RU2019110141A - Устройство извлечения тромба для удаления окклюзионного тромба из кровеносного сосуда - Google Patents
Устройство извлечения тромба для удаления окклюзионного тромба из кровеносного сосуда Download PDFInfo
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- RU2019110141A RU2019110141A RU2019110141A RU2019110141A RU2019110141A RU 2019110141 A RU2019110141 A RU 2019110141A RU 2019110141 A RU2019110141 A RU 2019110141A RU 2019110141 A RU2019110141 A RU 2019110141A RU 2019110141 A RU2019110141 A RU 2019110141A
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- Prior art keywords
- thrombus
- elongated body
- radial force
- proximal
- segment
- Prior art date
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- 208000007536 Thrombosis Diseases 0.000 title claims 32
- 210000004204 blood vessel Anatomy 0.000 title claims 3
- 125000006850 spacer group Chemical group 0.000 claims 4
- 238000000605 extraction Methods 0.000 claims 2
- 238000000418 atomic force spectrum Methods 0.000 claims 1
- 230000007423 decrease Effects 0.000 claims 1
- 230000003247 decreasing effect Effects 0.000 claims 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- 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
- A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22079—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with suction of debris
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22094—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Claims (30)
1. Устройство извлечения тромба для удаления окклюзионного тромба из кровеносного сосуда, причем устройство содержит:
внутренний удлиненный корпус, имеющий сжатую конфигурацию для доставки и расширенную конфигурацию после раскрытия;
внешний удлиненный корпус, по меньшей мере частично перекрывающий внутренний удлиненный корпус;
причем внешний удлиненный корпус выполнен с возможностью расширения до радиального размера, превышающего радиальный размер внутреннего корпуса в конфигурации после раскрытия, для образования пространства для приема тромба;
внешний удлиненный корпус содержит множество отверстий для приема тромба и множество областей зацепления с тромбом, и причем области зацепления с тромбом приспособлены при зацеплении с тромбом подталкивать тромб к отверстиям для приема тромба и в приемное пространство между внешним удлиненным корпусом и внутренним удлиненным корпусом,
причем профиль радиального усилия устройства варьируется по длине устройства.
2. Устройство по п. 1, в котором радиальное усилие на дистальном конце устройства меньше, чем в средней части устройства.
3. Устройство по п. 1, в котором радиальное усилие на дистальном конце устройства меньше, чем в средней части и проксимальной части устройства.
4. Устройство по п. 1, в котором устройство содержит множество сегментов, и радиальное усилие одного сегмента отличается от радиального усилия по меньшей мере одного другого сегмента.
5. Устройство по п. 4, в котором разница в радиальном усилии между сегментами составляет менее 20%.
6. Устройство по п. 4, в котором радиальное усилие увеличивается по длине устройства от проксимального к дистальному сегменту.
7. Устройство по п. 4, в котором радиальное усилие уменьшается по длине устройства от проксимального к дистальному сегменту.
8. Устройство по п. 4, в котором радиальное усилие среднего сегмента больше радиального усилия дистального сегмента.
9. Устройство по п. 4, в котором радиальное усилие среднего сегмента больше радиального усилия проксимального сегмента и дистального сегмента.
10. Устройство по п. 1, в котором внешний корпус содержит множество сегментов, причем сегмент содержит проксимальное кольцо из закрытых ячеек, имеющее первое радиальное усилие, к которым присоединены по меньшей мере одна плавающая ячейка или створка со вторым радиальным усилием, которое меньше первого радиального усилия.
11. Устройство по п. 10, в котором плавающая ячейка или створка содержит дистальную вершину, которая не соединена со смежным дистальным сегментом.
12. Устройство по п. 10, в котором второе радиальное усилие от 20% до 80% меньше первого радиального усилия.
13. Устройство по п. 10, в котором отверстия для впуска тромба в сегментах внешнего корпуса отличаются по длине устройства, причем отверстия для впуска тромба в проксимальной области устройства меньше отверстий для впуска тромба в дистальной области устройства.
14. Устройство по п. 10, в котором отверстия для впуска тромба в сегментах внешнего корпуса отличаются по длине устройства, причем отверстия для впуска тромба в средней части устройства меньше, чем отверстия в более проксимальной и/или более дистальной области устройства.
15. Устройство по п. 10, в котором отверстия для впуска тромба в сегментах внешнего корпуса отличаются по длине устройства, причем отверстия для впуска тромба в средней части устройства больше, чем отверстия в более проксимальной и/или более дистальной области устройства.
16. Устройство по п. 13, в котором имеется градиент размера отверстий для впуска тромба по длине устройства, причем градиент увеличивается от проксимального к дистальному сегменту.
17. Устройство по п. 13, в котором имеется градиент размера отверстий для впуска тромба по длине устройства, причем градиент уменьшается от проксимального к дистальному сегменту.
18. Устройство по п. 13, в котором имеется градиент размера отверстий для впуска тромба по длине устройства, причем внутренний удлиненный корпус имеет коническую форму, причем конусность внутреннего удлиненного корпуса противоположна градиенту отверстий для впуска тромба во внешнем корпусе.
19. Устройство по п. 1, в котором внешний удлиненный элемент содержит каркас, образованный распорками и венцами, и в котором проксимальные рентгеноконтрастные маркеры расположены на дистальном конце распорок, которые проксимально смежны с проксимальными венцами.
20. Устройство извлечения тромба для удаления окклюзионного тромба из кровеносного сосуда, причем устройство содержит:
внутренний удлиненный корпус, имеющий сжатую конфигурацию для доставки и расширенную конфигурацию после раскрытия;
внешний удлиненный корпус, по меньшей мере частично перекрывающий внутренний удлиненный корпус;
причем внешний удлиненный корпус выполнен с возможностью расширения до радиального размера, превышающего радиальный размер внутреннего корпуса в конфигурации после раскрытия, для образования пространства для приема тромба;
внешний удлиненный корпус содержит множество отверстий для приема тромба и множество областей зацепления с тромбом, и причем области зацепления с тромбом приспособлены при зацеплении с тромбом подталкивать тромб к отверстиям для приема тромба и в приемное пространство между внешним удлиненным корпусом и внутренним удлиненным корпусом,
причем внешний удлиненный элемент содержит каркас, образованный распорками и венцами, и в котором проксимальные рентгеноконтрастные маркеры размещены на дистальном конце распорок, которые проксимально смежны с проксимальными венцами.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662383905P | 2016-09-06 | 2016-09-06 | |
| US62/383,905 | 2016-09-06 | ||
| PCT/EP2017/072030 WO2018046408A2 (en) | 2016-09-06 | 2017-09-01 | A clot retrieval device for removing occlusive clot from a blood vessel |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| RU2019110141A true RU2019110141A (ru) | 2020-10-08 |
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| Application Number | Title | Priority Date | Filing Date |
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| RU2019110141A RU2019110141A (ru) | 2016-09-06 | 2017-09-01 | Устройство извлечения тромба для удаления окклюзионного тромба из кровеносного сосуда |
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| Country | Link |
|---|---|
| US (3) | US11147572B2 (ru) |
| EP (2) | EP3854322B1 (ru) |
| JP (1) | JP7046924B2 (ru) |
| KR (1) | KR102494176B1 (ru) |
| CN (1) | CN109906058B (ru) |
| AU (1) | AU2017324233A1 (ru) |
| BR (1) | BR112019004484A2 (ru) |
| CA (1) | CA3035706A1 (ru) |
| CO (1) | CO2019002678A2 (ru) |
| ES (2) | ES2867599T3 (ru) |
| IL (1) | IL265151A (ru) |
| MX (1) | MX2019002565A (ru) |
| RU (1) | RU2019110141A (ru) |
| WO (1) | WO2018046408A2 (ru) |
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| KR102494176B1 (ko) | 2023-02-02 |
| BR112019004484A2 (pt) | 2019-05-28 |
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