JP5377630B2 - 切断および芯除去アテレクトミーデバイス - Google Patents

切断および芯除去アテレクトミーデバイス Download PDF

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Publication number
JP5377630B2
JP5377630B2 JP2011512518A JP2011512518A JP5377630B2 JP 5377630 B2 JP5377630 B2 JP 5377630B2 JP 2011512518 A JP2011512518 A JP 2011512518A JP 2011512518 A JP2011512518 A JP 2011512518A JP 5377630 B2 JP5377630 B2 JP 5377630B2
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JP
Japan
Prior art keywords
cutting element
cutting
lumen
sheath
diameter
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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
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JP2011512518A
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English (en)
Japanese (ja)
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JP2011522598A5 (enExample
JP2011522598A (ja
Inventor
マット カンブロン，
ロブ コーラー，
スティーブン ラザム，
ジェシー シー． ダーレイ，
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Cardiovascular Systems Inc
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Cardiovascular Systems Inc
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Publication of JP2011522598A5 publication Critical patent/JP2011522598A5/ja
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Publication of JP5377630B2 publication Critical patent/JP5377630B2/ja
Expired - Fee Related legal-status Critical Current
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—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
    • A61B17/22—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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61B17/32075—Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
    • 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
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22014—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
JP2011512518A 2008-06-05 2009-05-18 切断および芯除去アテレクトミーデバイス Expired - Fee Related JP5377630B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US5897108P 2008-06-05 2008-06-05
US61/058,971 2008-06-05
US12/466,164 US8192451B2 (en) 2008-06-05 2009-05-14 Cutting and coring atherectomy device and method
US12/466,164 2009-05-14
PCT/US2009/044310 WO2009148807A1 (en) 2008-06-05 2009-05-18 Cutting and coring atherectomy device and method

Publications (3)

Publication Number Publication Date
JP2011522598A JP2011522598A (ja) 2011-08-04
JP2011522598A5 JP2011522598A5 (enExample) 2012-08-02
JP5377630B2 true JP5377630B2 (ja) 2013-12-25

Family

ID=41398434

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011512518A Expired - Fee Related JP5377630B2 (ja) 2008-06-05 2009-05-18 切断および芯除去アテレクトミーデバイス

Country Status (7)

Country Link
US (1) US8192451B2 (enExample)
EP (1) EP2303151A4 (enExample)
JP (1) JP5377630B2 (enExample)
CN (1) CN102056557B (enExample)
AU (1) AU2009255435B2 (enExample)
CA (1) CA2721690C (enExample)
WO (1) WO2009148807A1 (enExample)

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JP6338536B2 (ja) * 2012-02-13 2018-06-06 ニューロダイアミクス，エルエルシー 血行再建手技で使用するためのカテーテルおよびそれを使用する方法
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US9750525B2 (en) 2013-03-14 2017-09-05 Cardiovascular Systems, Inc. Devices, systems and methods for an oscillating crown drive for rotational atherectomy
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CN106456208B (zh) 2014-03-12 2020-04-03 波士顿科学有限公司 注入润滑斑块切除导管
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US10405879B2 (en) 2014-12-04 2019-09-10 Boston Scientific Scimed, Inc. Rotatable medical device
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CN109862838B (zh) * 2016-10-18 2023-01-31 密歇根大学董事会 以动脉粥样斑块切除术恢复动脉通畅的两阶段技术和导管温度控制系统
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EP3750494B1 (en) 2018-03-13 2025-01-08 TERUMO Kabushiki Kaisha Removal device and removal system
JP7374123B2 (ja) * 2018-04-19 2023-11-06 シー・アール・バード・インコーポレーテッド 能動的にスライス／スコアリングするためのカテーテル及び関連する方法
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CN109394307A (zh) * 2018-11-19 2019-03-01 储新 一种血管内钙化斑或钙化环超声波研磨装置
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JP2022548877A (ja) * 2019-09-12 2022-11-22 フリー フロー メディカル インコーポレイテッド 慢性気管支炎を治療する装置、方法およびシステム
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Also Published As

Publication number Publication date
AU2009255435B2 (en) 2014-08-21
AU2009255435A1 (en) 2009-12-10
US20090306691A1 (en) 2009-12-10
EP2303151A4 (en) 2011-11-30
CA2721690A1 (en) 2009-12-10
EP2303151A1 (en) 2011-04-06
JP2011522598A (ja) 2011-08-04
CA2721690C (en) 2016-09-27
WO2009148807A1 (en) 2009-12-10
CN102056557B (zh) 2013-11-06
CN102056557A (zh) 2011-05-11
US8192451B2 (en) 2012-06-05

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