JP2023531162A - 偏向可能な細長いガイドワイヤアセンブリ - Google Patents

偏向可能な細長いガイドワイヤアセンブリ Download PDF

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Publication number
JP2023531162A
JP2023531162A JP2022575696A JP2022575696A JP2023531162A JP 2023531162 A JP2023531162 A JP 2023531162A JP 2022575696 A JP2022575696 A JP 2022575696A JP 2022575696 A JP2022575696 A JP 2022575696A JP 2023531162 A JP2023531162 A JP 2023531162A
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JP
Japan
Prior art keywords
distal
assembly
elongated
introducer
elongate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2022575696A
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English (en)
Japanese (ja)
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JP2023531162A5 (cg-RX-API-DMAC7.html
Inventor
バルコヴェツ、クリスチャン
ディチーコ、マシュー
モリヤマ、エドゥアルド
デイヴィス、ガレス
Original Assignee
ボストン サイエンティフィック メディカル デバイス リミテッド
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Application filed by ボストン サイエンティフィック メディカル デバイス リミテッド filed Critical ボストン サイエンティフィック メディカル デバイス リミテッド
Publication of JP2023531162A publication Critical patent/JP2023531162A/ja
Publication of JP2023531162A5 publication Critical patent/JP2023531162A5/ja
Priority to JP2025280989A priority Critical patent/JP2026062820A/ja
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6885—Monitoring or controlling sensor contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/7455—Details of notification to user or communication with user or patient; User input means characterised by tactile indication, e.g. vibration or electrical stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61M25/09—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044—Sensing electrocardiography, i.e. ECG
    • A61B2017/00048—Spectral analysis
    • A61B2017/00053—Mapping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00613—Irreversible electroporation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/144—Wire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09058—Basic structures of guide wires
    • A61M2025/09066—Basic structures of guide wires having a coil without a core possibly combined with a 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Materials For Medical Uses (AREA)
JP2022575696A 2020-06-19 2021-05-25 偏向可能な細長いガイドワイヤアセンブリ Pending JP2023531162A (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025280989A JP2026062820A (ja) 2020-06-19 2025-12-24 偏向可能な細長いガイドワイヤアセンブリ

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US202063041319P 2020-06-19 2020-06-19
US63/041,319 2020-06-19
US202063051080P 2020-07-13 2020-07-13
US63/051,080 2020-07-13
PCT/IB2021/054539 WO2021255553A1 (en) 2020-06-19 2021-05-25 Deflectable elongated guidewire assembly

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025280989A Division JP2026062820A (ja) 2020-06-19 2025-12-24 偏向可能な細長いガイドワイヤアセンブリ

Publications (2)

Publication Number Publication Date
JP2023531162A true JP2023531162A (ja) 2023-07-21
JP2023531162A5 JP2023531162A5 (cg-RX-API-DMAC7.html) 2024-04-10

Family

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Family Applications (2)

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JP2022575696A Pending JP2023531162A (ja) 2020-06-19 2021-05-25 偏向可能な細長いガイドワイヤアセンブリ
JP2025280989A Pending JP2026062820A (ja) 2020-06-19 2025-12-24 偏向可能な細長いガイドワイヤアセンブリ

Family Applications After (1)

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JP2025280989A Pending JP2026062820A (ja) 2020-06-19 2025-12-24 偏向可能な細長いガイドワイヤアセンブリ

Country Status (9)

Country Link
US (1) US12599338B2 (cg-RX-API-DMAC7.html)
EP (1) EP4167888A4 (cg-RX-API-DMAC7.html)
JP (2) JP2023531162A (cg-RX-API-DMAC7.html)
KR (1) KR20230029758A (cg-RX-API-DMAC7.html)
CN (1) CN115942911A (cg-RX-API-DMAC7.html)
AU (1) AU2021291788A1 (cg-RX-API-DMAC7.html)
BR (1) BR112022025387A2 (cg-RX-API-DMAC7.html)
CA (1) CA3181848A1 (cg-RX-API-DMAC7.html)
WO (1) WO2021255553A1 (cg-RX-API-DMAC7.html)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
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EP4586919A1 (en) * 2022-09-15 2025-07-23 Boston Scientific Medical Device Limited Apparatus for tissue puncture during pericardiocentesis
CN121712466A (zh) * 2023-08-04 2026-03-20 波士顿科学医疗设备有限公司 针对导管导线的位置标记

Citations (1)

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WO2019215621A1 (en) * 2018-05-08 2019-11-14 Baylis Medical Company Inc. Apparatus and methods for puncturing tissue

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Also Published As

Publication number Publication date
EP4167888A1 (en) 2023-04-26
KR20230029758A (ko) 2023-03-03
EP4167888A4 (en) 2024-10-02
AU2021291788A1 (en) 2023-01-05
US20230309929A1 (en) 2023-10-05
JP2026062820A (ja) 2026-04-10
US12599338B2 (en) 2026-04-14
BR112022025387A2 (pt) 2023-01-24
CN115942911A (zh) 2023-04-07
CA3181848A1 (en) 2021-12-23
WO2021255553A1 (en) 2021-12-23

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