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1. (WO1998048881) METHOD FOR TRANSVENOUSLY ACCESSING THE PERICARDIAL SPACE VIA THE RIGHT ATRIUM
Latest bibliographic data on file with the International Bureau

Pub. No.: WO/1998/048881 International Application No.: PCT/US1998/008653
Publication Date: 05.11.1998 International Filing Date: 30.04.1998
Chapter 2 Demand Filed: 30.11.1998
IPC:
A61B 17/00 (2006.01) ,A61B 17/22 (2006.01) ,A61B 17/34 (2006.01) ,A61M 25/00 (2006.01) ,A61M 25/01 (2006.01) ,A61M 25/06 (2006.01) ,A61N 1/05 (2006.01)
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
B
DIAGNOSIS; SURGERY; IDENTIFICATION
17
Surgical instruments, devices or methods, e.g. tourniquets
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
B
DIAGNOSIS; SURGERY; IDENTIFICATION
17
Surgical instruments, devices or methods, e.g. tourniquets
22
Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
B
DIAGNOSIS; SURGERY; IDENTIFICATION
17
Surgical instruments, devices or methods, e.g. tourniquets
34
Trocars; Puncturing needles
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
M
DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
25
Catheters; Hollow probes
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
M
DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
25
Catheters; Hollow probes
01
Introducing, guiding, advancing, emplacing or holding catheters
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
M
DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
25
Catheters; Hollow probes
01
Introducing, guiding, advancing, emplacing or holding catheters
06
Body-piercing guide needles or the like
A HUMAN NECESSITIES
61
MEDICAL OR VETERINARY SCIENCE; HYGIENE
N
ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
1
Electrotherapy; Circuits therefor
02
Details
04
Electrodes
05
for implantation or insertion into the body, e.g. heart electrode
Applicants:
BETH ISRAEL DEACONESS MEDICAL CENTER, INC. [US/US]; 330 Brookline Avenue Boston, MA 02215, US
Inventors:
WAXMAN, Sergio; US
VERRIER, Richard, L.; US
Agent:
RAY, Michael, B. ; Sterne, Kessler, Goldstein & Fox P.L.L.C. Suite 600 1100 New York Avenue, N.W. Washington, DC 20005-3934, US
Priority Data:
08/841,34430.04.1997US
Title (EN) METHOD FOR TRANSVENOUSLY ACCESSING THE PERICARDIAL SPACE VIA THE RIGHT ATRIUM
(FR) PROCEDE D'ACCES TRANSVEINEUX A L'ESPACE PERICARDIQUE VIA L'OREILLETTE DROITE
Abstract:
(EN) A method for placing various types of catheters into the pericardial space takes advantage of the fact that the right auricle is a thin walled, low-pressure structure which can be readily penetrated without damaging the pericardium or the epicardium. A guide catheter (401) is passed through a selected peripheral vein to establish a trans-venous route to the right auricle of the heart. A needle catheter (401) is then passe through guide catheter and into the right auricle so that a distal end of the needle catheter (402) is positioned against a wall of the right auricle. The wall of the right auricle is than pierced with the needle catheter (402). A guide wire (403) is advanced through the needle catheter and into the pericardial space. Once in position the guide wire (403) can be used as a conduit over which a desired catheter may be introduced for performing a specific medical procedure.
(FR) La présente invention concerne un procédé permettant de placer divers types de cathéters dans l'espace péricardique. Ledit procédé est basé sur le fait que l'oreillette droite constitue une structure à paroi mince et à faible pression dans laquelle on peut pénétrer sans endommager le péricarde ou l'épicarde. On introduit un cathéter guide (401) à travers une veine périphérique choisie afin d'établir un parcours transveineux jusqu'à l'oreillette droite du coeur. On introduit ensuite un cathéter à aiguille (402) à travers le cathéter guide jusque dans l'oreillette droite de manière que l'extrémité distale du cathéter à aiguille (402) est placée contre une paroi de l'oreillette droite. On perce alors la paroi de l'oreillette droite à l'aide du cathéter à aiguille (402). On fait avancer un guide métallique (403) à travers le cathéter à aiguille jusque dans l'espace péricardique. Une fois le guide métallique (403) mis en place, on peut l'utiliser comme un conduit sur lequel on introduit un cathéter désiré afin d'effectuer une procédure médicale déterminée.
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Designated States: AU, CA, JP
European Patent Office (AT, BE, CH, CY, DE, DK, ES, FI, FR, GB, GR, IE, IT, LU, MC, NL, PT, SE)
Publication Language: English (EN)
Filing Language: English (EN)
Also published as:
EP0981384CA2287966AU1998072665