CA3057876A1 - Chronic total occlusion crossing devices and methods - Google Patents

Chronic total occlusion crossing devices and methods Download PDF

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Publication number
CA3057876A1
CA3057876A1 CA3057876A CA3057876A CA3057876A1 CA 3057876 A1 CA3057876 A1 CA 3057876A1 CA 3057876 A CA3057876 A CA 3057876A CA 3057876 A CA3057876 A CA 3057876A CA 3057876 A1 CA3057876 A1 CA 3057876A1
Authority
CA
Canada
Prior art keywords
loop
wire
crossing
catheter
lesion
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
Application number
CA3057876A
Other languages
English (en)
French (fr)
Inventor
Jihad A. Mustapha
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA3057876A1 publication Critical patent/CA3057876A1/en
Pending legal-status Critical Current

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
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • 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
    • 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • 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
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2017/22038—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 a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • 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
    • 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
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • 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
    • A61M2025/0004—Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
CA3057876A 2017-03-31 2018-04-02 Chronic total occlusion crossing devices and methods Pending CA3057876A1 (en)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201762479646P 2017-03-31 2017-03-31
US62/479,646 2017-03-31
US201762500303P 2017-05-02 2017-05-02
US62/500,303 2017-05-02
US15/666,279 2017-08-01
US15/666,279 US10085766B1 (en) 2017-03-31 2017-08-01 Chronic total occlusion crossing devices and methods
PCT/US2018/025722 WO2018184017A1 (en) 2017-03-31 2018-04-02 Chronic total occlusion crossing devices and methods

Publications (1)

Publication Number Publication Date
CA3057876A1 true CA3057876A1 (en) 2018-10-04

Family

ID=63639322

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3057876A Pending CA3057876A1 (en) 2017-03-31 2018-04-02 Chronic total occlusion crossing devices and methods

Country Status (9)

Country Link
US (4) US10085766B1 (https=)
EP (2) EP3600091B1 (https=)
JP (2) JP7222908B2 (https=)
AU (2) AU2018247062B2 (https=)
CA (1) CA3057876A1 (https=)
DK (1) DK3600091T3 (https=)
ES (1) ES2922651T3 (https=)
PL (1) PL3600091T3 (https=)
WO (1) WO2018184017A1 (https=)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10085766B1 (en) * 2017-03-31 2018-10-02 Jihad A. Mustapha Chronic total occlusion crossing devices and methods
EP3986523A1 (en) * 2019-06-21 2022-04-27 St. Jude Medical, Cardiology Division, Inc. Guidewire for tavr procedure
US20210402152A1 (en) * 2020-06-29 2021-12-30 Becton, Dickinson And Company Coiled vascular access instrument and related systems and methods
JP2023541199A (ja) * 2020-09-15 2023-09-28 ベクトン・ディキンソン・アンド・カンパニー 血栓除去の方法および関連するデバイスおよびシステム
US12447017B2 (en) 2021-03-11 2025-10-21 St. Jude Medical, Cardiology Division, Inc. Delivery system radiopaque (RO) markers for TAVR commissure alignment
WO2024030613A2 (en) * 2022-08-05 2024-02-08 Jihad Ali Mustapha Devices and methods for crossing lesions in a tissue lumen
JPWO2024189794A1 (https=) * 2023-03-14 2024-09-19

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Also Published As

Publication number Publication date
ES2922651T3 (es) 2022-09-19
PL3600091T3 (pl) 2022-09-26
US20240307087A1 (en) 2024-09-19
EP3600091A1 (en) 2020-02-05
JP2023052882A (ja) 2023-04-12
US12004772B2 (en) 2024-06-11
DK3600091T3 (da) 2022-07-18
US20210121199A1 (en) 2021-04-29
AU2018247062A1 (en) 2019-10-17
AU2018247062B2 (en) 2023-01-19
EP4074269A1 (en) 2022-10-19
EP3600091B1 (en) 2022-05-11
WO2018184017A1 (en) 2018-10-04
JP7222908B2 (ja) 2023-02-15
US10085766B1 (en) 2018-10-02
US10905460B2 (en) 2021-02-02
US20180280052A1 (en) 2018-10-04
JP2020512864A (ja) 2020-04-30
US20180280051A1 (en) 2018-10-04
EP3600091A4 (en) 2020-02-05
AU2022291543A1 (en) 2023-02-02

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