WO2017083785A1 - Direct visualization devices, systems, and methods for transseptal crossing - Google Patents

Direct visualization devices, systems, and methods for transseptal crossing Download PDF

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Publication number
WO2017083785A1
WO2017083785A1 PCT/US2016/061714 US2016061714W WO2017083785A1 WO 2017083785 A1 WO2017083785 A1 WO 2017083785A1 US 2016061714 W US2016061714 W US 2016061714W WO 2017083785 A1 WO2017083785 A1 WO 2017083785A1
Authority
WO
WIPO (PCT)
Prior art keywords
distal end
balloon
direct visualization
outer member
lumen
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.)
Ceased
Application number
PCT/US2016/061714
Other languages
English (en)
French (fr)
Inventor
Benn Horrisberger
David John Lehse
Jr. James K. Cawthra
James A. Klos
James P. Rohl
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Mayo Foundation for Medical Education and Research
Boston Scientific Scimed Inc
Mayo Clinic in Florida
Original Assignee
Mayo Foundation for Medical Education and Research
Scimed Life Systems Inc
Mayo Clinic in Florida
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
Application filed by Mayo Foundation for Medical Education and Research, Scimed Life Systems Inc, Mayo Clinic in Florida filed Critical Mayo Foundation for Medical Education and Research
Priority to JP2018523781A priority Critical patent/JP6750013B2/ja
Priority to EP16802216.8A priority patent/EP3374017A1/en
Priority to CN201680078802.1A priority patent/CN108472475A/zh
Publication of WO2017083785A1 publication Critical patent/WO2017083785A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00148—Holding or positioning arrangements using anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • A61B1/00167—Details of optical fibre bundles, e.g. shape or fibre distribution
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/012—Instruments 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
    • A61B1/018—Instruments 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/04—Instruments 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
    • A61B1/042—Instruments 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 characterised by a proximal camera, e.g. a CCD camera
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/06—Instruments 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 with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/06—Instruments 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 with illuminating arrangements
    • A61B1/07—Instruments 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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/313—Instruments 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 for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3137—Instruments 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 for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
    • 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
    • A61M25/1006—Balloons formed between concentric tubes

Definitions

  • a direct visualization catheter according to one of Examples 1 -4 further includes a light source disposed within an interior cavity of the balloon member and coupled to the distal end portion of the one or more elongate shafts.
  • the light source can include a fiber optic bundle, single plastic optical fiber, an LED or some other illuminating device.
  • a transseptal crossing system for accessing a left atrium from a right atrium of a heart includes the direct visualization catheter according to Example 6 and a piercing needle adapted to extend through the working channel to pierce the septal wall.
  • the transparent balloon member defines a plurality of perforations adapted to allow inflation media to flow from within an interior cavity of the balloon member to an exterior surface of the balloon member and the outer member defines a second lumen adapted to deliver an inflation media to the transparent balloon member.
  • Direct visualization devices, systems, and methods provided herein can allow for balloon catheter visualization of a target location, which can provide anatomy and pathology identification as well as device placement visual feedback to the physician user during a minimally invasive method.
  • Direct visualization devices, systems, and methods provided herein can include an elongate, compliant balloon having a transparent wall.
  • the balloon can include apertures (e.g., pores) to allow for the balloon to "weep" to provide a visually clear area surrounding the balloon.
  • the balloon wall e.g., a transparent balloon wall

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
PCT/US2016/061714 2015-11-13 2016-11-11 Direct visualization devices, systems, and methods for transseptal crossing Ceased WO2017083785A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP2018523781A JP6750013B2 (ja) 2015-11-13 2016-11-11 経中隔横断用の直接可視化装置、システム、および方法
EP16802216.8A EP3374017A1 (en) 2015-11-13 2016-11-11 Direct visualization devices, systems, and methods for transseptal crossing
CN201680078802.1A CN108472475A (zh) 2015-11-13 2016-11-11 用于跨室间隔穿越的直接可视化装置、系统和方法

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201562255008P 2015-11-13 2015-11-13
US62/255,008 2015-11-13

Publications (1)

Publication Number Publication Date
WO2017083785A1 true WO2017083785A1 (en) 2017-05-18

Family

ID=57421963

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2016/061714 Ceased WO2017083785A1 (en) 2015-11-13 2016-11-11 Direct visualization devices, systems, and methods for transseptal crossing

Country Status (5)

Country Link
US (1) US20170135559A1 (enExample)
EP (1) EP3374017A1 (enExample)
JP (2) JP6750013B2 (enExample)
CN (1) CN108472475A (enExample)
WO (1) WO2017083785A1 (enExample)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2020530372A (ja) * 2017-07-28 2020-10-22 イースト エンド メディカル エルエルシー 医療処置用の方向性バルーン経中隔挿入デバイス
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
US11666733B2 (en) 2019-10-04 2023-06-06 East End Medical Llc Directional balloon transseptal insertion device for medical procedures with improved handle
US11707321B2 (en) 2019-06-11 2023-07-25 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
US12016614B2 (en) 2019-09-20 2024-06-25 East End Medical Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal

Families Citing this family (17)

* Cited by examiner, † Cited by third party
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US20190282749A1 (en) * 2010-04-23 2019-09-19 Mark D. Wieczorek Transseptal access device and method of uses
US9014789B2 (en) 2011-09-22 2015-04-21 The George Washington University Systems and methods for visualizing ablated tissue
WO2013044182A1 (en) 2011-09-22 2013-03-28 The George Washington University Systems and methods for visualizing ablated tissue
WO2015073871A2 (en) 2013-11-14 2015-05-21 The George Washington University Systems and methods for determining lesion depth using fluorescence imaging
WO2015077474A1 (en) 2013-11-20 2015-05-28 The George Washington University Systems and methods for hyperspectral analysis of cardiac tissue
US10722301B2 (en) 2014-11-03 2020-07-28 The George Washington University Systems and methods for lesion assessment
US10143517B2 (en) 2014-11-03 2018-12-04 LuxCath, LLC Systems and methods for assessment of contact quality
EP3223735A4 (en) * 2014-11-25 2018-07-11 Luxcath, LLC Visualization catheters
US10779904B2 (en) 2015-07-19 2020-09-22 460Medical, Inc. Systems and methods for lesion formation and assessment
EP3389468B1 (en) 2015-12-18 2023-06-28 Boston Scientific Scimed, Inc. Radially-directed balloon visualization device
US20200297412A1 (en) * 2019-03-20 2020-09-24 East End Medical Llc Directional balloon transseptal insertion device for medical procedures
JP2022535144A (ja) * 2019-06-07 2022-08-04 ヴィヴィッド メディカル インコーポレイテッド 内視鏡検査のための展開可能なバルーン照明
CN115103647A (zh) 2020-01-08 2022-09-23 460医学股份有限公司 用于消融损伤的光学询问的系统和方法
AU2021221979A1 (en) 2020-02-18 2022-09-15 East End Medical, Llc Deflectable anchor balloon catheter for vascular procedures
US12016619B2 (en) 2020-05-14 2024-06-25 Circa Scientific, Inc. Transseptal crossing system for single pass large bore access
EP4203828A4 (en) 2020-08-25 2024-09-18 Cross Vascular, Inc. TRANSSEPTAL CROSSING SYSTEM
CN119258372B (zh) * 2024-10-24 2025-05-16 玮铭医疗器械(上海)有限公司 一种颅内球囊抽吸导管

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US4961738A (en) * 1987-01-28 1990-10-09 Mackin Robert A Angioplasty catheter with illumination and visualization within angioplasty balloon
US20050245882A1 (en) * 2002-09-20 2005-11-03 Flowmedica, Inc. Method and apparatus for intra-aortic substance delivery to a branch vessel
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall
US20130245371A1 (en) * 2002-05-30 2013-09-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and methods for coronary sinus access

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US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
US5569183A (en) * 1994-06-01 1996-10-29 Archimedes Surgical, Inc. Method for performing surgery around a viewing space in the interior of the body
US6697677B2 (en) * 2000-12-28 2004-02-24 Medtronic, Inc. System and method for placing a medical electrical lead
JP2005013708A (ja) * 2003-05-30 2005-01-20 Olympus Corp 内視鏡及びその組立方法
JP3854946B2 (ja) * 2003-05-30 2006-12-06 オリンパス株式会社 内視鏡
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JP5604247B2 (ja) * 2010-09-28 2014-10-08 富士フイルム株式会社 内視鏡装置

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4961738A (en) * 1987-01-28 1990-10-09 Mackin Robert A Angioplasty catheter with illumination and visualization within angioplasty balloon
US20130245371A1 (en) * 2002-05-30 2013-09-19 The Board Of Trustees Of The Leland Stanford Junior University Apparatus and methods for coronary sinus access
US20050245882A1 (en) * 2002-09-20 2005-11-03 Flowmedica, Inc. Method and apparatus for intra-aortic substance delivery to a branch vessel
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
JP2020530372A (ja) * 2017-07-28 2020-10-22 イースト エンド メディカル エルエルシー 医療処置用の方向性バルーン経中隔挿入デバイス
JP7448473B2 (ja) 2017-07-28 2024-03-12 イースト エンド メディカル エルエルシー 医療処置用の方向性バルーン経中隔挿入デバイス
US11707321B2 (en) 2019-06-11 2023-07-25 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
US12016614B2 (en) 2019-09-20 2024-06-25 East End Medical Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
US11666733B2 (en) 2019-10-04 2023-06-06 East End Medical Llc Directional balloon transseptal insertion device for medical procedures with improved handle

Also Published As

Publication number Publication date
CN108472475A (zh) 2018-08-31
EP3374017A1 (en) 2018-09-19
US20170135559A1 (en) 2017-05-18
JP2020121133A (ja) 2020-08-13
JP2018538035A (ja) 2018-12-27
JP6750013B2 (ja) 2020-09-02

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