JP2016501679A - 機械式振動バルーンを介した薬剤移送 - Google Patents
機械式振動バルーンを介した薬剤移送 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
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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
- A61M25/10—Balloon 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
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0092—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B2017/22014—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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 the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire eccentric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22061—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation for spreading elements apart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320088—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
-
- 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/105—Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
-
- 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1084—Balloon catheters with special features or adapted for special applications having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
-
- 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/109—Balloon catheters with special features or adapted for special applications having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow
Abstract
Description
120…超音波デバイス
121…遠位部分
122…近位部分
124…デバイスノブ
125…摺動カラー
126…超音波トランスデューサ
127…信号発生器
128…オンオフスイッチ
129…IVポール
130…注入ポンプ
131…注入管
132…サイドアーム
200…薬剤移送バルーン
201…遠位先端
204…カテーテル本体
208…近位ハウジング
212…表面構造
223…内腔
230…超音波伝達部材
232…内腔
244…内部キャビティ
250…振動吸収部材
252…音波コネクタ
300…薬剤コートバルーン壁
320…支持ワイヤ
322,325…接合部
350…連絡部
400…薬剤移送バルーン
500…薬剤移送バルーン
510…バルーンキャビティ
600…動脈
601…中央内腔
602…内膜
603…中間層
604…外膜
610…内部血管壁
650…動脈閉塞
700…薬剤移送バルーン
710…内部ガイドワイヤ内腔
800…ガイドワイヤ
805…ガイドワイヤ内腔
900…薬剤移送バルーン
900a…薬剤移送バルーン
910…内部
Claims (17)
- 薬剤移送バルーンカテーテルであって、
発生器に接続されるように構成された近位端と、遠位端と、を有する超音波伝達部材を備え、
前記発生器は、前記超音波伝達部材に縦振動を提供するように構成され、
前記薬剤移送バルーンカテーテルは、さらに、
前記超音波伝達部材の前記遠位端に接続されるとともに、膨張状態と収縮状態との間を移動可能なバルーンと、
少なくとも、前記バルーンが前記膨張状態にあるときに、前記超音波伝達部材から前記バルーンに前記縦振動を伝達するように、前記超音波伝達部材と前記バルーンとに接続される少なくとも1つのワイヤと
を備える薬剤移送バルーンカテーテル。 - 請求項1に記載のデバイスであって、
遠位端と、少なくとも1つの内腔と、を有するカテーテル本体をさらに備え、
前記少なくとも1つの内腔は、前記カテーテル本体を通って長手方向に延在し、
前記カテーテル本体は、前記超音波伝達部材の少なくとも一部分を取り囲むとともに、前記バルーンと流体接続される
デバイス。 - 請求項1または請求項2に記載のデバイスであって、
前記少なくとも1つのワイヤは、前記超音波伝達部材の第1の場所に接合される近位端と、前記超音波伝達部材の第2の場所に接合される遠位端と、を有しており、
前記第2の場所は、前記第1の場所から遠位側に離間されている
デバイス。 - 請求項1ないし請求項3のいずれか一項に記載のデバイスであって、
前記超音波伝達部材に接続されるとともに前記バルーンの表面に接触する4本のワイヤを備える
デバイス。 - 請求項1ないし請求項3のいずれか一項に記載のデバイスであって、
前記超音波伝達部材に接続されるとともに前記バルーンの表面に接触する12本のワイヤを備える
デバイス。 - 請求項1ないし請求項5のいずれか一項に記載のデバイスであって、
前記少なくとも1つのワイヤは、前記バルーンの内面に接触する
デバイス。 - 請求項1ないし請求項5のいずれか一項に記載のデバイスであって、
前記少なくとも1つのワイヤは、前記バルーンの外面に接触する
デバイス。 - 請求項1ないし請求項7のいずれか一項に記載のデバイスであって、
前記少なくとも1つのワイヤは、前記バルーン内に埋め込まれる
デバイス。 - 請求項1ないし請求項8のいずれか一項に記載のデバイスであって、
前記バルーンは、少なくとも1つの治療剤でコーティングされる
デバイス。 - 請求項9に記載のデバイスであって、
前記少なくとも1つの治療剤は、狭窄防止薬剤を含む
デバイス。 - 血管用の薬剤移送デバイスであって、
カテーテル本体であって、該カテーテル本体を通って長手方向に延在する少なくとも1つの内腔を有するカテーテル本体と、
前記内腔を通って長手方向に延在する細長い超音波伝達部材と、
前記超音波伝達部材に接続される少なくとも1つの支持ワイヤを有する、薬剤コーティングされたバルーンと
を備える薬剤移送デバイス。 - 請求項11に記載のデバイスであって、
前記超音波伝達部材は、前記薬剤コーティングされたバルーンを通って長手方向に延在する
デバイス。 - 血管での再狭窄を防止する方法であって、
少なくとも1つの薬剤でコーティングされた膨張可能なバルーンを遠位端に有する超音波デバイスを、前記血管の中央内腔内に位置決めする工程と、
前記バルーンを膨張させる工程と、
前記バルーンから前記薬剤を遊離させて該薬剤を前記血管の内部部分に移送するために、前記超音波デバイスの前記遠位端に振動を伝達する工程と
を備える、血管の再狭窄を防止する方法。 - 請求項13に記載の方法であって、
前記膨張可能なバルーンは、少なくとも1つの内部ワイヤを備える
方法。 - 請求項13または請求項14に記載の方法であって、
前記振動は、超音波である
方法。 - 請求項13ないし請求項15のいずれか一項に記載の方法であって、
前記振動は、縦方向にある
方法。 - 請求項13ないし請求項16のいずれか一項に記載の方法であって、
前記薬剤は、狭窄防止薬剤である
方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261746807P | 2012-12-28 | 2012-12-28 | |
US61/746,807 | 2012-12-28 | ||
PCT/US2013/077232 WO2014105754A1 (en) | 2012-12-28 | 2013-12-20 | Drug delivery via mechanical vibration balloon |
Publications (2)
Publication Number | Publication Date |
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JP2016501679A true JP2016501679A (ja) | 2016-01-21 |
JP6333851B2 JP6333851B2 (ja) | 2018-05-30 |
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Application Number | Title | Priority Date | Filing Date |
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JP2015550709A Active JP6333851B2 (ja) | 2012-12-28 | 2013-12-20 | 機械式振動バルーンを介した薬剤移送 |
Country Status (5)
Country | Link |
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US (3) | US10245051B2 (ja) |
EP (2) | EP3434311B1 (ja) |
JP (1) | JP6333851B2 (ja) |
CN (1) | CN105188830B (ja) |
WO (1) | WO2014105754A1 (ja) |
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CN110167466A (zh) * | 2016-11-04 | 2019-08-23 | 莱斯桑柏特医疗解决方案股份有限公司 | 用于输送机械波通过球囊导管的装置 |
JP2019181186A (ja) * | 2018-03-30 | 2019-10-24 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 螺旋状バルーン補助装置及びその使用方法 |
JP2020503130A (ja) * | 2016-12-30 | 2020-01-30 | シー・アール・バード・インコーポレーテッドC R Bard Incorporated | 並進スコアリングワイヤを備えたスコアリングバルーン |
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US10245051B2 (en) | 2019-04-02 |
US11134966B2 (en) | 2021-10-05 |
WO2014105754A1 (en) | 2014-07-03 |
CN105188830A (zh) | 2015-12-23 |
JP6333851B2 (ja) | 2018-05-30 |
US20190216479A1 (en) | 2019-07-18 |
EP3434311A1 (en) | 2019-01-30 |
EP2938386A1 (en) | 2015-11-04 |
EP2938386B1 (en) | 2019-01-30 |
EP3434311B1 (en) | 2021-01-27 |
US20220022902A1 (en) | 2022-01-27 |
CN105188830B (zh) | 2019-06-07 |
US20150343191A1 (en) | 2015-12-03 |
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