JP2024522613A - 血栓除去システムおよび関連方法 - Google Patents

血栓除去システムおよび関連方法 Download PDF

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Publication number
JP2024522613A
JP2024522613A JP2023575779A JP2023575779A JP2024522613A JP 2024522613 A JP2024522613 A JP 2024522613A JP 2023575779 A JP2023575779 A JP 2023575779A JP 2023575779 A JP2023575779 A JP 2023575779A JP 2024522613 A JP2024522613 A JP 2024522613A
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Japan
Prior art keywords
thrombus
fluid
cavitation
lumen
clot
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Pending
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JP2023575779A
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Japanese (ja)
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JP2024522613A5 (https=
JPWO2022261448A5 (https=
Inventor
アル－ジャッダ，アーデル
ソール，トム
ミュラー，ケビン
サラヒエ，アムル
ガニング，ポール
アルジェント，クラウディオ
ライフォード，ニコラス
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シファメド・ホールディングス・エルエルシー
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Publication of JP2024522613A publication Critical patent/JP2024522613A/ja
Publication of JP2024522613A5 publication Critical patent/JP2024522613A5/ja
Publication of JPWO2022261448A5 publication Critical patent/JPWO2022261448A5/ja
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3203—Fluid jet cutting instruments
    • A61B17/32037—Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B17/2202—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inside patient's body at the distal end of the catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3203—Fluid jet cutting instruments
    • 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
    • A61B2017/00057—Light
    • 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
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22005—Effects, e.g. on tissue
    • A61B2017/22007—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing
    • A61B2017/22008—Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing used or promoted
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B2017/22024—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 with a part reflecting mechanical vibrations, e.g. for focusing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B2017/22025—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 applying a shock wave
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22027—Features of transducers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with suction of debris
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3203—Fluid jet cutting instruments
    • A61B2017/32032—Fluid jet cutting instruments using cavitation of the fluid

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • External Artificial Organs (AREA)
JP2023575779A 2021-06-10 2022-06-10 血栓除去システムおよび関連方法 Pending JP2024522613A (ja)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US202163209257P 2021-06-10 2021-06-10
US63/209,257 2021-06-10
US202163250089P 2021-09-29 2021-09-29
US63/250,089 2021-09-29
US202163285054P 2021-12-01 2021-12-01
US63/285,054 2021-12-01
US202263335656P 2022-04-27 2022-04-27
US63/335,656 2022-04-27
PCT/US2022/033024 WO2022261448A1 (en) 2021-06-10 2022-06-10 Thrombus removal systems and associated methods

Publications (3)

Publication Number Publication Date
JP2024522613A true JP2024522613A (ja) 2024-06-21
JP2024522613A5 JP2024522613A5 (https=) 2025-05-30
JPWO2022261448A5 JPWO2022261448A5 (https=) 2025-05-30

Family

ID=84426366

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2023575779A Pending JP2024522613A (ja) 2021-06-10 2022-06-10 血栓除去システムおよび関連方法

Country Status (6)

Country Link
US (1) US20260000423A1 (https=)
EP (1) EP4351451A4 (https=)
JP (1) JP2024522613A (https=)
AU (1) AU2022289731A1 (https=)
CA (1) CA3221894A1 (https=)
WO (1) WO2022261448A1 (https=)

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US10238406B2 (en) 2013-10-21 2019-03-26 Inari Medical, Inc. Methods and apparatus for treating embolism
CA3241647A1 (en) 2015-10-23 2017-04-27 Inari Medical, Inc. Intravascular treatment of vascular occlusion and associated devices, systems, and methods
EP4044938A4 (en) 2019-10-16 2023-11-15 Inari Medical, Inc. Systems, devices, and methods for treating vascular occlusions
AU2021283979A1 (en) 2020-06-05 2023-01-19 Inari Medical, Inc. Recapturable funnel catheters, and associated systems and methods
CA3210625A1 (en) 2021-03-01 2022-09-09 Scott J. Baron Aspiration devices for treatment of thrombosis including expandable distal ends and systems and methods thereof
US12582426B2 (en) 2021-04-17 2026-03-24 Inquis Medical, Inc. Apparatuses for removing obstructive material from body lumens
WO2022246071A2 (en) 2021-05-19 2022-11-24 Shifamed Holdings, Llc Thrombus removal systems and associated methods
JP2024524386A (ja) 2021-06-28 2024-07-05 インクイス メディカル，インコーポレーテッド 閉塞性物質の除去を制御するための装置および方法
AU2023208030A1 (en) 2022-01-11 2024-07-18 Inari Medical, Inc. Devices for removing clot material from intravascularly implanted devices, and associated systems and methods
JP2025509593A (ja) * 2022-03-15 2025-04-11 シファメド・ホールディングス・エルエルシー 血栓除去システムおよび関連方法
JP2025513542A (ja) 2022-04-22 2025-04-24 インクイス メディカル，インコーポレーテッド 血餅除去のための吸引装置
US12053192B2 (en) 2022-09-01 2024-08-06 Endovascular Engineering, Inc. Systems, devices, and methods for aspiration, including expandable structures and rotatable shafts
WO2024145533A2 (en) * 2022-12-28 2024-07-04 Inquis Medical, Inc. Clot sensing methods and apparatuses
CN121548389A (zh) * 2023-05-03 2026-02-17 波士顿科学国际有限公司 具有自动感测的抽吸导管
WO2025043228A1 (en) * 2023-08-23 2025-02-27 Shifamed Holdings, Llc Thrombus removal systems and methods
EP4731100A1 (en) * 2023-09-14 2026-04-29 Inari Medical, Inc. Multi-lumen aspiration catheters, and associated systems and methods
WO2025064570A1 (en) * 2023-09-18 2025-03-27 Shifamed Holdings, Llc Thrombus removal systems and methods with ultrasound transducers for imaging and clot sensing
US12558486B2 (en) 2023-11-16 2026-02-24 Inari Medical, Inc. Automatic locking and unlocking vacuum syringes, and associated systems and methods
WO2025145049A1 (en) * 2023-12-27 2025-07-03 Shifamed Holdings, Llc Thrombus removal systems and associated methods
WO2025160472A1 (en) * 2024-01-24 2025-07-31 Inquis Medical, Inc. Methods and apparatuses for electrical detection of thrombus
TR2024005065A1 (tr) * 2024-04-27 2025-11-21 Oezogul Beyzanur Çi̇p üzeri̇nde laboratuvar platformu ve tromboliz için yöntem
US12465382B1 (en) 2024-05-10 2025-11-11 Inari Medical, Inc. Mechanical thrombectomy assemblies with relief features, and associated devices, systems, and methods

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WO2020181278A1 (en) * 2019-03-07 2020-09-10 Procept Biorobotics Corporation Material removal from surgical site

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JP2009518134A (ja) * 2005-12-05 2009-05-07 ポッシス メディカル，インコーポレイテッド 排出圧力作動型バルーン付きカテーテルシステム
WO2020181278A1 (en) * 2019-03-07 2020-09-10 Procept Biorobotics Corporation Material removal from surgical site
CN111528983A (zh) * 2020-04-09 2020-08-14 大连大学附属中山医院 胆道镜用水刀碎石冲洗导管

Also Published As

Publication number Publication date
CA3221894A1 (en) 2022-12-15
EP4351451A1 (en) 2024-04-17
AU2022289731A1 (en) 2023-12-21
US20260000423A1 (en) 2026-01-01
WO2022261448A1 (en) 2022-12-15
EP4351451A4 (en) 2025-04-09

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