JP2011517607A - 脳卒中を処置する医療デバイスの送達のためのモノレール神経マイクロカテーテル、モノレール神経マイクロカテーテルによるプロセス、およびモノレール神経マイクロカテーテルによる製品 - Google Patents
脳卒中を処置する医療デバイスの送達のためのモノレール神経マイクロカテーテル、モノレール神経マイクロカテーテルによるプロセス、およびモノレール神経マイクロカテーテルによる製品 Download PDFInfo
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- JP2011517607A JP2011517607A JP2011504226A JP2011504226A JP2011517607A JP 2011517607 A JP2011517607 A JP 2011517607A JP 2011504226 A JP2011504226 A JP 2011504226A JP 2011504226 A JP2011504226 A JP 2011504226A JP 2011517607 A JP2011517607 A JP 2011517607A
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- Prior art keywords
- microcatheter
- reperfusion
- stroke
- monorail
- nerve
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- 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
- A61M25/0009—Making of catheters or other medical or surgical tubes
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
-
- 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
- A61M2025/0183—Rapid exchange or monorail catheters
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0693—Brain, cerebrum
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
Abstract
Description
本出願は、2008年4月11日に出願された米国仮出願第61/044,392号、2008年5月30日に出願された米国仮出願第61/057,613号、2009年4月4日に出願された米国仮出願第61/166,725号、および2009年4月10日に出願された米国出願第12/422,105号の利益と、これらの出願に対する優先権とを主張し、上記米国仮出願および上記米国出願の内容は、それら全体が本明細書において参照により援用される。
本開示は、最小侵襲性外科手術デバイス、方法およびシステムに関する。特に、本開示は、急性脳卒中を軽減するか、軽くするか、または他の方法で処置するように設計されたシステムに関する。
簡単に言うと、新規のデバイス、改善されたプロセスおよびシステムは、脳卒中からの生存を促進し、脳卒中の治療のための最良のオプションを維持する。
本発明者らは、脳卒中を治療する新規の方法を開発してきた。このことは、マイクロカテーテルデバイスおよび治療スキームを提供することによってなされ、ここで血流の再灌流に対する危険性なしに、塞栓/血栓/血餅物質を捕捉する間、アクセスが維持される。本開示は、塞栓の除去の間および/または添加剤治療モードにおける脈管安定性のための少なくとも2つの管腔を有するマイクロカテーテルを含み、これらのデバイスは、「急速交換」またはRXシステムと称される。
Claims (13)
- 塞栓の除去中の再灌流のためのプロセスであって、
少なくとも2つの管腔、マイクロカテーテルおよび脳卒中デバイスを備えている急速交換システムを提供することと、
脳内の血管内の所望の治療部位にアクセスすることと、
該所望の治療部位に該脳卒中デバイスを据え付けることと、
該脳卒中デバイスとの接続を維持している間に、該血管の再灌流を確立することと、
動脈ツリーへのより大きな支持を含む動脈アクセスを維持することと、
再灌流が継続している間に、被験体の塞栓、血餅および血栓のうちの少なくとも1つを処置することと
を含む、プロセス。 - 被験体の塞栓、血餅および血栓のうちの前記少なくとも1つの捕捉は、前記血管内の支持に起因して促進される、請求項1に記載のプロセス。
- 提供される前記支持は、塞栓除去の際の引っ張りの間の近位の血管のバックリングまたは屈曲を軽減するか、または防ぐ、請求項2に記載のプロセス。
- 近位の血管の楕円化が防がれる、請求項3に記載のプロセス。
- 捕捉された物質のストリッピングが防がれる、請求項4に記載のプロセス。
- 請求項1のプロセスによる製品。
- 神経モノレールマイクロカテーテルを作製するプロセスであって、
第1のマイクロカテーテルを提供することと、
約5cm〜50cmの間で遠位セグメントを切断することと、
該遠位セグメントを、第2のマイクロカテーテルの遠位区画に隣接するように整列させることと、
整列を維持するために、各マイクロカテーテル内にガイドワイヤを配置することと、
最終的なデバイスの整列と隣接状態とを固定し、維持するために、長さに沿って短いセグメントのPETを適用することと
を含む、プロセス。 - 請求項7に記載のプロセスによる製品。
- 再灌流デバイスであって、
第1の管腔と第2の管腔とを備えている急速交換システムと、
該第1の管腔内に配置されたマイクロカテーテルであって、脳卒中デバイスを含み、該脳卒中デバイスは拡張可能である、マイクロカテーテルと、
該第2の管腔に配置されたガイドワイヤと
を組み合わせて備えている、再灌流デバイス。 - 前記脳卒中デバイスは、配置の間の視覚化のための放射線用マーキング要素を備えている、請求項9に記載の再灌流デバイス。
- 前記放射線用マーキング要素は、前記脳卒中デバイスの遠位端に配置される、請求項10に記載の再灌流デバイス。
- 前記脳卒中デバイスは、テザー加工され、前記マイクロカテーテルを通ってアクセス可能である、請求項9に記載の再灌流デバイス。
- 前記脳卒中デバイスは、前記マイクロカテーテルを通して回収可能である、請求項9に記載の再灌流デバイス。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
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US4439208P | 2008-04-11 | 2008-04-11 | |
US61/044,392 | 2008-04-11 | ||
US5761308P | 2008-05-30 | 2008-05-30 | |
US61/057,613 | 2008-05-30 | ||
US16672509P | 2009-04-04 | 2009-04-04 | |
US61/166,725 | 2009-04-04 | ||
PCT/US2009/040277 WO2009126935A2 (en) | 2008-04-11 | 2009-04-10 | Monorail neuro-microcatheter for delivery of medical devices to treat stroke, processes and products thereby |
Publications (2)
Publication Number | Publication Date |
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JP2011517607A true JP2011517607A (ja) | 2011-06-16 |
JP2011517607A5 JP2011517607A5 (ja) | 2013-04-25 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2011504226A Pending JP2011517607A (ja) | 2008-04-11 | 2009-04-10 | 脳卒中を処置する医療デバイスの送達のためのモノレール神経マイクロカテーテル、モノレール神経マイクロカテーテルによるプロセス、およびモノレール神経マイクロカテーテルによる製品 |
Country Status (6)
Country | Link |
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US (1) | US8545514B2 (ja) |
EP (1) | EP2271390A4 (ja) |
JP (1) | JP2011517607A (ja) |
CN (1) | CN101977650A (ja) |
AU (1) | AU2009234268A1 (ja) |
WO (1) | WO2009126935A2 (ja) |
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- 2009-04-10 WO PCT/US2009/040277 patent/WO2009126935A2/en active Application Filing
- 2009-04-10 EP EP09730066.9A patent/EP2271390A4/en not_active Withdrawn
- 2009-04-10 CN CN200980110391XA patent/CN101977650A/zh active Pending
- 2009-04-10 AU AU2009234268A patent/AU2009234268A1/en not_active Abandoned
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Also Published As
Publication number | Publication date |
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EP2271390A4 (en) | 2016-07-20 |
WO2009126935A2 (en) | 2009-10-15 |
CN101977650A (zh) | 2011-02-16 |
US8545514B2 (en) | 2013-10-01 |
EP2271390A2 (en) | 2011-01-12 |
WO2009126935A3 (en) | 2010-01-07 |
AU2009234268A1 (en) | 2009-10-15 |
US20100100106A1 (en) | 2010-04-22 |
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