Interventional medical systems and associated assemblies and methods

    公开(公告)号:US10398892B2

    公开(公告)日:2019-09-03

    申请号:US15216466

    申请日:2016-07-21

    Abstract: A catheter assembly includes a cap and a spring-biased tethering member coupled thereto. The cap includes first and second portions, and a transition zone extending therebetween. A girth of the first portion is sized to fit within a distal-most opening of the catheter assembly; and a girth of the second portion tapers from a first size at the transition zone, which is too large to fit within the distal-most opening, to a smaller size at a distal end of the cap. The spring-biased tethering member holds the cap in open and closed positions, when the cap first portion extends within the distal-most opening, and when the cap is separated from the distal-most opening, respectively. At the closed position, the first portion is approximately concentric with the distal-most opening, and at the open position, an entirety of the cap is laterally offset from the distal-most opening.

    VFA DELIVERY SYSTEMS AND METHODS
    12.
    发明公开

    公开(公告)号:US20240238597A1

    公开(公告)日:2024-07-18

    申请号:US18587193

    申请日:2024-02-26

    Abstract: Devices, systems, and methods deliver implantable medical devices for ventricular-from-atrial (VfA) cardiac therapy. A VfA device may be implanted in the right atrium (RA) with an electrode extending from the right atrium into the left ventricular myocardium. A flexible leed, or another probe, may be advanced to the potential implantation site and used to identify a precise location for implantation of a medical device, such as an electrode, leadlet, lead, or intracardiac device. Some methods may include locating a potential implantation site in the triangle of Koch region in the right atrium of a patient's heart; attaching a fixation sheath to the right-atrial endocardium in the potential implantation site; and implanting the medical device over a guide wire at the potential implantation site. An implantable medical device may include an intracardiac housing and a leadlet, which may be delivered by these methods.

    Medical access tools, assemblies, and methods

    公开(公告)号:US10806922B2

    公开(公告)日:2020-10-20

    申请号:US14620410

    申请日:2015-02-12

    Abstract: A medical access tool includes a needle member extending along a longitudinal axis, and a coiled wire extending around the axis. An inner surface of the coiled wire, along a proximal segment thereof, is spaced radially apart from an outer surface of the needle member, and a distal segment of the coiled wire extends distally to a tissue-engaging tip of the coiled wire, a piercing distal tip of the needle member being recessed proximally from the tissue-engaging tip at a fixed distance. An operator may rotate the coiled wire to engage tissue, for example, that of a pericardial sac or a diaphragmatic attachment, which then travels proximally along the coiled wire and into contact with the needle member's distal tip, to be pierced through thereby. At least one lumen of the needle member provides a passageway through which the operator may advance a guide wire and/or inject a fluid.

    VFA DELIVERY SYSTEMS AND METHODS
    16.
    发明申请

    公开(公告)号:US20200155845A1

    公开(公告)日:2020-05-21

    申请号:US16683413

    申请日:2019-11-14

    Abstract: Devices, systems, and methods deliver implantable medical devices for ventricular-from-atrial (VfA) cardiac therapy. A VfA device may be implanted in the right atrium (RA) with an electrode extending from the right atrium into the left ventricular myocardium. A flexible leed, or another probe, may be advanced to the potential implantation site and used to identify a precise location for implantation of a medical device, such as an electrode, leadlet, lead, or intracardiac device. Some methods may include locating a potential implantation site in the triangle of Koch region in the right atrium of a patient's heart; attaching a fixation sheath to the right-atrial endocardium in the potential implantation site; and implanting the medical device over a guide wire at the potential implantation site. An implantable medical device may include an intracardiac housing and a leadlet, which may be delivered by these methods.

    Epicardial defibrilation lead with side helix fixation and placement thereof

    公开(公告)号:US10195421B2

    公开(公告)日:2019-02-05

    申请号:US15234481

    申请日:2016-08-11

    Abstract: A method and system for employing a medical device is disclosed. The medical device includes a housing, a processor disposed within the housing, a connector module, and a medical electrical epicardial lead connected to the processor through the connector module. The epicardial lead is used to sense a cardiac signal from tissue of a patient. The lead comprises an insulative lead body that includes a proximal end and a distal end, at least one conductor disposed in the lead body, and a side helical fixation member, disposed a distance from the distal end, the side helical fixation member. The side helical fixation member comprises a set of windings configured to wrap around the lead body circumference. The side helical fixation member includes a distal tip comprising a sharpened elongated flat free end that is perpendicular to the lead body and angled toward an inside of the set of windings.

    TELESCOPING CATHETER DELIVERY SYSTEM FOR LEFT HEART ENDOCARDIAL DEVICE PLACEMENT
    19.
    发明申请
    TELESCOPING CATHETER DELIVERY SYSTEM FOR LEFT HEART ENDOCARDIAL DEVICE PLACEMENT 审中-公开
    用于左心室设备放置的牵引导管输送系统

    公开(公告)号:US20160000563A1

    公开(公告)日:2016-01-07

    申请号:US14791995

    申请日:2015-07-06

    Abstract: A transseptal catheter delivery system includes an elongate first tubular member and an elongate second tubular member receivable within the first tubular member. The first tubular member includes an adjustable portion adjacent a distal end. The second tubular member is adapted to receive an instrument to be placed in the left ventricle, and includes a curved portion adjacent its distal end in a relaxed state. The adjustable portion is deflectable toward the atrial septum to guide a puncturing tool and/or guide insertion of the second tubular member through a septal puncture into the left atrium. Within the left atrium, the curved portion is oriented toward the left ventricle to guide insertion of a guide wire, and subsequently the second tubular member, into the left ventricle. Methods of transvenously accessing a left ventricle are also provided.

    Abstract translation: 经导管导管递送系统包括细长的第一管状构件和可容纳在第一管状构件内的细长的第二管状构件。 第一管状构件包括邻近远端的可调节部分。 第二管状构件适于容纳放置在左心室中的器械,并且包括在松弛状态下与其远端相邻的弯曲部分。 可调节部分可朝向心房隔膜偏转以引导穿刺工具和/或引导第二管状构件的穿过间隔穿刺进入左心房。 在左心房内,弯曲部分朝向左心室定向,以引导导线插入,随后将第二管状构件插入左心室。 还提供了经常访问左心室的方法。

    TUNNELING AND INSERTION TOOL FOR IMPLANTABLE MEDICAL DEVICE

    公开(公告)号:US20230255654A1

    公开(公告)日:2023-08-17

    申请号:US18160271

    申请日:2023-01-26

    Abstract: A tool includes a handle, a plunger actuator proximate the handle, a shaft extending from the handle, a plunger, an engagement mechanism. The shaft includes a proximal end and a distal end, and the shaft defines a channel extending along a length of the shaft. A first actuation of the plunger actuator causes the plunger to translate along the length of the shaft in a distal direction. A second actuation of the plunger actuator causes the plunger to translate along the length of the shaft in a proximal direction. The engagement mechanism is disposed on the distal end and is configured to engage an implantable medical device, and release the implantable medical device in response to the plunger exerting a contact force on the implantable medical device exceeding a reaction force of the engagement mechanism when the plunger translates along the length of the shaft in the distal direction.

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