JP4005632B2 - 心膜空隙に接近するための装置 - Google Patents
心膜空隙に接近するための装置 Download PDFInfo
- Publication number
- JP4005632B2 JP4005632B2 JP50229697A JP50229697A JP4005632B2 JP 4005632 B2 JP4005632 B2 JP 4005632B2 JP 50229697 A JP50229697 A JP 50229697A JP 50229697 A JP50229697 A JP 50229697A JP 4005632 B2 JP4005632 B2 JP 4005632B2
- Authority
- JP
- Japan
- Prior art keywords
- tubular member
- elongate tubular
- pericardial
- distal
- outer elongate
- 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
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
-
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/77—Suction-irrigation 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
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
-
- 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
- A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
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- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
- A61B2017/3488—Fixation to inner organ or inner body tissue
-
- 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
- A61B2018/00392—Transmyocardial revascularisation
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Pulmonology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Cardiology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/484,299 US5827216A (en) | 1995-06-07 | 1995-06-07 | Method and apparatus for accessing the pericardial space |
| US08/484,299 | 1995-06-07 | ||
| PCT/US1996/010442 WO1996040368A1 (en) | 1995-06-07 | 1996-06-07 | Method and apparatus for accessing the pericardial space |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2001506869A JP2001506869A (ja) | 2001-05-29 |
| JP2001506869A5 JP2001506869A5 (enExample) | 2004-07-29 |
| JP4005632B2 true JP4005632B2 (ja) | 2007-11-07 |
Family
ID=23923575
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP50229697A Expired - Fee Related JP4005632B2 (ja) | 1995-06-07 | 1996-06-07 | 心膜空隙に接近するための装置 |
Country Status (6)
| Country | Link |
|---|---|
| US (3) | US5827216A (enExample) |
| EP (1) | EP0956094A4 (enExample) |
| JP (1) | JP4005632B2 (enExample) |
| AU (1) | AU6179996A (enExample) |
| CA (1) | CA2223954C (enExample) |
| WO (1) | WO1996040368A1 (enExample) |
Families Citing this family (402)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6161543A (en) | 1993-02-22 | 2000-12-19 | Epicor, Inc. | Methods of epicardial ablation for creating a lesion around the pulmonary veins |
| US6409722B1 (en) | 1998-07-07 | 2002-06-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
| US5897553A (en) | 1995-11-02 | 1999-04-27 | Medtronic, Inc. | Ball point fluid-assisted electrocautery device |
| US5904697A (en) | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
| US5827216A (en) * | 1995-06-07 | 1998-10-27 | Cormedics Corp. | Method and apparatus for accessing the pericardial space |
| US7445594B1 (en) | 1995-09-20 | 2008-11-04 | Medtronic, Inc. | Method and apparatus for temporarily immobilizing a local area of tissue |
| US5836311A (en) | 1995-09-20 | 1998-11-17 | Medtronic, Inc. | Method and apparatus for temporarily immobilizing a local area of tissue |
| NL1003024C2 (nl) | 1996-05-03 | 1997-11-06 | Tjong Hauw Sie | Prikkelgeleidingsblokkeringsinstrument. |
| US6719755B2 (en) | 1996-10-22 | 2004-04-13 | Epicor Medical, Inc. | Methods and devices for ablation |
| US6840936B2 (en) | 1996-10-22 | 2005-01-11 | Epicor Medical, Inc. | Methods and devices for ablation |
| US6311692B1 (en) | 1996-10-22 | 2001-11-06 | Epicor, Inc. | Apparatus and method for diagnosis and therapy of electrophysiological disease |
| US6237605B1 (en) | 1996-10-22 | 2001-05-29 | Epicor, Inc. | Methods of epicardial ablation |
| US6805128B1 (en) | 1996-10-22 | 2004-10-19 | Epicor Medical, Inc. | Apparatus and method for ablating tissue |
| US7052493B2 (en) | 1996-10-22 | 2006-05-30 | Epicor Medical, Inc. | Methods and devices for ablation |
| US5931810A (en) * | 1996-12-05 | 1999-08-03 | Comedicus Incorporated | Method for accessing the pericardial space |
| US6206004B1 (en) | 1996-12-06 | 2001-03-27 | Comedicus Incorporated | Treatment method via the pericardial space |
| JP3036686B2 (ja) * | 1997-02-27 | 2000-04-24 | 政夫 高橋 | 冠状動脈のバイパス手術に用いる血管吻合部の止血保持装置 |
| US6086582A (en) * | 1997-03-13 | 2000-07-11 | Altman; Peter A. | Cardiac drug delivery system |
| US5968010A (en) * | 1997-04-30 | 1999-10-19 | Beth Israel Deaconess Medical Center, Inc. | Method for transvenously accessing the pericardial space via the right atrium |
| US20040215168A1 (en) * | 1997-04-30 | 2004-10-28 | Beth Israel Deaconess Medical Center | Kit for transvenously accessing the pericardial space via the right atrium |
| CA2241615A1 (en) * | 1997-06-26 | 1998-12-26 | An-Go-Gen Inc. | Catheters |
| US6096037A (en) | 1997-07-29 | 2000-08-01 | Medtronic, Inc. | Tissue sealing electrosurgery device and methods of sealing tissue |
| DE69822713T2 (de) * | 1997-07-22 | 2005-02-10 | Terumo K.K. | Verweilkathetersatz und Herstellungsmethode |
| US6592552B1 (en) * | 1997-09-19 | 2003-07-15 | Cecil C. Schmidt | Direct pericardial access device and method |
| US8709007B2 (en) | 1997-10-15 | 2014-04-29 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Devices and methods for ablating cardiac tissue |
| US5997509A (en) * | 1998-03-06 | 1999-12-07 | Cornell Research Foundation, Inc. | Minimally invasive gene therapy delivery device and method |
| US6527767B2 (en) * | 1998-05-20 | 2003-03-04 | New England Medical Center | Cardiac ablation system and method for treatment of cardiac arrhythmias and transmyocardial revascularization |
| US6231518B1 (en) | 1998-05-26 | 2001-05-15 | Comedicus Incorporated | Intrapericardial electrophysiological procedures |
| US6537248B2 (en) | 1998-07-07 | 2003-03-25 | Medtronic, Inc. | Helical needle apparatus for creating a virtual electrode used for the ablation of tissue |
| US6706039B2 (en) | 1998-07-07 | 2004-03-16 | Medtronic, Inc. | Method and apparatus for creating a bi-polar virtual electrode used for the ablation of tissue |
| AU758587B2 (en) * | 1998-09-15 | 2003-03-27 | Medtronic, Inc. | Method and apparatus for temporarily immobilizing a local area of tissue |
| US8308719B2 (en) | 1998-09-21 | 2012-11-13 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Apparatus and method for ablating tissue |
| US6251079B1 (en) | 1998-09-30 | 2001-06-26 | C. R. Bard, Inc. | Transthoracic drug delivery device |
| US6245062B1 (en) | 1998-10-23 | 2001-06-12 | Afx, Inc. | Directional reflector shield assembly for a microwave ablation instrument |
| US7185657B1 (en) | 1999-04-07 | 2007-03-06 | Johnson George M | Method and device for treating gastroesophageal reflux disease |
| US7226446B1 (en) | 1999-05-04 | 2007-06-05 | Dinesh Mody | Surgical microwave ablation assembly |
| WO2000067825A1 (en) * | 1999-05-07 | 2000-11-16 | Microheart, Inc. | Apparatus and method for delivering therapeutic and diagnostic agents |
| US6488689B1 (en) | 1999-05-20 | 2002-12-03 | Aaron V. Kaplan | Methods and apparatus for transpericardial left atrial appendage closure |
| US6277113B1 (en) | 1999-05-28 | 2001-08-21 | Afx, Inc. | Monopole tip for ablation catheter and methods for using same |
| US7147633B2 (en) | 1999-06-02 | 2006-12-12 | Boston Scientific Scimed, Inc. | Method and apparatus for treatment of atrial fibrillation |
| ATE342089T1 (de) | 1999-06-02 | 2006-11-15 | Boston Scient Ltd | Arzneimittelabgabevorrichtungen |
| WO2001005306A1 (en) | 1999-07-19 | 2001-01-25 | Epicor, Inc. | Apparatus and method for ablating tissue |
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| WO2024211537A1 (en) * | 2023-04-05 | 2024-10-10 | The Regents Of The University Of Michigan | Aortic septal fenestration device |
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1995
- 1995-06-07 US US08/484,299 patent/US5827216A/en not_active Expired - Lifetime
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1996
- 1996-06-07 AU AU61799/96A patent/AU6179996A/en not_active Abandoned
- 1996-06-07 JP JP50229697A patent/JP4005632B2/ja not_active Expired - Fee Related
- 1996-06-07 CA CA002223954A patent/CA2223954C/en not_active Expired - Fee Related
- 1996-06-07 WO PCT/US1996/010442 patent/WO1996040368A1/en not_active Ceased
- 1996-06-07 EP EP96919460A patent/EP0956094A4/en not_active Withdrawn
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1998
- 1998-09-21 US US09/158,024 patent/US6162195A/en not_active Expired - Fee Related
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2000
- 2000-07-26 US US09/625,900 patent/US6666844B1/en not_active Expired - Fee Related
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| Publication number | Publication date |
|---|---|
| EP0956094A4 (en) | 2009-09-02 |
| JP2001506869A (ja) | 2001-05-29 |
| AU6179996A (en) | 1996-12-30 |
| CA2223954C (en) | 2009-09-01 |
| US5827216A (en) | 1998-10-27 |
| CA2223954A1 (en) | 1996-12-19 |
| US6666844B1 (en) | 2003-12-23 |
| US6162195A (en) | 2000-12-19 |
| EP0956094A1 (en) | 1999-11-17 |
| WO1996040368A1 (en) | 1996-12-19 |
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