JP4865825B2 - 頸動脈疾患の処置中に塞栓形成を軽減するための方法および低プロフィール装置 - Google Patents
頸動脈疾患の処置中に塞栓形成を軽減するための方法および低プロフィール装置 Download PDFInfo
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- JP4865825B2 JP4865825B2 JP2009044416A JP2009044416A JP4865825B2 JP 4865825 B2 JP4865825 B2 JP 4865825B2 JP 2009044416 A JP2009044416 A JP 2009044416A JP 2009044416 A JP2009044416 A JP 2009044416A JP 4865825 B2 JP4865825 B2 JP 4865825B2
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- catheter
- balloon
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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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
-
- 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
-
- 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
-
- 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
- A61B2017/22001—Angioplasty, e.g. PCTA
-
- 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
- A61B2017/22054—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 with two balloons
-
- 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
- A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
-
- 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
- A61M2025/1093—Balloon catheters with special features or adapted for special applications having particular tip characteristics
-
- 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
- A61M25/1002—Balloon catheters characterised by balloon shape
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Child & Adolescent Psychology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
Claims (15)
- 血管形成術またはステンティング手順の間に塞栓を除去するための装置であって、該装置は、以下:
近位端および遠位端、それぞれ該近位端から該遠位端まで延びる吸引管腔およびガイドワイヤ管腔、ならびに該吸引管腔と連絡した血液出口ポートを有するカテーテルであって、該カテーテルは患者の頸動脈内に配置されるように適合されている、カテーテル;
該カテーテルの該遠位端上に配置される閉塞要素であって、該吸引管腔と連絡する開口部を有し、該閉塞要素は経腔挿入に適切な収縮状態、および該閉塞要素が該頸動脈内で順行性の流れを閉塞する拡張状態を有する、閉塞要素;
近位端および遠位端、それらを通って延びる管腔、ならびに該管腔と連絡している血液入口ポートを有する、静脈還流カテーテル;
該血液出口ポートと該血液入口ポートを連結するチュービング;
該血液出口ポートと該血液入口ポートとの間に連結される流れ制御バルブ;ならびに
遠位端を有し該遠位端上に配置されるバルーンを有するワイヤ、
を備え、該ワイヤおよびバルーンは、該カテーテルのガイドワイヤ管腔を通過するようにサイズ決めされ、前記閉塞要素が膨張可能部材であり、前記膨張可能部材の一部分が、収縮位置の前記カテーテルの遠位端を越えて延びて、非外傷性バンパーを形成する、装置。 - 請求項1に記載の装置であって、前記血液出口ポートと前記血液入口ポートとの間に連結される血液フィルタをさらに備える、装置。
- 請求項1に記載の装置であって、前記膨張可能部材が、該膨張可能部材の長さに沿って変化する壁厚を有する洋梨形状を有する、装置。
- 請求項1に記載の装置であって、前記カテーテルが、以下:
非粘着性管状部材;
該非粘着性管状部材の周りに配置されるワイヤブレードの層;および
該ワイヤブレードの層上に配置される熱可塑性ポリマーの層
を備える、装置。 - 前記ワイヤブレードの層が前記カテーテルの遠位領域において省かれる、請求項4に記載の装置。
- 請求項1に記載の装置であって、前記閉塞要素が収縮状態にある場合、該装置が実質的に均一な断面直径を有する、装置。
- 請求項1に記載の装置であって、該装置がポンプをさらに備え、該ポンプは前記カテーテルを通して血液を除去し、前記静脈還流カテーテルを介して血液を再灌流する、装置。
- 請求項1に記載の装置であって、前記バルーンの近位の前記ワイヤに取り付けられた弾力性ウェッジをさらに備えて、ステンティング手順の後に、該バルーンを引っ掛けることを低減する、装置。
- 血管形成術またはステンティング手順の間に塞栓を除去し、そして遠位端に配置されたバルーンを除去するための装置であって、該装置は、以下:
近位端および遠位端、それぞれ該近位端から該遠位端まで延びる吸引管腔およびガイドワイヤ管腔、ならびに該吸引管腔と連絡した血液出口ポートを有するカテーテルであって、該カテーテルは患者の頸動脈内に配置されるように適合されている、カテーテル;
該カテーテルの該遠位端上に配置される閉塞要素であって、該吸引管腔と連絡する開口部を有し、該閉塞要素は経腔挿入に適切な収縮状態、および該閉塞要素が該頸動脈内で順行性の流れを閉塞する拡張状態を有する、閉塞要素;
近位端および遠位端、それらを通って延びる管腔、ならびに該管腔と連絡している血液入口ポートを有する、静脈還流カテーテル;
該血液出口ポートと該血液入口ポートを連結するチュービング;ならびに
遠位端を有し該遠位端上に配置されるバルーンを有するワイヤ、
を備え、該ワイヤおよびバルーンは、該カテーテルのガイドワイヤ管腔を通過するようにサイズ決めされ、前記閉塞要素が膨張可能部材であり、前記膨張可能部材の一部分が、収縮位置の前記カテーテルの遠位端を越えて延びて、非外傷性バンパーを形成する、装置。 - 請求項9に記載の装置であって、前記血液出口ポートと前記血液入口ポートとの間に連結される流れ制御バルブをさらに備える、装置。
- 請求項9に記載の装置であって、前記血液出口ポートと前記血液入口ポートとの間に連結される血液フィルタをさらに備える、装置。
- 請求項9に記載の装置であって、前記膨張可能部材が、該膨張可能部材の長さに沿って変化する壁厚を有する洋梨形状を有する、装置。
- 請求項9に記載の装置であって、前記カテーテルが、以下:
非粘着性管状部材;
該非粘着性管状部材の周りに配置されるワイヤブレードの層;および
該ワイヤブレードの層上に配置される熱可塑性ポリマーの層
を備える、装置。 - 請求項9に記載の装置であって、前記閉塞要素が収縮状態にある場合、該装置が実質的に均一な断面直径を有する、装置。
- 請求項9に記載の装置であって、該装置がポンプをさらに備え、該ポンプは前記カテーテルを通して血液を除去し、前記静脈還流カテーテルを介して血液を再灌流する、装置。
Applications Claiming Priority (10)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/333,074 | 1999-06-14 | ||
US09/333,074 US6206868B1 (en) | 1998-03-13 | 1999-06-14 | Protective device and method against embolization during treatment of carotid artery disease |
US15512099P | 1999-09-22 | 1999-09-22 | |
US60/155,120 | 1999-09-22 | ||
US09/418,727 | 1999-10-15 | ||
US09/418,727 US6423032B2 (en) | 1998-03-13 | 1999-10-15 | Apparatus and methods for reducing embolization during treatment of carotid artery disease |
US09/528,569 | 2000-03-20 | ||
US09/528,569 US6540712B1 (en) | 1998-03-13 | 2000-03-20 | Methods and low profile apparatus for reducing embolization during treatment of carotid artery disease |
US09/528,958 US6582396B1 (en) | 1998-05-13 | 2000-03-20 | Puncture resistant balloon for use in carotid artery procedures and methods of use |
US09/528,958 | 2000-03-20 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2001502737A Division JP2003521286A (ja) | 1999-06-14 | 2000-06-14 | 頸動脈疾患の処置中に塞栓形成を軽減するための方法および低プロフィール装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009172390A JP2009172390A (ja) | 2009-08-06 |
JP4865825B2 true JP4865825B2 (ja) | 2012-02-01 |
Family
ID=41028153
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009044416A Expired - Fee Related JP4865825B2 (ja) | 1999-06-14 | 2009-02-26 | 頸動脈疾患の処置中に塞栓形成を軽減するための方法および低プロフィール装置 |
Country Status (2)
Country | Link |
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JP (1) | JP4865825B2 (ja) |
AU (1) | AU2008229661B2 (ja) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10722631B2 (en) | 2018-02-01 | 2020-07-28 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of use and manufacture |
US11185677B2 (en) | 2017-06-07 | 2021-11-30 | Shifamed Holdings, Llc | Intravascular fluid movement devices, systems, and methods of use |
US11511103B2 (en) | 2017-11-13 | 2022-11-29 | Shifamed Holdings, Llc | Intravascular fluid movement devices, systems, and methods of use |
US11654275B2 (en) | 2019-07-22 | 2023-05-23 | Shifamed Holdings, Llc | Intravascular blood pumps with struts and methods of use and manufacture |
US11724089B2 (en) | 2019-09-25 | 2023-08-15 | Shifamed Holdings, Llc | Intravascular blood pump systems and methods of use and control thereof |
US11964145B2 (en) | 2019-07-12 | 2024-04-23 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of manufacture and use |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BRMU8802083U2 (pt) * | 2008-10-28 | 2010-06-29 | Do Nascimento Luiz Mauricio Soares | sistema de proteção embólica |
WO2011130256A2 (en) | 2010-04-13 | 2011-10-20 | Lumen Biomedical, Inc. | Embolectomy devices and methods for treatment of acute ischemic stroke condition |
US10463386B2 (en) | 2015-09-01 | 2019-11-05 | Mivi Neuroscience, Inc. | Thrombectomy devices and treatment of acute ischemic stroke with thrombus engagement |
Family Cites Families (11)
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US4921478A (en) * | 1988-02-23 | 1990-05-01 | C. R. Bard, Inc. | Cerebral balloon angioplasty system |
JPH0349398U (ja) * | 1989-09-20 | 1991-05-14 | ||
DE4017950A1 (de) * | 1990-06-05 | 1991-12-12 | Wabco Westinghouse Fahrzeug | Bremsbetaetigungseinrichtung mit einer einrichtung zum nachstellen einer bremse |
US5265622A (en) * | 1990-10-25 | 1993-11-30 | C. R. Bard, Inc. | Guidewire having radially expandable member and method for guiding and advancing a catheter using the same |
US5167239A (en) * | 1991-05-30 | 1992-12-01 | Endomedix Corporation | Anchorable guidewire |
US5584803A (en) * | 1991-07-16 | 1996-12-17 | Heartport, Inc. | System for cardiac procedures |
US5176693A (en) * | 1992-05-11 | 1993-01-05 | Interventional Technologies, Inc. | Balloon expandable atherectomy cutter |
JPH06190049A (ja) * | 1992-07-22 | 1994-07-12 | Edward Iindo Dewar | 血栓除去カテーテル |
US5453090A (en) * | 1994-03-01 | 1995-09-26 | Cordis Corporation | Method of stent delivery through an elongate softenable sheath |
US5833650A (en) * | 1995-06-05 | 1998-11-10 | Percusurge, Inc. | Catheter apparatus and method for treating occluded vessels |
US5925016A (en) * | 1995-09-27 | 1999-07-20 | Xrt Corp. | Systems and methods for drug delivery including treating thrombosis by driving a drug or lytic agent through the thrombus by pressure |
-
2008
- 2008-09-26 AU AU2008229661A patent/AU2008229661B2/en not_active Ceased
-
2009
- 2009-02-26 JP JP2009044416A patent/JP4865825B2/ja not_active Expired - Fee Related
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11185677B2 (en) | 2017-06-07 | 2021-11-30 | Shifamed Holdings, Llc | Intravascular fluid movement devices, systems, and methods of use |
US11717670B2 (en) | 2017-06-07 | 2023-08-08 | Shifamed Holdings, LLP | Intravascular fluid movement devices, systems, and methods of use |
US11511103B2 (en) | 2017-11-13 | 2022-11-29 | Shifamed Holdings, Llc | Intravascular fluid movement devices, systems, and methods of use |
US10722631B2 (en) | 2018-02-01 | 2020-07-28 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of use and manufacture |
US11229784B2 (en) | 2018-02-01 | 2022-01-25 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of use and manufacture |
US11964145B2 (en) | 2019-07-12 | 2024-04-23 | Shifamed Holdings, Llc | Intravascular blood pumps and methods of manufacture and use |
US11654275B2 (en) | 2019-07-22 | 2023-05-23 | Shifamed Holdings, Llc | Intravascular blood pumps with struts and methods of use and manufacture |
US11724089B2 (en) | 2019-09-25 | 2023-08-15 | Shifamed Holdings, Llc | Intravascular blood pump systems and methods of use and control thereof |
Also Published As
Publication number | Publication date |
---|---|
AU2008229661A1 (en) | 2008-11-06 |
AU2008229661B2 (en) | 2011-08-11 |
JP2009172390A (ja) | 2009-08-06 |
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