JP7332165B2 - 流体力学的渦吸引カテーテル - Google Patents

流体力学的渦吸引カテーテル Download PDF

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JP7332165B2
JP7332165B2 JP2020504292A JP2020504292A JP7332165B2 JP 7332165 B2 JP7332165 B2 JP 7332165B2 JP 2020504292 A JP2020504292 A JP 2020504292A JP 2020504292 A JP2020504292 A JP 2020504292A JP 7332165 B2 JP7332165 B2 JP 7332165B2
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flexible shaft
catheter
shaft
lumen
aspiration
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JP2020512922A (ja
JP2020512922A5 (enExample
Inventor
エミリオ サバスターノ、ルイス
スティーブン プロット、ジェフリー
リュー、ヤン
チェン、イーハオ
ジョー － ミン シー、アルバート
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University of Michigan System
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University of Michigan System
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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
    • 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
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    • 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
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    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
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    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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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
    • A61B2017/22042—Details of the tip of the guide wire
    • A61B2017/22044—Details of the tip of the guide wire with a pointed tip
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    • A61B2017/22079—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 suction of debris
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B2017/320766—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven eccentric
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • A61M1/842—Drainage tubes; Aspiration tips rotating
    • 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
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M2025/0073—Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M2025/0175—Introducing, guiding, advancing, emplacing or holding catheters having telescopic features, interengaging nestable members movable in relations to one another
    • 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
    • A61M2206/00—Characteristics of a physical parameter; associated device therefor
    • A61M2206/10—Flow characteristics
    • A61M2206/12—Flow characteristics the flow being spirally in a plane, e.g. against a plane side of a membrane filter element
    • A—HUMAN NECESSITIES
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    • A61M2206/00—Characteristics of a physical parameter; associated device therefor
    • A61M2206/10—Flow characteristics
    • A61M2206/16—Rotating swirling helical flow, e.g. by tangential inflows
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    • 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
    • A61M2206/00—Characteristics of a physical parameter; associated device therefor
    • A61M2206/10—Flow characteristics
    • A61M2206/20—Flow characteristics having means for promoting or enhancing the flow, actively or passively

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2020504292A 2017-04-10 2018-04-10 流体力学的渦吸引カテーテル Active JP7332165B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2023126784A JP7610869B2 (ja) 2017-04-10 2023-08-03 流体力学的渦吸引カテーテル

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762483580P 2017-04-10 2017-04-10
US62/483,580 2017-04-10
PCT/US2018/026831 WO2018191227A1 (en) 2017-04-10 2018-04-10 Hydrodynamic vortex aspiration catheter

Related Child Applications (1)

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JP2023126784A Division JP7610869B2 (ja) 2017-04-10 2023-08-03 流体力学的渦吸引カテーテル

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JP2020512922A JP2020512922A (ja) 2020-04-30
JP2020512922A5 JP2020512922A5 (enExample) 2021-05-20
JP7332165B2 true JP7332165B2 (ja) 2023-08-23

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JP2023126784A Active JP7610869B2 (ja) 2017-04-10 2023-08-03 流体力学的渦吸引カテーテル

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US (1) US10960178B2 (enExample)
EP (3) EP4201346B1 (enExample)
JP (2) JP7332165B2 (enExample)
CN (1) CN111031943B (enExample)
AU (1) AU2018250821B2 (enExample)
CA (1) CA3058764A1 (enExample)
WO (2) WO2018191227A1 (enExample)

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US11224458B2 (en) 2017-04-10 2022-01-18 The Regents Of The University Of Michigan Hydrodynamic vortex aspiration catheter
JP7332165B2 (ja) 2017-04-10 2023-08-23 ザ・リージェンツ・オブ・ザ・ユニバーシティ・オブ・ミシガン 流体力学的渦吸引カテーテル
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
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US10531883B1 (en) 2018-07-20 2020-01-14 Syntheon 2.0, LLC Aspiration thrombectomy system and methods for thrombus removal with aspiration catheter
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CN111759403A (zh) * 2020-07-07 2020-10-13 上海安翰医疗技术有限公司 尿路结石取石装置及尿路取石系统
JP7745233B2 (ja) * 2020-08-05 2025-09-29 ピー． フォジティク，ショーン 医療用吸引デバイス及び吸引方法
CN114159131B (zh) * 2020-09-25 2022-09-06 广州博鑫医疗技术有限公司 一种推拉式作业的旋磨切除器械
CN112316232B (zh) * 2020-12-05 2024-01-16 北京先瑞达医疗科技有限公司 一种间歇式血栓抽吸泵系统与使用方法
CN112842459B (zh) * 2020-12-30 2022-11-01 武汉佑康科技有限公司 一种清石导管结构
CN112791305A (zh) * 2021-01-22 2021-05-14 苏州心擎医疗技术有限公司 血泵及其动力传递组件
KR102628825B1 (ko) * 2021-01-27 2024-01-23 강릉원주대학교산학협력단 약액 주입용 내시경 시술 기구
JP2024508519A (ja) 2021-03-01 2024-02-27 エンドバスキュラー エンジニアリング，インコーポレイテッド 拡張可能な遠位端部を含む血栓症の治療のための吸引デバイス、並びにそのシステム及び方法
US11717603B2 (en) 2021-04-27 2023-08-08 Contego Medical, Inc. Thrombus aspiration system and methods for controlling blood loss
BR112023023598A2 (pt) 2021-06-07 2024-03-12 Avantec Vascular Corp Dispositivos híbridos de aterectomia
JP2023077953A (ja) * 2021-11-25 2023-06-06 朝日インテック株式会社 多層コイル構造体
US20230218314A1 (en) * 2022-01-10 2023-07-13 Boston Scientific Scimed, Inc. Atherectomy system adapted to enable retrograde ablation
US12053192B2 (en) 2022-09-01 2024-08-06 Endovascular Engineering, Inc. Systems, devices, and methods for aspiration, including expandable structures and rotatable shafts
CN115737060A (zh) * 2022-11-14 2023-03-07 上海中医药大学 一种用于导通心脑血管的装置
WO2024112755A1 (en) * 2022-11-21 2024-05-30 Northwestern University Brachytherapy applicator
US12471937B2 (en) 2023-01-25 2025-11-18 Syntheon Pv, Llc Aspiration thrombectomy systems and methods for thrombus removal with aspiration catheter
EP4637587A1 (en) 2023-08-16 2025-10-29 Avantec Vascular Corporation Thrombectomy devices with lateral and vertical bias
CN118021388A (zh) * 2023-11-03 2024-05-14 宁波南珊企业管理合伙企业(有限合伙) 血管内凝塞物清除系统的旋转体
WO2025194148A1 (en) * 2024-03-14 2025-09-18 The Board Of Trustees Of The Leland Stanford Junior University Devices, systems, and methods for performing thrombectomy procedures
US20250331872A1 (en) * 2024-04-24 2025-10-30 Neuravi Limited Splined access aid for aspiration catheters
US12467521B1 (en) 2024-05-10 2025-11-11 Yarro Studios, Inc. 3D-printed telescoping actuator
US12440615B1 (en) 2024-10-28 2025-10-14 Endovascular Engineering, Inc. Blood transfusion for thrombectomy devices, and systems and methods thereof
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