CATHETER STEERING MECHANISM
    98.
    发明公开
    CATHETER STEERING MECHANISM 失效
    导管转向机构

    公开(公告)号:EP0513224A4

    公开(公告)日:1993-09-15

    申请号:EP91904670

    申请日:1991-01-31

    Abstract: A steering mechanism (315) including a steering shaft (320) coupled to a controller (410) which includes a handle (540) and apparatus for manipulating the distal end (340) of the steering shaft. The steering shaft includes a flexible coiled spring (170) having a lead spring (350) fixed in position with respect to a distal end thereof in the distal end of the steering shaft. One or more steering wires (360, 370) is affixed at the distal ends thereof to the lead spring. The steering wires extend through the steering shaft to the controller, and the steering apparatus of the controller is used to place tension on one or both of the steering wires. The attachment of the distal ends of the steering wires to the lead spring may be opposite one another or may be offset for providing greater maneuverability. Tension may be placed on the steering wires by wedges (650, 660) mounted transversely to the controller housing, or by rotation of a shaft (450) mounted transversely to the controller housing, the steering wires being attached to the shaft such that rotation in one direction tenses one steering wire, and rotation in the other direction tenses the other steering wire. Two independently rotatable shafts (1560, 1590) may be used to separately control the two steering wires. The steering shaft is adapted for insertion into a lumen (45) of a catheter (40) for use in guiding the distal end of the catheter to a treatment site within a patient. The steering mechanism may also be used in conjunction with tools or apparatus which must reach into difficult locations, such as engines or other machines.

    APPARATUS AND METHOD FOR RECORDING MONOPHASIC POTENTIALS
    99.
    发明公开
    APPARATUS AND METHOD FOR RECORDING MONOPHASIC POTENTIALS 失效
    记录单相电位的装置和方法

    公开(公告)号:EP0426736A4

    公开(公告)日:1991-11-21

    申请号:EP89908759

    申请日:1989-07-27

    Abstract: The apparatus comprises a probe (60) having a tip portion (64), a first electrode (72) mounted on a terminal free end of the tip portion and a second electrode (74) spaced along the tip portion from the first electrode for supplying a reference potential. The probe is constructed so as to hold the first electrode in contact with tissue of an in vivo beating heart with a positive pressure without causing macroscopic damage to the heart tissue while orienting the probe such that the second electrode is spaced from the heart tissue. A stylet (66) is retractably mounted within the probe, for allowing a physician to maneuver the probe through a vein or the like. In an alternative embodiment, a combination catheter (200) is disclosed, including pacing electrodes (215, 225) for pacing the heart while measuring the potentials thereof.

    APPARATUS AND METHOD FOR RECORDING MONOPHASIC POTENTIALS
    100.
    发明公开
    APPARATUS AND METHOD FOR RECORDING MONOPHASIC POTENTIALS 失效
    DEVICE AND METHOD FOR录制单相潜力。

    公开(公告)号:EP0426736A1

    公开(公告)日:1991-05-15

    申请号:EP89908759.0

    申请日:1989-07-27

    IPC: A61B5

    Abstract: Un appareil comprend une sonde (60) avec une pointe (64), une première électrode (72) montée sur une extrémité terminale libre de la pointe et une deuxième électrode (74) située également sur la pointe, à une certaine distance de la première électrode, afin de fournir un potentiel de référence. La sonde maintient la première électrode en contact avec le tissu d'un coeur vivant en train de battre, sous une pression positive, sans causer des dommages macroscopiques aux tissus du coeur, tout en étant orientée de sorte que la deuxième électrode soit écartée du tissu du coeur. Un stylet (66) monté de manière escamotable à l'intérieur de la sonde permet à un médecin de guider la sonde à travers une veine ou similaire. Dans un autre mode de réalisation, un cathéter composite (200) comprend des électrodes stimulatrices (215, 225) qui stimulent le coeur en même temps qu'elles mesurent ses potentiels.

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