JP7394049B2 - 経中隔穿刺のためのデバイス及び方法 - Google Patents

経中隔穿刺のためのデバイス及び方法 Download PDF

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JP7394049B2
JP7394049B2 JP2020501425A JP2020501425A JP7394049B2 JP 7394049 B2 JP7394049 B2 JP 7394049B2 JP 2020501425 A JP2020501425 A JP 2020501425A JP 2020501425 A JP2020501425 A JP 2020501425A JP 7394049 B2 JP7394049 B2 JP 7394049B2
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distal end
lumen
transseptal puncture
end effector
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JP2020511291A (ja
JP2020511291A5 (enExample
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ゲイミー，ジェームズ
クイン，レイチェル
パスリジャ，チェタン
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ユニバーシティー オブ メリーランド，ボルティモア
ユニバーシティー オブ メリーランド メディカル システム エルエルシー
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00946—Material properties malleable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00982—General structural features
    • A61B2017/00986—Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22069—Immobilising; Stabilising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3413—Needle locating or guiding means guided by ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486—Balloon
    • 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
    • A61B2018/00392—Transmyocardial revascularisation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0204—Acoustic sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0271—Thermal or temperature sensors
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2020501425A 2017-03-22 2018-03-22 経中隔穿刺のためのデバイス及び方法 Active JP7394049B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201762474939P 2017-03-22 2017-03-22
US62/474,939 2017-03-22
US201762580165P 2017-11-01 2017-11-01
US62/580,165 2017-11-01
PCT/US2018/023800 WO2018175743A1 (en) 2017-03-22 2018-03-22 Device and method for transseptal puncture

Publications (3)

Publication Number Publication Date
JP2020511291A JP2020511291A (ja) 2020-04-16
JP2020511291A5 JP2020511291A5 (enExample) 2021-09-24
JP7394049B2 true JP7394049B2 (ja) 2023-12-07

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JP2020501425A Active JP7394049B2 (ja) 2017-03-22 2018-03-22 経中隔穿刺のためのデバイス及び方法

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US (2) US11523808B2 (enExample)
EP (1) EP3600071B1 (enExample)
JP (1) JP7394049B2 (enExample)
AU (1) AU2018237357B2 (enExample)
CA (1) CA3094454A1 (enExample)
WO (1) WO2018175743A1 (enExample)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018175743A1 (en) 2017-03-22 2018-09-27 University Of Maryland, Baltimore Device and method for transseptal puncture
US11045224B2 (en) 2018-09-24 2021-06-29 University Of Maryland, Baltimore Apparatus and method for septal punch
US20200100780A1 (en) * 2018-09-27 2020-04-02 Covidien Lp Laminated surgical handpiece and method for forming same
WO2021007346A1 (en) 2019-07-09 2021-01-14 Juad Nextgen Neuroend, Llc Apparatus, systems and methods for transvascular access to the brain
EP4031011A1 (en) * 2019-09-20 2022-07-27 East End Medical LLC Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
WO2021102407A1 (en) 2019-11-21 2021-05-27 Bedrosian Global, Llc Transseptal puncture device and method of use
US11975206B2 (en) 2020-03-06 2024-05-07 Medtronic, Inc. Multi-electrode implantable medical device (IMD)
CA3171937A1 (en) * 2020-03-25 2021-09-30 Ryan Bauer Apparatus and method for septal punch
US20230363714A1 (en) * 2020-10-08 2023-11-16 University Of Pittsburgh - Of The Commonwealth System Of Higher Education Device for Measurement of Core Body Temperature and Temperature Monitoring Methods
AU2022205962A1 (en) * 2021-01-11 2023-07-06 Protaryx Medical Inc. Apparatus and method for septal punch and delivery and maneuvering of therapeutic device
US11806000B2 (en) 2021-02-15 2023-11-07 Medtronic, Inc. Transseptal systems and methods
US12246181B2 (en) 2021-04-02 2025-03-11 Medtronic, Inc. Dual chamber pacing
US12274842B2 (en) 2021-06-08 2025-04-15 Medtronic, Inc. Guide wire system
WO2023154235A1 (en) * 2022-02-09 2023-08-17 Edwards Lifesciences Corporation Hollow needle for delivering a guidewire
WO2023225000A1 (en) * 2022-05-18 2023-11-23 Protaryx Medical Inc. Apparatus and method for septal punch
CN120583921A (zh) * 2022-11-21 2025-09-02 瑞瓦斯卡迪奥有限公司 用于管腔内穿刺的装置、系统和方法

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070083168A1 (en) 2004-09-30 2007-04-12 Whiting James S Transmembrane access systems and methods
US20110028995A1 (en) 2009-07-28 2011-02-03 Edwards Lifesciences Corporation Surgical Puncture Cinch and Closure System
US20140309679A1 (en) 2013-04-15 2014-10-16 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements

Family Cites Families (83)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5370675A (en) 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
US5520685A (en) * 1994-08-04 1996-05-28 Alto Development Corporation Thermally-insulated anti-clog tip for electrocautery suction tubes
US6311692B1 (en) * 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US6626830B1 (en) * 1999-05-04 2003-09-30 Cardiothoracic Systems, Inc. Methods and devices for improved tissue stabilization
US6650923B1 (en) * 2000-04-13 2003-11-18 Ev3 Sunnyvale, Inc. Method for accessing the left atrium of the heart by locating the fossa ovalis
US6645225B1 (en) * 2000-11-01 2003-11-11 Alvan W. Atkinson Method and apparatus for plugging a patent foramen ovale formed in the heart
US6743241B2 (en) * 2002-03-01 2004-06-01 Intellimed Surgical Solutions Llc Laparoscopic port site fascial closure device
DE60317909T2 (de) 2002-09-23 2008-11-13 NMT Medical, Inc., Boston Vorrichtung zur punktion eines septums
US7112197B2 (en) 2003-01-21 2006-09-26 Baylis Medical Company Inc. Surgical device with pressure monitoring ability
US9597146B2 (en) 2003-01-21 2017-03-21 Baylis Medical Company Inc. Method of surgical perforation via the delivery of energy
US8414524B2 (en) * 2003-10-01 2013-04-09 Micrus Endovascular Corporation Long nose manipulatable catheter
US7553625B2 (en) 2003-12-22 2009-06-30 John Wayne Cancer Institute Method and apparatus for in vivo collection of circulating biological components
US20050153309A1 (en) 2003-12-22 2005-07-14 David Hoon Method and apparatus for in vivo surveillance of circulating biological components
EP1703923B1 (en) * 2003-12-23 2008-05-07 Cytyc Corporation Medical instrument for accessing a breast duct for performing a medical procedure
US20060020276A1 (en) 2004-07-23 2006-01-26 Usgi Medical Inc. Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds
US8114110B2 (en) 2004-09-22 2012-02-14 St. Jude Medical, Atrial Fibrillation Division, Inc. Transseptal puncture needle and needle assemblies
US9326756B2 (en) * 2006-05-17 2016-05-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Transseptal catheterization assembly and methods
US7635353B2 (en) 2004-09-22 2009-12-22 St. Jude Medical, Atrial Fibrillation Division, Inc. Transseptal puncture needles and needle assemblies
US20060079787A1 (en) 2004-09-30 2006-04-13 Whiting James S Transmembrane access systems and methods
US8029470B2 (en) 2004-09-30 2011-10-04 Pacesetter, Inc. Transmembrane access systems and methods
US8882787B2 (en) 2005-03-02 2014-11-11 St. Jude Medical, Cardiology Division, Inc. Tissue anchor apparatus
US20070021767A1 (en) 2005-07-25 2007-01-25 Breznock Eugene M Steerable endoluminal punch
US7837619B2 (en) 2005-08-19 2010-11-23 Boston Scientific Scimed, Inc. Transeptal apparatus, system, and method
US8235916B2 (en) 2006-02-03 2012-08-07 Pacesetter, Inc. System and method for manipulating insertion pathways for accessing target sites
US20110022057A1 (en) 2006-02-03 2011-01-27 Pacesetter, Inc. Apparatus and methods for transferring an implanted elongate body to a remote site
US8992422B2 (en) * 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
WO2008070262A2 (en) 2006-10-06 2008-06-12 The Cleveland Clinic Foundation Apparatus and method for targeting a body tissue
US8694077B2 (en) 2006-10-06 2014-04-08 The Cleveland Clinic Foundation Apparatus and method for targeting a body tissue
US9855021B2 (en) 2006-10-12 2018-01-02 Perceptive Navigation, LLC Image guided catheters and methods of use
US8540674B2 (en) 2007-04-27 2013-09-24 Cvdevices, Llc Devices, systems, and methods for transeptal atrial puncture using an engagement catheter platform
US9050064B2 (en) 2007-04-27 2015-06-09 Cvdevices, Llc Systems for engaging a bodily tissue and methods of using the same
US20090036923A1 (en) 2007-05-04 2009-02-05 Jabba Ronald J Systems and methods for accommodating anatomical characteristics in the treatment of septal defects
US7976551B1 (en) 2007-06-14 2011-07-12 Pacesetter, Inc. Transseptal delivery instrument
EP3782556B1 (en) 2007-10-03 2024-04-17 Bioventrix, Inc. System for treating dysfunctional cardiac tissue
US20090105742A1 (en) 2007-10-19 2009-04-23 Pressure Products Medical Supplies Inc. Transseptal guidewire
AR063522A1 (es) 2007-10-23 2009-01-28 Elencwajg Benjamin Daniel Dispositivo para estimulacion endocavitaria de la auricula y/o ventriculo izquierdo por puncion transeptal auricular y extraccion por via venosa retrograda del extremo proximal del cateter hacia la region prepectoral
US8996135B2 (en) 2007-10-23 2015-03-31 Benjamin Daniel Elencwajg Device and method for inserting a cardiac catheter
US8821366B2 (en) 2007-10-24 2014-09-02 Circulite, Inc. Transseptal cannula, tip, delivery system, and method
US8343029B2 (en) 2007-10-24 2013-01-01 Circulite, Inc. Transseptal cannula, tip, delivery system, and method
CA2703732A1 (en) 2007-11-07 2009-05-14 Ovalis, Inc. Systems, devices and methods for achieving transverse orientation in the treatment of septal defects
US20110087261A1 (en) 2008-03-11 2011-04-14 Umc Utrecht Holding B.V. Device and Method for Transseptal Puncturing
US20100114184A1 (en) * 2008-10-07 2010-05-06 Brainsgate Ltd. Flexible tools for preparing bony canals
US8388549B2 (en) 2008-12-29 2013-03-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Anatomical thermal sensing device and method
US8317810B2 (en) 2008-12-29 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Tissue puncture assemblies and methods for puncturing tissue
US8900193B2 (en) 2008-12-31 2014-12-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Fast-acting or rotating transseptal needle
US8460168B2 (en) 2009-03-27 2013-06-11 Circulite, Inc. Transseptal cannula device, coaxial balloon delivery device, and methods of using the same
CA2807038C (en) 2009-12-03 2019-09-03 John Dr. Gurley Central venous access system
US10220134B2 (en) 2010-04-23 2019-03-05 Mark D. Wieczorek Transseptal access device and method of use
WO2011133977A2 (en) 2010-04-23 2011-10-27 Assist Medical Llc Transseptal access device and method of use
US9198756B2 (en) 2010-11-18 2015-12-01 Pavilion Medical Innovations, Llc Tissue restraining devices and methods of use
AU2012315667B2 (en) 2011-09-30 2016-11-03 Bioventrix, Inc. Remote pericardial hemostasis for ventricular access and reconstruction or other organ therapies
US8831707B2 (en) 2011-11-16 2014-09-09 Cook Medical Technologies Llc Tip deflecting puncture needle
US10092726B2 (en) 2012-02-09 2018-10-09 Bluegrass Vascular Technologies, Inc. Occlusion access system
US8961550B2 (en) 2012-04-17 2015-02-24 Indian Wells Medical, Inc. Steerable endoluminal punch
US9358039B2 (en) * 2012-05-08 2016-06-07 Greatbatch Ltd. Transseptal needle apparatus
US20130304051A1 (en) 2012-05-08 2013-11-14 Greatbatch Ltd. Transseptal needle apparatus
US8986264B2 (en) 2012-05-08 2015-03-24 Greatbatch Ltd. Transseptal needle apparatus
CN104936540B (zh) 2012-10-22 2018-06-08 美国克里夫兰临床基金会 用于瞄准体组织的装置和方法
US10226278B2 (en) 2012-10-29 2019-03-12 Ablative Solutions, Inc. Method for painless renal denervation using a peri-vascular tissue ablation catheter with support structures
US20140148828A1 (en) 2012-11-28 2014-05-29 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
WO2014089373A1 (en) 2012-12-05 2014-06-12 University Of Rochester Catheter with integrated transeptal puncture needle
EP2928539B1 (en) 2012-12-06 2019-11-27 Indian Wells Medical, Inc. Steerable guidewire
US20140277054A1 (en) 2013-03-15 2014-09-18 Dc Devices, Inc. Devices, systems, and methods for percutaneous trans-septal puncture
US9700351B2 (en) 2013-04-15 2017-07-11 Transseptal Solutions Ltd. Fossa ovalis penetration
US9545265B2 (en) 2013-04-15 2017-01-17 Transseptal Solutions Ltd. Fossa ovalis penetration using balloons
US20160100859A1 (en) 2014-10-14 2016-04-14 Transseptal Solutions Ltd. Fossa ovalis penetration
CN105473745B (zh) 2013-06-21 2019-12-03 约翰霍普金斯大学 用于表征人膜蛋白的功能和相互作用的病毒体展示阵列
CN105682726B (zh) 2013-08-07 2020-01-03 贝利斯医疗公司 用于穿刺组织的方法和设备
US20150238729A1 (en) 2014-02-24 2015-08-27 Mark Lynn Jenson Cardiac Access Catheter, System, and Method
WO2016009337A2 (en) * 2014-07-15 2016-01-21 Koninklijke Philips N.V. Devices and methods for intrahepatic shunts
CN106999211B (zh) 2014-10-14 2020-03-06 特兰瑟普塔尔解决方案公司 卵圆窝穿透
US11534579B2 (en) 2015-01-02 2022-12-27 510 Kardiac Devices, Inc. Steerable introducer sheath assembly
US10328250B2 (en) 2015-07-02 2019-06-25 Covellus Llc Medical device adapter
EP3322353B1 (en) 2015-07-13 2023-01-11 Marvel Medical Technologies LLC Device for left atrial appendage closure
US10398503B2 (en) 2015-10-14 2019-09-03 Transseptal Soulutions Ltd. Fossa ovalis penetration
WO2017139463A1 (en) 2016-02-09 2017-08-17 Kassab Ghassan S Devices, systems, and methods for use with suction within a mammalian body
US10729457B2 (en) 2016-02-25 2020-08-04 Indian Wells Medical, Inc. Steerable endoluminal punch with cutting stylet
US10595842B2 (en) 2017-03-16 2020-03-24 William Joseph Drasler Expandable cardiac access catheter
WO2018175743A1 (en) 2017-03-22 2018-09-27 University Of Maryland, Baltimore Device and method for transseptal puncture
BR112020001561A2 (pt) 2017-07-28 2020-07-21 East End Medical Llc. dispositivo de inserção transeptal com balão direcional para procedimentos médicos
US11045224B2 (en) 2018-09-24 2021-06-29 University Of Maryland, Baltimore Apparatus and method for septal punch
JP2022502225A (ja) 2018-09-24 2022-01-11 ユニバーシティー オブ メリーランド，ボルティモア 中隔パンチ用の装置及び方法
CA3171937A1 (en) 2020-03-25 2021-09-30 Ryan Bauer Apparatus and method for septal punch

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070083168A1 (en) 2004-09-30 2007-04-12 Whiting James S Transmembrane access systems and methods
US20110028995A1 (en) 2009-07-28 2011-02-03 Edwards Lifesciences Corporation Surgical Puncture Cinch and Closure System
US20140309679A1 (en) 2013-04-15 2014-10-16 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements

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US11523808B2 (en) 2022-12-13
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US20200155132A1 (en) 2020-05-21
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