CA2749251C - Lead extraction methods and apparatus - Google Patents
Lead extraction methods and apparatus Download PDFInfo
- Publication number
- CA2749251C CA2749251C CA2749251A CA2749251A CA2749251C CA 2749251 C CA2749251 C CA 2749251C CA 2749251 A CA2749251 A CA 2749251A CA 2749251 A CA2749251 A CA 2749251A CA 2749251 C CA2749251 C CA 2749251C
- Authority
- CA
- Canada
- Prior art keywords
- lead
- component
- anchoring
- balloon
- expansion
- 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.)
- Expired - Fee Related
Links
- 238000000605 extraction Methods 0.000 title description 99
- 238000004873 anchoring Methods 0.000 claims abstract description 136
- 239000012530 fluid Substances 0.000 claims abstract description 73
- 230000033001 locomotion Effects 0.000 claims abstract description 28
- 230000007246 mechanism Effects 0.000 claims description 58
- 210000001519 tissue Anatomy 0.000 description 53
- 238000000034 method Methods 0.000 description 26
- 239000000463 material Substances 0.000 description 12
- 230000000694 effects Effects 0.000 description 8
- 239000003570 air Substances 0.000 description 5
- 239000007788 liquid Substances 0.000 description 5
- 238000002513 implantation Methods 0.000 description 4
- 229920001296 polysiloxane Polymers 0.000 description 4
- 239000007787 solid Substances 0.000 description 4
- 210000003462 vein Anatomy 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 239000006260 foam Substances 0.000 description 3
- 239000007789 gas Substances 0.000 description 3
- 210000002837 heart atrium Anatomy 0.000 description 3
- 230000000670 limiting effect Effects 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000033764 rhythmic process Effects 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 239000013013 elastic material Substances 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 210000004165 myocardium Anatomy 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 239000004677 Nylon Substances 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 206010058990 Venous occlusion Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 239000003989 dielectric material Substances 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 239000011261 inert gas Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000012977 invasive surgical procedure Methods 0.000 description 1
- WABPQHHGFIMREM-UHFFFAOYSA-N lead(0) Chemical compound [Pb] WABPQHHGFIMREM-UHFFFAOYSA-N 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 210000001321 subclavian vein Anatomy 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000000153 supplemental effect Effects 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
- A61B2017/00539—Surgical instruments, devices or methods pneumatically or hydraulically operated hydraulically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14417609P | 2009-01-13 | 2009-01-13 | |
| US61/144,176 | 2009-01-13 | ||
| PCT/IB2010/000206 WO2010082139A1 (en) | 2009-01-13 | 2010-01-13 | Lead extraction methods and apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2749251A1 CA2749251A1 (en) | 2010-07-22 |
| CA2749251C true CA2749251C (en) | 2018-07-03 |
Family
ID=42040349
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2749251A Expired - Fee Related CA2749251C (en) | 2009-01-13 | 2010-01-13 | Lead extraction methods and apparatus |
Country Status (10)
| Country | Link |
|---|---|
| US (3) | US9301773B2 (enExample) |
| EP (1) | EP2384153B1 (enExample) |
| JP (3) | JP5587910B2 (enExample) |
| CN (1) | CN102348422B (enExample) |
| AU (1) | AU2010205447B2 (enExample) |
| BR (1) | BRPI1006831A2 (enExample) |
| CA (1) | CA2749251C (enExample) |
| ES (1) | ES2546661T3 (enExample) |
| IL (1) | IL213963A (enExample) |
| WO (1) | WO2010082139A1 (enExample) |
Families Citing this family (43)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8961551B2 (en) | 2006-12-22 | 2015-02-24 | The Spectranetics Corporation | Retractable separating systems and methods |
| US9028520B2 (en) | 2006-12-22 | 2015-05-12 | The Spectranetics Corporation | Tissue separating systems and methods |
| WO2010082139A1 (en) * | 2009-01-13 | 2010-07-22 | Leadex Cardiac Ltd. | Lead extraction methods and apparatus |
| AU2012235868A1 (en) * | 2011-04-01 | 2013-05-09 | Leadex Cardiac Ltd. | Lead extraction methods and apparatus |
| EP2589348B1 (de) | 2011-11-03 | 2017-12-06 | VascoMed GmbH | Vorrichtung zur Explantation von Elektrodenleitungen |
| US9413896B2 (en) | 2012-09-14 | 2016-08-09 | The Spectranetics Corporation | Tissue slitting methods and systems |
| US9291663B2 (en) | 2013-03-13 | 2016-03-22 | The Spectranetics Corporation | Alarm for lead insulation abnormality |
| US9421035B2 (en) | 2013-03-13 | 2016-08-23 | The Spectranetics Corporation | Method for lead tip removal using a stabilization device |
| US9283040B2 (en) | 2013-03-13 | 2016-03-15 | The Spectranetics Corporation | Device and method of ablative cutting with helical tip |
| US10383691B2 (en) | 2013-03-13 | 2019-08-20 | The Spectranetics Corporation | Last catheter with helical internal lumen |
| US9456872B2 (en) | 2013-03-13 | 2016-10-04 | The Spectranetics Corporation | Laser ablation catheter |
| US9883885B2 (en) | 2013-03-13 | 2018-02-06 | The Spectranetics Corporation | System and method of ablative cutting and pulsed vacuum aspiration |
| US10835279B2 (en) | 2013-03-14 | 2020-11-17 | Spectranetics Llc | Distal end supported tissue slitting apparatus |
| EP2967634B1 (en) | 2013-03-15 | 2019-06-05 | The Spectranetics Corporation | Surgical instrument for removing an implanted object |
| US10136913B2 (en) | 2013-03-15 | 2018-11-27 | The Spectranetics Corporation | Multiple configuration surgical cutting device |
| US9980743B2 (en) | 2013-03-15 | 2018-05-29 | The Spectranetics Corporation | Medical device for removing an implanted object using laser cut hypotubes |
| US10448999B2 (en) | 2013-03-15 | 2019-10-22 | The Spectranetics Corporation | Surgical instrument for removing an implanted object |
| US9603618B2 (en) | 2013-03-15 | 2017-03-28 | The Spectranetics Corporation | Medical device for removing an implanted object |
| US9668765B2 (en) | 2013-03-15 | 2017-06-06 | The Spectranetics Corporation | Retractable blade for lead removal device |
| US10842532B2 (en) | 2013-03-15 | 2020-11-24 | Spectranetics Llc | Medical device for removing an implanted object |
| US10207105B2 (en) | 2013-08-25 | 2019-02-19 | Talpanetics bv | Extractor for removing a lead from a patient |
| US9889294B2 (en) | 2013-08-25 | 2018-02-13 | Talpanetics bv | Extractor for removing a lead from a patient |
| US10792490B2 (en) | 2013-11-12 | 2020-10-06 | Medtronic, Inc. | Open channel implant tools and implant techniques utilizing such tools |
| US12053203B2 (en) | 2014-03-03 | 2024-08-06 | Spectranetics, Llc | Multiple configuration surgical cutting device |
| US10405924B2 (en) | 2014-05-30 | 2019-09-10 | The Spectranetics Corporation | System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port |
| JP3194755U (ja) * | 2014-09-02 | 2014-12-11 | 嗣允 藤原 | ペースメーカーリード癒着剥離用シース |
| US11083491B2 (en) | 2014-12-09 | 2021-08-10 | Medtronic, Inc. | Extravascular implant tools utilizing a bore-in mechanism and implant techniques using such tools |
| US10349978B2 (en) * | 2014-12-18 | 2019-07-16 | Medtronic, Inc. | Open channel implant tool with additional lumen and implant techniques utilizing such tools |
| USD770616S1 (en) | 2015-02-20 | 2016-11-01 | The Spectranetics Corporation | Medical device handle |
| USD765243S1 (en) | 2015-02-20 | 2016-08-30 | The Spectranetics Corporation | Medical device handle |
| US20170105762A1 (en) * | 2015-10-15 | 2017-04-20 | Medtronic Advanced Energy Llc | Lead extraction |
| WO2017180465A1 (en) * | 2016-04-15 | 2017-10-19 | University Of Floriada Research Foundation, Inc. | Removing electrical leads attached to the body by natural tissue growth |
| US10952785B2 (en) | 2016-08-01 | 2021-03-23 | Medtronic Advanced Energy, Llc | Device for medical lead extraction |
| WO2018062387A1 (ja) * | 2016-09-30 | 2018-04-05 | テルモ株式会社 | 医療デバイスおよび処置方法 |
| CN109715297A (zh) | 2016-11-14 | 2019-05-03 | 美敦力先进能量有限公司 | 用于电外科工具的有色釉瓷组合物 |
| WO2019038773A1 (en) | 2017-08-25 | 2019-02-28 | Mdsg Innovation Ltd. | CARDIAC PROBE EXTRACTION DEVICE |
| EP3456379B1 (en) * | 2017-09-15 | 2020-03-11 | Sorin CRM SAS | Explantation assembly for retrieving intracorporeal autonomous capsules |
| CN113116483A (zh) * | 2019-12-30 | 2021-07-16 | 杭州诺茂医疗科技有限公司 | 取出装置 |
| IL274764B2 (en) * | 2020-05-19 | 2024-08-01 | Xtrac O S Ltd | Vibration system and device for extraction of a lead of a cardiac implantable electronic device |
| CN112729995B (zh) * | 2021-01-29 | 2023-09-22 | 徐州市检验检测中心 | 食品检验采样装置 |
| US20240122622A1 (en) * | 2021-03-11 | 2024-04-18 | Koninklijke Philips N.V. | Systems and apparatuses for non-invasive lead extraction tool with dual-action rotational and axial movement |
| WO2023212619A1 (en) * | 2022-04-27 | 2023-11-02 | Medtronic, Inc. | Material removal device for lead extraction preparation |
| KR102572259B1 (ko) * | 2023-03-02 | 2023-08-31 | 고무생 | 홀딩 컨트롤러 |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3763864A (en) * | 1971-10-29 | 1973-10-09 | G Dremann | Powered resectoscope |
| US4176662A (en) * | 1977-06-17 | 1979-12-04 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Apparatus for endoscopic examination |
| US4429720A (en) * | 1982-09-23 | 1984-02-07 | Beck Richard D | Apparatus for seeking out and repairing leaks in pipes |
| US4576162A (en) * | 1983-03-30 | 1986-03-18 | Mccorkle Charles E | Apparatus and method for separation of scar tissue in venous pathway |
| JPS63255168A (ja) | 1987-04-13 | 1988-10-21 | 株式会社ブリヂストン | 管外走行装置 |
| US4848168A (en) * | 1987-04-13 | 1989-07-18 | Bridgestone Corporation | Traveling device moving along elongated member |
| US5013310A (en) * | 1988-11-09 | 1991-05-07 | Cook Pacemaker Corporation | Method and apparatus for removing an implanted pacemaker lead |
| US5398670A (en) * | 1993-08-31 | 1995-03-21 | Ethicon, Inc. | Lumen traversing device |
| US5651781A (en) * | 1995-04-20 | 1997-07-29 | Grace-Wells Technology Partners No. 1, L.P. | Surgical cutting instrument |
| US6764441B2 (en) * | 2001-09-17 | 2004-07-20 | Case Western Reserve University | Peristaltically self-propelled endoscopic device |
| WO2005084563A1 (en) * | 2004-02-27 | 2005-09-15 | Cook Vascular Incorporated | Device for removing an elongated structure implanted in biological tissue |
| US20060184063A1 (en) * | 2005-02-15 | 2006-08-17 | Miller Michael E | Single motor handheld biopsy device |
| CA2604320C (en) * | 2005-04-15 | 2012-02-28 | Cook Vascular Incorporated | Lead extraction device |
| CA2618366C (en) * | 2005-08-11 | 2014-05-27 | Technion Research And Development Foundation Ltd. | Tip propelled device for motion through a passage |
| US9028520B2 (en) * | 2006-12-22 | 2015-05-12 | The Spectranetics Corporation | Tissue separating systems and methods |
| ATE472294T1 (de) * | 2007-05-09 | 2010-07-15 | Jaak Ph Janssens | Anordnung medizinischer werkzeuge |
| US20090030436A1 (en) * | 2007-07-27 | 2009-01-29 | Charles Steven T | Hydraulic acuation for microsurgical instruments |
| US8313493B2 (en) * | 2008-07-10 | 2012-11-20 | Cook Medical Technologies Llc | Hydraulic guidewire advancement system |
| WO2010082139A1 (en) * | 2009-01-13 | 2010-07-22 | Leadex Cardiac Ltd. | Lead extraction methods and apparatus |
-
2010
- 2010-01-13 WO PCT/IB2010/000206 patent/WO2010082139A1/en not_active Ceased
- 2010-01-13 US US12/686,572 patent/US9301773B2/en not_active Expired - Fee Related
- 2010-01-13 EP EP10705418.1A patent/EP2384153B1/en not_active Not-in-force
- 2010-01-13 JP JP2011544948A patent/JP5587910B2/ja not_active Expired - Fee Related
- 2010-01-13 AU AU2010205447A patent/AU2010205447B2/en not_active Ceased
- 2010-01-13 CA CA2749251A patent/CA2749251C/en not_active Expired - Fee Related
- 2010-01-13 CN CN201080011758.5A patent/CN102348422B/zh not_active Expired - Fee Related
- 2010-01-13 BR BRPI1006831A patent/BRPI1006831A2/pt not_active Application Discontinuation
- 2010-01-13 ES ES10705418.1T patent/ES2546661T3/es active Active
-
2011
- 2011-07-06 IL IL213963A patent/IL213963A/en not_active IP Right Cessation
-
2014
- 2014-07-24 JP JP2014151209A patent/JP5806371B2/ja not_active Expired - Fee Related
- 2014-07-24 JP JP2014150596A patent/JP2014237010A/ja active Pending
-
2015
- 2015-10-02 US US14/873,872 patent/US20160022302A1/en not_active Abandoned
-
2016
- 2016-09-12 US US15/262,793 patent/US20160374721A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| CA2749251A1 (en) | 2010-07-22 |
| CN102348422A (zh) | 2012-02-08 |
| US20160374721A1 (en) | 2016-12-29 |
| US9301773B2 (en) | 2016-04-05 |
| JP2012515011A (ja) | 2012-07-05 |
| JP2014237010A (ja) | 2014-12-18 |
| BRPI1006831A2 (pt) | 2016-04-12 |
| JP5587910B2 (ja) | 2014-09-10 |
| US20100198229A1 (en) | 2010-08-05 |
| CN102348422B (zh) | 2015-11-25 |
| IL213963A0 (en) | 2011-08-31 |
| JP5806371B2 (ja) | 2015-11-10 |
| EP2384153A1 (en) | 2011-11-09 |
| WO2010082139A1 (en) | 2010-07-22 |
| IL213963A (en) | 2015-04-30 |
| JP2014221411A (ja) | 2014-11-27 |
| EP2384153B1 (en) | 2015-06-03 |
| AU2010205447B2 (en) | 2015-07-30 |
| ES2546661T3 (es) | 2015-09-25 |
| US20160022302A1 (en) | 2016-01-28 |
| AU2010205447A1 (en) | 2011-07-28 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20150115 |
|
| MKLA | Lapsed |
Effective date: 20210831 |
|
| MKLA | Lapsed |
Effective date: 20200113 |