EP2164407A4 - Improved catheter - Google Patents

Improved catheter

Info

Publication number
EP2164407A4
EP2164407A4 EP08772194A EP08772194A EP2164407A4 EP 2164407 A4 EP2164407 A4 EP 2164407A4 EP 08772194 A EP08772194 A EP 08772194A EP 08772194 A EP08772194 A EP 08772194A EP 2164407 A4 EP2164407 A4 EP 2164407A4
Authority
EP
European Patent Office
Prior art keywords
improved catheter
catheter
improved
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.)
Withdrawn
Application number
EP08772194A
Other languages
German (de)
French (fr)
Other versions
EP2164407A1 (en
Inventor
Clyde Gerald Oakley
Dennis Raymond Dietz
David Messick
Ryan Patterson
Jimmie Polenske Jr
David Wilson
Paul Bielewicz
Mikael J Fife
Richard W Denny
Joseph Huppenthal
Ed Cully
Paul Latulippe
Mark Blea
Eric Tittelbaugh
Michael Vonesh
Marcus Stollberg
Christian Henke
Joachim Buff
Craig Nordhausen
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.)
WL Gore and Associates Inc
Original Assignee
Gore Enterprise Holdings 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 Gore Enterprise Holdings Inc filed Critical Gore Enterprise Holdings Inc
Publication of EP2164407A1 publication Critical patent/EP2164407A1/en
Publication of EP2164407A4 publication Critical patent/EP2164407A4/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00183—Optical arrangements characterised by the viewing angles for variable viewing angles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445—Details of catheter construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
    • A61B8/4466—Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe involving deflection of the probe
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22014—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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 the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2906—Multiple forceps
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • 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
    • A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
    • 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
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Optics & Photonics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
EP08772194A 2007-06-28 2008-06-27 Improved catheter Withdrawn EP2164407A4 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US94680707P 2007-06-28 2007-06-28
PCT/US2008/068643 WO2009006335A1 (en) 2007-06-28 2008-06-27 Improved catheter

Publications (2)

Publication Number Publication Date
EP2164407A1 EP2164407A1 (en) 2010-03-24
EP2164407A4 true EP2164407A4 (en) 2012-07-11

Family

ID=40226496

Family Applications (1)

Application Number Title Priority Date Filing Date
EP08772194A Withdrawn EP2164407A4 (en) 2007-06-28 2008-06-27 Improved catheter

Country Status (5)

Country Link
EP (1) EP2164407A4 (en)
JP (1) JP5576274B2 (en)
AU (1) AU2008269930B2 (en)
CA (1) CA2691449A1 (en)
WO (1) WO2009006335A1 (en)

Families Citing this family (45)

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US8852112B2 (en) 2007-06-28 2014-10-07 W. L. Gore & Associates, Inc. Catheter with deflectable imaging device and bendable electrical conductor
US8285362B2 (en) * 2007-06-28 2012-10-09 W. L. Gore & Associates, Inc. Catheter with deflectable imaging device
US8548571B2 (en) 2009-12-08 2013-10-01 Avinger, Inc. Devices and methods for predicting and preventing restenosis
US9125562B2 (en) 2009-07-01 2015-09-08 Avinger, Inc. Catheter-based off-axis optical coherence tomography imaging system
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
ES2762203T3 (en) * 2009-03-27 2020-05-22 New View Surgical Inc Cannula with lighting and integrated camera
EP2424608B1 (en) 2009-04-28 2014-03-19 Avinger, Inc. Guidewire support catheter
JP6101078B2 (en) 2009-05-28 2017-03-29 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． Optical coherence tomography for bioimaging
WO2011003006A2 (en) 2009-07-01 2011-01-06 Avinger, Inc. Atherectomy catheter with laterally-displaceable tip
US20110166455A1 (en) * 2010-01-07 2011-07-07 Cully Edward H Catheter
WO2014039096A1 (en) 2012-09-06 2014-03-13 Avinger, Inc. Re-entry stylet for catheter
US10548478B2 (en) 2010-07-01 2020-02-04 Avinger, Inc. Balloon atherectomy catheters with imaging
US11382653B2 (en) 2010-07-01 2022-07-12 Avinger, Inc. Atherectomy catheter
JP2013531542A (en) 2010-07-01 2013-08-08 アビンガー・インコーポレイテッド An atherectomy catheter having a longitudinally movable drive shaft
JP5465149B2 (en) * 2010-10-20 2014-04-09 オリンパスメディカルシステムズ株式会社 Ultrasonic miniature probe
CA2815220A1 (en) * 2010-10-22 2012-04-26 Gore Enterprise Holdings, Inc. Catheter with shape memory alloy actuator
JP2013541389A (en) * 2010-10-27 2013-11-14 ゴア エンタープライズ ホールディングス，インコーポレイティド Imaging catheter having a rotatable array
US9949754B2 (en) 2011-03-28 2018-04-24 Avinger, Inc. Occlusion-crossing devices
CA2831306C (en) 2011-03-28 2018-11-20 Avinger, Inc. Occlusion-crossing devices, imaging, and atherectomy devices
WO2013030775A1 (en) * 2011-08-29 2013-03-07 Art Healthcare Ltd. Postpyloric feeding device and methods for using thereof
WO2013059363A1 (en) 2011-10-17 2013-04-25 Avinger, Inc. Atherectomy catheters and non-contact actuation mechanism for catheters
US9345406B2 (en) 2011-11-11 2016-05-24 Avinger, Inc. Occlusion-crossing devices, atherectomy devices, and imaging
EP2849636B1 (en) 2012-05-14 2020-04-22 Avinger, Inc. Optical coherence tomography with graded index fiber for biological imaging
EP2849660B1 (en) 2012-05-14 2021-08-25 Avinger, Inc. Atherectomy catheter drive assemblies
US11406412B2 (en) 2012-05-14 2022-08-09 Avinger, Inc. Atherectomy catheters with imaging
JP5404981B1 (en) 2012-07-04 2014-02-05 オリンパスメディカルシステムズ株式会社 Ultrasound endoscope
US11284916B2 (en) 2012-09-06 2022-03-29 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
US9498247B2 (en) 2014-02-06 2016-11-22 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
EP2967371B1 (en) 2013-03-15 2024-05-15 Avinger, Inc. Chronic total occlusion crossing devices with imaging
EP2967507B1 (en) 2013-03-15 2018-09-05 Avinger, Inc. Tissue collection device for catheter
WO2014142958A1 (en) 2013-03-15 2014-09-18 Avinger, Inc. Optical pressure sensor assembly
WO2015006353A1 (en) 2013-07-08 2015-01-15 Avinger, Inc. Identification of elastic lamina to guide interventional therapy
EP3079595A1 (en) * 2013-12-10 2016-10-19 The Charlotte-Mecklenburg Hospital Authority D/B/A Carolinas Healthcare System Ultrasound-guided vascular device for extracorporeal membrane oxygenation
CN106102608B (en) 2014-02-06 2020-03-24 阿维格公司 Atherectomy catheters and occlusion crossing devices
WO2015155630A1 (en) * 2014-04-11 2015-10-15 Koninklijke Philips N.V. Needle with thin film piezoelectric sensors
CN107106190B (en) 2014-07-08 2020-02-28 阿维格公司 High-speed chronic full-closure crossing device
WO2016170446A1 (en) * 2015-04-20 2016-10-27 Koninklijke Philips N.V. Dual lumen diagnostic catheter
EP3322338A4 (en) 2015-07-13 2019-03-13 Avinger, Inc. Micro-molded anamorphic reflector lens for image guided therapeutic/diagnostic catheters
WO2017085724A1 (en) 2015-11-18 2017-05-26 Art Healthcare Ltd. Sheath and hub for imaging endoscope
JP6927986B2 (en) 2016-01-25 2021-09-01 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． OCT imaging catheter with delay compensation
EP3435892B1 (en) 2016-04-01 2024-04-03 Avinger, Inc. Atherectomy catheter with serrated cutter
WO2017210466A1 (en) 2016-06-03 2017-12-07 Avinger, Inc. Catheter device with detachable distal end
EP3478190B1 (en) 2016-06-30 2023-03-15 Avinger, Inc. Atherectomy catheter with shapeable distal tip
WO2021076356A1 (en) 2019-10-18 2021-04-22 Avinger, Inc. Occlusion-crossing devices
JP7529196B2 (en) * 2020-07-29 2024-08-06 慶應義塾 Medical Devices

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Publication number Priority date Publication date Assignee Title
US5469853A (en) * 1992-12-11 1995-11-28 Tetrad Corporation Bendable ultrasonic probe and sheath for use therewith
EP0774232A1 (en) * 1995-11-09 1997-05-21 Cordis Corporation Guiding catheter with ultrasound imaging capability
US6099464A (en) * 1995-04-10 2000-08-08 Olympus Optical Co., Ltd. Bending sheath for probe
US6306097B1 (en) * 1999-06-17 2001-10-23 Acuson Corporation Ultrasound imaging catheter guiding assembly with catheter working port
WO2005104927A2 (en) * 2004-04-14 2005-11-10 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access

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Publication number Priority date Publication date Assignee Title
US5469853A (en) * 1992-12-11 1995-11-28 Tetrad Corporation Bendable ultrasonic probe and sheath for use therewith
US6099464A (en) * 1995-04-10 2000-08-08 Olympus Optical Co., Ltd. Bending sheath for probe
EP0774232A1 (en) * 1995-11-09 1997-05-21 Cordis Corporation Guiding catheter with ultrasound imaging capability
US6306097B1 (en) * 1999-06-17 2001-10-23 Acuson Corporation Ultrasound imaging catheter guiding assembly with catheter working port
WO2005104927A2 (en) * 2004-04-14 2005-11-10 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access

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Title
See also references of WO2009006335A1 *

Also Published As

Publication number Publication date
JP2010531718A (en) 2010-09-30
JP5576274B2 (en) 2014-08-20
AU2008269930A1 (en) 2009-01-08
CA2691449A1 (en) 2009-01-08
WO2009006335A1 (en) 2009-01-08
AU2008269930B2 (en) 2012-08-02
EP2164407A1 (en) 2010-03-24

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RIN1 Information on inventor provided before grant (corrected)

Inventor name: NORDHAUSEN, CRAIG

Inventor name: BUFF, JOACHIM

Inventor name: HENKE, CHRISTIAN

Inventor name: STOLLBERG, MARCUS

Inventor name: VONESH, MICHAEL

Inventor name: TITTELBAUGH, ERIC

Inventor name: BLEA, MARK

Inventor name: LATULIPPE, PAUL

Inventor name: CULLY, ED

Inventor name: HUPPENTHAL, JOSEPH

Inventor name: DENNY, RICHARD W.

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