CN115279443B - 具有偏转远端的医疗装置 - Google Patents

具有偏转远端的医疗装置 Download PDF

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Publication number
CN115279443B
CN115279443B CN202180020810.1A CN202180020810A CN115279443B CN 115279443 B CN115279443 B CN 115279443B CN 202180020810 A CN202180020810 A CN 202180020810A CN 115279443 B CN115279443 B CN 115279443B
Authority
CN
China
Prior art keywords
distal portion
medical device
elongate member
guidewire
section
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
CN202180020810.1A
Other languages
English (en)
Chinese (zh)
Other versions
CN115279443A (zh
Inventor
泰德·W·莱曼
克雷·W·诺斯罗普
詹森·伊恩·格利泰罗
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.)
Stryker European Operations Ltd
Stryker Corp
Original Assignee
Stryker European Operations Ltd
Stryker Corp
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 Stryker European Operations Ltd, Stryker Corp filed Critical Stryker European Operations Ltd
Publication of CN115279443A publication Critical patent/CN115279443A/zh
Application granted granted Critical
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Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0158—Tip steering devices with magnetic or electrical means, e.g. by using piezo materials, electroactive polymers, magnetic materials or by heating of shape memory materials
    • 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
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • 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
    • 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
    • A61B2017/00323—Cables or rods
    • 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
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
    • 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
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09133—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque
    • A61M2025/09141—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque made of shape memory alloys which take a particular shape at a certain temperature

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Materials For Medical Uses (AREA)
CN202180020810.1A 2020-03-16 2021-03-08 具有偏转远端的医疗装置 Active CN115279443B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US16/820,616 2020-03-16
US16/820,616 US20210282759A1 (en) 2020-03-16 2020-03-16 Medical devices with deflective distal ends
PCT/US2021/021313 WO2021188314A2 (en) 2020-03-16 2021-03-08 Medical devices with deflective distal ends

Publications (2)

Publication Number Publication Date
CN115279443A CN115279443A (zh) 2022-11-01
CN115279443B true CN115279443B (zh) 2024-05-28

Family

ID=75302638

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202180020810.1A Active CN115279443B (zh) 2020-03-16 2021-03-08 具有偏转远端的医疗装置

Country Status (6)

Country Link
US (1) US20210282759A1 (enExample)
EP (1) EP4121156B1 (enExample)
JP (1) JP7655934B2 (enExample)
CN (1) CN115279443B (enExample)
ES (1) ES3015395T3 (enExample)
WO (1) WO2021188314A2 (enExample)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9233225B2 (en) 2012-11-10 2016-01-12 Curvo Medical, Inc. Coaxial bi-directional catheter
AU2016232781B2 (en) 2015-03-19 2017-11-02 Prytime Medical Devices, Inc. System for low-profile occlusion balloon catheter
CA2990479C (en) 2016-06-02 2019-03-26 Prytime Medical Devices, Inc. System and method for low-profile occlusion balloon catheter
US12673186B2 (en) * 2020-06-30 2026-07-07 Becton, Dickinson And Company Catheter tip passive control device and related systems and methods
US11872357B2 (en) 2020-11-09 2024-01-16 Agile Devices, Inc. Devices for steering catheters
US12102330B2 (en) * 2021-03-18 2024-10-01 Prytime Medical Devices, Inc. Vascular occlusion catheter for partial occlusion or full occlusion
JP2025526412A (ja) * 2022-07-25 2025-08-13 テルモ株式会社 インプラント送達デバイス
WO2024182582A1 (en) * 2023-03-02 2024-09-06 Merit Medical Systems, Inc. Medical grasping device with slide actuator
CN117018395A (zh) * 2023-08-07 2023-11-10 南京航空航天大学 一种基于形状记忆合金的变刚度可调弯导丝
US20250090812A1 (en) * 2023-09-15 2025-03-20 Boston Scientific Scimed, Inc. Actively steerable guidewire
US20250195827A1 (en) 2023-12-15 2025-06-19 DeepIn Technologies, LLC Guidewire and medical device including laser cut tube
US20250262411A1 (en) 2024-02-15 2025-08-21 DeepIn Technologies, LLC Intravascular medical devices including laser cut tube

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4944727A (en) * 1986-06-05 1990-07-31 Catheter Research, Inc. Variable shape guide apparatus
US5019040A (en) * 1989-08-31 1991-05-28 Koshin Sangyo Kabushiki Kaisha Catheter
US5025799A (en) * 1987-05-13 1991-06-25 Wilson Bruce C Steerable memory alloy guide wires
US5531685A (en) * 1993-06-11 1996-07-02 Catheter Research, Inc. Steerable variable stiffness device
CN107454854A (zh) * 2015-04-02 2017-12-08 皇家飞利浦有限公司 可偏转的医疗装置

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4799474A (en) * 1986-03-13 1989-01-24 Olympus Optical Co., Ltd. Medical tube to be inserted in body cavity
JPH0683726B2 (ja) * 1990-10-12 1994-10-26 日本精線株式会社 カテーテル用ガイドワイヤ
US5423771A (en) * 1992-12-01 1995-06-13 Intelliwire, Inc. Flexible elongate device having a distal extremity of adjustable stiffness and method
JPH08141971A (ja) * 1994-11-21 1996-06-04 Olympus Optical Co Ltd マニピュレータ
US5931819A (en) * 1996-04-18 1999-08-03 Advanced Cardiovascular Systems, Inc. Guidewire with a variable stiffness distal portion
US7416534B2 (en) 2004-06-22 2008-08-26 Boston Scientific Scimed, Inc. Medical device including actuator
TWI556849B (zh) * 2010-10-21 2016-11-11 美敦力阿福盧森堡公司 用於腎臟神經協調的導管裝置
WO2018183832A1 (en) * 2017-03-30 2018-10-04 University Of Hawaii Steerable surgical devices with shape memory alloy wires
WO2019081962A1 (en) 2017-10-24 2019-05-02 Ecole Polytechnique Federale De Lausanne (Epfl) DEVICE AND ORIENTABLE SYSTEM

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4944727A (en) * 1986-06-05 1990-07-31 Catheter Research, Inc. Variable shape guide apparatus
US5025799A (en) * 1987-05-13 1991-06-25 Wilson Bruce C Steerable memory alloy guide wires
US5019040A (en) * 1989-08-31 1991-05-28 Koshin Sangyo Kabushiki Kaisha Catheter
US5531685A (en) * 1993-06-11 1996-07-02 Catheter Research, Inc. Steerable variable stiffness device
CN107454854A (zh) * 2015-04-02 2017-12-08 皇家飞利浦有限公司 可偏转的医疗装置

Also Published As

Publication number Publication date
WO2021188314A2 (en) 2021-09-23
EP4121156A2 (en) 2023-01-25
ES3015395T3 (en) 2025-05-05
EP4121156B1 (en) 2025-02-26
WO2021188314A3 (en) 2021-12-02
JP7655934B2 (ja) 2025-04-02
JP2023518056A (ja) 2023-04-27
CN115279443A (zh) 2022-11-01
US20210282759A1 (en) 2021-09-16

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