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 PDFInfo
- 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
- Authority
- 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
Links
- 230000001684 chronic effect Effects 0.000 title description 14
- 238000000034 method Methods 0.000 title description 6
- 239000012528 membrane Substances 0.000 claims description 5
- 230000003902 lesion Effects 0.000 description 18
- 210000004204 blood vessel Anatomy 0.000 description 15
- 238000011282 treatment Methods 0.000 description 9
- 239000000463 material Substances 0.000 description 4
- 230000002966 stenotic effect Effects 0.000 description 4
- 210000001715 carotid artery Anatomy 0.000 description 3
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 230000000250 revascularization Effects 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- KKJUPNGICOCCDW-UHFFFAOYSA-N 7-N,N-Dimethylamino-1,2,3,4,5-pentathiocyclooctane Chemical compound CN(C)C1CSSSSSC1 KKJUPNGICOCCDW-UHFFFAOYSA-N 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 238000012276 Endovascular treatment Methods 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000916 dilatatory effect Effects 0.000 description 1
- 238000013156 embolectomy Methods 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000007505 plaque formation Effects 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000001732 thrombotic effect Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
-
- 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
- A61M25/0067—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
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/008—Strength or flexibility characteristics of the catheter 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods 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
- 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
- A61B2017/22038—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
- A61B2017/22042—Details of the tip of the guide wire
- A61B2017/22044—Details of the tip of the guide wire with a pointed tip
-
- 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
- A61B2017/22051—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22068—Centering
-
- 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
- A61B2017/22051—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 inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22069—Immobilising; Stabilising
-
- 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
- A61M2025/015—Details of the distal fixation of the movable mechanical means
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
-
- 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)
- 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)
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)
| 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 |
Families Citing this family (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4586923A (en) * | 1984-06-25 | 1986-05-06 | Cordis Corporation | Curving tip catheter |
| DE3443337A1 (de) * | 1984-11-28 | 1986-05-28 | Richard Wolf Gmbh, 7134 Knittlingen | Instrument zur untersuchung und behandlung von koerperkanaelen |
| 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 |
| US5423846A (en) * | 1991-10-21 | 1995-06-13 | Cathco, Inc. | Dottering auger catheter system |
| 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 |
| JPH10509616A (ja) * | 1994-11-23 | 1998-09-22 | マイクロ インターベンショナル システムズ インコーポレーテッド | 高トルク気球カテーテル |
| US5833644A (en) * | 1996-05-20 | 1998-11-10 | Percusurge, Inc. | Method for emboli containment |
| US6090099A (en) * | 1996-05-24 | 2000-07-18 | Target Therapeutics, Inc. | Multi-layer distal catheter section |
| US6402720B1 (en) * | 1997-12-22 | 2002-06-11 | Cordis Corporation | Balloon catheter with elongated flexible tip |
| US6264630B1 (en) * | 1998-12-23 | 2001-07-24 | Scimed Life Systems, Inc. | Balloon catheter having an oscillating tip configuration |
| US6533753B1 (en) * | 2000-04-07 | 2003-03-18 | Philip Haarstad | Apparatus and method for the treatment of an occluded lumen |
| US6530897B2 (en) * | 2000-04-28 | 2003-03-11 | Mahase Nardeo | Steerable medical catheter with bendable encapsulated metal spring tip fused to polymeric shaft |
| US6533751B2 (en) * | 2001-01-09 | 2003-03-18 | Andrew Cragg | Micro catheter and guidewire system having improved pushability and control |
| JP2002272675A (ja) * | 2001-03-16 | 2002-09-24 | Olympus Optical Co Ltd | カテーテル |
| EP1424943A1 (en) * | 2001-08-16 | 2004-06-09 | Percardia, Inc. | Interventional and diagnostic catheter and method for use |
-
2005
- 2005-03-18 WO PCT/US2005/009084 patent/WO2005089850A2/en not_active Ceased
- 2005-03-18 US US11/084,842 patent/US20050209559A1/en not_active Abandoned
- 2005-03-18 EP EP05728426A patent/EP1740249A2/en not_active Withdrawn
- 2005-03-18 JP JP2007504143A patent/JP2007529281A/ja not_active Abandoned
Cited By (2)
| 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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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20080318 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20080318 |
|
| A762 | Written abandonment of application |
Free format text: JAPANESE INTERMEDIATE CODE: A762 Effective date: 20080901 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A821 Effective date: 20080901 |