WO1999060924A9 - Procedures et appareils d'exploration intrapericardique - Google Patents

Procedures et appareils d'exploration intrapericardique

Info

Publication number
WO1999060924A9
WO1999060924A9 PCT/US1999/011615 US9911615W WO9960924A9 WO 1999060924 A9 WO1999060924 A9 WO 1999060924A9 US 9911615 W US9911615 W US 9911615W WO 9960924 A9 WO9960924 A9 WO 9960924A9
Authority
WO
WIPO (PCT)
Prior art keywords
heart
pericardial space
pericardium
lumen
pericardial
Prior art date
Application number
PCT/US1999/011615
Other languages
English (en)
Other versions
WO1999060924A1 (fr
Inventor
James R Grabek
Carl M Beaurline
Cecil C Schmidt
Lawrence A Lundeen
Patricia J Rieger
Original Assignee
Comedicus Inc
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
Priority claimed from US09/084,461 external-priority patent/US6231518B1/en
Application filed by Comedicus Inc filed Critical Comedicus Inc
Priority to JP2000550394A priority Critical patent/JP2002516134A/ja
Priority to CA002333149A priority patent/CA2333149A1/fr
Priority to AU42066/99A priority patent/AU762622B2/en
Priority to EP99925864A priority patent/EP1082052A4/fr
Publication of WO1999060924A1 publication Critical patent/WO1999060924A1/fr
Publication of WO1999060924A9 publication Critical patent/WO1999060924A9/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • 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
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/00232—Balloons having an irregular shape
    • 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
    • A61M2025/105—Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes

Definitions

  • Such arrhythmogenic destroying modalities include, for example, radiofrequency energy (RE), high energy direct current (DC), microwave energy and laser energy as well as thermal (freezing) or chemical (e.g., ethanol) destruction.
  • RF energy is a popular method for RF ablation.
  • the angioplasty catheter can be removed from the coronary vessel and the site of entry into the vessel closed.
  • a pericardial access approach to angioplasty can provide greater control and precision of placement of the balloon relative to the lesion due to the shorter path the angioplasty catheter must travel to the lesion as compared to catheter entry through a peripheral artery.
  • other instruments for destroying a coronary vessel blockage such as ultrasound or other energy source can be passed through a pericardial access device for treatment of the lesion from the exterior of the vessel.
  • the pericardial access procedures of the present invention provide pericardial access for performing various cardiac procedures through a pericardial approach.
  • pericardial access procedures provide pericardial access for performing various cardiac procedures through a pericardial approach.
  • pericardial access procedures provide pericardial access for performing various cardiac procedures through a pericardial approach.
  • many other procedures can be performed from the pericardial space.
  • an IVT can be inserted through an incision, such as a minimally invasive incision, into the thorax, or other body cavity of a size sufficient to permit passage of the IVT into the body cavity.
  • an incision such as a minimally invasive incision
  • a known tubular introducer can be passed through an incision into the body cavity and the IVT passed therethrough.
  • the pericardial access device When an IVT is used with a pericardial access device, after positioning the IVT, the pericardial access device can be passed through the instrument lumen to the exterior of the pericardium.
  • the visualization arrangement can then be used to view the pericardial access procedure with the greatest vantage point (i.e., proximate to the distal tip of the pericardial access device).
  • a fluid source can be attached to the fluid coupling arrangement and fluid passed through the flushing channel to clear the obstruction.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Pulmonology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne une pluralité de dispositifs, y compris un cathéter électrophysiologique multisonde (550) destiné à la cartographie de l'activité électrique d'un coeur. En l'occurrence, une pluralité de sondes (551) aboutissent à une pluralité d'emplacement dans le coeur, chaque sonde présentant, d'une part une pluralité de zones actives (552) permettant de prendre une pluralité de mesures en une pluralité de points, d'autre part un ballonnet se situant au voisinage immédiat des zones actives (552), et enfin des sondes (551).
PCT/US1999/011615 1998-05-26 1999-05-26 Procedures et appareils d'exploration intrapericardique WO1999060924A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2000550394A JP2002516134A (ja) 1998-05-26 1999-05-26 心膜内処置方法及び装置
CA002333149A CA2333149A1 (fr) 1998-05-26 1999-05-26 Procedures et appareils d'exploration intrapericardique
AU42066/99A AU762622B2 (en) 1998-05-26 1999-05-26 Intrapericardial procedures and apparatuses
EP99925864A EP1082052A4 (fr) 1998-05-26 1999-05-26 Procedures et appareils d'exploration intrapericardique

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US09/084,461 1998-05-26
US09/084,461 US6231518B1 (en) 1998-05-26 1998-05-26 Intrapericardial electrophysiological procedures
US13265499P 1999-05-05 1999-05-05
US60/132,654 1999-05-05

Publications (2)

Publication Number Publication Date
WO1999060924A1 WO1999060924A1 (fr) 1999-12-02
WO1999060924A9 true WO1999060924A9 (fr) 2000-07-06

Family

ID=26771009

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/011615 WO1999060924A1 (fr) 1998-05-26 1999-05-26 Procedures et appareils d'exploration intrapericardique

Country Status (5)

Country Link
EP (1) EP1082052A4 (fr)
JP (1) JP2002516134A (fr)
AU (1) AU762622B2 (fr)
CA (1) CA2333149A1 (fr)
WO (1) WO1999060924A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8900123B2 (en) 2009-03-02 2014-12-02 Olympus Corporation Endoscopy method and endoscope

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE20205190U1 (de) * 2002-04-03 2002-07-04 Polydiagnost Gmbh Biopsieinstrument
WO2008045869A2 (fr) * 2006-10-10 2008-04-17 Biosense Webster, Inc. Cathéter de cartographie de l'oesophage
JP5567840B2 (ja) 2009-09-22 2014-08-06 オリンパス株式会社 細胞注入デバイス
WO2011037068A1 (fr) 2009-09-22 2011-03-31 オリンパス株式会社 Dispositif de formation d'espace
CN104661707A (zh) * 2012-07-23 2015-05-27 拉热尔科学股份有限公司 用于精确高强度聚焦超声的系统、方法和设备
US11096736B2 (en) * 2013-12-09 2021-08-24 Biosense Webster (Israel) Ltd. Pericardial catheter with temperature sensing array

Family Cites Families (21)

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US4406656A (en) * 1981-06-01 1983-09-27 Brack Gillium Hattler Venous catheter having collapsible multi-lumens
US4909252A (en) * 1988-05-26 1990-03-20 The Regents Of The Univ. Of California Perfusion balloon catheter
US5046504A (en) * 1989-02-01 1991-09-10 Corazonix Corporation Method and apparatus for analyzing and interpreting electrocardiograms using spectro-temporal mapping
US4991578A (en) 1989-04-04 1991-02-12 Siemens-Pacesetter, Inc. Method and system for implanting self-anchoring epicardial defibrillation electrodes
US5242397A (en) * 1989-06-20 1993-09-07 Cedars-Sinai Medical Center Catheter device and method of use for intramural delivery of protein kinase C and tyrosine protein kinase inhibitors to prevent restenosis after balloon angioplasty
US5071428A (en) 1989-09-08 1991-12-10 Ventritex, Inc. Method and apparatus for providing intrapericardial access and inserting intrapericardial electrodes
US5108370A (en) * 1989-10-03 1992-04-28 Paul Walinsky Perfusion balloon catheter
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US5766151A (en) * 1991-07-16 1998-06-16 Heartport, Inc. Endovascular system for arresting the heart
DE9111566U1 (fr) * 1991-09-17 1992-01-30 Knapp Logistik Automation Ges.M.B.H., Graz, At
US5269326A (en) 1991-10-24 1993-12-14 Georgetown University Method for transvenously accessing the pericardial space via the right auricle for medical procedures
US5336252A (en) 1992-06-22 1994-08-09 Cohen Donald M System and method for implanting cardiac electrical leads
JP3325103B2 (ja) * 1993-12-22 2002-09-17 オリンパス光学工業株式会社 カバー方式の内視鏡
US5681278A (en) 1994-06-23 1997-10-28 Cormedics Corp. Coronary vasculature treatment method
US5472418A (en) * 1994-07-28 1995-12-05 Palestrant; Aubrey M. Flattened collapsible vascular catheter
US5713863A (en) * 1996-01-11 1998-02-03 Interventional Technologies Inc. Catheter with fluid medication injectors
WO1997016169A1 (fr) 1995-11-01 1997-05-09 Chiron Corporation Traitement d'une indication cardiovasculaire par administration de substances therapeutiques dans l'espace pericardique
US6115523A (en) * 1996-10-04 2000-09-05 University Of Florida Plastic optical fiber airway imaging system
US5931810A (en) 1996-12-05 1999-08-03 Comedicus Incorporated Method for accessing the pericardial space
US5972013A (en) 1997-09-19 1999-10-26 Comedicus Incorporated Direct pericardial access device with deflecting mechanism and method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8900123B2 (en) 2009-03-02 2014-12-02 Olympus Corporation Endoscopy method and endoscope

Also Published As

Publication number Publication date
EP1082052A1 (fr) 2001-03-14
AU4206699A (en) 1999-12-13
EP1082052A4 (fr) 2008-04-09
CA2333149A1 (fr) 1999-12-02
JP2002516134A (ja) 2002-06-04
AU762622B2 (en) 2003-07-03
WO1999060924A1 (fr) 1999-12-02

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