WO2007147060A3 - Visualization apparatus and methods for transseptal access - Google Patents

Visualization apparatus and methods for transseptal access Download PDF

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Publication number
WO2007147060A3
WO2007147060A3 PCT/US2007/071226 US2007071226W WO2007147060A3 WO 2007147060 A3 WO2007147060 A3 WO 2007147060A3 US 2007071226 W US2007071226 W US 2007071226W WO 2007147060 A3 WO2007147060 A3 WO 2007147060A3
Authority
WO
WIPO (PCT)
Prior art keywords
imaging hood
tissue
methods
guidewire
visualization apparatus
Prior art date
Application number
PCT/US2007/071226
Other languages
French (fr)
Other versions
WO2007147060A2 (en
Inventor
Vahid Saadat
Amir Abolfathi
Chris A Rothe
Bladel Kevin A Van
Original Assignee
Voyage Medical Inc
Vahid Saadat
Amir Abolfathi
Chris A Rothe
Bladel Kevin A Van
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 US11/560,742 external-priority patent/US7860556B2/en
Application filed by Voyage Medical Inc, Vahid Saadat, Amir Abolfathi, Chris A Rothe, Bladel Kevin A Van filed Critical Voyage Medical Inc
Priority to EP07812146A priority Critical patent/EP2034896A4/en
Priority to JP2009515646A priority patent/JP2009539575A/en
Publication of WO2007147060A2 publication Critical patent/WO2007147060A2/en
Publication of WO2007147060A3 publication Critical patent/WO2007147060A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00085Baskets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089Hoods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4472Wireless probes

Abstract

Visualization apparatus and methods for transseptal access are described herein where intravascular access across a septal wall is facilitated via devices which provide for direct visual viewing of tissue area. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to the tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid can be pumped into the imaging hood until the fluid displaces any blood leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Any number of therapeutic tools or a guidewire can be passed through the catheter and into the imaging hood for crossing the septal wall and passing the guidewire or instruments therethrough.
PCT/US2007/071226 2006-06-14 2007-06-14 Visualization apparatus and methods for transseptal access WO2007147060A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP07812146A EP2034896A4 (en) 2006-06-14 2007-06-14 Visualization apparatus and methods for transseptal access
JP2009515646A JP2009539575A (en) 2006-06-14 2007-06-14 Visualization apparatus and method for transseptal access

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US80480106P 2006-06-14 2006-06-14
US60/804,801 2006-06-14
US80692606P 2006-07-10 2006-07-10
US80692406P 2006-07-10 2006-07-10
US60/806,924 2006-07-10
US60/806,926 2006-07-10
US11/560,742 US7860556B2 (en) 2005-02-02 2006-11-16 Tissue imaging and extraction systems
US11/560,742 2006-11-16
US87142406P 2006-12-21 2006-12-21
US87141506P 2006-12-21 2006-12-21
US60/871,424 2006-12-21
US60/871,415 2006-12-21
US88824207P 2007-02-05 2007-02-05
US60/888,242 2007-02-05

Publications (2)

Publication Number Publication Date
WO2007147060A2 WO2007147060A2 (en) 2007-12-21
WO2007147060A3 true WO2007147060A3 (en) 2008-11-13

Family

ID=38832860

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/071226 WO2007147060A2 (en) 2006-06-14 2007-06-14 Visualization apparatus and methods for transseptal access

Country Status (3)

Country Link
EP (1) EP2034896A4 (en)
JP (1) JP2009539575A (en)
WO (1) WO2007147060A2 (en)

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CN108543195A (en) * 2018-05-04 2018-09-18 中国医学科学院北京协和医院 Styptic powder sprinkling conduit assembly in laparoscopy

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JP5242252B2 (en) * 2008-06-25 2013-07-24 オリンパス株式会社 Heart observation device
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
US8940008B2 (en) 2010-04-23 2015-01-27 Assist Medical Llc Transseptal access device and method of use
US9655677B2 (en) 2010-05-12 2017-05-23 Shifamed Holdings, Llc Ablation catheters including a balloon and electrodes
EP2568905A4 (en) * 2010-05-12 2017-07-26 Shifamed Holdings, LLC Low profile electrode assembly
KR102440877B1 (en) * 2011-02-16 2022-09-05 더 제너럴 하스피탈 코포레이션 Optical coupler for an endoscope
JPWO2012132483A1 (en) * 2011-03-28 2014-07-24 テルモ株式会社 Biological tissue holding device
JP5837050B2 (en) * 2011-03-30 2015-12-24 テルモ株式会社 Bioadhesive sheet and bioadhesive sheet pasting device
WO2012133562A1 (en) * 2011-03-31 2012-10-04 国立大学法人 金沢大学 Catheter having imaging function, and blood vessel inside observation system using same
JP5754630B2 (en) * 2011-05-24 2015-07-29 オリンパス株式会社 Endoscope hood
JP5975257B2 (en) * 2012-03-08 2016-08-23 国立大学法人 香川大学 Area securing instrument and endoscope provided with area securing instrument
JP5996279B2 (en) * 2012-06-04 2016-09-21 学校法人産業医科大学 Object measuring apparatus and object measuring method using endoscope, and endoscope tip hood
JP2014108172A (en) * 2012-11-30 2014-06-12 Olympus Medical Systems Corp Tip cap for endoscope, endoscope, and endoscope device
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
CA2908517A1 (en) 2013-04-08 2014-10-16 Apama Medical, Inc. Cardiac ablation catheters and methods of use thereof
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US9459442B2 (en) 2014-09-23 2016-10-04 Scott Miller Optical coupler for optical imaging visualization device
CN107529942B (en) 2015-01-23 2020-09-22 波士顿科学国际有限公司 Balloon catheter visualization systems, methods, and devices with pledget
US10548467B2 (en) 2015-06-02 2020-02-04 GI Scientific, LLC Conductive optical element
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WO2017083785A1 (en) * 2015-11-13 2017-05-18 Boston Scientific Scimed, Inc. Direct visualization devices, systems, and methods for transseptal crossing
EP4302713A3 (en) 2015-11-16 2024-03-13 Boston Scientific Scimed, Inc. Energy delivery devices
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EP3445220B1 (en) 2016-04-19 2022-11-02 Boston Scientific Scimed, Inc. Weeping balloon devices
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
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JP2022502225A (en) * 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 Equipment and methods for septal punches
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Also Published As

Publication number Publication date
EP2034896A2 (en) 2009-03-18
WO2007147060A2 (en) 2007-12-21
JP2009539575A (en) 2009-11-19
EP2034896A4 (en) 2010-12-22

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