WO2011129894A3 - Methods and devices for accessing and delivering devices to a heart - Google Patents

Methods and devices for accessing and delivering devices to a heart Download PDF

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Publication number
WO2011129894A3
WO2011129894A3 PCT/US2011/000677 US2011000677W WO2011129894A3 WO 2011129894 A3 WO2011129894 A3 WO 2011129894A3 US 2011000677 W US2011000677 W US 2011000677W WO 2011129894 A3 WO2011129894 A3 WO 2011129894A3
Authority
WO
WIPO (PCT)
Prior art keywords
devices
left atrial
atrial appendage
accessing
methods
Prior art date
Application number
PCT/US2011/000677
Other languages
French (fr)
Other versions
WO2011129894A2 (en
Inventor
Gregory W. Fung
Russell A. Seiber
Robert Strasser
Ryan Douglas Helmuth
Original Assignee
Sentreheart, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Sentreheart, Inc. filed Critical Sentreheart, Inc.
Priority to CA2796269A priority Critical patent/CA2796269A1/en
Priority to JP2013504891A priority patent/JP6085553B2/en
Priority to CN201180029064.9A priority patent/CN103108597B/en
Priority to AU2011241104A priority patent/AU2011241104B2/en
Priority to EP11769218.6A priority patent/EP2558007A4/en
Publication of WO2011129894A2 publication Critical patent/WO2011129894A2/en
Publication of WO2011129894A3 publication Critical patent/WO2011129894A3/en
Priority to HK13112205.1A priority patent/HK1184983A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
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    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
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    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
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    • AHUMAN NECESSITIES
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    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
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    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
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    • A61B17/12181Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A61B17/12195Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices comprising a curable material
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    • A61B2017/00022Sensing or detecting at the treatment site
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    • A61B2017/00238Type of minimally invasive operation
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    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00273Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279Anchoring means for temporary attachment of a device to tissue deployable
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    • A61B2018/00345Vascular system
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    • A61B2018/0212Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • AHUMAN NECESSITIES
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
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    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0127Magnetic means; Magnetic markers
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    • A61N7/02Localised ultrasound hyperthermia

Abstract

Described here are devices, methods, and systems for accessing and delivering devices to a heart. Systems used to provide access to the heart via the left atrial appendage comprise a first access element with a first alignment member, a second access element with a second alignment member, a piercing element, an exchange element and may further comprise a left atrial appendage stabilization device. Methods of accessing and delivering devices to the heart via the left atrial appendage may comprise advancing a first access element into the left atrial appendage by an intravascular pathway and advancing a second access element towards the left atrial appendage through the pericardial space. The first and second alignment members form an attachment through the wall of the left atrial appendage so that the first and second access elements are aligned.
PCT/US2011/000677 2010-04-13 2011-04-13 Methods and devices for accessing and delivering devices to a heart WO2011129894A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
CA2796269A CA2796269A1 (en) 2010-04-13 2011-04-13 Methods and devices for accessing and delivering devices to a heart
JP2013504891A JP6085553B2 (en) 2010-04-13 2011-04-13 Devices and methods for accessing and delivering devices to the heart
CN201180029064.9A CN103108597B (en) 2010-04-13 2011-04-13 For the method and apparatus to Cardiac interventional and placing device
AU2011241104A AU2011241104B2 (en) 2010-04-13 2011-04-13 Methods and devices for accessing and delivering devices to a heart
EP11769218.6A EP2558007A4 (en) 2010-04-13 2011-04-13 Methods and devices for accessing and delivering devices to a heart
HK13112205.1A HK1184983A1 (en) 2010-04-13 2013-10-30 Methods and devices for accessing and delivering devices to a heart

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US32379610P 2010-04-13 2010-04-13
US32380110P 2010-04-13 2010-04-13
US32381610P 2010-04-13 2010-04-13
US61/323,796 2010-04-13
US61/323,801 2010-04-13
US61/323,816 2010-04-13

Publications (2)

Publication Number Publication Date
WO2011129894A2 WO2011129894A2 (en) 2011-10-20
WO2011129894A3 true WO2011129894A3 (en) 2011-12-08

Family

ID=44798959

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2011/000677 WO2011129894A2 (en) 2010-04-13 2011-04-13 Methods and devices for accessing and delivering devices to a heart
PCT/US2011/000676 WO2011129893A1 (en) 2010-04-13 2011-04-13 Methods and devices for treating atrial fibrillation

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2011/000676 WO2011129893A1 (en) 2010-04-13 2011-04-13 Methods and devices for treating atrial fibrillation

Country Status (8)

Country Link
US (4) US8795310B2 (en)
EP (2) EP2558014A4 (en)
JP (2) JP6085553B2 (en)
CN (2) CN103108597B (en)
AU (2) AU2011241104B2 (en)
CA (2) CA2796269A1 (en)
HK (1) HK1184983A1 (en)
WO (2) WO2011129894A2 (en)

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US20160008061A1 (en) 2016-01-14
JP6085553B2 (en) 2017-02-22
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WO2011129894A2 (en) 2011-10-20
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CN104997574B (en) 2017-06-06
US9486281B2 (en) 2016-11-08
US20140303721A1 (en) 2014-10-09
US10405919B2 (en) 2019-09-10
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US8795310B2 (en) 2014-08-05
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CA2796269A1 (en) 2011-10-20
US20110276075A1 (en) 2011-11-10
AU2011241103A1 (en) 2012-11-08
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CN103108597B (en) 2015-09-16
AU2011241104B2 (en) 2014-10-30

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