EP3463542A1 - Dispositif formant catheter d'infusion pour traiter au moins une obstruction partielle ou totale dans un conduit, tel que conduit corporel - Google Patents
Dispositif formant catheter d'infusion pour traiter au moins une obstruction partielle ou totale dans un conduit, tel que conduit corporelInfo
- Publication number
- EP3463542A1 EP3463542A1 EP17731243.6A EP17731243A EP3463542A1 EP 3463542 A1 EP3463542 A1 EP 3463542A1 EP 17731243 A EP17731243 A EP 17731243A EP 3463542 A1 EP3463542 A1 EP 3463542A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- infusion
- catheter
- obstruction
- occlusion
- conduit
- 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.)
- Pending
Links
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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
- A61M25/10—Balloon catheters
- A61M25/104—Balloon catheters used for angioplasty
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
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- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6853—Catheters with a balloon
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
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- A—HUMAN NECESSITIES
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- 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
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- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B2017/22001—Angioplasty, e.g. PCTA
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
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- A—HUMAN NECESSITIES
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- 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
- A61B2017/22082—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 after introduction of a substance
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- 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
- A61B2017/22082—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 after introduction of a substance
- A61B2017/22084—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 after introduction of a substance stone- or thrombus-dissolving
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/05—Surgical care
-
- 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
- A61M2025/09175—Guide wires having specific characteristics at the distal tip
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
Definitions
- the drug delivery ports are in the retracted position relative to the balloon when the balloon is in an expanded state and the outer balloon catheter must be retracted to expose the drug delivery ports for injection. drug.
- the structure of the device is different from the structure of the device according to the invention described hereinafter.
- FIG. 3 represents a view in transverse axial section along section line III - III of FIG. 2.
- FIG. 11 shows an axial sectional view, similar to FIG. 2, of a third embodiment of a catheter device according to the present invention provided with a closure element such as an inflated inflation balloon. at the level and inside the obstruction to be treated.
- a closure element such as an inflated inflation balloon.
- a catheter device into said conduit, said catheter device being as defined in any embodiment defined for the first aspect described above or hereinafter, in particular equipped with a catheter detector; temperature at its distal end; this introduction being carried out while the shutter device is in the rest position, until the shutter device is disposed close to, in particular within the obstruction or partial or total occlusion as shown in FIGS. at 4, and 11 to 14, or upstream of the obstruction as shown in the embodiment of Figures 5 to 10; b) the guidewire is introduced through the catheter to have its distal end disposed downstream of the partial or total obstruction in said conduit;
- steps a) and b) can be reversed.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Biophysics (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Child & Adolescent Psychology (AREA)
- Reproductive Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Thermal Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1654974A FR3052075B1 (fr) | 2016-06-01 | 2016-06-01 | Dispositif formant catheter d'infusion pour traiter au moins une obstruction partielle ou totale dans un conduit, tel que conduit corporel |
PCT/FR2017/051368 WO2017207931A1 (fr) | 2016-06-01 | 2017-05-31 | Dispositif formant catheter d'infusion pour traiter au moins une obstruction partielle ou totale dans un conduit, tel que conduit corporel |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3463542A1 true EP3463542A1 (fr) | 2019-04-10 |
Family
ID=56990525
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP17731243.6A Pending EP3463542A1 (fr) | 2016-06-01 | 2017-05-31 | Dispositif formant catheter d'infusion pour traiter au moins une obstruction partielle ou totale dans un conduit, tel que conduit corporel |
Country Status (8)
Country | Link |
---|---|
US (1) | US11602618B2 (ja) |
EP (1) | EP3463542A1 (ja) |
JP (2) | JP7051719B2 (ja) |
KR (1) | KR102417729B1 (ja) |
CA (1) | CA3026309A1 (ja) |
EA (1) | EA201892481A1 (ja) |
FR (1) | FR3052075B1 (ja) |
WO (1) | WO2017207931A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108378898A (zh) * | 2018-04-11 | 2018-08-10 | 深圳盛航科技有限公司 | 一种肾结石溶除装置及溶除方法 |
FR3093423B1 (fr) * | 2019-03-06 | 2021-11-12 | Ubitemp | Dispositif pour le traitement d’un infarctus du myocarde. |
CN111870289B (zh) * | 2020-08-21 | 2023-02-07 | 南阳市中心医院 | 一种呼吸科气管镜介入治疗装置 |
Family Cites Families (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4771782A (en) | 1986-11-14 | 1988-09-20 | Millar Instruments, Inc. | Method and assembly for introducing multiple catheters into a biological vessel |
US4966148A (en) | 1986-11-14 | 1990-10-30 | Millar Instruments, Inc. | Assembly for positioning diagnostic devices in a biological vessel |
US5658894A (en) | 1989-04-23 | 1997-08-19 | The Trustees Of The University Of Pennsylvania | Compositions for inhibiting restenosis |
US5328471A (en) * | 1990-02-26 | 1994-07-12 | Endoluminal Therapeutics, Inc. | Method and apparatus for treatment of focal disease in hollow tubular organs and other tissue lumens |
US5037392A (en) * | 1989-06-06 | 1991-08-06 | Cordis Corporation | Stent-implanting balloon assembly |
AU7313391A (en) * | 1990-02-20 | 1991-09-18 | Regents Of The University Of California, The | Apparatus, catheter and method for chemical contact dissolution of gallstones |
US6620188B1 (en) * | 1998-08-24 | 2003-09-16 | Radiant Medical, Inc. | Methods and apparatus for regional and whole body temperature modification |
WO1994022885A1 (en) | 1993-03-29 | 1994-10-13 | Queen's University At Kingston | Anticoagulant compounds |
US5415636A (en) | 1994-04-13 | 1995-05-16 | Schneider (Usa) Inc | Dilation-drug delivery catheter |
US5569197A (en) * | 1994-12-21 | 1996-10-29 | Schneider (Usa) Inc | Drug delivery guidewire |
JPH09117510A (ja) * | 1995-10-26 | 1997-05-06 | Buaayu:Kk | インフュージョンカテーテル |
AU1712599A (en) | 1997-12-08 | 1999-06-28 | Cardeon Corporation | Aortic catheter and methods for inducing cardioplegic arrest and for selective aortic perfusion |
US6295990B1 (en) | 1998-02-03 | 2001-10-02 | Salient Interventional Systems, Inc. | Methods and systems for treating ischemia |
EP1251899B1 (en) | 2000-02-04 | 2012-04-25 | CONMED Endoscopic Technologies, Inc. | Triple lumen stone balloon catheter |
US6482172B1 (en) | 2000-02-09 | 2002-11-19 | Jeffrey J. Thramann | Flow-by channel catheter and method of use |
US20050113798A1 (en) | 2000-07-21 | 2005-05-26 | Slater Charles R. | Methods and apparatus for treating the interior of a blood vessel |
HUP0302732A2 (hu) | 2001-01-12 | 2003-12-29 | Société de Conseil de Recherches et d'Applications Scientifiques, S.A.S. | Érproliferációt gátló gyógyszerészeti készítmények, és eljárás azok alkalmazására |
US20030013986A1 (en) * | 2001-07-12 | 2003-01-16 | Vahid Saadat | Device for sensing temperature profile of a hollow body organ |
US20040167467A1 (en) | 2003-02-21 | 2004-08-26 | Kent Harrison | Delivering cooled fluid to sites inside the body |
US20050015048A1 (en) * | 2003-03-12 | 2005-01-20 | Chiu Jessica G. | Infusion treatment agents, catheters, filter devices, and occlusion devices, and use thereof |
US20050239743A1 (en) | 2004-04-12 | 2005-10-27 | Pro-Pharmaceuticals, Inc. | Compositions and methods to inhibit restenosis |
EP1930045A1 (en) | 2006-12-08 | 2008-06-11 | BIOTRONIK CRM Patent AG | Implantable medical system with acoustic sensor to measure mitral blood flow |
WO2009049823A1 (en) | 2007-10-16 | 2009-04-23 | Werner Regittnig | Catheter and methods of operating and manufacturing the same |
US20100198186A1 (en) * | 2009-02-03 | 2010-08-05 | Ackermann Simon | Dual-lumen catheter for medical device delivery systems |
US8266030B2 (en) | 2009-09-15 | 2012-09-11 | Chicago Mercantile Exchange Inc. | Transformation of a multi-leg security definition for calculation of implied orders in an electronic trading system |
US8267887B2 (en) | 2010-05-26 | 2012-09-18 | Miracor Medical Systems Gmbh | Treating heart tissue |
JP5961688B2 (ja) | 2011-06-01 | 2016-08-02 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 血流分布測定システム及び方法 |
US8177704B1 (en) * | 2011-12-22 | 2012-05-15 | Miracor Medical Systems Gmbh | System and method for treating heart tissue |
ES2749582T3 (es) | 2013-04-25 | 2020-03-23 | Hexacath | Sistema de catéter de termodilución |
PL224676B1 (pl) * | 2014-10-15 | 2017-01-31 | Innovations For Heart And Vessels Spółka Z Ograniczoną Odpowiedzialnością | Mikrocewnik wewnątrznaczyniowy do dostarczania substancji aktywnych |
US10315016B2 (en) * | 2016-01-04 | 2019-06-11 | Corflow Therapeutics Ag | System and methods for treating MVO |
-
2016
- 2016-06-01 FR FR1654974A patent/FR3052075B1/fr active Active
-
2017
- 2017-05-31 EA EA201892481A patent/EA201892481A1/ru unknown
- 2017-05-31 CA CA3026309A patent/CA3026309A1/fr active Pending
- 2017-05-31 EP EP17731243.6A patent/EP3463542A1/fr active Pending
- 2017-05-31 WO PCT/FR2017/051368 patent/WO2017207931A1/fr unknown
- 2017-05-31 US US16/306,288 patent/US11602618B2/en active Active
- 2017-05-31 KR KR1020187038223A patent/KR102417729B1/ko active IP Right Grant
- 2017-05-31 JP JP2018563176A patent/JP7051719B2/ja active Active
-
2022
- 2022-01-07 JP JP2022001690A patent/JP7372992B2/ja active Active
Also Published As
Publication number | Publication date |
---|---|
FR3052075B1 (fr) | 2022-01-07 |
EA201892481A1 (ru) | 2019-05-31 |
JP7372992B2 (ja) | 2023-11-01 |
US11602618B2 (en) | 2023-03-14 |
JP7051719B2 (ja) | 2022-04-11 |
FR3052075A1 (fr) | 2017-12-08 |
JP2019520127A (ja) | 2019-07-18 |
CA3026309A1 (fr) | 2017-12-07 |
WO2017207931A1 (fr) | 2017-12-07 |
JP2022033355A (ja) | 2022-02-28 |
US20190290889A1 (en) | 2019-09-26 |
KR102417729B1 (ko) | 2022-07-07 |
KR20190015730A (ko) | 2019-02-14 |
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