JPH11507251A - 冠状静脈洞用のガイドカテーテル - Google Patents
冠状静脈洞用のガイドカテーテルInfo
- Publication number
- JPH11507251A JPH11507251A JP9501637A JP50163797A JPH11507251A JP H11507251 A JPH11507251 A JP H11507251A JP 9501637 A JP9501637 A JP 9501637A JP 50163797 A JP50163797 A JP 50163797A JP H11507251 A JPH11507251 A JP H11507251A
- Authority
- JP
- Japan
- Prior art keywords
- shaft
- catheter
- guide catheter
- distal end
- coronary sinus
- 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.)
- Withdrawn
Links
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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- 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
- A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/008—Strength or flexibility characteristics of the catheter tip
- A61M2025/0081—Soft 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
-
- 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
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
-
- 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
- A61M25/0152—Tip steering devices with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 患者の冠状静脈洞と枝静脈とに血管内デバイスを向けるためのものであり 、 a)基端及び末端と、末端におけるポートと、末端のポートに延在して液体で 結びつく内部ルーメンとを有する細長い軸と、 b)比較的剛性のある基端の軸部と、 c)約1インチ〜約6インチの長さであり、患者の冠状静脈洞に入れることと 冠状静脈洞の方に導く枝静脈をサブセレクションすることを容易にするために形 づくられている比較的柔軟性のある末端部と、 d)細長い軸内に延在している内部ルーメンにアクセスを与える細長い軸の基 端のアダプターとを備えるガイドカテーテル。 2. 拡張可能な閉塞部材をカテーテル軸の末端部に備えている請求項1記載の ガイドカテーテル。 3. 拡張している閉塞部材が、膨張可能なバルーンである請求項2記載のガイ ドカテーテル。 4. カテーテル軸が軸の中に延在している第2の内部ルーメンを有し、バルー ンが第2の内部ルーメンと液体で結びつく内部を有する請求項3記載のガイドカ テーテル。 5. カテーテルの末端部が、約2インチ〜約5インチの長さである請求項1記 載のガイドカテーテル。 6. 基端のカテーテル軸部が、約60(ショア硬さ)〜約85D(ショア硬さ )の硬度を有する重合体材料からできている請求項1記載のガイドカテーテル。 7. 末端の軸部が、約80A(ショア硬さ)〜約30D(ショア硬さ)の硬度 を有する重合体材料からできている請求項1記載のガイドカテーテル。 8. 末端の軸部が、基端の軸部より大きな柔軟性を有する中間部と中間部より 大きな柔軟性を有する末端部とを備える請求項1記載のガイドカテーテル。 9. 中間部が、約30(ショア硬さ)〜約60D(ショア硬さ)の硬度を有す る請求項8記載のガイドカテーテル。 10. 中間部が、約0.5インチ〜約3インチの長さである請求項8記載のガ イドカテーテル。 11. 中間部が拡張可能な閉塞部材を有する請求項8記載のガイドカテーテル 。 12. 拡張可能な閉塞部材が、膨張可能なバルーンである請求項11記載のガ イドカテーテル。 13. カテーテル軸が軸の中に延在する第2の内部ルーメンを有し、膨張可能 なバルーンが第2の内部ルーメンと液体で結びついた内部を有する請求項12記 載のガイドカテーテル。 14. a)患者の冠状静脈洞と、冠状静脈洞から延在している枝静脈に血管内 デバイスを向けるためのものであり、 基端及び末端と、末端におけるポートと、末端のポートに延在して液体で結 びつく内部ルーメンとを有する細長い軸と、 比較的剛性のある基端の軸部と、 約1インチ〜約6インチの長さであり、患者の冠状静脈洞に入れることと冠 状静脈洞の方に導く枝静脈をサブセレクションすることを容易にするために形づ くられている比較的柔軟性のある末端部と、 細長い軸内に延在している内部ルーメンにアクセスを与える細長い軸の基端 のアダプターとを備えるガイドカテーテルと、 b)ガイドカテーテルの内部ルーメン内にスライド可能に配置し、心臓の静脈 内から患者の心臓の電気的アクティビティを検出するためのものであり、細長い 軸と、血管内デバイスの末端にある複数のセンサ電極と、センサ電極に電気的に 接続した導電体とを含む血管内デバイスとを備える血管内のアセンブリ。 15. 血管内デバイスがガイドカテーテルより長く、その結果、センサ電極を 有する血管内デバイスの末端がガイドカテーテルの外へ延在するとき、血管内デ バイスの基端がガイドカテーテルの基端から外に延在する請求項14記載の血管 内アセンブリ。 16. a) 基端及び末端と,末端におけるポートと,末端のポートに延在し て液体で結びつく内部ルーメンとを有する細長い軸と、 比較的剛性のある基端の軸部と、 約1インチ〜約6インチの長さであり、患者の冠状静脈洞に入れることと冠 状静脈洞の方に導く枝静脈をサブセレクションすることを容易にするために形づ くられている比較的柔軟性のある末端部と、 細長い軸内に延在している内部ルーメンにアクセスを与える細長い軸の基端 のアダプターとを有するガイドカテーテルを備えることと、 b) ガイドカテーテルを患者の末梢の静脈系を通って患者の心臓の右心房に 前進させることと、 c) ガイドカテーテルの末端を冠状静脈洞口を通って冠状静脈洞に、そして 冠状静脈洞に排出する枝静脈にガイドすることと、 d) センサ電極を有する血管内デバイスの末端部がデバイスの末端における ポートの外に延在するまで、カテーテルの内部ルーメンを通ってデバイスの末端 部にセンサ電極を有する血管内デバイスを進めることと、 e) 血管内デバイスの末端部にあるセンサ電極によって電気的アクティビテ ィを検出することとを備える患者の心臓の電気的アクティビティを検出する方法 。 17. 電気的アクティビティから生じる不整脈を終わらせるために、感知した 電気的アクティビティを引き起こすか又は深い関係がある心臓組織を除去するこ とを含む請求項16記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US48471595A | 1995-06-07 | 1995-06-07 | |
US08/484,715 | 1995-06-07 | ||
PCT/US1996/009283 WO1996040342A1 (en) | 1995-06-07 | 1996-06-05 | Guiding catheter for coronary sinus |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH11507251A true JPH11507251A (ja) | 1999-06-29 |
Family
ID=23925299
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP9501637A Withdrawn JPH11507251A (ja) | 1995-06-07 | 1996-06-05 | 冠状静脈洞用のガイドカテーテル |
Country Status (5)
Country | Link |
---|---|
US (2) | US5775327A (ja) |
EP (1) | EP0836499A1 (ja) |
JP (1) | JPH11507251A (ja) |
CA (1) | CA2223990C (ja) |
WO (1) | WO1996040342A1 (ja) |
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JP2009500051A (ja) * | 2005-06-10 | 2009-01-08 | アクラレント インコーポレイテッド | 副鼻腔炎を治療する装置及びシステム |
US8852143B2 (en) | 2004-04-21 | 2014-10-07 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8864787B2 (en) | 2004-04-21 | 2014-10-21 | Acclarent, Inc. | Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis |
US8870893B2 (en) | 2004-04-21 | 2014-10-28 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US8894614B2 (en) | 2004-04-21 | 2014-11-25 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
US8932276B1 (en) | 2004-04-21 | 2015-01-13 | Acclarent, Inc. | Shapeable guide catheters and related methods |
US8945088B2 (en) | 2004-04-21 | 2015-02-03 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US8951225B2 (en) | 2005-06-10 | 2015-02-10 | Acclarent, Inc. | Catheters with non-removable guide members useable for treatment of sinusitis |
US8961398B2 (en) | 2004-04-21 | 2015-02-24 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear, nose and throat |
US8968269B2 (en) | 2005-09-23 | 2015-03-03 | Acclarent, Inc. | Multi-conduit balloon catheter |
US8979888B2 (en) | 2008-07-30 | 2015-03-17 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US9039680B2 (en) | 2004-08-04 | 2015-05-26 | Acclarent, Inc. | Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders |
US9072626B2 (en) | 2009-03-31 | 2015-07-07 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US9089258B2 (en) | 2004-04-21 | 2015-07-28 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9107574B2 (en) | 2004-04-21 | 2015-08-18 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
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Also Published As
Publication number | Publication date |
---|---|
US5775327A (en) | 1998-07-07 |
CA2223990A1 (en) | 1996-12-19 |
EP0836499A1 (en) | 1998-04-22 |
US6021340A (en) | 2000-02-01 |
WO1996040342A1 (en) | 1996-12-19 |
CA2223990C (en) | 2007-01-30 |
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