JP2019506989A - 可撓性カテーテル - Google Patents
可撓性カテーテル Download PDFInfo
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- JP2019506989A JP2019506989A JP2018553838A JP2018553838A JP2019506989A JP 2019506989 A JP2019506989 A JP 2019506989A JP 2018553838 A JP2018553838 A JP 2018553838A JP 2018553838 A JP2018553838 A JP 2018553838A JP 2019506989 A JP2019506989 A JP 2019506989A
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- A61M25/00—Catheters; Hollow probes
- A61M25/0009—Making of catheters or other medical or surgical tubes
- A61M25/0013—Weakening parts of a catheter tubing, e.g. by making cuts in the tube or reducing thickness of a layer at one point to adjust the flexibility
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- A—HUMAN NECESSITIES
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- 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
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/02—Inorganic materials
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/04—Macromolecular materials
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/04—Macromolecular materials
- A61L29/049—Mixtures of macromolecular compounds
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/04—Macromolecular materials
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/08—Materials for coatings
- A61L29/085—Macromolecular materials
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- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0141—Tip steering devices having flexible regions as a result of using materials with different mechanical properties
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
- B23K26/00—Working by laser beam, e.g. welding, cutting or boring
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
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- F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
- F16C1/00—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
- F16C1/00—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing
- F16C1/02—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00309—Cut-outs or slits
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- A61B2017/00853—Material properties low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
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- A61B2017/00867—Material properties shape memory effect
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- 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
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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
- A61B2017/22094—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 for crossing total occlusions, i.e. piercing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2420/00—Materials or methods for coatings medical devices
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- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
- A61M2025/0046—Coatings for improving slidability
- A61M2025/0047—Coatings for improving slidability the inner layer having a higher lubricity
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0222—Materials for reducing friction
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- A—HUMAN NECESSITIES
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0238—General characteristics of the apparatus characterised by a particular materials the material being a coating or protective layer
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- A61M25/00—Catheters; Hollow probes
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- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
- A61M25/0051—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids made from fenestrated or weakened tubing layer
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
- B23K2101/00—Articles made by soldering, welding or cutting
- B23K2101/04—Tubular or hollow articles
- B23K2101/06—Tubes
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
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- B23K2103/42—Plastics
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
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- F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
- F16C2208/00—Plastics; Synthetic resins, e.g. rubbers
- F16C2208/20—Thermoplastic resins
- F16C2208/36—Polyarylene ether ketones [PAEK], e.g. PEK, PEEK
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
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Abstract
Description
本出願は、2016年1月1日に出願された米国仮特許出願第62/274,203号に基づき優先権を主張し、上記米国仮特許出願は、参照によりその全体が本明細書に組み込まれる。
(D1/D2)(T1)=T2
D1=所望のチューブサイズの直径
D2=現在のチューブサイズの直径
T1=現在の歯の直径
T2=新しい歯の直径
(T2/T1)P1=P2
T1 =現在の歯の直径
T2=新しい歯の直径
P1=現在のピッチ
P2=新しいピッチ
または(OR)
歯の直径と切り込み角を維持する。
(D1/D2)(R1)=R2
D1=所望のチューブサイズの直径
D2=現在のチューブサイズの直径
R1=現在の反復回数
R2=新しい繰り返し数
1)シミュレートされた使用モデルを通る適切なサイズにされたガイドワイヤを追尾する。
2)カテーテルを生理食塩水で洗い流してから、遠位端がロードセルに近くなる(但し接触していない)まで、シミュレートされた使用モデルを通るガイドワイヤにかぶせたカテーテルを追尾する。
3)ガイドワイヤの遠位端を、シミュレートされた使用モデルの遠位端から6インチまで後退させる。
4)システムを、シミュレートされた使用モデルの入口から1.5インチまでコレットで定位置に固定し、システムがテスト中に固定部で滑らないことを保証するためにコレットのすぐ遠位でシステムにマークを付ける。
5)フォースゲージをゼロにしてから、ロードセルが0.05lb+/−0.003までプレロードされるまでクランクアームを回転させる。
6)フォースゲージをピークに設定してクランクアームを3回360度回転させる。これは1回の押し付けを構成する。押し付けアームが360度回転するごとに、システムは遠位方向に1/8インチ平行移動する。ピーク押し込み力を記録してから、アームをさらに3回転させることによって2回目の押し付けを行って、ピーク力を再度記録する。この方法を続けることによって5回押し付けるか、またはシステムの遠位端がよじれるまでこの方法を続ける。
Claims (30)
- 遠位端と、近位端と、前記遠位端と前記近位端との間に設けられた前記近位端から前記遠位端への回転運動および軸方向運動の伝達を可能にするレーザ切り込み部とを有する細長いチューブを備える可撓性カテーテルであって、
a.前記レーザ切り込み部は、前記カテーテルの長さの大部分であり、互いに噛合する歯を形成するように、連続した螺旋パターンの切り込みが入っており、
i.前記互いに噛合する歯は、約0.005〜約0.015インチの直径を有し、
ii.前記螺旋パターンの切り込みの中心線の螺旋角度は、約64度〜約75度の間の一定角度であり、
iii.隣接する歯列間のピッチは約0.028〜約0.057インチの範囲にあり、前記歯の直径、前記螺旋角度および前記ピッチによって、前記歯が前記レーザ切り込み部の外周の周囲に4〜12回繰り返し形成され、
iv.前記チューブの外径は約0.010インチ〜約0.052インチの範囲にあり、前記チューブの壁厚は約0.0015インチ〜約0.005インチの範囲にあり、
b.前記チューブの内側は、このチューブ内側の界面にあるナイロン等のポリマと、前記カテーテルの内側空洞を形成するテフロン等のポリマとの高分子二重層を有しており、
c.前記チューブの外側は、薄いナイロン等の高分子塗膜を有しており、
d.前記近位端は、ルアーテーパ接続部に結合するように構成された前記チューブの切り込みのない部分を含み、
e.前記遠位端は、約0.02インチ未満の中実で切り込みのない部分と、これに続く長さが約0.149インチ未満のより狭い末端部分とを含み、
f.それにより、前記互いに噛合する歯は、前記カテーテルを曲げる際に、塑性変形を引き起こすことなく、かつ、大きなポリマ分離を伴わずに、魚鱗のように係合が外れ再係合し、それにより、前記カテーテルは、血管の閉塞部位に対する軸方向の押し込み力を伝達して同閉塞部位を横断し、前記カテーテルをその閉塞部位を越えて前進させることができることを特徴とする可撓性カテーテル。 - 前記互いに噛合する歯は約0.008インチの直径を有する正弦曲線形の歯である請求項1に記載の可撓性カテーテル。
- 前記チューブの外径が約0.017〜約0.052インチの範囲にある請求項1に記載の可撓性カテーテル。
- 前記外側の高分子塗膜の厚さが約0.0015〜約0.004インチである請求項1に記載の可撓性カテーテル。
- 前記外側の高分子塗膜の厚さが約0.003インチである請求項4に記載の可撓性カテーテル。
- 前記外側の高分子塗膜は、前記螺旋パターンの切り込みを通って前記内側のナイロン等のポリマと混合する請求項1に記載の可撓性カテーテル。
- 前記レーザ切り込み部は、前記カテーテルの長さの約95〜約99パーセントである請求項1に記載の可撓性カテーテル。
- 正弦曲線形の前記切り込みの中心線の螺旋角度が約68度と約70度との間の一定角度である請求項1に記載の可撓性カテーテル。
- 前記隣接する歯列間のピッチは、約0.033〜約0.039インチの範囲にある請求項1に記載の可撓性カテーテル。
- 前記内側のナイロン等のポリマおよび前記外側のナイロン等の高分子塗膜は、35〜72のデュロメータ指数を有するポリエーテルブロックアミドである請求項1に記載の可撓性カテーテル。
- 前記内側の高分子二重層は約0.0025インチの厚さである請求項1に記載の可撓性カテーテル。
- 前記カテーテルの前記内側空洞を形成する前記テフロン等のポリマは、0.05〜0.08の範囲の静摩擦係数を有するポリテトラフルオロエチレン(PTFE)である請求項1に記載の可撓性カテーテル。
- 前記PTFEは約0.0005〜約0.001インチの厚さである請求項12に記載の可撓性カテーテル。
- 前記チューブは、フルハード304ステンレス鋼である請求項1に記載の可撓性カテーテル。
- 前記近位端は、前記カテーテルの灌流を可能にするように構成される請求項1に記載の可撓性カテーテル。
- 前記チューブは、ニチノール、鋼または他の生体適合性金属である請求項1に記載の可撓性カテーテル。
- 前記チューブは、ポリマまたはポリマ誘導体である請求項1に記載の可撓性カテーテル。
- 少なくとも前記遠位端に生体適合性の親水性塗膜を含む請求項1に記載の可撓性カテーテル。
- 前記近位端は、前記カテーテルを通るガイドワイヤの進入を容易にするための接続部品を含む請求項1に記載の可撓性カテーテル。
- 前記カテーテルは、液体の灌流を可能にするために、前記遠位端の近くに複数の孔またはスリットを含む請求項1に記載の可撓性カテーテル。
- 前記遠位端の前記よりも細径の末端部分は、この末端部分にテーパをつけるための1つ以上のV字形の切り込みを含む請求項1に記載の可撓性カテーテル。
- 前記互いに噛合する歯は、正弦曲線形、三角形または四角形の形状である請求項1に記載の可撓性カテーテル。
- 遠位端と、近位端と、前記遠位端と前記近位端との間に設けられたレーザ切り込み部とを有する細長いチューブを備えた可撓性カテーテルであって、断面において、
a.約0.010インチ以上の内側チューブ直径及び約0.0015〜0.005インチのチューブ壁厚と、
b.前記チューブの内側の界面にあるナイロンポリマと、前記カテーテルの内側空洞を形成するテフロンポリマとの高分子二重層と、
c.薄いナイロンポリマ外側塗膜と、を有することを特徴とする可撓性カテーテル。 - 前記外側塗膜は、前記レーザ切り込み部のレーザ切り込みを通って前記内側のナイロンポリマと混合する請求項23に記載の可撓性カテーテル。
- 前記壁厚は約0.0015インチである請求項23に記載の可撓性カテーテル。
- 前記外側塗膜は、約0.0015〜約0.003インチの厚さを有する請求項23に記載の可撓性カテーテル。
- 前記内側のナイロンポリマおよび前記ナイロンポリマ外側塗膜は、35〜72のデュロメータ指数を有するポリエーテルブロックアミドである請求項23に記載の可撓性カテーテル。
- 前記カテーテルの前記内側空洞を形成する前記テフロンポリマは、0.05〜0.08の範囲の静摩擦係数を有するポリテトラフルオロエチレンである請求項23に記載の可撓性カテーテル。
- 遠位端と、近位端と、前記遠位端と前記近位端との間に設けられたレーザ切り込み部とを有する細長いチューブを備えた可撓性カテーテルを、遠位位置に閉塞を有する体内管腔中に挿入し、
a.前記レーザ切り込み部は、前記カテーテルの長さの大部分であり、互いに噛合する歯を形成するように、連続した螺旋パターンの切り込みが入っており、
i.前記互いに噛合する歯は、約0.005〜約0.015インチの直径を有し、
ii.前記螺旋パターンの切り込みの中心線の螺旋角度は、約64度〜約75度の間の一定角度であり、
iii.隣接する歯列間のピッチは約0.028〜約0.057インチの範囲にあり、前記歯の直径、前記螺旋角度および前記ピッチによって、前記歯が前記レーザ切り込み部の外周の周囲に4〜12回繰り返し形成され、
iv.前記チューブの外径は約0.010インチ〜約0.052インチの範囲にあり、前記チューブの壁厚は約0.0015インチ〜約0.005インチの範囲にあり、
b.前記チューブの内側は、このチューブ内側の界面にあるナイロン等のポリマと、前記カテーテルの内側空洞を形成するテフロン等のポリマとの高分子二重層を有しており、
c.前記チューブの外側は、薄いナイロン等の高分子塗膜を有しており、
d.前記近位端は、ルアーテーパ接続部に結合するように構成された前記チューブの切り込みのない部分を含み、
e.前記遠位端は、約0.02インチ未満の中実で切り込みのない部分と、これに続く長さが約0.149インチ未満のより狭い末端部分とを含み、
f.前記カテーテルを、前記遠位端が前記閉塞に遭遇するまで前記体内管腔を通る前記カテーテルを前進させ、前記互いに噛合する歯は、前記カテーテルが前記体内管腔を通って前進中に曲げられる際、塑性変形を引き起こすことなく、かつ、大きなポリマ分離を伴わずに、魚鱗のように係合が外れ再係合し、
g.前記カテーテルの前記近位端から前記遠位端に軸方向の押し込み力を伝達して、前記閉塞を横断し、前記カテーテルをその閉塞を越えて前進させることができることを特徴とする、
完全または部分的な体内管腔閉塞を解消する方法。 - 前記閉塞が、1つ以上の硬質端栓を有するか又は有しない慢性完全閉塞部位である請求項29に記載の方法。
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Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10478238B2 (en) | 2014-12-02 | 2019-11-19 | Activortho, Inc. | Active compression devices, methods of assembly and methods of use |
JP7111621B2 (ja) | 2016-01-01 | 2022-08-02 | トラクタス ヴァスキュラー,エルエルシー | 可撓性カテーテル |
CN115054358A (zh) | 2016-02-26 | 2022-09-16 | 艾缇沃托公司 | 主动压缩装置、组装方法和使用方法 |
US11224467B2 (en) | 2016-02-26 | 2022-01-18 | Activortho, Inc. | Active compression apparatus, methods of assembly and methods of use |
WO2019040943A1 (en) | 2017-08-25 | 2019-02-28 | Lederman Robert J | CATHETERS AND MANIPULATORS WITH ARTICULATED END |
US11885442B2 (en) * | 2017-12-15 | 2024-01-30 | Viant As&O Holdings, Llc | Mechanical joining of nitinol tubes |
WO2019157465A1 (en) * | 2018-02-11 | 2019-08-15 | PIPE Therapeutics LLC | Access and support catheter and methods of use |
JP2021526445A (ja) | 2018-05-30 | 2021-10-07 | イーラム テクノロジーズ,インコーポレイテッド | 統合血栓除去術及びフィルタデバイス並びに使用方法 |
EP3823523A4 (en) | 2018-07-20 | 2022-05-18 | Elum Technologies, Inc. | NEUROVASCULAR CATHETER FOR DISTAL ACCESS ASSISTANCE, ASPIRATION CATHETER OR INSTRUMENT SHAFT |
CN109330636B (zh) * | 2018-07-27 | 2019-10-22 | 尚华 | 一种血管内记忆金属穿刺系统及其应用方法 |
IL298768A (en) * | 2019-01-09 | 2023-02-01 | Vena Medical Holdings Corp | A device for treating and observing pathology related to the blood supply to the brain |
WO2020247650A1 (en) * | 2019-06-04 | 2020-12-10 | Viant As&O Holdings, Llc | Mechanical joining of nitinol tubes |
WO2021216442A1 (en) | 2020-04-20 | 2021-10-28 | Surmodics Md, Llc | Radial balloon catheter |
EP3995090A1 (en) * | 2020-11-06 | 2022-05-11 | Guangzhou Aquila Precise Tools Limited | Elastic connecting element, processing method thereof and flexible drill including the elastic connecting element |
KR102337067B1 (ko) | 2021-06-25 | 2021-12-07 | 전남대학교산학협력단 | 의료용 미드라인 카테터 |
WO2024030319A1 (en) * | 2022-08-02 | 2024-02-08 | Prytime Medical Devices, Inc. | Self-adjusting vascular occlusion catheter balloon |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060064123A1 (en) * | 1998-02-06 | 2006-03-23 | Possis Medical, Inc. | Rapid exchange fluid jet thrombectomy device and method |
JP2007503970A (ja) * | 2003-06-10 | 2007-03-01 | ルーメンド インコーポレイテッド | 血管閉塞部を開通させるためのカテーテル装置及び方法 |
JP2013544561A (ja) * | 2010-10-18 | 2013-12-19 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド | 経皮的閉塞横断システム及び方法 |
US20140031843A1 (en) * | 2011-04-11 | 2014-01-30 | Dan Rottenberg | Hypotube based support catheter |
JP2014519376A (ja) * | 2011-05-13 | 2014-08-14 | スピレーション インコーポレイテッド | 展開カテーテル |
WO2014174661A1 (ja) * | 2013-04-26 | 2014-10-30 | テルモ株式会社 | 医療用長尺体 |
Family Cites Families (56)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2515365A (en) | 1947-03-31 | 1950-07-18 | Edward Adolphus Zublin | Flexible drill pipe |
US5108411A (en) | 1990-03-28 | 1992-04-28 | Cardiovascular Imaging Systems, Inc. | Flexible catheter drive cable |
CA2117088A1 (en) | 1991-09-05 | 1993-03-18 | David R. Holmes | Flexible tubular device for use in medical applications |
US5437288A (en) | 1992-09-04 | 1995-08-01 | Mayo Foundation For Medical Education And Research | Flexible catheter guidewire |
US5334145A (en) | 1992-09-16 | 1994-08-02 | Lundquist Ingemar H | Torquable catheter |
US5380276A (en) | 1994-02-28 | 1995-01-10 | The Kendall Company | Dual lumen catheter and method of use |
JPH08183986A (ja) | 1994-12-27 | 1996-07-16 | Tonen Corp | 流体継手用流体組成物 |
AU6499596A (en) | 1995-07-18 | 1997-02-18 | Edwards, Garland U. | Flexible shaft |
US6447518B1 (en) | 1995-07-18 | 2002-09-10 | William R. Krause | Flexible shaft components |
JP2990070B2 (ja) | 1995-08-03 | 1999-12-13 | 古河電気工業株式会社 | 板圧延機のロールクーラント制御方法およびこの制御方法を用いた電子電気機器用材料の製造方法 |
JPH09294810A (ja) * | 1996-05-08 | 1997-11-18 | Asahi Intec Kk | カテーテル |
US6048338A (en) | 1997-10-15 | 2000-04-11 | Scimed Life Systems, Inc. | Catheter with spiral cut transition member |
US7105003B2 (en) * | 1998-09-17 | 2006-09-12 | Karl Storz Gmbh & Co. Kg | Surgical instrument |
US6458153B1 (en) | 1999-12-31 | 2002-10-01 | Abps Venture One, Ltd. | Endoluminal cardiac and venous valve prostheses and methods of manufacture and delivery thereof |
US6656195B2 (en) | 2000-09-22 | 2003-12-02 | Medtronic Xomed, Inc. | Flexible inner tubular members and rotary tissue cutting instruments having flexible inner tubular members |
US7300430B2 (en) | 2001-01-24 | 2007-11-27 | Arrow International, Inc. | Multi-lumen catheter with attachable hub |
US6652508B2 (en) | 2001-11-09 | 2003-11-25 | Scimed Life Systems, Inc. | Intravascular microcatheter having hypotube proximal shaft with transition |
EP3042688A1 (en) * | 2002-03-22 | 2016-07-13 | Cordis Corporation | Rapid-exchange balloon catheter shaft |
US6979290B2 (en) | 2002-05-30 | 2005-12-27 | The Board Of Trustees Of The Leland Stanford Junior University | Apparatus and methods for coronary sinus access |
US7625337B2 (en) * | 2003-01-17 | 2009-12-01 | Gore Enterprise Holdings, Inc. | Catheter assembly |
US7413563B2 (en) * | 2003-05-27 | 2008-08-19 | Cardia, Inc. | Flexible medical device |
US7625364B2 (en) | 2003-05-27 | 2009-12-01 | Cardia, Inc. | Flexible center connection for occlusion device |
US6921397B2 (en) | 2003-05-27 | 2005-07-26 | Cardia, Inc. | Flexible delivery device |
US7763012B2 (en) | 2003-09-02 | 2010-07-27 | St. Jude Medical, Cardiology Division, Inc. | Devices and methods for crossing a chronic total occlusion |
US7717930B2 (en) | 2004-02-27 | 2010-05-18 | Cook Incorporated | Valvulotome with a cutting edge |
US7389148B1 (en) | 2004-05-05 | 2008-06-17 | Pacesetter, Inc. | Electrode design for defibrillation and/or sensing capabilities |
US20060084939A1 (en) | 2004-10-20 | 2006-04-20 | Lentz David J | Articulation segment for a catheter |
JP4535868B2 (ja) | 2004-12-28 | 2010-09-01 | テルモ株式会社 | カテーテル |
US9233255B2 (en) | 2005-09-22 | 2016-01-12 | Koninklijke Philips N.V. | System and method for providing event summary information using an encoded ECG waveform |
US8206370B2 (en) | 2006-04-21 | 2012-06-26 | Abbott Laboratories | Dual lumen guidewire support catheter |
AU2007261046A1 (en) | 2006-06-20 | 2007-12-27 | Aortx, Inc. | Torque shaft and torque drive |
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 |
US8747350B2 (en) | 2006-09-11 | 2014-06-10 | Boston Scientific Scimed, Inc. | Steerable catheter with rapid exchange lumen |
JP5453586B2 (ja) | 2007-10-22 | 2014-03-26 | ブリッジポイント、メディカル、インコーポレイテッド | 慢性的な完全閉塞部を横断するためのデバイスおよび方法 |
US8758231B2 (en) | 2009-05-14 | 2014-06-24 | Cook Medical Technologies Llc | Access sheath with active deflection |
CA2764859C (en) | 2009-06-24 | 2018-09-25 | Shifamed, Llc | Steerable medical delivery devices and methods of use |
US8911474B2 (en) | 2009-07-16 | 2014-12-16 | Howmedica Osteonics Corp. | Suture anchor implantation instrumentation system |
AU2010212441B2 (en) | 2009-08-20 | 2013-08-01 | Howmedica Osteonics Corp. | Flexible ACL instrumentation, kit and method |
US20120265229A1 (en) | 2009-09-03 | 2012-10-18 | Dan Rottenberg | Lancet micro-catheter |
US20110152880A1 (en) | 2009-12-23 | 2011-06-23 | Hansen Medical, Inc. | Flexible and steerable elongate instruments with torsion control |
US8454535B2 (en) * | 2010-01-29 | 2013-06-04 | Cordis Corporation | Highly flexible tubular device for medical use |
US8357140B2 (en) | 2010-01-29 | 2013-01-22 | Cordis Corporation | Highly flexible tubular device with high initial torque response for medical use |
US9545289B2 (en) | 2010-02-26 | 2017-01-17 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for endoluminal valve creation |
US8366559B2 (en) | 2010-06-23 | 2013-02-05 | Lenkbar, Llc | Cannulated flexible drive shaft |
WO2012145444A2 (en) | 2011-04-20 | 2012-10-26 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for endoluminal valve creation |
US20150094656A1 (en) * | 2011-05-03 | 2015-04-02 | Amr Salahieh | Steerable medical devices, systems, and methods of use |
ES2733273T3 (es) * | 2012-10-22 | 2019-11-28 | Medtronic Ardian Luxembourg | Catéteres con flexibilidad mejorada |
US9233225B2 (en) * | 2012-11-10 | 2016-01-12 | Curvo Medical, Inc. | Coaxial bi-directional catheter |
US9078740B2 (en) | 2013-01-21 | 2015-07-14 | Howmedica Osteonics Corp. | Instrumentation and method for positioning and securing a graft |
US20140235361A1 (en) | 2013-02-15 | 2014-08-21 | Cardiacmd, Inc. | Torque Shaft and Torque Shaft Drive |
US20140277009A1 (en) | 2013-03-13 | 2014-09-18 | Mallik Thatipelli | Device and Method for Treating a Chronic Total Occlusion |
US9060806B2 (en) | 2013-03-13 | 2015-06-23 | Mallik Thatipelli | Device and method for treating a chronic total occlusion |
US10231613B2 (en) | 2013-09-27 | 2019-03-19 | Intervene, Inc. | Visualization devices, systems, and methods for informing intravascular procedures on blood vessel valves |
DE102015101418B4 (de) | 2014-02-04 | 2018-05-30 | Takatoshi FURUYA | Venenklappenschneidvorrichtung sowie Verfahren zu deren Herstellung |
US20150374398A1 (en) * | 2014-06-26 | 2015-12-31 | Leadr Medical Ltd | Lead extraction |
JP7111621B2 (ja) | 2016-01-01 | 2022-08-02 | トラクタス ヴァスキュラー,エルエルシー | 可撓性カテーテル |
-
2016
- 2016-12-27 JP JP2018553838A patent/JP7111621B2/ja active Active
- 2016-12-27 CA CA3009943A patent/CA3009943C/en active Active
- 2016-12-27 EP EP16882488.6A patent/EP3397333A4/en active Pending
- 2016-12-27 WO PCT/US2016/068646 patent/WO2017117092A1/en active Application Filing
- 2016-12-27 US US15/515,806 patent/US10525231B2/en active Active
- 2016-12-27 NZ NZ742411A patent/NZ742411A/en unknown
- 2016-12-27 MX MX2018007353A patent/MX2018007353A/es unknown
- 2016-12-27 AU AU2016381434A patent/AU2016381434B2/en active Active
- 2016-12-27 CN CN201680075580.8A patent/CN108430563B/zh active Active
- 2016-12-27 KR KR1020187017081A patent/KR20180099663A/ko unknown
-
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- 2018-06-25 IL IL260251A patent/IL260251B/en active IP Right Grant
- 2018-11-20 HK HK18114775.2A patent/HK1255639A1/zh unknown
- 2018-11-27 HK HK18115161.1A patent/HK1256096A1/zh unknown
-
2019
- 2019-10-15 US US16/653,373 patent/US11918753B2/en active Active
-
2020
- 2020-11-10 IL IL278597A patent/IL278597B2/en unknown
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060064123A1 (en) * | 1998-02-06 | 2006-03-23 | Possis Medical, Inc. | Rapid exchange fluid jet thrombectomy device and method |
JP2007503970A (ja) * | 2003-06-10 | 2007-03-01 | ルーメンド インコーポレイテッド | 血管閉塞部を開通させるためのカテーテル装置及び方法 |
JP2013544561A (ja) * | 2010-10-18 | 2013-12-19 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド | 経皮的閉塞横断システム及び方法 |
US20140031843A1 (en) * | 2011-04-11 | 2014-01-30 | Dan Rottenberg | Hypotube based support catheter |
JP2014519376A (ja) * | 2011-05-13 | 2014-08-14 | スピレーション インコーポレイテッド | 展開カテーテル |
WO2014174661A1 (ja) * | 2013-04-26 | 2014-10-30 | テルモ株式会社 | 医療用長尺体 |
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US20200078551A1 (en) | 2020-03-12 |
WO2017117092A1 (en) | 2017-07-06 |
JP7111621B2 (ja) | 2022-08-02 |
NZ742411A (en) | 2024-03-22 |
US10525231B2 (en) | 2020-01-07 |
CA3009943A1 (en) | 2017-07-06 |
IL260251A (en) | 2018-07-31 |
EP3397333A4 (en) | 2019-10-02 |
EP3397333A1 (en) | 2018-11-07 |
MX2018007353A (es) | 2018-11-09 |
IL278597B2 (en) | 2023-06-01 |
CA3009943C (en) | 2020-10-06 |
IL278597A (ja) | 2020-12-31 |
AU2016381434B2 (en) | 2022-01-06 |
CN108430563A (zh) | 2018-08-21 |
US11918753B2 (en) | 2024-03-05 |
IL260251B (en) | 2020-11-30 |
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