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US7875018B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Method for manipulating an adjustable shape guide catheter

Assignee: Cardiac Pacemakers Inc
•
Filing: 2004-12-30
•
Granted: 2011-01-25
•
Expires: 2024-12-30
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Abstract

Abstract A method of manipulating a catheter assembly involves providing an inner catheter member movably disposed within an outer catheter member. At least a distal end portion of the inner catheter member has a stiffness greater than that of at least a distal end portion of the outer catheter member. The distal end portion of the outer catheter member includes a deflectable distal end. The method further involves advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member, and longitudinally displacing the distal end portion of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end.

Inventors

  • 👤 Bruce Tockman
  • 👤 Randy Westlund

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 20:06
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/0021; A61M25/0041; A61M25/01; A61M25/0105; A61M25/0133; A61M25/0136

Claims Analysis

Total Claims: 22
Claim 1
Independent Claim 214 words
A method of manipulating a catheter assembly for accessing a coronary sinus ostium of a patient, the method comprising: disposing an inner catheter member within an outer catheter member, the inner catheter member and the outer catheter member forming at least a portion of the catheter assembly, the outer catheter having a first lumen and the inner catheter having a second lumen, at least a distal end portion of the inner catheter member having a stiffness greater than that of at least a distal end portion of the outer catheter member, the distal end portion of the outer catheter member having a flexible, deflectable distal end including regions of varying stiffness, and the inner catheter member having a distal tip; positioning the catheter assembly proximate the coronary sinus; rotatably advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member; longitudinally displacing the distal tip of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end of the outer catheter member; positioning a portion of the catheter assembly within the coronary sinus ostium of the patient; and delivering a cardiac lead through the first or second lumen into the coronary sinus.
Claim 2
Independent Claim 214 words
A method of manipulating a catheter assembly for accessing a coronary sinus ostium of a patient, the method comprising: disposing an inner catheter member within an outer catheter member, the inner catheter member and the outer catheter member forming at least a portion of the catheter assembly, the outer catheter having a first lumen and the inner catheter having a second lumen, at least a distal end portion of the inner catheter member having a stiffness greater than that of at least a distal end portion of the outer catheter member, the distal end portion of the outer catheter member having a flexible, deflectable distal end including regions of varying stiffness, and the inner catheter member having a distal tip; positioning the catheter assembly proximate the coronary sinus; rotatably advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member; longitudinally displacing the distal tip of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end of the outer catheter member; positioning a portion of the catheter assembly within the coronary sinus ostium of the patient; and delivering a cardiac lead through the first or second lumen into the coronary sinus.
Claim 3
Dependent Claim 29 words
The method of claim 1 , wherein at least one of rotatably advancing and longitudinally displacing is performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 4
Dependent Claim 27 words
The method of claim 1 , wherein each of rotatably advancing and longitudinally displacing is performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 5
Dependent Claim 28 words
The method of claim 1 , wherein each of rotatably advancing and longitudinally displacing is contemporaneously performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 6
Dependent Claim 39 words
The method of claim 1 , further comprising rotatably advancing a guide member through the inner catheter and relative to the deflectable distal end of the outer catheter member to further alter the shape of the deflectable distal end.
Claim 7
Dependent Claim 20 words
The method of claim 1 , wherein the distal end portion of the inner catheter member comprises a preformed curve.
Claim 8
Dependent Claim 20 words
The method of claim 1 , wherein the distal end portion of the outer catheter member comprises a preformed curve.
Claim 9
Dependent Claim 23 words
The method of claim 1 , wherein the distal end portions of the inner and outer catheter members respectively comprise a preformed curve.
Claim 10
Independent Claim 228 words
A method of manipulating a catheter assembly for accessing a coronary sinus ostium of a patient, the method comprising: providing an inner catheter member movably disposed within an outer catheter member, the inner catheter and the outer catheter together forming at least a portion of the catheter assembly, at least a distal end portion of the inner catheter member having a stiffness greater than that of at least a distal end portion of the outer catheter member, the distal end portion of the outer catheter member having a flexible, deflectable distal end including regions of varying stiffness, and the inner catheter member having a distal tip; advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member; altering a shape of the catheter assembly by at least one or both of: longitudinally displacing the distal tip of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end of the outer catheter member; and rotating the distal end portion of inner catheter member relative to the deflectable distal end of the outer catheter member in response to a torqueing force applied to a proximal end of the inner catheter member; and positioning a portion of the catheter assembly within the coronary sinus ostium of the patient.
Claim 11
Independent Claim 228 words
A method of manipulating a catheter assembly for accessing a coronary sinus ostium of a patient, the method comprising: providing an inner catheter member movably disposed within an outer catheter member, the inner catheter and the outer catheter together forming at least a portion of the catheter assembly, at least a distal end portion of the inner catheter member having a stiffness greater than that of at least a distal end portion of the outer catheter member, the distal end portion of the outer catheter member having a flexible, deflectable distal end including regions of varying stiffness, and the inner catheter member having a distal tip; advancing the inner catheter member through the outer catheter member toward the deflectable distal end of the outer catheter member; altering a shape of the catheter assembly by at least one or both of: longitudinally displacing the distal tip of the inner catheter member relative to the deflectable distal end of the outer catheter member to alter a shape of the deflectable distal end of the outer catheter member; and rotating the distal end portion of inner catheter member relative to the deflectable distal end of the outer catheter member in response to a torqueing force applied to a proximal end of the inner catheter member; and positioning a portion of the catheter assembly within the coronary sinus ostium of the patient.
Claim 12
Dependent Claim 24 words
The method of claim 9 , wherein advancing the inner catheter member comprises slidably advancing the inner catheter member through the outer catheter member.
Claim 13
Dependent Claim 24 words
The method of claim 9 , wherein advancing the inner catheter member comprises rotatably advancing the inner catheter member through the outer catheter member.
Claim 14
Dependent Claim 29 words
The method of claim 9 , wherein at least two of advancing, longitudinally displacing, and rotating are performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 15
Dependent Claim 25 words
The method of claim 9 , wherein advancing, longitudinally displacing, and rotating are performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 16
Dependent Claim 30 words
The method of claim 9 , wherein at least two of advancing, longitudinally displacing, and rotating are contemporaneously performable using single-handed manipulation at a proximal end of the catheter assembly.
Claim 17
Dependent Claim 51 words
The method of claim 9 , wherein at least one of longitudinally displacing the distal tip and rotating the distal end portion of the inner catheter member relative to the deflectable distal end of the outer catheter member facilitates alteration of the shape of the deflectable distal end in two dimensions.
Claim 18
Dependent Claim 47 words
The method of claim 9 , wherein longitudinally displacing the distal tip and rotating the distal end portion of the inner catheter member relative to the deflectable distal end of the outer catheter member facilitates alteration of the shape of the deflectable distal end in three dimensions.
Claim 19
Dependent Claim 38 words
The method of claim 9 , further comprising advancing a guide member through the inner catheter and relative to the deflectable distal end of the outer catheter member to further alter the shape of the deflectable distal end.
Claim 20
Dependent Claim 34 words
The method of claim 9 , wherein one or both of the distal end portion of the inner catheter member and the distal end portion of the outer catheter member comprises a preformed curve.
Claim 21
Independent Claim 183 words
A method of delivering a cardiac lead into a coronary sinus of a patient, the method comprising: disposing an inner catheter member within an outer catheter member, the outer catheter member having a proximal end, a flexible distal end having regions of varying stiffness, and a first lumen therein, the inner catheter member having a proximal end, a distal end, and a second lumen therein, the inner catheter member having a first length greater than a second length of the outer catheter member such that the distal end of the inner catheter member is capable of extending distally beyond the distal end of the outer catheter member, the inner and outer catheter members together forming a catheter assembly; positioning the catheter assembly proximate the coronary sinus ostium; altering a shape of at least the distal end of the outer catheter member by moving the inner catheter member within the lumen of the outer catheter member so as to position the catheter assembly within the coronary sinus ostium of the patient; and delivering a cardiac lead through the catheter assembly into the coronary sinus.
Claim 22
Independent Claim 183 words
A method of delivering a cardiac lead into a coronary sinus of a patient, the method comprising: disposing an inner catheter member within an outer catheter member, the outer catheter member having a proximal end, a flexible distal end having regions of varying stiffness, and a first lumen therein, the inner catheter member having a proximal end, a distal end, and a second lumen therein, the inner catheter member having a first length greater than a second length of the outer catheter member such that the distal end of the inner catheter member is capable of extending distally beyond the distal end of the outer catheter member, the inner and outer catheter members together forming a catheter assembly; positioning the catheter assembly proximate the coronary sinus ostium; altering a shape of at least the distal end of the outer catheter member by moving the inner catheter member within the lumen of the outer catheter member so as to position the catheter assembly within the coronary sinus ostium of the patient; and delivering a cardiac lead through the catheter assembly into the coronary sinus.

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