AU2009234392A1 - Atherectomy devices and methods - Google Patents
Atherectomy devices and methods Download PDFInfo
- Publication number
- AU2009234392A1 AU2009234392A1 AU2009234392A AU2009234392A AU2009234392A1 AU 2009234392 A1 AU2009234392 A1 AU 2009234392A1 AU 2009234392 A AU2009234392 A AU 2009234392A AU 2009234392 A AU2009234392 A AU 2009234392A AU 2009234392 A1 AU2009234392 A1 AU 2009234392A1
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- AU
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- Prior art keywords
- sweep
- catheter
- cutter
- tissue
- frame
- 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.)
- Abandoned
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods 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
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00309—Cut-outs or slits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22068—Centering
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (17)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US4399808P | 2008-04-10 | 2008-04-10 | |
| US61/043,998 | 2008-04-10 | ||
| PCT/US2008/008140 WO2009005779A1 (en) | 2007-06-29 | 2008-06-30 | Atherectomy devices, systems, and methods |
| US12/215,721 US8628549B2 (en) | 2006-06-30 | 2008-06-30 | Atherectomy devices, systems, and methods |
| US12/215,752 US20090018566A1 (en) | 2006-06-30 | 2008-06-30 | Atherectomy devices, systems, and methods |
| US12/215,854 US9492192B2 (en) | 2006-06-30 | 2008-06-30 | Atherectomy devices, systems, and methods |
| AUPCT/US08/08140 | 2008-06-30 | ||
| US12/215,855 US9314263B2 (en) | 2006-06-30 | 2008-06-30 | Atherectomy devices, systems, and methods |
| US12/215,854 | 2008-06-30 | ||
| US12/215,721 | 2008-06-30 | ||
| US12/215,855 | 2008-06-30 | ||
| US12/215,752 | 2008-06-30 | ||
| US12/288,593 US8070762B2 (en) | 2007-10-22 | 2008-10-22 | Atherectomy devices and methods |
| PCT/US2008/012012 WO2009054968A1 (en) | 2007-10-22 | 2008-10-22 | Atherectomy devices and methods |
| US12/288,593 | 2008-10-22 | ||
| AUPCT/US2008/012012 | 2008-10-22 | ||
| PCT/US2009/002253 WO2009126309A2 (en) | 2008-04-10 | 2009-04-10 | Atherectomy devices and methods |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| AU2009234392A1 true AU2009234392A1 (en) | 2009-10-15 |
Family
ID=56291112
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2009234392A Abandoned AU2009234392A1 (en) | 2008-04-10 | 2009-04-10 | Atherectomy devices and methods |
Country Status (7)
| Country | Link |
|---|---|
| EP (1) | EP2268213A4 (https=) |
| JP (1) | JP2011517601A (https=) |
| KR (1) | KR20110005842A (https=) |
| CN (1) | CN102088920B (https=) |
| AU (1) | AU2009234392A1 (https=) |
| CA (1) | CA2720761A1 (https=) |
| WO (1) | WO2009126309A2 (https=) |
Families Citing this family (79)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8007506B2 (en) | 2006-06-30 | 2011-08-30 | Atheromed, Inc. | Atherectomy devices and methods |
| US20080045986A1 (en) | 2006-06-30 | 2008-02-21 | Atheromed, Inc. | Atherectomy devices and methods |
| US8628549B2 (en) | 2006-06-30 | 2014-01-14 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US20080004645A1 (en) | 2006-06-30 | 2008-01-03 | Atheromed, Inc. | Atherectomy devices and methods |
| WO2008005888A2 (en) | 2006-06-30 | 2008-01-10 | Atheromed, Inc. | Atherectomy devices and methods |
| US8361094B2 (en) | 2006-06-30 | 2013-01-29 | Atheromed, Inc. | Atherectomy devices and methods |
| US20090018566A1 (en) | 2006-06-30 | 2009-01-15 | Artheromed, Inc. | Atherectomy devices, systems, and methods |
| US9492192B2 (en) | 2006-06-30 | 2016-11-15 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US9314263B2 (en) | 2006-06-30 | 2016-04-19 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| 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 |
| US8236016B2 (en) | 2007-10-22 | 2012-08-07 | Atheromed, Inc. | Atherectomy devices and methods |
| US8070762B2 (en) | 2007-10-22 | 2011-12-06 | Atheromed Inc. | Atherectomy devices and methods |
| WO2010138927A2 (en) | 2009-05-28 | 2010-12-02 | Avinger, Inc. | Optical coherence tomography for biological imaging |
| US11382653B2 (en) | 2010-07-01 | 2022-07-12 | Avinger, Inc. | Atherectomy catheter |
| US9579197B2 (en) * | 2010-12-15 | 2017-02-28 | Medtronic Vascular, Inc. | Systems and methods for positioning a heart valve using visual markers |
| US9345511B2 (en) | 2011-10-13 | 2016-05-24 | Atheromed, Inc. | Atherectomy apparatus, systems and methods |
| US9138566B2 (en) * | 2012-05-13 | 2015-09-22 | Bendit Technologies Ltd. | Steering tool |
| US8684953B2 (en) | 2012-05-13 | 2014-04-01 | Ozca Engineering Solutions Ltd. | Steering tool |
| WO2013172974A1 (en) | 2012-05-14 | 2013-11-21 | Avinger, Inc. | Atherectomy catheter drive assemblies |
| CN102670283A (zh) * | 2012-06-08 | 2012-09-19 | 李广成 | 血肿清除器的碎吸器 |
| US20140081289A1 (en) | 2012-09-14 | 2014-03-20 | The Spectranetics Corporation | Lead removal sleeve |
| EP2931148B1 (en) * | 2012-12-12 | 2016-09-21 | Covidien LP | Cutter for tissue-removing catheter |
| JP2015536805A (ja) * | 2012-12-12 | 2015-12-24 | コヴィディエン リミテッド パートナーシップ | デバルキングカテーテル |
| WO2014106847A1 (en) * | 2013-01-07 | 2014-07-10 | Taryag Medical Ltd. | Expandable atherectomy device |
| US10149720B2 (en) | 2013-03-08 | 2018-12-11 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
| US10080576B2 (en) | 2013-03-08 | 2018-09-25 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
| US9283040B2 (en) | 2013-03-13 | 2016-03-15 | The Spectranetics Corporation | Device and method of ablative cutting with helical tip |
| US9291663B2 (en) | 2013-03-13 | 2016-03-22 | The Spectranetics Corporation | Alarm for lead insulation abnormality |
| 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 |
| US10383691B2 (en) | 2013-03-13 | 2019-08-20 | The Spectranetics Corporation | Last catheter with helical internal lumen |
| US10835279B2 (en) | 2013-03-14 | 2020-11-17 | Spectranetics Llc | Distal end supported tissue slitting apparatus |
| US9925366B2 (en) | 2013-03-15 | 2018-03-27 | The Spectranetics Corporation | Surgical instrument 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 |
| EP3341071B1 (en) | 2013-03-15 | 2020-01-29 | The Spectranetics Corporation | Medical device for removing an implanted object using laser cut hypotubes |
| US9668765B2 (en) | 2013-03-15 | 2017-06-06 | The Spectranetics Corporation | Retractable blade for lead removal device |
| US9603618B2 (en) | 2013-03-15 | 2017-03-28 | The Spectranetics Corporation | Medical device for removing an implanted object |
| EP3113701B1 (en) | 2014-03-03 | 2020-07-22 | The Spectranetics Corporation | Multiple configuration surgical cutting device |
| US12053203B2 (en) | 2014-03-03 | 2024-08-06 | Spectranetics, Llc | Multiple configuration surgical cutting device |
| 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 |
| US9980737B2 (en) * | 2014-08-04 | 2018-05-29 | Medos International Sarl | Flexible transport auger |
| JP2017533038A (ja) * | 2014-11-07 | 2017-11-09 | カーディオバスキュラー システムズ， インコーポレイテッド | 交換可能駆動軸および噛合い歯車を有する回転アテローム切除装置 |
| USD770616S1 (en) | 2015-02-20 | 2016-11-01 | The Spectranetics Corporation | Medical device handle |
| USD765243S1 (en) | 2015-02-20 | 2016-08-30 | The Spectranetics Corporation | Medical device handle |
| WO2016205335A1 (en) * | 2015-06-17 | 2016-12-22 | Stryker European Holdings I, Llc | Surgical instrument with ultrasonic tip for fibrous tissue removal |
| US11344327B2 (en) | 2016-06-03 | 2022-05-31 | Avinger, Inc. | Catheter device with detachable distal end |
| CN105852932B (zh) * | 2016-06-23 | 2018-01-19 | 天津大学 | 一种流体驱动的血管内斑块清除装置 |
| JP6993404B2 (ja) * | 2017-03-28 | 2022-01-13 | テルモ株式会社 | 医療デバイス |
| EP4732889A2 (en) | 2017-06-07 | 2026-04-29 | Supira Medical, Inc. | Intravascular fluid movement devices, systems, and methods of use |
| KR102058037B1 (ko) * | 2017-10-11 | 2020-01-22 | (주)비엠에이 | 의료용 스네어 |
| US11511103B2 (en) | 2017-11-13 | 2022-11-29 | Shifamed Holdings, Llc | Intravascular fluid movement devices, systems, and methods of use |
| JP7410034B2 (ja) | 2018-02-01 | 2024-01-09 | シファメド・ホールディングス・エルエルシー | 血管内血液ポンプならびに使用および製造の方法 |
| US12167867B2 (en) | 2018-04-19 | 2024-12-17 | Avinger, Inc. | Occlusion-crossing devices |
| WO2020028537A1 (en) | 2018-07-31 | 2020-02-06 | Shifamed Holdings, Llc | Intravascaular blood pumps and methods of use |
| WO2020073047A1 (en) | 2018-10-05 | 2020-04-09 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of use |
| WO2021011473A1 (en) | 2019-07-12 | 2021-01-21 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of manufacture and use |
| US11654275B2 (en) | 2019-07-22 | 2023-05-23 | Shifamed Holdings, Llc | Intravascular blood pumps with struts and methods of use and manufacture |
| EP4010046A4 (en) | 2019-08-07 | 2023-08-30 | Calomeni, Michael | Catheter blood pumps and collapsible pump housings |
| US20220273335A1 (en) * | 2019-08-22 | 2022-09-01 | Philips Image Guided Therapy Corporation | Atherectomy devices including cutting blades having different edge shapes |
| JP7579262B2 (ja) | 2019-09-04 | 2024-11-07 | テルモ株式会社 | 医療デバイス |
| EP4034192B1 (en) | 2019-09-25 | 2025-12-24 | Supira Medical, Inc. | Intravascular blood pump systems and methods of use and control thereof |
| EP4034221B1 (en) | 2019-09-25 | 2024-11-13 | Shifamed Holdings, LLC | Catheter blood pumps and collapsible pump housings |
| WO2021062260A1 (en) | 2019-09-25 | 2021-04-01 | Shifamed Holdings, Llc | Catheter blood pumps and collapsible blood conduits |
| CN110985521B (zh) * | 2019-09-27 | 2025-04-04 | 上海微创旋律医疗科技有限公司 | 旋转装置以及用于旋转装置的驱动轴 |
| JP2022553223A (ja) * | 2019-10-18 | 2022-12-22 | アビンガー・インコーポレイテッド | 閉塞横断装置 |
| EP4072650A4 (en) | 2019-12-11 | 2024-01-10 | Shifamed Holdings, LLC | Descending aorta and vena cava blood pumps |
| US12599758B2 (en) | 2019-12-19 | 2026-04-14 | Shifamed Holdings, Llc | Intravascular blood pumps, motors, and fluid control |
| GB2597767A (en) * | 2020-08-04 | 2022-02-09 | Achilles Therapeutics Uk Ltd | Disaggregation device |
| US11304723B1 (en) | 2020-12-17 | 2022-04-19 | Avantec Vascular Corporation | Atherectomy devices that are self-driving with controlled deflection |
| JPWO2022201246A1 (https=) * | 2021-03-22 | 2022-09-29 | ||
| WO2022261043A1 (en) | 2021-06-07 | 2022-12-15 | Avantec Vascular Corporation | Hybrid atherectomy devices |
| US20250009380A1 (en) * | 2021-11-18 | 2025-01-09 | Medtronic Vascular, Inc. | Tissue-removing cathether with flexible distal tip |
| CN115281780A (zh) * | 2022-01-24 | 2022-11-04 | 郑州大学第一附属医院 | 一种血栓便捷清理装置 |
| CN115245373B (zh) * | 2022-09-26 | 2023-06-23 | 上海百心安生物技术股份有限公司 | 一种均匀碎化的脉冲球囊扩张导管 |
| KR20250123112A (ko) * | 2022-10-27 | 2025-08-14 | 엔도테이아 인크. | 내시경에 의한 결석 추출을 위한 장치 및 방법 |
| WO2025038964A1 (en) | 2023-08-16 | 2025-02-20 | Avantec Vascular Corporation | Thrombectomy devices with lateral and vertical bias |
| US12414785B1 (en) | 2025-03-17 | 2025-09-16 | Avantec Vascular Corporation | Cutters with pulsating vacuum control |
Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5284128A (en) * | 1992-01-24 | 1994-02-08 | Applied Medical Resources Corporation | Surgical manipulator |
| US20080140101A1 (en) * | 2006-12-07 | 2008-06-12 | Revascular Therapeutic, Inc. | Apparatus for crossing occlusions or stenoses |
| US20060074442A1 (en) * | 2000-04-06 | 2006-04-06 | Revascular Therapeutics, Inc. | Guidewire for crossing occlusions or stenoses |
| US6048339A (en) * | 1998-06-29 | 2000-04-11 | Endius Incorporated | Flexible surgical instruments with suction |
| US20050222519A1 (en) * | 2000-12-20 | 2005-10-06 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| US7008375B2 (en) * | 2003-04-03 | 2006-03-07 | Surgical Solutions Llc | Articulating shaft |
| ATE452676T1 (de) * | 2005-04-07 | 2010-01-15 | Creganna Technologies Ltd | Lenkbare katheteranordnung |
| US7892186B2 (en) * | 2005-12-09 | 2011-02-22 | Heraeus Materials S.A. | Handle and articulator system and method |
| US7785286B2 (en) * | 2006-03-30 | 2010-08-31 | Volcano Corporation | Method and system for imaging, diagnosing, and/or treating an area of interest in a patient's body |
| WO2008005888A2 (en) * | 2006-06-30 | 2008-01-10 | Atheromed, Inc. | Atherectomy devices and methods |
| US20080045986A1 (en) * | 2006-06-30 | 2008-02-21 | Atheromed, Inc. | Atherectomy devices and methods |
-
2009
- 2009-04-10 EP EP09730501.5A patent/EP2268213A4/en not_active Withdrawn
- 2009-04-10 CA CA2720761A patent/CA2720761A1/en not_active Abandoned
- 2009-04-10 WO PCT/US2009/002253 patent/WO2009126309A2/en not_active Ceased
- 2009-04-10 CN CN2009801215582A patent/CN102088920B/zh active Active
- 2009-04-10 JP JP2011504008A patent/JP2011517601A/ja active Pending
- 2009-04-10 KR KR1020107025117A patent/KR20110005842A/ko not_active Withdrawn
- 2009-04-10 AU AU2009234392A patent/AU2009234392A1/en not_active Abandoned
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| JP2011517601A (ja) | 2011-06-16 |
| EP2268213A2 (en) | 2011-01-05 |
| WO2009126309A2 (en) | 2009-10-15 |
| WO2009126309A3 (en) | 2010-01-21 |
| EP2268213A4 (en) | 2013-09-18 |
| CN102088920A (zh) | 2011-06-08 |
| CN102088920B (zh) | 2013-04-24 |
| KR20110005842A (ko) | 2011-01-19 |
| CA2720761A1 (en) | 2009-10-15 |
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