摘要:
A transseptal guidewire (220) for perforating the intra-atrial septum of the heart are disclosed. The transseptal guidewire has an elongated body (222), an end section biased (226) in a curved configuration to define a proximal curve (226a), and a distal section (228) biased in a curved configuration to define a distal curve (228a), the distal curve being oriented in a direction generally opposite that of the proximal curve and the proximal and distal curves occupy the same plane.
摘要:
A left atrial appendage (LAA) closure device that includes an anchor portion having a first segment and a second segment that are connected in spaced-apart manner by a first connector, a sealing portion, and a second connector that connects the anchor portion and the second segment sealing portion. The first segment is adapted to be positioned outside the LAA and in the pericardial sac after deployment of the closure device, and the second segment is positioned between the first segment and the sealing portion inside the LAA.
摘要:
A dilating device for enlarging a blood vessel comprises a longitudinal member comprising a plurality of wires (851, 852) having different diameter, encapsulated in a jacket (860), and a tapered tip. The longitudinal member may comprise a helical exterior. The wires may be wound around a liner.
摘要:
A catheter assembly provided with a wire arranged therein to form a loop extending from near the effective end of the catheter for bypassing an occlusion in a vein/artery. This loop consists of two wire ends, one of which wire ends extends through the catheter to the control end thereof, while the other wire end is attached thereto, in close proximity to the effective end of the catheter. By varying the relative position of the loop wire end extending from the control end and the control end, the size of the loop and the pushability thereof at the effective end of the catheter can be determined. In this manner, the occlusion can be removed with precise control by the physician using two hands. In addition, the catheter is formed not only for the loop wire end extending through the catheter, but also for incorporating a guide wire and/or for contrast fluids.
摘要:
Systems and methods for performing transcatheter coronary artery bypass grafting procedures are provided. The methods generally involve passing the graft from the aorta to the coronary artery through the pericardial space. The systems include poke-out wires, a coring device, and devices for forming anastomoses at the proximal and distal ends of a vascular graft.
摘要:
A catheter for insertion into vasculature of a patient to a target area in the vasculature includes a hollow inner shaft, a non-occluding self-expandable scaffold coupled to the distal end of the inner shaft and disposed at the distal end of the inner shaft, and a hollow outer shaft. The outer shaft is slidable over the inner shaft and scaffold such that the scaffold is in a non-expanded state when the outer shaft is around the scaffold. The outer shaft has a state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being within the outer shaft. The inner shaft and the scaffold are removable through the proximal end of the outer shaft while the distal end of the outer shaft remains near the target area.
摘要:
Methods and apparatus are disclosed for a catheter having a side-port, through which a device, for example, a wire, may be advanced, and a vestibule in the outer surface of the catheter at the distal edge of the side-port. The vestibule is operable for providing a gap between the catheter body and a distal tip of the device positioned through the side-port whereby the vestibule facilitates advancement of the device 5 through the side-port and through tissue towards a desired trajectory. In examples wherein the device is a wire having a distal tip electrode, energy may be delivered to a tissue adjacent the side-port, while avoiding damage to a wall of the catheter body.
摘要:
A distal end portion 2B of the core has a structure of a combined truncated cone 26 formed by connecting truncated cones satisfying a predetermined relational expression. An outer diameter ratio between the maximum outer diameter and the minimum outer diameter of the combined truncated cone 26 is greater than the outer diameter ratio between a large diameter proximal portion and a small diameter distal portion of an inner coil 4, and is greater than the outer diameter ratio between a large diameter proximal portion and a small diameter distal portion of the outer coil. Because of this, the rotation angle of the proximal side is reduced when rotation operation is performed and the torsional moment toward the distal end side is increased. Thus, the perforation performance at the completely occluded lesion can be improved.
摘要:
Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together include a first member, a second member, and a connecting member extending between the first and second members. One of the first and second members has a configuration alterable by a deployment wire to permit release of the fastener from the deployment wire after deployment and without causing excessive tissue trauma.