JP7222908B2 - 慢性完全閉塞横断デバイスおよび方法 - Google Patents

慢性完全閉塞横断デバイスおよび方法 Download PDF

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Publication number
JP7222908B2
JP7222908B2 JP2019554407A JP2019554407A JP7222908B2 JP 7222908 B2 JP7222908 B2 JP 7222908B2 JP 2019554407 A JP2019554407 A JP 2019554407A JP 2019554407 A JP2019554407 A JP 2019554407A JP 7222908 B2 JP7222908 B2 JP 7222908B2
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loop
wire
transverse wire
configuration
catheter
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JP2020512864A5 (https=
JP2020512864A (ja
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ジハード エー． ムスタファ，
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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
    • A61B17/320783—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
    • 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
    • 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
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • 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
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2017/22042—Details of the tip of the 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
    • A61B2017/22094—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
    • A61B17/32—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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • 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
    • A61M2025/0004—Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
JP2019554407A 2017-03-31 2018-04-02 慢性完全閉塞横断デバイスおよび方法 Active JP7222908B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2023015107A JP2023052882A (ja) 2017-03-31 2023-02-03 慢性完全閉塞横断デバイスおよび方法

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201762479646P 2017-03-31 2017-03-31
US62/479,646 2017-03-31
US201762500303P 2017-05-02 2017-05-02
US62/500,303 2017-05-02
US15/666,279 2017-08-01
US15/666,279 US10085766B1 (en) 2017-03-31 2017-08-01 Chronic total occlusion crossing devices and methods
PCT/US2018/025722 WO2018184017A1 (en) 2017-03-31 2018-04-02 Chronic total occlusion crossing devices and methods

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2023015107A Division JP2023052882A (ja) 2017-03-31 2023-02-03 慢性完全閉塞横断デバイスおよび方法

Publications (3)

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JP2020512864A JP2020512864A (ja) 2020-04-30
JP2020512864A5 JP2020512864A5 (https=) 2021-03-11
JP7222908B2 true JP7222908B2 (ja) 2023-02-15

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JP2023015107A Pending JP2023052882A (ja) 2017-03-31 2023-02-03 慢性完全閉塞横断デバイスおよび方法

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US (4) US10085766B1 (https=)
EP (2) EP3600091B1 (https=)
JP (2) JP7222908B2 (https=)
AU (2) AU2018247062B2 (https=)
CA (1) CA3057876A1 (https=)
DK (1) DK3600091T3 (https=)
ES (1) ES2922651T3 (https=)
PL (1) PL3600091T3 (https=)
WO (1) WO2018184017A1 (https=)

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US10085766B1 (en) * 2017-03-31 2018-10-02 Jihad A. Mustapha Chronic total occlusion crossing devices and methods
EP3986523A1 (en) * 2019-06-21 2022-04-27 St. Jude Medical, Cardiology Division, Inc. Guidewire for tavr procedure
US20210402152A1 (en) * 2020-06-29 2021-12-30 Becton, Dickinson And Company Coiled vascular access instrument and related systems and methods
JP2023541199A (ja) * 2020-09-15 2023-09-28 ベクトン・ディキンソン・アンド・カンパニー 血栓除去の方法および関連するデバイスおよびシステム
US12447017B2 (en) 2021-03-11 2025-10-21 St. Jude Medical, Cardiology Division, Inc. Delivery system radiopaque (RO) markers for TAVR commissure alignment
WO2024030613A2 (en) * 2022-08-05 2024-02-08 Jihad Ali Mustapha Devices and methods for crossing lesions in a tissue lumen
JPWO2024189794A1 (https=) * 2023-03-14 2024-09-19

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Also Published As

Publication number Publication date
ES2922651T3 (es) 2022-09-19
PL3600091T3 (pl) 2022-09-26
US20240307087A1 (en) 2024-09-19
EP3600091A1 (en) 2020-02-05
JP2023052882A (ja) 2023-04-12
US12004772B2 (en) 2024-06-11
DK3600091T3 (da) 2022-07-18
US20210121199A1 (en) 2021-04-29
AU2018247062A1 (en) 2019-10-17
AU2018247062B2 (en) 2023-01-19
EP4074269A1 (en) 2022-10-19
EP3600091B1 (en) 2022-05-11
WO2018184017A1 (en) 2018-10-04
US10085766B1 (en) 2018-10-02
US10905460B2 (en) 2021-02-02
US20180280052A1 (en) 2018-10-04
JP2020512864A (ja) 2020-04-30
US20180280051A1 (en) 2018-10-04
EP3600091A4 (en) 2020-02-05
CA3057876A1 (en) 2018-10-04
AU2022291543A1 (en) 2023-02-02

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