JP5917487B2 - 高周波エネルギーを用いた閉塞した血管の再疎通 - Google Patents
高周波エネルギーを用いた閉塞した血管の再疎通 Download PDFInfo
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- JP5917487B2 JP5917487B2 JP2013502905A JP2013502905A JP5917487B2 JP 5917487 B2 JP5917487 B2 JP 5917487B2 JP 2013502905 A JP2013502905 A JP 2013502905A JP 2013502905 A JP2013502905 A JP 2013502905A JP 5917487 B2 JP5917487 B2 JP 5917487B2
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Description
本願は、2010年4月2日に出願され、発明の名称が「高周波エネルギーを用いた閉塞した血管の再疎通」である米国特許出願第12/753,844号の優先権を主張する。米国特許出願第12/753,844号は、2010年3月26に出願され、発明の名称が「高周波エネルギーを用いた閉塞した血管の再疎通」であり、米国特許法第371条によって国内段階へ移行した出願である米国特許出願第12/680,500号の一部継続出願である。米国特許出願第12/680,500号は、2008年9月23日に出願されたPCT特許出願PCT/US2008/077403号の優先権を主張している。PCT特許出願PCT/US2008/077403号は、2007年9月27日に出願された米国仮特許出願第60/975,473号の優先権の利益を主張する。米国特許出願第12/753,844号はまた、2010年1月26日に出願され、発明の名称が「高周波エネルギーを用いた閉塞した血管の再疎通」である米国仮特許出願第61/298,547号の優先権を主張する。
20 ピグテール
30 コネクター
100a 長手方向部材
100b 長手方向部材
105a 伝導性電極
110a 温度測定要素
115a 非伝導層
105b 電極
110b 温度測定要素
115b 非伝導層
200 ガイドワイヤ
210 電極
220 電気伝導性リボン
230 インシュレータ
330 電極領域
340 インシュレータ領域
400 長手方向部材
410 塞栓防止機構
500 長手方向部材
501 らせん状外面
502 溝
510 マーカー
520 電極
550 長手方向部材
551 ワイヤ
552 ワイヤ
555 ライナー
560 絶縁シース
570 マーカー
580 電極
610 第1長手方向部材
620 第2長手方向部材。
1110 バルーンカテーテル
1120 インフレータブルバルーン
1130 デリバリーカテーテル
1210 バルーンカテーテル
1211 収容溝
1220 インフレータブルバルーン
1230 デリバリーカテーテル
1231 せん状溝
1300 管腔
1310 コーティング
1320 遠位開口部
1330 細長い胴体
Claims (13)
- 近位端および遠位端がある閉塞を有する血管を治療するために、エネルギー供給源および流体供給源とともに使用するシステムであって、
前記エネルギー供給源と結合するようにしてある少なくとも1つの結合器と、
近位端および遠位端がある第1の長手方向部材であって、前記第1の長手方向部材の前記遠位端が第1の伝導性電極を含んでおり、前記第1の長手方向部材の前記近位端が前記結合器に結合されるように構成されており、前記第1の長手方向部材が、前記第1の伝導性電極が前記閉塞の近位端にくるように前進できるよう構成されている、第1の長手方向部材と、
近位端および遠位端がある第2の長手方向部材であって、前記第2の長手方向部材の前記遠位端が第2の伝導性電極を含んでおり、前記第2の長手方向部材の前記近位端が前記結合器に結合されるように構成されており、前記第2の長手方向部材が、前記第2の伝導性電極が前記閉塞の遠位端にくるように前進できるよう構成されている、第2の長手方向部材と、を備え、
前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方が、その部材の近位端にある注入口から、その部材の遠位端にある開口部まで伸びる流体送達管腔を含んでおり、前記注入口が、少なくとも1つの流体を前記閉塞まで送るために、前記流体供給源と連結するようにしてあり、前記流体は、前記流体を冷却のために使用して治療領域の温度を制御し、かつ、エネルギーを加えることで前記流体を蒸発させることによって形成されるプラズマで前記閉塞の一部を弱化させ、かつ、粉々に砕くのに利用され、
前記エネルギー供給源が、前記少なくとも1つの結合器を介して、前記第1および第2の伝導性電極の少なくとも一方までエネルギーを供給して、前記閉塞を治療するために、前記第1および第2の伝導性電極の間にエネルギーを与えることを特徴とするシステム。 - 前記第1および第2の伝導性電極の少なくとも1つが複数のリブ部を含み、前記複数のリブ部が、このような電極が前記閉塞と接触したときに、外に向けて広がって、このような電極の表面積を大きくすることを特徴とする請求項1に記載のシステム。
- 前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方が、それぞれ前記第1の伝導性電極または第2の伝導性電極によって発生した熱の向きをそらすように構成された少なくとも1つのインシュレータをさらに備えていることを特徴とする請求項1に記載のシステム。
- 前記インシュレータが、前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方の前記遠位端から突出していて、前記インシュレータがそれぞれ前記第1の伝導性電極または第2の伝導性電極を越えて伸びるようにしていることを特徴とする請求項3に記載のシステム。
- 前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方は、超音波を送信または受信するように構成された圧電性結晶を含む撮像用要素をさらに備えていることを特徴とする請求項1に記載のシステム。
- 前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方は、光ファイバーを含む撮像用要素をさらに備えていることを特徴とする請求項1に記載のシステム。
- 前記少なくとも1つの結合器は、ロッキングツールおよびトルクデバイスの一方として構成されており、前記ロッキングツールまたはトルクデバイスは、前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方の前記近位端に被せてあることを特徴とする請求項1に記載のシステム。
- 前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方は、前進して前記閉塞を通り、かつ、前記第1および第2の伝導性電極を前記血管の壁の方を向けず、互いの方を向くよう方向を合わせするのに十分なねじり剛性と長手方向の柔軟性を有することを特徴とする請求項1に記載のシステム。
- 前記第1の長手方向部材および前記第2の長手方向部材の少なくとも一方は、破片を捕獲し、回収するための塞栓防止機構を含むことを特徴とする請求項1に記載のシステム。
- 請求項1〜9のいずれか一項に記載のシステムをエネルギー供給源と組み合わせた、近位端および遠位端がある閉塞を有する血管を治療するシステムであって、前記エネルギー供給源が、高周波エネルギー供給源であることを特徴とするシステム。
- 請求項1〜9のいずれか一項に記載のシステムを流体供給源と組み合わせた、近位端および遠位端がある閉塞を有する血管を治療するシステムであって、前記流体供給源が、薬物流体供給源、伝導性流体供給源、および、圧縮ガス供給源からなる一群から選択されることを特徴とするシステム。
- 請求項1〜9のいずれか一項に記載のシステムをエネルギー供給源と組み合わせた、近位端および遠位端がある閉塞を有する血管を治療するシステムであって、前記エネルギー供給源が高周波発生器であり、前記少なくとも1つの結合器が、前記高周波発生器と電気的に結合されており、前記第1の長手方向部材の近位端および前記第2の長手方向部材の近位端が前記結合器と電気的に結合されており、前記高周波発生器が、閉塞を治療するために前記第1および第2の伝導性電極とともにバイポーラ配置を形成するように構成されることを特徴とするシステム。
- 高周波エネルギーを制御し、発生させるために前記高周波発生器内に回路をさらに備えることを特徴とする請求項12に記載のシステム。
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Families Citing this family (210)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6723063B1 (en) | 1998-06-29 | 2004-04-20 | Ekos Corporation | Sheath for use with an ultrasound element |
US6582392B1 (en) | 1998-05-01 | 2003-06-24 | Ekos Corporation | Ultrasound assembly for use with a catheter |
US8241274B2 (en) | 2000-01-19 | 2012-08-14 | Medtronic, Inc. | Method for guiding a medical device |
ATE520362T1 (de) | 2001-12-03 | 2011-09-15 | Ekos Corp | Katheter mit mehreren ultraschall-abstrahlenden teilen |
US8226629B1 (en) | 2002-04-01 | 2012-07-24 | Ekos Corporation | Ultrasonic catheter power control |
US7617005B2 (en) | 2002-04-08 | 2009-11-10 | Ardian, Inc. | Methods and apparatus for thermally-induced renal neuromodulation |
US8347891B2 (en) | 2002-04-08 | 2013-01-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen |
US8150519B2 (en) | 2002-04-08 | 2012-04-03 | Ardian, Inc. | Methods and apparatus for bilateral renal neuromodulation |
US7756583B2 (en) | 2002-04-08 | 2010-07-13 | Ardian, Inc. | Methods and apparatus for intravascularly-induced neuromodulation |
AU2004285412A1 (en) | 2003-09-12 | 2005-05-12 | Minnow Medical, Llc | Selectable eccentric remodeling and/or ablation of atherosclerotic material |
US9107590B2 (en) | 2004-01-29 | 2015-08-18 | Ekos Corporation | Method and apparatus for detecting vascular conditions with a catheter |
US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
US8396548B2 (en) | 2008-11-14 | 2013-03-12 | Vessix Vascular, Inc. | Selective drug delivery in a lumen |
JP5219518B2 (ja) | 2004-12-09 | 2013-06-26 | ザ ファウンドリー, エルエルシー | 大動脈弁修復 |
WO2007095191A2 (en) * | 2006-02-13 | 2007-08-23 | Retrovascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
US9119651B2 (en) | 2006-02-13 | 2015-09-01 | Retro Vascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
WO2007127176A2 (en) | 2006-04-24 | 2007-11-08 | Ekos Corporation | Ultrasound therapy system |
US8019435B2 (en) | 2006-05-02 | 2011-09-13 | Boston Scientific Scimed, Inc. | Control of arterial smooth muscle tone |
US20080039746A1 (en) | 2006-05-25 | 2008-02-14 | Medtronic, Inc. | Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
US9867530B2 (en) | 2006-08-14 | 2018-01-16 | Volcano Corporation | Telescopic side port catheter device with imaging system and method for accessing side branch occlusions |
ES2546773T3 (es) | 2006-10-18 | 2015-09-28 | Vessix Vascular, Inc. | Energía de RF sintonizada y caracterización eléctrica de tejido para el tratamiento selectivo de tejidos diana |
EP2455035B1 (en) | 2006-10-18 | 2015-11-25 | Vessix Vascular, Inc. | Inducing desirable temperature effects on body tissue |
AU2007310991B2 (en) | 2006-10-18 | 2013-06-20 | Boston Scientific Scimed, Inc. | System for inducing desirable temperature effects on body tissue |
US8961551B2 (en) | 2006-12-22 | 2015-02-24 | The Spectranetics Corporation | Retractable separating systems and methods |
US9028520B2 (en) | 2006-12-22 | 2015-05-12 | The Spectranetics Corporation | Tissue separating systems and methods |
EP2111261B1 (en) | 2007-01-08 | 2015-04-15 | Ekos Corporation | Power parameters for ultrasonic catheter |
US10182833B2 (en) | 2007-01-08 | 2019-01-22 | Ekos Corporation | Power parameters for ultrasonic catheter |
ES2471118T3 (es) | 2007-06-22 | 2014-06-25 | Ekos Corporation | Método y aparato para el tratamiento de hemorragias intracraneales |
EP2178442B1 (en) | 2007-07-12 | 2017-09-06 | Volcano Corporation | Catheter for in vivo imaging |
US9596993B2 (en) | 2007-07-12 | 2017-03-21 | Volcano Corporation | Automatic calibration systems and methods of use |
WO2009009802A1 (en) | 2007-07-12 | 2009-01-15 | Volcano Corporation | Oct-ivus catheter for concurrent luminal imaging |
US9283034B2 (en) | 2007-09-26 | 2016-03-15 | Retrovascular, Inc. | Recanalization system using radiofrequency energy |
EP3348221A1 (en) * | 2007-09-26 | 2018-07-18 | Retrovascular, Inc. | Recanalizing occluded vessels using radiofrequency energy |
US9561073B2 (en) | 2007-09-26 | 2017-02-07 | Retrovascular, Inc. | Energy facilitated composition delivery |
WO2010056745A1 (en) | 2008-11-17 | 2010-05-20 | Minnow Medical, Inc. | Selective accumulation of energy with or without knowledge of tissue topography |
PL2448636T3 (pl) | 2009-07-03 | 2014-11-28 | Ekos Corp | Parametry mocy dla cewnika ultradźwiękowego |
WO2011094767A2 (en) * | 2010-01-26 | 2011-08-04 | Retrovascular Inc. | Methods and devices for recanalization of occluded body vessels using a double-sided guidewire |
US20110208181A1 (en) * | 2010-02-05 | 2011-08-25 | Emcision Limited | Methods and systems for restoring patency |
US8740835B2 (en) | 2010-02-17 | 2014-06-03 | Ekos Corporation | Treatment of vascular occlusions using ultrasonic energy and microbubbles |
AU2011238925B2 (en) | 2010-04-09 | 2016-06-16 | Vessix Vascular, Inc. | Power generating and control apparatus for the treatment of tissue |
US9192790B2 (en) | 2010-04-14 | 2015-11-24 | Boston Scientific Scimed, Inc. | Focused ultrasonic renal denervation |
US8473067B2 (en) | 2010-06-11 | 2013-06-25 | Boston Scientific Scimed, Inc. | Renal denervation and stimulation employing wireless vascular energy transfer arrangement |
US9463062B2 (en) | 2010-07-30 | 2016-10-11 | Boston Scientific Scimed, Inc. | Cooled conductive balloon RF catheter for renal nerve ablation |
US9408661B2 (en) | 2010-07-30 | 2016-08-09 | Patrick A. Haverkost | RF electrodes on multiple flexible wires for renal nerve ablation |
US9358365B2 (en) | 2010-07-30 | 2016-06-07 | Boston Scientific Scimed, Inc. | Precision electrode movement control for renal nerve ablation |
US9155589B2 (en) | 2010-07-30 | 2015-10-13 | Boston Scientific Scimed, Inc. | Sequential activation RF electrode set for renal nerve ablation |
US9084609B2 (en) | 2010-07-30 | 2015-07-21 | Boston Scientific Scime, Inc. | Spiral balloon catheter for renal nerve ablation |
US10888657B2 (en) | 2010-08-27 | 2021-01-12 | Ekos Corporation | Method and apparatus for treatment of intracranial hemorrhages |
US8974451B2 (en) | 2010-10-25 | 2015-03-10 | Boston Scientific Scimed, Inc. | Renal nerve ablation using conductive fluid jet and RF energy |
US9220558B2 (en) | 2010-10-27 | 2015-12-29 | Boston Scientific Scimed, Inc. | RF renal denervation catheter with multiple independent electrodes |
US9028485B2 (en) | 2010-11-15 | 2015-05-12 | Boston Scientific Scimed, Inc. | Self-expanding cooling electrode for renal nerve ablation |
US9089350B2 (en) | 2010-11-16 | 2015-07-28 | Boston Scientific Scimed, Inc. | Renal denervation catheter with RF electrode and integral contrast dye injection arrangement |
CA2817552C (en) | 2010-11-16 | 2020-03-24 | Tva Medical, Inc. | Devices and methods for forming a fistula |
US9668811B2 (en) | 2010-11-16 | 2017-06-06 | Boston Scientific Scimed, Inc. | Minimally invasive access for renal nerve ablation |
US9326751B2 (en) | 2010-11-17 | 2016-05-03 | Boston Scientific Scimed, Inc. | Catheter guidance of external energy for renal denervation |
US9060761B2 (en) | 2010-11-18 | 2015-06-23 | Boston Scientific Scime, Inc. | Catheter-focused magnetic field induced renal nerve ablation |
US9023034B2 (en) | 2010-11-22 | 2015-05-05 | Boston Scientific Scimed, Inc. | Renal ablation electrode with force-activatable conduction apparatus |
US9192435B2 (en) | 2010-11-22 | 2015-11-24 | Boston Scientific Scimed, Inc. | Renal denervation catheter with cooled RF electrode |
US20120157993A1 (en) | 2010-12-15 | 2012-06-21 | Jenson Mark L | Bipolar Off-Wall Electrode Device for Renal Nerve Ablation |
US11141063B2 (en) | 2010-12-23 | 2021-10-12 | Philips Image Guided Therapy Corporation | Integrated system architectures and methods of use |
US20120220868A1 (en) | 2010-12-31 | 2012-08-30 | Volcano Corporation | Methods of Identifying Venous Outflow Obstruction Sites in Multiple Sclerosis, Deep Vein Thrombosis, and Pulmonary Embolism Patients and Associated Devices and Systems |
US11040140B2 (en) | 2010-12-31 | 2021-06-22 | Philips Image Guided Therapy Corporation | Deep vein thrombosis therapeutic methods |
WO2012100095A1 (en) | 2011-01-19 | 2012-07-26 | Boston Scientific Scimed, Inc. | Guide-compatible large-electrode catheter for renal nerve ablation with reduced arterial injury |
US9724491B2 (en) * | 2011-04-05 | 2017-08-08 | Thermopeutix, Inc. | Microcatheter with distal tip portion and proximal solution lumen |
US20120259269A1 (en) | 2011-04-08 | 2012-10-11 | Tyco Healthcare Group Lp | Iontophoresis drug delivery system and method for denervation of the renal sympathetic nerve and iontophoretic drug delivery |
WO2012148969A2 (en) | 2011-04-25 | 2012-11-01 | Brian Kelly | Apparatus and methods related to constrained deployment of cryogenic balloons for limited cryogenic ablation of vessel walls |
US11458290B2 (en) | 2011-05-11 | 2022-10-04 | Ekos Corporation | Ultrasound system |
AU2012283908B2 (en) | 2011-07-20 | 2017-02-16 | Boston Scientific Scimed, Inc. | Percutaneous devices and methods to visualize, target and ablate nerves |
CN103813829B (zh) | 2011-07-22 | 2016-05-18 | 波士顿科学西美德公司 | 具有可定位于螺旋引导件中的神经调制元件的神经调制系统 |
US9360630B2 (en) | 2011-08-31 | 2016-06-07 | Volcano Corporation | Optical-electrical rotary joint and methods of use |
US9186210B2 (en) | 2011-10-10 | 2015-11-17 | Boston Scientific Scimed, Inc. | Medical devices including ablation electrodes |
EP2765940B1 (en) | 2011-10-11 | 2015-08-26 | Boston Scientific Scimed, Inc. | Off-wall electrode device for nerve modulation |
US9420955B2 (en) | 2011-10-11 | 2016-08-23 | Boston Scientific Scimed, Inc. | Intravascular temperature monitoring system and method |
US9364284B2 (en) | 2011-10-12 | 2016-06-14 | Boston Scientific Scimed, Inc. | Method of making an off-wall spacer cage |
WO2013058962A1 (en) | 2011-10-18 | 2013-04-25 | Boston Scientific Scimed, Inc. | Deflectable medical devices |
WO2013059202A1 (en) | 2011-10-18 | 2013-04-25 | Boston Scientific Scimed, Inc. | Integrated crossing balloon catheter |
EP3366250A1 (en) | 2011-11-08 | 2018-08-29 | Boston Scientific Scimed, Inc. | Ostial renal nerve ablation |
US9119600B2 (en) | 2011-11-15 | 2015-09-01 | Boston Scientific Scimed, Inc. | Device and methods for renal nerve modulation monitoring |
US9119632B2 (en) | 2011-11-21 | 2015-09-01 | Boston Scientific Scimed, Inc. | Deflectable renal nerve ablation catheter |
US9265969B2 (en) | 2011-12-21 | 2016-02-23 | Cardiac Pacemakers, Inc. | Methods for modulating cell function |
JP5898336B2 (ja) | 2011-12-23 | 2016-04-06 | べシックス・バスキュラー・インコーポレイテッド | 拡張可能なバルーン及び熱感知デバイスを備えた電極パッドを含むデバイス |
WO2013101452A1 (en) | 2011-12-28 | 2013-07-04 | Boston Scientific Scimed, Inc. | Device and methods for nerve modulation using a novel ablation catheter with polymeric ablative elements |
US9050106B2 (en) | 2011-12-29 | 2015-06-09 | Boston Scientific Scimed, Inc. | Off-wall electrode device and methods for nerve modulation |
WO2013169927A1 (en) | 2012-05-08 | 2013-11-14 | Boston Scientific Scimed, Inc. | Renal nerve modulation devices |
CN104540465A (zh) | 2012-08-24 | 2015-04-22 | 波士顿科学西美德公司 | 带有含单独微孔隙区域的球囊的血管内导管 |
US9949753B2 (en) | 2012-09-14 | 2018-04-24 | The Spectranetics Corporation | Tissue slitting methods and systems |
US9173696B2 (en) | 2012-09-17 | 2015-11-03 | Boston Scientific Scimed, Inc. | Self-positioning electrode system and method for renal nerve modulation |
WO2014047454A2 (en) | 2012-09-21 | 2014-03-27 | Boston Scientific Scimed, Inc. | Self-cooling ultrasound ablation catheter |
WO2014047411A1 (en) | 2012-09-21 | 2014-03-27 | Boston Scientific Scimed, Inc. | System for nerve modulation and innocuous thermal gradient nerve block |
US11272845B2 (en) | 2012-10-05 | 2022-03-15 | Philips Image Guided Therapy Corporation | System and method for instant and automatic border detection |
US10568586B2 (en) | 2012-10-05 | 2020-02-25 | Volcano Corporation | Systems for indicating parameters in an imaging data set and methods of use |
US9307926B2 (en) | 2012-10-05 | 2016-04-12 | Volcano Corporation | Automatic stent detection |
EP2904671B1 (en) | 2012-10-05 | 2022-05-04 | David Welford | Systems and methods for amplifying light |
US9324141B2 (en) | 2012-10-05 | 2016-04-26 | Volcano Corporation | Removal of A-scan streaking artifact |
US9858668B2 (en) | 2012-10-05 | 2018-01-02 | Volcano Corporation | Guidewire artifact removal in images |
US9292918B2 (en) | 2012-10-05 | 2016-03-22 | Volcano Corporation | Methods and systems for transforming luminal images |
US10070827B2 (en) | 2012-10-05 | 2018-09-11 | Volcano Corporation | Automatic image playback |
US9367965B2 (en) | 2012-10-05 | 2016-06-14 | Volcano Corporation | Systems and methods for generating images of tissue |
US9286673B2 (en) | 2012-10-05 | 2016-03-15 | Volcano Corporation | Systems for correcting distortions in a medical image and methods of use thereof |
US10835305B2 (en) | 2012-10-10 | 2020-11-17 | Boston Scientific Scimed, Inc. | Renal nerve modulation devices and methods |
WO2014059351A1 (en) | 2012-10-11 | 2014-04-17 | Tva Medical, Inc. | Devices and methods for fistula formation |
US9840734B2 (en) | 2012-10-22 | 2017-12-12 | Raindance Technologies, Inc. | Methods for analyzing DNA |
EP2931132B1 (en) | 2012-12-13 | 2023-07-05 | Philips Image Guided Therapy Corporation | System for targeted cannulation |
US11406498B2 (en) | 2012-12-20 | 2022-08-09 | Philips Image Guided Therapy Corporation | Implant delivery system and implants |
US10942022B2 (en) | 2012-12-20 | 2021-03-09 | Philips Image Guided Therapy Corporation | Manual calibration of imaging system |
US10939826B2 (en) | 2012-12-20 | 2021-03-09 | Philips Image Guided Therapy Corporation | Aspirating and removing biological material |
EP2934311B1 (en) | 2012-12-20 | 2020-04-15 | Volcano Corporation | Smooth transition catheters |
US9730613B2 (en) | 2012-12-20 | 2017-08-15 | Volcano Corporation | Locating intravascular images |
JP2016504589A (ja) | 2012-12-20 | 2016-02-12 | ナサニエル ジェイ. ケンプ, | 異なる撮像モード間で再構成可能な光コヒーレンストモグラフィシステム |
US10058284B2 (en) * | 2012-12-21 | 2018-08-28 | Volcano Corporation | Simultaneous imaging, monitoring, and therapy |
EP2934653B1 (en) | 2012-12-21 | 2018-09-19 | Douglas Meyer | Rotational ultrasound imaging catheter with extended catheter body telescope |
JP2016507892A (ja) | 2012-12-21 | 2016-03-10 | デイビッド ウェルフォード, | 光の波長放出を狭幅化するためのシステムおよび方法 |
US10413317B2 (en) | 2012-12-21 | 2019-09-17 | Volcano Corporation | System and method for catheter steering and operation |
US9486143B2 (en) | 2012-12-21 | 2016-11-08 | Volcano Corporation | Intravascular forward imaging device |
US10332228B2 (en) | 2012-12-21 | 2019-06-25 | Volcano Corporation | System and method for graphical processing of medical data |
EP2936241B1 (en) | 2012-12-21 | 2020-10-21 | Nathaniel J. Kemp | Power-efficient optical buffering using a polarisation-maintaining active optical switch |
JP2016501623A (ja) | 2012-12-21 | 2016-01-21 | アンドリュー ハンコック, | 画像信号のマルチ経路処理のためのシステムおよび方法 |
US10166003B2 (en) | 2012-12-21 | 2019-01-01 | Volcano Corporation | Ultrasound imaging with variable line density |
US9612105B2 (en) | 2012-12-21 | 2017-04-04 | Volcano Corporation | Polarization sensitive optical coherence tomography system |
EP2943127A4 (en) | 2013-01-08 | 2016-09-14 | Volcano Corp | PROCESS FOR FOCUSED ACOUSTIC COMPUTER TOMOGRAPHY (FACT) |
US10226597B2 (en) | 2013-03-07 | 2019-03-12 | Volcano Corporation | Guidewire with centering mechanism |
EP2965263B1 (en) | 2013-03-07 | 2022-07-20 | Bernhard Sturm | Multimodal segmentation in intravascular images |
WO2014163987A1 (en) | 2013-03-11 | 2014-10-09 | Boston Scientific Scimed, Inc. | Medical devices for modulating nerves |
WO2014143571A1 (en) | 2013-03-11 | 2014-09-18 | Boston Scientific Scimed, Inc. | Medical devices for modulating nerves |
WO2014164696A1 (en) | 2013-03-12 | 2014-10-09 | Collins Donna | Systems and methods for diagnosing coronary microvascular disease |
US20140276923A1 (en) | 2013-03-12 | 2014-09-18 | Volcano Corporation | Vibrating catheter and methods of use |
US10383691B2 (en) | 2013-03-13 | 2019-08-20 | The Spectranetics Corporation | Last catheter with helical internal lumen |
WO2014159819A1 (en) | 2013-03-13 | 2014-10-02 | Jinhyoung Park | System and methods for producing an image from a rotational intravascular ultrasound device |
US9808311B2 (en) | 2013-03-13 | 2017-11-07 | Boston Scientific Scimed, Inc. | Deflectable medical devices |
US9456872B2 (en) | 2013-03-13 | 2016-10-04 | The Spectranetics Corporation | Laser ablation catheter |
US9883885B2 (en) | 2013-03-13 | 2018-02-06 | The Spectranetics Corporation | System and method of ablative cutting and pulsed vacuum aspiration |
US9301687B2 (en) | 2013-03-13 | 2016-04-05 | Volcano Corporation | System and method for OCT depth calibration |
US9291663B2 (en) | 2013-03-13 | 2016-03-22 | The Spectranetics Corporation | Alarm for lead insulation abnormality |
US9283040B2 (en) | 2013-03-13 | 2016-03-15 | The Spectranetics Corporation | Device and method of ablative cutting with helical tip |
US11026591B2 (en) | 2013-03-13 | 2021-06-08 | Philips Image Guided Therapy Corporation | Intravascular pressure sensor calibration |
US9084620B2 (en) * | 2013-03-14 | 2015-07-21 | DePuy Synthes Products, Inc. | Detection and clearing of occlusions in catheters |
US10219887B2 (en) | 2013-03-14 | 2019-03-05 | Volcano Corporation | Filters with echogenic characteristics |
WO2014152365A2 (en) | 2013-03-14 | 2014-09-25 | Volcano Corporation | Filters with echogenic characteristics |
US10835279B2 (en) | 2013-03-14 | 2020-11-17 | Spectranetics Llc | Distal end supported tissue slitting apparatus |
EP2968852B1 (en) | 2013-03-14 | 2019-07-31 | TVA Medical, Inc. | Fistula formation devices |
BR112015022067A2 (pt) | 2013-03-14 | 2017-07-18 | Ekos Corp | método e aparato para a administração de droga a um sítio alvo |
US10292677B2 (en) | 2013-03-14 | 2019-05-21 | Volcano Corporation | Endoluminal filter having enhanced echogenic properties |
US9603618B2 (en) | 2013-03-15 | 2017-03-28 | The Spectranetics Corporation | Medical device for removing an implanted object |
US10448999B2 (en) | 2013-03-15 | 2019-10-22 | The Spectranetics Corporation | Surgical instrument for removing an implanted object |
US10842532B2 (en) | 2013-03-15 | 2020-11-24 | Spectranetics Llc | Medical device for removing an implanted object |
US9668765B2 (en) | 2013-03-15 | 2017-06-06 | The Spectranetics Corporation | Retractable blade for lead removal device |
WO2014151814A1 (en) | 2013-03-15 | 2014-09-25 | The Spectranetics Corporation | Surgical instrument for removing an implanted object |
US10265122B2 (en) | 2013-03-15 | 2019-04-23 | Boston Scientific Scimed, Inc. | Nerve ablation devices and related methods of use |
CN105228546B (zh) | 2013-03-15 | 2017-11-14 | 波士顿科学国际有限公司 | 利用阻抗补偿的用于治疗高血压的医疗器械和方法 |
US9980743B2 (en) | 2013-03-15 | 2018-05-29 | The Spectranetics Corporation | Medical device for removing an implanted object using laser cut hypotubes |
JP6220044B2 (ja) | 2013-03-15 | 2017-10-25 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 腎神経アブレーションのための医療用デバイス |
WO2014205399A1 (en) | 2013-06-21 | 2014-12-24 | Boston Scientific Scimed, Inc. | Medical devices for renal nerve ablation having rotatable shafts |
US9943365B2 (en) | 2013-06-21 | 2018-04-17 | Boston Scientific Scimed, Inc. | Renal denervation balloon catheter with ride along electrode support |
US9707036B2 (en) | 2013-06-25 | 2017-07-18 | Boston Scientific Scimed, Inc. | Devices and methods for nerve modulation using localized indifferent electrodes |
JP6204579B2 (ja) | 2013-07-01 | 2017-09-27 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 腎神経アブレーション用医療器具 |
US10660698B2 (en) | 2013-07-11 | 2020-05-26 | Boston Scientific Scimed, Inc. | Devices and methods for nerve modulation |
EP3019106A1 (en) | 2013-07-11 | 2016-05-18 | Boston Scientific Scimed, Inc. | Medical device with stretchable electrode assemblies |
US9925001B2 (en) | 2013-07-19 | 2018-03-27 | Boston Scientific Scimed, Inc. | Spiral bipolar electrode renal denervation balloon |
EP3024405A1 (en) | 2013-07-22 | 2016-06-01 | Boston Scientific Scimed, Inc. | Renal nerve ablation catheter having twist balloon |
WO2015013205A1 (en) | 2013-07-22 | 2015-01-29 | Boston Scientific Scimed, Inc. | Medical devices for renal nerve ablation |
EP4049605A1 (en) | 2013-08-22 | 2022-08-31 | Boston Scientific Scimed Inc. | Flexible circuit having improved adhesion to a renal nerve modulation balloon |
WO2015035047A1 (en) | 2013-09-04 | 2015-03-12 | Boston Scientific Scimed, Inc. | Radio frequency (rf) balloon catheter having flushing and cooling capability |
CN105530885B (zh) | 2013-09-13 | 2020-09-22 | 波士顿科学国际有限公司 | 具有气相沉积覆盖层的消融球囊 |
US11246654B2 (en) | 2013-10-14 | 2022-02-15 | Boston Scientific Scimed, Inc. | Flexible renal nerve ablation devices and related methods of use and manufacture |
EP3057488B1 (en) | 2013-10-14 | 2018-05-16 | Boston Scientific Scimed, Inc. | High resolution cardiac mapping electrode array catheter |
EP3057520A1 (en) | 2013-10-15 | 2016-08-24 | Boston Scientific Scimed, Inc. | Medical device balloon |
US9770606B2 (en) | 2013-10-15 | 2017-09-26 | Boston Scientific Scimed, Inc. | Ultrasound ablation catheter with cooling infusion and centering basket |
US10945786B2 (en) | 2013-10-18 | 2021-03-16 | Boston Scientific Scimed, Inc. | Balloon catheters with flexible conducting wires and related methods of use and manufacture |
CN105658163B (zh) | 2013-10-25 | 2020-08-18 | 波士顿科学国际有限公司 | 去神经柔性电路中的嵌入式热电偶 |
EP3091922B1 (en) | 2014-01-06 | 2018-10-17 | Boston Scientific Scimed, Inc. | Tear resistant flex circuit assembly |
CN106572881B (zh) | 2014-02-04 | 2019-07-26 | 波士顿科学国际有限公司 | 热传感器在双极电极上的替代放置 |
US11000679B2 (en) | 2014-02-04 | 2021-05-11 | Boston Scientific Scimed, Inc. | Balloon protection and rewrapping devices and related methods of use |
ES2931202T3 (es) * | 2014-02-06 | 2022-12-27 | Nipro Corp | Catéter que tiene un cortador con un vástago de par |
EP3113701B1 (en) | 2014-03-03 | 2020-07-22 | The Spectranetics Corporation | Multiple configuration surgical cutting device |
US10695534B2 (en) | 2014-03-14 | 2020-06-30 | Tva Medical, Inc. | Fistula formation devices and methods therefor |
US10709490B2 (en) | 2014-05-07 | 2020-07-14 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods |
US10405924B2 (en) | 2014-05-30 | 2019-09-10 | The Spectranetics Corporation | System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port |
US10646666B2 (en) | 2014-08-27 | 2020-05-12 | Tva Medical, Inc. | Cryolipolysis devices and methods therefor |
US10092742B2 (en) | 2014-09-22 | 2018-10-09 | Ekos Corporation | Catheter system |
US10603040B1 (en) | 2015-02-09 | 2020-03-31 | Tva Medical, Inc. | Methods for treating hypertension and reducing blood pressure with formation of fistula |
JP2018507044A (ja) * | 2015-02-18 | 2018-03-15 | レトロバスキュラー インコーポレイテッド | プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法 |
USD765243S1 (en) | 2015-02-20 | 2016-08-30 | The Spectranetics Corporation | Medical device handle |
USD770616S1 (en) | 2015-02-20 | 2016-11-01 | The Spectranetics Corporation | Medical device handle |
CN107708581B (zh) | 2015-06-10 | 2021-11-19 | Ekos公司 | 超声波导管 |
CN105105845B (zh) * | 2015-09-11 | 2018-09-04 | 西安交通大学 | 一种用于消融粥样硬化斑块的等离子体装置及产生方法 |
US10874422B2 (en) | 2016-01-15 | 2020-12-29 | Tva Medical, Inc. | Systems and methods for increasing blood flow |
CN114042224A (zh) | 2016-01-15 | 2022-02-15 | Tva医疗公司 | 用于推进金属丝的装置和方法 |
US11026743B2 (en) | 2016-01-15 | 2021-06-08 | Tva Medical, Inc. | Devices and methods for forming a fistula |
WO2017173146A1 (en) * | 2016-03-31 | 2017-10-05 | Cardiac Pacemakers, Inc. | Chronically implantable medical devices configured for extraction and extraction devices for extracting chronically implanted medical devices |
WO2018013570A1 (en) * | 2016-07-11 | 2018-01-18 | Retrovascular, Inc. | Bi-polar tissue ablation device and methods of use thereof |
CN106264661A (zh) * | 2016-08-25 | 2017-01-04 | 苗立夫 | 一种血管腔内抓捕装置 |
MX2019003251A (es) | 2016-09-25 | 2019-07-18 | Tva Medical Inc | Dispositivos y metodos de stent vascular. |
EP3528732B1 (en) * | 2016-10-20 | 2023-06-21 | Retrovascular, Inc. | Device for enhanced composition delivery |
US11400205B2 (en) | 2016-11-23 | 2022-08-02 | Biosense Webster (Israel) Ltd. | Balloon-in-balloon irrigation balloon catheter |
US10085766B1 (en) | 2017-03-31 | 2018-10-02 | Jihad A. Mustapha | Chronic total occlusion crossing devices and methods |
WO2019003382A1 (ja) * | 2017-06-29 | 2019-01-03 | 朝日インテック株式会社 | プラズマ用ガイドワイヤ |
NL2019807B1 (en) * | 2017-10-26 | 2019-05-06 | Boston Scient Scimed Inc | Shockwave generating device |
JP2019058282A (ja) * | 2017-09-25 | 2019-04-18 | テルモ株式会社 | 治療方法 |
EP3691512B1 (en) | 2017-10-03 | 2024-03-06 | Research Development Foundation | Systems and methods for coronary occlusion treatment |
JP7214731B2 (ja) | 2017-11-30 | 2023-01-30 | シー・アール・バード・インコーポレーテッド | 血管内装置 |
US11058444B2 (en) | 2017-12-11 | 2021-07-13 | Covidien Lp | Electrically enhanced retrieval of material from vessel lumens |
US20190388107A1 (en) | 2018-06-22 | 2019-12-26 | Covidien Lp | Electrically enhanced retrieval of material from vessel lumens |
WO2020117865A1 (en) * | 2018-12-03 | 2020-06-11 | The Board Of Regents Of The University Of Texas System | Systems and methods for treating chronic total occlusion of an artery |
USD968421S1 (en) | 2019-05-31 | 2022-11-01 | Biosense Webster (Israel) Ltd. | Display screen with a graphical user interface |
USD968422S1 (en) | 2019-05-31 | 2022-11-01 | Biosense Webster (Israel) Ltd. | Display screen with transitional graphical user interface |
USD969138S1 (en) | 2019-05-31 | 2022-11-08 | Biosense Webster (Israel) Ltd. | Display screen with a graphical user interface |
CN111135425B (zh) * | 2020-03-06 | 2021-09-10 | 广东博迈医疗科技股份有限公司 | 一种医用微导管 |
US11974803B2 (en) | 2020-10-12 | 2024-05-07 | Biosense Webster (Israel) Ltd. | Basket catheter with balloon |
US11957852B2 (en) | 2021-01-14 | 2024-04-16 | Biosense Webster (Israel) Ltd. | Intravascular balloon with slidable central irrigation tube |
US11963713B2 (en) | 2021-06-02 | 2024-04-23 | Covidien Lp | Medical treatment system |
Family Cites Families (61)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3868956A (en) | 1972-06-05 | 1975-03-04 | Ralph J Alfidi | Vessel implantable appliance and method of implanting it |
EP0189329A3 (en) * | 1985-01-25 | 1987-06-03 | Robert E. Fischell | A tunneling catheter system for transluminal arterial angioplasty |
US4967745A (en) * | 1987-04-10 | 1990-11-06 | Massachusetts Institute Of Technology | Multi-fiber plug for a laser catheter |
US5041109A (en) * | 1986-10-27 | 1991-08-20 | University Of Florida | Laser apparatus for the recanalization of vessels and the treatment of other cardiac conditions |
JPS63130061A (ja) * | 1986-11-19 | 1988-06-02 | オリンパス光学工業株式会社 | 電気メス |
US4998933A (en) | 1988-06-10 | 1991-03-12 | Advanced Angioplasty Products, Inc. | Thermal angioplasty catheter and method |
US5006119A (en) * | 1989-05-25 | 1991-04-09 | Engineering & Research Associates, Inc. | Hollow core coaxial catheter |
CA2089739A1 (en) * | 1990-09-14 | 1992-03-15 | John H. Burton | Combined hyperthermia and dilation catheter |
US5419767A (en) * | 1992-01-07 | 1995-05-30 | Thapliyal And Eggers Partners | Methods and apparatus for advancing catheters through severely occluded body lumens |
US5366443A (en) * | 1992-01-07 | 1994-11-22 | Thapliyal And Eggers Partners | Method and apparatus for advancing catheters through occluded body lumens |
EP0597195B1 (en) * | 1992-08-18 | 1999-07-21 | The Spectranetics Corporation | Fiber optic guide wire |
JPH06125915A (ja) | 1992-10-21 | 1994-05-10 | Inter Noba Kk | カテーテル式医療機器 |
US5501694A (en) * | 1992-11-13 | 1996-03-26 | Scimed Life Systems, Inc. | Expandable intravascular occlusion material removal devices and methods of use |
US5409470A (en) * | 1993-05-07 | 1995-04-25 | C. R. Bard, Inc. | Dilatation catheter and guidewire with threaded tip connection |
US5630837A (en) * | 1993-07-01 | 1997-05-20 | Boston Scientific Corporation | Acoustic ablation |
US5507769A (en) * | 1994-10-18 | 1996-04-16 | Stentco, Inc. | Method and apparatus for forming an endoluminal bifurcated graft |
US5429131A (en) * | 1994-02-25 | 1995-07-04 | The Regents Of The University Of California | Magnetized electrode tip catheter |
KR19990064209A (ko) | 1995-10-13 | 1999-07-26 | 트랜스바스큘라, 인코포레이티드 | 간질성 경혈관 개입을 위한 장치, 시스템 및 방법 |
CN1204244A (zh) * | 1995-10-13 | 1999-01-06 | 血管转换公司 | 间质经血管介入的装置、系统和方法 |
US5895398A (en) * | 1996-02-02 | 1999-04-20 | The Regents Of The University Of California | Method of using a clot capture coil |
US6652546B1 (en) * | 1996-07-26 | 2003-11-25 | Kensey Nash Corporation | System and method of use for revascularizing stenotic bypass grafts and other occluded blood vessels |
US6488673B1 (en) * | 1997-04-07 | 2002-12-03 | Broncus Technologies, Inc. | Method of increasing gas exchange of a lung |
US6582423B1 (en) | 1997-06-13 | 2003-06-24 | Arthrocare Corporation | Electrosurgical systems and methods for recanalization of occluded body lumens |
US7037316B2 (en) * | 1997-07-24 | 2006-05-02 | Mcguckin Jr James F | Rotational thrombectomy device |
US6454769B2 (en) | 1997-08-04 | 2002-09-24 | Spinal Concepts, Inc. | System and method for stabilizing the human spine with a bone plate |
US6068688A (en) | 1997-11-12 | 2000-05-30 | Cabot Corporation | Particle having an attached stable free radical and methods of making the same |
US20050171478A1 (en) * | 1998-01-13 | 2005-08-04 | Selmon Matthew R. | Catheter system for crossing total occlusions in vasculature |
US6068648A (en) | 1998-01-26 | 2000-05-30 | Orthodyne, Inc. | Tissue anchoring system and method |
US6527767B2 (en) * | 1998-05-20 | 2003-03-04 | New England Medical Center | Cardiac ablation system and method for treatment of cardiac arrhythmias and transmyocardial revascularization |
US6241744B1 (en) | 1998-08-14 | 2001-06-05 | Fox Hollow Technologies, Inc. | Apparatus for deploying a guidewire across a complex lesion |
JP3214454B2 (ja) | 1998-09-03 | 2001-10-02 | 日本電気株式会社 | プログラム内蔵方式パケット処理装置 |
US6475222B1 (en) * | 1998-11-06 | 2002-11-05 | St. Jude Medical Atg, Inc. | Minimally invasive revascularization apparatus and methods |
US6911026B1 (en) * | 1999-07-12 | 2005-06-28 | Stereotaxis, Inc. | Magnetically guided atherectomy |
US6068645A (en) * | 1999-06-07 | 2000-05-30 | Tu; Hosheng | Filter system and methods for removing blood clots and biological material |
US6235044B1 (en) * | 1999-08-04 | 2001-05-22 | Scimed Life Systems, Inc. | Percutaneous catheter and guidewire for filtering during ablation of mycardial or vascular tissue |
US6454775B1 (en) | 1999-12-06 | 2002-09-24 | Bacchus Vascular Inc. | Systems and methods for clot disruption and retrieval |
US6394956B1 (en) * | 2000-02-29 | 2002-05-28 | Scimed Life Systems, Inc. | RF ablation and ultrasound catheter for crossing chronic total occlusions |
US6416523B1 (en) * | 2000-10-03 | 2002-07-09 | Scimed Life Systems, Inc. | Method and apparatus for creating channels through vascular total occlusions |
CN100518685C (zh) * | 2001-05-10 | 2009-07-29 | 脉管动力股份有限公司 | 组织消融设备 |
WO2004012583A2 (en) * | 2002-08-01 | 2004-02-12 | The General Hospital Corporation | Cardiac devices and methods for minimally invasive repair of ischemic mitral regurgitation |
US20040254572A1 (en) * | 2003-04-25 | 2004-12-16 | Mcintyre Jon T. | Self anchoring radio frequency ablation array |
US20040230219A1 (en) * | 2003-05-12 | 2004-11-18 | Roucher Leo R. | Anchoring, supporting and centering catheter system for treating chronic total occlusions |
US20050015440A1 (en) | 2003-07-17 | 2005-01-20 | Solot Edwin Lee | System and method for broadcasting content according to a preferred reception mode |
AU2004285412A1 (en) * | 2003-09-12 | 2005-05-12 | Minnow Medical, Llc | Selectable eccentric remodeling and/or ablation of atherosclerotic material |
CN2642260Y (zh) * | 2003-10-15 | 2004-09-22 | 胡文国 | 一种用于微波手术的辐射器 |
US20050154400A1 (en) * | 2003-12-18 | 2005-07-14 | Asahi Intecc Co., Ltd | Medical treating tool |
US7704249B2 (en) * | 2004-05-07 | 2010-04-27 | Arthrocare Corporation | Apparatus and methods for electrosurgical ablation and resection of target tissue |
US8545418B2 (en) * | 2004-08-25 | 2013-10-01 | Richard R. Heuser | Systems and methods for ablation of occlusions within blood vessels |
US7335197B2 (en) * | 2004-10-13 | 2008-02-26 | Medtronic, Inc. | Transurethral needle ablation system with flexible catheter tip |
US8007440B2 (en) | 2005-02-08 | 2011-08-30 | Volcano Corporation | Apparatus and methods for low-cost intravascular ultrasound imaging and for crossing severe vascular occlusions |
JP4724827B2 (ja) | 2005-03-24 | 2011-07-13 | 国立大学法人山口大学 | 攪拌処理装置及びカテーテル |
US7727187B2 (en) * | 2005-04-04 | 2010-06-01 | Cook Incorporated | Scored catheter device |
WO2007013471A1 (ja) | 2005-07-25 | 2007-02-01 | Tokyo Ohka Kogyo Co., Ltd. | 化合物およびその製造方法、低分子化合物、ポジ型レジスト組成物およびレジストパターン形成方法 |
US20070043389A1 (en) * | 2005-08-05 | 2007-02-22 | Shintech, Llc | System for treating chronic total occlusion caused by lower extremity arterial disease |
JP2007195599A (ja) | 2006-01-24 | 2007-08-09 | Japan Health Science Foundation | 医療用ガイドワイヤ |
US9119651B2 (en) * | 2006-02-13 | 2015-09-01 | Retro Vascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
WO2007095191A2 (en) | 2006-02-13 | 2007-08-23 | Retrovascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
US20080039935A1 (en) * | 2006-08-14 | 2008-02-14 | Wally Buch | Methods and apparatus for mitral valve repair |
US7691104B2 (en) * | 2007-07-25 | 2010-04-06 | Olympus Medical Systems Corporation | Endoscopic treatment tool |
US9283034B2 (en) | 2007-09-26 | 2016-03-15 | Retrovascular, Inc. | Recanalization system using radiofrequency energy |
EP3348221A1 (en) | 2007-09-26 | 2018-07-18 | Retrovascular, Inc. | Recanalizing occluded vessels using radiofrequency energy |
-
2010
- 2010-04-02 US US12/753,844 patent/US9283034B2/en active Active
-
2011
- 2011-04-01 KR KR1020127028633A patent/KR101671333B1/ko active IP Right Grant
- 2011-04-01 EP EP11763547.4A patent/EP2552336B1/en active Active
- 2011-04-01 CN CN201180024331.3A patent/CN103037795B/zh active Active
- 2011-04-01 WO PCT/US2011/031018 patent/WO2011123834A1/en active Application Filing
- 2011-04-01 CA CA2795256A patent/CA2795256C/en active Active
- 2011-04-01 EP EP18156580.5A patent/EP3354221B1/en active Active
- 2011-04-01 CN CN201510615748.7A patent/CN105250022B/zh active Active
- 2011-04-01 US US13/639,092 patent/US9271787B2/en active Active
- 2011-04-01 JP JP2013502905A patent/JP5917487B2/ja active Active
- 2011-04-01 EP EP16154708.8A patent/EP3045137B1/en active Active
-
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- 2015-12-24 JP JP2015251629A patent/JP6211576B2/ja active Active
-
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- 2016-01-21 US US15/003,098 patent/US10492855B2/en active Active
-
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- 2019-11-05 US US16/674,857 patent/US20200078088A1/en active Pending
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US20200078088A1 (en) | 2020-03-12 |
CN105250022A (zh) | 2016-01-20 |
EP2552336A4 (en) | 2013-09-11 |
JP6211576B2 (ja) | 2017-10-11 |
US10492855B2 (en) | 2019-12-03 |
KR101671333B1 (ko) | 2016-11-01 |
CN103037795B (zh) | 2015-11-25 |
EP3045137A1 (en) | 2016-07-20 |
KR20130041800A (ko) | 2013-04-25 |
US20100256616A1 (en) | 2010-10-07 |
EP3354221A1 (en) | 2018-08-01 |
EP2552336A1 (en) | 2013-02-06 |
JP2013523285A (ja) | 2013-06-17 |
CA2795256A1 (en) | 2011-10-06 |
CN105250022B (zh) | 2018-10-19 |
US20160135881A1 (en) | 2016-05-19 |
US9283034B2 (en) | 2016-03-15 |
CN103037795A (zh) | 2013-04-10 |
EP2552336B1 (en) | 2016-02-10 |
US20130131513A1 (en) | 2013-05-23 |
JP2016052601A (ja) | 2016-04-14 |
EP3045137B1 (en) | 2018-02-14 |
EP3354221B1 (en) | 2021-05-26 |
US9271787B2 (en) | 2016-03-01 |
WO2011123834A1 (en) | 2011-10-06 |
CA2795256C (en) | 2017-10-03 |
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