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Method and apparatus for providing medicament to tissue

Info

Publication number
WO2003037203A3
WO2003037203A3 PCT/US2002/034155 US0234155W WO2003037203A3 WO 2003037203 A3 WO2003037203 A3 WO 2003037203A3 US 0234155 W US0234155 W US 0234155W WO 2003037203 A3 WO2003037203 A3 WO 2003037203A3
Authority
WO
Grant status
Application
Patent type
Prior art keywords
medicament
delivery
tissue
energy
device
Prior art date
Application number
PCT/US2002/034155
Other languages
French (fr)
Other versions
WO2003037203A2 (en )
Inventor
Donald E Bobo Jr
Original Assignee
Edwards Lifesciences Corp
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

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • A61B18/24Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements 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
    • A61B2017/22051Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00273Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291Anchoring means for temporary attachment of a device to tissue using suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00392Transmyocardial revascularisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument instered into a body lumen or cavity, e.g. a catheter

Abstract

A system for delivering medicaments to tissue includes a tissue-removal and medicament-delivery device. The device includes a delivery member and an optical fiber formed together into a unitary structure by cladding. The optical fiber has an inlet for receiving laser energy from a laser energy source and an outlet for emitting laser energy. The delivery member has an inlet for receiving medicament from a medicament source and an outlet for injecting medicament. A handpiece is adapted to receive the ablating and injecting device in a controlled and movable relationship. The distal end of the handpiece disposes at least one tissue stabilizing member thereon. The medicament delivery system is particulary useful in cardiac applications for performing transmyocardial revascularization (TMR) in ischemic myocardium and promoting endothelial cell growth within the myocardium.
PCT/US2002/034155 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue WO2003037203A3 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US10/021,132 2001-10-29
US10021132 US7776025B2 (en) 2001-10-29 2001-10-29 Method for providing medicament to tissue

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP20020786508 EP1439794A2 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue
CA 2465613 CA2465613A1 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue

Publications (2)

Publication Number Publication Date
WO2003037203A2 true WO2003037203A2 (en) 2003-05-08
WO2003037203A3 true true WO2003037203A3 (en) 2003-10-30

Family

ID=21802513

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/034155 WO2003037203A3 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue

Country Status (4)

Country Link
US (1) US7776025B2 (en)
CA (1) CA2465613A1 (en)
EP (1) EP1439794A2 (en)
WO (1) WO2003037203A3 (en)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7169127B2 (en) * 2002-02-21 2007-01-30 Boston Scientific Scimed, Inc. Pressure apron direct injection catheter
US20030163111A1 (en) * 2002-02-26 2003-08-28 Daellenbach Keith K. End effector for needle-free injection system
US7108685B2 (en) * 2002-04-15 2006-09-19 Boston Scientific Scimed, Inc. Patch stabilization of rods for treatment of cardiac muscle
WO2003088833A9 (en) 2002-04-22 2004-02-05 Univ Johns Hopkins Apparatus for insertion of a medical device during a medical imaging process
US6855123B2 (en) 2002-08-02 2005-02-15 Flow Cardia, Inc. Therapeutic ultrasound system
US7137963B2 (en) 2002-08-26 2006-11-21 Flowcardia, Inc. Ultrasound catheter for disrupting blood vessel obstructions
US7758510B2 (en) 2003-09-19 2010-07-20 Flowcardia, Inc. Connector for securing ultrasound catheter to transducer
US7604608B2 (en) * 2003-01-14 2009-10-20 Flowcardia, Inc. Ultrasound catheter and methods for making and using same
US6942677B2 (en) * 2003-02-26 2005-09-13 Flowcardia, Inc. Ultrasound catheter apparatus
US7220233B2 (en) 2003-04-08 2007-05-22 Flowcardia, Inc. Ultrasound catheter devices and methods
US20070066935A1 (en) * 2003-05-09 2007-03-22 Ryuichi Morishita Needleless syringe having medical agent accomodated therein
US7335180B2 (en) 2003-11-24 2008-02-26 Flowcardia, Inc. Steerable ultrasound catheter
US7706873B2 (en) * 2004-05-05 2010-04-27 Mario Ammirati System and method for controlled delivery of a therapeutic agent to a target location within an internal body tissue
US7540852B2 (en) 2004-08-26 2009-06-02 Flowcardia, Inc. Ultrasound catheter devices and methods
EP1827555A4 (en) 2004-11-18 2010-03-10 David W Chang Endoluminal delivery of anesthesia
GB0519252D0 (en) * 2005-09-21 2005-10-26 Dezac Ltd Laser hair removal device
US8012096B2 (en) * 2005-10-17 2011-09-06 Cardiogenesis Corporation Surgical device and method for performing combination revascularization and therapeutic substance delivery to tissue
CA2646363C (en) * 2006-03-14 2015-07-21 The Johns Hopkins University Apparatus for insertion of a medical device within a body during a medical imaging process and devices and methods related thereto
US9282984B2 (en) 2006-04-05 2016-03-15 Flowcardia, Inc. Therapeutic ultrasound system
US9078680B2 (en) 2006-04-12 2015-07-14 Lumenis Ltd. System and method for microablation of tissue
CA2644438A1 (en) * 2006-04-12 2007-11-08 Lumenis Ltd. System and method for microablation of tissue
US8246643B2 (en) 2006-11-07 2012-08-21 Flowcardia, Inc. Ultrasound catheter having improved distal end
US8145293B2 (en) * 2008-06-16 2012-03-27 Siemens Medical Solutions Usa, Inc. Adaptive medical image acquisition system and method
US8882753B2 (en) * 2008-07-14 2014-11-11 Syneron Medical Ltd Devices and methods for percutaneous energy delivery
US8226566B2 (en) 2009-06-12 2012-07-24 Flowcardia, Inc. Device and method for vascular re-entry
US20120265183A1 (en) * 2009-09-11 2012-10-18 Amj Bv Catheter system for bypass surgery and a method for preparing a catheter system for bypass surgery
US20110178513A1 (en) * 2010-01-21 2011-07-21 CreamOptee Industries Inc. Method and device for internal tissue removal
KR20170129284A (en) * 2010-03-03 2017-11-24 루메니스 리미티드 System and method of tissue microablation using fractional treatment patterns

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0934728A2 (en) * 1997-11-25 1999-08-11 Eclipse Surgical Technologies, Inc. Selective treatment of endocardial/myocardial boundary
WO1999039624A1 (en) * 1998-02-05 1999-08-12 Biosense Inc. Intracardiac drug delivery
US5968059A (en) * 1997-03-06 1999-10-19 Scimed Life Systems, Inc. Transmyocardial revascularization catheter and method
US6019756A (en) * 1996-04-05 2000-02-01 Eclipse Surgical Technologies, Inc. Laser device for transmyocardial revascularization procedures
US6079414A (en) * 1993-02-22 2000-06-27 Heartport, Inc. Method for thoracoscopic intracardiac procedures including septal defect
US6143019A (en) * 1995-08-22 2000-11-07 Board Of Regents, The University Of Texas System Method for emitting therapeutic energy within tissue
US6165188A (en) * 1996-12-02 2000-12-26 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use
WO2001039682A1 (en) * 1999-12-02 2001-06-07 Baxter International Inc. Methods and apparatus for delivering medicament to tissue
US20010007937A1 (en) * 1998-12-17 2001-07-12 Mackin Robert A. Apparatus and method for contemporaneous treatment and fluoroscopic mapping of body tissue

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4445892A (en) 1982-05-06 1984-05-01 Laserscope, Inc. Dual balloon catheter device
US5318024A (en) * 1985-03-22 1994-06-07 Massachusetts Institute Of Technology Laser endoscope for spectroscopic imaging
US5957916A (en) * 1994-05-25 1999-09-28 The Trustees Of Columbia University In The City Of New York Myocardial revascularization through the endocardial surface using a laser
US6161543A (en) * 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US6283951B1 (en) * 1996-10-11 2001-09-04 Transvascular, Inc. Systems and methods for delivering drugs to selected locations within the body
US5725523A (en) * 1996-03-29 1998-03-10 Mueller; Richard L. Lateral-and posterior-aspect method and apparatus for laser-assisted transmyocardial revascularization and other surgical applications
JP2001503301A (en) * 1996-11-08 2001-03-13 フォガティー,トマス・ジェイ Through blood vessels tmr apparatus and method
US6067988A (en) * 1996-12-26 2000-05-30 Eclipse Surgical Technologies, Inc. Method for creation of drug delivery and/or stimulation pockets in myocardium
US5925012A (en) * 1996-12-27 1999-07-20 Eclipse Surgical Technologies, Inc. Laser assisted drug delivery
US6086582A (en) 1997-03-13 2000-07-11 Altman; Peter A. Cardiac drug delivery system
WO2000067825A1 (en) * 1999-05-07 2000-11-16 Microheart, Inc. Apparatus and method for delivering therapeutic and diagnostic agents
US6645199B1 (en) * 1999-11-22 2003-11-11 Scimed Life Systems, Inc. Loop structures for supporting diagnostic and therapeutic elements contact with body tissue and expandable push devices for use with same
WO2001074260A1 (en) * 2000-03-24 2001-10-11 Johns Hopkins University Peritoneal cavity device and method
US6805860B1 (en) * 2001-09-30 2004-10-19 Eckhard Alt Method of transluminal application of myogenic cells for repair or replacement of heart tissue

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6079414A (en) * 1993-02-22 2000-06-27 Heartport, Inc. Method for thoracoscopic intracardiac procedures including septal defect
US6143019A (en) * 1995-08-22 2000-11-07 Board Of Regents, The University Of Texas System Method for emitting therapeutic energy within tissue
US6019756A (en) * 1996-04-05 2000-02-01 Eclipse Surgical Technologies, Inc. Laser device for transmyocardial revascularization procedures
US6165188A (en) * 1996-12-02 2000-12-26 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use
US5968059A (en) * 1997-03-06 1999-10-19 Scimed Life Systems, Inc. Transmyocardial revascularization catheter and method
EP0934728A2 (en) * 1997-11-25 1999-08-11 Eclipse Surgical Technologies, Inc. Selective treatment of endocardial/myocardial boundary
WO1999039624A1 (en) * 1998-02-05 1999-08-12 Biosense Inc. Intracardiac drug delivery
US20010007937A1 (en) * 1998-12-17 2001-07-12 Mackin Robert A. Apparatus and method for contemporaneous treatment and fluoroscopic mapping of body tissue
WO2001039682A1 (en) * 1999-12-02 2001-06-07 Baxter International Inc. Methods and apparatus for delivering medicament to tissue

Also Published As

Publication number Publication date Type
WO2003037203A2 (en) 2003-05-08 application
US7776025B2 (en) 2010-08-17 grant
EP1439794A2 (en) 2004-07-28 application
US20030083607A1 (en) 2003-05-01 application
CA2465613A1 (en) 2003-05-08 application

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