ES2809160T3 - Aparato de trombectomía mecánica de inversión - Google Patents
Aparato de trombectomía mecánica de inversión Download PDFInfo
- Publication number
- ES2809160T3 ES2809160T3 ES17722290T ES17722290T ES2809160T3 ES 2809160 T3 ES2809160 T3 ES 2809160T3 ES 17722290 T ES17722290 T ES 17722290T ES 17722290 T ES17722290 T ES 17722290T ES 2809160 T3 ES2809160 T3 ES 2809160T3
- Authority
- ES
- Spain
- Prior art keywords
- catheter
- tractor
- distal end
- flexible
- clot
- 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
Links
- 238000013151 thrombectomy Methods 0.000 title claims abstract description 54
- 238000000034 method Methods 0.000 description 47
- 208000007536 Thrombosis Diseases 0.000 description 13
- 239000000463 material Substances 0.000 description 10
- 210000001519 tissue Anatomy 0.000 description 7
- 238000005452 bending Methods 0.000 description 5
- 230000033001 locomotion Effects 0.000 description 5
- 230000002441 reversible effect Effects 0.000 description 5
- 210000001367 artery Anatomy 0.000 description 4
- 230000009286 beneficial effect Effects 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 4
- 210000004004 carotid artery internal Anatomy 0.000 description 4
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 210000005166 vasculature Anatomy 0.000 description 4
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 3
- 230000000994 depressogenic effect Effects 0.000 description 3
- 208000028867 ischemia Diseases 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 238000005096 rolling process Methods 0.000 description 3
- 201000001320 Atherosclerosis Diseases 0.000 description 2
- 206010021143 Hypoxia Diseases 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 210000004351 coronary vessel Anatomy 0.000 description 2
- 210000000232 gallbladder Anatomy 0.000 description 2
- 238000009998 heat setting Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000002107 myocardial effect Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 206010002383 Angina Pectoris Diseases 0.000 description 1
- 206010008479 Chest Pain Diseases 0.000 description 1
- 208000009911 Urinary Calculi Diseases 0.000 description 1
- 208000024248 Vascular System injury Diseases 0.000 description 1
- 208000012339 Vascular injury Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000002266 amputation Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000746 body region Anatomy 0.000 description 1
- 210000001715 carotid artery Anatomy 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003743 erythrocyte Anatomy 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000013467 fragmentation Methods 0.000 description 1
- 238000006062 fragmentation reaction Methods 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 230000003100 immobilizing effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000007443 liposuction Methods 0.000 description 1
- 238000002803 maceration Methods 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 238000007790 scraping Methods 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000011277 treatment modality Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 208000008281 urolithiasis Diseases 0.000 description 1
Classifications
-
- 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
-
- 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
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- 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
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- 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
- 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
- A61B2017/22038—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 a guide wire
-
- 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
- A61B2017/22072—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 instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22074—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
- A61B2017/22075—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with motorized advancing or retracting means
-
- 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
- A61B2017/22079—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 suction of debris
-
- 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
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
-
- 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/3435—Cannulas using everted sleeves
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662327024P | 2016-04-25 | 2016-04-25 | |
| PCT/US2017/029440 WO2017189591A1 (en) | 2016-04-25 | 2017-04-25 | Inverting mechanical thrombectomy apparatuses and methods of use in the vasculature |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2809160T3 true ES2809160T3 (es) | 2021-03-03 |
Family
ID=58672759
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES17722290T Active ES2809160T3 (es) | 2016-04-25 | 2017-04-25 | Aparato de trombectomía mecánica de inversión |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US10010335B2 (cg-RX-API-DMAC7.html) |
| EP (1) | EP3448278B1 (cg-RX-API-DMAC7.html) |
| JP (1) | JP6934935B2 (cg-RX-API-DMAC7.html) |
| CN (1) | CN109414272B (cg-RX-API-DMAC7.html) |
| ES (1) | ES2809160T3 (cg-RX-API-DMAC7.html) |
| WO (1) | WO2017189591A1 (cg-RX-API-DMAC7.html) |
Families Citing this family (188)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2005094283A2 (en) | 2004-03-25 | 2005-10-13 | Hauser David L | Vascular filter device |
| KR101334502B1 (ko) | 2005-10-19 | 2013-12-05 | 펄사 배스큘러, 아이엔씨. | 내강과 조직 결함을 치료하고 혈관내 결찰을 위한 장치 및 시스템 |
| US9402707B2 (en) | 2008-07-22 | 2016-08-02 | Neuravi Limited | Clot capture systems and associated methods |
| JP5791048B2 (ja) | 2008-09-05 | 2015-10-07 | パルサー バスキュラー インコーポレイテッド | 生理的開口部又は腔を支持し又は閉塞するシステム及び方法 |
| US9463036B2 (en) | 2010-10-22 | 2016-10-11 | Neuravi Limited | Clot engagement and removal system |
| US12076037B2 (en) | 2011-03-09 | 2024-09-03 | Neuravi Limited | Systems and methods to restore perfusion to a vessel |
| US11259824B2 (en) | 2011-03-09 | 2022-03-01 | Neuravi Limited | Clot retrieval device for removing occlusive clot from a blood vessel |
| US9301769B2 (en) | 2011-03-09 | 2016-04-05 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
| JP6219270B2 (ja) | 2011-06-03 | 2017-10-25 | パルサー バスキュラー インコーポレイテッド | 動脈瘤装置 |
| US9119625B2 (en) | 2011-10-05 | 2015-09-01 | Pulsar Vascular, Inc. | Devices, systems and methods for enclosing an anatomical opening |
| US8784434B2 (en) | 2012-11-20 | 2014-07-22 | Inceptus Medical, Inc. | Methods and apparatus for treating embolism |
| US10603157B2 (en) | 2013-03-13 | 2020-03-31 | DePuy Synthes Products, Inc. | Braid implant delivery and retraction device with distal engagement |
| US10561509B2 (en) | 2013-03-13 | 2020-02-18 | DePuy Synthes Products, Inc. | Braided stent with expansion ring and method of delivery |
| US9433429B2 (en) | 2013-03-14 | 2016-09-06 | Neuravi Limited | Clot retrieval devices |
| TR201820525T4 (tr) | 2013-03-14 | 2019-01-21 | Neuravi Ltd | Bir tıkayıcı pıhtının bir kan damarından çıkarılmasına yönelik bir pıhtı çıkarma cihazı. |
| PL2967611T3 (pl) | 2013-03-14 | 2019-08-30 | Neuravi Limited | Urządzenie do usuwania ostrych blokad z naczyń krwionośnych |
| WO2015061365A1 (en) | 2013-10-21 | 2015-04-30 | Inceptus Medical, Llc | Methods and apparatus for treating embolism |
| US10285720B2 (en) | 2014-03-11 | 2019-05-14 | Neuravi Limited | Clot retrieval system for removing occlusive clot from a blood vessel |
| US11154302B2 (en) | 2014-03-31 | 2021-10-26 | DePuy Synthes Products, Inc. | Aneurysm occlusion device |
| US11076860B2 (en) | 2014-03-31 | 2021-08-03 | DePuy Synthes Products, Inc. | Aneurysm occlusion device |
| US10441301B2 (en) | 2014-06-13 | 2019-10-15 | Neuravi Limited | Devices and methods for removal of acute blockages from blood vessels |
| US10265086B2 (en) | 2014-06-30 | 2019-04-23 | Neuravi Limited | System for removing a clot from a blood vessel |
| US9918718B2 (en) | 2014-08-08 | 2018-03-20 | DePuy Synthes Products, Inc. | Embolic coil delivery system with retractable mechanical release mechanism |
| US10206796B2 (en) | 2014-08-27 | 2019-02-19 | DePuy Synthes Products, Inc. | Multi-strand implant with enhanced radiopacity |
| US9782178B2 (en) | 2014-09-19 | 2017-10-10 | DePuy Synthes Products, Inc. | Vasculature occlusion device detachment system with tapered corewire and heater activated fiber detachment |
| US11253278B2 (en) | 2014-11-26 | 2022-02-22 | Neuravi Limited | Clot retrieval system for removing occlusive clot from a blood vessel |
| HK1247066A1 (zh) | 2014-11-26 | 2018-09-21 | Neuravi Limited | 从血管除去阻塞性血栓的取血栓装置 |
| US10617435B2 (en) | 2014-11-26 | 2020-04-14 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
| EP4079237A1 (en) * | 2015-09-28 | 2022-10-26 | Stryker Corporation | Mechanical thrombectomy apparatuses |
| JP7253376B2 (ja) | 2015-10-23 | 2023-04-06 | イナリ メディカル， インコーポレイテッド | 血管閉塞の血管内処置および関連デバイス、システムおよび方法 |
| US11896247B2 (en) | 2016-04-25 | 2024-02-13 | Stryker Corporation | Inverting mechanical thrombectomy apparatuses |
| US10888342B2 (en) | 2016-04-25 | 2021-01-12 | Stryker Corporation | Anti-jamming and macerating thrombectomy apparatuses and methods |
| JP6934935B2 (ja) | 2016-04-25 | 2021-09-15 | ストライカー コーポレイションＳｔｒｙｋｅｒ Ｃｏｒｐｏｒａｔｉｏｎ | 反転式機械的血栓除去装置、および血管内の使用方法 |
| US11497512B2 (en) | 2016-04-25 | 2022-11-15 | Stryker Corporation | Inverting thrombectomy apparatuses and methods |
| CN109561904B (zh) | 2016-04-25 | 2021-09-14 | 斯瑞克公司 | 凝块吞没机械血栓切除装置 |
| US10285710B2 (en) | 2016-06-01 | 2019-05-14 | DePuy Synthes Products, Inc. | Endovascular detachment system with flexible distal end and heater activated detachment |
| ES2924974T3 (es) | 2016-06-03 | 2022-10-13 | Stryker Corp | Aparatos de trombectomía de inversión |
| AU2017312421A1 (en) | 2016-08-17 | 2019-03-07 | Neuravi Limited | A clot retrieval system for removing occlusive clot from a blood vessel |
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| US10258357B1 (en) | 2017-10-16 | 2019-04-16 | Michael Bruce Horowitz | Catheter based retrieval device with proximal body having axial freedom of movement |
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| EP4176830A1 (en) | 2017-11-09 | 2023-05-10 | Stryker Corporation | Inverting thrombectomy apparatuses having enhanced tracking |
| US10806462B2 (en) | 2017-12-21 | 2020-10-20 | DePuy Synthes Products, Inc. | Implantable medical device detachment system with split tube and cylindrical coupling |
| US10751065B2 (en) | 2017-12-22 | 2020-08-25 | DePuy Synthes Products, Inc. | Aneurysm device and delivery system |
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| WO2020055866A1 (en) * | 2018-09-10 | 2020-03-19 | Stryker Corporation | Laser slotted grabbing device |
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| US10842498B2 (en) | 2018-09-13 | 2020-11-24 | Neuravi Limited | Systems and methods of restoring perfusion to a vessel |
| JP2020044335A (ja) | 2018-09-20 | 2020-03-26 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 成形されたワイヤを有するステント |
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-
2017
- 2017-04-25 JP JP2019507078A patent/JP6934935B2/ja active Active
- 2017-04-25 WO PCT/US2017/029440 patent/WO2017189591A1/en not_active Ceased
- 2017-04-25 EP EP17722290.8A patent/EP3448278B1/en active Active
- 2017-04-25 CN CN201780039364.2A patent/CN109414272B/zh active Active
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- 2017-04-25 ES ES17722290T patent/ES2809160T3/es active Active
- 2017-10-26 US US15/794,939 patent/US10842513B2/en active Active
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|---|---|
| CN109414272A (zh) | 2019-03-01 |
| JP6934935B2 (ja) | 2021-09-15 |
| WO2017189591A1 (en) | 2017-11-02 |
| US10010335B2 (en) | 2018-07-03 |
| US20180042624A1 (en) | 2018-02-15 |
| US10842513B2 (en) | 2020-11-24 |
| US20170303939A1 (en) | 2017-10-26 |
| JP2019514648A (ja) | 2019-06-06 |
| CN109414272B (zh) | 2021-09-28 |
| EP3448278A1 (en) | 2019-03-06 |
| EP3448278B1 (en) | 2020-05-13 |
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