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    • 1. 发明申请
    • SHAPEABLE FOR STEERABLE GUIDE SHEATHS AND METHODS FOR MAKING AND USING THEM
    • 适用于可导向指南的形式及其制作和使用方法
    • US20080015625A1
    • 2008-01-17
    • US11746639
    • 2007-05-09
    • Christine VenturaAlfonso PulidoStephen Leeflang
    • Christine VenturaAlfonso PulidoStephen Leeflang
    • A61M29/00
    • A61M25/0097A61B17/3439A61M25/0147A61M25/0152A61M25/0662A61M2025/0024A61N1/056A61N2001/0585
    • Apparatus and methods are provided for providing access to a body lumen, e.g., to deliver a pacing lead within a patient's heart. The apparatus includes a tubular member including a proximal end, a distal end sized for insertion into a body lumen, and a lumen extending therebetween. An elongate member extends from the distal end of the tubular member. An expandable sheath extends along at least a portion of the elongate member, the sheath being expandable from a contracted condition to facilitate insertion into a body lumen, and an enlarged condition wherein the sheath at least partially defines a lumen communicating with the tubular member lumen. A stylet or other shaped element is insertable into the elongate member for changing a shape of at least a distal tip of the elongate member, e.g., for accessing side branches extending from a body lumen, e.g., within a patient's coronary venous system.
    • 提供了用于提供对体腔的接近的装置和方法,例如将患者心脏内的起搏引线输送。 该装置包括管状构件,该管状构件包括近端,尺寸适于插入体腔的远端和在其间延伸的内腔。 细长构件从管状构件的远端延伸。 可扩张护套沿着细长构件的至少一部分延伸,护套可以从收缩状态扩展以便于插入体腔,以及扩大状态,其中护套至少部分地限定与管状构件腔连通的内腔。 探针或其他形状的元件可插入到细长构件中,用于改变细长构件的至少远侧末端的形状,例如用于进入从体腔延伸的侧分支,例如在病人的冠状静脉系统内。