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

アテローム切除装置 Download PDF

Info

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
Authority
JP
Japan
Prior art keywords
cutter
distal
proximal
variations
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.)
Active
Application number
JP2016531733A
Other languages
English (en)
Japanese (ja)
Other versions
JP2016527973A (ja
JP2016527973A5 (enExample
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
Original Assignee
アセロメッド，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
Application filed by アセロメッド，インコーポレイテッド filed Critical アセロメッド，インコーポレイテッド
Publication of JP2016527973A publication Critical patent/JP2016527973A/ja
Publication of JP2016527973A5 publication Critical patent/JP2016527973A5/ja
Application granted granted Critical
Publication of JP6266108B2 publication Critical patent/JP6266108B2/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
    • A61B17/32—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 (enExample) 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 (enExample)
EP (1) EP3027126B1 (enExample)
JP (1) JP6266108B2 (enExample)
CN (1) CN105705101B (enExample)
WO (1) WO2015017114A2 (enExample)

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 (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US20090018566A1 (en) 2006-06-30 2009-01-15 Artheromed, Inc. Atherectomy devices, systems, and methods
US20080004645A1 (en) 2006-06-30 2008-01-03 Atheromed, Inc. Atherectomy devices and methods
EP2037822A4 (en) 2006-06-30 2015-10-07 Atheromed Inc ATHEREOMETRY 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
US10232135B2 (en) 2012-08-03 2019-03-19 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
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
CN107708587B (zh) 2015-06-30 2020-11-24 皇家飞利浦有限公司 同轴对转的切割组件
CA3013626A1 (en) * 2016-02-08 2017-08-17 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
US11690645B2 (en) 2017-05-03 2023-07-04 Medtronic Vascular, Inc. Tissue-removing catheter
CN113576558B (zh) 2017-05-03 2022-11-22 美敦力瓦斯科尔勒公司 具有导丝隔离衬套的组织移除导管
US12318116B2 (en) * 2017-08-25 2025-06-03 Xcardia Innovation Ltd Cardiac lead extraction device
US12433634B2 (en) 2017-12-21 2025-10-07 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems and method
AU2018392621B2 (en) * 2017-12-21 2021-09-16 W. L. Gore & Associates, Inc. Catheter-based occlusion removal systems and methods
WO2019217492A1 (en) * 2018-05-08 2019-11-14 Boston Scientific Scimed, Inc. Device guidewire management accessory
CN112996447B (zh) 2018-11-16 2024-07-23 美敦力瓦斯科尔勒公司 组织去除导管
EP3930601A4 (en) * 2019-02-27 2022-11-23 MDSG Innovation Ltd. HEART DRIVER EXPLANTATION DEVICE
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter
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
WO2021032887A1 (en) * 2019-08-22 2021-02-25 Philips Image Guided Therapy Corporation Atherectomy devices including cutting blades having different edge shapes
US20220280183A1 (en) * 2019-08-22 2022-09-08 Philips Image Guided Therapy Corporation Atherectomy devices including axially oscillating cutting elements
EP4076229B1 (en) * 2019-12-20 2025-07-23 Koninklijke Philips N.V. 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
WO2021173671A1 (en) * 2020-02-25 2021-09-02 Interscope, Inc. Systems and methods for surgical procedures using torque driven guide wire
JPWO2022201246A1 (enExample) * 2021-03-22 2022-09-29
CN116407221A (zh) * 2021-12-31 2023-07-11 先健科技(深圳)有限公司 一种切除装置
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
EP2068730B1 (en) * 2006-10-04 2016-11-23 Boston Scientific Limited Interventional catheters
US8062316B2 (en) * 2008-04-23 2011-11-22 Avinger, Inc. Catheter system and method for boring through blocked vascular passages
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
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
US9770258B2 (en) 2017-09-26
EP3027126B1 (en) 2019-10-23
WO2015017114A3 (en) 2015-04-23
EP3027126A2 (en) 2016-06-08
EP3027126A4 (en) 2016-08-03
JP2016527973A (ja) 2016-09-15
WO2015017114A2 (en) 2015-02-05
CN105705101B (zh) 2019-11-29
CN105705101A (zh) 2016-06-22
US20150150587A1 (en) 2015-06-04

Similar Documents

Publication Publication Date Title
JP6266108B2 (ja) アテローム切除装置
US11259835B2 (en) Atherectomy apparatus systems and methods
US20220378464A1 (en) Methods for crossing and treating an occlusion
CN108430563B (zh) 柔性导管
US9254143B2 (en) Guidewire for crossing occlusions or stenoses having a shapeable distal end
CN102088920B (zh) 动脉斑块旋切术装置
US10357275B2 (en) Dual-basket self-centering rotational device for treatment of arterial occlusive disease with infinitely adjustable cutting size
WO2008073749A2 (en) Apparatus for crossing occlusions or stenoses
US20240074782A1 (en) Systems and methods for crossing and treating an occlusion
JP2025169943A (ja) ハイブリッドアテローム切除術デバイス
HK1255639B (en) Flexible catheter

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20160330

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20170706

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20170706

A871 Explanation of circumstances concerning accelerated examination

Free format text: JAPANESE INTERMEDIATE CODE: A871

Effective date: 20170706

A975 Report on accelerated examination

Free format text: JAPANESE INTERMEDIATE CODE: A971005

Effective date: 20170803

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20170815

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20171107

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: 20171121

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20171219

R150 Certificate of patent or registration of utility model

Ref document number: 6266108

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