WO2003066147A1 - Methodes et appareil d'access pericardique - Google Patents

Methodes et appareil d'access pericardique Download PDF

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Publication number
WO2003066147A1
WO2003066147A1 PCT/US2002/003084 US0203084W WO03066147A1 WO 2003066147 A1 WO2003066147 A1 WO 2003066147A1 US 0203084 W US0203084 W US 0203084W WO 03066147 A1 WO03066147 A1 WO 03066147A1
Authority
WO
WIPO (PCT)
Prior art keywords
access tube
access
needle
space
distal end
Prior art date
Application number
PCT/US2002/003084
Other languages
English (en)
Inventor
Aaron V. Kaplan
Jordan T. Bajor
Nubar S. Manoukian
Original Assignee
Kaplan Aaron V
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 Kaplan Aaron V filed Critical Kaplan Aaron V
Priority to PCT/US2002/003084 priority Critical patent/WO2003066147A1/fr
Priority to AU2002243789A priority patent/AU2002243789A1/en
Publication of WO2003066147A1 publication Critical patent/WO2003066147A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Abstract

Selon l'invention, un tube d'accès (12) est utilisé pour accéder à un espace anatomique, tel qu'un espace péricardique (PS) situé entre le péricarde pariétal (PP) et le péricarde viscéral (VP). Ce tube d'accès (12) est avancé contre le péricarde pariétal (PP) et sur une structure d'ancrage (30) intégrée dans le péricarde pariétal (PP). Le tube d'accès (12) selon l'invention peut ensuite être utilisé pour séparer le péricarde pariétal (PP) et le péricarde viscéral (VP), et pour élargir l'espace péricardique (PS). Après l'élargissement, une aiguille ou un autre dispositif d'accès (14) peut être introduit à travers le tube d'accès (12) dans l'espace péricardique (PS), de sorte à accéder audit espace pour diverses opérations, notamment l'aspiration, la perfusion et le placement d'une broche de guidage.
PCT/US2002/003084 2002-02-04 2002-02-04 Methodes et appareil d'access pericardique WO2003066147A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/US2002/003084 WO2003066147A1 (fr) 2002-02-04 2002-02-04 Methodes et appareil d'access pericardique
AU2002243789A AU2002243789A1 (en) 2002-02-04 2002-02-04 Methods and apparatus for pericardial access

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2002/003084 WO2003066147A1 (fr) 2002-02-04 2002-02-04 Methodes et appareil d'access pericardique

Publications (1)

Publication Number Publication Date
WO2003066147A1 true WO2003066147A1 (fr) 2003-08-14

Family

ID=27732067

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/003084 WO2003066147A1 (fr) 2002-02-04 2002-02-04 Methodes et appareil d'access pericardique

Country Status (2)

Country Link
AU (1) AU2002243789A1 (fr)
WO (1) WO2003066147A1 (fr)

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006116310A2 (fr) * 2005-04-27 2006-11-02 Myocor, Inc. Dispositifs et methodes d'acces au pericarde
WO2008082956A1 (fr) * 2006-12-29 2008-07-10 Ethicon Endo-Surgery, Inc Procédé et appareil pour fixer un instrument sur une paroi d'organe
WO2009009621A2 (fr) * 2007-07-09 2009-01-15 Baxano, Inc. Système et méthode d'accès à la colonne vertébrale
US7738969B2 (en) 2004-10-15 2010-06-15 Baxano, Inc. Devices and methods for selective surgical removal of tissue
US7738968B2 (en) 2004-10-15 2010-06-15 Baxano, Inc. Devices and methods for selective surgical removal of tissue
US7857813B2 (en) 2006-08-29 2010-12-28 Baxano, Inc. Tissue access guidewire system and method
US7887538B2 (en) 2005-10-15 2011-02-15 Baxano, Inc. Methods and apparatus for tissue modification
US7918849B2 (en) 2004-10-15 2011-04-05 Baxano, Inc. Devices and methods for tissue access
US7938830B2 (en) 2004-10-15 2011-05-10 Baxano, Inc. Powered tissue modification devices and methods
US7959577B2 (en) 2007-09-06 2011-06-14 Baxano, Inc. Method, system, and apparatus for neural localization
US8048080B2 (en) 2004-10-15 2011-11-01 Baxano, Inc. Flexible tissue rasp
US8062298B2 (en) 2005-10-15 2011-11-22 Baxano, Inc. Flexible tissue removal devices and methods
US8062300B2 (en) 2006-05-04 2011-11-22 Baxano, Inc. Tissue removal with at least partially flexible devices
US8070805B2 (en) 2002-01-09 2011-12-06 Edwards Lifesciences Llc Devices and methods for heart valve treatment
US8092456B2 (en) 2005-10-15 2012-01-10 Baxano, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US8192436B2 (en) 2007-12-07 2012-06-05 Baxano, Inc. Tissue modification devices
US8221397B2 (en) 2004-10-15 2012-07-17 Baxano, Inc. Devices and methods for tissue modification
US8257356B2 (en) 2004-10-15 2012-09-04 Baxano, Inc. Guidewire exchange systems to treat spinal stenosis
US8346373B2 (en) 2010-08-03 2013-01-01 Medtronic, Inc. Method and apparatus for delivering a lead to a heart
US8419653B2 (en) 2005-05-16 2013-04-16 Baxano, Inc. Spinal access and neural localization
US8430881B2 (en) 2004-10-15 2013-04-30 Baxano, Inc. Mechanical tissue modification devices and methods
US8568416B2 (en) 2004-10-15 2013-10-29 Baxano Surgical, Inc. Access and tissue modification systems and methods
US8845639B2 (en) 2008-07-14 2014-09-30 Baxano Surgical, Inc. Tissue modification devices
US8986278B2 (en) 2010-04-13 2015-03-24 Sentreheart, Inc. Methods and devices for pericardial access
US9101386B2 (en) 2004-10-15 2015-08-11 Amendia, Inc. Devices and methods for treating tissue
US9125682B2 (en) 2005-10-15 2015-09-08 Amendia, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US9198757B2 (en) 2000-10-06 2015-12-01 Edwards Lifesciences, Llc Methods and devices for improving mitral valve function
US9247952B2 (en) 2004-10-15 2016-02-02 Amendia, Inc. Devices and methods for tissue access
WO2016025850A1 (fr) * 2014-08-15 2016-02-18 Amgen Inc. Dispositif d'administration de médicament péricardique et méthode d'utilisation
US9314253B2 (en) 2008-07-01 2016-04-19 Amendia, Inc. Tissue modification devices and methods
US9339295B2 (en) 2012-10-22 2016-05-17 Sentreheart, Inc. Pericardial access devices and methods
US9456829B2 (en) 2004-10-15 2016-10-04 Amendia, Inc. Powered tissue modification devices and methods
US10959752B2 (en) 2014-02-28 2021-03-30 Sentreheart Llc Pericardial access devices and methods

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4991578A (en) * 1989-04-04 1991-02-12 Siemens-Pacesetter, Inc. Method and system for implanting self-anchoring epicardial defibrillation electrodes

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4991578A (en) * 1989-04-04 1991-02-12 Siemens-Pacesetter, Inc. Method and system for implanting self-anchoring epicardial defibrillation electrodes

Cited By (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9198757B2 (en) 2000-10-06 2015-12-01 Edwards Lifesciences, Llc Methods and devices for improving mitral valve function
US8070805B2 (en) 2002-01-09 2011-12-06 Edwards Lifesciences Llc Devices and methods for heart valve treatment
US7738968B2 (en) 2004-10-15 2010-06-15 Baxano, Inc. Devices and methods for selective surgical removal of tissue
US8430881B2 (en) 2004-10-15 2013-04-30 Baxano, Inc. Mechanical tissue modification devices and methods
US9320618B2 (en) 2004-10-15 2016-04-26 Amendia, Inc. Access and tissue modification systems and methods
US7738969B2 (en) 2004-10-15 2010-06-15 Baxano, Inc. Devices and methods for selective surgical removal of tissue
US8568416B2 (en) 2004-10-15 2013-10-29 Baxano Surgical, Inc. Access and tissue modification systems and methods
US7740631B2 (en) 2004-10-15 2010-06-22 Baxano, Inc. Devices and methods for tissue modification
US9345491B2 (en) 2004-10-15 2016-05-24 Amendia, Inc. Flexible tissue rasp
US7963915B2 (en) 2004-10-15 2011-06-21 Baxano, Inc. Devices and methods for tissue access
US7918849B2 (en) 2004-10-15 2011-04-05 Baxano, Inc. Devices and methods for tissue access
US8048080B2 (en) 2004-10-15 2011-11-01 Baxano, Inc. Flexible tissue rasp
US9456829B2 (en) 2004-10-15 2016-10-04 Amendia, Inc. Powered tissue modification devices and methods
US9463041B2 (en) 2004-10-15 2016-10-11 Amendia, Inc. Devices and methods for tissue access
US8257356B2 (en) 2004-10-15 2012-09-04 Baxano, Inc. Guidewire exchange systems to treat spinal stenosis
US11382647B2 (en) 2004-10-15 2022-07-12 Spinal Elements, Inc. Devices and methods for treating tissue
US9247952B2 (en) 2004-10-15 2016-02-02 Amendia, Inc. Devices and methods for tissue access
US8221397B2 (en) 2004-10-15 2012-07-17 Baxano, Inc. Devices and methods for tissue modification
US7938830B2 (en) 2004-10-15 2011-05-10 Baxano, Inc. Powered tissue modification devices and methods
US10052116B2 (en) 2004-10-15 2018-08-21 Amendia, Inc. Devices and methods for treating tissue
US9101386B2 (en) 2004-10-15 2015-08-11 Amendia, Inc. Devices and methods for treating tissue
WO2006116310A3 (fr) * 2005-04-27 2007-05-03 Myocor Inc Dispositifs et methodes d'acces au pericarde
WO2006116310A2 (fr) * 2005-04-27 2006-11-02 Myocor, Inc. Dispositifs et methodes d'acces au pericarde
EP1876963B1 (fr) * 2005-04-27 2019-01-02 Edwards Lifesciences AG Dispositifs d'acces au pericarde
US8419653B2 (en) 2005-05-16 2013-04-16 Baxano, Inc. Spinal access and neural localization
US9125682B2 (en) 2005-10-15 2015-09-08 Amendia, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US7887538B2 (en) 2005-10-15 2011-02-15 Baxano, Inc. Methods and apparatus for tissue modification
US9492151B2 (en) 2005-10-15 2016-11-15 Amendia, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US8062298B2 (en) 2005-10-15 2011-11-22 Baxano, Inc. Flexible tissue removal devices and methods
US8092456B2 (en) 2005-10-15 2012-01-10 Baxano, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US9351741B2 (en) 2006-05-04 2016-05-31 Amendia, Inc. Flexible tissue removal devices and methods
US8062300B2 (en) 2006-05-04 2011-11-22 Baxano, Inc. Tissue removal with at least partially flexible devices
US7857813B2 (en) 2006-08-29 2010-12-28 Baxano, Inc. Tissue access guidewire system and method
US8845637B2 (en) 2006-08-29 2014-09-30 Baxano Surgical, Inc. Tissue access guidewire system and method
WO2008082956A1 (fr) * 2006-12-29 2008-07-10 Ethicon Endo-Surgery, Inc Procédé et appareil pour fixer un instrument sur une paroi d'organe
WO2009009621A3 (fr) * 2007-07-09 2009-03-05 Baxano Inc Système et méthode d'accès à la colonne vertébrale
WO2009009621A2 (fr) * 2007-07-09 2009-01-15 Baxano, Inc. Système et méthode d'accès à la colonne vertébrale
US7959577B2 (en) 2007-09-06 2011-06-14 Baxano, Inc. Method, system, and apparatus for neural localization
US8192436B2 (en) 2007-12-07 2012-06-05 Baxano, Inc. Tissue modification devices
US9463029B2 (en) 2007-12-07 2016-10-11 Amendia, Inc. Tissue modification devices
US9314253B2 (en) 2008-07-01 2016-04-19 Amendia, Inc. Tissue modification devices and methods
US8845639B2 (en) 2008-07-14 2014-09-30 Baxano Surgical, Inc. Tissue modification devices
US8986278B2 (en) 2010-04-13 2015-03-24 Sentreheart, Inc. Methods and devices for pericardial access
US8346373B2 (en) 2010-08-03 2013-01-01 Medtronic, Inc. Method and apparatus for delivering a lead to a heart
US9339295B2 (en) 2012-10-22 2016-05-17 Sentreheart, Inc. Pericardial access devices and methods
US10959752B2 (en) 2014-02-28 2021-03-30 Sentreheart Llc Pericardial access devices and methods
WO2016025850A1 (fr) * 2014-08-15 2016-02-18 Amgen Inc. Dispositif d'administration de médicament péricardique et méthode d'utilisation

Also Published As

Publication number Publication date
AU2002243789A1 (en) 2003-09-02

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