JP5323824B2 - アテローム切除術のデバイス、システムおよび方法 - Google Patents

アテローム切除術のデバイス、システムおよび方法 Download PDF

Info

Publication number
JP5323824B2
JP5323824B2 JP2010514848A JP2010514848A JP5323824B2 JP 5323824 B2 JP5323824 B2 JP 5323824B2 JP 2010514848 A JP2010514848 A JP 2010514848A JP 2010514848 A JP2010514848 A JP 2010514848A JP 5323824 B2 JP5323824 B2 JP 5323824B2
Authority
JP
Japan
Prior art keywords
catheter
cutter
assembly
tissue
sweep
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.)
Active
Application number
JP2010514848A
Other languages
English (en)
Japanese (ja)
Other versions
JP2010532211A (ja
JP2010532211A5 (enExample
Inventor
ポール エスカデロ，
クリストファー ジェイ． ダネク，
ジョン トゥー，
ヒラム チー，
オーガスト ポンボ，
トーリー スミス，
ブレンダ ハン，
Original Assignee
アセローメド， インコーポレイテッド
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
Priority claimed from US11/771,865 external-priority patent/US20080045986A1/en
Application filed by アセローメド， インコーポレイテッド filed Critical アセローメド， インコーポレイテッド
Publication of JP2010532211A publication Critical patent/JP2010532211A/ja
Publication of JP2010532211A5 publication Critical patent/JP2010532211A5/ja
Application granted granted Critical
Publication of JP5323824B2 publication Critical patent/JP5323824B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • 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
    • 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
    • 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
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00685—Archimedes screw
    • 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
    • A61B2017/22039—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 eccentric
    • 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
    • A61B2017/22094—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
    • 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
    • A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • A61B2017/320766—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven eccentric
    • 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
    • A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • A61B2017/320775—Morcellators, impeller or propeller like means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
JP2010514848A 2007-06-29 2008-06-30 アテローム切除術のデバイス、システムおよび方法 Active JP5323824B2 (ja)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US11/771,865 US20080045986A1 (en) 2006-06-30 2007-06-29 Atherectomy devices and methods
US11/771,865 2007-06-29
US98173507P 2007-10-22 2007-10-22
US60/981,735 2007-10-22
US4399808P 2008-04-10 2008-04-10
US61/043,998 2008-04-10
PCT/US2008/008140 WO2009005779A1 (en) 2007-06-29 2008-06-30 Atherectomy devices, systems, and methods

Publications (3)

Publication Number Publication Date
JP2010532211A JP2010532211A (ja) 2010-10-07
JP2010532211A5 JP2010532211A5 (enExample) 2012-07-12
JP5323824B2 true JP5323824B2 (ja) 2013-10-23

Family

ID=40226422

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2010514848A Active JP5323824B2 (ja) 2007-06-29 2008-06-30 アテローム切除術のデバイス、システムおよび方法

Country Status (7)

Country Link
EP (1) EP2164409B1 (enExample)
JP (1) JP5323824B2 (enExample)
KR (1) KR20100047854A (enExample)
CN (1) CN101795630B (enExample)
AU (1) AU2008271034A1 (enExample)
CA (1) CA2692463A1 (enExample)
WO (1) WO2009005779A1 (enExample)

Families Citing this family (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8007506B2 (en) 2006-06-30 2011-08-30 Atheromed, Inc. Atherectomy devices and methods
US20080045986A1 (en) 2006-06-30 2008-02-21 Atheromed, Inc. Atherectomy devices and methods
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
EP2037822A4 (en) 2006-06-30 2015-10-07 Atheromed Inc ATHEREOMETRY DEVICES AND METHODS
US20080004645A1 (en) 2006-06-30 2008-01-03 Atheromed, Inc. Atherectomy devices and methods
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
US8628549B2 (en) 2006-06-30 2014-01-14 Atheromed, Inc. Atherectomy devices, systems, and methods
US9492192B2 (en) 2006-06-30 2016-11-15 Atheromed, Inc. Atherectomy devices, systems, and methods
US9314263B2 (en) 2006-06-30 2016-04-19 Atheromed, Inc. Atherectomy devices, systems, and methods
US9028520B2 (en) 2006-12-22 2015-05-12 The Spectranetics Corporation Tissue separating systems and methods
US8961551B2 (en) 2006-12-22 2015-02-24 The Spectranetics Corporation Retractable separating systems and methods
US8236016B2 (en) 2007-10-22 2012-08-07 Atheromed, Inc. Atherectomy devices and methods
US8070762B2 (en) 2007-10-22 2011-12-06 Atheromed Inc. Atherectomy devices and methods
US9125562B2 (en) 2009-07-01 2015-09-08 Avinger, Inc. Catheter-based off-axis optical coherence tomography imaging system
US8696695B2 (en) 2009-04-28 2014-04-15 Avinger, Inc. Guidewire positioning catheter
US8062316B2 (en) 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
JP6101078B2 (ja) 2009-05-28 2017-03-29 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． バイオイメージングのための光コヒーレンストモグラフィ
EP2448502B1 (en) 2009-07-01 2022-04-06 Avinger, Inc. Atherectomy catheter with laterally-displaceable tip
EP2531163A1 (en) * 2010-02-01 2012-12-12 The Hospital For Sick Children Remote ischemic conditioning for treatment and preventon of restenosis
JP2013523240A (ja) 2010-03-31 2013-06-17 ザ・ホスピタル・フォー・シック・チルドレン 心筋梗塞後の結果を改善するための遠隔虚血コンディショニングの使用
EP2555692A2 (en) 2010-04-08 2013-02-13 The Hospital For Sick Children Use of remote ischemic conditioning for traumatic injury
US10548478B2 (en) 2010-07-01 2020-02-04 Avinger, Inc. Balloon atherectomy catheters with imaging
CA2803992C (en) 2010-07-01 2018-03-20 Avinger, Inc. Atherectomy catheters with longitudinally displaceable drive shafts
US11382653B2 (en) 2010-07-01 2022-07-12 Avinger, Inc. Atherectomy catheter
BR112013009835A2 (pt) 2010-10-28 2016-07-26 Covidien Lp dispositivo para a remoção de material e método de uso
WO2012114334A1 (en) 2011-02-24 2012-08-30 Ilan Ben Oren Hybrid catheter for endoluminal intervention
US9415193B2 (en) 2011-03-04 2016-08-16 W. L. Gore & Associates, Inc. Eluting medical devices
US9949754B2 (en) 2011-03-28 2018-04-24 Avinger, Inc. Occlusion-crossing devices
JP6205344B2 (ja) 2011-03-28 2017-09-27 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． 閉塞クロッシング用デバイス、撮像用デバイスおよびアテローム切除用デバイス
CN103608334B (zh) 2011-06-15 2015-12-23 武田药品工业株式会社 咪唑衍生物的制备方法
CN102389328B (zh) * 2011-07-26 2013-09-18 陈之伟 一种动脉血管粥样硬化斑块清除器
CN103957825B (zh) 2011-10-13 2018-12-07 阿瑟罗迈德公司 粥样斑块切除装置、系统和方法
WO2013059363A1 (en) 2011-10-17 2013-04-25 Avinger, Inc. Atherectomy catheters and non-contact actuation mechanism for catheters
CN102429704B (zh) * 2011-11-07 2013-10-30 南京仲陆医疗器械有限公司 可调节医用削切刀
US9345406B2 (en) 2011-11-11 2016-05-24 Avinger, Inc. Occlusion-crossing devices, atherectomy devices, and imaging
CN102499734B (zh) * 2011-11-17 2013-06-19 祖茂衡 一种支架内血栓清除器
US9204868B2 (en) 2011-12-02 2015-12-08 Interscope, Inc. Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument
US8882680B2 (en) 2011-12-02 2014-11-11 Interscope, Inc. Insertable endoscopic instrument for tissue removal
WO2013172970A1 (en) 2012-05-14 2013-11-21 Avinger, Inc. Atherectomy catheters with imaging
US9557156B2 (en) 2012-05-14 2017-01-31 Avinger, Inc. Optical coherence tomography with graded index fiber for biological imaging
US9345398B2 (en) 2012-05-14 2016-05-24 Avinger, Inc. Atherectomy catheter drive assemblies
US9901715B2 (en) 2012-09-05 2018-02-27 W. L. Gore Associates, Inc. Retractable sheath devices, systems, and methods
US9498247B2 (en) 2014-02-06 2016-11-22 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
US10335173B2 (en) 2012-09-06 2019-07-02 Avinger, Inc. Re-entry stylet for catheter
US11284916B2 (en) 2012-09-06 2022-03-29 Avinger, Inc. Atherectomy catheters and occlusion crossing devices
US9579157B2 (en) 2012-09-13 2017-02-28 Covidien Lp Cleaning device for medical instrument and method of use
US9724122B2 (en) 2012-09-14 2017-08-08 The Spectranetics Corporation Expandable lead jacket
EP2931149A1 (en) * 2012-12-12 2015-10-21 Covidien LP Debulking catheter
US9883885B2 (en) 2013-03-13 2018-02-06 The Spectranetics Corporation System and method of ablative cutting and pulsed vacuum aspiration
US9283040B2 (en) 2013-03-13 2016-03-15 The Spectranetics Corporation Device and method of ablative cutting with helical tip
US10383691B2 (en) 2013-03-13 2019-08-20 The Spectranetics Corporation Last catheter with helical internal lumen
US9456872B2 (en) 2013-03-13 2016-10-04 The Spectranetics Corporation Laser ablation catheter
US9291663B2 (en) 2013-03-13 2016-03-22 The Spectranetics Corporation Alarm for lead insulation abnormality
US10835279B2 (en) 2013-03-14 2020-11-17 Spectranetics Llc Distal end supported tissue slitting apparatus
EP2967367B1 (en) 2013-03-15 2019-02-20 Avinger, Inc. Optical pressure sensor assembly
WO2014140832A2 (en) 2013-03-15 2014-09-18 The Hospital For Sick Children Treatment of erectile dysfunction using remote ischemic conditioning
WO2017048486A1 (en) 2013-03-15 2017-03-23 The Spectranetics Corporation Medical device for removing an implanted object using laser cut hypotubes
US10448999B2 (en) 2013-03-15 2019-10-22 The Spectranetics Corporation Surgical instrument for removing an implanted object
WO2014167423A2 (en) 2013-03-15 2014-10-16 The Hospital For Sick Children Methods for modulating autophagy using remote ischemic conditioning
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
WO2014151814A1 (en) 2013-03-15 2014-09-25 The Spectranetics Corporation Surgical instrument for removing an implanted object
WO2014143064A1 (en) 2013-03-15 2014-09-18 Avinger, Inc. Chronic total occlusion crossing devices with imaging
JP6435280B2 (ja) 2013-03-15 2018-12-05 ナショナル ユニバーシティー オブ アイルランド， ゴールウェイ 内腔内部および体内腔の壁から物質を除去するのに適したデバイス
US10252052B2 (en) 2013-03-15 2019-04-09 The Hospital For Sick Children Methods relating to the use of remote ischemic conditioning
EP2967507B1 (en) 2013-03-15 2018-09-05 Avinger, Inc. Tissue collection device for catheter
US10842532B2 (en) 2013-03-15 2020-11-24 Spectranetics Llc Medical device for removing an implanted object
US9918737B2 (en) 2013-03-15 2018-03-20 The Spectranetics Corporation Medical device for removing an implanted object
CA2911545C (en) * 2013-05-17 2016-08-16 Interscope, Inc. Insertable endoscopic instrument for tissue removal
EP3019096B1 (en) 2013-07-08 2023-07-05 Avinger, Inc. System for identification of elastic lamina to guide interventional therapy
US9439674B2 (en) * 2013-07-25 2016-09-13 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
CN104586469B (zh) * 2013-11-01 2016-09-14 上海理工大学 局部循环式血栓取除器
US9456843B2 (en) * 2014-02-03 2016-10-04 Covidien Lp Tissue-removing catheter including angular displacement sensor
JP6539669B2 (ja) 2014-02-06 2019-07-03 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． 粥腫切除カテーテル及び閉塞横断装置
WO2015134383A1 (en) 2014-03-03 2015-09-11 The Spectranetics Corporation Multiple configuration surgical cutting device
US12053203B2 (en) 2014-03-03 2024-08-06 Spectranetics, Llc Multiple configuration surgical cutting device
US10405924B2 (en) 2014-05-30 2019-09-10 The Spectranetics Corporation System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port
JP6728128B2 (ja) 2014-07-08 2020-07-22 アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． 慢性完全閉塞高速クロッシングデバイス
USD765243S1 (en) 2015-02-20 2016-08-30 The Spectranetics Corporation Medical device handle
USD770616S1 (en) 2015-02-20 2016-11-01 The Spectranetics Corporation Medical device handle
JP6772161B2 (ja) 2015-02-20 2020-10-21 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 撮像を伴うアテローム切除装置
US10485563B2 (en) * 2015-03-27 2019-11-26 Terumo Kabushiki Kaisha Calculus/calculi retrieving device and method
CN104758029B (zh) * 2015-04-16 2016-03-16 黄经春 一种血栓抽吸导管及其应用
EP3319680A4 (en) * 2015-07-06 2018-12-19 Avinger, Inc. Self-alignment mechanism for imaging catheter and drive assembly
US10568520B2 (en) 2015-07-13 2020-02-25 Avinger, Inc. Micro-molded anamorphic reflector lens for image guided therapeutic/diagnostic catheters
US9943330B2 (en) 2015-09-10 2018-04-17 Covidien Lp Tissue-removing catheter with asymmetric window
CA3012186A1 (en) 2016-01-25 2017-08-03 Avinger, Inc. Oct imaging catheter with lag correction
WO2017173370A1 (en) 2016-04-01 2017-10-05 Avinger, Inc. Atherectomy catheter with serrated cutter
JP6874120B2 (ja) * 2016-04-25 2021-05-19 ストライカー コーポレイションＳｔｒｙｋｅｒ Ｃｏｒｐｏｒａｔｉｏｎ 抗閉塞および解離血栓除去装置ならびに方法
US11684420B2 (en) 2016-05-05 2023-06-27 Eximo Medical Ltd. Apparatus and methods for resecting and/or ablating an undesired tissue
US11344327B2 (en) 2016-06-03 2022-05-31 Avinger, Inc. Catheter device with detachable distal end
JP7061080B2 (ja) 2016-06-30 2022-04-27 アビンガー・インコーポレイテッド 賦形な遠位先端を有するアテレクトミーカテーテル
JP7019582B2 (ja) * 2016-09-16 2022-02-15 テルモ株式会社 医療デバイス
CN106691405A (zh) * 2016-12-29 2017-05-24 天津恒宇医疗科技有限公司 一种超细oct成像导管
WO2018174023A1 (ja) * 2017-03-24 2018-09-27 テルモ株式会社 医療デバイス
CN109316224B (zh) * 2017-08-01 2024-02-09 上海蓝脉医疗科技有限公司 血栓去除装置
CN108013918B (zh) * 2017-12-26 2018-06-29 微创心脉医疗科技（上海）有限公司 一种取栓导管
WO2019204797A1 (en) 2018-04-19 2019-10-24 Avinger, Inc. Occlusion-crossing devices
JP7486481B2 (ja) * 2018-11-01 2024-05-17 コーニンクレッカ フィリップス エヌ ヴェ あらかじめ成形され且つ湾曲した遠位部分を含むアテレクトミー装置及び方法
US12420069B2 (en) 2018-12-19 2025-09-23 Covidien Lp Internal carotid artery thrombectomy devices and methods
WO2020234203A1 (en) * 2019-05-17 2020-11-26 Koninklijke Philips N.V. Atherectomy devices including positive and negative rake angle cutting blades
JP7601799B2 (ja) * 2019-06-18 2024-12-17 コーニンクレッカ フィリップス エヌ ヴェ 複数の遠位切断凹凸構造を含む粥腫切除装置
CN110403677B (zh) * 2019-07-22 2020-06-19 杭州科锐特医疗设备有限公司 一种鼻窦镜手术动力系统
CN114746033B (zh) * 2019-10-18 2025-01-10 阿维格公司 阻塞横穿装置
EP3815632A1 (en) * 2019-10-30 2021-05-05 Straub Medical AG Catheter for aspiration, fragmentation and removal of removable material from hollow bodies
CN110840527B (zh) * 2019-12-06 2021-05-07 昆山金泰医疗科技有限公司 一种快速切割血栓斑块装置
EP4209184A4 (en) 2020-09-03 2024-10-30 Lifetech Scientific (Shenzhen) Co., Ltd. MEDICAL CUTTING ARRANGEMENT AND VOLUME REDUCTION CATHETER SYSTEM
US12376904B1 (en) 2020-09-08 2025-08-05 Angiodynamics, Inc. Dynamic laser stabilization and calibration system
WO2022052975A1 (zh) * 2020-09-09 2022-03-17 杭州诺生医疗科技有限公司 介入性冲切器及冲切方法
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
CN113017780B (zh) * 2021-03-02 2022-03-08 哈尔滨医科大学 一种集成超声成像与腔内斑块旋切术的导管系统
CN113729853B (zh) * 2021-04-09 2023-11-07 杭州唯强医疗科技有限公司 碎栓支架、碎栓装置及取栓系统
BR112023023598A2 (pt) 2021-06-07 2024-03-12 Avantec Vascular Corp Dispositivos híbridos de aterectomia
JP2024522212A (ja) * 2021-06-09 2024-06-11 ヘメリオン セラピューティクス 光線力学療法による治療のためのシステム
CN116407222A (zh) * 2021-12-31 2023-07-11 先健科技(深圳)有限公司 一种切除装置
CN116407224A (zh) * 2021-12-31 2023-07-11 先健科技(深圳)有限公司 一种切除装置
US12038322B2 (en) 2022-06-21 2024-07-16 Eximo Medical Ltd. Devices and methods for testing ablation systems
CN218651946U (zh) * 2022-07-19 2023-03-21 武汉微新坦医疗科技有限公司 心肌调弯切割装置及系统
CN115998376A (zh) * 2022-12-26 2023-04-25 先健科技(深圳)有限公司 一种切除装置
WO2024210884A1 (en) * 2023-04-03 2024-10-10 Bard Peripheral Vascular, Inc. Thrombectomy devices and methods
CN116650061B (zh) * 2023-05-26 2025-09-26 苏州无限医疗科技有限公司 一种血栓切削组件及血栓切削装置
EP4637587A1 (en) 2023-08-16 2025-10-29 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
CN117562629A (zh) * 2023-11-15 2024-02-20 上海微创医疗器械（集团）有限公司 医用旋磨装置及旋磨方法
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5041082A (en) * 1986-06-16 1991-08-20 Samuel Shiber Mechanical atherectomy system and method
US5569275A (en) * 1991-06-11 1996-10-29 Microvena Corporation Mechanical thrombus maceration device
WO1994024946A1 (en) * 1993-04-29 1994-11-10 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal device
CZ287327B6 (en) * 1995-03-28 2000-10-11 Straub Medical Ag Catheter
JP2001522631A (ja) * 1997-11-07 2001-11-20 プロリフィックス メディカル， インコーポレイテッド 身体管腔内の閉塞を治療する方法およびシステム
WO1999035977A1 (en) * 1998-01-16 1999-07-22 Lumend, Inc. Catheter apparatus for treating arterial occlusions
US20010031981A1 (en) * 2000-03-31 2001-10-18 Evans Michael A. Method and device for locating guidewire and treating chronic total occlusions
US7344546B2 (en) * 2000-04-05 2008-03-18 Pathway Medical Technologies Intralumenal material removal using a cutting device for differential cutting
EP1267989B1 (en) * 2000-04-05 2006-07-19 Pathway Medical Technologies, Inc. Intralumenal material removal systems and methods
US7927784B2 (en) * 2000-12-20 2011-04-19 Ev3 Vascular lumen debulking catheters and methods
US20050070821A1 (en) * 2003-07-31 2005-03-31 Deal Stephen E. System and method for introducing a prosthesis
ES2407684T3 (es) * 2004-05-05 2013-06-13 Direct Flow Medical, Inc. Válvula cardiaca sin estent con estructura de soporte formada en el sitio
AU2005254572A1 (en) * 2004-06-14 2005-12-29 Applied Medical Resources Corporation Steerable vascular sheath

Also Published As

Publication number Publication date
EP2164409B1 (en) 2018-08-08
WO2009005779A1 (en) 2009-01-08
CN101795630B (zh) 2013-03-06
JP2010532211A (ja) 2010-10-07
CA2692463A1 (en) 2009-01-08
KR20100047854A (ko) 2010-05-10
CN101795630A (zh) 2010-08-04
AU2008271034A1 (en) 2009-01-08
EP2164409A1 (en) 2010-03-24
EP2164409A4 (en) 2011-07-20

Similar Documents

Publication Publication Date Title
JP5323824B2 (ja) アテローム切除術のデバイス、システムおよび方法
US9492192B2 (en) Atherectomy devices, systems, and methods
US9314263B2 (en) Atherectomy devices, systems, and methods
US8628549B2 (en) Atherectomy devices, systems, and methods
US10226275B2 (en) Devices, systems, and methods for debulking restenosis of a blood vessel
US9198679B2 (en) Atherectomy devices and methods
US9668767B2 (en) Atherectomy devices and methods
US10154854B2 (en) Atherectomy devices and methods
JP5220007B2 (ja) アテローム切除術の装置および方法
US8361094B2 (en) Atherectomy devices and methods
US20110112563A1 (en) Atherectomy devices and methods
AU2009234392A1 (en) Atherectomy devices and methods
US20140249554A1 (en) Atherectomy devices and methods

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20110624

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20110624

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120525

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20121226

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20130322

A602 Written permission of extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A602

Effective date: 20130329

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20130426

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20130620

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20130717

R150 Certificate of patent or registration of utility model

Ref document number: 5323824

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250