CA3057102A1 - Methods and apparatus for removal of intracranial hemorrhage - Google Patents
Methods and apparatus for removal of intracranial hemorrhage Download PDFInfo
- Publication number
- CA3057102A1 CA3057102A1 CA3057102A CA3057102A CA3057102A1 CA 3057102 A1 CA3057102 A1 CA 3057102A1 CA 3057102 A CA3057102 A CA 3057102A CA 3057102 A CA3057102 A CA 3057102A CA 3057102 A1 CA3057102 A1 CA 3057102A1
- Authority
- CA
- Canada
- Prior art keywords
- probe shaft
- tubular probe
- blade
- shaft
- lumen
- 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.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims description 31
- 208000008574 Intracranial Hemorrhages Diseases 0.000 title description 4
- 206010018985 Haemorrhage intracranial Diseases 0.000 title description 3
- 239000000523 sample Substances 0.000 claims abstract description 50
- 239000012634 fragment Substances 0.000 claims abstract description 21
- 210000003625 skull Anatomy 0.000 claims abstract description 14
- 230000003902 lesion Effects 0.000 claims description 41
- 210000004556 brain Anatomy 0.000 claims description 8
- 239000008280 blood Substances 0.000 abstract description 3
- 210000004369 blood Anatomy 0.000 abstract description 3
- 238000007917 intracranial administration Methods 0.000 abstract description 2
- 210000001519 tissue Anatomy 0.000 description 8
- 208000016988 Hemorrhagic Stroke Diseases 0.000 description 7
- 208000020658 intracerebral hemorrhage Diseases 0.000 description 7
- 238000002604 ultrasonography Methods 0.000 description 6
- 206010028980 Neoplasm Diseases 0.000 description 5
- 208000006011 Stroke Diseases 0.000 description 4
- 210000005013 brain tissue Anatomy 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 206010059491 Intracranial haematoma Diseases 0.000 description 3
- 206010012289 Dementia Diseases 0.000 description 2
- 206010019196 Head injury Diseases 0.000 description 2
- 230000005856 abnormality Effects 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 238000001574 biopsy Methods 0.000 description 2
- 210000001627 cerebral artery Anatomy 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 208000018152 Cerebral disease Diseases 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000032382 Ischaemic stroke Diseases 0.000 description 1
- 208000001435 Thromboembolism Diseases 0.000 description 1
- 206010046798 Uterine leiomyoma Diseases 0.000 description 1
- 238000005299 abrasion Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000004958 brain cell Anatomy 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 230000006735 deficit Effects 0.000 description 1
- 230000002939 deleterious effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 210000003811 finger Anatomy 0.000 description 1
- 230000002008 hemorrhagic effect Effects 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 201000010260 leiomyoma Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000011176 pooling Methods 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 238000013151 thrombectomy Methods 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 238000012800 visualization 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- 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
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1695—Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
-
- 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
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- 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
- A61B17/22—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
- A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B17/2202—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00685—Archimedes screw
-
- 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
- A61B2017/22079—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 with suction of debris
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320024—Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Neurosurgery (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201762473779P | 2017-03-20 | 2017-03-20 | |
| US62/473,779 | 2017-03-20 | ||
| PCT/US2018/023348 WO2018175431A1 (en) | 2017-03-20 | 2018-03-20 | Methods and apparatus for removal of intracranial hemorrhage |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA3057102A1 true CA3057102A1 (en) | 2018-09-27 |
Family
ID=63521375
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3057102A Pending CA3057102A1 (en) | 2017-03-20 | 2018-03-20 | Methods and apparatus for removal of intracranial hemorrhage |
Country Status (7)
| Country | Link |
|---|---|
| US (2) | US10716590B2 (enExample) |
| EP (1) | EP3600089B1 (enExample) |
| JP (1) | JP2020511269A (enExample) |
| KR (1) | KR102687413B1 (enExample) |
| AU (1) | AU2018239346B2 (enExample) |
| CA (1) | CA3057102A1 (enExample) |
| WO (1) | WO2018175431A1 (enExample) |
Families Citing this family (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP6437517B2 (ja) | 2013-03-15 | 2018-12-12 | インセラ セラピューティクス，インク． | 血管治療装置及び方法 |
| CN108697423A (zh) | 2016-02-16 | 2018-10-23 | 伊瑟拉医疗公司 | 抽吸装置和锚定的分流装置 |
| CA3195810A1 (en) | 2017-10-16 | 2022-04-21 | Michael Bruce Horowitz | Clot removal methods and devices with multiple independently controllable elements |
| US12201315B2 (en) | 2017-10-16 | 2025-01-21 | Retriever Medical, Inc. | Clot removal methods and devices with multiple independently controllable elements |
| US10258357B1 (en) | 2017-10-16 | 2019-04-16 | Michael Bruce Horowitz | Catheter based retrieval device with proximal body having axial freedom of movement |
| USD847864S1 (en) | 2018-01-22 | 2019-05-07 | Insera Therapeutics, Inc. | Pump |
| US10531883B1 (en) | 2018-07-20 | 2020-01-14 | Syntheon 2.0, LLC | Aspiration thrombectomy system and methods for thrombus removal with aspiration catheter |
| CN110141303B (zh) | 2019-06-06 | 2022-09-02 | 赛诺神畅医疗科技有限公司 | 用于碎栓并抽吸血栓的器械 |
| DE112021004281T5 (de) * | 2020-08-14 | 2023-06-01 | Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America | Interner Mechanismus zur sekundären Fragmentierung von Steinen |
| JP2024024698A (ja) * | 2021-01-11 | 2024-02-26 | テルモ株式会社 | 医療デバイス |
| US12220139B2 (en) | 2022-03-20 | 2025-02-11 | Von Vascular, Inc. | System, devices and methods for removing obstructions in body lumens |
| US12471937B2 (en) | 2023-01-25 | 2025-11-18 | Syntheon Pv, Llc | Aspiration thrombectomy systems and methods for thrombus removal with aspiration catheter |
Family Cites Families (32)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4986807A (en) * | 1989-01-23 | 1991-01-22 | Interventional Technologies, Inc. | Atherectomy cutter with radially projecting blade |
| WO1994024941A1 (fr) * | 1993-04-30 | 1994-11-10 | Px Holding S.A. | Appareil pour le prelevement de tissus par endoscopie |
| JP2001505460A (ja) * | 1996-12-02 | 2001-04-24 | アンジオトラックス，インコーポレイテッド | 手術を経皮的に実施するための装置および方法 |
| US6666874B2 (en) | 1998-04-10 | 2003-12-23 | Endicor Medical, Inc. | Rotational atherectomy system with serrated cutting tip |
| US6592541B1 (en) * | 1998-07-21 | 2003-07-15 | Badrudin Kurwa | Ophthalmological surgical instrument, device and method of use |
| US8414543B2 (en) | 1999-10-22 | 2013-04-09 | Rex Medical, L.P. | Rotational thrombectomy wire with blocking device |
| US7344546B2 (en) * | 2000-04-05 | 2008-03-18 | Pathway Medical Technologies | Intralumenal material removal using a cutting device for differential cutting |
| CA2555966C (en) | 2004-03-04 | 2012-07-10 | Straub Medical Ag | Catheter for sucking, fragmenting and removing material extractable from blood vessels |
| CA2506961C (en) * | 2004-05-11 | 2013-05-07 | Inrad, Inc. | Core biopsy device |
| US20060095045A1 (en) * | 2004-11-01 | 2006-05-04 | Sdgi Holdings, Inc. | Methods for explantation of intervertebral disc implants |
| US20120330196A1 (en) | 2005-06-24 | 2012-12-27 | Penumbra Inc. | Methods and Apparatus for Removing Blood Clots and Tissue from the Patient's Head |
| US7717853B2 (en) | 2005-06-24 | 2010-05-18 | Henry Nita | Methods and apparatus for intracranial ultrasound delivery |
| US7713235B2 (en) * | 2006-10-04 | 2010-05-11 | Pathway Medical Technologies, Inc. | Interventional catheters incorporating an active aspiration system |
| JP2010527636A (ja) * | 2006-11-06 | 2010-08-19 | アードバーク メディカル， エルエルシー | 洗浄と吸引の装置および方法 |
| US8906053B2 (en) * | 2007-11-12 | 2014-12-09 | Medtronic Xomed, Inc. | Systems and methods for surgical removal of brain tumors |
| US10307340B2 (en) * | 2007-11-21 | 2019-06-04 | Actuated Medical, Inc. | Devices for clearing blockages in artificial and natural lumens |
| US8246752B2 (en) | 2008-01-25 | 2012-08-21 | Clear Catheter Systems, Inc. | Methods and devices to clear obstructions from medical tubes |
| US8070765B2 (en) * | 2009-01-28 | 2011-12-06 | Medtronic Xomed, Inc. | Systems and methods for surgical removal of brain tumors |
| WO2011072149A1 (en) * | 2009-12-11 | 2011-06-16 | Fox Hollow Technologies, Inc. | Material removal device having improved material capture efficiency and methods of use |
| US8469981B2 (en) * | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
| US8764779B2 (en) | 2010-05-13 | 2014-07-01 | Rex Medical, L.P. | Rotational thrombectomy wire |
| AU2011319797B2 (en) * | 2010-10-28 | 2015-04-09 | Covidien Lp | Material removal device and method of use |
| US9055964B2 (en) | 2011-03-15 | 2015-06-16 | Angio Dynamics, Inc. | Device and method for removing material from a hollow anatomical structure |
| PL221914B1 (pl) | 2011-10-25 | 2016-06-30 | Andrzej Sobolewski | Pojazd poruszany ręcznie |
| US9603610B2 (en) * | 2013-03-15 | 2017-03-28 | DePuy Synthes Products, Inc. | Tools and methods for tissue removal |
| US10219814B2 (en) * | 2013-12-13 | 2019-03-05 | Rex Medical, L.P. | Aspiration system for thrombectomy procedures |
| US10667836B2 (en) * | 2014-04-28 | 2020-06-02 | Boston Scientific Scimed, Inc. | Tissue resectors, hand operated tissue resecting systems, and associated methods |
| US10376278B2 (en) * | 2014-04-28 | 2019-08-13 | Boston Scientific Scimed, Inc. | Tissue resectors with cutting wires, hand operated tissue resecting systems and associated methods |
| US10517632B2 (en) * | 2015-06-25 | 2019-12-31 | Covidien Lp | Tissue-removing catheter with reciprocating tissue-removing head |
| US10172514B2 (en) * | 2016-08-17 | 2019-01-08 | Rebound Therapeutics Corporation | Cannula with proximally mounted camera and transparent obturator |
| US10555834B2 (en) * | 2016-07-11 | 2020-02-11 | Novartis Ag | Vitrectomy probe with rotary cutter and associated devices, systems, and methods |
| US20200113619A1 (en) * | 2018-10-11 | 2020-04-16 | Rebound Therapeutics Corporation | Cautery tool for intracranial surgery |
-
2018
- 2018-03-20 WO PCT/US2018/023348 patent/WO2018175431A1/en not_active Ceased
- 2018-03-20 CA CA3057102A patent/CA3057102A1/en active Pending
- 2018-03-20 KR KR1020197030602A patent/KR102687413B1/ko active Active
- 2018-03-20 AU AU2018239346A patent/AU2018239346B2/en active Active
- 2018-03-20 US US15/926,357 patent/US10716590B2/en active Active
- 2018-03-20 EP EP18770942.3A patent/EP3600089B1/en active Active
- 2018-03-20 JP JP2019552106A patent/JP2020511269A/ja active Pending
-
2020
- 2020-06-30 US US16/917,413 patent/US11389186B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| KR20200012828A (ko) | 2020-02-05 |
| AU2018239346B2 (en) | 2020-11-26 |
| EP3600089A4 (en) | 2020-12-30 |
| US10716590B2 (en) | 2020-07-21 |
| US11389186B2 (en) | 2022-07-19 |
| JP2020511269A (ja) | 2020-04-16 |
| EP3600089A1 (en) | 2020-02-05 |
| KR102687413B1 (ko) | 2024-07-24 |
| US20200330117A1 (en) | 2020-10-22 |
| AU2018239346A1 (en) | 2019-10-03 |
| EP3600089B1 (en) | 2023-09-06 |
| US20180263646A1 (en) | 2018-09-20 |
| WO2018175431A1 (en) | 2018-09-27 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20220930 |
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| EEER | Examination request |
Effective date: 20220930 |
|
| EEER | Examination request |
Effective date: 20220930 |
|
| EEER | Examination request |
Effective date: 20220930 |
|
| EEER | Examination request |
Effective date: 20220930 |