CA2467385A1 - Systeme et procede ameliores de positionnement de dispositifs medicaux implantables - Google Patents

Systeme et procede ameliores de positionnement de dispositifs medicaux implantables Download PDF

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Publication number
CA2467385A1
CA2467385A1 CA002467385A CA2467385A CA2467385A1 CA 2467385 A1 CA2467385 A1 CA 2467385A1 CA 002467385 A CA002467385 A CA 002467385A CA 2467385 A CA2467385 A CA 2467385A CA 2467385 A1 CA2467385 A1 CA 2467385A1
Authority
CA
Canada
Prior art keywords
lead
infrared light
catheter
elongated shaft
light
Prior art date
Legal status (The legal status 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 status listed.)
Abandoned
Application number
CA002467385A
Other languages
English (en)
Inventor
David L. Thompson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/087,949 external-priority patent/US20030092995A1/en
Application filed by Individual filed Critical Individual
Publication of CA2467385A1 publication Critical patent/CA2467385A1/fr
Abandoned legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3137—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N2001/0578—Anchoring means; Means for fixing the head inside the heart having means for removal or extraction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N2001/0585—Coronary sinus electrodes

Landscapes

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

Abstract

L'invention porte sur un dispositif et un procédé de déploiement d'un conducteur dans un passage tortueux tel que le ventricule gauche ou le réseau vasculaire du sinus coronarien. A cet effet on insère un cathéter muni de fibres optiques dans la vasculature du patient en s'aidant d'un fil guide ou équivalent. Les fibres optiques amènent de la lumière IR sur une tête optique située à l'extrémité distale du cathéter. La lumière réfléchie par le réseau vasculaire est recueillie puis transmise via les fibres optiques à une caméra IR qui prend les images. En variante, on peut placer un détecteur actif de pixels à l'extrémité distale du conducteur pour recueillir et transmettre les images à un dispositif d'affichage extérieur au patient. Une sélection adéquate le la longueur d'onde du dispositif IR permet de visualiser les objets à travers des fluides corporels opaques. Une autre exécution permet de visualiser un conducteur cardiaque en vue d'une extraction au laser, et encore une autre, de positionner correctement un cathéter d'ablation avant excitation.
CA002467385A 2002-02-28 2002-11-13 Systeme et procede ameliores de positionnement de dispositifs medicaux implantables Abandoned CA2467385A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/087,949 US20030092995A1 (en) 2001-11-13 2002-02-28 System and method of positioning implantable medical devices
US10/087,949 2002-02-28
PCT/US2002/036331 WO2003073942A2 (fr) 2002-02-28 2002-11-13 Systeme et procede ameliores de positionnement de dispositifs medicaux implantables

Publications (1)

Publication Number Publication Date
CA2467385A1 true CA2467385A1 (fr) 2003-09-12

Family

ID=27787582

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002467385A Abandoned CA2467385A1 (fr) 2002-02-28 2002-11-13 Systeme et procede ameliores de positionnement de dispositifs medicaux implantables

Country Status (4)

Country Link
EP (1) EP1511426A2 (fr)
JP (1) JP2005518861A (fr)
CA (1) CA2467385A1 (fr)
WO (1) WO2003073942A2 (fr)

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8956280B2 (en) 2002-05-30 2015-02-17 Intuitive Surgical Operations, Inc. Apparatus and methods for placing leads using direct visualization
AU2003240831A1 (en) 2002-05-30 2003-12-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and method for coronary sinus access
EP1827281A1 (fr) * 2004-11-17 2007-09-05 Biosense Webster, Inc. Appareil d'evaluation en temps reel de l'ablation d'un tissu
US20080015569A1 (en) 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US11478152B2 (en) 2005-02-02 2022-10-25 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US10064540B2 (en) 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US8221310B2 (en) 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
JP2010502313A (ja) 2006-09-01 2010-01-28 ボエッジ メディカル， インコーポレイテッド 心房細動の治療のための方法および装置
US20080097476A1 (en) 2006-09-01 2008-04-24 Voyage Medical, Inc. Precision control systems for tissue visualization and manipulation assemblies
US9226648B2 (en) 2006-12-21 2016-01-05 Intuitive Surgical Operations, Inc. Off-axis visualization systems
US8657805B2 (en) 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
US8357145B2 (en) 2007-11-12 2013-01-22 Boston Scientific Neuromodulation Corporation Implanting medical devices
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6243131B1 (en) 1991-05-13 2001-06-05 Interactive Pictures Corporation Method for directly scanning a rectilinear imaging element using a non-linear scan
US5246014A (en) 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
JPH11507251A (ja) 1995-06-07 1999-06-29 カーディマ・インコーポレイテッド 冠状静脈洞用のガイドカテーテル
DE69633411T2 (de) * 1995-10-13 2005-10-20 Transvascular, Inc., Menlo Park Verfahren und vorrichtung zur umgehung von arteriellen verengungen und/oder zur ausführung anderer transvaskularer eingriffe
US5851226A (en) 1996-10-22 1998-12-22 Medtronic, Inc. Temporary transvenous endocardial lead
GB9707414D0 (en) * 1997-04-11 1997-05-28 Imperial College Anatomical probe
US6006137A (en) 1998-03-06 1999-12-21 Medtronic, Inc. Method for single elecrode bi-atrial pacing
US5902331A (en) 1998-03-10 1999-05-11 Medtronic, Inc. Arrangement for implanting an endocardial cardiac lead
US6178346B1 (en) 1998-10-23 2001-01-23 David C. Amundson Infrared endoscopic imaging in a liquid with suspended particles: method and apparatus
US6204524B1 (en) 1999-07-14 2001-03-20 Micron Technology, Inc. CMOS imager with storage capacitor

Also Published As

Publication number Publication date
WO2003073942A3 (fr) 2005-01-13
JP2005518861A (ja) 2005-06-30
WO2003073942A2 (fr) 2003-09-12
EP1511426A2 (fr) 2005-03-09

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Legal Events

Date Code Title Description
FZDE Discontinued