JP2013531542A - 長手方向に移動可能なドライブシャフトを有するアテローム切除カテーテル - Google Patents

長手方向に移動可能なドライブシャフトを有するアテローム切除カテーテル Download PDF

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Publication number
JP2013531542A
JP2013531542A JP2013518753A JP2013518753A JP2013531542A JP 2013531542 A JP2013531542 A JP 2013531542A JP 2013518753 A JP2013518753 A JP 2013518753A JP 2013518753 A JP2013518753 A JP 2013518753A JP 2013531542 A JP2013531542 A JP 2013531542A
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Prior art keywords
cutter
catheter
drive shaft
tip
imaging
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JP2013518753A
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Japanese (ja)
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JP2013531542A5 (enExample
Inventor
ヒマンシュ・ペーテル
ジョン・ビー・シンプソン
チャールズ・ダブリュー・マクノール
メーガン・スペンサー
マイケル・ズン
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Avinger Inc
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Avinger Inc
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Publication of JP2013531542A publication Critical patent/JP2013531542A/ja
Publication of JP2013531542A5 publication Critical patent/JP2013531542A5/ja
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    • 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
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00179—Optical arrangements characterised by the viewing angles for off-axis viewing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00183—Optical arrangements characterised by the viewing angles for variable viewing angles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3137—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for examination of the interior of blood vessels
    • 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
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • 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
    • 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
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • A61B2090/3735—Optical coherence tomography [OCT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
JP2013518753A 2010-07-01 2011-07-01 長手方向に移動可能なドライブシャフトを有するアテローム切除カテーテル Pending JP2013531542A (ja)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US36088610P 2010-07-01 2010-07-01
US61/360,886 2010-07-01
US201161468396P 2011-03-28 2011-03-28
US61/468,396 2011-03-28
US201161492693P 2011-06-02 2011-06-02
US61/492,693 2011-06-02
PCT/US2011/042768 WO2012003430A2 (en) 2010-07-01 2011-07-01 Atherectomy catheters with longitudinally displaceable drive shafts

Publications (2)

Publication Number Publication Date
JP2013531542A true JP2013531542A (ja) 2013-08-08
JP2013531542A5 JP2013531542A5 (enExample) 2014-08-14

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JP2013518753A Pending JP2013531542A (ja) 2010-07-01 2011-07-01 長手方向に移動可能なドライブシャフトを有するアテローム切除カテーテル

Country Status (5)

Country Link
US (2) US9345510B2 (enExample)
EP (1) EP2588012B1 (enExample)
JP (1) JP2013531542A (enExample)
CA (1) CA2803992C (enExample)
WO (1) WO2012003430A2 (enExample)

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JP2017504421A (ja) * 2014-02-03 2017-02-09 コヴィディエン リミテッド パートナーシップ 身体管腔内において角度組織除去の位置決めを改善した組織除去カテーテル
JP2017519599A (ja) * 2014-07-08 2017-07-20 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． 慢性完全閉塞高速クロッシングデバイス
JP2019107058A (ja) * 2017-12-15 2019-07-04 ニプロ株式会社 カテーテル
JP2022501152A (ja) * 2018-10-05 2022-01-06 キヤノン ユーエスエイ, インコーポレイテッドCanon U.S.A., Inc 腔内光学プローブのためのオーバーモールド遠位光学系
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
US12220140B1 (en) 2023-08-16 2025-02-11 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
US12290279B2 (en) 2021-06-07 2025-05-06 Avantec Vascular Corporation Hybrid atherectomy devices
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

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US8696695B2 (en) * 2009-04-28 2014-04-15 Avinger, Inc. Guidewire positioning catheter
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
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EP2448502B1 (en) 2009-07-01 2022-04-06 Avinger, Inc. Atherectomy catheter with laterally-displaceable tip
WO2011028203A1 (en) * 2009-09-02 2011-03-10 Reflow Medical Inc. Systems, methods and devices for ablation, crossing, and cutting of occlusions
WO2014039096A1 (en) 2012-09-06 2014-03-13 Avinger, Inc. Re-entry stylet for catheter
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US10548478B2 (en) * 2010-07-01 2020-02-04 Avinger, Inc. Balloon atherectomy catheters with imaging
US9345510B2 (en) 2010-07-01 2016-05-24 Avinger, Inc. Atherectomy catheters with longitudinally displaceable drive shafts
CN103491892B (zh) 2011-02-24 2017-06-09 爱克斯莫医疗有限公司 用于组织切除术的混合导管
US9949754B2 (en) 2011-03-28 2018-04-24 Avinger, Inc. Occlusion-crossing devices
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