JP4546250B2 - 閉塞部を通過するための案内ワイヤ制御カテーテルおよびそれに関連する使用方法 - Google Patents
閉塞部を通過するための案内ワイヤ制御カテーテルおよびそれに関連する使用方法 Download PDFInfo
- Publication number
- JP4546250B2 JP4546250B2 JP2004555478A JP2004555478A JP4546250B2 JP 4546250 B2 JP4546250 B2 JP 4546250B2 JP 2004555478 A JP2004555478 A JP 2004555478A JP 2004555478 A JP2004555478 A JP 2004555478A JP 4546250 B2 JP4546250 B2 JP 4546250B2
- Authority
- JP
- Japan
- Prior art keywords
- wire
- catheter
- guide wire
- control
- control catheter
- 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.)
- Expired - Fee Related
Links
- GQDYKYGFCJNFOU-UHFFFAOYSA-N CCCCC1NC1 Chemical compound CCCCC1NC1 GQDYKYGFCJNFOU-UHFFFAOYSA-N 0.000 description 1
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Classifications
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- 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
-
- 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
- A61M25/0144—Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22094—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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
- 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
- A61M2025/0183—Rapid exchange or monorail 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1047—Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate 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
- A61M25/01—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
- A61M25/0136—Handles therefor
-
- 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
- A61M25/0172—Exchanging a guidewire while keeping the catheter in place
Description
Claims (12)
- 血管内での案内ワイヤの前進を制御するためのワイヤ制御カテーテルにおいて、当該ワイヤ制御カテーテルの末端側先端と当該ワイヤ制御カテーテルの基端部との間で延びる制御ワイヤルーメンを画成する第1シャフト部分と、前記制御ワイヤルーメンよりも実質的に短い案内ワイヤルーメンを画成する第2シャフト部分と、一本の背骨部分に沿ってコイル又は複数のリングが配置された屈曲可能な末端側先端部分とを具備し、前記背骨部分が前記末端側先端部分における前記背骨部分と反対側が短かくなることを防止するワイヤ制御カテーテル。
- 上記案内ワイヤルーメンの基端部と連通する漏斗状の部分をさらに具備する請求項1に記載のワイヤ制御カテーテル。
- 上記制御ワイヤルーメンを通って延びる制御ワイヤをさらに具備する請求項1に記載のワイヤ制御カテーテル。
- 上記案内ワイヤルーメンと上記制御ワイヤルーメンとを包囲する網状ワイヤシースをさらに具備する請求項1に記載のワイヤ制御カテーテル。
- センタリング器具をさらに具備する請求項1に記載のワイヤ制御カテーテル。
- 上記センタリング器具が上記屈曲可能な末端側先端近くに配置されている請求項5に記載のワイヤ制御カテーテル。
- 上記センタリング器具が上記屈曲可能な末端側先端上に配置されている請求項6に記載のワイヤ制御カテーテル。
- 予拡張バルーンをさらに具備する請求項1に記載のワイヤ制御カテーテル。
- 上記センタリング器具が膨張可能であり、上記第1シャフト部分が膨張ルーメンをさらに有する請求項5に記載のワイヤ制御カテーテル。
- 前記コイル又は複数のリングが前記制御ワイヤルーメンの内部を通る制御ワイヤに連結されている請求項1に記載のワイヤ制御カテーテル。
- 前記リングがU字形態を有している請求項1に記載のワイヤ制御カテーテル。
- 前記リングが閉じたリングである請求項1に記載のワイヤ制御カテーテル。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/301,779 US20040102719A1 (en) | 2002-11-22 | 2002-11-22 | Guide wire control catheters for crossing occlusions and related methods of use |
PCT/US2003/036783 WO2004047901A2 (en) | 2002-11-22 | 2003-11-18 | Guide wire control catheters for crossing occlusions and related methods of use |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2006507089A JP2006507089A (ja) | 2006-03-02 |
JP2006507089A5 JP2006507089A5 (ja) | 2007-01-11 |
JP4546250B2 true JP4546250B2 (ja) | 2010-09-15 |
Family
ID=32324595
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004555478A Expired - Fee Related JP4546250B2 (ja) | 2002-11-22 | 2003-11-18 | 閉塞部を通過するための案内ワイヤ制御カテーテルおよびそれに関連する使用方法 |
Country Status (5)
Country | Link |
---|---|
US (3) | US20040102719A1 (ja) |
EP (1) | EP1562666A2 (ja) |
JP (1) | JP4546250B2 (ja) |
AU (1) | AU2003291032A1 (ja) |
WO (1) | WO2004047901A2 (ja) |
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2002
- 2002-11-22 US US10/301,779 patent/US20040102719A1/en not_active Abandoned
-
2003
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- 2003-11-18 JP JP2004555478A patent/JP4546250B2/ja not_active Expired - Fee Related
- 2003-11-18 AU AU2003291032A patent/AU2003291032A1/en not_active Abandoned
- 2003-11-18 WO PCT/US2003/036783 patent/WO2004047901A2/en active Application Filing
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- 2008-09-09 US US12/207,391 patent/US20090005755A1/en not_active Abandoned
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2015
- 2015-02-11 US US14/619,730 patent/US20150151081A1/en not_active Abandoned
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AU2003291032A1 (en) | 2004-06-18 |
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US20090005755A1 (en) | 2009-01-01 |
WO2004047901A2 (en) | 2004-06-10 |
AU2003291032A8 (en) | 2004-06-18 |
EP1562666A2 (en) | 2005-08-17 |
US20150151081A1 (en) | 2015-06-04 |
JP2006507089A (ja) | 2006-03-02 |
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