-
公开(公告)号:US5916193A
公开(公告)日:1999-06-29
申请号:US694916
申请日:1996-11-30
CPC分类号: A61M25/0041 , A61F2/2433 , A61M1/3653 , A61M1/3659 , A61M25/007 , A61M25/0662 , A61M25/10 , A61M29/02 , A61B2018/00232 , A61B2018/00261 , A61F2/2436 , A61M2025/0004 , A61M2025/0078 , A61M2025/028 , A61M2025/1047 , A61M2025/1052 , A61M2025/1077 , A61M2210/125 , A61M2210/127 , A61M25/0125
摘要: A venting catheter, system and method are provided for withdrawing blood and other fluids from a patient's heart to facilitate decompressing the heart during cardioplegic arrest and cardiopulmonary bypass, without the need for a thoracotomy and without puncturing the aorta, pulmonary artery, or heart itself. The venting catheter is configured to be introduced into a peripheral vein and intralumninally advanced through the right side of the heart and into the pulmonary artery. The venting catheter includes a lumen configured to withdraw blood at a rate of at least about 50 ml/min at a pressure of no less than about -350 mmHg. A flow-directing means is provided to facilitate guiding the catheter into the pulmonary artery by being carried by blood flow through the heart. The cardiac venting system may include, in addition to the cardiac venting catheter, a cardiopulmonary bypass system to maintain circulation of oxygenated blood, and means for arresting the patient's heart.
摘要翻译: 提供排气导管,系统和方法用于从心脏的心脏中抽出血液和其它流体,以便在心脏停搏和心肺分流期间减压心脏,而不需要开胸术,而不需要穿刺主动脉,肺动脉或心脏本身。 排气导管构造成引入外周静脉,并且通过心脏右侧进入肺内动脉。 排气导管包括被配置为在不低于约-350mmHg的压力下以至少约50ml / min的速率抽出血液的内腔。 提供流动引导装置以便于通过血流通过心脏而携带导管进入肺动脉。 除了心脏通气导管之外,心脏通气系统可以包括维持氧合血液循环的心肺旁路系统,以及用于阻止患者心脏的装置。
-
公开(公告)号:US06579259B2
公开(公告)日:2003-06-17
申请号:US09344543
申请日:1999-06-25
IPC分类号: A61M2900
CPC分类号: A61M25/0041 , A61B2018/00232 , A61B2018/00261 , A61F2/2433 , A61F2/2436 , A61M1/3653 , A61M1/3659 , A61M25/007 , A61M25/0125 , A61M25/0662 , A61M25/10 , A61M29/02 , A61M2025/0004 , A61M2025/0078 , A61M2025/028 , A61M2025/1047 , A61M2025/1052 , A61M2025/1077 , A61M2210/125 , A61M2210/127
摘要: A venting catheter, system and method are provided for withdrawing blood and other fluids from a patient's heart to facilitate decompressing the heart during cardioplegic arrest and cardiopulmonary bypass, without the need for a thoracotomy and without puncturing the aorta, pulmonary artery, or heart itself. The venting catheter is configured to be introduced into a peripheral vein and intraluminally advanced through the right side of the heart and into the pulmonary artery. The venting catheter includes a lumen configured to withdraw blood at a rate of at least about 50 ml/min at a pressure of no less than about −350 mmHg. A flow-directing means is provided to facilitate guiding the catheter into the pulmonary artery by being carried by blood flow through the heart. The cardiac venting system may include, in addition to the cardiac venting catheter, a cardiopulmonary bypass system to maintain circulation of oxygenated blood, and means for arresting the patient's heart.
摘要翻译: 提供排气导管,系统和方法用于从心脏的心脏中抽出血液和其它流体,以便在心脏停搏和心肺分流期间减压心脏,而不需要开胸术,而不需要穿刺主动脉,肺动脉或心脏本身。 排气导管被构造成被引入外周静脉,并且通过心脏的右侧并进入肺动脉中。 排气导管包括被配置为在不低于约-350mmHg的压力下以至少约50ml / min的速率抽出血液的内腔。 提供流动引导装置以便于通过血流通过心脏而携带导管进入肺动脉。 除了心脏通气导管之外,心脏通气系统可以包括维持氧合血液循环的心肺旁路系统,以及用于阻止患者心脏的装置。
-
公开(公告)号:US5423755A
公开(公告)日:1995-06-13
申请号:US934981
申请日:1992-08-26
CPC分类号: A61M25/104 , A61B90/39 , A61M2025/1068 , A61M2025/1093 , A61M25/0014
摘要: A balloon dilatation catheter for the dilatation of a prostatic urethra having a reinforcing element extending through the elongated shaft of the catheter to prevent significant elongation or failure of the catheter and a traction member for assisting in the resistance to substantial tensile stresses. The balloon dilatation catheter also includes an expandable means between the balloon and catheter shaft to extend the length of the balloon when it is deflated. The extension of the deflated balloon prevents the balloon from bunching up and interfering with the withdrawal of the balloon through the working channel of the cystoscopic sheath upon the completion of the dilatation. The catheter has a marker for easy visualization so that the balloon can be positioned reliably and a tip construction so that the catheter can be advanced into the bladder safely.
摘要翻译: 用于扩张前列腺尿道的球囊扩张导管,其具有延伸穿过导管的细长轴的加强元件,以防止导管的显着伸长或失效以及用于辅助抵抗实质拉伸应力的牵引构件。 球囊扩张导管还包括球囊和导管轴之间的可扩张装置,以在气囊放气时延伸气囊的长度。 放气气囊的延伸可防止气囊在扩张完成之后发生聚拢并干扰气囊通过膀胱镜套管的工作通道的撤出。 导管具有易于观察的标记,使得气囊可以可靠地定位并且可以使导管能够安全地进入膀胱。
-
公开(公告)号:US06251093B1
公开(公告)日:2001-06-26
申请号:US09114307
申请日:1998-07-13
IPC分类号: A61M2900
CPC分类号: A61F2/2427 , A61B17/12022 , A61B17/12036 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61B2017/00243 , A61B2018/00232 , A61B2018/00261 , A61B2090/064 , A61B2090/306 , A61M1/3653 , A61M1/3659 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0054 , A61M25/0125 , A61M25/0147 , A61M25/0152 , A61M25/0155 , A61M25/02 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1006 , A61M25/1027 , A61M25/1029 , A61M25/1034 , A61M2025/0002 , A61M2025/0031 , A61M2025/0034 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1031 , A61M2025/1047 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/366 , A61M2210/125 , A61M2210/127
摘要: Pressure is measured on both sides of an occluding member for determining when pressure forces the occluding member may cause migration of the occluding member. An alarm indicates when the pressure force on the balloon exceed a predetermined threshold. In another aspect of the invention, a pressure monitor determines when a rate of pressure increase with respect to the fluid volume in the balloon reaches a predetermined threshold when inflating the occluding member. A predetermined amount of fluid is then added to the occluding member so that the balloon is not under inflated or over inflated.
摘要翻译: 在封闭构件的两侧测量压力,以确定何时压力阻塞阻塞构件可能引起闭塞构件的迁移。 报警器指示气球上的压力超过预定阈值时。 在本发明的另一方面,压力监测器确定当气囊膨胀时相对于气囊中的流体体积的压力增加率何时达到预定阈值。 然后将预定量的流体加入到阻塞构件中,使得气囊不会膨胀或过度膨胀。
-
公开(公告)号:US5469524A
公开(公告)日:1995-11-21
申请号:US241735
申请日:1994-05-12
申请人: Victor C. Esch , Kirsten L. Valley
发明人: Victor C. Esch , Kirsten L. Valley
IPC分类号: A61B1/015 , A61B1/018 , A61B5/107 , A61B17/22 , A61B18/24 , A61B19/00 , A61M3/02 , G02B23/24 , G02B23/26
CPC分类号: A61B5/1076 , A61B1/015 , A61B1/018 , A61B18/24 , G02B23/2469 , A61B2017/22072 , A61B2017/22077 , A61B90/361 , A61M3/0279
摘要: A hand held device having an optical fiber with a radiation emitter carried at a free end, the optical fiber being attached to a handle that includes a knob which allows movement of a flexible tubular sleeve from a position covering the fiber and emitter to a position exposing the emitter and a length of fiber adjacent to it, the sleeve also having a sharp metal cleat extending from its end, the cleat being an end of a length of wire which passes through a separate channel of the sleeve to the knob without being attached to the sleeve. An application of this device is for inserting the emitter into a mass of material in order to irradiate the material from within.
摘要翻译: 一种具有光纤的手持式装置,其具有在自由端承载的辐射发射器,所述光纤被附接到包括旋钮的手柄,所述手柄允许柔性管状套筒从覆盖所述光纤和发射器的位置移动到暴露 发射器和与其相邻的纤维长度,套筒还具有从其端部延伸的尖锐的金属防滑板,防滑板是一段线的端部,其穿过套筒的独立通道而不附接到 袖子。 该装置的应用是将发射器插入大量的材料中以从内部照射材料。
-
公开(公告)号:US06913600B2
公开(公告)日:2005-07-05
申请号:US09161109
申请日:1998-09-25
申请人: Kirsten L. Valley , David W. Snow , Timothy C. Corvi , Brian S. Donlon , Stephen W. Boyd , Sylvia W. Fan , Alex T. Roth , William S. Peters , Richard J. Mueller, Jr. , Hanson S. Gifford, III
发明人: Kirsten L. Valley , David W. Snow , Timothy C. Corvi , Brian S. Donlon , Stephen W. Boyd , Sylvia W. Fan , Alex T. Roth , William S. Peters , Richard J. Mueller, Jr. , Hanson S. Gifford, III
IPC分类号: A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M1/36 , A61M25/00 , A61M25/01 , A61M25/06 , A61M29/02 , A61M31/00 , A61M29/00
CPC分类号: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61F2/2427 , A61M1/3621 , A61M1/3653 , A61M1/3659 , A61M25/0023 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0054 , A61M25/0125 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1034 , A61M25/1038 , A61M39/0247 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127
摘要: Devices and methods are provided for temporarily inducing cardioplegic arrest in the heart of a patient and for establishing cardiopulmonary bypass in order to facilitate surgical procedures on the heart and its related blood vessels. Specifically, a catheter based system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system and for infusing a cardioplegic agent into the patient's coronary arteries to induce cardioplegic arrest in the heart. The system includes an endoaortic partitioning catheter having an expandable balloon at its distal end which is expanded within the ascending aorta to occlude the aortic lumen between the coronary ostia and the brachiocephalic artery. Means for centering the catheter tip within the ascending aorta include specially curved shaft configurations, eccentric or shaped occlusion balloons and a steerable catheter tip, which may be used separately or in combination. The shaft of the catheter may have a coaxial or multilumen construction. The catheter may further include piezoelectric pressure transducers at the distal tip of the catheter and within the occlusion balloon. Means to facilitate nonfluoroscopic placement of the catheter include fiberoptic transillumination of the aorta and a secondary balloon at the distal tip of the catheter for atraumatically contacting the aortic valve. The system further includes a dual purpose arterial bypass cannula and introducer sheath for introducing the catheter into a peripheral artery of the patient.
摘要翻译: 提供了设备和方法,用于临时诱导患者心脏中的心脏停搏停滞并建立心肺分流术,以便于心脏及其相关血管的外科手术。 特别地,提供一种基于导管的系统,用于将患者的心脏和冠状动脉血管与动脉系统的其余部分隔离,并将心脏停搏药物注入患者的冠状动脉以诱发心脏停搏。 该系统包括内主动脉分配导管,其在其远端具有可膨胀气囊,其在升主动脉内扩张以封闭冠状动脉口和头臂动脉之间的主动脉腔。 用于将导管末端定心在升主动脉内的装置包括特殊弯曲的轴构造,偏心或成形的闭塞气囊和可导向的导管尖端,其可以单独使用或组合使用。 导管的轴可以具有同轴或多腔结构。 该导管还可以包括位于导管的远侧末端处和闭塞气囊内的压电换能器。 促进导管的非荧光放置的手段包括主动脉的光纤透照和在导管的远端处的次级球囊,用于与主动脉瓣无创接触。 该系统还包括用于将导管引入患者的外周动脉的双用途动脉旁路插管和引导器护套。
-
公开(公告)号:USRE36473E
公开(公告)日:1999-12-28
申请号:US976528
申请日:1997-11-21
申请人: Victor C. Esch , Kirsten L. Valley
发明人: Victor C. Esch , Kirsten L. Valley
IPC分类号: A61B1/012 , A61B1/015 , A61B1/018 , A61B5/107 , A61B17/22 , A61B18/24 , A61B19/00 , A61M3/02 , G02B23/24 , G02B6/06
CPC分类号: G02B23/2469 , A61B1/018 , A61B18/24 , A61B5/1076 , A61B2017/22072 , A61B2017/22077 , A61B90/361 , A61M3/0279
摘要: A hand held device having an optical fiber with a radiation emitter carried at a free end, the optical fiber being attached to a handle that includes a knob which allows movement of a flexible tubular sleeve from a position covering the fiber and emitter to a position exposing the emitter and a length of fiber adjacent to it, the sleeve also having a sharp metal cleat extending from its end, the cleat being an end of a length of wire which passes through a separate channel of the sleeve to the knob without being attached to the sleeve. An application of this device is for inserting the emitter into a mass of material in order to irradiate the material from within.
-
公开(公告)号:US5814016A
公开(公告)日:1998-09-29
申请号:US797229
申请日:1997-02-07
申请人: Kirsten L. Valley , David W. Snow , Timothy C. Corvi , Brian S. Donlon , Stephen W. Boyd , Sylvia W. Fan , Alex T. Roth , William S. Peters , Richard J. Mueller, Jr. , Hanson S. Gifford, III
发明人: Kirsten L. Valley , David W. Snow , Timothy C. Corvi , Brian S. Donlon , Stephen W. Boyd , Sylvia W. Fan , Alex T. Roth , William S. Peters , Richard J. Mueller, Jr. , Hanson S. Gifford, III
IPC分类号: A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M1/36 , A61M25/00 , A61M25/01 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M1/3653 , A61M1/3659 , A61M25/0028 , A61M25/0041 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1038 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61M1/3621 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127 , A61M25/0023 , A61M25/0032 , A61M25/0054 , A61M25/0125 , A61M25/1034
摘要: Devices and methods are provided for temporarily inducing cardioplegic arrest in the heart of a patient and for establishing cardiopulmonary bypass in order to facilitate surgical procedures on the heart and its related blood vessels. Specifically, a catheter based system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system and for infusing a cardioplegic agent into the patient's coronary arteries to induce cardioplegic arrest in the heart. The system includes an endoaortic partitioning catheter having an expandable balloon at its distal end which is expanded within the ascending aorta to occlude the aortic lumen between the coronary ostia and the brachiocephalic artery. Means for centering the catheter tip within the ascending aorta include specially curved shaft configurations, eccentric or shaped occlusion balloons and a steerable catheter tip, which may be used separately or in combination. The shaft of the catheter may have a coaxial or multilumen construction. The catheter may further include piezoelectric pressure transducers at the distal tip of the catheter and within the occlusion balloon. Means to facilitate nonfluoroscopic placement of the catheter include fiberoptic transillumination of the aorta and a secondary balloon at the distal tip of the catheter for atraumatically contacting the aortic valve. The system further includes a dual purpose arterial bypass cannula and introducer sheath for introducing the catheter into a peripheral artery of the patient.
-
公开(公告)号:US5795325A
公开(公告)日:1998-08-18
申请号:US570286
申请日:1995-12-11
IPC分类号: A61B17/00 , A61B17/12 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/36 , A61M25/00 , A61M25/01 , A61M25/02 , A61M25/06 , A61M29/02 , A61M31/00
CPC分类号: A61F2/2427 , A61B17/12022 , A61B17/12036 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61M1/3653 , A61M1/3659 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0147 , A61M25/0152 , A61M25/0155 , A61M25/02 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1006 , A61M25/1027 , A61M25/1029 , A61B2017/00243 , A61B2018/00232 , A61B2018/00261 , A61B2090/064 , A61B2090/306 , A61M2025/0002 , A61M2025/0031 , A61M2025/0034 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1031 , A61M2025/1047 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/366 , A61M2210/125 , A61M2210/127 , A61M25/0054 , A61M25/0125 , A61M25/1034
摘要: Pressure is measured on both sides of an occluding member for determining when pressure forces on the occluding member may cause migration of the occluding member. An alarm indicates when the pressure force on the balloon exceed a predetermined threshold. In another aspect of the invention, a pressure monitor determines when a rate of pressure increase with respect to the fluid volume in the balloon reaches a predetermined threshold when inflating the occluding member. A predetermined amount of fluid is then added to the balloon so that the balloon is not under inflated or over inflated.
摘要翻译: 在封闭构件的两侧测量压力,以确定闭塞构件上的压力是否可能引起闭塞构件的迁移。 报警器指示气球上的压力超过预定阈值时。 在本发明的另一方面,压力监测器确定当气囊膨胀时相对于气囊中的流体体积的压力增加率何时达到预定阈值。 然后将预定量的流体加入到球囊中,使得气囊不会膨胀或过度膨胀。
-
公开(公告)号:US5766151A
公开(公告)日:1998-06-16
申请号:US486216
申请日:1995-06-07
IPC分类号: A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M1/36 , A61M25/00 , A61M25/01 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M1/3653 , A61M1/3659 , A61M25/0028 , A61M25/0041 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1038 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61M1/3621 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127 , A61M25/0023 , A61M25/0032 , A61M25/0054 , A61M25/0125 , A61M25/1034
摘要: Devices and methods are provided for temporarily inducing cardioplegic arrest in the heart of a patient and for establishing cardiopulmonary bypass in order to facilitate surgical procedures on the heart and its related blood vessels. Specifically, a catheter based system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system and for infusing a cardioplegic agent into the patient's coronary arteries to induce cardioplegic arrest in the heart. The system includes an endoaortic partitioning catheter having an expandable balloon at its distal end which is expanded within the ascending aorta to occlude the aortic lumen between the coronary ostia and the brachiocephalic artery. Means for centering the catheter tip within the ascending aorta include specially curved shaft configurations, eccentric or shaped occlusion balloons and a steerable catheter tip, which may be used separately or in combination. The shaft of the catheter may have a coaxial or multilumen construction. The catheter may further include piezoelectric pressure transducers at the distal tip of the catheter and within the occlusion balloon. Means to facilitate nonfluoroscopic placement of the catheter include fiberoptic transillumination of the aorta and a secondary balloon at the distal tip of the catheter for atraumatically contacting the aortic valve. The system further includes a dual purpose arterial bypass cannula and introducer sheath for introducing the catheter into a peripheral artery of the patient.
摘要翻译: 提供了设备和方法,用于临时诱导患者心脏中的心脏停搏停滞并建立心肺分流术,以便于心脏及其相关血管的外科手术。 特别地,提供一种基于导管的系统,用于将患者的心脏和冠状动脉血管与动脉系统的其余部分隔离,并将心脏停搏药物注入患者的冠状动脉以诱发心脏停搏。 该系统包括内主动脉分配导管,其在其远端具有可膨胀气囊,其在升主动脉内扩张以封闭冠状动脉口和头臂动脉之间的主动脉腔。 用于将导管末端定心在升主动脉内的装置包括特殊弯曲的轴构造,偏心或成形的闭塞气囊和可导向的导管尖端,其可以单独使用或组合使用。 导管的轴可以具有同轴或多腔结构。 该导管还可以包括位于导管的远侧末端处和闭塞气囊内的压电换能器。 促进导管的非荧光放置的手段包括主动脉的光纤透照和在导管的远端处的次级球囊,用于与主动脉瓣无创接触。 该系统还包括用于将导管引入患者的外周动脉的双用途动脉旁路插管和引导器护套。
-
-
-
-
-
-
-
-
-