CN107405077B - 具有受控等离子体产生的射频引导线及其使用方法 - Google Patents

具有受控等离子体产生的射频引导线及其使用方法 Download PDF

Info

Publication number
CN107405077B
CN107405077B CN201680012721.1A CN201680012721A CN107405077B CN 107405077 B CN107405077 B CN 107405077B CN 201680012721 A CN201680012721 A CN 201680012721A CN 107405077 B CN107405077 B CN 107405077B
Authority
CN
China
Prior art keywords
core wire
tip structure
radio frequency
guidewire
radiofrequency
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
CN201680012721.1A
Other languages
English (en)
Chinese (zh)
Other versions
CN107405077A (zh
Inventor
W·奥加塔
X·I·古
S·迈尔
加藤修
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.)
RetroVascular Inc
Original Assignee
RetroVascular 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 RetroVascular Inc filed Critical RetroVascular Inc
Publication of CN107405077A publication Critical patent/CN107405077A/zh
Application granted granted Critical
Publication of CN107405077B publication Critical patent/CN107405077B/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
    • 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
    • A61B18/042—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
    • 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
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • 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
    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00755—Resistance or impedance
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00779—Power or energy
    • A61B2018/00785—Reflected power
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1407—Loop
    • A61B2018/141—Snare

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Plasma Technology (AREA)
CN201680012721.1A 2015-02-18 2016-02-18 具有受控等离子体产生的射频引导线及其使用方法 Active CN107405077B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562117828P 2015-02-18 2015-02-18
US62/117,828 2015-02-18
PCT/US2016/018482 WO2016134152A1 (en) 2015-02-18 2016-02-18 Radiofrequency guidewire with controlled plasma generation and methods of use thereof

Publications (2)

Publication Number Publication Date
CN107405077A CN107405077A (zh) 2017-11-28
CN107405077B true CN107405077B (zh) 2023-10-20

Family

ID=56620555

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201680012721.1A Active CN107405077B (zh) 2015-02-18 2016-02-18 具有受控等离子体产生的射频引导线及其使用方法

Country Status (6)

Country Link
US (1) US11717334B2 (enExample)
EP (1) EP3258835B1 (enExample)
JP (2) JP7560936B2 (enExample)
CN (1) CN107405077B (enExample)
CA (1) CA2976386A1 (enExample)
WO (1) WO2016134152A1 (enExample)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11241274B2 (en) * 2016-11-04 2022-02-08 Intuitive Surgical Operations, Inc. Electrically insulative electrode spacers, and related devices, systems, and methods
GB2559585A (en) * 2017-02-09 2018-08-15 Helica Instrument Ltd Probe for a plasma flame generating apparatus
JP6724251B2 (ja) * 2017-06-29 2020-07-15 朝日インテック株式会社 プラズマ用ガイドワイヤ
CN111918690B (zh) * 2018-03-29 2023-02-28 朝日英达科株式会社 导管、以及再开通导管系统
JP7295255B2 (ja) * 2019-02-19 2023-06-20 朝日インテック株式会社 末梢血管組織改変システム
AU2020366719A1 (en) * 2019-10-18 2022-04-07 Boston Scientific Medical Device Limited Medical guidewire assembly and/or electrical connector
CN111135425B (zh) * 2020-03-06 2021-09-10 广东博迈医疗科技股份有限公司 一种医用微导管
WO2022138290A1 (ja) * 2020-12-25 2022-06-30 朝日インテック株式会社 プラズマアブレーションシステム、及び、プラズマガイドワイヤ
CN112741678B (zh) * 2021-01-20 2025-11-25 成都盛世慧通医疗科技有限公司 一种刀头和等离子体手术刀
JP7770906B2 (ja) * 2021-12-22 2025-11-17 朝日インテック株式会社 プラズマガイドワイヤ
JP2023169523A (ja) * 2022-05-17 2023-11-30 朝日インテック株式会社 プラズマガイドワイヤ
JPWO2024116321A1 (enExample) * 2022-11-30 2024-06-06
WO2024254476A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Stiffer core material for rf perforation device
WO2025171173A1 (en) 2024-02-08 2025-08-14 IV-X Medical, LLC Intravascular lithotripsy system
JP2025144146A (ja) * 2024-03-19 2025-10-02 日本ライフライン株式会社 心房中隔穿刺デバイス

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5047026A (en) * 1989-09-29 1991-09-10 Everest Medical Corporation Electrosurgical implement for tunneling through tissue
US5716389A (en) * 1995-11-13 1998-02-10 Walinsky; Paul Cardiac ablation catheter arrangement with movable guidewire
US6950710B2 (en) * 2000-03-06 2005-09-27 Terumo Kabushiki Kaisha Implantable electrode lead and implantable medical instrument using the implantable electrode lead
US7070596B1 (en) * 2000-08-09 2006-07-04 Arthrocare Corporation Electrosurgical apparatus having a curved distal section
CN1810314A (zh) * 2005-01-26 2006-08-02 朝日印帝克股份有限公司 医疗引导金属线
CN102631239A (zh) * 2011-02-09 2012-08-15 亚瑟罗凯尔公司 精细解剖电外科装置
CN103037776A (zh) * 2010-04-14 2013-04-10 微排放器公司 植入物输送装置
CN103027727A (zh) * 2011-09-30 2013-04-10 泰科保健集团有限合伙公司 旋转式闭塞治疗系统
CN103371867A (zh) * 2012-04-11 2013-10-30 科维蒂恩有限合伙公司 用于去除闭塞组织的设备和方法

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7270661B2 (en) * 1995-11-22 2007-09-18 Arthocare Corporation Electrosurgical apparatus and methods for treatment and removal of tissue
US6251086B1 (en) * 1999-07-27 2001-06-26 Scimed Life Systems, Inc. Guide wire with hydrophilically coated tip
JP3370606B2 (ja) 1997-10-29 2003-01-27 ペンタックス株式会社 内視鏡用ドレナージチューブ留置具
US6210408B1 (en) * 1999-02-24 2001-04-03 Scimed Life Systems, Inc. Guide wire system for RF recanalization of vascular blockages
US20040181219A1 (en) 2000-02-08 2004-09-16 Gyrus Medical Limited Electrosurgical instrument and an electrosugery system including such an instrument
US9510900B2 (en) * 2003-01-21 2016-12-06 Baylis Medical Company Inc. Electrosurgical device for creating a channel through a region of tissue and methods of use thereof
US7717875B2 (en) * 2004-07-20 2010-05-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Steerable catheter with hydraulic or pneumatic actuator
US9119651B2 (en) 2006-02-13 2015-09-01 Retro Vascular, Inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking
US8444637B2 (en) * 2006-12-29 2013-05-21 St. Jude Medical, Atrial Filbrillation Division, Inc. Steerable ablation device
WO2008153357A2 (en) 2007-06-15 2008-12-18 Chung-Ang University Industry-Academy Cooperation Foundation Bipolar electrode type guide wire and catheter system
US9283034B2 (en) * 2007-09-26 2016-03-15 Retrovascular, Inc. Recanalization system using radiofrequency energy
US8308763B2 (en) * 2007-10-05 2012-11-13 Coaptus Medical Corporation Systems and methods for transeptal cardiac procedures, including separable guidewires
WO2009061860A1 (en) 2007-11-05 2009-05-14 Stereotaxis, Inc. Magnetically guided energy delivery apparatus
US8308723B2 (en) * 2009-10-09 2012-11-13 Coaptus Medical Corporation Tissue-penetrating guidewires with shaped tips, and associated systems and methods
US9254142B2 (en) * 2011-04-11 2016-02-09 Iogyn, Inc. Tissue extraction devices and methods
US20140243821A1 (en) 2011-09-30 2014-08-28 Covidien Lp Energy delivery device and methods of use

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5047026A (en) * 1989-09-29 1991-09-10 Everest Medical Corporation Electrosurgical implement for tunneling through tissue
US5716389A (en) * 1995-11-13 1998-02-10 Walinsky; Paul Cardiac ablation catheter arrangement with movable guidewire
US6950710B2 (en) * 2000-03-06 2005-09-27 Terumo Kabushiki Kaisha Implantable electrode lead and implantable medical instrument using the implantable electrode lead
US7070596B1 (en) * 2000-08-09 2006-07-04 Arthrocare Corporation Electrosurgical apparatus having a curved distal section
CN1810314A (zh) * 2005-01-26 2006-08-02 朝日印帝克股份有限公司 医疗引导金属线
CN103037776A (zh) * 2010-04-14 2013-04-10 微排放器公司 植入物输送装置
CN102631239A (zh) * 2011-02-09 2012-08-15 亚瑟罗凯尔公司 精细解剖电外科装置
CN103027727A (zh) * 2011-09-30 2013-04-10 泰科保健集团有限合伙公司 旋转式闭塞治疗系统
CN103371867A (zh) * 2012-04-11 2013-10-30 科维蒂恩有限合伙公司 用于去除闭塞组织的设备和方法

Also Published As

Publication number Publication date
US20160235463A1 (en) 2016-08-18
CN107405077A (zh) 2017-11-28
EP3258835B1 (en) 2023-09-13
JP2024153662A (ja) 2024-10-29
JP2018507044A (ja) 2018-03-15
EP3258835C0 (en) 2023-09-13
CA2976386A1 (en) 2016-08-25
US11717334B2 (en) 2023-08-08
EP3258835A4 (en) 2018-12-05
WO2016134152A1 (en) 2016-08-25
EP3258835A1 (en) 2017-12-27
JP7560936B2 (ja) 2024-10-03

Similar Documents

Publication Publication Date Title
CN107405077B (zh) 具有受控等离子体产生的射频引导线及其使用方法
JP6785832B2 (ja) 高周波エネルギを用いた閉塞血管再疎通術
US12285205B2 (en) Recanalizing occluded vessels using radiofrequency energy
JP7075922B2 (ja) 双極型組織切除装置及びその使用方法
JP6887949B2 (ja) 方向変更送達カテーテル及びその使用方法
US20250248759A1 (en) Recanalizing occluded vessels using radiofrequency energy

Legal Events

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