WO1999033510A8 - Fluid jet cutting system for cardiac applications - Google Patents

Fluid jet cutting system for cardiac applications

Info

Publication number
WO1999033510A8
WO1999033510A8 PCT/US1998/027824 US9827824W WO9933510A8 WO 1999033510 A8 WO1999033510 A8 WO 1999033510A8 US 9827824 W US9827824 W US 9827824W WO 9933510 A8 WO9933510 A8 WO 9933510A8
Authority
WO
WIPO (PCT)
Prior art keywords
jet
pressure
heart
nozzle
diameter
Prior art date
Application number
PCT/US1998/027824
Other languages
French (fr)
Other versions
WO1999033510A1 (en
Inventor
Timothy E Moutafis
Donald C Freeman Jr
Kevin Staid
Original Assignee
Hydrocision Inc
Timothy E Moutafis
Donald C Freeman Jr
Kevin Staid
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 Hydrocision Inc, Timothy E Moutafis, Donald C Freeman Jr, Kevin Staid filed Critical Hydrocision Inc
Priority to JP2000526256A priority Critical patent/JP2003517325A/en
Priority to CA002315673A priority patent/CA2315673A1/en
Priority to IL13664398A priority patent/IL136643A0/en
Priority to EP98965022A priority patent/EP1049511A1/en
Priority to AU20221/99A priority patent/AU2022199A/en
Publication of WO1999033510A1 publication Critical patent/WO1999033510A1/en
Publication of WO1999033510A8 publication Critical patent/WO1999033510A8/en

Links

Classifications

    • 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
    • A61B17/3203—Fluid jet cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • 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
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Abstract

The present invention is directed to a system (10), and method for generating a high pressure fluid jet for cutting or drilling into the heart, particularly during TMR/PMR procedures. When used in TMR/PMR procedures, the system (10) preferably includes a variable pressure pump (24) for creating a high-pressure fluid jet which drills channels in the heart at predetermined depths corresponding to the pressure, the duration of the jet, with multiple pulses, increased duration, and/or increased pressure increasing the depth of the channel. The size or diameter of the hole is determined by the stand-off distance of the nozzle (44) from the surgical site, the design of the nozzle (44), and diameter of the nozzle's orifice (43). The system also preferably includes a console (22) for housing the pump (24), and other control mechanisms which allows the surgeon to input information into the system (10), for example to selectively vary the diameter of the jet stream, the pressure of the jet, the desired depth of the cut into the heart, and the like, thereby allowing the system to be customized by the surgeon depending upon the details of the application. In one embodiment, the drilling solution may contain additives to achieve certain functional purposes.
PCT/US1998/027824 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications WO1999033510A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2000526256A JP2003517325A (en) 1997-12-31 1998-12-30 Fluid jet dissector for heart application
CA002315673A CA2315673A1 (en) 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications
IL13664398A IL136643A0 (en) 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications
EP98965022A EP1049511A1 (en) 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications
AU20221/99A AU2022199A (en) 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US7014697P 1997-12-31 1997-12-31
US60/070,146 1997-12-31

Publications (2)

Publication Number Publication Date
WO1999033510A1 WO1999033510A1 (en) 1999-07-08
WO1999033510A8 true WO1999033510A8 (en) 1999-10-28

Family

ID=22093433

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/027824 WO1999033510A1 (en) 1997-12-31 1998-12-30 Fluid jet cutting system for cardiac applications

Country Status (6)

Country Link
EP (1) EP1049511A1 (en)
JP (1) JP2003517325A (en)
AU (1) AU2022199A (en)
CA (1) CA2315673A1 (en)
IL (1) IL136643A0 (en)
WO (1) WO1999033510A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9585692B2 (en) 2007-10-19 2017-03-07 Pressure Products Medical Supplies Inc. Transseptal guidewire
US9597107B2 (en) 2002-10-25 2017-03-21 Hydrocision, Inc. Nozzle assemblies for liquid jet surgical instruments and surgical instruments employing the nozzle assemblies

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2779934B1 (en) 1998-06-17 2001-01-05 Saphir Medical Sa PNEUMATICALLY CONTROLLED HANDPIECE FOR SURGICAL AND MEDICAL APPLICATIONS
AU4151899A (en) 1998-06-19 2000-01-05 Saphir Medical Method for generating a pulse train of sterile liquid jet for medical uses
FR2780268B1 (en) 1998-06-24 2000-09-29 Saphir Medical Sa TWO-WAY DISPENSING APPARATUS OF A STERILE WORKING LIQUID ACCORDING TO PREDETERMINED SEQUENCES FOR SURGICAL OR MEDICAL APPLICATIONS USING AT LEAST ONE HANDPIECE
DE60029203T2 (en) * 1999-03-22 2007-06-14 Eschmann Holdings Ltd., Lancing Surgical high pressure fluid jet device for transmyocardial revascularization
FR2797581B1 (en) * 1999-08-20 2001-12-07 Saphir Medical Products Gmbh PRESSURE LIQUID JET SURGICAL PROCESS AND APPARATUS FOR TRANSMYOCARDIAL REVASCULARIZATION
DE19912844A1 (en) 1999-03-22 2000-09-28 Saphir Medical Products Gmbh Use of a cutting device, which uses a fluid as cutting medium, for surgical treatment
DE10084613T1 (en) 1999-05-21 2002-09-26 Univ Leland Stanford Junior Microfluid device and method for generating pulsed microfluid jets in a liquid environment
US6709427B1 (en) 1999-08-05 2004-03-23 Kensey Nash Corporation Systems and methods for delivering agents into targeted tissue of a living being
ATE367527T1 (en) 2001-04-27 2007-08-15 Hydrocision Inc HIGH PRESSURE DISPOSABLE PUMP CASSETTE FOR USE IN MEDICAL FIELD
US10363061B2 (en) 2002-10-25 2019-07-30 Hydrocision, Inc. Nozzle assemblies for liquid jet surgical instruments and surgical instruments for employing the nozzle assemblies
DE20309616U1 (en) * 2003-06-20 2003-11-13 Pein Andreas Water jet device for separating a biological structure
DE10348832A1 (en) * 2003-09-30 2006-05-18 Erbe Elektromedizin Gmbh Conveying device for transporting sterile fluids through a reservoir to a surgical instrument comprises volumetric pumps, line and valve arrangements for connecting the pump with a source and the consumer, and drive units
DE102004031674B3 (en) 2004-06-30 2005-08-04 Erbe Elektromedizin Gmbh Medical pump for a water jet in liver surgery comprises a drive unit for opening and closing holders and/or coupling units
US9782195B2 (en) 2013-11-20 2017-10-10 Board Of Regents Of The University Of Nebraska Fluid jet arterial surgical device
WO2017223479A1 (en) 2016-06-24 2017-12-28 Hydrocision, Inc. Selective tissue removal treatment device
US10492821B2 (en) 2016-06-24 2019-12-03 Hydrocision, Inc. Selective tissue removal treatment device
WO2019100587A1 (en) * 2017-11-21 2019-05-31 青岛理工大学 Electrostatic-atomization ultrasonic wave assisted low-damage and controllable biologic bone grinding process and apparatus
US11406397B2 (en) 2017-11-21 2022-08-09 Qingdao university of technology Electrostatic atomization ultrasonic aided low-damage and controllable biologic bone grinding process and device

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4658817A (en) * 1985-04-01 1987-04-21 Children's Hospital Medical Center Method and apparatus for transmyocardial revascularization using a laser
US5135482A (en) * 1985-12-31 1992-08-04 Arnold Neracher Hydrodynamic device for the elimination of an organic deposit obstructing a vessel of a human body
JPH01198539A (en) * 1987-10-26 1989-08-10 Marui Ika:Kk Water jet knife apparatus for cerebral surgery use
CH676661A5 (en) * 1988-06-16 1991-02-28 Claude F Dr Rausis
US5389096A (en) * 1990-12-18 1995-02-14 Advanced Cardiovascular Systems System and method for percutaneous myocardial revascularization
US5380316A (en) * 1990-12-18 1995-01-10 Advanced Cardiovascular Systems, Inc. Method for intra-operative myocardial device revascularization
US5792453A (en) * 1995-02-28 1998-08-11 The Regents Of The University Of California Gene transfer-mediated angiogenesis therapy
US5871462A (en) * 1995-06-07 1999-02-16 Hydrocision, Inc. Method for using a fluid jet cutting system
JP2002515863A (en) * 1996-01-25 2002-05-28 ウィリアム ビー ウェグリッキ Intravenous magnesium gluconate for treating symptoms caused by excessive oxidative stress due to free radical distribution

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9597107B2 (en) 2002-10-25 2017-03-21 Hydrocision, Inc. Nozzle assemblies for liquid jet surgical instruments and surgical instruments employing the nozzle assemblies
US9585692B2 (en) 2007-10-19 2017-03-07 Pressure Products Medical Supplies Inc. Transseptal guidewire

Also Published As

Publication number Publication date
IL136643A0 (en) 2001-06-14
JP2003517325A (en) 2003-05-27
WO1999033510A1 (en) 1999-07-08
CA2315673A1 (en) 1999-07-08
EP1049511A1 (en) 2000-11-08
AU2022199A (en) 1999-07-19

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