JP5449190B2 - 撓みプルリングと遠位先端連結機構を備えた医療用カテーテルアセンブリ - Google Patents
撓みプルリングと遠位先端連結機構を備えた医療用カテーテルアセンブリ Download PDFInfo
- Publication number
- JP5449190B2 JP5449190B2 JP2010539566A JP2010539566A JP5449190B2 JP 5449190 B2 JP5449190 B2 JP 5449190B2 JP 2010539566 A JP2010539566 A JP 2010539566A JP 2010539566 A JP2010539566 A JP 2010539566A JP 5449190 B2 JP5449190 B2 JP 5449190B2
- Authority
- JP
- Japan
- Prior art keywords
- catheter assembly
- pull ring
- medical catheter
- pull
- shaft
- 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
- 230000008878 coupling Effects 0.000 title 1
- 238000010168 coupling process Methods 0.000 title 1
- 238000005859 coupling reaction Methods 0.000 title 1
- 230000006835 compression Effects 0.000 claims description 7
- 238000007906 compression Methods 0.000 claims description 7
- 238000003466 welding Methods 0.000 claims 1
- 239000012530 fluid Substances 0.000 description 22
- 238000002679 ablation Methods 0.000 description 17
- 230000000712 assembly Effects 0.000 description 5
- 238000000429 assembly Methods 0.000 description 5
- 230000002262 irrigation Effects 0.000 description 4
- 238000003973 irrigation Methods 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 3
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 230000005856 abnormality Effects 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 229910000679 solder Inorganic materials 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Images
Classifications
-
- 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
- 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
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- 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
- A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
-
- 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
- A61M2025/015—Details of the distal fixation of the movable mechanical means
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Mechanical Engineering (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Endoscopes (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/963,441 US8162934B2 (en) | 2007-12-21 | 2007-12-21 | Medical catheter assembly with deflection pull ring and distal tip interlock |
| US11/963,441 | 2007-12-21 | ||
| PCT/US2008/083731 WO2009082570A1 (en) | 2007-12-21 | 2008-11-17 | Medical catheter assembly with deflection pull ring and distal tip interlock |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2011507606A JP2011507606A (ja) | 2011-03-10 |
| JP2011507606A5 JP2011507606A5 (enExample) | 2011-10-13 |
| JP5449190B2 true JP5449190B2 (ja) | 2014-03-19 |
Family
ID=40789513
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010539566A Expired - Fee Related JP5449190B2 (ja) | 2007-12-21 | 2008-11-17 | 撓みプルリングと遠位先端連結機構を備えた医療用カテーテルアセンブリ |
Country Status (5)
| Country | Link |
|---|---|
| US (3) | US8162934B2 (enExample) |
| EP (1) | EP2190515B9 (enExample) |
| JP (1) | JP5449190B2 (enExample) |
| CN (1) | CN101932357B (enExample) |
| WO (1) | WO2009082570A1 (enExample) |
Families Citing this family (44)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8162934B2 (en) | 2007-12-21 | 2012-04-24 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Medical catheter assembly with deflection pull ring and distal tip interlock |
| US12485010B2 (en) | 2009-05-07 | 2025-12-02 | Edwards Lifesciences Innovation (Israel) Ltd. | Multiple anchor delivery tool |
| EP2775896B1 (en) * | 2011-11-08 | 2020-01-01 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
| EP2604305A1 (de) * | 2011-12-16 | 2013-06-19 | VascoMed GmbH | Katheter und Verfahren zur Herstellung desselben |
| US8702647B2 (en) * | 2012-04-19 | 2014-04-22 | Medtronic Ablation Frontiers Llc | Catheter deflection anchor |
| US10004877B2 (en) | 2012-05-07 | 2018-06-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Deflectable catheter shaft section, catheter incorporating same, and method of manufacturing same |
| US9861738B2 (en) | 2012-05-07 | 2018-01-09 | St. Jude Medical, Cardiology Division, Inc. | Flex tip fluid lumen assembly with termination tube |
| JP2014023721A (ja) * | 2012-07-26 | 2014-02-06 | Japan Lifeline Co Ltd | 電極カテーテル |
| EP2911593B1 (en) | 2012-10-23 | 2020-03-25 | Valtech Cardio, Ltd. | Percutaneous tissue anchor techniques |
| US10398499B2 (en) * | 2013-05-24 | 2019-09-03 | Biosense Webster (Israel) Ltd. | Configurable control handle for catheters and other surgical tool |
| US10835183B2 (en) | 2013-07-01 | 2020-11-17 | Zurich Medical Corporation | Apparatus and method for intravascular measurements |
| JP5976983B1 (ja) | 2013-07-01 | 2016-08-24 | ズーリック・メディカル・コーポレイションZurich Medical Corporation | 血管内測定のための装置および方法 |
| US10118021B2 (en) | 2013-09-30 | 2018-11-06 | St. Jude Medical, Cardiology Division, Inc. | Catheter having an active return-to-straight mechanism |
| JP6653698B2 (ja) * | 2014-11-04 | 2020-02-26 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 操縦可能医療装置及びその中のプルワイヤリング |
| JP6825789B2 (ja) | 2014-11-19 | 2021-02-03 | エピックス セラピューティクス,インコーポレイテッド | 組織の高分解能マッピングのためのシステムおよび方法 |
| SG11201703943VA (en) | 2014-11-19 | 2017-06-29 | Advanced Cardiac Therapeutics Inc | Ablation devices, systems and methods of using a high-resolution electrode assembly |
| WO2016081611A1 (en) | 2014-11-19 | 2016-05-26 | Advanced Cardiac Therapeutics, Inc. | High-resolution mapping of tissue with pacing |
| CR20170245A (es) * | 2014-12-05 | 2017-09-14 | Edwards Lifesciences Corp | Cateter dirigible con cable de tracción |
| CN105982733A (zh) * | 2015-02-27 | 2016-10-05 | 四川锦江电子科技有限公司 | 一种可控多电极消融装置 |
| US9636164B2 (en) | 2015-03-25 | 2017-05-02 | Advanced Cardiac Therapeutics, Inc. | Contact sensing systems and methods |
| US9860392B2 (en) | 2015-06-05 | 2018-01-02 | Silicon Laboratories Inc. | Direct-current to alternating-current power conversion |
| US10154905B2 (en) | 2015-08-07 | 2018-12-18 | Medtronic Vascular, Inc. | System and method for deflecting a delivery catheter |
| US11317891B2 (en) | 2016-02-26 | 2022-05-03 | Conavi Medical Inc. | Imaging probe with rotatable core |
| JP6923549B2 (ja) | 2016-03-15 | 2021-08-18 | エピックス セラピューティクス,インコーポレイテッド | 灌注式焼灼のための改良されたシステム |
| US11452496B2 (en) | 2016-09-29 | 2022-09-27 | Philips Image Guided Therapy Corporation | Pullwire crown and crown sleeve for catheter assembly |
| EP3520852A4 (en) * | 2016-09-30 | 2020-08-12 | Nipro Corporation | CATHETER |
| US10786651B2 (en) | 2017-03-07 | 2020-09-29 | Talon Medical, LLC | Steerable guide catheter |
| CN110809448B (zh) | 2017-04-27 | 2022-11-25 | Epix疗法公司 | 确定导管尖端与组织之间接触的性质 |
| KR102137994B1 (ko) * | 2017-12-15 | 2020-07-28 | 주식회사 오에스와이메드 | 스티어러블 카테터 |
| CN108066003A (zh) * | 2017-12-29 | 2018-05-25 | 浙江归创医疗器械有限公司 | 消融导管 |
| CA3088153A1 (en) * | 2018-01-11 | 2019-07-18 | The United States Government As Represented By The Department Of Veterans Affairs | Sampling catheter with articulating tip |
| US20200155807A1 (en) * | 2018-06-07 | 2020-05-21 | The Board Of Trustees Of The Leland Stanford Junior University | Small diameter catheter for introduction into the trachea and other orifices, as well as into passages that are difficult to intubate or access |
| EP3628208A1 (en) * | 2018-09-28 | 2020-04-01 | Ambu A/S | An articulated tip part for an endoscope |
| US11918762B2 (en) | 2018-10-03 | 2024-03-05 | St. Jude Medical, Cardiology Division, Inc. | Reduced actuation force electrophysiology catheter handle |
| EP3636133B1 (en) * | 2018-10-12 | 2024-04-03 | Ambu A/S | An articulated tip part for an endoscope |
| US20220039798A1 (en) * | 2018-11-07 | 2022-02-10 | Vascular Graft Solutions Ltd. | Sheath for Use in Performing Surgical Vascular Anastomotic Procedures, and Applications Thereof |
| CA3183162A1 (en) | 2020-06-19 | 2021-12-23 | Jake Anthony Sganga | Systems and methods for guidance of intraluminal devices within the vasculature |
| US12232770B2 (en) | 2020-09-15 | 2025-02-25 | Medtronic, Inc. | Deflectable delivery system for implant delivery |
| EP4035584B1 (en) | 2021-01-28 | 2023-10-18 | Ambu A/S | Endoscope comprising an articulated bending section body |
| DE102021109022A1 (de) * | 2021-04-12 | 2022-10-13 | Karl Storz Se & Co. Kg | Schaft für ein flexibles Endoskop oder für ein flexibles endoskopisches Instrument |
| EP4364163A1 (en) | 2021-07-01 | 2024-05-08 | Remedy Robotics, Inc. | Vision-based position and orientation determination for endovascular tools |
| US12121307B2 (en) | 2021-07-01 | 2024-10-22 | Remedy Robotics, Inc. | Vision-based position and orientation determination for endovascular tools |
| US11707332B2 (en) | 2021-07-01 | 2023-07-25 | Remedy Robotics, Inc. | Image space control for endovascular tools |
| US20250151991A1 (en) * | 2023-11-09 | 2025-05-15 | Boston Scientific Scimed, Inc. | Articulating medical devices and associated methods |
Family Cites Families (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0724083Y2 (ja) * | 1988-07-20 | 1995-06-05 | 旭光学工業株式会社 | 内視鏡の湾曲操作ワイヤの取付構造 |
| US5273535A (en) | 1991-11-08 | 1993-12-28 | Ep Technologies, Inc. | Catheter with electrode tip having asymmetric left and right curve configurations |
| US5391147A (en) | 1992-12-01 | 1995-02-21 | Cardiac Pathways Corporation | Steerable catheter with adjustable bend location and/or radius and method |
| US5389073A (en) | 1992-12-01 | 1995-02-14 | Cardiac Pathways Corporation | Steerable catheter with adjustable bend location |
| CA2109980A1 (en) | 1992-12-01 | 1994-06-02 | Mir A. Imran | Steerable catheter with adjustable bend location and/or radius and method |
| DE69333256T2 (de) * | 1992-12-04 | 2004-07-22 | C.R. Bard, Inc. | Bedienelement zur Verwendung mit einem Katheter mit unabhängiger distaler und proximaler Steuerung |
| US5462527A (en) | 1993-06-29 | 1995-10-31 | C.R. Bard, Inc. | Actuator for use with steerable catheter |
| US5545200A (en) | 1993-07-20 | 1996-08-13 | Medtronic Cardiorhythm | Steerable electrophysiology catheter |
| US5431168A (en) | 1993-08-23 | 1995-07-11 | Cordis-Webster, Inc. | Steerable open-lumen catheter |
| US6099524A (en) * | 1994-01-28 | 2000-08-08 | Cardiac Pacemakers, Inc. | Electrophysiological mapping and ablation catheter and method |
| US5882333A (en) * | 1994-05-13 | 1999-03-16 | Cardima, Inc. | Catheter with deflectable distal section |
| US5666970A (en) | 1995-05-02 | 1997-09-16 | Heart Rhythm Technologies, Inc. | Locking mechanism for catheters |
| US6113572A (en) * | 1995-05-24 | 2000-09-05 | C. R. Bard, Inc. | Multiple-type catheter connection systems |
| US5807249A (en) | 1996-02-16 | 1998-09-15 | Medtronic, Inc. | Reduced stiffness, bidirectionally deflecting catheter assembly |
| JPH09299320A (ja) * | 1996-05-15 | 1997-11-25 | Fuji Photo Optical Co Ltd | 内視鏡のアングル装置 |
| US6840936B2 (en) * | 1996-10-22 | 2005-01-11 | Epicor Medical, Inc. | Methods and devices for ablation |
| US5968052A (en) * | 1996-11-27 | 1999-10-19 | Scimed Life Systems Inc. | Pull back stent delivery system with pistol grip retraction handle |
| US6183463B1 (en) | 1997-12-01 | 2001-02-06 | Cordis Webster, Inc. | Bidirectional steerable cathether with bidirectional control handle |
| US6198974B1 (en) * | 1998-08-14 | 2001-03-06 | Cordis Webster, Inc. | Bi-directional steerable catheter |
| US6926669B1 (en) * | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Heart wall ablation/mapping catheter and method |
| US6571131B1 (en) | 2000-11-10 | 2003-05-27 | Biosense Webster, Inc. | Deflectable catheter with modifiable handle |
| US7235070B2 (en) | 2003-07-02 | 2007-06-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation fluid manifold for ablation catheter |
| US7229437B2 (en) | 2003-09-22 | 2007-06-12 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Medical device having integral traces and formed electrodes |
| US7974674B2 (en) * | 2004-05-28 | 2011-07-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic surgical system and method for surface modeling |
| US7632265B2 (en) * | 2004-05-28 | 2009-12-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Radio frequency ablation servo catheter and method |
| US7740616B2 (en) | 2005-03-29 | 2010-06-22 | Angiodynamics, Inc. | Implantable catheter and method of using same |
| 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 |
| US8162934B2 (en) | 2007-12-21 | 2012-04-24 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Medical catheter assembly with deflection pull ring and distal tip interlock |
-
2007
- 2007-12-21 US US11/963,441 patent/US8162934B2/en not_active Expired - Fee Related
-
2008
- 2008-11-17 EP EP08865610.3A patent/EP2190515B9/en not_active Not-in-force
- 2008-11-17 WO PCT/US2008/083731 patent/WO2009082570A1/en not_active Ceased
- 2008-11-17 JP JP2010539566A patent/JP5449190B2/ja not_active Expired - Fee Related
- 2008-11-17 CN CN2008801219288A patent/CN101932357B/zh not_active Expired - Fee Related
-
2012
- 2012-04-23 US US13/453,525 patent/US8556893B2/en not_active Expired - Fee Related
-
2013
- 2013-10-10 US US14/051,143 patent/US20140100566A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| EP2190515A1 (en) | 2010-06-02 |
| EP2190515B9 (en) | 2013-08-28 |
| CN101932357B (zh) | 2013-12-25 |
| JP2011507606A (ja) | 2011-03-10 |
| EP2190515A4 (en) | 2011-03-16 |
| CN101932357A (zh) | 2010-12-29 |
| WO2009082570A1 (en) | 2009-07-02 |
| US20120203170A1 (en) | 2012-08-09 |
| US20140100566A1 (en) | 2014-04-10 |
| US8556893B2 (en) | 2013-10-15 |
| US20090163917A1 (en) | 2009-06-25 |
| US8162934B2 (en) | 2012-04-24 |
| EP2190515B1 (en) | 2013-05-29 |
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