CA2232352C - Apparatus and method for disrupting vein valves - Google Patents
Apparatus and method for disrupting vein valves Download PDFInfo
- Publication number
- CA2232352C CA2232352C CA002232352A CA2232352A CA2232352C CA 2232352 C CA2232352 C CA 2232352C CA 002232352 A CA002232352 A CA 002232352A CA 2232352 A CA2232352 A CA 2232352A CA 2232352 C CA2232352 C CA 2232352C
- Authority
- CA
- Canada
- Prior art keywords
- portions
- cutting
- axis
- shaft
- valvulotome
- 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.)
- Expired - Fee Related
Links
- 210000003462 vein Anatomy 0.000 title claims abstract description 76
- 238000000034 method Methods 0.000 title description 17
- 238000005520 cutting process Methods 0.000 claims abstract description 233
- 230000008878 coupling Effects 0.000 claims abstract description 33
- 238000010168 coupling process Methods 0.000 claims abstract description 33
- 238000005859 coupling reaction Methods 0.000 claims abstract description 33
- 238000006073 displacement reaction Methods 0.000 claims description 6
- 230000000750 progressive effect Effects 0.000 claims description 6
- 230000007704 transition Effects 0.000 claims description 6
- 238000003780 insertion Methods 0.000 claims description 5
- 230000037431 insertion Effects 0.000 claims description 5
- 239000008280 blood Substances 0.000 description 26
- 210000004369 blood Anatomy 0.000 description 26
- 210000002414 leg Anatomy 0.000 description 18
- 210000003414 extremity Anatomy 0.000 description 12
- 210000001105 femoral artery Anatomy 0.000 description 12
- 210000003752 saphenous vein Anatomy 0.000 description 12
- 230000003511 endothelial effect Effects 0.000 description 11
- 210000004027 cell Anatomy 0.000 description 9
- 210000001367 artery Anatomy 0.000 description 7
- 230000006870 function Effects 0.000 description 7
- 230000017531 blood circulation Effects 0.000 description 6
- 230000004087 circulation Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 230000005484 gravity Effects 0.000 description 4
- 210000004013 groin Anatomy 0.000 description 4
- 210000002216 heart Anatomy 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 210000000056 organ Anatomy 0.000 description 4
- 230000008733 trauma Effects 0.000 description 4
- 210000000689 upper leg Anatomy 0.000 description 4
- 238000011144 upstream manufacturing Methods 0.000 description 4
- 230000002792 vascular Effects 0.000 description 4
- 238000012800 visualization Methods 0.000 description 4
- 239000002699 waste material Substances 0.000 description 4
- 238000011065 in-situ storage Methods 0.000 description 3
- 210000001699 lower leg Anatomy 0.000 description 3
- 230000002829 reductive effect Effects 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 235000015097 nutrients Nutrition 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 230000000472 traumatic effect Effects 0.000 description 2
- 208000005189 Embolism Diseases 0.000 description 1
- 241000124008 Mammalia Species 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 238000002266 amputation Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 208000011775 arteriosclerosis disease Diseases 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
- 210000002082 fibula Anatomy 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 230000000050 nutritive effect Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
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- 210000002303 tibia Anatomy 0.000 description 1
- 210000002465 tibial artery Anatomy 0.000 description 1
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
- A61B17/32075—Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
-
- 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
- A61B2017/22097—Valve removal in veins
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/544,860 US5749882A (en) | 1995-10-18 | 1995-10-18 | Apparatus for disrupting vein valves |
| US08/544,860 | 1995-10-18 | ||
| PCT/US1996/016766 WO1997014362A1 (en) | 1995-10-18 | 1996-10-17 | Apparatus and method for disrupting vein valves |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2232352A1 CA2232352A1 (en) | 1997-04-24 |
| CA2232352C true CA2232352C (en) | 2002-05-21 |
Family
ID=24173900
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002232352A Expired - Fee Related CA2232352C (en) | 1995-10-18 | 1996-10-17 | Apparatus and method for disrupting vein valves |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US5749882A (enExample) |
| EP (1) | EP0855879A4 (enExample) |
| JP (1) | JPH11513595A (enExample) |
| CA (1) | CA2232352C (enExample) |
| WO (1) | WO1997014362A1 (enExample) |
Families Citing this family (61)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP4181306B2 (ja) | 1998-12-01 | 2008-11-12 | アトロポス・リミテッド | 創傷リトラクタ器具 |
| US7998068B2 (en) | 1998-12-01 | 2011-08-16 | Atropos Limited | Instrument access device |
| US7559893B2 (en) | 1998-12-01 | 2009-07-14 | Atropos Limited | Wound retractor device |
| US7537564B2 (en) | 1998-12-01 | 2009-05-26 | Atropos Limited | Wound retractor device |
| US7540839B2 (en) | 1999-10-14 | 2009-06-02 | Atropos Limited | Wound retractor |
| ATE415867T1 (de) | 1999-10-14 | 2008-12-15 | Atropos Ltd | Chirurgischer wundretraktor |
| DE29919914U1 (de) * | 1999-11-12 | 2000-01-27 | Richard Wolf Gmbh, 75438 Knittlingen | Strikturskalpell |
| CA2422782C (en) | 2000-10-19 | 2012-02-07 | Applied Medical Resources Corporation | Surgical access apparatus and method |
| EP2422829B1 (en) | 2001-08-14 | 2013-03-06 | Applied Medical Resources Corporation | Surgical access sealing apparatus |
| US6958037B2 (en) | 2001-10-20 | 2005-10-25 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
| EP2363105B1 (en) | 2002-06-05 | 2014-01-08 | Applied Medical Resources Corporation | Wound retractor |
| US9271753B2 (en) | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
| ES2287516T3 (es) | 2002-09-19 | 2007-12-16 | Atropos Limited | Sistema retractor de herida. |
| US20050020884A1 (en) | 2003-02-25 | 2005-01-27 | Hart Charles C. | Surgical access system |
| EP1651094A4 (en) | 2003-08-06 | 2008-07-30 | Applied Med Resources | SURGICAL DEVICE WITH NON-CONTINUOUS GEL AND METHOD OF MANUFACTURE |
| US7163510B2 (en) | 2003-09-17 | 2007-01-16 | Applied Medical Resources Corporation | Surgical instrument access device |
| US8398663B2 (en) * | 2004-02-27 | 2013-03-19 | Cook Medical Technologies Llc | Valvulotome device and method |
| US7717930B2 (en) * | 2004-02-27 | 2010-05-18 | Cook Incorporated | Valvulotome with a cutting edge |
| US7578819B2 (en) | 2005-05-16 | 2009-08-25 | Baxano, Inc. | Spinal access and neural localization |
| US7857813B2 (en) | 2006-08-29 | 2010-12-28 | Baxano, Inc. | Tissue access guidewire system and method |
| US8221397B2 (en) | 2004-10-15 | 2012-07-17 | Baxano, Inc. | Devices and methods for tissue modification |
| US20110190772A1 (en) | 2004-10-15 | 2011-08-04 | Vahid Saadat | Powered tissue modification devices and methods |
| US8613745B2 (en) | 2004-10-15 | 2013-12-24 | Baxano Surgical, Inc. | Methods, systems and devices for carpal tunnel release |
| US9247952B2 (en) | 2004-10-15 | 2016-02-02 | Amendia, Inc. | Devices and methods for tissue access |
| US8430881B2 (en) | 2004-10-15 | 2013-04-30 | Baxano, Inc. | Mechanical tissue modification devices and methods |
| US20100331883A1 (en) | 2004-10-15 | 2010-12-30 | Schmitz Gregory P | Access and tissue modification systems and methods |
| US9101386B2 (en) | 2004-10-15 | 2015-08-11 | Amendia, Inc. | Devices and methods for treating tissue |
| US8048080B2 (en) | 2004-10-15 | 2011-11-01 | Baxano, Inc. | Flexible tissue rasp |
| WO2006044727A2 (en) * | 2004-10-15 | 2006-04-27 | Baxano, Inc. | Devices and methods for tissue removal |
| WO2007010511A1 (en) | 2005-07-15 | 2007-01-25 | Atropos Limited | A wound retractor |
| JP4927852B2 (ja) | 2005-10-14 | 2012-05-09 | アプライド メディカル リソーシーズ コーポレイション | ゲルパッドを備えた割り型フープ開創器 |
| US8366712B2 (en) | 2005-10-15 | 2013-02-05 | Baxano, Inc. | Multiple pathways for spinal nerve root decompression from a single access point |
| US8062298B2 (en) | 2005-10-15 | 2011-11-22 | Baxano, Inc. | Flexible tissue removal devices and methods |
| EP2719340B1 (en) | 2007-05-11 | 2017-02-08 | Applied Medical Resources Corporation | Surgical retractor |
| JP5441890B2 (ja) | 2007-05-11 | 2014-03-12 | アプライド メディカル リソーシーズ コーポレイション | ゲルパッドを備えた手術用レトラクタ |
| WO2008149332A1 (en) | 2007-06-05 | 2008-12-11 | Atropos Limited | An instrument access device |
| US8657740B2 (en) | 2007-06-05 | 2014-02-25 | Atropos Limited | Instrument access device |
| US20110071359A1 (en) | 2007-06-05 | 2011-03-24 | Frank Bonadio | Instrument Access Device |
| EP2194861A1 (en) | 2007-09-06 | 2010-06-16 | Baxano, Inc. | Method, system and apparatus for neural localization |
| US8192436B2 (en) | 2007-12-07 | 2012-06-05 | Baxano, Inc. | Tissue modification devices |
| CA2711116C (en) | 2008-01-22 | 2017-08-29 | Applied Medical Resources Corporation | Surgical instrument access device |
| US8409206B2 (en) | 2008-07-01 | 2013-04-02 | Baxano, Inc. | Tissue modification devices and methods |
| US8398641B2 (en) | 2008-07-01 | 2013-03-19 | Baxano, Inc. | Tissue modification devices and methods |
| WO2010009093A2 (en) | 2008-07-14 | 2010-01-21 | Baxano, Inc | Tissue modification devices |
| US9314253B2 (en) | 2008-07-01 | 2016-04-19 | Amendia, Inc. | Tissue modification devices and methods |
| CA2739910C (en) | 2008-10-13 | 2017-06-06 | Applied Medical Resources Corporation | Single port access system |
| US8375955B2 (en) | 2009-02-06 | 2013-02-19 | Atropos Limited | Surgical procedure |
| WO2010105261A2 (en) | 2009-03-13 | 2010-09-16 | Baxano, Inc. | Flexible neural localization devices and methods |
| US8394102B2 (en) | 2009-06-25 | 2013-03-12 | Baxano, Inc. | Surgical tools for treatment of spinal stenosis |
| ES2743503T3 (es) | 2010-10-01 | 2020-02-19 | Applied Med Resources | Sistema quirúrgico para orificio natural |
| US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
| US9585667B2 (en) * | 2010-11-15 | 2017-03-07 | Vascular Insights Llc | Sclerotherapy catheter with lumen having wire rotated by motor and simultaneous withdrawal from vein |
| EP4104774B1 (en) | 2011-05-10 | 2025-07-23 | Applied Medical Resources Corporation | Wound retractor |
| CA2902201A1 (en) | 2013-03-15 | 2014-09-18 | Applied Medical Resources Corporation | Mechanical gel surgical access device |
| US9782191B2 (en) | 2014-01-21 | 2017-10-10 | Cook Medical Technologies Llc | Cutting devices and methods |
| AU2015289553B2 (en) | 2014-07-18 | 2020-09-03 | Applied Medical Resources Corporation | Gels having permanent tack free coatings and method of manufacture |
| CA3203993A1 (en) | 2014-08-15 | 2016-02-18 | Applied Medical Resources Corporation | Natural orifice surgery system |
| CA2968846A1 (en) | 2014-11-25 | 2016-06-02 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
| ES2989216T3 (es) | 2015-09-15 | 2024-11-25 | Applied Med Resources | Sistema de acceso robótico quirúrgico |
| WO2017062850A2 (en) | 2015-10-07 | 2017-04-13 | Applied Medical Resources Corporation | Wound retractor with multi-segment outer ring |
| WO2018048948A1 (en) | 2016-09-12 | 2018-03-15 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
Family Cites Families (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2655154A (en) * | 1952-12-05 | 1953-10-13 | Richter Bruno | Valvulotome |
| US3525339A (en) * | 1968-05-20 | 1970-08-25 | Becton Dickinson Co | Flexible gas endarterectomy spatula |
| US3837345A (en) * | 1973-08-31 | 1974-09-24 | A Matar | Venous valve snipper |
| US4273128A (en) * | 1980-01-14 | 1981-06-16 | Lary Banning G | Coronary cutting and dilating instrument |
| US4493321A (en) * | 1982-05-25 | 1985-01-15 | Leather Robert P | Venous valve cutter for the incision of valve leaflets in situ |
| SE430466B (sv) * | 1983-01-07 | 1983-11-21 | Astra Meditec Ab | En huvudkombination for ett venutdragarinstrument |
| US4655217A (en) * | 1985-10-11 | 1987-04-07 | Reed Matt H | Method and apparatus for disabling vein valves in-situ |
| US4768508A (en) * | 1986-06-06 | 1988-09-06 | Thomas J. Fogarty | Vein valve cutting method |
| US4739760A (en) * | 1986-06-06 | 1988-04-26 | Thomas J. Fogarty | Vein valve cutter apparatus |
| DE3717926A1 (de) * | 1987-05-27 | 1988-12-08 | Leibinger Medizintech | Venenklappen-aufschneidvorrichtung |
| US4791913A (en) * | 1987-12-14 | 1988-12-20 | Baxter Travenol Laboratories, Inc. | Optical valvulotome |
| SE8800244D0 (sv) * | 1988-01-27 | 1988-01-27 | Medical Innovation Ab | Anordning for avskerning av venklaffar |
| US4924882A (en) * | 1988-02-26 | 1990-05-15 | Donovan Thomas J | Electronic cuspotome and method of using the same |
| US4952215A (en) * | 1988-02-29 | 1990-08-28 | Boisurge, Inc. | Valvulotome with leaflet disruption heads and fluid supply |
| WO1989009029A1 (en) * | 1989-02-16 | 1989-10-05 | Taheri Syde A | Method and apparatus for removing venous valves |
| US5026383A (en) * | 1989-06-14 | 1991-06-25 | Nobles Anthony A | Apparatus for in-situ cutting of valves within veins and method therefor |
| US5092872A (en) * | 1989-07-28 | 1992-03-03 | Jacob Segalowitz | Valvulotome catheter |
| US5049154A (en) * | 1989-08-07 | 1991-09-17 | Berkshire Research & Development, Inc. | Adjustable intra-luminal valvulotome |
| US5133725A (en) * | 1989-08-07 | 1992-07-28 | Berkshire Research And Development, Inc. | Adjustable intra-liminal valvulotome |
| US5211651A (en) * | 1989-08-18 | 1993-05-18 | Evi Corporation | Catheter atherotome |
| US5047041A (en) * | 1989-08-22 | 1991-09-10 | Samuels Peter B | Surgical apparatus for the excision of vein valves in situ |
| US5061240A (en) * | 1990-04-02 | 1991-10-29 | George Cherian | Balloon tip catheter for venous valve ablation |
| US5152771A (en) * | 1990-12-31 | 1992-10-06 | The Board Of Supervisors Of Louisiana State University | Valve cutter for arterial by-pass surgery |
| US5171316A (en) * | 1991-02-19 | 1992-12-15 | Pilling Co. | Valvulotome |
| US5139506A (en) * | 1991-03-22 | 1992-08-18 | Pilling Co. | Valvulotome |
| US5284478A (en) * | 1992-06-08 | 1994-02-08 | Nobles Anthony A | Detachable tip optical valvulotome |
| US5584842A (en) * | 1992-12-02 | 1996-12-17 | Intramed Laboratories, Inc. | Valvulotome and method of using |
| US5514151A (en) * | 1992-12-02 | 1996-05-07 | Fogarty; Thomas J. | Valvulotome with a laterally offset curved cutting edge |
| US5522824A (en) * | 1994-01-24 | 1996-06-04 | Applied Medical Resources Corporation | Valvulotome and method for making and using same |
-
1995
- 1995-10-18 US US08/544,860 patent/US5749882A/en not_active Expired - Fee Related
-
1996
- 1996-10-17 CA CA002232352A patent/CA2232352C/en not_active Expired - Fee Related
- 1996-10-17 EP EP96936723A patent/EP0855879A4/en not_active Withdrawn
- 1996-10-17 WO PCT/US1996/016766 patent/WO1997014362A1/en not_active Ceased
- 1996-10-17 JP JP9516055A patent/JPH11513595A/ja not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP0855879A4 (en) | 1999-03-10 |
| JPH11513595A (ja) | 1999-11-24 |
| WO1997014362A1 (en) | 1997-04-24 |
| CA2232352A1 (en) | 1997-04-24 |
| EP0855879A1 (en) | 1998-08-05 |
| US5749882A (en) | 1998-05-12 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKLA | Lapsed |