JP2018525129A5 - - Google Patents

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Publication number
JP2018525129A5
JP2018525129A5 JP2018510366A JP2018510366A JP2018525129A5 JP 2018525129 A5 JP2018525129 A5 JP 2018525129A5 JP 2018510366 A JP2018510366 A JP 2018510366A JP 2018510366 A JP2018510366 A JP 2018510366A JP 2018525129 A5 JP2018525129 A5 JP 2018525129A5
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JP
Japan
Prior art keywords
length
flexibility
segment
sheath
distal end
Prior art date
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JP2018510366A
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Japanese (ja)
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JP6859009B2 (en
JP2018525129A (en
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Priority claimed from PCT/US2016/049108 external-priority patent/WO2017048486A1/en
Publication of JP2018525129A publication Critical patent/JP2018525129A/en
Publication of JP2018525129A5 publication Critical patent/JP2018525129A5/ja
Priority to JP2021048037A priority Critical patent/JP7066025B2/en
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Publication of JP6859009B2 publication Critical patent/JP6859009B2/en
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Claims (15)

身体の血管から埋込物を除去するためのデバイスであって、前記デバイスは、
外側シース組立体及び内側シース組立体を備えるシース組立体と
トリガ及び筒形カムシリンダを備えるハンドル組立体
備え、
前記外側シース組立体が外側シースを備え、前記外側シースの少なくとも一部分が外側ハイポチューブを備え、
前記内側シース組立体が内側シース及び先端部を備え、前記内側シースの少なくとも一部分が内側ハイポチューブを備え、
前記内側シースが近位端及び遠位端を備え、前記内側シースの前記遠位端が前記先端部に結合されており
前記トリガがトリガピンを備え、前記筒形カムシリンダが、前記トリガピンを受けて前記トリガピンと協働するための筒形カムシリンダスロットを備え、前記内側シースの前記近位端は、
(1)前記トリガピンを長手方向において近位へ移動させる前記トリガの第1の動作のとき、前記筒形カムシリンダが第1の方向に回転し、それによって、前記先端部が長手方向に移動している間、前記先端部を前記第1の方向に回転させ、
(2)前記トリガピンを長手方向において近位へ移動させる前記トリガの第2の動作のとき、前記筒形カムシリンダが第2の方向に回転し、それによって、前記先端部が長手方向に移動している間、前記先端部を前記第2の方向に回転させるように、
前記筒形カムシリンダに結合されている、
デバイス。
A device for removing an implant from a body vessel, said device comprising:
A sheath assembly comprising an outer sheath assembly and an inner sheath assembly ;
A handle assembly comprising a trigger and a cylindrical cam cylinder ;
With
The outer sheath assembly comprises an outer sheath, at least a portion of said outer sheath comprises an outer hypotube,
The inner sheath assembly comprises an inner sheath and a tip, and at least a portion of the inner sheath comprises an inner hypotube;
The inner sheath comprises a proximal end and a distal end, and the distal end of the inner sheath is coupled to the tip ;
The trigger comprises a trigger pin; the tubular cam cylinder comprises a tubular cam cylinder slot for receiving the trigger pin and cooperating with the trigger pin; and the proximal end of the inner sheath comprises:
(1) During the first operation of the trigger for moving the trigger pin proximally in the longitudinal direction, the cylindrical cam cylinder rotates in the first direction, whereby the tip portion moves in the longitudinal direction. While rotating the tip in the first direction,
(2) During the second operation of the trigger for moving the trigger pin proximally in the longitudinal direction, the cylindrical cam cylinder rotates in the second direction, whereby the tip portion moves in the longitudinal direction. during and are, to rotate the distal portion in the second direction,
Coupled to the cylindrical cam cylinder,
device.
前記外側シース組立体が静止しており、前記内側シース組立体が回転可能である、請求項1に記載のデバイス。   The device of claim 1, wherein the outer sheath assembly is stationary and the inner sheath assembly is rotatable. 前記先端部が切削面を有する、請求項1に記載のデバイス。  The device of claim 1, wherein the tip has a cutting surface. 前記外側シース組立体が外バンドを備え、前記外バンドがピンに結合されており、前記先端部が、前記内側シース組立体の前記先端部を前記外側シース組立体の前記外バンドに結合するための前記ピンを受けて前記ピンと協働するためのカムスロットを備える、請求項に記載のデバイス。 Wherein with the outer sheath assembly outside the band, said outer band is coupled to the pin, since the tip, coupling the distal end of the inner sheath assembly to the outer band of the outer sheath assembly 4. The device of claim 3 , comprising a cam slot for receiving and cooperating with the pin . 前記ハンドル組立体が、前記トリガに結合されたバネ組立体をさらに備える、請求項1に記載のデバイス。 The device of claim 1, wherein the handle assembly further comprises an assembly of springs coupled to the trigger. 前記バネが定荷重バネである、請求項に記載のデバイス。 The device of claim 5 , wherein the spring is a constant load spring. 前記外側ハイポチューブがレーザ切削されており、前記内側ハイポチューブがレーザ切削されている、請求項1に記載のデバイス。   The device of claim 1, wherein the outer hypotube is laser cut and the inner hypotube is laser cut. 前記外側ハイポチューブが第1の外側セグメント及び第2の外側セグメントを備え、前記内側ハイポチューブが第1の内側セグメント及び第2の内側セグメントを備え、前記第1の外側セグメントが前記第2の外側セグメントの遠位にあり、前記第1の内側セグメントが前記第2の内側セグメントの遠位にある、請求項1に記載のデバイス。 The outer hypotube comprises a first outer segment and a second outer segment, the inner hypotube comprises a first inner segment and a second inner segment, and the first outer segment is the second outer segment. is distal segment, said first inner segment Ru distal near the second inner segment, the device according to claim 1. 前記第1の外側セグメントが第1の外側可撓性及び第1の外側長さを有し、前記第2の外側セグメントが第2の外側可撓性及び第2の外側長さを有し、前記第1の内側セグメントが第1の内側可撓性及び第1の内側長さを有し、前記第2の内側セグメントが第2の内側可撓性及び第2の内側長さを有し、前記第1の外側可撓性が前記第2の外側可撓性よりも高く、前記第1の内側可撓性が前記第2の内側可撓性よりも高い、請求項8に記載のデバイス。   The first outer segment has a first outer flexibility and a first outer length; the second outer segment has a second outer flexibility and a second outer length; The first inner segment has a first inner flexibility and a first inner length; the second inner segment has a second inner flexibility and a second inner length; 9. The device of claim 8, wherein the first outer flexibility is higher than the second outer flexibility, and the first inner flexibility is higher than the second inner flexibility. 前記第1の外側可撓性が前記第1の外側長さに沿って一定であり、前記第2の外側可撓性が前記第2の外側長さに沿って可変であり、前記第1の内側可撓性が前記第1の内側長さに沿って一定であり、前記第2の内側可撓性が前記第2の内側長さに沿って可変である、請求項9に記載のデバイス。   The first outer flexibility is constant along the first outer length; the second outer flexibility is variable along the second outer length; The device of claim 9, wherein inner flexibility is constant along the first inner length and the second inner flexibility is variable along the second inner length. 前記第1の外側長さが前記第1の内側長さよりも短い、請求項10に記載のデバイス。   The device of claim 10, wherein the first outer length is shorter than the first inner length. 前記第1の外側可撓性が前記第1の内側可撓性よりも低い、請求項11に記載のデバイス。   The device of claim 11, wherein the first outer flexibility is lower than the first inner flexibility. 前記第2の外側可撓性が前記第2の内側可撓性よりも低い、請求項9に記載のデバイス。   The device of claim 9, wherein the second outer flexibility is lower than the second inner flexibility. 第1の内側長さの内側遠位端が、第1の外側長さの外側遠位端と軸方向に整列し、前記第1の内側長さが、前記第1の外側長さと軸方向でオーバラップするように、前記第1の外側長さよりも長い、請求項8に記載のデバイス。 An inner distal end of a first inner length is axially aligned with an outer distal end of a first outer length , and the first inner length is axially aligned with the first outer length. The device of claim 8, wherein the device is longer than the first outer length so as to overlap. 第2の外側長さが外側遠位端及び外側近位端を有し、第2の内側長さが内側遠位端及び内側近位端を有し、前記第2の内側長さの前記外側遠位端が、前記第2の外側長さの第2の外側遠位端及び第3の外側長さの近位端と軸方向でオーバラップする、請求項14に記載のデバイス。 A second outer length having an outer distal end and an outer proximal end ; a second inner length having an inner distal end and an inner proximal end; and the outer side of the second inner length. The device of claim 14, wherein a distal end axially overlaps a second outer distal end of the second outer length and a proximal end of a third outer length.
JP2018510366A 2015-08-28 2016-08-26 Medical device for removing implants using laser cutting hypotubes Active JP6859009B2 (en)

Priority Applications (1)

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JP2021048037A JP7066025B2 (en) 2015-08-28 2021-03-23 Medical device for removing implants using laser cutting hypotubes

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201561211151P 2015-08-28 2015-08-28
US61/211,151 2015-08-28
PCT/US2016/049108 WO2017048486A1 (en) 2013-03-15 2016-08-26 Medical device for removing an implanted object using laser cut hypotubes

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Publications (3)

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JP2018525129A JP2018525129A (en) 2018-09-06
JP2018525129A5 true JP2018525129A5 (en) 2019-10-03
JP6859009B2 JP6859009B2 (en) 2021-04-14

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US20070208405A1 (en) * 2006-03-06 2007-09-06 Boston Scientific Scimed, Inc. Stent delivery catheter
US7708704B2 (en) * 2006-07-31 2010-05-04 Codman & Shurtleff, Pc Interventional medical device component having an interrupted spiral section and method of making the same
US8961551B2 (en) 2006-12-22 2015-02-24 The Spectranetics Corporation Retractable separating systems and methods
US10136913B2 (en) * 2013-03-15 2018-11-27 The Spectranetics Corporation Multiple configuration surgical cutting device
US9668765B2 (en) * 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
JP6859009B2 (en) 2015-08-28 2021-04-14 ザ スペクトラネティックス コーポレイション Medical device for removing implants using laser cutting hypotubes

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