CA2365291A1 - Dispositif d'atherectomie protege - Google Patents
Dispositif d'atherectomie protege Download PDFInfo
- Publication number
- CA2365291A1 CA2365291A1 CA002365291A CA2365291A CA2365291A1 CA 2365291 A1 CA2365291 A1 CA 2365291A1 CA 002365291 A CA002365291 A CA 002365291A CA 2365291 A CA2365291 A CA 2365291A CA 2365291 A1 CA2365291 A1 CA 2365291A1
- Authority
- CA
- Canada
- Prior art keywords
- housing
- screen
- shearing body
- apertures
- shearing
- 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.)
- Abandoned
Links
- 238000010008 shearing Methods 0.000 claims abstract description 242
- 238000005520 cutting process Methods 0.000 claims abstract description 9
- 230000007246 mechanism Effects 0.000 claims description 44
- 238000000034 method Methods 0.000 claims description 35
- 239000000463 material Substances 0.000 claims description 34
- 230000000452 restraining effect Effects 0.000 claims description 14
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 11
- 229910001220 stainless steel Inorganic materials 0.000 claims description 11
- 239000010935 stainless steel Substances 0.000 claims description 11
- 230000002966 stenotic effect Effects 0.000 claims description 11
- 239000010936 titanium Substances 0.000 claims description 11
- 229910052719 titanium Inorganic materials 0.000 claims description 11
- 229920000642 polymer Polymers 0.000 claims description 9
- 238000003754 machining Methods 0.000 claims description 5
- 238000004519 manufacturing process Methods 0.000 claims description 5
- 230000005540 biological transmission Effects 0.000 claims description 4
- 238000009760 electrical discharge machining Methods 0.000 claims description 3
- 229910010293 ceramic material Inorganic materials 0.000 claims 9
- 239000002131 composite material Substances 0.000 claims 6
- 239000004033 plastic Substances 0.000 claims 6
- 230000013011 mating Effects 0.000 claims 3
- 239000003870 refractory metal Substances 0.000 claims 3
- 239000004809 Teflon Substances 0.000 claims 2
- 229920006362 Teflon® Polymers 0.000 claims 2
- 230000002452 interceptive effect Effects 0.000 claims 2
- 238000005498 polishing Methods 0.000 claims 1
- 239000012781 shape memory material Substances 0.000 claims 1
- 238000013461 design Methods 0.000 abstract description 8
- 230000000472 traumatic effect Effects 0.000 abstract 1
- 210000004204 blood vessel Anatomy 0.000 description 22
- 210000001519 tissue Anatomy 0.000 description 22
- 238000002399 angioplasty Methods 0.000 description 11
- 208000037803 restenosis Diseases 0.000 description 6
- 238000011282 treatment Methods 0.000 description 6
- 206010020718 hyperplasia Diseases 0.000 description 4
- 208000007536 Thrombosis Diseases 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000004663 cell proliferation Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000010355 oscillation Effects 0.000 description 2
- 238000007634 remodeling Methods 0.000 description 2
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- UONOETXJSWQNOL-UHFFFAOYSA-N tungsten carbide Chemical compound [W+]#[C-] UONOETXJSWQNOL-UHFFFAOYSA-N 0.000 description 2
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- 201000001320 Atherosclerosis Diseases 0.000 description 1
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 1
- 208000032765 Device extrusion Diseases 0.000 description 1
- 239000004593 Epoxy Substances 0.000 description 1
- 230000002547 anomalous effect Effects 0.000 description 1
- 230000003143 atherosclerotic effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000012292 cell migration Effects 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 235000013351 cheese Nutrition 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 238000011221 initial treatment Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 238000001259 photo etching Methods 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000002062 proliferating effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000008458 response to injury Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 229910052594 sapphire Inorganic materials 0.000 description 1
- 239000010980 sapphire Substances 0.000 description 1
- 229910000679 solder Inorganic materials 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000007514 turning Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
L'invention concerne un dispositif d'athérectomie (10) traumatique pourvu d'un corps de cisaillement (300) contenu à l'intérieur d'un logement (200) ajusté. Ledit logement (200) possède des orifices (204) à travers lesquels le tissu occlusif peut s'engager à l'intérieur du logement (204) et venir en contact avec un corps de cisaillement (300) tournant à l'intérieur. Le corps de cisaillement (300) est muni de dents (304) et de cannelures de forme hélicoïdale ayant une ligne de coupe.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12441999P | 1999-03-15 | 1999-03-15 | |
| US60/124,419 | 1999-03-15 | ||
| US33830299A | 1999-06-22 | 1999-06-22 | |
| US09/338,302 | 1999-06-22 | ||
| PCT/US2000/006494 WO2000054659A1 (fr) | 1999-03-15 | 2000-03-10 | Dispositif d'atherectomie protege |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2365291A1 true CA2365291A1 (fr) | 2000-09-21 |
Family
ID=26822574
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002365291A Abandoned CA2365291A1 (fr) | 1999-03-15 | 2000-03-10 | Dispositif d'atherectomie protege |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1168965A1 (fr) |
| JP (1) | JP2002538876A (fr) |
| AU (1) | AU3741400A (fr) |
| CA (1) | CA2365291A1 (fr) |
| WO (1) | WO2000054659A1 (fr) |
Families Citing this family (72)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2294087B (en) * | 1993-07-09 | 1997-05-14 | Sedley Bruce S | Magnetic card-operated door closure |
| US6905505B2 (en) | 1996-07-26 | 2005-06-14 | Kensey Nash Corporation | System and method of use for agent delivery and revascularizing of grafts and vessels |
| US6652546B1 (en) | 1996-07-26 | 2003-11-25 | Kensey Nash Corporation | System and method of use for revascularizing stenotic bypass grafts and other occluded blood vessels |
| 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 |
| DE502005007316D1 (de) * | 2004-03-04 | 2009-07-02 | Straub Medical Ag | Katheter zum ansaugen, fragmentieren und hinausfördern von entfernbarem material aus blutgefässen |
| US7959608B2 (en) | 2004-04-27 | 2011-06-14 | The Spectranetics Corporation | Thrombectomy and soft debris removal device |
| US8920402B2 (en) | 2004-04-27 | 2014-12-30 | The Spectranetics Corporation | Thrombectomy and soft debris removal device |
| JP2007098120A (ja) * | 2005-09-06 | 2007-04-19 | Fmd:Kk | 医療用処置具及びその回転操作装置並びに医療用処置装置 |
| US9492192B2 (en) | 2006-06-30 | 2016-11-15 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US20090018566A1 (en) | 2006-06-30 | 2009-01-15 | Artheromed, Inc. | Atherectomy devices, systems, and methods |
| US9314263B2 (en) | 2006-06-30 | 2016-04-19 | Atheromed, Inc. | Atherectomy devices, systems, and methods |
| US8007506B2 (en) * | 2006-06-30 | 2011-08-30 | Atheromed, Inc. | Atherectomy devices and methods |
| US7981128B2 (en) | 2006-06-30 | 2011-07-19 | Atheromed, Inc. | Atherectomy devices and methods |
| US8361094B2 (en) | 2006-06-30 | 2013-01-29 | Atheromed, Inc. | Atherectomy devices 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 |
| KR101273813B1 (ko) * | 2006-10-04 | 2013-06-11 | 메드라드, 인크. | 중재 카테터 |
| EP2211732B1 (fr) * | 2007-10-22 | 2018-05-16 | Atheromed, Inc. | Dispositifs d'athérectomie |
| 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 |
| US9125562B2 (en) | 2009-07-01 | 2015-09-08 | Avinger, Inc. | Catheter-based off-axis optical coherence tomography imaging system |
| US8644913B2 (en) | 2011-03-28 | 2014-02-04 | Avinger, Inc. | Occlusion-crossing devices, imaging, and atherectomy devices |
| US8062316B2 (en) | 2008-04-23 | 2011-11-22 | Avinger, Inc. | Catheter system and method for boring through blocked vascular passages |
| KR101167529B1 (ko) * | 2008-11-18 | 2012-07-20 | 박희붕 | 생체 검사 장치 |
| CH699981A2 (de) | 2008-11-27 | 2010-05-31 | Straub Medical Ag | Katheter zum Ansaugen, Fragmentieren und Hinausbefördern von entfernbarem Material aus Blutgefässen. |
| WO2010129075A1 (fr) | 2009-04-28 | 2010-11-11 | Avinger, Inc. | Cathéter de support de fil-guide |
| JP6101078B2 (ja) | 2009-05-28 | 2017-03-29 | アビンガー・インコーポレイテッドAvinger, Inc. | バイオイメージングのための光コヒーレンストモグラフィ |
| EP2448502B1 (fr) * | 2009-07-01 | 2022-04-06 | Avinger, Inc. | Cathéter d'athérectomie pourvu d'une pointe déplaçable de manière latérale |
| CH701695A1 (de) | 2009-08-27 | 2011-02-28 | Straub Medical Ag | Katheter mit Protektionssystem zum Ansaugen, Fragmentieren und Hinausfördern von entfernbarem Material aus Hohlkörpern bzw. Gefässen, insbesondere des menschlichen oder tierischen Körpers. |
| WO2011072068A2 (fr) | 2009-12-08 | 2011-06-16 | Avinger, Inc. | Dispositifs et procédés destinés à prédire et à prévenir la resténose |
| US11382653B2 (en) | 2010-07-01 | 2022-07-12 | Avinger, Inc. | Atherectomy catheter |
| US9345510B2 (en) | 2010-07-01 | 2016-05-24 | Avinger, Inc. | Atherectomy catheters with longitudinally displaceable drive shafts |
| WO2014039096A1 (fr) | 2012-09-06 | 2014-03-13 | Avinger, Inc. | Stylet de réintroduction destiné à un cathéter |
| US10548478B2 (en) | 2010-07-01 | 2020-02-04 | Avinger, Inc. | Balloon atherectomy catheters with imaging |
| US9949754B2 (en) | 2011-03-28 | 2018-04-24 | Avinger, Inc. | Occlusion-crossing devices |
| US9345511B2 (en) | 2011-10-13 | 2016-05-24 | Atheromed, Inc. | Atherectomy apparatus, systems and methods |
| EP2768406B1 (fr) | 2011-10-17 | 2019-12-04 | Avinger, Inc. | Cathéters d'athérectomie et mécanisme d'actionnement sans contact pour cathéters |
| US9345406B2 (en) | 2011-11-11 | 2016-05-24 | Avinger, Inc. | Occlusion-crossing devices, atherectomy devices, and imaging |
| DE102012007653A1 (de) * | 2012-04-18 | 2013-10-24 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument und Verfahren zum Zusammensetzen eines medizinischen Instruments |
| EP2849636B1 (fr) | 2012-05-14 | 2020-04-22 | Avinger, Inc. | Tomographie à cohérence optique ayant une fibre à gradient d'indice pour imagerie biologique |
| EP2849660B1 (fr) | 2012-05-14 | 2021-08-25 | Avinger, Inc. | Ensembles de pilotage de cathéter d'athérectomie |
| WO2013172970A1 (fr) | 2012-05-14 | 2013-11-21 | Avinger, Inc. | Cathéters d'athérectomie à imagerie |
| 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 |
| WO2014093156A1 (fr) * | 2012-12-12 | 2014-06-19 | Covidien Lp | Outil de coupe destiné à un cathéter d'ablation de tissu |
| EP2931149A1 (fr) * | 2012-12-12 | 2015-10-21 | Covidien LP | Cathéter d'ablation |
| EP2967507B1 (fr) | 2013-03-15 | 2018-09-05 | Avinger, Inc. | Dispositif de collecte de tissu pour cathéter |
| US9854979B2 (en) | 2013-03-15 | 2018-01-02 | Avinger, Inc. | Chronic total occlusion crossing devices with imaging |
| JP6291025B2 (ja) | 2013-03-15 | 2018-03-14 | アビンガー・インコーポレイテッドAvinger, Inc. | 光学圧力センサアセンブリ |
| EP3019096B1 (fr) | 2013-07-08 | 2023-07-05 | Avinger, Inc. | Système d'identification de limitante élastique pour guider une thérapie interventionnelle |
| 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 |
| CN107106190B (zh) | 2014-07-08 | 2020-02-28 | 阿维格公司 | 高速慢性全闭塞部横穿装置 |
| CN107920780B (zh) | 2015-07-13 | 2022-01-11 | 阿维格公司 | 用于图像引导治疗/诊断导管的微模制畸变反射透镜 |
| AU2017212407A1 (en) | 2016-01-25 | 2018-08-02 | Avinger, Inc. | OCT imaging catheter with lag correction |
| CN108882948A (zh) | 2016-04-01 | 2018-11-23 | 阿维格公司 | 具有锯齿状切割器的旋切术导管 |
| WO2017210466A1 (fr) | 2016-06-03 | 2017-12-07 | Avinger, Inc. | Cathéter à extrémité distale détachable |
| WO2018006041A1 (fr) | 2016-06-30 | 2018-01-04 | Avinger, Inc. | Cathéter d'athérectomie avec pointe distale formable |
| WO2018204692A1 (fr) | 2017-05-03 | 2018-11-08 | Medtronic Vascular, Inc. | Cathéter d'ablation de tissu |
| US11690645B2 (en) | 2017-05-03 | 2023-07-04 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| EP3781021B1 (fr) | 2018-04-19 | 2023-03-22 | Avinger, Inc. | Dispositifs de croisement d'occlusion |
| JP7315583B2 (ja) | 2018-11-21 | 2023-07-26 | テルモ株式会社 | 医療デバイス |
| JP7038070B2 (ja) * | 2019-02-15 | 2022-03-17 | 株式会社日立ハイテク | 細胞検出装置及び細胞検出方法 |
| WO2020234203A1 (fr) * | 2019-05-17 | 2020-11-26 | Koninklijke Philips N.V. | Dispositifs d'athérectomie comprenant des lames de coupe à angle de coupe positif et négatif |
| US11819236B2 (en) | 2019-05-17 | 2023-11-21 | Medtronic Vascular, Inc. | Tissue-removing catheter |
| EP4044942A4 (fr) | 2019-10-18 | 2023-11-15 | Avinger, Inc. | Dispositifs de croisement d'occlusion |
| CN110916768A (zh) * | 2019-11-29 | 2020-03-27 | 昆山金泰医疗科技有限公司 | 一种高效螺旋切栓装置 |
| DE102020122718A1 (de) * | 2020-08-31 | 2022-03-03 | Sven Behrendt | Chirurgischer Shaver |
| US11304723B1 (en) | 2020-12-17 | 2022-04-19 | Avantec Vascular Corporation | Atherectomy devices that are self-driving with controlled deflection |
| WO2022261043A1 (fr) | 2021-06-07 | 2022-12-15 | Avantec Vascular Corporation | Dispositifs d'athérectomie hybrides |
| WO2025038964A1 (fr) | 2023-08-16 | 2025-02-20 | Avantec Vascular Corporation | Dispositifs de thrombectomie à sollicitation latérale et verticale |
| US12414785B1 (en) | 2025-03-17 | 2025-09-16 | Avantec Vascular Corporation | Cutters with pulsating vacuum control |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6053923A (en) * | 1998-03-17 | 2000-04-25 | Arthrotek, Inc. | Method and apparatus for abrading tissue |
-
2000
- 2000-03-10 CA CA002365291A patent/CA2365291A1/fr not_active Abandoned
- 2000-03-10 AU AU37414/00A patent/AU3741400A/en not_active Abandoned
- 2000-03-10 WO PCT/US2000/006494 patent/WO2000054659A1/fr not_active Ceased
- 2000-03-10 EP EP00916286A patent/EP1168965A1/fr not_active Withdrawn
- 2000-03-10 JP JP2000604745A patent/JP2002538876A/ja not_active Withdrawn
Also Published As
| Publication number | Publication date |
|---|---|
| EP1168965A1 (fr) | 2002-01-09 |
| AU3741400A (en) | 2000-10-04 |
| JP2002538876A (ja) | 2002-11-19 |
| WO2000054659A1 (fr) | 2000-09-21 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |