摘要:
An introducer sheath comprising a curved shape that follows the right sided vasculature when introduced through the right side subclavian vein and which stops far short of the coronary ostium in the right atrium. No attempt is made to access the coronary sinus through the sheath. The sheath establishes a fulcrum point on the upper lateral wall of the superior vena cava and comprises the ability to be removed from the implanted pacemaker lead without flipping the distal end of the sheath to cause a pull back of the pacemaker lead. The more proximal portions of the sheath extend through the superior vena cava and provide a force which biases the sheath against the lateral wall of the lower portion of the superior vena cava to establish a fulcrum or pivot point which positions the distal end of sheath at the desired location.
摘要:
An introducer system for implantation of pacemaker leads into the venous system of the human heart through the coronary sinus is comprised of a flexible, elongate, outer elongate element having a first shape or bias along a portion. The first shape on the outer element may be prebiased or may be initially straight and subsequently biased once deployed in the body chamber. A flexible, elongate, telescopic inner elongate element has a second shape or bias on its distal portion and has the first shape or bias on a more proximal portion. The inner elongate element is telescopically disposed in the outer sheath. The outer and inner elongate elements are rotatable with respect to each other, such that when the inner elongate element is distally extended from the outer sheath, there exists an angular orientation between the inner and outer sheaths which is congruent, when there is at least partial alignment between the distal portion of the outer elongate element and the more proximal portion of the inner sheath, both having the first shape or bias. This results in the rotation of the distal second shape or curve of the inner elongate element into a predetermined three dimensional location.
摘要:
An adapter for an introducer (14) comprises a medical device having a tubular port on a proximal end such as a splittable hemostatic valve (12). A tubular fitting (16) is provided on a proximal end of the introducer (14). An elastomeric member (28) is disposed between the port of the medical device and the tubular fitting of the introducer for providing a fluid tight and mechanically secure connection therebetween. The introducer and valve are manually connectable and reconnectable with each other while maintaining the fluid tight connection between them. A side port (40) may communicate with the hemostatic valve, the side port having a controllable valve ending (42). In the preferred embodiment the introducer comprises a splittable introducer and may be torqueable. A tab (22) extends from the tubular fitting of the introducer to facilitate manual manipulation of the tubular fitting and the tab is used to rotate the introducer.
摘要:
An introducer (12) and hemostatic valve (14) for improved torsional guidance and kink resistance includes an entirely circumferentially reinforced introducer (12) connected directly to a valve body formed of a plurality of separable portions (38, 40) and housing a valve element (91, 93) in a central chamber thereof. The plurality of portions may be attached to the introducer during formation of the introducer, the valve body, or both. Alternatively, the plurality of portions (38, 40) may be attached to the introducer by assembly of the portions together in a surrounding relation to the introducer. In use, the plurality of portions are separated from each other and the introducer is cut along its length in order to withdraw the introducer and hemostatic valve over an enlarged proximal end of an access device as the introducer is pulled from the patient’s body.
摘要:
An adapter for an introducer (14) comprises a medical device having a tubular port on a proximal end such as a splittable hemostatic valve (12). A tubular fitting (16) is provided on a proximal end of the introducer (14). An elastomeric member (28) is disposed between the port of the medical device and the tubular fitting of the introducer for providing a fluid tight and mechanically secure connection therebetween. The introducer and valve are manually connectable and reconnectable with each other while maintaining the fluid tight connection between them. A side port (40) may communicate with the hemostatic valve, the side port having a controllable valve ending (42). In the preferred embodiment the introducer comprises a splittable introducer and may be torqueable. A tab (22) extends from the tubular fitting of the introducer to facilitate manual manipulation of the tubular fitting and the tab is used to rotate the introducer.
摘要:
An improved femoral arterial or venous compressive device is comprised of a flexible pelvic apron (34) positioned over the femoral vessels within the human pelvis. The pelvic apron is placed in position by means for a hip strap (42). The hip straps are led from the pelvic apron upwardly over the hip points, around the small of the back and down over the opposing hip point back to the pelvic apron. The pelvic apron thus hangs from the hip points of the pelvis much like an apron. A shaped mass or pellet (24) is attached to the under side of the pelvic apron over the incision site of the femoral vessel. An elastically extensible groin strap (52) is then attached to the pelvic apron in the proximity of the shaped mass and drawn tightly through the groin, around the back of the leg, under the buttocks and back upwardly to the pelvic apron in the proximity of the shaped mass. As a result, the tensile force is applied by the groin strap across the pelvic apron up to the hip point and also around the leg. The shaped mass is forced by the tourniquet action of the groin strap and pelvic apron in combination downwardly into the pelvis, thereby compressing the underlying femoral vessel and thus in assisting in stanching any blood flow or fluid leakage.