WO2010049121A3 - Medizinische vorrichtung zur rekanalisation von thromben - Google Patents

Medizinische vorrichtung zur rekanalisation von thromben Download PDF

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Publication number
WO2010049121A3
WO2010049121A3 PCT/EP2009/007672 EP2009007672W WO2010049121A3 WO 2010049121 A3 WO2010049121 A3 WO 2010049121A3 EP 2009007672 W EP2009007672 W EP 2009007672W WO 2010049121 A3 WO2010049121 A3 WO 2010049121A3
Authority
WO
WIPO (PCT)
Prior art keywords
recanalization
hollow guide
thrombi
medical device
thrombus
Prior art date
Application number
PCT/EP2009/007672
Other languages
English (en)
French (fr)
Other versions
WO2010049121A2 (de
Inventor
Werner Mailänder
Giorgio Cattaneo
Original Assignee
Acandis Gmbh & Co. Kg
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 Acandis Gmbh & Co. Kg filed Critical Acandis Gmbh & Co. Kg
Publication of WO2010049121A2 publication Critical patent/WO2010049121A2/de
Publication of WO2010049121A3 publication Critical patent/WO2010049121A3/de

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2/011Instruments for their placement or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • 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
    • A61B2017/22065Functions of balloons
    • A61B2017/22067Blocking; Occlusion
    • 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
    • A61B2017/22072Implements 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 instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074Implements 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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22077Implements 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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with a part piercing the tissue
    • 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
    • A61B2017/22082Implements 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 after introduction of a substance
    • A61B2017/22084Implements 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 after introduction of a substance stone- or thrombus-dissolving
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

Die Erfindung betrifft eine medizinische Vorrichtung zur Rekanalisation von Thromben umfassend einen Katheter (10) mit einer proximalen Hohlführung (11) und einem distalen Rekanalisationselement (12), das in der Hohlführung (11) axial verschieblich angeordnet und aus einer komprimierten Katheterstellung in der Hohlführung (11) in eine expandierte Rekanalisationsstellung bewegbar ist, in der das Rekanalisationselement (12) zumindest abschnittsweise außerhalb der Hohlführung (11) angeordnet ist, wobei das Rekanalisationselement (12) zumindest abschnittsweise eine hohlkörperförmige Gitterstruktur (13) aufweist, die zur Aufweitung eines Thrombus angepasst ist derart, dass in der Rekanalisationsstellung eine Durchflusspassage im Thrombus entsteht.
PCT/EP2009/007672 2008-10-29 2009-10-27 Medizinische vorrichtung zur rekanalisation von thromben WO2010049121A2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102008053635.0 2008-10-29
DE102008053635A DE102008053635A1 (de) 2008-10-29 2008-10-29 Medizinische Vorrichtung zur Rekanalisation von Thromben

Publications (2)

Publication Number Publication Date
WO2010049121A2 WO2010049121A2 (de) 2010-05-06
WO2010049121A3 true WO2010049121A3 (de) 2010-07-15

Family

ID=41580416

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2009/007672 WO2010049121A2 (de) 2008-10-29 2009-10-27 Medizinische vorrichtung zur rekanalisation von thromben

Country Status (2)

Country Link
DE (1) DE102008053635A1 (de)
WO (1) WO2010049121A2 (de)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8945143B2 (en) 2007-10-17 2015-02-03 Covidien Lp Expandable tip assembly for thrombus management
US9198687B2 (en) 2007-10-17 2015-12-01 Covidien Lp Acute stroke revascularization/recanalization systems processes and products thereby
US9259237B2 (en) 2013-07-12 2016-02-16 Inceptus Medical, Llc Methods and apparatus for treating pulmonary embolism
US9387098B2 (en) 2007-10-17 2016-07-12 Covidien Lp Revascularization devices
US9408620B2 (en) 2012-11-20 2016-08-09 Inari Medical, Inc. Methods and apparatus for treating embolism
US9526864B2 (en) 2014-06-09 2016-12-27 Inceptus Medical, Llc Retraction and aspiration device for treating embolism and associated systems and methods
US11589881B2 (en) 2017-10-16 2023-02-28 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US11844921B2 (en) 2017-09-06 2023-12-19 Inari Medical, Inc. Hemostasis valves and methods of use
US11849963B2 (en) 2018-01-26 2023-12-26 Inari Medical, Inc. Single insertion delivery system for treating embolism and associated systems and methods
US11998436B2 (en) 2023-06-05 2024-06-04 Inari Medical, Inc. System for treating embolism and associated devices and methods

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US8425549B2 (en) 2002-07-23 2013-04-23 Reverse Medical Corporation Systems and methods for removing obstructive matter from body lumens and treating vascular defects
WO2005094283A2 (en) 2004-03-25 2005-10-13 Hauser David L Vascular filter device
US11337714B2 (en) 2007-10-17 2022-05-24 Covidien Lp Restoring blood flow and clot removal during acute ischemic stroke
US8088140B2 (en) 2008-05-19 2012-01-03 Mindframe, Inc. Blood flow restorative and embolus removal methods
US9220522B2 (en) 2007-10-17 2015-12-29 Covidien Lp Embolus removal systems with baskets
US10123803B2 (en) 2007-10-17 2018-11-13 Covidien Lp Methods of managing neurovascular obstructions
US8926680B2 (en) 2007-11-12 2015-01-06 Covidien Lp Aneurysm neck bridging processes with revascularization systems methods and products thereby
US8940003B2 (en) 2008-02-22 2015-01-27 Covidien Lp Methods and apparatus for flow restoration
EP2539012B1 (de) 2010-02-23 2018-01-24 Covidien LP Vorrichtungen zur gefäss-neukanalisierungen
WO2014012011A1 (en) * 2012-07-13 2014-01-16 Boston Scientific Scimed, Inc. Wire-guided recanalization system
EP3821830A1 (de) 2012-09-24 2021-05-19 Inari Medical, Inc. Vorrichtung zur behandlung von vaskulärer okklusion
EP3305221B1 (de) 2013-03-15 2023-06-14 Vetex Medical Limited Zur beseitigung von materie aus dem inneren eines lumens und aus der wand eines körperlumens geeignete vorrichtung
WO2015061365A1 (en) 2013-10-21 2015-04-30 Inceptus Medical, Llc Methods and apparatus for treating embolism
EP3017775A1 (de) 2014-11-07 2016-05-11 National University of Ireland, Galway Thrombektomievorrichtung
ES2577288B8 (es) * 2015-01-13 2019-01-10 Anaconda Biomed S L Dispositivo para trombectomía
US10342571B2 (en) 2015-10-23 2019-07-09 Inari Medical, Inc. Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US9700332B2 (en) 2015-10-23 2017-07-11 Inari Medical, Inc. Intravascular treatment of vascular occlusion and associated devices, systems, and methods
FI3364891T3 (fi) 2015-10-23 2023-09-25 Inari Medical Inc Laite verisuonitukoksen suonensisäiseen hoitoon
JP2018537229A (ja) 2015-12-18 2018-12-20 イナリ メディカル, インコーポレイテッド カテーテルシャフト並びに関連する装置、システム、及び方法
CN110312481B (zh) 2016-10-24 2023-04-11 伊纳里医疗有限公司 用于治疗血管闭塞的装置和方法
US10258357B1 (en) 2017-10-16 2019-04-16 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
US20220104839A1 (en) 2017-10-16 2022-04-07 Retriever Medical, Inc. Clot Removal Methods and Devices with Multiple Independently Controllable Elements
CA3114285A1 (en) 2018-08-13 2020-02-20 Inari Medical, Inc. System for treating embolism and associated devices and methods
EP4044938A4 (de) 2019-10-16 2023-11-15 Inari Medical, Inc. Systeme, vorrichtungen und verfahren zum behandeln vaskulärer okklusionen

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US5295995A (en) * 1992-08-27 1994-03-22 Kleiman Jay H Perfusion dilatation catheter
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US20080114439A1 (en) * 2005-06-28 2008-05-15 Venkatesh Ramaiah Non-occluding dilation device
US20080167708A1 (en) * 2006-11-17 2008-07-10 Doug Molland Stent having reduced passage of emboli and stent delivery system

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DE19954330C2 (de) * 1999-11-11 2002-12-05 Angiomed Ag Stentzuführungssystem zum Zuführen flexibler Stents
DE102004012351A1 (de) * 2004-03-11 2005-09-29 pfm Produkte für die Medizin AG Vorrichtung zur Rekanalisierung eines Hohlraums, Organwegs oder Gefäßes

Patent Citations (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5817102A (en) * 1992-05-08 1998-10-06 Schneider (Usa) Inc. Apparatus for delivering and deploying a stent
WO1994000178A1 (en) * 1992-06-26 1994-01-06 Schneider (Usa) Inc. Catheter with expandable wire mesh tip
US5295995A (en) * 1992-08-27 1994-03-22 Kleiman Jay H Perfusion dilatation catheter
US5562725A (en) * 1992-09-14 1996-10-08 Meadox Medicals Inc. Radially self-expanding implantable intraluminal device
US6350278B1 (en) * 1994-06-08 2002-02-26 Medtronic Ave, Inc. Apparatus and methods for placement and repositioning of intraluminal prostheses
US5954742A (en) * 1996-03-16 1999-09-21 Osypka; Peter Dilatation catheter
US6544276B1 (en) * 1996-05-20 2003-04-08 Medtronic Ave. Inc. Exchange method for emboli containment
EP1400257A2 (de) * 1997-05-08 2004-03-24 Embol-X, Inc. Perkutane Stententfaltungsanordnung
US6066149A (en) * 1997-09-30 2000-05-23 Target Therapeutics, Inc. Mechanical clot treatment device with distal filter
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US20040236369A1 (en) * 1998-04-27 2004-11-25 Artemis Medical, Inc. Particle-removing medical device and method
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US6383171B1 (en) * 1999-10-12 2002-05-07 Allan Will Methods and devices for protecting a passageway in a body when advancing devices through the passageway
US6419659B1 (en) * 2000-02-10 2002-07-16 Medventure Technology Corp Lipid pool aspiration arrangement for the treatment of vulnerable atherosclerosis plaque
US20030100886A1 (en) * 2001-11-29 2003-05-29 Jerome Segal Mechanical apparatus and method for dilating and delivering a therapeutic agent to a site of treatment
US7008411B1 (en) * 2002-09-30 2006-03-07 Advanced Cardiovascular Systems, Inc. Method and apparatus for treating vulnerable plaque
US20080114439A1 (en) * 2005-06-28 2008-05-15 Venkatesh Ramaiah Non-occluding dilation device
WO2007079153A2 (en) * 2005-12-29 2007-07-12 Wilson-Cook Medical Inc. A hybrid intraluminal device with varying expansion force
WO2007107327A1 (en) * 2006-03-20 2007-09-27 Medical Device Works Nv Sa A device for delivering medical treatment
US20080167708A1 (en) * 2006-11-17 2008-07-10 Doug Molland Stent having reduced passage of emboli and stent delivery system

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8945143B2 (en) 2007-10-17 2015-02-03 Covidien Lp Expandable tip assembly for thrombus management
US9198687B2 (en) 2007-10-17 2015-12-01 Covidien Lp Acute stroke revascularization/recanalization systems processes and products thereby
US9320532B2 (en) 2007-10-17 2016-04-26 Covidien Lp Expandable tip assembly for thrombus management
US9387098B2 (en) 2007-10-17 2016-07-12 Covidien Lp Revascularization devices
US9408620B2 (en) 2012-11-20 2016-08-09 Inari Medical, Inc. Methods and apparatus for treating embolism
US9259237B2 (en) 2013-07-12 2016-02-16 Inceptus Medical, Llc Methods and apparatus for treating pulmonary embolism
US9526864B2 (en) 2014-06-09 2016-12-27 Inceptus Medical, Llc Retraction and aspiration device for treating embolism and associated systems and methods
US9526865B2 (en) 2014-06-09 2016-12-27 Inceptus Medical, Llc Retraction and aspiration device for treating embolism and associated systems and methods
US11844921B2 (en) 2017-09-06 2023-12-19 Inari Medical, Inc. Hemostasis valves and methods of use
US11589881B2 (en) 2017-10-16 2023-02-28 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
US11849963B2 (en) 2018-01-26 2023-12-26 Inari Medical, Inc. Single insertion delivery system for treating embolism and associated systems and methods
US11998436B2 (en) 2023-06-05 2024-06-04 Inari Medical, Inc. System for treating embolism and associated devices and methods

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Publication number Publication date
WO2010049121A2 (de) 2010-05-06
DE102008053635A1 (de) 2010-05-12

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