CL2022002219A1 - Un sistema de catéter multidireccional con punta de balón para realizar su detección y estimulación de haz - Google Patents

Un sistema de catéter multidireccional con punta de balón para realizar su detección y estimulación de haz

Info

Publication number
CL2022002219A1
CL2022002219A1 CL2022002219A CL2022002219A CL2022002219A1 CL 2022002219 A1 CL2022002219 A1 CL 2022002219A1 CL 2022002219 A CL2022002219 A CL 2022002219A CL 2022002219 A CL2022002219 A CL 2022002219A CL 2022002219 A1 CL2022002219 A1 CL 2022002219A1
Authority
CL
Chile
Prior art keywords
pacing
multidirectional
catheter system
conducting
procedural
Prior art date
Application number
CL2022002219A
Other languages
English (en)
Inventor
S Maini Brijeshwar
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 filed Critical
Publication of CL2022002219A1 publication Critical patent/CL2022002219A1/es

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/367Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/065Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6869Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/057Anchoring means; Means for fixing the head inside the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/0565Electrode heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/057Anchoring means; Means for fixing the head inside the heart
    • A61N1/0573Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Human Computer Interaction (AREA)
  • Electrotherapy Devices (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The adoption of His Bundle Pacing (HBP) has been hindered by the procedural difficulty of achieving good lead position without causing cardiac damage or perforation. The procedural success rates are much lower when compared to traditional right ventricle (RV) pacing procedures due to the difficulty in mapping the His potential with the exposed helix and maintaining position while the pacing helix is fixated. The use of multidirectional balloon tipped catheter system that includes a catheter body with curls and flexion points and anchor balloon mounted to a distal end of the catheter body increases positional precision and an improved procedural success rate when compared to the conventional system.
CL2022002219A 2020-02-18 2022-08-16 Un sistema de catéter multidireccional con punta de balón para realizar su detección y estimulación de haz CL2022002219A1 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US202062977973P 2020-02-18 2020-02-18

Publications (1)

Publication Number Publication Date
CL2022002219A1 true CL2022002219A1 (es) 2023-01-27

Family

ID=74856946

Family Applications (1)

Application Number Title Priority Date Filing Date
CL2022002219A CL2022002219A1 (es) 2020-02-18 2022-08-16 Un sistema de catéter multidireccional con punta de balón para realizar su detección y estimulación de haz

Country Status (10)

Country Link
US (1) US20210251553A1 (es)
EP (1) EP4106859A1 (es)
JP (1) JP2023514368A (es)
CN (1) CN115335112A (es)
AU (1) AU2021224126A1 (es)
BR (1) BR112022016280A2 (es)
CA (1) CA3168292A1 (es)
CL (1) CL2022002219A1 (es)
MX (1) MX2022010075A (es)
WO (1) WO2021167825A1 (es)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
WO2020251999A1 (en) 2019-06-11 2020-12-17 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
WO2021055572A1 (en) 2019-09-20 2021-03-25 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
EP4037585A1 (en) 2019-10-04 2022-08-10 Est End Medical, LLC Directional balloon transseptal insertion device for medical procedures with improved handle
WO2023235283A1 (en) * 2022-05-31 2023-12-07 Medtronic, Inc. Medical lead system

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU630604B2 (en) * 1988-03-29 1992-11-05 Nippon Zeon Co., Ltd. Temporary pacing catheter
US5431628A (en) * 1992-09-29 1995-07-11 Millar Instruments, Inc. Pressure-sensing diagnostic catheter
US6532378B2 (en) * 2000-01-14 2003-03-11 Ep Medsystems, Inc. Pulmonary artery catheter for left and right atrial recording
US7840261B2 (en) * 2002-06-05 2010-11-23 Biocardia, Inc. Catheter systems and methods for placing bi-ventricular pacing leads
US7035680B2 (en) * 2003-09-23 2006-04-25 Cardiac Pacemakers, Inc. Catheter lead placement system and method
US7998112B2 (en) * 2003-09-30 2011-08-16 Abbott Cardiovascular Systems Inc. Deflectable catheter assembly and method of making same
US8142470B2 (en) * 2005-12-01 2012-03-27 Atritech, Inc. Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
US20090076447A1 (en) * 2007-09-19 2009-03-19 Jack Casas Method and apparatus for conducting peripheral vascular disease procedures using a novel anchor balloon catheter
US20090259272A1 (en) * 2008-04-15 2009-10-15 Reddy G Shantanu Bundle of his stimulation system
US20090318749A1 (en) * 2008-06-19 2009-12-24 Craig Stolen Method and apparatus for pacing and intermittent ischemia
AU2011252976A1 (en) * 2010-05-12 2012-11-08 Shifamed Holdings, Llc Low profile electrode assembly
WO2014036317A2 (en) * 2012-08-30 2014-03-06 Cardiac Pacemakers, Inc. His bundle lead delivery system
US11185703B2 (en) * 2017-11-07 2021-11-30 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker for bundle of his pacing
US11413454B2 (en) * 2019-06-25 2022-08-16 St. Jude Medical, Cardiology Division, Inc. Delivery device having a deflectable and peelable mapping guide sheath for his bundle pacing

Also Published As

Publication number Publication date
MX2022010075A (es) 2022-09-02
JP2023514368A (ja) 2023-04-05
AU2021224126A1 (en) 2022-09-15
EP4106859A1 (en) 2022-12-28
CN115335112A (zh) 2022-11-11
CA3168292A1 (en) 2021-08-26
WO2021167825A1 (en) 2021-08-26
US20210251553A1 (en) 2021-08-19
BR112022016280A2 (pt) 2022-10-04

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