JP2005523124A - 医療電気リードを静脈系内に送り込む方法及びシステム - Google Patents

医療電気リードを静脈系内に送り込む方法及びシステム Download PDF

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JP2005523124A
JP2005523124A JP2003587457A JP2003587457A JP2005523124A JP 2005523124 A JP2005523124 A JP 2005523124A JP 2003587457 A JP2003587457 A JP 2003587457A JP 2003587457 A JP2003587457 A JP 2003587457A JP 2005523124 A JP2005523124 A JP 2005523124A
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Prior art keywords
lead
guide wire
loading device
lumen
guidewire
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Pending
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JP2003587457A
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Japanese (ja)
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JP2005523124A5 (enExample
Inventor
ケリー，ジェイムズ・エフ
ヴォーン，ジェイムズ・エイチ
スピアー，スタントン・シー
ハイン，ダグラス・エス
ガーデスキー，ケニース・シー
ビョークルンド，ヴィッキー・エル
メレゴッティー，ペドロ・エイ
ソマー，ジョン・エル
マイヤー，ジョン・ジェイ
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メドトロニック・インコーポレーテッド
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Publication of JP2005523124A5 publication Critical patent/JP2005523124A5/ja
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    • 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
    • A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
    • 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
    • A61M25/0141—Tip steering devices having flexible regions as a result of using materials with different mechanical properties
    • A—HUMAN NECESSITIES
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    • 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
    • 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
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M25/0668—Guide tubes splittable, tear apart
    • 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
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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    • A61N1/02—Details
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    • A61N1/06—Electrodes for high-frequency therapy
    • A—HUMAN NECESSITIES
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    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
    • 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
    • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
    • A61M2025/0046—Coatings for improving slidability
    • A61M2025/0047—Coatings for improving slidability the inner layer having a higher lubricity
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/008—Strength or flexibility characteristics of the catheter tip
    • A61M2025/0081—Soft 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
    • A61M25/01—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
    • A61M2025/0161—Tip steering devices wherein the distal tips have two or more deflection regions
    • 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
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1079—Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
    • 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
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide wires
    • 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
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Electrotherapy Devices (AREA)
JP2003587457A 2002-04-24 2003-03-28 医療電気リードを静脈系内に送り込む方法及びシステム Pending JP2005523124A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/131,672 US6733500B2 (en) 2000-03-31 2002-04-24 Method and system for delivering a medical electrical lead within a venous system
PCT/US2003/009725 WO2003090832A1 (en) 2002-04-24 2003-03-28 Method and system for delivering a medical electrical lead within a venous system

Publications (2)

Publication Number Publication Date
JP2005523124A true JP2005523124A (ja) 2005-08-04
JP2005523124A5 JP2005523124A5 (enExample) 2009-05-28

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JP2003587457A Pending JP2005523124A (ja) 2002-04-24 2003-03-28 医療電気リードを静脈系内に送り込む方法及びシステム

Country Status (5)

Country Link
US (1) US6733500B2 (enExample)
EP (1) EP1499379A1 (enExample)
JP (1) JP2005523124A (enExample)
CA (1) CA2483158A1 (enExample)
WO (1) WO2003090832A1 (enExample)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009540959A (ja) * 2006-06-23 2009-11-26 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 イントロデューサ用トルク伝達手段および方法
JP2014513617A (ja) * 2011-04-01 2014-06-05 ファジェネシス リミテッド 多機能カテーテル
JP2014530912A (ja) * 2011-10-24 2014-11-20 エンドゥ ファーマシューティカルズ ソリューションズ インコーポレイティド 移植可能チザニジン組成物及びその治療方法
JP2017094200A (ja) * 2017-02-06 2017-06-01 住友ベークライト株式会社 医療機器の基端側構造体
JP2017159137A (ja) * 2017-06-21 2017-09-14 住友ベークライト株式会社 医療機器の基端側構造体

Families Citing this family (141)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7497844B2 (en) 2000-03-31 2009-03-03 Medtronic, Inc. System and method for positioning implantable medical devices within coronary veins
US7087064B1 (en) * 2002-10-15 2006-08-08 Advanced Cardiovascular Systems, Inc. Apparatuses and methods for heart valve repair
US7331972B1 (en) 2002-11-15 2008-02-19 Abbott Cardiovascular Systems Inc. Heart valve chord cutter
US7335213B1 (en) 2002-11-15 2008-02-26 Abbott Cardiovascular Systems Inc. Apparatus and methods for heart valve repair
US7404824B1 (en) 2002-11-15 2008-07-29 Advanced Cardiovascular Systems, Inc. Valve aptation assist device
US7981152B1 (en) 2004-12-10 2011-07-19 Advanced Cardiovascular Systems, Inc. Vascular delivery system for accessing and delivering devices into coronary sinus and other vascular sites
US9149602B2 (en) 2005-04-22 2015-10-06 Advanced Cardiovascular Systems, Inc. Dual needle delivery system
US8187324B2 (en) 2002-11-15 2012-05-29 Advanced Cardiovascular Systems, Inc. Telescoping apparatus for delivering and adjusting a medical device in a vessel
US7485143B2 (en) * 2002-11-15 2009-02-03 Abbott Cardiovascular Systems Inc. Apparatuses and methods for heart valve repair
US6928313B2 (en) * 2003-01-27 2005-08-09 Cardiac Pacemakers, Inc. System and method for accessing the coronary sinus to facilitate insertion of pacing leads
US7818053B2 (en) 2003-02-21 2010-10-19 Dtherapeutics, Llc Devices, systems and methods for plaque type determination
US10413211B2 (en) 2003-02-21 2019-09-17 3Dt Holdings, Llc Systems, devices, and methods for mapping organ profiles
US8632469B2 (en) * 2003-02-21 2014-01-21 3Dt Holdings, Llc Devices, systems, and methods for mapping organ profiles
US8078274B2 (en) 2003-02-21 2011-12-13 Dtherapeutics, Llc Device, system and method for measuring cross-sectional areas in luminal organs
US10172538B2 (en) 2003-02-21 2019-01-08 3Dt Holdings, Llc Body lumen junction localization
US8340779B2 (en) 2003-08-29 2012-12-25 Medtronic, Inc. Percutaneous flat lead introducer
US7818040B2 (en) * 2003-09-05 2010-10-19 Medtronic, Inc. Deflectable medical therapy delivery device having common lumen profile
US7998112B2 (en) * 2003-09-30 2011-08-16 Abbott Cardiovascular Systems Inc. Deflectable catheter assembly and method of making same
US20050177199A1 (en) * 2004-02-09 2005-08-11 Cardiac Pacemakers, Inc. PSA cable and connector for quadripolar lead terminal
EP1722711A4 (en) 2004-02-27 2009-12-02 Aortx Inc SYSTEMS AND METHOD FOR STORING ARTIFICIAL HEART FLAPS
US7678081B2 (en) * 2004-07-12 2010-03-16 Pacesetter, Inc. Methods and devices for transseptal access
US20060079787A1 (en) * 2004-09-30 2006-04-13 Whiting James S Transmembrane access systems and methods
US8029470B2 (en) * 2004-09-30 2011-10-04 Pacesetter, Inc. Transmembrane access systems and methods
US20070083168A1 (en) * 2004-09-30 2007-04-12 Whiting James S Transmembrane access systems and methods
US7945331B2 (en) * 2005-01-11 2011-05-17 Bradley D. Vilims Combination electrical stimulating and infusion medical device and method
EP1899007A1 (en) * 2005-05-03 2008-03-19 Paieon Inc. Method and apparatus for positioning a biventrivular pacemaker lead and electrode
US7753696B2 (en) * 2005-05-12 2010-07-13 Cardiac Pacemakers, Inc. Lead terminal multi-tool
US7792591B2 (en) * 2005-06-09 2010-09-07 Medtronic, Inc. Introducer for therapy delivery elements
US7983765B1 (en) 2005-08-19 2011-07-19 Pacesetter, Inc. Left chamber pressure sensor lead delivery system
US8784336B2 (en) 2005-08-24 2014-07-22 C. R. Bard, Inc. Stylet apparatuses and methods of manufacture
US20070079511A1 (en) * 2005-10-07 2007-04-12 Oscor Inc. Device for slitting an introducer for a pacemaker lead
US8090451B2 (en) * 2006-03-30 2012-01-03 Medtronic Inc. Transvenous active fixation lead system
US7901396B2 (en) * 2006-04-27 2011-03-08 Medtronic, Inc. Transvenous medical device delivery system
US8442656B2 (en) * 2006-06-02 2013-05-14 Cardiac Pacemakers, Inc. Cardiac lead having implantable stiffening structures for fixation
US8500799B2 (en) 2006-06-20 2013-08-06 Cardiacmd, Inc. Prosthetic heart valves, support structures and systems and methods for implanting same
US8068920B2 (en) * 2006-10-03 2011-11-29 Vincent A Gaudiani Transcoronary sinus pacing system, LV summit pacing, early mitral closure pacing, and methods therefor
WO2008045877A2 (en) * 2006-10-10 2008-04-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrode tip and ablation system
US8388546B2 (en) 2006-10-23 2013-03-05 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US7794407B2 (en) 2006-10-23 2010-09-14 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US9220837B2 (en) 2007-03-19 2015-12-29 Insuline Medical Ltd. Method and device for drug delivery
US8622991B2 (en) * 2007-03-19 2014-01-07 Insuline Medical Ltd. Method and device for drug delivery
CA2681398A1 (en) 2007-03-19 2008-09-25 Insuline Medical Ltd. Drug delivery device
US9399130B2 (en) 2007-04-25 2016-07-26 Medtronic, Inc. Cannula configured to deliver test stimulation
US9561053B2 (en) 2007-04-25 2017-02-07 Medtronic, Inc. Implant tool to facilitate medical device implantation
ES2651898T3 (es) 2007-11-26 2018-01-30 C.R. Bard Inc. Sistema integrado para la colocación intravascular de un catéter
US8781555B2 (en) 2007-11-26 2014-07-15 C. R. Bard, Inc. System for placement of a catheter including a signal-generating stylet
US10449330B2 (en) 2007-11-26 2019-10-22 C. R. Bard, Inc. Magnetic element-equipped needle assemblies
US9521961B2 (en) 2007-11-26 2016-12-20 C. R. Bard, Inc. Systems and methods for guiding a medical instrument
US9649048B2 (en) 2007-11-26 2017-05-16 C. R. Bard, Inc. Systems and methods for breaching a sterile field for intravascular placement of a catheter
US10751509B2 (en) 2007-11-26 2020-08-25 C. R. Bard, Inc. Iconic representations for guidance of an indwelling medical device
US10524691B2 (en) 2007-11-26 2020-01-07 C. R. Bard, Inc. Needle assembly including an aligned magnetic element
US8849382B2 (en) 2007-11-26 2014-09-30 C. R. Bard, Inc. Apparatus and display methods relating to intravascular placement of a catheter
US8409133B2 (en) 2007-12-18 2013-04-02 Insuline Medical Ltd. Drug delivery device with sensor for closed-loop operation
US7606609B2 (en) * 2007-12-21 2009-10-20 Irvine Biomedical, Inc. Devices and methods for cardiac mapping of an annular region
US9901714B2 (en) 2008-08-22 2018-02-27 C. R. Bard, Inc. Catheter assembly including ECG sensor and magnetic assemblies
US8437833B2 (en) 2008-10-07 2013-05-07 Bard Access Systems, Inc. Percutaneous magnetic gastrostomy
WO2010052579A2 (en) 2008-11-07 2010-05-14 Insuline Medical Ltd. Device and method for drug delivery
US20100152613A1 (en) * 2008-12-11 2010-06-17 Shawn Ryan Clip for handling an endoscopic device
US8480654B2 (en) * 2009-05-26 2013-07-09 Cook Medical Technologies Llc Catheter with expandable flow area
EP2440122B1 (en) 2009-06-12 2019-08-14 Bard Access Systems, Inc. Apparatus, computer-based data processing algorithm and computer storage medium for positioning an endovascular device in or near the heart
US9532724B2 (en) 2009-06-12 2017-01-03 Bard Access Systems, Inc. Apparatus and method for catheter navigation using endovascular energy mapping
CA2999625A1 (en) * 2009-07-17 2011-01-20 Medical Components, Inc. Guidewire and method of insertion of same
EP2464407A4 (en) 2009-08-10 2014-04-02 Bard Access Systems Inc DEVICES AND METHODS FOR ENDOVASCULAR ELECTROGRAPHY
AU2010300677B2 (en) 2009-09-29 2014-09-04 C.R. Bard, Inc. Stylets for use with apparatus for intravascular placement of a catheter
EP2531098B1 (en) 2010-02-02 2020-07-15 C.R. Bard, Inc. Apparatus and method for catheter navigation and tip location
EP2913000B1 (en) 2010-05-28 2020-02-12 C.R. Bard, Inc. Apparatus for use with needle insertion guidance system
EP2575611B1 (en) 2010-05-28 2021-03-03 C. R. Bard, Inc. Apparatus for use with needle insertion guidance system
EP2605699A4 (en) 2010-08-20 2015-01-07 Bard Inc C R ECG ASSISTED CATHETER END POSITIONING RECONFIRMATION
US8805519B2 (en) 2010-09-30 2014-08-12 Nevro Corporation Systems and methods for detecting intrathecal penetration
US8965482B2 (en) 2010-09-30 2015-02-24 Nevro Corporation Systems and methods for positioning implanted devices in a patient
US8801693B2 (en) 2010-10-29 2014-08-12 C. R. Bard, Inc. Bioimpedance-assisted placement of a medical device
US8560086B2 (en) 2010-12-02 2013-10-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter electrode assemblies and methods of construction therefor
KR102057430B1 (ko) 2011-07-06 2019-12-18 씨. 알. 바드, 인크. 삽입 유도 시스템을 위한 바늘 길이 결정 및 교정
US8945146B2 (en) 2011-10-24 2015-02-03 Medtronic, Inc. Delivery system assemblies and associated methods for implantable medical devices
US8721587B2 (en) 2011-11-17 2014-05-13 Medtronic, Inc. Delivery system assemblies and associated methods for implantable medical devices
US9216293B2 (en) 2011-11-17 2015-12-22 Medtronic, Inc. Delivery system assemblies for implantable medical devices
EP2790773B1 (en) 2012-01-25 2020-10-14 Nevro Corporation Lead anchor
US11759268B2 (en) 2012-04-05 2023-09-19 C. R. Bard, Inc. Apparatus and methods relating to intravascular positioning of distal end of catheter
US10159531B2 (en) 2012-04-05 2018-12-25 C. R. Bard, Inc. Apparatus and methods relating to intravascular positioning of distal end of catheter
EP3808259A1 (en) 2012-04-05 2021-04-21 Bard Access Systems, Inc. Devices and systems for navigation and positioning a central venous catheter within a patient
US9549666B2 (en) 2012-11-10 2017-01-24 Curvo Medical, Inc. Coaxial micro-endoscope
US9233225B2 (en) 2012-11-10 2016-01-12 Curvo Medical, Inc. Coaxial bi-directional catheter
US9308022B2 (en) 2012-12-10 2016-04-12 Nevro Corporation Lead insertion devices and associated systems and methods
US9339411B2 (en) * 2013-03-11 2016-05-17 Bayer Healthcare Llc Stabilized handle design
US20140330287A1 (en) 2013-05-06 2014-11-06 Medtronic, Inc. Devices and techniques for anchoring an implantable medical device
US10471267B2 (en) 2013-05-06 2019-11-12 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system including substernal lead
US9717923B2 (en) 2013-05-06 2017-08-01 Medtronic, Inc. Implantable medical device system having implantable cardioverter-defibrillator (ICD) system and substernal leadless pacing device
US10668270B2 (en) 2013-05-06 2020-06-02 Medtronic, Inc. Substernal leadless electrical stimulation system
US10933230B2 (en) 2013-05-06 2021-03-02 Medtronic, Inc. Systems and methods for implanting a medical electrical lead
US9220913B2 (en) 2013-05-06 2015-12-29 Medtronics, Inc. Multi-mode implantable medical device
US10556117B2 (en) 2013-05-06 2020-02-11 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system including substernal pacing lead
US9265935B2 (en) 2013-06-28 2016-02-23 Nevro Corporation Neurological stimulation lead anchors and associated systems and methods
US9526522B2 (en) 2013-09-27 2016-12-27 Medtronic, Inc. Interventional medical systems, tools, and assemblies
US10300286B2 (en) * 2013-09-27 2019-05-28 Medtronic, Inc. Tools and assemblies thereof for implantable medical devices
US10434307B2 (en) 2013-10-15 2019-10-08 Medtronic, Inc. Methods and devices for subcutaneous lead implantation
CN105848703B (zh) 2013-10-15 2019-10-18 科林达斯公司 引导导管控制柔性轨道
US10792490B2 (en) 2013-11-12 2020-10-06 Medtronic, Inc. Open channel implant tools and implant techniques utilizing such tools
US9610436B2 (en) 2013-11-12 2017-04-04 Medtronic, Inc. Implant tools with attachment feature and multi-positional sheath and implant techniques utilizing such tools
US9839372B2 (en) 2014-02-06 2017-12-12 C. R. Bard, Inc. Systems and methods for guidance and placement of an intravascular device
US9675798B2 (en) 2014-08-26 2017-06-13 Medtronic, Inc. Interventional medical systems, devices, and components thereof
US10478620B2 (en) 2014-08-26 2019-11-19 Medtronic, Inc. Interventional medical systems, devices, and methods of use
US9636505B2 (en) 2014-11-24 2017-05-02 AtaCor Medical, Inc. Cardiac pacing sensing and control
US10328268B2 (en) 2014-09-04 2019-06-25 AtaCor Medical, Inc. Cardiac pacing
CA2959173A1 (en) 2014-09-04 2016-03-10 AtaCor Medical, Inc. Cardiac pacing
US10743960B2 (en) 2014-09-04 2020-08-18 AtaCor Medical, Inc. Cardiac arrhythmia treatment devices and delivery
US9636512B2 (en) 2014-11-05 2017-05-02 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system having multiple common polarity extravascular defibrillation electrodes
GB2532044A (en) 2014-11-06 2016-05-11 Phagenesis Ltd Catheter for recovery of dysphagia
US11097109B2 (en) 2014-11-24 2021-08-24 AtaCor Medical, Inc. Cardiac pacing sensing and control
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
US10729456B2 (en) 2014-12-18 2020-08-04 Medtronic, Inc. Systems and methods for deploying an implantable medical electrical lead
US10973584B2 (en) 2015-01-19 2021-04-13 Bard Access Systems, Inc. Device and method for vascular access
US10349890B2 (en) 2015-06-26 2019-07-16 C. R. Bard, Inc. Connector interface for ECG-based catheter positioning system
EP4233767A3 (en) 2015-06-30 2023-09-06 Corindus, Inc. System for detecting a position of a guide catheter support
GB201513989D0 (en) 2015-08-07 2015-09-23 Phagenesis Ltd Method of diagnosis of dysphagia
US10328271B2 (en) 2015-11-12 2019-06-25 Medtronic, Inc. Implantable electrical stimulator with deflecting tip lead
GB2544780A (en) 2015-11-26 2017-05-31 Phagenesis Ltd Devices and methods for treatment of ventilator associated dysphagia
US11000207B2 (en) 2016-01-29 2021-05-11 C. R. Bard, Inc. Multiple coil system for tracking a medical device
US10143823B2 (en) 2016-04-29 2018-12-04 Medtronic, Inc. Interventional medical systems and improved assemblies thereof and associated methods of use
DE102016117014A1 (de) * 2016-09-09 2018-03-15 Andramed Gmbh Katheter-System
WO2018080470A1 (en) * 2016-10-26 2018-05-03 Medtronic, Inc. Interventional medical systems and catheters
WO2018098388A1 (en) 2016-11-23 2018-05-31 Innovations In Medicine, Llc System and method for deflection of a body lumen
EP3579914A4 (en) 2017-03-09 2020-11-25 Nevro Corp. PALLET BYPASSES AND SETTING TOOLS, AND ASSOCIATED SYSTEMS AND PROCESSES
CN108784763B (zh) 2017-10-10 2020-10-27 上海科赐医疗技术有限公司 弯曲囊导管牵开装置及其牵开方法
WO2019191423A1 (en) 2018-03-29 2019-10-03 Nevro Corp. Leads having sidewall openings, and associated systems and methods
CN112789081A (zh) * 2018-08-27 2021-05-11 百多力两合公司 用于植入医疗装置的输送系统
CN109045471B (zh) * 2018-09-04 2020-08-14 清华大学 载线器和载线器的使用方法
US11648397B1 (en) 2018-10-12 2023-05-16 Vincent Gaudiani Transcoronary sinus pacing of posteroseptal left ventricular base
US11577075B1 (en) 2018-10-12 2023-02-14 Vincent A. Gaudiani Transcoronary sinus pacing of his bundle
CN112867443B (zh) 2018-10-16 2024-04-26 巴德阿克塞斯系统股份有限公司 用于建立电连接的安全装备连接系统及其方法
EP3976167A1 (en) 2019-05-29 2022-04-06 Atacor Medical, Inc. Implantable electrical leads and associated delivery systems
CN110604873A (zh) * 2019-09-06 2019-12-24 无锡市人民医院 用于心脏传导束起搏的磁导航引导可撕开鞘管
US11666771B2 (en) 2020-05-29 2023-06-06 AtaCor Medical, Inc. Implantable electrical leads and associated delivery systems
CN111991674B (zh) * 2020-09-26 2024-03-26 龙德勇 一种肥厚梗阻性心肌病消融装置及方法
US11904109B2 (en) * 2020-10-30 2024-02-20 Biosense Webster (Israel) Ltd. Catheter introducer
WO2022098932A1 (en) 2020-11-09 2022-05-12 Agile Devices, Inc. Devices for steering catheters
US11744993B2 (en) 2021-07-19 2023-09-05 Innovations In Medicine, Llc System and method for deflection mechanism with expandable constraint
EP4436497A1 (en) 2021-11-24 2024-10-02 Atacor Medical, Inc. Implantable electrical leads and associated delivery and control systems
WO2024063875A1 (en) 2022-09-20 2024-03-28 Acharya Madan M Splittable delivery sheath
US20250010029A1 (en) * 2023-07-05 2025-01-09 Boston Scientific Scimed, Inc. Medical access cannulas and associated methods
WO2025027419A1 (en) * 2023-07-28 2025-02-06 Medtronic, Inc. Retainer and catheter system including same

Family Cites Families (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4215703A (en) 1978-08-29 1980-08-05 Willson James K V Variable stiffness guide wire
US4624266A (en) 1983-12-19 1986-11-25 Daig Corporation Introducer tool for screw-in lead
US4813434A (en) 1987-02-17 1989-03-21 Medtronic Versaflex, Inc. Steerable guidewire with deflectable tip
US4911148A (en) 1989-03-14 1990-03-27 Intramed Laboratories, Inc. Deflectable-end endoscope with detachable flexible shaft assembly
US5092834A (en) * 1990-10-12 1992-03-03 Omnitron International, Inc. Apparatus and method for the remote handling of highly radioactive sources in the treatment of cancer
US5454788A (en) 1991-04-24 1995-10-03 Baxter International Inc. Exchangeable integrated-wire balloon catheter
US5312355A (en) 1991-07-09 1994-05-17 H L Medical Inventions, Inc. Splittable hemostatic valve and sheath and the method for using the same
US5304131A (en) 1991-07-15 1994-04-19 Paskar Larry D Catheter
US5584803A (en) 1991-07-16 1996-12-17 Heartport, Inc. System for cardiac procedures
US5699796A (en) 1993-01-29 1997-12-23 Cardima, Inc. High resolution intravascular signal detection
US5509411A (en) 1993-01-29 1996-04-23 Cardima, Inc. Intravascular sensing device
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5368564A (en) 1992-12-23 1994-11-29 Angeion Corporation Steerable catheter
US5320613A (en) * 1993-01-06 1994-06-14 Scimed Life Systems, Inc. Medical lumen flushing and guide wire loading device and method
US5645082A (en) 1993-01-29 1997-07-08 Cardima, Inc. Intravascular method and system for treating arrhythmia
CN100512067C (zh) 1993-11-01 2009-07-08 艾利森电话股份有限公司 自动再发送请求
US5921924A (en) 1993-12-03 1999-07-13 Avitall; Boaz Mapping and ablation catheter system utilizing multiple control elements
US5456694A (en) 1994-05-13 1995-10-10 Stentco, Inc. Device for delivering and deploying intraluminal devices
US5882333A (en) 1994-05-13 1999-03-16 Cardima, Inc. Catheter with deflectable distal section
US5620417A (en) 1994-07-07 1997-04-15 Cardiovascular Imaging Systems Incorporated Rapid exchange delivery catheter
US5814029A (en) 1994-11-03 1998-09-29 Daig Corporation Guiding introducer system for use in ablation and mapping procedures in the left ventricle
US5782760A (en) 1995-05-23 1998-07-21 Cardima, Inc. Over-the-wire EP catheter
US6002956A (en) 1995-05-23 1999-12-14 Cardima, Inc. Method of treating using an over-the-wire EP catheter
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
US5658302A (en) 1995-06-07 1997-08-19 Baxter International Inc. Method and device for endoluminal disruption of venous valves
US5824031A (en) 1996-02-28 1998-10-20 Cardio Source Apparatus and method for deflecting a tip of a lead or catheter
US5863291A (en) 1996-04-08 1999-01-26 Cardima, Inc. Linear ablation assembly
ATE177958T1 (de) * 1996-04-18 1999-04-15 Schneider Europ Gmbh Einführungshilfe für führungsdraht
US5766152A (en) 1996-08-15 1998-06-16 Cardima, Inc. Intraluminal delivery of tissue lysing medium
US5931861A (en) 1997-04-25 1999-08-03 Medtronic, Inc. Medical lead adaptor having rotatable locking clip mechanism
US6144882A (en) 1997-07-17 2000-11-07 Medtronic, Inc. Medical electrical lead
US6159198A (en) 1998-07-16 2000-12-12 Medtronic, Inc. Introducer system
US6122552A (en) 1999-03-03 2000-09-19 Cardiac Pacemakers, Inc. Insertion apparatus for left ventricular access lead
US6405414B1 (en) * 1999-05-19 2002-06-18 Contech Packaging, Inc. Coiling clip and improved spiral wound dispenser
US6192280B1 (en) 1999-06-02 2001-02-20 Medtronic, Inc. Guidewire placed implantable lead with tip seal
FR2804608B1 (fr) * 2000-02-09 2003-02-14 Vygon Dispositif pour faciliter l'enfilage d'un tube catheter sur un guide et ensemble pour la mise en oeuvre de la technique de seldinger
FR2809016A1 (fr) * 2000-05-16 2001-11-23 Ela Medical Sa Necessaire de pose d'une sonde de stimulation d'une cavite cardiaque implantable dans le reseau coronarien

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009540959A (ja) * 2006-06-23 2009-11-26 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 イントロデューサ用トルク伝達手段および方法
JP2014513617A (ja) * 2011-04-01 2014-06-05 ファジェネシス リミテッド 多機能カテーテル
US10413358B2 (en) 2011-04-01 2019-09-17 Phagenesis Limited Multi-functional catheter
JP2014530912A (ja) * 2011-10-24 2014-11-20 エンドゥ ファーマシューティカルズ ソリューションズ インコーポレイティド 移植可能チザニジン組成物及びその治療方法
JP2017094200A (ja) * 2017-02-06 2017-06-01 住友ベークライト株式会社 医療機器の基端側構造体
JP2017159137A (ja) * 2017-06-21 2017-09-14 住友ベークライト株式会社 医療機器の基端側構造体

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