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    • 5. 发明公开
    • INTRODUCER WITH STEERABLE DISTAL TIP SECTION
    • 介绍者可操纵的远端技巧部分
    • EP3278832A2
    • 2018-02-07
    • EP17192382.4
    • 2014-11-11
    • St. Jude Medical, Cardiology Division, Inc.
    • DALE, TheodoreMORRIS, BenjaminFURNISH, GregoryGUNASEKARA, Asela
    • A61M25/00A61F2/24A61M25/01A61M25/06A61B17/00
    • A61M25/0113A61B2017/00309A61B2017/00323A61F2/2427A61M25/0013A61M25/0054A61M25/0133A61M25/0136A61M25/0138A61M25/0147A61M25/0662
    • A steerable introducer (10) comprising a shaft (16) with a proximal end portion (14), a distal end portion (12), and a shaft longitudinal axis extending between the proximal end portion and the distal end portion; a steerable distal tip section (17) attached to the distal end portion of the shaft, the steerable distal tip section comprising an articulation support member (19); a retro flex pull wire (46(d)) extending from the proximal end portion of the shaft to the distal end portion of the shaft, wherein the retroflex pull wire (46(d)) is anchored at a first anchor position on a distal pull ring portion (66) of the articulation support member (19), the first anchor position being laterally offset from the shaft longitudinal axis in a first direction; at least one tension pull wire (46(a)) extending from the proximal end portion of the shaft to the distal end portion of the shaft, wherein the at least one tension pull wire (46(a)) is anchored at a second anchor position on a proximal pull ring portion (78) of the articulation support member, the second anchor position being (i) laterally offset from the shaft longitudinal axis in a second direction and (ii) angularly offset from the distal pull ring portion (66) by a first angle, wherein the first direction is different from the second direction; wherein tension on the retro flex pull wire (46(d)) causes the steerable distal tip section to bend in the first direction;and wherein the tension on the tension pull (46(a)) wire opposes shaft bending in the first direction.
    • 一种可转向导引器(10),包括具有近端部分(14),远端部分(12)和在所述近端部分和所述远端部分之间延伸的轴纵向轴的轴(16) 附接到所述轴的所述远端部分的可转向远侧末端部分(17),所述可转向远侧末端部分包括关节运动支撑构件(19); 从所述轴的所述近端部分延伸到所述轴的所述远端部分的复古弯曲拉线(46(d)),其中所述翻转拉线(46(d))锚定在远侧的第一锚定位置 (19)的拉环部分(66),所述第一锚定位置在第一方向上从所述轴纵向轴线横向偏移; 从所述轴的所述近端部分延伸到所述轴的所述远端部分的至少一个张力牵引线(46(a)),其中所述至少一个张力牵引线(46(a))锚定在第二锚 所述第二锚定位置(i)在第二方向上从所述轴纵向轴线横向偏移并且(ii)从所述远侧拉环部分(66)成角度地偏移,所述第二锚定位置在所述铰接支撑构件的近侧拉环部分(78) 以第一角度,其中第一方向不同于第二方向; 其中所述后向弯曲拉线(46(d))上的张力导致所述可转向远侧末端段在所述第一方向上弯曲;并且其中所述张力拉动(46(a))线上的张力与所述第一方向上的轴弯曲相反。
    • 6. 发明公开
    • INTRODUCER WITH STEERABLE DISTAL TIP SECTION
    • EINFÜHRVORRICHTUNG麻省理工学院
    • EP3021925A2
    • 2016-05-25
    • EP14806136.9
    • 2014-11-11
    • St. Jude Medical, Cardiology Division, Inc.
    • DALE, TheodoreMORRIS, BenjaminFURNISH, GregoryGUNASEKARA, Asela
    • A61M25/01A61M25/00A61M25/06
    • A61M25/0113A61B2017/00309A61B2017/00323A61F2/2427A61M25/0013A61M25/0054A61M25/0133A61M25/0136A61M25/0138A61M25/0147A61M25/0662
    • A steerable introducer (10) comprising a shaft (16) with a proximal end portion (14), a distal end portion (12), and a shaft longitudinal axis extending between the proximal end portion and the distal end portion; a steerable distal tip section (17) attached to the distal end portion of the shaft, the steerable distal tip section comprising an articulation support member (19); a retro flex pull wire (46(d)) extending from the proximal end portion of the shaft to the distal end portion of the shaft, wherein the retroflex pull wire (46(d)) is anchored at a first anchor position on a distal pull ring portion (66) of the articulation support member (19), the first anchor position being laterally offset from the shaft longitudinal axis in a first direction; at least one tension pull wire (46(a)) extending from the proximal end portion of the shaft to the distal end portion of the shaft, wherein the at least one tension pull wire (46(a)) is anchored at a second anchor position on a proximal pull ring portion (78) of the articulation support member, the second anchor position being (i) laterally offset from the shaft longitudinal axis in a second direction and (ii) angularly offset from the distal pull ring portion (66) by a first angle, wherein the first direction is different from the second direction; wherein tension on the retro flex pull wire (46(d)) causes the steerable distal tip section to bend in the first direction;and wherein the tension on the tension pull (46(a)) wire opposes shaft bending in the first direction.
    • 用于修复心脏瓣膜小叶的装置包括具有近端和远端的细长导管组件和在导管组件的远端处的尖端。 具有第一自由端和第二自由端的捕获机构可旋转地联接到尖端的远端。 折叠机构具有打开构造和闭合构造,并且当处于打开构型时,其在收集机构的第一自由端和第二自由端之间延伸。 该装置还可以包括在尖端的近端处的构造成将夹子夹持在其中的夹子壳体。