WO1999060924A9 - Procedures et appareils d'exploration intrapericardique - Google Patents
Procedures et appareils d'exploration intrapericardiqueInfo
- 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
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
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)
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)
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)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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 |
US5025778A (en) * | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
US5361752A (en) * | 1991-05-29 | 1994-11-08 | Origin Medsystems, Inc. | Retraction apparatus and methods for endoscopic surgery |
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 |
-
1999
- 1999-05-26 AU AU42066/99A patent/AU762622B2/en not_active Ceased
- 1999-05-26 CA CA002333149A patent/CA2333149A1/fr not_active Abandoned
- 1999-05-26 JP JP2000550394A patent/JP2002516134A/ja active Pending
- 1999-05-26 EP EP99925864A patent/EP1082052A4/fr not_active Withdrawn
- 1999-05-26 WO PCT/US1999/011615 patent/WO1999060924A1/fr active IP Right Grant
Cited By (1)
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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