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    • 1. 发明申请
    • A CATHETER SYSTEM AND METHOD FOR PROVIDING CARDIOPULMONARY BYPASS PUMP SUPPORT DURING HEART SURGERY
    • 用于在心脏手术期间提供心脏旁路泵支持的导管系统和方法
    • WO1995032745A1
    • 1995-12-07
    • PCT/US1995006796
    • 1995-05-26
    • SWEEZER, William, P.
    • JIMISON, JamesCOLEMAN, Ronald, L.
    • A61M01/10
    • A61M1/10A61M1/1006A61M1/1018A61M1/1039A61M1/3659A61M25/0068A61M25/007A61M25/0082A61M25/1011A61M2025/0031A61M2025/0036A61M2025/0037A61M2025/0039A61M2025/004A61M2025/1015A61M2025/1052A61M2210/125
    • A catheter system and method for achieving total cardiopulmonary bypass during heart surgery. The venous perfusion catheter has first and second balloons occluding the inferior and superior vena cava thereby precluding blood flow into the right atrium. An arterial perfusion catheter is inserted, advanced and positioned in the ascending aorta cephalid of the junction of the conorary arteries with the aortic root. A second flexible arterial cannula is mounted in sliding relationship with the first flexible cannula and carries an inflatable balloon adjacent its distal end to provide for occlusion of the ascending aorta. A first flexible cannula has a first lumen and an arterial venting orifice communicating with the first lumen defining a single flow path for the passage of cardioplegia solution to arrest the heart or for the evacuation of blood from the aortic root. A third lumen extends axially through the first flexible arterial cannula and communicates with a multiplicity of openings in the distal tip for suctioning blood from the left ventricle. The second flexible cannula of the arterial perfusion catheter has a first cavity extending axially therethrough that communicates with an opening at its distal tip to permit the passage of blood delivered by the cardiopulmonary bypass pump into arterial circulation. Both the venous and arterial perfusion catheters have a plurality of radially and oppositely spaced steering lumens and a plurality of steering cables fixed to the distal ends to achieve omnidirectional articulation.
    • 一种用于在心脏手术中实现总体心肺转流的导管系统和方法。 静脉灌注导管具有封闭下腔静脉和上腔静脉的第一和第二气囊,从而阻止血液流入右心房。 动脉灌注导管插入,先进并定位在主动脉根部的冠状动脉交界处的升主动脉头皮。 第二柔性动脉插管与第一柔性插管滑动关系安装,并且在其远端附近携带可充气气囊以提供上升主动脉的闭塞。 第一柔性套管具有与第一管腔连通的第一内腔和动脉通气孔,其限定用于通过心麻痹液以阻止心脏或从主动脉根部排出血液的单个流动路径。 第三腔轴向延伸穿过第一柔性动脉插管并与远侧末端中的多个开口连通,用于从左心室抽吸血液。 动脉灌注导管的第二柔性套管具有轴向延伸穿过其中的第一腔,其与其远侧末端处的开口连通,以允许心肺旁路泵输送的血液通过动脉循环。 静脉和动脉灌注导管都具有多个径向和相对间隔的转向腔和固定到远端的多个转向电缆,以实现全向关节运动。