CN102056557B - 切割并去除管腔内斑块的旋磨装置和方法 - Google Patents
切割并去除管腔内斑块的旋磨装置和方法 Download PDFInfo
- Publication number
- CN102056557B CN102056557B CN2009801206615A CN200980120661A CN102056557B CN 102056557 B CN102056557 B CN 102056557B CN 2009801206615 A CN2009801206615 A CN 2009801206615A CN 200980120661 A CN200980120661 A CN 200980120661A CN 102056557 B CN102056557 B CN 102056557B
- Authority
- CN
- China
- Prior art keywords
- diameter
- cutting element
- cutting
- lumen
- cutting blade
- 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.)
- Expired - Fee Related
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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
- A61B17/32—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
-
- 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
- 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
- A61B17/32075—Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- 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
- A61B2017/22014—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 outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated 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
- A61B2017/22038—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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Mechanical Engineering (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US5897108P | 2008-06-05 | 2008-06-05 | |
| US61/058,971 | 2008-06-05 | ||
| US12/466,164 US8192451B2 (en) | 2008-06-05 | 2009-05-14 | Cutting and coring atherectomy device and method |
| US12/466,164 | 2009-05-14 | ||
| PCT/US2009/044310 WO2009148807A1 (en) | 2008-06-05 | 2009-05-18 | Cutting and coring atherectomy device and method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102056557A CN102056557A (zh) | 2011-05-11 |
| CN102056557B true CN102056557B (zh) | 2013-11-06 |
Family
ID=41398434
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2009801206615A Expired - Fee Related CN102056557B (zh) | 2008-06-05 | 2009-05-18 | 切割并去除管腔内斑块的旋磨装置和方法 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US8192451B2 (enExample) |
| EP (1) | EP2303151A4 (enExample) |
| JP (1) | JP5377630B2 (enExample) |
| CN (1) | CN102056557B (enExample) |
| AU (1) | AU2009255435B2 (enExample) |
| CA (1) | CA2721690C (enExample) |
| WO (1) | WO2009148807A1 (enExample) |
Families Citing this family (46)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2670318A1 (en) * | 2011-02-01 | 2013-12-11 | Curtiss T. Stinis | Vascular plaque removal systems, devices, and methods |
| RU2476173C1 (ru) * | 2011-10-24 | 2013-02-27 | Дахир Курманбиевич Семенов | Способ удаления закупоривающего материала (варианты) и атероэктомическая микромашинка (варианты) |
| WO2013123007A1 (en) * | 2012-02-13 | 2013-08-22 | Neurodyamics, Llc | Catheter for use in revascularization procedures and method of using same |
| US10456295B2 (en) | 2012-06-14 | 2019-10-29 | Tel Hashomer Medical Research Infrastructure And Services Ltd. | Medical device, assembly and method for creating a channel in soft tissue |
| WO2014080424A2 (en) * | 2012-11-22 | 2014-05-30 | Anand Gnanaraj | The atherotome (vascular cutting device)" |
| US9936970B2 (en) | 2013-03-14 | 2018-04-10 | Cardiovascular Systems, Inc. | Devices, systems and methods for an oscillating crown drive for rotational atherectomy |
| US9750525B2 (en) | 2013-03-14 | 2017-09-05 | Cardiovascular Systems, Inc. | Devices, systems and methods for an oscillating crown drive for rotational atherectomy |
| EP3041422A4 (en) * | 2013-09-06 | 2017-04-12 | Procept Biorobotics Corporation | Automated image-guided tissue resection and treatment |
| EP2848764A1 (en) * | 2013-09-17 | 2015-03-18 | Welltec A/S | Downhole wireline cleaning tool |
| WO2015138247A1 (en) | 2014-03-12 | 2015-09-17 | Boston Scientific Limited | Infusion lubricated atherectomy catheter |
| EP3128909B1 (en) * | 2014-04-11 | 2021-11-10 | Koninklijke Philips N.V. | Implant delivery system |
| WO2015190577A1 (ja) * | 2014-06-13 | 2015-12-17 | テルモ株式会社 | 医療デバイス |
| US10405878B2 (en) | 2014-07-25 | 2019-09-10 | Boston Scientific Scimed, Inc. | Rotatable medical device |
| EP3185785A1 (en) * | 2014-08-07 | 2017-07-05 | Cardiovascular Systems, Inc. | Devices, systems and methods for an oscillating crown drive for rotational atherectomy |
| US10405879B2 (en) | 2014-12-04 | 2019-09-10 | Boston Scientific Scimed, Inc. | Rotatable medical device |
| CA3160402A1 (en) * | 2014-12-30 | 2016-07-07 | Bard Peripheral Vascular | Abrasive elements for rotational atherectomy systems |
| US10299820B2 (en) * | 2015-02-20 | 2019-05-28 | Cardiovascular Systems, Inc. | Methods and systems for disrupting calcified walls of biological conduits and calcified lesions therein |
| GB201503177D0 (en) * | 2015-02-25 | 2015-04-08 | King S College London | Vibration inducing apparatus for magnetic resonance elastography |
| WO2016141281A1 (en) * | 2015-03-04 | 2016-09-09 | Indiana University Research & Technology Corporation | Ultrasound catheter |
| CN105286949B (zh) * | 2015-09-22 | 2017-09-29 | 山东大学 | 一种深二度烧伤高速旋转切痂装置 |
| US20180098777A1 (en) * | 2016-10-11 | 2018-04-12 | Shlomo Gabbay | Devices and Methods for Improving Transcatheter Aortic Valve Implantation |
| WO2018075545A1 (en) * | 2016-10-18 | 2018-04-26 | The Regents Of The University Of Michigan | Two-phase technique to restore artery patency and a catheter temperature control system in atherectomy |
| EP3532120B1 (en) | 2016-10-25 | 2024-05-01 | Magenta Medical Ltd. | Ventricular assist device |
| IL251684B (en) | 2017-04-09 | 2019-01-31 | Tel Hashomer Medical Res Infrastructure & Services Ltd | Device and method for creating a channel in soft tissue |
| JP7182797B2 (ja) * | 2017-05-01 | 2022-12-05 | ヴァスキュラー グラフト ソリューションズ リミテッド | 外科的血管吻合術に使用する装置および方法 |
| US11690645B2 (en) | 2017-05-03 | 2023-07-04 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| WO2018204700A1 (en) | 2017-05-03 | 2018-11-08 | Medtronic Vascular, Inc. | Tissue-removing catheter with guidewire isolation liner |
| CN115192897B (zh) | 2018-01-10 | 2025-08-05 | 马真塔医药有限公司 | 心室辅助装置 |
| US10905808B2 (en) | 2018-01-10 | 2021-02-02 | Magenta Medical Ltd. | Drive cable for use with a blood pump |
| WO2019176536A1 (ja) | 2018-03-13 | 2019-09-19 | テルモ株式会社 | 除去デバイスおよび除去システム |
| EP3781051A1 (en) * | 2018-04-19 | 2021-02-24 | C.R. Bard, Inc. | Catheter for active slicing /scoring and related methods |
| US11406419B2 (en) * | 2018-10-29 | 2022-08-09 | Cardiovascular Systems, Inc. | System, device, and method for interrupted dual action (sanding and cutting) forces with continual maceration and aspiration |
| EP4434477A3 (en) | 2018-11-16 | 2024-11-27 | Medtronic Vascular Inc. | Tissue-removing catheter |
| CN109394307A (zh) * | 2018-11-19 | 2019-03-01 | 储新 | 一种血管内钙化斑或钙化环超声波研磨装置 |
| CN119280650A (zh) | 2019-01-24 | 2025-01-10 | 马真塔医药有限公司 | 心室辅助装置 |
| US11819236B2 (en) | 2019-05-17 | 2023-11-21 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| US12426916B2 (en) | 2019-09-12 | 2025-09-30 | Free Flow Medical, Inc. | Devices, methods, and systems to treat chronic bronchitis |
| JP2022548877A (ja) * | 2019-09-12 | 2022-11-22 | フリー フロー メディカル インコーポレイテッド | 慢性気管支炎を治療する装置、方法およびシステム |
| WO2021205346A2 (en) | 2020-04-07 | 2021-10-14 | Magenta Medical Ltd | Ventricular assist device |
| CN112914679B (zh) * | 2021-02-02 | 2022-12-23 | 广东工业大学 | 可径向变形的血栓清除器械 |
| US20250057565A1 (en) * | 2021-12-17 | 2025-02-20 | Clearstream Technologies Limited | Catheter device for extracting an occlusion from a blood vessel |
| CN114886505B (zh) | 2022-07-13 | 2022-09-30 | 苏州中天医疗器械科技有限公司 | 一种分步切割取栓装置和取栓系统 |
| AU2023371657A1 (en) | 2022-11-04 | 2025-05-15 | Solvein Inc. | Catheters and related methods for aspiration and controlled delivery of closure agents |
| US20240149020A1 (en) | 2022-11-04 | 2024-05-09 | Controlled Delivery Systems, Inc. | Catheters for the aspiration controlled delivery of closure agents |
| CN117598755B (zh) * | 2024-01-24 | 2024-05-07 | 上海佳沐垚医疗科技有限公司 | 一种超声再通系统 |
| CN118680638B (zh) * | 2024-06-18 | 2024-12-03 | 青岛理工大学 | 一种血管内超声振动辅助旋磨装置 |
Citations (4)
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| US20040006358A1 (en) * | 2000-04-05 | 2004-01-08 | Pathway Medical Technologies, Inc. | Intralumenal material removal using a cutting device for differential cutting |
| US20040158270A1 (en) * | 1998-03-05 | 2004-08-12 | Scimed Life Systems, Inc. | Expandable ablation burr |
| US20080039881A1 (en) * | 2006-07-07 | 2008-02-14 | The Cleveland Clinic Foundation | Apparatus and method for assisting in the removal of a cardiac valve |
| WO2008021886A2 (en) * | 2006-08-08 | 2008-02-21 | Eilaz Babaev | Ablative cardiac catheter system |
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| US3945375A (en) * | 1972-04-04 | 1976-03-23 | Surgical Design Corporation | Rotatable surgical instrument |
| US4273128A (en) * | 1980-01-14 | 1981-06-16 | Lary Banning G | Coronary cutting and dilating instrument |
| US4631052A (en) * | 1984-01-03 | 1986-12-23 | Intravascular Surgical Instruments, Inc. | Method and apparatus for surgically removing remote deposits |
| US4926858A (en) * | 1984-05-30 | 1990-05-22 | Devices For Vascular Intervention, Inc. | Atherectomy device for severe occlusions |
| US4765332A (en) * | 1986-07-14 | 1988-08-23 | Medinnovations, Inc. | Pullback atherectomy catheter system |
| US4867157A (en) * | 1987-08-13 | 1989-09-19 | Baxter Travenol Laboratories, Inc. | Surgical cutting instrument |
| US4886061A (en) * | 1988-02-09 | 1989-12-12 | Medinnovations, Inc. | Expandable pullback atherectomy catheter system |
| US5069679A (en) * | 1989-02-16 | 1991-12-03 | Taheri Syde A | Method and apparatus for removing venous valves |
| WO1991002494A1 (en) * | 1989-08-18 | 1991-03-07 | Evi Corporation | Catheter atherotome |
| US5100425A (en) * | 1989-09-14 | 1992-03-31 | Medintec R&D Limited Partnership | Expandable transluminal atherectomy catheter system and method for the treatment of arterial stenoses |
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| US5176693A (en) * | 1992-05-11 | 1993-01-05 | Interventional Technologies, Inc. | Balloon expandable atherectomy cutter |
| CH685738A5 (fr) * | 1993-03-25 | 1995-09-29 | Ferromec Sa | Instrument médical pour l'élimination de dépôts formés sur les parois intérieures des artères ou des veines. |
| US5902313A (en) * | 1994-03-09 | 1999-05-11 | Redha; Falah | Medical instrument for atherectomy |
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-
2009
- 2009-05-14 US US12/466,164 patent/US8192451B2/en not_active Expired - Fee Related
- 2009-05-18 CA CA2721690A patent/CA2721690C/en not_active Expired - Fee Related
- 2009-05-18 JP JP2011512518A patent/JP5377630B2/ja not_active Expired - Fee Related
- 2009-05-18 WO PCT/US2009/044310 patent/WO2009148807A1/en not_active Ceased
- 2009-05-18 EP EP09758968A patent/EP2303151A4/en not_active Withdrawn
- 2009-05-18 AU AU2009255435A patent/AU2009255435B2/en not_active Ceased
- 2009-05-18 CN CN2009801206615A patent/CN102056557B/zh not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040158270A1 (en) * | 1998-03-05 | 2004-08-12 | Scimed Life Systems, Inc. | Expandable ablation burr |
| US20040006358A1 (en) * | 2000-04-05 | 2004-01-08 | Pathway Medical Technologies, Inc. | Intralumenal material removal using a cutting device for differential cutting |
| US20080039881A1 (en) * | 2006-07-07 | 2008-02-14 | The Cleveland Clinic Foundation | Apparatus and method for assisting in the removal of a cardiac valve |
| WO2008021886A2 (en) * | 2006-08-08 | 2008-02-21 | Eilaz Babaev | Ablative cardiac catheter system |
Also Published As
| Publication number | Publication date |
|---|---|
| AU2009255435B2 (en) | 2014-08-21 |
| JP2011522598A (ja) | 2011-08-04 |
| CN102056557A (zh) | 2011-05-11 |
| EP2303151A4 (en) | 2011-11-30 |
| US20090306691A1 (en) | 2009-12-10 |
| US8192451B2 (en) | 2012-06-05 |
| CA2721690C (en) | 2016-09-27 |
| AU2009255435A1 (en) | 2009-12-10 |
| JP5377630B2 (ja) | 2013-12-25 |
| WO2009148807A1 (en) | 2009-12-10 |
| EP2303151A1 (en) | 2011-04-06 |
| CA2721690A1 (en) | 2009-12-10 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20131106 Termination date: 20170518 |