JP2024524474A - 血管閉塞物の通過 - Google Patents

血管閉塞物の通過 Download PDF

Info

Publication number
JP2024524474A
JP2024524474A JP2023580973A JP2023580973A JP2024524474A JP 2024524474 A JP2024524474 A JP 2024524474A JP 2023580973 A JP2023580973 A JP 2023580973A JP 2023580973 A JP2023580973 A JP 2023580973A JP 2024524474 A JP2024524474 A JP 2024524474A
Authority
JP
Japan
Prior art keywords
tip
balloon
tool
penetrating
obstruction
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.)
Withdrawn
Application number
JP2023580973A
Other languages
English (en)
Japanese (ja)
Other versions
JP2024524474A5 (https=
Inventor
ジョーダン ポラック
ガル アタロット
タンハム フェルド
ベン アダム フリエセム
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Veinway Ltd
Original Assignee
Veinway Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Veinway Ltd filed Critical Veinway Ltd
Priority claimed from PCT/IL2022/050716 external-priority patent/WO2023281500A1/en
Publication of JP2024524474A publication Critical patent/JP2024524474A/ja
Publication of JP2024524474A5 publication Critical patent/JP2024524474A5/ja
Withdrawn legal-status Critical Current

Links

Images

Classifications

    • 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
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • 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
    • 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
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • 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
    • A61B18/1477—Needle-like probes
    • 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
    • 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
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
    • 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
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • 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
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0152—Tip steering devices with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes
    • 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
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • 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
    • A61M25/06—Body-piercing guide needles or the like
    • 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
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0606—"Over-the-needle" catheter assemblies, e.g. I.V. catheters
    • 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
    • A61M25/10—Balloon catheters
    • 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
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods 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
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00331—Steering mechanisms with preformed bends
    • 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
    • A61B2017/22038—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 a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • A61B2017/22044—Details of the tip of the guide wire with a pointed tip
    • 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
    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22068—Centering
    • 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
    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22069—Immobilising; Stabilising
    • 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
    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22071—Steering
    • 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
    • A61B2017/22094—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 for crossing total occlusions, i.e. piercing
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
    • A61B2018/00285—Balloons
    • 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
    • A61B2018/00404—Blood vessels other than those in or around the 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
    • A61B2018/00315—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
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A61B2018/0041—Removal of thrombosis
    • 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
    • A61B2018/1425—Needle
    • A61B2018/1427—Needle with a beveled end
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M2025/0095—Catheter tip comprising a tool being one or more needles protruding from the distal tip and which are not used for injection nor for electro-stimulation, e.g. for fixation purposes
    • 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
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1065—Balloon catheters with special features or adapted for special applications having a balloon which is inversely attached to the shaft at the distal or proximal end
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10184—Means for controlling or monitoring inflation or deflation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Mechanical Engineering (AREA)
  • Cardiology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
JP2023580973A 2021-07-05 2022-07-05 血管閉塞物の通過 Withdrawn JP2024524474A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202163218421P 2021-07-05 2021-07-05
US63/218,421 2021-07-05
PCT/IL2022/050716 WO2023281500A1 (en) 2021-07-05 2022-07-05 Vessel blockage passing

Publications (2)

Publication Number Publication Date
JP2024524474A true JP2024524474A (ja) 2024-07-05
JP2024524474A5 JP2024524474A5 (https=) 2025-07-14

Family

ID=84786457

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2023580973A Withdrawn JP2024524474A (ja) 2021-07-05 2022-07-05 血管閉塞物の通過

Country Status (6)

Country Link
US (3) US20240285305A1 (https=)
EP (1) EP4362823A4 (https=)
JP (1) JP2024524474A (https=)
CN (1) CN117881352A (https=)
CA (1) CA3223384A1 (https=)
IL (1) IL309961A (https=)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4362823A4 (en) 2021-07-05 2025-05-28 Veinway Ltd. Vessel blockage passing
WO2023203485A1 (en) * 2022-04-19 2023-10-26 Boston Scientific Medical Device Limited Control assemblies for medical devices and related methods of use
US20250058080A1 (en) 2023-08-17 2025-02-20 Thomas Mowrey Vascular Access Devices Having Curves
WO2026015133A1 (en) * 2024-07-09 2026-01-15 Theraheart Inc. Puncture elements for shunting catheters

Family Cites Families (242)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4554925A (en) 1982-07-07 1985-11-26 Picker International, Ltd. Nuclear magnetic resonance imaging method
US5542915A (en) 1992-08-12 1996-08-06 Vidamed, Inc. Thermal mapping catheter with ultrasound probe
US4643186A (en) 1985-10-30 1987-02-17 Rca Corporation Percutaneous transluminal microwave catheter angioplasty
US4650466A (en) 1985-11-01 1987-03-17 Angiobrade Partners Angioplasty device
US5000185A (en) 1986-02-28 1991-03-19 Cardiovascular Imaging Systems, Inc. Method for intravascular two-dimensional ultrasonography and recanalization
US4709698A (en) 1986-05-14 1987-12-01 Thomas J. Fogarty Heatable dilation catheter
US4841977A (en) 1987-05-26 1989-06-27 Inter Therapy, Inc. Ultra-thin acoustic transducer and balloon catheter using same in imaging array subassembly
JPH01227766A (ja) 1988-03-04 1989-09-11 Yuichi Furukawa 血管造影用カテーテル
US4955377A (en) 1988-10-28 1990-09-11 Lennox Charles D Device and method for heating tissue in a patient's body
US5114423A (en) 1989-05-15 1992-05-19 Advanced Cardiovascular Systems, Inc. Dilatation catheter assembly with heated balloon
DE69233091T2 (de) 1991-11-08 2004-05-06 Boston Scientific Ltd., St. Michael Ablationselektrode mit isoliertem temperaturmesselement
US5697882A (en) 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5447497A (en) 1992-08-06 1995-09-05 Scimed Life Systems, Inc Balloon catheter having nonlinear compliance curve and method of using
US6537306B1 (en) 1992-11-13 2003-03-25 The Regents Of The University Of California Method of manufacture of a transurethral ultrasound applicator for prostate gland thermal therapy
US5391197A (en) 1992-11-13 1995-02-21 Dornier Medical Systems, Inc. Ultrasound thermotherapy probe
US5348554A (en) 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
US5657755A (en) 1993-03-11 1997-08-19 Desai; Jawahar M. Apparatus and method for cardiac ablation
ATE189402T1 (de) 1994-03-02 2000-02-15 Scimed Life Systems Inc Blockcopolymerelastomer ballon für katheter
US6056744A (en) 1994-06-24 2000-05-02 Conway Stuart Medical, Inc. Sphincter treatment apparatus
US5505730A (en) 1994-06-24 1996-04-09 Stuart D. Edwards Thin layer ablation apparatus
US5575788A (en) 1994-06-24 1996-11-19 Stuart D. Edwards Thin layer ablation apparatus
US5749851A (en) 1995-03-02 1998-05-12 Scimed Life Systems, Inc. Stent installation method using balloon catheter having stepped compliance curve
US5800482A (en) 1996-03-06 1998-09-01 Cardiac Pathways Corporation Apparatus and method for linear lesion ablation
US6719755B2 (en) 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US5972026A (en) 1997-04-07 1999-10-26 Broncus Technologies, Inc. Bronchial stenter having diametrically adjustable electrodes
US6117101A (en) 1997-07-08 2000-09-12 The Regents Of The University Of California Circumferential ablation device assembly
CA2294927C (en) 1997-07-08 2008-09-23 The Regents Of The University Of California Circumferential ablation device assembly and method
US6652515B1 (en) 1997-07-08 2003-11-25 Atrionix, Inc. Tissue ablation device assembly and method for electrically isolating a pulmonary vein ostium from an atrial wall
US6869431B2 (en) 1997-07-08 2005-03-22 Atrionix, Inc. Medical device with sensor cooperating with expandable member
US6514249B1 (en) 1997-07-08 2003-02-04 Atrionix, Inc. Positioning system and method for orienting an ablation element within a pulmonary vein ostium
US6500174B1 (en) 1997-07-08 2002-12-31 Atrionix, Inc. Circumferential ablation device assembly and methods of use and manufacture providing an ablative circumferential band along an expandable member
US6327505B1 (en) 1998-05-07 2001-12-04 Medtronic, Inc. Method and apparatus for rf intraluminal reduction and occlusion
WO1999065561A1 (en) 1998-06-19 1999-12-23 Cordis Webster, Inc. Method and apparatus for transvascular treatment of tachycardia and fibrillation
US6425867B1 (en) 1998-09-18 2002-07-30 University Of Washington Noise-free real time ultrasonic imaging of a treatment site undergoing high intensity focused ultrasound therapy
US7686763B2 (en) 1998-09-18 2010-03-30 University Of Washington Use of contrast agents to increase the effectiveness of high intensity focused ultrasound therapy
US6575933B1 (en) 1998-11-30 2003-06-10 Cryocath Technologies Inc. Mechanical support for an expandable membrane
US6296619B1 (en) 1998-12-30 2001-10-02 Pharmasonics, Inc. Therapeutic ultrasonic catheter for delivering a uniform energy dose
US6461314B1 (en) 1999-02-02 2002-10-08 Transurgical, Inc. Intrabody hifu applicator
US6097985A (en) 1999-02-09 2000-08-01 Kai Technologies, Inc. Microwave systems for medical hyperthermia, thermotherapy and diagnosis
US6692490B1 (en) 1999-05-18 2004-02-17 Novasys Medical, Inc. Treatment of urinary incontinence and other disorders by application of energy and drugs
CA2376903A1 (en) 1999-06-25 2001-01-04 Emory University Devices and methods for vagus nerve stimulation
US7510536B2 (en) 1999-09-17 2009-03-31 University Of Washington Ultrasound guided high intensity focused ultrasound treatment of nerves
US20090093791A1 (en) * 1999-09-17 2009-04-09 Heuser Richard R Devices and methods for treating chronic total occlusion
US6669655B1 (en) 1999-10-20 2003-12-30 Transurgical, Inc. Sonic element and catheter incorporating same
JP2003513691A (ja) 1999-10-25 2003-04-15 シーラス、コーポレイション 血管を封止するための集束超音波の使用
US20040215235A1 (en) 1999-11-16 2004-10-28 Barrx, Inc. Methods and systems for determining physiologic characteristics for treatment of the esophagus
US20040215296A1 (en) 1999-11-16 2004-10-28 Barrx, Inc. System and method for treating abnormal epithelium in an esophagus
US6529756B1 (en) 1999-11-22 2003-03-04 Scimed Life Systems, Inc. Apparatus for mapping and coagulating soft tissue in or around body orifices
AU2001249874A1 (en) 2000-04-27 2001-11-12 Medtronic, Inc. System and method for assessing transmurality of ablation lesions
DE60138319D1 (de) 2000-05-03 2009-05-20 Bard Inc C R Gerät zur Darstellung und Ablation bei elektrophysiologischen Verfahren
DE60134739D1 (de) 2000-05-16 2008-08-21 Atrionix Inc Katheter mit lenkbarer spitze und spurausrichtungsmechanismus eines führungsdrahts
US6599288B2 (en) 2000-05-16 2003-07-29 Atrionix, Inc. Apparatus and method incorporating an ultrasound transducer onto a delivery member
ES2240470T3 (es) 2000-06-13 2005-10-16 Atrionix, Inc. Sonda de ablacion quirurgica que permite realizar una lesion circular.
US6635054B2 (en) 2000-07-13 2003-10-21 Transurgical, Inc. Thermal treatment methods and apparatus with focused energy application
WO2002005720A1 (en) 2000-07-13 2002-01-24 Transurgical, Inc. Energy application with inflatable annular lens
SE518764C2 (sv) 2000-07-17 2002-11-19 Ultrazonix Dnt Ab Anordning för mini-invasiv ultraljudsbehandling av disksjukdom
ES2241868T3 (es) 2000-09-08 2005-11-01 Atrionix, Inc. Dispositivo medico con sensor que coopera con un miembro dilatable.
US6845267B2 (en) 2000-09-28 2005-01-18 Advanced Bionics Corporation Systems and methods for modulation of circulatory perfusion by electrical and/or drug stimulation
US6623452B2 (en) 2000-12-19 2003-09-23 Scimed Life Systems, Inc. Drug delivery catheter having a highly compliant balloon with infusion holes
US6564096B2 (en) 2001-02-28 2003-05-13 Robert A. Mest Method and system for treatment of tachycardia and fibrillation
US6648883B2 (en) 2001-04-26 2003-11-18 Medtronic, Inc. Ablation system and method of use
US6585660B2 (en) 2001-05-18 2003-07-01 Jomed Inc. Signal conditioning device for interfacing intravascular sensors having varying operational characteristics to a physiology monitor
US6735461B2 (en) 2001-06-19 2004-05-11 Insightec-Txsonics Ltd Focused ultrasound system with MRI synchronization
US6763722B2 (en) 2001-07-13 2004-07-20 Transurgical, Inc. Ultrasonic transducers
WO2003034990A2 (en) 2001-10-25 2003-05-01 Regeneron Pharmaceuticals, Inc. Angiopoietins and methods of use thereof
US6746465B2 (en) 2001-12-14 2004-06-08 The Regents Of The University Of California Catheter based balloon for therapy modification and positioning of tissue
EP1465701A4 (en) 2002-01-15 2008-08-13 Univ California SYSTEM AND METHOD FOR DIRECTIVE ULTRASOUND THERAPY ON RANGING CONNECTIONS
US7048756B2 (en) 2002-01-18 2006-05-23 Apasara Medical Corporation System, method and apparatus for evaluating tissue temperature
WO2003061756A2 (en) 2002-01-23 2003-07-31 The Regents Of The University Of California Implantable thermal treatment method and apparatus
IL148299A (en) 2002-02-21 2014-04-30 Technion Res & Dev Foundation Ultrasonic to the heart
US6736835B2 (en) 2002-03-21 2004-05-18 Depuy Acromed, Inc. Early intervention spinal treatment methods and devices for use therein
US7653438B2 (en) 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
US7617005B2 (en) 2002-04-08 2009-11-10 Ardian, Inc. Methods and apparatus for thermally-induced renal neuromodulation
US7162303B2 (en) 2002-04-08 2007-01-09 Ardian, Inc. Renal nerve stimulation method and apparatus for treatment of patients
US8145316B2 (en) 2002-04-08 2012-03-27 Ardian, Inc. Methods and apparatus for renal neuromodulation
US20070135875A1 (en) 2002-04-08 2007-06-14 Ardian, Inc. Methods and apparatus for thermally-induced renal neuromodulation
US7756583B2 (en) 2002-04-08 2010-07-13 Ardian, Inc. Methods and apparatus for intravascularly-induced neuromodulation
US8347891B2 (en) 2002-04-08 2013-01-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen
US8150519B2 (en) 2002-04-08 2012-04-03 Ardian, Inc. Methods and apparatus for bilateral renal neuromodulation
US8774913B2 (en) 2002-04-08 2014-07-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for intravasculary-induced neuromodulation
US20040082859A1 (en) 2002-07-01 2004-04-29 Alan Schaer Method and apparatus employing ultrasound energy to treat body sphincters
US6866662B2 (en) 2002-07-23 2005-03-15 Biosense Webster, Inc. Ablation catheter having stabilizing array
US20040039371A1 (en) 2002-08-23 2004-02-26 Bruce Tockman Coronary vein navigator
US7039450B2 (en) 2002-11-15 2006-05-02 Biosense Webster, Inc. Telescoping catheter
US7156816B2 (en) 2002-11-26 2007-01-02 Biosense, Inc. Ultrasound pulmonary vein isolation
US7270662B2 (en) 2004-01-21 2007-09-18 Naheed Visram Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device
US7684865B2 (en) 2003-03-14 2010-03-23 Endovx, Inc. Methods and apparatus for treatment of obesity
US7783358B2 (en) 2003-03-14 2010-08-24 Endovx, Inc. Methods and apparatus for treatment of obesity with an ultrasound device movable in two or three axes
US7377900B2 (en) 2003-06-02 2008-05-27 Insightec - Image Guided Treatment Ltd. Endo-cavity focused ultrasound transducer
US7311701B2 (en) 2003-06-10 2007-12-25 Cierra, Inc. Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound
EP1684842B1 (en) 2003-10-27 2013-03-06 Petrus Antonius Besselink Self-activating endoluminal device
US7326195B2 (en) 2003-11-18 2008-02-05 Boston Scientific Scimed, Inc. Targeted cooling of tissue within a body
US8024050B2 (en) 2003-12-24 2011-09-20 Cardiac Pacemakers, Inc. Lead for stimulating the baroreceptors in the pulmonary artery
US7371231B2 (en) 2004-02-02 2008-05-13 Boston Scientific Scimed, Inc. System and method for performing ablation using a balloon
US7854733B2 (en) 2004-03-24 2010-12-21 Biosense Webster, Inc. Phased-array for tissue treatment
US20050261672A1 (en) 2004-05-18 2005-11-24 Mark Deem Systems and methods for selective denervation of heart dysrhythmias
US20050283148A1 (en) 2004-06-17 2005-12-22 Janssen William M Ablation apparatus and system to limit nerve conduction
ATE511805T1 (de) 2004-09-13 2011-06-15 Biosense Webster Inc Ablationsvorrichtung mit phasengesteuertem array- ultraschallwandler
JP4792467B2 (ja) 2004-10-14 2011-10-12 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 超音波撮像を伴う融除装置および方法
US7949407B2 (en) 2004-11-05 2011-05-24 Asthmatx, Inc. Energy delivery devices and methods
US20060118127A1 (en) 2004-12-06 2006-06-08 Chinn Douglas O Tissue protective system and method for thermoablative therapies
US7553284B2 (en) 2005-02-02 2009-06-30 Vaitekunas Jeffrey J Focused ultrasound for pain reduction
US7660628B2 (en) 2005-03-23 2010-02-09 Cardiac Pacemakers, Inc. System to provide myocardial and neural stimulation
EP2438877B1 (en) 2005-03-28 2016-02-17 Vessix Vascular, Inc. Intraluminal electrical tissue characterization and tuned RF energy for selective treatment of atheroma and other target tissues
CN101309651B (zh) 2005-06-20 2011-12-07 麦德托尼克消融前沿有限公司 消融导管
US7608275B2 (en) 2005-07-22 2009-10-27 The Foundry, Llc Systems and methods for delivery of a therapeutic agent
US7621873B2 (en) 2005-08-17 2009-11-24 University Of Washington Method and system to synchronize acoustic therapy with ultrasound imaging
US7452308B2 (en) 2005-09-08 2008-11-18 Robideau Robert G Cross-crawl chair
US20070083126A1 (en) 2005-09-27 2007-04-12 Angiometrx, Inc. Apparatus & method for determining physiologic characteristics of body lumens
US20070112300A1 (en) 2005-11-14 2007-05-17 Roman Ricardo D Balloon folding design, apparatus and method of making the same
US8790281B2 (en) 2006-04-20 2014-07-29 The Regents Of The University Of California Method of thermal treatment of myolysis and destruction of benign uterine tumors
EP3756604A1 (en) 2006-05-12 2020-12-30 Vytronus, Inc. Device for ablating body tissue
WO2007136566A2 (en) 2006-05-19 2007-11-29 Prorhythm, Inc. Ablation device with optimized input power profile and method of using the same
US20100030251A1 (en) 2006-05-24 2010-02-04 Mayo Foundation For Medical Education And Research Devices and methods for crossing chronic total occlusions
US20080039746A1 (en) 2006-05-25 2008-02-14 Medtronic, Inc. Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
EP2218479A3 (en) 2006-06-28 2013-06-05 Medtronic Ardian Luxembourg S.à.r.l. Methods and systems for thermally-induced renal neuromodulation
US9492192B2 (en) 2006-06-30 2016-11-15 Atheromed, Inc. Atherectomy devices, systems, and methods
WO2008100433A2 (en) 2007-02-09 2008-08-21 B & D Medical Development, Llc Pelvic balloon tamponade
WO2008099424A2 (en) 2007-02-17 2008-08-21 Anil Madan Potdar A balloon catheter assembly and a method of use thereof
US9125683B2 (en) 2007-06-26 2015-09-08 Roxwood Medical Inc. Method and apparatus for placing a catheter within a vasculature
EP2170202A1 (en) 2007-07-06 2010-04-07 Barrx Medical, Inc. Ablation in the gastrointestinal tract to achieve hemostasis and eradicate lesions with a propensity for bleeding
US8070762B2 (en) 2007-10-22 2011-12-06 Atheromed Inc. Atherectomy devices and methods
US8738147B2 (en) 2008-02-07 2014-05-27 Cardiac Pacemakers, Inc. Wireless tissue electrostimulation
US8483831B1 (en) 2008-02-15 2013-07-09 Holaira, Inc. System and method for bronchial dilation
US9949794B2 (en) 2008-03-27 2018-04-24 Covidien Lp Microwave ablation devices including expandable antennas and methods of use
US20100125253A1 (en) 2008-11-17 2010-05-20 Avinger Dual-tip Catheter System for Boring through Blocked Vascular Passages
US20090292307A1 (en) 2008-05-22 2009-11-26 Nasser Razack Mechanical embolectomy device and method
US9775632B2 (en) * 2008-05-23 2017-10-03 Medinol Ltd. Method and device for recanalization of total occlusions
US20100056862A1 (en) * 2008-09-03 2010-03-04 Ethicon Endo-Surgery, Inc. Access needle for natural orifice translumenal endoscopic surgery
JP5577343B2 (ja) 2008-09-22 2014-08-20 ボストン サイエンティフィック サイムド，インコーポレイテッド バルーン付きカテーテル
JP5646492B2 (ja) 2008-10-07 2014-12-24 エムシー１０ インコーポレイテッドＭｃ１０，Ｉｎｃ． 伸縮可能な集積回路およびセンサアレイを有する装置
US8414508B2 (en) 2008-10-30 2013-04-09 Vytronus, Inc. System and method for delivery of energy to tissue while compensating for collateral tissue
US8052638B2 (en) 2008-11-26 2011-11-08 Abbott Cardiovascular Systems, Inc. Robust multi-layer balloon
US8447414B2 (en) 2008-12-17 2013-05-21 Greatbatch Ltd. Switched safety protection circuit for an AIMD system during exposure to high power electromagnetic fields
US9833217B2 (en) 2008-12-31 2017-12-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Methods and apparatus for utilizing impeller-based rotationally-scanning catheters
CN202960687U (zh) 2009-01-28 2013-06-05 阿普锐欧医药公司 芯棒及可操纵的医疗装置
TWI517833B (zh) 2009-03-31 2016-01-21 東麗股份有限公司 附有氣球之電燒導管用軸及附有氣球之電燒導管系統
US20120265233A1 (en) 2009-08-28 2012-10-18 Lea Waisman Inverted balloon neck on catheter
US20130023897A1 (en) 2009-10-06 2013-01-24 Michael P Wallace Devices and Methods for Endovascular Therapies
EP2926757B1 (en) 2009-10-27 2023-01-25 Nuvaira, Inc. Delivery devices with coolable energy emitting assemblies
JP5768056B2 (ja) 2009-10-30 2015-08-26 リコール メディカル インコーポレイテッドＲｅＣｏｒ Ｍｅｄｉｃａｌ， Ｉｎｃ． 経皮的超音波腎神経除去による高血圧症を治療するための方法及び装置
US8551083B2 (en) 2009-11-17 2013-10-08 Bsd Medical Corporation Microwave coagulation applicator and system
US20110125206A1 (en) 2009-11-24 2011-05-26 Pacesetter, Inc. Single chamber implantable medical device for confirming arrhythmia through retrospective cardiac signals
US9743980B2 (en) 2010-02-24 2017-08-29 Safepass Vascular Ltd Method and system for assisting a wire guide to cross occluded ducts
US8556891B2 (en) 2010-03-03 2013-10-15 Medtronic Ablation Frontiers Llc Variable-output radiofrequency ablation power supply
EP3552655B1 (en) 2010-07-13 2020-12-23 Loma Vista Medical, Inc. Inflatable medical devices
US9463062B2 (en) 2010-07-30 2016-10-11 Boston Scientific Scimed, Inc. Cooled conductive balloon RF catheter for renal nerve ablation
EP2605701A4 (en) 2010-08-20 2014-05-21 Univ Kingston PROBE FOR THE DIAGNOSIS AND TREATMENT OF THE MUSCLE CONTRACTION DYSFUNCTION
CN103313671B (zh) 2010-10-25 2017-06-06 美敦力Af卢森堡有限责任公司 用于神经调节治疗的估算及反馈的装置、系统及方法
WO2012061150A1 (en) 2010-10-25 2012-05-10 Medtronic Ardian Luxembourg S.a.r.I. Microwave catheter apparatuses, systems, and methods for renal neuromodulation
US20120136344A1 (en) 2010-10-26 2012-05-31 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation cryotherapeutic devices and associated systems and methods
CN103327921B (zh) 2010-11-19 2017-02-15 波士顿科学西美德公司 肾神经检测以及消融装置
US10016233B2 (en) 2010-12-06 2018-07-10 Biosense Webster (Israel) Ltd. Treatment of atrial fibrillation using high-frequency pacing and ablation of renal nerves
EP2680923A4 (en) 2011-03-04 2016-08-03 Rainbow Medical Ltd TISSUE TREATMENT AND MONITORING THROUGH THE USE OF ENERGY
WO2012122183A1 (en) 2011-03-07 2012-09-13 Stryker Corporation Balloon catheter and support shaft for same
US8480619B2 (en) 2011-04-12 2013-07-09 Boston Scientific Scimed, Inc. Balloon catheter
WO2012145073A1 (en) 2011-04-22 2012-10-26 Topera, Inc. Basket style cardiac mapping catheter having spline bends for detection of cardiac rhythm disorders
US8909316B2 (en) 2011-05-18 2014-12-09 St. Jude Medical, Cardiology Division, Inc. Apparatus and method of assessing transvascular denervation
US20120296232A1 (en) 2011-05-18 2012-11-22 St. Jude Medical, Inc. Method and apparatus of assessing transvascular denervation
CN105617510A (zh) 2011-05-23 2016-06-01 奈缇路有限公司 用于体内脉管插入装置的展开机构
AU2012283908B2 (en) 2011-07-20 2017-02-16 Boston Scientific Scimed, Inc. Percutaneous devices and methods to visualize, target and ablate nerves
US8702619B2 (en) 2011-08-26 2014-04-22 Symap Holding Limited Mapping sympathetic nerve distribution for renal ablation and catheters for same
US9820811B2 (en) 2011-08-26 2017-11-21 Symap Medical (Suzhou), Ltd System and method for mapping the functional nerves innervating the wall of arteries, 3-D mapping and catheters for same
US9022948B2 (en) 2011-08-26 2015-05-05 Symap Holding Limited System and method for locating and identifying the functional nerves innervating the wall of arteries
US20190110704A1 (en) 2017-10-06 2019-04-18 Symap Medical (Suzhou), Limited System and method for mapping the functional nerves innervating the wall of arteries, 3-d mapping and catheters for same
US8852220B2 (en) * 2011-09-07 2014-10-07 Abbott Cardiovascular Systems, Inc. Thrombus penetrating devices, systems, and methods
US9427579B2 (en) 2011-09-29 2016-08-30 Pacesetter, Inc. System and method for performing renal denervation verification
US10201386B2 (en) 2011-10-05 2019-02-12 Nuvaira, Inc. Apparatus for injuring nerve tissue
US20130090649A1 (en) 2011-10-11 2013-04-11 Boston Scientific Scimed, Inc. Device and methods for renal nerve modulation
US20130096550A1 (en) 2011-10-18 2013-04-18 Boston Scientific Scimed, Inc. Ablative catheter with electrode cooling and related methods of use
US20130116737A1 (en) 2011-11-07 2013-05-09 Medtronic Ardian Luxembourg S.A.R.L. Methods for Assessing Renal Neuromodulation Treatment and Associated Systems and Methods
EP2775899B1 (en) 2011-11-07 2017-08-23 Medtronic Ardian Luxembourg S.à.r.l. Endovascular nerve monitoring devices and associated systems
US20130123770A1 (en) 2011-11-14 2013-05-16 Boston Scientific Scimed, Inc. Ablation catheter with cryothermal balloon
JP6158830B2 (ja) 2011-12-23 2017-07-05 べシックス・バスキュラー・インコーポレイテッド 身体通路の組織又は身体通路に隣接する組織をリモデリングするためのシステム、方法及び装置
WO2013101452A1 (en) 2011-12-28 2013-07-04 Boston Scientific Scimed, Inc. Device and methods for nerve modulation using a novel ablation catheter with polymeric ablative elements
CA3239581A1 (en) 2012-01-26 2013-08-01 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US9649064B2 (en) 2012-01-26 2017-05-16 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US20150051625A1 (en) 2012-03-05 2015-02-19 Gary Petrucci Treating Occlusions within Body Vessels
US9439598B2 (en) 2012-04-12 2016-09-13 NeuroMedic, Inc. Mapping and ablation of nerves within arteries and tissues
US10258791B2 (en) 2012-04-27 2019-04-16 Medtronic Ardian Luxembourg S.A.R.L. Catheter assemblies for neuromodulation proximate a bifurcation of a renal artery and associated systems and methods
US20130289369A1 (en) 2012-04-27 2013-10-31 Volcano Corporation Methods and Apparatus for Renal Neuromodulation
CA3158197C (en) 2012-05-29 2026-04-21 Autonomix Medical, Inc. Endoscopic sympathectomy systems and methods
US9186501B2 (en) 2012-06-13 2015-11-17 Mainstay Medical Limited Systems and methods for implanting electrode leads for use with implantable neuromuscular electrical stimulator
WO2014008489A1 (en) 2012-07-04 2014-01-09 Cibiem, Inc. Devices and systems for carotid body ablation
WO2014047355A1 (en) 2012-09-19 2014-03-27 Denervx LLC Cooled microwave denervation
JP6381536B2 (ja) 2012-10-22 2018-08-29 ロックスウッド メディカル， インコーポレイテッド 血管系内でマイクロカテーテルを心合するための方法および装置
CN104902836B (zh) 2012-11-05 2017-08-08 毕达哥拉斯医疗有限公司 受控组织消融
EP2914334B1 (en) 2012-11-05 2019-08-28 Autonomix Medical, Inc. Systems and devices for monitoring and treatment of tissues within and/or through a lumen wall
US9770593B2 (en) 2012-11-05 2017-09-26 Pythagoras Medical Ltd. Patient selection using a transluminally-applied electric current
US10363359B2 (en) 2012-12-09 2019-07-30 Autonomix Medical, Inc. Systems and methods for regulating organ and/or tumor growth rates, function, and/or development
EP2934334A4 (en) 2012-12-20 2016-09-07 Jeremy Stigall CATHETER ASSEMBLY WITH SHORTCUT END
US20140303617A1 (en) 2013-03-05 2014-10-09 Neuro Ablation, Inc. Intravascular nerve ablation devices & methods
WO2014138410A1 (en) 2013-03-08 2014-09-12 Symple Surgical Inc. Balloon catheter apparatus with microwave emitter
EP3111994B1 (en) 2013-03-14 2020-12-02 ReCor Medical, Inc. Ultrasound-based neuromodulation system
US8876813B2 (en) 2013-03-14 2014-11-04 St. Jude Medical, Inc. Methods, systems, and apparatus for neural signal detection
US20140274614A1 (en) 2013-03-15 2014-09-18 David R. Newman Deformable grip pad with bistable spring bands and methods of use
US9610444B2 (en) 2013-03-15 2017-04-04 Pacesetter, Inc. Erythropoeitin production by electrical stimulation
EP3932470B1 (en) 2013-03-15 2023-07-12 Medtronic Ardian Luxembourg S.à.r.l. Controlled neuromodulation systems
US9186212B2 (en) 2013-03-15 2015-11-17 St. Jude Medical, Cardiology Division, Inc. Feedback systems and methods utilizing two or more sites along denervation catheter
CA2907625C (en) 2013-03-27 2023-09-12 Autonomix Medical, Inc. Systems and methods for neurological traffic and/or receptor functional evaluation and/or modification
WO2014162660A1 (ja) 2013-04-01 2014-10-09 テルモ株式会社 モニタリングデバイス及びモニタリングデバイスキット
JP6192341B2 (ja) 2013-04-08 2017-09-06 オリンパス株式会社 穿刺針
EP2991717A4 (en) 2013-05-02 2016-12-07 Douglas C Harrington DEVICES AND METHOD FOR DETECTING AND TREATING THE GANGLION AORTICORENALE
US9339332B2 (en) 2013-08-30 2016-05-17 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters with nerve monitoring features for transmitting digital neural signals and associated systems and methods
US9326816B2 (en) 2013-08-30 2016-05-03 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods
US10143419B2 (en) 2013-10-15 2018-12-04 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function
US10136944B2 (en) 2013-10-15 2018-11-27 Autonomix Medical, Inc. Systems and methods for treating cancer and/or augmenting organ function
US20150112234A1 (en) 2013-10-18 2015-04-23 Medtronic Ardian Luxembourg S.a.r.I Devices, systems, and methods for the selective positioning of an intravascular ultrasound neuromodulation device
US20150119877A1 (en) 2013-10-25 2015-04-30 Covidien Lp Electrode ablation balloon catheter
SG11201602181UA (en) 2013-11-06 2016-04-28 Cryotherapeutics Gmbh Catheter for plaque stablisation
EP3091923A1 (en) 2014-01-06 2016-11-16 Boston Scientific Scimed, Inc. Sympathetic nerve ablation devices with an expansion-limiting member
WO2015105930A1 (en) 2014-01-12 2015-07-16 Upstream Peripheral Technologies Ltd. Active obstruction crossing device
US9999463B2 (en) 2014-04-14 2018-06-19 NeuroMedic, Inc. Monitoring nerve activity
US20170027460A1 (en) 2015-07-29 2017-02-02 NeuroMedic, Inc. Intraluminal microneurography probe
CN103892871B (zh) 2014-04-17 2015-11-25 深圳大学 一种机械旋转式血管内超声探头
US10709490B2 (en) 2014-05-07 2020-07-14 Medtronic Ardian Luxembourg S.A.R.L. Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods
CN106659531A (zh) 2014-05-07 2017-05-10 毕达哥拉斯医疗有限公司 受控组织消融技术
EP3266491B1 (en) 2014-06-17 2018-10-24 Covidien LP Medical balloon including grooves
US9844641B2 (en) 2014-07-16 2017-12-19 Fractyl Laboratories, Inc. Systems, devices and methods for performing medical procedures in the intestine
US20160045121A1 (en) 2014-08-12 2016-02-18 Indiana University Research And Technology Corporation System and Method for Monitoring Renal Sympathetic Nerve Activity
EP4389044A3 (en) 2014-10-01 2024-09-11 Medtronic Ardian Luxembourg S.à.r.l. Systems and methods for evaluating neuromodulation therapy via hemodynamic responses
US11013554B2 (en) 2014-11-14 2021-05-25 Medtronic Ardian Lexembourg S.A.R.L. Catheter apparatuses for modulation of nerves in communication with pulmonary system and associated systems and methods
US20160144156A1 (en) 2014-11-20 2016-05-26 Edwards Lifesciences Corporation Inflatable device with etched modifications
US10383685B2 (en) 2015-05-07 2019-08-20 Pythagoras Medical Ltd. Techniques for use with nerve tissue
EP3242711B1 (en) 2015-05-11 2020-01-29 St. Jude Medical, Cardiology Division, Inc. High density mapping and ablation catheter
US20160346513A1 (en) 2015-05-26 2016-12-01 Vanderbilt University Surgical device tip with arc length varying curvature
WO2016196031A1 (en) 2015-06-01 2016-12-08 Autonomix Medical, Inc. Elongated conductors and methods of making and using the same
EP3368156B1 (en) 2015-12-10 2020-02-12 St. Jude Medical, Cardiology Division, Inc. Blood vessel isolation ablation device
US11389652B2 (en) 2016-04-29 2022-07-19 Lifelens Technologies, Llc Monitoring and management of physiologic parameters of a subject
US10588637B2 (en) 2016-05-17 2020-03-17 Cook Medical Technologies Llc Temporary occlusion of blood vessel using extra-luminal balloon
CN106725643A (zh) 2016-06-22 2017-05-31 苏州茵络医疗器械有限公司 用于血管腔内手术的破膜器
JP6859043B2 (ja) 2016-07-22 2021-04-14 キヤノン株式会社 液体吐出ヘッド
WO2018107300A1 (en) 2016-12-16 2018-06-21 The Hospital For Sick Children Flexible articulate surgical tool
US20180250054A1 (en) 2017-03-06 2018-09-06 Pythagoras Medical Ltd. Ultrasound transucer with electrode feelers
WO2019023280A1 (en) 2017-07-25 2019-01-31 Affera, Inc. ABLATION CATHETERS AND ASSOCIATED SYSTEMS AND METHODS
WO2019050617A1 (en) 2017-09-07 2019-03-14 Cryterion Medical, Inc. CRYOGENIC BALLOON WITH SIZE ADJUSTMENT CAPACITY ABOVE LOWER INFLATION PRESSURES
RU2766520C1 (ru) 2018-06-04 2022-03-15 Апстрим Периферал Текнолоджис Лтд. Катетерное устройство
US12102781B2 (en) 2018-06-29 2024-10-01 Biosense Webster (Israel) Ltd. Reinforcement for irrigated electrophysiology balloon catheter with flexible-circuit electrodes
US11672959B2 (en) 2019-01-18 2023-06-13 Intersect Ent, Inc. Expandable member systems and methods for drug delivery
US11504508B2 (en) 2019-03-21 2022-11-22 Jonathan Levine Extended-tip angioplasty device and method
US11607234B2 (en) 2019-06-11 2023-03-21 Cruzar Medsystems, Inc. Systems and methods for traversing a site of obstruction
EP4362823A4 (en) 2021-07-05 2025-05-28 Veinway Ltd. Vessel blockage passing

Also Published As

Publication number Publication date
CN117881352A (zh) 2024-04-12
EP4362823A4 (en) 2025-05-28
IL309961A (en) 2024-03-01
CA3223384A1 (en) 2023-01-12
US20240285305A1 (en) 2024-08-29
US20230000515A1 (en) 2023-01-05
US20240285306A1 (en) 2024-08-29
US12496089B2 (en) 2025-12-16
US12446915B2 (en) 2025-10-21
EP4362823A1 (en) 2024-05-08

Similar Documents

Publication Publication Date Title
JP2024524474A (ja) 血管閉塞物の通過
JP7116005B2 (ja) リエントリカテーテル
EP3352833B1 (en) Occlusion bypassing apparatus with a re-entry needle and a stabilization tube
JP6887949B2 (ja) 方向変更送達カテーテル及びその使用方法
JP4932854B2 (ja) カテーテルシステム
US20190159912A1 (en) Method and device for treating a target site in a vascular body channel
EP3179928B1 (en) Occlusion bypassing apparatus with varying flexibility
CN111528986B (zh) 一种强化切割作用的球囊组件及球囊导管系统
US11779362B1 (en) Methods and apparatus for true lumen re-entry
JP2020022878A (ja) 閉塞を横断する及び治療するためのシステム及び方法
JP2021506364A (ja) 改善されたカテーテル並びにそうしたカテーテルを組み込んだ装置およびシステム
JP2004517649A (ja) 曲がりくねった経路の注射装置及び注射方法
JP7244114B2 (ja) 尖った針の軸方向リエントリデバイス
JP2015173913A (ja) 血管形成カテーテル
JP2022520849A (ja) ガイド延長カテーテル
WO2018012399A1 (ja) バルーンカテーテル
WO2023281500A1 (en) Vessel blockage passing
JP2025515875A (ja) 湾曲可能なガイドワイヤ管腔
Kim Chronic total occlusion of the femoropopliteal artery: how to recanalize

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A821

Effective date: 20240219

RD01 Notification of change of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7426

Effective date: 20240219

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20250704

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20250704

A761 Written withdrawal of application

Free format text: JAPANESE INTERMEDIATE CODE: A761

Effective date: 20251128