JP7622060B2 - リソプラスティ装置内でエネルギーを導き集中させるためのエネルギーマニホールド - Google Patents

リソプラスティ装置内でエネルギーを導き集中させるためのエネルギーマニホールド Download PDF

Info

Publication number
JP7622060B2
JP7622060B2 JP2022529040A JP2022529040A JP7622060B2 JP 7622060 B2 JP7622060 B2 JP 7622060B2 JP 2022529040 A JP2022529040 A JP 2022529040A JP 2022529040 A JP2022529040 A JP 2022529040A JP 7622060 B2 JP7622060 B2 JP 7622060B2
Authority
JP
Japan
Prior art keywords
energy
manifold
guide
catheter
balloon
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2022529040A
Other languages
English (en)
Japanese (ja)
Other versions
JP2023502395A5 (https=
JP2023502395A (ja
Inventor
クック，クリストファー，エー．
シュルタイス，エリック
Original Assignee
ボルト メディカル インコーポレイテッド
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by ボルト メディカル インコーポレイテッド filed Critical ボルト メディカル インコーポレイテッド
Publication of JP2023502395A publication Critical patent/JP2023502395A/ja
Publication of JP2023502395A5 publication Critical patent/JP2023502395A5/ja
Application granted granted Critical
Publication of JP7622060B2 publication Critical patent/JP7622060B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2266—Optical elements at the distal end of probe tips with a lens, e.g. ball tipped
    • 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
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A61B2018/266—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy the conversion of laser energy into mechanical shockwaves taking place in a part of the probe

Landscapes

  • Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Optics & Photonics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Electromagnetism (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
JP2022529040A 2019-11-22 2020-11-11 リソプラスティ装置内でエネルギーを導き集中させるためのエネルギーマニホールド Active JP7622060B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201962939409P 2019-11-22 2019-11-22
US62/939,409 2019-11-22
US17/091,050 US20210153939A1 (en) 2019-11-22 2020-11-06 Energy manifold for directing and concentrating energy within a lithoplasty device
US17/091,050 2020-11-06
PCT/US2020/059960 WO2021101766A1 (en) 2019-11-22 2020-11-11 Energy manifold for directing and concentrating energy within a lithoplasty device

Publications (3)

Publication Number Publication Date
JP2023502395A JP2023502395A (ja) 2023-01-24
JP2023502395A5 JP2023502395A5 (https=) 2023-11-10
JP7622060B2 true JP7622060B2 (ja) 2025-01-27

Family

ID=75974609

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2022529040A Active JP7622060B2 (ja) 2019-11-22 2020-11-11 リソプラスティ装置内でエネルギーを導き集中させるためのエネルギーマニホールド

Country Status (6)

Country Link
US (2) US20210153939A1 (https=)
EP (1) EP4061266A1 (https=)
JP (1) JP7622060B2 (https=)
CN (2) CN121242723A (https=)
CA (1) CA3158736C (https=)
WO (1) WO2021101766A1 (https=)

Families Citing this family (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11819229B2 (en) 2019-06-19 2023-11-21 Boston Scientific Scimed, Inc. Balloon surface photoacoustic pressure wave generation to disrupt vascular lesions
US12402946B2 (en) 2019-06-19 2025-09-02 Boston Scientific Scimed, Inc. Breakdown of laser pulse energy for breakup of vascular calcium
US11717139B2 (en) 2019-06-19 2023-08-08 Bolt Medical, Inc. Plasma creation via nonaqueous optical breakdown of laser pulse energy for breakup of vascular calcium
US11660427B2 (en) 2019-06-24 2023-05-30 Boston Scientific Scimed, Inc. Superheating system for inertial impulse generation to disrupt vascular lesions
US20200406010A1 (en) 2019-06-26 2020-12-31 Boston Scientific Scimed, Inc. Side light direction plasma system to disrupt vascular lesions
US11583339B2 (en) 2019-10-31 2023-02-21 Bolt Medical, Inc. Asymmetrical balloon for intravascular lithotripsy device and method
US12102384B2 (en) 2019-11-13 2024-10-01 Bolt Medical, Inc. Dynamic intravascular lithotripsy device with movable energy guide
US12274497B2 (en) 2019-12-18 2025-04-15 Bolt Medical, Inc. Multiplexer for laser-driven intravascular lithotripsy device
US12446961B2 (en) 2020-02-10 2025-10-21 Bolt Medical, Inc. System and method for pressure monitoring within a catheter system
US11672599B2 (en) 2020-03-09 2023-06-13 Bolt Medical, Inc. Acoustic performance monitoring system and method within intravascular lithotripsy device
US12611253B2 (en) 2020-03-18 2026-04-28 Boston Scientific Scimed, Inc. Optical analyzer assembly and method for intravascular lithotripsy device
US11707323B2 (en) 2020-04-03 2023-07-25 Bolt Medical, Inc. Electrical analyzer assembly for intravascular lithotripsy device
US12582473B2 (en) * 2020-04-29 2026-03-24 The University Of North Carolina At Charlotte Methods for surfactant enhanced laser-induced vapor bubbles for use in laser lithotripsy
US20210353359A1 (en) 2020-05-12 2021-11-18 Bolt Medical, Inc. Active alignment system and method for optimizing optical coupling of multiplexer for laser-driven intravascular lithotripsy device
US12295654B2 (en) 2020-06-03 2025-05-13 Boston Scientific Scimed, Inc. System and method for maintaining balloon integrity within intravascular lithotripsy device with plasma generator
US12207870B2 (en) 2020-06-15 2025-01-28 Boston Scientific Scimed, Inc. Spectroscopic tissue identification for balloon intravascular lithotripsy guidance
US12016610B2 (en) 2020-12-11 2024-06-25 Bolt Medical, Inc. Catheter system for valvuloplasty procedure
WO2022154954A1 (en) 2021-01-12 2022-07-21 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
US11672585B2 (en) 2021-01-12 2023-06-13 Bolt Medical, Inc. Balloon assembly for valvuloplasty catheter system
US11944331B2 (en) 2021-02-26 2024-04-02 Fastwave Medical Inc. Intravascular lithotripsy
US20220313894A1 (en) * 2021-04-03 2022-10-06 Lumenis Ltd. Liquid medium for bubble formation during laser lithotripsy
US11648057B2 (en) 2021-05-10 2023-05-16 Bolt Medical, Inc. Optical analyzer assembly with safety shutdown system for intravascular lithotripsy device
US11806075B2 (en) 2021-06-07 2023-11-07 Bolt Medical, Inc. Active alignment system and method for laser optical coupling
US11839391B2 (en) 2021-12-14 2023-12-12 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
WO2023113922A1 (en) * 2021-12-14 2023-06-22 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
EP4691402A3 (en) * 2021-12-14 2026-03-18 Bolt Medical, Inc. Optical emitter housing assembly for intravascular lithotripsy device
WO2023146878A1 (en) * 2022-01-27 2023-08-03 Bolt Medical, Inc. Energy source for preconditioning an energy guide in a catheter system
US12533184B2 (en) 2022-04-02 2026-01-27 Boston Scientific Scimed, Inc. Optical connector assembly for intravascular lithotripsy device
US12193738B2 (en) 2022-06-01 2025-01-14 Fastwave Medical Inc. Intravascular lithotripsy
US12465424B1 (en) 2022-06-01 2025-11-11 Fastwave Medical Inc. Intravascular lithotripsy
WO2023235665A1 (en) 2022-06-01 2023-12-07 Fastwave Medical Inc. Intravascular lithotripsy
WO2024013045A1 (en) * 2022-07-15 2024-01-18 Koninklijke Philips N.V. Directable laser catheter sonic wave with focusing chamber
EP4306070A1 (en) * 2022-07-15 2024-01-17 Koninklijke Philips N.V. Directable laser catheter sonic wave with focusing chamber
AU2023443541B2 (en) * 2023-04-13 2025-12-18 Fastwave Medical Inc. Intravascular lithotripsy
US20250049455A1 (en) * 2023-08-10 2025-02-13 Vantis Vascular, Inc. System and method for efficient intravascular lithotripsy
WO2025144394A1 (en) * 2023-12-27 2025-07-03 Bolt Medical, Inc. Balloon with emitter for intravascular lithotripsy device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008506447A (ja) 2004-07-14 2008-03-06 バイ−パス， インコーポレイテッド 材料送達システム
JP2011524203A (ja) 2008-06-13 2011-09-01 ダニエル ホーキンス、 衝撃波バルーンカテーテル装置
US20150003900A1 (en) 2012-02-03 2015-01-01 Robert Bosch Gmbh Hand Tool Machine Device
JP2015217215A (ja) 2014-05-20 2015-12-07 ニプロ株式会社 アブレーションデバイス及びアブレーションシステム
US10405923B2 (en) 2016-08-12 2019-09-10 Boston Scientific Scimed, Inc. Systems, devices, and related methods for laser lithotripsy

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5093877A (en) * 1990-10-30 1992-03-03 Advanced Cardiovascular Systems Optical fiber lasing apparatus lens
US6423055B1 (en) * 1999-07-14 2002-07-23 Cardiofocus, Inc. Phototherapeutic wave guide apparatus
HUE026837T2 (en) * 2008-12-02 2016-07-28 Biolitec Unternehmensbeteiligungs Ii Ag Laser Induced Steam / Plasma Medical Device
DK3117784T3 (en) * 2009-07-08 2019-04-08 Sanuwave Inc USE OF INTRACORPORAL PRESSURE SHOCK WAVES IN MEDICINE
US20110263921A1 (en) * 2009-12-31 2011-10-27 Anthony Vrba Patterned Denervation Therapy for Innervated Renal Vasculature
DE102012106017A1 (de) * 2012-07-05 2014-05-08 A.R.C. Laser Gmbh Applikator und Vorrichtung zur Zellbehandlung
US10842567B2 (en) * 2013-03-13 2020-11-24 The Spectranetics Corporation Laser-induced fluid filled balloon catheter
CN110420057B (zh) * 2013-10-15 2022-10-14 尼普洛株式会社 消融系统及消融设备
EP3058888B1 (en) * 2013-10-15 2019-06-12 Nipro Corporation Ablation system and ablation device
US9877660B2 (en) * 2013-11-14 2018-01-30 Medtronic Vascular Galway Systems and methods for determining fractional flow reserve without adenosine or other pharmalogical agent
WO2016077627A1 (en) * 2014-11-14 2016-05-19 Shockwave Medical, Inc. Shock wave valvuloplasty device and methods
US11071557B2 (en) * 2017-10-19 2021-07-27 Medtronic Vascular, Inc. Catheter for creating pulse wave within vasculature

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008506447A (ja) 2004-07-14 2008-03-06 バイ−パス， インコーポレイテッド 材料送達システム
JP2011524203A (ja) 2008-06-13 2011-09-01 ダニエル ホーキンス、 衝撃波バルーンカテーテル装置
US20150003900A1 (en) 2012-02-03 2015-01-01 Robert Bosch Gmbh Hand Tool Machine Device
JP2015217215A (ja) 2014-05-20 2015-12-07 ニプロ株式会社 アブレーションデバイス及びアブレーションシステム
US10405923B2 (en) 2016-08-12 2019-09-10 Boston Scientific Scimed, Inc. Systems, devices, and related methods for laser lithotripsy

Also Published As

Publication number Publication date
US20210153939A1 (en) 2021-05-27
US20240216062A1 (en) 2024-07-04
CN115103643A (zh) 2022-09-23
CA3158736C (en) 2025-05-13
WO2021101766A1 (en) 2021-05-27
EP4061266A1 (en) 2022-09-28
JP2023502395A (ja) 2023-01-24
CA3158736A1 (en) 2021-05-27
CN115103643B (zh) 2025-12-02
CN121242723A (zh) 2026-01-02

Similar Documents

Publication Publication Date Title
JP7622060B2 (ja) リソプラスティ装置内でエネルギーを導き集中させるためのエネルギーマニホールド
JP7355933B2 (ja) リソプラスティ機器用の非対称的なバルーン
US12102384B2 (en) Dynamic intravascular lithotripsy device with movable energy guide
US20240122648A1 (en) Balloon with emitter for intravascular lithotripsy device
US11839391B2 (en) Optical emitter housing assembly for intravascular lithotripsy device
US20230255635A1 (en) Manifold integrated handle assembly for intravascular lithotripsy device
US20240016544A1 (en) Emitter selection based on radiopaque emitter stations for intravascular lithotripsy device
CN120152757A (zh) 具有快速更换端口的血管内碎石导管
CN119343100A (zh) 用于血管内碎石导管系统的布线组件
CN119403508A (zh) 用于血管内碎石设备的多发射器组件和激发序列
US20250261948A1 (en) Manifold integrated handle assembly for intravascular lithotripsy device
WO2023113922A1 (en) Optical emitter housing assembly for intravascular lithotripsy device
CN116685282A (zh) 用于血管内碎石装置的光学发射器壳体组件
JP7588278B1 (ja) 血管内砕石装置用の光エミッタハウジングアセンブリ
CA3156344C (en) Asymmetrical balloon for lithoplasty device
CN118613221A (zh) 用于血管内碎石装置的歧管集成的手柄组件

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20231101

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20231101

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20240517

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20240517

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20240620

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20240903

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20241011

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20250108

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20250115

R150 Certificate of patent or registration of utility model

Ref document number: 7622060

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: R3D03

S111 Request for change of ownership or part of ownership

Free format text: JAPANESE INTERMEDIATE CODE: R313113

S631 Written request for registration of reclamation of domicile

Free format text: JAPANESE INTERMEDIATE CODE: R313631

R350 Written notification of registration of transfer

Free format text: JAPANESE INTERMEDIATE CODE: R350