JP2013526895A - 両サイドガイドワイヤを使用して閉塞身体血管を再疎通させるための方法と装置 - Google Patents
両サイドガイドワイヤを使用して閉塞身体血管を再疎通させるための方法と装置 Download PDFInfo
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- 206010011086 Coronary artery occlusion Diseases 0.000 description 2
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- 208000007536 Thrombosis Diseases 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 2
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- 238000013146 percutaneous coronary intervention Methods 0.000 description 2
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Classifications
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- 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
- A61M25/0905—Guide wires extendable, e.g. mechanisms for extension
-
- 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
- A61B2017/22038—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
- A61B2017/22044—Details of the tip of the guide wire with a pointed tip
-
- 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
- A61B2017/22094—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 for crossing total occlusions, i.e. piercing
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
【選択図】図2A
Description
Claims (16)
- 閉塞した血管を再疎通させるための装置において、
頭部と尾部を備える第一ガイドワイヤと、
頭部と尾部を備える第二ガイドワイヤと
を備え、前記第一ガイドワイヤの尾部が前記第二ガイドワイヤの尾部に接続されるように構成され、
前記第一ガイドワイヤが閉塞血管に逆行方向に前進するよう構成され、前記第二ガイドワイヤが閉塞血管に順行方向に位置決めされるように構成される、装置。 - 請求項1に記載の装置において、前記第一ガイドワイヤの断面積が前記第一ガイドワイヤの頭部から尾部に向かって増加し、前記第二ガイドワイヤの断面積が前記第二ガイドワイヤの頭部から尾部に向かって増加することを特徴とする装置。
- 請求項1に記載の装置において、前記第一または第二ガイドワイヤがコアワイヤを含むことを特徴とする装置。
- 請求項3に記載の装置において、前記コアワイヤが実質的に平面である断面を含むことを特徴とする装置。
- 請求項3に記載の装置において、前記コアワイヤの上にストラクチュラルポリマーの層を含むことを特徴とする装置。
- 請求項1に記載の装置において、前記第一または第二ガイドワイヤの外表面が親水性コーティングでコーティングされることを特徴とする装置。
- 請求項1に記載の装置において、前記第一および第二ガイドワイヤに分割されることを特徴とする装置。
- 請求項1に記載の装置において、前記第一ガイドワイヤまたは前記第二ガイドワイヤが延長可能であることを特徴とする装置。
- 閉塞した身体血管にガイドワイヤを位置決めする方法において、
第一ガイドワイヤを閉塞した身体血管に逆行方向に前進させるステップであって、前記第一ガイドワイヤが頭部と尾部を備え、前記第一ガイドワイヤの尾部は第二ガイドワイヤの尾部と結合するように構成されるステップと、
前記第一ガイドワイヤの頭部を使用して閉塞部を貫通するステップと、
前記第一ガイドワイヤを前記閉塞部を通して前進させ、前記第一ガイドワイヤが前記閉塞部を横断するようにするステップと、
前記第一ガイドワイヤの尾部を前記第二ガイドワイヤの尾部と結合するステップと、
前記第一ガイドワイヤと前記第二ガイドワイヤの尾部が閉塞した身体血管から回収されるまで、前記第一および第二ガイドワイヤを閉塞した身体血管を通じて逆行方向に前進させるステップと
を含む方法。 - 請求項9に記載の方法において、前記第二ガイドワイヤが前記閉塞部を順行方向に横断するよう位置決めされることをさらに含むことを特徴とする方法。
- 請求項9に記載の方法において、前記第二ガイドワイヤが頭部を備えることを特徴とする方法。
- 請求項11に記載の方法において、前記第一ガイドワイヤの断面積が前記第一ガイドワイヤの頭部から尾部に向かって増加し、前記第二ガイドワイヤの断面積が前記第二ガイドワイヤの頭部から尾部に向かって増加することを特徴とする方法。
- 請求項9に記載の方法において、前記第一ガイドワイヤの頭部を使用して逆行方向に前記閉塞部の遠位キャップを貫通することをさらに含むことを特徴とする方法。
- 請求項9に記載の方法において、前記第一ガイドワイヤと前記第二ガイドワイヤの尾部を閉塞した身体血管から回収した後に、前記第一ガイドワイヤを前記第二ガイドワイヤから外すことをさらに含むことを特徴とする方法。
- 請求項9に記載の方法において、前記第一ガイドワイヤまたは前記第二ガイドワイヤを延長することをさらに含むことを特徴とする方法。
- ガイドワイヤを閉塞した身体血管に位置決めする方法において、
ガイドワイヤを閉塞した身体血管に逆行方向に前進させるステップであって、前記ガイドワイヤは第一頭部、中央部、第二頭部を備え、前記ガイドワイヤの断面積が前記中央部から前記第一および第二頭部に向かって減少するステップと、
前記ガイドワイヤの前記第一頭部を使用して閉塞部を横断するステップと、
前記第一頭部と前記中央部の一部が閉塞した身体血管から回収されるまで、前記閉塞した身体血管を逆行方向に前進させるステップと
を含む方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US29854910P | 2010-01-26 | 2010-01-26 | |
PCT/US2011/024809 WO2011094767A2 (en) | 2010-01-26 | 2011-02-14 | Methods and devices for recanalization of occluded body vessels using a double-sided guidewire |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013526895A true JP2013526895A (ja) | 2013-06-27 |
JP2013526895A5 JP2013526895A5 (ja) | 2014-04-03 |
JP6144047B2 JP6144047B2 (ja) | 2017-06-07 |
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JP2012550222A Active JP6144047B2 (ja) | 2010-01-26 | 2011-02-14 | 両サイドガイドワイヤを使用して閉塞身体血管を再疎通させるための方法と装置 |
Country Status (4)
Country | Link |
---|---|
US (1) | US10786656B2 (ja) |
EP (1) | EP2528516A4 (ja) |
JP (1) | JP6144047B2 (ja) |
WO (1) | WO2011094767A2 (ja) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10729454B2 (en) | 2014-09-10 | 2020-08-04 | Teleflex Life Sciences Limited | Guidewire capture |
US20170000519A1 (en) * | 2015-06-30 | 2017-01-05 | Furqan Tejani | Interventional wire capture device and methods of use |
US10245050B2 (en) | 2016-09-30 | 2019-04-02 | Teleflex Innovations S.À.R.L. | Methods for facilitating revascularization of occlusion |
CN110636805B (zh) * | 2017-05-12 | 2023-02-10 | 柯惠有限合伙公司 | 从血管内腔取出材料 |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5776079A (en) * | 1996-08-06 | 1998-07-07 | Cook Incorporated | Retrograde-antegrade catheterization guide wire |
US20080200839A1 (en) * | 2007-02-15 | 2008-08-21 | Vance Products Inc., D/B/A Cook Urological | Dual stiffness wire guide |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
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US5546958A (en) * | 1994-03-31 | 1996-08-20 | Lake Region Manufacturing Company, Inc. | Guidewire extension system with tactile connection indication |
US7153277B2 (en) * | 2002-12-03 | 2006-12-26 | Scimed Life Systems, Inc. | Composite medical device with markers |
EP1660168B1 (en) * | 2003-09-05 | 2008-12-10 | Cook Urological Inc. | Double ended wire guide |
CN100558423C (zh) * | 2003-12-18 | 2009-11-11 | 泰尔茂株式会社 | 导向线 |
IL162415A0 (en) * | 2004-06-09 | 2005-11-20 | Noam Shamay | A micro-catheter for crossing totalocclusions in blood vessels |
US8287583B2 (en) * | 2005-01-10 | 2012-10-16 | Taheri Laduca Llc | Apparatus and method for deploying an implantable device within the body |
WO2007005977A1 (en) | 2005-07-05 | 2007-01-11 | Venkatesh Ramaiah | Single puncture antegrade-retrograde endovascular sheath |
US7758565B2 (en) * | 2005-10-18 | 2010-07-20 | Cook Incorporated | Identifiable wire guide |
US9119651B2 (en) | 2006-02-13 | 2015-09-01 | Retro Vascular, Inc. | Recanalizing occluded vessels using controlled antegrade and retrograde tracking |
JP4917900B2 (ja) * | 2007-01-12 | 2012-04-18 | テルモ株式会社 | ガイドワイヤ用中間部材およびガイドワイヤ |
US9283034B2 (en) | 2007-09-26 | 2016-03-15 | Retrovascular, Inc. | Recanalization system using radiofrequency energy |
-
2011
- 2011-02-14 JP JP2012550222A patent/JP6144047B2/ja active Active
- 2011-02-14 EP EP11737880.2A patent/EP2528516A4/en not_active Withdrawn
- 2011-02-14 WO PCT/US2011/024809 patent/WO2011094767A2/en active Application Filing
- 2011-02-14 US US13/574,587 patent/US10786656B2/en active Active
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5776079A (en) * | 1996-08-06 | 1998-07-07 | Cook Incorporated | Retrograde-antegrade catheterization guide wire |
US20080200839A1 (en) * | 2007-02-15 | 2008-08-21 | Vance Products Inc., D/B/A Cook Urological | Dual stiffness wire guide |
Also Published As
Publication number | Publication date |
---|---|
WO2011094767A2 (en) | 2011-08-04 |
EP2528516A4 (en) | 2014-03-19 |
WO2011094767A3 (en) | 2012-01-05 |
WO2011094767A8 (en) | 2012-10-11 |
US10786656B2 (en) | 2020-09-29 |
US20120289983A1 (en) | 2012-11-15 |
JP6144047B2 (ja) | 2017-06-07 |
EP2528516A2 (en) | 2012-12-05 |
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