CA2266728C - Device for controlled longitudinal movement of an operative element within a catheter sheath and method - Google Patents
Device for controlled longitudinal movement of an operative element within a catheter sheath and method Download PDFInfo
- Publication number
- CA2266728C CA2266728C CA002266728A CA2266728A CA2266728C CA 2266728 C CA2266728 C CA 2266728C CA 002266728 A CA002266728 A CA 002266728A CA 2266728 A CA2266728 A CA 2266728A CA 2266728 C CA2266728 C CA 2266728C
- Authority
- CA
- Canada
- Prior art keywords
- sheath
- connecting member
- proximal end
- operative element
- anchor
- 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
- 238000000034 method Methods 0.000 title description 8
- 230000023597 hemostasis Effects 0.000 claims abstract description 7
- 238000013519 translation Methods 0.000 claims description 14
- 238000002604 ultrasonography Methods 0.000 claims description 8
- 239000013307 optical fiber Substances 0.000 claims description 7
- 238000004873 anchoring Methods 0.000 claims description 2
- 238000012285 ultrasound imaging Methods 0.000 abstract description 6
- 238000003384 imaging method Methods 0.000 description 14
- 238000010276 construction Methods 0.000 description 8
- 206010003210 Arteriosclerosis Diseases 0.000 description 6
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 6
- 238000012014 optical coherence tomography Methods 0.000 description 5
- 230000000712 assembly Effects 0.000 description 4
- 238000000429 assembly Methods 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 4
- 230000002792 vascular Effects 0.000 description 4
- 238000002679 ablation Methods 0.000 description 2
- 230000000994 depressogenic effect Effects 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 230000036512 infertility Effects 0.000 description 2
- 238000000608 laser ablation Methods 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 201000001320 Atherosclerosis Diseases 0.000 description 1
- 238000012935 Averaging Methods 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 244000208734 Pisonia aculeata Species 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 208000011775 arteriosclerosis disease Diseases 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 238000013147 laser angioplasty Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005259 peripheral blood Anatomy 0.000 description 1
- 239000011886 peripheral blood Substances 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000006496 vascular abnormality Effects 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 238000003466 welding Methods 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
- A61B17/320758—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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0062—Arrangements for scanning
- A61B5/0066—Optical coherence imaging
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
-
- 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
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- 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
- A61B2017/22072—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 instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22074—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
- A61B2017/22075—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with motorized advancing or retracting means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B46/00—Surgical drapes
- A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Vascular Medicine (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Laser Surgery Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/722,325 US5827313A (en) | 1996-09-27 | 1996-09-27 | Device for controlled longitudinal movement of an operative element within a catheter sheath and method |
| US08/722,325 | 1996-09-27 | ||
| PCT/US1997/017047 WO1998012968A1 (en) | 1996-09-27 | 1997-09-24 | Device for controlled longitudinal movement of an operative element within a catheter sheath and method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2266728A1 CA2266728A1 (en) | 1998-04-02 |
| CA2266728C true CA2266728C (en) | 2008-07-08 |
Family
ID=24901386
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002266728A Expired - Fee Related CA2266728C (en) | 1996-09-27 | 1997-09-24 | Device for controlled longitudinal movement of an operative element within a catheter sheath and method |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US5827313A (enExample) |
| EP (2) | EP1397996B1 (enExample) |
| JP (1) | JP2001513659A (enExample) |
| CA (1) | CA2266728C (enExample) |
| DE (2) | DE69738244T2 (enExample) |
| WO (1) | WO1998012968A1 (enExample) |
Families Citing this family (166)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5904651A (en) * | 1996-10-28 | 1999-05-18 | Ep Technologies, Inc. | Systems and methods for visualizing tissue during diagnostic or therapeutic procedures |
| US6723063B1 (en) | 1998-06-29 | 2004-04-20 | Ekos Corporation | Sheath for use with an ultrasound element |
| US6078831A (en) * | 1997-09-29 | 2000-06-20 | Scimed Life Systems, Inc. | Intravascular imaging guidewire |
| ES2253832T3 (es) * | 1997-09-29 | 2006-06-01 | Boston Scientific Limited | Alambre de guia para la toma de imagenes intravasculares. |
| US7713190B2 (en) | 1998-02-24 | 2010-05-11 | Hansen Medical, Inc. | Flexible instrument |
| US8414598B2 (en) | 1998-02-24 | 2013-04-09 | Hansen Medical, Inc. | Flexible instrument |
| US7775972B2 (en) | 1998-02-24 | 2010-08-17 | Hansen Medical, Inc. | Flexible instrument |
| US7169141B2 (en) | 1998-02-24 | 2007-01-30 | Hansen Medical, Inc. | Surgical instrument |
| US6004271A (en) | 1998-05-07 | 1999-12-21 | Boston Scientific Corporation | Combined motor drive and automated longitudinal position translator for ultrasonic imaging system |
| US6319227B1 (en) * | 1998-08-05 | 2001-11-20 | Scimed Life Systems, Inc. | Automatic/manual longitudinal position translator and rotary drive system for catheters |
| US6419644B1 (en) * | 1998-09-08 | 2002-07-16 | Scimed Life Systems, Inc. | System and method for intraluminal imaging |
| US6398755B1 (en) * | 1998-10-06 | 2002-06-04 | Scimed Life Systems, Inc. | Driveable catheter system |
| US6296619B1 (en) | 1998-12-30 | 2001-10-02 | Pharmasonics, Inc. | Therapeutic ultrasonic catheter for delivering a uniform energy dose |
| US6485482B1 (en) * | 1999-07-30 | 2002-11-26 | Scimed Life Systems, Inc. | Rotational and translational drive coupling for catheter assembly |
| US6299622B1 (en) * | 1999-08-19 | 2001-10-09 | Fox Hollow Technologies, Inc. | Atherectomy catheter with aligned imager |
| US6413222B1 (en) | 2000-04-13 | 2002-07-02 | Boston Scientific Corporation | Catheter drive shaft clutch |
| US6517528B1 (en) | 2000-04-13 | 2003-02-11 | Scimed Life Systems, Inc. | Magnetic catheter drive shaft clutch |
| US6475224B1 (en) * | 2000-04-13 | 2002-11-05 | Scimed Life Systems, Inc. | Catheter drive shaft spring clutch |
| US6454717B1 (en) * | 2000-04-13 | 2002-09-24 | Scimed Life Systems, Inc. | Concentric catheter drive shaft clutch |
| US6497681B1 (en) | 2000-06-02 | 2002-12-24 | Thomas Medical Products, Inc. | Device and method for holding and maintaining the position of a medical device such as a cardiac pacing lead or other intravascular instrument and for facilitating removal of a peelable or splittable introducer sheath |
| US6418337B1 (en) * | 2000-06-15 | 2002-07-09 | Autolitt Inc. | MRI guided hyperthermia surgery |
| US6579300B2 (en) * | 2001-01-18 | 2003-06-17 | Scimed Life Systems, Inc. | Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy |
| US8414505B1 (en) | 2001-02-15 | 2013-04-09 | Hansen Medical, Inc. | Catheter driver system |
| US7766894B2 (en) | 2001-02-15 | 2010-08-03 | Hansen Medical, Inc. | Coaxial catheter system |
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| US20030135204A1 (en) * | 2001-02-15 | 2003-07-17 | Endo Via Medical, Inc. | Robotically controlled medical instrument with a flexible section |
| WO2002089872A2 (en) | 2001-05-06 | 2002-11-14 | Stereotaxis, Inc. | System and methods for advancing a catheter |
| US7635342B2 (en) * | 2001-05-06 | 2009-12-22 | Stereotaxis, Inc. | System and methods for medical device advancement and rotation |
| US7766856B2 (en) * | 2001-05-06 | 2010-08-03 | Stereotaxis, Inc. | System and methods for advancing a catheter |
| US6702744B2 (en) | 2001-06-20 | 2004-03-09 | Advanced Cardiovascular Systems, Inc. | Agents that stimulate therapeutic angiogenesis and techniques and devices that enable their delivery |
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| DK1291034T3 (da) * | 2001-09-10 | 2006-09-25 | Thermocore Medical Systems N V | Kateterpositionsanordning |
| US8608661B1 (en) | 2001-11-30 | 2013-12-17 | Advanced Cardiovascular Systems, Inc. | Method for intravascular delivery of a treatment agent beyond a blood vessel wall |
| JP4279676B2 (ja) | 2001-12-03 | 2009-06-17 | イコス コーポレイション | 小血管用超音波カテーテル |
| ATE520362T1 (de) | 2001-12-03 | 2011-09-15 | Ekos Corp | Katheter mit mehreren ultraschall-abstrahlenden teilen |
| US20040068189A1 (en) | 2002-02-28 | 2004-04-08 | Wilson Richard R. | Ultrasound catheter with embedded conductors |
| JP4018450B2 (ja) * | 2002-05-27 | 2007-12-05 | キヤノン株式会社 | 文書管理システム、文書管理装置、認証方法、コンピュータ読み取り可能なプログラム、及び記憶媒体 |
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| DE10300091A1 (de) * | 2003-01-04 | 2004-07-29 | Lubatschowski, Holger, Dr. | Mikrotom |
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- 1997-09-24 CA CA002266728A patent/CA2266728C/en not_active Expired - Fee Related
- 1997-09-24 DE DE69738244T patent/DE69738244T2/de not_active Expired - Lifetime
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- 1997-09-24 DE DE69727488T patent/DE69727488T2/de not_active Expired - Lifetime
- 1997-09-24 EP EP03078788A patent/EP1397996B1/en not_active Expired - Lifetime
- 1997-09-24 EP EP97945260A patent/EP0935443B1/en not_active Expired - Lifetime
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|---|---|
| EP1397996B1 (en) | 2007-10-24 |
| DE69727488D1 (de) | 2004-03-11 |
| EP1397996A2 (en) | 2004-03-17 |
| EP0935443B1 (en) | 2004-02-04 |
| DE69738244D1 (de) | 2007-12-06 |
| US5827313A (en) | 1998-10-27 |
| EP1397996A3 (en) | 2004-05-26 |
| EP0935443A1 (en) | 1999-08-18 |
| JP2001513659A (ja) | 2001-09-04 |
| CA2266728A1 (en) | 1998-04-02 |
| DE69727488T2 (de) | 2004-11-25 |
| DE69738244T2 (de) | 2008-07-31 |
| WO1998012968A1 (en) | 1998-04-02 |
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