CA3024053C - Energy delivery and imaging catheter - Google Patents
Energy delivery and imaging catheter Download PDFInfo
- Publication number
- CA3024053C CA3024053C CA3024053A CA3024053A CA3024053C CA 3024053 C CA3024053 C CA 3024053C CA 3024053 A CA3024053 A CA 3024053A CA 3024053 A CA3024053 A CA 3024053A CA 3024053 C CA3024053 C CA 3024053C
- Authority
- CA
- Canada
- Prior art keywords
- catheter
- electrode
- dilating catheter
- occlusion
- energy
- 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
- 238000003384 imaging method Methods 0.000 title claims abstract description 5
- 230000000916 dilatatory effect Effects 0.000 claims abstract description 21
- 238000002679 ablation Methods 0.000 claims abstract description 17
- 238000002604 ultrasonography Methods 0.000 claims abstract description 8
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 6
- 238000012285 ultrasound imaging Methods 0.000 claims abstract 2
- 238000000034 method Methods 0.000 description 28
- 230000007246 mechanism Effects 0.000 description 10
- 238000013459 approach Methods 0.000 description 9
- 206010053648 Vascular occlusion Diseases 0.000 description 8
- 230000008901 benefit Effects 0.000 description 6
- 230000001684 chronic effect Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000003073 embolic effect Effects 0.000 description 5
- 230000003902 lesion Effects 0.000 description 5
- 239000000463 material Substances 0.000 description 4
- 208000007536 Thrombosis Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 238000002399 angioplasty Methods 0.000 description 3
- 210000004351 coronary vessel Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 238000002847 impedance measurement Methods 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000013152 interventional procedure Methods 0.000 description 2
- 238000002608 intravascular ultrasound Methods 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 238000013146 percutaneous coronary intervention Methods 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 210000005166 vasculature Anatomy 0.000 description 2
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- VYZAMTAEIAYCRO-UHFFFAOYSA-N Chromium Chemical compound [Cr] VYZAMTAEIAYCRO-UHFFFAOYSA-N 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 229910052804 chromium Inorganic materials 0.000 description 1
- 239000011651 chromium Substances 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 229910017052 cobalt Inorganic materials 0.000 description 1
- 239000010941 cobalt Substances 0.000 description 1
- GUTLYIVDDKVIGB-UHFFFAOYSA-N cobalt atom Chemical compound [Co] GUTLYIVDDKVIGB-UHFFFAOYSA-N 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 238000007887 coronary angioplasty Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229910000701 elgiloys (Co-Cr-Ni Alloy) Inorganic materials 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 210000004013 groin Anatomy 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 229910052741 iridium Inorganic materials 0.000 description 1
- GKOZUEZYRPOHIO-UHFFFAOYSA-N iridium atom Chemical compound [Ir] GKOZUEZYRPOHIO-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 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
- 230000010355 oscillation Effects 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 230000000246 remedial effect Effects 0.000 description 1
- 230000000250 revascularization Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 230000002966 stenotic effect Effects 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- 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
- 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
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
- A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
-
- 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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
- A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Electromagnetism (AREA)
- Plasma & Fusion (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US97547307P | 2007-09-26 | 2007-09-26 | |
| US60/975,473 | 2007-09-26 | ||
| CA2700968A CA2700968C (en) | 2007-09-26 | 2008-09-23 | Recanalizing occluded vessels using radiofrequency energy |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2700968A Division CA2700968C (en) | 2007-09-26 | 2008-09-23 | Recanalizing occluded vessels using radiofrequency energy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA3024053A1 CA3024053A1 (en) | 2009-04-02 |
| CA3024053C true CA3024053C (en) | 2021-12-07 |
Family
ID=40511823
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3024053A Active CA3024053C (en) | 2007-09-26 | 2008-09-23 | Energy delivery and imaging catheter |
| CA2700968A Active CA2700968C (en) | 2007-09-26 | 2008-09-23 | Recanalizing occluded vessels using radiofrequency energy |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2700968A Active CA2700968C (en) | 2007-09-26 | 2008-09-23 | Recanalizing occluded vessels using radiofrequency energy |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US8911435B2 (enExample) |
| EP (2) | EP3348221A1 (enExample) |
| JP (4) | JP5618332B2 (enExample) |
| KR (1) | KR101228879B1 (enExample) |
| AU (1) | AU2008304599B2 (enExample) |
| CA (2) | CA3024053C (enExample) |
| WO (1) | WO2009042614A1 (enExample) |
Families Citing this family (40)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6582392B1 (en) | 1998-05-01 | 2003-06-24 | Ekos Corporation | Ultrasound assembly for use with a catheter |
| US6723063B1 (en) | 1998-06-29 | 2004-04-20 | Ekos Corporation | Sheath for use with an ultrasound element |
| EP1647232B1 (en) | 2001-12-03 | 2011-08-17 | Ekos Corporation | Catheter with multiple ultrasound radiating members |
| US8226629B1 (en) | 2002-04-01 | 2012-07-24 | Ekos Corporation | Ultrasonic catheter power control |
| WO2005072409A2 (en) | 2004-01-29 | 2005-08-11 | Ekos Corporation | Method and apparatus for detecting vascular conditions with a catheter |
| US7918859B2 (en) * | 2006-02-13 | 2011-04-05 | Retro Vascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
| US9119651B2 (en) | 2006-02-13 | 2015-09-01 | Retro Vascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
| US20070265560A1 (en) | 2006-04-24 | 2007-11-15 | Ekos Corporation | Ultrasound Therapy System |
| WO2008086372A1 (en) | 2007-01-08 | 2008-07-17 | Ekos Corporation | Power parameters for ultrasonic catheter |
| US10182833B2 (en) | 2007-01-08 | 2019-01-22 | Ekos Corporation | Power parameters for ultrasonic catheter |
| ES2471118T3 (es) | 2007-06-22 | 2014-06-25 | Ekos Corporation | Método y aparato para el tratamiento de hemorragias intracraneales |
| US9283034B2 (en) * | 2007-09-26 | 2016-03-15 | Retrovascular, Inc. | Recanalization system using radiofrequency energy |
| AU2008304599B2 (en) | 2007-09-26 | 2012-11-22 | Retrovascular, Inc. | Recanalizing occluded vessels using radiofrequency energy |
| US9561073B2 (en) | 2007-09-26 | 2017-02-07 | Retrovascular, Inc. | Energy facilitated composition delivery |
| PL2448636T3 (pl) | 2009-07-03 | 2014-11-28 | Ekos Corp | Parametry mocy dla cewnika ultradźwiękowego |
| US8740835B2 (en) | 2010-02-17 | 2014-06-03 | Ekos Corporation | Treatment of vascular occlusions using ultrasonic energy and microbubbles |
| CN103228224B (zh) | 2010-08-27 | 2015-11-25 | Ekos公司 | 用于治疗颅内出血的方法和设备 |
| JP5981932B2 (ja) | 2010-11-16 | 2016-08-31 | ティーブイエー メディカル， インコーポレイテッド | 瘻を形成するためのデバイスおよび方法 |
| US11458290B2 (en) | 2011-05-11 | 2022-10-04 | Ekos Corporation | Ultrasound system |
| WO2013013248A2 (en) * | 2011-07-20 | 2013-01-24 | Retrovascular, Inc. | Energy facilitated composition delivery |
| JP2015532152A (ja) | 2012-10-11 | 2015-11-09 | ティーブイエー メディカル， インコーポレイテッド | フィステル形成のための装置および方法 |
| US9084620B2 (en) * | 2013-03-14 | 2015-07-21 | DePuy Synthes Products, Inc. | Detection and clearing of occlusions in catheters |
| JP6479753B2 (ja) | 2013-03-14 | 2019-03-06 | エコス コーポレーション | 目標の箇所に薬物を送達するための方法および装置 |
| EP3566740B1 (en) | 2013-03-14 | 2024-08-14 | TVA Medical, Inc. | Fistula formulation/formation devices |
| US10695534B2 (en) | 2014-03-14 | 2020-06-30 | 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 |
| US10092742B2 (en) | 2014-09-22 | 2018-10-09 | Ekos Corporation | Catheter system |
| DE102015117171B4 (de) | 2014-10-09 | 2019-03-21 | Denso Corporation | Batteriezustandsabschätzvorrichtung |
| US10603040B1 (en) | 2015-02-09 | 2020-03-31 | Tva Medical, Inc. | Methods for treating hypertension and reducing blood pressure with formation of fistula |
| HK1249389A1 (zh) | 2015-06-10 | 2018-11-02 | Ekos公司 | 超声波导管 |
| US10874422B2 (en) | 2016-01-15 | 2020-12-29 | Tva Medical, Inc. | Systems and methods for increasing blood flow |
| WO2017124059A1 (en) | 2016-01-15 | 2017-07-20 | Tva Medical, Inc. | Devices and methods for advancing a wire |
| CA3011240A1 (en) | 2016-01-15 | 2017-07-20 | Tva Medical, Inc. | Systems and methods for adhering vessels |
| CN108882959A (zh) | 2016-01-15 | 2018-11-23 | Tva医疗公司 | 用于形成瘘管的装置和方法 |
| US11285028B2 (en) | 2016-09-25 | 2022-03-29 | Tva Medical, Inc. | Vascular stent devices and methods |
| CN110214015A (zh) | 2017-01-24 | 2019-09-06 | Ekos公司 | 用于治疗血栓栓塞的方法 |
| EP3727513A1 (en) | 2017-12-21 | 2020-10-28 | Sanofi | Rfid dose tracking mechanism for injection devices |
| JP7328224B2 (ja) | 2017-12-21 | 2023-08-16 | サノフイ | 受動ｒｆ変調を使用した注射デバイスの使用に関連するデータの送信 |
| WO2020183534A1 (ja) * | 2019-03-08 | 2020-09-17 | オリンパス株式会社 | 血管内視鏡装置および血管内視鏡システム |
| CN111467655B (zh) * | 2020-05-15 | 2024-11-29 | 武汉律动医疗科技有限公司 | 一种三维显影冠脉导丝 |
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-
2008
- 2008-09-23 AU AU2008304599A patent/AU2008304599B2/en active Active
- 2008-09-23 US US12/680,500 patent/US8911435B2/en active Active
- 2008-09-23 CA CA3024053A patent/CA3024053C/en active Active
- 2008-09-23 EP EP18154292.9A patent/EP3348221A1/en not_active Withdrawn
- 2008-09-23 JP JP2010527088A patent/JP5618332B2/ja active Active
- 2008-09-23 WO PCT/US2008/077403 patent/WO2009042614A1/en not_active Ceased
- 2008-09-23 EP EP08834456.9A patent/EP2197383B1/en active Active
- 2008-09-23 KR KR1020107008803A patent/KR101228879B1/ko active Active
- 2008-09-23 CA CA2700968A patent/CA2700968C/en active Active
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2014
- 2014-06-17 JP JP2014124232A patent/JP6050283B2/ja active Active
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2016
- 2016-11-24 JP JP2016227657A patent/JP6461891B2/ja active Active
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- 2018-12-25 JP JP2018240919A patent/JP6785832B2/ja active Active
Also Published As
| Publication number | Publication date |
|---|---|
| EP3348221A1 (en) | 2018-07-18 |
| WO2009042614A1 (en) | 2009-04-02 |
| JP2017094092A (ja) | 2017-06-01 |
| CA3024053A1 (en) | 2009-04-02 |
| KR20100075528A (ko) | 2010-07-02 |
| US20100292685A1 (en) | 2010-11-18 |
| KR101228879B1 (ko) | 2013-02-05 |
| JP2014208263A (ja) | 2014-11-06 |
| US8911435B2 (en) | 2014-12-16 |
| EP2197383A1 (en) | 2010-06-23 |
| AU2008304599B2 (en) | 2012-11-22 |
| JP6785832B2 (ja) | 2020-11-18 |
| CA2700968A1 (en) | 2009-04-02 |
| EP2197383B1 (en) | 2018-01-31 |
| JP2010540099A (ja) | 2010-12-24 |
| EP2197383A4 (en) | 2012-08-22 |
| JP6050283B2 (ja) | 2016-12-21 |
| JP5618332B2 (ja) | 2014-11-05 |
| JP2019076741A (ja) | 2019-05-23 |
| JP6461891B2 (ja) | 2019-01-30 |
| AU2008304599A1 (en) | 2009-04-02 |
| CA2700968C (en) | 2019-06-11 |
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