CA2400753A1 - Therapies de refroidissement/dispositif pour angioplastie avec restenose - Google Patents

Therapies de refroidissement/dispositif pour angioplastie avec restenose Download PDF

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Publication number
CA2400753A1
CA2400753A1 CA002400753A CA2400753A CA2400753A1 CA 2400753 A1 CA2400753 A1 CA 2400753A1 CA 002400753 A CA002400753 A CA 002400753A CA 2400753 A CA2400753 A CA 2400753A CA 2400753 A1 CA2400753 A1 CA 2400753A1
Authority
CA
Canada
Prior art keywords
balloon
catheter
fluid
warm
cold
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
CA002400753A
Other languages
English (en)
Inventor
Hans W. Kramer
John D. Dobak, Iii
Steve A. Yon
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.)
Innercool Therapies 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
Application filed by Individual filed Critical Individual
Publication of CA2400753A1 publication Critical patent/CA2400753A1/fr
Abandoned legal-status Critical Current

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Classifications

    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22001—Angioplasty, e.g. PCTA
    • A61B2017/22002—Angioplasty, e.g. PCTA preventing restenosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22054—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
    • 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
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • 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
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)

Abstract

L'invention concerne un procédé et un dispositif améliorés destinés à inhiber ou réduire la vitesse de resténose post-angioplastie ou après la mise en place d'un extenseur. Il s'agit de mettre en place une sonde (100) à ballonnet dans la région traitée ou ouverte par le biais d'une angioplastie par ballonnet suivant immédiatement l'angioplastie. Le ballonnet, qui peut avoir une structure à deux ballonnets, peut être administré par le biais d'une sonde-guide (102) et sur un fil-guide déjà en place par une angioplastie par ballonnet. Un fluide, par exemple un perfluocarbone, peut s'écouler dans le ballonnet afin de geler le tissu jouxtant le ballonnet, ce refroidissement étant associé à la réduction de la resténose. La sonde peut également servir à réduire la fibrillation auriculaire par insertion et dilatation du ballonnet, la surface extérieure de ce dernier étant alors en contact au moins partiellement avec la périphérie de la partie de la veine pulmonaire jouxtant L'oreillette gauche.
CA002400753A 2000-03-01 2001-03-01 Therapies de refroidissement/dispositif pour angioplastie avec restenose Abandoned CA2400753A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US51631900A 2000-03-01 2000-03-01
US09/516,319 2000-03-01
PCT/US2001/006648 WO2001064145A1 (fr) 2000-03-01 2001-03-01 Therapies de refroidissement/dispositif pour angioplastie avec restenose

Publications (1)

Publication Number Publication Date
CA2400753A1 true CA2400753A1 (fr) 2001-09-07

Family

ID=24055036

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002400753A Abandoned CA2400753A1 (fr) 2000-03-01 2001-03-01 Therapies de refroidissement/dispositif pour angioplastie avec restenose

Country Status (5)

Country Link
EP (1) EP1261304A4 (fr)
JP (1) JP2003524506A (fr)
AU (2) AU2001243374B2 (fr)
CA (1) CA2400753A1 (fr)
WO (1) WO2001064145A1 (fr)

Families Citing this family (54)

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US6432102B2 (en) 1999-03-15 2002-08-13 Cryovascular Systems, Inc. Cryosurgical fluid supply
US6428534B1 (en) 1999-02-24 2002-08-06 Cryovascular Systems, Inc. Cryogenic angioplasty catheter
US7374532B2 (en) 2000-04-14 2008-05-20 Attenuex Technologies, Inc. High vapor pressure attenuation device
US6682473B1 (en) 2000-04-14 2004-01-27 Solace Therapeutics, Inc. Devices and methods for attenuation of pressure waves in the body
US10327880B2 (en) 2000-04-14 2019-06-25 Attenuex Technologies, Inc. Attenuation device for use in an anatomical structure
US6602246B1 (en) 2000-08-18 2003-08-05 Cryovascular Systems, Inc. Cryotherapy method for detecting and treating vulnerable plaque
US6955174B2 (en) 2000-08-18 2005-10-18 Uryovascular Systems, Inc. Cryotherapy method for detecting and treating vulnerable plaque
US6786900B2 (en) 2001-08-13 2004-09-07 Cryovascular Systems, Inc. Cryotherapy methods for treating vessel dissections and side branch occlusion
US7758572B2 (en) * 2004-05-20 2010-07-20 Boston Scientific Scimed, Inc. Medical devices and methods including cooling balloons having nanotubes
JP2009509650A (ja) 2005-09-26 2009-03-12 アテヌークス・テクノロジーズ・インコーポレーテッド 圧力減衰デバイス
CA2703414A1 (fr) * 2008-01-11 2009-07-16 Boston Scientific Scimed, Inc. Dispositifs d'ablation et procedes d'utilisation
US8579889B2 (en) 2008-01-11 2013-11-12 Boston Scientific Scimed Inc. Linear ablation devices and methods of use
WO2010068467A1 (fr) 2008-11-25 2010-06-17 Attenuex Technologies, Inc. Implant avec milieu à pression de vapeur élevée
EP2395934B1 (fr) 2009-02-11 2019-04-17 Boston Scientific Scimed, Inc. Dispositifs de cathéters d'ablation isolés
TWI517833B (zh) 2009-03-31 2016-01-21 東麗股份有限公司 附有氣球之電燒導管用軸及附有氣球之電燒導管系統
WO2011008444A1 (fr) 2009-06-30 2011-01-20 Boston Scientific Scimed, Inc. Cathéter hybride irrigué ouvert de cartographie et d'ablation
EP2600784B1 (fr) 2010-08-05 2021-12-29 Medtronic Ireland Manufacturing Unlimited Company Appareils, systèmes et procédés de neuromodulation rénale par cryoablation
US9060754B2 (en) 2010-10-26 2015-06-23 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
US20120136344A1 (en) 2010-10-26 2012-05-31 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
WO2012058430A2 (fr) 2010-10-27 2012-05-03 Cryomedix, Llc Appareil de cryoablation avec zone d'échange de chaleur renforcé et procédé associé
US9089340B2 (en) 2010-12-30 2015-07-28 Boston Scientific Scimed, Inc. Ultrasound guided tissue ablation
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ITGE20110043A1 (it) * 2011-04-18 2012-10-19 Gian Battista Chierchia " dispositivo adattabilie per l'isolamento elettrico delle vene polmonari in fibrillazione atriale "
TW201242570A (en) 2011-04-25 2012-11-01 Medtronic Ardian Luxembourg Apparatus and methods related to constrained deployment of cryogenic balloons for limited cryogenic ablation of vessel walls
EP2713888B1 (fr) 2011-06-01 2019-09-04 Boston Scientific Scimed, Inc. Sonde d'ablation ayant des capacités d'imagerie ultrasonore
CA2848053A1 (fr) 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Dispositif d'ablation equipe d'un ballonnet a conductivite ionique
CA2847846A1 (fr) 2011-09-14 2013-03-21 Boston Scientific Scimed, Inc. Dispositif d'ablation ayant de multiples modes d'ablation
US9241761B2 (en) 2011-12-28 2016-01-26 Koninklijke Philips N.V. Ablation probe with ultrasonic imaging capability
CN104039257A (zh) 2012-01-10 2014-09-10 波士顿科学医学有限公司 电生理学系统
JP5830614B2 (ja) 2012-01-31 2015-12-09 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 超音波組織撮像のための流体に基づいた音響結合を有するアブレーションプローブ、および、アブレーションおよび超音波撮像システム
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US9241752B2 (en) 2012-04-27 2016-01-26 Medtronic Ardian Luxembourg S.A.R.L. Shafts with pressure relief in cryotherapeutic catheters and associated devices, systems, and methods
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Also Published As

Publication number Publication date
JP2003524506A (ja) 2003-08-19
WO2001064145A1 (fr) 2001-09-07
AU4337401A (en) 2001-09-12
AU2001243374B2 (en) 2005-02-03
EP1261304A4 (fr) 2005-06-08
EP1261304A1 (fr) 2002-12-04

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Legal Events

Date Code Title Description
EEER Examination request
FZDE Discontinued