AU2018239346B2 - Methods and apparatus for removal of intracranial hemorrhage - Google Patents

Methods and apparatus for removal of intracranial hemorrhage Download PDF

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Publication number
AU2018239346B2
AU2018239346B2 AU2018239346A AU2018239346A AU2018239346B2 AU 2018239346 B2 AU2018239346 B2 AU 2018239346B2 AU 2018239346 A AU2018239346 A AU 2018239346A AU 2018239346 A AU2018239346 A AU 2018239346A AU 2018239346 B2 AU2018239346 B2 AU 2018239346B2
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Australia
Prior art keywords
probe shaft
tubular probe
lesion
blade
lumen
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AU2018239346A
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English (en)
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AU2018239346A1 (en
Inventor
Steven Loisel
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Penumbra Inc
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Penumbra Inc
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Publication of AU2018239346A1 publication Critical patent/AU2018239346A1/en
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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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1695—Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
    • 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
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • 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
    • A61B17/22—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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/2202—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00685—Archimedes screw
    • 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
    • A61B2017/22079—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 suction of debris
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320024—Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Neurosurgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
AU2018239346A 2017-03-20 2018-03-20 Methods and apparatus for removal of intracranial hemorrhage Active AU2018239346B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762473779P 2017-03-20 2017-03-20
US62/473,779 2017-03-20
PCT/US2018/023348 WO2018175431A1 (en) 2017-03-20 2018-03-20 Methods and apparatus for removal of intracranial hemorrhage

Publications (2)

Publication Number Publication Date
AU2018239346A1 AU2018239346A1 (en) 2019-10-03
AU2018239346B2 true AU2018239346B2 (en) 2020-11-26

Family

ID=63521375

Family Applications (1)

Application Number Title Priority Date Filing Date
AU2018239346A Active AU2018239346B2 (en) 2017-03-20 2018-03-20 Methods and apparatus for removal of intracranial hemorrhage

Country Status (7)

Country Link
US (2) US10716590B2 (enExample)
EP (1) EP3600089B1 (enExample)
JP (1) JP2020511269A (enExample)
KR (1) KR102687413B1 (enExample)
AU (1) AU2018239346B2 (enExample)
CA (1) CA3057102A1 (enExample)
WO (1) WO2018175431A1 (enExample)

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CN105228688B (zh) 2013-03-15 2019-02-19 伊瑟拉医疗公司 脉管治疗装置和方法
WO2017142874A2 (en) 2016-02-16 2017-08-24 Insera Therapeutics, Inc. Aspiration devices and anchored flow diverting devices
WO2022082213A1 (en) 2017-10-16 2022-04-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US12201315B2 (en) 2017-10-16 2025-01-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US10172634B1 (en) 2017-10-16 2019-01-08 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
USD847864S1 (en) 2018-01-22 2019-05-07 Insera Therapeutics, Inc. Pump
US10531883B1 (en) 2018-07-20 2020-01-14 Syntheon 2.0, LLC Aspiration thrombectomy system and methods for thrombus removal with aspiration catheter
CN110141303B (zh) 2019-06-06 2022-09-02 赛诺神畅医疗科技有限公司 用于碎栓并抽吸血栓的器械
US12440272B2 (en) * 2020-08-14 2025-10-14 Gyrus Acmi, Inc. Internal secondary calculus fragmentation mechanism
JP2024024698A (ja) * 2021-01-11 2024-02-26 テルモ株式会社 医療デバイス
US12220139B2 (en) 2022-03-20 2025-02-11 Von Vascular, Inc. System, devices and methods for removing obstructions in body lumens
US12471937B2 (en) 2023-01-25 2025-11-18 Syntheon Pv, Llc Aspiration thrombectomy systems and methods for thrombus removal with aspiration catheter

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US20160374717A1 (en) * 2015-06-25 2016-12-29 Covidien Lp Tissue-removing catheter with reciprocating tissue-removing head

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US6592541B1 (en) * 1998-07-21 2003-07-15 Badrudin Kurwa Ophthalmological surgical instrument, device and method of use
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US7344546B2 (en) * 2000-04-05 2008-03-18 Pathway Medical Technologies Intralumenal material removal using a cutting device for differential cutting
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Also Published As

Publication number Publication date
CA3057102A1 (en) 2018-09-27
KR20200012828A (ko) 2020-02-05
US10716590B2 (en) 2020-07-21
US20200330117A1 (en) 2020-10-22
EP3600089A1 (en) 2020-02-05
JP2020511269A (ja) 2020-04-16
US20180263646A1 (en) 2018-09-20
WO2018175431A1 (en) 2018-09-27
US11389186B2 (en) 2022-07-19
EP3600089A4 (en) 2020-12-30
KR102687413B1 (ko) 2024-07-24
AU2018239346A1 (en) 2019-10-03
EP3600089B1 (en) 2023-09-06

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