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US6385472B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Magnetically navigable telescoping catheter and method of navigating telescoping catheter

Assignee: Stereotaxis Inc
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Filing: 1999-09-10
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Granted: 2002-05-07
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Expires: 2019-09-10
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Abstract

Abstract A magnetically navigable catheter includes a sheath having a proximal end and a distal end, and an extension member having a proximal end and a distal end, slidably mounted in the sheath so that the distal end portion of the extension member telescopes from the distal end of the sheath. The distal end portion of the extension member being relatively more flexible than the distal end of the sheath. There may be one or more electrodes on the distal end of the extension member. There is also at least one magnet, and preferably more than one magnet, on the distal end portion of the extension member to allow the distal end of extension member to be oriented by the application of an externally applied magnetic field. The catheter preferably also includes a sleeve, having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath, so that the sleeve can be selectively extended and retracted relative to the sheath, and the extension member can be selectively extended and retracted relative to the sleeve. According to the method of this invention, the distal end of the electrode catheter is introduced into the part of the body where the electrode will be used to contact the specific body structures, and the electrode is moved into contact with the body structure by applying an external magnetic field and selectively telescoping the extension member relative to the sheath to bring the electrode on the distal end of the extension member into contact with the specific body structure.

Inventors

  • 👤 Andrew F. Hall
  • 👤 Walter M. Blume

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-24 14:48
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/01; A61M25/0105; A61M25/0127; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1492; A61B5/00; A61B5/24; A61B5/25; A61B5/279; A61B5/28; A61B5/283; A61B5/287; A61B2018/00571; A61B2018/00577; A61B2018/00636; A61B2018/00773; A61B2018/00839; A61B18/1206; A61B2018/1246; A61B2018/1253; A61B2018/126; A61B2562/00; A61B2562/04; A61B2562/043; A61B5/06

Claims Analysis

Total Claims: 23
Claim 1
Independent Claim 181 words
A method of navigating the distal end of a catheter within the body into contact with specific body structures, the method comprising: providing a magnetically navigable catheter comprising a sheath having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sheath so that the distal end portion of the extension member telescopes from the distal end of the sheath, the distal end portion of the extension member being relatively more flexible than the distal end of the sheath; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable catheter into the part of the body where the distal end will be used to contact the specific body structures; moving the distal end into contact with a body structure by applying an external magnetic field and selectively telescoping extension member relative to the sheath to bring the electrode on the distal end of the extension member into contact with the specific body structure.
Claim 2
Independent Claim 181 words
A method of navigating the distal end of a catheter within the body into contact with specific body structures, the method comprising: providing a magnetically navigable catheter comprising a sheath having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sheath so that the distal end portion of the extension member telescopes from the distal end of the sheath, the distal end portion of the extension member being relatively more flexible than the distal end of the sheath; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable catheter into the part of the body where the distal end will be used to contact the specific body structures; moving the distal end into contact with a body structure by applying an external magnetic field and selectively telescoping extension member relative to the sheath to bring the electrode on the distal end of the extension member into contact with the specific body structure.
Claim 3
Dependent Claim 45 words
The method according to claim 1 wherein the catheter comprises an electrode on the distal end of the extension member, and wherein the step of moving the distal end into contact with a body structure comprises moving the electrode into contact with the body structure.
Claim 4
Dependent Claim 91 words
The method according to claim 1 wherein the magnetically navigable catheter further comprises a sleeve having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath, and the extension member being slidably mounted in the sleeve in the sheath, and wherein the step of moving the electrode into contact with the body includes selectively telescoping the extension member relative to the sleeve and the sleeve relative to the sheath.
Claim 5
Dependent Claim 36 words
The method according to claim 1 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member to stiffen the extension member.
Claim 6
Dependent Claim 44 words
The method according to claim 1 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a pre-shaped stylette into the lumen in the extension member to shape the extension member to facilitate navigation of the extension member.
Claim 7
Dependent Claim 40 words
The method according to claim 1 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member and pushing the stylette to push the extension member.
Claim 8
Dependent Claim 201 words
An magnetically navigable electrode catheter comprising: a sheath having a proximal end and a distal end; a sleeve having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath; an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and the distal end portion of the extension member comprises a hollow flexible tube with a plurality of magnets disposed therein to allow the distal end of extension member to be oriented by the application of an externally applied magnetic field the plurality of magnets being relatively closely spaced within the hollow flexible tube, but spaced proximally from the at least one electrode on the distal end to form a flex point in the extension member between the magnets and the at least one electrode.
Claim 9
Dependent Claim 201 words
An magnetically navigable electrode catheter comprising: a sheath having a proximal end and a distal end; a sleeve having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath; an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and the distal end portion of the extension member comprises a hollow flexible tube with a plurality of magnets disposed therein to allow the distal end of extension member to be oriented by the application of an externally applied magnetic field the plurality of magnets being relatively closely spaced within the hollow flexible tube, but spaced proximally from the at least one electrode on the distal end to form a flex point in the extension member between the magnets and the at least one electrode.
Claim 10
Dependent Claim 202 words
An magnetically navigable electrode catheter comprising: a sheath having a proximal end and a distal end; a sleeve having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath; an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and the distal end portion of the extension member comprises a hollow flexible tube with a plurality of magnets disposed therein to allow the distal end of extension member to be oriented by the application of an externally applied magnetic field the plurality of magnets being relatively closely spaced within the hollow flexible tube, and wherein the tube can telescope out of the sleeve beyond the most proximal of the magnets, to form a flex point in the extension member between the magnets and the sleeve.
Claim 11
Dependent Claim 202 words
An magnetically navigable electrode catheter comprising: a sheath having a proximal end and a distal end; a sleeve having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath; an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and the distal end portion of the extension member comprises a hollow flexible tube with a plurality of magnets disposed therein to allow the distal end of extension member to be oriented by the application of an externally applied magnetic field the plurality of magnets being relatively closely spaced within the hollow flexible tube, and wherein the tube can telescope out of the sleeve beyond the most proximal of the magnets, to form a flex point in the extension member between the magnets and the sleeve.
Claim 12
Independent Claim 191 words
A method of mapping the electrical characteristics of the left atrium of the heart comprising: providing a magnetically navigable electrode catheter comprising a sleeve having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable electrode catheter into left atrium; moving the electrode into contact with a selected point on the surface of the left atrium by applying an external magnetic field and selectively telescoping extension member relative to the sleeve to bring the electrode on the distal end of the extension member into contact with the specific point on the surface of the left atrium; measuring the electrical characteristics of the left atrium between the electrodes.
Claim 13
Independent Claim 191 words
A method of mapping the electrical characteristics of the left atrium of the heart comprising: providing a magnetically navigable electrode catheter comprising a sleeve having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable electrode catheter into left atrium; moving the electrode into contact with a selected point on the surface of the left atrium by applying an external magnetic field and selectively telescoping extension member relative to the sleeve to bring the electrode on the distal end of the extension member into contact with the specific point on the surface of the left atrium; measuring the electrical characteristics of the left atrium between the electrodes.
Claim 14
Dependent Claim 79 words
The method according to claim 9 wherein the magnetically navigable electrode catheter further comprises a sheath having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath, and wherein the step of moving the electrode into contact with a selected point on the surface of the left atrium includes selectively telescoping the sleeve relative to the sheath.
Claim 15
Dependent Claim 36 words
The method according to claim 9 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member to stiffen the extension member.
Claim 16
Dependent Claim 44 words
The method according to claim 9 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a pre-shaped stylette into the lumen in the extension member to shape the extension member to facilitate navigation of the extension member.
Claim 17
Dependent Claim 40 words
The method according to claim 9 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member and pushing the stylette to push the extension member.
Claim 18
Independent Claim 196 words
A method of therapeutically ablating tissue in the left atrium of the heart comprising: providing a magnetically navigable electrode catheter comprising a sleeve having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable electrode catheter into left atrium; moving the electrode into contact with a selected point on the surface of the left atrium by applying an external magnetic field and selectively telescoping extension member relative to the sleeve to bring the electrode on the distal end of the extension member into contact with the specific point on the surface of the left atrium; and applying an RF signal to the tissue in contact with the electrode to ablate the tissue.
Claim 19
Independent Claim 196 words
A method of therapeutically ablating tissue in the left atrium of the heart comprising: providing a magnetically navigable electrode catheter comprising a sleeve having a proximal end and a distal end, an extension member having a proximal end and a distal end, the extension member being slidably mounted in the sleeve so that the distal end portion telescopes from the distal end of the sleeve, the distal end portion of the extension member being relatively more flexible than the distal end of the sleeve; at least one electrode on the distal end of the extension member; and at least one magnet on the distal end portion of the extension member; introducing the distal end of the magnetically navigable electrode catheter into left atrium; moving the electrode into contact with a selected point on the surface of the left atrium by applying an external magnetic field and selectively telescoping extension member relative to the sleeve to bring the electrode on the distal end of the extension member into contact with the specific point on the surface of the left atrium; and applying an RF signal to the tissue in contact with the electrode to ablate the tissue.
Claim 20
Dependent Claim 79 words
The method according to claim 14 wherein the magnetically navigable electrode catheter further comprises a sheath having a proximal end and a distal end, the sleeve being slidably mounted in the sheath so that the distal end portion of the sleeve telescopes from the distal end of the sheath, and wherein the step of moving the electrode into contact with a selected point on the surface of the left atrium includes selectively telescoping the sleeve relative to the sheath.
Claim 21
Dependent Claim 36 words
The method according to claim 14 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member to stiffen the extension member.
Claim 22
Dependent Claim 44 words
The method according to claim 14 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a pre-shaped stylette into the lumen in the extension member to shape the extension member to facilitate navigation of the extension member.
Claim 23
Dependent Claim 40 words
The method according to claim 14 wherein the extension member has a lumen extending at least partly therethrough, the method comprising inserting a stylette into the lumen in the extension member and pushing the stylette to push the extension member.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2005-05-06 2005-11-05 2006-05-07 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2009-05-06 2009-11-05 2010-05-07 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2013-05-06 2013-11-05 2014-05-07 $7700.00 Window Closed / Lapsed

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