dynamic risk evaluation, and the risk assessment efficiency is improved. The risk of injury to surrounding healthy tissues is reduced while full coverage of a focus is ensured, and the core innovation of the system is to quantify ablation danger and tissue danger caused by organ fluctuation in a layered manner, so that safer and more accurate ablation treatment is realized.

This application provides a system for performing radiofrequency ablation surgery, relating to the field of medical device technology. The system includes a puncture surgery navigation and positioning subsystem for puncture positioning and navigation, and a radiofrequency ablation device electrically connected to the puncture surgery navigation and positioning subsystem. The puncture surgery navigation and positioning subsystem includes a positioning manipulator with a restraint at its front end. The radiofrequency ablation device includes a radiofrequency electrode needle and a radiofrequency generator electrically connected to each other. The puncture surgery navigation and positioning subsystem is configured to send a first trigger signal to the radiofrequency generator when it detects that the radiofrequency electrode needle, inserted through the restraint, has reached the puncture target point. This causes the radiofrequency generator to output radiofrequency current through the radiofrequency electrode needle based on the first trigger signal, acting on the ablation target. This technical solution improves the overall efficiency of radiofrequency ablation surgery.