US20090182271A1 - Dual Balloon Telescoping Guiding Catheter - Google Patents
Dual Balloon Telescoping Guiding Catheter Download PDFInfo
- Publication number
- US20090182271A1 US20090182271A1 US12/405,908 US40590809A US2009182271A1 US 20090182271 A1 US20090182271 A1 US 20090182271A1 US 40590809 A US40590809 A US 40590809A US 2009182271 A1 US2009182271 A1 US 2009182271A1
- Authority
- US
- United States
- Prior art keywords
- guide
- inner guide
- balloon
- distal
- coronary sinus
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
- A61M2025/1015—Multiple balloon catheters having two or more independently movable balloons where the distance between the balloons can be adjusted, e.g. two balloon catheters concentric to each other forming an adjustable multiple balloon catheter system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
Definitions
- the invention relates generally to surgical catheters, and more particularly to guiding catheters using balloons affixed to the distal tips of telescoping inner and outer guides.
- Catheters are used in a variety of medical procedures. In some applications, these devices provide physicians the ability to explore, operate, and insert drugs/medical devices in various reaches of the anatomy without invasive surgery. Oftentimes, the catheters have medical devices mounted on the catheter shaft. For example, an electrophysiological (EP) ablation catheter has an ablation electrode mounted at a distal tip of the catheter. In another application, guiding catheters are used to create an easily navigable pathway to be used for delivery of various payloads such as drugs, therapeutic/diagnostic devices (e.g., EP mapping and ablation electrodes), and implantable devices (e.g., cardiac pacing/defibrillation leads).
- EP electrophysiological
- guiding catheters are used to create an easily navigable pathway to be used for delivery of various payloads such as drugs, therapeutic/diagnostic devices (e.g., EP mapping and ablation electrodes), and implantable devices (e.g., cardiac pacing/defibrillation leads).
- Guiding catheter systems are typically configured with a profile that is optimized for the intended method of access. For example, when trying to access the coronary sinus of a patient's heart, one method is to enter the venous system through an incision at a large vein such as the subclavian vein near the shoulder. A guiding catheter is inserted through this incision and is sent in an arced path through the superior vena cava into the right atrium of the heart. From the right atrium, the ostium of the coronary sinus must be located. A catheter with a distal contour including a relatively sharp bend will point the catheter towards the likely location of the coronary sinus once the right atrium is reached. The contours of pre-shaped guiding catheters are often fixed during manufacture.
- a pre-shaped guiding catheter is sometimes used to blindly locate the coronary sinus ostium. This endeavor, however, is complicated by the fact that the location of the coronary sinus ostium may vary appreciably from one patient to another, especially among patients with diseased hearts. If the pre-shaped catheter is introduced and found to be not well adapted to the patient's anatomy, the catheter must be removed and a replaced with a catheter having a different shape. Replacing a catheter in this manner is time consuming, expensive, and can cause unnecessary trauma to the patient.
- the size and flexibility of the catheter that provides maneuverability through a convoluted access path becomes a disadvantage when trying to manipulate the distal end of the catheter in the right atrium. Further, once the catheter has cannulated the destination vessel, the flexible distal tip may be dislodged from the destination vessel due to shape distortions caused by introducing a payload through the catheter.
- the primary objective of a typical guiding catheter procedure is to locate and cannulate a vessel of interest in the least amount of time. Finding and cannulating the coronary sinus, for example, can become a time consuming, trial and error procedure even in a healthy patient. Patients exhibiting symptoms of advanced heart disease can have blockages or deformations of heart structure, further complicating the task of locating the ostium of the coronary sinus.
- the invention relates to a guiding catheter for use in accessing various anatomical regions, particularly the heart.
- a guiding catheter of the present invention employs a telescopic arrangement of inner and outer guides, with each guide provided with a controllably inflatable balloon.
- a guiding catheter of the present invention includes an outer guide having a pre-formed distal curve, a guide lumen, and an inflation lumen.
- the guiding catheter also includes an inner guide movably disposed within the guide lumen of the outer guide.
- the inner guide includes an inflation lumen and can further include a pre-formed distal curve.
- An annular balloon is fixably mounted to a distal end of the outer guide and in fluid connection with the inflation lumen of the outer guide.
- a fluted balloon is fixably mounted to a distal end of the inner guide and in fluid connection with the inflation lumen of the inner guide.
- At least two inflation mechanisms are provided, each independently in fluid connection with the inflation lumens of the inner and outer guides. The inflation mechanisms are used to selectively pressurize and depressurize a fluid within the inflation lumens to respectively inflate and deflate the annular and fluted balloons.
- One or more sensors can be provided at a distal end of the guiding catheter to assist in locating a destination vessel or structure of interest.
- a sensor can be mounted to the outer guide, the inner guide, or both the outer and inner guides.
- Useful sensor arrangements can include one or more of an optical sensor, infrared sensor, ultrasound sensor, pressure sensor, temperature sensor, flow sensor, and oxygen sensor.
- a method for accessing a destination vessel in a patient's heart involves introducing a distal end of a guiding catheter into a patient's access vessel.
- the guiding catheter according to this embodiment includes an outer guide having a guide lumen and an annular balloon mounted to a distal end of the outer guide.
- the guiding catheter further includes an inner guide movably disposed within the guide lumen of the outer guide.
- the inner guide includes a fluted balloon mounted to a distal end of the inner guide.
- the method further involves advancing the distal end of the guiding catheter through a circulatory pathway, and distally extending the inner guide to engage the destination vessel with the distal end of the inner guide.
- the inner guide is distally extended to seat the inner guide in the destination vessel.
- the fluted balloon is inflated to anchor the inner guide in the destination vessel.
- the outer guide is distally advanced over the inner guide to engage the destination vessel with the outer guide.
- the annular balloon is inflated to occlude blood flow.
- a contrast media is injected into the guiding catheter for mapping blood vessels.
- Various types of sensing can be employed at the distal end of the guiding catheter to assist in locating a destination vessel or structure of interest.
- FIG. 1 is a perspective view of a catheter according to an embodiment of the present invention
- FIG. 2 is a side view of a distal end of the catheter according to an embodiment of the present invention.
- FIG. 3 is a cross sectional view of an inner guide corresponding to section 1 - 1 in FIG. 2 ;
- FIG. 4 is a cross sectional view of an outer guide corresponding to section 2 - 2 in FIG. 2 ;
- FIG. 5 is a perspective view of the distal end of the outer guide according to an embodiment of the present invention.
- FIG. 6 is a side view of proximal inflation mechanisms according to the present invention.
- FIG. 7 is a perspective cutaway view of a heart, illustrating a catheter according to the present invention cannulating the coronary sinus.
- a catheter according to the present invention generally indicated by reference numeral 100 .
- the catheter 100 utilizes a telescoping guide configuration that includes an inner guide 102 movably disposed within an outer guide 104 .
- the outer guide 104 has a pre-formed curve 106 near a distal end.
- the pre-formed curve 106 typically includes a shape optimized for the intended access path and destination vessel. Fluted and annular balloons 108 , 110 are fixably mounted to the inner and outer guides 102 , 104 , respectively.
- the fluted balloon 108 includes fluted grooves 112 adjacent to inflatable sections 114 .
- the fluted balloon 108 is inflated via an inflation lumen within the inner guide 102 .
- the fluted balloon 108 is configured such that the inflatable sections 114 are enlarged upon inflation, the enlarged inflatable sections 114 gripping an interior surface of a blood vessel.
- the fluted grooves 112 allow some blood to flow past the inflated balloon 108 , thereby preventing complete occlusion of the blood vessel. In this way, the fluted balloon 108 can advantageously be used to secure the distal tip of the inner guide 102 for a relatively long period of time without introducing problems caused by full blood flow occlusion.
- the fluted balloon 108 may be formed similar to a standard latex occlusion balloon, with the additional application of longitudinal adhesive sections to the inside of the balloon 108 .
- the adhesive sections bond an outer, inflatable member of the balloon 108 to the guide 102 to form the fluted grooves 112 .
- the adhesive sections prevent an area encompassed by the fluted grooves 112 from inflating when pressurizing the balloon 108 .
- the areas between adhesive sections serve as the inflatable sections 114 .
- An alternate configuration of the fluted balloon 108 may include bonding a plurality of elongated balloon sections lengthwise along the inner guide 102 , each balloon section forming an inflatable section 114 .
- the spaces between balloon sections form the fluted grooves 112 .
- the elongated balloons can include a common fluid connection for inflation, such as a ring shaped manifold.
- the outer guide balloon 110 (i.e., annular balloon) can be constructed similarly to occlusion balloons known in the art.
- the annular balloon 110 is controllably expandable to substantially block the vessel in which the outer guide 104 is located, thereby occluding blood flow in the vessel.
- a fluid such as saline solution is typically used to provide inflation pressure.
- the inner and outer guides 102 , 104 can be constructed using a variety of techniques known in the art.
- the guides 102 , 104 can be formed of an extruded polymer, such as Pebax thermoplastic elastomer resin. Other polymer materials, such as nylon and polyurethane, are also commonly used for catheter guides.
- the guides 102 , 104 may include regions of different material stiffness (e.g., durometer rating) to provide customized performance. In a typical application, distal regions of the guides 102 , 104 are fabricated to be relatively flexible, thereby allowing maneuverability through convoluted paths. A proximal region of the guides 102 , 104 is made stiffer than the distal region, providing kink resistance and enhanced transmission of axial forces and torque.
- the pre-formed curve 106 is typically located proximal to the annular balloon 110 .
- Various curve shapes are possible, the shapes being dictated by the destination vessel and access path of interest.
- the pre-formed curve 106 is made flexible such that the outer guide 104 straightens while being guided through the vasculature, yet resumes the pre-formed shape when a wider cavity, such as a heart chamber, is reached.
- the inner guide 102 may also include a pre-formed shape 202 at a distal end, as seen in FIG. 2 .
- the inner guide 102 can be made retractable within the outer guide 104 such that the inner guide's distal end substantially takes the shape of the outer guide 104 when retracted.
- the pre-formed curve 202 resumes its original, pre-formed shape.
- the pre-formed curves 106 , 202 can be thermoset on the guides 102 , 104 in production. If the guide material does not take a thermoset, a jacket of thermoset or otherwise pre-formed material can be enclosed around a distal end of the guides 102 , 104 . The jacket causes the pre-formed curve 106 , 202 to conform to a desired shape.
- a stylet 302 , 402 made of Nitonol or other superelastic material can be affixed (e.g., bonded or enclosed) within a distal portion of one or both of the guides 102 , 104 .
- the superelastic properties of the stylet 302 , 402 allow it to be substantially deformed, thereby allowing the distal end to be straightened for guiding through veins and/or arteries, then returning to the preformed shape when a desired access point is reached.
- the guides 102 , 104 may each include a braid 304 , 404 as seen in FIGS. 4 and 5 .
- the braids 304 , 404 are typically formed of fine stainless steel wires, although stainless steel ribbon and/or artificial fibers can also be used to form the braids 304 , 404 .
- the braids 304 , 404 may cover all or part of the guides 102 , 104 , improving axial stiffness and kink resistance therein with only a minimal reduction in maneuvering flexibility.
- the braids 304 , 404 can be bonded or otherwise affixed to an exterior surface of the guides 102 , 104 .
- the braids 304 , 404 can be molded within the walls of the guides 102 , 104 .
- the inner and outer guides 102 , 104 typically include guide lumens 306 , 406 .
- the outer guide lumen 406 is open throughout the length of the outer guide 104 .
- the inner guide lumen 306 is typically open for guiding applications, although an open inner guide lumen 306 may not be required if the inner guide 102 is not used to carry a payload.
- a lubricious liner made from a material such as PTFE can be applied to an interior surface of the lumens 306 , 406 to enhance passage of payloads therethrough and movement of the inner guide 102 within the outer guide 104 .
- the inner and outer guides 102 , 104 contain additional lumens.
- the guides 102 , 104 at least contain inflation lumens 308 , 408 that are in fluid connection with the distal balloons 108 , 110 .
- the inflation lumens 308 , 408 communicate a pressurized fluid from a proximal end to the distal end of the guides 102 , 104 .
- the fluid is introduced at a proximal end of the guides 102 , 104 and used for inflating the balloons 108 , 110 .
- a fluid connection between inflation lumens 308 , 408 and balloons 108 , 110 can be created by forming an orifice through each outer wall of the guides 102 , 104 into the lumens 308 , 408 .
- the balloons 108 , 110 in such a configuration each have an inflation opening, the opening being positioned over the orifice when the balloons 108 , 110 are attached to the guides 102 , 104 .
- FIG. 5 illustrates proximal inflation mechanisms for the inner and outer guides 102 , 104 .
- the proximal end of the guides 102 , 104 are fitted with valves 502 , 504 (e.g., hemostatic valves).
- the valves 502 , 504 provide a fluid seal for the guide lumens 306 , 406 , thereby helping to prevent the catheter 100 from introducing an air embolism in the blood vessels.
- the valve 502 seals the inner guide 102 within the outer guide 104 .
- the valve 504 seals any payloads that may be introduced through the inner guide lumen 306 .
- the valves 502 , 504 also provide fluid connections between the inflation lumens 308 , 408 and proximal inflation mechanisms 506 , 508 .
- the proximal inflation mechanisms 506 , 508 may include a syringe or pump.
- the inflation mechanisms 506 , 508 may also include one or more pressure gauges to monitor the fluid inflation pressure.
- an accessory lumen 410 is shown in the outer guide 104 .
- the accessory lumen 410 is preferably extruded into the wall of the outer guide 104 .
- the accessory lumen 410 can be used for carrying accessory payloads such as injections and guide wires.
- the accessory lumen 410 can also be used to carry conductors or other communication media coupled to a sensor attached to the outer guide's distal end.
- the sensor 602 can include a sensor/transducer that measures pressure, temperature, flow, oxygen, infrared, and ultrasound.
- Miniature sensor assemblies are available in the form of Micro-Electro-Mechanical Systems (MEMS) that are particularly suited to this application. Such MEMS sensors/transducers are commercially available and adaptable to medical devices.
- a communication medium 604 is coupled to the sensor 602 and communicates sensor signals to measuring/processing equipment at the proximal end of the catheter 100 .
- the communication medium 604 typically includes at least one electrical conductor and can be disposed within the accessory lumen 410 of the outer guide 104 .
- An alternate sensor 602 includes a fiber optical sensor (e.g., lens) for such applications as thermal, visual, or laser-Doppler velocimetry sensing.
- the communication medium 604 in an optical sensor includes an optical fiber that can be disposed within the accessory lumen 410 . It is understood that a similar sensor and communication medium arrangement can be provided for the inner guide 102 , exclusive of, or in addition to, such an arrangement provided for the outer guide 104 .
- a catheter 100 according to the present invention has features particularly useful in accessing anatomical features within the heart.
- An exemplary use of the catheter 100 is described hereinbelow relating to accessing the coronary sinus, it being understood that other vessels of interest can be similarly accessed in accordance with the principles of the present invention.
- Coronary sinus access is often required in pacing/defibrillation lead implant procedures. Since the opening (ostium) of the coronary sinus into the right atrium is relatively small compared to the size of the right atrium, the coronary sinus is a challenging target vessel for cannulation.
- FIG. 7 Aspects of a coronary sinus access procedure are shown in FIG. 7 .
- Catheterizing the coronary sinus 702 involves introducing the distal tip of the catheter 100 through an incision 704 into a percutaneous access vessel 706 .
- Common access vessels include the right cephalic vein and the subclavian vein.
- the catheter 100 is advanced through access vessel 706 into the superior vena cava 708 , thereby entering into the right atrium 710 . From the right atrium 710 , the catheter 100 can then locate the coronary sinus ostium 712 , thereby readying the catheter 100 for introduction into the coronary sinus 702 .
- the clinician may utilize a sensor 602 in the outer guide 104 to assist in locating the coronary sinus ostium 712 .
- a flow sensor or Doppler sensor can sense the stream of blood exiting the coronary sinus based on flow rate or flow velocity.
- a thermal or infrared sensor can look for a higher temperature region indicative of the typically higher temperature blood leaving the coronary sinus 702 .
- Other devices such as a fiber optic camera or ultrasound transducer, can provide a visual representation of the heart structure to aid in guiding the catheter 100 .
- the catheter 100 can be maneuvered by extending and/or torquing a proximal end of the outer guide 104 , thereby directing the guide's pre-formed distal end 106 .
- the inner guide 102 can also be extended and torqued to probe for the ostium at a distal end.
- a distal tip of the inner or outer guides 102 , 104 can be maneuvered to engage the ostium.
- the outer guide 104 may include an accessory lumen 410 (as shown in FIG. 4 ) that can accept a probing wire.
- the probing wire can be extended through the outer guide 104 to assist in locating the ostium.
- the probing wire can include a distal curve that assumes a pre-set shape upon extension from the outer guide 104 , thereby providing an alternate shape to search for the ostium.
- the outer guide 104 may be inserted into the ostium.
- the inner guide 102 may be extended from the outer guide 104 into the ostium, thereby providing an extension of the outer guide 104 .
- the outer guide 104 may be distally extended so that the annular balloon 110 is enclosed within the coronary sinus.
- the annular balloon 110 can then be inflated to provide occlusion for a contrast injection.
- the contrast injection can be introduced through the inner or outer guides 102 , 104 , and is used for mapping branches of the coronary sinus (e.g., venography/angiography), typically identifying a branch in which to wedge a pacing/defibrillation lead.
- the inner guide 102 is advanced into position, the outer guide 104 is at least partially retracted, and the fluted balloon 108 is inflated. As seen in FIG. 7 , the inflated fluted balloon 108 secures the inner guide 102 within the coronary sinus so as to prevent dislodgment, while advantageously allowing perfusion of blood through the coronary sinus.
- a payload can be introduced through the inner guide lumen 306 and into the coronary sinus 702 . After delivery of the payload (e.g., a pacing or defibrillation lead implanted at a desired location), the catheter 100 is properly retracted and removed from the patient's body.
- the payload e.g., a pacing or defibrillation lead implanted at a desired location
Abstract
A guiding catheter includes an inner guide movably disposed within an outer guide. Both inner and outer guides include inner and outer balloons, respectively, located at the distal tip of the guides. The inner guide balloon is fluted, thereby allowing blood to flow past the implanted balloon when inflated. The outer balloon is substantially annular in shape and is deployable as an occlusion balloon. Various sensors can be provided at the distal end of the guiding catheter to assist in locating a destination vessel or structure of interest.
Description
- This application is a continuation of U.S. patent application Ser. No. 10/132,093 filed on Apr. 25, 2002, to which Applicant claims priority under 35 U.S.C. §120, and which is incorporated herein by reference in its entirety.
- The invention relates generally to surgical catheters, and more particularly to guiding catheters using balloons affixed to the distal tips of telescoping inner and outer guides.
- Catheters are used in a variety of medical procedures. In some applications, these devices provide physicians the ability to explore, operate, and insert drugs/medical devices in various reaches of the anatomy without invasive surgery. Oftentimes, the catheters have medical devices mounted on the catheter shaft. For example, an electrophysiological (EP) ablation catheter has an ablation electrode mounted at a distal tip of the catheter. In another application, guiding catheters are used to create an easily navigable pathway to be used for delivery of various payloads such as drugs, therapeutic/diagnostic devices (e.g., EP mapping and ablation electrodes), and implantable devices (e.g., cardiac pacing/defibrillation leads).
- Guiding catheter systems are typically configured with a profile that is optimized for the intended method of access. For example, when trying to access the coronary sinus of a patient's heart, one method is to enter the venous system through an incision at a large vein such as the subclavian vein near the shoulder. A guiding catheter is inserted through this incision and is sent in an arced path through the superior vena cava into the right atrium of the heart. From the right atrium, the ostium of the coronary sinus must be located. A catheter with a distal contour including a relatively sharp bend will point the catheter towards the likely location of the coronary sinus once the right atrium is reached. The contours of pre-shaped guiding catheters are often fixed during manufacture.
- A pre-shaped guiding catheter is sometimes used to blindly locate the coronary sinus ostium. This endeavor, however, is complicated by the fact that the location of the coronary sinus ostium may vary appreciably from one patient to another, especially among patients with diseased hearts. If the pre-shaped catheter is introduced and found to be not well adapted to the patient's anatomy, the catheter must be removed and a replaced with a catheter having a different shape. Replacing a catheter in this manner is time consuming, expensive, and can cause unnecessary trauma to the patient.
- Even when the catheter has an ideal shape for a given application, the size and flexibility of the catheter that provides maneuverability through a convoluted access path becomes a disadvantage when trying to manipulate the distal end of the catheter in the right atrium. Further, once the catheter has cannulated the destination vessel, the flexible distal tip may be dislodged from the destination vessel due to shape distortions caused by introducing a payload through the catheter.
- The primary objective of a typical guiding catheter procedure is to locate and cannulate a vessel of interest in the least amount of time. Finding and cannulating the coronary sinus, for example, can become a time consuming, trial and error procedure even in a healthy patient. Patients exhibiting symptoms of advanced heart disease can have blockages or deformations of heart structure, further complicating the task of locating the ostium of the coronary sinus.
- There is a need for an improved guiding catheter that provides for more efficient access to vessels of interest, such as the coronary sinus. There is a further need for a catheter that can be positively secured in a cannulated destination vessel. The present invention fulfills these and other needs, and addresses other deficiencies of prior art implementations and techniques.
- The invention relates to a guiding catheter for use in accessing various anatomical regions, particularly the heart. In particular, a guiding catheter of the present invention employs a telescopic arrangement of inner and outer guides, with each guide provided with a controllably inflatable balloon.
- According to one embodiment, a guiding catheter of the present invention includes an outer guide having a pre-formed distal curve, a guide lumen, and an inflation lumen. The guiding catheter also includes an inner guide movably disposed within the guide lumen of the outer guide. The inner guide includes an inflation lumen and can further include a pre-formed distal curve. An annular balloon is fixably mounted to a distal end of the outer guide and in fluid connection with the inflation lumen of the outer guide. A fluted balloon is fixably mounted to a distal end of the inner guide and in fluid connection with the inflation lumen of the inner guide. At least two inflation mechanisms are provided, each independently in fluid connection with the inflation lumens of the inner and outer guides. The inflation mechanisms are used to selectively pressurize and depressurize a fluid within the inflation lumens to respectively inflate and deflate the annular and fluted balloons.
- One or more sensors can be provided at a distal end of the guiding catheter to assist in locating a destination vessel or structure of interest. A sensor can be mounted to the outer guide, the inner guide, or both the outer and inner guides. Useful sensor arrangements can include one or more of an optical sensor, infrared sensor, ultrasound sensor, pressure sensor, temperature sensor, flow sensor, and oxygen sensor.
- According to another embodiment, a method for accessing a destination vessel in a patient's heart according to the present invention involves introducing a distal end of a guiding catheter into a patient's access vessel. The guiding catheter according to this embodiment includes an outer guide having a guide lumen and an annular balloon mounted to a distal end of the outer guide. The guiding catheter further includes an inner guide movably disposed within the guide lumen of the outer guide. The inner guide includes a fluted balloon mounted to a distal end of the inner guide.
- The method further involves advancing the distal end of the guiding catheter through a circulatory pathway, and distally extending the inner guide to engage the destination vessel with the distal end of the inner guide. The inner guide is distally extended to seat the inner guide in the destination vessel. The fluted balloon is inflated to anchor the inner guide in the destination vessel.
- According to a further aspect, after engaging the destination vessel with the inner guide, the outer guide is distally advanced over the inner guide to engage the destination vessel with the outer guide. The annular balloon is inflated to occlude blood flow. A contrast media is injected into the guiding catheter for mapping blood vessels. Various types of sensing can be employed at the distal end of the guiding catheter to assist in locating a destination vessel or structure of interest.
- The above summary of the present invention is not intended to describe each embodiment or every implementation of the present invention. Advantages and attainments, together with a more complete understanding of the invention, will become apparent and appreciated by referring to the following detailed description and claims taken in conjunction with the accompanying drawings.
-
FIG. 1 is a perspective view of a catheter according to an embodiment of the present invention; -
FIG. 2 is a side view of a distal end of the catheter according to an embodiment of the present invention; -
FIG. 3 is a cross sectional view of an inner guide corresponding to section 1-1 inFIG. 2 ; -
FIG. 4 is a cross sectional view of an outer guide corresponding to section 2-2 inFIG. 2 ; -
FIG. 5 is a perspective view of the distal end of the outer guide according to an embodiment of the present invention; -
FIG. 6 is a side view of proximal inflation mechanisms according to the present invention; and -
FIG. 7 is a perspective cutaway view of a heart, illustrating a catheter according to the present invention cannulating the coronary sinus. - While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail herein. It is to be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the invention is intended to cover all modifications, equivalents, and alternatives falling within the scope of the invention as defined by the appended claims.
- In the following description of the illustrated embodiments, references are made to the accompanying drawings which form a part hereof, and in which is shown by way of illustration, various embodiments in which the invention may be practiced. It is to be understood that other embodiments may be utilized, and structural and functional changes may be made without departing from the scope of the present invention.
- In
FIG. 1 , a catheter according to the present invention, generally indicated byreference numeral 100, is illustrated. Thecatheter 100 utilizes a telescoping guide configuration that includes aninner guide 102 movably disposed within anouter guide 104. Theouter guide 104 has apre-formed curve 106 near a distal end. Thepre-formed curve 106 typically includes a shape optimized for the intended access path and destination vessel. Fluted andannular balloons outer guides - The
fluted balloon 108 includes flutedgrooves 112 adjacent toinflatable sections 114. Thefluted balloon 108 is inflated via an inflation lumen within theinner guide 102. Thefluted balloon 108 is configured such that theinflatable sections 114 are enlarged upon inflation, the enlargedinflatable sections 114 gripping an interior surface of a blood vessel. Thefluted grooves 112 allow some blood to flow past theinflated balloon 108, thereby preventing complete occlusion of the blood vessel. In this way, thefluted balloon 108 can advantageously be used to secure the distal tip of theinner guide 102 for a relatively long period of time without introducing problems caused by full blood flow occlusion. - The
fluted balloon 108 may be formed similar to a standard latex occlusion balloon, with the additional application of longitudinal adhesive sections to the inside of theballoon 108. The adhesive sections bond an outer, inflatable member of theballoon 108 to theguide 102 to form thefluted grooves 112. The adhesive sections prevent an area encompassed by thefluted grooves 112 from inflating when pressurizing theballoon 108. The areas between adhesive sections serve as theinflatable sections 114. - An alternate configuration of the
fluted balloon 108 may include bonding a plurality of elongated balloon sections lengthwise along theinner guide 102, each balloon section forming aninflatable section 114. The spaces between balloon sections form thefluted grooves 112. The elongated balloons can include a common fluid connection for inflation, such as a ring shaped manifold. - The outer guide balloon 110 (i.e., annular balloon) can be constructed similarly to occlusion balloons known in the art. The
annular balloon 110 is controllably expandable to substantially block the vessel in which theouter guide 104 is located, thereby occluding blood flow in the vessel. For bothballoons - The inner and
outer guides guides guides guides guides - As shown in
FIG. 1 , thepre-formed curve 106 is typically located proximal to theannular balloon 110. Various curve shapes are possible, the shapes being dictated by the destination vessel and access path of interest. Thepre-formed curve 106 is made flexible such that theouter guide 104 straightens while being guided through the vasculature, yet resumes the pre-formed shape when a wider cavity, such as a heart chamber, is reached. - The
inner guide 102 may also include apre-formed shape 202 at a distal end, as seen inFIG. 2 . Theinner guide 102 can be made retractable within theouter guide 104 such that the inner guide's distal end substantially takes the shape of theouter guide 104 when retracted. When theinner guide 102 is extended such that thepre-formed curve 202 extends beyond the outer guide's distal tip, thepre-formed curve 202 resumes its original, pre-formed shape. - The
pre-formed curves guides guides pre-formed curve - Alternatively, a
stylet FIGS. 3 and 4 , made of Nitonol or other superelastic material can be affixed (e.g., bonded or enclosed) within a distal portion of one or both of theguides stylet - The
guides braid 304, 404 as seen inFIGS. 4 and 5 . Thebraids 304, 404 are typically formed of fine stainless steel wires, although stainless steel ribbon and/or artificial fibers can also be used to form thebraids 304, 404. Thebraids 304, 404 may cover all or part of theguides braids 304, 404 can be bonded or otherwise affixed to an exterior surface of theguides braids 304, 404 can be molded within the walls of theguides - The inner and
outer guides guide lumens outer guide lumen 406 is open throughout the length of theouter guide 104. Theinner guide lumen 306 is typically open for guiding applications, although an openinner guide lumen 306 may not be required if theinner guide 102 is not used to carry a payload. A lubricious liner made from a material such as PTFE can be applied to an interior surface of thelumens inner guide 102 within theouter guide 104. - The inner and
outer guides guides inflation lumens distal balloons inflation lumens guides guides balloons inflation lumens balloons guides lumens balloons balloons guides -
FIG. 5 illustrates proximal inflation mechanisms for the inner andouter guides guides valves 502, 504 (e.g., hemostatic valves). Thevalves guide lumens catheter 100 from introducing an air embolism in the blood vessels. Thevalve 502 seals theinner guide 102 within theouter guide 104. Thevalve 504 seals any payloads that may be introduced through theinner guide lumen 306. - The
valves inflation lumens proximal inflation mechanisms proximal inflation mechanisms inflation mechanisms - Turning back to
FIG. 4 , anaccessory lumen 410 is shown in theouter guide 104. Theaccessory lumen 410 is preferably extruded into the wall of theouter guide 104. Theaccessory lumen 410 can be used for carrying accessory payloads such as injections and guide wires. Theaccessory lumen 410 can also be used to carry conductors or other communication media coupled to a sensor attached to the outer guide's distal end. - Referring now to
FIG. 6 , an exemplary sensor configuration is illustrated on anouter guide 104. Thesensor 602 can include a sensor/transducer that measures pressure, temperature, flow, oxygen, infrared, and ultrasound. Miniature sensor assemblies are available in the form of Micro-Electro-Mechanical Systems (MEMS) that are particularly suited to this application. Such MEMS sensors/transducers are commercially available and adaptable to medical devices. Acommunication medium 604 is coupled to thesensor 602 and communicates sensor signals to measuring/processing equipment at the proximal end of thecatheter 100. Thecommunication medium 604 typically includes at least one electrical conductor and can be disposed within theaccessory lumen 410 of theouter guide 104. - An
alternate sensor 602 includes a fiber optical sensor (e.g., lens) for such applications as thermal, visual, or laser-Doppler velocimetry sensing. Thecommunication medium 604 in an optical sensor includes an optical fiber that can be disposed within theaccessory lumen 410. It is understood that a similar sensor and communication medium arrangement can be provided for theinner guide 102, exclusive of, or in addition to, such an arrangement provided for theouter guide 104. - A
catheter 100 according to the present invention has features particularly useful in accessing anatomical features within the heart. An exemplary use of thecatheter 100 is described hereinbelow relating to accessing the coronary sinus, it being understood that other vessels of interest can be similarly accessed in accordance with the principles of the present invention. Coronary sinus access is often required in pacing/defibrillation lead implant procedures. Since the opening (ostium) of the coronary sinus into the right atrium is relatively small compared to the size of the right atrium, the coronary sinus is a challenging target vessel for cannulation. - Aspects of a coronary sinus access procedure are shown in
FIG. 7 . Catheterizing thecoronary sinus 702 involves introducing the distal tip of thecatheter 100 through anincision 704 into apercutaneous access vessel 706. Common access vessels include the right cephalic vein and the subclavian vein. Thecatheter 100 is advanced throughaccess vessel 706 into thesuperior vena cava 708, thereby entering into theright atrium 710. From theright atrium 710, thecatheter 100 can then locate the coronary sinus ostium 712, thereby readying thecatheter 100 for introduction into thecoronary sinus 702. - The clinician may utilize a
sensor 602 in theouter guide 104 to assist in locating the coronary sinus ostium 712. For example, a flow sensor or Doppler sensor can sense the stream of blood exiting the coronary sinus based on flow rate or flow velocity. A thermal or infrared sensor can look for a higher temperature region indicative of the typically higher temperature blood leaving thecoronary sinus 702. Other devices, such as a fiber optic camera or ultrasound transducer, can provide a visual representation of the heart structure to aid in guiding thecatheter 100. - The
catheter 100 can be maneuvered by extending and/or torquing a proximal end of theouter guide 104, thereby directing the guide's pre-formeddistal end 106. Theinner guide 102 can also be extended and torqued to probe for the ostium at a distal end. By using thesensor 602 and/or other means of visualizing the catheter 100 (e.g., angiography/venography), a distal tip of the inner orouter guides - The
outer guide 104 may include an accessory lumen 410 (as shown inFIG. 4 ) that can accept a probing wire. The probing wire can be extended through theouter guide 104 to assist in locating the ostium. The probing wire can include a distal curve that assumes a pre-set shape upon extension from theouter guide 104, thereby providing an alternate shape to search for the ostium. - After the ostium is located, the
outer guide 104 may be inserted into the ostium. Alternatively, theinner guide 102 may be extended from theouter guide 104 into the ostium, thereby providing an extension of theouter guide 104. Once the coronary sinus is cannulated, theouter guide 104 may be distally extended so that theannular balloon 110 is enclosed within the coronary sinus. Theannular balloon 110 can then be inflated to provide occlusion for a contrast injection. The contrast injection can be introduced through the inner orouter guides - After the contrast mapping is complete, the
inner guide 102 is advanced into position, theouter guide 104 is at least partially retracted, and thefluted balloon 108 is inflated. As seen inFIG. 7 , the inflatedfluted balloon 108 secures theinner guide 102 within the coronary sinus so as to prevent dislodgment, while advantageously allowing perfusion of blood through the coronary sinus. After securing theinner guide 102, a payload can be introduced through theinner guide lumen 306 and into thecoronary sinus 702. After delivery of the payload (e.g., a pacing or defibrillation lead implanted at a desired location), thecatheter 100 is properly retracted and removed from the patient's body. - It will, of course, be understood that various modifications and additions can be made to the preferred embodiments discussed hereinabove without departing from the scope of the present invention. Accordingly, the scope of the present invention should not be limited by the particular embodiments described above, but should be defined only by the claims set forth below and equivalents thereof.
Claims (1)
1. A guiding catheter, comprising:
an outer guide, comprising:
an outer surface having a circumference dimensioned to navigate into the coronary sinus and engage a destination vessel distal to, and smaller than, the coronary sinus;
a pre-formed distal curve configured to facilitate cannulation of the coronary sinus from the right ventricle and cannulation of the destination vessel by the outer guide;
a guide lumen dimensioned to receive an implantable cardiac lead;
a distal region flexible relative to a proximal region; and
an inflation lumen;
an inner guide movably disposed within the guide lumen of the outer guide, the inner guide comprising:
an inflation lumen;
a distal region flexible relative to a proximal region;
a pre-formed curve on a distal end of the inner guide, the distal end of the inner guide having a circumference; and
the inner and outer guides each configured such that the pre-formed curve of the inner guide substantially takes the shape of the outer guide when the pre-formed curve of the inner guide is retracted within the outer guide and the pre-formed curve of the inner guide assumes its pre-formed shape when extended beyond a distal end of the outer guide;
an annular balloon fixably mounted on the outer guide distal of the pre-formed distal curve of the outer guide and in fluid connection with the inflation lumen of the outer guide, the annular balloon configured to seal the coronary sinus and stabilize the inner guide in the coronary sinus in an inflated configuration by engagement with the coronary sinus;
a fluted perfusion balloon fixably mounted to the inner guide distal of the pre-formed curve of the inner guide, the fluted balloon in fluid connection with the inflation lumen of the inner guide and comprising:
a plurality of flutes arranged generally parallel to a longitudinal axis of the inner guide and configured to retain a fluted configuration sufficient to permit perfusion of fluid flow relative to the fluted balloon when pressurized, and
the fluted perfusion balloon configured to secure the inner guide within the destination vessel in an inflated configuration by engagement of the plurality of flutes with the destination vessel sufficient to facilitate advancement of the outer guide over the inner guide to engage the destination vessel with the outer guide; and
at least two inflation mechanisms each independently in fluid connection with the inflation lumens of the inner and outer guides, the inflation mechanisms facilitating pressurization and depressurization of a fluid within the inflation lumens to respectively inflate and deflate the annular and fluted balloons.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/405,908 US20090182271A1 (en) | 2002-04-25 | 2009-03-17 | Dual Balloon Telescoping Guiding Catheter |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/132,093 US7503904B2 (en) | 2002-04-25 | 2002-04-25 | Dual balloon telescoping guiding catheter |
US12/405,908 US20090182271A1 (en) | 2002-04-25 | 2009-03-17 | Dual Balloon Telescoping Guiding Catheter |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/132,093 Continuation US7503904B2 (en) | 2002-04-25 | 2002-04-25 | Dual balloon telescoping guiding catheter |
Publications (1)
Publication Number | Publication Date |
---|---|
US20090182271A1 true US20090182271A1 (en) | 2009-07-16 |
Family
ID=29248687
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/132,093 Expired - Fee Related US7503904B2 (en) | 2002-04-25 | 2002-04-25 | Dual balloon telescoping guiding catheter |
US11/027,092 Abandoned US20050119567A1 (en) | 2002-04-25 | 2004-12-30 | Methods using a dual balloon telescoping guiding catheter |
US12/405,908 Abandoned US20090182271A1 (en) | 2002-04-25 | 2009-03-17 | Dual Balloon Telescoping Guiding Catheter |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/132,093 Expired - Fee Related US7503904B2 (en) | 2002-04-25 | 2002-04-25 | Dual balloon telescoping guiding catheter |
US11/027,092 Abandoned US20050119567A1 (en) | 2002-04-25 | 2004-12-30 | Methods using a dual balloon telescoping guiding catheter |
Country Status (1)
Country | Link |
---|---|
US (3) | US7503904B2 (en) |
Families Citing this family (147)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE514718C2 (en) * | 1999-06-29 | 2001-04-09 | Jan Otto Solem | Apparatus for treating defective closure of the mitral valve apparatus |
US6997951B2 (en) * | 1999-06-30 | 2006-02-14 | Edwards Lifesciences Ag | Method and device for treatment of mitral insufficiency |
EP1434522B1 (en) | 2000-10-30 | 2010-01-13 | The General Hospital Corporation | Optical systems for tissue analysis |
AT503309B1 (en) | 2001-05-01 | 2011-08-15 | Gen Hospital Corp | DEVICE FOR DETERMINING ATHEROSCLEROTIC BEARING BY MEASURING OPTICAL TISSUE PROPERTIES |
US7455666B2 (en) | 2001-07-13 | 2008-11-25 | Board Of Regents, The University Of Texas System | Methods and apparatuses for navigating the subarachnoid space |
WO2003055417A1 (en) * | 2001-12-28 | 2003-07-10 | Edwards Lifesciences Ag | Delayed memory device |
SE524709C2 (en) * | 2002-01-11 | 2004-09-21 | Edwards Lifesciences Ag | Device for delayed reshaping of a heart vessel and a heart valve |
US7355716B2 (en) | 2002-01-24 | 2008-04-08 | The General Hospital Corporation | Apparatus and method for ranging and noise reduction of low coherence interferometry LCI and optical coherence tomography OCT signals by parallel detection of spectral bands |
US20130197555A1 (en) * | 2002-07-01 | 2013-08-01 | Recor Medical, Inc. | Intraluminal devices and methods for denervation |
US20040082859A1 (en) | 2002-07-01 | 2004-04-29 | Alan Schaer | Method and apparatus employing ultrasound energy to treat body sphincters |
US20040102806A1 (en) * | 2002-11-27 | 2004-05-27 | Scimed Life Systems, Inc. | Intravascular filter monitoring |
US7643153B2 (en) | 2003-01-24 | 2010-01-05 | The General Hospital Corporation | Apparatus and method for ranging and noise reduction of low coherence interferometry LCI and optical coherence tomography OCT signals by parallel detection of spectral bands |
US7567349B2 (en) | 2003-03-31 | 2009-07-28 | The General Hospital Corporation | Speckle reduction in optical coherence tomography by path length encoded angular compounding |
US6928313B2 (en) * | 2003-01-27 | 2005-08-09 | Cardiac Pacemakers, Inc. | System and method for accessing the coronary sinus to facilitate insertion of pacing leads |
KR20130138867A (en) | 2003-06-06 | 2013-12-19 | 더 제너럴 하스피탈 코포레이션 | Process and apparatus for a wavelength tunning source |
US8308682B2 (en) | 2003-07-18 | 2012-11-13 | Broncus Medical Inc. | Devices for maintaining patency of surgically created channels in tissue |
WO2005018507A2 (en) * | 2003-07-18 | 2005-03-03 | Ev3 Santa Rosa, Inc. | Remotely activated mitral annuloplasty system and methods |
CN103181754A (en) | 2003-10-27 | 2013-07-03 | 通用医疗公司 | Method and apparatus for performing optical imaging using frequency-domain interferometry |
US20050177228A1 (en) * | 2003-12-16 | 2005-08-11 | Solem Jan O. | Device for changing the shape of the mitral annulus |
US7993397B2 (en) | 2004-04-05 | 2011-08-09 | Edwards Lifesciences Ag | Remotely adjustable coronary sinus implant |
WO2005117534A2 (en) | 2004-05-29 | 2005-12-15 | The General Hospital Corporation | Process, system and software arrangement for a chromatic dispersion compensation using reflective layers in optical coherence tomography (oct) imaging |
US7447408B2 (en) | 2004-07-02 | 2008-11-04 | The General Hospital Corproation | Imaging system and related techniques |
US8409167B2 (en) | 2004-07-19 | 2013-04-02 | Broncus Medical Inc | Devices for delivering substances through an extra-anatomic opening created in an airway |
US8081316B2 (en) | 2004-08-06 | 2011-12-20 | The General Hospital Corporation | Process, system and software arrangement for determining at least one location in a sample using an optical coherence tomography |
EP1793730B1 (en) | 2004-08-24 | 2011-12-28 | The General Hospital Corporation | Process, system and software arrangement for determining elastic modulus |
KR20120062944A (en) | 2004-08-24 | 2012-06-14 | 더 제너럴 하스피탈 코포레이션 | Method and apparatus for imaging of vessel segments |
KR101269455B1 (en) | 2004-09-10 | 2013-05-30 | 더 제너럴 하스피탈 코포레이션 | System and method for optical coherence imaging |
JP4997112B2 (en) | 2004-09-29 | 2012-08-08 | ザ ジェネラル ホスピタル コーポレイション | Apparatus for transmitting at least one electromagnetic radiation and method of manufacturing the same |
EP1816949A1 (en) | 2004-11-29 | 2007-08-15 | The General Hospital Corporation | Arrangements, devices, endoscopes, catheters and methods for performing optical imaging by simultaneously illuminating and detecting multiple points on a sample |
US7211110B2 (en) * | 2004-12-09 | 2007-05-01 | Edwards Lifesciences Corporation | Diagnostic kit to assist with heart valve annulus adjustment |
US7708715B2 (en) | 2005-03-21 | 2010-05-04 | Boston Scientific Scimed, Inc. | Tissue approximation device |
US7935075B2 (en) * | 2005-04-26 | 2011-05-03 | Cardiac Pacemakers, Inc. | Self-deploying vascular occlusion device |
JP5702049B2 (en) | 2005-06-01 | 2015-04-15 | ザ ジェネラル ホスピタル コーポレイション | Apparatus, method and system for performing phase resolved optical frequency domain imaging |
US7500989B2 (en) * | 2005-06-03 | 2009-03-10 | Edwards Lifesciences Corp. | Devices and methods for percutaneous repair of the mitral valve via the coronary sinus |
ES2354287T3 (en) | 2005-08-09 | 2011-03-11 | The General Hospital Corporation | APPARATUS AND METHOD FOR PERFORMING A DEMODULATION IN QUADRATURE BY POLARIZATION IN OPTICAL COHERENCE TOMOGRAPHY. |
WO2007021893A1 (en) * | 2005-08-12 | 2007-02-22 | Edwards Lifesciences Corporation | Medical implant with reinforcement mechanism |
US20080221673A1 (en) * | 2005-08-12 | 2008-09-11 | Donald Bobo | Medical implant with reinforcement mechanism |
US20070073391A1 (en) * | 2005-09-28 | 2007-03-29 | Henry Bourang | System and method for delivering a mitral valve repair device |
JP6046325B2 (en) | 2005-09-29 | 2016-12-14 | ザ ジェネラル ホスピタル コーポレイション | Method and apparatus for the observation and analysis of one or more biological samples with progressively increased resolution |
WO2007082228A1 (en) | 2006-01-10 | 2007-07-19 | The General Hospital Corporation | Systems and methods for generating data based on one or more spectrally-encoded endoscopy techniques |
WO2007084903A2 (en) | 2006-01-19 | 2007-07-26 | The General Hospital Corporation | Apparatus for obtaining information for a structure using spectrally-encoded endoscopy techniques and method for producing one or more optical arrangements |
JP5524487B2 (en) | 2006-02-01 | 2014-06-18 | ザ ジェネラル ホスピタル コーポレイション | A method and system for emitting electromagnetic radiation to at least a portion of a sample using a conformal laser treatment procedure. |
EP1986545A2 (en) | 2006-02-01 | 2008-11-05 | The General Hospital Corporation | Apparatus for applying a plurality of electro-magnetic radiations to a sample |
US7637946B2 (en) * | 2006-02-09 | 2009-12-29 | Edwards Lifesciences Corporation | Coiled implant for mitral valve repair |
WO2007101026A2 (en) | 2006-02-24 | 2007-09-07 | The General Hospital Corporation | Methods and systems for performing angle-resolved fourier-domain optical coherence tomography |
EP3150110B1 (en) | 2006-05-10 | 2020-09-02 | The General Hospital Corporation | Processes, arrangements and systems for providing frequency domain imaging of a sample |
WO2007136566A2 (en) | 2006-05-19 | 2007-11-29 | Prorhythm, Inc. | Ablation device with optimized input power profile and method of using the same |
US8442656B2 (en) * | 2006-06-02 | 2013-05-14 | Cardiac Pacemakers, Inc. | Cardiac lead having implantable stiffening structures for fixation |
US20080065205A1 (en) * | 2006-09-11 | 2008-03-13 | Duy Nguyen | Retrievable implant and method for treatment of mitral regurgitation |
WO2008049118A2 (en) | 2006-10-19 | 2008-04-24 | The General Hospital Corporation | Apparatus and method for obtaining and providing imaging information associated with at least one portion of a sample and effecting such portion(s) |
JP2010510029A (en) * | 2006-11-22 | 2010-04-02 | ブロンカス テクノロジーズ, インコーポレイテッド | Device for passage creation and blood vessel sensing |
EP2104968A1 (en) | 2007-01-19 | 2009-09-30 | The General Hospital Corporation | Rotating disk reflection for fast wavelength scanning of dispersed broadband light |
US10534129B2 (en) | 2007-03-30 | 2020-01-14 | The General Hospital Corporation | System and method providing intracoronary laser speckle imaging for the detection of vulnerable plaque |
US20080255447A1 (en) * | 2007-04-16 | 2008-10-16 | Henry Bourang | Diagnostic catheter |
WO2008131082A1 (en) | 2007-04-17 | 2008-10-30 | The General Hospital Corporation | Apparatus and methods for measuring vibrations using spectrally-encoded endoscopy techniques |
WO2009018456A2 (en) | 2007-07-31 | 2009-02-05 | The General Hospital Corporation | Systems and methods for providing beam scan patterns for high speed doppler optical frequency domain imaging |
US8100820B2 (en) | 2007-08-22 | 2012-01-24 | Edwards Lifesciences Corporation | Implantable device for treatment of ventricular dilation |
EP2034661A1 (en) * | 2007-09-07 | 2009-03-11 | Deutsche Telekom AG | Method and system for distributed, localized authentication in the framework of 802.11 |
JP2011500173A (en) * | 2007-10-12 | 2011-01-06 | ザ ジェネラル ホスピタル コーポレイション | System and process for optical imaging of luminal anatomical structures |
US7933021B2 (en) | 2007-10-30 | 2011-04-26 | The General Hospital Corporation | System and method for cladding mode detection |
EP2274572A4 (en) | 2008-05-07 | 2013-08-28 | Gen Hospital Corp | System, method and computer-accessible medium for tracking vessel motion during three-dimensional coronary artery microscopy |
JP5795531B2 (en) | 2008-06-20 | 2015-10-14 | ザ ジェネラル ホスピタル コーポレイション | Fused fiber optic coupler structure and method of using the same |
WO2009156955A1 (en) * | 2008-06-27 | 2009-12-30 | Koninklijke Philips Electronics N.V. | Catheter with separable sections |
JP5667051B2 (en) | 2008-07-14 | 2015-02-12 | ザ ジェネラル ホスピタル コーポレイション | Equipment for color endoscopy |
US20100016833A1 (en) * | 2008-07-15 | 2010-01-21 | Ogle Matthew F | Devices for the Treatment of Vascular Aneurysm |
US9561068B2 (en) | 2008-10-06 | 2017-02-07 | Virender K. Sharma | Method and apparatus for tissue ablation |
US10695126B2 (en) | 2008-10-06 | 2020-06-30 | Santa Anna Tech Llc | Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue |
EP2341859B1 (en) * | 2008-10-06 | 2017-04-05 | Virender K. Sharma | Apparatus for tissue ablation |
US10064697B2 (en) | 2008-10-06 | 2018-09-04 | Santa Anna Tech Llc | Vapor based ablation system for treating various indications |
US9561066B2 (en) | 2008-10-06 | 2017-02-07 | Virender K. Sharma | Method and apparatus for tissue ablation |
EP3330696B1 (en) | 2008-12-10 | 2023-07-12 | The General Hospital Corporation | Systems, apparatus and methods for extending imaging depth range of optical coherence tomography through optical sub-sampling |
US8048027B2 (en) | 2008-12-11 | 2011-11-01 | Tyco Healthcare Group Lp | Trocar entry incorporating an airbag |
US8974445B2 (en) | 2009-01-09 | 2015-03-10 | Recor Medical, Inc. | Methods and apparatus for treatment of cardiac valve insufficiency |
WO2010090837A2 (en) | 2009-01-20 | 2010-08-12 | The General Hospital Corporation | Endoscopic biopsy apparatus, system and method |
JP2012515930A (en) | 2009-01-26 | 2012-07-12 | ザ ジェネラル ホスピタル コーポレーション | System, method and computer-accessible medium for providing a wide-field super-resolution microscope |
US9351642B2 (en) | 2009-03-12 | 2016-05-31 | The General Hospital Corporation | Non-contact optical system, computer-accessible medium and method for measurement at least one mechanical property of tissue using coherent speckle technique(s) |
US11490826B2 (en) | 2009-07-14 | 2022-11-08 | The General Hospital Corporation | Apparatus, systems and methods for measuring flow and pressure within a vessel |
WO2011044387A2 (en) | 2009-10-07 | 2011-04-14 | The Board Of Regents Of The University Of Texas System | Pressure-sensing medical devices, systems and methods, and methods of forming medical devices |
US8444624B2 (en) | 2009-10-19 | 2013-05-21 | Vatrix Medical, Inc. | Vascular medical devices with sealing elements and procedures for the treatment of isolated vessel sections |
CA2779386C (en) | 2009-10-30 | 2018-09-11 | Sound Interventions, Inc. | Method and apparatus for treatment of hypertension through percutaneous ultrasound renal denervation |
US10512761B2 (en) | 2009-12-02 | 2019-12-24 | Renovorx, Inc. | Methods for delivery of therapeutic materials to treat pancreatic cancer |
US9457171B2 (en) | 2009-12-02 | 2016-10-04 | Renovorx, Inc. | Devices, methods and kits for delivery of therapeutic materials to a target artery |
ES2828722T3 (en) | 2009-12-02 | 2021-05-27 | Renovorx Inc | Devices and kits for delivery of therapeutic materials to a pancreas |
US9539081B2 (en) | 2009-12-02 | 2017-01-10 | Surefire Medical, Inc. | Method of operating a microvalve protection device |
US8804126B2 (en) | 2010-03-05 | 2014-08-12 | The General Hospital Corporation | Systems, methods and computer-accessible medium which provide microscopic images of at least one anatomical structure at a particular resolution |
AU2011242697B2 (en) | 2010-04-21 | 2015-01-22 | Government Of The United States | Fluoroscopy-independent, endovascular aortic occlusion system |
US9069130B2 (en) | 2010-05-03 | 2015-06-30 | The General Hospital Corporation | Apparatus, method and system for generating optical radiation from biological gain media |
EP2575597B1 (en) | 2010-05-25 | 2022-05-04 | The General Hospital Corporation | Apparatus for providing optical imaging of structures and compositions |
EP2575598A2 (en) | 2010-05-25 | 2013-04-10 | The General Hospital Corporation | Apparatus, systems, methods and computer-accessible medium for spectral analysis of optical coherence tomography images |
US10285568B2 (en) | 2010-06-03 | 2019-05-14 | The General Hospital Corporation | Apparatus and method for devices for imaging structures in or at one or more luminal organs |
US9510758B2 (en) | 2010-10-27 | 2016-12-06 | The General Hospital Corporation | Apparatus, systems and methods for measuring blood pressure within at least one vessel |
US8709034B2 (en) | 2011-05-13 | 2014-04-29 | Broncus Medical Inc. | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
US9345532B2 (en) | 2011-05-13 | 2016-05-24 | Broncus Medical Inc. | Methods and devices for ablation of tissue |
US9330092B2 (en) | 2011-07-19 | 2016-05-03 | The General Hospital Corporation | Systems, methods, apparatus and computer-accessible-medium for providing polarization-mode dispersion compensation in optical coherence tomography |
WO2013029047A1 (en) | 2011-08-25 | 2013-02-28 | The General Hospital Corporation | Methods, systems, arrangements and computer-accessible medium for providing micro-optical coherence tomography procedures |
EP2769491A4 (en) | 2011-10-18 | 2015-07-22 | Gen Hospital Corp | Apparatus and methods for producing and/or providing recirculating optical delay(s) |
WO2013078235A1 (en) | 2011-11-23 | 2013-05-30 | Broncus Medical Inc | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
US9629528B2 (en) | 2012-03-30 | 2017-04-25 | The General Hospital Corporation | Imaging system, method and distal attachment for multidirectional field of view endoscopy |
WO2013177154A1 (en) | 2012-05-21 | 2013-11-28 | The General Hospital Corporation | Apparatus, device and method for capsule microscopy |
CN104487025A (en) * | 2012-05-23 | 2015-04-01 | 健康研究公司 | Control catheters and methods for pulmonary suffusion and related therapies |
WO2014113724A2 (en) | 2013-01-17 | 2014-07-24 | Sharma Virender K | Method and apparatus for tissue ablation |
US9968261B2 (en) | 2013-01-28 | 2018-05-15 | The General Hospital Corporation | Apparatus and method for providing diffuse spectroscopy co-registered with optical frequency domain imaging |
WO2014120791A1 (en) | 2013-01-29 | 2014-08-07 | The General Hospital Corporation | Apparatus, systems and methods for providing information regarding the aortic valve |
WO2014121082A1 (en) | 2013-02-01 | 2014-08-07 | The General Hospital Corporation | Objective lens arrangement for confocal endomicroscopy |
US9474882B2 (en) * | 2013-02-26 | 2016-10-25 | Prytime Medical Devices, Inc. | Fluoroscopy-independent balloon guided occlusion catheter and methods |
WO2014159273A1 (en) | 2013-03-14 | 2014-10-02 | Recor Medical, Inc. | Methods of plating or coating ultrasound transducers |
EP2968984B1 (en) | 2013-03-14 | 2016-08-17 | ReCor Medical, Inc. | Ultrasound-based neuromodulation system |
EP2967491B1 (en) | 2013-03-15 | 2022-05-11 | The General Hospital Corporation | A transesophageal endoscopic system for determining a mixed venous oxygen saturation of a pulmonary artery |
WO2014186353A1 (en) | 2013-05-13 | 2014-11-20 | The General Hospital Corporation | Detecting self-interefering fluorescence phase and amplitude |
WO2014197362A1 (en) | 2013-06-03 | 2014-12-11 | Ramtin Agah | Devices, methods and kits for delivery of therapeutic materials to a pancreas |
WO2015009932A1 (en) | 2013-07-19 | 2015-01-22 | The General Hospital Corporation | Imaging apparatus and method which utilizes multidirectional field of view endoscopy |
EP3021735A4 (en) | 2013-07-19 | 2017-04-19 | The General Hospital Corporation | Determining eye motion by imaging retina. with feedback |
ES2893237T3 (en) | 2013-07-26 | 2022-02-08 | Massachusetts Gen Hospital | Apparatus with a laser arrangement using optical scattering for applications in optical coherence tomography in the Fourier domain |
JP6343009B2 (en) * | 2013-09-09 | 2018-06-13 | プリタイム・メディカル・デバイシーズ・インコーポレイテッドPrytime Medical Devices,Inc. | Low profile occlusion catheter |
US9733460B2 (en) | 2014-01-08 | 2017-08-15 | The General Hospital Corporation | Method and apparatus for microscopic imaging |
WO2015116986A2 (en) | 2014-01-31 | 2015-08-06 | The General Hospital Corporation | System and method for facilitating manual and/or automatic volumetric imaging with real-time tension or force feedback using a tethered imaging device |
US9968740B2 (en) | 2014-03-25 | 2018-05-15 | Surefire Medical, Inc. | Closed tip dynamic microvalve protection device |
WO2015153982A1 (en) | 2014-04-04 | 2015-10-08 | The General Hospital Corporation | Apparatus and method for controlling propagation and/or transmission of electromagnetic radiation in flexible waveguide(s) |
US9433427B2 (en) | 2014-04-08 | 2016-09-06 | Incuvate, Llc | Systems and methods for management of thrombosis |
US9248221B2 (en) | 2014-04-08 | 2016-02-02 | Incuvate, Llc | Aspiration monitoring system and method |
EP3077036A4 (en) | 2014-06-10 | 2017-04-19 | Pryor Medical Devices, Inc. | Conduit guiding tip |
EP3171766B1 (en) | 2014-07-25 | 2021-12-29 | The General Hospital Corporation | Apparatus for in vivo imaging and diagnosis |
CN105877882A (en) * | 2014-12-17 | 2016-08-24 | 连新龙 | Double-balloon conveying device for vascular stent |
US10149962B2 (en) | 2015-03-19 | 2018-12-11 | Prytime Medical Devices, Inc. | System and method for low-profile occlusion balloon catheter |
US20160287839A1 (en) | 2015-03-31 | 2016-10-06 | Surefire Medical, Inc. | Apparatus and Method for Infusing an Immunotherapy Agent to a Solid Tumor for Treatment |
CN104667416A (en) * | 2015-03-31 | 2015-06-03 | 王兆华 | Catheter drainage tube |
WO2016201336A1 (en) * | 2015-06-11 | 2016-12-15 | Ohio State Innovation Foundation | Systems and methods for delivering an implantable device |
KR20180038544A (en) | 2015-08-11 | 2018-04-16 | 모키타 메디칼 게엠베하 아이.지알. | System and method for removing air from a medical device |
US10610394B2 (en) | 2015-08-11 | 2020-04-07 | Mokita Medical Gmbh | Systems and methods for using perfluorocarbons to remove gases from medical devices |
US10702292B2 (en) | 2015-08-28 | 2020-07-07 | Incuvate, Llc | Aspiration monitoring system and method |
US20170100142A1 (en) | 2015-10-09 | 2017-04-13 | Incuvate, Llc | Systems and methods for management of thrombosis |
US10226263B2 (en) | 2015-12-23 | 2019-03-12 | Incuvate, Llc | Aspiration monitoring system and method |
US11331140B2 (en) | 2016-05-19 | 2022-05-17 | Aqua Heart, Inc. | Heated vapor ablation systems and methods for treating cardiac conditions |
JP6408176B2 (en) | 2016-06-02 | 2018-10-17 | プリタイム・メディカル・デバイシーズ・インコーポレイテッドPrytime Medical Devices,Inc. | System and method for low profile occlusion balloon catheter |
US10780250B1 (en) | 2016-09-19 | 2020-09-22 | Surefire Medical, Inc. | System and method for selective pressure-controlled therapeutic delivery |
US11400263B1 (en) | 2016-09-19 | 2022-08-02 | Trisalus Life Sciences, Inc. | System and method for selective pressure-controlled therapeutic delivery |
WO2018132623A1 (en) | 2017-01-12 | 2018-07-19 | The Regents Of The University Of California | Endovascular perfusion augmentation for critical care |
EP3589208A1 (en) * | 2017-03-02 | 2020-01-08 | Circuit Therapeutics, Inc. | System for optogenetic therapy |
US10588636B2 (en) | 2017-03-20 | 2020-03-17 | Surefire Medical, Inc. | Dynamic reconfigurable microvalve protection device |
WO2018195507A1 (en) | 2017-04-21 | 2018-10-25 | The Regents Of The University Of California | Aortic flow meter and pump for partial-aortic occlusion |
US10695543B2 (en) | 2017-05-18 | 2020-06-30 | Renovorx, Inc. | Methods for treating cancerous tumors |
US11052224B2 (en) | 2017-05-18 | 2021-07-06 | Renovorx, Inc. | Methods for treating cancerous tumors |
JP2021525598A (en) | 2018-06-01 | 2021-09-27 | サンタ アナ テック エルエルシーSanta Anna Tech Llc | Multi-stage steam-based ablation processing method and steam generation and delivery system |
US11850398B2 (en) | 2018-08-01 | 2023-12-26 | Trisalus Life Sciences, Inc. | Systems and methods for pressure-facilitated therapeutic agent delivery |
US11338117B2 (en) | 2018-10-08 | 2022-05-24 | Trisalus Life Sciences, Inc. | Implantable dual pathway therapeutic agent delivery port |
AU2020266886A1 (en) * | 2019-05-02 | 2021-12-16 | Sunnybrook Research Institute | Systems and methods for a balloon catheter support sleeve |
EP4121159A2 (en) | 2020-03-16 | 2023-01-25 | Certus Critical Care, Inc. | Blood flow control devices, systems, and methods and error detection thereof |
Citations (35)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4581017A (en) * | 1983-03-07 | 1986-04-08 | Harvinder Sahota | Catheter systems |
US5000743A (en) * | 1987-02-27 | 1991-03-19 | Patel Piyush V | Catheter assembly and method of performing percutaneous transluminal coronary angioplasty |
US5087246A (en) * | 1988-12-29 | 1992-02-11 | C. R. Bard, Inc. | Dilation catheter with fluted balloon |
US5179961A (en) * | 1989-04-13 | 1993-01-19 | Littleford Philip O | Catheter guiding and positioning method |
US5250070A (en) * | 1991-05-28 | 1993-10-05 | Parodi Juan C | Less traumatic angioplasty balloon for arterial dilatation |
US5423745A (en) * | 1988-04-28 | 1995-06-13 | Research Medical, Inc. | Irregular surface balloon catheters for body passageways and methods of use |
US5571161A (en) * | 1995-04-12 | 1996-11-05 | Starksen; Niel F. | Apparatus and method for implanting electrical leads in the heart |
US5740808A (en) * | 1996-10-28 | 1998-04-21 | Ep Technologies, Inc | Systems and methods for guilding diagnostic or therapeutic devices in interior tissue regions |
US5765568A (en) * | 1994-05-27 | 1998-06-16 | Heartport, Inc. | Catheter system and method for venting the left ventricle |
US5775327A (en) * | 1995-06-07 | 1998-07-07 | Cardima, Inc. | Guiding catheter for the coronary sinus |
US5792300A (en) * | 1994-01-21 | 1998-08-11 | Cordis Corporation | Perfusion catheter and striped extrusion method of manufacture |
US5795325A (en) * | 1991-07-16 | 1998-08-18 | Heartport, Inc. | Methods and apparatus for anchoring an occluding member |
US5814016A (en) * | 1991-07-16 | 1998-09-29 | Heartport, Inc. | Endovascular system for arresting the heart |
US5833650A (en) * | 1995-06-05 | 1998-11-10 | Percusurge, Inc. | Catheter apparatus and method for treating occluded vessels |
US6029671A (en) * | 1991-07-16 | 2000-02-29 | Heartport, Inc. | System and methods for performing endovascular procedures |
US6122552A (en) * | 1999-03-03 | 2000-09-19 | Cardiac Pacemakers, Inc. | Insertion apparatus for left ventricular access lead |
US6126635A (en) * | 1993-09-29 | 2000-10-03 | Advanced Cardiovascular Systems, Inc. | Adjustable treatment chamber catheter |
US6156053A (en) * | 1998-05-01 | 2000-12-05 | Intella Interventional Systems, Inc. | Dual catheter assembly |
US6190357B1 (en) * | 1998-04-21 | 2001-02-20 | Cardiothoracic Systems, Inc. | Expandable cannula for performing cardiopulmonary bypass and method for using same |
US6287319B1 (en) * | 1999-03-30 | 2001-09-11 | Amed Systems, Inc. | Cannula with balloon tip |
US6290697B1 (en) * | 1998-12-01 | 2001-09-18 | Irvine Biomedical, Inc. | Self-guiding catheter system for tissue ablation |
US20010047138A1 (en) * | 2000-03-02 | 2001-11-29 | Kokate Jaydeep Y. | Catheter with thermal sensor for detection of vulnerable plaque |
US6355027B1 (en) * | 1999-06-09 | 2002-03-12 | Possis Medical, Inc. | Flexible microcatheter |
US20020059827A1 (en) * | 1996-01-30 | 2002-05-23 | Leif Smith | Combined flow, pressure and temperature sensor |
US20020087119A1 (en) * | 1998-03-13 | 2002-07-04 | Arteria Medical Science, Inc. | Apparatus and methods for reducing embolization during treatment of carotid artery disease |
US6416511B1 (en) * | 1997-05-09 | 2002-07-09 | The Regents Of The University Of California | Circumferential ablation device assembly |
US20020156417A1 (en) * | 2001-01-22 | 2002-10-24 | Rich Collin A. | Sensing catheter system and method of fabrication |
US20030023227A1 (en) * | 1999-03-16 | 2003-01-30 | Gholam-Reza Zadno-Azizi | Method for containing and removing occlusions in the carotid arteries |
US6533767B2 (en) * | 2000-03-20 | 2003-03-18 | Corazon Technologies, Inc. | Methods for enhancing fluid flow through an obstructed vascular site, and systems and kits for use in practicing the same |
US20030055378A1 (en) * | 2001-09-14 | 2003-03-20 | Wang Yiqun Bruce | Conformable balloons |
US6540712B1 (en) * | 1998-03-13 | 2003-04-01 | Arteria Medical Science, Inc. | Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease |
US6623471B1 (en) * | 1999-04-07 | 2003-09-23 | Coaxia, Inc. | Devices and methods for preventing distal embolization from the internal carotid artery using flow reversal by partial occlusion of the external carotid artery |
US6632196B1 (en) * | 1995-07-18 | 2003-10-14 | Russell A. Houser | Dual balloon catheter and method of use |
US6635196B1 (en) * | 2000-06-12 | 2003-10-21 | National Graphics, Inc. | Molded articles having a surface bearing a lenticular image |
US6638268B2 (en) * | 2000-04-07 | 2003-10-28 | Imran K. Niazi | Catheter to cannulate the coronary sinus |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6146511A (en) * | 1998-01-30 | 2000-11-14 | The Perkin-Elmer Corporation | Electrophoretic nucleic acid purification method |
-
2002
- 2002-04-25 US US10/132,093 patent/US7503904B2/en not_active Expired - Fee Related
-
2004
- 2004-12-30 US US11/027,092 patent/US20050119567A1/en not_active Abandoned
-
2009
- 2009-03-17 US US12/405,908 patent/US20090182271A1/en not_active Abandoned
Patent Citations (38)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4581017B1 (en) * | 1983-03-07 | 1994-05-17 | Bard Inc C R | Catheter systems |
US4581017A (en) * | 1983-03-07 | 1986-04-08 | Harvinder Sahota | Catheter systems |
US5000743A (en) * | 1987-02-27 | 1991-03-19 | Patel Piyush V | Catheter assembly and method of performing percutaneous transluminal coronary angioplasty |
US5423745A (en) * | 1988-04-28 | 1995-06-13 | Research Medical, Inc. | Irregular surface balloon catheters for body passageways and methods of use |
US5087246A (en) * | 1988-12-29 | 1992-02-11 | C. R. Bard, Inc. | Dilation catheter with fluted balloon |
US5179961A (en) * | 1989-04-13 | 1993-01-19 | Littleford Philip O | Catheter guiding and positioning method |
US5250070A (en) * | 1991-05-28 | 1993-10-05 | Parodi Juan C | Less traumatic angioplasty balloon for arterial dilatation |
US5795325A (en) * | 1991-07-16 | 1998-08-18 | Heartport, Inc. | Methods and apparatus for anchoring an occluding member |
US6029671A (en) * | 1991-07-16 | 2000-02-29 | Heartport, Inc. | System and methods for performing endovascular procedures |
US5814016A (en) * | 1991-07-16 | 1998-09-29 | Heartport, Inc. | Endovascular system for arresting the heart |
US6126635A (en) * | 1993-09-29 | 2000-10-03 | Advanced Cardiovascular Systems, Inc. | Adjustable treatment chamber catheter |
US5792300A (en) * | 1994-01-21 | 1998-08-11 | Cordis Corporation | Perfusion catheter and striped extrusion method of manufacture |
US5765568A (en) * | 1994-05-27 | 1998-06-16 | Heartport, Inc. | Catheter system and method for venting the left ventricle |
US5571161A (en) * | 1995-04-12 | 1996-11-05 | Starksen; Niel F. | Apparatus and method for implanting electrical leads in the heart |
US5833650A (en) * | 1995-06-05 | 1998-11-10 | Percusurge, Inc. | Catheter apparatus and method for treating occluded vessels |
US6021340A (en) * | 1995-06-07 | 2000-02-01 | Cardima, Inc. | Guiding catheter for the coronary sinus |
US5775327A (en) * | 1995-06-07 | 1998-07-07 | Cardima, Inc. | Guiding catheter for the coronary sinus |
US6632196B1 (en) * | 1995-07-18 | 2003-10-14 | Russell A. Houser | Dual balloon catheter and method of use |
US20020059827A1 (en) * | 1996-01-30 | 2002-05-23 | Leif Smith | Combined flow, pressure and temperature sensor |
US5740808A (en) * | 1996-10-28 | 1998-04-21 | Ep Technologies, Inc | Systems and methods for guilding diagnostic or therapeutic devices in interior tissue regions |
US6416511B1 (en) * | 1997-05-09 | 2002-07-09 | The Regents Of The University Of California | Circumferential ablation device assembly |
US6540712B1 (en) * | 1998-03-13 | 2003-04-01 | Arteria Medical Science, Inc. | Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease |
US20020087119A1 (en) * | 1998-03-13 | 2002-07-04 | Arteria Medical Science, Inc. | Apparatus and methods for reducing embolization during treatment of carotid artery disease |
US6190357B1 (en) * | 1998-04-21 | 2001-02-20 | Cardiothoracic Systems, Inc. | Expandable cannula for performing cardiopulmonary bypass and method for using same |
US6156053A (en) * | 1998-05-01 | 2000-12-05 | Intella Interventional Systems, Inc. | Dual catheter assembly |
US6290697B1 (en) * | 1998-12-01 | 2001-09-18 | Irvine Biomedical, Inc. | Self-guiding catheter system for tissue ablation |
US6122552A (en) * | 1999-03-03 | 2000-09-19 | Cardiac Pacemakers, Inc. | Insertion apparatus for left ventricular access lead |
US20030023227A1 (en) * | 1999-03-16 | 2003-01-30 | Gholam-Reza Zadno-Azizi | Method for containing and removing occlusions in the carotid arteries |
US6287319B1 (en) * | 1999-03-30 | 2001-09-11 | Amed Systems, Inc. | Cannula with balloon tip |
US6623471B1 (en) * | 1999-04-07 | 2003-09-23 | Coaxia, Inc. | Devices and methods for preventing distal embolization from the internal carotid artery using flow reversal by partial occlusion of the external carotid artery |
US6626886B1 (en) * | 1999-04-07 | 2003-09-30 | Coaxia, Inc. | Devices and methods for preventing distal embolization during interventional procedures |
US6355027B1 (en) * | 1999-06-09 | 2002-03-12 | Possis Medical, Inc. | Flexible microcatheter |
US20010047138A1 (en) * | 2000-03-02 | 2001-11-29 | Kokate Jaydeep Y. | Catheter with thermal sensor for detection of vulnerable plaque |
US6533767B2 (en) * | 2000-03-20 | 2003-03-18 | Corazon Technologies, Inc. | Methods for enhancing fluid flow through an obstructed vascular site, and systems and kits for use in practicing the same |
US6638268B2 (en) * | 2000-04-07 | 2003-10-28 | Imran K. Niazi | Catheter to cannulate the coronary sinus |
US6635196B1 (en) * | 2000-06-12 | 2003-10-21 | National Graphics, Inc. | Molded articles having a surface bearing a lenticular image |
US20020156417A1 (en) * | 2001-01-22 | 2002-10-24 | Rich Collin A. | Sensing catheter system and method of fabrication |
US20030055378A1 (en) * | 2001-09-14 | 2003-03-20 | Wang Yiqun Bruce | Conformable balloons |
Also Published As
Publication number | Publication date |
---|---|
US20030204138A1 (en) | 2003-10-30 |
US7503904B2 (en) | 2009-03-17 |
US20050119567A1 (en) | 2005-06-02 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7503904B2 (en) | Dual balloon telescoping guiding catheter | |
US6928313B2 (en) | System and method for accessing the coronary sinus to facilitate insertion of pacing leads | |
US6612999B2 (en) | Balloon actuated guide catheter | |
JP3992734B2 (en) | Intravascular system to stop the heart | |
US7824391B2 (en) | Articulating guide catheter | |
US7655022B2 (en) | Compliant guiding catheter sheath system | |
US6706018B2 (en) | Adjustable length catheter assembly | |
US7117039B2 (en) | Methods of using a telescoping guide catheter with peel-away outer sheath | |
US5318041A (en) | Core wire steerable electrode catheter | |
US10569062B2 (en) | Low profile occlusion catheter | |
US6016437A (en) | Catheter probe system with inflatable soft shafts | |
US20040260236A1 (en) | Guide catheter steering using pre-shaped rotatable shaft | |
US20070167876A1 (en) | Occluding guidewire and methods | |
US20070167877A1 (en) | Medical catheters and methods | |
US11504130B2 (en) | Balloon devices and methods for use | |
EP3797817A1 (en) | Balloon devices |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |