摘要:
A fiber optic catheter has a short guide wire lumen (less than 10 cm) extending in a proximal direction from its distal end and an intermediate portion reinforced with a tapered mandrel which provides optimal steerability and trackability characteristics. The distal end of the mandrel is coextensive with a proximal portion of the guide wire lumen. The intermediate portion of the catheter may have a marker for visual identification, and the tip of the catheter may include a radiopaque tip marker band for fluoroscopic identification. The short guide wire lumen catheter provides superior flexibility, a low profile, and low-friction engagement with the guide wire.
摘要:
A catheter having an outer wall of tubular shape, a cylindrical marker attached to the distal end of the catheter. The marker band includes markings for identifying the axial, rotational and yaw position of the catheter distal end when it is located in a body and viewed fluoroscopically.
摘要:
An apparatus for ablating biological tissue having a deflectable ablation area including an elongated catheter having a distal end, a proximal end, and an elongated body portion. A plurality of optical fibers extend between the proximal and distal ends of the catheter. The distal ends of all of the plurality of optical fibers define an ablation area at the distal end of the catheter. The catheter includes a device for selectively deflecting the distal ends of all of the optical fibers so that at least a portion of the ablation area extends beyond an area defined by the cross-sectional area of the catheter while the amount of light energy over the entire ablation area remains constant.
摘要:
The present invention is a turn limiter for a catheter with a twistable tip. The catheter having a flexible wall for use in complex twisting anatomy contains a torque wire or a torquable guide wire lumen. The torque wire or torquable guide wire lumen extends through the length of the catheter and is attached to the catheter at or near the distal end thereof. The proximal end of the torque wire protrudes from the proximal end of the catheter and is attached to a turn limiter. Rotation of the turn limiter imparts a torque to the torque wire or torquable guide wire lumen. The turn limiter allows limited rotation of the proximal end of the torque wire or torquable guide wire lumen without axial dislocation. The turn limiter may have a feature for indicating the amount of torque applied to the torque element. The turn limiter may also have a friction device for resisting rotational forces urging a rotatable handle in the turn limiter to return to an original position when the handle is rotated and released by an operator.
摘要:
The invention is directed towards a retaining device for retaining at least one medical line. The retaining device includes a flexible body having a top and bottom surface with at least one slot formed in the top surface. The at least one slot extends to a depth greater than the largest medical line the retaining device is destined to be used with. An attachment mechanism is coupled to the flexible body for securing the flexible body to a supportive surface.
摘要:
Systems and methods for separating an object such as a pacing lead from a patient tissue involve a flexible and torqueable shaft having an internal lumen sized to receive the object, and a hard separating mechanism for separating the object from the tissue. Typically the shaft and separating mechanism are advanced along or toward the object, and the separating mechanism is contacted with the tissue. The shaft is rotated to effect separation between the object and the tissue. The systems and methods are well suited for use in cardiac pacing or defibrillator lead explant procedures.
摘要:
The invention is directed towards a retaining device for retaining at least one medical line. The retaining device includes a flexible body having a top and bottom surface with at least one slot formed in the top surface. The at least one slot extends to a depth greater than the largest medical line the retaining device is destined to be used with. An attachment mechanism is coupled to the flexible body for securing the flexible body to a supportive surface.
摘要:
Embodiments of a balloon biasing laser catheter are provided. In some embodiments, the laser catheter may include a distal tip that extends from the distal end of the catheter from a point near the light guide aperture. The distal tip may be disposed at the periphery of the catheter. In some embodiments, a balloon may be disposed between the light guide aperture and the distal tip, such that the a light guide extending from the aperture may be disposed proximate with the distal tip having the balloon in between. A retaining wire may be coupled with the distal tip and slidably coupled with the light guide. The retaining wire may keep the light guide biased relatively parallel with the distal tip and/or the catheter body when the balloon is inflated. The light guide may include a guidewire lumen the extends to the distal end of the distal tip.
摘要:
A lead locking device has a lead engaging member with a mandrel extending along a lumen and attached to the distal end of the lead engaging member such that it extends beyond the proximal end of the lead engaging member. The lead locking device also has a loop handle attached to the proximal end of the mandrel. The lead engaging member has a first configuration which is narrower than a second configuration and is sufficiently long to extend along substantially the entire length of a lead to be removed from a patient's body. At the distal end, a spring coil is disposed around a tapered section of the mandrel to improve tracking of the lead locking device through the inner lumen of a pacing or defibrillator lead.
摘要:
Laser catheter systems include catheters, mandrels, guidewires, and fiber optics configured to reduce or remove occlusions in a lumen or vessel of a patient. Rotation or translation of a mandrel, a guidewire, or a catheter can induce relative rotational or translational movement between the mandrel or guidewire and the catheter body, and can cause the distal end of the catheter body to rotate or traverse off of a central axis, such as a central longitudinal axis of a proximal or unbent portion of the catheter body, so as to cause ablation energy from the optical fibers to move in an arc or path.