JP6356604B2 - アテローム切除カテーテルおよびカテーテル用の非接触型作動機構 - Google Patents
アテローム切除カテーテルおよびカテーテル用の非接触型作動機構 Download PDFInfo
- Publication number
- JP6356604B2 JP6356604B2 JP2014535997A JP2014535997A JP6356604B2 JP 6356604 B2 JP6356604 B2 JP 6356604B2 JP 2014535997 A JP2014535997 A JP 2014535997A JP 2014535997 A JP2014535997 A JP 2014535997A JP 6356604 B2 JP6356604 B2 JP 6356604B2
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- Prior art keywords
- catheter
- shaft
- pull
- distal end
- magnetic
- 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.)
- Expired - Fee Related
Links
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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
- 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
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00057—Light
-
- 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
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—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
- A61B2017/22039—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 eccentric
-
- 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
- A61B2017/22094—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 for crossing total occlusions, i.e. piercing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- 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
- A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
- A61B2017/320791—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter with cutter extending outside the cutting window
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
- A61B2090/3735—Optical coherence tomography [OCT]
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161548179P | 2011-10-17 | 2011-10-17 | |
| US61/548,179 | 2011-10-17 | ||
| US201261646843P | 2012-05-14 | 2012-05-14 | |
| US61/646,843 | 2012-05-14 | ||
| PCT/US2012/060672 WO2013059363A1 (en) | 2011-10-17 | 2012-10-17 | Atherectomy catheters and non-contact actuation mechanism for catheters |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2015504319A JP2015504319A (ja) | 2015-02-12 |
| JP2015504319A5 JP2015504319A5 (enExample) | 2015-12-03 |
| JP6356604B2 true JP6356604B2 (ja) | 2018-07-11 |
Family
ID=48086487
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2014535997A Expired - Fee Related JP6356604B2 (ja) | 2011-10-17 | 2012-10-17 | アテローム切除カテーテルおよびカテーテル用の非接触型作動機構 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US10363062B2 (enExample) |
| EP (2) | EP3653151A1 (enExample) |
| JP (1) | JP6356604B2 (enExample) |
| WO (1) | WO2013059363A1 (enExample) |
Cited By (4)
| 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 (50)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8062316B2 (en) | 2008-04-23 | 2011-11-22 | Avinger, Inc. | Catheter system and method for boring through blocked vascular passages |
| US9125562B2 (en) * | 2009-07-01 | 2015-09-08 | Avinger, Inc. | Catheter-based off-axis optical coherence tomography imaging system |
| WO2010129075A1 (en) | 2009-04-28 | 2010-11-11 | Avinger, Inc. | Guidewire support catheter |
| EP4145111A1 (en) | 2009-05-28 | 2023-03-08 | Avinger, Inc. | Optical coherence tomography for biological imaging |
| EP2448502B1 (en) | 2009-07-01 | 2022-04-06 | Avinger, Inc. | Atherectomy catheter with laterally-displaceable tip |
| EP2509498B1 (en) | 2009-12-08 | 2020-09-16 | Avinger, Inc. | Devices for predicting and preventing restenosis |
| CA2803992C (en) | 2010-07-01 | 2018-03-20 | Avinger, Inc. | Atherectomy catheters with longitudinally displaceable drive shafts |
| WO2014039099A1 (en) | 2012-09-06 | 2014-03-13 | Avinger, Inc. | Balloon atherectomy catheters with imaging |
| US11382653B2 (en) | 2010-07-01 | 2022-07-12 | Avinger, Inc. | Atherectomy catheter |
| US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
| CA2831306C (en) | 2011-03-28 | 2018-11-20 | Avinger, Inc. | Occlusion-crossing devices, imaging, and atherectomy devices |
| US10300246B2 (en) | 2011-08-23 | 2019-05-28 | Jaywant Philip Parmar | EM guidance device for a device enabled for endovascular navigation placement including a remote operator capability and EM endoluminal imaging technique |
| US9345406B2 (en) | 2011-11-11 | 2016-05-24 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
| EP2849636B1 (en) | 2012-05-14 | 2020-04-22 | Avinger, Inc. | Optical coherence tomography with graded index fiber for biological imaging |
| WO2013172970A1 (en) | 2012-05-14 | 2013-11-21 | Avinger, Inc. | Atherectomy catheters with imaging |
| EP2849660B1 (en) | 2012-05-14 | 2021-08-25 | Avinger, Inc. | Atherectomy catheter drive assemblies |
| US10335173B2 (en) | 2012-09-06 | 2019-07-02 | Avinger, Inc. | Re-entry stylet for catheter |
| US11284916B2 (en) | 2012-09-06 | 2022-03-29 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US9498247B2 (en) | 2014-02-06 | 2016-11-22 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US9636138B2 (en) | 2012-12-12 | 2017-05-02 | Covidien Lp | Tissue-removing catheter including force-transmitting member for actuating a cutter housing |
| EP2931148B1 (en) * | 2012-12-12 | 2016-09-21 | Covidien LP | Cutter for tissue-removing catheter |
| US9283040B2 (en) * | 2013-03-13 | 2016-03-15 | The Spectranetics Corporation | Device and method of ablative cutting with helical tip |
| US10932670B2 (en) | 2013-03-15 | 2021-03-02 | Avinger, Inc. | Optical pressure sensor assembly |
| WO2014142954A1 (en) | 2013-03-15 | 2014-09-18 | Avinger, Inc. | Tissue collection device for catheter |
| EP2967371B1 (en) | 2013-03-15 | 2024-05-15 | Avinger, Inc. | Chronic total occlusion crossing devices with imaging |
| EP3019096B1 (en) | 2013-07-08 | 2023-07-05 | Avinger, Inc. | System for identification of elastic lamina to guide interventional therapy |
| US9622766B2 (en) * | 2013-08-22 | 2017-04-18 | Misonix Incorporated | Ultrasonic instrument assembly and method for manufacturing same |
| US9402534B2 (en) * | 2013-12-18 | 2016-08-02 | Novartis Ag | Two dimensional forward scanning probe |
| EP3102127B1 (en) | 2014-02-06 | 2019-10-09 | Avinger, Inc. | Atherectomy catheter |
| US10357277B2 (en) | 2014-07-08 | 2019-07-23 | Avinger, Inc. | High speed chronic total occlusion crossing devices |
| WO2016029228A2 (en) | 2014-08-22 | 2016-02-25 | Parmar Jaywant P | Advanced electromagnetic motion and tracking peripherally inserted central venous catheter system with extended endovascular applications |
| EP3209189A1 (en) | 2014-10-23 | 2017-08-30 | Koninklijke Philips N.V. | Handheld catheter driver with endoscope mount utilizing friction-driven wheel mechanism |
| JP6896699B2 (ja) | 2015-07-13 | 2021-06-30 | アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． | 画像誘導治療／診断カテーテル用マイクロ成形アナモフィック反射器レンズ |
| CN108882857A (zh) | 2016-01-25 | 2018-11-23 | 阿维格公司 | 具有滞后修正的oct成像导管 |
| CN108882948A (zh) | 2016-04-01 | 2018-11-23 | 阿维格公司 | 具有锯齿状切割器的旋切术导管 |
| WO2017210466A1 (en) | 2016-06-03 | 2017-12-07 | Avinger, Inc. | Catheter device with detachable distal end |
| EP3478190B1 (en) * | 2016-06-30 | 2023-03-15 | Avinger, Inc. | Atherectomy catheter with shapeable distal tip |
| CN112312828B (zh) | 2018-04-19 | 2025-03-11 | 阿维格公司 | 阻塞穿越装置 |
| DE102019115125B3 (de) * | 2019-06-05 | 2020-09-10 | Carl Zeiss Meditec Ag | Injektoranordnung für ein Einführen einer Intraokularlinse |
| CN114746033B (zh) | 2019-10-18 | 2025-01-10 | 阿维格公司 | 阻塞横穿装置 |
| CN113425390B (zh) * | 2021-06-30 | 2022-10-11 | 佛山市柏康机器人技术有限公司 | 一种磁驱动式柔性针穿刺机构 |
| US12446979B2 (en) | 2022-08-01 | 2025-10-21 | Imperative Care, Inc. | Method of performing a multi catheter robotic neurovascular procedure |
| US12419703B2 (en) | 2022-08-01 | 2025-09-23 | Imperative Care, Inc. | Robotic drive system for achieving supra-aortic access |
| US20230047098A1 (en) | 2021-08-12 | 2023-02-16 | Imperative Care, Inc. | Multi catheter method of performing a robotic neurovascular procedure |
| US12447317B2 (en) | 2022-08-01 | 2025-10-21 | Imperative Care, Inc. | Method of priming concentrically stacked interventional devices |
| US12440289B2 (en) | 2022-08-01 | 2025-10-14 | Imperative Care, Inc. | Method of priming an interventional device assembly |
| US20240041480A1 (en) | 2022-08-02 | 2024-02-08 | Imperative Care, Inc. | Multi catheter system with integrated fluidics management |
| US20240180642A1 (en) | 2022-12-01 | 2024-06-06 | Imperative Care, Inc. | Angled drive table |
| WO2024238831A2 (en) | 2023-05-17 | 2024-11-21 | Imperative Care, Inc. | Fluidics control system for multi catheter stack |
| USD1102447S1 (en) | 2023-11-30 | 2025-11-18 | Imperative Care, Inc. | Display screen or portion thereof with graphical user interface |
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| US3908637A (en) | 1974-04-22 | 1975-09-30 | Louis W Doroshow | Rigid urethral instrument |
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2012
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- 2012-10-17 US US13/654,357 patent/US10363062B2/en active Active
- 2012-10-17 WO PCT/US2012/060672 patent/WO2013059363A1/en not_active Ceased
- 2012-10-17 EP EP19205130.8A patent/EP3653151A1/en not_active Withdrawn
- 2012-10-17 EP EP12842182.3A patent/EP2768406B1/en active Active
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| 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 |
|---|---|
| US10363062B2 (en) | 2019-07-30 |
| WO2013059363A1 (en) | 2013-04-25 |
| EP2768406B1 (en) | 2019-12-04 |
| EP3653151A1 (en) | 2020-05-20 |
| US20130096589A1 (en) | 2013-04-18 |
| JP2015504319A (ja) | 2015-02-12 |
| EP2768406A4 (en) | 2015-05-27 |
| EP2768406A1 (en) | 2014-08-27 |
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