AU2008269930B2 - Improved catheter - Google Patents

Improved catheter Download PDF

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Publication number
AU2008269930B2
AU2008269930B2 AU2008269930A AU2008269930A AU2008269930B2 AU 2008269930 B2 AU2008269930 B2 AU 2008269930B2 AU 2008269930 A AU2008269930 A AU 2008269930A AU 2008269930 A AU2008269930 A AU 2008269930A AU 2008269930 B2 AU2008269930 B2 AU 2008269930B2
Authority
AU
Australia
Prior art keywords
catheter
tubular body
outer tubular
deflectable
distal end
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
AU2008269930A
Other languages
English (en)
Other versions
AU2008269930A1 (en
Inventor
Paul Bielewicz
Mark Blea
Joachim Buff
Ed Cullly
Rich Denny
Dennis Raymond Dietz
Mike Fife
Christian Henke
Joseph Huppenthal
Paul Latulippe
David Messick
Craig Nordhausen
Clyde Gerald Oakley
Ryan Patterson
Jimmie Polenske Jr.
Marcus Stollberg
Eric Tittelbaugh
Michael Vonesh
David Wilson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
WL Gore and Associates Inc
Original Assignee
WL Gore and Associates Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by WL Gore and Associates Inc filed Critical WL Gore and Associates Inc
Publication of AU2008269930A1 publication Critical patent/AU2008269930A1/en
Application granted granted Critical
Publication of AU2008269930B2 publication Critical patent/AU2008269930B2/en
Assigned to W. L. GORE & ASSOCIATES, INC. reassignment W. L. GORE & ASSOCIATES, INC. Request for Assignment Assignors: GORE ENTERPRISE HOLDINGS, INC.
Ceased legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00183—Optical arrangements characterised by the viewing angles for variable viewing angles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
    • A61B8/4466—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe involving deflection of the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22014—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22039—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire eccentric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2906—Multiple forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Optics & Photonics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
AU2008269930A 2007-06-28 2008-06-27 Improved catheter Ceased AU2008269930B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US94680707P 2007-06-28 2007-06-28
US60/946,807 2007-06-28
PCT/US2008/068643 WO2009006335A1 (fr) 2007-06-28 2008-06-27 Cathéter perfectionné

Related Child Applications (1)

Application Number Title Priority Date Filing Date
AU2012244347A Division AU2012244347A1 (en) 2007-06-28 2012-11-02 Improved catheter

Publications (2)

Publication Number Publication Date
AU2008269930A1 AU2008269930A1 (en) 2009-01-08
AU2008269930B2 true AU2008269930B2 (en) 2012-08-02

Family

ID=40226496

Family Applications (1)

Application Number Title Priority Date Filing Date
AU2008269930A Ceased AU2008269930B2 (en) 2007-06-28 2008-06-27 Improved catheter

Country Status (5)

Country Link
EP (1) EP2164407A4 (fr)
JP (1) JP5576274B2 (fr)
AU (1) AU2008269930B2 (fr)
CA (1) CA2691449A1 (fr)
WO (1) WO2009006335A1 (fr)

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US8548571B2 (en) 2009-12-08 2013-10-01 Avinger, Inc. Devices and methods for predicting and preventing restenosis
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
WO2010111629A2 (fr) * 2009-03-27 2010-09-30 EndoSphere Surgical, Inc. Canule à caméra et éclairage intégrés
WO2010129075A1 (fr) 2009-04-28 2010-11-11 Avinger, Inc. Cathéter de support de fil-guide
CN102460118B (zh) 2009-05-28 2015-03-25 阿维格公司 用于生物成像的光学相干断层扫描
EP2448502B1 (fr) 2009-07-01 2022-04-06 Avinger, Inc. Cathéter d'athérectomie pourvu d'une pointe déplaçable de manière latérale
US20110166455A1 (en) * 2010-01-07 2011-07-07 Cully Edward H Catheter
US10548478B2 (en) 2010-07-01 2020-02-04 Avinger, Inc. Balloon atherectomy catheters with imaging
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US11382653B2 (en) 2010-07-01 2022-07-12 Avinger, Inc. Atherectomy catheter
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AU2011316783A1 (en) * 2010-10-22 2013-05-23 W. L. Gore & Associates, Inc. Catheter with shape memory alloy actuator
AU2011319740B9 (en) * 2010-10-27 2015-09-24 W. L. Gore & Associates, Inc. Imaging catheter with rotatble array
US9949754B2 (en) 2011-03-28 2018-04-24 Avinger, Inc. Occlusion-crossing devices
CA2831306C (fr) 2011-03-28 2018-11-20 Avinger, Inc. Dispositifs traversant une occlusion, imagerie et dispositifs d'atherectomie
ES2673633T3 (es) 2011-08-29 2018-06-25 ART MEDICAL Ltd. Dispositivo de alimentación post-pilórica
EP2768406B1 (fr) 2011-10-17 2019-12-04 Avinger, Inc. Cathéters d'athérectomie et mécanisme d'actionnement sans contact pour cathéters
US9345406B2 (en) 2011-11-11 2016-05-24 Avinger, Inc. Occlusion-crossing devices, atherectomy devices, and imaging
US9345398B2 (en) 2012-05-14 2016-05-24 Avinger, Inc. Atherectomy catheter drive assemblies
WO2013172970A1 (fr) 2012-05-14 2013-11-21 Avinger, Inc. Cathéters d'athérectomie à imagerie
EP2849636B1 (fr) 2012-05-14 2020-04-22 Avinger, Inc. Tomographie à cohérence optique ayant une fibre à gradient d'indice pour imagerie biologique
WO2014006954A1 (fr) 2012-07-04 2014-01-09 オリンパスメディカルシステムズ株式会社 Endoscope ultrasonore
US11284916B2 (en) 2012-09-06 2022-03-29 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
US9498247B2 (en) 2014-02-06 2016-11-22 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
US10335173B2 (en) 2012-09-06 2019-07-02 Avinger, Inc. Re-entry stylet for catheter
CN105228514B (zh) 2013-03-15 2019-01-22 阿维格公司 光学压力传感器组件
US11096717B2 (en) 2013-03-15 2021-08-24 Avinger, Inc. Tissue collection device for catheter
WO2014143064A1 (fr) 2013-03-15 2014-09-18 Avinger, Inc. Dispositifs de traversée d'occlusion totale chronique à l'aide d'imagerie
EP3019096B1 (fr) 2013-07-08 2023-07-05 Avinger, Inc. Système d'identification de limitante élastique pour guider une thérapie interventionnelle
WO2015089047A1 (fr) * 2013-12-10 2015-06-18 The Charlotte-Mecklenburg Hospital Authority D/B/A Carolinas Healthcare System Dispositif vasculaire guidé par ultrasons pour une oxygénation de membrane extracorporelle
EP3102127B1 (fr) 2014-02-06 2019-10-09 Avinger, Inc. Cathéters d'athérectomie
WO2015155630A1 (fr) * 2014-04-11 2015-10-15 Koninklijke Philips N.V. Aiguille à capteurs piézo-électriques à couche mince
CN107106190B (zh) 2014-07-08 2020-02-28 阿维格公司 高速慢性全闭塞部横穿装置
EP3285653B1 (fr) * 2015-04-20 2019-12-18 Koninklijke Philips N.V. Cathéter de diagnostique à double lumière
WO2017011587A1 (fr) 2015-07-13 2017-01-19 Avinger, Inc. Lentille réflectrice anamorphosante micro-moulée pour cathéters à usage diagnostique/thérapeutique guidés par imagerie
WO2017085724A1 (fr) 2015-11-18 2017-05-26 Art Healthcare Ltd. Gaine et raccord pour endoscope d'imagerie
JP6927986B2 (ja) 2016-01-25 2021-09-01 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． 遅延補正を備えたｏｃｔイメージングカテーテル
WO2017173370A1 (fr) 2016-04-01 2017-10-05 Avinger, Inc. Cathéter d'athérectomie avec dispositif de coupe dentelé
WO2017210466A1 (fr) 2016-06-03 2017-12-07 Avinger, Inc. Cathéter à extrémité distale détachable
WO2018006041A1 (fr) 2016-06-30 2018-01-04 Avinger, Inc. Cathéter d'athérectomie avec pointe distale formable
WO2021076356A1 (fr) 2019-10-18 2021-04-22 Avinger, Inc. Dispositifs de croisement d'occlusion

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Patent Citations (2)

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Publication number Priority date Publication date Assignee Title
US6099464A (en) * 1995-04-10 2000-08-08 Olympus Optical Co., Ltd. Bending sheath for probe
WO2007123518A1 (fr) * 2006-04-21 2007-11-01 Cedars-Sinai Medical Center sonde d'imagerie et/ou spectroscopique À MODALITÉS multiples

Also Published As

Publication number Publication date
JP5576274B2 (ja) 2014-08-20
CA2691449A1 (fr) 2009-01-08
JP2010531718A (ja) 2010-09-30
WO2009006335A1 (fr) 2009-01-08
EP2164407A4 (fr) 2012-07-11
AU2008269930A1 (en) 2009-01-08
EP2164407A1 (fr) 2010-03-24

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