CA2817588A1 - Vascular treatment devices and methods - Google Patents
Vascular treatment devices and methods Download PDFInfo
- Publication number
- CA2817588A1 CA2817588A1 CA2817588A CA2817588A CA2817588A1 CA 2817588 A1 CA2817588 A1 CA 2817588A1 CA 2817588 A CA2817588 A CA 2817588A CA 2817588 A CA2817588 A CA 2817588A CA 2817588 A1 CA2817588 A1 CA 2817588A1
- Authority
- CA
- Canada
- Prior art keywords
- vein
- intraluminal member
- sclerosant
- distal end
- vessel wall
- 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
Links
- 238000000034 method Methods 0.000 title claims abstract description 43
- 230000002792 vascular Effects 0.000 title claims abstract description 40
- 238000011282 treatment Methods 0.000 title claims abstract description 32
- 210000003038 endothelium Anatomy 0.000 claims abstract description 27
- 210000003462 vein Anatomy 0.000 claims description 68
- 239000003229 sclerosing agent Substances 0.000 claims description 48
- 230000006378 damage Effects 0.000 claims description 17
- 210000001519 tissue Anatomy 0.000 claims description 11
- 210000004204 blood vessel Anatomy 0.000 claims description 10
- 238000002347 injection Methods 0.000 claims description 10
- 239000007924 injection Substances 0.000 claims description 10
- 239000012530 fluid Substances 0.000 claims description 5
- 230000004044 response Effects 0.000 claims description 4
- 238000002679 ablation Methods 0.000 description 10
- 230000008878 coupling Effects 0.000 description 4
- 238000010168 coupling process Methods 0.000 description 4
- 238000005859 coupling reaction Methods 0.000 description 4
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 238000007632 sclerotherapy Methods 0.000 description 3
- 206010051055 Deep vein thrombosis Diseases 0.000 description 2
- KRHYYFGTRYWZRS-UHFFFAOYSA-N Fluorane Chemical compound F KRHYYFGTRYWZRS-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 2
- 206010046996 Varicose vein Diseases 0.000 description 2
- 206010047249 Venous thrombosis Diseases 0.000 description 2
- 238000005299 abrasion Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000003511 endothelial effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000007790 scraping Methods 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 208000027185 varicose disease Diseases 0.000 description 2
- 206010016654 Fibrosis Diseases 0.000 description 1
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000011298 ablation treatment Methods 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 238000005422 blasting Methods 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000003486 chemical etching Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000008094 contradictory effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000005530 etching Methods 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 230000004761 fibrosis Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 210000004324 lymphatic system Anatomy 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 208000009056 telangiectasis Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12181—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
- A61B17/12186—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices liquid materials adapted to be injected
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- 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
- A61B2017/320733—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a flexible cutting or scraping element, e.g. with a whip-like distal filament member
-
- 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
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
- A61B2017/320766—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven eccentric
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
- Radiation-Therapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US41389510P | 2010-11-15 | 2010-11-15 | |
| US61/413,895 | 2010-11-15 | ||
| PCT/US2011/060860 WO2012068166A2 (en) | 2010-11-15 | 2011-11-15 | Vascular treatment devices and methods |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2817588A1 true CA2817588A1 (en) | 2012-05-24 |
Family
ID=46065039
Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2817588A Abandoned CA2817588A1 (en) | 2010-11-15 | 2011-11-15 | Vascular treatment devices and methods |
| CA2817545A Active CA2817545C (en) | 2010-11-15 | 2011-11-15 | Vascular treatment device |
| CA2817586A Expired - Fee Related CA2817586C (en) | 2010-11-15 | 2011-11-15 | Direction reversing vascular treatment device |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2817545A Active CA2817545C (en) | 2010-11-15 | 2011-11-15 | Vascular treatment device |
| CA2817586A Expired - Fee Related CA2817586C (en) | 2010-11-15 | 2011-11-15 | Direction reversing vascular treatment device |
Country Status (7)
| Country | Link |
|---|---|
| US (6) | US9585667B2 (cg-RX-API-DMAC7.html) |
| EP (5) | EP2640284B1 (cg-RX-API-DMAC7.html) |
| JP (6) | JP6035244B2 (cg-RX-API-DMAC7.html) |
| AU (7) | AU2011328994B2 (cg-RX-API-DMAC7.html) |
| CA (3) | CA2817588A1 (cg-RX-API-DMAC7.html) |
| ES (1) | ES2999058T3 (cg-RX-API-DMAC7.html) |
| WO (3) | WO2012068162A2 (cg-RX-API-DMAC7.html) |
Families Citing this family (62)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8430837B2 (en) | 2007-02-05 | 2013-04-30 | Boston Scientific Scimed, Inc. | Thrombectomy apparatus and method |
| US9510854B2 (en) | 2008-10-13 | 2016-12-06 | Boston Scientific Scimed, Inc. | Thrombectomy catheter with control box having pressure/vacuum valve for synchronous aspiration and fluid irrigation |
| US9585667B2 (en) * | 2010-11-15 | 2017-03-07 | Vascular Insights Llc | Sclerotherapy catheter with lumen having wire rotated by motor and simultaneous withdrawal from vein |
| ES3006882T3 (en) | 2011-02-24 | 2025-03-19 | Eximo Medical Ltd | Hybrid catheter for vascular intervention |
| EP3053534A1 (en) * | 2012-11-08 | 2016-08-10 | Covidien LP | Tissue-removing catheter including operational control mechanism |
| US9180040B2 (en) | 2013-10-18 | 2015-11-10 | Contramed, Llc | Intrauterine device with retrieval thread |
| US10271869B2 (en) | 2014-03-01 | 2019-04-30 | Rex Medical, L.P. | Atherectomy device |
| US9248221B2 (en) | 2014-04-08 | 2016-02-02 | Incuvate, Llc | Aspiration monitoring system and method |
| US9433427B2 (en) | 2014-04-08 | 2016-09-06 | Incuvate, Llc | Systems and methods for management of thrombosis |
| US9883877B2 (en) | 2014-05-19 | 2018-02-06 | Walk Vascular, Llc | Systems and methods for removal of blood and thrombotic material |
| US10702300B2 (en) * | 2014-07-18 | 2020-07-07 | Cardiovascular Systems, Inc. | Methods, devices and systems for slow rotation of drive shaft driven atherectomy systems |
| US20160030023A1 (en) * | 2014-07-31 | 2016-02-04 | Terumo Kabushiki Kaisha | Method for treating varicose veins and intraluminal device used in such method |
| US10463389B2 (en) | 2014-12-27 | 2019-11-05 | Rex Medical, L.P. | Atherectomy device |
| US10433868B2 (en) | 2014-12-27 | 2019-10-08 | Rex Medical, L.P. | Artherectomy device |
| ES2975734T3 (es) | 2015-01-29 | 2024-07-12 | Becton Dickinson Co | Catéter integrado de inserción rápida |
| US10702292B2 (en) | 2015-08-28 | 2020-07-07 | Incuvate, Llc | Aspiration monitoring system and method |
| US10561440B2 (en) | 2015-09-03 | 2020-02-18 | Vesatek, Llc | Systems and methods for manipulating medical devices |
| US11253292B2 (en) | 2015-09-13 | 2022-02-22 | Rex Medical, L.P. | Atherectomy device |
| US20170100142A1 (en) | 2015-10-09 | 2017-04-13 | Incuvate, Llc | Systems and methods for management of thrombosis |
| US10226263B2 (en) | 2015-12-23 | 2019-03-12 | Incuvate, Llc | Aspiration monitoring system and method |
| US10307175B2 (en) | 2016-03-26 | 2019-06-04 | Rex Medical, L.P | Atherectomy device |
| US10492805B2 (en) | 2016-04-06 | 2019-12-03 | Walk Vascular, Llc | Systems and methods for thrombolysis and delivery of an agent |
| CN109414292A (zh) | 2016-05-05 | 2019-03-01 | 爱克斯莫医疗有限公司 | 用于切除和/或消融不需要的组织的装置和方法 |
| USD802769S1 (en) | 2016-05-16 | 2017-11-14 | Teleflex Medical Incorporated | Thrombectomy handle assembly |
| WO2018112424A1 (en) * | 2016-12-16 | 2018-06-21 | Intuitive Surgical Operations, Inc. | Systems and methods for teleoperated control of an imaging instrument |
| EP3618735B1 (en) | 2017-05-03 | 2025-03-26 | Medtronic Vascular Inc. | Tissue-removing catheter with guidewire isolation liner |
| US11690645B2 (en) | 2017-05-03 | 2023-07-04 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| WO2019069739A1 (ja) | 2017-10-04 | 2019-04-11 | テルモ株式会社 | 医療デバイス、医療デバイスの回転制御方法および回転制御装置 |
| CN111698958A (zh) * | 2017-12-12 | 2020-09-22 | 波士顿科学国际有限公司 | 旋转医疗装置 |
| IL312524A (en) | 2018-05-18 | 2024-07-01 | Nat Univ Ireland Galway | A device for exposing a body cavity |
| US11678905B2 (en) | 2018-07-19 | 2023-06-20 | Walk Vascular, Llc | Systems and methods for removal of blood and thrombotic material |
| US20200113577A1 (en) * | 2018-10-12 | 2020-04-16 | Merit Medical Systems, Inc. | Vascular treatment apparatus with remote operating module |
| WO2020102729A1 (en) | 2018-11-16 | 2020-05-22 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| IT201900001223A1 (it) | 2019-01-28 | 2020-07-28 | I Vasc Srl | Manipolo di catetere, catetere e metodo |
| US11819236B2 (en) | 2019-05-17 | 2023-11-21 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| WO2021050302A1 (en) | 2019-09-10 | 2021-03-18 | Bard Access Systems, Inc. | Rapidly inserted central catheter and methods thereof |
| BR112022005254A2 (pt) | 2019-09-24 | 2022-06-14 | Bard Access Systems Inc | Cateter venoso central agudo e cateter venoso inserido perifericamente integrados |
| CN215135630U (zh) | 2019-10-25 | 2021-12-14 | 巴德阿克塞斯系统股份有限公司 | 导丝管理装置 |
| KR20220131973A (ko) | 2020-01-23 | 2022-09-29 | 바드 액세스 시스템즈, 인크. | 분할 가능 카테터 도킹 스테이션 시스템(splitable catheter docking station system) |
| US11992241B2 (en) | 2020-01-31 | 2024-05-28 | DePuy Synthes Products, Inc. | System to assist delivery of a mechanical intravascular treatment device |
| EP4117764A1 (en) | 2020-03-13 | 2023-01-18 | Bard Access Systems, Inc. | Guidewire-management devices and methods thereof |
| JP7759334B2 (ja) | 2020-03-13 | 2025-10-23 | バード・アクセス・システムズ，インコーポレーテッド | ガイドワイヤ管理デバイスおよびその方法 |
| GB202005780D0 (en) * | 2020-04-21 | 2020-06-03 | Whiteley Clinic | Vein Ablation |
| EP4135819A1 (en) | 2020-04-23 | 2023-02-22 | Bard Access Systems, Inc. | Rapidly insertable central catheters including catheter assemblies |
| WO2021236950A1 (en) | 2020-05-21 | 2021-11-25 | Bard Access Systems, Inc. | Rapidly insertable central catheters including catheter assemblies |
| KR20230029890A (ko) | 2020-06-29 | 2023-03-03 | 바드 액세스 시스템즈, 인크. | 카테터 어셈블리를 포함하는 신속 삽입 가능한 중심 카테터 및 그 방법(rapidly insertable central catheters including catheter assemblies and methods thereof) |
| AU2021299453B2 (en) | 2020-06-29 | 2025-07-10 | Bard Access Systems, Inc. | Rapidly insertable central catheters including assemblies |
| US12376904B1 (en) | 2020-09-08 | 2025-08-05 | Angiodynamics, Inc. | Dynamic laser stabilization and calibration system |
| AU2021371314B2 (en) | 2020-10-28 | 2025-09-25 | Bard Access Systems, Inc. | Catheter placement system with stiffening system |
| CN116685279A (zh) | 2020-10-30 | 2023-09-01 | 波士顿科学国际有限公司 | 具有血流增强的斑块切除旋磨头 |
| MX2023006590A (es) | 2020-12-03 | 2023-06-16 | Bard Access Systems Inc | Desafilado de la punta de la aguja mediante una longitud de alambre guia. |
| KR20230121775A (ko) | 2020-12-17 | 2023-08-21 | 바드 액세스 시스템즈, 인크. | 신속 삽입 가능 중심 카테터, 조립체, 및 그 방법(rapidlyinsertable central catheters, assemblies, and methods thereof) |
| EP4259256A1 (en) | 2020-12-21 | 2023-10-18 | Bard Access Systems, Inc. | Fluid path optimization in catheter insertion systems |
| CA3203907A1 (en) | 2020-12-21 | 2022-06-30 | Bard Access Systems, Inc. | Optimized structural support in catheter insertion systems |
| JP2024506374A (ja) | 2021-02-15 | 2024-02-13 | ウォーク バスキュラー， エルエルシー | 血液および血栓性物質を除去するためのシステムおよび方法 |
| US12274458B2 (en) | 2021-02-15 | 2025-04-15 | Walk Vascular, Llc | Systems and methods for removal of blood and thrombotic material |
| US11696793B2 (en) | 2021-03-19 | 2023-07-11 | Crossfire Medical Inc | Vascular ablation |
| US12038322B2 (en) | 2022-06-21 | 2024-07-16 | Eximo Medical Ltd. | Devices and methods for testing ablation systems |
| CA3264335A1 (en) * | 2022-08-08 | 2024-02-15 | Crossfire Medical Inc | SEGMENTAL VASCULAR ABLATION |
| US20240149020A1 (en) | 2022-11-04 | 2024-05-09 | Controlled Delivery Systems, Inc. | Catheters for the aspiration controlled delivery of closure agents |
| EP4611658A1 (en) | 2022-11-04 | 2025-09-10 | Solvein Inc. | Catheters and related methods for aspiration and controlled delivery of closure agents |
| WO2025166320A1 (en) * | 2024-02-01 | 2025-08-07 | University Of Pittsburgh - Of The Commonwealth System Of Higher Education | Handheld oscillating wire torque device |
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