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 (https=
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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    • 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
    • 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
    • A61M25/0053—Catheters; 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
    • 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
    • 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
    • A61M25/0144—Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details 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
    • A61B2218/002—Irrigation
    • 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
    • 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
    • A61M25/0009—Making of catheters or other medical or surgical tubes
    • 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
    • A61M25/0051—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids made from fenestrated or weakened tubing layer
    • 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
    • A61M25/0052—Localized 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)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (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 2012-11-14
US13/677,228 US9248255B2 (en) 2012-11-14 2012-11-14 Catheter with improved torque transmission

Publications (3)

Publication Number Publication Date
JP2014097390A JP2014097390A (ja) 2014-05-29
JP2014097390A5 JP2014097390A5 (https=) 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 (https=)
EP (1) EP2732843B1 (https=)
JP (1) JP6664868B2 (https=)
CN (1) CN103800069B (https=)
AU (1) AU2013257404B2 (https=)
CA (1) CA2833122A1 (https=)
IL (1) IL229295A (https=)

Families Citing this family (30)

* 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
EP4205685B1 (en) 2015-10-21 2024-08-28 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
WO2017070559A1 (en) 2015-10-21 2017-04-27 St. Jude, Cardiology Division, Inc. High density electrode mapping catheter
EP4696340A2 (en) * 2016-02-05 2026-02-18 The Board Of Regents Of The University Of Texas System Steerable intra-luminal medical device
US11540876B2 (en) 2016-05-03 2023-01-03 St. Jude Medical Cardiology Division, Inc. Irrigated high density electrode catheter
KR102067773B1 (ko) * 2016-08-25 2020-01-17 주식회사 한독칼로스메디칼 신경차단용 카테터
EP3518779B1 (en) * 2016-09-29 2021-06-16 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
US11433220B2 (en) 2017-07-07 2022-09-06 St. Jude Medical, Cardiology Division, Inc. Layered high density electrode mapping catheter
US11647935B2 (en) 2017-07-24 2023-05-16 St. Jude Medical, Cardiology Division, Inc. Masked ring electrodes
EP3691732B1 (en) * 2017-10-06 2025-05-21 Boston Scientific Medical Device Limited Reinforced sheath for a steerable sheath assembly
CN116392238B (zh) 2017-10-13 2025-12-05 圣犹达医疗用品心脏病学部门有限公司 具有高密度标测电极的导管
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
US11426111B2 (en) 2018-03-13 2022-08-30 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter
WO2019195439A1 (en) 2018-04-05 2019-10-10 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
US20190350649A1 (en) 2018-05-21 2019-11-21 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
US11642063B2 (en) 2018-08-23 2023-05-09 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
JP7515637B2 (ja) 2020-08-18 2024-07-12 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 磁気位置の追跡を伴う高密度電極カテーテル
WO2022086729A1 (en) 2020-10-22 2022-04-28 Boston Scientific Scimed, Inc. Compression resistant sheath
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
CN103347560B (zh) * 2010-09-21 2016-08-31 保利医疗用品有限公司 具有改进的安全装置的导管组合件
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
EP2732843A1 (en) 2014-05-21
CN103800069B (zh) 2017-09-26
CA2833122A1 (en) 2014-05-14
US20160144153A1 (en) 2016-05-26
AU2013257404A1 (en) 2014-05-29
IL229295A (en) 2017-04-30
AU2013257404B2 (en) 2017-10-26
EP2732843B1 (en) 2016-01-13
US10105516B2 (en) 2018-10-23
US20140135687A1 (en) 2014-05-15
CN103800069A (zh) 2014-05-21
JP2014097390A (ja) 2014-05-29
US9248255B2 (en) 2016-02-02

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