Method for transvenous implantation of objects into the pericardial space of patients

• US 4,884,567 A
• Filed: 12/03/1987
• Issued: 12/05/1989
• Est. Priority Date: 12/03/1987
• Status: Expired due to Fees

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories), Dimed, Inc.
• Original Assignee: Siemens Pacesetter, Inc. (Abbott Laboratories), Dimed, Inc.
• Inventors: Cohen, Donald M., Elliott, Clyde D.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Zele, John D.
• Application Number:
  US07/128,326
• Time in Patent Office: 733 Days
• Field of Search: 128/419 P, 128/419 D, 128/785, 128/786, 128/303 R, 128/334 R, 128/334 L, 604/51, 604/52
• US Class Current: 606/126
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

The improved transvenous implantation method of the present invention involves entering a vein of a patient, translating through the vein to the patient'"'"'s cardium atrium, anchoring onto the atrial lateral wall, puncturing the atrial lateral wall and forming a hole therein, exiting the atrium through the hole to the pericardial space and inserting the object into the pericardial space. The present invention also includes a method for the transvenous repair of a wound in the atrial lateral wall.

Claims

1. In a patient, a method for the transvenous implantation of a device through a vein having a lumen into a pericardial space surrounding a cardium having an atrium and an atrial lateral wall comprising:

entering the vein;

translating through the vein lumen to the atrium;

anchoring onto the atrial lateral wall;

puncturing the atrial lateral wall and forming a hole therein;

exiting the atrium through the hole to the pericardial space; and

inserting the device into the pericardial space.

2. The method of claim 1, wherein the anchoring is performed with a fixation catheter having an anchoring screw on the catheter.

3. The method of claim 1, wherein the anchoring is performed with a suction catheter.

4. The method of claim 1, wherein the anchoring is performed with a bioptome catheter.

5. The method of claim 1, wherein the puncturing is performed with a wire.

6. The method of claim 5, wherein the wire is a J-tip guide wire.

7. The method of claim 6, wherein the puncturing includes advancing the guide wire while simultaneously withdrawing the catheter.

8. The method of claim 1, wherein the puncturing further includes dilating the hole.

9. The method of claim 8, wherein the dilating is performed with a dilator advanced over a guide wire.

10. The method of claim 9, wherein the dilating is performed with a strippable sheath catheter over the dilator.

11. The method of claim 1, wherein the inserting is performed by advancing the device along a guide wire.

12. The method of claim 11, wherein the inserting further includes retracting the guide wire after advancing the device to a desired location within the pericardial space.

13. The method recited in claim 1 further comprising injecting fluid into the pericardial space after the inserting so as to expand the pericardial space.

14. In a patient, a method for the transvenous repair of a wound in the atrial lateral wall of a patient, through a vein having a lumen comprising:

entering the vein;

translating through the vein lumen to an atrium of the patient'"'"'s cardium with a catheter;

anchoring the catheter onto the atrial lateral wall over the wound;

translating a blood clot through the catheter to the wound;

compressing the blood clot into the wound; and

removing the catheter.