CN105705101B - 斑块切除装置 - Google Patents

斑块切除装置 Download PDF

Info

Publication number
CN105705101B
CN105705101B CN201480054004.6A CN201480054004A CN105705101B CN 105705101 B CN105705101 B CN 105705101B CN 201480054004 A CN201480054004 A CN 201480054004A CN 105705101 B CN105705101 B CN 105705101B
Authority
CN
China
Prior art keywords
cutter
distal
proximal
variations
catheter
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
CN201480054004.6A
Other languages
English (en)
Chinese (zh)
Other versions
CN105705101A (zh
Inventor
T·史密斯
P·Q·埃斯库德罗
D·E·罗韦
A·C·庞博
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.)
AtheroMed Inc
Original Assignee
AtheroMed 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 AtheroMed Inc filed Critical AtheroMed Inc
Publication of CN105705101A publication Critical patent/CN105705101A/zh
Application granted granted Critical
Publication of CN105705101B publication Critical patent/CN105705101B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/320758—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
    • A61B17/32—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
    • 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
    • A61B17/00234—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
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00309—Cut-outs or slits
    • 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
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00331—Steering mechanisms with preformed bends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00469—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
    • 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
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • 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
    • A61B2017/22001—Angioplasty, e.g. PCTA
    • 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
    • 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
    • A61B2017/22041—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 outside the catheter
    • 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
    • A61B2017/320766—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven eccentric
    • 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
    • A61B2017/320775—Morcellators, impeller or propeller like 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
    • A61B2217/007—Auxiliary appliance with irrigation system
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
CN201480054004.6A 2013-07-31 2014-07-11 斑块切除装置 Active CN105705101B (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361860843P 2013-07-31 2013-07-31
US61/860,843 2013-07-31
US201461937440P 2014-02-07 2014-02-07
US61/937,440 2014-02-07
PCT/US2014/046432 WO2015017114A2 (en) 2013-07-31 2014-07-11 Atherectomy devices

Publications (2)

Publication Number Publication Date
CN105705101A CN105705101A (zh) 2016-06-22
CN105705101B true CN105705101B (zh) 2019-11-29

Family

ID=52432541

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201480054004.6A Active CN105705101B (zh) 2013-07-31 2014-07-11 斑块切除装置

Country Status (5)

Country Link
US (1) US9770258B2 (enExample)
EP (1) EP3027126B1 (enExample)
JP (1) JP6266108B2 (enExample)
CN (1) CN105705101B (enExample)
WO (1) WO2015017114A2 (enExample)

Families Citing this family (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US20080004645A1 (en) 2006-06-30 2008-01-03 Atheromed, Inc. Atherectomy devices and methods
CN101511285B (zh) 2006-06-30 2012-07-18 阿瑟罗迈德公司 动脉粥样硬化切除术装置和方法
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
US8070762B2 (en) 2007-10-22 2011-12-06 Atheromed Inc. Atherectomy devices and methods
US20100114081A1 (en) 2008-11-05 2010-05-06 Spectranetics Biasing laser catheter: monorail design
US8702773B2 (en) 2008-12-17 2014-04-22 The Spectranetics Corporation Eccentric balloon laser catheter
WO2014021722A1 (en) 2012-08-03 2014-02-06 Fisher & Paykel Healthcare Limited Deformable insert for low pressure patient interface
BR112016000457B1 (pt) * 2013-07-17 2021-11-09 Fisher & Paykel Healthcare Limited Vedação nasal
JP6266108B2 (ja) 2013-07-31 2018-01-24 アセロメッド，インコーポレイテッド アテローム切除装置
US10492863B2 (en) 2014-10-29 2019-12-03 The Spectranetics Corporation Laser energy delivery devices including laser transmission detection systems and methods
EP3212103B1 (en) 2014-10-29 2021-12-15 The Spectranetics Corporation Laser energy delivery devices including laser transmission detection systems and methods
CN107530049B (zh) * 2015-02-20 2021-06-04 皇家飞利浦有限公司 支持成像的斑块切除设备
EP3316804B1 (en) * 2015-06-30 2023-12-20 Koninklijke Philips N.V. Coaxial contra-rotating cutting assembly
EP3413814B1 (en) * 2016-02-08 2021-04-07 Teleflex Medical Incorporated Rotational mechanical thrombectomy device
US10765446B2 (en) * 2017-02-20 2020-09-08 Cardiovascular Systems, Inc. Systems, methods and devices for removal of thrombus and/or soft plaque
US20180303609A1 (en) * 2017-04-19 2018-10-25 Medtronic Vascular, Inc. Catheter-based delivery device having segment with non-uniform width helical spine
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
US12318116B2 (en) * 2017-08-25 2025-06-03 Xcardia Innovation Ltd Cardiac lead extraction device
US12433634B2 (en) 2017-12-21 2025-10-07 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems and method
EP3912576B1 (en) * 2017-12-21 2024-05-29 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems
EP3790478A1 (en) * 2018-05-08 2021-03-17 Boston Scientific Scimed, Inc. Device guidewire management accessory
EP4434477A3 (en) 2018-11-16 2024-11-27 Medtronic Vascular Inc. Tissue-removing catheter
WO2020174479A2 (en) * 2019-02-27 2020-09-03 Mdsg Innovation Ltd. Cardiac lead extraction device
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter
JP2022533372A (ja) * 2019-05-17 2022-07-22 コーニンクレッカ フィリップス エヌ ヴェ 正及び負のすくい角切刃を含む粥腫切除装置
JP7601799B2 (ja) * 2019-06-18 2024-12-17 コーニンクレッカ フィリップス エヌ ヴェ 複数の遠位切断凹凸構造を含む粥腫切除装置
CN114423362A (zh) * 2019-08-22 2022-04-29 皇家飞利浦有限公司 包括轴向地摆动的切割元件的斑块切除装置
CN114423361B (zh) * 2019-08-22 2025-01-28 飞利浦影像引导治疗公司 包括具有不同边缘形状的切割刀片的斑块切除装置
WO2021122253A1 (en) * 2019-12-20 2021-06-24 Koninklijke Philips N.V. Atherectomy devices including sealed drive shafts
CN113040844B (zh) * 2019-12-26 2024-08-16 杭州德晋医疗科技有限公司 介入式锁结装置
WO2021173671A1 (en) * 2020-02-25 2021-09-02 Interscope, Inc. Systems and methods for surgical procedures using torque driven guide wire
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
WO2022201246A1 (ja) * 2021-03-22 2022-09-29 テルモ株式会社 医療デバイス
EP4340755A4 (en) * 2021-06-07 2024-10-09 Avantec Vascular Corporation Hybrid atherectomy devices
CN116407221A (zh) * 2021-12-31 2023-07-11 先健科技(深圳)有限公司 一种切除装置
CN115500895A (zh) * 2022-09-16 2022-12-23 湖南埃普特医疗器械有限公司 一种血栓斑块的切除装置
CN116019529B (zh) * 2023-03-30 2023-07-21 杭州启明医疗器械股份有限公司 介入式的切割装置
US12220140B1 (en) 2023-08-16 2025-02-11 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5114399A (en) 1990-10-01 1992-05-19 Intramed Laboratories Surgical device
US5304189A (en) * 1992-04-09 1994-04-19 Lafeber Company Venous valve cutter for in situ incision of venous valve leaflets
US6183487B1 (en) 1997-03-06 2001-02-06 Scimed Life Systems, Inc. Ablation device for reducing damage to vessels and/or in-vivo stents
US6682505B2 (en) * 1999-03-12 2004-01-27 Arteria Medical Science, Inc. Catheter for removing emboli from saphenous vein grafts and native coronary arteries
US6168579B1 (en) * 1999-08-04 2001-01-02 Scimed Life Systems, Inc. Filter flush system and methods of use
US6565588B1 (en) * 2000-04-05 2003-05-20 Pathway Medical Technologies, Inc. Intralumenal material removal using an expandable cutting device
US6497711B1 (en) 2000-08-16 2002-12-24 Scimed Life Systems, Inc. Therectomy device having a light weight drive shaft and an imaging device
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
CN101522115B (zh) * 2006-10-04 2013-06-19 梅德拉股份有限公司 介入导管
US8062316B2 (en) * 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
EP2765930B1 (en) * 2011-10-13 2018-09-26 Atheromed, Inc. Atherectomy apparatus
JP6266108B2 (ja) 2013-07-31 2018-01-24 アセロメッド，インコーポレイテッド アテローム切除装置

Also Published As

Publication number Publication date
EP3027126A4 (en) 2016-08-03
WO2015017114A3 (en) 2015-04-23
EP3027126B1 (en) 2019-10-23
CN105705101A (zh) 2016-06-22
JP2016527973A (ja) 2016-09-15
US9770258B2 (en) 2017-09-26
JP6266108B2 (ja) 2018-01-24
EP3027126A2 (en) 2016-06-08
WO2015017114A2 (en) 2015-02-05
US20150150587A1 (en) 2015-06-04

Similar Documents

Publication Publication Date Title
CN105705101B (zh) 斑块切除装置
US11259835B2 (en) Atherectomy apparatus systems and methods
JP7757366B2 (ja) 脈管再入カテーテル
JP7111621B2 (ja) 可撓性カテーテル
US9248257B2 (en) Tunneler device and method of use
EP2473123B1 (en) Lancet micro-catheter
US10357275B2 (en) Dual-basket self-centering rotational device for treatment of arterial occlusive disease with infinitely adjustable cutting size
US20110152741A1 (en) Cannula system
JP2019503787A (ja) 医用デバイスおよび関連する使用方法
AU2021396290A1 (en) Balloon-anchored flexible needle and catheter for biopsy
CN109661205A (zh) 导管装置、针组件和试剂盒
US20170056045A1 (en) Catheter extraction
US20230087843A1 (en) Surgical dilators and assemblies and methods thereof
US20220039814A1 (en) Medical aspiration devices and methods
HK40019557B (zh) 导管装置

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant