RU2019112030A - Катетеры для снижения степени использования рентгеноскопии при выполнении эндоваскулярных операций - Google Patents

Катетеры для снижения степени использования рентгеноскопии при выполнении эндоваскулярных операций Download PDF

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Publication number
RU2019112030A
RU2019112030A RU2019112030A RU2019112030A RU2019112030A RU 2019112030 A RU2019112030 A RU 2019112030A RU 2019112030 A RU2019112030 A RU 2019112030A RU 2019112030 A RU2019112030 A RU 2019112030A RU 2019112030 A RU2019112030 A RU 2019112030A
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Russia
Prior art keywords
catheter
shaft
affected area
kit according
kit
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RU2019112030A
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English (en)
Inventor
Николас Лорен БАЖЕМА
Джим С. БИСЛИ
Кевин БОЙЛ
Александр Уильям ТЕССМЕР
Марк Николас РАЙТ
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Клиарстрим Текнолоджис Лимитед
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Application filed by Клиарстрим Текнолоджис Лимитед filed Critical Клиарстрим Текнолоджис Лимитед
Publication of RU2019112030A publication Critical patent/RU2019112030A/ru

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Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • 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
    • A61M25/09—Guide wires
    • 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
    • A61M25/10—Balloon catheters
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/104—Balloon catheters used for angioplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
    • 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
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097—Visible markings, e.g. indicia
    • 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
    • A61M2025/0008—Catheters; Hollow probes having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
    • 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
    • A61M2025/0183—Rapid exchange or monorail catheters
    • 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
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1079—Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Claims (15)

1. Комплект для лечения пораженного участка сосудистой системы, содержащий
первый проникающий катетер, содержащий первую шахту с первой дистальной частью, приспособленной для позиционирования на пораженном участке или возле него, и первой проксимальной частью с первой меткой на первом участке; и
второй катетер, содержащий вторую шахту со второй дистальной частью, приспособленной для позиционирования на пораженном участке, и второй проксимальной частью со второй меткой на втором участке, по существу соответствующем первому участку первой метки,
при этом первая и вторая метки могут быть видны снаружи тела пациента без использования рентгеноскопии,
при этом вторая дистальная часть второго катетера содержит баллон.
2. Комплект по п.1, отличающийся тем, что второй катетер содержит лечебный элемент, выбранный из группы, состоящей из лекарственного средства, стента, графта, режущего элемента, проводника направленного действия или любого их сочетания.
3. Комплект по п.1, отличающийся тем, что проникающий катетер может быть приспособлен для внедрения в окклюзию пораженного участка или прохождения сквозь нее.
4. Комплект для лечения пораженного участка сосудистой системы пациента, содержащий
первый проникающий катетер, содержащий первую шахту с первым средством для измерения первых расстояний от первой заранее заданной точки на первой шахте, и
второй катетер, содержащий вторую шахту со вторым средством для измерения вторых расстояний от второй заранее заданной точки на второй шахте,
причем первое и второе средства для измерения могут восприниматься врачом снаружи сосудистой системы без использования рентгеноскопии, и каждое первое расстояние соответствует по меньшей мере одному второму расстоянию,
при этом второй катетер содержит баллон, расположенный возле дистального конца второй шахты.
5. Комплект по п. 4, отличающийся тем, что первое и второе средства для измерения являются прозрачными для рентгеновских лучей.
6. Комплект по п. 4, отличающийся тем, что вторая заранее заданная точка расположена на конце баллона.
7. Комплект по п. 4, отличающийся тем, что второй катетер может включать также рентгеноконтрастный маркер, расположенный возле баллона.
RU2019112030A 2014-03-31 2015-03-31 Катетеры для снижения степени использования рентгеноскопии при выполнении эндоваскулярных операций RU2019112030A (ru)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201461972580P 2014-03-31 2014-03-31
US61/972,580 2014-03-31
US201462083745P 2014-11-24 2014-11-24
US62/083,745 2014-11-24

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RU2016141624A Division RU2686297C2 (ru) 2014-03-31 2015-03-31 Катетеры для снижения степени использования рентгеноскопии при выполнении эндоваскулярных операций

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RU2019112030A true RU2019112030A (ru) 2019-05-06

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RU2019112030A RU2019112030A (ru) 2014-03-31 2015-03-31 Катетеры для снижения степени использования рентгеноскопии при выполнении эндоваскулярных операций

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Country Link
US (1) US11458286B2 (ru)
EP (1) EP3125984B1 (ru)
JP (2) JP2017512587A (ru)
KR (1) KR102364071B1 (ru)
CN (1) CN106456938A (ru)
AU (4) AU2015240941B2 (ru)
BR (1) BR112016021726B1 (ru)
CA (1) CA2944354C (ru)
CL (1) CL2016002335A1 (ru)
MX (1) MX2016012730A (ru)
NZ (1) NZ724237A (ru)
RU (2) RU2686297C2 (ru)
WO (1) WO2015153599A1 (ru)

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CN106456938A (zh) 2017-02-22
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