JP2020511290A - 複合ステント再灌流システム - Google Patents

複合ステント再灌流システム Download PDF

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Publication number
JP2020511290A
JP2020511290A JP2020501414A JP2020501414A JP2020511290A JP 2020511290 A JP2020511290 A JP 2020511290A JP 2020501414 A JP2020501414 A JP 2020501414A JP 2020501414 A JP2020501414 A JP 2020501414A JP 2020511290 A JP2020511290 A JP 2020511290A
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JP
Japan
Prior art keywords
balloon
stent
catheter
occlusion
guidewire
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Pending
Application number
JP2020501414A
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English (en)
Japanese (ja)
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JP2020511290A5 (enExample
Inventor
エス. シュワルツ,ロバート
エス. シュワルツ,ロバート
エイチ. ホーエム,ジョン
エイチ. ホーエム,ジョン
ティー. ロスマン,マーティン
ティー. ロスマン,マーティン
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Corflow Therapeutics AG
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Corflow Therapeutics AG
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Publication date
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Publication of JP2020511290A publication Critical patent/JP2020511290A/ja
Publication of JP2020511290A5 publication Critical patent/JP2020511290A5/ja
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M25/0032Multi-lumen catheters with stationary elements characterized by at least one unconventionally shaped lumen, e.g. polygons, ellipsoids, wedges or shapes comprising concave and convex parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/104Balloon catheters used for angioplasty
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0008Rounded shapes, e.g. with rounded corners elliptical or oval
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0001Means for transferring electromagnetic energy to implants
    • A61F2250/0002Means for transferring electromagnetic energy to implants for data transfer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0067Means for introducing or releasing pharmaceutical products into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0037Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/105Balloon 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1061Balloon catheters with special features or adapted for special applications having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Physics & Mathematics (AREA)
  • Geometry (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgery (AREA)
  • Reproductive Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
JP2020501414A 2017-03-20 2018-03-20 複合ステント再灌流システム Pending JP2020511290A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762473740P 2017-03-20 2017-03-20
US62/473,740 2017-03-20
PCT/US2018/023422 WO2018175485A1 (en) 2017-03-20 2018-03-20 Combined stent reperfusion system

Publications (2)

Publication Number Publication Date
JP2020511290A true JP2020511290A (ja) 2020-04-16
JP2020511290A5 JP2020511290A5 (enExample) 2021-04-30

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020501414A Pending JP2020511290A (ja) 2017-03-20 2018-03-20 複合ステント再灌流システム

Country Status (7)

Country Link
US (2) US10952883B2 (enExample)
EP (1) EP3592304B1 (enExample)
JP (1) JP2020511290A (enExample)
CN (1) CN111093568B (enExample)
AU (1) AU2018237167A1 (enExample)
CA (1) CA3057463A1 (enExample)
WO (1) WO2018175485A1 (enExample)

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US11433183B2 (en) 2018-03-09 2022-09-06 Corflow Therapeutics Ag System for diagnosing and treating microvascular obstructions
CA3010447A1 (en) 2016-01-04 2017-07-13 Corflow Therapeutics Ag System and methods for treating mvo
WO2019060421A1 (en) 2017-09-19 2019-03-28 Jon Helge Hoem INTRACORONARY MICROVASCULAR OBSTRUCTION CHARACTERIZATION (MVO) AND MYOCARDIAL INFARCTION
WO2019232452A1 (en) 2018-05-31 2019-12-05 Bernard Andre Microfluidic coronary circulatory model
ES2964535T3 (es) 2018-09-21 2024-04-08 Corflow Therapeutics Ag Aparato para la evaluación de la disfunción microvascular
US12115327B2 (en) * 2019-03-05 2024-10-15 Measurement Specialties, Inc. Sensor device and methods of operation for a catheter based treatment of myocardial microvascular obstruction
WO2021035190A1 (en) 2019-08-21 2021-02-25 Corflow Therapeutics Ag Controlled-flow infusion catheter and method
CN110681034B (zh) * 2019-11-06 2025-03-25 上海慧达医疗器械有限公司 循环式药物灌注导管
US20210260349A1 (en) * 2020-02-24 2021-08-26 Transit Scientific, LLC Balloon-assisted infusion techniques
AU2021274173A1 (en) 2020-05-22 2022-12-22 Corflow Therapeutics Ag Controlled flow infusion microvascular dysfunction diagnostic and therapy
AU2022206116A1 (en) 2021-01-11 2023-07-20 Corflow Therapeutics Ag Apparatus and method for determining and/or treating microvascular obstruction
EP4218625B1 (en) 2022-02-01 2025-04-02 Albert-Ludwigs-Universität Freiburg A dual catheter arrangement and system for reperfusion of an ischemic tissue region via a coronary vessel
EP4501387A1 (en) 2023-07-31 2025-02-05 Albert-Ludwigs-Universität Freiburg A dual catheter arrangement and system for reperfusion of an ischemic tissue region via a coronary vessel

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JPH10502273A (ja) * 1994-06-30 1998-03-03 ボストン サイエンティフィック コーポレイション ステント及び治療用送り込みシステム
JPH11178929A (ja) * 1997-12-04 1999-07-06 Schneider Usa Inc 迅速交換構成のバルーン膨張型薬剤搬送用カテーテルおよびステント配置型薬剤搬送用カテーテル
JP2008521536A (ja) * 2004-12-01 2008-06-26 メドトロニック ヴァスキュラー コノート 薬剤搬送装置
JP2006187620A (ja) * 2004-12-29 2006-07-20 Nitinol Dev Corp 血管からプラークを除去するためのシステムおよび方法
JP2008173137A (ja) * 2005-03-03 2008-07-31 Goodman Co Ltd ダブルバルーンカテーテル
JP2009514596A (ja) * 2005-11-03 2009-04-09 パラゴン インテルレクツアル プロペルチエス,エルエルシー 放射線不透過性バルーンマイクロカテーテル及び製造方法
CN201058169Y (zh) * 2007-05-24 2008-05-14 席刚明 一种同轴球囊溶栓导管
JP2012508041A (ja) * 2008-11-03 2012-04-05 アトランタ・カテーテル・セラピーズ・インコーポレーテッド 閉塞灌流カテーテル
JP2013146505A (ja) * 2012-01-23 2013-08-01 Terumo Corp バルーンおよびバルーンカテーテル
JP2016509497A (ja) * 2012-12-31 2016-03-31 ヴォルカノ コーポレイションVolcano Corporation 血管内装置、システム及び方法
JP2016168151A (ja) * 2015-03-12 2016-09-23 株式会社東海メディカルプロダクツ バルーンカテーテル

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AU2018237167A1 (en) 2019-10-24
US20210228387A1 (en) 2021-07-29
EP3592304A4 (en) 2020-05-27
US20180280172A1 (en) 2018-10-04
US10952883B2 (en) 2021-03-23
EP3592304A1 (en) 2020-01-15
CN111093568B (zh) 2022-03-15
EP3592304B1 (en) 2023-09-13
CA3057463A1 (en) 2018-09-27
CN111093568A (zh) 2020-05-01
WO2018175485A1 (en) 2018-09-27

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