CA2380350C - Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease - Google Patents

Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease Download PDF

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Publication number
CA2380350C
CA2380350C CA2380350A CA2380350A CA2380350C CA 2380350 C CA2380350 C CA 2380350C CA 2380350 A CA2380350 A CA 2380350A CA 2380350 A CA2380350 A CA 2380350A CA 2380350 C CA2380350 C CA 2380350C
Authority
CA
Canada
Prior art keywords
catheter
balloon
blood
lumen
guide wire
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
Application number
CA2380350A
Other languages
English (en)
French (fr)
Other versions
CA2380350A1 (en
Inventor
Juan Carlos Parodi
Takao Ohki
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.)
Individual
Original Assignee
W.L. Gore and Associates Inc
Gore Enterprise Holdings Inc
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 US09/333,074 external-priority patent/US6206868B1/en
Priority claimed from US09/418,727 external-priority patent/US6423032B2/en
Priority claimed from US09/528,569 external-priority patent/US6540712B1/en
Priority claimed from US09/528,958 external-priority patent/US6582396B1/en
Application filed by W.L. Gore and Associates Inc, Gore Enterprise Holdings Inc filed Critical W.L. Gore and Associates Inc
Priority to CA2721188A priority Critical patent/CA2721188C/en
Publication of CA2380350A1 publication Critical patent/CA2380350A1/en
Application granted granted Critical
Publication of CA2380350C publication Critical patent/CA2380350C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/011—Instruments for their placement or removal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts
    • 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
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61B2017/22067—Blocking; Occlusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M25/003—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves
    • A61M2025/0031—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1002—Balloon catheters characterised by balloon shape

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
CA2380350A 1999-06-14 2000-06-14 Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease Expired - Fee Related CA2380350C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2721188A CA2721188C (en) 1999-06-14 2000-06-14 Apparatus for removing emboli with inflatable member and puncture risk reducing means

Applications Claiming Priority (11)

Application Number Priority Date Filing Date Title
US09/333,074 US6206868B1 (en) 1998-03-13 1999-06-14 Protective device and method against embolization during treatment of carotid artery disease
US09/333,074 1999-06-14
US15512099P 1999-09-22 1999-09-22
US60/155,120 1999-09-22
US09/418,727 1999-10-15
US09/418,727 US6423032B2 (en) 1998-03-13 1999-10-15 Apparatus and methods for reducing embolization during treatment of carotid artery disease
US09/528,569 US6540712B1 (en) 1998-03-13 2000-03-20 Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease
US09/528,958 US6582396B1 (en) 1998-05-13 2000-03-20 Puncture resistant balloon for use in carotid artery procedures and methods of use
US09/528,569 2000-03-20
US09/528,958 2000-03-20
PCT/US2000/016393 WO2000076390A2 (en) 1999-06-14 2000-06-14 Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2721188A Division CA2721188C (en) 1999-06-14 2000-06-14 Apparatus for removing emboli with inflatable member and puncture risk reducing means

Publications (2)

Publication Number Publication Date
CA2380350A1 CA2380350A1 (en) 2000-12-21
CA2380350C true CA2380350C (en) 2011-02-01

Family

ID=27538500

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2380350A Expired - Fee Related CA2380350C (en) 1999-06-14 2000-06-14 Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease
CA2721188A Expired - Fee Related CA2721188C (en) 1999-06-14 2000-06-14 Apparatus for removing emboli with inflatable member and puncture risk reducing means

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA2721188A Expired - Fee Related CA2721188C (en) 1999-06-14 2000-06-14 Apparatus for removing emboli with inflatable member and puncture risk reducing means

Country Status (6)

Country Link
EP (4) EP2335770A1 (enExample)
JP (1) JP2003521286A (enExample)
AU (1) AU781760B2 (enExample)
CA (2) CA2380350C (enExample)
ES (1) ES2404842T3 (enExample)
WO (1) WO2000076390A2 (enExample)

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Also Published As

Publication number Publication date
JP2003521286A (ja) 2003-07-15
EP1210142A2 (en) 2002-06-05
EP2335770A1 (en) 2011-06-22
CA2721188C (en) 2014-06-03
WO2000076390A3 (en) 2002-01-17
EP2311519A1 (en) 2011-04-20
EP1210142B1 (en) 2011-01-19
CA2380350A1 (en) 2000-12-21
WO2000076390A2 (en) 2000-12-21
EP2236170B1 (en) 2013-03-27
AU781760B2 (en) 2005-06-09
EP2236170A2 (en) 2010-10-06
EP2236170A3 (en) 2011-06-29
EP1210142A4 (en) 2005-12-14
CA2721188A1 (en) 2000-12-21
AU5738900A (en) 2001-01-02
ES2404842T3 (es) 2013-05-29

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