ES2081367T3 - Cateter de entrega de impactos acusticos, con una tapa extrema. - Google Patents

Cateter de entrega de impactos acusticos, con una tapa extrema.

Info

Publication number
ES2081367T3
ES2081367T3 ES90904129T ES90904129T ES2081367T3 ES 2081367 T3 ES2081367 T3 ES 2081367T3 ES 90904129 T ES90904129 T ES 90904129T ES 90904129 T ES90904129 T ES 90904129T ES 2081367 T3 ES2081367 T3 ES 2081367T3
Authority
ES
Spain
Prior art keywords
cap
adjacent
energy source
mass
guide
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
Application number
ES90904129T
Other languages
English (en)
Inventor
David I Rosen
Harry Petschek
Stephen P Dretler
Krishna M Bhatta
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.)
General Hospital Corp
Connecticut Innovations Inc
Original Assignee
General Hospital Corp
Connecticut Innovations 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 General Hospital Corp, Connecticut Innovations Inc filed Critical General Hospital Corp
Application granted granted Critical
Publication of ES2081367T3 publication Critical patent/ES2081367T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • 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
    • A61B17/22022—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 using electric discharge
    • 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
    • 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
    • A61B2017/22091—Explosive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B2017/922—Devices for impaction, impact element
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B2017/922—Devices for impaction, impact element
    • A61B2017/927—Returning means
    • A61B2017/928—Returning means a spring
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A61B2018/266—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy the conversion of laser energy into mechanical shockwaves taking place in a part 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers

Abstract

METODO Y APARATO PARA FRACTURAR DEPOSITOS DUROS (20, 110, 122), TALES COMO PIEDRAS URINARIAS Y BILIARES, Y PLACAS ARTEROSCLEROTICAS EN EL CUERPO HUMANO. UNA GUIA FLEXIBLE (10, 40, 60, 84, 100) TENIENDO UNA MASA DURA (12, 42, 64, 86, 104, 120) TAPONANDO UN EXTREMO, ESTA ADAPTADO PARA LA INSERCION A TRAVES DE UN PASAJE FLUIDO EN EL CUERPO HUMANO VIVO. UNA FUENTE DE ENERGIA (22, 52, 74, 80) CREA UNA EXPANSION RAPIDA DE VAPOR ADYACENTE AL CAPUCHON (12, 42, 64, 86, 104, 120) OCASIONANDO UN MOVIMIENTO EN PULSANTE, IMPARTIENDO UN IMPULSO A ALTA VELOCIDAD A UN DEPOSITO ADYACENTE (30, 110, 122), Y POR LO TANTO FRACTURANDOLO. LA FUENTE DE ENERGIA (22, 52, 74, 80) PUEDE SER UN LASER (22) CON UN SISTEMA DE DISTRIBUCION DE FIBRA OPTICA (14) EN LA GUIA (10) TERMINANDO ADYACENTE AL CAPUCHON (12) OCASIONANDO LA VAPORIZACION DE LA MASA DEL CAPUCHON (12) PARA CREAR LA EXPANSION DEL VAPOR. LA FUENTE DE ENERGIA (22, 52, 74, 80) PUEDE SER UN GENERADOR DE CHISPA (52, 74, 80) CON UN CONDUCTOR (46, 66, 82) ASOCIADO CON LA GUIA (40, 60, 84, 100) PARA DISTRIBUIR UNA CHISPA FLUIDA VAPORIZANTE (126) ADYACENTE A LA MASA DEL CAPUCHON (42, 64, 86, 104, 120). OTRAS FORMAS DE DISTRIBUCION RAPIDA DE ENERGIA, TALES COMO DETONACIONES QUIMICAS O IMPACTOS BALISTICOS, PUEDEN SER UTILIZADAS.
ES90904129T 1989-02-22 1990-02-22 Cateter de entrega de impactos acusticos, con una tapa extrema. Expired - Lifetime ES2081367T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US31447289A 1989-02-22 1989-02-22

Publications (1)

Publication Number Publication Date
ES2081367T3 true ES2081367T3 (es) 1996-03-01

Family

ID=23220085

Family Applications (1)

Application Number Title Priority Date Filing Date
ES90904129T Expired - Lifetime ES2081367T3 (es) 1989-02-22 1990-02-22 Cateter de entrega de impactos acusticos, con una tapa extrema.

Country Status (9)

Country Link
EP (1) EP0460069B1 (es)
JP (1) JPH0614936B2 (es)
AT (1) ATE133050T1 (es)
AU (1) AU637786B2 (es)
DE (1) DE69024949T2 (es)
DK (1) DK0460069T3 (es)
ES (1) ES2081367T3 (es)
IL (1) IL93494A (es)
WO (1) WO1990009762A1 (es)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1991010403A1 (en) * 1990-01-09 1991-07-25 Candela Laser Corporation Method and apparatus for fragmentation of hard substances
US5496306A (en) * 1990-09-21 1996-03-05 Light Age, Inc. Pulse stretched solid-state laser lithotripter
DE4036570A1 (de) * 1990-11-16 1992-05-21 Osypka Peter Katheter zur verminderung oder beseitigung von verengungen in gefaessen
JPH07502423A (ja) * 1991-10-03 1995-03-16 ザ　ゼネラル　ホスピタル　コーポレーション 血管拡張のための装置および方法
US6406486B1 (en) 1991-10-03 2002-06-18 The General Hospital Corporation Apparatus and method for vasodilation
IL104028A (en) * 1991-12-16 1996-06-18 Psi Medical Products Inc A device for stabbing a creature in the passage of the body
DE4313768C2 (de) * 1993-04-27 2002-07-11 Walz Elektronik Gmbh Vorrichtung zur Steinzertrümmerung
DE9312684U1 (de) * 1993-08-25 1993-11-04 Wolf Gmbh Richard Sonde zum intrakorporalen Fragmentieren von Steinen
WO1995024866A1 (en) * 1994-03-15 1995-09-21 Dodick Jack M Target for laser powered surgical instrument
US5944687A (en) * 1996-04-24 1999-08-31 The Regents Of The University Of California Opto-acoustic transducer for medical applications
WO2000033913A2 (en) * 1998-12-08 2000-06-15 Strategic Business Development, Inc. System and method for stimulation and/or enhancement of myocardial angiogenesis
US6755821B1 (en) 1998-12-08 2004-06-29 Cardiocavitational Systems, Inc. System and method for stimulation and/or enhancement of myocardial angiogenesis
DE20317386U1 (de) * 2003-11-07 2005-01-13 Storz Medical Ag Vorrichtung zum Behandeln von Körpergewebe mit Druck- oder Stoßwellen
CN111272584A (zh) * 2020-03-02 2020-06-12 武汉大学 利用环状脉冲激光模拟弹道冲击并实时监测的装置及方法

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE847950C (de) * 1950-03-04 1952-08-28 Helmut Dr Med Kellner Geraet zur Beseitigung von Nierensteinen
CS148900B1 (es) * 1970-06-10 1973-05-24
AT309663B (de) * 1971-05-14 1973-08-27 Phil Heinz Schmidt Kloiber Dr Einrichtung zum Zerstören von Steinen in der Harnblase, im Harnleiter, in der Niere u. dgl.
DE2219790C3 (de) * 1972-04-22 1974-11-07 R Pohlman Einrichtung zum Erzeugen von Sprödbrüchen bei harten Steinen
JPS537993A (en) * 1976-07-09 1978-01-24 Hiroki Watanabe Device for pulverizing calculus
JPS5346998A (en) * 1976-10-12 1978-04-27 Kikkoman Corp Preparation of 2-substituted adenosine-3,5-cyclic phosphate
US4191189A (en) * 1977-10-19 1980-03-04 Yale Barkan Stone disintegrator
FR2412301A1 (fr) * 1977-12-21 1979-07-20 Vasilevsky Petr Lithotriteur pour voies urinaires
JPS6116735A (ja) * 1984-07-03 1986-01-24 京都府 結石破砕装置
JPS6158175A (ja) * 1984-08-29 1986-03-25 Sanyo Electric Co Ltd 燃料電池のマニホルド取付シ−ル装置
DE3543096A1 (de) * 1984-12-05 1986-06-05 Olympus Optical Co., Ltd., Tokio/Tokyo Vorrichtung zur zertruemmerung von steinen, wie nieren- und gallensteinen oder dergleichen
EP0268019A1 (de) * 1986-11-13 1988-05-25 Messerschmitt-Bölkow-Blohm Gesellschaft mit beschränkter Haftung Vorrichtung zur Zertrümmerung eines von einem Fluid umgebenen festen Körpers
US4870953A (en) * 1987-11-13 1989-10-03 Donmicheal T Anthony Intravascular ultrasonic catheter/probe and method for treating intravascular blockage

Also Published As

Publication number Publication date
JPH0614936B2 (ja) 1994-03-02
EP0460069B1 (en) 1996-01-17
ATE133050T1 (de) 1996-02-15
AU5190990A (en) 1990-09-26
EP0460069A4 (en) 1991-12-27
EP0460069A1 (en) 1991-12-11
DE69024949T2 (de) 1996-09-05
DK0460069T3 (da) 1996-03-18
AU637786B2 (en) 1993-06-10
WO1990009762A1 (en) 1990-09-07
IL93494A (en) 1995-05-26
DE69024949D1 (de) 1996-02-29
JPH04503175A (ja) 1992-06-11
IL93494A0 (en) 1990-11-29

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