JP2007529281A - 慢性全閉塞症の治療装置およびその方法 - Google Patents

慢性全閉塞症の治療装置およびその方法 Download PDF

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Publication number
JP2007529281A
JP2007529281A JP2007504143A JP2007504143A JP2007529281A JP 2007529281 A JP2007529281 A JP 2007529281A JP 2007504143 A JP2007504143 A JP 2007504143A JP 2007504143 A JP2007504143 A JP 2007504143A JP 2007529281 A JP2007529281 A JP 2007529281A
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JP
Japan
Prior art keywords
catheter assembly
assembly according
flexible tube
distal
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.)
Abandoned
Application number
JP2007504143A
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English (en)
Japanese (ja)
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JP2007529281A5 (enExample
Inventor
ローナン ソーントン
アンソニー セメド
Original Assignee
メドトロニック ヴァスキュラー インコーポレイテッド
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Filing date
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Publication of JP2007529281A publication Critical patent/JP2007529281A/ja
Publication of JP2007529281A5 publication Critical patent/JP2007529281A5/ja
Abandoned legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/0054Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/008Strength or flexibility characteristics of the catheter tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22038Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22038Implements 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
    • A61B2017/22042Details of the tip of the guide wire
    • A61B2017/22044Details of the tip of the guide wire with a pointed tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22051Implements 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
    • A61B2017/22065Functions of balloons
    • A61B2017/22068Centering
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22051Implements 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
    • A61B2017/22065Functions of balloons
    • A61B2017/22069Immobilising; Stabilising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • A61M2025/015Details of the distal fixation of the movable mechanical means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082Catheter tip comprising a tool
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2007504143A 2004-03-19 2005-03-18 慢性全閉塞症の治療装置およびその方法 Abandoned JP2007529281A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US55487604P 2004-03-19 2004-03-19
PCT/US2005/009084 WO2005089850A2 (en) 2004-03-19 2005-03-18 Apparatus and methods for the treatment of chronic total occlusions

Publications (2)

Publication Number Publication Date
JP2007529281A true JP2007529281A (ja) 2007-10-25
JP2007529281A5 JP2007529281A5 (enExample) 2008-05-08

Family

ID=34963468

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2007504143A Abandoned JP2007529281A (ja) 2004-03-19 2005-03-18 慢性全閉塞症の治療装置およびその方法

Country Status (4)

Country Link
US (1) US20050209559A1 (enExample)
EP (1) EP1740249A2 (enExample)
JP (1) JP2007529281A (enExample)
WO (1) WO2005089850A2 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021132860A (ja) * 2020-02-27 2021-09-13 住友ベークライト株式会社 医療用留置具搬送装置

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EP1259621A2 (en) * 2000-03-02 2002-11-27 Incyte Genomics, Inc. Lipid metabolism enzymes
US20060293612A1 (en) * 2004-06-24 2006-12-28 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
US20070184083A1 (en) * 2006-02-07 2007-08-09 Medtronic Vascular, Inc. Drug-Eluting Device for Treatment of Chronic Total Occlusions
ES2622105T3 (es) 2007-10-19 2017-07-05 Barts And The London Nhs Trust Aparato de catéter
US8016799B2 (en) * 2008-04-22 2011-09-13 Medtronic Vascular, Inc. Catheter having a detachable tip
US8313493B2 (en) * 2008-07-10 2012-11-20 Cook Medical Technologies Llc Hydraulic guidewire advancement system
JP2012513292A (ja) 2008-12-23 2012-06-14 シルク・ロード・メディカル・インコーポレイテッド 急性虚血性脳卒中の治療方法及び治療システム
WO2011028203A1 (en) 2009-09-02 2011-03-10 Reflow Medical Inc. Systems, methods and devices for ablation, crossing, and cutting of occlusions
US8998936B2 (en) 2011-06-30 2015-04-07 The Spectranetics Corporation Reentry catheter and method thereof
WO2013003757A2 (en) 2011-06-30 2013-01-03 The Spectranetics Corporation Reentry catheter and method thereof
US8956376B2 (en) 2011-06-30 2015-02-17 The Spectranetics Corporation Reentry catheter and method thereof
US10779855B2 (en) 2011-08-05 2020-09-22 Route 92 Medical, Inc. Methods and systems for treatment of acute ischemic stroke
WO2013022796A2 (en) * 2011-08-05 2013-02-14 Silk Road Medical, Inc. Methods and systems for treatment of acute ischemic stroke
US9265512B2 (en) 2013-12-23 2016-02-23 Silk Road Medical, Inc. Transcarotid neurovascular catheter
US9241699B1 (en) 2014-09-04 2016-01-26 Silk Road Medical, Inc. Methods and devices for transcarotid access
US11027104B2 (en) 2014-09-04 2021-06-08 Silk Road Medical, Inc. Methods and devices for transcarotid access
US10729454B2 (en) 2014-09-10 2020-08-04 Teleflex Life Sciences Limited Guidewire capture
US11065019B1 (en) 2015-02-04 2021-07-20 Route 92 Medical, Inc. Aspiration catheter systems and methods of use
US10799669B2 (en) 2017-01-20 2020-10-13 Route 92 Medical, Inc. Single operator intracranial medical device delivery systems and methods of use
US10426497B2 (en) 2015-07-24 2019-10-01 Route 92 Medical, Inc. Anchoring delivery system and methods
DE202016009165U1 (de) 2015-02-04 2023-04-26 Route 92 Medical, Inc. System für schnelle Aspirationsthrombektomie
US10245050B2 (en) 2016-09-30 2019-04-02 Teleflex Innovations S.À.R.L. Methods for facilitating revascularization of occlusion
CN114984407B (zh) 2017-01-10 2025-05-23 92号医疗公司 在颅内血管中执行医疗手术的系统、导管和导管前进装置
EP4527441A3 (en) 2018-05-17 2025-06-18 Route 92 Medical, Inc. Aspiration catheter systems and methods of use
US11504508B2 (en) 2019-03-21 2022-11-22 Jonathan Levine Extended-tip angioplasty device and method
US20220111177A1 (en) 2020-10-09 2022-04-14 Route 92 Medical, Inc. Aspiration catheter systems and methods of use

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US5196024A (en) * 1990-07-03 1993-03-23 Cedars-Sinai Medical Center Balloon catheter with cutting edge
US5320634A (en) * 1990-07-03 1994-06-14 Interventional Technologies, Inc. Balloon catheter with seated cutting edges
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CA2118886C (en) * 1993-05-07 1998-12-08 Dennis Vigil Method and apparatus for dilatation of a stenotic vessel
US5599319A (en) * 1994-09-01 1997-02-04 Cordis Corporation Soft flexible catheter tip for use in angiography
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021132860A (ja) * 2020-02-27 2021-09-13 住友ベークライト株式会社 医療用留置具搬送装置
JP7532803B2 (ja) 2020-02-27 2024-08-14 住友ベークライト株式会社 医療用留置具搬送装置

Also Published As

Publication number Publication date
EP1740249A2 (en) 2007-01-10
US20050209559A1 (en) 2005-09-22
WO2005089850A2 (en) 2005-09-29
WO2005089850A3 (en) 2005-10-27

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