CN110573097B - 用于居中和穿过血管闭塞的装置和方法 - Google Patents

用于居中和穿过血管闭塞的装置和方法 Download PDF

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Publication number
CN110573097B
CN110573097B CN201880025604.8A CN201880025604A CN110573097B CN 110573097 B CN110573097 B CN 110573097B CN 201880025604 A CN201880025604 A CN 201880025604A CN 110573097 B CN110573097 B CN 110573097B
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China
Prior art keywords
catheter
blood vessel
cutting tip
occluded blood
distal
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CN201880025604.8A
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English (en)
Chinese (zh)
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CN110573097A (zh
Inventor
马利克·塔蒂佩利
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ANGIOSAFE Inc
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ANGIOSAFE Inc
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    • 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
    • A61B17/3205—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
    • A61B17/22—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
    • A61B2017/22039—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 eccentric
    • 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
    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22068—Centering
    • 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
    • A61B17/320758—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
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
CN201880025604.8A 2017-02-28 2018-02-28 用于居中和穿过血管闭塞的装置和方法 Active CN110573097B (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201762465108P 2017-02-28 2017-02-28
US62/465,108 2017-02-28
US15/905,491 2018-02-26
US15/905,491 US11123098B2 (en) 2017-02-28 2018-02-26 Device and method for centering and crossing a vascular occlusion
PCT/US2018/020287 WO2018160741A1 (en) 2017-02-28 2018-02-28 Device and method for centering and crossing a vascular occlusion

Publications (2)

Publication Number Publication Date
CN110573097A CN110573097A (zh) 2019-12-13
CN110573097B true CN110573097B (zh) 2022-10-04

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CN201880025604.8A Active CN110573097B (zh) 2017-02-28 2018-02-28 用于居中和穿过血管闭塞的装置和方法

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US (2) US11123098B2 (https=)
EP (2) EP3589220B1 (https=)
JP (3) JP7344119B2 (https=)
CN (1) CN110573097B (https=)
ES (1) ES3057832T3 (https=)
WO (1) WO2018160741A1 (https=)

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113350656A (zh) 2016-02-24 2021-09-07 禾木（中国）生物工程有限公司 柔性增强的神经血管导管
EP3565511B1 (en) 2017-01-06 2023-10-18 Incept, LLC Thromboresistant coatings for aneurysm treatment devices
US11123098B2 (en) 2017-02-28 2021-09-21 Angiosafe, Inc. Device and method for centering and crossing a vascular occlusion
US11395665B2 (en) 2018-05-01 2022-07-26 Incept, Llc Devices and methods for removing obstructive material, from an intravascular site
JP2021522885A (ja) 2018-05-01 2021-09-02 インセプト・リミテッド・ライアビリティ・カンパニーＩｎｃｅｐｔ，Ｌｌｃ 血管内部位から閉塞性物質を除去する装置および方法
WO2019213179A1 (en) * 2018-05-01 2019-11-07 Imperative Care, Inc. Systems and devices for removing obstructive material from an intravascular site
US11517335B2 (en) 2018-07-06 2022-12-06 Incept, Llc Sealed neurovascular extendable catheter
US11471582B2 (en) 2018-07-06 2022-10-18 Incept, Llc Vacuum transfer tool for extendable catheter
CN113453632B (zh) * 2019-02-20 2025-07-15 美敦力瓦斯科尔勒公司 包含涡轮机的组织去除导管
US11766539B2 (en) 2019-03-29 2023-09-26 Incept, Llc Enhanced flexibility neurovascular catheter
CN111012448A (zh) 2019-08-20 2020-04-17 上海微创医疗器械（集团）有限公司 旋磨装置
EP4044906B1 (en) 2019-10-15 2025-03-12 Kandu Health, Inc. Systems and methods for multivariate stroke detection
US20230248498A1 (en) 2019-12-18 2023-08-10 Imperative Care, Inc. Manually rotatable thrombus engagement tool
US11638637B2 (en) 2019-12-18 2023-05-02 Imperative Care, Inc. Method of removing embolic material with thrombus engagement tool
US20210315598A1 (en) 2019-12-18 2021-10-14 Imperative Care, Inc. Methods of placing large bore aspiration catheters
JP2023507553A (ja) 2019-12-18 2023-02-24 インパラティブ、ケア、インク． 静脈血栓塞栓症を治療するための方法及びシステム
WO2021183444A1 (en) 2020-03-10 2021-09-16 Imperative Care, Inc. Enhanced flexibility neurovascular catheter
US11207497B1 (en) 2020-08-11 2021-12-28 Imperative Care, Inc. Catheter with enhanced tensile strength
US20230048388A1 (en) 2021-08-12 2023-02-16 Imperative Care, Inc. Robotically driven interventional device
USD1077996S1 (en) 2021-10-18 2025-06-03 Imperative Care, Inc. Inline fluid filter
US12171917B1 (en) 2024-01-08 2024-12-24 Imperative Care, Inc. Devices for blood capture and reintroduction during aspiration procedure
WO2025247490A1 (en) * 2024-05-29 2025-12-04 Clearstream Technologies Limited A rotational atherectomy device for removing occlusive material

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205163174U (zh) * 2015-12-01 2016-04-20 李启洋 一种纳米电纺丝血栓切除器

Family Cites Families (59)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US888801A (en) 1906-10-31 1908-05-26 William J Hammer Apparatus for measuring light.
US4781186A (en) * 1984-05-30 1988-11-01 Devices For Vascular Intervention, Inc. Atherectomy device having a flexible housing
US4936845A (en) * 1987-03-17 1990-06-26 Cordis Corporation Catheter system having distal tip for opening obstructions
US5364395A (en) * 1993-05-14 1994-11-15 West Jr Hugh S Arthroscopic surgical instrument with cauterizing capability
JP2001509685A (ja) * 1995-03-22 2001-07-24 イー ヴィー アイ コーポレイション 動脈内障害物切除装置及び方法
US6036707A (en) * 1996-03-07 2000-03-14 Devices For Vascular Intervention Catheter device having a selectively flexible housing
US6508825B1 (en) 1997-02-28 2003-01-21 Lumend, Inc. Apparatus for treating vascular occlusions
US5843103A (en) 1997-03-06 1998-12-01 Scimed Life Systems, Inc. Shaped wire rotational atherectomy device
WO1998039053A1 (en) 1997-03-06 1998-09-11 Scimed Life Systems, Inc. Distal protection device and method
US20060074442A1 (en) * 2000-04-06 2006-04-06 Revascular Therapeutics, Inc. Guidewire for crossing occlusions or stenoses
US6659105B2 (en) 1998-02-26 2003-12-09 Senorx, Inc. Tissue specimen isolating and damaging device and method
US6997885B2 (en) 1998-04-08 2006-02-14 Senorx, Inc. Dilation devices and methods for removing tissue specimens
JP2002526148A (ja) * 1998-10-02 2002-08-20 ステリオタクシス インコーポレイテツド 身体の腔および洞から物質を取り除くための磁気的にナビゲート可能なおよび／または制御可能な装置
US7708749B2 (en) * 2000-12-20 2010-05-04 Fox Hollow Technologies, Inc. Debulking catheters and methods
US6126667A (en) * 1999-10-01 2000-10-03 Scimed Life Systems, Inc. Articulated ablation device
US6629953B1 (en) * 2000-02-18 2003-10-07 Fox Hollow Technologies, Inc. Methods and devices for removing material from a vascular site
US6579298B1 (en) * 2000-02-29 2003-06-17 Scimed Life Systems, Inc. Method and apparatus for treating vein graft lesions
US20010031981A1 (en) * 2000-03-31 2001-10-18 Evans Michael A. Method and device for locating guidewire and treating chronic total occlusions
ATE499054T1 (de) * 2000-12-20 2011-03-15 Fox Hollow Technologies Inc Verkleinerungskatheter
US6579302B2 (en) 2001-03-06 2003-06-17 Cordis Corporation Total occlusion guidewire device
US6610059B1 (en) * 2002-02-25 2003-08-26 Hs West Investments Llc Endoscopic instruments and methods for improved bubble aspiration at a surgical site
US6932829B2 (en) 2002-06-24 2005-08-23 Cordis Corporation Centering catheter
US20050171572A1 (en) 2002-07-31 2005-08-04 Microvention, Inc. Multi-layer coaxial vaso-occlusive device
US7763012B2 (en) 2003-09-02 2010-07-27 St. Jude Medical, Cardiology Division, Inc. Devices and methods for crossing a chronic total occlusion
US20050216044A1 (en) 2004-03-25 2005-09-29 Hong Mun K Total occlusion recanalization facilitating device
IL162415A0 (en) * 2004-06-09 2005-11-20 Noam Shamay A micro-catheter for crossing totalocclusions in blood vessels
US8241315B2 (en) 2004-06-24 2012-08-14 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US20080051812A1 (en) * 2006-08-01 2008-02-28 Baxano, Inc. Multi-Wire Tissue Cutter
EP1832240B1 (en) 2006-03-06 2009-12-23 Terumo Kabushiki Kaisha Atherectomy catheter
US8007506B2 (en) * 2006-06-30 2011-08-30 Atheromed, Inc. Atherectomy devices and methods
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US8394078B2 (en) * 2006-10-04 2013-03-12 Medrad, Inc. Interventional catheters incorporating an active aspiration system
US10085798B2 (en) 2006-12-29 2018-10-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode with tactile sensor
US8828035B2 (en) * 2007-01-05 2014-09-09 Urokinetics Inc. Apparatus and method for prostatic tissue removal
JP2010527678A (ja) 2007-05-23 2010-08-19 オスシロン リミテッド 慢性完全閉塞の誘導貫通のための装置及び方法
US8236016B2 (en) * 2007-10-22 2012-08-07 Atheromed, Inc. Atherectomy devices and methods
NL2001109C2 (nl) 2007-12-20 2009-06-23 Ureca B V Kathetersamenstel.
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
US20090270714A1 (en) 2008-04-24 2009-10-29 Medtronic Vascular, Inc Device to Treat Chronic Total Occlusions Using Energy Imparted By External Imaging
WO2010033948A1 (en) 2008-09-19 2010-03-25 Thorpe Patricia E Vascular occlusion drill
US8021330B2 (en) 2008-11-14 2011-09-20 Medtronic Vascular, Inc. Balloon catheter for crossing a chronic total occlusion
US20110152920A1 (en) * 2008-12-02 2011-06-23 Rapid Medical Ltd. Embolectomy device
US20100168557A1 (en) 2008-12-30 2010-07-01 Deno D Curtis Multi-electrode ablation sensing catheter and system
EP2429423B1 (en) * 2009-05-14 2015-11-11 Covidien LP Easily cleaned atherectomy catheters
EP2442860B1 (en) 2009-06-15 2019-03-27 Perflow Medical Ltd. Apparatus for allowing blood flow through an occluded vessel
US9033916B2 (en) * 2009-08-28 2015-05-19 Biosense Webster, Inc. Catheter with multi-functional control handle having rotational mechanism
US20110087254A1 (en) * 2009-10-09 2011-04-14 Cardiovascular Systems, Inc. Rotational atherectomy device with keyed exchangeable drive shaft
US11259824B2 (en) 2011-03-09 2022-03-01 Neuravi Limited Clot retrieval device for removing occlusive clot from a blood vessel
US9055964B2 (en) * 2011-03-15 2015-06-16 Angio Dynamics, Inc. Device and method for removing material from a hollow anatomical structure
CA2831306C (en) * 2011-03-28 2018-11-20 Avinger, Inc. Occlusion-crossing devices, imaging, and atherectomy devices
EP2967472A4 (en) 2013-03-13 2016-10-05 Angiosafe Inc DEVICE AND METHOD FOR TREATING CHRONIC TOTAL OCCLUSION
US20140277009A1 (en) * 2013-03-13 2014-09-18 Mallik Thatipelli Device and Method for Treating a Chronic Total Occlusion
US9060806B2 (en) 2013-03-13 2015-06-23 Mallik Thatipelli Device and method for treating a chronic total occlusion
US20140277015A1 (en) 2013-03-14 2014-09-18 Curtiss T. Stinis Vascular plaque removal systems, devices, and methods
US9770258B2 (en) 2013-07-31 2017-09-26 Atheromed, Inc. Atherectomy devices
US10478213B2 (en) * 2015-06-25 2019-11-19 Covidien Lp Tissue-removing catheter with adjustable cross-sectional dimension
US11123098B2 (en) 2017-02-28 2021-09-21 Angiosafe, Inc. Device and method for centering and crossing a vascular occlusion
US11357534B2 (en) 2018-11-16 2022-06-14 Medtronic Vascular, Inc. Catheter

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205163174U (zh) * 2015-12-01 2016-04-20 李启洋 一种纳米电纺丝血栓切除器

Also Published As

Publication number Publication date
EP3589220A4 (en) 2020-12-02
ES3057832T3 (en) 2026-03-04
JP2025092698A (ja) 2025-06-19
JP7344119B2 (ja) 2023-09-13
US12599398B2 (en) 2026-04-14
EP3589220A1 (en) 2020-01-08
EP4316411B1 (en) 2025-12-03
CN110573097A (zh) 2019-12-13
US11123098B2 (en) 2021-09-21
JP2020508768A (ja) 2020-03-26
US20180242999A1 (en) 2018-08-30
US20210401455A1 (en) 2021-12-30
EP4316411A3 (en) 2024-04-10
EP4316411A2 (en) 2024-02-07
WO2018160741A1 (en) 2018-09-07
EP4316411C0 (en) 2025-12-03
EP3589220B1 (en) 2023-11-01
JP2023129548A (ja) 2023-09-14

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