Delivery catheter systems and methods

    公开(公告)号:US08615310B2

    公开(公告)日:2013-12-24

    申请号:US13324781

    申请日:2011-12-13

    IPC分类号: A61N1/05

    摘要: A delivery system for implanting a leadless cardiac pacemaker into a patient is provided. The cardiac pacemaker can include a docking or delivery feature having a through-hole disposed on or near a proximal end of the pacemaker for attachment to the delivery system. In some embodiments, the delivery catheter can include first and second tethers configured to engage the delivery feature of the pacemaker. The tethers, when partially aligned, can have a cross-sectional diameter larger than the through-hole of the delivery feature, and when un-aligned, can have a cross-sectional diameter smaller than the through-hole of the delivery feature. Methods of delivering the leadless cardiac pacemaker with the delivery system are also provided.

    System for improving cardiac function by sealing a partitioning membrane within a ventricle
    2.
    发明授权
    System for improving cardiac function by sealing a partitioning membrane within a ventricle 有权
    通过密封心室内的分隔膜来改善心脏功能的系统

    公开(公告)号:US08388672B2

    公开(公告)日:2013-03-05

    申请号:US12422144

    申请日:2009-04-10

    IPC分类号: A61F2/06 A61M29/08

    摘要: Partitioning devices that may be secured and sealed within a heart chamber for separating a patient's heart chamber into a productive portion and a non-productive portion are described herein. The partitioning devices described herein may include a reinforced membrane with outwardly biased members. The reinforced membrane may have a central hub with a distally extending support stem with a plurality of feet which extend radially from a centerline axis and preferably have ends that are aligned in a common plane. These devices may be secured within the heart chamber by sealing them to the wall of the heart chamber, for example, by inflating an inflatable element on the periphery of the device. The non-productive portion may be filled with a material, including occlusive materials. Sealing and/or filling the non-productive portion formed by the devices described herein may help prevent leakage from the non-productive region. Also described herein are systems including these devices and methods of using them, which may be suitable for treating patients with heart disease, particularly congestive heart failure.

    摘要翻译: 本文描述了可以在心室内固定和密封以将患者的心室分离成生产部分和非生产性部分的分隔装置。 本文所述的分隔装置可以包括具有向外偏置构件的增强膜。 增强膜可以具有中心毂,其具有远端延伸的支撑杆,其具有从中心线轴线径向延伸的多个脚,并且优选地具有在公共平面中对准的端部。 这些装置可以通过将它们密封到心室的壁来固定在心脏腔室内,例如通过使装置的周边上的可充气元件膨胀。 非生产性部分可以填充材料,包括封闭材料。 密封和/或填充由本文所述的装置形成的非生产性部分可以有助于防止从非生产性区域泄漏。 本文还描述了包括这些装置和使用它们的方法的系统,其可适用于治疗心脏病患者,特别是充血性心力衰竭。

    Inflatable ventricular partitioning device
    4.
    发明授权
    Inflatable ventricular partitioning device 有权
    充气式心室分配装置

    公开(公告)号:US07976455B2

    公开(公告)日:2011-07-12

    申请号:US12181282

    申请日:2008-07-28

    IPC分类号: A61F2/00 A61F2/02

    CPC分类号: A61F2/2487

    摘要: This invention is directed to a device and method of using the device for partitioning a patient's heart chamber into a productive portion and a non-productive portion. The device is particularly suitable for treating patients with congestive heart failure. The device has an inflatable partitioning element which separates the productive and non-productive portions of the heart chamber and in some embodiments also has a supporting element, which may also be inflatable, extending between the inflatable partitioning element and the wall of the non-productive portion of the patient's heart chamber. The supporting element may have a non-traumatic distal end to engage the ventricular wall or a tissue penetrating anchoring element to secure the device to the patient's heart wall.

    摘要翻译: 本发明涉及一种使用该装置将患者的心室分成生产部分和非生产性部分的装置和方法。 该装置特别适用于治疗充血性心力衰竭患者。 该装置具有可分离心室的生产性和非生产性部分的可充气的分隔元件,并且在一些实施例中还具有支撑元件,该支撑元件也可以是可充气的,该可支撑元件在可膨胀的分隔元件和非生产性的壁之间延伸 患者心室的一部分。 支撑元件可以具有非创伤性远端以接合心室壁或组织穿透锚固元件以将装置固定到患者的心脏壁。

    APPARATUS AND METHODS FOR CLOT DISSOLUTION
    5.
    发明申请
    APPARATUS AND METHODS FOR CLOT DISSOLUTION 有权
    装置解决方案的装置和方法

    公开(公告)号:US20110046542A1

    公开(公告)日:2011-02-24

    申请号:US12816347

    申请日:2010-06-15

    摘要: Clot disruption and dissolution are achieved using a catheter having the ability to infuse a thrombolytic agent, aspirate clot and fluid, and allow passage of a guidewire. Optionally, the catheter may also include a mechanical agitator for further disrupt clot in the presence of the thrombolytic agent. A flow resistor in the catheter provides for infusion and/or aspiration to be concentrated primarily at a clot treatment area in a blood vessel while also providing optional infusion and/or aspiration distal to the treatment area. In some embodiments, infusion, aspiration and guidewire passage occur through a common lumen. The thrombolytic agent, such as tPA, streptokinase, or urokinase, is directly released into the clot at the point where the agitator is engaging the clot. In this way, the thrombolytic activity of the agent is enhanced and the dissolution of the clot is improved.

    摘要翻译: 使用具有注入溶栓剂,抽吸凝块和流体并允许导丝通过的能力的导管实现凝块破裂和溶解。 任选地,导管还可以包括用于在溶栓剂存在下进一步破坏凝块的机械搅拌器。 导管中的流阻器提供输注和/或抽吸主要集中在血管中的凝块治疗区域,同时还提供可选的输液和/或远离治疗区域的抽吸。 在一些实施例中,输注,抽吸和导丝通过共同内腔。 血栓溶解剂如tPA,链激酶或尿激酶在搅拌器与凝块接合的位置处直接释放到凝块中。 以这种方式,药剂的溶栓活性增强,并且凝块的溶解得到改善。