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1. 发明申请

WO2009088697A1 CATHETER SHAFT AND METHOD OF MANUFACTURE 审中-公开
标题翻译：导管轴和制造方法
公开(公告)号：WO2009088697A1
公开(公告)日：2009-07-16
申请号：PCT/US2008/087511
申请日：2008-12-18
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , TEGG, Troy T. , STEHR, Richard E. , FUENTES, Allan M. , NEMEC, Linda
发明人： TEGG, Troy T. , STEHR, Richard E. , FUENTES, Allan M. , NEMEC, Linda
IPC分类号： A61M25/00
CPC分类号： A61M25/005 , A61M25/0009 , A61M25/0043 , A61M25/0045 , F16L11/085
摘要： A method of manufacturing a catheter assembly generally includes providing a catheter shaft (10) having an outer layer (20) and an inner reinforcing layer (30); removing at least a portion of the outer layer (20) from a length of the distal end (50) of the catheter shaft (10) in order to expose a distal segment thereof; providing an inner jacket segment (80); axially engaging the inner jacket segment (80) with an interior surface of the distal segment of the catheter shaft (10); providing an outer jacket segment (25) around at least the exposed exterior region of the distal segment of the catheter shaft (10); and bonding the distal segment of the catheter shaft (10) to the inner jacket segment (80) and the outer jacket segment (25).
摘要翻译：制造导管组件的方法通常包括提供具有外层（20）和内增强层（30）的导管轴（10）。从导管轴（10）的远端（50）的长度移除外层（20）的至少一部分，以便露出其远端段; 提供内护套段（80）; 将内护套部分（80）与导管轴（10）的远端段的内表面轴向接合; 提供围绕至少所述导管轴（10）的远端段的暴露的外部区域的外护套段（25）; 以及将所述导管轴（10）的远端部分结合到所述内护套部分（80）和所述外护套部分（25）。

2. 发明申请

WO2008083104A2 DUAL BRAIDED SHAFT 审中-公开
标题翻译：双面布
公开(公告)号：WO2008083104A2
公开(公告)日：2008-07-10
申请号：PCT/US2007088657
申请日：2007-12-21
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , FUENTES ALLAN M , STEHR RICHARD E , TEGG TROY T , JOHNSON MICHAEL J
发明人： STEHR RICHARD E , TEGG TROY T , JOHNSON MICHAEL J
IPC分类号： A61M25/00
CPC分类号： A61M25/0012 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M2025/0059
摘要： A dual braided catheter shaft includes a flat wire forming the inner braid, thereby potentially allowing for reduced radial thickness of the shaft. In one embodiment, the shaft (100) includes an inner polymer jacket (104), an inner braid (106) formed on the inner jacket (104), an intermediate jacket (108) formed over the inner braid (106), an outer braid (110) formed on the intermediate jacket (108) and an outer jacket (112) formed on the outer braid (110). A preferred construction process involves extruding polymer material directly onto each of the inner and outer braids (106 and 110) so that little or no air gaps remain between the polymer material and the braids (106 and 110). The braiding parameters of the inner and outer braids (106 and 110) can be varied along the length of the catheter to provide varying mechanical properties.
摘要翻译：双编织导管轴包括形成内编织物的扁线，从而潜在地允许减小轴的径向厚度。在一个实施例中，轴（100）包括内聚合物护套（104），形成在内护套（104）上的内编织物（106），形成在内编织物（106）上的中间护套（108）形成在中间护套（108）上的编织物（110）和形成在外编织物（110）上的外护套（112）。优选的构造方法包括将聚合物材料直接挤压到每个内部和外部编织物（106和110）上，使得在聚合物材料和编织物（106和110）之间几乎没有或没有空隙留下。内部和外部编织物（106和110）的编织参数可以沿着导管的长度变化以提供变化的机械特性。

3. 发明申请

WO2012071087A1 MEDICAL DEVICES HAVING AN ELECTROANATOMICAL SYSTEM IMAGING ELEMENT MOUNTED THEREON 审中-公开
标题翻译：具有电气系统成像元件的医疗设备
公开(公告)号：WO2012071087A1
公开(公告)日：2012-05-31
申请号：PCT/US2011/046266
申请日：2011-08-02
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , KAUPHUSMAN, James V. , GRASSE, Martin M. , FUENTES, Allan , GONZALEZ, Salome A.
发明人： KAUPHUSMAN, James V. , GRASSE, Martin M. , FUENTES, Allan , GONZALEZ, Salome A.
IPC分类号： A61B1/01
CPC分类号： A61B5/6852 , A61B5/0422 , A61B18/1492 , A61B2018/00357 , A61B2018/00577 , A61B2562/0209 , A61B2562/12 , A61M25/0012 , A61M25/0127 , A61M25/0147 , A61M25/0662
摘要： Medical devices and systems comprising medical devices are provided. The device 10 comprises a shaft 12 having a major lumen 20 sized to receive a second medical device and an electroanatomical system imaging element mounted thereon. The shaft 12 includes an inner liner and outer layer 26. The system comprises a medical device having a shaft 12 and an electroanatomical system imaging element mounted thereon. The shaft 12 has a major lumen 20 sized to receive another device. The system further comprises an electroanatomical navigation system configured to receive signals from the electroanatomical system imaging element and to determine a position of the electroanatomical system imaging element and/or monitor electrophysiological data.
摘要翻译：提供包括医疗装置的医疗装置和系统。装置10包括轴12，轴12具有尺寸适于接纳第二医疗装置的主腔20和安装在其上的电解剖系统成像元件。轴12包括内衬和外层26.该系统包括具有安装在其上的轴12和电解剖系统成像元件的医疗装置。轴12具有尺寸适于接收另一装置的主腔20。该系统还包括电解剖导航系统，其被配置为从电解剖系统成像元件接收信号并且确定电解剖系统成像元件的位置和/或监视电生理数据。

4. 发明申请

WO2011056311A1 DEVICE FOR REDUCING AXIAL SHORTENING OF CATHETER OR SHEATH DUE TO REPEATED DEFLECTION 审中-公开
标题翻译：用于减少由于重复偏差而导致的导管或轴的轴向闭合的装置
公开(公告)号：WO2011056311A1
公开(公告)日：2011-05-12
申请号：PCT/US2010/049741
申请日：2010-09-22
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , KAUPHUSMAN, James V. , FUENTES, Allan , TEGG, Troy T.
发明人： KAUPHUSMAN, James V. , FUENTES, Allan , TEGG, Troy T.
IPC分类号： A61M25/00
CPC分类号： A61M25/0147 , A61M25/0012 , A61M25/005 , A61M25/0051 , A61M25/0133 , Y10T29/49826
摘要： A deflectable medical device incorporates a strut (58b) that is configured to reduce or eliminate axial shortening of the deflectable portion of the medical device, for example, the deflectable distal end portion (22) of a catheter (20) or access sheath (50). The strut (58b) may is coaxially disposed in the medical device in the section that is contemplated to undergo the repeated deflection. The strut (58b) provides improved column strength and axial restoration. The strut (58b) may be stent-like device, an elongate device having opposing ends (90, 92) coupled by a connecting lattice (94) involving a plurality of helical connecting elements (96 1 , 96 2 , 96 3 and 96 4 ) or a tube (142) having a plurality of circumferentially-extending slots (144) arranged in longitudinally-extending rows (146).
摘要翻译：可偏转的医疗装置包括支柱（58b），支柱（58b）构造成减小或消除医疗装置的可偏转部分的轴向缩短，例如导管（20）的可偏转的远端部分（22）或进入护套（50））。支柱（58b）可以在预期经历重复偏转的部分中同轴地设置在医疗装置中。支柱（58b）提供改进的柱强度和轴向恢复。支柱（58b）可以是支架状装置，细长装置具有通过包括多个螺旋连接元件（961,962,963和964）的连接格（94）耦合的相对端（90,92）或管（142）具有布置在纵向延伸的行（146）中的多个周向延伸的狭槽（144）。

5. 发明申请

WO2007136981A3 STEERABLE CATHETER USING FLAT PULL WIRES AND METHOD OF MAKING SAME 审中-公开
标题翻译：使用平面拉线的可转向导管及其制造方法
公开(公告)号：WO2007136981A3
公开(公告)日：2008-10-16
申请号：PCT/US2007068176
申请日：2007-05-03
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , CUMMING SARAH , DUSTRUDE MARK , FUENTES ALLAN M , HEIDEMAN WAYNE , STEHR RICHARD E
发明人： CUMMING SARAH , DUSTRUDE MARK , FUENTES ALLAN M , HEIDEMAN WAYNE , STEHR RICHARD E
IPC分类号： A61M25/00
CPC分类号： A61M25/0012 , A61M25/0045 , A61M25/0053 , A61M25/0147 , A61M2025/015
摘要： A catheter assembly (100) includes an inner liner (10) made of flexible material and an outer layer (60) having a steering mechanism. The steering mechanism includes at least one flat wire and a corresponding lumen (42) through which the flat wire may travel. The steering mechanism may also include at least one pull ring to which the flat wires are attached. A layer of heat shrink (70) material may encompass the outer layer. A braided wire assembly (50), which may have a braid density that varies along the length of the catheter, may also be provided in the outer layer. The overall cross-section of the catheter assembly is preferably substantially circular. A catheter shaft (100) may include a plurality of segments (61, 62) of differing hardness characteristics. The outer layer typically comprises a melt processing polymer such that the catheter assembly may be laminated using heat.
摘要翻译：导管组件（100）包括由柔性材料制成的内衬（10）和具有转向机构的外层（60）。转向机构包括至少一个扁平线和相应的内腔（42），扁平线可以通过该内导管行进。转向机构还可以包括至少一个牵引环，扁平线连接到该拉环上。热收缩（70）材料层可以包围外层。也可以在外层中设置可能具有沿导管长度变化的编织密度的编织线组件（50）。导管组件的整个横截面优选地基本上是圆形的。导管轴（100）可以包括具有不同硬度特性的多个段（61,62）。外层通常包括熔融加工聚合物，使得导管组件可以使用热层压。

6. 发明申请

WO2008083104A3 DUAL BRAIDED SHAFT 审中-公开
公开(公告)号：WO2008083104A3
公开(公告)日：2008-07-10
申请号：PCT/US2007/088657
申请日：2007-12-21
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , FUENTES, Allan M. , STEHR, Richard E. , TEGG, Troy T. , JOHNSON, Michael J.
发明人： STEHR, Richard E. , TEGG, Troy T. , JOHNSON, Michael J.
IPC分类号： A61M25/00
摘要： A dual braided catheter shaft includes a flat wire forming the inner braid, thereby potentially allowing for reduced radial thickness of the shaft. In one embodiment, the shaft (100) includes an inner polymer jacket (104), an inner braid (106) formed on the inner jacket (104), an intermediate jacket (108) formed over the inner braid (106), an outer braid (110) formed on the intermediate jacket (108) and an outer jacket (112) formed on the outer braid (110). A preferred construction process involves extruding polymer material directly onto each of the inner and outer braids (106 and 110) so that little or no air gaps remain between the polymer material and the braids (106 and 110). The braiding parameters of the inner and outer braids (106 and 110) can be varied along the length of the catheter to provide varying mechanical properties.

7. 发明申请

WO2008045936A2 STEERABLE SHORT SHEATH ACCESS DEVICE 审中-公开
标题翻译：可转向短路接入设备
公开(公告)号：WO2008045936A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/080939
申请日：2007-10-10
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , KAUPHUSMAN, James V. , FUENTES, Allan , TEGG, Troy , JUST, Dale E.
发明人： KAUPHUSMAN, James V. , FUENTES, Allan , TEGG, Troy , JUST, Dale E.
IPC分类号： A61B17/50
CPC分类号： A61B18/1492 , A61B5/042 , A61B5/0422 , A61B5/6852 , A61B18/18 , A61B18/1815 , A61B2017/00323 , A61B2018/00023 , A61B2018/00029 , A61B2018/0016 , A61B2018/00214 , A61B2018/00244 , A61B2018/00285 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00839 , A61B2018/00898 , A61B2018/00994 , A61B2018/1467 , A61B2018/1497 , A61B2018/1861 , A61B2560/066 , A61B2562/222 , A61M25/0147 , A61N7/02 , Y10T29/4913
摘要： The present invention relates to steerable access sheath assembly (12). Moreover, the present invention relates to a steerable short sheath access device (10) for use in epicardial procedures. Embodiments of the present invention including shorter steerable access sheaths or introducers (10, 12) may provide epicardial access for various ablation tools and devices for the performance of various ablation procedures or procedures involving alternate energy sources. The steerable access device (10) provides an elongated member (20) having a proximal section (26) and a distal section (28), wherein the deflection of the distal section (28) provides a primary curve including an inner radius (r1) that result in a secondary curve of proximal section (26) having an inner radius (r2, r3), wherein the inner radius of curvature (r1) of the primary curve is less than the inside radius of curvature (r2, r3) of the secondary curve.
摘要翻译：本发明涉及可转向进入护套组件（12）。此外，本发明涉及用于心外膜手术的可操纵的短鞘接入装置（10）。包括较短的可转向通路护套或导引器（10,12）的本发明的实施例可以提供用于各种消融工具和装置的心外膜通路，用于执行涉及替代能量源的各种消融程序或程序。可操纵进入装置（10）提供具有近端部分（26）和远端部分（28）的细长部件（20），其中远端部分（28）的偏转提供包括内部半径（r1）其导致具有内半径（r2，r3）的近端部分（26）的次级曲线，其中主曲线的内部曲率半径（r1）小于所述主曲线的内部曲率半径（r2，r3）二次曲线。

8. 发明申请

WO2007136981A2 STEERABLE CATHETER USING FLAT PULL WIRES AND METHOD OF MAKING SAME 审中-公开
标题翻译：使用平面拉线的可转向导管及其制造方法
公开(公告)号：WO2007136981A2
公开(公告)日：2007-11-29
申请号：PCT/US2007/068176
申请日：2007-05-03
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , CUMMING, Sarah , DUSTRUDE, Mark , FUENTES, Allan M. , HEIDEMAN, Wayne , STEHR, Richard E.
发明人： CUMMING, Sarah , DUSTRUDE, Mark , FUENTES, Allan M. , HEIDEMAN, Wayne , STEHR, Richard E.
IPC分类号： A61M25/01
CPC分类号： A61M25/0012 , A61M25/0045 , A61M25/0053 , A61M25/0147 , A61M2025/015
摘要： A catheter assembly (100) includes an inner liner (10) made of flexible material and an outer layer (60) having a steering mechanism. The steering mechanism includes at least one flat wire and a corresponding lumen (42) through which the flat wire may travel. The steering mechanism may also include at least one pull ring to which the flat wires are attached. A layer of heat shrink (70) material may encompass the outer layer. A braided wire assembly (50), which may have a braid density that varies along the length of the catheter, may also be provided in the outer layer. The overall cross-section of the catheter assembly is preferably substantially circular. A catheter shaft (100) may include a plurality of segments (61, 62) of differing hardness characteristics. The outer layer typically comprises a melt processing polymer such that the catheter assembly may be laminated using heat.
摘要翻译：导管组件（100）包括由柔性材料制成的内衬（10）和具有转向机构的外层（60）。转向机构包括至少一个扁平线和相应的内腔（42），扁平线可以通过该内导管行进。转向机构还可以包括至少一个牵引环，扁平线连接到该拉环上。热收缩（70）材料层可以包围外层。也可以在外层中设置可能具有沿导管长度变化的编织密度的编织线组件（50）。导管组件的整个横截面优选地基本上是圆形的。导管轴（100）可以包括具有不同硬度特性的多个段（61,62）。外层通常包括熔融加工聚合物，使得导管组件可以使用热层压。

9. 发明申请

WO2008115665A1 CATHETER EMPLOYING SHAPE MEMORY ALLOY SHAPING WIRE OR PULL WIRE AND METHOD OF ITS MANUFACTURE 审中-公开
标题翻译：导管形状形状记忆合金成形线或拉丝及其制造方法
公开(公告)号：WO2008115665A1
公开(公告)日：2008-09-25
申请号：PCT/US2008/054971
申请日：2008-02-26
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , HASTINGS, John M. , LATRAILLE, Gary B. , STEHR, Richard E. , FUENTES, Allan M.
发明人： HASTINGS, John M. , LATRAILLE, Gary B. , STEHR, Richard E. , FUENTES, Allan M.
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61B18/1492 , A61M25/0009 , A61M25/0012 , A61M25/005 , A61M25/0053 , A61M25/0147 , A61M25/0152 , A61M2025/0046 , A61N1/0565
摘要： An electrophysiology catheter includes an elongate catheter body having a distal end and a proximal end, a catheter tip including at least one metallic catheter component, such as an electrode, thereon, and at least one internal catheter component joined to the at least one metallic catheter component. The at least one internal catheter component includes a shape memory alloy and a metal compound that is capable of both bonding with the shape memory alloy and being metallurgically joined to the at least one metallic catheter component as by brazing. The metal compound may be a coating on or a core within the shape memory alloy. Suitable metal compounds include, without limitation, nickel, copper, brass, and combinations thereof.
摘要翻译：电生理导管包括具有远端和近端的细长导管主体，导管末端包括至少一个金属导管部件，例如其上的电极，以及连接到至少一个金属导管的至少一个内部导管部件零件。所述至少一个内部导管部件包括形状记忆合金和金属化合物，所述金属化合物能够与所述形状记忆合金结合并且通过钎焊与所述至少一种金属导管部件冶金结合。金属化合物可以是形状记忆合金内或外层的涂层。合适的金属化合物包括但不限于镍，铜，黄铜及其组合。

10. 发明申请

WO2008045938A3 CIRCUIT FOR A CATHETER OR SHEATH AND METHOD OF FORMING SAME 审中-公开
标题翻译：导管或套管的电路及其形成方法
公开(公告)号：WO2008045938A3
公开(公告)日：2008-06-26
申请号：PCT/US2007080945
申请日：2007-10-10
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
发明人： KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B5/042 , A61B5/0422 , A61B5/6852 , A61B18/18 , A61B18/1815 , A61B2017/00323 , A61B2018/00023 , A61B2018/00029 , A61B2018/0016 , A61B2018/00214 , A61B2018/00244 , A61B2018/00285 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00839 , A61B2018/00898 , A61B2018/00994 , A61B2018/1467 , A61B2018/1497 , A61B2018/1861 , A61B2560/066 , A61B2562/222 , A61M25/0147 , A61N7/02 , Y10T29/4913
摘要： A circuit (10, 110, 210) configured for connecting an electrode (28, 126, 228) to a catheter or sheath is disclosed. The circuit (10, 110, 210) includes a member (12, 112, 212) having a longitudinal axis (14, 214) and configured to extend along at least a portion of the length of the catheter or sheath. The circuit (10, 110, 210) further includes a trace (16, 116, 230) printed on the member (12, 112, 212), where the trace (16, 116, 230) includes at least a longitudinal segment (18, 118) extending generally along at least a portion of the longitudinal axis (14, 214) and a transverse segment (20, 120) extending generally transverse to the longitudinal axis (14, 214). In an embodiment, the circuit further includes a pad (26, 126, 226) integral with and extending from the circuit (10, 110, 210) proximal the transverse segment (20, 120) of the trace (16, 116, 230). A catheter or sheath assembly comprising the circuit (10, 110, 210) and an electrode (28, 126, 228) connected to the circuit (10, 110, 210) is also disclosed. A method of forming a catheter or sheath assembly is also provided.
摘要翻译：公开了一种配置用于将电极（28,126,228）连接到导管或护套的电路（10,110,210）。电路（10,110,210）包括具有纵向轴线（14,214）并且被配置为沿着导管或护套的至少一部分长度延伸的构件（12,112,212）。所述电路（10,110,210）还包括印刷在所述构件（12,112,212）上的迹线（16,116,230），其中所述迹线（16,116,230）包括至少一个纵向片段，大体上沿着所述纵向轴线（14,214）的至少一部分延伸，以及横向段（20,120），所述横向段大致横向于所述纵向轴线（14,214）延伸。在一个实施例中，电路还包括与迹线（16,116,230）的横向段（20,120）近侧的电路（10,110,210）一体并从电路（10,110,210）延伸的焊盘（26,126,226）。还公开了包括电路（10,110,210）和连接到电路（10,110,210）的电极（28,126,228）的导管或护套组件。还提供了形成导管或护套组件的方法。

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