JP2024524921A - 血管インターベンションのためのシステム及び方法 - Google Patents

血管インターベンションのためのシステム及び方法 Download PDF

Info

Publication number
JP2024524921A
JP2024524921A JP2023577527A JP2023577527A JP2024524921A JP 2024524921 A JP2024524921 A JP 2024524921A JP 2023577527 A JP2023577527 A JP 2023577527A JP 2023577527 A JP2023577527 A JP 2023577527A JP 2024524921 A JP2024524921 A JP 2024524921A
Authority
JP
Japan
Prior art keywords
distal
elongate body
length
sheath
along
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
JP2023577527A
Other languages
English (en)
Japanese (ja)
Other versions
JP2024524921A5 (https=
Inventor
ジャンセン,レックス
ジョンストン,ナターシャ
アリスティサバル,ディエゴ
シー ペイジ,マーク
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.)
Silk Road Medical Inc
Original Assignee
Silk Road Medical Inc
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 Silk Road Medical Inc filed Critical Silk Road Medical Inc
Publication of JP2024524921A publication Critical patent/JP2024524921A/ja
Publication of JP2024524921A5 publication Critical patent/JP2024524921A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • 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
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22051Implements 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
    • A61B2017/22065Functions of balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22079Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • 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
    • A61F2002/9528Instruments specially adapted for placement or removal of stents or stent-grafts for retrieval of stents
    • 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
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0074Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
    • A61M2025/0079Separate user-activated means, e.g. guidewires, guide tubes, balloon catheters or sheaths, for sealing off an orifice, e.g. a lumen or side holes, of a catheter
    • 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
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • 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
    • A61M25/1002Balloon catheters characterised by balloon shape

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Surgical Instruments (AREA)
JP2023577527A 2021-06-18 2022-06-15 血管インターベンションのためのシステム及び方法 Pending JP2024524921A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202163212514P 2021-06-18 2021-06-18
US63/212,514 2021-06-18
PCT/US2022/033588 WO2022266195A1 (en) 2021-06-18 2022-06-15 Systems and methods for vascular interventions

Publications (2)

Publication Number Publication Date
JP2024524921A true JP2024524921A (ja) 2024-07-09
JP2024524921A5 JP2024524921A5 (https=) 2025-06-02

Family

ID=82547096

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2023577527A Pending JP2024524921A (ja) 2021-06-18 2022-06-15 血管インターベンションのためのシステム及び方法

Country Status (5)

Country Link
US (1) US20240277360A1 (https=)
EP (1) EP4355231A1 (https=)
JP (1) JP2024524921A (https=)
CN (1) CN117615722A (https=)
WO (1) WO2022266195A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021087363A1 (en) 2019-10-31 2021-05-06 Silk Road Medical, Inc. Systems and methods for neurovascular interventions
WO2023096898A1 (en) 2021-11-24 2023-06-01 Silk Road Medical, Inc. Stopcock with indexing mechanism providing feedback of hub position
CN116492013B (zh) * 2023-04-26 2025-08-22 山东大学 一种心脑血管介入微装置及加工方法
WO2025096742A1 (en) * 2023-11-03 2025-05-08 Silk Road Medical, Inc. Systems and methods for transfemoral carotid intervention
CN121081763A (zh) * 2025-10-15 2025-12-09 丞沣医疗器械(北京)有限责任公司 主动式可变径医用插管

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09507148A (ja) * 1994-01-06 1997-07-22 シメッド ライフ システムズ インコーポレイテッド 熱可塑性ポリイミド製バルーン式カテーテル
US20140074144A1 (en) * 2012-09-11 2014-03-13 Tyco Healthcare Group Lp Retrieval catheter with expandable tip
JP2019524346A (ja) * 2016-08-17 2019-09-05 ニューラヴィ・リミテッド 血管から閉塞性血栓を除去するための血栓回収システム
JP2020142074A (ja) * 2019-03-04 2020-09-10 ニューラヴィ・リミテッド 作動血塊回収カテーテル

Family Cites Families (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5957882A (en) 1991-01-11 1999-09-28 Advanced Cardiovascular Systems, Inc. Ultrasound devices for ablating and removing obstructive matter from anatomical passageways and blood vessels
US5456667A (en) 1993-05-20 1995-10-10 Advanced Cardiovascular Systems, Inc. Temporary stenting catheter with one-piece expandable segment
US5964773A (en) 1995-02-15 1999-10-12 Automated Medical Products, Inc. Laparascopic suturing device and suture needles
US5938645A (en) 1995-05-24 1999-08-17 Boston Scientific Corporation Northwest Technology Center Inc. Percutaneous aspiration catheter system
US6117144A (en) 1995-08-24 2000-09-12 Sutura, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US5944687A (en) 1996-04-24 1999-08-31 The Regents Of The University Of California Opto-acoustic transducer for medical applications
US5794629A (en) 1996-11-27 1998-08-18 The Regents Of The University Of California Method for treating ischemic brain stroke
IL135725A0 (en) 1997-10-21 2001-05-20 Univ California Photoacoustic removal of occlusions from blood vessels
US6295990B1 (en) 1998-02-03 2001-10-02 Salient Interventional Systems, Inc. Methods and systems for treating ischemia
EP0934755A3 (en) * 1998-02-09 2000-07-19 Medtronic, Inc. Fiber reinforced balloon and catheter
US6511492B1 (en) 1998-05-01 2003-01-28 Microvention, Inc. Embolectomy catheters and methods for treating stroke and other small vessel thromboembolic disorders
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
EP1289596B1 (en) * 2000-05-31 2008-01-16 Fox Hollow Technologies, Inc. Embolization protection system for vascular procedures
US6730104B1 (en) 2000-06-29 2004-05-04 Concentric Medical, Inc. Methods and devices for removing an obstruction from a blood vessel
US6824545B2 (en) 2000-06-29 2004-11-30 Concentric Medical, Inc. Systems, methods and devices for removing obstructions from a blood vessel
US6663650B2 (en) 2000-06-29 2003-12-16 Concentric Medical, Inc. Systems, methods and devices for removing obstructions from a blood vessel
US6679893B1 (en) 2000-11-16 2004-01-20 Chestnut Medical Technologies, Inc. Grasping device and method of use
US20020133111A1 (en) 2001-03-19 2002-09-19 Shadduck John H. Neuro-thrombectomy catheter and method of use
US20020183783A1 (en) 2001-06-04 2002-12-05 Shadduck John H. Guidewire for capturing emboli in endovascular interventions
US20030212384A1 (en) 2002-05-10 2003-11-13 Hayden Scott William Expandable interventional system
US7993366B2 (en) 2004-05-27 2011-08-09 Cardiva Medical, Inc. Self-tensioning vascular occlusion device and method for its use
DE102004040868A1 (de) 2004-08-23 2006-03-09 Miloslavski, Elina Vorrichtung zur Entfernung von Thromben
US20060058837A1 (en) 2004-09-10 2006-03-16 Arani Bose System and method for treating ischemic stroke
US7931659B2 (en) 2004-09-10 2011-04-26 Penumbra, Inc. System and method for treating ischemic stroke
WO2008089264A1 (en) 2007-01-16 2008-07-24 Reviveflow, Inc. Arterial-venous switching
US8734374B2 (en) * 2007-12-20 2014-05-27 Angiodynamics, Inc. Systems and methods for removing undesirable material within a circulatory system during a surgical procedure
US20170136158A1 (en) * 2015-10-16 2017-05-18 Angiodynamics, Inc. Systems and Methods for Removing Undesirable Material Within a Circulatory System
CN102036611B (zh) 2007-12-26 2015-01-28 拉撒路效应公司 取回系统及其使用方法
WO2012156924A1 (en) * 2011-05-17 2012-11-22 Cardioflow Ltd. Vascular occlusion and aspiration device
ES2989493T3 (es) * 2014-06-13 2024-11-26 Neuravi Ltd Dispositivos para eliminar las obstrucciones agudas de los vasos sanguíneos

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09507148A (ja) * 1994-01-06 1997-07-22 シメッド ライフ システムズ インコーポレイテッド 熱可塑性ポリイミド製バルーン式カテーテル
US20140074144A1 (en) * 2012-09-11 2014-03-13 Tyco Healthcare Group Lp Retrieval catheter with expandable tip
JP2019524346A (ja) * 2016-08-17 2019-09-05 ニューラヴィ・リミテッド 血管から閉塞性血栓を除去するための血栓回収システム
JP2020142074A (ja) * 2019-03-04 2020-09-10 ニューラヴィ・リミテッド 作動血塊回収カテーテル

Also Published As

Publication number Publication date
EP4355231A1 (en) 2024-04-24
CN117615722A (zh) 2024-02-27
US20240277360A1 (en) 2024-08-22
WO2022266195A1 (en) 2022-12-22

Similar Documents

Publication Publication Date Title
US12144915B2 (en) Methods and systems for treatment of acute ischemic stroke
JP7524444B2 (ja) 頚動脈血流の逆流を確立する方法およびシステム
US20260041434A1 (en) Systems and methods for neurovascular interventions
JP2024524921A (ja) 血管インターベンションのためのシステム及び方法
US20100204684A1 (en) Methods and systems for performing neurointerventional procedures
US20100228269A1 (en) Vessel closure clip device
US20140296769A1 (en) Methods and Systems for Establishing Retrograde Carotid Arterial Blood Flow
US12569607B2 (en) Embolic protection in connection with transcarotid carotid artery revascularization
JP2013215589A (ja) 頚動脈血流の逆流を確立する方法およびシステム
JP2023537955A (ja) 経頸動脈処置用バルーンカテーテル
JP2024545417A (ja) 複数のブリッジ長さパターンを備えたステント
JP2025525582A (ja) 経皮的血管アクセスのために構成された閉塞シース
WO2025019858A9 (en) Flow control mechanism for neuroprotection system

Legal Events

Date Code Title Description
RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7423

Effective date: 20241126

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20241224

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20250523

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20250523

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20250624

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20251128

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20251202

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20260302

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20260305