WO2000064531A1 - Method and kit for transvenously accessing the pericardial space via the right atrium - Google Patents
Method and kit for transvenously accessing the pericardial space via the right atrium Download PDFInfo
- Publication number
- WO2000064531A1 WO2000064531A1 PCT/US2000/007444 US0007444W WO0064531A1 WO 2000064531 A1 WO2000064531 A1 WO 2000064531A1 US 0007444 W US0007444 W US 0007444W WO 0064531 A1 WO0064531 A1 WO 0064531A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- guide wire
- catheter
- infusion
- pericardial space
- leading
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims abstract description 149
- 210000005245 right atrium Anatomy 0.000 title claims abstract description 38
- 238000001802 infusion Methods 0.000 claims abstract description 153
- 210000002216 heart Anatomy 0.000 claims abstract description 108
- 210000003516 pericardium Anatomy 0.000 claims abstract description 26
- 230000000149 penetrating effect Effects 0.000 claims abstract description 10
- 239000012530 fluid Substances 0.000 claims description 33
- 238000003384 imaging method Methods 0.000 claims description 27
- 210000003462 vein Anatomy 0.000 claims description 26
- 239000000126 substance Substances 0.000 claims description 19
- 210000004165 myocardium Anatomy 0.000 claims description 15
- 238000012377 drug delivery Methods 0.000 claims description 14
- 239000002831 pharmacologic agent Substances 0.000 claims description 12
- 210000004351 coronary vessel Anatomy 0.000 claims description 10
- 239000003814 drug Substances 0.000 claims description 9
- 229940079593 drug Drugs 0.000 claims description 8
- 210000001075 venae cavae Anatomy 0.000 claims description 8
- 208000006017 Cardiac Tamponade Diseases 0.000 claims description 7
- 230000033001 locomotion Effects 0.000 claims description 7
- 238000010009 beating Methods 0.000 claims description 5
- 239000003795 chemical substances by application Substances 0.000 claims description 3
- 239000003124 biologic agent Substances 0.000 claims description 2
- 239000000314 lubricant Substances 0.000 claims description 2
- 229920000642 polymer Polymers 0.000 claims description 2
- 239000004020 conductor Substances 0.000 claims 4
- 230000001020 rhythmical effect Effects 0.000 claims 1
- 230000001746 atrial effect Effects 0.000 description 15
- 241001465754 Metazoa Species 0.000 description 11
- 230000006378 damage Effects 0.000 description 11
- 230000001684 chronic effect Effects 0.000 description 9
- 230000002093 peripheral effect Effects 0.000 description 7
- 210000003191 femoral vein Anatomy 0.000 description 6
- 230000001154 acute effect Effects 0.000 description 5
- 230000006793 arrhythmia Effects 0.000 description 5
- 206010003119 arrhythmia Diseases 0.000 description 5
- 239000000975 dye Substances 0.000 description 5
- 238000002474 experimental method Methods 0.000 description 5
- 239000000835 fiber Substances 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 210000001631 vena cava inferior Anatomy 0.000 description 5
- 230000000004 hemodynamic effect Effects 0.000 description 4
- 238000004458 analytical method Methods 0.000 description 3
- 238000002399 angioplasty Methods 0.000 description 3
- 238000013459 approach Methods 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000036772 blood pressure Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 210000005003 heart tissue Anatomy 0.000 description 3
- 239000012216 imaging agent Substances 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 210000004731 jugular vein Anatomy 0.000 description 3
- 238000013507 mapping Methods 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000035515 penetration Effects 0.000 description 3
- 238000005070 sampling Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 210000002620 vena cava superior Anatomy 0.000 description 3
- 210000000577 adipose tissue Anatomy 0.000 description 2
- 239000002371 cardiac agent Substances 0.000 description 2
- 238000013194 cardioversion Methods 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000005284 excitation Effects 0.000 description 2
- 210000003811 finger Anatomy 0.000 description 2
- 238000002695 general anesthesia Methods 0.000 description 2
- 231100001261 hazardous Toxicity 0.000 description 2
- 210000003111 iliac vein Anatomy 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000002336 repolarization Effects 0.000 description 2
- 210000005247 right atrial appendage Anatomy 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000034693 Laceration Diseases 0.000 description 1
- 208000005228 Pericardial Effusion Diseases 0.000 description 1
- 241000910050 Sacothrips catheter Species 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 239000002260 anti-inflammatory agent Substances 0.000 description 1
- 229940121363 anti-inflammatory agent Drugs 0.000 description 1
- 239000003443 antiviral agent Substances 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 210000001174 endocardium Anatomy 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 238000005534 hematocrit Methods 0.000 description 1
- 238000012766 histopathologic analysis Methods 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 210000004912 pericardial fluid Anatomy 0.000 description 1
- 208000008494 pericarditis Diseases 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 210000003752 saphenous vein Anatomy 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
- 210000002417 xiphoid bone Anatomy 0.000 description 1
Classifications
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M25/0084—Catheter tip comprising a tool being one or more injection needles
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- 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
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
-
- 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
- A61B17/22—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
- A61B2017/22038—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 a guide wire
- A61B2017/22042—Details of the tip of the guide wire
- A61B2017/22044—Details of the tip of the guide wire with a pointed tip
-
- 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
- A61B2017/347—Locking means, e.g. for locking instrument in cannula
-
- 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
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M25/0084—Catheter tip comprising a tool being one or more injection needles
- A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/091—Guide wires having a lumen for drug delivery or suction
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
- A61M2210/122—Pericardium
Abstract
Description
Claims
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP00918193A EP1171191B1 (en) | 1999-04-22 | 2000-03-22 | Kit for transvenously accessing the pericardial space via the right atrium |
AU39049/00A AU3904900A (en) | 1999-04-22 | 2000-03-22 | Method and kit for transvenously accessing the pericardial space via the right atrium |
AT00918193T ATE284245T1 (en) | 1999-04-22 | 2000-03-22 | KIT FOR TRANSVENOUS REACH OF THE CARDIAC VIA THE RIGHT Atrium |
JP2000613518A JP2002541994A (en) | 1999-04-22 | 2000-03-22 | Methods and kits for transvenous access to the pericardial space via the right atrium |
DE60016579T DE60016579T2 (en) | 1999-04-22 | 2000-03-22 | KIT FOR THE DIAGNOSIS AND TREATMENT OF THE HEART |
CA002369736A CA2369736A1 (en) | 1999-04-22 | 2000-03-22 | Method and kit for transvenously accessing the pericardial space via the right atrium |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/296,285 US6200303B1 (en) | 1997-04-30 | 1999-04-22 | Method and kit for transvenously accessing the pericardial space via the right atrium |
US09/296,285 | 1999-04-22 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000064531A1 true WO2000064531A1 (en) | 2000-11-02 |
Family
ID=23141373
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2000/007444 WO2000064531A1 (en) | 1999-04-22 | 2000-03-22 | Method and kit for transvenously accessing the pericardial space via the right atrium |
Country Status (8)
Country | Link |
---|---|
US (2) | US6200303B1 (en) |
EP (1) | EP1171191B1 (en) |
JP (1) | JP2002541994A (en) |
AT (1) | ATE284245T1 (en) |
AU (1) | AU3904900A (en) |
CA (1) | CA2369736A1 (en) |
DE (1) | DE60016579T2 (en) |
WO (1) | WO2000064531A1 (en) |
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- 2000-03-22 AU AU39049/00A patent/AU3904900A/en not_active Abandoned
- 2000-03-22 AT AT00918193T patent/ATE284245T1/en not_active IP Right Cessation
- 2000-03-22 JP JP2000613518A patent/JP2002541994A/en not_active Withdrawn
- 2000-03-22 DE DE60016579T patent/DE60016579T2/en not_active Expired - Fee Related
- 2000-03-22 EP EP00918193A patent/EP1171191B1/en not_active Expired - Lifetime
- 2000-03-22 WO PCT/US2000/007444 patent/WO2000064531A1/en active IP Right Grant
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Also Published As
Publication number | Publication date |
---|---|
AU3904900A (en) | 2000-11-10 |
EP1171191B1 (en) | 2004-12-08 |
DE60016579D1 (en) | 2005-01-13 |
US20010039410A1 (en) | 2001-11-08 |
JP2002541994A (en) | 2002-12-10 |
CA2369736A1 (en) | 2000-11-02 |
EP1171191A1 (en) | 2002-01-16 |
US6200303B1 (en) | 2001-03-13 |
ATE284245T1 (en) | 2004-12-15 |
DE60016579T2 (en) | 2005-12-22 |
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