WO2023279007A1 - Dispositifs et méthodes de réparation d'un raccord pathologique entre deux structures anatomiques - Google Patents

Dispositifs et méthodes de réparation d'un raccord pathologique entre deux structures anatomiques Download PDF

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Publication number
WO2023279007A1
WO2023279007A1 PCT/US2022/073236 US2022073236W WO2023279007A1 WO 2023279007 A1 WO2023279007 A1 WO 2023279007A1 US 2022073236 W US2022073236 W US 2022073236W WO 2023279007 A1 WO2023279007 A1 WO 2023279007A1
Authority
WO
WIPO (PCT)
Prior art keywords
proximal
distal
tip portion
proximal element
guide wire
Prior art date
Application number
PCT/US2022/073236
Other languages
English (en)
Other versions
WO2023279007A9 (fr
Inventor
Michael Bruce HOROWITZ
Benjamin William BOBO
Brandon Matthew REPKO
Original Assignee
Retriever Medical, Inc.
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
Priority claimed from US17/450,977 external-priority patent/US20220104839A1/en
Priority claimed from US17/450,978 external-priority patent/US20220104840A1/en
Application filed by Retriever Medical, Inc. filed Critical Retriever Medical, Inc.
Publication of WO2023279007A1 publication Critical patent/WO2023279007A1/fr
Publication of WO2023279007A9 publication Critical patent/WO2023279007A9/fr

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
    • A61B17/22—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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
    • 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
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982—General structural features
    • A61B2017/00986—Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
    • 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
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • 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
    • A61B2017/22038—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 a guide wire
    • 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
    • A61B2017/22038—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 a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • 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
    • A61B2017/22038—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 a guide wire
    • A61B2017/22049—Means for locking the guide wire in the catheter
    • 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
    • A61B2017/22065—Functions of balloons
    • A61B2017/22067—Blocking; Occlusion
    • 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
    • A61B2017/22079—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 suction of debris
    • 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
    • A61B2017/320004—Surgical cutting instruments abrasive
    • A61B2017/320008—Scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • 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
    • A61M2025/0004—Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system
    • 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
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M2025/0096—Catheter tip comprising a tool being laterally outward extensions or tools, e.g. hooks or fibres
    • 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
    • A61M2025/1047—Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate shape

Abstract

L'invention divulgue un dispositif d'occlusion d'un passage anatomique entre des première et seconde structures anatomiques. Le dispositif comprend une partie embout comportant un élément proximal relié à un élément distal par l'intermédiaire d'un élément. L'élément proximal et/ou l'élément distal sont mobiles axialement le long de la partie embout tandis que l'autre élément demeure de préférence fixe en place. Une poignée est accouplée à une extrémité proximale de la partie embout par l'intermédiaire d'une tige. La partie embout est positionnée de part et d'autre du passage anatomique de sorte que l'élément proximal ferme un premier côté du passage et que l'élément distal ferme un second côté du passage. Une structure de verrouillage, telle qu'un écrou, est positionnée ou sertie contre l'élément proximal et, une fois cela fait, la partie embout est libérée au niveau du passage fermé.
PCT/US2022/073236 2021-06-28 2022-06-28 Dispositifs et méthodes de réparation d'un raccord pathologique entre deux structures anatomiques WO2023279007A1 (fr)

Applications Claiming Priority (26)

Application Number Priority Date Filing Date Title
US202163215579P 2021-06-28 2021-06-28
US202163215724P 2021-06-28 2021-06-28
US202163215583P 2021-06-28 2021-06-28
US202163215573P 2021-06-28 2021-06-28
US202163215565P 2021-06-28 2021-06-28
US202163215587P 2021-06-28 2021-06-28
US63/215,573 2021-06-28
US63/215,579 2021-06-28
US63/215,587 2021-06-28
US63/215,583 2021-06-28
US63/215,565 2021-06-28
US63/215,724 2021-06-28
US202163260406P 2021-08-19 2021-08-19
US63/260,406 2021-08-19
US17/450,977 2021-10-14
US17/450,978 2021-10-14
US17/450,977 US20220104839A1 (en) 2017-10-16 2021-10-14 Clot Removal Methods and Devices with Multiple Independently Controllable Elements
US17/450,978 US20220104840A1 (en) 2017-10-16 2021-10-14 Clot Removal Methods and Devices with Multiple Independently Controllable Elements
US17/572,138 US11382643B2 (en) 2017-10-16 2022-01-10 Clot removal methods and devices with multiple independently controllable elements
US17/572,138 2022-01-10
US17/572,206 2022-01-10
US17/572,206 US11589881B2 (en) 2017-10-16 2022-01-10 Clot removal methods and devices with multiple independently controllable elements
US202263268094P 2022-02-16 2022-02-16
US63/268,094 2022-02-16
US202263364168P 2022-05-04 2022-05-04
US63/364,168 2022-05-04

Publications (2)

Publication Number Publication Date
WO2023279007A1 true WO2023279007A1 (fr) 2023-01-05
WO2023279007A9 WO2023279007A9 (fr) 2023-12-07

Family

ID=84692985

Family Applications (3)

Application Number Title Priority Date Filing Date
PCT/US2022/073238 WO2023279009A2 (fr) 2021-06-28 2022-06-28 Cathéters d'aspiration et leurs méthodes d'utilisation
PCT/US2022/073234 WO2023279005A1 (fr) 2021-06-28 2022-06-28 Systèmes de moyeu et de soupape pour un cathéter d'aspiration
PCT/US2022/073236 WO2023279007A1 (fr) 2021-06-28 2022-06-28 Dispositifs et méthodes de réparation d'un raccord pathologique entre deux structures anatomiques

Family Applications Before (2)

Application Number Title Priority Date Filing Date
PCT/US2022/073238 WO2023279009A2 (fr) 2021-06-28 2022-06-28 Cathéters d'aspiration et leurs méthodes d'utilisation
PCT/US2022/073234 WO2023279005A1 (fr) 2021-06-28 2022-06-28 Systèmes de moyeu et de soupape pour un cathéter d'aspiration

Country Status (1)

Country Link
WO (3) WO2023279009A2 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014165023A1 (fr) * 2013-03-12 2014-10-09 Carnegie Mellon University Dispositif vaso-occlusif enduit pour le traitement d'anévrysmes
WO2018156962A1 (fr) * 2017-02-24 2018-08-30 Inceptus Medical LLC Dispositifs et procédés d'occlusion vasculaire
US10172634B1 (en) * 2017-10-16 2019-01-08 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
WO2021011801A1 (fr) * 2019-07-16 2021-01-21 Microvention, Inc. Dispositif médical à caractéristiques de forme améliorées

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US3329390A (en) * 1965-02-18 1967-07-04 Eldon E Hulsey Variable orifice valve
US6652492B1 (en) * 1991-12-13 2003-11-25 Endovascular Technologies, Inc. Dual valve, flexible sheath and method
US5395349A (en) * 1991-12-13 1995-03-07 Endovascular Technologies, Inc. Dual valve reinforced sheath and method
US5409470A (en) * 1993-05-07 1995-04-25 C. R. Bard, Inc. Dilatation catheter and guidewire with threaded tip connection
US7381198B2 (en) * 2000-08-23 2008-06-03 Revascular Therapeutics, Inc. Steerable distal support system
US6536739B1 (en) * 2001-11-01 2003-03-25 Fresenius Usa, Inc. Flow control device
US6932829B2 (en) * 2002-06-24 2005-08-23 Cordis Corporation Centering catheter
WO2008027375A2 (fr) * 2006-08-31 2008-03-06 Cook Incorporated mécanisme de fixation à commande rotative
CN103492014B (zh) * 2011-03-15 2016-10-26 亨利·威廉·勒普顿 用于将钻孔工具锚固在管腔或血管中的锚固装置
US10376363B2 (en) * 2015-04-30 2019-08-13 Edwards Lifesciences Cardiaq Llc Replacement mitral valve, delivery system for replacement mitral valve and methods of use

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014165023A1 (fr) * 2013-03-12 2014-10-09 Carnegie Mellon University Dispositif vaso-occlusif enduit pour le traitement d'anévrysmes
WO2018156962A1 (fr) * 2017-02-24 2018-08-30 Inceptus Medical LLC Dispositifs et procédés d'occlusion vasculaire
US10172634B1 (en) * 2017-10-16 2019-01-08 Michael Bruce Horowitz Catheter based retrieval device with proximal body having axial freedom of movement
WO2021011801A1 (fr) * 2019-07-16 2021-01-21 Microvention, Inc. Dispositif médical à caractéristiques de forme améliorées

Also Published As

Publication number Publication date
WO2023279005A1 (fr) 2023-01-05
WO2023279009A3 (fr) 2023-02-16
WO2023279009A9 (fr) 2023-10-26
WO2023279007A9 (fr) 2023-12-07
WO2023279009A2 (fr) 2023-01-05

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