KR102687413B1 - 두개 내 출혈의 제거 방법 및 장치 - Google Patents

두개 내 출혈의 제거 방법 및 장치 Download PDF

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KR102687413B1
KR102687413B1 KR1020197030602A KR20197030602A KR102687413B1 KR 102687413 B1 KR102687413 B1 KR 102687413B1 KR 1020197030602 A KR1020197030602 A KR 1020197030602A KR 20197030602 A KR20197030602 A KR 20197030602A KR 102687413 B1 KR102687413 B1 KR 102687413B1
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lesion
probe shaft
tubular probe
helical wire
delete delete
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KR20200012828A (ko
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스티븐 르와젤
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퍼넘브러, 인코퍼레이티드
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1695Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320758Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B17/22004Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/2202Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00685Archimedes screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22079Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320024Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320032Details of the rotating or oscillating shaft, e.g. using a flexible shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Neurosurgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
KR1020197030602A 2017-03-20 2018-03-20 두개 내 출혈의 제거 방법 및 장치 Active KR102687413B1 (ko)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762473779P 2017-03-20 2017-03-20
US62/473,779 2017-03-20
PCT/US2018/023348 WO2018175431A1 (en) 2017-03-20 2018-03-20 Methods and apparatus for removal of intracranial hemorrhage

Publications (2)

Publication Number Publication Date
KR20200012828A KR20200012828A (ko) 2020-02-05
KR102687413B1 true KR102687413B1 (ko) 2024-07-24

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Country Link
US (2) US10716590B2 (https=)
EP (1) EP3600089B1 (https=)
JP (1) JP2020511269A (https=)
KR (1) KR102687413B1 (https=)
AU (1) AU2018239346B2 (https=)
WO (1) WO2018175431A1 (https=)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116172656A (zh) 2013-03-15 2023-05-30 伊瑟拉医疗公司 脉管治疗装置和方法
EP3416568A4 (en) 2016-02-16 2019-10-16 Insera Therapeutics, Inc. SUCTION DEVICES AND ANCHORED FLOW REVERSING DEVICES
US12201315B2 (en) 2017-10-16 2025-01-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
WO2022082213A1 (en) 2017-10-16 2022-04-21 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US20190110804A1 (en) 2017-10-16 2019-04-18 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
USD847864S1 (en) 2018-01-22 2019-05-07 Insera Therapeutics, Inc. Pump
US10531883B1 (en) 2018-07-20 2020-01-14 Syntheon 2.0, LLC Aspiration thrombectomy system and methods for thrombus removal with aspiration catheter
CN110141303B (zh) 2019-06-06 2022-09-02 赛诺神畅医疗科技有限公司 用于碎栓并抽吸血栓的器械
JP7615304B2 (ja) * 2020-08-14 2025-01-16 ジャイラス エーシーエムアイ インク ディー/ビー/エー オリンパス サージカル テクノロジーズ アメリカ 内部二次結石断片化機構
JP2024024698A (ja) * 2021-01-11 2024-02-26 テルモ株式会社 医療デバイス
US12220139B2 (en) 2022-03-20 2025-02-11 Von Vascular, Inc. System, devices and methods for removing obstructions in body lumens
US12471937B2 (en) 2023-01-25 2025-11-18 Syntheon Pv, Llc Aspiration thrombectomy systems and methods for thrombus removal with aspiration catheter

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180161024A1 (en) 2016-08-17 2018-06-14 Rebound Therapeutics Corporation Cannula with proximally mounted camera

Family Cites Families (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4986807A (en) * 1989-01-23 1991-01-22 Interventional Technologies, Inc. Atherectomy cutter with radially projecting blade
WO1994024941A1 (fr) * 1993-04-30 1994-11-10 Px Holding S.A. Appareil pour le prelevement de tissus par endoscopie
WO1998024372A1 (en) * 1996-12-02 1998-06-11 Angiotrax, Inc. Apparatus and methods for percutaneously performing surgery
US6666874B2 (en) 1998-04-10 2003-12-23 Endicor Medical, Inc. Rotational atherectomy system with serrated cutting tip
US6592541B1 (en) * 1998-07-21 2003-07-15 Badrudin Kurwa Ophthalmological surgical instrument, device and method of use
US8414543B2 (en) 1999-10-22 2013-04-09 Rex Medical, L.P. Rotational thrombectomy wire with blocking device
US7344546B2 (en) * 2000-04-05 2008-03-18 Pathway Medical Technologies Intralumenal material removal using a cutting device for differential cutting
CA2555966C (en) 2004-03-04 2012-07-10 Straub Medical Ag Catheter for sucking, fragmenting and removing material extractable from blood vessels
CA2506961C (en) * 2004-05-11 2013-05-07 Inrad, Inc. Core biopsy device
US20060095045A1 (en) * 2004-11-01 2006-05-04 Sdgi Holdings, Inc. Methods for explantation of intervertebral disc implants
US7717853B2 (en) 2005-06-24 2010-05-18 Henry Nita Methods and apparatus for intracranial ultrasound delivery
US20120330196A1 (en) 2005-06-24 2012-12-27 Penumbra Inc. Methods and Apparatus for Removing Blood Clots and Tissue from the Patient's Head
US8852219B2 (en) * 2006-10-04 2014-10-07 Bayer Medical Care Inc. Interventional catheters having cutter assemblies and differential cutting surfaces for use in such assemblies
JP2010527636A (ja) * 2006-11-06 2010-08-19 アードバーク メディカル, エルエルシー 洗浄と吸引の装置および方法
US8906053B2 (en) * 2007-11-12 2014-12-09 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
US8246752B2 (en) 2008-01-25 2012-08-21 Clear Catheter Systems, Inc. Methods and devices to clear obstructions from medical tubes
US8070765B2 (en) * 2009-01-28 2011-12-06 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
CN102695463B (zh) * 2009-12-11 2015-01-14 泰科保健集团有限合伙公司 具有提高的材料捕获效率的材料去除装置及使用方法
US8469981B2 (en) * 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8764779B2 (en) 2010-05-13 2014-07-01 Rex Medical, L.P. Rotational thrombectomy wire
CN103200886B (zh) * 2010-10-28 2015-07-29 科维蒂恩有限合伙公司 物质移除装置和使用方法
US9055964B2 (en) 2011-03-15 2015-06-16 Angio Dynamics, Inc. Device and method for removing material from a hollow anatomical structure
PL221914B1 (pl) 2011-10-25 2016-06-30 Andrzej Sobolewski Pojazd poruszany ręcznie
US9603610B2 (en) * 2013-03-15 2017-03-28 DePuy Synthes Products, Inc. Tools and methods for tissue removal
US10219814B2 (en) * 2013-12-13 2019-03-05 Rex Medical, L.P. Aspiration system for thrombectomy procedures
EP3653147B1 (en) * 2014-04-28 2022-09-28 Minerva Surgical, Inc. Tissue resectors with cutting wires and hand-operated tissue resector systems
US10667836B2 (en) * 2014-04-28 2020-06-02 Boston Scientific Scimed, Inc. Tissue resectors, hand operated tissue resecting systems, and associated methods
US10517632B2 (en) * 2015-06-25 2019-12-31 Covidien Lp Tissue-removing catheter with reciprocating tissue-removing head
GB2557500B8 (en) * 2015-07-29 2021-02-17 Actuated Medical Inc Devices for clearing blockages in artificial and natural lumens
US10555834B2 (en) * 2016-07-11 2020-02-11 Novartis Ag Vitrectomy probe with rotary cutter and associated devices, systems, and methods
US12521171B2 (en) * 2018-10-11 2026-01-13 Rebound Therapeutics Corporation Macerator for intracranial surgery

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180161024A1 (en) 2016-08-17 2018-06-14 Rebound Therapeutics Corporation Cannula with proximally mounted camera

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Publication number Publication date
CA3057102A1 (en) 2018-09-27
EP3600089B1 (en) 2023-09-06
US20180263646A1 (en) 2018-09-20
KR20200012828A (ko) 2020-02-05
US10716590B2 (en) 2020-07-21
AU2018239346B2 (en) 2020-11-26
JP2020511269A (ja) 2020-04-16
AU2018239346A1 (en) 2019-10-03
WO2018175431A1 (en) 2018-09-27
EP3600089A4 (en) 2020-12-30
US11389186B2 (en) 2022-07-19
US20200330117A1 (en) 2020-10-22
EP3600089A1 (en) 2020-02-05

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