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US5868733A Expired / Lapsed US ⏱️ 0.0 years remaining

Guiding introducer system for use in the treatment of accessory pathways around the mitral valve using a retrograde approach

Assignee: St Jude Medical Atrial Fibrillation Division Inc
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Filing: 1995-04-14
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Granted: 1999-02-09
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Expires: 2015-04-14
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Abstract

Abstract A process for the mapping and/or ablating of accessory pathways around the mitral valve using a retrograde approach by use of ablating and/or mapping catheters guided by a guiding introducer system. Also disclosed are shapes for an inner and outer guiding introducers which comprise the guiding introducer system.

Inventors

  • 👤 John D. Ockuly
  • 👤 James A. Hassett

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 14:39
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/0021; A61M25/0041; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/057; A61M25/01; A61M25/0105; A61M25/0133; A61M25/06; A61M25/0662

Claims Analysis

Total Claims: 30
Claim 1
Independent Claim 157 words
A process for ablating and mapping accessory pathways around the mitral valve of the left ventricle of the heart comprising (a) introducing into the left ventricle a guiding introducer system, comprising a precurved inner and a precurved outer guiding introducer, wherein each guiding introducer contains a lumen running lengthwise therethrough, a proximal and a distal end; (b) introducing the inner guiding introducer into the lumen of the outer guiding introducer; (c) introducing into the lumen of the inner guiding introducer an ablating and mapping catheter containing a proximal and a distal end, wherein said catheter has one or more electrodes located near the distal end of the catheter, (d) guiding the catheter to a selected location about the mitral valve of the heart on the ventricular side by use of the guiding introducer system, and (e) mapping and ablating the selected location about the mitral valve of the heart by use of the electrodes of the catheter.
Claim 2
Dependent Claim 157 words
A process for ablating and mapping accessory pathways around the mitral valve of the left ventricle of the heart comprising (a) introducing into the left ventricle a guiding introducer system, comprising a precurved inner and a precurved outer guiding introducer, wherein each guiding introducer contains a lumen running lengthwise therethrough, a proximal and a distal end; (b) introducing the inner guiding introducer into the lumen of the outer guiding introducer; (c) introducing into the lumen of the inner guiding introducer an ablating and mapping catheter containing a proximal and a distal end, wherein said catheter has one or more electrodes located near the distal end of the catheter, (d) guiding the catheter to a selected location about the mitral valve of the heart on the ventricular side by use of the guiding introducer system, and (e) mapping and ablating the selected location about the mitral valve of the heart by use of the electrodes of the catheter.
Claim 3
Dependent Claim 37 words
The process of claim 1 wherein the ablating utilizes one of the following sources of energy: direct current, including high energy direct current, low energy direct current or fulgutronization procedures, microwave, ultrasound, laser procedures, and radio frequency.
Claim 4
Dependent Claim 14 words
The process of claim 2 wherein the ablating is performed utilizing radio frequency energy.
Claim 5
Dependent Claim 18 words
The process of claim 1 wherein the inner guiding introducer is comprised of a first and second sections.
Claim 6
Dependent Claim 45 words
The process of claim 4 wherein the first section of the inner guiding introducer is an elongated, hollow, generally straight section of sufficient length for introduction into the patient and for manipulation from the point of insertion through to a desired location within the heart.
Claim 7
Dependent Claim 42 words
The process of claim 4 wherein the second section of the inner guiding introducer is a generally curved section with an overall radius of about 0.5 in. to about 1.5 in., and an overall arc from about 45 to about 135 degrees.
Claim 8
Dependent Claim 40 words
The process of claim 4 wherein the second section of the inner guiding introducer is a generally curved section with a radius from about 0.8 in. to about 1.2 in. and an arc from about 60 to about 120 degrees.
Claim 9
Dependent Claim 42 words
The process of claim 4 wherein the second section of the inner guiding introducer is a curved section with an overall arc, comprising a curved portion, wherein the overall arc of the curved section is from about 45 to about 135 degrees.
Claim 10
Dependent Claim 20 words
The process of claim 8 wherein the inner guiding introducer also includes a straight portion incorporated with the curved portion.
Claim 11
Dependent Claim 17 words
The process of claim 1 wherein the outer guiding introducer is comprised of first and second sections.
Claim 12
Dependent Claim 45 words
The process of claim 10 wherein the first section of the outer guiding introducer is an elongated, hollow, generally straight section of sufficient length for introduction into the patient and for manipulation from the point of insertion through to a desired location within the heart.
Claim 13
Dependent Claim 42 words
The process of claim 10 wherein the second section of the outer guiding introducer is a generally curved section with an overall radius of about 1.0 in. to about 2.0 in. and an overall arc from about 135 to about 225 degrees.
Claim 14
Dependent Claim 39 words
The process of claim 10 wherein the second section of the outer guiding introducer is a curved section with a radius of about 1.3 in. to about 1.7 in. and an arc from about 160 to about 200 degrees.
Claim 15
Dependent Claim 38 words
The process of claim 10 wherein the second section of the outer guiding introducer is a curved section with an overall arc, comprising a curved portion, wherein the overall arc is from about 135 to about 225 degrees.
Claim 16
Dependent Claim 15 words
The process of claim 14 wherein the outer guiding introducer also includes a straight portion.
Claim 17
Dependent Claim 53 words
A guiding introducer system for use with an ablating catheter for ablating and mapping accessory pathways around the mitral valve of the left ventricle of the heart comprising a precurved inner and a precurved other guiding introducer, wherein each guiding introducer contains a lumen running lengthwise therethrough, a proximal and a distal end.
Claim 18
Dependent Claim 53 words
A guiding introducer system for use with an ablating catheter for ablating and mapping accessory pathways around the mitral valve of the left ventricle of the heart comprising a precurved inner and a precurved other guiding introducer, wherein each guiding introducer contains a lumen running lengthwise therethrough, a proximal and a distal end.
Claim 19
Dependent Claim 17 words
The guiding introducer section of claim 16 wherein the inner guiding introducer comprises first and second sections.
Claim 20
Dependent Claim 46 words
The guiding introducer of claim 17 wherein the first section of the inner guiding introducer is an elongated, hollow, generally straight section of sufficient length for introduction into the patient and for manipulation from the point of insertion through to a desired location within the heart.
Claim 21
Dependent Claim 39 words
The guiding introducer system of claim 17 wherein the second section is a generally curved section with an overall radius of about 0.5 in. to about 1.5 in., and an overall arc from about 45 to about 135 degrees.
Claim 22
Dependent Claim 39 words
The guiding introducer system of claim 17 wherein the second section comprises a generally curved section with an overall radius of about 0.8 in. to about 1.2 in., and an overall arc from about 60 to about 120 degrees.
Claim 23
Dependent Claim 35 words
The guiding introducer of claim 17 wherein the second section is a curved section with an overall arc, comprising an individual curved portion, wherein the overall arc is from about 45 to about 135 degrees.
Claim 24
Dependent Claim 16 words
The guiding introducer of claim 21 wherein a straight portion is included with the curved portion.
Claim 25
Dependent Claim 20 words
The guiding introducer system of claim 16 wherein the outer guiding introducer is comprised of a first and second sections.
Claim 26
Dependent Claim 47 words
The guiding introducer system of claim 23 wherein the first section of the outer guiding introducer is an elongated, hollow, generally straight section of sufficient length for introduction into the patient and for manipulation from the point of insertion through to a desired location within the heart.
Claim 27
Dependent Claim 44 words
The guiding introducer system of claim 23 wherein the second section of the outer guiding introducer is a generally curved section with an overall radius of about 1.0 in. to about 2.0 in. and an overall arc from about 135 to about 225 degrees.
Claim 28
Dependent Claim 43 words
The guiding introducer system of claim 23 wherein the second section of the outer guiding introducer is a generally curved section with a radius of about 1.3 in. to about 1.7 in. and an overall arc from about 160 to about 200 degrees.
Claim 29
Dependent Claim 41 words
The guiding introducer system of claim 23 wherein the second section of the guiding introducer comprises a generally curved section with an overall arc, comprising an individual curved portion, wherein the overall arc is from about 135 to about 225 degrees.
Claim 30
Dependent Claim 17 words
The guiding introducer system of claim 27 wherein a straight portion is combined with the curved portion.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-02-08 2002-08-10 2003-02-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-02-08 2006-08-10 2007-02-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-02-08 2010-08-10 2011-02-09 $7700.00 Window Closed / Lapsed

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