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MX2022010075A - Un sistema de cateter con punta de balon multidireccional para realizar la deteccion y estimulacion del haz de his. - Google Patents

Un sistema de cateter con punta de balon multidireccional para realizar la deteccion y estimulacion del haz de his.

Info

Publication number
MX2022010075A
MX2022010075A MX2022010075A MX2022010075A MX2022010075A MX 2022010075 A MX2022010075 A MX 2022010075A MX 2022010075 A MX2022010075 A MX 2022010075A MX 2022010075 A MX2022010075 A MX 2022010075A MX 2022010075 A MX2022010075 A MX 2022010075A
Authority
MX
Mexico
Prior art keywords
pacing
multidirectional
catheter system
conducting
procedural
Prior art date
Application number
MX2022010075A
Other languages
English (en)
Inventor
Brijeshwar S Maini
Original Assignee
East End Medical Llc
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 East End Medical Llc filed Critical East End Medical Llc
Publication of MX2022010075A publication Critical patent/MX2022010075A/es

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/367—Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/0565—Electrode heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Human Computer Interaction (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

La adopción de la Estimulación del Haz de His (HBP) se ha visto obstaculizada por la dificultad procedimental para lograr una buena posición del cable sin causar daño o perforación cardiacos. Las tasas de éxito procedimental son mucho más bajas en comparación con los procedimientos tradicionales de estimulación del ventrículo derecho (RV) debido a la dificultad de mapear el potencial de His con la hélice expuesta y mantener la posición mientras la hélice de estimulación está fija. El uso de un sistema de catéter con punta de balón multidireccional que incluye un cuerpo de catéter con bucles y puntos de flexión y un balón de anclaje montado en un extremo distal del cuerpo de catéter aumenta la precisión posicional y mejora la tasa de éxito procedimental en comparación con el sistema convencional.
MX2022010075A 2020-02-18 2021-02-11 Un sistema de cateter con punta de balon multidireccional para realizar la deteccion y estimulacion del haz de his. MX2022010075A (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US202062977973P 2020-02-18 2020-02-18
PCT/US2021/017528 WO2021167825A1 (en) 2020-02-18 2021-02-11 A multidirectional balloon tipped catheter system for conducting his bundle sensing and pacing

Publications (1)

Publication Number Publication Date
MX2022010075A true MX2022010075A (es) 2022-09-02

Family

ID=74856946

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2022010075A MX2022010075A (es) 2020-02-18 2021-02-11 Un sistema de cateter con punta de balon multidireccional para realizar la deteccion y estimulacion del haz de his.

Country Status (10)

Country Link
US (1) US20210251553A1 (es)
EP (1) EP4106859B1 (es)
JP (1) JP2023514368A (es)
CN (1) CN115335112A (es)
AU (1) AU2021224126A1 (es)
BR (1) BR112022016280A2 (es)
CA (1) CA3168292A1 (es)
CL (1) CL2022002219A1 (es)
MX (1) MX2022010075A (es)
WO (1) WO2021167825A1 (es)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11660121B2 (en) 2016-10-18 2023-05-30 East End Medical Llc Transseptal insertion device
US11707321B2 (en) 2019-06-11 2023-07-25 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
CA3151548A1 (en) 2019-09-20 2021-03-25 Brijeshwar S. MAINI Directional balloon transseptal insertion device for medical procedures with improved transseptal puncture system with puncture member balloon seal
WO2021067669A1 (en) 2019-10-04 2021-04-08 East End Medical, Llc Directional balloon transseptal insertion device for medical procedures with improved handle
US20220401722A1 (en) * 2021-06-22 2022-12-22 Medtronic, Inc. Medical lead system
CN119317468A (zh) * 2022-05-31 2025-01-14 美敦力公司 医疗引线系统
CN118681130A (zh) * 2024-07-26 2024-09-24 中国人民解放军总医院第二医学中心 一种右侧静脉入路的生理性起搏电极组件

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US4784133A (en) * 1987-01-28 1988-11-15 Mackin Robert A Working well balloon angioscope and method
EP0366807B1 (en) * 1988-03-29 1996-10-23 Nippon Zeon Co., Ltd. Temporary pacing catheter
CA2108012A1 (en) * 1991-04-10 1992-10-11 Leo Rubin Defibrillator and demand pacer catheter and method
US5431628A (en) * 1992-09-29 1995-07-11 Millar Instruments, Inc. Pressure-sensing diagnostic catheter
US6532378B2 (en) * 2000-01-14 2003-03-11 Ep Medsystems, Inc. Pulmonary artery catheter for left and right atrial recording
US7840261B2 (en) * 2002-06-05 2010-11-23 Biocardia, Inc. Catheter systems and methods for placing bi-ventricular pacing leads
US7035680B2 (en) * 2003-09-23 2006-04-25 Cardiac Pacemakers, Inc. Catheter lead placement system and method
US7998112B2 (en) * 2003-09-30 2011-08-16 Abbott Cardiovascular Systems Inc. Deflectable catheter assembly and method of making same
US8142470B2 (en) * 2005-12-01 2012-03-27 Atritech, Inc. Method for accessing the left atrial appendage with a balloon-tipped transeptal sheath
US20090076447A1 (en) * 2007-09-19 2009-03-19 Jack Casas Method and apparatus for conducting peripheral vascular disease procedures using a novel anchor balloon catheter
CN102065947B (zh) * 2008-04-15 2013-11-06 心脏起搏器公司 希氏束刺激系统
US20090318749A1 (en) * 2008-06-19 2009-12-24 Craig Stolen Method and apparatus for pacing and intermittent ischemia
CA2797130A1 (en) * 2010-05-12 2011-11-17 Shifamed Holdings, Llc Low profile electrode assembly
WO2014036317A2 (en) * 2012-08-30 2014-03-06 Cardiac Pacemakers, Inc. His bundle lead delivery system
US8888709B2 (en) * 2012-09-12 2014-11-18 Boston Scientific Scimed, Inc. Method and apparatus for sensing and avoiding cardiac conduction system during valve deployment
US11185703B2 (en) * 2017-11-07 2021-11-30 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker for bundle of his pacing
US11413454B2 (en) * 2019-06-25 2022-08-16 St. Jude Medical, Cardiology Division, Inc. Delivery device having a deflectable and peelable mapping guide sheath for his bundle pacing

Also Published As

Publication number Publication date
AU2021224126A1 (en) 2022-09-15
EP4106859A1 (en) 2022-12-28
WO2021167825A1 (en) 2021-08-26
CA3168292A1 (en) 2021-08-26
BR112022016280A2 (pt) 2022-10-04
JP2023514368A (ja) 2023-04-05
CN115335112A (zh) 2022-11-11
CL2022002219A1 (es) 2023-01-27
US20210251553A1 (en) 2021-08-19
EP4106859B1 (en) 2024-11-27

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