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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.
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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。
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公开(公告)号:US5536251A
公开(公告)日:1996-07-16
申请号:US415273
申请日:1995-04-03
申请人: Philip C. Evard , Timothy R. MacHold , Hanson S. Gifford, III , Alex T. Roth , Wesley D. Sterman , Lawrence C. Siegel
发明人: Philip C. Evard , Timothy R. MacHold , Hanson S. Gifford, III , Alex T. Roth , Wesley D. Sterman , Lawrence C. Siegel
IPC分类号: A61B1/00 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/128 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M25/00 , A61M25/01 , A61M11/00
CPC分类号: A61B17/0218 , A61B17/00234 , A61B17/0469 , A61B17/06061 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M25/01 , A61M39/0247 , A61B17/0057 , A61B17/0467 , A61B17/064 , A61B17/068 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B17/30 , A61B17/34 , A61B17/3403 , A61B2017/00243 , A61B2017/00247 , A61B2017/00353 , A61B2017/00544 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2905 , A61B2017/2933 , A61B2017/2943 , A61B2017/2945 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3445 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/1432 , A61B2090/064 , A61M2025/0003 , A61M2025/0089 , A61M2025/028 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M25/1011 , Y10S128/26
摘要: The invention provides devices and methods for thoracoscopically arresting the heart and establishing cardiopulmonary bypass, thus facilitating a variety of less-invasive surgical procedures on and within the heart and great vessels of the thorax. In one embodiment, the invention provides a thoracoscopic system for arresting a patient's heart including a clamp configured for introduction into the patient's thoracic cavity through a percutaneous intercostal penetration in the patient's chest. The clamp is positionable about the patient's ascending aorta between the coronary arteries and the brachiocephalic artery. The clamp is coupled to the distal end of an elongated handle means for manipulating the clamp from a location outside of the patient's thoracic cavity. A means for actuating the clamp is coupled to the proximal end of the handle means. When actuated, the clamp blocks blood flow through the ascending aorta. A delivery cannula may be used to deliver cardioplegic fluid into the ascending aorta upstream from the clamp to arrest cardiac function.
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公开(公告)号:US5425705A
公开(公告)日:1995-06-20
申请号:US173899
申请日:1993-12-27
申请人: Philip C. Evard , Timothy R. Machold , Hanson S. Gifford, III , Alex T. Roth , Wesley D. Sterman , Lawrence C. Siegel , Jeffry J. Grainger
发明人: Philip C. Evard , Timothy R. Machold , Hanson S. Gifford, III , Alex T. Roth , Wesley D. Sterman , Lawrence C. Siegel , Jeffry J. Grainger
IPC分类号: A61B1/00 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/128 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M25/00 , A61M25/01
CPC分类号: A61B17/0218 , A61B17/00234 , A61B17/0469 , A61B17/06061 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M25/01 , A61M39/0247 , A61B17/0057 , A61B17/0467 , A61B17/064 , A61B17/068 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B17/30 , A61B17/34 , A61B17/3403 , A61B2017/00243 , A61B2017/00247 , A61B2017/00353 , A61B2017/00544 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2905 , A61B2017/2933 , A61B2017/2943 , A61B2017/2945 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3445 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/1432 , A61B2090/064 , A61M2025/0003 , A61M2025/0089 , A61M2025/028 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M25/1011 , Y10S128/26
摘要: The invention provides devices and methods for thoracoscopically arresting the heart and establishing cardiopulmonary bypass, thus facilitating a variety of less-invasive surgical procedures on and within the heart and great vessels of the thorax. In one embodiment, the invention provides a thoracoscopic system for arresting a patient's heart including a clamp configured for introduction into the patient's thoracic cavity through a percutaneous intercostal penetration in the patient's chest. The clamp is positionable about the patient's ascending aorta between the coronary arteries and the brachiocephalic artery. The clamp is coupled to the distal end of an elongated handle means for manipulating the clamp from a location outside of the patient's thoracic cavity. A means for actuating the clamp is coupled to the proximal end of the handle means. When actuated, the clamp blocks blood flow through the ascending aorta. A delivery cannula may be used to deliver cardioplegic fluid into the ascending aorta upstream from the clamp to arrest cardiac function.
摘要翻译: 本发明提供了用于胸腔镜阻塞心脏并建立心肺旁路的装置和方法,从而促进在胸部和/或胸部的心脏和大血管内部和内部的多种较小侵入性的外科手术。 在一个实施例中,本发明提供了一种用于阻止患者心脏的胸腔镜系统,包括构造成通过患者胸部经皮肋间穿透引入患者胸腔的夹具。 夹具可以围绕冠状动脉和头臂动脉之间的患者升主动脉定位。 夹具联接到细长手柄的远端,用于从患者胸腔外部的位置操纵夹具。 用于致动夹具的装置联接到手柄装置的近端。 当启动时,夹具阻止血流通过升主动脉。 输送插管可用于将心脏停搏液输送到夹钳上游的升主动脉以阻止心脏功能。
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公开(公告)号:US06401720B1
公开(公告)日:2002-06-11
申请号:US09411095
申请日:1999-10-04
IPC分类号: A61B1900
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
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公开(公告)号:US5797960A
公开(公告)日:1998-08-25
申请号:US425179
申请日:1995-04-20
IPC分类号: A61B5/0444 , A61B1/00 , A61B5/0402 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M29/00
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/320016 , A61B17/3468 , A61B18/1482 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B17/3211 , A61B17/3417 , A61B18/1442 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61B90/37 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
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公开(公告)号:US5855614A
公开(公告)日:1999-01-05
申请号:US646182
申请日:1996-05-07
IPC分类号: A61B5/0444 , A61B1/00 , A61B5/0402 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61F2/02
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/320016 , A61B17/3468 , A61B18/1482 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B17/3211 , A61B17/3417 , A61B18/1442 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61B90/37 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
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公开(公告)号:US07100614B2
公开(公告)日:2006-09-05
申请号:US10099690
申请日:2002-03-15
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
摘要翻译: 提供了设备,系统和方法,用于访问心脏内部并在心脏跳动时执行其中的过程。 在一个实施例中,提供具有内腔的管状进入装置用于通过心脏的肌肉壁中的穿透进行定位,所述进入装置具有用于密封穿透物的装置,以阻止血液渗透穿透。 密封装置可以包括进入装置上的球囊或凸缘,或者放置在心壁中的缝合线,以将心脏组织收集在接近装置上。 闭塞器可拆卸地定位在进入装置的内腔中,封闭器在其远端具有用于穿透心脏肌肉壁的切割装置。 进入装置优选地通过肋间空间并穿过心脏的肌肉壁定位。 细长的仪器可以通过管状进入装置引入心脏的内腔,以执行诸如间隔缺损修复和电生理测绘和消融的过程。 间隔缺损修复的方法包括经由肋间空间穿过管状进入装置并穿过心脏的肌肉壁的穿透,使一个或多个器械通过管状进入装置的内腔进入心脏的内部腔室 ,并使用仪器封闭隔膜缺损。 公开了用缝线或贴片式装置封闭隔膜缺损的装置和方法。
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公开(公告)号:US06955175B2
公开(公告)日:2005-10-18
申请号:US10427438
申请日:2003-05-01
IPC分类号: A61B5/0444 , A61B1/00 , A61B5/0402 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61N1/06
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
摘要翻译: 提供了设备,系统和方法,用于访问心脏内部并在心脏跳动时执行其中的过程。 在一个实施例中,提供具有内腔的管状进入装置用于通过心脏的肌肉壁中的穿透进行定位,所述进入装置具有用于密封穿透物的装置,以阻止血液渗透穿透。 密封装置可以包括进入装置上的球囊或凸缘,或者放置在心壁中的缝合线,以将心脏组织收集在接近装置上。 闭塞器可拆卸地定位在进入装置的内腔中,封闭器在其远端具有用于穿透心脏肌肉壁的切割装置。 进入装置优选地通过肋间空间并穿过心脏的肌肉壁定位。 细长的仪器可以通过管状进入装置引入心脏的内腔,以执行诸如间隔缺损修复和电生理测绘和消融的过程。 间隔缺损修复的方法包括经由肋间空间穿过管状进入装置并穿过心脏的肌肉壁的穿透,使一个或多个器械通过管状进入装置的内腔进入心脏的内部腔室 ,并使用仪器封闭隔膜缺损。 公开了用缝线或贴片式装置封闭隔膜缺损的装置和方法。
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公开(公告)号:US06679268B2
公开(公告)日:2004-01-20
申请号:US10098838
申请日:2002-03-15
IPC分类号: A61B1900
CPC分类号: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
摘要: Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
摘要翻译: 提供了设备,系统和方法,用于访问心脏内部并在心脏跳动时执行其中的过程。 在一个实施例中,提供具有内腔的管状进入装置用于通过心脏的肌肉壁中的穿透进行定位,所述进入装置具有用于密封穿透物的装置,以阻止血液渗透穿透。 密封装置可以包括进入装置上的球囊或凸缘,或者放置在心壁中的缝合线,以将心脏组织收集在接近装置上。 闭塞器可拆卸地定位在进入装置的内腔中,封闭器在其远端具有用于穿透心脏肌肉壁的切割装置。 进入装置优选地通过肋间空间并穿过心脏的肌肉壁定位。 细长的仪器可以通过管状进入装置引入心脏的内腔,以执行诸如间隔缺损修复和电生理测绘和消融的过程。 间隔缺损修复的方法包括经由肋间空间穿过管状进入装置并穿过心脏的肌肉壁的穿透,使一个或多个器械通过管状进入装置的内腔进入心脏的内部腔室 ,并使用仪器封闭隔膜缺损。 公开了用缝线或贴片式装置封闭隔膜缺损的装置和方法。
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