JP6517198B2 - 介入療法を案内する弾性層の識別 - Google Patents
介入療法を案内する弾性層の識別 Download PDFInfo
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- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
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- 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
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Description
（優先権主張）
本願は、米国仮出願（番号61/843,866、名称"IDENTIFICATION OF ELASTIC LAMINA TO GUIDE INTERVENTIONAL THERAPY"、２０１３年７月８日出願）への優先権を主張しており、その全体内容は参照によりここに組み込まれる。
本願は、米国仮出願（番号61/843,866、名称"IDENTIFICATION OF ELASTIC LAMINA TO GUIDE INTERVENTIONAL THERAPY"、２０１３年７月８日出願）への優先権を主張しており、その全体内容は参照によりここに組み込まれる。
（参照による組込み）
本明細書で言及されるすべての刊行物及び特許出願は、あたかも個々の刊行物又は特許出願が具体的にかつ個々に提示されて参照により組み込まれていると言える程度に、参照により本明細書に組み込まれる。
本明細書で言及されるすべての刊行物及び特許出願は、あたかも個々の刊行物又は特許出願が具体的にかつ個々に提示されて参照により組み込まれていると言える程度に、参照により本明細書に組み込まれる。
図１を参照して、通常の健康な動脈壁(artery wall)が組織の層、例えば、最内側の内膜(intima)１１１、中膜(media)１０７、外膜(adventitia)１０３、および外膜周囲(periadventitia)１０１を含む。内膜１１１、中膜１０７および外膜１０３は、２つの膜によって分離される。内側の膜は、内部弾性層（ＩＥＬ）１０９であり、内膜１１１を中膜１０７から分離する。外側の膜は、外部弾性層（ＥＥＬ）１０５であり、中膜１０７を外膜１０３から分離する。
冠動脈疾患（ＣＡＤ）および末梢動脈疾患（ＰＡＤ）はともに、欠陥の進行性狭窄によって生じ、しばしばアテローム性動脈硬化症、動脈壁の内壁または内膜に沿ったプラークまたは脂肪性物質の集積によって生ずる。時間経過とともに、この物質は、硬化して厚くなり、動脈内に閉塞を生じさせ、動脈を通る流れを完全または部分的に制限する。腕、脚、胃および肝臓、脳、心臓への血液循環が減少すると、脳卒中および心臓疾患のリスクを増加させる。
末梢動脈疾患（ＰＡＤ）および冠動脈疾患（ＣＡＤ）は、米国だけで数百万人に影響している。ＰＡＤおよびＣＡＤは、未治療で放置すると、重大な結果を有する静かで危険な疾患である。ＣＡＤは、米国において主要な死因であるが、ＰＡＤは５０歳以上の患者で切断手術の主要な要因であり、米国で毎年約１６００００の切断手術の原因となる。
ＰＡＤおよびＣＡＤのための介入治療が、動脈内膜切除術および／またはアテローム切除術を含むことがある。動脈内膜切除術が、血流を回復または改善するために、閉塞した動脈からのプラークの手術除去である。血管内療法、例えば、アテローム切除術(atherectomy)は、典型的には、狭窄または遮断した動脈を広げたり、拡大する最小侵襲手法である。他の治療が、動脈を広げる血管形成術を含む。例えば、バルーン血管形成術が、典型的には、脚または腕の動脈へのカテーテルの挿入と、バルーンが閉塞物内に位置するようにカテーテルの位置決めとを含む。バルーンは、カテーテルと接続され、拡大して動脈を広げる。そして執刀医は、ステントと称されるワイヤメッシュチューブを閉塞エリアに置いて、血管を広げたままする。
介入治療の際、ＩＥＬ１０９、中膜１０７、ＥＥＬ１０５および外膜１０３に外傷がしばしば生ずる。ＥＥＬ１０５及び／又は外膜１０３への外傷は、重大な炎症反応を引き起こすことがあり、瘢痕化を加速し、欠陥の可能性ある閉止を生じさせる。ＥＥＬ１０５の崩壊は、再狭窄を加速しさらに促進する補完的な炎症要因を信号伝達できる。従って、ＥＥＬ１０５および外膜１０３への外傷を回避する介入治療が要望されている。
介入手術および治療の際に、弾性層を識別するためのシステムおよび方法がここでは説明している。こうした識別は、こうした手術および治療の際に、外部弾性層への外傷を回避するために使用できる。
一般に、一実施形態において、アテローム切除術を実施する方法が、（１）アテローム切除術装置を血管内に挿入すること、（２）装置上の画像センサを用いて光コヒーレンストモグラフィ（ＯＣＴ）画像を収集すること、（３）ＯＣＴ画像内での外部弾性層を識別すること、（４）識別に基づいて、血管内の組織を切断することを含む。
本実施形態および他の実施形態は、下記特徴の１つ以上を含むことができる。ＯＣＴ画像は、血管のトロイダル視野となり得る。外部弾性層を識別することは、トロイダル視野内で最外側の明るいラインを識別することを含むことができる。識別に基づいて、血管内の組織を切断することは、識別に基づいて、装置の遠位先端を再配向させることを含むことができる。血管内の組織を切断することは、外部弾性層に至るまでを切断することを含むことができるが、外部弾性層を通らない。識別は、自動的に実施できる。切断の深さを調整することは、カッタを能動モードから受動モードへ移動することを含むことができる。カッタを能動モードから受動モードへ移動することは、装置上でバルーンを少なくとも部分的に収縮させることを含むことができる。調整ステップは、自動的に実施できる。再配向ステップは、ＯＣＴ画像内のマーカーを用いて、先端を再配向させることを含むことができる。方法はさらに、カッタと外部弾性層との間の距離を判断することを含むことができる。方法はさらに、もし距離が閾値未満である場合、アラームを起動することを含むことができる。方法はさらに、もし距離が閾値未満である場合、切断を停止させることを含むことができる。方法はさらに、識別ステップの後、ＯＣＴ画像内の外部弾性層を強調することを含むことができる。
一般に、一実施形態において、アテローム切除術システムが、ＯＣＴ画像を収集するように構成され、装着されたＯＣＴ画像センサを有するカテーテルと、コントローラとを含む。コントローラは、ＯＣＴ画像内の外部弾性層を自動的に識別するように構成される。
本実施形態および他の実施形態は、下記特徴の１つ以上を含むことができる。システムはさらに、コントローラと接続されたディスプレイを含むことができ、ディスプレイは、血管のトロイダル視野としてＯＣＴ画像を表示するように構成できる。コントローラはさらに、識別の後、ディスプレイにおいてＯＣＴ画像内の外部弾性層を強調するように構成できる。コントローラはさらに、識別に基づいて切断の深さを調整するように構成できる。切断の深さを調整することは、カッタを能動モードから受動モードへ移動することを含むことができる。カッタを能動モードから受動モードへ移動することは、装置上でバルーンを少なくとも部分的に収縮させることを含むことができる。コントローラはさらに、識別に基づいて、装置の遠位先端を再配向させるように構成できる。コントローラはさらに、カッタと外部弾性層との間の距離を判断するように構成できる。コントローラは、もし距離が閾値未満である場合、アラームを起動するように構成できる。コントローラは、もし距離が閾値未満である場合、切断を防止するように構成できる。
本発明の新規な特徴は、下記請求項での詳細とともに説明する。本発明の特徴および利点のより良い理解が、本発明の原理が利用されている例示の実施形態を説明する下記詳細な説明、および添付図面を参照して得られるであろう。
オンボードイメージングを有するカテーテルを用いた介入治療の際、弾性層を識別するためのシステムおよび方法をここでは説明している。
図２を参照して、介入カテーテル２００、例えば、アテローム切除術カテーテルまたは閉塞横断カテーテルなどが、細長い本体２１１を含むことができ、そこから延びるカッタ２１３を備える。撮像センサ２１７が、光コヒーレンストモグラフィ（ＯＣＴ）画像を収集するように構成できる。遠位ノーズコーン２１９が、カッタ２１３によって切断された組織カットを回収するように構成できる。いくつかの実施形態において、装置２００は、方向性アテローム切除術装置でもよく、バルーン２２１が、カッタ２１３を露出して、及び／又は、切断のためにカッタ２１３を血管壁に付勢するために使用できる。バルーン２２１の膨張の量は、カッタ２１３によって血管壁に作られる切断の深さを変更するために変化できる。例示のアテローム切除術装置はさらに、米国出願（番号12/829,277、名称"ATHERECTOMY CATHETER WITH LATERALLY-DISPLACEABLE TIP"、２０１０年７月１日出願、米国公開番号2011/0004107）、米国出願（番号13/175,232、名称"ATHERECTOMY CATHETERS WITH LONGITUDINALLY DISPLACEABLE DRIVE SHAFTS"、２０１１年７月１日出願、米国公開番号2012/0046679）、米国出願（番号13/654,357、名称"ATHERECTOMY CATHETERS AND NON-CONTACT ACTUATION MECHANISM FOR CATHETERS"、２０１２年１０月１７日出願、米国公開番号2013/0096589）、国際出願（番号PCT/US2013/031901、名称"ATHERECTOMY CATHETERS WITH IMAGING"、２０１３年３月１５日出願、国際公開WO2013/172970）、国際出願（番号PCT/US2013/032494、名称"BALLOON ATHERECTOMY CATHETERS WITH IMAGING"、２０１３年３月１５日出願、国際公開WO2014/039099）に記載されており、これらの全体が参照によりここに組み込まれる。
図３ａ〜図３ｉｉを参照して、こうしたオンボード撮像カテーテルを用いて得られるＯＣＴ画像が、血管の壁、例えば、壁のトロイダル視野を示すことができる。得られた画像は、例えば、プラークまたは血栓形成(thrombosis)そして血管の層を示すことができ、これは、後方散乱または信号豊富な内膜１１１、しばしば低い後方散乱を有し、または信号貧弱である中膜１０７、異質でしばしば高い後方散乱の外膜１０３、及び／又は、大きくクリアな構造によって特徴付けられる外膜周囲１０１を含む。ＯＣＴ画像はさらに、好都合には、ＩＥＬ１０９を、中膜１０７と内膜１１１との間の明確なラインとして、そしてＥＥＬ１０５を、中膜１０７と外膜１０３との間の明確なラインとして明確に示すことができる。例えば、ＩＥＬ１０９およびＥＥＬ１０５は、薄く明るい構造として表示できる（即ち、大きく後方散乱している）。多くの場合、ＩＥＬ１０９およびＥＥＬ１０５は、中膜１０７の内周および外周に沿って（ほぼ平行に）続く連続的なラインとして現れる。
カテーテルを用いて収集されるＯＣＴ画像は、ＥＥＬ１０５を明確に識別するために使用できる。さらに、ＯＣＴは、好都合には、他のタイプのイメージング、例えば、超音波より高い分解能を有するため、ＥＥＬ１０５の明確な識別を可能にする。さらに、画像内でのＥＥＬ１０５の識別の際、介入療法（例えば、アテローム切除術）は、ＥＥＬ１０５および外膜１０３との相互作用を回避または制限するように調整でき、これによりもしＥＥＬ１０５または外膜１０３が傷ついた場合に発生する炎症反応を回避している。
図４ａと図４ｂを参照して、一実施形態において、アテローム切除術カテーテルを用いた切断の深さは、ＥＥＬ１０５の識別に基づいて、例えば、バルーンを収縮させることによって調整でき、あるいは他の方法で切断の深さを調整して、ＥＥＬ１０５または外膜１０３の摘出を回避している。例えば、図４ａは、バルーン２２１が完全に膨張しているＯＣＴ画像を示す。得られた切断は（カッタ位置が中央に黒い円で示され、その方向は中間マーカー３３３とは反対である）、中膜１０７およびＥＥＬ１０５に近い。これに対して図４ｂにおいて、バルーン２２１が収縮して、カッタを引き離し、カッタとＥＥＬ１０５との間に空間１６６を残している（図４ｂは、図４ａの切断によって生成された、ＥＥＬ１０５の近くに切断マーク１７７を示していることに留意する）。
図５ａと図５ｂを参照して、一実施形態において、切断の方向は、ＥＥＬ１０５を回避するように変更でき、即ち、カテーテル２００の遠位先端は、ＥＥＬ１０５から遠くに配向できる。いくつかの実施形態において、画像上のマーカーは、カテーテルの方向を配向させるのを支援するために使用でき、ＥＥＬが切断されないことを確保している（即ち、中間マーカー３３３は、切断の方向とは直接反対にある位置を示すことができる）。こうして切断方向は、健康な動脈壁において直接配向（ＥＥＬに垂直）する状態から変更でき、代わりにプラーク３３３に向かう。
方向及び／又は深さの変更の結果として、組織が、ＥＥＬ１０５に至るまで、貫通せずに切断できる。図６ａ〜図６ｈは、ここで説明した識別方法を用いてＯＣＴ画像および得られた組織カットを示す。図示のように、プラーク組織２２２（および図６ｇでのＩＥＬ１０９と中膜１０７）だけが切断され、ＥＥＬ１０５は切断されない。
さらに、もしＯＣＴ画像が、外傷が生じたことを示す場合（即ち、図３ｃｃに示すように、明るいラインの連続性において破損１５５を示す場合）、治療計画は、カテーテルを再配向させたり、切断の深さを調整することによって、更なる外傷を回避するように調整できる。さらに、ＥＥＬ１０５への外傷が識別された場合、治療計画は、薬剤コート付ステント、薬剤溶出バルーンを移植したり、経口投薬（例えば、抗炎症薬、プラビックスなど）によって、炎症カスケードを軽減するように調整できる。
いくつかの実施形態において、ＥＥＬ１０５の識別は、画像を閲覧する医師または専門家によって手動で実施できる。
他の実施形態において、ＥＥＬ１０５の識別は、コントローラを用いて自動的に実施できる。例えば、図７ａ〜図７ｅを参照して、強度対深さのＡライングラフ７１７が、ＯＣＴ画像７０７内の角度αで採取できる。グラフ中のピーク強度は、ＥＥＬ１０５に対応することになり、次に最も高いピークは、ＩＥＬ１０９に対応するようになる。そしてコントローラは、新しい角度に移動して、その輪郭を検索する。例えば、セクタがＢスキャン１２７に展開した場合、ＥＥＬ１０５は、設定した角度αで識別でき、そしてプロセスは連続的なエッジを見つけるように繰り返される。図７ｄに示すように、ラインが連続的である場合、それはＥＥＬ１０５を示す。もしそれが不連続である場合、その特徴はＥＥＬではないか、あるいはＥＥＬが破損している。
いくつかの実施形態において、ＥＥＬは、ＯＣＴ画像の表示において自動的にラベル付与したり、強調したりできる。図８を参照して、ＥＥＬ１０５は、ＯＣＴ画像８０７において、例えば、透明な着色バンド８０８でラベル付与できている。バンド８０８は、例えば、ＥＥＬ検出でより大きな信頼性についてより明るくなることができる。バンド８０８はさらに、異なる色または幅を含むことができ、異なる小さな形状（例えば、ドットまたは三角）で重複できる。さらに、バンド８０８は、ＯＣＴ画像８０７の外側に引き出して、観察を妨害することなく、特徴がどこにあるかを識別できる（例えば、ＯＣＴ領域の外側にある弧として）。
さらに、いくつかの実施形態において、コントローラは、ＥＥＬ１０５の識別を使用して、介入手術を自動的に支援できる。即ち、いくつかの実施形態において、ＥＥＬ１０５および、ＥＥＬとカッタエッジとの間の距離の両方が検出できる。コントローラは、ＥＥＬとカッタとの間の距離を計算でき、該距離が閾値未満である場合、設定した動作をとることができる。例えば、コントローラは、アラーム（例えば、音響ノイズ、光の点滅、グラフィックシンボル）を始動できる。他の実施形態において、もし距離が閾値未満である場合（及び／又は、もしＥＥＬ１０５が図７ｅに示すように、破損または損傷しそう、またはした場合）、コントローラは、カッタ駆動を停止できる。さらにいくつかの実施形態において、カテーテルに対する付勢量は自動的に減少できる（例えば、バルーン膨張量）。付勢量を自動的に減少するために、バルーンの膨張／収縮および、能動（または開放）位置と受動（または閉止）位置との間のカッタの移動は、コントローラによって制御されるサーボ（またはモータやアクチュエータ）を用いて自動化できる。こうしてコントローラは、ＥＥＬ１０５の識別を使用して、バルーンを部分的または完全に収縮でき、これにより切断深さを減少させたり、及び／又は、カッタを能動位置から受動位置へ移動させる。
介入療法の際に撮影される画像内のＥＥＬを識別することによって、これらの構造への損傷または外傷が好都合に回避できる。例えば、図６ａ〜図４ｈを参照して、こうした手法を用いたアテローム切除術の際に切断された組織が、好都合に、ほぼ罹患した血栓形成またはプラークだけ（中膜１０７、外膜１０３またはＥＥＬ１０５はほぼ皆無）を含むことができる。これに対して、こうした方法が使用されないアテローム切除術において、摘出した組織が、罹患した組織に加えて、ＥＥＬ１０５、中膜１０７及び／又は外膜１０３を含むことがあり、アテローム切除術の際に、増強された炎症反応が引き起こされたことを示唆している。
材料及び製造技術を含む、本発明に関連する追加の詳細を、当業者のレベルの範囲内で採用することができる。同じことが、一般に又は論理的に採用される追加の動作の観点で、本発明の方法ベースの態様に対しても当てはまる。また、説明した発明変形例のいずれの任意的特徴も、独立して、或いはここで説明した１つ以上の特徴と組み合わせて説明し、権利請求できることが想定される。同様に、単数の物品への参照は、複数の同じ物品が存在する可能性を含む。詳細には、ここで使用し、または添付の請求項にあるように、単数形、「一つ(a)」、「及び(and)」、「前記(said)」、及び「その(the)」は、文脈が明確に別を指示していない限り、複数の参照を含む。さらに注意すべきは、請求項は、何れか任意的要素を除外するように起案できることはさらに留意する。この宣言は、請求項の要素の引用と関連して、こうした排他的用語、例えば「単に(solely)」、「のみ(only)」等の使用、或いは「否定的(negative)」限定の使用に対する先行詞の基礎として機能することを意図している。ここで定義していなければ、ここで使用する全ての技術的及び科学的用語が、当業者が一般に理解するような同じ意味を有する。本発明の範囲は、ここで説明した例によって限定されることはなく、採用した請求項用語の通常の意味によってのみ限定される。
Claims (8)
- ＯＣＴ画像を収集するように構成され、装着されたＯＣＴ画像センサを有するカテーテルと、
ＯＣＴ画像内の外部弾性層を自動的に識別するように構成されたコントローラと、
カテーテルの遠位端に配置されたカッタとを備え、
コントローラはさらに、カッタと外部弾性層との間の距離を判断するように構成されるカテーテルシステム。 - コントローラと接続されたディスプレイをさらに備え、ディスプレイは、血管のトロイダル視野としてＯＣＴ画像を表示するように構成される請求項１記載のシステム。
- コントローラはさらに、ディスプレイにおいてＯＣＴ画像内の外部弾性層を強調するように構成される請求項２記載のシステム。
- ＯＣＴ画像を収集するように構成され、装着されたＯＣＴ画像センサを有するカテーテルと、
ＯＣＴ画像内の外部弾性層を自動的に識別するように構成されたコントローラと、
カテーテルの遠位端に配置され、能動モードに配置された場合に血管内の組織を切断するように構成された、カッタとを備え、
コントローラはさらに、識別に基づいてカッタによる血管内の組織の切断の深さを調整するように構成され、
切断の深さを調整することは、カッタを能動モードから、血管内の組織を切断しないように構成された受動モードへ移動することを含むカテーテルシステム。 - カテーテルはさらに、カッタを露出または覆うように膨張または収縮するように構成されたバルーンを含み、
カッタを能動モードから受動モードへ移動することは、バルーンを少なくとも部分的に収縮させることを含む請求項４記載のシステム。 - ＯＣＴ画像を収集するように構成され、装着されたＯＣＴ画像センサを有するカテーテルと、
ＯＣＴ画像内の外部弾性層を自動的に識別するように構成されたコントローラとを備え、
コントローラはさらに、識別に基づいて、装置の遠位先端の方向を調整するように構成されるカテーテルシステム。 - コントローラは、もし距離が閾値未満である場合、アラームを起動するように構成される請求項１記載のシステム。
- コントローラは、もし距離が閾値未満である場合、切断を防止するように構成される請求項１記載のシステム。
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| PCT/US2014/045799 WO2015006353A1 (en) | 2013-07-08 | 2014-07-08 | Identification of elastic lamina to guide interventional therapy |
Publications (2)
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| JP6517198B2 true JP6517198B2 (ja) | 2019-05-22 |
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Families Citing this family (28)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9788790B2 (en) | 2009-05-28 | 2017-10-17 | Avinger, Inc. | Optical coherence tomography for biological imaging |
| US8062316B2 (en) | 2008-04-23 | 2011-11-22 | Avinger, Inc. | Catheter system and method for boring through blocked vascular passages |
| US8696695B2 (en) | 2009-04-28 | 2014-04-15 | Avinger, Inc. | Guidewire positioning catheter |
| WO2011003006A2 (en) | 2009-07-01 | 2011-01-06 | Avinger, Inc. | Atherectomy catheter with laterally-displaceable tip |
| WO2012003430A2 (en) | 2010-07-01 | 2012-01-05 | Avinger, Inc. | Atherectomy catheters with longitudinally displaceable drive shafts |
| US11382653B2 (en) | 2010-07-01 | 2022-07-12 | Avinger, Inc. | Atherectomy catheter |
| EP2691038B1 (en) | 2011-03-28 | 2016-07-20 | Avinger, Inc. | Occlusion-crossing devices, imaging, and atherectomy devices |
| US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
| US9345406B2 (en) | 2011-11-11 | 2016-05-24 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
| EP2849636B1 (en) | 2012-05-14 | 2020-04-22 | Avinger, Inc. | Optical coherence tomography with graded index fiber for biological imaging |
| EP2849660B1 (en) | 2012-05-14 | 2021-08-25 | Avinger, Inc. | Atherectomy catheter drive assemblies |
| US11284916B2 (en) | 2012-09-06 | 2022-03-29 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US9498247B2 (en) | 2014-02-06 | 2016-11-22 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US11096717B2 (en) | 2013-03-15 | 2021-08-24 | Avinger, Inc. | Tissue collection device for catheter |
| CN105228514B (zh) | 2013-03-15 | 2019-01-22 | 阿维格公司 | 光学压力传感器组件 |
| EP2967371B1 (en) | 2013-03-15 | 2024-05-15 | Avinger, Inc. | Chronic total occlusion crossing devices with imaging |
| US10130386B2 (en) | 2013-07-08 | 2018-11-20 | Avinger, Inc. | Identification of elastic lamina to guide interventional therapy |
| JP6539669B2 (ja) | 2014-02-06 | 2019-07-03 | アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． | 粥腫切除カテーテル及び閉塞横断装置 |
| CA2955242A1 (en) | 2014-07-08 | 2016-01-14 | Avinger, Inc. | High speed chronic total occlusion crossing devices |
| WO2017011587A1 (en) | 2015-07-13 | 2017-01-19 | Avinger, Inc. | Micro-molded anamorphic reflector lens for image guided therapeutic/diagnostic catheters |
| US11278248B2 (en) | 2016-01-25 | 2022-03-22 | Avinger, Inc. | OCT imaging catheter with lag correction |
| EP3435892B1 (en) | 2016-04-01 | 2024-04-03 | Avinger, Inc. | Atherectomy catheter with serrated cutter |
| CN109475368A (zh) | 2016-06-03 | 2019-03-15 | 阿维格公司 | 具有可拆卸远端的导管装置 |
| EP3478190B1 (en) | 2016-06-30 | 2023-03-15 | Avinger, Inc. | Atherectomy catheter with shapeable distal tip |
| US11819309B2 (en) | 2019-03-17 | 2023-11-21 | Lightlab Imaging, Inc. | Arterial imaging and assessment systems and methods and related user interface based-workflows |
| CN114746033A (zh) | 2019-10-18 | 2022-07-12 | 阿维格公司 | 阻塞横穿装置 |
| EP4362828A2 (en) | 2021-06-28 | 2024-05-08 | Inquis Medical, Inc. | Apparatuses and methods for controlling removal of obstructive material |
| US20230108133A1 (en) * | 2021-10-01 | 2023-04-06 | Canon U.S.A., Inc. | Devices, systems, and methods for detecting external elastic lamina (eel) from intravascular oct images |
Family Cites Families (594)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3367727A (en) | 1965-10-22 | 1968-02-06 | Abraham W. Ward | Oral surgery tool with interchangeable blades |
| US3908637A (en) | 1974-04-22 | 1975-09-30 | Louis W Doroshow | Rigid urethral instrument |
| GB1531659A (en) | 1977-07-21 | 1978-11-08 | Gekhman B | Apparatus for disintegration of urinary concretions |
| US4527553A (en) | 1980-04-28 | 1985-07-09 | Upsher Michael S | Laryngoscope with improved light source |
| US4578061A (en) | 1980-10-28 | 1986-03-25 | Lemelson Jerome H | Injection catheter and method |
| US5435805A (en) | 1992-08-12 | 1995-07-25 | Vidamed, Inc. | Medical probe device with optical viewing capability |
| US4621353A (en) | 1982-09-09 | 1986-11-04 | Burroughs Corporation | Optical memory system providing improved focusing control and improved beam combining and separating apparatus |
| US4487206A (en) | 1982-10-13 | 1984-12-11 | Honeywell Inc. | Fiber optic pressure sensor with temperature compensation and reference |
| FR2541784B1 (fr) | 1983-02-25 | 1986-05-16 | Thomson Csf | Dispositif de deflexion statique d'un faisceau infra-rouge |
| US4611600A (en) | 1983-11-21 | 1986-09-16 | Cordis Corporation | Optical fiber pressure transducer |
| US4598710A (en) | 1984-01-20 | 1986-07-08 | Urban Engineering Company, Inc. | Surgical instrument and method of making same |
| US5178153A (en) | 1984-03-08 | 1993-01-12 | Einzig Robert E | Fluid flow sensing apparatus for in vivo and industrial applications employing novel differential optical fiber pressure sensors |
| US5041082A (en) | 1986-06-16 | 1991-08-20 | Samuel Shiber | Mechanical atherectomy system and method |
| US4926858A (en) | 1984-05-30 | 1990-05-22 | Devices For Vascular Intervention, Inc. | Atherectomy device for severe occlusions |
| US4781186A (en) | 1984-05-30 | 1988-11-01 | Devices For Vascular Intervention, Inc. | Atherectomy device having a flexible housing |
| US4552554A (en) | 1984-06-25 | 1985-11-12 | Medi-Tech Incorporated | Introducing catheter |
| US4651753A (en) | 1984-10-12 | 1987-03-24 | Jayco Pharmaceuticals | Endoscopic multiple biopsy instrument |
| US4686982A (en) | 1985-06-19 | 1987-08-18 | John Nash | Spiral wire bearing for rotating wire drive catheter |
| US4681106A (en) | 1985-08-12 | 1987-07-21 | Intravascular Surgical Instruments, Inc. | Catheter based surgical methods and apparatus therefor |
| US4654024A (en) | 1985-09-04 | 1987-03-31 | C.R. Bard, Inc. | Thermorecanalization catheter and method for use |
| US5182291A (en) | 1986-02-14 | 1993-01-26 | Sanofi | Pyrozala-pyridyl aminoabkoxyphenol compounds |
| US4771774A (en) | 1986-02-28 | 1988-09-20 | Devices For Vascular Intervention, Inc. | Motor drive unit |
| US5000185A (en) | 1986-02-28 | 1991-03-19 | Cardiovascular Imaging Systems, Inc. | Method for intravascular two-dimensional ultrasonography and recanalization |
| US4691708A (en) | 1986-03-10 | 1987-09-08 | Cordis Corporation | Optical pressure sensor for measuring blood pressure |
| US4842578A (en) | 1986-03-12 | 1989-06-27 | Dyonics, Inc. | Surgical abrading instrument |
| JPH0732758B2 (ja) | 1986-05-21 | 1995-04-12 | オリンパス光学工業株式会社 | 内視鏡 |
| US4729763A (en) | 1986-06-06 | 1988-03-08 | Henrie Rodney A | Catheter for removing occlusive material |
| SE453561B (sv) | 1986-06-25 | 1988-02-15 | Radisensor Ab | Miniatyriserad sensor for fysiologiska tryckmetningar |
| US4841977A (en) | 1987-05-26 | 1989-06-27 | Inter Therapy, Inc. | Ultra-thin acoustic transducer and balloon catheter using same in imaging array subassembly |
| US4808163A (en) | 1987-07-29 | 1989-02-28 | Laub Glenn W | Percutaneous venous cannula for cardiopulmonary bypass |
| US4850354A (en) | 1987-08-13 | 1989-07-25 | Baxter Travenol Laboratories, Inc. | Surgical cutting instrument |
| US4857046A (en) | 1987-10-21 | 1989-08-15 | Cordis Corporation | Drive catheter having helical pump drive shaft |
| US5529580A (en) | 1987-10-30 | 1996-06-25 | Olympus Optical Co., Ltd. | Surgical resecting tool |
| US5047040A (en) | 1987-11-05 | 1991-09-10 | Devices For Vascular Intervention, Inc. | Atherectomy device and method |
| US4920961A (en) | 1988-06-02 | 1990-05-01 | Circon Corporation | System for disconnetably mounting an endoscope sheath with an endoscope tool |
| DE347098T1 (de) | 1988-06-13 | 1991-04-11 | Samuel Mundelein Ill. Shiber | Atherectomiesystem mit einem fuehrungsdraht. |
| SE460396B (sv) | 1988-07-29 | 1989-10-09 | Radisensor Ab | Miniatyriserad givaranordning foer maetning av fysiologiska tryck in vivo |
| US5099850A (en) | 1989-01-17 | 1992-03-31 | Olympus Optical Co., Ltd. | Ultrasonic diagnostic apparatus |
| US5431673A (en) | 1989-02-17 | 1995-07-11 | American Biomed, Inc. | Distal atherectomy catheter |
| US4911148A (en) | 1989-03-14 | 1990-03-27 | Intramed Laboratories, Inc. | Deflectable-end endoscope with detachable flexible shaft assembly |
| US5002560A (en) | 1989-09-08 | 1991-03-26 | Advanced Cardiovascular Systems, Inc. | Expandable cage catheter with a rotatable guide |
| US5226909A (en) | 1989-09-12 | 1993-07-13 | Devices For Vascular Intervention, Inc. | Atherectomy device having helical blade and blade guide |
| US5085662A (en) | 1989-11-13 | 1992-02-04 | Scimed Life Systems, Inc. | Atherectomy catheter and related components |
| US5054501A (en) | 1990-05-16 | 1991-10-08 | Brigham & Women's Hospital | Steerable guide wire for cannulation of tubular or vascular organs |
| US5674232A (en) | 1990-06-05 | 1997-10-07 | Halliburton; Alexander George | Catheter and method of use thereof |
| BE1003189A5 (fr) | 1990-07-27 | 1992-01-07 | B A Cosurvey Optics S P R L B | Capteur de pression. |
| EP0542901B1 (en) | 1990-08-06 | 1996-09-25 | Acculase, Inc. | Fiber optic laser catheter |
| US5449372A (en) | 1990-10-09 | 1995-09-12 | Scimed Lifesystems, Inc. | Temporary stent and methods for use and manufacture |
| US5217479A (en) | 1991-02-14 | 1993-06-08 | Linvatec Corporation | Surgical cutting instrument |
| US5142155A (en) | 1991-03-11 | 1992-08-25 | Hewlett-Packard Company | Catheter tip fluorescence-quenching fiber optic pressure sensor |
| US6564087B1 (en) | 1991-04-29 | 2003-05-13 | Massachusetts Institute Of Technology | Fiber optic needle probes for optical coherence tomography imaging |
| US6501551B1 (en) | 1991-04-29 | 2002-12-31 | Massachusetts Institute Of Technology | Fiber optic imaging endoscope interferometer with at least one faraday rotator |
| US5956355A (en) | 1991-04-29 | 1999-09-21 | Massachusetts Institute Of Technology | Method and apparatus for performing optical measurements using a rapidly frequency-tuned laser |
| US5465147A (en) | 1991-04-29 | 1995-11-07 | Massachusetts Institute Of Technology | Method and apparatus for acquiring images using a ccd detector array and no transverse scanner |
| US6134003A (en) | 1991-04-29 | 2000-10-17 | Massachusetts Institute Of Technology | Method and apparatus for performing optical measurements using a fiber optic imaging guidewire, catheter or endoscope |
| US6485413B1 (en) | 1991-04-29 | 2002-11-26 | The General Hospital Corporation | Methods and apparatus for forward-directed optical scanning instruments |
| EP0581871B2 (en) | 1991-04-29 | 2009-08-12 | Massachusetts Institute Of Technology | Apparatus for optical imaging and measurement |
| US7074231B2 (en) | 1991-06-13 | 2006-07-11 | Advanced Cardiovascular Systems, Inc. | Convertible mode vascular catheter system |
| US5190050A (en) | 1991-11-08 | 1993-03-02 | Electro-Catheter Corporation | Tip deflectable steerable catheter |
| US5192291A (en) | 1992-01-13 | 1993-03-09 | Interventional Technologies, Inc. | Rotationally expandable atherectomy cutter assembly |
| WO1993013716A1 (en) | 1992-01-13 | 1993-07-22 | Schneider (Usa) Inc. | Surgical cutting tool |
| GB9207532D0 (en) | 1992-04-07 | 1992-05-20 | Innovata Biomed Ltd | Medical connection system |
| JPH0627343A (ja) | 1992-07-06 | 1994-02-04 | Nippon Telegr & Teleph Corp <Ntt> | 光ファイバ増幅器用光ファイバ接続部 |
| US5312415A (en) | 1992-09-22 | 1994-05-17 | Target Therapeutics, Inc. | Assembly for placement of embolic coils using frictional placement |
| US5425371A (en) | 1992-10-05 | 1995-06-20 | Metatech Corporation | Fiberoptic pressure transducer |
| US5383460A (en) | 1992-10-05 | 1995-01-24 | Cardiovascular Imaging Systems, Inc. | Method and apparatus for ultrasound imaging and atherectomy |
| CA2107741C (en) | 1992-10-07 | 2000-06-27 | Peter T. Keith | Ablation devices and methods of use |
| US5333142A (en) | 1992-10-26 | 1994-07-26 | The United States Of America As Represented By The Secretary Of The Navy | Technique for intracavity sum frequency generation |
| US5643297A (en) | 1992-11-09 | 1997-07-01 | Endovascular Instruments, Inc. | Intra-artery obstruction clearing apparatus and methods |
| US5383467A (en) | 1992-11-18 | 1995-01-24 | Spectrascience, Inc. | Guidewire catheter and apparatus for diagnostic imaging |
| US5368564A (en) | 1992-12-23 | 1994-11-29 | Angeion Corporation | Steerable catheter |
| US5460168A (en) | 1992-12-25 | 1995-10-24 | Olympus Optical Co., Ltd. | Endoscope cover assembly and cover-system endoscope |
| US5372601A (en) | 1993-03-30 | 1994-12-13 | Lary; Banning G. | Longitudinal reciprocating incisor |
| US5429136A (en) | 1993-04-21 | 1995-07-04 | Devices For Vascular Intervention, Inc. | Imaging atherectomy apparatus |
| CA2161776C (en) | 1993-04-28 | 2005-12-20 | Chandrashekhar P. Pathak | Apparatus and methods for intraluminal photothermoforming |
| US6017359A (en) | 1993-05-25 | 2000-01-25 | Vascular Solutions, Inc. | Vascular sealing apparatus |
| US5383896A (en) | 1993-05-25 | 1995-01-24 | Gershony; Gary | Vascular sealing device |
| US5951583A (en) | 1993-05-25 | 1999-09-14 | Vascular Solutions, Inc. | Thrombin and collagen procoagulant and process for making the same |
| US5868778A (en) | 1995-10-27 | 1999-02-09 | Vascular Solutions, Inc. | Vascular sealing apparatus and method |
| US5579767A (en) | 1993-06-07 | 1996-12-03 | Prince; Martin R. | Method for imaging abdominal aorta and aortic aneurysms |
| US5366464A (en) | 1993-07-22 | 1994-11-22 | Belknap John C | Atherectomy catheter device |
| CH687228A5 (de) | 1993-09-15 | 1996-10-31 | Synthes Ag | Markraumbohrkopf. |
| JPH09503411A (ja) | 1993-10-07 | 1997-04-08 | ボストン・サイエンティフィック・コーポレーション | 拡張カテーテル |
| US5507760A (en) | 1993-11-09 | 1996-04-16 | Devices For Vascular Intervention, Inc. | Cutter device |
| JPH07184888A (ja) | 1993-12-27 | 1995-07-25 | Toshiba Corp | 超音波診断装置 |
| US5437284A (en) | 1993-12-30 | 1995-08-01 | Camino Laboratories, Inc. | System and method for in vivo calibration of a sensor |
| US5517998A (en) | 1994-01-24 | 1996-05-21 | Medamicus, Inc. | Closed loop pressure determination system and method for fiber optic pressure transducer system |
| JP2869020B2 (ja) | 1994-03-23 | 1999-03-10 | 康男 橋本 | 癌治療器 |
| EP0673627B1 (en) | 1994-03-23 | 2000-01-05 | Yasuo Hashimoto | Catheter with optical fiber |
| US5507795A (en) | 1994-04-29 | 1996-04-16 | Devices For Vascular Intervention, Inc. | Catheter with perfusion system |
| US6032673A (en) | 1994-10-13 | 2000-03-07 | Femrx, Inc. | Methods and devices for tissue removal |
| US5836957A (en) | 1994-12-22 | 1998-11-17 | Devices For Vascular Intervention, Inc. | Large volume atherectomy device |
| US5632754A (en) | 1994-12-23 | 1997-05-27 | Devices For Vascular Intervention | Universal catheter with interchangeable work element |
| DE19504261A1 (de) | 1995-02-09 | 1996-09-12 | Krieg Gunther | Angioplastie-Katheter zum Erweitern und/oder Eröffnen von Blutgefäßen |
| US5613981A (en) * | 1995-04-21 | 1997-03-25 | Medtronic, Inc. | Bidirectional dual sinusoidal helix stent |
| US5681336A (en) | 1995-09-07 | 1997-10-28 | Boston Scientific Corporation | Therapeutic device for treating vien graft lesions |
| US6615071B1 (en) | 1995-09-20 | 2003-09-02 | Board Of Regents, The University Of Texas System | Method and apparatus for detecting vulnerable atherosclerotic plaque |
| US5935075A (en) | 1995-09-20 | 1999-08-10 | Texas Heart Institute | Detecting thermal discrepancies in vessel walls |
| US6375615B1 (en) | 1995-10-13 | 2002-04-23 | Transvascular, Inc. | Tissue penetrating catheters having integral imaging transducers and their methods of use |
| US5556405A (en) | 1995-10-13 | 1996-09-17 | Interventional Technologies Inc. | Universal dilator with reciprocal incisor |
| RU2185859C2 (ru) | 1995-10-20 | 2002-07-27 | Надим М. Закка | Устройство для удаления стенозов и поддержки стенки сосуда (варианты) |
| US5907425A (en) | 1995-12-19 | 1999-05-25 | The Board Of Trustees Of The Leland Stanford Junior University | Miniature scanning confocal microscope |
| SE9601541D0 (sv) | 1995-11-08 | 1996-04-23 | Pacesetter Ab | Styrtrådsenhet |
| US5843050A (en) | 1995-11-13 | 1998-12-01 | Micro Therapeutics, Inc. | Microcatheter |
| SE9504334D0 (sv) | 1995-12-04 | 1995-12-04 | Pacesetter Ab | Styrtrådsenhet |
| US5676012A (en) | 1995-12-05 | 1997-10-14 | Spectrum Manufacturing, Inc. | Process for forming endoscopic shaver blade from elongate tube |
| US6373573B1 (en) | 2000-03-13 | 2002-04-16 | Lj Laboratories L.L.C. | Apparatus for measuring optical characteristics of a substrate and pigments applied thereto |
| US5733296A (en) | 1996-02-06 | 1998-03-31 | Devices For Vascular Intervention | Composite atherectomy cutter |
| US5935139A (en) | 1996-05-03 | 1999-08-10 | Boston Scientific Corporation | System for immobilizing or manipulating an object in a tract |
| NL1003172C2 (nl) | 1996-05-20 | 1997-11-21 | Cordis Europ | Katheter-invoerschede met occlusieballon. |
| DE69725651T2 (de) | 1996-06-11 | 2004-07-29 | Roke Manor Research Ltd., Romsey | Katheterverfolgungssystem |
| US5795295A (en) | 1996-06-25 | 1998-08-18 | Carl Zeiss, Inc. | OCT-assisted surgical microscope with multi-coordinate manipulator |
| US6830577B2 (en) | 1996-07-26 | 2004-12-14 | Kensey Nash Corporation | System and method of use for treating occluded vessels and diseased tissue |
| US6080170A (en) | 1996-07-26 | 2000-06-27 | Kensey Nash Corporation | System and method of use for revascularizing stenotic bypass grafts and other occluded blood vessels |
| US5779721A (en) | 1996-07-26 | 1998-07-14 | Kensey Nash Corporation | System and method of use for revascularizing stenotic bypass grafts and other blood vessels |
| US6929481B1 (en) | 1996-09-04 | 2005-08-16 | Immersion Medical, Inc. | Interface device and method for interfacing instruments to medical procedure simulation systems |
| US5830145A (en) | 1996-09-20 | 1998-11-03 | Cardiovascular Imaging Systems, Inc. | Enhanced accuracy of three-dimensional intraluminal ultrasound (ILUS) image reconstruction |
| US5904651A (en) | 1996-10-28 | 1999-05-18 | Ep Technologies, Inc. | Systems and methods for visualizing tissue during diagnostic or therapeutic procedures |
| US5722403A (en) | 1996-10-28 | 1998-03-03 | Ep Technologies, Inc. | Systems and methods using a porous electrode for ablating and visualizing interior tissue regions |
| US5872879A (en) | 1996-11-25 | 1999-02-16 | Boston Scientific Corporation | Rotatable connecting optical fibers |
| JPH10161018A (ja) | 1996-11-27 | 1998-06-19 | Olympus Optical Co Ltd | 光学系 |
| US5899915A (en) * | 1996-12-02 | 1999-05-04 | Angiotrax, Inc. | Apparatus and method for intraoperatively performing surgery |
| US6508825B1 (en) | 1997-02-28 | 2003-01-21 | Lumend, Inc. | Apparatus for treating vascular occlusions |
| US6120516A (en) | 1997-02-28 | 2000-09-19 | Lumend, Inc. | Method for treating vascular occlusion |
| US6010449A (en) | 1997-02-28 | 2000-01-04 | Lumend, Inc. | Intravascular catheter system for treating a vascular occlusion |
| US5843103A (en) | 1997-03-06 | 1998-12-01 | Scimed Life Systems, Inc. | Shaped wire rotational atherectomy device |
| US6183487B1 (en) | 1997-03-06 | 2001-02-06 | Scimed Life Systems, Inc. | Ablation device for reducing damage to vessels and/or in-vivo stents |
| US6758854B1 (en) | 1997-05-09 | 2004-07-06 | St. Jude Medical | Splittable occlusion balloon sheath and process of use |
| US5851212A (en) | 1997-06-11 | 1998-12-22 | Endius Incorporated | Surgical instrument |
| US6013072A (en) | 1997-07-09 | 2000-01-11 | Intraluminal Therapeutics, Inc. | Systems and methods for steering a catheter through body tissue |
| US6048349A (en) | 1997-07-09 | 2000-04-11 | Intraluminal Therapeutics, Inc. | Systems and methods for guiding a medical instrument through a body |
| US5987995A (en) | 1997-07-17 | 1999-11-23 | Sentec Corporation | Fiber optic pressure catheter |
| AU8572698A (en) | 1997-07-24 | 1999-02-16 | James F. Mcguckin Jr. | Urinary catheter |
| GB9717580D0 (en) | 1997-08-19 | 1997-10-22 | Curry Paul | Device for opening blocked tubes |
| US6402719B1 (en) | 1997-09-05 | 2002-06-11 | Cordis Webster, Inc. | Steerable DMR catheter with infusion tube |
| JPH11221229A (ja) | 1997-09-24 | 1999-08-17 | Eclipse Surgical Technol Inc | カテーテル |
| US5951482A (en) | 1997-10-03 | 1999-09-14 | Intraluminal Therapeutics, Inc. | Assemblies and methods for advancing a guide wire through body tissue |
| US6193676B1 (en) | 1997-10-03 | 2001-02-27 | Intraluminal Therapeutics, Inc. | Guide wire assembly |
| EP1030610A1 (en) | 1997-11-07 | 2000-08-30 | Prolifix Medical, Inc. | Methods and systems for treating obstructions in a body lumen |
| US6183432B1 (en) | 1997-11-13 | 2001-02-06 | Lumend, Inc. | Guidewire and catheter with rotating and reciprocating symmetrical or asymmetrical distal tip |
| US5938671A (en) | 1997-11-14 | 1999-08-17 | Reflow, Inc. | Recanalization apparatus and devices for use therein and method |
| US6110164A (en) | 1997-12-05 | 2000-08-29 | Intratherapeutics, Inc. | Guideless catheter segment |
| US6027514A (en) | 1997-12-17 | 2000-02-22 | Fox Hollow Technologies, Inc. | Apparatus and method for removing occluding material from body lumens |
| US6231546B1 (en) | 1998-01-13 | 2001-05-15 | Lumend, Inc. | Methods and apparatus for crossing total occlusions in blood vessels |
| US20050171478A1 (en) * | 1998-01-13 | 2005-08-04 | Selmon Matthew R. | Catheter system for crossing total occlusions in vasculature |
| US6416527B1 (en) | 1998-01-28 | 2002-07-09 | St. Jude Medical Cardiovascular Group, Inc. | Vessel cutting device |
| US6824550B1 (en) | 2000-04-06 | 2004-11-30 | Norbon Medical, Inc. | Guidewire for crossing occlusions or stenosis |
| US6175669B1 (en) | 1998-03-30 | 2001-01-16 | The Regents Of The Universtiy Of California | Optical coherence domain reflectometry guidewire |
| EP1067869B1 (en) | 1998-03-31 | 2005-11-02 | Transvascular, Inc. | Tissue penetrating cathethers having integral imaging transducers and their methods of use |
| US6482217B1 (en) | 1998-04-10 | 2002-11-19 | Endicor Medical, Inc. | Neuro thrombectomy catheter |
| US6666874B2 (en) | 1998-04-10 | 2003-12-23 | Endicor Medical, Inc. | Rotational atherectomy system with serrated cutting tip |
| US6001112A (en) | 1998-04-10 | 1999-12-14 | Endicor Medical, Inc. | Rotational atherectomy device |
| US6290668B1 (en) | 1998-04-30 | 2001-09-18 | Kenton W. Gregory | Light delivery catheter and methods for the use thereof |
| US6285903B1 (en) | 1998-06-30 | 2001-09-04 | Eclipse Surgical Technologies, Inc. | Intracorporeal device with radiopaque marker |
| CA2277409C (en) | 1998-07-10 | 2003-02-11 | Nippon Telegraph And Telephone Corporation | Optical transmission system |
| US6290689B1 (en) | 1999-10-22 | 2001-09-18 | Corazón Technologies, Inc. | Catheter devices and methods for their use in the treatment of calcified vascular occlusions |
| US6440124B1 (en) | 1998-07-22 | 2002-08-27 | Endovasix, Inc. | Flexible flow apparatus and method for the disruption of occlusions |
| US6319227B1 (en) | 1998-08-05 | 2001-11-20 | Scimed Life Systems, Inc. | Automatic/manual longitudinal position translator and rotary drive system for catheters |
| US6106515A (en) | 1998-08-13 | 2000-08-22 | Intraluminal Therapeutics, Inc. | Expandable laser catheter |
| US6241744B1 (en) | 1998-08-14 | 2001-06-05 | Fox Hollow Technologies, Inc. | Apparatus for deploying a guidewire across a complex lesion |
| EP1125095B1 (en) | 1998-09-11 | 2008-02-27 | Joseph A. Izatt | Interferometers for optical coherence domain reflectometry and optical coherence tomography using nonreciprocal optical elements |
| US6398755B1 (en) | 1998-10-06 | 2002-06-04 | Scimed Life Systems, Inc. | Driveable catheter system |
| US6228076B1 (en) | 1999-01-09 | 2001-05-08 | Intraluminal Therapeutics, Inc. | System and method for controlling tissue ablation |
| US6134002A (en) | 1999-01-14 | 2000-10-17 | Duke University | Apparatus and method for the rapid spectral resolution of confocal images |
| US6445944B1 (en) | 1999-02-01 | 2002-09-03 | Scimed Life Systems | Medical scanning system and related method of scanning |
| US6855123B2 (en) | 2002-08-02 | 2005-02-15 | Flow Cardia, Inc. | Therapeutic ultrasound system |
| JP2002538876A (ja) | 1999-03-15 | 2002-11-19 | プロリフィックス メディカル， インコーポレイテッド | 遮蔽したアテローム切除装置 |
| US6911026B1 (en) * | 1999-07-12 | 2005-06-28 | Stereotaxis, Inc. | Magnetically guided atherectomy |
| US20040044350A1 (en) | 1999-04-09 | 2004-03-04 | Evalve, Inc. | Steerable access sheath and methods of use |
| US6645217B1 (en) | 1999-05-15 | 2003-11-11 | Advanced Cardiovascular Systems, Inc. | Over-the-wire atherectomy catheter |
| US6719769B2 (en) | 1999-11-15 | 2004-04-13 | Cardica, Inc. | Integrated anastomosis tool with graft vessel attachment device and cutting device |
| US6294775B1 (en) | 1999-06-08 | 2001-09-25 | University Of Washington | Miniature image acquistion system using a scanning resonant waveguide |
| US6563105B2 (en) | 1999-06-08 | 2003-05-13 | University Of Washington | Image acquisition with depth enhancement |
| US6890329B2 (en) | 1999-06-15 | 2005-05-10 | Cryocath Technologies Inc. | Defined deflection structure |
| US6546272B1 (en) | 1999-06-24 | 2003-04-08 | Mackinnon Nicholas B. | Apparatus for in vivo imaging of the respiratory tract and other internal organs |
| US6445939B1 (en) | 1999-08-09 | 2002-09-03 | Lightlab Imaging, Llc | Ultra-small optical probes, imaging optics, and methods for using same |
| US20030125757A1 (en) | 2000-12-20 | 2003-07-03 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| US20030120295A1 (en) | 2000-12-20 | 2003-06-26 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| US7713279B2 (en) | 2000-12-20 | 2010-05-11 | Fox Hollow Technologies, Inc. | Method and devices for cutting tissue |
| US6447525B2 (en) | 1999-08-19 | 2002-09-10 | Fox Hollow Technologies, Inc. | Apparatus and methods for removing material from a body lumen |
| US6638233B2 (en) | 1999-08-19 | 2003-10-28 | Fox Hollow Technologies, Inc. | Apparatus and methods for material capture and removal |
| US7887556B2 (en) | 2000-12-20 | 2011-02-15 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| US8328829B2 (en) | 1999-08-19 | 2012-12-11 | Covidien Lp | High capacity debulking catheter with razor edge cutting window |
| US6299622B1 (en) | 1999-08-19 | 2001-10-09 | Fox Hollow Technologies, Inc. | Atherectomy catheter with aligned imager |
| US7708749B2 (en) | 2000-12-20 | 2010-05-04 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| WO2001015609A1 (en) | 1999-08-31 | 2001-03-08 | Fox Hollow Technologies | Atherectomy catheter with a rotating and telescoping cutter |
| US6687010B1 (en) | 1999-09-09 | 2004-02-03 | Olympus Corporation | Rapid depth scanning optical imaging device |
| US6673042B1 (en) | 1999-11-22 | 2004-01-06 | Wilfred J. Samson | Expandable venous cannula and method of use |
| DK176336B1 (da) | 1999-12-22 | 2007-08-20 | Asahi Optical Co Ltd | Endoskopisk vævsindsamlingsinstrument |
| US6929633B2 (en) | 2000-01-25 | 2005-08-16 | Bacchus Vascular, Inc. | Apparatus and methods for clot dissolution |
| US7036979B2 (en) | 2000-01-28 | 2006-05-02 | Asahi Kasei Kabushiki Kaisha | Photothermal transducing spectroscopic analyzer |
| US6629953B1 (en) | 2000-02-18 | 2003-10-07 | Fox Hollow Technologies, Inc. | Methods and devices for removing material from a vascular site |
| US6579298B1 (en) | 2000-02-29 | 2003-06-17 | Scimed Life Systems, Inc. | Method and apparatus for treating vein graft lesions |
| US20040243162A1 (en) | 2000-04-05 | 2004-12-02 | Pathway Medical Technologies, Inc. | Interventional catheter assemblies and control systems |
| US7344546B2 (en) | 2000-04-05 | 2008-03-18 | Pathway Medical Technologies | Intralumenal material removal using a cutting device for differential cutting |
| US10092313B2 (en) | 2000-04-05 | 2018-10-09 | Boston Scientific Limited | Medical sealed tubular structures |
| WO2001076680A1 (en) | 2000-04-05 | 2001-10-18 | Stx Medical, Inc. | Intralumenal material removal systems and methods |
| US8475484B2 (en) | 2000-04-05 | 2013-07-02 | Medrad, Inc. | Liquid seal assembly for a rotating torque tube |
| US6565588B1 (en) | 2000-04-05 | 2003-05-20 | Pathway Medical Technologies, Inc. | Intralumenal material removal using an expandable cutting device |
| US6517528B1 (en) | 2000-04-13 | 2003-02-11 | Scimed Life Systems, Inc. | Magnetic catheter drive shaft clutch |
| US6454717B1 (en) | 2000-04-13 | 2002-09-24 | Scimed Life Systems, Inc. | Concentric catheter drive shaft clutch |
| US6975898B2 (en) | 2000-06-19 | 2005-12-13 | University Of Washington | Medical imaging, diagnosis, and therapy using a scanning single optical fiber system |
| US7555333B2 (en) | 2000-06-19 | 2009-06-30 | University Of Washington | Integrated optical scanning image acquisition and display |
| US6511474B1 (en) | 2000-07-12 | 2003-01-28 | Corpak, Inc. | Bolus for non-occluding high flow enteral feeding tube |
| US6575995B1 (en) | 2000-07-14 | 2003-06-10 | Advanced Cardiovascular Systems, Inc. | Expandable cage embolic material filter system and method |
| US6572643B1 (en) | 2000-07-19 | 2003-06-03 | Vascular Architects, Inc. | Endoprosthesis delivery catheter assembly and method |
| AU2001285718B2 (en) | 2000-09-04 | 2006-11-02 | Danmarks Tekniske Universitet | Optical amplification in coherence reflectometry |
| US6451009B1 (en) * | 2000-09-12 | 2002-09-17 | The Regents Of The University Of California | OCDR guided laser ablation device |
| US6845190B1 (en) | 2000-11-27 | 2005-01-18 | University Of Washington | Control of an optical fiber scanner |
| US6856712B2 (en) | 2000-11-27 | 2005-02-15 | University Of Washington | Micro-fabricated optical waveguide for use in scanning fiber displays and scanned fiber image acquisition |
| US20020072706A1 (en) | 2000-12-11 | 2002-06-13 | Thomas Hiblar | Transluminal drug delivery catheter |
| US20060235366A1 (en) | 2000-12-20 | 2006-10-19 | Fox Hollow Technologies, Inc. | Method of evaluating a treatment for vascular disease |
| ATE499054T1 (de) | 2000-12-20 | 2011-03-15 | Fox Hollow Technologies Inc | Verkleinerungskatheter |
| US20100121360A9 (en) | 2000-12-20 | 2010-05-13 | Fox Hollow Technologies, Inc | Testing a patient population having a cardiovascular condition for drug efficacy |
| US20060032508A1 (en) | 2000-12-20 | 2006-02-16 | Fox Hollow Technologies, Inc. | Method of evaluating a treatment for vascular disease |
| US20050154407A1 (en) | 2000-12-20 | 2005-07-14 | Fox Hollow Technologies, Inc. | Method of evaluating drug efficacy for treating atherosclerosis |
| US20050222519A1 (en) | 2000-12-20 | 2005-10-06 | Fox Hollow Technologies, Inc. | Debulking catheters and methods |
| US7927784B2 (en) | 2000-12-20 | 2011-04-19 | Ev3 | Vascular lumen debulking catheters and methods |
| US20040167554A1 (en) | 2000-12-20 | 2004-08-26 | Fox Hollow Technologies, Inc. | Methods and devices for reentering a true lumen from a subintimal space |
| US7699790B2 (en) | 2000-12-20 | 2010-04-20 | Ev3, Inc. | Debulking catheters and methods |
| IL140780A0 (en) | 2001-01-08 | 2002-02-10 | Gaber Benny | Deflectable guiding apparatus |
| US6503261B1 (en) | 2001-01-17 | 2003-01-07 | Scimed Life Systems, Inc. | Bi-directional atherectomy burr |
| US6497649B2 (en) | 2001-01-21 | 2002-12-24 | University Of Washington | Alleviating motion, simulator, and virtual environmental sickness by presenting visual scene components matched to inner ear vestibular sensations |
| US6760112B2 (en) | 2001-02-17 | 2004-07-06 | Lucent Technologies Inc. | Grin-fiber lens based optical endoscopes |
| US6542665B2 (en) | 2001-02-17 | 2003-04-01 | Lucent Technologies Inc. | GRIN fiber lenses |
| US20020115931A1 (en) | 2001-02-21 | 2002-08-22 | Strauss H. William | Localizing intravascular lesions on anatomic images |
| US20020138091A1 (en) | 2001-03-23 | 2002-09-26 | Devonrex, Inc. | Micro-invasive nucleotomy device and method |
| US6616676B2 (en) | 2001-04-10 | 2003-09-09 | Scimed Life Systems, Inc. | Devices and methods for removing occlusions in vessels |
| US8046057B2 (en) | 2001-04-11 | 2011-10-25 | Clarke Dana S | Tissue structure identification in advance of instrument |
| US6522452B2 (en) | 2001-04-26 | 2003-02-18 | Jds Uniphase Corporation | Latchable microelectromechanical structures using non-newtonian fluids, and methods of operating same |
| US7865231B2 (en) | 2001-05-01 | 2011-01-04 | The General Hospital Corporation | Method and apparatus for determination of atherosclerotic plaque type by measurement of tissue optical properties |
| US7616986B2 (en) | 2001-05-07 | 2009-11-10 | University Of Washington | Optical fiber scanner for performing multimodal optical imaging |
| US7329223B1 (en) | 2001-05-31 | 2008-02-12 | Abbott Cardiovascular Systems Inc. | Catheter with optical fiber sensor |
| US6879851B2 (en) | 2001-06-07 | 2005-04-12 | Lightlab Imaging, Llc | Fiber optic endoscopic gastrointestinal probe |
| WO2002100249A2 (en) | 2001-06-13 | 2002-12-19 | Cardiovascular Innovations, Inc. | Apparatus and method for ultrasonically identifying vulnerable plaque |
| US6702744B2 (en) * | 2001-06-20 | 2004-03-09 | Advanced Cardiovascular Systems, Inc. | Agents that stimulate therapeutic angiogenesis and techniques and devices that enable their delivery |
| US6728571B1 (en) | 2001-07-16 | 2004-04-27 | Scimed Life Systems, Inc. | Electronically scanned optical coherence tomography with frequency modulated signals |
| WO2003007797A2 (en) | 2001-07-17 | 2003-01-30 | Kerberos Proximal Solutions | Fluid exchange system for controlled and localized irrigation and aspiration |
| US6599296B1 (en) | 2001-07-27 | 2003-07-29 | Advanced Cardiovascular Systems, Inc. | Ratcheting handle for intraluminal catheter systems |
| US20030045835A1 (en) | 2001-08-30 | 2003-03-06 | Vascular Solutions, Inc. | Method and apparatus for coagulation and closure of pseudoaneurysms |
| US6961123B1 (en) | 2001-09-28 | 2005-11-01 | The Texas A&M University System | Method and apparatus for obtaining information from polarization-sensitive optical coherence tomography |
| US7507245B2 (en) | 2001-10-19 | 2009-03-24 | Cardiovascular Systems, Inc. | Rotational angioplasty device with abrasive crown |
| US6749344B2 (en) | 2001-10-24 | 2004-06-15 | Scimed Life Systems, Inc. | Connection apparatus for optical coherence tomography catheters |
| US20050021075A1 (en) | 2002-12-30 | 2005-01-27 | Bonnette Michael J. | Guidewire having deployable sheathless protective filter |
| FR2832505B1 (fr) | 2001-11-16 | 2008-07-04 | Inst Francais Du Petrole | Refractometre a fibre optique |
| FR2832516B1 (fr) | 2001-11-19 | 2004-01-23 | Tokendo Sarl | Endoscopes rotatifs a visee distale deviee |
| US7557929B2 (en) | 2001-12-18 | 2009-07-07 | Massachusetts Institute Of Technology | Systems and methods for phase measurements |
| US7729742B2 (en) | 2001-12-21 | 2010-06-01 | Biosense, Inc. | Wireless position sensor |
| US6947787B2 (en) | 2001-12-21 | 2005-09-20 | Advanced Cardiovascular Systems, Inc. | System and methods for imaging within a body lumen |
| US7493156B2 (en) | 2002-01-07 | 2009-02-17 | Cardiac Pacemakers, Inc. | Steerable guide catheter with pre-shaped rotatable shaft |
| US7428001B2 (en) | 2002-03-15 | 2008-09-23 | University Of Washington | Materials and methods for simulating focal shifts in viewers using large depth of focus displays |
| US6869414B2 (en) | 2002-03-22 | 2005-03-22 | Cardiac Pacemakers, Inc. | Pre-shaped catheter with proximal articulation and pre-formed distal end |
| RU2218191C2 (ru) | 2002-04-11 | 2003-12-10 | Научно-исследовательский институт радиоэлектроники и лазерной техники Московского государственного технического университета им. Н.Э.Баумана | Эндовазальный мини-робот |
| US7738945B2 (en) | 2002-04-19 | 2010-06-15 | University Of Washington | Method and apparatus for pseudo-projection formation for optical tomography |
| US7811825B2 (en) | 2002-04-19 | 2010-10-12 | University Of Washington | System and method for processing specimens and images for optical tomography |
| US20050085708A1 (en) | 2002-04-19 | 2005-04-21 | University Of Washington | System and method for preparation of cells for 3D image acquisition |
| US20110201924A1 (en) | 2002-04-30 | 2011-08-18 | The General Hospital Corporation | Method and Apparatus for Improving Image Clarity and Sensitivity in Optical Tomography Using Dynamic Feedback to Control Focal Properties and Coherence Gating |
| US6852109B2 (en) | 2002-06-11 | 2005-02-08 | Intraluminal Therapeutics, Inc. | Radio frequency guide wire assembly with optical coherence reflectometry guidance |
| US6891984B2 (en) | 2002-07-25 | 2005-05-10 | Lightlab Imaging, Llc | Scanning miniature optical probes with optical distortion correction and rotational control |
| US20040039371A1 (en) | 2002-08-23 | 2004-02-26 | Bruce Tockman | Coronary vein navigator |
| US7359554B2 (en) * | 2002-08-26 | 2008-04-15 | Cleveland Clinic Foundation | System and method for identifying a vascular border |
| US7076135B2 (en) | 2002-09-20 | 2006-07-11 | Nippon Telegraph And Telephone Corporation | Optical module and manufacturing method therefor |
| US7087064B1 (en) | 2002-10-15 | 2006-08-08 | Advanced Cardiovascular Systems, Inc. | Apparatuses and methods for heart valve repair |
| CN100401994C (zh) | 2002-10-18 | 2008-07-16 | 阿里耶·谢尔 | 配有成像导丝的动脉粥样硬化斑移除*** |
| US20040147934A1 (en) | 2002-10-18 | 2004-07-29 | Kiester P. Douglas | Oscillating, steerable, surgical burring tool and method of using the same |
| US7493154B2 (en) | 2002-10-23 | 2009-02-17 | Medtronic, Inc. | Methods and apparatus for locating body vessels and occlusions in body vessels |
| US6849064B2 (en) | 2002-10-25 | 2005-02-01 | James S. Hamada | Minimal access lumbar diskectomy instrumentation and method |
| US6867753B2 (en) | 2002-10-28 | 2005-03-15 | University Of Washington | Virtual image registration in augmented display field |
| WO2004068218A2 (en) | 2003-01-24 | 2004-08-12 | University Of Washington | Optical beam scanning system for compact image display or image acquisition |
| US7474407B2 (en) | 2003-02-20 | 2009-01-06 | Applied Science Innovations | Optical coherence tomography with 3d coherence scanning |
| US20070035855A1 (en) | 2003-03-03 | 2007-02-15 | Dickensheets David L | Miniature confocal optical device, system, and method |
| US7715896B2 (en) | 2003-03-21 | 2010-05-11 | Boston Scientific Scimed, Inc. | Systems and methods for internal tissue penetration |
| US20040254599A1 (en) | 2003-03-25 | 2004-12-16 | Lipoma Michael V. | Method and apparatus for pre-lancing stimulation of puncture site |
| US7001369B2 (en) | 2003-03-27 | 2006-02-21 | Scimed Life Systems, Inc. | Medical device |
| US6934444B2 (en) | 2003-04-10 | 2005-08-23 | Sioptical, Inc. | Beam shaping and practical methods of reducing loss associated with mating external sources and optics to thin silicon waveguides |
| US8246640B2 (en) | 2003-04-22 | 2012-08-21 | Tyco Healthcare Group Lp | Methods and devices for cutting tissue at a vascular location |
| DE10323217A1 (de) | 2003-05-22 | 2004-12-16 | Siemens Ag | Optisches Kohärenztomographiesystem zur Untersuchung des menschlichen oder tierischen Gewebes oder von Organen |
| USD489973S1 (en) | 2003-06-02 | 2004-05-18 | Vascular Solutions, Inc. | Medical device package |
| US7488340B2 (en) | 2003-06-02 | 2009-02-10 | Vascular Solutions, Inc. | Vascular access closure system |
| US6943881B2 (en) | 2003-06-04 | 2005-09-13 | Tomophase Corporation | Measurements of optical inhomogeneity and other properties in substances using propagation modes of light |
| US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
| US7311723B2 (en) | 2003-07-11 | 2007-12-25 | University Of Washington | Scanning laser device and methods of use |
| CA2535942A1 (en) | 2003-08-21 | 2005-03-10 | Ischem Corporation | Automated methods and systems for vascular plaque detection and analysis |
| US7608048B2 (en) | 2003-08-28 | 2009-10-27 | Goldenberg Alec S | Rotating soft tissue biopsy needle |
| US7758625B2 (en) | 2003-09-12 | 2010-07-20 | Abbott Vascular Solutions Inc. | Delivery system for medical devices |
| DE202004021951U1 (de) * | 2003-09-12 | 2013-06-19 | Vessix Vascular, Inc. | Auswählbare exzentrische Remodellierung und/oder Ablation von atherosklerotischem Material |
| WO2005034765A2 (en) | 2003-10-03 | 2005-04-21 | Scimed Life Systems, Inc. | Systems for a delivering a medical implant to an anatomical location in a patient |
| DE602004028382D1 (de) | 2003-10-03 | 2010-09-09 | Medtronic Inc | Erweiterbare führungsschleuse und gerät |
| JP2005114473A (ja) | 2003-10-06 | 2005-04-28 | Hitachi Medical Corp | 光検出方法及び生体光計測装置 |
| EP1684645A4 (en) | 2003-10-07 | 2010-05-05 | Ford Henry Health System | Embolectomy CATHETER |
| CN103181753B (zh) | 2003-10-27 | 2016-12-28 | 通用医疗公司 | 用于使用频域干涉测量法进行光学成像的方法和设备 |
| WO2005105191A2 (en) | 2003-10-27 | 2005-11-10 | Besselink, Petrus, A. | Self-activating endoluminal device |
| US7901348B2 (en) | 2003-12-12 | 2011-03-08 | University Of Washington | Catheterscope 3D guidance and interface system |
| US20050149096A1 (en) | 2003-12-23 | 2005-07-07 | Hilal Said S. | Catheter with conduit traversing tip |
| US20050141843A1 (en) | 2003-12-31 | 2005-06-30 | Invitrogen Corporation | Waveguide comprising scattered light detectable particles |
| DE102004001498B4 (de) | 2004-01-09 | 2008-01-10 | Siemens Ag | Katheter zur Einführung in ein Gefäß |
| US20050159731A1 (en) | 2004-01-16 | 2005-07-21 | Lee Don W. | Intravascular catheter |
| US7706863B2 (en) | 2004-01-21 | 2010-04-27 | University Of Washington | Methods for assessing a physiological state of a mammalian retina |
| US20050197623A1 (en) | 2004-02-17 | 2005-09-08 | Leeflang Stephen A. | Variable steerable catheters and methods for using them |
| DE102004008371B4 (de) * | 2004-02-20 | 2006-05-24 | Siemens Ag | Atherektomiekatheter |
| DE102004008370B4 (de) | 2004-02-20 | 2006-06-01 | Siemens Ag | Katheter zur Durchführung und Überwachung von Rotablation |
| US7905896B2 (en) | 2004-03-04 | 2011-03-15 | Straub Medical Ag | Catheter for aspirating, fragmenting and removing material |
| JP2005249704A (ja) | 2004-03-08 | 2005-09-15 | Fujinon Corp | 断層映像装置 |
| US20050203425A1 (en) | 2004-03-10 | 2005-09-15 | Phil Langston | Coaxial dual lumen pigtail catheter |
| ATE556644T1 (de) | 2004-03-23 | 2012-05-15 | California Inst Of Techn | Vorwärts abtastende abbildungs-lichtfasersonde |
| US7126693B2 (en) | 2004-03-29 | 2006-10-24 | Carl Zeiss Meditec, Inc. | Simple high efficiency optical coherence domain reflectometer design |
| DE102004015640B4 (de) | 2004-03-31 | 2007-05-03 | Siemens Ag | Vorrichtung zum Durchführen einer "Cutting-Balloon"-Intervention mit OCT-Überwachung |
| US20050228428A1 (en) | 2004-04-07 | 2005-10-13 | Afsar Ali | Balloon catheters and methods for manufacturing balloons for balloon catheters |
| US20050251116A1 (en) | 2004-05-05 | 2005-11-10 | Minnow Medical, Llc | Imaging and eccentric atherosclerotic material laser remodeling and/or ablation catheter |
| US7242480B2 (en) | 2004-05-14 | 2007-07-10 | Medeikon Corporation | Low coherence interferometry for detecting and characterizing plaques |
| AU2004320269B2 (en) | 2004-05-29 | 2011-07-21 | The General Hospital Corporation | Process, system and software arrangement for a chromatic dispersion compensation using reflective layers in optical coherence tomography (OCT) imaging |
| US7196318B2 (en) | 2004-07-16 | 2007-03-27 | Kin-Man Yip | Fiber-optic sensing system |
| US20060049587A1 (en) | 2004-09-09 | 2006-03-09 | Cornwell Webster R | Tool connector |
| US20060064009A1 (en) | 2004-09-21 | 2006-03-23 | Webler William E | Vessel imaging devices and methods |
| JP4997112B2 (ja) | 2004-09-29 | 2012-08-08 | ザ ジェネラル ホスピタル コーポレイション | 少なくとも１つの電磁放射を伝送させるための装置およびその製造方法 |
| JP5623692B2 (ja) | 2004-11-02 | 2014-11-12 | ザ ジェネラル ホスピタル コーポレイション | 試料の画像形成のための光ファイバ回転装置、光学システム及び方法 |
| US8409191B2 (en) | 2004-11-04 | 2013-04-02 | Boston Scientific Scimed, Inc. | Preshaped ablation catheter for ablating pulmonary vein ostia within the heart |
| DE102005045071A1 (de) | 2005-09-21 | 2007-04-12 | Siemens Ag | Kathetervorrichtung mit einem Positionssensorsystem zur Behandlung eines teilweisen und/oder vollständigen Gefäßverschlusses unter Bildüberwachung |
| EP1825214A1 (en) | 2004-11-24 | 2007-08-29 | The General Hospital Corporation | Common-path interferometer for endoscopic oct |
| US7803168B2 (en) | 2004-12-09 | 2010-09-28 | The Foundry, Llc | Aortic valve repair |
| US7402151B2 (en) | 2004-12-17 | 2008-07-22 | Biocardia, Inc. | Steerable guide catheters and methods for their use |
| US8983582B2 (en) | 2004-12-20 | 2015-03-17 | Advanced Cardiovascular Systems, Inc. | Methods and apparatuses for positioning within an internal channel |
| US7455649B2 (en) | 2005-01-05 | 2008-11-25 | Vascular Solutions, Inc. | Abdominal tissue support for femoral puncture procedures |
| WO2006076731A1 (en) | 2005-01-12 | 2006-07-20 | University Of Florida Research Foundation, Inc. | Full circumferential scanning oct intravascular imaging probe based on scanning mems miror |
| US7854755B2 (en) | 2005-02-01 | 2010-12-21 | Boston Scientific Scimed, Inc. | Vascular catheter, system, and method |
| JP2008529598A (ja) | 2005-02-04 | 2008-08-07 | エーエムエス リサーチ コーポレイション | 外科用インプラントとこれに関連した方法およびシステム |
| EP1850735A2 (en) | 2005-02-10 | 2007-11-07 | Lightlab Imaging, Inc. | Optical coherence tomography apparatus and methods |
| US20060190024A1 (en) | 2005-02-24 | 2006-08-24 | Bei Nianjiong | Recovery catheter apparatus and method |
| US7530948B2 (en) | 2005-02-28 | 2009-05-12 | University Of Washington | Tethered capsule endoscope for Barrett's Esophagus screening |
| US20060252993A1 (en) | 2005-03-23 | 2006-11-09 | Freed David I | Medical devices and systems |
| JP2006288775A (ja) | 2005-04-12 | 2006-10-26 | Hitachi Medical Corp | 内視鏡手術支援システム |
| US20060229646A1 (en) | 2005-04-12 | 2006-10-12 | Sparks Kurt D | Forward-directed atherectomy catheter |
| US7794413B2 (en) | 2005-04-19 | 2010-09-14 | Ev3, Inc. | Libraries and data structures of materials removed by debulking catheters |
| US20060264907A1 (en) | 2005-05-02 | 2006-11-23 | Pulsar Vascular, Inc. | Catheters having stiffening mechanisms |
| DE102005021061B4 (de) | 2005-05-06 | 2011-12-15 | Siemens Ag | Verfahren zur tomographischen Darstellung eines Hohlraumes durch Optische-Kohärenz-Tomographie (OCT) und eine OCT-Vorrichtung zur Durchführung des Verfahrens |
| JP4643361B2 (ja) | 2005-05-30 | 2011-03-02 | オリンパス株式会社 | 内視鏡用処置具及び内視鏡用処置具システム |
| CA2509590A1 (en) | 2005-06-06 | 2006-12-06 | Solar International Products Inc. | Portable imaging apparatus |
| JP5020945B2 (ja) | 2005-06-06 | 2012-09-05 | ボード・オブ・リージエンツ，ザ・ユニバーシテイ・オブ・テキサス・システム | スペクトル的に分解した帯域幅を用いるｏｃｔ |
| JP2008543511A (ja) | 2005-06-24 | 2008-12-04 | ヴォルケイノウ・コーポレーション | 脈管の画像作製方法 |
| DE102005029897A1 (de) | 2005-06-27 | 2007-01-04 | Siemens Ag | Verbessertes OCT-basiertes Bildgebungsverfahren |
| WO2007002969A1 (en) | 2005-07-04 | 2007-01-11 | Medizinische Universität Wien | Optical coherence tomography probe device |
| US7426036B2 (en) | 2005-07-08 | 2008-09-16 | Imalux Corporation | Common path frequency domain optical coherence reflectometer and common path frequency domain optical coherence tomography device |
| US7428053B2 (en) | 2005-07-08 | 2008-09-23 | Imalux Corporation | Common path frequency domain optical coherence reflectometry/tomography device |
| DE102005032961A1 (de) | 2005-07-14 | 2007-01-18 | Siemens Ag | Verfahren und Vorrichtung zur Erzeugung eines Bildes mittels optischer Kohärenztomographie |
| US20080132929A1 (en) | 2005-07-19 | 2008-06-05 | O'sullivan Denis F | Surgical bur with anti-chatter flute geometry |
| US20070038173A1 (en) | 2005-07-27 | 2007-02-15 | Fox Hollow Technologies, Inc. | Methods affecting markers in patients having vascular disease |
| US7844348B2 (en) | 2005-08-09 | 2010-11-30 | Greatbatch Ltd. | Fiber optic assisted medical lead |
| US20070088230A1 (en) | 2005-09-06 | 2007-04-19 | Fmd Co., Ltd | Medical instrument and medical equipment for treatment, and rotational handle device |
| DE102005045088B4 (de) | 2005-09-21 | 2007-05-16 | Siemens Ag | Optisches Kohärenztomographie-System |
| DE102005045373A1 (de) | 2005-09-22 | 2007-04-05 | Siemens Ag | Kathetervorrichtung |
| EP1928297B1 (en) | 2005-09-29 | 2010-11-03 | Bioptigen, Inc. | Portable optical coherence tomography devices and related systems |
| WO2007041542A2 (en) | 2005-09-30 | 2007-04-12 | Cornova, Inc. | Systems and methods for analysis and treatment of a body lumen |
| JP2007101249A (ja) | 2005-09-30 | 2007-04-19 | Fujifilm Corp | 光断層画像化方法および装置 |
| JP4545696B2 (ja) | 2005-09-30 | 2010-09-15 | 富士フイルム株式会社 | 光プローブ |
| US7545504B2 (en) | 2005-10-07 | 2009-06-09 | Biotigen, Inc. | Imaging systems using unpolarized light and related methods and controllers |
| JP4850495B2 (ja) | 2005-10-12 | 2012-01-11 | 株式会社トプコン | 眼底観察装置及び眼底観察プログラム |
| US8047996B2 (en) | 2005-10-31 | 2011-11-01 | Volcano Corporation | System and method for reducing angular geometric distortion in an imaging device |
| US20070106147A1 (en) | 2005-11-01 | 2007-05-10 | Altmann Andres C | Controlling direction of ultrasound imaging catheter |
| US7728985B2 (en) | 2005-11-14 | 2010-06-01 | Imalux Corporation | Polarization-sensitive common path optical coherence reflectometry/tomography device |
| JP2007135947A (ja) | 2005-11-21 | 2007-06-07 | Fujifilm Corp | 光プローブおよび光断層画像化装置 |
| WO2007067163A1 (en) | 2005-11-23 | 2007-06-14 | University Of Washington | Scanning beam with variable sequential framing using interrupted scanning resonance |
| US7801343B2 (en) | 2005-11-29 | 2010-09-21 | Siemens Medical Solutions Usa, Inc. | Method and apparatus for inner wall extraction and stent strut detection using intravascular optical coherence tomography imaging |
| DE102005059262B4 (de) | 2005-12-12 | 2008-02-07 | Siemens Ag | Kathetervorrichtung |
| US20070213618A1 (en) | 2006-01-17 | 2007-09-13 | University Of Washington | Scanning fiber-optic nonlinear optical imaging and spectroscopy endoscope |
| WO2007149603A2 (en) | 2006-02-01 | 2007-12-27 | The General Hospital Corporation | Apparatus for applying a plurality of electro-magnetic radiations to a sample |
| US7989207B2 (en) | 2006-02-17 | 2011-08-02 | Tyco Healthcare Group Lp | Testing lumenectomy samples for markers of non-vascular diseases |
| JP4454030B2 (ja) | 2006-02-21 | 2010-04-21 | 国立大学法人 筑波大学 | ３次元光断層画像の画像処理方法 |
| JP2009528128A (ja) | 2006-03-03 | 2009-08-06 | ユニヴァーシティ オブ ワシントン | 多クラッド光ファイバ走査器 |
| US7785286B2 (en) | 2006-03-30 | 2010-08-31 | Volcano Corporation | Method and system for imaging, diagnosing, and/or treating an area of interest in a patient's body |
| US7846175B2 (en) | 2006-04-03 | 2010-12-07 | Medrad, Inc. | Guidewire and collapsable filter system |
| DE102006016957B4 (de) | 2006-04-11 | 2010-04-22 | Vimecon Gmbh | Laserapplikator |
| MY144980A (en) | 2006-04-17 | 2011-12-15 | Univ Sains Malaysia | Method for rapid detection of lymphatic filariasis |
| US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
| EP2019619A4 (en) | 2006-05-04 | 2010-07-21 | Centocor Ortho Biotech Inc | INFLAMMATORY DISEASE PROGRESSION, DIAGNOSTIC AND TREATMENT MONITORING PROCESSES, SYSTEMS, DEVICE AND USE |
| US20070270647A1 (en) | 2006-05-19 | 2007-11-22 | Ams Research Corporation | Handle for Multifunction Endoscope |
| US20070276419A1 (en) | 2006-05-26 | 2007-11-29 | Fox Hollow Technologies, Inc. | Methods and devices for rotating an active element and an energy emitter on a catheter |
| US20070288036A1 (en) | 2006-06-09 | 2007-12-13 | Niranjan Seshadri | Assembly for crossing a chronic total occlusion and method therefor |
| US7981128B2 (en) | 2006-06-30 | 2011-07-19 | Atheromed, Inc. | Atherectomy devices and methods |
| US20090018566A1 (en) * | 2006-06-30 | 2009-01-15 | Artheromed, Inc. | Atherectomy devices, systems, and methods |
| US20080045986A1 (en) | 2006-06-30 | 2008-02-21 | Atheromed, Inc. | Atherectomy devices and methods |
| JP5220007B2 (ja) | 2006-06-30 | 2013-06-26 | アセロメッド， インコーポレイテッド | アテローム切除術の装置および方法 |
| US9492192B2 (en) * | 2006-06-30 | 2016-11-15 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US8007506B2 (en) | 2006-06-30 | 2011-08-30 | Atheromed, Inc. | Atherectomy devices and methods |
| US9314263B2 (en) * | 2006-06-30 | 2016-04-19 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US8628549B2 (en) * | 2006-06-30 | 2014-01-14 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| IL176889A0 (en) | 2006-07-16 | 2006-10-31 | Medigus Ltd | Devices and methods for treating morbid obesity |
| JP4984706B2 (ja) | 2006-07-19 | 2012-07-25 | 株式会社デンソー | マイクロ構造体の製造方法 |
| US20080033396A1 (en) | 2006-08-01 | 2008-02-07 | Percutaneous Systems, Inc. | Vascular sheaths and methods for their deployment |
| US7674253B2 (en) | 2006-08-18 | 2010-03-09 | Kensey Nash Corporation | Catheter for conducting a procedure within a lumen, duct or organ of a living being |
| US20080058629A1 (en) | 2006-08-21 | 2008-03-06 | University Of Washington | Optical fiber scope with both non-resonant illumination and resonant collection/imaging for multiple modes of operation |
| US7538886B2 (en) | 2006-08-22 | 2009-05-26 | Imalux Corporation | Common path time domain optical coherence reflectometry/tomography device |
| EP1892501A3 (en) | 2006-08-23 | 2009-10-07 | Heliotis AG | Colorimetric three-dimensional microscopy |
| WO2008023741A1 (fr) | 2006-08-24 | 2008-02-28 | Terumo Kabushiki Kaisha | Accouplement de dispositif, dispositif auxiliaire et élément de fixation d'adaptateur |
| WO2008029506A1 (fr) | 2006-09-04 | 2008-03-13 | School Juridical Person Kitasato Gakuen | Appareil de tomographie à cohérence optique |
| US7821643B2 (en) | 2006-09-06 | 2010-10-26 | Imalux Corporation | Common path systems and methods for frequency domain and time domain optical coherence tomography using non-specular reference reflection and a delivering device for optical radiation with a partially optically transparent non-specular reference reflector |
| US20080065205A1 (en) | 2006-09-11 | 2008-03-13 | Duy Nguyen | Retrievable implant and method for treatment of mitral regurgitation |
| US7840283B1 (en) | 2006-09-21 | 2010-11-23 | Pacesetter, Inc. | Bipolar screw-in lead |
| US8068921B2 (en) | 2006-09-29 | 2011-11-29 | Vivant Medical, Inc. | Microwave antenna assembly and method of using the same |
| US7824089B2 (en) | 2006-10-03 | 2010-11-02 | Alcon, Inc. | Gradient index surgical illuminator |
| US8394078B2 (en) | 2006-10-04 | 2013-03-12 | Medrad, Inc. | Interventional catheters incorporating an active aspiration system |
| EP3103404B1 (en) | 2006-10-04 | 2021-09-01 | Boston Scientific Limited | Interventional catheters |
| US8126239B2 (en) | 2006-10-20 | 2012-02-28 | Siemens Aktiengesellschaft | Registering 2D and 3D data using 3D ultrasound data |
| EP2091442B1 (en) | 2006-10-26 | 2011-05-18 | Wilson-Cook Medical Inc. | Biopsy collection device |
| JP4869877B2 (ja) | 2006-11-17 | 2012-02-08 | 富士フイルム株式会社 | 光断層画像化装置 |
| WO2008065600A2 (en) | 2006-11-27 | 2008-06-05 | Koninklijke Philips Electronics, N.V. | System and method for fusing real-time ultrasound images with pre-acquired medical images |
| JP2008145376A (ja) | 2006-12-13 | 2008-06-26 | Fujifilm Corp | 光断層画像化システム |
| US7879004B2 (en) | 2006-12-13 | 2011-02-01 | University Of Washington | Catheter tip displacement mechanism |
| US20080146942A1 (en) | 2006-12-13 | 2008-06-19 | Ep Medsystems, Inc. | Catheter Position Tracking Methods Using Fluoroscopy and Rotational Sensors |
| DE202006018883U1 (de) | 2006-12-14 | 2007-02-15 | Aesculap Ag & Co. Kg | Chirurgischer Obturator |
| US8961551B2 (en) | 2006-12-22 | 2015-02-24 | The Spectranetics Corporation | Retractable separating systems and methods |
| US9028520B2 (en) | 2006-12-22 | 2015-05-12 | The Spectranetics Corporation | Tissue separating systems and methods |
| JP4389032B2 (ja) | 2007-01-18 | 2009-12-24 | 国立大学法人 筑波大学 | 光コヒーレンストモグラフィーの画像処理装置 |
| CN103222846B (zh) * | 2007-01-19 | 2017-04-26 | 桑尼布鲁克健康科学中心 | 用于成像探头的扫描机构 |
| WO2008087613A2 (en) | 2007-01-20 | 2008-07-24 | Ecole Polytechnique Federale De Lausanne (Epfl) | Dual beam heterodyne fourier domain optical coherence tomography |
| JP2008183208A (ja) | 2007-01-30 | 2008-08-14 | Hoya Corp | Ｏｃｔプローブおよびｏｃｔシステム。 |
| US7946997B2 (en) | 2007-02-16 | 2011-05-24 | Radi Medical Systems Ab | Measurement system to measure a physiological condition in a body |
| US20080221388A1 (en) | 2007-03-09 | 2008-09-11 | University Of Washington | Side viewing optical fiber endoscope |
| US20080243030A1 (en) | 2007-04-02 | 2008-10-02 | University Of Washington | Multifunction cannula tools |
| US8840566B2 (en) | 2007-04-02 | 2014-09-23 | University Of Washington | Catheter with imaging capability acts as guidewire for cannula tools |
| JP2008253492A (ja) | 2007-04-04 | 2008-10-23 | Fujifilm Corp | 断層画像処理方法および装置ならびにプログラム |
| US7583872B2 (en) | 2007-04-05 | 2009-09-01 | University Of Washington | Compact scanning fiber device |
| US7813538B2 (en) | 2007-04-17 | 2010-10-12 | University Of Washington | Shadowing pipe mosaicing algorithms with application to esophageal endoscopy |
| US7923801B2 (en) | 2007-04-18 | 2011-04-12 | Invisage Technologies, Inc. | Materials, systems and methods for optoelectronic devices |
| US7952718B2 (en) * | 2007-05-03 | 2011-05-31 | University Of Washington | High resolution optical coherence tomography based imaging for intraluminal and interstitial use implemented with a reduced form factor |
| WO2008151155A2 (en) | 2007-05-31 | 2008-12-11 | Board Of Regents, The University Of Texas System | Polarization-sensitive spectral interferometry |
| US8852112B2 (en) | 2007-06-28 | 2014-10-07 | W. L. Gore & Associates, Inc. | Catheter with deflectable imaging device and bendable electrical conductor |
| CA2691449A1 (en) | 2007-06-28 | 2009-01-08 | Gore Enterprise Holdings, Inc. | Improved catheter |
| JP5291304B2 (ja) | 2007-06-29 | 2013-09-18 | テルモ株式会社 | 光ケーブルおよびこれを使用した光干渉画像診断装置 |
| WO2009005779A1 (en) | 2007-06-29 | 2009-01-08 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| WO2009009474A1 (en) | 2007-07-09 | 2009-01-15 | Wilson-Cook Medical Inc. | Balloon catheter with deflation mechanism |
| WO2009009802A1 (en) | 2007-07-12 | 2009-01-15 | Volcano Corporation | Oct-ivus catheter for concurrent luminal imaging |
| JP5524835B2 (ja) | 2007-07-12 | 2014-06-18 | ヴォルカノ コーポレイション | 生体内撮像用カテーテル |
| US20090024084A1 (en) | 2007-07-16 | 2009-01-22 | Peritec Biosciences Ltd. | Multi-lumen catheter assembly and method of providing relative motion thereto |
| US20090028507A1 (en) | 2007-07-27 | 2009-01-29 | Ashley Wesley Jones | Fiber optic adapter with integrated shutter |
| JP5608556B2 (ja) | 2007-08-10 | 2014-10-15 | ボード・オブ・リージエンツ，ザ・ユニバーシテイ・オブ・テキサス・システム | 前方結像型光干渉断層（ｏｃｔ）システムおよびプローブ |
| DE102007039556B3 (de) | 2007-08-22 | 2009-01-22 | Carl Mahr Holding Gmbh | Optische Mikrosonde |
| JP5154868B2 (ja) | 2007-09-10 | 2013-02-27 | テルモ株式会社 | 画像診断装置及びその作動方法 |
| JP5022841B2 (ja) | 2007-09-14 | 2012-09-12 | Ｈｏｙａ株式会社 | 内視鏡用高周波処置具 |
| US20090076447A1 (en) | 2007-09-19 | 2009-03-19 | Jack Casas | Method and apparatus for conducting peripheral vascular disease procedures using a novel anchor balloon catheter |
| US8489190B2 (en) | 2007-10-08 | 2013-07-16 | Ais Gmbh Aachen Innovative Solutions | Catheter device |
| US8070762B2 (en) | 2007-10-22 | 2011-12-06 | Atheromed Inc. | Atherectomy devices and methods |
| US8236016B2 (en) * | 2007-10-22 | 2012-08-07 | Atheromed, Inc. | Atherectomy devices and methods |
| US8372064B2 (en) | 2007-11-08 | 2013-02-12 | Angiodynamics, Inc. | Articulatable device for delivering therapeutic energy to tissue |
| US8582934B2 (en) | 2007-11-12 | 2013-11-12 | Lightlab Imaging, Inc. | Miniature optical elements for fiber-optic beam shaping |
| US7813609B2 (en) | 2007-11-12 | 2010-10-12 | Lightlab Imaging, Inc. | Imaging catheter with integrated reference reflector |
| WO2009065078A1 (en) | 2007-11-14 | 2009-05-22 | Pathway Medical Technologies, Inc. | Delivery and administration of compositions using interventional catheters |
| US7791009B2 (en) | 2007-11-27 | 2010-09-07 | University Of Washington | Eliminating illumination crosstalk while using multiple imaging devices with plural scanning devices, each coupled to an optical fiber |
| US20090137893A1 (en) | 2007-11-27 | 2009-05-28 | University Of Washington | Adding imaging capability to distal tips of medical tools, catheters, and conduits |
| US8059274B2 (en) | 2007-12-07 | 2011-11-15 | The Spectranetics Corporation | Low-loss polarized light diversion |
| JP5129562B2 (ja) | 2007-12-27 | 2013-01-30 | 富士フイルム株式会社 | 光断層画像化方法およびシステム |
| US8983580B2 (en) | 2008-01-18 | 2015-03-17 | The Board Of Trustees Of The University Of Illinois | Low-coherence interferometry and optical coherence tomography for image-guided surgical treatment of solid tumors |
| US20110009741A1 (en) | 2008-01-21 | 2011-01-13 | The Regents Of The University Of California | Endovascular Optical Coherence Tomography Device |
| WO2009094214A1 (en) | 2008-01-22 | 2009-07-30 | Volk Donald A | Real image forming eye examination lens utilizing two reflecting surfaces |
| JP2009201969A (ja) | 2008-02-01 | 2009-09-10 | Fujifilm Corp | Ｏｃｔ用光プローブおよび光断層画像化装置 |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US20090208143A1 (en) | 2008-02-19 | 2009-08-20 | University Of Washington | Efficient automated urothelial imaging using an endoscope with tip bending |
| US8784440B2 (en) | 2008-02-25 | 2014-07-22 | Covidien Lp | Methods and devices for cutting tissue |
| DE102008013854A1 (de) | 2008-03-12 | 2009-09-24 | Siemens Aktiengesellschaft | Katheter und zugehörige medizinische Untersuchungs- und Behandlungseinrichtung |
| US8348429B2 (en) | 2008-03-27 | 2013-01-08 | Doheny Eye Institute | Optical coherence tomography device, method, and system |
| US8125645B2 (en) | 2008-03-31 | 2012-02-28 | Fujifilm Corporation | Optical tomographic imaging system, tomographic image acquiring method, and optical tomographic image forming method |
| US8374680B2 (en) | 2008-04-21 | 2013-02-12 | Medtronic Vascular, Inc. | Needleless catheters and methods for true lumen re-entry in treatment of chronic total occlusions and other disorders |
| US20100125253A1 (en) | 2008-11-17 | 2010-05-20 | Avinger | Dual-tip Catheter System for Boring through Blocked Vascular Passages |
| US8062316B2 (en) | 2008-04-23 | 2011-11-22 | Avinger, Inc. | Catheter system and method for boring through blocked vascular passages |
| US7992999B2 (en) | 2008-04-23 | 2011-08-09 | University Of Pittsburgh - Of The Commonwealth System Of Higher Education | Automated assessment of optic nerve head with spectral domain optical coherence tomography |
| US8696695B2 (en) | 2009-04-28 | 2014-04-15 | Avinger, Inc. | Guidewire positioning catheter |
| US9125562B2 (en) | 2009-07-01 | 2015-09-08 | Avinger, Inc. | Catheter-based off-axis optical coherence tomography imaging system |
| US9788790B2 (en) | 2009-05-28 | 2017-10-17 | Avinger, Inc. | Optical coherence tomography for biological imaging |
| US20090270838A1 (en) | 2008-04-24 | 2009-10-29 | Medtronic Vascular, Inc. | Catheter Flushing Mandrel |
| EP2278908B1 (en) | 2008-04-27 | 2021-06-02 | Loma Vista Medical, Inc. | Biological navigation device |
| US20090275966A1 (en) | 2008-05-05 | 2009-11-05 | Miroslav Mitusina | Flexible inner members having flexible regions comprising a plurality of intertwined helical cuts |
| WO2009140617A2 (en) | 2008-05-15 | 2009-11-19 | Axsun Technologies, Inc. | Oct combining probes and integrated systems |
| US8757812B2 (en) | 2008-05-19 | 2014-06-24 | University of Washington UW TechTransfer—Invention Licensing | Scanning laser projection display devices and methods for projecting one or more images onto a surface with a light-scanning optical fiber |
| US20090306520A1 (en) | 2008-06-02 | 2009-12-10 | Lightlab Imaging, Inc. | Quantitative methods for obtaining tissue characteristics from optical coherence tomography images |
| WO2009148317A1 (en) | 2008-06-05 | 2009-12-10 | Technische Universiteit Delft | Automatic catheter positioning system |
| JP5340648B2 (ja) | 2008-06-12 | 2013-11-13 | オリンパスメディカルシステムズ株式会社 | 被検体情報算出装置及び被検体情報算出方法 |
| JP5150725B2 (ja) | 2008-06-20 | 2013-02-27 | テルモ株式会社 | 接続装置および光イメージング装置 |
| JP2010011958A (ja) | 2008-07-02 | 2010-01-21 | Fujifilm Corp | 光断層画像化用プローブ及びこれを用いた光断層画像化装置 |
| US8313493B2 (en) | 2008-07-10 | 2012-11-20 | Cook Medical Technologies Llc | Hydraulic guidewire advancement system |
| US20100023033A1 (en) | 2008-07-25 | 2010-01-28 | Medtronic Vescular, Inc. | Hydrodynamic Thrombectomy Catheter |
| JP2010042182A (ja) | 2008-08-18 | 2010-02-25 | Fujifilm Corp | レーザ治療装置 |
| US8711471B2 (en) | 2008-08-21 | 2014-04-29 | Nlight Photonics Corporation | High power fiber amplifier with stable output |
| JP2010081957A (ja) | 2008-09-29 | 2010-04-15 | Olympus Corp | 光源装置 |
| US20100081873A1 (en) | 2008-09-30 | 2010-04-01 | AiHeart Medical Technologies, Inc. | Systems and methods for optical viewing and therapeutic intervention in blood vessels |
| US20100082000A1 (en) | 2008-09-30 | 2010-04-01 | Medtronic, Inc. | Catheter system with reinforced member |
| EP2358282B1 (en) | 2008-10-13 | 2017-12-06 | Covidien LP | Devices for manipulating a catheter shaft |
| CN104068933B (zh) | 2008-11-11 | 2017-03-15 | 施菲姆德控股有限责任公司 | 小外形的电极组件 |
| US8864654B2 (en) | 2010-04-20 | 2014-10-21 | Jeffrey B. Kleiner | Method and apparatus for performing retro peritoneal dissection |
| FR2939281B1 (fr) | 2008-12-10 | 2014-07-04 | Affflex Europ | Dispositif de prelevement d'un echantillon de tissu d'un animal |
| US20100198081A1 (en) | 2009-02-02 | 2010-08-05 | John Harold Hanlin | Scanning light imager |
| US8403916B2 (en) | 2009-02-26 | 2013-03-26 | Enteroptyx | Surgical instrument having a magnetically driven detachable tool assembly |
| DE102009014489B4 (de) | 2009-03-23 | 2011-03-10 | Siemens Aktiengesellschaft | Katheter und medizinische Vorrichtung |
| ES2532407T3 (es) | 2009-04-29 | 2015-03-26 | Covidien Lp | Dispositivos para cortar y raspar tejido |
| US8632557B2 (en) | 2009-05-12 | 2014-01-21 | Cardiovascular Systems, Inc. | Rotational atherectomy device and method to improve abrading efficiency |
| KR101323514B1 (ko) | 2009-05-14 | 2013-10-29 | 코비디엔 엘피 | 세척이 용이한 죽상반 절제 카테터 및 사용 방법 |
| DE102009021580B3 (de) | 2009-05-15 | 2010-11-25 | Medizinisches Laserzentrum Lübeck GmbH | Vorwärtsscannendes OCT-Endoskop |
| US8226566B2 (en) | 2009-06-12 | 2012-07-24 | Flowcardia, Inc. | Device and method for vascular re-entry |
| WO2011003006A2 (en) | 2009-07-01 | 2011-01-06 | Avinger, Inc. | Atherectomy catheter with laterally-displaceable tip |
| BR112012001042A2 (pt) | 2009-07-14 | 2016-11-22 | Gen Hospital Corp | equipamento e método de medição do fluxo de fluído dentro de estrutura anatômica. |
| US8523867B2 (en) | 2009-07-31 | 2013-09-03 | Zimmer Gmbh | Orthopaedic reamer |
| US8151648B2 (en) | 2009-08-03 | 2012-04-10 | University Of Maryland | Ultra-miniature fiber-optic pressure sensor system and method of fabrication |
| US8388582B2 (en) | 2009-08-12 | 2013-03-05 | Medrad, Inc. | Systems and methods for operating interventional catheters using a common operating console and adaptive interface components |
| US8435228B2 (en) | 2009-08-12 | 2013-05-07 | Medrad, Inc. | Interventional catheter assemblies incorporating guide wire brake and management systems |
| US20110071401A1 (en) | 2009-09-24 | 2011-03-24 | Boston Scientific Scimed, Inc. | Systems and methods for making and using a stepper motor for an intravascular ultrasound imaging system |
| WO2011044387A2 (en) | 2009-10-07 | 2011-04-14 | The Board Of Regents Of The University Of Texas System | Pressure-sensing medical devices, systems and methods, and methods of forming medical devices |
| JP5704516B2 (ja) | 2009-11-17 | 2015-04-22 | コニカミノルタ株式会社 | 光断層画像測定装置のプローブ及びプローブの調整方法 |
| CA2781046C (en) | 2009-12-02 | 2014-09-16 | Tyco Healthcare Group Lp | Methods and devices for cutting tissue |
| WO2011072068A2 (en) | 2009-12-08 | 2011-06-16 | Avinger, Inc. | Devices and methods for predicting and preventing restenosis |
| AU2010328078B2 (en) | 2009-12-11 | 2013-07-04 | Covidien Lp | Material removal device having improved material capture efficiency and methods of use |
| US8478384B2 (en) | 2010-01-19 | 2013-07-02 | Lightlab Imaging, Inc. | Intravascular optical coherence tomography system with pressure monitoring interface and accessories |
| US20110208222A1 (en) | 2010-02-25 | 2011-08-25 | Boris Ljahnicky | System and Method for the Treatment of Occluded Vessels |
| EP4183441A1 (en) | 2010-02-26 | 2023-05-24 | The Board of Trustees of the Leland Stanford Junior University | Systems for endoluminal valve creation |
| US8738151B2 (en) | 2010-04-28 | 2014-05-27 | Medtronic, Inc. | Body portal anchors and systems |
| US8764779B2 (en) | 2010-05-13 | 2014-07-01 | Rex Medical, L.P. | Rotational thrombectomy wire |
| EP2575591A4 (en) | 2010-06-03 | 2017-09-13 | The General Hospital Corporation | Apparatus and method for devices for imaging structures in or at one or more luminal organs |
| JP5690928B2 (ja) | 2010-06-14 | 2015-03-25 | コヴィディエン リミテッド パートナーシップ | 物質除去デバイス |
| US20110319905A1 (en) | 2010-06-23 | 2011-12-29 | Palme Robert A | Multiple function vascular device |
| US11382653B2 (en) | 2010-07-01 | 2022-07-12 | Avinger, Inc. | Atherectomy catheter |
| WO2014039096A1 (en) | 2012-09-06 | 2014-03-13 | Avinger, Inc. | Re-entry stylet for catheter |
| WO2012003430A2 (en) | 2010-07-01 | 2012-01-05 | Avinger, Inc. | Atherectomy catheters with longitudinally displaceable drive shafts |
| CN103533899A (zh) | 2010-10-06 | 2014-01-22 | 史密夫和内修有限公司 | 用于组织修复的*** |
| US9084610B2 (en) | 2010-10-21 | 2015-07-21 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter apparatuses, systems, and methods for renal neuromodulation |
| US8956299B2 (en) | 2010-10-28 | 2015-02-17 | Boston Scientific Scimed, Inc. | Systems and methods for reducing non-uniform rotation distortion in ultrasound images |
| CN103328033B (zh) | 2010-11-09 | 2016-05-18 | 奥普森斯公司 | 具有内部压力传感器的导丝 |
| RU2553930C2 (ru) | 2010-11-11 | 2015-06-20 | Ковидиен Лп | Гибкие фрагментирующие катетеры с визуализацией и способы их использования и изготовления |
| EP2484297B1 (en) | 2011-02-04 | 2017-04-26 | Arthrex, Inc. | Curved bur |
| GB2518340A (en) | 2011-03-15 | 2015-03-25 | Barts & London Nhs Trust | Steerable element for use in surgery |
| EP2691038B1 (en) | 2011-03-28 | 2016-07-20 | Avinger, Inc. | Occlusion-crossing devices, imaging, and atherectomy devices |
| US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
| US8801713B2 (en) | 2011-04-07 | 2014-08-12 | DePuy Synthes Products, LLC | Surgical drill instrument with motor and locking mechanism to receive an attachment and a cutting burr |
| JP2012229976A (ja) | 2011-04-26 | 2012-11-22 | Hoya Corp | 光走査型プローブ |
| CA2833387A1 (en) | 2011-05-03 | 2012-11-08 | Shifamed Holdings, Llc | Steerable delivery sheaths |
| US20120289971A1 (en) | 2011-05-11 | 2012-11-15 | Merit Medical Systems, Inc. | Multiple lumen retrieval device and method of using |
| WO2012166332A1 (en) | 2011-05-27 | 2012-12-06 | Lightlab Imaging, Inc. | Optical coherence tomography and pressure based systems and methods |
| WO2013003757A2 (en) | 2011-06-30 | 2013-01-03 | The Spectranetics Corporation | Reentry catheter and method thereof |
| JP5989312B2 (ja) | 2011-08-18 | 2016-09-07 | 東芝メディカルシステムズ株式会社 | 画像処理表示装置及び画像処理表示プログラム |
| WO2013033490A1 (en) | 2011-08-31 | 2013-03-07 | Volcano Corporation | Rotational imaging systems with stabilizers |
| US9360630B2 (en) | 2011-08-31 | 2016-06-07 | Volcano Corporation | Optical-electrical rotary joint and methods of use |
| WO2013040498A1 (en) | 2011-09-16 | 2013-03-21 | Translucent Medical, Inc. | System and method for virtually tracking a surgical tool on a movable display |
| US20130085514A1 (en) | 2011-09-30 | 2013-04-04 | Tyco Healthcare Group Lp | Rotating occlusion treatment system |
| EP2765930B1 (en) | 2011-10-13 | 2018-09-26 | Atheromed, Inc. | Atherectomy apparatus |
| JP6356604B2 (ja) | 2011-10-17 | 2018-07-11 | アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． | アテローム切除カテーテルおよびカテーテル用の非接触型作動機構 |
| US9345406B2 (en) | 2011-11-11 | 2016-05-24 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
| EP2775945B1 (en) * | 2011-11-11 | 2019-05-08 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
| CA2801744C (en) | 2012-01-17 | 2015-10-13 | Covidien Lp | Material removal device and method of use |
| US20130211221A1 (en) | 2012-02-08 | 2013-08-15 | Imricor Medical Systems, Inc. | System and method for identifying and communicating with an interventional medical device |
| US8967885B2 (en) | 2012-02-23 | 2015-03-03 | Corning Incorporated | Stub lens assemblies for use in optical coherence tomography systems |
| GB201203994D0 (en) | 2012-03-07 | 2012-04-18 | Everingham John S | medical applicator |
| US9036966B2 (en) | 2012-03-28 | 2015-05-19 | Corning Incorporated | Monolithic beam-shaping optical systems and methods for an OCT probe |
| JP5579218B2 (ja) | 2012-03-28 | 2014-08-27 | 株式会社東芝 | 圧力検知素子の製造方法 |
| EP2849661B1 (en) | 2012-05-14 | 2020-12-09 | Avinger, Inc. | Atherectomy catheters with imaging |
| EP2849636B1 (en) | 2012-05-14 | 2020-04-22 | Avinger, Inc. | Optical coherence tomography with graded index fiber for biological imaging |
| EP2849660B1 (en) | 2012-05-14 | 2021-08-25 | Avinger, Inc. | Atherectomy catheter drive assemblies |
| US9888994B2 (en) | 2012-05-15 | 2018-02-13 | Transverse Medical, Inc. | Catheter-based apparatuses and methods |
| US20130317519A1 (en) | 2012-05-25 | 2013-11-28 | Hansen Medical, Inc. | Low friction instrument driver interface for robotic systems |
| US9381062B2 (en) | 2012-05-31 | 2016-07-05 | Covidien Lp | Electro-mechanical intravascular device |
| EP2892448B1 (en) | 2012-09-06 | 2020-07-15 | Avinger, Inc. | Balloon atherectomy catheters with imaging |
| US9498247B2 (en) | 2014-02-06 | 2016-11-22 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US11284916B2 (en) | 2012-09-06 | 2022-03-29 | Avinger, Inc. | Atherectomy catheters and occlusion crossing devices |
| US9532844B2 (en) | 2012-09-13 | 2017-01-03 | Covidien Lp | Cleaning device for medical instrument and method of use |
| US9943329B2 (en) | 2012-11-08 | 2018-04-17 | Covidien Lp | Tissue-removing catheter with rotatable cutter |
| JP6073493B2 (ja) | 2012-11-08 | 2017-02-01 | コヴィディエン リミテッド パートナーシップ | 動作制御機構を含む組織除去カテーテル |
| JP6267718B2 (ja) | 2012-11-19 | 2018-01-24 | ライトラボ・イメージング・インコーポレーテッド | マルチモーダルプローブのためのインターフェイス装置、システム及び方法 |
| EP2928391B1 (en) | 2012-12-05 | 2019-11-20 | Rapid Medical Ltd. | Devices for assisting medical treatments |
| JP6110509B2 (ja) | 2012-12-12 | 2017-04-05 | コヴィディエン リミテッド パートナーシップ | 押し付け機構を含む組織除去カテーテル |
| EP2931152B1 (en) | 2012-12-12 | 2019-09-18 | Covidien LP | Tissue-removing catheter for body lumen |
| JP6479678B2 (ja) | 2012-12-21 | 2019-03-06 | ボルケーノ コーポレイション | マルチセンサ医療デバイスのための表示制御 |
| US10588597B2 (en) | 2012-12-31 | 2020-03-17 | Intuitive Surgical Operations, Inc. | Systems and methods for interventional procedure planning |
| JP6377634B2 (ja) | 2013-01-07 | 2018-08-22 | タルヤグ メディカル リミテッド | 拡張可能アテローム切除術用デバイス |
| US20140275996A1 (en) | 2013-03-12 | 2014-09-18 | Volcano Corporation | Systems and methods for constructing an image of a body structure |
| US11096717B2 (en) | 2013-03-15 | 2021-08-24 | Avinger, Inc. | Tissue collection device for catheter |
| CN105228514B (zh) | 2013-03-15 | 2019-01-22 | 阿维格公司 | 光学压力传感器组件 |
| EP2967371B1 (en) | 2013-03-15 | 2024-05-15 | Avinger, Inc. | Chronic total occlusion crossing devices with imaging |
| US9649484B2 (en) | 2013-03-28 | 2017-05-16 | Covidien Lp | Snap connection for two tubes |
| WO2014186674A2 (en) | 2013-05-17 | 2014-11-20 | Ninepoint Medical, Inc. | Angular image manipulation |
| EP3016601A4 (en) | 2013-07-01 | 2017-03-15 | Avinger, Inc. | Occlusion sheath for imaging catheter |
| US10130386B2 (en) | 2013-07-08 | 2018-11-20 | Avinger, Inc. | Identification of elastic lamina to guide interventional therapy |
| US9605942B2 (en) | 2013-07-31 | 2017-03-28 | Corning Incorporated | OCT probes and OCT optical probe component for use therein |
| JP2017500993A (ja) | 2013-11-18 | 2017-01-12 | ボルケーノ コーポレイション | 腔内カテーテルのトラッキング |
| US20150146211A1 (en) | 2013-11-27 | 2015-05-28 | Corning Incorporated | Optical coherence tomography probe |
| FR3015883B1 (fr) | 2013-12-31 | 2021-01-15 | Inria Inst Nat Rech Informatique & Automatique | Systeme et procede de suivi du deplacement d'un instrument medical dans le corps d'un sujet |
| JP6539669B2 (ja) | 2014-02-06 | 2019-07-03 | アビンガー・インコーポレイテッドＡｖｉｎｇｅｒ， Ｉｎｃ． | 粥腫切除カテーテル及び閉塞横断装置 |
| WO2015134383A1 (en) | 2014-03-03 | 2015-09-11 | The Spectranetics Corporation | Multiple configuration surgical cutting device |
| CN106456126B (zh) | 2014-04-29 | 2020-06-30 | 皇家飞利浦有限公司 | 用于确定导管的具***置的设备 |
| US10175127B2 (en) | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
| WO2015200702A1 (en) | 2014-06-27 | 2015-12-30 | Covidien Lp | Cleaning device for catheter and catheter including the same |
| CA2955242A1 (en) | 2014-07-08 | 2016-01-14 | Avinger, Inc. | High speed chronic total occlusion crossing devices |
| WO2017007853A1 (en) | 2015-07-06 | 2017-01-12 | Avinger, Inc. | Self-alignment mechanism for imaging catheter and drive assembly |
| WO2017011587A1 (en) | 2015-07-13 | 2017-01-19 | Avinger, Inc. | Micro-molded anamorphic reflector lens for image guided therapeutic/diagnostic catheters |
| US11278248B2 (en) | 2016-01-25 | 2022-03-22 | Avinger, Inc. | OCT imaging catheter with lag correction |
| EP3435892B1 (en) | 2016-04-01 | 2024-04-03 | Avinger, Inc. | Atherectomy catheter with serrated cutter |
| EP3249541B1 (en) | 2016-05-27 | 2020-07-08 | NXP USA, Inc. | A data processor |
| CN109475368A (zh) | 2016-06-03 | 2019-03-15 | 阿维格公司 | 具有可拆卸远端的导管装置 |
| EP3478190B1 (en) | 2016-06-30 | 2023-03-15 | Avinger, Inc. | Atherectomy catheter with shapeable distal tip |
| WO2018094041A1 (en) | 2016-11-16 | 2018-05-24 | Avinger, Inc. | Methods, systems and apparatuses for displaying real-time catheter position |
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| US10806484B2 (en) | 2020-10-20 |
| US20160135832A1 (en) | 2016-05-19 |
| US20190159796A1 (en) | 2019-05-30 |
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| US11944342B2 (en) | 2024-04-02 |
| EP3019096A1 (en) | 2016-05-18 |
| EP3019096A4 (en) | 2016-12-28 |
| WO2015006353A1 (en) | 2015-01-15 |
| EP3019096B1 (en) | 2023-07-05 |
| US20210267621A1 (en) | 2021-09-02 |
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