JP6590887B2 - 血管系内でマイクロカテーテルを心合するための方法および装置 - Google Patents
血管系内でマイクロカテーテルを心合するための方法および装置 Download PDFInfo
- Publication number
- JP6590887B2 JP6590887B2 JP2017200224A JP2017200224A JP6590887B2 JP 6590887 B2 JP6590887 B2 JP 6590887B2 JP 2017200224 A JP2017200224 A JP 2017200224A JP 2017200224 A JP2017200224 A JP 2017200224A JP 6590887 B2 JP6590887 B2 JP 6590887B2
- Authority
- JP
- Japan
- Prior art keywords
- scaffold
- microcatheter
- distal end
- self
- catheter device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/32075—Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
- A61B2017/22042—Details of the tip of the guide wire
- A61B2017/22044—Details of the tip of the guide wire with a pointed tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22069—Immobilising; Stabilising
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22094—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for crossing total occlusions, i.e. piercing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
-
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1047—Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate shape
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Pathology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Description
本願は、米国特許出願第13/842,744号(2013年3月15日出願)、米国仮出願第61/793,268号(2013年3月15日出願)、および米国仮出願第61/716,856号(2012年10月22日出願)に対する優先権を主張するものであり、その全体の内容は、参照により本明細書中に援用される。
本発明は、例えば、以下を提供する。
(項目1)
カテーテル装置であって、
遠位端および近位端を伴う、中空シャフトと、
中心縦軸を有する、非閉塞性自己拡張可能足場であって、前記自己拡張可能足場は、前記カテーテルの遠位端に配置され、前記カテーテルの遠位端の一部は、少なくとも部分的に、前記自己拡張可能足場の内側に配置される、自己拡張可能足場と
を備え、
前記遠位端は、前記シャフトに沿って摺動可能であり、
前記足場は、前記カテーテルの遠位端に結合されるように構成され、前記カテーテルの遠位端の少なくとも一部は、実質的に、前記自己拡張可能足場構造の中心軸に沿って配置される、装置。
(項目2)
前記中空シャフトにわたって摺動するためのシースをさらに備える、項目1に記載のカテーテル装置。
(項目3)
管腔、遠位開口部、および遠位端を有する、マイクロカテーテルをさらに備える、項目1に記載のカテーテル装置。
(項目4)
前記内側シャフトおよびマイクロカテーテルは、独立して、動作可能である、項目3に記載のカテーテル装置。
(項目5)
前記マイクロカテーテルの管腔を通して通過するための1つ以上のガイドワイヤをさらに備える、項目1に記載のカテーテル装置。
(項目6)
前記マイクロカテーテルは、前記1つ以上のガイドワイヤより剛性であるが、それほど可撓性ではない、項目5に記載のカテーテル装置。
(項目7)
前記自己拡張可能足場は、前記足場の円筒形平面から前記自己拡張可能足場構造の中心縦軸に内向きに突出する、ループを備える、項目1に記載のカテーテル装置。
(項目8)
前記ループは、前記自己拡張可能足場構造の中心縦軸に略沿って、前記シャフトを位置付ける、項目7に記載のカテーテル装置。
(項目9)
前記自己拡張可能足場は、ニチノールを備える、項目1に記載のカテーテル装置。
(項目10)
前記自己拡張可能足場は、前記足場の遠位端にループ網を備える、項目1に記載のカテーテル装置。
(項目11)
前記シースおよびシャフトは、可撓性である、項目3に記載のカテーテル装置。
(項目12)
前記シャフトの遠位端は、親水性である、項目1に記載のカテーテル装置。
(項目13)
前記シースの遠位端は、親水性コーティングを備える、項目3に記載のカテーテル装置。
(項目14)
前記マイクロカテーテルの遠位端は、テーパ状である、項目2に記載のカテーテル装置。
(項目15)
前記マイクロカテーテルは、可撤性または非常に可撓性である、項目2に記載のカテーテル装置。
(項目16)
ハンドル本体をさらに備える、項目1に記載のカテーテル装置。
(項目17)
マイクロカテーテルを脈管内で心合させる方法であって、
マイクロカテーテルを脈管の中に挿入するステップであって、前記マイクロカテーテルは、
遠位端および近位端を伴う、中空シャフトと、
中心縦軸を有する、非閉塞性自己拡張可能足場であって、前記自己拡張可能足場は、前記カテーテルの遠位端に配置され、前記カテーテルの遠位端の一部は、少なくとも部分的に、前記自己拡張可能足場の内側に配置される、自己拡張可能足場と、
シースと
を備え、
前記遠位端は、前記シャフトに沿って摺動可能であり、
前記足場は、前記カテーテルの遠位端に結合されるように構成され、前記カテーテルの遠位端の少なくとも一部は、実質的に、前記自己拡張可能足場構造の中心軸に沿って配置され、
前記中空シャフトは、前記シースによって被覆される、ステップと、
前記シースを抜去し、前記自己拡張可能足場構造を拡張させ、それによって、前記足場の拡張は、前記足場の中心縦軸に沿って、前記マイクロカテーテルを心合させ、それによって、前記マイクロカテーテルを前記脈管内で心合させる、ステップと
を含む、方法。
(項目18)
ガイドワイヤを前記マイクロカテーテルを通して挿入するステップをさらに含む、項目17に記載の方法。
(項目19)
前記脈管は、慢性閉塞病変を有し、前記方法はさらに、前記慢性閉塞病変と接触させて、前記マイクロカテーテルを前進させるステップを含む、項目17に記載の方法。
(項目20)
前記自己拡張可能足場は、前記足場の円筒形平面から前記自己拡張可能足場構造の中心縦軸に内向きに突出する、ループを備える、項目17に記載の方法。
(項目21)
前記ループは、前記自己拡張可能足場構造の中心縦軸に略沿って、前記シャフトを位置付ける、項目17に記載の方法。
Claims (20)
- 動脈血管系のためのカテーテル装置であって、前記カテーテル装置は、
遠位端、近位端、および単一の中空管腔を伴う中空シャフトと、
中心縦軸と、遠位端と、近位端とを有する非埋込型非閉塞性自己拡張可能足場であって、前記自己拡張可能足場は、カテーテルの遠位端に配置されており、前記カテーテルの遠位端の一部は、少なくとも部分的に、前記自己拡張可能足場の内側に配置されている、自己拡張可能足場と
を備え、
前記足場の近位端は、前記シャフトに恒久的に添着され、前記足場の遠位端は、前記シャフトに沿って摺動可能であるように構成されており、
前記足場は、前記カテーテルの遠位端に結合されるように構成されており、前記カテーテルの遠位端の少なくとも一部は、前記足場が拡張された状態にあるときに、前記中空管腔が、前記血管系内で心合されるように、実質的に、前記自己拡張可能足場の中心軸に沿って配置されており、
前記足場の遠位端は、各々が少なくとも1つの支柱に、そして、遠位ループに接続された複数の遠位コネクタを備える取着区画を含み、前記取着区画は、シャフト上に圧着されると括約効果を生成するように構成され、前記括約効果は、前記足場を前記シャフト上で定位置に保持し、前記シャフトに対する摺動移動を可能にする、カテーテル装置。 - 前記中空シャフトにわたって摺動するための外側シャフトをさらに備える、請求項1に記載のカテーテル装置。
- 管腔と、遠位開口部と、遠位端とを有するマイクロカテーテルをさらに備え、前記マイクロカテーテルは、前記中空シャフトの管腔を通過可能であり、前記足場は、前記足場の中心縦軸に沿って前記マイクロカテーテルを心合させるように構成されている、請求項2に記載のカテーテル装置。
- 前記中空シャフトおよびマイクロカテーテルは、独立して、動作可能であることができる、請求項3に記載のカテーテル装置。
- 前記マイクロカテーテルの管腔を通過するための1つ以上のガイドワイヤをさらに備える、請求項3に記載のカテーテル装置。
- 前記マイクロカテーテルは、前記1つ以上のガイドワイヤより剛性であるが、前記1つ以上のガイドワイヤより可撓性ではなく、前記マイクロカテーテルの遠位端は、テーパ状である、請求項5に記載のカテーテル装置。
- 前記自己拡張可能足場は、前記足場の円筒形平面から前記自己拡張可能足場構造の中心縦軸に内向きに突出するループを備える、請求項1に記載のカテーテル装置。
- 前記ループは、前記自己拡張可能足場構造の中心縦軸に略沿って、前記中空シャフトを位置付ける、請求項7に記載のカテーテル装置。
- 前記自己拡張可能足場は、ニチノールを備える、請求項1に記載のカテーテル装置。
- 前記中空シャフトおよび前記外側シャフトは、可撓性である、請求項3に記載のカテーテル装置。
- 前記マイクロカテーテルは、取り外し可能である、請求項3に記載のカテーテル装置。
- ハンドル本体をさらに備える、請求項1に記載のカテーテル装置。
- 前記足場の遠位端は、前記中空シャフトが通過するループを有するように構成されている、請求項1に記載のカテーテル装置。
- 前記足場のループは、少なくとも1つの頂部および少なくとも1つの谷部を備える、請求項13に記載のカテーテル装置。
- 前記ループは、ジグザグの構成を備える、請求項13に記載のカテーテル装置。
- 前記足場のループは、前記中空シャフト上に圧着されている、請求項13に記載のカテーテル装置。
- 前記ループは、前記足場の遠位端上に配置されたリングを備える、請求項13に記載のカテーテル装置。
- 前記足場は、拡張されると、略円筒形形状である、請求項13に記載のカテーテル装置。
- 前記足場が支柱をさらに備える、請求項13に記載のカテーテル装置。
- 前記足場の近位端は、前記中空シャフトに対するいかなる実質的移動も防止するように前記中空シャフトに固定して取着されている、請求項1に記載のカテーテル装置。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261716856P | 2012-10-22 | 2012-10-22 | |
US61/716,856 | 2012-10-22 | ||
US201361793268P | 2013-03-15 | 2013-03-15 | |
US13/842,744 | 2013-03-15 | ||
US13/842,744 US9126020B2 (en) | 2007-06-26 | 2013-03-15 | Catheter apparatus with telescoping lumen catheters and its use in methods for treating vasculatures |
US61/793,268 | 2013-03-15 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015538142A Division JP6381536B2 (ja) | 2012-10-22 | 2013-10-22 | 血管系内でマイクロカテーテルを心合するための方法および装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018023824A JP2018023824A (ja) | 2018-02-15 |
JP6590887B2 true JP6590887B2 (ja) | 2019-10-16 |
Family
ID=50545188
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015538142A Active JP6381536B2 (ja) | 2012-10-22 | 2013-10-22 | 血管系内でマイクロカテーテルを心合するための方法および装置 |
JP2017200224A Active JP6590887B2 (ja) | 2012-10-22 | 2017-10-16 | 血管系内でマイクロカテーテルを心合するための方法および装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015538142A Active JP6381536B2 (ja) | 2012-10-22 | 2013-10-22 | 血管系内でマイクロカテーテルを心合するための方法および装置 |
Country Status (5)
Country | Link |
---|---|
US (1) | US10426510B2 (ja) |
EP (1) | EP2908783B1 (ja) |
JP (2) | JP6381536B2 (ja) |
HK (1) | HK1215663A1 (ja) |
WO (1) | WO2014066412A1 (ja) |
Families Citing this family (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9125683B2 (en) | 2007-06-26 | 2015-09-08 | Roxwood Medical Inc. | Method and apparatus for placing a catheter within a vasculature |
US9126020B2 (en) | 2007-06-26 | 2015-09-08 | Roxwood Medical, Inc. | Catheter apparatus with telescoping lumen catheters and its use in methods for treating vasculatures |
JP5758626B2 (ja) | 2007-06-26 | 2015-08-05 | ロックスウッド・メディカル・インコーポレイテッド | 脈管構造を治療するためのカテーテル装置 |
JP6381536B2 (ja) | 2012-10-22 | 2018-08-29 | ロックスウッド メディカル, インコーポレイテッド | 血管系内でマイクロカテーテルを心合するための方法および装置 |
US10315007B2 (en) | 2014-07-15 | 2019-06-11 | Stryker Corporation | Vascular access system and method of use |
JP6651504B2 (ja) * | 2014-08-21 | 2020-02-19 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 閉塞を横断するためのデバイス及び方法 |
US9801643B2 (en) * | 2014-09-02 | 2017-10-31 | Cook Medical Technologies Llc | Clot retrieval catheter |
US10596354B2 (en) | 2015-09-25 | 2020-03-24 | Mark Taber | Guide wires, catheters, and guide wire catheter systems and methods |
CN108784895B (zh) * | 2017-04-28 | 2024-07-09 | 青岛智辰生物科技有限公司 | 一种扩张支架*** |
US20210370022A1 (en) * | 2020-05-28 | 2021-12-02 | Incept, Llc | Anchoring strain relief member |
WO2023281500A1 (en) * | 2021-07-05 | 2023-01-12 | VeinWay Ltd. | Vessel blockage passing |
US11883616B2 (en) | 2021-07-07 | 2024-01-30 | Mekal, LLC | Multi-lumen intravascular catheters with inner converging lumens for multiple guidewire control |
Family Cites Families (144)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4894051A (en) | 1984-05-14 | 1990-01-16 | Surgical Systems & Instruments, Inc. | Atherectomy system with a biasing sleeve and method of using the same |
EP0189329A3 (en) | 1985-01-25 | 1987-06-03 | Robert E. Fischell | A tunneling catheter system for transluminal arterial angioplasty |
US4898575A (en) | 1987-08-31 | 1990-02-06 | Medinnovations, Inc. | Guide wire following tunneling catheter system and method for transluminal arterial atherectomy |
US4917094A (en) | 1987-10-28 | 1990-04-17 | Medical Parameters Inc. | Guidewire advancement system |
US4854325A (en) | 1987-11-09 | 1989-08-08 | Stevens Robert C | Reciprocating guidewire method |
US5002560A (en) | 1989-09-08 | 1991-03-26 | Advanced Cardiovascular Systems, Inc. | Expandable cage catheter with a rotatable guide |
US4983165A (en) | 1990-01-23 | 1991-01-08 | Loiterman David A | Guidance system for vascular catheter or the like |
US5071407A (en) | 1990-04-12 | 1991-12-10 | Schneider (U.S.A.) Inc. | Radially expandable fixation member |
US5221261A (en) | 1990-04-12 | 1993-06-22 | Schneider (Usa) Inc. | Radially expandable fixation member |
IT1255000B (it) | 1991-06-27 | 1995-10-11 | Nippon Zeon Co | Catetere a palloncino per pompaggio intra-aortico |
US5242428A (en) | 1991-10-04 | 1993-09-07 | Aubrey Palestrant | Apparatus for wetting hydrophilic-coated guide wires and catheters |
US5509900A (en) | 1992-03-02 | 1996-04-23 | Kirkman; Thomas R. | Apparatus and method for retaining a catheter in a blood vessel in a fixed position |
US5769821A (en) | 1992-03-02 | 1998-06-23 | Quinton Instrument Company | Catheter tip retainer |
ATE149325T1 (de) | 1992-10-12 | 1997-03-15 | Schneider Europ Ag | Katheter mit einer gefässstütze |
US5456667A (en) | 1993-05-20 | 1995-10-10 | Advanced Cardiovascular Systems, Inc. | Temporary stenting catheter with one-piece expandable segment |
US5480423A (en) | 1993-05-20 | 1996-01-02 | Boston Scientific Corporation | Prosthesis delivery |
DE4320962C2 (de) | 1993-06-24 | 1997-04-17 | Osypka Peter | Katheter aus einem biegsamen Kunststoffschlauch |
ATE184496T1 (de) | 1993-07-01 | 1999-10-15 | Schneider Europ Gmbh | Arzneigeräte für die behandlung von blutgefässen mittels ionisierungsbestrahlung |
US5628761A (en) | 1994-07-08 | 1997-05-13 | Rizik; David G. | Guide wire passage creation device |
US5779688A (en) | 1994-10-28 | 1998-07-14 | Intella Interventional Systems, Inc. | Low profile balloon-on-a-wire catheter with shapeable and/or deflectable tip and method |
US6885971B2 (en) | 1994-11-21 | 2005-04-26 | Phatrat Technology, Inc. | Methods and systems for assessing athletic performance |
US5575771A (en) | 1995-04-24 | 1996-11-19 | Walinsky; Paul | Balloon catheter with external guidewire |
US5855546A (en) * | 1996-02-29 | 1999-01-05 | Sci-Med Life Systems | Perfusion balloon and radioactive wire delivery system |
US6071285A (en) | 1996-03-25 | 2000-06-06 | Lashinski; Robert D. | Rapid exchange folded balloon catheter and stent delivery system |
US5947924A (en) | 1996-09-13 | 1999-09-07 | Angiorad, L.L.C. | Dilatation/centering catheter used for the treatment of stenosis or other constriction in a bodily passageway and method thereof |
US6835203B1 (en) | 1996-11-04 | 2004-12-28 | Advanced Stent Technologies, Inc. | Extendible stent apparatus |
US6059812A (en) | 1997-03-21 | 2000-05-09 | Schneider (Usa) Inc. | Self-expanding medical device for centering radioactive treatment sources in body vessels |
US5824055A (en) | 1997-03-25 | 1998-10-20 | Endotex Interventional Systems, Inc. | Stent graft delivery system and methods of use |
JPH1176419A (ja) * | 1997-09-03 | 1999-03-23 | Asahi Optical Co Ltd | 内視鏡用留置バスケット |
US20100030256A1 (en) | 1997-11-12 | 2010-02-04 | Genesis Technologies Llc | Medical Devices and Methods |
WO1999030641A1 (en) | 1997-12-15 | 1999-06-24 | Prolifix Medical, Inc. | Vascular stent for reduction of restenosis |
EP1054634A4 (en) | 1998-02-10 | 2006-03-29 | Artemis Medical Inc | CAPTURE APPARATUS AND METHOD OF USE |
US6159139A (en) | 1998-02-17 | 2000-12-12 | Advanced Cardiovascular Systems Inc. | Radiation delivery catheter with a spring wire centering mechanism |
US6146395A (en) | 1998-03-05 | 2000-11-14 | Scimed Life Systems, Inc. | Ablation burr |
US6425898B1 (en) * | 1998-03-13 | 2002-07-30 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6511492B1 (en) | 1998-05-01 | 2003-01-28 | Microvention, Inc. | Embolectomy catheters and methods for treating stroke and other small vessel thromboembolic disorders |
US6544253B1 (en) | 1998-07-24 | 2003-04-08 | Eva Corporation | Surgical support device and method of using the same |
US7169160B1 (en) | 1998-07-28 | 2007-01-30 | Medtronic, Inc. | Device for anchoring tubular element |
US6210408B1 (en) | 1999-02-24 | 2001-04-03 | Scimed Life Systems, Inc. | Guide wire system for RF recanalization of vascular blockages |
CA2364136A1 (en) | 1999-03-08 | 2000-09-14 | Microvena Corporation | Minimally invasive medical device deployment and retrieval system |
US7037320B2 (en) | 2001-12-21 | 2006-05-02 | Salviac Limited | Support frame for an embolic protection device |
US6126649A (en) | 1999-06-10 | 2000-10-03 | Transvascular, Inc. | Steerable catheter with external guidewire as catheter tip deflector |
US6136025A (en) | 1999-07-27 | 2000-10-24 | Barbut; Denise R. | Endoscopic arterial pumps for treatment of cardiac insufficiency and venous pumps for right-sided cardiac support |
EP1225949B1 (en) | 1999-09-17 | 2012-11-07 | Tyco Healthcare Group LP | Mechanical pump for removal of fragmented matter |
US6702830B1 (en) | 1999-09-17 | 2004-03-09 | Bacchus Vascular, Inc. | Mechanical pump for removal of fragmented matter and methods of manufacture and use |
US7655016B2 (en) | 1999-09-17 | 2010-02-02 | Covidien | Mechanical pump for removal of fragmented matter and methods of manufacture and use |
US6454775B1 (en) | 1999-12-06 | 2002-09-24 | Bacchus Vascular Inc. | Systems and methods for clot disruption and retrieval |
US6254593B1 (en) | 1999-12-10 | 2001-07-03 | Advanced Cardiovascular Systems, Inc. | Bifurcated stent delivery system having retractable sheath |
US20010031981A1 (en) | 2000-03-31 | 2001-10-18 | Evans Michael A. | Method and device for locating guidewire and treating chronic total occlusions |
US7769420B2 (en) | 2000-05-15 | 2010-08-03 | Silver James H | Sensors for detecting substances indicative of stroke, ischemia, or myocardial infarction |
US7381198B2 (en) | 2000-08-23 | 2008-06-03 | Revascular Therapeutics, Inc. | Steerable distal support system |
US6416523B1 (en) | 2000-10-03 | 2002-07-09 | Scimed Life Systems, Inc. | Method and apparatus for creating channels through vascular total occlusions |
WO2004026180A2 (en) | 2000-12-27 | 2004-04-01 | Advanced Stent Technologies, Inc. | Stent with protruding branch portion for bifurcated vessels |
WO2002067772A2 (en) * | 2001-01-12 | 2002-09-06 | Napoli, Llc. | Intra-uterine devices and method of use |
US6752829B2 (en) | 2001-01-30 | 2004-06-22 | Scimed Life Systems, Inc. | Stent with channel(s) for containing and delivering a biologically active material and method for manufacturing the same |
US6579302B2 (en) | 2001-03-06 | 2003-06-17 | Cordis Corporation | Total occlusion guidewire device |
US7645273B2 (en) | 2001-03-14 | 2010-01-12 | Evr Medical S.A.R.L. | Vascular catheter guide wire carrier |
US6500186B2 (en) | 2001-04-17 | 2002-12-31 | Scimed Life Systems, Inc. | In-stent ablative tool |
US7052500B2 (en) | 2001-10-19 | 2006-05-30 | Scimed Life Systems, Inc. | Embolus extractor |
US6749619B2 (en) * | 2001-11-20 | 2004-06-15 | The Cleveland Clinic Foundation | Apparatus and method for eliminating dislodged thrombus |
US6964681B2 (en) | 2002-01-29 | 2005-11-15 | Medtronic Vascular, Inc. | Flared stent and method of use |
US20030163082A1 (en) | 2002-02-26 | 2003-08-28 | Mertens Steven P. | Lumen weld |
US20030171765A1 (en) | 2002-03-05 | 2003-09-11 | Scimed Life Systems, Inc. | Catheter for treating vulnerable plaque |
US6855136B2 (en) | 2002-04-03 | 2005-02-15 | Gore Enterprise Holdings, Inc. | Infusion catheter having an atraumatic tip |
US20030236533A1 (en) | 2002-06-20 | 2003-12-25 | The Regents Of The University Of California | Shape memory polymer actuator and catheter |
US6932829B2 (en) | 2002-06-24 | 2005-08-23 | Cordis Corporation | Centering catheter |
US7485139B1 (en) | 2002-10-10 | 2009-02-03 | Ciamacco Jr Sam | Stent delivery and deployment system |
US7393339B2 (en) | 2003-02-21 | 2008-07-01 | C. R. Bard, Inc. | Multi-lumen catheter with separate distal tips |
US7131981B2 (en) | 2003-03-25 | 2006-11-07 | Angiodynamics, Inc. | Device and method for converting a balloon catheter into a cutting balloon catheter |
US8070761B2 (en) | 2003-04-10 | 2011-12-06 | Boston Scientific Scimed, Inc. | Vessel occluding material extractor |
US20040215220A1 (en) | 2003-04-24 | 2004-10-28 | Dolan Mark J. | Anastomotic stent, apparatus and methods of use thereof |
US7695508B2 (en) | 2003-10-16 | 2010-04-13 | Minvasys Sa | Catheter system for stenting bifurcated vessels |
US7344550B2 (en) | 2003-10-21 | 2008-03-18 | Boston Scientific Scimed, Inc. | Clot removal device |
US7922687B2 (en) | 2003-11-17 | 2011-04-12 | Cook Medical Technologies Llc | Catheter with centering wire |
WO2005094540A2 (en) | 2004-03-25 | 2005-10-13 | Hong Mun K | Total occlusion recanalization facilitating device |
US8277373B2 (en) | 2004-04-14 | 2012-10-02 | Usgi Medical, Inc. | Methods and apparaus for off-axis visualization |
US20160022293A1 (en) | 2004-04-15 | 2016-01-28 | Genesis Technologies Llc | Medical device and method |
US7887529B2 (en) | 2004-04-19 | 2011-02-15 | Boston Scientific Scimed, Inc. | Hybrid micro guide catheter |
US7758626B2 (en) | 2004-07-20 | 2010-07-20 | Medtronic Vascular, Inc. | Device and method for delivering an endovascular stent-graft having a longitudinally unsupported portion |
US20060069323A1 (en) | 2004-09-24 | 2006-03-30 | Flowmedica, Inc. | Systems and methods for bi-lateral guidewire cannulation of branched body lumens |
US20060149129A1 (en) | 2005-01-05 | 2006-07-06 | Watts H D | Catheter with multiple visual elements |
US20060155366A1 (en) | 2005-01-10 | 2006-07-13 | Laduca Robert | Apparatus and method for deploying an implantable device within the body |
US8287583B2 (en) | 2005-01-10 | 2012-10-16 | Taheri Laduca Llc | Apparatus and method for deploying an implantable device within the body |
US20060190070A1 (en) | 2005-02-23 | 2006-08-24 | Dieck Martin S | Rail stent and methods of use |
US7901367B2 (en) | 2005-06-30 | 2011-03-08 | Cook Incorporated | Wire guide advancement system |
US20070083215A1 (en) | 2005-10-07 | 2007-04-12 | Hamer Rochelle M | Conduit for interventional procedures |
US7691081B2 (en) | 2005-11-05 | 2010-04-06 | Crossman Arthur W | Expandable component guide wire system and related method of using the same |
US20070123925A1 (en) | 2005-11-28 | 2007-05-31 | Medtronic Vascular, Inc. | Pre-curved guiding catheter with mechanically actuated anchor |
US20070135826A1 (en) | 2005-12-01 | 2007-06-14 | Steve Zaver | Method and apparatus for delivering an implant without bias to a left atrial appendage |
FR2894131B1 (fr) | 2005-12-02 | 2008-12-05 | Perouse Soc Par Actions Simpli | Dispositif de traitement d'un vaisseau sanguin, et necessaire de traitement associe. |
WO2007081842A2 (en) | 2006-01-09 | 2007-07-19 | University Of Virginia Patent Foundation | Multi-port catheter system with medium control and measurement systems for therapy and diagnosis delivery |
WO2007092323A1 (en) | 2006-02-07 | 2007-08-16 | Sutura, Inc. | Reverse tapered guidewire and method of use |
WO2007100716A2 (en) * | 2006-02-27 | 2007-09-07 | William A. Cook Australia Pty. Ltd. | Retention of stents |
US9757260B2 (en) | 2006-03-30 | 2017-09-12 | Medtronic Vascular, Inc. | Prosthesis with guide lumen |
US7846175B2 (en) | 2006-04-03 | 2010-12-07 | Medrad, Inc. | Guidewire and collapsable filter system |
US20070250035A1 (en) * | 2006-04-19 | 2007-10-25 | El-Nounou Fozan O | Devices and methods for intravascular drug delivery |
US7771401B2 (en) | 2006-06-08 | 2010-08-10 | Angiodynamics, Inc. | Selective renal cannulation and infusion systems and methods |
WO2008051898A2 (en) | 2006-10-22 | 2008-05-02 | Via Biomedical, Inc. | Devices and methods for unwrapping or preventing the wrapping of elongated medical devices |
US7776080B2 (en) * | 2007-04-25 | 2010-08-17 | Abbott Cardiovascualr Systems Inc. | Stent delivery catheter system and method of implanting a self-expanding stent with embolic protection |
US7842056B2 (en) | 2007-05-18 | 2010-11-30 | Boston Scientific Scimed, Inc. | Cutting member for bifurcation catheter assembly |
US9126020B2 (en) | 2007-06-26 | 2015-09-08 | Roxwood Medical, Inc. | Catheter apparatus with telescoping lumen catheters and its use in methods for treating vasculatures |
US9358037B2 (en) | 2007-06-26 | 2016-06-07 | Roxwood Medical, Inc. | Method and apparatus for centering a microcatheter within a vasculature |
US9125683B2 (en) | 2007-06-26 | 2015-09-08 | Roxwood Medical Inc. | Method and apparatus for placing a catheter within a vasculature |
JP5758626B2 (ja) * | 2007-06-26 | 2015-08-05 | ロックスウッド・メディカル・インコーポレイテッド | 脈管構造を治療するためのカテーテル装置 |
CA2695963A1 (en) * | 2007-08-15 | 2009-02-19 | Wilson-Cook Medical Inc. | Deployment system for soft stents |
US8668712B2 (en) | 2007-08-31 | 2014-03-11 | BiO2 Medical, Inc. | Multi-lumen central access vena cava filter apparatus and method of using same |
WO2009046097A1 (en) | 2007-10-02 | 2009-04-09 | Cook Incorporated | Medical systems, devices and methods for coupling wire guides |
US8066757B2 (en) | 2007-10-17 | 2011-11-29 | Mindframe, Inc. | Blood flow restoration and thrombus management methods |
US9198687B2 (en) * | 2007-10-17 | 2015-12-01 | Covidien Lp | Acute stroke revascularization/recanalization systems processes and products thereby |
ES2622105T3 (es) | 2007-10-19 | 2017-07-05 | Barts And The London Nhs Trust | Aparato de catéter |
US20090105644A1 (en) | 2007-10-22 | 2009-04-23 | Abbott Cardiovascular Systems Inc. | Intravascular medical device having a readily collapsible covered frame |
US20090105642A1 (en) | 2007-10-22 | 2009-04-23 | Abbott Cardiovascular Systems Inc. | Low profile agent delivery perfusion catheter having reversibly expanding frames |
US8100860B2 (en) | 2007-12-06 | 2012-01-24 | Abbott Laboratories | Device and method for treating vulnerable plaque |
CA2719627A1 (en) | 2008-03-28 | 2009-10-01 | Niranjan Seshadri | Device for treating occlusions, and method for treating occluded vessels |
US20090292307A1 (en) * | 2008-05-22 | 2009-11-26 | Nasser Razack | Mechanical embolectomy device and method |
US8162964B2 (en) | 2008-06-05 | 2012-04-24 | Cardiovascular Systems, Inc. | Split flexible tube biasing and directional atherectomy device and method |
WO2010093836A2 (en) | 2009-02-11 | 2010-08-19 | Mark Mallaby | Neurovascular microcatheter device, system and methods for use thereof |
EP2403583B1 (en) * | 2009-03-06 | 2016-10-19 | Lazarus Effect, Inc. | Retrieval systems |
US10207126B2 (en) | 2009-05-11 | 2019-02-19 | Cytyc Corporation | Lumen visualization and identification system for multi-lumen balloon catheter |
GB2472213B (en) | 2009-07-28 | 2011-08-10 | Cook William Europ | Aspiration catheter |
US9211389B2 (en) | 2009-12-07 | 2015-12-15 | Cook Medical Technologies Llc | Offset soft tip with proposed tooling |
EP3616655B1 (en) | 2010-03-24 | 2023-08-30 | Advanced Bifurcation Systems Inc. | Selective stent crimping |
US20120046730A1 (en) | 2010-04-14 | 2012-02-23 | Abbott Vascular | Methods of treating a condition of a vessel in a patient |
US9126016B2 (en) | 2010-05-19 | 2015-09-08 | Nfusion Vascular Systems Llc | Augmented delivery catheter and method |
US10335577B2 (en) | 2010-05-19 | 2019-07-02 | Nfinium Vascular Technologies, Llc | Augmented delivery catheter and method |
US9561094B2 (en) | 2010-07-23 | 2017-02-07 | Nfinium Vascular Technologies, Llc | Devices and methods for treating venous diseases |
ES2566166T3 (es) * | 2010-10-20 | 2016-04-11 | Stryker Corporation | Catéter de administración de stent con capacidades de intercambio rápido |
US20120197277A1 (en) | 2011-02-01 | 2012-08-02 | Stinis Curtiss T | Vascular plaque removal systems, devices, and methods |
US9055964B2 (en) * | 2011-03-15 | 2015-06-16 | Angio Dynamics, Inc. | Device and method for removing material from a hollow anatomical structure |
US20120259314A1 (en) | 2011-04-11 | 2012-10-11 | Medtronic Vascular, Inc. | Apparatus and Methods for Recanalization of a Chronic Total Occlusion |
JP6456140B2 (ja) | 2011-05-23 | 2019-01-23 | ニティループ リミテッド | 体腔挿入装置用展開機構 |
US9408626B2 (en) | 2011-10-28 | 2016-08-09 | Cook Medical Technologies Llc | Clot removal system and method |
US9364255B2 (en) | 2011-11-09 | 2016-06-14 | Boston Scientific Scimed, Inc. | Medical cutting devices and methods of use |
US9220906B2 (en) | 2012-03-26 | 2015-12-29 | Medtronic, Inc. | Tethered implantable medical device deployment |
US20130317534A1 (en) | 2012-05-24 | 2013-11-28 | Boston Scientific Scimed, Inc. | Subintimal re-entry catheter with an expandable structure |
US9204887B2 (en) | 2012-08-14 | 2015-12-08 | W. L. Gore & Associates, Inc. | Devices and systems for thrombus treatment |
JP6381536B2 (ja) | 2012-10-22 | 2018-08-29 | ロックスウッド メディカル, インコーポレイテッド | 血管系内でマイクロカテーテルを心合するための方法および装置 |
US20140277015A1 (en) | 2013-03-14 | 2014-09-18 | Curtiss T. Stinis | Vascular plaque removal systems, devices, and methods |
US10123870B2 (en) | 2013-09-12 | 2018-11-13 | St. Jude Medical, Cardiology Division, Inc. | Alignment of an implantable medical device |
US20150157216A1 (en) | 2013-12-06 | 2015-06-11 | Volcano Corporation | Device, system, and method for assessing intravascular pressure |
US11006840B2 (en) | 2013-12-06 | 2021-05-18 | Philips Image Guided Therapy Corporation | Device, system, and method for assessing intravascular pressure |
US9446222B2 (en) | 2014-03-05 | 2016-09-20 | Invatec S.P.A. | Catheter assemblies and methods for stabilizing a catheter assembly within a subintimal space |
US20150297250A1 (en) | 2014-04-16 | 2015-10-22 | Covidien Lp | Systems and methods for catheter advancement |
CN106456073B (zh) | 2014-05-02 | 2020-10-30 | 皇家飞利浦有限公司 | 用于评估血管内压力的装置、***和方法 |
-
2013
- 2013-10-22 JP JP2015538142A patent/JP6381536B2/ja active Active
- 2013-10-22 EP EP13848899.4A patent/EP2908783B1/en active Active
- 2013-10-22 WO PCT/US2013/066217 patent/WO2014066412A1/en active Application Filing
-
2016
- 2016-02-25 HK HK16102179.1A patent/HK1215663A1/zh unknown
- 2016-04-27 US US15/139,936 patent/US10426510B2/en active Active
-
2017
- 2017-10-16 JP JP2017200224A patent/JP6590887B2/ja active Active
Also Published As
Publication number | Publication date |
---|---|
EP2908783A4 (en) | 2016-06-01 |
EP2908783A1 (en) | 2015-08-26 |
EP2908783B1 (en) | 2020-08-05 |
JP2018023824A (ja) | 2018-02-15 |
JP2015536173A (ja) | 2015-12-21 |
US20160235429A1 (en) | 2016-08-18 |
US10426510B2 (en) | 2019-10-01 |
WO2014066412A9 (en) | 2014-09-18 |
WO2014066412A1 (en) | 2014-05-01 |
HK1215663A1 (zh) | 2016-09-09 |
JP6381536B2 (ja) | 2018-08-29 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6590887B2 (ja) | 血管系内でマイクロカテーテルを心合するための方法および装置 | |
US11065028B2 (en) | Method and apparatus for placing a catheter within a vasculature | |
US9358037B2 (en) | Method and apparatus for centering a microcatheter within a vasculature | |
US20200030579A1 (en) | Catheter apparatus and methods for treating vasculatures | |
US20190083754A1 (en) | Catheter apparatus with telescoping lumen catheters and its use in methods for treating vasculatures | |
JP2018531751A (ja) | 経管的血管形成デバイス及び使用方法 | |
CN106794333B (zh) | 再进入有慢性完全闭塞病变的身体血管的导管***和方法 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20171016 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20180709 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20181002 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20181129 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20190212 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20190509 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20190805 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20190821 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20190917 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6590887 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
RD03 | Notification of appointment of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: R3D03 |
|
RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: R3D04 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
S111 | Request for change of ownership or part of ownership |
Free format text: JAPANESE INTERMEDIATE CODE: R313111 |
|
R350 | Written notification of registration of transfer |
Free format text: JAPANESE INTERMEDIATE CODE: R350 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |