DE60131174T2 - Kryotherapiekatheter mit verbesserter sicherheit - Google Patents
Kryotherapiekatheter mit verbesserter sicherheit Download PDFInfo
- Publication number
- DE60131174T2 DE60131174T2 DE60131174T DE60131174T DE60131174T2 DE 60131174 T2 DE60131174 T2 DE 60131174T2 DE 60131174 T DE60131174 T DE 60131174T DE 60131174 T DE60131174 T DE 60131174T DE 60131174 T2 DE60131174 T2 DE 60131174T2
- Authority
- DE
- Germany
- Prior art keywords
- balloon
- cryotherapy
- fluid
- catheter
- lumen
- 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 - Lifetime
Links
- 238000000315 cryotherapy Methods 0.000 title claims abstract description 51
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- 238000005057 refrigeration Methods 0.000 claims description 2
- 238000001816 cooling Methods 0.000 abstract description 58
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- 238000002399 angioplasty Methods 0.000 description 29
- 239000007789 gas Substances 0.000 description 23
- MWUXSHHQAYIFBG-UHFFFAOYSA-N Nitric oxide Chemical compound O=[N] MWUXSHHQAYIFBG-UHFFFAOYSA-N 0.000 description 22
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- 238000007710 freezing Methods 0.000 description 1
- 230000008014 freezing Effects 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000002390 hyperplastic effect Effects 0.000 description 1
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- 239000003595 mist Substances 0.000 description 1
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- 238000002663 nebulization Methods 0.000 description 1
- 230000017095 negative regulation of cell growth Effects 0.000 description 1
- 101150101567 pat-2 gene Proteins 0.000 description 1
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 1
- 229920003223 poly(pyromellitimide-1,4-diphenyl ether) Polymers 0.000 description 1
- 239000011112 polyethylene naphthalate Substances 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
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- 230000005522 programmed cell death Effects 0.000 description 1
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- 238000011269 treatment regimen Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 239000008256 whipped cream Substances 0.000 description 1
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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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
-
- 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
- A61B2017/22002—Angioplasty, e.g. PCTA preventing restenosis
-
- 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
- A61B2017/22054—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 with two balloons
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- 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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
-
- 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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
- A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Vascular Medicine (AREA)
- Thermal Sciences (AREA)
- Otolaryngology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
- Surgical Instruments (AREA)
- Medicinal Preparation (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US619583 | 2000-07-19 | ||
| US09/619,583 US6514245B1 (en) | 1999-03-15 | 2000-07-19 | Safety cryotherapy catheter |
| PCT/US2001/021363 WO2002007628A2 (en) | 2000-07-19 | 2001-07-03 | Improved safety cryotherapy catheter |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE60131174D1 DE60131174D1 (de) | 2007-12-13 |
| DE60131174T2 true DE60131174T2 (de) | 2008-08-14 |
Family
ID=24482501
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE60131174T Expired - Lifetime DE60131174T2 (de) | 2000-07-19 | 2001-07-03 | Kryotherapiekatheter mit verbesserter sicherheit |
| DE60142939T Expired - Lifetime DE60142939D1 (de) | 2000-07-19 | 2001-07-03 | Kryotherapiekatheter mit erhöhter Sicherheit |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE60142939T Expired - Lifetime DE60142939D1 (de) | 2000-07-19 | 2001-07-03 | Kryotherapiekatheter mit erhöhter Sicherheit |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US6514245B1 (https=) |
| EP (2) | EP1894534B1 (https=) |
| JP (1) | JP2004504098A (https=) |
| AT (2) | ATE376812T1 (https=) |
| AU (2) | AU2001284647B2 (https=) |
| CA (1) | CA2415051C (https=) |
| DE (2) | DE60131174T2 (https=) |
| ES (1) | ES2295199T3 (https=) |
| WO (1) | WO2002007628A2 (https=) |
Families Citing this family (175)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6306166B1 (en) * | 1997-08-13 | 2001-10-23 | Scimed Life Systems, Inc. | Loading and release of water-insoluble drugs |
| US20050228367A1 (en) * | 1999-01-25 | 2005-10-13 | Marwan Abboud | Leak detection system for catheter based medical device |
| US6432102B2 (en) * | 1999-03-15 | 2002-08-13 | Cryovascular Systems, Inc. | Cryosurgical fluid supply |
| US7527622B2 (en) * | 1999-08-23 | 2009-05-05 | Cryocath Technologies Inc. | Endovascular cryotreatment catheter |
| US6575966B2 (en) * | 1999-08-23 | 2003-06-10 | Cryocath Technologies Inc. | Endovascular cryotreatment catheter |
| US6602246B1 (en) * | 2000-08-18 | 2003-08-05 | Cryovascular Systems, Inc. | Cryotherapy method for detecting and treating vulnerable plaque |
| US6955174B2 (en) * | 2000-08-18 | 2005-10-18 | Uryovascular Systems, Inc. | Cryotherapy method for detecting and treating vulnerable plaque |
| US6786900B2 (en) * | 2001-08-13 | 2004-09-07 | Cryovascular Systems, Inc. | Cryotherapy methods for treating vessel dissections and side branch occlusion |
| WO2003059425A1 (en) * | 2002-01-09 | 2003-07-24 | The Brigham And Women's Hospital, Inc. | Method for altering the body temperature of a patient using a nebulized mist |
| US7617005B2 (en) * | 2002-04-08 | 2009-11-10 | Ardian, Inc. | Methods and apparatus for thermally-induced renal neuromodulation |
| US6989009B2 (en) | 2002-04-19 | 2006-01-24 | Scimed Life Systems, Inc. | Cryo balloon |
| US20040034344A1 (en) * | 2002-08-16 | 2004-02-19 | Eric Ryba | Tip pressure monitoring for cryoablation catheters |
| US20040093056A1 (en) * | 2002-10-26 | 2004-05-13 | Johnson Lianw M. | Medical appliance delivery apparatus and method of use |
| US7637934B2 (en) * | 2003-03-31 | 2009-12-29 | Merit Medical Systems, Inc. | Medical appliance optical delivery and deployment apparatus and method |
| US20040215177A1 (en) * | 2003-04-24 | 2004-10-28 | Scimed Life Systems, Inc. | Therapeutic apparatus having insulated region at the insertion area |
| US7604660B2 (en) * | 2003-05-01 | 2009-10-20 | Merit Medical Systems, Inc. | Bifurcated medical appliance delivery apparatus and method |
| US20040267338A1 (en) * | 2003-06-25 | 2004-12-30 | Kent Harrison | Targeted tissue cooling within a body |
| US7794454B2 (en) * | 2003-07-11 | 2010-09-14 | Medtronic Cryocath Lp | Method and device for epicardial ablation |
| ES2564694T3 (es) | 2003-09-12 | 2016-03-28 | Vessix Vascular, Inc. | Sistema de remodelación y / o ablación excéntrica seleccionable de material ateroesclerótico |
| US7727228B2 (en) * | 2004-03-23 | 2010-06-01 | Medtronic Cryocath Lp | Method and apparatus for inflating and deflating balloon catheters |
| US8491636B2 (en) * | 2004-03-23 | 2013-07-23 | Medtronic Cryopath LP | Method and apparatus for inflating and deflating balloon catheters |
| US9555223B2 (en) | 2004-03-23 | 2017-01-31 | Medtronic Cryocath Lp | Method and apparatus for inflating and deflating balloon catheters |
| US20060025840A1 (en) * | 2004-08-02 | 2006-02-02 | Martin Willard | Cooling tissue inside the body |
| US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
| US8920414B2 (en) | 2004-09-10 | 2014-12-30 | Vessix Vascular, Inc. | Tuned RF energy and electrical tissue characterization for selective treatment of target tissues |
| US8396548B2 (en) | 2008-11-14 | 2013-03-12 | Vessix Vascular, Inc. | Selective drug delivery in a lumen |
| US20060069385A1 (en) * | 2004-09-28 | 2006-03-30 | Scimed Life Systems, Inc. | Methods and apparatus for tissue cryotherapy |
| US8206345B2 (en) | 2005-03-07 | 2012-06-26 | Medtronic Cryocath Lp | Fluid control system for a medical device |
| US7674256B2 (en) * | 2005-03-17 | 2010-03-09 | Boston Scientific Scimed, Inc. | Treating internal body tissue |
| US7794455B2 (en) * | 2005-04-29 | 2010-09-14 | Medtronic Cryocath Lp | Wide area ablation of myocardial tissue |
| US7740627B2 (en) | 2005-04-29 | 2010-06-22 | Medtronic Cryocath Lp | Surgical method and apparatus for treating atrial fibrillation |
| US7727191B2 (en) * | 2005-05-13 | 2010-06-01 | Medtronic Cryocath Lp | Compliant balloon catheter |
| US7963940B2 (en) * | 2005-08-22 | 2011-06-21 | Boston Scientific Scimed, Inc. | Local perfusion device |
| US8019435B2 (en) | 2006-05-02 | 2011-09-13 | Boston Scientific Scimed, Inc. | Control of arterial smooth muscle tone |
| US20070299433A1 (en) * | 2006-06-27 | 2007-12-27 | C2 Therapeutics | Barrett's Esophagus Cryogenic Ablation System |
| US20100063585A1 (en) * | 2006-07-03 | 2010-03-11 | Hemoteq Ag | Manufacture, method and use of active substance-releasing medical products for permanently keeping blood vessels open |
| JP4973053B2 (ja) * | 2006-07-27 | 2012-07-11 | 株式会社デンソー | 電子装置 |
| EP2076198A4 (en) | 2006-10-18 | 2009-12-09 | Minnow Medical Inc | Inducing Desired Temperatreating Effects on Body Weave |
| EP2076194B1 (en) | 2006-10-18 | 2013-04-24 | Vessix Vascular, Inc. | System for inducing desirable temperature effects on body tissue |
| ES2393639T3 (es) * | 2007-01-21 | 2012-12-26 | Hemoteq Ag | Producto médico para tratar cierres de conductos corporales y prevención de nuevos cierres |
| US20080312644A1 (en) * | 2007-06-14 | 2008-12-18 | Boston Scientific Scimed, Inc. | Cryogenic balloon ablation instruments and systems |
| US9192697B2 (en) * | 2007-07-03 | 2015-11-24 | Hemoteq Ag | Balloon catheter for treating stenosis of body passages and for preventing threatening restenosis |
| US8828068B2 (en) | 2007-07-17 | 2014-09-09 | Cardiac Pacemakers, Inc. | Systems and methods for local vasoactive response using temperature modulation |
| EP2265205B1 (en) * | 2008-03-13 | 2016-04-27 | Boston Scientific Scimed, Inc. | Cryo-ablation refrigerant distribution catheter |
| US9050069B2 (en) * | 2008-05-16 | 2015-06-09 | Medtronic Cryocath Lp | Thermocouple-controlled catheter cooling system |
| US8845627B2 (en) * | 2008-08-22 | 2014-09-30 | Boston Scientific Scimed, Inc. | Regulating pressure to lower temperature in a cryotherapy balloon catheter |
| US10695126B2 (en) | 2008-10-06 | 2020-06-30 | Santa Anna Tech Llc | Catheter with a double balloon structure to generate and apply a heated ablative zone to tissue |
| JP5307900B2 (ja) | 2008-11-17 | 2013-10-02 | べシックス・バスキュラー・インコーポレイテッド | 組織トポグラフィの知識によらないエネルギーの選択的な蓄積 |
| US8382746B2 (en) | 2008-11-21 | 2013-02-26 | C2 Therapeutics, Inc. | Cryogenic ablation system and method |
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-
2000
- 2000-07-19 US US09/619,583 patent/US6514245B1/en not_active Expired - Lifetime
-
2001
- 2001-07-03 EP EP07119533A patent/EP1894534B1/en not_active Expired - Lifetime
- 2001-07-03 CA CA2415051A patent/CA2415051C/en not_active Expired - Lifetime
- 2001-07-03 DE DE60131174T patent/DE60131174T2/de not_active Expired - Lifetime
- 2001-07-03 EP EP01963720A patent/EP1304974B1/en not_active Expired - Lifetime
- 2001-07-03 AT AT01963720T patent/ATE376812T1/de not_active IP Right Cessation
- 2001-07-03 AT AT07119533T patent/ATE478621T1/de not_active IP Right Cessation
- 2001-07-03 WO PCT/US2001/021363 patent/WO2002007628A2/en not_active Ceased
- 2001-07-03 ES ES01963720T patent/ES2295199T3/es not_active Expired - Lifetime
- 2001-07-03 JP JP2002513368A patent/JP2004504098A/ja active Pending
- 2001-07-03 AU AU2001284647A patent/AU2001284647B2/en not_active Ceased
- 2001-07-03 AU AU8464701A patent/AU8464701A/xx active Pending
- 2001-07-03 DE DE60142939T patent/DE60142939D1/de not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| EP1304974A2 (en) | 2003-05-02 |
| EP1304974A4 (en) | 2005-08-03 |
| AU8464701A (en) | 2002-02-05 |
| WO2002007628A2 (en) | 2002-01-31 |
| EP1894534A3 (en) | 2008-06-04 |
| EP1894534A2 (en) | 2008-03-05 |
| WO2002007628A3 (en) | 2002-04-04 |
| EP1894534B1 (en) | 2010-08-25 |
| DE60142939D1 (de) | 2010-10-07 |
| ATE478621T1 (de) | 2010-09-15 |
| CA2415051A1 (en) | 2002-01-31 |
| ATE376812T1 (de) | 2007-11-15 |
| US6514245B1 (en) | 2003-02-04 |
| JP2004504098A (ja) | 2004-02-12 |
| AU2001284647B2 (en) | 2006-01-05 |
| CA2415051C (en) | 2012-01-03 |
| EP1304974B1 (en) | 2007-10-31 |
| DE60131174D1 (de) | 2007-12-13 |
| ES2295199T3 (es) | 2008-04-16 |
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| 8364 | No opposition during term of opposition |