JP6664868B2 - トルク伝達を改善したカテーテル - Google Patents

トルク伝達を改善したカテーテル Download PDF

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Publication number
JP6664868B2
JP6664868B2 JP2013234759A JP2013234759A JP6664868B2 JP 6664868 B2 JP6664868 B2 JP 6664868B2 JP 2013234759 A JP2013234759 A JP 2013234759A JP 2013234759 A JP2013234759 A JP 2013234759A JP 6664868 B2 JP6664868 B2 JP 6664868B2
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Japan
Prior art keywords
catheter
distal
lumen
tubular structure
bracket
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JP2013234759A
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English (en)
Japanese (ja)
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JP2014097390A5 (enExample
JP2014097390A (ja
Inventor
トーマス・ブイ・セルキー
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Biosense Webster Israel Ltd
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Biosense Webster Israel Ltd
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Publication of JP2014097390A5 publication Critical patent/JP2014097390A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • A61M25/0053Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0138Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0141Tip steering devices having flexible regions as a result of using materials with different mechanical properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0144Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • A61M2025/015Details of the distal fixation of the movable mechanical means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0009Making of catheters or other medical or surgical tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • A61M25/0051Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids made from fenestrated or weakened tubing layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • A61M25/0052Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Mechanical Engineering (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2013234759A 2012-11-14 2013-11-13 トルク伝達を改善したカテーテル Active JP6664868B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13/677,228 US9248255B2 (en) 2012-11-14 2012-11-14 Catheter with improved torque transmission
US13/677,228 2012-11-14

Publications (3)

Publication Number Publication Date
JP2014097390A JP2014097390A (ja) 2014-05-29
JP2014097390A5 JP2014097390A5 (enExample) 2018-04-05
JP6664868B2 true JP6664868B2 (ja) 2020-03-13

Family

ID=49584615

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2013234759A Active JP6664868B2 (ja) 2012-11-14 2013-11-13 トルク伝達を改善したカテーテル

Country Status (7)

Country Link
US (2) US9248255B2 (enExample)
EP (1) EP2732843B1 (enExample)
JP (1) JP6664868B2 (enExample)
CN (1) CN103800069B (enExample)
AU (1) AU2013257404B2 (enExample)
CA (1) CA2833122A1 (enExample)
IL (1) IL229295A (enExample)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140200639A1 (en) 2013-01-16 2014-07-17 Advanced Neuromodulation Systems, Inc. Self-expanding neurostimulation leads having broad multi-electrode arrays
US9820664B2 (en) 2014-11-20 2017-11-21 Biosense Webster (Israel) Ltd. Catheter with high density electrode spine array
DE102014225939A1 (de) * 2014-12-15 2016-06-16 Raumedic Ag Schlauchsystem für die medizinische Anwendung
JP6514334B2 (ja) 2015-01-28 2019-05-15 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド 熱マッピング・カテーテル
US9949656B2 (en) 2015-06-29 2018-04-24 Biosense Webster (Israel) Ltd. Catheter with stacked spine electrode assembly
US10537259B2 (en) 2015-06-29 2020-01-21 Biosense Webster (Israel) Ltd. Catheter having closed loop array with in-plane linear electrode portion
US10575742B2 (en) 2015-06-30 2020-03-03 Biosense Webster (Israel) Ltd. Catheter having closed electrode assembly with spines of uniform length
US10595738B2 (en) 2015-10-21 2020-03-24 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
WO2017070531A1 (en) 2015-10-21 2017-04-27 St. Jude, Cardiology Division, Inc. High density electrode mapping catheter
BR122022007763B1 (pt) * 2016-02-05 2023-03-14 Board Of Regents Of The University Of Texas System Método para a preparação de um acionador de polímero eletroativo iônico de um dispositivo médico tubular
EP4179991B1 (en) 2016-05-03 2024-04-24 St. Jude Medical, Cardiology Division, Inc. Irrigated high density electrode catheter
KR102067773B1 (ko) * 2016-08-25 2020-01-17 주식회사 한독칼로스메디칼 신경차단용 카테터
WO2018060495A1 (en) * 2016-09-29 2018-04-05 Koninklijke Philips N.V. Pullwire crown and crown sleeve for catheter assembly
US11172858B2 (en) 2016-10-28 2021-11-16 St. Jude Medical, Cardiology Division, Inc. Flexible high-density mapping catheter
US10589060B2 (en) * 2016-12-21 2020-03-17 Biosense Webster (Israel) Ltd. Extrusion with preferential bend axis
WO2019010395A1 (en) 2017-07-07 2019-01-10 St. Jude Medical, Cardiology Division, Inc. HIGH DENSITY ELECTRODE CARTOGRAPH CATHETER IN LAYERS
US11647935B2 (en) 2017-07-24 2023-05-16 St. Jude Medical, Cardiology Division, Inc. Masked ring electrodes
CA3078580A1 (en) * 2017-10-06 2019-04-11 Baylis Medical Company Inc. Reinforced sheath for a steerable sheath assembly
JP6936919B2 (ja) 2017-10-13 2021-09-22 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド 高密度マッピング電極を有するカテーテル
CN107736884B (zh) * 2017-10-19 2018-10-12 深圳北芯生命科技有限公司 具有支撑机构的血管内压力测量导管
EP3731747B1 (en) 2018-03-13 2023-11-01 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter
JP7499702B2 (ja) 2018-05-21 2024-06-14 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド 高周波アブレーション及び直流電気穿孔カテーテル
WO2020039392A2 (en) 2018-08-23 2020-02-27 St. Jude Medical, Cardiology Division, Inc. Curved high density electrode mapping catheter
US11471650B2 (en) 2019-09-20 2022-10-18 Biosense Webster (Israel) Ltd. Mechanism for manipulating a puller wire
KR20250006317A (ko) * 2019-10-30 2025-01-10 보스톤 싸이엔티픽 싸이메드 인코포레이티드 내시경 카테터 장치
EP4167886B1 (en) 2020-08-18 2024-05-01 St. Jude Medical, Cardiology Division, Inc. High-density electrode catheters with magnetic position tracking
CN114984406B (zh) * 2022-06-20 2024-01-16 惠州市顺美医疗科技有限公司 一种高效编织热熔导管产品及其制备设备和工艺
CN117958957B (zh) * 2024-02-08 2024-09-17 北京维康达心科技有限公司 除颤导管和除颤系统

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US5480382A (en) 1989-01-09 1996-01-02 Pilot Cardiovascular Systems, Inc. Steerable medical device
US5203772A (en) * 1989-01-09 1993-04-20 Pilot Cardiovascular Systems, Inc. Steerable medical device
US5341818A (en) 1992-12-22 1994-08-30 Advanced Cardiovascular Systems, Inc. Guidewire with superelastic distal portion
US5569218A (en) 1994-02-14 1996-10-29 Scimed Life Systems, Inc. Elastic guide catheter transition element
US6551271B2 (en) * 2001-04-30 2003-04-22 Biosense Webster, Inc. Asymmetrical bidirectional steerable catheter
US6585718B2 (en) * 2001-05-02 2003-07-01 Cardiac Pacemakers, Inc. Steerable catheter with shaft support system for resisting axial compressive loads
JP4494782B2 (ja) 2001-10-05 2010-06-30 ボストン サイエンティフィック リミテッド 複合ガイドワイヤ
US6869414B2 (en) * 2002-03-22 2005-03-22 Cardiac Pacemakers, Inc. Pre-shaped catheter with proximal articulation and pre-formed distal end
US7959601B2 (en) * 2005-02-14 2011-06-14 Biosense Webster, Inc. Steerable catheter with in-plane deflection
US7731669B2 (en) 2006-05-12 2010-06-08 Concert Medical, Llc Guidewire formed with composite construction and method for making the same
US8574219B2 (en) 2006-09-18 2013-11-05 Boston Scientific Scimed, Inc. Catheter shaft including a metallic tapered region
US8556850B2 (en) 2008-12-31 2013-10-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Shaft and handle for a catheter with independently-deflectable segments
BR112013006785B1 (pt) * 2010-09-21 2020-12-08 Poly Medicure Limited conjunto de cateter
JP5817107B2 (ja) * 2010-11-30 2015-11-18 株式会社カネカ カテーテルおよびカテーテルの製造方法
US9162036B2 (en) * 2011-12-30 2015-10-20 Biosense Webster (Israel), Ltd. Medical device control handle with multiple puller wires
CN103284786B (zh) * 2012-02-29 2015-11-11 四川锦江电子科技有限公司 可控双向偏转的灌注电生理导管
US9717554B2 (en) * 2012-03-26 2017-08-01 Biosense Webster (Israel) Ltd. Catheter with composite construction

Also Published As

Publication number Publication date
US20140135687A1 (en) 2014-05-15
AU2013257404A1 (en) 2014-05-29
JP2014097390A (ja) 2014-05-29
EP2732843B1 (en) 2016-01-13
US20160144153A1 (en) 2016-05-26
US9248255B2 (en) 2016-02-02
US10105516B2 (en) 2018-10-23
CA2833122A1 (en) 2014-05-14
CN103800069A (zh) 2014-05-21
IL229295A (en) 2017-04-30
AU2013257404B2 (en) 2017-10-26
CN103800069B (zh) 2017-09-26
EP2732843A1 (en) 2014-05-21

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