CN111065350B - 可扭转的可操纵鞘管 - Google Patents

可扭转的可操纵鞘管 Download PDF

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Publication number
CN111065350B
CN111065350B CN201880058633.4A CN201880058633A CN111065350B CN 111065350 B CN111065350 B CN 111065350B CN 201880058633 A CN201880058633 A CN 201880058633A CN 111065350 B CN111065350 B CN 111065350B
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China
Prior art keywords
deflectable portion
steerable sheath
distal end
proximal end
liner
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CN201880058633.4A
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English (en)
Chinese (zh)
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CN111065350A (zh
Inventor
T·S·马拉斯
A·奥利韦留斯
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.)
St Jude Medical Cardiology Division Inc
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St Jude Medical Cardiology Division Inc
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Publication of CN111065350A publication Critical patent/CN111065350A/zh
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    • 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
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements 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
    • A61B5/6847—Arrangements 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
    • A61B5/6852—Catheters
    • A61B5/6855—Catheters with a distal curved tip
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0158—Tip steering devices with magnetic or electrical means, e.g. by using piezo materials, electroactive polymers, magnetic materials or by heating of shape memory materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00526—Methods of manufacturing
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • 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
    • A61M25/0009—Making of catheters or other medical or surgical tubes
    • A61M25/0012—Making of catheters or other medical or surgical tubes with embedded structures, e.g. coils, braids, meshes, strands or radiopaque coils

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Mechanical Engineering (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
CN201880058633.4A 2017-09-14 2018-09-13 可扭转的可操纵鞘管 Active CN111065350B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762558688P 2017-09-14 2017-09-14
US62/558688 2017-09-14
PCT/US2018/050850 WO2019055635A1 (en) 2017-09-14 2018-09-13 ORIENTABLE SHEATHES COULD BE SUBJECTED TO A COUPLE

Publications (2)

Publication Number Publication Date
CN111065350A CN111065350A (zh) 2020-04-24
CN111065350B true CN111065350B (zh) 2023-06-02

Family

ID=63714104

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880058633.4A Active CN111065350B (zh) 2017-09-14 2018-09-13 可扭转的可操纵鞘管

Country Status (5)

Country Link
US (2) US12472329B2 (https=)
EP (2) EP3658051B1 (https=)
JP (1) JP6994106B2 (https=)
CN (1) CN111065350B (https=)
WO (1) WO2019055635A1 (https=)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12263014B2 (en) 2020-08-18 2025-04-01 St. Jude Medical, Cardiology Division, Inc. High-density electrode catheters with magnetic position tracking
US12376901B2 (en) 2018-05-21 2025-08-05 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
US12465721B2 (en) 2017-11-28 2025-11-11 St. Jude Medical, Cardiology Division, Inc. Controllable expandable catheter
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US12575877B2 (en) 2018-04-05 2026-03-17 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
US12588851B2 (en) 2018-03-13 2026-03-31 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020203740A1 (ja) 2019-03-29 2020-10-08 東レ株式会社 カテーテルの製造方法及びその方法により製造されたカテーテル
US20220379079A1 (en) * 2019-11-05 2022-12-01 Biotronik Se & Co. Kg Catheter tube for a steerable catheter, and method for implanting an implantable medical device by means of a steerable catheter
WO2021195193A1 (en) * 2020-03-24 2021-09-30 Walzman Innovations, Llc Vessel access catheter
US12544540B2 (en) * 2020-06-25 2026-02-10 Greatbatch Ltd. Braid and pull wire containment ring for deflectable guiding catheter
CN111870342B (zh) * 2020-08-07 2024-10-25 西安交通大学医学院第一附属医院 一种用于胆道碎石的激光胆道镜系统
CN113018639B (zh) * 2021-03-05 2022-11-11 南京鼓楼医院 一种能缩口、可调弯的微导管制备工艺
US20240277971A1 (en) * 2021-06-10 2024-08-22 Daniel Ezra Walzman Arch fulcrum catheters
NL2035502B1 (en) * 2023-07-28 2025-02-11 Fortimedix Assets Ii B V Bendable tube with path length compensation of steering wires
CN121772887A (zh) * 2023-09-06 2026-03-31 美敦力公司 圆形电极阵列和形成圆形电极阵列的方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5836946A (en) * 1996-06-12 1998-11-17 The Spectranetics Corporation Catheter for delivery of electric energy and a process for manufacturing same
WO2002015972A2 (en) * 2000-08-21 2002-02-28 Counter Clockwise, Inc. Manipulatable delivery catheter for occlusive devices
JP2014501557A (ja) * 2010-11-23 2014-01-23 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 電気解剖学的システム画像形成素子を搭載した医療機器
CN107028656A (zh) * 2011-12-30 2017-08-11 韦伯斯特生物官能(以色列)有限公司 电生理导管

Family Cites Families (51)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1980002231A1 (en) * 1979-04-24 1980-10-30 J Donachy Long-life flexible electrode lead
US4484586A (en) * 1982-05-27 1984-11-27 Berkley & Company, Inc. Hollow conductive medical tubing
US4559951A (en) * 1982-11-29 1985-12-24 Cardiac Pacemakers, Inc. Catheter assembly
US5330520A (en) * 1986-05-15 1994-07-19 Telectronics Pacing Systems, Inc. Implantable electrode and sensor lead apparatus
US5417208A (en) * 1993-10-12 1995-05-23 Arrow International Investment Corp. Electrode-carrying catheter and method of making same
US6245068B1 (en) * 1994-08-08 2001-06-12 Scimed Life Systems, Inc. Resilient radiopaque electrophysiology electrodes and probes including the same
US6078830A (en) * 1997-10-01 2000-06-20 Ep Technologies, Inc. Molded catheter distal end assembly and process for the manufacture thereof
US20060074442A1 (en) 2000-04-06 2006-04-06 Revascular Therapeutics, Inc. Guidewire for crossing occlusions or stenoses
US7047082B1 (en) * 1999-09-16 2006-05-16 Micronet Medical, Inc. Neurostimulating lead
US7555349B2 (en) 2000-09-26 2009-06-30 Advanced Neuromodulation Systems, Inc. Lead body and method of lead body construction
US6920361B2 (en) * 2003-02-14 2005-07-19 Medtronic, Inc. Reverse wound electrodes
US7831311B2 (en) * 2004-10-21 2010-11-09 Medtronic, Inc. Reduced axial stiffness implantable medical lead
US7691095B2 (en) 2004-12-28 2010-04-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Bi-directional steerable catheter control handle
US7571010B2 (en) * 2005-05-06 2009-08-04 Cardiac Pacemakers, Inc. Cable electrode assembly for a lead terminal and method therefor
WO2006130056A1 (en) * 2005-05-31 2006-12-07 St. Jude Medical Ab Implantable lead
EP2001473A4 (en) * 2006-03-31 2012-12-26 Advanced Neuromodulation Sys SUBSEQUENT ELECTROSTIMULATION PIPES AND METHOD OF MANUFACTURING THEM
US20080091169A1 (en) 2006-05-16 2008-04-17 Wayne Heideman Steerable catheter using flat pull wires and having torque transfer layer made of braided flat wires
US20080234660A2 (en) 2006-05-16 2008-09-25 Sarah Cumming Steerable Catheter Using Flat Pull Wires and Method of Making Same
US20070270679A1 (en) * 2006-05-17 2007-11-22 Duy Nguyen Deflectable variable radius catheters
JP5568316B2 (ja) * 2007-03-19 2014-08-06 ボストン サイエンティフィック ニューロモデュレイション コーポレイション Ｍｒｉ／ｒｆ適合リード線、および関連のリード線を操作、作製する方法
US8756806B2 (en) * 2007-06-27 2014-06-24 Flip Technologies Limited Catheter and a method for producing a catheter
US7914515B2 (en) 2007-07-18 2011-03-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter and introducer catheter having torque transfer layer and method of manufacture
US8842953B2 (en) * 2007-12-06 2014-09-23 Koninklijke Philips N.V. Apparatus, method and computer program for applying energy to an object
US8431057B2 (en) * 2007-12-30 2013-04-30 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter shaft and method of its manufacture
US8647323B2 (en) * 2007-12-30 2014-02-11 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter shaft with multiple reinforcing layers and method of its manufacture
US11291503B2 (en) * 2008-10-21 2022-04-05 Microcube, Llc Microwave treatment devices and methods
US20140358140A1 (en) * 2008-10-21 2014-12-04 Microcube, Llc Microwave treatment devices and methods
US20110196464A1 (en) * 2010-02-09 2011-08-11 Leonard Pinchuk Pacemaker Lead and Method of Making Same
JP2011204986A (ja) 2010-03-26 2011-10-13 Showa Denko Kk ランプおよびランプの製造方法
JP6078471B2 (ja) * 2010-11-19 2017-02-08 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 直流組織治療のための不関電極を有する電極カテーテル機器
US8620399B2 (en) * 2010-12-30 2013-12-31 St. Jude Medical, Atrial Fibrillation Division, Inc. Deflectable medical devices and methods of manufacturing therefor
US9820811B2 (en) * 2011-08-26 2017-11-21 Symap Medical (Suzhou), Ltd System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same
US9393070B2 (en) * 2012-04-24 2016-07-19 Cibiem, Inc. Endovascular catheters and methods for carotid body ablation
US9717555B2 (en) * 2012-05-14 2017-08-01 Biosense Webster (Israel), Ltd. Catheter with helical end section for vessel ablation
US9949828B2 (en) * 2012-10-23 2018-04-24 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
WO2014066470A1 (en) * 2012-10-24 2014-05-01 Evergreen Medical Technologies, Inc. Flex circuit ribbon based elongated members and attachments
US10071222B2 (en) * 2013-03-16 2018-09-11 Clph, Llc Electrode catheters and methods for making them
WO2014153275A1 (en) * 2013-03-16 2014-09-25 Clph, Llc Steerable catheters and methods for making them
US10602947B2 (en) * 2013-04-11 2020-03-31 Biosense Webster (Israel), Ltd. High density electrode structure
EP2805683A3 (en) * 2013-05-21 2015-03-25 St. Jude Medical, Cardiology Division, Inc. Electrode assembly for catheter system
CN105263557B (zh) * 2013-06-07 2018-07-06 导管治疗有限公司 用于导管的电引线以及制造方法
US9913961B2 (en) * 2013-10-24 2018-03-13 St. Jude Medical, Cardiology Division, Inc. Flexible catheter shaft and method of manufacture
CA2930809A1 (en) * 2013-11-22 2015-05-28 Simon Fraser University Apparatus and methods for assisted breathing by transvascular nerve stimulation
WO2016099686A1 (en) * 2014-11-05 2016-06-23 Clph, Llc Catheter devices and methods for making them
CN107106838B (zh) * 2014-11-09 2020-12-25 森索医疗实验有限公司 电极引线
US11367947B2 (en) * 2015-03-16 2022-06-21 St. Jude Medical International Holding S.á r.l. Field concentrating antennas for magnetic position sensors
US10602983B2 (en) * 2015-05-08 2020-03-31 St. Jude Medical International Holding S.À R.L. Integrated sensors for medical devices and method of making integrated sensors for medical devices
US10130420B2 (en) * 2015-10-08 2018-11-20 Biosense Webster (Israel) Ltd. Catheter with membraned spines for pulmonary vein isolation
US20170106170A1 (en) * 2015-10-19 2017-04-20 Biocardia, Inc. Multi-Directional Steerable Catheter
US10945634B2 (en) * 2016-09-22 2021-03-16 Walter Kusumoto Modular electrophysiology mapping system and method
JP7329442B2 (ja) * 2017-01-19 2023-08-18 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド シースの可視化

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5836946A (en) * 1996-06-12 1998-11-17 The Spectranetics Corporation Catheter for delivery of electric energy and a process for manufacturing same
WO2002015972A2 (en) * 2000-08-21 2002-02-28 Counter Clockwise, Inc. Manipulatable delivery catheter for occlusive devices
JP2014501557A (ja) * 2010-11-23 2014-01-23 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 電気解剖学的システム画像形成素子を搭載した医療機器
CN107028656A (zh) * 2011-12-30 2017-08-11 韦伯斯特生物官能(以色列)有限公司 电生理导管

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12465721B2 (en) 2017-11-28 2025-11-11 St. Jude Medical, Cardiology Division, Inc. Controllable expandable catheter
US12588851B2 (en) 2018-03-13 2026-03-31 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter
US12575877B2 (en) 2018-04-05 2026-03-17 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
US12376901B2 (en) 2018-05-21 2025-08-05 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
US12263014B2 (en) 2020-08-18 2025-04-01 St. Jude Medical, Cardiology Division, Inc. High-density electrode catheters with magnetic position tracking
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider

Also Published As

Publication number Publication date
US20260041887A1 (en) 2026-02-12
JP2020534055A (ja) 2020-11-26
EP4344722A3 (en) 2024-06-19
EP3658051B1 (en) 2024-03-20
EP3658051A1 (en) 2020-06-03
CN111065350A (zh) 2020-04-24
US20210121663A1 (en) 2021-04-29
EP4344722A2 (en) 2024-04-03
JP6994106B2 (ja) 2022-01-14
WO2019055635A1 (en) 2019-03-21
US12472329B2 (en) 2025-11-18

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