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US6755812B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Deflectable telescoping guide catheter

Assignee: Cardiac Pacemakers Inc
•
Filing: 2001-12-11
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Granted: 2004-06-29
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Expires: 2021-12-11
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Abstract

Abstract A catheter employs an inner guide with a pre-formed distal tip, an outer guide with a predetermined deflection location, and a proximal actuator. The inner guide can be longitudinally extended and axially rotated relative to the outer guide. The proximal actuator can adjustably change a bend angle of the predetermined deflection location. The catheter can be deployed with the inner guide retracted inside the distal end of the outer catheter. The extensible and rotatable inner catheter can be combined with the adjustable bend angle of the outer guide to provide an improved system for accessing and cannulating venous structures.

Inventors

  • 👤 Charles R. Peterson
  • 👤 Frank E. Manning

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-26 14:43
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/01; A61M25/0105; A61M25/0133; A61M25/0147; A61M25/0021; A61M25/0041; A61M25/0152; A61M2025/0161

Claims Analysis

Total Claims: 26
Claim 1
Independent Claim 139 words
A catheter, including: an outer guide including an outer guide lumen, a distal end, a proximal end, and a predetermined deflection location proximate the distal end; an occlusion balloon affixed to the distal end of the outer guide; an inner guide including an inner guide lumen, a pre-formed distal end, and a proximal end, the inner guide movable within the outer guide lumen and displaceable beyond the distal end of the outer guide; and an actuator mechanism located at a proximal end of the catheter, the actuator mechanism changing a bend angle at the predetermined deflection location of the outer guide, and the proximal end of the inner guide accessible at the proximal end of the catheter allowing adjustable axial displacement of the pre-formed distal end of the inner guide relative to the distal end of the outer guide.
Claim 2
Dependent Claim 139 words
A catheter, including: an outer guide including an outer guide lumen, a distal end, a proximal end, and a predetermined deflection location proximate the distal end; an occlusion balloon affixed to the distal end of the outer guide; an inner guide including an inner guide lumen, a pre-formed distal end, and a proximal end, the inner guide movable within the outer guide lumen and displaceable beyond the distal end of the outer guide; and an actuator mechanism located at a proximal end of the catheter, the actuator mechanism changing a bend angle at the predetermined deflection location of the outer guide, and the proximal end of the inner guide accessible at the proximal end of the catheter allowing adjustable axial displacement of the pre-formed distal end of the inner guide relative to the distal end of the outer guide.
Claim 3
Dependent Claim 28 words
A catheter according to claim 1 , wherein at least 2 centimeters of the inner guide can be axially displaced beyond the distal end of the outer guide.
Claim 4
Dependent Claim 33 words
A catheter according to claim 1 , wherein the inner guide can be axially displaceable beyond the distal end of the outer guide within a range of 0 centimeters and about 20 centimeters.
Claim 5
Dependent Claim 33 words
A catheter according to claim 1 , wherein the pre-formed distal end of the inner guide is deformable such that the inner guide is retractable within the distal end of the outer guide.
Claim 6
Dependent Claim 28 words
A catheter according to claim 1 , wherein the bend angle is defined relative to a longitudinal axis of the outer guide proximal to the predetermined deflection location.
Claim 7
Dependent Claim 29 words
A catheter according to claim 5 , wherein the bend angle is adjustable from a minimum angle of about 0 degrees to a maximum angle of about 150 degrees.
Claim 8
Dependent Claim 29 words
A catheter according to claim 1 , wherein a bend radius of the predetermined deflection location is greater than about six times an outer diameter of the outer guide.
Claim 9
Dependent Claim 40 words
A catheter according to claim 1 , wherein axial forces exerted on the proximal end of the inner guide respectively extend and retract the pre-formed distal end of the inner guide relative to the distal end of the outer guide.
Claim 10
Dependent Claim 25 words
A catheter according to claim 1 , further including at least one steering tendon connected to the inner guide proximate to the pre-formed distal end.
Claim 11
Dependent Claim 40 words
A catheter according to claim 9 , wherein the actuator mechanism produces a tensile force acting on the at least one steering tendon to impart a change in the bend angle at the predetermined deflection location of the outer guide.
Claim 12
Dependent Claim 24 words
A catheter according to claim 1 , further including at least one steering tendon connected to the outer guide proximate to the distal end.
Claim 13
Dependent Claim 40 words
A catheter according to claim 11 , wherein the actuator mechanism produces a tensile force acting on the at least one steering tendon to impart a change in the bend angle at the predetermined deflection location of the outer guide.
Claim 14
Dependent Claim 30 words
A catheter according to claim 1 , wherein an axial rotational force imparted on the proximal end of the outer guide rotates the pre-formed distal end of the inner guide.
Claim 15
Dependent Claim 23 words
A catheter according to claim 1 , wherein one of the inner guide and outer guide is configured to transport an injectable dye.
Claim 16
Dependent Claim 19 words
A catheter according to claim 1 , further including a seal between the inner guide and the outer guide.
Claim 17
Dependent Claim 52 words
A catheter according to claim 1 , further including: an electrode located at distal end of at least one of the inner guide and outer guide; and an electrical conductor coupled to the electrode, the electrical conductor extending through the inner guide or outer guide to a proximal section of the catheter.
Claim 18
Dependent Claim 61 words
A catheter according to claim 1 , further including: a plurality of band electrodes disposed at a distal section of at least one of the inner and outer guides; and at least one electrical conductor connected to the band electrodes, the at least one electrical conductor extending through the inner guide or outer guide to a proximal section of the catheter.
Claim 19
Dependent Claim 158 words
A catheter, comprising: an outer guide including an outer guide lumen, a distal end, a proximal end, and a predetermined deflection location proximate the distal end; an occlusion balloon affixed to the distal end of the outer guide; an inner guide, the inner guide movable within the outer guide lumen and displaceable beyond the distal end of the outer guide, the inner guide comprising: an inner guide lumen, the inner guide lumen dimensioned to receive a cardiac lead; a distal end having a pre-formed deflection proximate the distal end; and a proximal end; and an actuator mechanism located at a proximal end of the catheter, the actuator mechanism changing a bend angle at the predetermined deflection location of the outer guide, and the proximal end of the inner guide accessible at the proximal end of the catheter allowing adjustable axial displacement of the distal end of the inner guide relative to the distal end of the outer guide.
Claim 20
Dependent Claim 158 words
A catheter, comprising: an outer guide including an outer guide lumen, a distal end, a proximal end, and a predetermined deflection location proximate the distal end; an occlusion balloon affixed to the distal end of the outer guide; an inner guide, the inner guide movable within the outer guide lumen and displaceable beyond the distal end of the outer guide, the inner guide comprising: an inner guide lumen, the inner guide lumen dimensioned to receive a cardiac lead; a distal end having a pre-formed deflection proximate the distal end; and a proximal end; and an actuator mechanism located at a proximal end of the catheter, the actuator mechanism changing a bend angle at the predetermined deflection location of the outer guide, and the proximal end of the inner guide accessible at the proximal end of the catheter allowing adjustable axial displacement of the distal end of the inner guide relative to the distal end of the outer guide.
Claim 21
Dependent Claim 31 words
The catheter of claim 18 , wherein the inner guide lumen is dimensioned to receive a cardiac lead configured for implantation in a coronary sinus of a heart of a patient.
Claim 22
Dependent Claim 32 words
The catheter of claim 18 , wherein the inner guide lumen is dimensioned to receive a cardiac pacing lead configured for implantation in a coronary sinus of a heart of a patient.
Claim 23
Dependent Claim 33 words
A catheter according to claim 18 , wherein the pre-formed distal end of the inner guide is deformable such that the inner guide is retractable within the distal end of the outer guide.
Claim 24
Dependent Claim 50 words
A catheter according to claim 18 , wherein the bend angle is defined relative to a longitudinal axis of the outer guide proximal to the predetermined deflection location, wherein the bend angle is adjustable from a minimum angle of about 0 degrees to a maximum angle of about 150 degrees.
Claim 25
Dependent Claim 24 words
A catheter according to claim 18 , further including at least one steering tendon connected to the outer guide proximate to the distal end.
Claim 26
Dependent Claim 40 words
A catheter according to claim 23 , wherein the actuator mechanism produces a tensile force acting on the at least one steering tendon to impart a change in the bend angle at the predetermined deflection location of the outer guide.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2007-06-29 2007-12-29 2008-06-29 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2011-06-29 2011-12-29 2012-06-29 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2015-06-29 2015-12-29 2016-06-29 $7700.00 Window Closed / Lapsed

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