CA2854593C - Systems and methods for percutaneous intravascular access and guidewire placement - Google Patents

Systems and methods for percutaneous intravascular access and guidewire placement Download PDF

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Publication number
CA2854593C
CA2854593C CA2854593A CA2854593A CA2854593C CA 2854593 C CA2854593 C CA 2854593C CA 2854593 A CA2854593 A CA 2854593A CA 2854593 A CA2854593 A CA 2854593A CA 2854593 C CA2854593 C CA 2854593C
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CA
Canada
Prior art keywords
lumen
recited
piercing member
guide
distal tip
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
CA2854593A
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English (en)
French (fr)
Other versions
CA2854593A1 (en
Inventor
Brad M. Kellerman
Jeffrey E. Hull
David K. Wrolstad
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.)
Avenu Medical Inc
Original Assignee
Avenu 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 Avenu Medical Inc filed Critical Avenu Medical Inc
Publication of CA2854593A1 publication Critical patent/CA2854593A1/en
Application granted granted Critical
Publication of CA2854593C publication Critical patent/CA2854593C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/065—Guide needles
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • 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
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
CA2854593A 2011-11-04 2012-11-02 Systems and methods for percutaneous intravascular access and guidewire placement Active CA2854593C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161556128P 2011-11-04 2011-11-04
US61/556,128 2011-11-04
PCT/US2012/063444 WO2013067446A1 (en) 2011-11-04 2012-11-02 Systems and methods for percutaneous intravascular access and guidewire placement

Publications (2)

Publication Number Publication Date
CA2854593A1 CA2854593A1 (en) 2013-05-10
CA2854593C true CA2854593C (en) 2019-07-16

Family

ID=48192862

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2854593A Active CA2854593C (en) 2011-11-04 2012-11-02 Systems and methods for percutaneous intravascular access and guidewire placement

Country Status (7)

Country Link
US (3) US8951276B2 (OSRAM)
EP (1) EP2773413B1 (OSRAM)
JP (1) JP5964445B2 (OSRAM)
AU (1) AU2012324006B2 (OSRAM)
CA (1) CA2854593C (OSRAM)
IN (1) IN2014CN04089A (OSRAM)
WO (1) WO2013067446A1 (OSRAM)

Families Citing this family (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0419954D0 (en) 2004-09-08 2004-10-13 Advotek Medical Devices Ltd System for directing therapy
EP4032486A1 (en) 2010-11-16 2022-07-27 TVA Medical, Inc. Devices for forming a fistula
AU2013216809B2 (en) 2012-02-08 2017-05-11 Avenu Medical, Inc. Intravascular arterial to venous anastomosis and tissue welding catheter
AU2013328944B2 (en) 2012-10-11 2018-05-24 Tva Medical, Inc. Devices and methods for fistula formation
CA3191733A1 (en) 2013-03-08 2014-09-12 Limflow Gmbh Methods and systems for providing or maintaining fluid flow through body passages
BR112015022336A2 (pt) 2013-03-14 2017-07-18 Tva Medical Inc dispositivos de formulação de fístula e métodos para os mesmos
US10070866B1 (en) 2013-08-01 2018-09-11 Avenu Medical, Inc. Percutaneous arterial to venous anastomosis clip application catheter system and methods
CN106102558B (zh) * 2013-11-14 2020-11-20 Clph有限责任公司 用于心外膜成像和注射的设备、系统和方法
US10292708B1 (en) 2014-02-13 2019-05-21 Avenu Medical, Inc. Externally supported anastomosis
US10772672B2 (en) 2014-03-06 2020-09-15 Avenu Medical, Inc. Systems and methods for percutaneous access and formation of arteriovenous fistulas
WO2015138998A1 (en) 2014-03-14 2015-09-17 Tva Medical, Inc. Fistula formation devices and methods therefor
WO2016033374A1 (en) 2014-08-27 2016-03-03 Tva Medical, Inc. Cryolipopysis devices and methods therefor
CN106852124A (zh) * 2014-10-22 2017-06-13 心脏起搏器股份公司 用于无引线心脏设备的递送设备与方法
US10603040B1 (en) 2015-02-09 2020-03-31 Tva Medical, Inc. Methods for treating hypertension and reducing blood pressure with formation of fistula
US10499919B2 (en) 2015-08-21 2019-12-10 Avenu Medical, Inc. Systems and methods for percutaneous access and formation of arteriovenous fistulas
US11324548B2 (en) 2015-08-21 2022-05-10 Baylis Medical Company Inc. Transvascular electrosurgical devices and systems and methods of using the same
US9789294B2 (en) 2015-10-07 2017-10-17 Edwards Lifesciences Corporation Expandable cardiac shunt
AU2017207507B2 (en) 2016-01-15 2021-11-11 Tva Medical, Inc. Devices and methods for advancing a wire
WO2017124060A1 (en) 2016-01-15 2017-07-20 Tva Medical, Inc. Systems and methods for adhering vessels
EP3402432B1 (en) 2016-01-15 2023-05-31 TVA Medical, Inc. Devices for forming a fistula
US10874422B2 (en) 2016-01-15 2020-12-29 Tva Medical, Inc. Systems and methods for increasing blood flow
CN109982652B (zh) 2016-09-25 2022-08-05 Tva医疗公司 血管支架装置和方法
CA3042354A1 (en) * 2016-11-01 2018-05-11 Baylis Medical Company Inc. Methods and devices for puncturing tissue
US10299829B2 (en) * 2016-11-07 2019-05-28 Ronald Yamada Tissue repair system
WO2018089689A1 (en) * 2016-11-11 2018-05-17 Avenu Medical, Inc. Systems and methods for percutaneous intravascular access and guidewire placement
WO2018189593A2 (en) 2017-04-10 2018-10-18 Limflow Gmbh Devices and methods for treating lower extremity vasculature
US11937821B1 (en) 2017-05-17 2024-03-26 Avenu Medical, Inc. Systems and methods for catheter feedback and control for AV fistula creation
AU2018269737B2 (en) 2017-05-17 2023-07-27 Avenu Medical, Inc. Single catheter electrode tissue cutting system for creating anastomoses
JP7237858B2 (ja) 2017-05-26 2023-03-13 パイパー・アクセス、エルエルシー カテーテル送達デバイス、システム、及び方法
US11564728B1 (en) 2017-12-14 2023-01-31 Avenu Medical, Inc. Systems and methods for percutaneous access, formation, and maintenance of arteriovenous fistulas
US11564690B1 (en) 2018-02-22 2023-01-31 Avenu Medical, Inc Vascular flow control devices and methods
CN112543619B (zh) 2018-08-03 2024-12-17 艾维努医疗股份有限公司 用于建立经皮瘘的系统
JP7466531B2 (ja) 2018-10-09 2024-04-12 リムフロウ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング カテーテル位置合わせ装置及び方法
EP3975869A1 (en) 2019-05-31 2022-04-06 TVA Medical, Inc. Systems, methods, and catheters for endovascular treatment of a blood vessel
EP4017384A1 (en) 2019-08-22 2022-06-29 Edwards Lifesciences Corporation Puncture needles
USD912805S1 (en) * 2019-08-29 2021-03-09 Femasys Inc Device for delivery of medical solutions
EP4051174A4 (en) 2019-11-01 2023-11-22 LimFlow GmbH DEVICES AND METHODS FOR INCREASE BLOOD FLOW TO A DISTAL EXTREMITY
CA3160977A1 (en) 2019-11-14 2021-05-20 Edwards Lifesciences Corporation Transcatheter medical implant delivery
US11986209B2 (en) 2020-02-25 2024-05-21 Boston Scientific Medical Device Limited Methods and devices for creation of communication between aorta and left atrium
CN111870326B (zh) * 2020-08-31 2025-02-28 姚卫东 血管穿刺引导辅助装置及血管穿刺引导方法

Family Cites Families (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4790825A (en) * 1986-09-05 1988-12-13 Electro Catheter Corporation Closed chest cannulation method and device for atrial-major artery bypass
DE69230494T2 (de) 1991-04-05 2000-06-08 Metcal Inc., Menlo Park Instrument zum schneiden, koagulieren und abtragen von gewebe
US5290278A (en) 1992-10-20 1994-03-01 Proclosure Inc. Method and apparatus for applying thermal energy to luminal tissue
GB9307572D0 (en) 1993-04-13 1993-06-02 Gould Derek A Transintimal recanalisation device
US6068637A (en) 1995-10-03 2000-05-30 Cedar Sinai Medical Center Method and devices for performing vascular anastomosis
US6302875B1 (en) 1996-10-11 2001-10-16 Transvascular, Inc. Catheters and related devices for forming passageways between blood vessels or other anatomical structures
US6726677B1 (en) 1995-10-13 2004-04-27 Transvascular, Inc. Stabilized tissue penetrating catheters
ATE275880T1 (de) 1995-10-13 2004-10-15 Transvascular Inc Vorrichtung zur umgehung von arteriellen verengungen und/oder zur ausführung anderer transvaskularer eingriffe
US6375615B1 (en) 1995-10-13 2002-04-23 Transvascular, Inc. Tissue penetrating catheters having integral imaging transducers and their methods of use
CA2234389A1 (en) 1995-10-13 1997-04-17 Transvascular, Inc. A device, system and method for interstitial transvascular intervention
US6283983B1 (en) 1995-10-13 2001-09-04 Transvascular, Inc. Percutaneous in-situ coronary bypass method and apparatus
CA2244066A1 (en) 1996-02-02 1997-08-07 Transvascular, Inc. A device, system and method for interstitial transvascular intervention
JP2000505316A (ja) 1996-02-02 2000-05-09 トランスバスキュラー インコーポレイテッド 隣接する血管又は他の解剖学的構造内に形成される開口部を接合する方法及び装置
US6709444B1 (en) 1996-02-02 2004-03-23 Transvascular, Inc. Methods for bypassing total or near-total obstructions in arteries or other anatomical conduits
JP3855243B2 (ja) * 1996-02-21 2006-12-06 日本ゼオン株式会社 医用挿入補助具
US5830224A (en) 1996-03-15 1998-11-03 Beth Israel Deaconess Medical Center Catheter apparatus and methodology for generating a fistula on-demand between closely associated blood vessels at a pre-chosen anatomic site in-vivo
US6379319B1 (en) 1996-10-11 2002-04-30 Transvascular, Inc. Systems and methods for directing and snaring guidewires
US6626901B1 (en) 1997-03-05 2003-09-30 The Trustees Of Columbia University In The City Of New York Electrothermal instrument for sealing and joining or cutting tissue
WO1998046115A2 (en) 1997-04-11 1998-10-22 Transvascular, Inc. Methods and apparatus for transmyocardial direct coronary revascularization
US6071292A (en) 1997-06-28 2000-06-06 Transvascular, Inc. Transluminal methods and devices for closing, forming attachments to, and/or forming anastomotic junctions in, luminal anatomical structures
US6083223A (en) 1997-08-28 2000-07-04 Baker; James A. Methods and apparatus for welding blood vessels
US6330884B1 (en) 1997-11-14 2001-12-18 Transvascular, Inc. Deformable scaffolding multicellular stent
US6561998B1 (en) 1998-04-07 2003-05-13 Transvascular, Inc. Transluminal devices, systems and methods for enlarging interstitial penetration tracts
US6102887A (en) * 1998-08-11 2000-08-15 Biocardia, Inc. Catheter drug delivery system and method for use
US6235027B1 (en) 1999-01-21 2001-05-22 Garrett D. Herzon Thermal cautery surgical forceps
US6248117B1 (en) 1999-04-16 2001-06-19 Vital Access Corp Anastomosis apparatus for use in intraluminally directed vascular anastomosis
US7892246B2 (en) 1999-07-28 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting conduits and closing openings in tissue
US6391038B2 (en) 1999-07-28 2002-05-21 Cardica, Inc. Anastomosis system and method for controlling a tissue site
US7056294B2 (en) * 2000-04-13 2006-06-06 Ev3 Sunnyvale, Inc Method and apparatus for accessing the left atrial appendage
US6464665B1 (en) * 2000-07-05 2002-10-15 Richard R. Heuser Catheter apparatus and method for arterializing a vein
WO2002045598A2 (en) * 2000-12-05 2002-06-13 Lumend, Inc. Catheter system for vascular re-entry from a sub-intimal space
US6699245B2 (en) 2001-02-05 2004-03-02 A-Med Systems, Inc. Anastomosis system and related methods
US7169127B2 (en) * 2002-02-21 2007-01-30 Boston Scientific Scimed, Inc. Pressure apron direct injection catheter
ATE504330T1 (de) 2002-04-11 2011-04-15 Medtronic Vascular Inc Vorrichtungen für die transluminale oder transthorakale interstitielle elektrodenplatzierung
US7351247B2 (en) 2002-09-04 2008-04-01 Bioconnect Systems, Inc. Devices and methods for interconnecting body conduits
US7993384B2 (en) * 2003-09-12 2011-08-09 Abbott Cardiovascular Systems Inc. Delivery system for medical devices
US7666203B2 (en) * 2003-11-06 2010-02-23 Nmt Medical, Inc. Transseptal puncture apparatus
US20060111704A1 (en) 2004-11-22 2006-05-25 Rox Medical, Inc. Devices, systems, and methods for energy assisted arterio-venous fistula creation
US8277465B2 (en) * 2004-12-15 2012-10-02 Correx, Inc. Apparatus and method for connecting a conduit to a hollow vessel
US8328797B2 (en) 2004-12-23 2012-12-11 C. R. Bard, Inc. Blood vessel transecting and anastomosis
EP1912592A4 (en) * 2005-07-26 2016-01-06 Rox Medical Inc DEVICES, SYSTEMS AND METHOD FOR THE PRODUCTION OF PERIPHERAL ARTERIOVENOUS FIBERS
US8430863B2 (en) * 2005-12-02 2013-04-30 Abbott Cardiovascular Systems Inc. Visualization of a catheter viewed under ultrasound imaging
US8062321B2 (en) * 2006-01-25 2011-11-22 Pq Bypass, Inc. Catheter system for connecting adjacent blood vessels
US7713215B2 (en) * 2008-01-31 2010-05-11 Shriver Edgar L Steering, piercing, anchoring, distending extravascular guidewire
JP4669090B2 (ja) * 2008-12-24 2011-04-13 オリンパスメディカルシステムズ株式会社 処置具
US8636728B2 (en) * 2009-03-11 2014-01-28 Boston Scientific Scimed, Inc. Apparatus and methods for retracting a catheter balloon
WO2011028632A1 (en) * 2009-09-03 2011-03-10 Si Therapies Ltd. Lancet micro-catheter
US20110184504A1 (en) * 2010-01-22 2011-07-28 Medtronic Vascular, Inc. Methods and Apparatus for Providing an Arteriovenous Fistula

Also Published As

Publication number Publication date
US9801653B2 (en) 2017-10-31
JP5964445B2 (ja) 2016-08-03
WO2013067446A1 (en) 2013-05-10
US8951276B2 (en) 2015-02-10
IN2014CN04089A (OSRAM) 2015-07-10
US20130123827A1 (en) 2013-05-16
EP2773413A1 (en) 2014-09-10
AU2012324006A1 (en) 2013-05-23
US20170071627A1 (en) 2017-03-16
EP2773413B1 (en) 2020-01-08
US9522016B2 (en) 2016-12-20
CA2854593A1 (en) 2013-05-10
AU2012324006B2 (en) 2015-07-16
US20150201962A1 (en) 2015-07-23
JP2015504328A (ja) 2015-02-12
EP2773413A4 (en) 2015-02-25

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Effective date: 20170719