JP7311083B2 - 操向可能なガイドカテーテル - Google Patents

操向可能なガイドカテーテル Download PDF

Info

Publication number
JP7311083B2
JP7311083B2 JP2019570342A JP2019570342A JP7311083B2 JP 7311083 B2 JP7311083 B2 JP 7311083B2 JP 2019570342 A JP2019570342 A JP 2019570342A JP 2019570342 A JP2019570342 A JP 2019570342A JP 7311083 B2 JP7311083 B2 JP 7311083B2
Authority
JP
Japan
Prior art keywords
guide catheter
guide tube
drive shaft
drive
handle
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.)
Active
Application number
JP2019570342A
Other languages
English (en)
Japanese (ja)
Other versions
JP2020509910A (ja
JP2020509910A5 (enExample
Inventor
ダーレン・エドミンスター
ダグラス・ワーンシャッフェ
スティーヴ・バーホウ
Original Assignee
シルカ・サイエンティフィック・インコーポレイテッド
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by シルカ・サイエンティフィック・インコーポレイテッド filed Critical シルカ・サイエンティフィック・インコーポレイテッド
Publication of JP2020509910A publication Critical patent/JP2020509910A/ja
Publication of JP2020509910A5 publication Critical patent/JP2020509910A5/ja
Application granted granted Critical
Publication of JP7311083B2 publication Critical patent/JP7311083B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • 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
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/008—Strength or flexibility characteristics of the catheter 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
    • A61M25/0097—Catheters; Hollow probes characterised by the hub
    • 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
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • 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
    • A61M25/0113—Mechanical advancing means, e.g. catheter dispensers
    • 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
    • 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
    • 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
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide wires
    • 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
    • A61M25/01—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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/12—Blood circulatory system
    • A61M2210/125—Heart

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2019570342A 2017-03-07 2018-03-07 操向可能なガイドカテーテル Active JP7311083B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/452,675 2017-03-07
US15/452,675 US10786651B2 (en) 2017-03-07 2017-03-07 Steerable guide catheter
PCT/US2018/021418 WO2018165345A1 (en) 2017-03-07 2018-03-07 Steerable guide catheter

Publications (3)

Publication Number Publication Date
JP2020509910A JP2020509910A (ja) 2020-04-02
JP2020509910A5 JP2020509910A5 (enExample) 2021-04-15
JP7311083B2 true JP7311083B2 (ja) 2023-07-19

Family

ID=63446186

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019570342A Active JP7311083B2 (ja) 2017-03-07 2018-03-07 操向可能なガイドカテーテル

Country Status (5)

Country Link
US (3) US10786651B2 (enExample)
EP (1) EP3592232B8 (enExample)
JP (1) JP7311083B2 (enExample)
CN (2) CN116271424A (enExample)
WO (1) WO2018165345A1 (enExample)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11219746B2 (en) 2016-03-21 2022-01-11 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11045128B2 (en) 2017-06-03 2021-06-29 Sentinel Medical Technologies, LLC Catheter for monitoring intra-abdominal pressure
US11185245B2 (en) 2017-06-03 2021-11-30 Sentinel Medical Technologies, Llc. Catheter for monitoring pressure for muscle compartment syndrome
US11045143B2 (en) 2017-06-03 2021-06-29 Sentinel Medical Technologies, LLC Catheter with connectable hub for monitoring pressure
CN111032141A (zh) * 2017-08-24 2020-04-17 医疗系统公司 可双重转向的鞘管以及用于使医疗装置展开的方法
US11110251B2 (en) * 2017-09-19 2021-09-07 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11207499B2 (en) * 2017-10-20 2021-12-28 Edwards Lifesciences Corporation Steerable catheter
US11672457B2 (en) 2018-11-24 2023-06-13 Sentinel Medical Technologies, Llc. Catheter for monitoring pressure
US11779263B2 (en) 2019-02-08 2023-10-10 Sentinel Medical Technologies, Llc. Catheter for monitoring intra-abdominal pressure for assessing preeclampsia
JP7376612B2 (ja) * 2019-05-24 2023-11-08 ベクトン・ディキンソン・アンド・カンパニー 関節式補強カニューレ、アクセスセット、およびその方法
WO2021026020A1 (en) 2019-08-08 2021-02-11 Sentinel Medical Technologies, LLC Cable for use with pressure monitoring catheters
EP3789071A1 (en) * 2019-09-03 2021-03-10 Creganna Unlimited Company A medical device handle for articulation of a catheter
US20230011670A1 (en) * 2019-12-18 2023-01-12 The Regents Of The University Of California Rapid exchange endoscope system
US11617543B2 (en) 2019-12-30 2023-04-04 Sentinel Medical Technologies, Llc. Catheter for monitoring pressure
JP2023546196A (ja) * 2020-10-20 2023-11-01 ボストン サイエンティフィック メディカル デバイス リミテッド 操縦可能な医療装置、医療装置用のハンドル、及び医療装置を操作する方法
JP2025514441A (ja) * 2022-04-29 2025-05-02 武漢唯柯医療科技有限公司 インターベンション心臓弁ステントのデリバリーシステム
CN116712111A (zh) * 2023-05-25 2023-09-08 中国医学科学院阜外医院 一种左束支导引鞘

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002508675A (ja) 1997-01-31 2002-03-19 アキューソン コーポレイション カテーテル装着超音波トランスデューサ用操縦機構及び操縦線
JP2013132432A (ja) 2011-12-27 2013-07-08 Sumitomo Bakelite Co Ltd 医療機器および医療機器の製造方法
US20160074625A1 (en) 2014-09-12 2016-03-17 Helix Medical, Llc Modular handle assembly for a steerable catheter

Family Cites Families (146)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4203430A (en) 1976-12-16 1980-05-20 Nagashige Takahashi Device for controlling curvature of an end section in an endoscope
US4874371A (en) 1987-11-05 1989-10-17 Medilase, Inc. Control handle
US6033378A (en) 1990-02-02 2000-03-07 Ep Technologies, Inc. Catheter steering mechanism
US5195968A (en) 1990-02-02 1993-03-23 Ingemar Lundquist Catheter steering mechanism
US5358478A (en) 1990-02-02 1994-10-25 Ep Technologies, Inc. Catheter steering assembly providing asymmetric left and right curve configurations
US5891088A (en) 1990-02-02 1999-04-06 Ep Technologies, Inc. Catheter steering assembly providing asymmetric left and right curve configurations
US5254088A (en) * 1990-02-02 1993-10-19 Ep Technologies, Inc. Catheter steering mechanism
JPH03264041A (ja) 1990-03-14 1991-11-25 Machida Endscope Co Ltd 湾曲操作装置
AU660444B2 (en) 1991-02-15 1995-06-29 Ingemar H. Lundquist Torquable catheter and method
US5185004A (en) 1991-06-03 1993-02-09 Danforth Biomedical, Inc. Turn-limiting proximal adaptor for steerable catheter systems
US5766151A (en) * 1991-07-16 1998-06-16 Heartport, Inc. Endovascular system for arresting the heart
US5263493A (en) 1992-02-24 1993-11-23 Boaz Avitall Deflectable loop electrode array mapping and ablation catheter for cardiac chambers
US5325845A (en) 1992-06-08 1994-07-05 Adair Edwin Lloyd Steerable sheath for use with selected removable optical catheter
CA2103507C (en) 1992-09-23 1998-09-15 David A. Nicholas Locking mechanism for endoscopic or laparoscopic surgical instruments
US5364351A (en) 1992-11-13 1994-11-15 Ep Technologies, Inc. Catheter steering mechanism
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5549542A (en) * 1992-11-17 1996-08-27 Life Medical Technologies, Inc. Deflectable endoscope
US5330466A (en) 1992-12-01 1994-07-19 Cardiac Pathways Corporation Control mechanism and system and method for steering distal extremity of a flexible elongate member
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
US5364352A (en) 1993-03-12 1994-11-15 Heart Rhythm Technologies, Inc. Catheter for electrophysiological procedures
US5545200A (en) 1993-07-20 1996-08-13 Medtronic Cardiorhythm Steerable electrophysiology catheter
US5465716A (en) 1993-11-22 1995-11-14 Avitall; Boaz Catheter control handle
US5395329A (en) 1994-01-19 1995-03-07 Daig Corporation Control handle for steerable catheter
US5427017A (en) 1994-01-26 1995-06-27 Cheung; Chun-Kong Toaster attachment
US5413107A (en) 1994-02-16 1995-05-09 Tetrad Corporation Ultrasonic probe having articulated structure and rotatable transducer head
US5643255A (en) 1994-12-12 1997-07-01 Hicor, Inc. Steerable catheter with rotatable tip electrode and method of use
US5571085A (en) 1995-03-24 1996-11-05 Electro-Catheter Corporation Steerable open lumen catheter
US5741320A (en) 1995-05-02 1998-04-21 Heart Rhythm Technologies, Inc. Catheter control system having a pulley
US5656030A (en) 1995-05-22 1997-08-12 Boston Scientific Corporation Bidirectional steerable catheter with deflectable distal tip
US5823955A (en) 1995-11-20 1998-10-20 Medtronic Cardiorhythm Atrioventricular valve tissue ablation catheter and method
US6132390A (en) 1996-02-28 2000-10-17 Eupalamus Llc Handle for manipulation of a stylet used for deflecting a tip of a lead or catheter
US5755760A (en) 1996-03-11 1998-05-26 Medtronic, Inc. Deflectable catheter
US6398776B1 (en) * 1996-06-03 2002-06-04 Terumo Kabushiki Kaisha Tubular medical device
US5826576A (en) 1996-08-08 1998-10-27 Medtronic, Inc. Electrophysiology catheter with multifunction wire and method for making
US6146355A (en) 1996-12-30 2000-11-14 Myelotec, Inc. Steerable catheter
US6030360A (en) 1996-12-30 2000-02-29 Biggs; Robert C. Steerable catheter
US6464645B1 (en) 1997-01-31 2002-10-15 Acuson Corporation Ultrasonic transducer assembly controller
US5954654A (en) * 1997-01-31 1999-09-21 Acuson Corporation Steering mechanism and steering line for a catheter-mounted ultrasonic transducer
US5944690A (en) 1997-03-17 1999-08-31 C.R. Bard, Inc. Slidable control mechanism for steerable catheter
JPH1135893A (ja) 1997-05-22 1999-02-09 Toray Dow Corning Silicone Co Ltd シート状ホットメルト接着剤、および半導体装置
US5861024A (en) 1997-06-20 1999-01-19 Cardiac Assist Devices, Inc Electrophysiology catheter and remote actuator therefor
US6123699A (en) 1997-09-05 2000-09-26 Cordis Webster, Inc. Omni-directional steerable catheter
US6120476A (en) * 1997-12-01 2000-09-19 Cordis Webster, Inc. Irrigated tip catheter
US6171277B1 (en) 1997-12-01 2001-01-09 Cordis Webster, Inc. Bi-directional control handle for steerable catheter
US6059739A (en) 1998-05-29 2000-05-09 Medtronic, Inc. Method and apparatus for deflecting a catheter or lead
US6198974B1 (en) 1998-08-14 2001-03-06 Cordis Webster, Inc. Bi-directional steerable catheter
US6183435B1 (en) 1999-03-22 2001-02-06 Cordis Webster, Inc. Multi-directional steerable catheters and control handles
US6267746B1 (en) 1999-03-22 2001-07-31 Biosense Webster, Inc. Multi-directional steerable catheters and control handles
US20040044350A1 (en) 1999-04-09 2004-03-04 Evalve, Inc. Steerable access sheath and methods of use
US6468260B1 (en) 1999-05-07 2002-10-22 Biosense Webster, Inc. Single gear drive bidirectional control handle for steerable catheter
WO2000067834A1 (en) 1999-05-11 2000-11-16 Zynergy Cardiovascular, Inc. Steerable catheter
DE19933278C2 (de) 1999-07-14 2001-11-29 Biotronik Mess & Therapieg Steuerbarer Katheter
WO2001089624A1 (en) 2000-05-19 2001-11-29 C.R. Bard, Inc. Steerable biliary catheter
US7387628B1 (en) 2000-09-15 2008-06-17 Boston Scientific Scimed, Inc. Methods and systems for focused bipolar tissue ablation
US6571131B1 (en) 2000-11-10 2003-05-27 Biosense Webster, Inc. Deflectable catheter with modifiable handle
US6663588B2 (en) 2000-11-29 2003-12-16 C.R. Bard, Inc. Active counterforce handle for use in bidirectional deflectable tip instruments
US20020133077A1 (en) 2001-03-14 2002-09-19 Edwardsen Stephen Dodge Transesophageal ultrasound probe having a rotating endoscope shaft
US6979312B2 (en) 2001-04-12 2005-12-27 Biotran Corporation, Inc. Steerable sheath catheters
US6716207B2 (en) 2001-05-22 2004-04-06 Scimed Life Systems, Inc. Torqueable and deflectable medical device shaft
US20030114832A1 (en) 2001-12-14 2003-06-19 Kohler Robert Edward Interventional catheter with three dimensional articulation
US6880424B2 (en) 2001-12-07 2005-04-19 L & P Property Management Company Apparatus for telescoping actuator
US6913594B2 (en) 2001-12-31 2005-07-05 Biosense Webster, Inc. Dual-function catheter handle
AU2003205148A1 (en) 2002-01-16 2003-09-02 Eva Corporation Catheter hand-piece apparatus and method of using the same
US7004939B2 (en) * 2002-09-03 2006-02-28 Dale Victor Mackay Electrosurgical apparatus
US20070260225A1 (en) 2002-11-15 2007-11-08 Applied Medical Resources Corporation Steerable sheath actuator
US20050004515A1 (en) 2002-11-15 2005-01-06 Hart Charles C. Steerable kink resistant sheath
US7056314B1 (en) 2003-05-30 2006-06-06 Pacesetter, Inc. Steerable obturator
US7245955B2 (en) 2004-02-23 2007-07-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrophysiology/ablation catheter having deflection assembly
US8535293B2 (en) * 2004-04-13 2013-09-17 Gyrus Acmi, Inc. Atraumatic ureteral access sheath
US7122020B2 (en) * 2004-06-25 2006-10-17 Mogul Enterprises, Inc. Linkage steering mechanism for deflectable catheters
US8858495B2 (en) 2004-12-28 2014-10-14 St. Jude Medical, Atrial Fibrillation Division, Inc. Five degree of freedom ultrasound catheter and catheter control handle
US7691095B2 (en) 2004-12-28 2010-04-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Bi-directional steerable catheter control handle
US8333714B2 (en) 2006-09-10 2012-12-18 Abbott Diabetes Care Inc. Method and system for providing an integrated analyte sensor insertion device and data processing unit
JP4552840B2 (ja) 2005-04-01 2010-09-29 豊田合成株式会社 サイドエアバッグ装置
US7955314B2 (en) 2005-05-12 2011-06-07 Greatbatch Ltd. Articulating handle for a deflectable catheter and method therefor
US7938851B2 (en) 2005-06-08 2011-05-10 Xtent, Inc. Devices and methods for operating and controlling interventional apparatus
JP4813112B2 (ja) 2005-07-08 2011-11-09 オリンパスメディカルシステムズ株式会社 内視鏡装置
US9833595B2 (en) 2005-12-30 2017-12-05 Biosense Webster, Inc. Dual-lever bi-directional handle
JP5385780B2 (ja) 2006-04-04 2014-01-08 ヴォルケイノウ・コーポレーション カテーテル遠位端の変換器を操作するための超音波カテーテル及び手持ち式装置
US7615044B2 (en) 2006-05-03 2009-11-10 Greatbatch Ltd. Deflectable sheath handle assembly and method therefor
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
AU2007254126A1 (en) 2006-05-19 2007-11-29 Conmed Endoscopic Technologies, Inc. Steerable medical instrument
WO2008045877A2 (en) 2006-10-10 2008-04-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrode tip and ablation system
AU2008202483B2 (en) 2007-06-15 2011-07-14 Cathrx Ltd A deflectable stylet
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
US8197464B2 (en) 2007-10-19 2012-06-12 Cordis Corporation Deflecting guide catheter for use in a minimally invasive medical procedure for the treatment of mitral valve regurgitation
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
AU2009225951B2 (en) 2008-03-20 2011-09-15 Cathrx Ltd A steerable stylet
US8308659B2 (en) 2008-05-09 2012-11-13 Greatbatch Ltd. Bi-directional sheath deflection mechanism
US8641604B2 (en) 2008-05-13 2014-02-04 Boston Scientific Scimed, Inc. Steering system with locking mechanism
US9101735B2 (en) 2008-07-07 2015-08-11 Intuitive Surgical Operations, Inc. Catheter control systems
US8137308B2 (en) * 2008-09-16 2012-03-20 Biosense Webster, Inc. Catheter with adjustable deflection sensitivity
WO2010048676A1 (en) 2008-10-31 2010-05-06 Cathrx Ltd A catheter assembly
US10046141B2 (en) * 2008-12-30 2018-08-14 Biosense Webster, Inc. Deflectable sheath introducer
US20100168642A1 (en) * 2008-12-30 2010-07-01 Angiodynamics, Inc. Multilumen Venous Catheter and Method of Use
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
US8676290B2 (en) 2010-05-11 2014-03-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Multi-directional catheter control handle
EP2398543A1 (en) 2009-02-20 2011-12-28 Boston Scientific Scimed, Inc. Asymmetric dual directional steerable catheter sheath
US9387035B2 (en) 2009-08-25 2016-07-12 Medtronic Ablation Frontiers Llc Bi-modal catheter steering mechanism
US8747351B2 (en) 2009-08-28 2014-06-10 Biosense Webster, Inc. Catheter with multi-functional control handle having linear mechanism
US9033916B2 (en) * 2009-08-28 2015-05-19 Biosense Webster, Inc. Catheter with multi-functional control handle having rotational mechanism
US8369923B2 (en) 2010-04-14 2013-02-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Dual-deflecting electrophysiology catheter
US8696620B2 (en) 2010-07-30 2014-04-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter with a mechanism for omni-directional deflection of a catheter shaft
US9149607B2 (en) 2010-10-08 2015-10-06 Greatbatch Ltd. Bi-directional catheter steering handle
US8617087B2 (en) 2010-12-03 2013-12-31 Biosense Webster, Inc. Control handle with rotational cam mechanism for contraction/deflection of medical device
US8792962B2 (en) * 2010-12-30 2014-07-29 Biosense Webster, Inc. Catheter with single axial sensors
US9901711B2 (en) 2011-02-16 2018-02-27 Siemens Medical Solutions Usa, Inc. Shape-controllable catheters and catheter system
JP5155499B2 (ja) 2011-02-16 2013-03-06 オリンパスメディカルシステムズ株式会社 医療機器システム
EP2609848B1 (en) 2011-03-29 2016-02-03 Olympus Corporation Endoscope
JP6527329B2 (ja) 2011-05-03 2019-06-05 シファメド・ホールディングス・エルエルシー 操縦可能な送達シース
US9339384B2 (en) 2011-07-27 2016-05-17 Edwards Lifesciences Corporation Delivery systems for prosthetic heart valve
WO2013022727A1 (en) 2011-08-11 2013-02-14 Cook Medical Technologies Llc Steerable catheters
US8958861B2 (en) * 2011-09-30 2015-02-17 Biosense Webster, Inc. Electrophysiology catheter handle having accessible interior
EP2775896B1 (en) 2011-11-08 2020-01-01 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
US9821143B2 (en) 2011-12-15 2017-11-21 Imricor Medical Systems, Inc. Steerable sheath including elastomeric member
US20140135745A1 (en) 2011-12-15 2014-05-15 Imricor Medical Systems, Inc. Mri compatible handle and steerable sheath
US9162036B2 (en) * 2011-12-30 2015-10-20 Biosense Webster (Israel), Ltd. Medical device control handle with multiple puller wires
US9271701B2 (en) 2012-01-09 2016-03-01 Covidien Lp Surgical articulation assembly
US20130204096A1 (en) 2012-02-03 2013-08-08 Rui Xing Limited Medical Device with a Deflectable Shaft Section and Tension Control
US20130317542A1 (en) 2012-05-25 2013-11-28 Boston Scientific Scimed, Inc. Steerable delivery system
US8998844B2 (en) * 2012-06-04 2015-04-07 St. Jude Medical, Atrial Fibrillation Division, Inc. Handle extension for an elongate medical device
WO2013190475A2 (en) 2012-06-19 2013-12-27 Baylis Medical Company Inc. Steerable medical device handle
KR101364053B1 (ko) 2012-08-03 2014-02-19 한국과학기술연구원 미세수술기구용 가이드 튜브
US9173642B2 (en) 2013-02-12 2015-11-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Elongate medical device handle autolock
US9174024B1 (en) 2013-03-15 2015-11-03 St. Jude Medical Luxembourg Holdings S.À.R.L. Steering control mechanisms for catheters
WO2014182855A1 (en) 2013-05-07 2014-11-13 St. Jude Medical, Atrial Fibrillation Division, Inc. Steering actuator for deflectable catheter
US9907570B2 (en) 2013-08-23 2018-03-06 Oscor Inc. Steerable medical devices
US20150105721A1 (en) 2013-10-10 2015-04-16 Oscor Inc. Steerable medical devices
WO2015092768A1 (en) 2013-12-20 2015-06-25 Baylis Medical Company Inc. Steerable medical device handle
WO2015105950A2 (en) * 2014-01-13 2015-07-16 St. Jude Medical, Cardiology Division, Inc. Catheter deflection actuator providing mechanical advantage
US10639113B2 (en) 2014-05-13 2020-05-05 Covidien Lp Robotic surgical systems and instrument drive units
US9498602B2 (en) 2014-05-20 2016-11-22 Oscor Inc. Guided intravascular catheter sheath having bi-directional steering assembly
WO2016036774A1 (en) 2014-09-01 2016-03-10 Clph, Llc Steerable catheters and methods for making them
US10799677B2 (en) 2016-03-21 2020-10-13 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
JP6693861B2 (ja) 2016-12-21 2020-05-13 日本ライフライン株式会社 医療機器用ハンドルおよび医療機器
US11357953B2 (en) 2016-12-22 2022-06-14 Baylis Medical Company Inc. Feedback mechanisms for a steerable medical device
WO2018116162A1 (en) 2016-12-22 2018-06-28 Baylis Medical Company Inc. Steerable medical device
US10709870B2 (en) 2017-03-14 2020-07-14 Greatbatch Ltd. Steerable medical device and method
WO2018182836A1 (en) 2017-03-30 2018-10-04 Shifamed Holdings, Llc Medical tool positioning devices, systems, and methods of use and manufacture
US20190038873A1 (en) 2017-08-04 2019-02-07 Cryterion Medical, Inc. Steering assembly for intravascular catheter system
US11110251B2 (en) 2017-09-19 2021-09-07 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US20190083750A1 (en) 2017-09-19 2019-03-21 Cryterion Medical, Inc. Catheter steering assembly for intravascular catheter system
DE202018101750U1 (de) 2018-03-28 2018-04-12 Life Science Inkubator Betriebs Gmbh & Co. Kg Implantationsvorrichtung
EP3840630B1 (en) 2018-08-23 2025-09-10 NuVera Medical, Inc. Medical tool positioning devices, systems, and methods of use and manufacture
US11426200B2 (en) 2018-12-28 2022-08-30 St. Jude Medical, Cardiology Division, Inc. Operating handle for selective deflection or rotation of a catheter

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002508675A (ja) 1997-01-31 2002-03-19 アキューソン コーポレイション カテーテル装着超音波トランスデューサ用操縦機構及び操縦線
JP2013132432A (ja) 2011-12-27 2013-07-08 Sumitomo Bakelite Co Ltd 医療機器および医療機器の製造方法
US20160074625A1 (en) 2014-09-12 2016-03-17 Helix Medical, Llc Modular handle assembly for a steerable catheter

Also Published As

Publication number Publication date
US10786651B2 (en) 2020-09-29
JP2020509910A (ja) 2020-04-02
US20180256851A1 (en) 2018-09-13
US20240216648A1 (en) 2024-07-04
WO2018165345A1 (en) 2018-09-13
EP3592232B8 (en) 2024-03-06
EP3592232A1 (en) 2020-01-15
US20210008345A1 (en) 2021-01-14
EP3592232A4 (en) 2021-02-24
CN110913763A (zh) 2020-03-24
CN116271424A (zh) 2023-06-23
EP3592232B1 (en) 2023-08-09
CN110913763B (zh) 2023-01-13
US11890431B2 (en) 2024-02-06

Similar Documents

Publication Publication Date Title
JP7311083B2 (ja) 操向可能なガイドカテーテル
ES3030864T3 (en) Enhanced torque steerable guidewire
US7615044B2 (en) Deflectable sheath handle assembly and method therefor
CN104968390B (zh) 可操纵的导丝及使用方法
US10493240B2 (en) Steerable catheter handle
US9572957B2 (en) Steerable medical devices and steering assemblies
US20120197239A1 (en) Endoscopic medical device with articulating joints
JP7660914B2 (ja) 操向可能シース
US20200222667A1 (en) Steerable sheath with variable curve span
JP2019502420A (ja) 医療器具の操向アセンブリおよび使用方法
WO2007134341A2 (en) Steerable sheath actuator
EP2916903A1 (en) Coaxial bi-directional catheter
EP2859907A1 (en) Steerable medical devices
JP7703341B2 (ja) 可変屈曲スパンを有する操縦可能なシース
US20130018307A1 (en) Multi-Lumen Steerable Catheter
CN118593089A (zh) 一种远程心腔内可调弯鞘管装置及系统
CN217960935U (zh) 可控弯导管及其控制手柄
US20250049424A1 (en) Method and apparatus for epicardial access
EP3490428B1 (en) Steerable catheter handle
US20250318837A1 (en) Left Atrial Appendage Occluder Delivery System
JP7693855B2 (ja) キー付きの操縦可能なカテーテルデバイス

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210305

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20210305

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20211130

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20211206

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20220304

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20220606

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20221017

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20221226

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20230113

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A821

Effective date: 20221226

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230202

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20230414

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20230522

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20230607

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A821

Effective date: 20230607

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20230621

R150 Certificate of patent or registration of utility model

Ref document number: 7311083

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150