JP7253376B2 - 血管閉塞の血管内処置および関連デバイス、システムおよび方法 - Google Patents

血管閉塞の血管内処置および関連デバイス、システムおよび方法 Download PDF

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JP7253376B2
JP7253376B2 JP2018521280A JP2018521280A JP7253376B2 JP 7253376 B2 JP7253376 B2 JP 7253376B2 JP 2018521280 A JP2018521280 A JP 2018521280A JP 2018521280 A JP2018521280 A JP 2018521280A JP 7253376 B2 JP7253376 B2 JP 7253376B2
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Prior art keywords
thrombus
extraction device
self
expanding
thrombus extraction
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Japanese (ja)
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JP2018538027A5 (enExample
JP2018538027A (ja
Inventor
フィル マーチャンド，
ジョン シー． スレス，
ジェイコブ エフ． ロウ，
ブライアン ジェイ． コックス，
リチャード クイック，
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イナリ メディカル， インコーポレイテッド
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Priority claimed from US15/268,296 external-priority patent/US9700332B2/en
Priority claimed from US15/268,406 external-priority patent/US10342571B2/en
Application filed by イナリ メディカル， インコーポレイテッド filed Critical イナリ メディカル， インコーポレイテッド
Publication of JP2018538027A publication Critical patent/JP2018538027A/ja
Publication of JP2018538027A5 publication Critical patent/JP2018538027A5/ja
Priority to JP2021184752A priority Critical patent/JP7324264B2/ja
Priority to JP2022160947A priority patent/JP7491974B2/ja
Publication of JP7253376B2 publication Critical patent/JP7253376B2/ja
Application granted granted Critical
Priority to JP2023213724A priority patent/JP2024019612A/ja
Priority to JP2024108868A priority patent/JP2024128031A/ja
Priority to JP2026065128A priority patent/JP2026100019A/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain 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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00526—Methods of manufacturing
    • 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
    • A61B17/22—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
    • A61B17/22—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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • 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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
    • 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
    • A61B2017/320741—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2002/016—Filters implantable into blood vessels made from wire-like elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2002/018—Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0069—Three-dimensional shapes cylindrical

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Surgical Instruments (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
JP2018521280A 2015-10-23 2016-10-24 血管閉塞の血管内処置および関連デバイス、システムおよび方法 Active JP7253376B2 (ja)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2021184752A JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2026065128A JP2026100019A (ja) 2015-10-23 2026-04-10 血管閉塞の血管内処置および関連デバイス、システムおよび方法

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201562245935P 2015-10-23 2015-10-23
US62/245,935 2015-10-23
US15/268,406 US10342571B2 (en) 2015-10-23 2016-09-16 Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US15/268,296 2016-09-16
US15/268,296 US9700332B2 (en) 2015-10-23 2016-09-16 Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US15/268,406 2016-09-16
PCT/US2016/058536 WO2017070702A1 (en) 2015-10-23 2016-10-24 Intravascular treatment of vascular occlusion and associated devices, systems, and methods

Related Child Applications (2)

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JP2021184752A Division JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A Division JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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JP2018538027A JP2018538027A (ja) 2018-12-27
JP2018538027A5 JP2018538027A5 (enExample) 2019-12-05
JP7253376B2 true JP7253376B2 (ja) 2023-04-06

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JP2018521280A Active JP7253376B2 (ja) 2015-10-23 2016-10-24 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2021184752A Active JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A Active JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A Pending JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A Withdrawn JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2026065128A Pending JP2026100019A (ja) 2015-10-23 2026-04-10 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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JP2021184752A Active JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A Active JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A Pending JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A Withdrawn JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2026065128A Pending JP2026100019A (ja) 2015-10-23 2026-04-10 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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US (4) US11918243B2 (enExample)
EP (3) EP4233744B1 (enExample)
JP (6) JP7253376B2 (enExample)
CN (2) CN108472052B (enExample)
AU (5) AU2016341439B2 (enExample)
CA (2) CA3002154C (enExample)
DK (1) DK3364891T3 (enExample)
ES (2) ES3067288T3 (enExample)
FI (1) FI3364891T3 (enExample)
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Cited By (9)

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US12310608B2 (en) 2015-10-23 2025-05-27 Inari Medical, Inc. Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US12343028B2 (en) 2013-10-21 2025-07-01 Inari Medical, Inc. Methods and apparatus for treating embolism
US12364496B2 (en) 2022-01-11 2025-07-22 Inari Medical, Inc. Devices for removing clot material from intravascularly implanted devices, and associated systems and methods
US12465382B1 (en) 2024-05-10 2025-11-11 Inari Medical, Inc. Mechanical thrombectomy assemblies with relief features, and associated devices, systems, and methods
US12496081B2 (en) 2023-01-09 2025-12-16 Inari Medical, Inc. Catheter for use with clot treatment systems
US12558112B2 (en) 2020-06-05 2026-02-24 Inari Medical, Inc. Recapturable funnel catheters, and associated systems and methods
US12558486B2 (en) 2023-11-16 2026-02-24 Inari Medical, Inc. Automatic locking and unlocking vacuum syringes, and associated systems and methods
US12685549B2 (en) 2022-02-08 2026-07-21 Stryker Corporation Clot treatment systems with dilator locking mechanisms, and associated devices and methods
US12702538B2 (en) 2018-08-13 2026-08-11 Stryker Corporation System for treating embolism and associated devices and methods

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US7686825B2 (en) 2004-03-25 2010-03-30 Hauser David L Vascular filter device
US20170136158A1 (en) 2015-10-16 2017-05-18 Angiodynamics, Inc. Systems and Methods for Removing Undesirable Material Within a Circulatory System
US11589880B2 (en) 2007-12-20 2023-02-28 Angiodynamics, Inc. System and methods for removing undesirable material within a circulatory system utilizing during a surgical procedure
US10517617B2 (en) 2007-12-20 2019-12-31 Angiodynamics, Inc. Systems and methods for removing undesirable material within a circulatory system utilizing a balloon catheter
US12245788B2 (en) 2011-03-15 2025-03-11 Angiodynamics, Inc. Device and method for removing material from a hollow anatomical structure
US9055964B2 (en) 2011-03-15 2015-06-16 Angio Dynamics, Inc. Device and method for removing material from a hollow anatomical structure
US8784434B2 (en) 2012-11-20 2014-07-22 Inceptus Medical, Inc. Methods and apparatus for treating embolism
CA2901443A1 (en) 2013-03-15 2014-09-25 Insera Therapeutics, Inc. Vascular treatment devices and methods
CN110312481B (zh) 2016-10-24 2023-04-11 伊纳里医疗有限公司 用于治疗血管闭塞的装置和方法
ES3008609T3 (en) 2017-09-06 2025-03-24 Inari Medical Inc Hemostasis valves and methods of use
US10258357B1 (en) 2017-10-16 2019-04-16 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
WO2022082213A1 (en) 2017-10-16 2022-04-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US12201315B2 (en) 2017-10-16 2025-01-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
CN109938801B (zh) * 2017-12-21 2025-03-11 新昕医药科技（上海）有限公司 一种血栓取栓器
US11154314B2 (en) 2018-01-26 2021-10-26 Inari Medical, Inc. Single insertion delivery system for treating embolism and associated systems and methods
WO2020055908A1 (en) * 2018-09-10 2020-03-19 Stryker Corporation Inverting thrombectomy apparatuses and methods of use
US11406416B2 (en) * 2018-10-02 2022-08-09 Neuravi Limited Joint assembly for vasculature obstruction capture device
US12285182B2 (en) 2018-10-10 2025-04-29 Innova Vascular, Inc. Devices and methods for removing an embolus
EP3982861B1 (en) * 2019-06-12 2023-10-25 Covidien LP Retrieval of material from corporeal lumens
GB201908576D0 (en) * 2019-06-14 2019-07-31 Oxford Endovascular Ltd Delivery system for deploying a self-expanding tube, and method of deploying a self-expanding tube
US12274844B2 (en) 2019-06-24 2025-04-15 Covidien Lp Thrombus removal device
US20220280114A1 (en) * 2019-08-20 2022-09-08 The Brigham And Women's Hospital, Inc. Medical microdevice anchoring apparatus, installation and retrieval tools, and methods of using same
EP4034001A4 (en) * 2019-09-25 2023-12-06 Renalpro Medical, Inc. DEVICES AND METHOD FOR AT LEAST PARTIALLY CLOSING A BLOOD VESSEL WHILE MAINTAINING DISTAL PERFUSION
CA3157521A1 (en) 2019-10-16 2021-04-22 Inari Medical, Inc. Systems, devices, and methods for treating vascular occlusions
CN115151205B (zh) * 2019-12-18 2025-11-04 伊纳里医疗有限公司 用于治疗血管闭塞的装置和方法
US11648020B2 (en) 2020-02-07 2023-05-16 Angiodynamics, Inc. Device and method for manual aspiration and removal of an undesirable material
JP7411468B2 (ja) * 2020-03-24 2024-01-11 大塚メディカルデバイス株式会社 ワイヤ付きステント及びカテーテル・ステント・システム
CN112932612A (zh) * 2021-01-15 2021-06-11 上海市第六人民医院 一种斑块清除装置
KR20230147061A (ko) 2021-02-19 2023-10-20 엠볼린, 인크. 대동맥궁에 색전 필터를 배치하는 방법 및 시스템
US12390236B2 (en) 2021-03-10 2025-08-19 Covidien Lp Thrombus removal device
US11679195B2 (en) 2021-04-27 2023-06-20 Contego Medical, Inc. Thrombus aspiration system and methods for controlling blood loss
CN113855164B (zh) * 2021-11-11 2024-11-22 上海融脉医疗科技有限公司 一种网盘式机械血栓清除导管装置
US12336726B2 (en) 2022-04-18 2025-06-24 Boston Scientific Medical Device Limited Device and method for mechanical thrombectomy
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