CA2268977A1 - Procedes et dispositifs permettant d'ameliorer le flux sanguin jusqu'au coeur d'un patient - Google Patents

Procedes et dispositifs permettant d'ameliorer le flux sanguin jusqu'au coeur d'un patient Download PDF

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Publication number
CA2268977A1
CA2268977A1 CA002268977A CA2268977A CA2268977A1 CA 2268977 A1 CA2268977 A1 CA 2268977A1 CA 002268977 A CA002268977 A CA 002268977A CA 2268977 A CA2268977 A CA 2268977A CA 2268977 A1 CA2268977 A1 CA 2268977A1
Authority
CA
Canada
Prior art keywords
end effector
heart
channel
patient
tip
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
Application number
CA002268977A
Other languages
English (en)
Inventor
Thomas W. Davison
Stephen Dimatteo
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.)
Ethicon Endo Surgery Inc
Original Assignee
Individual
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
Priority claimed from US08/770,319 external-priority patent/US5989274A/en
Application filed by Individual filed Critical Individual
Publication of CA2268977A1 publication Critical patent/CA2268977A1/fr
Abandoned legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • 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
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320074—Working tips with special features, e.g. extending parts blade
    • A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Abstract

Cette invention concerne des dispositifs et des procédés permettant d'améliorer chez un patient le flux sanguin jusqu'au coeur. Un dispositif comprend un ensemble transducteur (36) placé dans le boîtier. Un effecteur terminal (40) est couplé activement à l'ensemble transducteur (36) et comporte un élément formant des passages qui est capable de créer des passages dans le coeur d'un patient. Un procédé permettant d'améliorer le flux sanguin jusqu'au coeur d'un patient est également présenté, il consiste à utiliser un dispositif chirurgical comprenant un effecteur terminal (40), à mettre sous tension et en fonctionnement le dispositif chirurgical pour faire vibrer l'effecteur terminal (40) à mettre en contact l'effecteur terminal (40) avec une paroi de ventricule de cardiaque, à faire avancer l'effecteur terminal (40) dans la paroi ventriculaire puis à créer un passage dans ladite paroi ventriculaire avec ledit effecteur terminal (40).
CA002268977A 1996-10-17 1997-10-16 Procedes et dispositifs permettant d'ameliorer le flux sanguin jusqu'au coeur d'un patient Abandoned CA2268977A1 (fr)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US73312896A 1996-10-17 1996-10-17
US733,128 1996-10-17
US770,319 1996-12-20
US08/770,319 US5989274A (en) 1996-10-17 1996-12-20 Methods and devices for improving blood flow to a heart of a patient
US81036097A 1997-03-03 1997-03-03
US810,360 1997-03-03
PCT/US1997/018543 WO1998016157A1 (fr) 1996-10-17 1997-10-16 Procedes et dispositifs permettant d'ameliorer le flux sanguin jusqu'au coeur d'un patient

Publications (1)

Publication Number Publication Date
CA2268977A1 true CA2268977A1 (fr) 1998-04-23

Family

ID=27419174

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002268977A Abandoned CA2268977A1 (fr) 1996-10-17 1997-10-16 Procedes et dispositifs permettant d'ameliorer le flux sanguin jusqu'au coeur d'un patient

Country Status (5)

Country Link
EP (1) EP0932365A1 (fr)
JP (1) JP2002500523A (fr)
AU (1) AU726693B2 (fr)
CA (1) CA2268977A1 (fr)
WO (1) WO1998016157A1 (fr)

Families Citing this family (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5968059A (en) 1997-03-06 1999-10-19 Scimed Life Systems, Inc. Transmyocardial revascularization catheter and method
US6749617B1 (en) 1997-11-04 2004-06-15 Scimed Life Systems, Inc. Catheter and implants for the delivery of therapeutic agents to tissues
DE19826912A1 (de) * 1998-06-17 1999-12-23 Laser & Med Tech Gmbh Kombiapplikator zur alternierenden und/oder gleichzeitigen Ultraschall- und Laserstrahlungsanwendung zur Phakoemulsifikation
AU2045500A (en) * 1998-12-08 2000-06-26 Strategic Business Development, Inc. System and method for stimulation and/or enhancement of myocardial angiogenesis
US6755821B1 (en) 1998-12-08 2004-06-29 Cardiocavitational Systems, Inc. System and method for stimulation and/or enhancement of myocardial angiogenesis
US6595958B1 (en) 2000-08-08 2003-07-22 Scimed Life Systems, Inc. Tortuous path injection device and method
US6893421B1 (en) * 2000-08-08 2005-05-17 Scimed Life Systems, Inc. Catheter shaft assembly
US6613017B1 (en) 2000-08-08 2003-09-02 Scimed Life Systems, Inc. Controlled depth injection device and method
US6530914B1 (en) 2000-10-24 2003-03-11 Scimed Life Systems, Inc. Deflectable tip guide in guide system
US6582400B1 (en) 2000-10-24 2003-06-24 Scimed Life Systems, Inc. Variable tip catheter
US6616626B2 (en) 2000-12-21 2003-09-09 Scimed Life Systems, Inc. Infusion devices and method
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US20060079877A1 (en) 2004-10-08 2006-04-13 Houser Kevin L Feedback mechanism for use with an ultrasonic surgical instrument
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
CN101883531B (zh) 2007-10-05 2014-07-02 伊西康内外科公司 人体工程学外科手术器械
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8650728B2 (en) * 2009-06-24 2014-02-18 Ethicon Endo-Surgery, Inc. Method of assembling a transducer for a surgical instrument
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
CN105962996B (zh) 2016-07-11 2019-05-10 上海逸思医疗科技有限公司 一种超声手术刀波导杆
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
JP6987956B2 (ja) * 2017-07-05 2022-01-05 オリンパス株式会社 超音波プローブ及び超音波処置アッセンブリ

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2219790C3 (de) * 1972-04-22 1974-11-07 R Pohlman Einrichtung zum Erzeugen von Sprödbrüchen bei harten Steinen
US4920954A (en) * 1988-08-05 1990-05-01 Sonic Needle Corporation Ultrasonic device for applying cavitation forces
JPH02286149A (ja) * 1989-04-27 1990-11-26 Sumitomo Bakelite Co Ltd 外科手術装置
US5222501A (en) * 1992-01-31 1993-06-29 Duke University Methods for the diagnosis and ablation treatment of ventricular tachycardia
US5324299A (en) 1992-02-03 1994-06-28 Ultracision, Inc. Ultrasonic scalpel blade and methods of application
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5449370A (en) 1993-05-12 1995-09-12 Ethicon, Inc. Blunt tipped ultrasonic trocar
US5606974A (en) * 1995-05-02 1997-03-04 Heart Rhythm Technologies, Inc. Catheter having ultrasonic device

Also Published As

Publication number Publication date
WO1998016157A1 (fr) 1998-04-23
JP2002500523A (ja) 2002-01-08
AU4756597A (en) 1998-05-11
EP0932365A1 (fr) 1999-08-04
AU726693B2 (en) 2000-11-16

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