摘要:
In a catheter system and method for controlling such a system, an elongate hollow shaft as a proximal end connected to a handle and a distal end remote from the handle. A working component is carried by the shaft and has at least one characteristic that is adjustable. An actuator is rotatably mounted on the handle for selectively adjusting at least one characteristic of the working component. A control line extends at least in part within the shaft. The control line operatively couples the actuator with the working component such that rotation of the actuator relative to the handle effects linear translation of the control line to adjust the at least one characteristic of the working component.
摘要:
Methods and apparatus are provided for non-continuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a non-continuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such non-continuous circumferential treatment are provided.
摘要:
A family of catheter electrode assemblies includes a flexible circuit having a plurality of electrical traces and a substrate; a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the electrode. A non-contact electrode mapping catheter includes an outer tubing having a longitudinal axis, a deployment member, and a plurality of splines, at least one of the plurality of splines comprising a flexible circuit including a plurality of electrical traces and a substrate, a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the ring electrode. A method of constructing the family of catheter electrode assemblies is also provided.
摘要:
In a catheter system and method for controlling such a system, an elongate hollow shaft as a proximal end connected to a handle and a distal end remote from the handle. A working component is carried by the shaft and has at least one characteristic that is adjustable. An actuator is rotatably mounted on the handle for selectively adjusting at least one characteristic of the working component. A control line extends at least in part within the shaft. The control line operatively couples the actuator with the working component such that rotation of the actuator relative to the handle effects linear translation of the control line to adjust the at least one characteristic of the working component.
摘要:
In a catheter system and method for assembly thereof, one end of a catheter shaft is inserted into a connector for a handle, with the connector being generally tubular and having a channel extending longitudinally therethrough. At least a lengthwise segment of the channel is sized in transverse cross-section greater than an outer cross-section of the catheter shaft. The catheter shaft is inserted into the channel of the connector such that the catheter shaft is spaced from the connector within the lengthwise segment of the channel. Adhesive is directed through a port in the sidewall of the connector into the lengthwise segment of the channel to flow circumferentially about the catheter shaft within the channel. The adhesive is allowed to cure and the connector (with the catheter adhered thereto) is retained on the handle.
摘要:
Ablation devices for ablating a tissue are provided. The ablation device includes a first elongate shaft having a proximal portion, a distal portion and a lumen extending at least partially therethrough and a second elongate shaft having a proximal portion, a distal portion and a lumen extending at least partially therethrough. The first elongate shaft is coaxially positioned and longitudinally movable relative to the second elongate shaft. The ablation device further includes a mesh member including a proximal portion and a distal portion. The proximal portion of the mesh member is operably connected to the distal portion of the second elongate shaft and the distal potion the mesh member is operably connected to an inner surface of the distal portion of the first elongate shaft. The mesh member includes a conductive portion configured to contact a surface for ablation.
摘要:
Systems for nerve modulation through the wall of a blood vessel are disclosed. An example system for nerve modulation may include an elongate member extending along a central elongate axis and having a proximal end and a distal end. The elongate member may have a radially expandable member disposed proximate the distal end. A tubular sheath may be cooperatively engaged with the expandable member such that the expandable member is collapsed when in the sheath and can expand when moved distally relative to and past a distal end of the sheath. The expandable member may include a plurality of electrodes and a plurality of spacer struts. Each spacer strut may be configured such that when the self-expanding member is in an expanded state the spacer strut extends out radially further than the electrodes from the central elongate axis.
摘要:
A cylindrically shaped wire frame bearing one or more circularly-configured RF electrodes can be contacted against the inner surface of the aorta, e.g., at the renal artery ostium, such that the circular electrodes ablate the nerve activity circumferentially around the renal artery ostium. The wire frame has a shape memory and can be positioned in a collapsed, non-deployed position at the end of a catheter and encapsulated within a sheath and then advanced longitudinally through the blood vessel, e.g., over a guide wire, to the relevant location within the body lumen. The sheath is then withdrawn, allowing the wire frame to be expanded into its deployed position in which it conforms to the walls of the lumen, so as to thereby allow the electrodes to contact the lumen wall to perform the ablation. The circular RF elements can be positioned around the opening to the renal artery using an imaging catheter that is passed through the hole of the circular RF electrode and at least partially into the entrance of the renal artery, and a balloon can be placed through the imaging catheter into the proximal segment of the renal artery for improved positioning and stabilization. The sheath can also have a longitudinal cut out to allow the imaging catheter to protrude out of the wire frame and into the renal artery to position the device at the renal artery ostium, even while the wire frame is still in its collapsed, non-deployed configuration within the sheath. Once the device has been properly positioned, the sheath is withdrawn and the wire frame is expanded such that the RF electrodes are positioned against the renal artery ostium.