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    • 4. 发明申请
    • CAM CONTROLLED MULTI-DIRECTION STEERABLE HANDLES
    • CAM控制多向可控手柄
    • WO2017165229A1
    • 2017-09-28
    • PCT/US2017/023034
    • 2017-03-17
    • EDWARDS LIFESCIENCES CORPORATION
    • KHUU, BaoWINSTON, Matthew, T.METCHIK, Asher, L.DIXON, Eric, Robert
    • A61M25/01
    • Disclosed herein are catheter control handles that include various cam-based mechanisms for controlling the circumferential angle and radial magnitude of flexion of an attached catheter. Control handles can comprise a housing defining a longitudinal axis extending in distal and proximal directions, a cam member that is movable axially relative to the housing and also movable rotationally about the longitudinal axis relative to the housing, at least one follower engaged with the cam member such that the at least one follower moves relative to the handle in response to the movement of the cam member, and pull wires that are coupled to the at least one follower and that extend distally out of the handle and into a steerable catheter. The at least one follower can comprise plural axial sliders, a gimbal mechanism, a ball and socket mechanism, or other mechanisms.
    • 本文公开了导管控制手柄,其包括用于控制附接导管的圆周角度和径向幅度的各种基于凸轮的机构。 控制手柄可包括限定沿远侧和近侧方向延伸的纵向轴线的壳体,可相对于壳体轴向移动并且还可相对于壳体围绕纵向轴线旋转运动的凸轮构件,至少一个从动件与凸轮构件接合 使得所述至少一个从动件响应于所述凸轮构件的移动而相对于所述手柄移动,以及牵拉线,所述牵拉线联接到所述至少一个从动件并且向远侧延伸出所述手柄并进入可操纵导管。 所述至少一个从动件可以包括多个轴向滑动件,万向节机构,球窝机构或其他机构。
    • 8. 发明申请
    • APPARATUS FOR THE INTRODUCTION AND MANIPULATION OF MULTIPLE TELESCOPING CATHETERS
    • 用于引导和操纵多根伸长导管的装置
    • WO2018085812A1
    • 2018-05-11
    • PCT/US2017/060336
    • 2017-11-07
    • EDWARDS LIFESCIENCES CORPORATION
    • WINSTON, Matthew, T.OLSON, Christopher, J.METCHIK, Asher, L.TRAN, Tri, D.SIEGEL, Alexander, J.
    • A61M25/01A61M25/00A61F2/24
    • A delivery apparatus includes a steerable shaft having a proximal portion, a distal portion, and a pull-wire conduit that extends through the proximal and distal portions. A pull wire extends through the conduit and has a distal portion that is fixed to the shaft. An adjustment mechanism is connected to the proximal end portion of the pull wire and configured to increase and decrease tension in the pull wire to adjust the curvature of the shaft. The distal portion of the shaft has a steerable portion including one or more layers. A compression-resistance portion is incorporated into a layer of the steerable portion, and extends angularly along a portion of a cross-section of the layer. The layer of the steerable portion into which the compression-resistance portion is incorporated has a first hardness, and the compression-resistance portion has a second hardness that is greater than the first hardness.
    • 输送设备包括可操纵轴,该可操纵轴具有近侧部分,远侧部分和延伸穿过近侧部分和远侧部分的拉线导管。 拉线延伸穿过导管并具有固定到轴上的远侧部分。 调节机构连接到拉线的近端部分,并被配置成增加和减小拉线中的张力以调节轴的曲率。 轴的远侧部分具有包括一个或多个层的可转向部分。 抗压部分被结合到可转向部分的层中,并且沿着层的横截面的一部分成角度地延伸。 其中引入抗压部分的可转向部分的层具有第一硬度,并且抗压部分具有大于第一硬度的第二硬度。