JP2014521462A - 急性虚血性脳卒中を治療するための方法及びシステム - Google Patents

急性虚血性脳卒中を治療するための方法及びシステム Download PDF

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Publication number
JP2014521462A
JP2014521462A JP2014524141A JP2014524141A JP2014521462A JP 2014521462 A JP2014521462 A JP 2014521462A JP 2014524141 A JP2014524141 A JP 2014524141A JP 2014524141 A JP2014524141 A JP 2014524141A JP 2014521462 A JP2014521462 A JP 2014521462A
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Prior art keywords
distal
catheter
occlusion
lumen
blood flow
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JP2014524141A
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Japanese (ja)
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JP2014521462A5 (enExample
Inventor
ミチ・イー・ギャリソン
トニー・エム・チョウ
グレゴリー・エム・ハイド
アラン・ケイ・シャー
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Silk Road Medical Inc
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Silk Road Medical Inc
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Application filed by Silk Road Medical Inc filed Critical Silk Road Medical Inc
Publication of JP2014521462A publication Critical patent/JP2014521462A/ja
Publication of JP2014521462A5 publication Critical patent/JP2014521462A5/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
    • A61B17/22—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
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    • 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
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    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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    • 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
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    • 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
    • A61B2017/22039—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 eccentric
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    • 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
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    • 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
    • A61B2017/22054—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 with two balloons
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    • 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
    • A61B2017/22082—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 after introduction of a substance
    • A61B2017/22084—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 after introduction of a substance stone- or thrombus-dissolving
    • 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
    • A61B2017/22094—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 for crossing total occlusions, i.e. piercing
    • 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
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • 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
    • A61B2017/2217—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions single wire changing shape to a gripping configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
    • 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
    • A61M25/06—Body-piercing guide needles or the like
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    • A—HUMAN NECESSITIES
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    • 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
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    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A61M60/424—Details relating to driving for positive displacement blood pumps
    • A61M60/427—Details relating to driving for positive displacement blood pumps the force acting on the blood contacting member being hydraulic or pneumatic
    • A61M60/43—Details relating to driving for positive displacement blood pumps the force acting on the blood contacting member being hydraulic or pneumatic using vacuum at the blood pump, e.g. to accelerate filling

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Materials For Medical Uses (AREA)
JP2014524141A 2011-08-05 2012-08-03 急性虚血性脳卒中を治療するための方法及びシステム Pending JP2014521462A (ja)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201161515736P 2011-08-05 2011-08-05
US61/515,736 2011-08-05
US201161543019P 2011-10-04 2011-10-04
US61/543,019 2011-10-04
US201161547597P 2011-10-14 2011-10-14
US61/547,597 2011-10-14
US201161579581P 2011-12-22 2011-12-22
US61/579,581 2011-12-22
PCT/US2012/049643 WO2013022796A2 (en) 2011-08-05 2012-08-03 Methods and systems for treatment of acute ischemic stroke

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2018120675A Division JP6762992B2 (ja) 2011-08-05 2018-06-26 急性虚血性脳卒中を治療するための方法及びシステム

Publications (2)

Publication Number Publication Date
JP2014521462A true JP2014521462A (ja) 2014-08-28
JP2014521462A5 JP2014521462A5 (enExample) 2015-09-10

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ID=47627408

Family Applications (6)

Application Number Title Priority Date Filing Date
JP2014524141A Pending JP2014521462A (ja) 2011-08-05 2012-08-03 急性虚血性脳卒中を治療するための方法及びシステム
JP2018120675A Active JP6762992B2 (ja) 2011-08-05 2018-06-26 急性虚血性脳卒中を治療するための方法及びシステム
JP2020151240A Active JP7232798B2 (ja) 2011-08-05 2020-09-09 急性虚血性脳卒中を治療するための方法及びシステム
JP2022098800A Active JP7437800B2 (ja) 2011-08-05 2022-06-20 急性虚血性脳卒中を治療するための方法及びシステム
JP2024015635A Active JP7681924B2 (ja) 2011-08-05 2024-02-05 急性虚血性脳卒中を治療するための方法及びシステム
JP2025076526A Pending JP2025124651A (ja) 2011-08-05 2025-05-02 急性虚血性脳卒中を治療するための方法及びシステム

Family Applications After (5)

Application Number Title Priority Date Filing Date
JP2018120675A Active JP6762992B2 (ja) 2011-08-05 2018-06-26 急性虚血性脳卒中を治療するための方法及びシステム
JP2020151240A Active JP7232798B2 (ja) 2011-08-05 2020-09-09 急性虚血性脳卒中を治療するための方法及びシステム
JP2022098800A Active JP7437800B2 (ja) 2011-08-05 2022-06-20 急性虚血性脳卒中を治療するための方法及びシステム
JP2024015635A Active JP7681924B2 (ja) 2011-08-05 2024-02-05 急性虚血性脳卒中を治療するための方法及びシステム
JP2025076526A Pending JP2025124651A (ja) 2011-08-05 2025-05-02 急性虚血性脳卒中を治療するための方法及びシステム

Country Status (4)

Country Link
US (7) US10327790B2 (enExample)
EP (3) EP4529864A3 (enExample)
JP (6) JP2014521462A (enExample)
WO (1) WO2013022796A2 (enExample)

Cited By (10)

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JP2017525519A (ja) * 2014-09-04 2017-09-07 シルク・ロード・メディカル・インコーポレイテッドＳｉｌｋ Ｒｏａｄ Ｍｅｄｉｃａｌ， Ｉｎｃ． 経頸動脈アクセスのための方法およびデバイス
JP2019530512A (ja) * 2016-10-06 2019-10-24 ミビ・ニューロサイエンス・インコーポレイテッドＭｉｖｉ Ｎｅｕｒｏｓｃｉｅｎｃｅ，ＩＮＣ． 血栓凝血塊の液圧変位および除去、ならびに液圧変位を実施するためのカテーテル
JP2020058799A (ja) * 2018-10-04 2020-04-16 ニューラヴィ・リミテッド 逆行性血流閉塞物フラッシングデバイス
JP2020185396A (ja) * 2015-02-04 2020-11-19 ルート９２メディカル・インコーポレイテッドＲｏｕｔｅ ９２ Ｍｅｄｉｃａｌ， Ｉｎｃ． 急速吸引血栓摘出システムおよび方法
JP2021058642A (ja) * 2015-10-30 2021-04-15 セレバスク，インコーポレイテッド 水頭症の治療システムおよび方法
US11027104B2 (en) 2014-09-04 2021-06-08 Silk Road Medical, Inc. Methods and devices for transcarotid access
JP2022517373A (ja) * 2019-01-17 2022-03-08 フォーカルクール エルエルシー 偏心を低減した絶縁性クヌーセン効果カテーテル
JP2022120191A (ja) * 2011-08-05 2022-08-17 ルート９２メディカル・インコーポレイテッド 急性虚血性脳卒中を治療するための方法及びシステム
JP2022133795A (ja) * 2021-03-02 2022-09-14 Ｎ．Ｂ．Ｍｅｄｉｃａｌ株式会社 カテーテル
WO2023157444A1 (ja) * 2022-02-17 2023-08-24 テルモ株式会社 医療デバイスおよび治療方法

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EP2260776A1 (en) 2003-11-21 2010-12-15 Vnus Medical Technologies, Inc. Apparatus for treating the carotid artery
WO2005094283A2 (en) 2004-03-25 2005-10-13 Hauser David L Vascular filter device
GR20050100452A (el) 2005-09-02 2007-04-25 Estelle Enterprises Limited Συστημα καθετηρα ανταλλαγης υγρων
US10632237B2 (en) 2006-10-09 2020-04-28 Minnetronix, Inc. Tangential flow filter system for the filtration of materials from biologic fluids
US10850235B2 (en) 2006-10-09 2020-12-01 Minnetronix, Inc. Method for filtering cerebrospinal fluid (CSF) including monitoring CSF flow
US20160051801A1 (en) * 2014-08-19 2016-02-25 Minnetronix, Inc. Devices and Systems for Access and Navigation of Cerebrospinal Fluid Space
WO2008105959A2 (en) 2006-10-09 2008-09-04 Neurofluidics, Inc. Cerebrospinal fluid purification system
US8157760B2 (en) 2007-07-18 2012-04-17 Silk Road Medical, Inc. Methods and systems for establishing retrograde carotid arterial blood flow
US8858490B2 (en) 2007-07-18 2014-10-14 Silk Road Medical, Inc. Systems and methods for treating a carotid artery
JP2011510796A (ja) 2008-02-05 2011-04-07 シルク・ロード・メディカル・インコーポレイテッド 介入カテーテルシステム及び方法
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
EP2539012B1 (en) 2010-02-23 2018-01-24 Covidien LP Devices for vascular recanalization
WO2012021406A2 (en) * 2010-08-12 2012-02-16 Silk Road Medical, Inc. Systems and methods for treating a carotid artery
JP2014527412A (ja) 2011-03-29 2014-10-16 エアウェイ メディックス スポルカ ゼット．オ．オ．Ａｉｒｗａｙ Ｍｅｄｉｘ Ｓｐｏｌｋａ Ｚ．Ｏ．Ｏ． バルーン型換気チューブクリーニング装置
GB201119794D0 (en) 2011-11-16 2011-12-28 Airway Medix Spolka Z O O Ballooned ventilation tube cleaning device
US10779855B2 (en) 2011-08-05 2020-09-22 Route 92 Medical, Inc. Methods and systems for treatment of acute ischemic stroke
EP2606920A1 (de) 2011-12-22 2013-06-26 ECP Entwicklungsgesellschaft mbH Schleuseneinrichtung zum Einführen eines Katheters
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