JP5830794B2 - 操舵可能型搬送カテーテル - Google Patents
操舵可能型搬送カテーテル Download PDFInfo
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- JP5830794B2 JP5830794B2 JP2014518664A JP2014518664A JP5830794B2 JP 5830794 B2 JP5830794 B2 JP 5830794B2 JP 2014518664 A JP2014518664 A JP 2014518664A JP 2014518664 A JP2014518664 A JP 2014518664A JP 5830794 B2 JP5830794 B2 JP 5830794B2
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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
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/011—Instruments for their placement or removal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
-
- 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
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2466—Delivery devices therefor
-
- 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
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61N1/37205—Microstimulators, e.g. implantable through a cannula
Description
Claims (17)
- 医療機器を搬送し、展開するための操舵可能型カテーテルであって、
近位および遠位末端と直線軸を有する細長い管状外部さやと、
前記さやの遠位末端にマウントされたハウジングで、医療機器を含むように構成されたチャンバーを構成し、その遠位末端で開放遠位ポートを有するハウジングと、
前記さやを通して伸長している内部シャフトで、張力のもとで広げられない内部シャフトと、
前記内部シャフトの遠位末端に固定された当接部で、前記チャンバー内に配置され、前記チャンバーの近位末端を構成し、前記内部シャフトと当接部は、前記さやとハウジングに対して長手方向に移動可能である当接部と、を備え、
前記外部さやが、前記ハウジングの近位領域と前記当接部の近位に隣接した棚を有し、前記棚が、前記内部シャフトの伸長に対する応答で、外部さやに圧縮負荷を適用するために、前記当接部の近位に面している表面によって係合させられるように構成され、
前記外部さやは、近位末端にて適用された回転を、遠位末端に制御可能に伝送するための十分にねじれに剛であり、
前記外部さやは、前記棚に対して、前記当接部によって適用された前記圧縮負荷のもと、直線軸から長手方向に離れて屈曲するように構築され、屈曲の程度が、さやにかけられた圧縮負荷の程度に対応し、
前記外部さやは、前記当接部に対して引き込み可能であり、前記外部さやを引き込むことによって、チャンバー内に含まれる医療機器が、前記当接部に対して、選択された位置で少なくとも部分的に展開される、
ことを特徴とする操舵可能型カテーテル。 - 前記外部さやが、遠位方向で、柔軟性が増加するように構成されている、
請求項1に記載のカテーテル。 - 前記外部さやが、多数の連続して連結したセグメントから形成され、前記セグメントの最も遠位が、もっとも柔軟性が高く、前記さやが加圧されるにつれて、長手方向屈曲の最も大きな程度を示す、
請求項2に記載のカテーテル。 - 前記外部さやが、近位セグメントと、より短い中間セグメントと、更に短い遠位セグメントとを含む少なくとも3つのセグメントを有し、前記ハウジングが、比較的柔軟性がなく、前記遠位セグメントの遠位末端から遠位に伸長している、
請求項3に記載のカテーテル。 - 前記外部さやが、前記ハウジングの軸と、前記直線軸間で、少なくとも約90度の角度を構成するために、前記内部シャフトの伸長に応答して屈曲可能である、
請求項2に記載のカテーテル。 - 前記外部さやが、前記ハウジングの軸と、前記直線軸間で、少なくとも約180度の角度を構成するために、前記内部シャフトの伸長に応答して屈曲可能である、
請求項2に記載のカテーテル。 - 前記たなが、前記さやの遠位セグメントの遠位末端によって構成され、前記ハウジングの近位末端が、ハウジング内に配置されているさやで、前記遠位セグメントの遠位末端且つその周辺に取り付けられる、
請求項1に記載のカテーテル。 - 前記たなが環状であり、前記当接部が、前記たなに隣接するための直径を有するディスクの形状である、
請求項7に記載のカテーテル。 - 前記内部シャフトが、その長さに沿って伸長している内腔を含み、前記当接部が、内腔と連絡する開口部を有し、それによってつなぎ網が、チャンバー内の医療機器から、前記カテーテルの近位末端に伸長可能である、
請求項1に記載のカテーテル。 - さらに、前記カテーテルの近位末端にて、クランプを含み、前記クランプが、前記つなぎ綱の近位末端を受領して、放出可能にクランプするように構成されている、
請求項9に記載のカテーテル。 - 前記当接部が、前記チャンバーが医療機器を装填されたとき前記チャンバーの近位末端の位置をX線透過によって決定可能にするためにX線不透過性である、
請求項1に記載のカテーテル。 - さらに、前記ハウジングの遠位末端にて位置する、X線不透過性マーカーバンドが含まれる、
請求項11に記載のカテーテル。 - 前記カテーテルの近位末端でのハンドルで、長手方向移動のためにマウントされたスライドを含み、前記スライドが前記ハンドルの外側で操作可能であるハンドルを備え、
さやの近位末端が、前記ハンドルまたは前記スライドの1つと取り付けられ、および
前記内部シャフトの近位末端が、他の前記ハンドルまたは前記スライドと取り付けられる、
請求項1に記載のカテーテル。 - さらに、前記カテーテルの近位および遠位末端間の流体連結を可能にするために、内部シャフトとの連絡している前記ハンドルにマウントされた側面ポートを含む、
請求項13に記載のカテーテル。 - 医療機器を搬送し、展開するための操舵可能型カテーテルであって、
近位および遠位末端を有する管状外部さやと、
前記さやの遠位末端にマウントされたハウジングで、医療機器を含むように構成されたチャンバーを構成しており、その遠位末端に開放遠位ポートを有するハウジングと、
前記さやを通して伸長している内部シャフトで、張力で比較的広げられない内部シャフトと、
前記シャフトの遠位末端に固定された当接部で、前記チャンバー内に配置され、前記チャンバーの近位末端を構成し、前記内部シャフトと当接部は、前記さやとハウジングに対して、長手方向に移動可能である当接部と、を備え、
前記外部さやが、前記ハウジングの近位領域と前記当接部の近位に隣接した棚を有し、前記棚が、前記当接部の近位に面する表面によって係合され、前記内部シャフトの伸長に応答して外部さやに圧縮負荷を適用するように構成され、
前記外部さやが、前記棚に対して、前記当接部によって適用された前記圧縮負荷のもと、前記さやが長手方向に屈曲することを可能にするための手段を有し、
屈曲の程度が、前記さやに適合された圧縮負荷の程度に対応し、
前記外部さやが、前記当接部に対して引き込む可能であり、それによって前記外部さやを引き込むことによって、チャンバー内に含まれる医療機器が、前記当接部に対して選択された位置にて少なくとも部分的に展開される、
ことを特徴とする操舵可能型カテーテル。 - 少なくとも患者の心臓の右側に、大腿静脈を通して、医療機器を搬送し、展開するための操舵可能型カテーテルであって、
近位および遠位末端を有する管状外部さやと、
前記さやの遠位末端にマウントされたハウジングで、医療機器を含むように適合したチャンバーを構成しており、その遠位末端にて、開放遠位ポートを有するハウジングと、
前記さやを通して伸長している内部シャフトで、張力のもとで比較的広げられない内部シャフトと、
前記シャフトの遠位末端に固定された当接部で、前記チャンバー内に配置され、前記チャンバーの近位末端を構成し、前記内部シャフトと当接部は、前記さやとハウジングに対して、長手方向に移動可能である当接部と、を備え、
前記外部さやが、前記ハウジングの近位領域と前記当接部の近位に隣接した棚を有し、前記棚が、前記内部シャフトの伸長に応答して、外部さやに圧縮負荷を適用するために、前記当接部の近位に面する表面によって係合されるように構成され、
前記外部さやが、前記棚に対して、前記当接部によって適用された前記圧縮負荷のもと、前記さやが長手方向に屈曲することを可能にするための手段を有し、屈曲の程度が、前記さやに適合された圧縮負荷の程度に対応し、前記さやは約180度の少なくとも2つの屈曲を含む経路を通して、屈曲可能で、ナビゲート可能であり、
前記外部さやが前記当接部に対して引き込む可能であり、前記外部さやを引き込むことによって、チャンバー内に含まれる医療機器が、前記当接部に対して、選択された位置で少なくとも部分的に展開される、
ことを特徴とする操舵可能型カテーテル。 - 前記カテーテルが、肺動脈に到達するのに十分な長さを有する、
請求項16に記載のカテーテル。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/176,193 | 2011-07-05 | ||
US13/176,193 US8926588B2 (en) | 2011-07-05 | 2011-07-05 | Steerable delivery catheter |
PCT/US2012/043575 WO2013006282A1 (en) | 2011-07-05 | 2012-06-21 | Steerable delivery catheter |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2014520598A JP2014520598A (ja) | 2014-08-25 |
JP2014520598A5 JP2014520598A5 (ja) | 2015-08-13 |
JP5830794B2 true JP5830794B2 (ja) | 2015-12-09 |
Family
ID=46457086
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014518664A Active JP5830794B2 (ja) | 2011-07-05 | 2012-06-21 | 操舵可能型搬送カテーテル |
Country Status (6)
Country | Link |
---|---|
US (1) | US8926588B2 (ja) |
EP (1) | EP2729093B1 (ja) |
JP (1) | JP5830794B2 (ja) |
CN (1) | CN103635160B (ja) |
BR (1) | BR112013033875A2 (ja) |
WO (1) | WO2013006282A1 (ja) |
Families Citing this family (97)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8579964B2 (en) | 2010-05-05 | 2013-11-12 | Neovasc Inc. | Transcatheter mitral valve prosthesis |
US9308087B2 (en) | 2011-04-28 | 2016-04-12 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US9554897B2 (en) | 2011-04-28 | 2017-01-31 | Neovasc Tiara Inc. | Methods and apparatus for engaging a valve prosthesis with tissue |
US9572481B2 (en) | 2011-05-13 | 2017-02-21 | Intuitive Surgical Operations, Inc. | Medical system with multiple operating modes for steering a medical instrument through linked body passages |
US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US20140052109A1 (en) * | 2012-08-19 | 2014-02-20 | Diros Technology Inc. | Steerable Multifunction Catheter Probe with High Guidability and Reversible Rigidity |
US9233225B2 (en) * | 2012-11-10 | 2016-01-12 | Curvo Medical, Inc. | Coaxial bi-directional catheter |
EP2922592B1 (en) * | 2012-11-21 | 2022-09-21 | Edwards Lifesciences Corporation | Retaining mechanisms for prosthetic heart valves |
ITPD20130020A1 (it) * | 2013-01-30 | 2014-07-31 | Gioachino Coppi | Catetere a curvatura variabile |
US9572665B2 (en) | 2013-04-04 | 2017-02-21 | Neovasc Tiara Inc. | Methods and apparatus for delivering a prosthetic valve to a beating heart |
US10071243B2 (en) | 2013-07-31 | 2018-09-11 | Medtronic, Inc. | Fixation for implantable medical devices |
US9393427B2 (en) | 2013-08-16 | 2016-07-19 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker with delivery and/or retrieval features |
WO2015023488A1 (en) | 2013-08-16 | 2015-02-19 | Cardiac Pacemakers, Inc. | Leadless cardiac pacing devices |
WO2015023486A1 (en) | 2013-08-16 | 2015-02-19 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
US10842993B2 (en) | 2013-08-16 | 2020-11-24 | Cardiac Pacemakers, Inc. | Leadless cardiac pacing devices |
US10722723B2 (en) * | 2013-08-16 | 2020-07-28 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
US9700732B2 (en) | 2013-08-16 | 2017-07-11 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker and retrieval device |
US9480850B2 (en) | 2013-08-16 | 2016-11-01 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker and retrieval device |
US9492674B2 (en) | 2013-08-16 | 2016-11-15 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker with delivery and/or retrieval features |
WO2015066237A1 (en) * | 2013-10-29 | 2015-05-07 | Medwerks, Llc | Atraumatic guidewire and method of use |
US9572666B2 (en) | 2014-03-17 | 2017-02-21 | Evalve, Inc. | Mitral valve fixation device removal devices and methods |
US10080887B2 (en) | 2014-04-29 | 2018-09-25 | Cardiac Pacemakers, Inc. | Leadless cardiac pacing devices including tissue engagement verification |
WO2015168155A1 (en) | 2014-04-29 | 2015-11-05 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker with retrieval features |
US10441777B2 (en) | 2014-09-09 | 2019-10-15 | Pacesetter, Inc. | Implantable medical device having restrained tether device |
US10716931B2 (en) | 2014-09-09 | 2020-07-21 | Pacesetter, Inc. | Systems and methods for implanting a medical device |
ES2824798T3 (es) | 2014-10-22 | 2021-05-13 | Cardiac Pacemakers Inc | Dispositivos de implantación para dispositivos cardiacos sin cables |
EP3209225B1 (en) | 2014-10-22 | 2021-09-22 | Cardiac Pacemakers, Inc. | Delivery devices for leadless cardiac devices |
US20160206872A1 (en) * | 2015-01-16 | 2016-07-21 | Medtronic, Inc. | Interventional medical tools and assemblies |
US9937322B2 (en) | 2015-04-23 | 2018-04-10 | Medtronic, Inc. | Assemblies and methods for deflectable shaft catheters |
US9867964B2 (en) | 2015-04-23 | 2018-01-16 | Medtronic, Inc. | Interventional medical systems, assemblies, and construction methods |
CN107592821B (zh) * | 2015-05-13 | 2021-11-23 | 美敦力公司 | 将植入式医用装置固定在适当位置同时减少穿孔 |
WO2016183417A1 (en) | 2015-05-13 | 2016-11-17 | Medtronic, Inc. | Securing an implantable medical device in position while reducing perforations |
US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US10525256B2 (en) * | 2015-07-29 | 2020-01-07 | Medtronic, Inc. | Interventional medical systems, catheters, and methods |
US10080862B2 (en) * | 2015-08-14 | 2018-09-25 | Medtronic, Inc. | Tubular bodies for medical delivery devices and related manufacturing methods |
US10258802B2 (en) | 2015-11-20 | 2019-04-16 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
AU2016355676B2 (en) | 2015-11-20 | 2018-12-13 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
JP7002466B2 (ja) * | 2015-12-30 | 2022-01-20 | パイプライン メディカル テクノロジーズ,インコーポレイティド | 僧帽弁束縛 |
US10463853B2 (en) | 2016-01-21 | 2019-11-05 | Medtronic, Inc. | Interventional medical systems |
US10099050B2 (en) | 2016-01-21 | 2018-10-16 | Medtronic, Inc. | Interventional medical devices, device systems, and fixation components thereof |
US10433952B2 (en) | 2016-01-29 | 2019-10-08 | Neovasc Tiara Inc. | Prosthetic valve for avoiding obstruction of outflow |
US20210212824A1 (en) * | 2016-03-08 | 2021-07-15 | Dura Llc | Heart valve leaflet replacement devices and multi-stage, multi-lumen heart valve delivery systems and method for use |
US10278852B2 (en) | 2016-03-10 | 2019-05-07 | Medtronic Vascular, Inc. | Steerable catheter with multiple bending radii via a steering mechanism with telescoping tubular components |
US10736632B2 (en) | 2016-07-06 | 2020-08-11 | Evalve, Inc. | Methods and devices for valve clip excision |
US10639151B2 (en) | 2016-07-29 | 2020-05-05 | Cephea Valve Technologies, Inc. | Threaded coil |
US10661052B2 (en) | 2016-07-29 | 2020-05-26 | Cephea Valve Technologies, Inc. | Intravascular device delivery sheath |
US11324495B2 (en) | 2016-07-29 | 2022-05-10 | Cephea Valve Technologies, Inc. | Systems and methods for delivering an intravascular device to the mitral annulus |
US10974027B2 (en) | 2016-07-29 | 2021-04-13 | Cephea Valve Technologies, Inc. | Combination steerable catheter and systems |
CN110801259A (zh) * | 2016-07-29 | 2020-02-18 | 上海沃比医疗科技有限公司 | 植入物输送系统 |
US10646689B2 (en) | 2016-07-29 | 2020-05-12 | Cephea Valve Technologies, Inc. | Mechanical interlock for catheters |
US10933216B2 (en) * | 2016-08-29 | 2021-03-02 | Cephea Valve Technologies, Inc. | Multilumen catheter |
US11045315B2 (en) | 2016-08-29 | 2021-06-29 | Cephea Valve Technologies, Inc. | Methods of steering and delivery of intravascular devices |
US10751485B2 (en) | 2016-08-29 | 2020-08-25 | Cephea Valve Technologies, Inc. | Methods, systems, and devices for sealing and flushing a delivery system |
US11109967B2 (en) | 2016-08-29 | 2021-09-07 | Cephea Valve Technologies, Inc. | Systems and methods for loading and deploying an intravascular device |
US11071564B2 (en) | 2016-10-05 | 2021-07-27 | Evalve, Inc. | Cardiac valve cutting device |
US10874512B2 (en) | 2016-10-05 | 2020-12-29 | Cephea Valve Technologies, Inc. | System and methods for delivering and deploying an artificial heart valve within the mitral annulus |
WO2018094193A1 (en) * | 2016-11-21 | 2018-05-24 | Cardiac Pacemakers, Inc. | Delivery devices and wall apposition sensing |
US11198013B2 (en) | 2016-11-21 | 2021-12-14 | Cardiac Pacemakers, Inc. | Catheter and leadless cardiac devices including electrical pathway barrier |
CN113893064A (zh) | 2016-11-21 | 2022-01-07 | 内奥瓦斯克迪亚拉公司 | 用于快速收回经导管心脏瓣膜递送系统的方法和系统 |
EP3544549A4 (en) | 2016-11-22 | 2020-08-12 | Synecor LLC | WIRELESS GUIDED TRANSSEPTAL RELEASE SYSTEM FOR THERAPEUTIC DEVICES OF THE MITRAL VALVE |
US10806931B2 (en) | 2016-12-27 | 2020-10-20 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
WO2018136203A1 (en) | 2016-12-27 | 2018-07-26 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
US10485981B2 (en) | 2016-12-27 | 2019-11-26 | Cardiac Pacemakers, Inc. | Fixation methods for leadless cardiac devices |
US10722684B2 (en) | 2016-12-27 | 2020-07-28 | Cardiac Pacemakers, Inc. | Leadless delivery catheter with conductive pathway |
US11083580B2 (en) | 2016-12-30 | 2021-08-10 | Pipeline Medical Technologies, Inc. | Method of securing a leaflet anchor to a mitral valve leaflet |
US11696828B2 (en) | 2016-12-30 | 2023-07-11 | Pipeline Medical Technologies, Inc. | Method and apparatus for mitral valve chord repair |
US9877833B1 (en) | 2016-12-30 | 2018-01-30 | Pipeline Medical Technologies, Inc. | Method and apparatus for transvascular implantation of neo chordae tendinae |
US10925731B2 (en) | 2016-12-30 | 2021-02-23 | Pipeline Medical Technologies, Inc. | Method and apparatus for transvascular implantation of neo chordae tendinae |
CN108261256A (zh) * | 2016-12-31 | 2018-07-10 | 先健科技(深圳)有限公司 | 输送装置及输送系统 |
CN110225779B (zh) | 2017-01-26 | 2023-04-04 | 心脏起搏器股份公司 | 用于无引线心脏装置的递送装置 |
WO2018165377A1 (en) | 2017-03-10 | 2018-09-13 | Cardiac Pacemakers, Inc. | Fixation for leadless cardiac devices |
US10737092B2 (en) | 2017-03-30 | 2020-08-11 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
US11577085B2 (en) | 2017-08-03 | 2023-02-14 | Cardiac Pacemakers, Inc. | Delivery devices and methods for leadless cardiac devices |
WO2019055154A2 (en) | 2017-08-06 | 2019-03-21 | Synecor Llc | SYSTEMS AND METHODS FOR THE TRANSSEPTIVE DELIVERY OF HEART THERAPEUTIC DEVICES |
CN111263622A (zh) | 2017-08-25 | 2020-06-09 | 内奥瓦斯克迪亚拉公司 | 顺序展开的经导管二尖瓣假体 |
JP2021536342A (ja) * | 2018-08-29 | 2021-12-27 | モルメンティ、アーネスト | 外科縫合糸のための結び目形成デバイス |
CN110947096B (zh) * | 2018-09-27 | 2021-09-03 | 创领心律管理医疗器械(上海)有限公司 | 心脏起搏系统及起搏器固定装置 |
US10894144B2 (en) * | 2018-10-16 | 2021-01-19 | Pacesetter, Inc. | Apparatus and method for sensor deployment and fixation |
US11737872B2 (en) | 2018-11-08 | 2023-08-29 | Neovasc Tiara Inc. | Ventricular deployment of a transcatheter mitral valve prosthesis |
US11724068B2 (en) | 2018-11-16 | 2023-08-15 | Cephea Valve Technologies, Inc. | Intravascular delivery system |
US11065438B2 (en) | 2019-02-07 | 2021-07-20 | Synecor Llc | Systems and methods for transseptal delivery of percutaneous ventricular assist devices and other non-guidewire based transvascular therapeutic devices |
US20220152382A1 (en) * | 2019-03-15 | 2022-05-19 | Biotronik Se & Co. Kg | Catheter Device for Implanting a Medical Device |
US11759632B2 (en) | 2019-03-28 | 2023-09-19 | Medtronic, Inc. | Fixation components for implantable medical devices |
EP3946568A1 (en) | 2019-03-29 | 2022-02-09 | Cardiac Pacemakers, Inc. | Systems and methods for treating cardiac arrhythmias |
US11446510B2 (en) | 2019-03-29 | 2022-09-20 | Cardiac Pacemakers, Inc. | Systems and methods for treating cardiac arrhythmias |
AU2020256195B2 (en) | 2019-04-01 | 2022-10-13 | Neovasc Tiara Inc. | Controllably deployable prosthetic valve |
US11491006B2 (en) | 2019-04-10 | 2022-11-08 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
CA3140925A1 (en) | 2019-05-20 | 2020-11-26 | Neovasc Tiara Inc. | Introducer with hemostasis mechanism |
EP3986332A4 (en) | 2019-06-20 | 2023-07-19 | Neovasc Tiara Inc. | LOW-PROFILE PROSTHETIC MITRAL VALVE |
US11446470B2 (en) * | 2019-06-24 | 2022-09-20 | Medtronic, Inc. | Catheter handle with torque mechanism and valve relief component |
US11524143B2 (en) | 2019-07-15 | 2022-12-13 | Medtronic, Inc. | Catheter with distal and proximal fixation members |
US11524139B2 (en) | 2019-07-15 | 2022-12-13 | Medtronic, Inc. | Catheter with active return curve |
US11571582B2 (en) | 2019-09-11 | 2023-02-07 | Cardiac Pacemakers, Inc. | Tools and systems for implanting and/or retrieving a leadless cardiac pacing device with helix fixation |
EP4028116A1 (en) | 2019-09-11 | 2022-07-20 | Cardiac Pacemakers, Inc. | Tools and systems for implanting and/or retrieving a leadless cardiac pacing device with helix fixation |
US11872357B2 (en) | 2020-11-09 | 2024-01-16 | Agile Devices, Inc. | Devices for steering catheters |
US20220296856A1 (en) * | 2021-03-16 | 2022-09-22 | Atricure, Inc. | Delivery devices and related methods |
DE102021132097A1 (de) | 2021-12-06 | 2023-06-07 | Optimed Medizinische Instrumente Gmbh | Handeinheit zum Zuführen und Freigeben eines Implantats |
Family Cites Families (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2007626A (en) | 1933-04-14 | 1935-07-09 | Vadsco Salcs Corp | Capsule applicator |
US3334629A (en) | 1964-11-09 | 1967-08-08 | Bertram D Cohn | Occlusive device for inferior vena cava |
US4588395A (en) | 1978-03-10 | 1986-05-13 | Lemelson Jerome H | Catheter and method |
US4512338A (en) | 1983-01-25 | 1985-04-23 | Balko Alexander B | Process for restoring patency to body vessels |
US5372587A (en) * | 1989-01-09 | 1994-12-13 | Pilot Cariovascular Systems, Inc. | Steerable medical device |
US5147379A (en) | 1990-11-26 | 1992-09-15 | Louisiana State University And Agricultural And Mechanical College | Insertion instrument for vena cava filter |
US5397321A (en) * | 1993-07-30 | 1995-03-14 | Ep Technologies, Inc. | Variable curve electrophysiology catheter |
FR2718345B1 (fr) | 1994-04-11 | 1997-04-04 | Braun Celsa Sa | Poignée pour un coulissement relatif contrôlé d'une gaine et d'une tige et appareillage d'implantation d'un dispositif médical, tel qu'un filtre, utilisant une telle poignée. |
US5743874A (en) * | 1994-08-29 | 1998-04-28 | Fischell; Robert E. | Integrated catheter for balloon angioplasty and stent delivery |
US5674271A (en) * | 1996-11-14 | 1997-10-07 | Denker; Stephen | Catheter with steerable stylet |
US6818001B2 (en) * | 2000-04-05 | 2004-11-16 | Pathway Medical Technologies, Inc. | Intralumenal material removal systems and methods |
US6743219B1 (en) | 2000-08-02 | 2004-06-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6607496B1 (en) | 2000-09-12 | 2003-08-19 | Medtronic, Inc. | Steerable stylet with enhanced torsional transfer strength |
US7814912B2 (en) * | 2002-11-27 | 2010-10-19 | Pulmonx Corporation | Delivery methods and devices for implantable bronchial isolation devices |
US7371248B2 (en) * | 2003-10-14 | 2008-05-13 | Medtronic Vascular, Inc. | Steerable distal protection guidewire and methods of use |
FR2932080B1 (fr) * | 2008-06-05 | 2010-08-13 | Perouse Lab | Dispositif de traitement d'un conduit de circulation du sang |
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CN103635160B (zh) | 2016-03-09 |
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