CA2772024C - Systems, methods and devices for ablation, crossing, and cutting of occlusions - Google Patents

Systems, methods and devices for ablation, crossing, and cutting of occlusions Download PDF

Info

Publication number
CA2772024C
CA2772024C CA2772024A CA2772024A CA2772024C CA 2772024 C CA2772024 C CA 2772024C CA 2772024 A CA2772024 A CA 2772024A CA 2772024 A CA2772024 A CA 2772024A CA 2772024 C CA2772024 C CA 2772024C
Authority
CA
Canada
Prior art keywords
blade
microcatheter
crossing device
handle
crossing
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
Application number
CA2772024A
Other languages
English (en)
French (fr)
Other versions
CA2772024A1 (en
Inventor
Isa Rizk
John Fulkerson
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.)
REFLOW MEDICAL Inc
Original Assignee
REFLOW MEDICAL 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
Application filed by REFLOW MEDICAL Inc filed Critical REFLOW MEDICAL Inc
Publication of CA2772024A1 publication Critical patent/CA2772024A1/en
Application granted granted Critical
Publication of CA2772024C publication Critical patent/CA2772024C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • 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
    • A61B2017/22094—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 for crossing total occlusions, i.e. piercing
    • 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
    • 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
    • A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
    • 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
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
CA2772024A 2009-09-02 2010-08-30 Systems, methods and devices for ablation, crossing, and cutting of occlusions Active CA2772024C (en)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US23932109P 2009-09-02 2009-09-02
US61/239,321 2009-09-02
USPCT/US09/055950 2009-09-03
PCT/US2009/055950 WO2011028203A1 (en) 2009-09-02 2009-09-03 Systems, methods and devices for ablation, crossing, and cutting of occlusions
US12/570,677 2009-09-30
US12/570,677 US9204893B2 (en) 2009-09-02 2009-09-30 Systems, methods and devices for ablation, crossing, and cutting of occlusions
PCT/US2010/047170 WO2011028665A2 (en) 2009-09-02 2010-08-30 Systems, methods and devices for ablation, crossing, and cutting of occlusions

Publications (2)

Publication Number Publication Date
CA2772024A1 CA2772024A1 (en) 2011-03-10
CA2772024C true CA2772024C (en) 2018-01-02

Family

ID=43649541

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2772024A Active CA2772024C (en) 2009-09-02 2010-08-30 Systems, methods and devices for ablation, crossing, and cutting of occlusions

Country Status (7)

Country Link
US (3) US9204893B2 (enExample)
EP (1) EP2473122B1 (enExample)
JP (1) JP6050682B2 (enExample)
CN (1) CN102762159B (enExample)
AU (1) AU2010289659B2 (enExample)
CA (1) CA2772024C (enExample)
WO (2) WO2011028203A1 (enExample)

Families Citing this family (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9480826B2 (en) 2008-03-21 2016-11-01 Cagent Vascular, Llc Intravascular device
US11229777B2 (en) 2008-03-21 2022-01-25 Cagent Vascular, Inc. System and method for plaque serration
JP5846905B2 (ja) 2008-03-21 2016-01-20 ケイジェント ヴァスキュラー， エルエルシーＣａｇｅｎｔ Ｖａｓｃｕｌａｒ， Ｌｌｃ 血管内でのアテローム斑の穿孔およびセレーションのための血管内装置
US20110034937A1 (en) * 2009-08-07 2011-02-10 TD.JAM Medical Technologies, LLC Revascularization Device for Treating an Occluded Arterial Vessel
WO2011028203A1 (en) 2009-09-02 2011-03-10 Reflow Medical Inc. Systems, methods and devices for ablation, crossing, and cutting of occlusions
US9456842B2 (en) * 2012-07-13 2016-10-04 Boston Scientific Scimed, Inc. Wire-guided recanalization system
CN103300938B (zh) * 2013-06-27 2015-05-20 中国医学科学院阜外心血管病医院 经心房途径房室瓣膜反流动物模型制作装置
JP2016533861A (ja) 2013-09-18 2016-11-04 エクサブルキャス・インコーポレイテッド 閉塞を横断する及び治療するためのシステム及び方法
WO2015187872A1 (en) 2014-06-04 2015-12-10 Cagent Vascular, Llc Cage for medical balloon
CN107072636A (zh) * 2014-08-21 2017-08-18 皇家飞利浦有限公司 用于穿通闭塞的装置和方法
AU2015343272B2 (en) 2014-11-03 2020-07-16 Cagent Vascular, Inc. Serration balloon
US10322269B1 (en) 2015-01-19 2019-06-18 Dalent, LLC Dilator device
CN104887293B (zh) * 2015-05-07 2017-08-04 刘春晓 一种具备辅助灌注功能的双通道组织刨削器及其使用方法
US12171962B2 (en) 2015-07-13 2024-12-24 Biotronik Ag Mechanically actuated and functionally integratable catheter system for treating vascular and non-vascular diseases and related methods
EP3799919A1 (en) 2015-09-17 2021-04-07 Cagent Vascular, LLC Wedge dissectors for a medical ballon
CN108136164B (zh) 2015-10-30 2020-12-08 西瑞维斯克公司 用于治疗脑积水的系统和方法
CA3044046A1 (en) 2016-11-16 2018-05-24 Cagent Vascular, Llc Systems and methods of depositing drug into tissue through serrations
CN108378896A (zh) * 2018-01-11 2018-08-10 恩脉（上海）医疗科技有限公司 用于介入治疗的疏通导管
US11642500B2 (en) 2018-02-20 2023-05-09 Crossliner, Inc. Intravascular delivery system and method for percutaneous coronary intervention
US11491313B2 (en) 2018-02-20 2022-11-08 Crossliner, Inc. Guide catheter extension system with a delivery micro-catheter configured to facilitate percutaneous coronary intervention
US20190255299A1 (en) * 2018-02-20 2019-08-22 Crossliner, Llc Intravascular delivery system and method for percutaneous coronary intervention
US20200155815A1 (en) 2018-07-25 2020-05-21 Cagent Vascular, Llc Medical balloon catheters with enhanced pushability
US11648139B2 (en) 2018-10-08 2023-05-16 Reflow Medical, Inc. Delivery systems for stents having protruding features
USD877325S1 (en) 2019-06-06 2020-03-03 Dalent, LLC Inflatable therapeutic treatment balloon device
EP3982851A4 (en) 2019-06-11 2023-08-16 Dalent, LLC Balloon dilation device
JP7600210B2 (ja) * 2019-08-13 2024-12-16 リフロー メディカル インコーポレイテッド 支持カテーテル
CN114901163B (zh) 2019-11-01 2025-05-02 瑞弗罗医疗公司 用于血栓切除术的具有突出特征的取出装置
EP4340755A4 (en) 2021-06-07 2024-10-09 Avantec Vascular Corporation Hybrid atherectomy devices
US11712266B2 (en) 2021-06-25 2023-08-01 Vantis Vascular, Inc. Enhanced guide extension system for the efficient delivery of leads
EP4384090A1 (en) 2021-08-10 2024-06-19 Biotronik Ag Crossing catheter system for crossing chronic total occlusion and a method for operating the crossing catheter system
WO2025038964A1 (en) 2023-08-16 2025-02-20 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

Family Cites Families (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3520524A1 (de) 1985-06-07 1986-12-11 Richard Wolf Gmbh, 7134 Knittlingen Instrument zum aufschlitzen von stenosen in koerperkanaelen
US4627841A (en) 1986-02-18 1986-12-09 Dorr Robert T Infusion needle
US5053044A (en) 1988-01-11 1991-10-01 Devices For Vascular Intervention, Inc. Catheter and method for making intravascular incisions
US5330432A (en) 1991-12-06 1994-07-19 Inbae Yoon Retractable safety penetrating instrument
US5186712A (en) * 1991-08-23 1993-02-16 Kansas Creative Devices, Inc. Intravenous catheter launching device
US5423846A (en) * 1991-10-21 1995-06-13 Cathco, Inc. Dottering auger catheter system
US5376075A (en) * 1993-08-31 1994-12-27 Haughton; Victor M. Catheter sharp retraction system
FR2710539B1 (fr) 1993-09-30 1995-12-22 Becton Dickinson Co Ensemble d'aiguille chirurgicale.
US5425718A (en) * 1993-10-22 1995-06-20 Tay; Sew-Wah Self-sticking needle assembly and method for insertion into an artery
US5527282A (en) 1994-12-09 1996-06-18 Segal; Jerome Vascular dilatation device and method
US5596990A (en) 1995-06-06 1997-01-28 Yock; Paul Rotational correlation of intravascular ultrasound image with guide catheter position
IL124037A (en) 1995-10-13 2003-01-12 Transvascular Inc Device and system for interstitial transvascular intervention
US5936671A (en) * 1996-07-02 1999-08-10 Sharp Laboratories Of America, Inc. Object-based video processing using forward-tracking 2-D mesh layers
US5972019A (en) 1996-07-25 1999-10-26 Target Therapeutics, Inc. Mechanical clot treatment device
US6066149A (en) 1997-09-30 2000-05-23 Target Therapeutics, Inc. Mechanical clot treatment device with distal filter
US5935108A (en) * 1997-11-14 1999-08-10 Reflow, Inc. Recanalization apparatus and devices for use therein and method
US5938671A (en) 1997-11-14 1999-08-17 Reflow, Inc. Recanalization apparatus and devices for use therein and method
US6217527B1 (en) 1998-09-30 2001-04-17 Lumend, Inc. Methods and apparatus for crossing vascular occlusions
US20080140101A1 (en) 2006-12-07 2008-06-12 Revascular Therapeutic, Inc. Apparatus for crossing occlusions or stenoses
US6540725B1 (en) 1998-06-04 2003-04-01 Biosense Webster, Inc. Injection catheter with controllably extendable injection needle
US6159198A (en) * 1998-07-16 2000-12-12 Medtronic, Inc. Introducer system
US6080175A (en) * 1998-07-29 2000-06-27 Corvascular, Inc. Surgical cutting instrument and method of use
US20090093791A1 (en) 1999-09-17 2009-04-09 Heuser Richard R Devices and methods for treating chronic total occlusion
US20070265563A1 (en) * 2006-05-11 2007-11-15 Heuser Richard R Device for treating chronic total occlusion
EP1173098A4 (en) 2000-01-26 2004-10-13 Heartport Inc DEVICE AND METHOD FOR CUTTING IN VESSELS
US20010031981A1 (en) 2000-03-31 2001-10-18 Evans Michael A. Method and device for locating guidewire and treating chronic total occlusions
US6533753B1 (en) 2000-04-07 2003-03-18 Philip Haarstad Apparatus and method for the treatment of an occluded lumen
AU5708201A (en) * 2000-04-18 2001-10-30 Mdc Invest Holdings Inc Medical device with shield having a retractable needle
US6506178B1 (en) 2000-11-10 2003-01-14 Vascular Architects, Inc. Apparatus and method for crossing a position along a tubular body structure
US6579302B2 (en) 2001-03-06 2003-06-17 Cordis Corporation Total occlusion guidewire device
US6666847B2 (en) 2001-05-18 2003-12-23 Us Endoscopy Group, Inc. Duodenoscope needle
US6663577B2 (en) 2001-12-07 2003-12-16 Abbott Laboratories Catheter deployment device
US20040230219A1 (en) 2003-05-12 2004-11-18 Roucher Leo R. Anchoring, supporting and centering catheter system for treating chronic total occlusions
US7749196B2 (en) 2003-07-02 2010-07-06 Cook Incorporated Small gauge needle catheterization apparatus
US7763012B2 (en) 2003-09-02 2010-07-27 St. Jude Medical, Cardiology Division, Inc. Devices and methods for crossing a chronic total occlusion
DE20316804U1 (de) 2003-10-31 2005-03-10 B. Braun Melsungen Ag Kathetervorrichtung
US7320695B2 (en) 2003-12-31 2008-01-22 Biosense Webster, Inc. Safe septal needle and method for its use
WO2005089850A2 (en) 2004-03-19 2005-09-29 Medtronic Vascular, Inc. Apparatus and methods for the treatment of chronic total occlusions
US20060004323A1 (en) 2004-04-21 2006-01-05 Exploramed Nc1, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US20060293612A1 (en) * 2004-06-24 2006-12-28 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
US8241315B2 (en) 2004-06-24 2012-08-14 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
EP1816945B1 (en) * 2004-11-23 2019-08-21 PneumRx, Inc. Steerable device for accessing a target site
US7399291B2 (en) 2004-12-02 2008-07-15 Syntheon, Llc. Catheter for treatment of total occlusions and methods for manufacture and use of the catheter
US20060184186A1 (en) 2005-02-16 2006-08-17 Medtronic Vascular, Inc. Drilling guidewire for treating chronic total occlusion
US20070021685A1 (en) 2005-05-04 2007-01-25 Abbott Laboratories Abbott Vascular Devices Guidewire apparatus with an expandable portion and methods of use
US20080188793A1 (en) * 2007-02-06 2008-08-07 Possis Medical, Inc. Miniature flexible thrombectomy catheter
EP1984062B1 (en) 2006-02-13 2016-05-11 RetroVascular, inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking
US8007506B2 (en) 2006-06-30 2011-08-30 Atheromed, Inc. Atherectomy devices and methods
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US8419658B2 (en) 2006-09-06 2013-04-16 Boston Scientific Scimed, Inc. Medical device including structure for crossing an occlusion in a vessel
US7682365B2 (en) 2006-11-13 2010-03-23 Medtronic Vascular, Inc. Catheter device for support of a guidewire in crossing a lesion
US10888354B2 (en) 2006-11-21 2021-01-12 Bridgepoint Medical, Inc. Endovascular devices and methods for exploiting intramural space
EP2131913B1 (en) 2007-03-29 2022-01-05 Boston Scientific Medical Device Limited Lumen reentry devices
US8852223B2 (en) 2007-04-06 2014-10-07 Cordis Corporation Fixed wire dilatation catheter with an elongateable distal end
US20080294145A1 (en) * 2007-05-25 2008-11-27 Galt Medical Corporation Catheter hub with flushable lumen and guidewire
US8070762B2 (en) 2007-10-22 2011-12-06 Atheromed Inc. Atherectomy devices and methods
US8276589B2 (en) * 2007-12-21 2012-10-02 Massachusetts Eye & Ear Infirmary Cricothyrotomy device
EP4563102A3 (en) 2008-02-05 2025-06-11 Boston Scientific Scimed, Inc. Crossing occlusions in blood vessels
US20100125253A1 (en) 2008-11-17 2010-05-20 Avinger Dual-tip Catheter System for Boring through Blocked Vascular Passages
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
CN100574716C (zh) 2008-05-22 2009-12-30 尹建明 皮肤疾病治疗用旋切刀具
US20100056862A1 (en) 2008-09-03 2010-03-04 Ethicon Endo-Surgery, Inc. Access needle for natural orifice translumenal endoscopic surgery
WO2010129075A1 (en) 2009-04-28 2010-11-11 Avinger, Inc. Guidewire support catheter
EP2448502B1 (en) 2009-07-01 2022-04-06 Avinger, Inc. Atherectomy catheter with laterally-displaceable tip
US20110034937A1 (en) 2009-08-07 2011-02-10 TD.JAM Medical Technologies, LLC Revascularization Device for Treating an Occluded Arterial Vessel
WO2011028203A1 (en) 2009-09-02 2011-03-10 Reflow Medical Inc. Systems, methods and devices for ablation, crossing, and cutting of occlusions
EP2473123B1 (en) 2009-09-03 2019-01-30 Boston Scientific Limited Lancet micro-catheter
US20110208222A1 (en) 2010-02-25 2011-08-25 Boris Ljahnicky System and Method for the Treatment of Occluded Vessels
CA2803992C (en) 2010-07-01 2018-03-20 Avinger, Inc. Atherectomy catheters with longitudinally displaceable drive shafts
AU2011319797B2 (en) 2010-10-28 2015-04-09 Covidien Lp Material removal device and method of use
CA2831306C (en) 2011-03-28 2018-11-20 Avinger, Inc. Occlusion-crossing devices, imaging, and atherectomy devices
US8956376B2 (en) 2011-06-30 2015-02-17 The Spectranetics Corporation Reentry catheter and method thereof

Also Published As

Publication number Publication date
EP2473122A4 (en) 2014-01-15
US20110054503A1 (en) 2011-03-03
CN102762159A (zh) 2012-10-31
EP2473122A2 (en) 2012-07-11
CN102762159B (zh) 2015-06-17
WO2011028665A3 (en) 2011-09-29
EP2473122B1 (en) 2016-08-10
JP6050682B2 (ja) 2016-12-21
AU2010289659B2 (en) 2015-07-30
US20130035750A1 (en) 2013-02-07
CA2772024A1 (en) 2011-03-10
US20150209063A1 (en) 2015-07-30
WO2011028203A1 (en) 2011-03-10
JP2013503701A (ja) 2013-02-04
US9204893B2 (en) 2015-12-08
AU2010289659A1 (en) 2012-03-22
WO2011028665A2 (en) 2011-03-10

Similar Documents

Publication Publication Date Title
CA2772024C (en) Systems, methods and devices for ablation, crossing, and cutting of occlusions
EP4161396B1 (en) Recapturable funnel catheters, and associated systems
US8747332B2 (en) Guidewire for crossing occlusions or stenoses
CN101511284B (zh) 动脉粥样硬化切除术装置和方法
JP2020022878A (ja) 閉塞を横断する及び治療するためのシステム及び方法
EP1707148A2 (en) Percutaneous or surgical radiofrequency intravascular thrombectomy catheter system and method
JP2015506777A (ja) 心血管病変に使用するためのガイドワイヤー
JP2013518678A (ja) 多モード閉塞・狭窄治療装置およびその使用方法
JP2017505163A (ja) 能動的なクロッシング装置
JP2011516141A (ja) 回収カテーテル及び配置された医療装置を回収する方法
US12426903B2 (en) Re-entry catheter
EP4031029B1 (en) Devices for removing obstructing materials from blood vessels
CA2488588C (en) Guidewire for crossing occlusions or stenosis
US20240197347A1 (en) Devices, systems, and methods for removing obstructive material from body lumens
WO2024226902A1 (en) Systems and methods for removal of clot material from a blood vessel

Legal Events

Date Code Title Description
EEER Examination request

Effective date: 20150813