JP6266108B2 - アテローム切除装置 - Google Patents

アテローム切除装置 Download PDF

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Publication number
JP6266108B2
JP6266108B2 JP2016531733A JP2016531733A JP6266108B2 JP 6266108 B2 JP6266108 B2 JP 6266108B2 JP 2016531733 A JP2016531733 A JP 2016531733A JP 2016531733 A JP2016531733 A JP 2016531733A JP 6266108 B2 JP6266108 B2 JP 6266108B2
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Prior art keywords
cutter
distal
proximal
variations
catheter
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Japanese (ja)
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JP2016527973A5 (cg-RX-API-DMAC7.html
JP2016527973A (ja
Inventor
スミス，トリー
クエンティン エスクデロ，ポール
クエンティン エスクデロ，ポール
イー ロウ，ダグラス
イー ロウ，ダグラス
クリストファー ポンボ，オーガスト
クリストファー ポンボ，オーガスト
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アセロメッド，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
    • A61B17/32—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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • 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
    • A61B2017/00331—Steering mechanisms with preformed bends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00469—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
    • 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
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • 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
    • A61B2017/22001—Angioplasty, e.g. PCTA
    • 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
    • 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
    • A61B2017/22041—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 outside the catheter
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
JP2016531733A 2013-07-31 2014-07-11 アテローム切除装置 Active JP6266108B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361860843P 2013-07-31 2013-07-31
US61/860,843 2013-07-31
US201461937440P 2014-02-07 2014-02-07
US61/937,440 2014-02-07
PCT/US2014/046432 WO2015017114A2 (en) 2013-07-31 2014-07-11 Atherectomy devices

Publications (3)

Publication Number Publication Date
JP2016527973A JP2016527973A (ja) 2016-09-15
JP2016527973A5 JP2016527973A5 (cg-RX-API-DMAC7.html) 2017-08-17
JP6266108B2 true JP6266108B2 (ja) 2018-01-24

Family

ID=52432541

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016531733A Active JP6266108B2 (ja) 2013-07-31 2014-07-11 アテローム切除装置

Country Status (5)

Country Link
US (1) US9770258B2 (cg-RX-API-DMAC7.html)
EP (1) EP3027126B1 (cg-RX-API-DMAC7.html)
JP (1) JP6266108B2 (cg-RX-API-DMAC7.html)
CN (1) CN105705101B (cg-RX-API-DMAC7.html)
WO (1) WO2015017114A2 (cg-RX-API-DMAC7.html)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
US12220140B1 (en) 2023-08-16 2025-02-11 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
US12290279B2 (en) 2021-06-07 2025-05-06 Avantec Vascular Corporation Hybrid atherectomy devices
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

Families Citing this family (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
CN101511284B (zh) 2006-06-30 2011-11-09 阿瑟罗迈德公司 动脉粥样硬化切除术装置和方法
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US20080004645A1 (en) 2006-06-30 2008-01-03 Atheromed, Inc. Atherectomy devices and methods
US8070762B2 (en) 2007-10-22 2011-12-06 Atheromed Inc. Atherectomy devices and methods
US20100114081A1 (en) 2008-11-05 2010-05-06 Spectranetics Biasing laser catheter: monorail design
US8702773B2 (en) 2008-12-17 2014-04-22 The Spectranetics Corporation Eccentric balloon laser catheter
WO2014021722A1 (en) 2012-08-03 2014-02-06 Fisher & Paykel Healthcare Limited Deformable insert for low pressure patient interface
GB2580841B (en) * 2013-07-17 2021-01-13 Fisher & Paykel Healthcare Ltd Nasal seal having nostril locators
CN105705101B (zh) 2013-07-31 2019-11-29 阿瑟罗迈德公司 斑块切除装置
US9907614B2 (en) 2014-10-29 2018-03-06 The Spectranetics Corporation Laser energy delivery devices including laser transmission detection systems and methods
US10492863B2 (en) 2014-10-29 2019-12-03 The Spectranetics Corporation Laser energy delivery devices including laser transmission detection systems and methods
CN107530049B (zh) * 2015-02-20 2021-06-04 皇家飞利浦有限公司 支持成像的斑块切除设备
WO2017001960A1 (en) 2015-06-30 2017-01-05 Koninklijke Philips N.V Coaxial contra-rotating cutting assembly
US10555752B2 (en) * 2016-02-08 2020-02-11 Teleflex Medical Incorporated Rotational mechanical thrombectomy device
US10765446B2 (en) * 2017-02-20 2020-09-08 Cardiovascular Systems, Inc. Systems, methods and devices for removal of thrombus and/or soft plaque
US20180303609A1 (en) * 2017-04-19 2018-10-25 Medtronic Vascular, Inc. Catheter-based delivery device having segment with non-uniform width helical spine
EP3618735B1 (en) 2017-05-03 2025-03-26 Medtronic Vascular Inc. Tissue-removing catheter with guidewire isolation liner
US11690645B2 (en) 2017-05-03 2023-07-04 Medtronic Vascular, Inc. Tissue-removing catheter
EP3672506A4 (en) * 2017-08-25 2021-05-26 MDSG Innovation Ltd. HEART PROBE EXTRACTION DEVICE
CA3084506C (en) * 2017-12-21 2022-10-04 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems and methods
US12433634B2 (en) 2017-12-21 2025-10-07 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems and method
US11382652B2 (en) * 2018-05-08 2022-07-12 Boston Scientific Scimed, Inc. Device guidewire management accessory
WO2020102729A1 (en) 2018-11-16 2020-05-22 Medtronic Vascular, Inc. Tissue-removing catheter
US20220047292A1 (en) * 2019-02-27 2022-02-17 Mdsg Innovation Ltd. Cardiac lead extraction device
EP3968876B1 (en) * 2019-05-17 2023-07-12 Koninklijke Philips N.V. Atherectomy devices including positive and negative rake angle cutting blades
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter
US12232762B2 (en) 2019-06-18 2025-02-25 Philips Image Guided Therapy Corporation Atherectomy devices including a plurality of distal cutting features
WO2021032874A1 (en) * 2019-08-22 2021-02-25 Koninklijke Philips N.V. Atherectomy devices including axially oscillating cutting elements
JP7535100B2 (ja) * 2019-08-22 2024-08-15 フィリップス イメージ ガイディッド セラピー コーポレイション 異なるエッジ形状をもつカッティングブレードを含む粥腫切除デバイス
US20230037603A1 (en) * 2019-12-20 2023-02-09 Philips Image Guided Therapy Corporation Atherectomy devices including sealed drive shafts
CN113040844B (zh) * 2019-12-26 2024-08-16 杭州德晋医疗科技有限公司 介入式锁结装置
US11690640B2 (en) * 2020-02-25 2023-07-04 Interscope, Inc. Systems and methods for surgical procedures using torque driven guide wire
WO2022201246A1 (ja) * 2021-03-22 2022-09-29 テルモ株式会社 医療デバイス
CN116407221A (zh) * 2021-12-31 2023-07-11 先健科技(深圳)有限公司 一种切除装置
CN115500895A (zh) * 2022-09-16 2022-12-23 湖南埃普特医疗器械有限公司 一种血栓斑块的切除装置
CN116019529B (zh) * 2023-03-30 2023-07-21 杭州启明医疗器械股份有限公司 介入式的切割装置

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5114399A (en) 1990-10-01 1992-05-19 Intramed Laboratories Surgical device
US5304189A (en) * 1992-04-09 1994-04-19 Lafeber Company Venous valve cutter for in situ incision of venous valve leaflets
US6183487B1 (en) 1997-03-06 2001-02-06 Scimed Life Systems, Inc. Ablation device for reducing damage to vessels and/or in-vivo stents
US6682505B2 (en) * 1999-03-12 2004-01-27 Arteria Medical Science, Inc. Catheter for removing emboli from saphenous vein grafts and native coronary arteries
US6168579B1 (en) 1999-08-04 2001-01-02 Scimed Life Systems, Inc. Filter flush system and methods of use
US6565588B1 (en) 2000-04-05 2003-05-20 Pathway Medical Technologies, Inc. Intralumenal material removal using an expandable cutting device
US6497711B1 (en) 2000-08-16 2002-12-24 Scimed Life Systems, Inc. Therectomy device having a light weight drive shaft and an imaging device
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
CA2663014C (en) * 2006-10-04 2013-08-27 Pathway Medical Technologies, Inc. Interventional catheters
US8062316B2 (en) * 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
EP2765930B1 (en) 2011-10-13 2018-09-26 Atheromed, Inc. Atherectomy apparatus
CN105705101B (zh) 2013-07-31 2019-11-29 阿瑟罗迈德公司 斑块切除装置

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
US12089867B2 (en) 2020-12-17 2024-09-17 Avantec Vascular Corporation Telescoping atherectomy device
US12290279B2 (en) 2021-06-07 2025-05-06 Avantec Vascular Corporation Hybrid atherectomy devices
US12220140B1 (en) 2023-08-16 2025-02-11 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
US12414785B1 (en) 2025-03-17 2025-09-16 Avantec Vascular Corporation Cutters with pulsating vacuum control

Also Published As

Publication number Publication date
JP2016527973A (ja) 2016-09-15
WO2015017114A2 (en) 2015-02-05
US20150150587A1 (en) 2015-06-04
CN105705101A (zh) 2016-06-22
EP3027126A2 (en) 2016-06-08
EP3027126A4 (en) 2016-08-03
WO2015017114A3 (en) 2015-04-23
CN105705101B (zh) 2019-11-29
EP3027126B1 (en) 2019-10-23
US9770258B2 (en) 2017-09-26

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