Devices and methods for treating cardiac pathologies
First Claim
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1. A catheter system for positioning an intrapericardial electrical catheter against a site upon the surface of a mammalian heart, the mammalian heart having an inner surface and an outer surface defining a wall, the catheter system comprising:
- a first tube, the first tube having a proximal end and a distal end, and defining a first lumen within the longitudinal axis of the first tube, an attaching means having a proximal end and a distal end, wherein the proximal end of the attaching means is affixed to the first tube at or near the distal end of the first tube and the distal end of the attaching means is adapted for attaching the first tube to the wall of the mammalian heart, a second tube, the second tube having a distal end adapted to puncture the wall of the mammalian organ and having a proximal end, wherein the second tube is adapted for placement within the first lumen, and an intrapericardial electrical catheter having a distal end and a proximal end, defining a second lumen within the longitudinal axis of the intrapericardial electrical catheter, wherein the intrapericardial electrical catheter is adapted for insertion through the first lumen, and wherein the distal end of the intrapericardial electrical catheter is shaped and adapted for placement against a site upon the surface of the mammalian heart.
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Abstract
The invention relates to heart treatment devices and methods for performing diagnostic or therapeutic procedures in the region between a bodily organ and a covering of the bodily organ. The invention can be used for example to perform a diagnostic or therapeutic procedure in the pericardial space.
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Citations
26 Claims
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1. A catheter system for positioning an intrapericardial electrical catheter against a site upon the surface of a mammalian heart, the mammalian heart having an inner surface and an outer surface defining a wall, the catheter system comprising:
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a first tube, the first tube having a proximal end and a distal end, and defining a first lumen within the longitudinal axis of the first tube, an attaching means having a proximal end and a distal end, wherein the proximal end of the attaching means is affixed to the first tube at or near the distal end of the first tube and the distal end of the attaching means is adapted for attaching the first tube to the wall of the mammalian heart, a second tube, the second tube having a distal end adapted to puncture the wall of the mammalian organ and having a proximal end, wherein the second tube is adapted for placement within the first lumen, and an intrapericardial electrical catheter having a distal end and a proximal end, defining a second lumen within the longitudinal axis of the intrapericardial electrical catheter, wherein the intrapericardial electrical catheter is adapted for insertion through the first lumen, and wherein the distal end of the intrapericardial electrical catheter is shaped and adapted for placement against a site upon the surface of the mammalian heart. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A system for diagnosing, preventing or treating a cardiac pathology by perforating through a cardiac tissue and placing a medical device or fluid in a heart chamber comprising:
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a) an elongated, tubular delivery device having a delivery device lumen extending from a delivery device proximal region to a delivery device distal region and a distal fixation mechanism at the delivery device distal region adapted to be advanced into the heart and fixed to a selected site on the heart wall;
b) an elongated perforating device having an perforating device distal tip adapted to be advanced through the delivery device lumen and perforate through the cardiac tissue into the heart chamber to form a perforation; and
c) an elongate medical device for diagnosing, preventing or treating a cardiac pathology to be advanced through the perforation into the heart chamber. - View Dependent Claims (23)
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24. A system for diagnosing, preventing or treating a cardiac pathology by perforating through a thoracic vascular tissue and placing a medical device or fluid in a heart chamber comprising:
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a) an elongated, tubular delivery device having a delivery device lumen extending from a delivery device proximal region to a delivery device distal region;
b) an elongated perforating device having an perforating device distal tip adapted to be advanced through the delivery device lumen and perforate through the thoracic vascular tissue into the heart chamber to form a perforation; and
c) an elongate medical device for diagnosing, preventing or treating a cardiac pathology to be advanced through the perforation into the heart chamber. - View Dependent Claims (25)
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26. A system for delivering electrical energy to multiple cardiac locations by perforating through a cardiac tissue and placing a medical device comprising:
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a) an elongated, tubular delivery device having a delivery device lumen extending from a delivery device proximal region to a delivery device distal region;
b) an elongated perforating device having an perforating device distal tip adapted to be advanced through the delivery device lumen and perforate through the cardiac tissue into the pericardial space to form a perforation; and
c) an elongate medical device for delivering electrical energy to multiple cardiac locations to be advanced through the perforation into the pericardial space, wherein the elongate medical device comprises two or more distal electrodes for delivering electrical energy and two or more proximal electrodes for delivering electrical energy.
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Specification