JP7560936B2 - プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法 - Google Patents

プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法 Download PDF

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JP7560936B2
JP7560936B2 JP2017543729A JP2017543729A JP7560936B2 JP 7560936 B2 JP7560936 B2 JP 7560936B2 JP 2017543729 A JP2017543729 A JP 2017543729A JP 2017543729 A JP2017543729 A JP 2017543729A JP 7560936 B2 JP7560936 B2 JP 7560936B2
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core wire
guidewire
tip structure
radiofrequency
radio frequency
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JP2018507044A5 (enExample
JP2018507044A (ja
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ウェイン オガタ
シャン イアン グ
スティーブン メイヤー
修 加藤
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レトロバスキュラー インコーポレイテッド
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/042—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • 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
    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00755—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00779—Power or energy
    • A61B2018/00785—Reflected power
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1407—Loop
    • A61B2018/141—Snare

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Plasma Technology (AREA)
JP2017543729A 2015-02-18 2016-02-18 プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法 Active JP7560936B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2024108824A JP2024153662A (ja) 2015-02-18 2024-07-05 プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562117828P 2015-02-18 2015-02-18
US62/117,828 2015-02-18
PCT/US2016/018482 WO2016134152A1 (en) 2015-02-18 2016-02-18 Radiofrequency guidewire with controlled plasma generation and methods of use thereof

Related Child Applications (1)

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JP2024108824A Division JP2024153662A (ja) 2015-02-18 2024-07-05 プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法

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JP2018507044A JP2018507044A (ja) 2018-03-15
JP2018507044A5 JP2018507044A5 (enExample) 2019-03-28
JP7560936B2 true JP7560936B2 (ja) 2024-10-03

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JP2024108824A Pending JP2024153662A (ja) 2015-02-18 2024-07-05 プラズマ生成が制御される高周波ガイドワイヤ及びその使用方法

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US (1) US11717334B2 (enExample)
EP (1) EP3258835B1 (enExample)
JP (2) JP7560936B2 (enExample)
CN (1) CN107405077B (enExample)
CA (1) CA2976386A1 (enExample)
WO (1) WO2016134152A1 (enExample)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11241274B2 (en) * 2016-11-04 2022-02-08 Intuitive Surgical Operations, Inc. Electrically insulative electrode spacers, and related devices, systems, and methods
GB2559585A (en) * 2017-02-09 2018-08-15 Helica Instrument Ltd Probe for a plasma flame generating apparatus
JP6724251B2 (ja) * 2017-06-29 2020-07-15 朝日インテック株式会社 プラズマ用ガイドワイヤ
CN111918690B (zh) * 2018-03-29 2023-02-28 朝日英达科株式会社 导管、以及再开通导管系统
JP7295255B2 (ja) * 2019-02-19 2023-06-20 朝日インテック株式会社 末梢血管組織改変システム
AU2020366719A1 (en) * 2019-10-18 2022-04-07 Boston Scientific Medical Device Limited Medical guidewire assembly and/or electrical connector
CN111135425B (zh) * 2020-03-06 2021-09-10 广东博迈医疗科技股份有限公司 一种医用微导管
WO2022138290A1 (ja) * 2020-12-25 2022-06-30 朝日インテック株式会社 プラズマアブレーションシステム、及び、プラズマガイドワイヤ
CN112741678B (zh) * 2021-01-20 2025-11-25 成都盛世慧通医疗科技有限公司 一种刀头和等离子体手术刀
JP7770906B2 (ja) * 2021-12-22 2025-11-17 朝日インテック株式会社 プラズマガイドワイヤ
JP2023169523A (ja) * 2022-05-17 2023-11-30 朝日インテック株式会社 プラズマガイドワイヤ
JPWO2024116321A1 (enExample) * 2022-11-30 2024-06-06
WO2024254476A1 (en) * 2023-06-09 2024-12-12 Boston Scientific Scimed, Inc. Stiffer core material for rf perforation device
WO2025171173A1 (en) 2024-02-08 2025-08-14 IV-X Medical, LLC Intravascular lithotripsy system
JP2025144146A (ja) * 2024-03-19 2025-10-02 日本ライフライン株式会社 心房中隔穿刺デバイス

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010012934A1 (en) 1999-02-24 2001-08-09 Scimed Life Systems, Inc. Guide wire system for RF recanalization of vascular blockages
JP2004505663A (ja) 2000-08-09 2004-02-26 アースロケア　コーポレイション 脊椎の不整を治療する装置
US20040181219A1 (en) 2000-02-08 2004-09-16 Gyrus Medical Limited Electrosurgical instrument and an electrosugery system including such an instrument
JP2010540198A (ja) 2007-10-05 2010-12-24 コアプタス メディカル コーポレイション 経中隔心臓処置のためのシステムおよび方法
JP2011518615A (ja) 2008-04-23 2011-06-30 レトロ・ヴァスキュラー・インコーポレーテッド コントロールされた順行性および逆行性トラッキングを使用する閉塞した血管の再疎通
JP2013523285A (ja) 2010-04-02 2013-06-17 レトロヴァスキュラー・インコーポレーテッド 高周波エネルギーを用いた閉塞した血管の再疎通
JP2014531935A (ja) 2011-09-30 2014-12-04 コヴィディエン リミテッド パートナーシップ エネルギー送達デバイスおよび使用の方法

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5047026A (en) * 1989-09-29 1991-09-10 Everest Medical Corporation Electrosurgical implement for tunneling through tissue
US5716389A (en) * 1995-11-13 1998-02-10 Walinsky; Paul Cardiac ablation catheter arrangement with movable guidewire
US7270661B2 (en) * 1995-11-22 2007-09-18 Arthocare Corporation Electrosurgical apparatus and methods for treatment and removal of tissue
US6251086B1 (en) * 1999-07-27 2001-06-26 Scimed Life Systems, Inc. Guide wire with hydrophilically coated tip
JP3370606B2 (ja) 1997-10-29 2003-01-27 ペンタックス株式会社 内視鏡用ドレナージチューブ留置具
JP3977569B2 (ja) * 2000-03-06 2007-09-19 テルモ株式会社 生体植設用電極リードおよびそれを用いる生体植設用医療器具
US9510900B2 (en) * 2003-01-21 2016-12-06 Baylis Medical Company Inc. Electrosurgical device for creating a channel through a region of tissue and methods of use thereof
US7717875B2 (en) * 2004-07-20 2010-05-18 St. Jude Medical, Atrial Fibrillation Division, Inc. Steerable catheter with hydraulic or pneumatic actuator
JP3694312B1 (ja) * 2005-01-26 2005-09-14 朝日インテック株式会社 医療用ガイドワイヤ
US8444637B2 (en) * 2006-12-29 2013-05-21 St. Jude Medical, Atrial Filbrillation Division, Inc. Steerable ablation device
WO2008153357A2 (en) 2007-06-15 2008-12-18 Chung-Ang University Industry-Academy Cooperation Foundation Bipolar electrode type guide wire and catheter system
WO2009061860A1 (en) 2007-11-05 2009-05-14 Stereotaxis, Inc. Magnetically guided energy delivery apparatus
US8308723B2 (en) * 2009-10-09 2012-11-13 Coaptus Medical Corporation Tissue-penetrating guidewires with shaped tips, and associated systems and methods
BR112012025969B1 (pt) * 2010-04-14 2021-01-05 Microvention, Inc. dispositivo de fornecimento de implante
US9168082B2 (en) * 2011-02-09 2015-10-27 Arthrocare Corporation Fine dissection electrosurgical device
US9254142B2 (en) * 2011-04-11 2016-02-09 Iogyn, Inc. Tissue extraction devices and methods
US20130085514A1 (en) * 2011-09-30 2013-04-04 Tyco Healthcare Group Lp Rotating occlusion treatment system
US9056191B2 (en) * 2012-04-11 2015-06-16 Covidien Lp Apparatus and method for removing occlusive tissue

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010012934A1 (en) 1999-02-24 2001-08-09 Scimed Life Systems, Inc. Guide wire system for RF recanalization of vascular blockages
US20040181219A1 (en) 2000-02-08 2004-09-16 Gyrus Medical Limited Electrosurgical instrument and an electrosugery system including such an instrument
JP2004505663A (ja) 2000-08-09 2004-02-26 アースロケア　コーポレイション 脊椎の不整を治療する装置
JP2010540198A (ja) 2007-10-05 2010-12-24 コアプタス メディカル コーポレイション 経中隔心臓処置のためのシステムおよび方法
JP2011518615A (ja) 2008-04-23 2011-06-30 レトロ・ヴァスキュラー・インコーポレーテッド コントロールされた順行性および逆行性トラッキングを使用する閉塞した血管の再疎通
JP2013523285A (ja) 2010-04-02 2013-06-17 レトロヴァスキュラー・インコーポレーテッド 高周波エネルギーを用いた閉塞した血管の再疎通
JP2014531935A (ja) 2011-09-30 2014-12-04 コヴィディエン リミテッド パートナーシップ エネルギー送達デバイスおよび使用の方法

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Publication number Publication date
US20160235463A1 (en) 2016-08-18
CN107405077A (zh) 2017-11-28
EP3258835B1 (en) 2023-09-13
JP2024153662A (ja) 2024-10-29
JP2018507044A (ja) 2018-03-15
EP3258835C0 (en) 2023-09-13
CA2976386A1 (en) 2016-08-25
US11717334B2 (en) 2023-08-08
EP3258835A4 (en) 2018-12-05
WO2016134152A1 (en) 2016-08-25
CN107405077B (zh) 2023-10-20
EP3258835A1 (en) 2017-12-27

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