JP6117364B2 - 高血圧を治療するための方法、システム、および、デバイス - Google Patents

高血圧を治療するための方法、システム、および、デバイス Download PDF

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Publication number
JP6117364B2
JP6117364B2 JP2015534777A JP2015534777A JP6117364B2 JP 6117364 B2 JP6117364 B2 JP 6117364B2 JP 2015534777 A JP2015534777 A JP 2015534777A JP 2015534777 A JP2015534777 A JP 2015534777A JP 6117364 B2 JP6117364 B2 JP 6117364B2
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JP2015531278A (ja
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ロドニー ブレンヌマン，
ロドニー ブレンヌマン，
ブラッド ケラーマン，
ブラッド ケラーマン，
ジェイ． クリストファー フラハティー，
ジェイ． クリストファー フラハティー，
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ロックス メディカル， インコーポレイテッド
ロックス メディカル， インコーポレイテッド
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3655—Arterio-venous shunts or fistulae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00491—Surgical glue applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02007—Evaluating blood vessel condition, e.g. elasticity, compliance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12—Arrangements for detecting or locating foreign bodies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/488—Diagnostic techniques involving Doppler signals
    • 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
    • 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
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Physiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Surgical Instruments (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Prostheses (AREA)
JP2015534777A 2012-09-28 2013-09-27 高血圧を治療するための方法、システム、および、デバイス Active JP6117364B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261707280P 2012-09-28 2012-09-28
US61/707,280 2012-09-28
PCT/US2013/062458 WO2014052919A1 (en) 2012-09-28 2013-09-27 Methods, systems and devices for treating hypertension

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2016243341A Division JP2017051692A (ja) 2012-09-28 2016-12-15 高血圧を治療するための方法、システム、および、デバイス

Publications (2)

Publication Number Publication Date
JP2015531278A JP2015531278A (ja) 2015-11-02
JP6117364B2 true JP6117364B2 (ja) 2017-04-19

Family

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Family Applications (3)

Application Number Title Priority Date Filing Date
JP2015534777A Active JP6117364B2 (ja) 2012-09-28 2013-09-27 高血圧を治療するための方法、システム、および、デバイス
JP2016243341A Withdrawn JP2017051692A (ja) 2012-09-28 2016-12-15 高血圧を治療するための方法、システム、および、デバイス
JP2018020775A Pending JP2018075476A (ja) 2012-09-28 2018-02-08 高血圧を治療するための方法、システム、および、デバイス

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JP2016243341A Withdrawn JP2017051692A (ja) 2012-09-28 2016-12-15 高血圧を治療するための方法、システム、および、デバイス
JP2018020775A Pending JP2018075476A (ja) 2012-09-28 2018-02-08 高血圧を治療するための方法、システム、および、デバイス

Country Status (7)

Country Link
US (2) US9550022B2 (enExample)
EP (1) EP2900175A4 (enExample)
JP (3) JP6117364B2 (enExample)
CN (1) CN104936551B (enExample)
AU (1) AU2013323211B2 (enExample)
CA (1) CA2883209A1 (enExample)
WO (1) WO2014052919A1 (enExample)

Families Citing this family (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5981932B2 (ja) 2010-11-16 2016-08-31 ティーブイエー メディカル， インコーポレイテッド 瘻を形成するためのデバイスおよび方法
CA2883209A1 (en) 2012-09-28 2014-04-03 Rox Medical, Inc. Methods, systems and devices for treating hypertension
JP2015532152A (ja) 2012-10-11 2015-11-09 ティーブイエー メディカル， インコーポレイテッド フィステル形成のための装置および方法
US10448953B2 (en) 2013-01-23 2019-10-22 Rox Medical, Inc. Methods, systems and devices for treating cardiac arrhythmias
EP3566740B1 (en) 2013-03-14 2024-08-14 TVA Medical, Inc. Fistula formulation/formation devices
US10695534B2 (en) 2014-03-14 2020-06-30 Tva Medical, Inc. Fistula formation devices and methods therefor
US10518112B2 (en) * 2014-06-18 2019-12-31 Sonivie Ltd. Method for treating secondary pulmonary hypertension
WO2016033374A1 (en) 2014-08-27 2016-03-03 Tva Medical, Inc. Cryolipopysis devices and methods therefor
US10603040B1 (en) 2015-02-09 2020-03-31 Tva Medical, Inc. Methods for treating hypertension and reducing blood pressure with formation of fistula
EP3090766B1 (de) 2015-05-06 2017-08-16 Peter Osypka Stiftung Vorrichtung zur regulierung der vitalen parameter des herz-kreislaufsystems
CN104783830B (zh) * 2015-05-18 2018-01-19 徐立新 立体双层ct引导穿刺定位架
CN106333722A (zh) * 2015-07-10 2017-01-18 洛克斯医药公司 用于创建血液流动通路以治疗患者的方法、系统和装置
US10772569B2 (en) 2015-11-20 2020-09-15 Tata Consultancy Services Limited Device and method to detect diabetes in a person using pulse palpation signal
US10874422B2 (en) 2016-01-15 2020-12-29 Tva Medical, Inc. Systems and methods for increasing blood flow
WO2017124059A1 (en) 2016-01-15 2017-07-20 Tva Medical, Inc. Devices and methods for advancing a wire
CN108882959A (zh) 2016-01-15 2018-11-23 Tva医疗公司 用于形成瘘管的装置和方法
CA3011240A1 (en) 2016-01-15 2017-07-20 Tva Medical, Inc. Systems and methods for adhering vessels
US11285028B2 (en) 2016-09-25 2022-03-29 Tva Medical, Inc. Vascular stent devices and methods
CN110113988B (zh) * 2016-11-17 2022-04-08 美第奇科技有限责任公司 用于中心静脉压测量状态的方法和设备
WO2019051213A1 (en) * 2017-09-08 2019-03-14 Rox Medical, Inc. METHODS, SYSTEMS AND DEVICES FOR CREATING THERAPEUTIC BLOOD FLOW THROUGHPASSES
CN112543619B (zh) * 2018-08-03 2024-12-17 艾维努医疗股份有限公司 用于建立经皮瘘的系统
EP4647048A2 (en) * 2019-02-07 2025-11-12 NXT Biomedical, LLC Rivet shunt and method of deployment
WO2021034537A1 (en) 2019-08-22 2021-02-25 Edwards Lifesciences Corporation Puncture needles
CN114727836A (zh) 2019-11-14 2022-07-08 爱德华兹生命科学公司 经导管的医疗植入物递送
US11491272B2 (en) 2020-11-09 2022-11-08 Venova Medical, Inc. Endovascular implants and devices and methods for accurate placement
TWI768541B (zh) * 2020-11-12 2022-06-21 鄭靖蓉 引流淋巴液至靜脈之設備
US12318563B1 (en) 2021-02-02 2025-06-03 Taurus Vascular, Inc. Methods and systems for transcaval treatment of aneurysms
US12310837B1 (en) 2024-01-22 2025-05-27 Taurus Vascular, Inc. Methods and systems for transcaval treatment of aneurysms
WO2024155994A1 (en) 2023-01-20 2024-07-25 Texas Medical Center Methods and systems for transcaval treatment of aneurysms

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728151A (en) * 1993-02-22 1998-03-17 Heartport, Inc. Intercostal access devices for less-invasive cardiovascular surgery
US6302875B1 (en) 1996-10-11 2001-10-16 Transvascular, Inc. Catheters and related devices for forming passageways between blood vessels or other anatomical structures
US6726677B1 (en) * 1995-10-13 2004-04-27 Transvascular, Inc. Stabilized tissue penetrating catheters
CA2244080A1 (en) * 1996-02-02 1997-08-07 Transvascular, Inc. Methods and apparatus for blocking flow through blood vessels
US5830224A (en) * 1996-03-15 1998-11-03 Beth Israel Deaconess Medical Center Catheter apparatus and methodology for generating a fistula on-demand between closely associated blood vessels at a pre-chosen anatomic site in-vivo
JP2001503657A (ja) * 1996-11-08 2001-03-21 ハウザー，ラッセル，エイ． 径皮バイパス移植片および固着システム
EP1613373A4 (en) * 2003-04-08 2008-09-10 Univ Leland Stanford Junior IMPLANTABLE ARTERIOVINOUS SHUNT DEVICE
US20050075656A1 (en) * 2003-09-30 2005-04-07 Jean Beaupre Applier for a surgical device
CA2482707C (en) * 2003-09-30 2013-07-02 Ethicon Endo-Surgery, Inc. Applier having automated release of surgical device
US20050119676A1 (en) 2003-09-30 2005-06-02 Bumbalough Timothy R. Applier having automated release of surgical device
US7579529B2 (en) 2004-02-02 2009-08-25 Pioneer Hi-Bred International, Inc. AP2 domain transcription factor ODP2 (ovule development protein 2) and methods of use
WO2005122919A2 (en) 2004-06-14 2005-12-29 Rox Medical, Inc. Devices, systems, and methods for arterio-venous fistula creation
US7828814B2 (en) 2004-08-27 2010-11-09 Rox Medical, Inc. Device and method for establishing an artificial arterio-venous fistula
AU2006266149B2 (en) * 2005-06-30 2012-04-12 Rox Medical, Inc. Devices, systems, and methods for creation of a peripherally located fistula
CN102458303A (zh) * 2009-04-02 2012-05-16 医学研究，基础设施和卫生服务基金的特拉维夫医疗中心 支架移植物穿孔
EP3138517B1 (en) 2009-04-20 2019-06-12 Rox Medical, Inc. Device for establishing an artificial arterio-venous fistula
US9463269B2 (en) * 2010-09-10 2016-10-11 W. L. Gore & Associates, Inc. Anastomotic devices and methods
CN202169006U (zh) * 2011-08-06 2012-03-21 陈兰 新型动静脉内瘘扩张器
CA2883209A1 (en) * 2012-09-28 2014-04-03 Rox Medical, Inc. Methods, systems and devices for treating hypertension

Also Published As

Publication number Publication date
WO2014052919A1 (en) 2014-04-03
EP2900175A1 (en) 2015-08-05
AU2013323211B2 (en) 2015-09-17
US20170106133A1 (en) 2017-04-20
CN104936551B (zh) 2018-07-13
CA2883209A1 (en) 2014-04-03
US20150196705A1 (en) 2015-07-16
AU2013323211A1 (en) 2015-04-16
US10111998B2 (en) 2018-10-30
EP2900175A4 (en) 2015-08-19
JP2017051692A (ja) 2017-03-16
JP2015531278A (ja) 2015-11-02
US9550022B2 (en) 2017-01-24
CN104936551A (zh) 2015-09-23
JP2018075476A (ja) 2018-05-17

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