JP6338536B2 - 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 - Google Patents
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 Download PDFInfo
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- JP6338536B2 JP6338536B2 JP2014557737A JP2014557737A JP6338536B2 JP 6338536 B2 JP6338536 B2 JP 6338536B2 JP 2014557737 A JP2014557737 A JP 2014557737A JP 2014557737 A JP2014557737 A JP 2014557737A JP 6338536 B2 JP6338536 B2 JP 6338536B2
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
- A61B2017/22084—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance stone- or thrombus-dissolving
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- 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)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
Claims (12)
- 血管の詰まりを軽減するためのカテーテルシステムであって、
外側カテーテルと、バイパスカテーテルと、を備え、
前記バイパスカテーテルは、前記外側カテーテル内に摺動可能に配設され、
前記外側カテーテルは、前記外側カテーテルの遠位端に鋸歯状歯を有する切除要素を備え、
前記外側カテーテルは、遠位部の側壁を通して少なくとも1つの穿孔を備え、
前記切除要素は、前記外側カテーテルの遠位部の遠位端と一体に形成されるか、又は、前記遠位端に別個に固着される、カテーテルシステム。 - 前記鋸歯状遠位端は、約1.0mmと約4.0mmとの間の長さを有する複数の歯を備える請求項1に記載のカテーテルシステム。
- 前記バイパスカテーテルは前記外側カテーテルの長さより長い長さを有し、前記バイパスカテーテルはマイクロカテーテルである請求項1に記載のカテーテルシステム。
- 前記外側カテーテルの前記遠位部はテーパが付けられる請求項1に記載のカテーテルシステム。
- 前記外側カテーテルの前記遠位部は徐々にテーパが付けられる請求項4に記載のカテーテルシステム。
- 前記外側カテーテルの前記遠位部は段差状にテーパが付けられる請求項4に記載のカテーテルシステム。
- 前記切除要素の前記鋸歯状歯は、前記外側カテーテルの前記遠位部を超えて延在する請求項1に記載のカテーテルシステム。
- 前記外側カテーテルの前記遠位部は、前記切除要素の前記鋸歯状歯を超えて延在する請求項1に記載のカテーテルシステム。
- 負圧ポンプを、前記外側カテーテルの近位部に取付けるように構成される請求項1に記載のカテーテルシステム。
- 大脳血管の詰まりを除去するためのカテーテルシステムであって、
遠位部を備える外側カテーテルであって、前記遠位部は、側壁に少なくとも1つの穿孔を含み、前記遠位部の遠位端には一体的に若しくは固着されて形成された、鋸歯状歯を有する切除要素を含む、外側カテーテルと、
遠位部、近位部、内部管腔、および、連続的外表面を有するバイパスカテーテルであって、前記バイパスカテーテルは、前記外側カテーテル内に摺動可能に配設され、前記連続的外表面は実質的に穴がなく、前記バイパスカテーテルの前記近位部における開口から前記遠位部における開口へと流体を送出するように構成されている、バイパスカテーテルと、
を備える、カテーテルシステム。 - 前記外側カテーテルの側壁にある少なくとも1つの穿孔は、薬用処置溶液を送出することを可能にする、請求項10に記載のシステム。
- 前記薬用処置溶液は、動脈血化された血液、冷却された生理食塩水、血栓溶解薬、血管拡張薬、又はその組合せから選択される請求項11に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/371,703 | 2012-02-13 | ||
US13/371,703 US8979877B2 (en) | 2010-07-02 | 2012-02-13 | Catheter for use in revascularization procedures and method of using same |
PCT/US2013/025878 WO2013123007A1 (en) | 2012-02-13 | 2013-02-13 | Catheter for use in revascularization procedures and method of using same |
Publications (3)
Publication Number | Publication Date |
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JP2015509395A JP2015509395A (ja) | 2015-03-30 |
JP2015509395A5 JP2015509395A5 (ja) | 2016-03-31 |
JP6338536B2 true JP6338536B2 (ja) | 2018-06-06 |
Family
ID=48984648
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014557737A Active JP6338536B2 (ja) | 2012-02-13 | 2013-02-13 | 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 |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP2814551B1 (ja) |
JP (1) | JP6338536B2 (ja) |
WO (1) | WO2013123007A1 (ja) |
Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2018509232A (ja) * | 2015-03-26 | 2018-04-05 | トマス,ジェフリー,イー. | 血管疎通手術において使用される脳卒中カテ−テルおよび、その方法 |
WO2018204692A1 (en) * | 2017-05-03 | 2018-11-08 | Medtronic Vascular, Inc. | Tissue-removing catheter |
US11690645B2 (en) | 2017-05-03 | 2023-07-04 | Medtronic Vascular, Inc. | Tissue-removing catheter |
EP3849442B1 (en) | 2018-09-10 | 2023-10-25 | Medtronic Vascular, Inc. | Tissue-removing catheter with guidewire detection sensor |
US11819236B2 (en) | 2019-05-17 | 2023-11-21 | Medtronic Vascular, Inc. | Tissue-removing catheter |
CN110916767B (zh) * | 2019-11-29 | 2020-08-28 | 南华大学附属第一医院 | 胃肠道打孔器 |
US20230021322A1 (en) * | 2021-07-26 | 2023-01-26 | Medtronic Vascular, Inc. | Tissue-removing catheter with a coupled inner liner |
US20230063136A1 (en) * | 2021-08-23 | 2023-03-02 | Medtronic Vascular Inc. | Tissue-Removing Catheter with Distal Tip |
CN113749731B (zh) * | 2021-09-22 | 2024-04-05 | 四川省医学科学院·四川省人民医院 | 一种血管外科用血栓吸取装置 |
Family Cites Families (14)
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US5041082A (en) * | 1986-06-16 | 1991-08-20 | Samuel Shiber | Mechanical atherectomy system and method |
JPH0194836A (ja) * | 1987-09-24 | 1989-04-13 | Kontron Holding Ag | 狭窄又は閉塞した血管を開通させるための装置 |
US6416490B1 (en) * | 1997-11-04 | 2002-07-09 | Scimed Life Systems, Inc. | PMR device and method |
US6295990B1 (en) * | 1998-02-03 | 2001-10-02 | Salient Interventional Systems, Inc. | Methods and systems for treating ischemia |
WO2000069323A2 (en) * | 1999-05-14 | 2000-11-23 | Salient Interventional Systems, Inc. | Intravascular device and methods of manufacture and use |
US6524300B2 (en) * | 2000-01-03 | 2003-02-25 | Angiodynamics, Inc. | Infusion catheter with non-uniform drug delivery density |
US6749619B2 (en) * | 2001-11-20 | 2004-06-15 | The Cleveland Clinic Foundation | Apparatus and method for eliminating dislodged thrombus |
JP2006223341A (ja) * | 2005-02-15 | 2006-08-31 | Univ Nihon | 組織破砕装置 |
JP2007098120A (ja) * | 2005-09-06 | 2007-04-19 | Fmd:Kk | 医療用処置具及びその回転操作装置並びに医療用処置装置 |
US20070060888A1 (en) * | 2005-09-06 | 2007-03-15 | Kerberos Proximal Solutions, Inc. | Methods and apparatus for assisted aspiration |
US20070161963A1 (en) * | 2006-01-09 | 2007-07-12 | Smalling Medical Ventures, Llc | Aspiration thrombectomy catheter system, and associated methods |
US8062316B2 (en) * | 2008-04-23 | 2011-11-22 | Avinger, Inc. | Catheter system and method for boring through blocked vascular passages |
US8192451B2 (en) * | 2008-06-05 | 2012-06-05 | Cardiovascular Systems, Inc. | Cutting and coring atherectomy device and method |
US20120004596A1 (en) * | 2010-07-02 | 2012-01-05 | Neurodynamics, LLC | Catheter for Use in Revascularization Procedures and Method of Using Same |
-
2013
- 2013-02-13 WO PCT/US2013/025878 patent/WO2013123007A1/en active Application Filing
- 2013-02-13 EP EP13749167.6A patent/EP2814551B1/en active Active
- 2013-02-13 JP JP2014557737A patent/JP6338536B2/ja active Active
Also Published As
Publication number | Publication date |
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WO2013123007A1 (en) | 2013-08-22 |
EP2814551A4 (en) | 2015-07-22 |
EP2814551B1 (en) | 2020-11-25 |
EP2814551A1 (en) | 2014-12-24 |
JP2015509395A (ja) | 2015-03-30 |
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