CA2691423C - Sphincterotome cutting wire improvement - Google Patents
Sphincterotome cutting wire improvement Download PDFInfo
- Publication number
- CA2691423C CA2691423C CA2691423A CA2691423A CA2691423C CA 2691423 C CA2691423 C CA 2691423C CA 2691423 A CA2691423 A CA 2691423A CA 2691423 A CA2691423 A CA 2691423A CA 2691423 C CA2691423 C CA 2691423C
- Authority
- CA
- Canada
- Prior art keywords
- sphincterotome
- wire
- xylylene
- cutting wire
- coating
- 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.)
- Active
Links
- 238000005520 cutting process Methods 0.000 title claims description 99
- 230000006872 improvement Effects 0.000 title description 3
- 238000000576 coating method Methods 0.000 claims abstract description 72
- 239000011248 coating agent Substances 0.000 claims abstract description 68
- 229920000052 poly(p-xylylene) Polymers 0.000 claims abstract description 44
- -1 2-chloro-xylylene, 2, 4-dichloro-p-xylylene Chemical group 0.000 claims abstract description 10
- 238000000034 method Methods 0.000 claims description 33
- 230000000873 masking effect Effects 0.000 claims description 7
- 229920000642 polymer Polymers 0.000 claims description 7
- 238000004519 manufacturing process Methods 0.000 claims description 4
- 230000003068 static effect Effects 0.000 claims description 3
- 210000005070 sphincter Anatomy 0.000 abstract description 11
- 239000000463 material Substances 0.000 abstract description 6
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 abstract 1
- NRNFFDZCBYOZJY-UHFFFAOYSA-N p-quinodimethane Chemical group C=C1C=CC(=C)C=C1 NRNFFDZCBYOZJY-UHFFFAOYSA-N 0.000 abstract 1
- 230000008569 process Effects 0.000 description 9
- 238000005229 chemical vapour deposition Methods 0.000 description 7
- 210000004514 sphincter of oddi Anatomy 0.000 description 7
- 210000001953 common bile duct Anatomy 0.000 description 6
- 230000001681 protective effect Effects 0.000 description 6
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 5
- 239000004810 polytetrafluoroethylene Substances 0.000 description 5
- 238000007464 sphincterotomy Methods 0.000 description 5
- 201000001883 cholelithiasis Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 210000001198 duodenum Anatomy 0.000 description 4
- 208000001130 gallstones Diseases 0.000 description 4
- 210000004141 ampulla of vater Anatomy 0.000 description 3
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 201000001352 cholecystitis Diseases 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 210000000277 pancreatic duct Anatomy 0.000 description 2
- 230000002829 reductive effect Effects 0.000 description 2
- VRBFTYUMFJWSJY-UHFFFAOYSA-N 28804-46-8 Chemical compound ClC1CC(C=C2)=CC=C2C(Cl)CC2=CC=C1C=C2 VRBFTYUMFJWSJY-UHFFFAOYSA-N 0.000 description 1
- 0 CC1=C=C[C@](CCN)C(C*)C1=C Chemical compound CC1=C=C[C@](CCN)C(C*)C1=C 0.000 description 1
- 206010067482 No adverse event Diseases 0.000 description 1
- 206010034133 Pathogen resistance Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 210000000013 bile duct Anatomy 0.000 description 1
- 210000003445 biliary tract Anatomy 0.000 description 1
- 239000003518 caustics Substances 0.000 description 1
- 230000001112 coagulating effect Effects 0.000 description 1
- 210000003459 common hepatic duct Anatomy 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 210000001096 cystic duct Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- XUCNUKMRBVNAPB-UHFFFAOYSA-N fluoroethene Chemical class FC=C XUCNUKMRBVNAPB-UHFFFAOYSA-N 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000002538 fungal effect Effects 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 238000000623 plasma-assisted chemical vapour deposition Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
- 125000006839 xylylene group Chemical group 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/08—Materials for coatings
- A61L31/10—Macromolecular materials
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- 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
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- 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
- A61B2018/00107—Coatings on the energy applicator
-
- 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
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/00136—Coatings on the energy applicator with polymer
-
- 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
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
-
- 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
- A61B2018/00553—Sphincter
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/144—Wire
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- Epidemiology (AREA)
- Physics & Mathematics (AREA)
- Vascular Medicine (AREA)
- Plasma & Fusion (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/770,386 | 2007-06-28 | ||
| US11/770,386 US8142431B2 (en) | 2007-06-28 | 2007-06-28 | Sphincterotome cutting wire improvement |
| PCT/US2008/068011 WO2009006100A2 (en) | 2007-06-28 | 2008-06-24 | Sphincterotome cutting wire improvement |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2691423A1 CA2691423A1 (en) | 2009-01-08 |
| CA2691423C true CA2691423C (en) | 2012-12-18 |
Family
ID=39645450
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2691423A Active CA2691423C (en) | 2007-06-28 | 2008-06-24 | Sphincterotome cutting wire improvement |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US8142431B2 (enExample) |
| EP (1) | EP2170185B1 (enExample) |
| JP (1) | JP2010531712A (enExample) |
| AU (1) | AU2008270698B2 (enExample) |
| CA (1) | CA2691423C (enExample) |
| WO (1) | WO2009006100A2 (enExample) |
Families Citing this family (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8715281B2 (en) * | 2006-03-09 | 2014-05-06 | Olympus Medical Systems Corp. | Treatment device for endoscope |
| US8535310B2 (en) * | 2007-08-08 | 2013-09-17 | Cook Medical Technologies Llc | Sphincterotome |
| DE102008028410B4 (de) * | 2008-06-17 | 2011-04-07 | W.C. Heraeus Gmbh | Selektive Parylene-Beschichtung für Herzschrittmacherelektroden |
| AU2009329999B2 (en) * | 2008-12-22 | 2013-10-10 | Cook Medical Technologies Llc | Electrosurgical rotating cutting device |
| US9408662B2 (en) | 2012-05-07 | 2016-08-09 | Cook Medical Technologies Llc | Sphincterotome having expandable tines |
| US10806509B2 (en) | 2012-12-27 | 2020-10-20 | Cook Medical Technologies Llc | Method of adhering a conductive coating to an adhesion-resistant outer surface |
| US9844407B2 (en) | 2012-12-27 | 2017-12-19 | Cook Medical Technologies Llc | Bipolar sphincterotome |
| US9775974B2 (en) * | 2015-01-22 | 2017-10-03 | Medtronic Xomed, Inc. | Corrosion-resistant magnetic article |
| WO2017087958A1 (en) | 2015-11-20 | 2017-05-26 | Boston Scientific Scimed, Inc. | Actuation handle for accessory devices |
| CA3101217C (en) * | 2018-06-11 | 2023-03-28 | Boston Scientific Scimed, Inc. | Sphincterotomes and methods for using sphincterotomes |
| US11737851B2 (en) | 2018-06-28 | 2023-08-29 | Cook Medical Technologies Llc | Medical devices for magnetic resonance imaging and related methods |
| CN109480962B (zh) * | 2018-12-20 | 2021-07-23 | 深圳开立生物医疗科技股份有限公司 | 一种切开刀刀丝 |
| WO2020142581A1 (en) * | 2019-01-03 | 2020-07-09 | Boston Scientific Scimed, Inc. | Devices, systems and methods for accessing a body lumen |
| US20210244466A1 (en) * | 2020-02-06 | 2021-08-12 | Covidien Lp | Electrosurgical device for cutting tissue |
| CN116058930B (zh) * | 2023-03-06 | 2023-06-16 | 浙江首鼎医学科技有限公司 | 一种基于切口密度的乳头切开刀及其刀口利度切换方法 |
| JPWO2024190495A1 (enExample) * | 2023-03-10 | 2024-09-19 | ||
| CN119856972B (zh) * | 2024-07-19 | 2025-10-10 | 北京中科盛康科技股份有限公司 | 一次性使用双级切开刀 |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4181131A (en) | 1977-02-28 | 1980-01-01 | Olympus Optical Co., Ltd. | High frequency electrosurgical instrument for cutting human body cavity structures |
| JPS6031690Y2 (ja) * | 1981-12-11 | 1985-09-21 | 株式会社 メドス研究所 | 内視鏡用高周波切開器 |
| JPS58152912U (ja) * | 1982-04-06 | 1983-10-13 | 株式会社メドス研究所 | 内視鏡用高周波切開器 |
| US4582067A (en) * | 1983-02-14 | 1986-04-15 | Washington Research Foundation | Method for endoscopic blood flow detection by the use of ultrasonic energy |
| US5241970A (en) * | 1991-05-17 | 1993-09-07 | Wilson-Cook Medical, Inc. | Papillotome/sphincterotome procedures and a wire guide specially |
| US5902272A (en) | 1992-01-07 | 1999-05-11 | Arthrocare Corporation | Planar ablation probe and method for electrosurgical cutting and ablation |
| US6030381A (en) * | 1994-03-18 | 2000-02-29 | Medicor Corporation | Composite dielectric coating for electrosurgical implements |
| US5743905A (en) * | 1995-07-07 | 1998-04-28 | Target Therapeutics, Inc. | Partially insulated occlusion device |
| US5810807A (en) * | 1996-05-22 | 1998-09-22 | Ganz; Robert A. | Sphincterotome with deflectable cutting plane and method of using the same |
| US5746746A (en) * | 1996-08-30 | 1998-05-05 | Garito; Jon C. | Electrosurgical electrode and method for skin resurfacing |
| US6432104B1 (en) | 1998-04-15 | 2002-08-13 | Scimed Life Systems, Inc. | Electro-cautery catherer |
| US6021355A (en) | 1998-10-29 | 2000-02-01 | Ethicon, Inc. | Surgical electrode having a partially insulated needle |
| JP2000237202A (ja) * | 1999-02-25 | 2000-09-05 | Olympus Optical Co Ltd | 内視鏡用処置具 |
| JP2000262537A (ja) * | 1999-03-16 | 2000-09-26 | Olympus Optical Co Ltd | 内視鏡用処置具 |
| US20040034275A1 (en) * | 2002-07-29 | 2004-02-19 | Peter Forsell | Multi-material incontinence treatment constriction device |
| US20040162554A1 (en) * | 2002-12-20 | 2004-08-19 | Manoa Medical, Inc., A Delaware Corporation | Systems and methods for cutting tissue |
| WO2005011530A1 (en) * | 2003-07-31 | 2005-02-10 | Wilson-Cook Medical Inc. | System for introducing a prosthesis |
-
2007
- 2007-06-28 US US11/770,386 patent/US8142431B2/en active Active
-
2008
- 2008-06-24 WO PCT/US2008/068011 patent/WO2009006100A2/en not_active Ceased
- 2008-06-24 CA CA2691423A patent/CA2691423C/en active Active
- 2008-06-24 EP EP08771817A patent/EP2170185B1/en active Active
- 2008-06-24 JP JP2010515031A patent/JP2010531712A/ja active Pending
- 2008-06-24 AU AU2008270698A patent/AU2008270698B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| WO2009006100A3 (en) | 2009-12-23 |
| EP2170185A2 (en) | 2010-04-07 |
| AU2008270698B2 (en) | 2013-03-07 |
| US20090005778A1 (en) | 2009-01-01 |
| AU2008270698A1 (en) | 2009-01-08 |
| EP2170185B1 (en) | 2013-03-13 |
| CA2691423A1 (en) | 2009-01-08 |
| US8142431B2 (en) | 2012-03-27 |
| JP2010531712A (ja) | 2010-09-30 |
| WO2009006100A2 (en) | 2009-01-08 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CA2691423C (en) | Sphincterotome cutting wire improvement | |
| CA3090198C (en) | Dual-channel injection bipolar high frequency electrosurgical knife | |
| AU2010284405B2 (en) | Echogenic electrosurgical device | |
| US5380320A (en) | Electrosurgical instrument having a parylene coating | |
| US9693821B2 (en) | Medical devices for modulating nerves | |
| US20240065752A1 (en) | Bipolar sphincterotome | |
| JP2014529427A (ja) | 焼灼術用キャップ | |
| US12491021B2 (en) | Systems and methods for tissue coagulation | |
| US20100324555A1 (en) | Thermal Barrier for Suction Coagulator | |
| EP3532118B1 (en) | Application of polymer-based materials to hydrophobic and adhesion-resistant surfaces | |
| HK40034362A (en) | Dual-channel injection bipolar high frequency electrosurgical knife | |
| HK40034362B (en) | Dual-channel injection bipolar high frequency electrosurgical knife |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |