JP6994106B2 - トルク伝達可能な操作可能なシース - Google Patents

トルク伝達可能な操作可能なシース Download PDF

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Publication number
JP6994106B2
JP6994106B2 JP2020514912A JP2020514912A JP6994106B2 JP 6994106 B2 JP6994106 B2 JP 6994106B2 JP 2020514912 A JP2020514912 A JP 2020514912A JP 2020514912 A JP2020514912 A JP 2020514912A JP 6994106 B2 JP6994106 B2 JP 6994106B2
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Prior art keywords
operable
inner liner
proximal end
distal end
sheath
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Japanese (ja)
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JP2020534055A (ja
JP2020534055A5 (https=
Inventor
エス． マラス ティモシー
オリヴェリウス アンドリュー
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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
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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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6855—Catheters with a distal curved tip
    • 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
    • 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
    • A61M25/0158—Tip steering devices with magnetic or electrical means, e.g. by using piezo materials, electroactive polymers, magnetic materials or by heating of shape memory materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00526—Methods of manufacturing
    • 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
    • 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
    • A61M25/0012—Making of catheters or other medical or surgical tubes with embedded structures, e.g. coils, braids, meshes, strands or radiopaque coils

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Mechanical Engineering (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
JP2020514912A 2017-09-14 2018-09-13 トルク伝達可能な操作可能なシース Active JP6994106B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762558688P 2017-09-14 2017-09-14
US62/558,688 2017-09-14
PCT/US2018/050850 WO2019055635A1 (en) 2017-09-14 2018-09-13 ORIENTABLE SHEATHES COULD BE SUBJECTED TO A COUPLE

Publications (3)

Publication Number Publication Date
JP2020534055A JP2020534055A (ja) 2020-11-26
JP2020534055A5 JP2020534055A5 (https=) 2021-01-21
JP6994106B2 true JP6994106B2 (ja) 2022-01-14

Family

ID=63714104

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020514912A Active JP6994106B2 (ja) 2017-09-14 2018-09-13 トルク伝達可能な操作可能なシース

Country Status (5)

Country Link
US (2) US12472329B2 (https=)
EP (2) EP3658051B1 (https=)
JP (1) JP6994106B2 (https=)
CN (1) CN111065350B (https=)
WO (1) WO2019055635A1 (https=)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4241819B1 (en) 2017-11-28 2026-02-25 St. Jude Medical, Cardiology Division, Inc. Controllable expandable catheter
CN117958829A (zh) 2018-03-13 2024-05-03 圣犹达医疗用品心脏病学部门有限公司 可变密度标测导管
WO2019195439A1 (en) 2018-04-05 2019-10-10 St. Jude Medical, Cardiology Division, Inc. High density electrode 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
WO2020203740A1 (ja) 2019-03-29 2020-10-08 東レ株式会社 カテーテルの製造方法及びその方法により製造されたカテーテル
US20220379079A1 (en) * 2019-11-05 2022-12-01 Biotronik Se & Co. Kg Catheter tube for a steerable catheter, and method for implanting an implantable medical device by means of a steerable catheter
WO2021195193A1 (en) * 2020-03-24 2021-09-30 Walzman Innovations, Llc Vessel access catheter
US12544540B2 (en) * 2020-06-25 2026-02-10 Greatbatch Ltd. Braid and pull wire containment ring for deflectable guiding catheter
CN111870342B (zh) * 2020-08-07 2024-10-25 西安交通大学医学院第一附属医院 一种用于胆道碎石的激光胆道镜系统
CN115942915B (zh) 2020-08-18 2025-11-28 圣犹达医疗用品心脏病学部门有限公司 具有磁性位置跟踪的高密度电极导管
CN113018639B (zh) * 2021-03-05 2022-11-11 南京鼓楼医院 一种能缩口、可调弯的微导管制备工艺
US20240277971A1 (en) * 2021-06-10 2024-08-22 Daniel Ezra Walzman Arch fulcrum catheters
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
NL2035502B1 (en) * 2023-07-28 2025-02-11 Fortimedix Assets Ii B V Bendable tube with path length compensation of steering wires
CN121772887A (zh) * 2023-09-06 2026-03-31 美敦力公司 圆形电极阵列和形成圆形电极阵列的方法

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6078830A (en) 1997-10-01 2000-06-20 Ep Technologies, Inc. Molded catheter distal end assembly and process for the manufacture thereof
US20060111768A1 (en) 2000-09-26 2006-05-25 Micronet Medical, Inc. Lead body and method of lead body construction
JP2008521503A (ja) 2004-11-29 2008-06-26 リバスキュラー セラピューティクス， インコーポレイテッド 閉塞または狭窄を横切るためのガイドワイヤ
US20110196464A1 (en) 2010-02-09 2011-08-11 Leonard Pinchuk Pacemaker Lead and Method of Making Same
JP2011204986A (ja) 2010-03-26 2011-10-13 Showa Denko Kk ランプおよびランプの製造方法
JP2014501557A (ja) 2010-11-23 2014-01-23 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 電気解剖学的システム画像形成素子を搭載した医療機器
US20170106170A1 (en) 2015-10-19 2017-04-20 Biocardia, Inc. Multi-Directional Steerable Catheter

Family Cites Families (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1980002231A1 (en) * 1979-04-24 1980-10-30 J Donachy Long-life flexible electrode lead
US4484586A (en) * 1982-05-27 1984-11-27 Berkley & Company, Inc. Hollow conductive medical tubing
US4559951A (en) * 1982-11-29 1985-12-24 Cardiac Pacemakers, Inc. Catheter assembly
US5330520A (en) * 1986-05-15 1994-07-19 Telectronics Pacing Systems, Inc. Implantable electrode and sensor lead apparatus
US5417208A (en) * 1993-10-12 1995-05-23 Arrow International Investment Corp. Electrode-carrying catheter and method of making same
US6245068B1 (en) * 1994-08-08 2001-06-12 Scimed Life Systems, Inc. Resilient radiopaque electrophysiology electrodes and probes including the same
US5824026A (en) * 1996-06-12 1998-10-20 The Spectranetics Corporation Catheter for delivery of electric energy and a process for manufacturing same
US7047082B1 (en) * 1999-09-16 2006-05-16 Micronet Medical, Inc. Neurostimulating lead
US6482221B1 (en) * 2000-08-21 2002-11-19 Counter Clockwise, Inc. Manipulatable delivery catheter for occlusive devices (II)
US6920361B2 (en) * 2003-02-14 2005-07-19 Medtronic, Inc. Reverse wound electrodes
US7831311B2 (en) * 2004-10-21 2010-11-09 Medtronic, Inc. Reduced axial stiffness implantable medical lead
US7691095B2 (en) 2004-12-28 2010-04-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Bi-directional steerable catheter control handle
US7571010B2 (en) * 2005-05-06 2009-08-04 Cardiac Pacemakers, Inc. Cable electrode assembly for a lead terminal and method therefor
WO2006130056A1 (en) * 2005-05-31 2006-12-07 St. Jude Medical Ab Implantable lead
EP2001473A4 (en) * 2006-03-31 2012-12-26 Advanced Neuromodulation Sys SUBSEQUENT ELECTROSTIMULATION PIPES AND METHOD OF MANUFACTURING THEM
US20080091169A1 (en) 2006-05-16 2008-04-17 Wayne Heideman Steerable catheter using flat pull wires and having torque transfer layer made of braided flat wires
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
JP5568316B2 (ja) * 2007-03-19 2014-08-06 ボストン サイエンティフィック ニューロモデュレイション コーポレイション Ｍｒｉ／ｒｆ適合リード線、および関連のリード線を操作、作製する方法
US8756806B2 (en) * 2007-06-27 2014-06-24 Flip Technologies Limited Catheter and a method for producing a catheter
US7914515B2 (en) 2007-07-18 2011-03-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter and introducer catheter having torque transfer layer and method of manufacture
US8842953B2 (en) * 2007-12-06 2014-09-23 Koninklijke Philips N.V. Apparatus, method and computer program for applying energy to an object
US8431057B2 (en) * 2007-12-30 2013-04-30 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter shaft and method of its manufacture
US8647323B2 (en) * 2007-12-30 2014-02-11 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter shaft with multiple reinforcing layers and method of its manufacture
US11291503B2 (en) * 2008-10-21 2022-04-05 Microcube, Llc Microwave treatment devices and methods
US20140358140A1 (en) * 2008-10-21 2014-12-04 Microcube, Llc Microwave treatment devices and methods
JP6078471B2 (ja) * 2010-11-19 2017-02-08 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 直流組織治療のための不関電極を有する電極カテーテル機器
US8620399B2 (en) * 2010-12-30 2013-12-31 St. Jude Medical, Atrial Fibrillation Division, Inc. Deflectable medical devices and methods of manufacturing therefor
US9820811B2 (en) * 2011-08-26 2017-11-21 Symap Medical (Suzhou), Ltd System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same
US9162036B2 (en) * 2011-12-30 2015-10-20 Biosense Webster (Israel), Ltd. Medical device control handle with multiple puller wires
US9393070B2 (en) * 2012-04-24 2016-07-19 Cibiem, Inc. Endovascular catheters and methods for carotid body ablation
US9717555B2 (en) * 2012-05-14 2017-08-01 Biosense Webster (Israel), Ltd. Catheter with helical end section for vessel ablation
US9949828B2 (en) * 2012-10-23 2018-04-24 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
WO2014066470A1 (en) * 2012-10-24 2014-05-01 Evergreen Medical Technologies, Inc. Flex circuit ribbon based elongated members and attachments
US10071222B2 (en) * 2013-03-16 2018-09-11 Clph, Llc Electrode catheters and methods for making them
WO2014153275A1 (en) * 2013-03-16 2014-09-25 Clph, Llc Steerable catheters and methods for making them
US10602947B2 (en) * 2013-04-11 2020-03-31 Biosense Webster (Israel), Ltd. High density electrode structure
EP2805683A3 (en) * 2013-05-21 2015-03-25 St. Jude Medical, Cardiology Division, Inc. Electrode assembly for catheter system
CN105263557B (zh) * 2013-06-07 2018-07-06 导管治疗有限公司 用于导管的电引线以及制造方法
US9913961B2 (en) * 2013-10-24 2018-03-13 St. Jude Medical, Cardiology Division, Inc. Flexible catheter shaft and method of manufacture
CA2930809A1 (en) * 2013-11-22 2015-05-28 Simon Fraser University Apparatus and methods for assisted breathing by transvascular nerve stimulation
WO2016099686A1 (en) * 2014-11-05 2016-06-23 Clph, Llc Catheter devices and methods for making them
CN107106838B (zh) * 2014-11-09 2020-12-25 森索医疗实验有限公司 电极引线
US11367947B2 (en) * 2015-03-16 2022-06-21 St. Jude Medical International Holding S.á r.l. Field concentrating antennas for magnetic position sensors
US10602983B2 (en) * 2015-05-08 2020-03-31 St. Jude Medical International Holding S.À R.L. Integrated sensors for medical devices and method of making integrated sensors for medical devices
US10130420B2 (en) * 2015-10-08 2018-11-20 Biosense Webster (Israel) Ltd. Catheter with membraned spines for pulmonary vein isolation
US10945634B2 (en) * 2016-09-22 2021-03-16 Walter Kusumoto Modular electrophysiology mapping system and method
JP7329442B2 (ja) * 2017-01-19 2023-08-18 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 シースの可視化

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6078830A (en) 1997-10-01 2000-06-20 Ep Technologies, Inc. Molded catheter distal end assembly and process for the manufacture thereof
US20060111768A1 (en) 2000-09-26 2006-05-25 Micronet Medical, Inc. Lead body and method of lead body construction
JP2008521503A (ja) 2004-11-29 2008-06-26 リバスキュラー セラピューティクス， インコーポレイテッド 閉塞または狭窄を横切るためのガイドワイヤ
US20110196464A1 (en) 2010-02-09 2011-08-11 Leonard Pinchuk Pacemaker Lead and Method of Making Same
JP2011204986A (ja) 2010-03-26 2011-10-13 Showa Denko Kk ランプおよびランプの製造方法
JP2014501557A (ja) 2010-11-23 2014-01-23 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 電気解剖学的システム画像形成素子を搭載した医療機器
US20170106170A1 (en) 2015-10-19 2017-04-20 Biocardia, Inc. Multi-Directional Steerable Catheter

Also Published As

Publication number Publication date
CN111065350B (zh) 2023-06-02
US20260041887A1 (en) 2026-02-12
JP2020534055A (ja) 2020-11-26
EP4344722A3 (en) 2024-06-19
EP3658051B1 (en) 2024-03-20
EP3658051A1 (en) 2020-06-03
CN111065350A (zh) 2020-04-24
US20210121663A1 (en) 2021-04-29
EP4344722A2 (en) 2024-04-03
WO2019055635A1 (en) 2019-03-21
US12472329B2 (en) 2025-11-18

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