WO2003073942A3 - Improved system and method of positioning implantable medical devices - Google Patents

Improved system and method of positioning implantable medical devices Download PDF

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Publication number
WO2003073942A3
WO2003073942A3 PCT/US2002/036331 US0236331W WO03073942A3 WO 2003073942 A3 WO2003073942 A3 WO 2003073942A3 US 0236331 W US0236331 W US 0236331W WO 03073942 A3 WO03073942 A3 WO 03073942A3
Authority
WO
WIPO (PCT)
Prior art keywords
vasculature
lead
catheter
patient
another embodiment
Prior art date
Application number
PCT/US2002/036331
Other languages
French (fr)
Other versions
WO2003073942A2 (en
Inventor
David L Thompson
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/087,949 external-priority patent/US20030092995A1/en
Application filed by Medtronic Inc filed Critical Medtronic Inc
Priority to JP2003572467A priority Critical patent/JP2005518861A/en
Priority to CA002467385A priority patent/CA2467385A1/en
Priority to EP02786708A priority patent/EP1511426A2/en
Publication of WO2003073942A2 publication Critical patent/WO2003073942A2/en
Publication of WO2003073942A3 publication Critical patent/WO2003073942A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3137Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/373Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/057Anchoring means; Means for fixing the head inside the heart
    • A61N2001/0578Anchoring means; Means for fixing the head inside the heart having means for removal or extraction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N2001/0585Coronary sinus electrodes

Abstract

A device and method for deploying a lead in tortuous pathways such as the left ventricle or the coronary sinus vasculature. A catheter having fiber optics is inserted into the vasculature of a patient with the aid of a guide wire or equivalent. The fiber optics transmits infrared light to an optical head at the distal end of the catheter. Light reflecting from the vasculature system is collected and transmitted through the optical fibers to an infrared camera for imaging. Alternatively, an active pixel sensor is positioned distally on the lead for collecting and transmitting the image to a display device located external to the patient. Proper selection of the wavelength of infrared illumination allows objects to be imaged through bodily opaque fluid. Another embodiment enables viewing of a cardiac lead for extraction by a laser. Yet another embodiment enables proper positioning of an ablation catheter before energization.
PCT/US2002/036331 2002-02-28 2002-11-13 Improved system and method of positioning implantable medical devices WO2003073942A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP2003572467A JP2005518861A (en) 2002-02-28 2002-11-13 Improved system and method for deploying an implantable medical device
CA002467385A CA2467385A1 (en) 2002-02-28 2002-11-13 Improved system and method of positioning implantable medical devices
EP02786708A EP1511426A2 (en) 2002-02-28 2002-11-13 Improved system and method of positioning implantable medical devices

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/087,949 US20030092995A1 (en) 2001-11-13 2002-02-28 System and method of positioning implantable medical devices
US10/087,949 2002-02-28

Publications (2)

Publication Number Publication Date
WO2003073942A2 WO2003073942A2 (en) 2003-09-12
WO2003073942A3 true WO2003073942A3 (en) 2005-01-13

Family

ID=27787582

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/036331 WO2003073942A2 (en) 2002-02-28 2002-11-13 Improved system and method of positioning implantable medical devices

Country Status (4)

Country Link
EP (1) EP1511426A2 (en)
JP (1) JP2005518861A (en)
CA (1) CA2467385A1 (en)
WO (1) WO2003073942A2 (en)

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8956280B2 (en) 2002-05-30 2015-02-17 Intuitive Surgical Operations, Inc. Apparatus and methods for placing leads using direct visualization
EP1513440A2 (en) 2002-05-30 2005-03-16 The Board of Trustees of The Leland Stanford Junior University Apparatus and method for coronary sinus access
WO2006055733A1 (en) * 2004-11-17 2006-05-26 Biosense Webster, Inc. Apparatus for real time evaluation of tissue ablation
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US11478152B2 (en) 2005-02-02 2022-10-25 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US20080015569A1 (en) 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US10064540B2 (en) 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US8221310B2 (en) 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
US20080097476A1 (en) 2006-09-01 2008-04-24 Voyage Medical, Inc. Precision control systems for tissue visualization and manipulation assemblies
WO2008028149A2 (en) 2006-09-01 2008-03-06 Voyage Medical, Inc. Electrophysiology mapping and visualization system
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
US9226648B2 (en) 2006-12-21 2016-01-05 Intuitive Surgical Operations, Inc. Off-axis visualization systems
US8657805B2 (en) 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
US8357145B2 (en) 2007-11-12 2013-01-22 Boston Scientific Neuromodulation Corporation Implanting medical devices
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998046123A1 (en) * 1997-04-11 1998-10-22 Imperial College Of Science, Technology And Medicine Anatomical probe
US6178346B1 (en) * 1998-10-23 2001-01-23 David C. Amundson Infrared endoscopic imaging in a liquid with suspended particles: method and apparatus
US6190353B1 (en) * 1995-10-13 2001-02-20 Transvascular, Inc. Methods and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6243131B1 (en) 1991-05-13 2001-06-05 Interactive Pictures Corporation Method for directly scanning a rectilinear imaging element using a non-linear scan
US5246014A (en) 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
WO1996040342A1 (en) 1995-06-07 1996-12-19 Cardima, Inc. Guiding catheter for coronary sinus
US5851226A (en) 1996-10-22 1998-12-22 Medtronic, Inc. Temporary transvenous endocardial lead
US6006137A (en) 1998-03-06 1999-12-21 Medtronic, Inc. Method for single elecrode bi-atrial pacing
US5902331A (en) 1998-03-10 1999-05-11 Medtronic, Inc. Arrangement for implanting an endocardial cardiac lead
US6204524B1 (en) 1999-07-14 2001-03-20 Micron Technology, Inc. CMOS imager with storage capacitor

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6190353B1 (en) * 1995-10-13 2001-02-20 Transvascular, Inc. Methods and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures
WO1998046123A1 (en) * 1997-04-11 1998-10-22 Imperial College Of Science, Technology And Medicine Anatomical probe
US6178346B1 (en) * 1998-10-23 2001-01-23 David C. Amundson Infrared endoscopic imaging in a liquid with suspended particles: method and apparatus

Also Published As

Publication number Publication date
EP1511426A2 (en) 2005-03-09
WO2003073942A2 (en) 2003-09-12
CA2467385A1 (en) 2003-09-12
JP2005518861A (en) 2005-06-30

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