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1. (WO2006060586) METHODS AND SYSTEMS FOR ACCESSING THE PERICARDIAL SPACE
Latest bibliographic data on file with the International Bureau

Pub. No.: WO/2006/060586 International Application No.: PCT/US2005/043489
Publication Date: 08.06.2006 International Filing Date: 01.12.2005
IPC:
A61B 17/00 (2006.01) ,A61M 25/01 (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
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
Applicants:
MEDTRONIC, INC. [US/US]; MS LC340 710 Medtronic Parkway Minneapolis, Minnesota 55432, US (AllExceptUS)
MORRIS, Mary, M. [US/US]; US (UsOnly)
GARDESKI, Kenneth, J. [US/US]; US (UsOnly)
UJHELYI, Michael, R. [US/US]; US (UsOnly)
LECKRONE, Michael, E. [US/US]; US (UsOnly)
Inventors:
MORRIS, Mary, M.; US
GARDESKI, Kenneth, J.; US
UJHELYI, Michael, R.; US
LECKRONE, Michael, E.; US
Agent:
SOLDNER, Michael,; MS LC340 710 Medtronic Parkway Minneapolis, Minnesota 55432 , US
Priority Data:
11/000,53901.12.2004US
Title (EN) METHODS AND SYSTEMS FOR ACCESSING THE PERICARDIAL SPACE
(FR) PROCEDES ET SYSTEMES POUR ACCEDER A L'ESPACE PERICARDIQUE
Abstract:
(EN) Methods and systems for transvenously accessing the pericardial space via the vascular system and atrial wall, particularly through the superior vena cava and right atrial wall, to deliver treatment in the pericardial space are disclosed. A steerable instrument is advanced transvenously into the right atrium of the heart, and a distal segment is deflected into the right atrial appendage. A fixation catheter is advanced employing the steerable instrument to affix a distal fixation mechanism to the atrial wall. A distal segment of an elongated medical device, e.g., a therapeutic catheter or an electrical medical lead, is advanced through the fixation catheter lumen, through the atrial wall, and into the pericardial space. The steerable guide catheter is removed, and the elongated medical device is coupled to an implantable medical device subcutaneously implanted in the thoracic region. The fixation catheter may be left in place.
(FR) L'invention concerne des procédés et des systèmes pour accéder intraveineusement à l'espace péricardique par le système vasculaire et la paroi auriculaire, tout particulièrement à travers la veine cave supérieure et la paroi auriculaire droite, pour administrer un traitement dans l'espace péricardique. Un instrument orientable est avancé intraveineusement dans l'oreillette droite du coeur, et un segment distal se courbe en arc dans l'auricule cardiaque droit. Un cathéter de fixation est avancé en employant l'instrument orientable pour attacher un mécanisme de fixation distal sur la paroi auriculaire. Un segment distal d'un dispositif médical allongé, par ex. un cathéter thérapeutique ou un fil médical électrique, est avancé à travers la lumière du cathéter de fixation, à travers la paroi auriculaire, et dans l'espace péricardique. Le cathéter orientable est enlevé, et le dispositif médical allongé est accouplé à un dispositif médical implantable sous la peau dans la région thoracique. Le cathéter de fixation peut être laissé en place.
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Designated States: AE, AG, AL, AM, AT, AU, AZ, BA, BB, BG, BR, BW, BY, BZ, CA, CH, CN, CO, CR, CU, CZ, DE, DK, DM, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, KR, KZ, LC, LK, LR, LS, LT, LU, LV, LY, MA, MD, MG, MK, MN, MW, MX, MZ, NA, NG, NI, NO, NZ, OM, PG, PH, PL, PT, RO, RU, SC, SD, SE, SG, SK, SL, SM, SY, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, YU, ZA, ZM, ZW
African Regional Intellectual Property Organization (ARIPO) (BW, GH, GM, KE, LS, MW, MZ, NA, SD, SL, SZ, TZ, UG, ZM, ZW)
Eurasian Patent Organization (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM)
European Patent Office (AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HU, IE, IS, IT, LT, LU, LV, MC, NL, PL, PT, RO, SE, SI, SK, TR)
African Intellectual Property Organization (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, GW, ML, MR, NE, SN, TD, TG)
Publication Language: English (EN)
Filing Language: English (EN)