Abstract:
This invention is a medical device. It is a multipolar catheter assembly (100) optionally in combination with a guidewire (300). Each of the catheter (100) and the guidewire (300) may be sheathed and have multiple electrodes (114, 306) at their distal ends (102, 322). Because of their size and flexibility, the catheter (100) and the guidewire (300), may be used at virtually any point within the vasculature particularly, however, within the cardiac arteries or veins, perhaps in conjunction with external electrocardiogram leads, tomap the body's electrical activity. When used in the heart, they may be used to determine the source of cardiac arrythmia. The intimate presence of the guidewire (300) or catheter (100) body in the cardiac vasculature allows the response time to changes in cardiac electrical activity to be very quick. The invention is also a method for mapping the electrical activity of the heart by use of one or more of these inventive guidewires (300) or catheters (100) in the cardiac arteries or veins. They may also be used to determine the local electrical activity of any site within the body, such as in the brain.
Abstract:
An extendable guidewire assembly comprising: a guidewire (11) having a tapered proximal end; an extension wire (12) having a tapered distal end; and a polymeric tubular sleeve (13) that is fixedly attached about the tapered distal end of the extension wire such that the tapered distal end of the extension wire extends partly through the sleeve lumen, said lumen having a diameter that is smaller than the untapered diameter of the guidewire and wherein said lumen expands radially when the sleeve is under axial compression and contracts radially when the sleeve is under axial tension.
Abstract:
This a catheter assembly and a section of that catheter assembly. That catheter assembly may be used in accessing a tissue target within the body, typically a target which is accessible through the vascular system. Central to the invention is the use of a braided metallic reinforcing member, typically of superelastic alloy ribbon, situated within the catheter body in such a way to create a catheter having an exceptionally thin wall, controlled stiffness, high resistance to kinking, and complete recovery in vivo from kinking situations. The braid may have a single pitch or may vary in pitch along the axis of the catheter or catheter section. The braided ribbon reinforcing member typically is placed between a flexible outer tubing member and an inner tubing member to produce a catheter section which is very flexible but highly kink resistant. The catheter sections made according to this invention may be used alone or in conjunction with other catheter sections either made using the concepts shown herein or made in other ways. The more proximal sections of the catheter assembly are often substantially stiffer than the more distal sections due to the presence of stiff polymeric tubing or metallic tubing or composite materials in the stiffer section.
Abstract:
The invention comprises a proximal end fitting (13) for use within a guidewire assembly wherein the proximal end fitting comprises an elongated radially compressible tube. When in use, the tube is compressed against the O-ring seal (38) in the fitting (13) to better facilitate the seal between the O-ring (38) and the guidewire (11) and thereby better control blood reflux.
Abstract:
A single lumen valved balloon catheter assembly is disclosed that consists of a single lumen catheter tube (18) that has a distally located integral balloon (42) and a built-in guidewire (16) that has a distal valve member (54) that may be moved axially to engage and block the distal end of the catheter. The diameter of the guidewire is reduced at its distal end and the diameter of the lumen of the catheter tube distally of the balloon is reduced to below that of the proximal diameter of the balloon so that the axial movement of the guidewire distally is limited.
Abstract:
This invention is a medical device. It is a multipolar catheter assembly (100) optionally in combination with a guidewire (300). Each of the catheter (100) and the guidewire (300) may be sheathed and have multiple electrodes (114, 306) at their distal ends (102, 322). Because of their size and flexibility, the catheter (100) and the guidewire (300), may be used at virtually any point within the vasculature particularly, however, within the cardiac arteries or veins, perhaps in conjunction with external electrocardiogram leads, tomap the body's electrical activity. When used in the heart, they may be used to determine the source of cardiac arrythmia. The intimate presence of the guidewire (300) or catheter (100) body in the cardiac vasculature allows the response time to changes in cardiac electrical activity to be very quick. The invention is also a method for mapping the electrical activity of the heart by use of one or more of these inventive guidewires (300) or catheters (100) in the cardiac arteries or veins. They may also be used to determine the local electrical activity of any site within the body, such as in the brain.
Abstract:
A device for retrieving foreign bodies, such as a vaso-occlusive coil or other articles from within vessels such as those of the cardiovascular system. Two small snare coils (60, 62) are joined at their distal ends (68, 70) to form a loop. The proximal ends of the coils are attached to one or more elongated actuator members (20, 22). The loop size is adjusted by manipulation of one or more of the proximal ends (26, 44) of the elongated actuator members. This retrieval device may be used to ensnare and either reposition or remove foreign bodies within a vessel lumen.
Abstract:
A single lumen valved balloon catheter assembly is disclosed that consists of a single lumen catheter tube (18) that has a distally located integral balloon (42) and a built-in guidewire (16) that has a distal valve member (54) that may be moved axially to engage and block the distal end of the catheter. The diameter of the guidewire is reduced at its distal end and the diameter of the lumen of the catheter tube distally of the balloon is reduced to below that of the proximal diameter of the balloon so that the axial movement of the guidewire distally is limited.
Abstract:
The invention is a surgical instrument and specifically is a catheter (100) for treating a target site by delivering a controlled amount of therapeutic or diagnostic agent (the target site being accessible by a tortuous path through the vasculature), the perfusion tip (110) assembly on first catheter, and a process of using that catheter to deliver fluids to the selected vascular site.
Abstract:
Un ensemble fil de guidage extensible comprend: un fil de guidage (11) présentant une extrémité proximale conique, un fil prolongateur (12) présentant une extrémité distale conique, ainsi qu'un manchon tubulaire polymère (13) fixé fermement autour de l'extrémité distale conique dudit fil prolongateur de manière que l'extrémité distale conique dudit fil prolongateur s'étende partiellement dans la lumière du manchon, ladite lumière ayant un diamètre plus petit que le diamètre non conique du fil de guidage, et ladite lumière s'élargissant radialement lorsque le manchon est comprimé axialement et se contractant radialement lorsque ledit manchon est tendu axialement.