JP6651504B2 - 閉塞を横断するためのデバイス及び方法 - Google Patents

閉塞を横断するためのデバイス及び方法 Download PDF

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Publication number
JP6651504B2
JP6651504B2 JP2017509691A JP2017509691A JP6651504B2 JP 6651504 B2 JP6651504 B2 JP 6651504B2 JP 2017509691 A JP2017509691 A JP 2017509691A JP 2017509691 A JP2017509691 A JP 2017509691A JP 6651504 B2 JP6651504 B2 JP 6651504B2
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catheter
cto
tip
lumen
balloon
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Japanese (ja)
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JP2017527361A5 (enExample
JP2017527361A (ja
Inventor
ジェレミー スティガル
ジェレミー スティガル
ジョン アンサー
ジョン アンサー
シコ ディノ デ
シコ ディノ デ
マリテス ミナス
マリテス ミナス
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Koninklijke Philips NV
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Koninklijke Philips NV
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • 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
    • A—HUMAN NECESSITIES
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    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
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    • 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
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    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
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    • A61B2017/22082—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 after introduction of a substance
    • A61B2017/22084—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 after introduction of a substance stone- or thrombus-dissolving
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    • 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
    • A61B2017/22095—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 accessing a blood vessel true lumen from the sub-intimal space
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    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Surgical Instruments (AREA)
JP2017509691A 2014-08-21 2015-08-10 閉塞を横断するためのデバイス及び方法 Active JP6651504B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462040158P 2014-08-21 2014-08-21
US62/040,158 2014-08-21
PCT/IB2015/056065 WO2016027198A1 (en) 2014-08-21 2015-08-10 Device and methods for crossing occlusions

Publications (3)

Publication Number Publication Date
JP2017527361A JP2017527361A (ja) 2017-09-21
JP2017527361A5 JP2017527361A5 (enExample) 2018-09-20
JP6651504B2 true JP6651504B2 (ja) 2020-02-19

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JP2017509691A Active JP6651504B2 (ja) 2014-08-21 2015-08-10 閉塞を横断するためのデバイス及び方法

Country Status (5)

Country Link
US (1) US11471215B2 (enExample)
EP (1) EP3182920B1 (enExample)
JP (1) JP6651504B2 (enExample)
CN (1) CN107072636A (enExample)
WO (1) WO2016027198A1 (enExample)

Families Citing this family (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3689274A1 (en) 2007-02-05 2020-08-05 Boston Scientific Limited Thrombectomy system
US8974418B2 (en) * 2007-06-12 2015-03-10 Boston Scientific Limited Forwardly directed fluid jet crossing catheter
US9510854B2 (en) 2008-10-13 2016-12-06 Boston Scientific Scimed, Inc. Thrombectomy catheter with control box having pressure/vacuum valve for synchronous aspiration and fluid irrigation
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
EP3566740B1 (en) 2013-03-14 2024-08-14 TVA Medical, Inc. Fistula formulation/formation devices
WO2015027164A1 (en) 2013-08-22 2015-02-26 The Regents Of The University Of Michigan Histotripsy using very short ultrasound pulses
US9883877B2 (en) 2014-05-19 2018-02-06 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
FR3026631B1 (fr) 2014-10-03 2016-12-09 Ecole Polytech Dispositif medical implantable muni de capteurs
US10603040B1 (en) 2015-02-09 2020-03-31 Tva Medical, Inc. Methods for treating hypertension and reducing blood pressure with formation of fistula
US10413318B2 (en) * 2015-06-01 2019-09-17 Cardiovascular Systems, Inc. Rotational systems comprising a polymer driveshaft
ES2948135T3 (es) 2015-06-24 2023-08-31 Univ Michigan Regents Sistemas de terapia de histotripsia para el tratamiento del tejido cerebral
US10561440B2 (en) 2015-09-03 2020-02-18 Vesatek, Llc Systems and methods for manipulating medical devices
US12295646B2 (en) * 2015-10-05 2025-05-13 Autonomix Medical, Inc. Smart torquer and methods of using the same
FR3042873A1 (fr) 2015-10-23 2017-04-28 Ecole Polytech Procede et systeme de discrimination de cellules
WO2017087424A1 (en) * 2015-11-17 2017-05-26 Millipede, Inc. Implantable device and delivery system for reshaping a heart valve annulus
WO2017124059A1 (en) 2016-01-15 2017-07-20 Tva Medical, Inc. Devices and methods for advancing a wire
US10874422B2 (en) 2016-01-15 2020-12-29 Tva Medical, Inc. Systems and methods for increasing blood flow
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
FR3049843A1 (fr) 2016-04-06 2017-10-13 Instent Dispositif medical muni de capteurs
US10492805B2 (en) 2016-04-06 2019-12-03 Walk Vascular, Llc Systems and methods for thrombolysis and delivery of an agent
WO2018091746A1 (en) 2016-11-21 2018-05-24 Sensome Characterizing and identifying biological structure
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
US11690645B2 (en) 2017-05-03 2023-07-04 Medtronic Vascular, Inc. Tissue-removing catheter
MX2020005601A (es) 2017-11-30 2020-09-14 Bard Inc C R Aparato endovascular.
US11497549B2 (en) * 2018-05-08 2022-11-15 Boston Scientific Medical Device Limited Methods and devices for puncturing tissue
CN108670307B (zh) * 2018-06-17 2024-05-17 深圳北芯生命科技股份有限公司 血管内超声导管、系统及其装配方法
US11678905B2 (en) 2018-07-19 2023-06-20 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
CN112996447B (zh) 2018-11-16 2024-07-23 美敦力瓦斯科尔勒公司 组织去除导管
EP3886737A4 (en) 2018-11-28 2022-08-24 Histosonics, Inc. HISTOTRIPSY SYSTEMS AND METHODS
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter
EP3975869A1 (en) 2019-05-31 2022-04-06 TVA Medical, Inc. Systems, methods, and catheters for endovascular treatment of a blood vessel
WO2020256693A1 (en) 2019-06-18 2020-12-24 C.R. Bard, Inc. Ultrasonic system and method having improved occlusion engagement during crossing and atherectomy procedures
WO2021155026A1 (en) 2020-01-28 2021-08-05 The Regents Of The University Of Michigan Systems and methods for histotripsy immunosensitization
EP4512346A3 (en) * 2020-02-03 2025-04-23 Boston Scientific Scimed, Inc. Steerable crossing catheter
WO2022047193A1 (en) 2020-08-27 2022-03-03 The Regents Of University Of Michigan Ultrasound transducer with transmit-receive capability for histotripsy
CN112494102B (zh) * 2020-11-17 2022-03-22 杭州电子科技大学 一种应用于血栓清除手术的微小机器人
EP4291261A1 (en) 2021-02-15 2023-12-20 Walk Vascular, LLC Systems and methods for removal of blood and thrombotic material
US12274458B2 (en) 2021-02-15 2025-04-15 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
WO2022256686A1 (en) * 2021-06-04 2022-12-08 Boston Scientific Scimed, Inc. Imaging catheter with support member
CN114247038B (zh) * 2021-12-31 2024-11-22 上海爱声生物医疗科技有限公司 一种超声内成像微型导管
CN114376774A (zh) * 2021-12-31 2022-04-22 西安申兰生物医学工程有限公司 可视支架放置与校正器
AU2023366591A1 (en) 2022-10-28 2025-04-24 Histosonics, Inc. Histotripsy systems and methods
WO2024221001A2 (en) 2023-04-20 2024-10-24 Histosonics, Inc. Histotripsy systems and associated methods including user interfaces and workflows for treatment planning and therapy

Family Cites Families (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4794931A (en) 1986-02-28 1989-01-03 Cardiovascular Imaging Systems, Inc. Catheter apparatus, system and method for intravascular two-dimensional ultrasonography
US5000185A (en) 1986-02-28 1991-03-19 Cardiovascular Imaging Systems, Inc. Method for intravascular two-dimensional ultrasonography and recanalization
US5174295A (en) 1987-04-10 1992-12-29 Cardiometrics, Inc. Apparatus, system and method for measuring spatial average velocity and/or volumetric flow of blood in a vessel and screw joint for use therewith
US5163445A (en) 1987-04-10 1992-11-17 Cardiometrics, Inc. Apparatus, system and method for measuring spatial average velocity and/or volumetric flow of blood in a vessel and screw joint for use therewith
US4841977A (en) 1987-05-26 1989-06-27 Inter Therapy, Inc. Ultra-thin acoustic transducer and balloon catheter using same in imaging array subassembly
US4917097A (en) 1987-10-27 1990-04-17 Endosonics Corporation Apparatus and method for imaging small cavities
US4951677A (en) 1988-03-21 1990-08-28 Prutech Research And Development Partnership Ii Acoustic imaging catheter and the like
US5178159A (en) 1988-11-02 1993-01-12 Cardiometrics, Inc. Torqueable guide wire assembly with electrical functions, male and female connectors rotatable with respect to one another
US5240437A (en) 1988-11-02 1993-08-31 Cardiometrics, Inc. Torqueable guide wire assembly with electrical functions, male and female connectors for use therewith and system and apparatus for utilizing the same
NL8902559A (nl) 1989-10-16 1991-05-16 Du Med Bv Intra-luminale inrichting.
US5240003A (en) 1989-10-16 1993-08-31 Du-Med B.V. Ultrasonic instrument with a micro motor having stator coils on a flexible circuit board
US5358478A (en) 1990-02-02 1994-10-25 Ep Technologies, Inc. Catheter steering assembly providing asymmetric left and right curve configurations
US5135486A (en) 1990-08-31 1992-08-04 Endosonics Corporation Self-venting balloon dilitation catheter
US5125137A (en) 1990-09-06 1992-06-30 Cardiometrics, Inc. Method for providing a miniature ultrasound high efficiency transducer assembly
US5167233A (en) 1991-01-07 1992-12-01 Endosonics Corporation Dilating and imaging apparatus
US5353798A (en) 1991-03-13 1994-10-11 Scimed Life Systems, Incorporated Intravascular imaging apparatus and methods for use and manufacture
US5243988A (en) 1991-03-13 1993-09-14 Scimed Life Systems, Inc. Intravascular imaging apparatus and methods for use and manufacture
US5183048A (en) 1991-06-24 1993-02-02 Endosonics Corporation Method and apparatus for removing artifacts from an ultrasonically generated image of a small cavity
US5226421A (en) 1992-03-06 1993-07-13 Cardiometrics, Inc. Doppler elongate flexible member having an inflatable balloon mounted thereon
US5373845A (en) 1992-05-22 1994-12-20 Echo Cath, Ltd. Apparatus and method for forward looking volume imaging
US5373849A (en) 1993-01-19 1994-12-20 Cardiovascular Imaging Systems, Inc. Forward viewing imaging catheter
US5453575A (en) 1993-02-01 1995-09-26 Endosonics Corporation Apparatus and method for detecting blood flow in intravascular ultrasonic imaging
US5368037A (en) 1993-02-01 1994-11-29 Endosonics Corporation Ultrasound catheter
US5873835A (en) 1993-04-29 1999-02-23 Scimed Life Systems, Inc. Intravascular pressure and flow sensor
DE69534748T2 (de) 1994-09-02 2006-11-02 Volcano Corp. (n.d, Ges.d.Staates Delaware), Rancho Cordova Ultraminiatur-druckfühler und leitdraht hierfür
US7226417B1 (en) 1995-12-26 2007-06-05 Volcano Corporation High resolution intravascular ultrasound transducer assembly having a flexible substrate
US5857974A (en) 1997-01-08 1999-01-12 Endosonics Corporation High resolution intravascular ultrasound transducer assembly having a flexible substrate
US5846205A (en) 1997-01-31 1998-12-08 Acuson Corporation Catheter-mounted, phased-array ultrasound transducer with improved imaging
US6010449A (en) * 1997-02-28 2000-01-04 Lumend, Inc. Intravascular catheter system for treating a vascular occlusion
US5921931A (en) 1997-04-08 1999-07-13 Endosonics Corporation Method and apparatus for creating a color blood flow image based upon ultrasonic echo signals received by an intravascular ultrasound imaging probe
US7226433B2 (en) 1998-02-06 2007-06-05 Possis Medical, Inc. Thrombectomy catheter device having a self-sealing hemostasis valve
US6210339B1 (en) 1999-03-03 2001-04-03 Endosonics Corporation Flexible elongate member having one or more electrical contacts
US6911026B1 (en) * 1999-07-12 2005-06-28 Stereotaxis, Inc. Magnetically guided atherectomy
US6200268B1 (en) 1999-09-10 2001-03-13 The Cleveland Clinic Foundation Vascular plaque characterization
US20090093791A1 (en) * 1999-09-17 2009-04-09 Heuser Richard R Devices and methods for treating chronic total occlusion
US6299595B1 (en) 1999-12-17 2001-10-09 Advanced Cardiovascular Systems, Inc. Catheters having rapid-exchange and over-the-wire operating modes
US6394956B1 (en) 2000-02-29 2002-05-28 Scimed Life Systems, Inc. RF ablation and ultrasound catheter for crossing chronic total occlusions
AU2002235159A1 (en) * 2000-12-05 2002-06-18 Lumend, Inc. Catheter system for vascular re-entry from a sub-intimal space
US6551250B2 (en) 2001-03-29 2003-04-22 Hassan Khalil Transit time thermodilution guidewire system for measuring coronary flow velocity
US6425882B1 (en) 2001-05-01 2002-07-30 Interventional Technologies Inc. Folding spring for a catheter balloon
US7074188B2 (en) 2002-08-26 2006-07-11 The Cleveland Clinic Foundation System and method of characterizing vascular tissue
AU2004233872C1 (en) 2003-04-28 2009-08-06 Board Of Regents, The University Of Texas System Catheter imaging probe and method
US20050159770A1 (en) 2004-01-21 2005-07-21 Diqur Medical Systems, Llc Funnel catheter device and method of operation thereof
US20060293612A1 (en) * 2004-06-24 2006-12-28 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
JP4744522B2 (ja) * 2004-07-29 2011-08-10 ウィルソン−クック・メディカル・インコーポレーテッド 壁を割くことのできるシャフトと剥ぎ取り具を備えたカテーテル
US8277386B2 (en) 2004-09-27 2012-10-02 Volcano Corporation Combination sensor guidewire and methods of use
US8007440B2 (en) * 2005-02-08 2011-08-30 Volcano Corporation Apparatus and methods for low-cost intravascular ultrasound imaging and for crossing severe vascular occlusions
US20060184191A1 (en) 2005-02-11 2006-08-17 Boston Scientific Scimed, Inc. Cutting balloon catheter having increased flexibility regions
US20060184186A1 (en) 2005-02-16 2006-08-17 Medtronic Vascular, Inc. Drilling guidewire for treating chronic total occlusion
CA2602662A1 (en) * 2005-03-30 2006-10-05 Lumend, Inc. Catheter systems for crossing total occlusions in vasculature
WO2006121851A2 (en) 2005-05-05 2006-11-16 Volcano Corporation Capacitive microfabricated ultrasound transducer-based intravascular ultrasound probes
WO2007025230A2 (en) * 2005-08-25 2007-03-01 Fluid Medical, Inc. Tubular compliant mechanisms for ultrasonic imaging systems and intravascular interventional devices
EP1948021A4 (en) 2005-10-20 2009-12-02 Univ Texas ROTATING OPTICAL CATHETER TIP FOR OPTICAL COHERENCE TOMOGRAPHY
US20080077165A1 (en) * 2006-02-24 2008-03-27 National University Of Ireland, Galway Minimally Invasive Intravascular Treatment Device
US8206370B2 (en) * 2006-04-21 2012-06-26 Abbott Laboratories Dual lumen guidewire support catheter
US8125648B2 (en) 2006-06-05 2012-02-28 Board Of Regents, The University Of Texas System Polarization-sensitive spectral interferometry
US8108030B2 (en) 2006-10-20 2012-01-31 Board Of Regents, The University Of Texas System Method and apparatus to identify vulnerable plaques with thermal wave imaging of heated nanoparticles
WO2008091961A2 (en) 2007-01-23 2008-07-31 Volcano Corporation Optical coherence tomography implementation
EP2164401B1 (en) * 2007-05-23 2015-08-26 Medinol Ltd. Apparatus for guided chronic total occlusion penetration
US8974418B2 (en) 2007-06-12 2015-03-10 Boston Scientific Limited Forwardly directed fluid jet crossing catheter
US20080319386A1 (en) * 2007-06-20 2008-12-25 Possis Medical, Inc. Forwardly directable fluid jet crossing catheter
EP2977072B1 (en) * 2007-06-26 2025-04-09 Roxwood Medical, Inc. Catheter apparatus for treating vasculatures
US9125683B2 (en) * 2007-06-26 2015-09-08 Roxwood Medical Inc. Method and apparatus for placing a catheter within a vasculature
JP5481376B2 (ja) 2007-07-12 2014-04-23 ヴォルカノ コーポレイション 光コヒーレンストモグラフィー用のクロック制御方法
US9596993B2 (en) 2007-07-12 2017-03-21 Volcano Corporation Automatic calibration systems and methods of use
WO2009009802A1 (en) 2007-07-12 2009-01-15 Volcano Corporation Oct-ivus catheter for concurrent luminal imaging
EP2191227A4 (en) 2007-08-10 2017-04-19 Board of Regents, The University of Texas System Forward-imaging optical coherence tomography (oct) systems and probe
WO2009075623A1 (en) 2007-12-12 2009-06-18 Marinediesel Sweden Ab An outboard drive device
WO2009079539A1 (en) * 2007-12-17 2009-06-25 Medrad, Inc. Rheolytic thrombectomy catheter with self-inflation distal balloon
US7713215B2 (en) * 2008-01-31 2010-05-11 Shriver Edgar L Steering, piercing, anchoring, distending extravascular guidewire
US8374680B2 (en) * 2008-04-21 2013-02-12 Medtronic Vascular, Inc. Needleless catheters and methods for true lumen re-entry in treatment of chronic total occlusions and other disorders
JP5513486B2 (ja) * 2008-04-28 2014-06-04 ブリッジポイント、メディカル、インコーポレイテッド 血管の閉塞部を横断するための方法および装置
ITMI20081002A1 (it) * 2008-05-30 2009-11-30 Kardia S R L Dispositivo per il trattamento di occlusioni arteriose degli arti inferiori
US8187191B2 (en) 2009-01-08 2012-05-29 Volcano Corporation System and method for equalizing received intravascular ultrasound echo signals
US20120165789A1 (en) * 2009-07-09 2012-06-28 Cook Incorporated Spring Action Wire Guide
WO2011028203A1 (en) * 2009-09-02 2011-03-10 Reflow Medical Inc. Systems, methods and devices for ablation, crossing, and cutting of occlusions
WO2011028632A1 (en) * 2009-09-03 2011-03-10 Si Therapies Ltd. Lancet micro-catheter
US20160183963A1 (en) * 2010-02-09 2016-06-30 Medinol Ltd. Device for Traversing Vessel Occlusions and Method of Use
JP5668195B2 (ja) * 2010-02-09 2015-02-12 メディノール リミテッド 血管閉塞をトラバースするための装置及びシステム、ならびに当該装置における振動可能部材を振動させる方法及び振動力を制御する方法
US20110208222A1 (en) * 2010-02-25 2011-08-25 Boris Ljahnicky System and Method for the Treatment of Occluded Vessels
EP2539009B1 (en) * 2010-02-26 2019-07-17 The Board of Trustees of The Leland Stanford Junior University Systems for endoluminal valve creation
US20110218528A1 (en) * 2010-03-05 2011-09-08 Retro Vascular, Inc. Anatomical structure access and penetration
US11382653B2 (en) * 2010-07-01 2022-07-12 Avinger, Inc. Atherectomy catheter
US8932315B2 (en) * 2010-10-18 2015-01-13 W. L. Gore & Associates, Inc. Systems and methods for percutaneous occlusion crossing
WO2012123930A2 (en) 2011-03-15 2012-09-20 Henry William Lupton An anchoring device for anchoring a boring tool in a lumen or vessel
US9095370B2 (en) * 2011-06-29 2015-08-04 Cordis Corporation System and method for dilating and adjusting flexibility in a guiding device
CA2848781C (en) 2011-09-19 2018-10-23 Boston Scientific Scimed, Inc. Subintimal re-entry catheter and retrograde recanalization
JP6118334B2 (ja) * 2011-12-08 2017-04-19 ボルケーノ コーポレイション 閉塞管を可視化するための装置、システムおよび方法
EP2812062B1 (en) * 2012-02-12 2019-07-31 Microbot Medical Ltd. Guide wire for use with cardiovascular lesions
ES2696081T3 (es) * 2012-04-23 2019-01-14 Pq Bypass Inc Sistema para sortear oclusiones en una arteria femoral
CA2873391A1 (en) 2012-05-11 2013-11-14 Volcano Corporation Device and system for imaging and blood flow velocity measurement
EP2854926A1 (en) * 2012-05-30 2015-04-08 Vascular Access Technologies, Inc. Transvascular access device and method
US10335173B2 (en) * 2012-09-06 2019-07-02 Avinger, Inc. Re-entry stylet for catheter
HK1215663A1 (zh) * 2012-10-22 2016-09-09 Roxwood Medical, Inc 一個於血管內把微導管置中的方法及器具
WO2014099797A2 (en) * 2012-12-20 2014-06-26 Jeremy Stigall Catheter assembly with a shortened tip
US20140276015A1 (en) * 2013-03-14 2014-09-18 Volcano Corporation Devices and methods for imaging and crossing occluded vessels
US10206584B2 (en) * 2014-08-08 2019-02-19 Medlumics S.L. Optical coherence tomography probe for crossing coronary occlusions
US10166084B2 (en) * 2014-11-06 2019-01-01 Devicor Medical Products, Inc. Spring-ejected biopsy marker
WO2016170446A1 (en) * 2015-04-20 2016-10-27 Koninklijke Philips N.V. Dual lumen diagnostic catheter
US12053602B2 (en) * 2016-12-09 2024-08-06 Vascular Access Technologies, Inc. Methods and devices for vascular access

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EP3182920B1 (en) 2024-03-13
US20160051323A1 (en) 2016-02-25
US11471215B2 (en) 2022-10-18
CN107072636A (zh) 2017-08-18
EP3182920A1 (en) 2017-06-28
JP2017527361A (ja) 2017-09-21
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