CN108472475A - 用于跨室间隔穿越的直接可视化装置、系统和方法 - Google Patents

用于跨室间隔穿越的直接可视化装置、系统和方法 Download PDF

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Publication number
CN108472475A
CN108472475A CN201680078802.1A CN201680078802A CN108472475A CN 108472475 A CN108472475 A CN 108472475A CN 201680078802 A CN201680078802 A CN 201680078802A CN 108472475 A CN108472475 A CN 108472475A
Authority
CN
China
Prior art keywords
balloon
distal end
direct visualization
lumen
outer member
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.)
Pending
Application number
CN201680078802.1A
Other languages
English (en)
Chinese (zh)
Inventor
本恩·霍里斯伯格
大卫·约翰·莱赫斯
小詹姆斯·K·卡沃斯拉
詹姆斯·A·卡罗斯
詹姆士·P·罗尔
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.)
Mayo Foundation for Medical Education and Research
Boston Scientific Scimed Inc
Original Assignee
Mayo Foundation for Medical Education and Research
Scimed Life Systems Inc
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 Mayo Foundation for Medical Education and Research, Scimed Life Systems Inc filed Critical Mayo Foundation for Medical Education and Research
Publication of CN108472475A publication Critical patent/CN108472475A/zh
Pending 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00148—Holding or positioning arrangements using anchoring means
    • 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
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • 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
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A61B1/00167—Details of optical fibre bundles, e.g. shape or fibre distribution
    • 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • 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
    • A61B1/012—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 characterised by internal passages or accessories therefor
    • A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A61B1/042—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 combined with photographic or television appliances characterised by a proximal camera, e.g. a CCD camera
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A61B1/07—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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • 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
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1006—Balloons formed between concentric tubes

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
CN201680078802.1A 2015-11-13 2016-11-11 用于跨室间隔穿越的直接可视化装置、系统和方法 Pending CN108472475A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562255008P 2015-11-13 2015-11-13
US62/255,008 2015-11-13
PCT/US2016/061714 WO2017083785A1 (en) 2015-11-13 2016-11-11 Direct visualization devices, systems, and methods for transseptal crossing

Publications (1)

Publication Number Publication Date
CN108472475A true CN108472475A (zh) 2018-08-31

Family

ID=57421963

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201680078802.1A Pending CN108472475A (zh) 2015-11-13 2016-11-11 用于跨室间隔穿越的直接可视化装置、系统和方法

Country Status (5)

Country Link
US (1) US20170135559A1 (enExample)
EP (1) EP3374017A1 (enExample)
JP (2) JP6750013B2 (enExample)
CN (1) CN108472475A (enExample)
WO (1) WO2017083785A1 (enExample)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114269270A (zh) * 2019-06-11 2022-04-01 东端医疗有限公司 具有穿刺构件球囊密封的改进的经间隔穿刺系统的用于医疗手术的定向球囊经间隔插入装置
US11419633B2 (en) * 2010-04-23 2022-08-23 Mark D. Wieczorek, PC Transseptal access device and method of use
CN119258372A (zh) * 2024-10-24 2025-01-07 玮铭医疗器械(上海)有限公司 一种颅内球囊抽吸导管

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AU2012312066C1 (en) 2011-09-22 2016-06-16 460Medical, Inc. Systems and methods for visualizing ablated tissue
US9014789B2 (en) 2011-09-22 2015-04-21 The George Washington University Systems and methods for visualizing ablated tissue
WO2015073871A2 (en) 2013-11-14 2015-05-21 The George Washington University Systems and methods for determining lesion depth using fluorescence imaging
JP2017500550A (ja) 2013-11-20 2017-01-05 ザ・ジョージ・ワシントン・ユニバーシティＴｈｅ Ｇｅｏｒｇｅ Ｗａｓｈｉｎｇｔｏｎｕｎｉｖｅｒｓｉｔｙ 心臓組織のハイパースペクトル分析のためのシステム及び方法
EP3215002B1 (en) 2014-11-03 2024-03-20 The George Washington University Systems for lesion assessment
US10143517B2 (en) 2014-11-03 2018-12-04 LuxCath, LLC Systems and methods for assessment of contact quality
EP3223735A4 (en) * 2014-11-25 2018-07-11 Luxcath, LLC Visualization catheters
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
EP3389468B1 (en) 2015-12-18 2023-06-28 Boston Scientific Scimed, Inc. Radially-directed balloon visualization device
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
BR112020001561A2 (pt) * 2017-07-28 2020-07-21 East End Medical Llc. dispositivo de inserção transeptal com balão direcional para procedimentos médicos
CN113692257A (zh) * 2019-03-20 2021-11-23 东区医疗有限公司 用于医疗程序的定向球囊经房间隔插入装置
WO2020247945A1 (en) * 2019-06-07 2020-12-10 Vivid Medical, Inc. Deployable balloon illumination for endoscopy
EP4031011A1 (en) 2019-09-20 2022-07-27 East End Medical LLC Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
BR112022006103A2 (pt) 2019-10-04 2022-06-21 East End Medical Llc Dispositivo de inserção transeptal de balão direcional para procedimentos médicos com manípulo aprimorado
WO2021142368A1 (en) 2020-01-08 2021-07-15 460Medical, Inc. Systems and methods for optical interrogation of ablation lesions
JP2023515798A (ja) 2020-02-18 2023-04-14 イースト エンド メディカル エルエルシー 血管手術の為の偏向可能な固定バルーンカテーテル
US20210353356A1 (en) 2020-05-14 2021-11-18 Singlepass Transsepat, Inc. Tubular large bore transseptal crossing sheath
EP4203828A4 (en) 2020-08-25 2024-09-18 Cross Vascular, Inc. TRANSSEPTAL CROSSING SYSTEM

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US4961738A (en) * 1987-01-28 1990-10-09 Mackin Robert A Angioplasty catheter with illumination and visualization within angioplasty balloon
CN1798519A (zh) * 2003-05-30 2006-07-05 奥林巴斯株式会社 内窥镜和内窥镜顶端形成部件
US20070149995A1 (en) * 2005-12-01 2007-06-28 Chris Quinn Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
JP2009539575A (ja) * 2006-06-14 2009-11-19 ボエッジ メディカル， インコーポレイテッド 経中隔アクセスのための可視化装置および方法
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall
US20130245371A1 (en) * 2002-05-30 2013-09-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and methods for coronary sinus access

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US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
US5569183A (en) * 1994-06-01 1996-10-29 Archimedes Surgical, Inc. Method for performing surgery around a viewing space in the interior of the body
US6697677B2 (en) * 2000-12-28 2004-02-24 Medtronic, Inc. System and method for placing a medical electrical lead
EP1585572A4 (en) * 2002-09-20 2010-02-24 Flowmedica Inc METHOD AND APPARATUS FOR ADMINISTERING INTRA-AORTIC SUBSTANCE TO A BRANCHED VESSEL
JP2005013708A (ja) * 2003-05-30 2005-01-20 Olympus Corp 内視鏡及びその組立方法
JP4884046B2 (ja) * 2006-03-22 2012-02-22 富士フイルム株式会社 超音波内視鏡
WO2008121888A1 (en) * 2007-03-30 2008-10-09 Onset Medical Corporation Expandable trans-septal sheath
JP5322761B2 (ja) * 2009-04-28 2013-10-23 オリンパス株式会社 内視鏡用アダプタ
JP5604247B2 (ja) * 2010-09-28 2014-10-08 富士フイルム株式会社 内視鏡装置

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4961738A (en) * 1987-01-28 1990-10-09 Mackin Robert A Angioplasty catheter with illumination and visualization within angioplasty balloon
US20130245371A1 (en) * 2002-05-30 2013-09-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and methods for coronary sinus access
CN1798519A (zh) * 2003-05-30 2006-07-05 奥林巴斯株式会社 内窥镜和内窥镜顶端形成部件
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall
US20070149995A1 (en) * 2005-12-01 2007-06-28 Chris Quinn Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
JP2009539575A (ja) * 2006-06-14 2009-11-19 ボエッジ メディカル， インコーポレイテッド 経中隔アクセスのための可視化装置および方法

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11419633B2 (en) * 2010-04-23 2022-08-23 Mark D. Wieczorek, PC Transseptal access device and method of use
CN114269270A (zh) * 2019-06-11 2022-04-01 东端医疗有限公司 具有穿刺构件球囊密封的改进的经间隔穿刺系统的用于医疗手术的定向球囊经间隔插入装置
CN119258372A (zh) * 2024-10-24 2025-01-07 玮铭医疗器械(上海)有限公司 一种颅内球囊抽吸导管
CN119258372B (zh) * 2024-10-24 2025-05-16 玮铭医疗器械(上海)有限公司 一种颅内球囊抽吸导管

Also Published As

Publication number Publication date
JP6750013B2 (ja) 2020-09-02
US20170135559A1 (en) 2017-05-18
WO2017083785A1 (en) 2017-05-18
JP2020121133A (ja) 2020-08-13
JP2018538035A (ja) 2018-12-27
EP3374017A1 (en) 2018-09-19

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SE01 Entry into force of request for substantive examination
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RJ01 Rejection of invention patent application after publication

Application publication date: 20180831

RJ01 Rejection of invention patent application after publication