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    • 3. 发明申请
    • CATHETER SHAFT AND METHOD OF ITS MANUFACTURE
    • 导管轴及其制造方法
    • WO2009085531A1
    • 2009-07-09
    • PCT/US2008/085185
    • 2008-12-01
    • ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC.GUO, XiaopingSTEHR, Richard E.
    • GUO, XiaopingSTEHR, Richard E.
    • A61M25/16
    • A61M25/0012A61M25/0045A61M25/005
    • A method of manufacturing a catheter shaft includes the steps of forming an inner layer (26) of a first polymeric material, forming a plait matrix layer (30) including a second polymeric material about the inner layer (26), and forming an outer layer (32) of a third polymeric material about the plait matrix layer (30). The plait matrix layer (30) includes a braided wire mesh (28) partially or fully embedded within the second polymeric material, which is different from at least one of the first polymeric material forming the inner layer (26) and the third polymeric material forming the outer layer (32). The second polymeric material has a higher yield strain and/or a lower hardness than at least the first polymeric material, and preferably both the first and the third polymeric materials. The catheter shaft may be formed by stepwise extrusion, co-extrusion, and/or reflow processes.
    • 制造导管轴的方法包括以下步骤:形成第一聚合物材料的内层(26),形成围绕内层(26)的包含第二聚合材料的辫状基质层(30),并形成外层 (30)的第三聚合物材料(32)。 辫子基质层(30)包括部分或完全嵌入第二聚合物材料内的编织丝网(28),其不同于形成内层(26)的第一聚合物材料和形成 外层(32)。 第二聚合物材料具有比至少第一聚合物材料更高的屈服应变和/或更低的硬度,优选第一和第三聚合物材料。 导管轴可以通过逐步挤出,共挤出和/或回流工艺形成。
    • 5. 发明申请
    • CATHETER SHAFT WITH MULTIPLE REINFORCING LAYERS AND METHOD OF ITS MANUFACTURE
    • 带有多层增强层的导管轴及其制造方法
    • WO2009085486A1
    • 2009-07-09
    • PCT/US2008/084560
    • 2008-11-24
    • ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC.GUO, XiaopingJOHNSON, David P.STEHR, Richard E.
    • GUO, XiaopingJOHNSON, David P.STEHR, Richard E.
    • A61M25/00
    • A61M25/0012A61M25/0045A61M25/005
    • A catheter shaft (12) includes an inner layer (26) of a first polymeric material, an intermediate layer (30) of a second polymeric material, an outer layer (34) of a third polymeric material, a first wire reinforcing layer (28) encapsulated between the inner and intermediate layers (26, 30), and a second wire reinforcing layer (32) encapsulated between the outer and intermediate layers (34, 30). Typically, the first wire reinforcing layer (28) includes one or more metallic wires helically wound in one direction and the second wire reinforcing layer (32) includes one or more metallic wires helically wound in the opposite direction. The intermediate layer (30) is bonded to the inner and outer layers (26, 34), as by extruding layers over one another or by thermal lamination or reflow bonding. Typically, the intermediate layer (30) has a larger yield strain and/or a lower flexural modulus and/or a lower durometer than at least one of the inner layer (26) and the outer layer (34).
    • 导管轴(12)包括第一聚合材料的内层(26),第二聚合材料的中间层(30),第三聚合物材料的外层(34),第一丝线增强层(28) )封装在内层和中间层(26,30)之间,以及封装在外层和中间层(34,30)之间的第二丝线加强层(32)。 通常,第一线加强层(28)包括在一个方向上螺旋缠绕的一个或多个金属线,而第二线增强层(32)包括沿相反方向螺旋缠绕的一个或多个金属线。 中间层(30)通过彼此挤压层或通过热层压或回流焊接而结合到内层和外层(26,34)。 通常,中间层(30)具有比内层(26)和外层(34)中的至少一个更大的屈服应变和/或较低的弯曲模量和/或较低的硬度。
    • 6. 发明申请
    • DEFLECTABLE CATHETER WITH DISTAL DEFLECTABLE SEGMENT
    • 具有远程可分离部分的防盗导管
    • WO2009085470A1
    • 2009-07-09
    • PCT/US2008/084330
    • 2008-11-21
    • ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC.GUO, XiaopingTEGG, Troy, T.STEHR, Richard, E.
    • GUO, XiaopingTEGG, Troy, T.STEHR, Richard, E.
    • A61M31/00
    • A61M25/0147A61B5/042A61B18/1492A61B2017/003A61M25/0052A61M25/0144
    • A steerable medical catheter (18) is provided having proximal and distal portions and a selectively deflectable distal segment (24) having anisotropic bending stiffness for deflection of the shaft (16) in individual planes. Upon actuation of pull wires (26), the distal deflectable segment deflects to move/sweep the distal catheter tip (20) through a sweeping plane (100). The anisotropic bending stiffness of the distal deflectable segment permits in-plane movement of the distal catheter tip (20) in the sweeping plane (100) while resisting out-of-plane movements. In one arrangement, stiffening elements are selectively disposed within the distal deflectable segment (24) such that the out-of-plane bending stiffness increases to a value greater than the in-plane bending stiffness in the sweeping plane. In another arrangement, the cross section of a distal deflectable segment is altered to produce anisotropic area inertias of moment about its centroidal axes, and thus anisotropic bending stiffnesses
    • 提供了一种可操纵的医疗导管(18),其具有近端部分和远端部分以及具有用于各个平面中的轴(16)的偏转的各向异性弯曲刚度的可选择性偏转的远端部分(24)。 在牵引线(26)致动时,远端可偏转段偏转以使远端导管尖端(20)移动/扫掠通过扫掠平面(100)。 远端可偏转段的各向异性弯曲刚度允许远侧导管尖端(20)在扫掠平面(100)内的平面内运动,同时抵抗平面外运动。 在一种布置中,加强元件选择性地设置在远侧可偏转节段(24)内,使得平面外弯曲刚度增加到大于扫掠平面内的平面内弯曲刚度的值。 在另一种布置中,改变远侧可偏转节段的横截面以产生绕其重心轴线的力矩的各向异性面积惯性,因此各向异性弯曲刚度