DE69229524D1 - Myocardiale Revascularisation durch die endocardiale Oberfläche mittels Laser - Google Patents

Myocardiale Revascularisation durch die endocardiale Oberfläche mittels Laser

Info

Publication number
DE69229524D1
DE69229524D1 DE69229524T DE69229524T DE69229524D1 DE 69229524 D1 DE69229524 D1 DE 69229524D1 DE 69229524 T DE69229524 T DE 69229524T DE 69229524 T DE69229524 T DE 69229524T DE 69229524 D1 DE69229524 D1 DE 69229524D1
Authority
DE
Germany
Prior art keywords
catheter
laser
myocardial revascularization
fiber
endocardial surface
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Fee Related
Application number
DE69229524T
Other languages
English (en)
Other versions
DE69229524T2 (de
Inventor
Valluvan Jeevanandam
Craig R Smith
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Columbia University of New York
Original Assignee
Columbia University of New York
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 Columbia University of New York filed Critical Columbia University of New York
Application granted granted Critical
Publication of DE69229524D1 publication Critical patent/DE69229524D1/de
Publication of DE69229524T2 publication Critical patent/DE69229524T2/de
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • A61B18/22—Surgical 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
    • A61B18/24—Surgical 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
    • 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
    • A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22075—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with motorized advancing or retracting means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
    • A61B2017/308—Surgical pincettes without pivotal connections holding by means of suction with suction cups
    • 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
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical 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
    • A61B2018/2015—Miscellaneous features
    • A61B2018/2025—Miscellaneous features with a pilot laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • 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
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/04—Liquids
    • A61M2202/0468—Liquids non-physiological
    • A61M2202/0478—Heparin
    • 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
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
DE69229524T 1991-05-01 1992-04-30 Myocardiale Revascularisation durch die endocardiale Oberfläche mittels Laser Expired - Fee Related DE69229524T2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US69410291A 1991-05-01 1991-05-01

Publications (2)

Publication Number Publication Date
DE69229524D1 true DE69229524D1 (de) 1999-08-12
DE69229524T2 DE69229524T2 (de) 2000-05-18

Family

ID=24787409

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69229524T Expired - Fee Related DE69229524T2 (de) 1991-05-01 1992-04-30 Myocardiale Revascularisation durch die endocardiale Oberfläche mittels Laser

Country Status (9)

Country Link
US (1) US5607421A (de)
EP (2) EP0515867B1 (de)
JP (1) JP3339643B2 (de)
AT (1) ATE181809T1 (de)
AU (1) AU662734B2 (de)
CA (1) CA2067412C (de)
DE (1) DE69229524T2 (de)
IE (2) IE20000847A1 (de)
NZ (2) NZ242509A (de)

Families Citing this family (191)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5697281A (en) * 1991-10-09 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5697909A (en) * 1992-01-07 1997-12-16 Arthrocare Corporation Methods and apparatus for surgical cutting
US6102046A (en) * 1995-11-22 2000-08-15 Arthrocare Corporation Systems and methods for electrosurgical tissue revascularization
US5681282A (en) * 1992-01-07 1997-10-28 Arthrocare Corporation Methods and apparatus for ablation of luminal tissues
US5697882A (en) * 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5902272A (en) 1992-01-07 1999-05-11 Arthrocare Corporation Planar ablation probe and method for electrosurgical cutting and ablation
US5683366A (en) * 1992-01-07 1997-11-04 Arthrocare Corporation System and method for electrosurgical tissue canalization
US6159194A (en) * 1992-01-07 2000-12-12 Arthrocare Corporation System and method for electrosurgical tissue contraction
US5797960A (en) * 1993-02-22 1998-08-25 Stevens; John H. Method and apparatus for thoracoscopic intracardiac procedures
US5766153A (en) * 1993-05-10 1998-06-16 Arthrocare Corporation Methods and apparatus for surgical cutting
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5888247A (en) * 1995-04-10 1999-03-30 Cardiothoracic Systems, Inc Method for coronary artery bypass
US6251104B1 (en) 1995-05-10 2001-06-26 Eclipse Surgical Technologies, Inc. Guiding catheter system for ablating heart tissue
EP0892651A1 (de) * 1995-05-10 1999-01-27 Cardiogenesis Corporation System zur behandlung oder diagnose von herzgewebe
US5620439A (en) * 1995-06-06 1997-04-15 George S. Abela Catheter and technique for endovascular myocardial revascularization
US5951541A (en) * 1995-06-07 1999-09-14 Cardiogenesis Corporation Channel forming device with a secured distal extremity
US6224584B1 (en) 1997-01-14 2001-05-01 Eclipse Surgical Technologies, Inc. Therapeutic and diagnostic agent delivery
US6156031A (en) * 1995-08-09 2000-12-05 Eclipse Surgical Technologies Transmyocardial revascularization using radiofrequency energy
US5824005A (en) * 1995-08-22 1998-10-20 Board Of Regents, The University Of Texas System Maneuverable electrophysiology catheter for percutaneous or intraoperative ablation of cardiac arrhythmias
US7445594B1 (en) 1995-09-20 2008-11-04 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
US5836311A (en) 1995-09-20 1998-11-17 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
DE19537084A1 (de) * 1995-10-05 1997-04-10 Sievers Hans Hinrich Prof Dr M Katheter zur transmyokardialen Revaskularisation
JP4786613B2 (ja) * 1996-01-08 2011-10-05 バイオセンス・ウエブスター・インコーポレーテツド 心臓の電気機械技術
WO1997025101A2 (en) * 1996-01-08 1997-07-17 Biosense Inc. Methods and apparatus for myocardial revascularization
US6290644B1 (en) 1996-02-20 2001-09-18 Cardiothoracic Systems, Inc. Surgical instruments and procedures for stabilizing a localized portion of a beating heart
CA2197614C (en) * 1996-02-20 2002-07-02 Charles S. Taylor Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery
US6852075B1 (en) * 1996-02-20 2005-02-08 Cardiothoracic Systems, Inc. Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery
US5894843A (en) 1996-02-20 1999-04-20 Cardiothoracic Systems, Inc. Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery
US5769843A (en) * 1996-02-20 1998-06-23 Cormedica Percutaneous endomyocardial revascularization
US5727569A (en) * 1996-02-20 1998-03-17 Cardiothoracic Systems, Inc. Surgical devices for imposing a negative pressure to fix the position of cardiac tissue during surgery
DE19606610A1 (de) * 1996-02-22 1997-08-28 Sievers Hans Hinrich Prof Dr M Vorrichtung zur transmyokardialen Revascularisation
US5713894A (en) * 1996-02-27 1998-02-03 Murphy-Chutorian; Douglas Combined mechanical/optical system for transmyocardial revascularization
US5725521A (en) * 1996-03-29 1998-03-10 Eclipse Surgical Technologies, Inc. Depth stop apparatus and method for laser-assisted transmyocardial revascularization and other surgical applications
US5891133A (en) * 1996-03-29 1999-04-06 Eclipse Surgical Technologies, Inc. Apparatus for laser-assisted intra-coronary transmyocardial revascularization and other applications
US6258083B1 (en) 1996-03-29 2001-07-10 Eclipse Surgical Technologies, Inc. Viewing surgical scope for minimally invasive procedures
AU5279898A (en) * 1996-03-29 1998-03-26 Eclipse Surgical Technologies, Inc. Minimally invasive method and apparatus for forming revascularization channels
US5725523A (en) * 1996-03-29 1998-03-10 Mueller; Richard L. Lateral-and posterior-aspect method and apparatus for laser-assisted transmyocardial revascularization and other surgical applications
US5782823A (en) * 1996-04-05 1998-07-21 Eclipse Surgical Technologies, Inc. Laser device for transmyocardial revascularization procedures including means for enabling a formation of a pilot hole in the epicardium
US6019756A (en) * 1996-04-05 2000-02-01 Eclipse Surgical Technologies, Inc. Laser device for transmyocardial revascularization procedures
US6152918A (en) * 1996-04-05 2000-11-28 Eclipse Surgical Technologies, Inc. Laser device with auto-piercing tip for myocardial revascularization procedures
US5738680A (en) * 1996-04-05 1998-04-14 Eclipse Surgical Technologies, Inc. Laser device with piercing tip for transmyocardial revascularization procedures
US5766164A (en) * 1996-07-03 1998-06-16 Eclipse Surgical Technologies, Inc. Contiguous, branched transmyocardial revascularization (TMR) channel, method and device
US6283955B1 (en) 1996-05-13 2001-09-04 Edwards Lifesciences Corp. Laser ablation device
US5980545A (en) * 1996-05-13 1999-11-09 United States Surgical Corporation Coring device and method
US5807383A (en) * 1996-05-13 1998-09-15 United States Surgical Corporation Lasing device
US5827319A (en) * 1996-05-20 1998-10-27 Innerdyne, Inc. Radially expandable access system having disposable and reusable components
DE19621099C2 (de) * 1996-05-24 1999-05-20 Sulzer Osypka Gmbh Vorrichtung mit einem Katheter und einer von der Innenseite in die Herzwand einstechbaren Nadel als Hochfrequenzelektrode
CA2207570A1 (en) * 1996-06-13 1997-12-13 Eclipse Surgical Technologies, Inc. Intraoperative myocardial device and stimulation procedure
US5662124A (en) 1996-06-19 1997-09-02 Wilk Patent Development Corp. Coronary artery by-pass method
US6443974B1 (en) * 1996-07-28 2002-09-03 Biosense, Inc. Electromagnetic cardiac biostimulation
US5755682A (en) * 1996-08-13 1998-05-26 Heartstent Corporation Method and apparatus for performing coronary artery bypass surgery
US5871495A (en) * 1996-09-13 1999-02-16 Eclipse Surgical Technologies, Inc. Method and apparatus for mechanical transmyocardial revascularization of the heart
US5855577A (en) * 1996-09-17 1999-01-05 Eclipse Surgical Technologies, Inc. Bow shaped catheter
US5755714A (en) * 1996-09-17 1998-05-26 Eclipse Surgical Technologies, Inc. Shaped catheter for transmyocardial revascularization
US5931834A (en) * 1996-10-15 1999-08-03 Eclipse Surgical Technologies, Inc. Method for non-synchronous laser-assisted myocardial revascularization
US5989274A (en) * 1996-10-17 1999-11-23 Ethicon Endo-Surgery, Inc. Methods and devices for improving blood flow to a heart of a patient
US6030377A (en) * 1996-10-21 2000-02-29 Plc Medical Systems, Inc. Percutaneous transmyocardial revascularization marking system
US5893848A (en) * 1996-10-24 1999-04-13 Plc Medical Systems, Inc. Gauging system for monitoring channel depth in percutaneous endocardial revascularization
US5873366A (en) * 1996-11-07 1999-02-23 Chim; Nicholas Method for transmyocardial revascularization
US5899915A (en) * 1996-12-02 1999-05-04 Angiotrax, Inc. Apparatus and method for intraoperatively performing surgery
US6165188A (en) * 1996-12-02 2000-12-26 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use
US6102926A (en) * 1996-12-02 2000-08-15 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having means for sensing tissue parameters and methods of use
US6051008A (en) * 1996-12-02 2000-04-18 Angiotrax, Inc. Apparatus having stabilization members for percutaneously performing surgery and methods of use
US6120520A (en) 1997-05-27 2000-09-19 Angiotrax, Inc. Apparatus and methods for stimulating revascularization and/or tissue growth
US6010476A (en) * 1996-12-02 2000-01-04 Angiotrax, Inc. Apparatus for performing transmyocardial revascularization
US5931848A (en) * 1996-12-02 1999-08-03 Angiotrax, Inc. Methods for transluminally performing surgery
US6071303A (en) * 1996-12-08 2000-06-06 Hearten Medical, Inc. Device for the treatment of infarcted tissue and method of treating infarcted tissue
US5897550A (en) * 1996-12-11 1999-04-27 Plc Medical Systems, Inc. Sensor system for detecting concealed blood vessels
US5947989A (en) * 1996-12-12 1999-09-07 United States Surgical Corporation Method and apparatus for transmyocardial revascularization
US6067988A (en) 1996-12-26 2000-05-30 Eclipse Surgical Technologies, Inc. Method for creation of drug delivery and/or stimulation pockets in myocardium
US5925012A (en) * 1996-12-27 1999-07-20 Eclipse Surgical Technologies, Inc. Laser assisted drug delivery
CA2225521C (en) 1996-12-27 2004-04-06 Eclipse Surgical Technologies, Inc. Laser assisted drug delivery apparatus
US5999678A (en) * 1996-12-27 1999-12-07 Eclipse Surgical Technologies, Inc. Laser delivery means adapted for drug delivery
AU741217B2 (en) * 1997-01-08 2001-11-29 Biosense, Inc. Monitoring of myocardial revascularization
US5913853A (en) * 1997-01-30 1999-06-22 Cardiodyne, Inc. Laser energy device and procedure for forming a channel within tissue
US5873865A (en) * 1997-02-07 1999-02-23 Eclipse Surgical Technologies, Inc. Spiral catheter with multiple guide holes
US5730741A (en) * 1997-02-07 1998-03-24 Eclipse Surgical Technologies, Inc. Guided spiral catheter
US6086534A (en) * 1997-03-07 2000-07-11 Cardiogenesis Corporation Apparatus and method of myocardial revascularization using ultrasonic pulse-echo distance ranging
US5876373A (en) 1997-04-04 1999-03-02 Eclipse Surgical Technologies, Inc. Steerable catheter
US5827203A (en) * 1997-04-21 1998-10-27 Nita; Henry Ultrasound system and method for myocardial revascularization
US5951543A (en) * 1997-06-30 1999-09-14 Clinicon Corporation Delivery system and method for surgical laser
CA2296372A1 (en) * 1997-07-22 1999-02-04 Thomas J. Pacala Laser ablation device and control system
WO1999004708A1 (en) * 1997-07-22 1999-02-04 United States Surgical Corporation Apparatus and method for transmyocardial revascularization by laser ablation
US5908029A (en) * 1997-08-15 1999-06-01 Heartstent Corporation Coronary artery bypass with reverse flow
US6024739A (en) * 1997-09-05 2000-02-15 Cordis Webster, Inc. Method for detecting and revascularizing ischemic myocardial tissue
DE69837826T2 (de) 1997-09-05 2008-01-31 Biosense Webster, Inc., Diamond Bar Steuerbarer Katheter zur Erkennung und Revaskularisierung myokardischeen ischämischen Geweben
US5964757A (en) * 1997-09-05 1999-10-12 Cordis Webster, Inc. Steerable direct myocardial revascularization catheter
US6027473A (en) * 1997-09-05 2000-02-22 Cordis Webster, Inc. Handle for steerable DMR catheter
US6402719B1 (en) 1997-09-05 2002-06-11 Cordis Webster, Inc. Steerable DMR catheter with infusion tube
US6969349B1 (en) * 1997-09-17 2005-11-29 Origin Medsystem, Inc. Device to permit offpump beating heart coronary bypass surgery
DE19740824A1 (de) * 1997-09-17 1999-03-18 Laser & Med Tech Gmbh Verfahren und Vorrichtung zur Steigerung der Durchblutung des Herzmuskels
US6338712B2 (en) * 1997-09-17 2002-01-15 Origin Medsystems, Inc. Device to permit offpump beating heart coronary bypass surgery
US6390976B1 (en) * 1997-09-17 2002-05-21 Origin Medsystems, Inc. System to permit offpump beating heart coronary bypass surgery
JPH11221229A (ja) 1997-09-24 1999-08-17 Eclipse Surgical Technol Inc カテーテル
US6554794B1 (en) 1997-09-24 2003-04-29 Richard L. Mueller Non-deforming deflectable multi-lumen catheter
US6179809B1 (en) 1997-09-24 2001-01-30 Eclipse Surgical Technologies, Inc. Drug delivery catheter with tip alignment
US6106520A (en) * 1997-09-30 2000-08-22 Hearten Medical, Inc. Endocardial device for producing reversible damage to heart tissue
US5972012A (en) * 1997-10-17 1999-10-26 Angiotrax, Inc. Cutting apparatus having articulable tip
US5980548A (en) * 1997-10-29 1999-11-09 Kensey Nash Corporation Transmyocardial revascularization system
US6077251A (en) * 1997-10-30 2000-06-20 Ting; Windsor Medicinal agent administration system
US6156029A (en) 1997-11-25 2000-12-05 Eclipse Surgical Technologies, Inc. Selective treatment of endocardial/myocardial boundary
US5976124A (en) * 1998-01-05 1999-11-02 Spectranetics Corporation Phototherapy device and method
WO1999035980A1 (en) * 1998-01-15 1999-07-22 Lumend, Inc. Catheter apparatus for guided transvascular treatment of arterial occlusions
US6081738A (en) * 1998-01-15 2000-06-27 Lumend, Inc. Method and apparatus for the guided bypass of coronary occlusions
AU1927399A (en) 1998-01-16 1999-08-02 Lumend, Inc. Catheter apparatus for treating arterial occlusions
US6200311B1 (en) 1998-01-20 2001-03-13 Eclipse Surgical Technologies, Inc. Minimally invasive TMR device
US5997531A (en) * 1998-01-29 1999-12-07 Cardiodyne, Inc. User actuated laser energy device and procedure for forming a channel within tissue
US6651670B2 (en) 1998-02-13 2003-11-25 Ventrica, Inc. Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication
US20020144696A1 (en) 1998-02-13 2002-10-10 A. Adam Sharkawy Conduits for use in placing a target vessel in fluid communication with a source of blood
EP0938871A3 (de) 1998-02-27 2001-03-07 ECLIPSE SURGICAL TECHNOLOGIES, Inc. Chirurgische Vorrichtung
US6135996A (en) * 1998-04-17 2000-10-24 Baxter International, Inc. Controlled advancement lasing device
US6447504B1 (en) 1998-07-02 2002-09-10 Biosense, Inc. System for treatment of heart tissue using viability map
US7276063B2 (en) 1998-08-11 2007-10-02 Arthrocare Corporation Instrument for electrosurgical tissue treatment
US6261304B1 (en) 1998-09-10 2001-07-17 Percardia, Inc. Delivery methods for left ventricular conduit
AU758587B2 (en) 1998-09-15 2003-03-27 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
US6689121B1 (en) 1998-09-24 2004-02-10 C. R. Bard, Inc. Systems and methods for treating ischemia
US6458092B1 (en) 1998-09-30 2002-10-01 C. R. Bard, Inc. Vascular inducing implants
US6432126B1 (en) 1998-09-30 2002-08-13 C.R. Bard, Inc. Flexible vascular inducing implants
US6283935B1 (en) 1998-09-30 2001-09-04 Hearten Medical Ultrasonic device for providing reversible tissue damage to heart muscle
US6248112B1 (en) 1998-09-30 2001-06-19 C. R. Bard, Inc. Implant delivery system
US6692520B1 (en) 1998-12-15 2004-02-17 C. R. Bard, Inc. Systems and methods for imbedded intramuscular implants
US6855123B2 (en) 2002-08-02 2005-02-15 Flow Cardia, Inc. Therapeutic ultrasound system
US8506519B2 (en) 1999-02-16 2013-08-13 Flowcardia, Inc. Pre-shaped therapeutic catheter
US6287297B1 (en) * 1999-03-05 2001-09-11 Plc Medical Systems, Inc. Energy delivery system and method for performing myocardial revascular
FR2797581B1 (fr) 1999-08-20 2001-12-07 Saphir Medical Products Gmbh Procede et appareil chirurgical a jet de liquide sous pression pour la revascularisation transmyocardiale
ES2267507T3 (es) 1999-03-22 2007-03-16 Eschmann Holdings Limited Aparato quirurgico con chorro de liquido bajo presion para la revascularizacion transmiocardial.
US6283912B1 (en) * 1999-05-04 2001-09-04 Cardiothoracic Systems, Inc. Surgical retractor platform blade apparatus
US6626830B1 (en) * 1999-05-04 2003-09-30 Cardiothoracic Systems, Inc. Methods and devices for improved tissue stabilization
WO2000066008A1 (en) 1999-05-04 2000-11-09 Cardiothoracic Systems, Inc. Surgical instruments for accessing and stabilizing a localized portion of a beating heart
US6231506B1 (en) * 1999-05-04 2001-05-15 Cardiothoracic Systems, Inc. Method and apparatus for creating a working opening through an incision
US6511416B1 (en) * 1999-08-03 2003-01-28 Cardiothoracic Systems, Inc. Tissue stabilizer and methods of use
US6709427B1 (en) 1999-08-05 2004-03-23 Kensey Nash Corporation Systems and methods for delivering agents into targeted tissue of a living being
US6406424B1 (en) 1999-09-16 2002-06-18 Williamson, Iv Warren P. Tissue stabilizer having an articulating lift element
US7338434B1 (en) 2002-08-21 2008-03-04 Medtronic, Inc. Method and system for organ positioning and stabilization
US6464693B1 (en) 2000-03-06 2002-10-15 Plc Medical Systems, Inc. Myocardial revascularization
DE60134982D1 (de) * 2000-07-13 2008-09-04 Abbott Cardiovascular Systems Einbringungssystem für myokardiales, zellulares material
US6676597B2 (en) 2001-01-13 2004-01-13 Medtronic, Inc. Method and device for organ positioning
US6758808B2 (en) 2001-01-24 2004-07-06 Cardiothoracic System, Inc. Surgical instruments for stabilizing a localized portion of a beating heart
US6659950B2 (en) * 2001-03-02 2003-12-09 Syde Taheri Percutaneous epicardial injection
US6508783B2 (en) 2001-03-14 2003-01-21 Scimed Life Systems, Inc. Ultrasound method for revascularization and drug delivery
US6595979B1 (en) 2001-07-10 2003-07-22 Myocardial Therapeutics, Inc. Methods for sterile aspiration/reinjection of bodily fluid
US6796963B2 (en) 2001-07-10 2004-09-28 Myocardial Therapeutics, Inc. Flexible tissue injection catheters with controlled depth penetration
US6796957B2 (en) 2001-07-10 2004-09-28 Myocardial Therapeutics, Inc. Sterile aspiration/reinjection systems
US6835193B2 (en) 2001-07-10 2004-12-28 Myocardial Therapeutics, Inc. Methods for controlled depth injections into interior body cavities
US6740107B2 (en) * 2001-12-19 2004-05-25 Trimedyne, Inc. Device for treatment of atrioventricular valve regurgitation
US8133236B2 (en) 2006-11-07 2012-03-13 Flowcardia, Inc. Ultrasound catheter having protective feature against breakage
US9955994B2 (en) 2002-08-02 2018-05-01 Flowcardia, Inc. Ultrasound catheter having protective feature against breakage
US7494460B2 (en) 2002-08-21 2009-02-24 Medtronic, Inc. Methods and apparatus providing suction-assisted tissue engagement through a minimally invasive incision
US7220233B2 (en) 2003-04-08 2007-05-22 Flowcardia, Inc. Ultrasound catheter devices and methods
US7604608B2 (en) * 2003-01-14 2009-10-20 Flowcardia, Inc. Ultrasound catheter and methods for making and using same
US7137963B2 (en) * 2002-08-26 2006-11-21 Flowcardia, Inc. Ultrasound catheter for disrupting blood vessel obstructions
US6942677B2 (en) 2003-02-26 2005-09-13 Flowcardia, Inc. Ultrasound catheter apparatus
US7335180B2 (en) 2003-11-24 2008-02-26 Flowcardia, Inc. Steerable ultrasound catheter
US7931590B2 (en) 2002-10-29 2011-04-26 Maquet Cardiovascular Llc Tissue stabilizer and methods of using the same
US7479104B2 (en) * 2003-07-08 2009-01-20 Maquet Cardiovascular, Llc Organ manipulator apparatus
US8308708B2 (en) * 2003-07-15 2012-11-13 Abbott Cardiovascular Systems Inc. Deployment system for myocardial cellular material
EP1651127B1 (de) 2003-07-16 2012-10-31 Arthrocare Corporation Rotierendes elektrochirurgisches gerät
US7758510B2 (en) 2003-09-19 2010-07-20 Flowcardia, Inc. Connector for securing ultrasound catheter to transducer
US7270656B2 (en) * 2003-11-07 2007-09-18 Visualase, Inc. Cooled laser fiber for improved thermal therapy
US7179224B2 (en) * 2003-12-30 2007-02-20 Cardiothoracic Systems, Inc. Organ manipulator and positioner and methods of using the same
US20050148824A1 (en) * 2003-12-30 2005-07-07 Morejohn Dwight P. Transabdominal surgery system
US7399272B2 (en) 2004-03-24 2008-07-15 Medtronic, Inc. Methods and apparatus providing suction-assisted tissue engagement
US7540852B2 (en) 2004-08-26 2009-06-02 Flowcardia, Inc. Ultrasound catheter devices and methods
US7274847B2 (en) * 2004-11-16 2007-09-25 Biotex, Inc. Light diffusing tip
US8221343B2 (en) 2005-01-20 2012-07-17 Flowcardia, Inc. Vibrational catheter devices and methods for making same
US20070088203A1 (en) * 2005-05-25 2007-04-19 Liming Lau Surgical assemblies and methods for visualizing and performing surgical procedures in reduced-access surgical sites
US8083664B2 (en) 2005-05-25 2011-12-27 Maquet Cardiovascular Llc Surgical stabilizers and methods for use in reduced-access surgical sites
US9282984B2 (en) * 2006-04-05 2016-03-15 Flowcardia, Inc. Therapeutic ultrasound system
US7794387B2 (en) 2006-04-26 2010-09-14 Medtronic, Inc. Methods and devices for stabilizing tissue
US8246643B2 (en) 2006-11-07 2012-08-21 Flowcardia, Inc. Ultrasound catheter having improved distal end
US9403029B2 (en) * 2007-07-18 2016-08-02 Visualase, Inc. Systems and methods for thermal therapy
US8747400B2 (en) 2008-08-13 2014-06-10 Arthrocare Corporation Systems and methods for screen electrode securement
US8355799B2 (en) 2008-12-12 2013-01-15 Arthrocare Corporation Systems and methods for limiting joint temperature
US8226566B2 (en) 2009-06-12 2012-07-24 Flowcardia, Inc. Device and method for vascular re-entry
US8323279B2 (en) 2009-09-25 2012-12-04 Arthocare Corporation System, method and apparatus for electrosurgical instrument with movable fluid delivery sheath
US8317786B2 (en) 2009-09-25 2012-11-27 AthroCare Corporation System, method and apparatus for electrosurgical instrument with movable suction sheath
US9022998B2 (en) 2010-02-26 2015-05-05 Maquet Cardiovascular Llc Blower instrument, apparatus and methods of using
US8696659B2 (en) 2010-04-30 2014-04-15 Arthrocare Corporation Electrosurgical system and method having enhanced temperature measurement
US8979838B2 (en) 2010-05-24 2015-03-17 Arthrocare Corporation Symmetric switching electrode method and related system
BR122020016721B8 (pt) 2010-06-14 2022-04-12 Maquet Cardiovascular Llc Instrumentos cirúrgicos
US8652025B2 (en) 2010-10-19 2014-02-18 Michael D. Laufer Methods and devices for diastolic assist
US9603615B2 (en) 2012-01-18 2017-03-28 C.R. Bard, Inc. Vascular re-entry device
RU2640564C2 (ru) 2012-08-02 2018-01-09 Бард Периферэл Васкьюлар Ультразвуковая катетерная система
US9526556B2 (en) 2014-02-28 2016-12-27 Arthrocare Corporation Systems and methods systems related to electrosurgical wands with screen electrodes
US9597142B2 (en) 2014-07-24 2017-03-21 Arthrocare Corporation Method and system related to electrosurgical procedures
US9649148B2 (en) 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
US11172821B2 (en) 2016-04-28 2021-11-16 Medtronic Navigation, Inc. Navigation and local thermometry
US20180140321A1 (en) 2016-11-23 2018-05-24 C. R. Bard, Inc. Catheter With Retractable Sheath And Methods Thereof
US11596726B2 (en) 2016-12-17 2023-03-07 C.R. Bard, Inc. Ultrasound devices for removing clots from catheters and related methods
US10758256B2 (en) 2016-12-22 2020-09-01 C. R. Bard, Inc. Ultrasonic endovascular catheter
US10582983B2 (en) 2017-02-06 2020-03-10 C. R. Bard, Inc. Ultrasonic endovascular catheter with a controllable sheath

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1278965A (fr) * 1961-01-27 1961-12-15 Maison Drapier Perfectionnements aux cathéters médicaux
US3659613A (en) * 1969-06-30 1972-05-02 American Optical Corp Laser accessory for surgical application
SE336642B (de) * 1969-10-28 1971-07-12 Astra Meditec Ab
SE393537B (sv) * 1973-07-20 1977-05-16 Stille Werner Ab Anordning for inforande och styrning av en kateter eller liknande i haligheter eller blodkerl i kroppen pa en patient
US4176662A (en) * 1977-06-17 1979-12-04 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Apparatus for endoscopic examination
US4266548A (en) * 1978-12-18 1981-05-12 Davi S K Apparatus for and method of utilizing energy to excise pathological tissue
US4567882A (en) * 1982-12-06 1986-02-04 Vanderbilt University Method for locating the illuminated tip of an endotracheal tube
US4601705A (en) * 1983-10-31 1986-07-22 Mccoy William C Steerable and aimable catheter
US4671287A (en) * 1983-12-29 1987-06-09 Fiddian Green Richard G Apparatus and method for sustaining vitality of organs of the gastrointestinal tract
US4669465A (en) * 1984-12-10 1987-06-02 Gv Medical, Inc. Laser catheter control and connecting apparatus
US4658817A (en) * 1985-04-01 1987-04-21 Children's Hospital Medical Center Method and apparatus for transmyocardial revascularization using a laser
JP2933945B2 (ja) * 1989-05-29 1999-08-16 株式会社トプコン レーザ治療装置
EP0416793A1 (de) * 1989-08-30 1991-03-13 Angeion Corporation Katheter
US5104393A (en) * 1989-08-30 1992-04-14 Angelase, Inc. Catheter
US4985028A (en) * 1989-08-30 1991-01-15 Angeion Corporation Catheter

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JPH06277226A (ja) 1994-10-04
CA2067412A1 (en) 1992-11-02
NZ242509A (en) 1996-03-26
CA2067412C (en) 2004-09-14
DE69229524T2 (de) 2000-05-18
NZ272209A (en) 2001-02-23
US5607421A (en) 1997-03-04
AU662734B2 (en) 1995-09-14
EP0515867A2 (de) 1992-12-02
JP3339643B2 (ja) 2002-10-28
EP0515867A3 (en) 1993-03-31
IE921405A1 (en) 1992-11-04
IE20000847A1 (en) 2001-05-30
EP0876795A3 (de) 2000-06-07
AU1523292A (en) 1992-11-05
EP0876795A2 (de) 1998-11-11
EP0515867B1 (de) 1999-07-07
ATE181809T1 (de) 1999-07-15

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