TELESCOPING CATHETER DELIVERY SYSTEM FOR LEFT HEART ENDOCARDIAL DEVICE PLACEMENT
    31.
    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。

    METHOD AND SYSTEM FOR PLACEMENT OF ELECTRICAL LEAD INSIDE HEART
    32.
    发明申请
    METHOD AND SYSTEM FOR PLACEMENT OF ELECTRICAL LEAD INSIDE HEART 有权
    用于放置电气内部心脏的方法和系统

    公开(公告)号:US20130296880A1

    公开(公告)日:2013-11-07

    申请号:US13855276

    申请日:2013-04-02

    Abstract: A method of placing an electrical lead of an implantable cardiac device inside a heart of a patient. The method includes securing a tool to an atrial appendage of the heart to hold onto the atrial appendage, piercing the atrial appendage, and creating an aperture in the atrial appendage while holding the atrial appendage with the tool. The method also includes moving a distal end of the electrical lead into the heart through the aperture in the atrial appendage and into a ventricle of the heart. Furthermore, the method includes coupling the distal end of the electrical lead to cardiac tissue in the ventricle and delivering an electrical signal to the cardiac tissue in the ventricle of the heart to maintain a predetermined heartbeat of the heart.

    Abstract translation: 将可植入心脏装置的电引线放置在患者心脏内的方法。 该方法包括将工具固定到心脏的心房附着物,以固定在心房附近,刺穿心房附件,以及在用该工具持有心房附件的同时创建心房附近的孔。 该方法还包括通过心耳中的孔将电引线的远端移动到心脏中并进入心脏的心室。 此外,该方法包括将电导线的远端耦合到心室中的心脏组织,并将电信号传送到心脏心室的心脏组织以维持心脏的预定心跳。

    Extended Intelligence for Cardiac Implantable Electronic Device (CIED) Placement Procedures

    公开(公告)号:US20220361954A1

    公开(公告)日:2022-11-17

    申请号:US17700622

    申请日:2022-03-22

    Abstract: Novel tools and techniques are provided for implementing intelligent assistance (“IA”) or extended intelligence (“EI”) ecosystem to placement procedures for cardiac implantable electronic device (“CIED”). In various embodiments, a computing system might analyze received one or more first layer input data (i.e., room content-based data) and received one or more second layer input data (i.e., patient and/or tool-based data), and might generate one or more recommendations for guiding a medical professional in performing a CIED placement procedure in a heart of the patient, based at least in part on the analysis, the generated one or more recommendations comprising 3D or 4D mapped guides toward, in, and around the heart of the patient. The computing system might then generate one or more XR images, based at least in part on the generated one or more recommendations, and might present the generated one or more XR images using a UX device.

    CONSTRUCTIONS FOR A DEFLECTABLE SHAFT CATHETER

    公开(公告)号:US20210353907A1

    公开(公告)日:2021-11-18

    申请号:US17319435

    申请日:2021-05-13

    Abstract: A deflectable shaft catheter may include a handle extending laterally from a hub of the catheter to form an acute angle therewith, wherein the handle contains a wire controller and a guide that rotates in plane with the angle. A spring biased slider of the wire controller, for the aforementioned handle, or an in-line handle sans the guide, may include first and second parts between which a proximal end of the wire extends and bends into a bore formed in the first part. Alternately, the slider includes an elastomeric core sandwiched between first and second parts thereof. The slider may further include a cavity in which a spring member biases the proximal end of the wire toward a distal end of the cavity, but only forces the wire to the cavity distal end, if a predetermined spring force of the member is greater than an opposing force along the wire.

    Helical fixation member assembly having bi-directional controlled drug release

    公开(公告)号:US11083889B2

    公开(公告)日:2021-08-10

    申请号:US15884636

    申请日:2018-01-31

    Abstract: An implantable medical lead having an elongated lead body extending from a proximal end to a distal end, at least one conductor extending within the lead body from the proximal end to the distal end, and a fixation member having a proximal end and a distal end, the proximal end of the electrode configured to be electrically coupled to the distal end of the lead body. The fixation member includes a first delivery port and a second delivery port for releasing a therapeutic agent from the fixation member to tissue of a patient, wherein the first delivery port is positioned along the proximal end of the fixation member to deliver the therapeutic agent to endothelial cells along an endothelial layer of tissue, and the second delivery port is positioned along the distal end of the fixation member and spaced a distance from the first delivery port to deliver the therapeutic agent to myocardial tissue within a myocardial layer of the tissue, and wherein no delivery ports are positioned within the distance that the second delivery port is spaced from the first delivery port.

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