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WO1999048549A3 - Fil-guide et catheter ameliores, et procede permettant de traverser des occlusions intravasculaires etroites les utilisant - Google Patents

Fil-guide et catheter ameliores, et procede permettant de traverser des occlusions intravasculaires etroites les utilisant Download PDF

Info

Publication number
WO1999048549A3
WO1999048549A3 PCT/US1999/006498 US9906498W WO9948549A3 WO 1999048549 A3 WO1999048549 A3 WO 1999048549A3 US 9906498 W US9906498 W US 9906498W WO 9948549 A3 WO9948549 A3 WO 9948549A3
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
guidewire
distal
section
shaft
Prior art date
Application number
PCT/US1999/006498
Other languages
English (en)
Other versions
WO1999048549A2 (fr
Inventor
Matthew R Selmon
Charles F Milo
Original Assignee
Lumend Inc
Matthew R Selmon
Charles F Milo
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Lumend Inc, Matthew R Selmon, Charles F Milo filed Critical Lumend Inc
Priority to AU34532/99A priority Critical patent/AU3453299A/en
Publication of WO1999048549A2 publication Critical patent/WO1999048549A2/fr
Publication of WO1999048549A3 publication Critical patent/WO1999048549A3/fr

Links

Classifications

    • 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
    • A61M25/09—Guide wires
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09008—Guide wires having a balloon
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09058—Basic structures of guide wires
    • A61M2025/09083—Basic structures of guide wires having a coil around a core
    • A61M2025/09091—Basic structures of guide wires having a coil around a core where a sheath surrounds the coil at the distal part
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip
    • 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
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip
    • A61M2025/09183—Guide wires having specific characteristics at the distal tip having tools at the distal tip
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A61M2029/025—Dilators made of swellable material characterised by the guiding element

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

L'invention concerne un fil-guide comprenant une partie proximale; une partie distale; et une partie saillante, ladite partie saillante faisant partie intégrante du fil-guide et étant disposée entre les parties proximale et distale. La partie saillante rétrécit dans le sens distal pour rejoindre progressivement la partie distale. Selon un autre aspect de l'invention, un cathéter intravasculaire comprend une tige de cathéter à l'extrémité distale de laquelle est fixé un élément de travail; une tige centrale disposée axialement dans la tige du cathéter, la tige centrale étant traversée d'une lumière pour fil-guide, et un fil-guide disposé coulissant dans la lumière pour fil-guide, le fil-guide comportant une section saillante solidaire et effilée à proximité de sa pointe distale. Lorsque le fil-guide est totalement rétracté de façon proximale, la surface proximale de la partie saillante est tournée vers la surface proximale correspondante de la tige du cathéter et bute contre celle-ci de manière à présenter une transition progressive entre le fil-guide et la partie distale de la tige du cathéter. Selon un autre aspect, la présente invention concerne un cathéter à ballonnet d'angioplastie coronarienne transluminale percutanée comprenant un cathéter et une tige centrale, l'un et l'autre étant traversés d'une lumière axiale. Un ballonnet gonflable est disposé à proximité de l'extrémité distale de la tige du cathéter. La tige centrale est disposée dans la lumière axiale de la tige du cathéter. La tige du cathéter ou la tige centrale, voire les deux, comprennent un fil, une bobine ou une tresse de fil contenue dans ceux-ci ou enroulée autour de leur diamètre extérieur de manière à augmenter la capacité de torsion du cathéter à ballonnet.
PCT/US1999/006498 1998-03-24 1999-03-24 Fil-guide et catheter ameliores, et procede permettant de traverser des occlusions intravasculaires etroites les utilisant WO1999048549A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU34532/99A AU3453299A (en) 1998-03-24 1999-03-24 Improved guidewire, catheter and method of crossing tight intravascular occlusions using same

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US4712498A 1998-03-24 1998-03-24
US09/047,124 1998-03-24

Publications (2)

Publication Number Publication Date
WO1999048549A2 WO1999048549A2 (fr) 1999-09-30
WO1999048549A3 true WO1999048549A3 (fr) 1999-12-02

Family

ID=21947190

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/006498 WO1999048549A2 (fr) 1998-03-24 1999-03-24 Fil-guide et catheter ameliores, et procede permettant de traverser des occlusions intravasculaires etroites les utilisant

Country Status (2)

Country Link
AU (1) AU3453299A (fr)
WO (1) WO1999048549A2 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6854467B2 (en) 2000-05-04 2005-02-15 Percardia, Inc. Methods and devices for delivering a ventricular stent
US6881199B2 (en) 1998-09-10 2005-04-19 Percardia, Inc. Left ventricular conduit with blood vessel graft
US6926690B2 (en) 1998-09-10 2005-08-09 Percardia, Inc. Transmyocardial shunt and its attachment mechanism, for left ventricular revascularization
US6949080B2 (en) 1998-01-30 2005-09-27 Percardia, Inc. Left ventricular conduits to coronary arteries and methods for coronary bypass
US6949118B2 (en) 2002-01-16 2005-09-27 Percardia, Inc. Encased implant and methods
US6976990B2 (en) 2001-01-25 2005-12-20 Percardia, Inc. Intravascular ventriculocoronary bypass via a septal passageway
US7008397B2 (en) 2002-02-13 2006-03-07 Percardia, Inc. Cardiac implant and methods
US7011095B2 (en) 1998-09-10 2006-03-14 Percardia, Inc. Valve designs for left ventricular conduits
US7033372B1 (en) 1999-08-04 2006-04-25 Percardia, Inc. Corkscrew reinforced left ventricle to coronary artery channel
US7347867B2 (en) 1998-09-10 2008-03-25 Wilk Patent And Development Corporation Designs for left ventricular conduit

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6409697B2 (en) 1999-05-04 2002-06-25 Heartstent Corporation Transmyocardial implant with forward flow bias
US6638237B1 (en) 1999-08-04 2003-10-28 Percardia, Inc. Left ventricular conduits and methods for delivery
NL1020427C2 (nl) * 2002-04-18 2003-10-21 Univ Delft Tech Voerdraad voor geleiding van een katheter.
US7326219B2 (en) 2002-09-09 2008-02-05 Wilk Patent Development Device for placing transmyocardial implant
DE102005003632A1 (de) 2005-01-20 2006-08-17 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Katheter für die transvaskuläre Implantation von Herzklappenprothesen
US7896915B2 (en) 2007-04-13 2011-03-01 Jenavalve Technology, Inc. Medical device for treating a heart valve insufficiency
BR112012021347A2 (pt) 2008-02-26 2019-09-24 Jenavalve Tecnology Inc stent para posicionamento e ancoragem de uma prótese valvular em um local de implantação no coração de um paciente
US9044318B2 (en) 2008-02-26 2015-06-02 Jenavalve Technology Gmbh Stent for the positioning and anchoring of a valvular prosthesis
EP2575681B1 (fr) 2010-05-25 2022-06-22 JenaValve Technology, Inc. Valvule prothétique et endoprothèse mise en place par cathétérisme comprenant une valvule prothétique et un stent
EP3038567B1 (fr) 2013-08-30 2022-09-07 JenaValve Technology, Inc. Cadre radialement repliable pour valvule prothétique et procédé de fabrication dudit cadre
WO2016150806A1 (fr) 2015-03-20 2016-09-29 Jenavalve Technology, Inc. Système de pose de prothèse de valvule cardiaque et procédé pour la pose d'une prothèse de valvule cardiaque avec une gaine d'introduction
WO2016177562A1 (fr) 2015-05-01 2016-11-10 Jenavalve Technology, Inc. Dispositif et procédé à débit réduit de stimulateur cardiaque lors d'un remplacement de valvules cardiaques
US10596354B2 (en) 2015-09-25 2020-03-24 Mark Taber Guide wires, catheters, and guide wire catheter systems and methods
EP3454795B1 (fr) 2016-05-13 2023-01-11 JenaValve Technology, Inc. Système d'implantation de prothèse de valve cardiaque pour la pose d'une prothèse de valve cardiaque avec une gaine d'introduction et système de chargement
CN110392557A (zh) 2017-01-27 2019-10-29 耶拿阀门科技股份有限公司 心脏瓣膜模拟
CN215780828U (zh) * 2021-04-26 2022-02-11 上海申淇医疗科技有限公司 一种医疗装置
WO2024102411A1 (fr) 2022-11-09 2024-05-16 Jenavalve Technology, Inc. Système de cathéter pour le déploiement séquentiel d'un implant expansible

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0396074A1 (fr) * 1989-05-03 1990-11-07 Sterimed Gesellschaft für medizinischen Bedarf mbH Dispositif pour la dilatation de vaisseaux
US5176661A (en) * 1988-09-06 1993-01-05 Advanced Cardiovascular Systems, Inc. Composite vascular catheter
US5364357A (en) * 1989-09-25 1994-11-15 Schneider (Usa) Inc. Small diameter dilatation catheter having wire reinforced coaxial tubular body
US5385152A (en) * 1990-11-09 1995-01-31 Boston Scientific Corporation Guidewire for crossing occlusions in blood vessels
US5454788A (en) * 1991-04-24 1995-10-03 Baxter International Inc. Exchangeable integrated-wire balloon catheter
US5465733A (en) * 1993-10-14 1995-11-14 Hinohara; Tomoaki Guide wire for catheters and method for its use

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5176661A (en) * 1988-09-06 1993-01-05 Advanced Cardiovascular Systems, Inc. Composite vascular catheter
EP0396074A1 (fr) * 1989-05-03 1990-11-07 Sterimed Gesellschaft für medizinischen Bedarf mbH Dispositif pour la dilatation de vaisseaux
US5364357A (en) * 1989-09-25 1994-11-15 Schneider (Usa) Inc. Small diameter dilatation catheter having wire reinforced coaxial tubular body
US5385152A (en) * 1990-11-09 1995-01-31 Boston Scientific Corporation Guidewire for crossing occlusions in blood vessels
US5454788A (en) * 1991-04-24 1995-10-03 Baxter International Inc. Exchangeable integrated-wire balloon catheter
US5465733A (en) * 1993-10-14 1995-11-14 Hinohara; Tomoaki Guide wire for catheters and method for its use

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6949080B2 (en) 1998-01-30 2005-09-27 Percardia, Inc. Left ventricular conduits to coronary arteries and methods for coronary bypass
US6881199B2 (en) 1998-09-10 2005-04-19 Percardia, Inc. Left ventricular conduit with blood vessel graft
US6926690B2 (en) 1998-09-10 2005-08-09 Percardia, Inc. Transmyocardial shunt and its attachment mechanism, for left ventricular revascularization
US7011095B2 (en) 1998-09-10 2006-03-14 Percardia, Inc. Valve designs for left ventricular conduits
US7347867B2 (en) 1998-09-10 2008-03-25 Wilk Patent And Development Corporation Designs for left ventricular conduit
US7033372B1 (en) 1999-08-04 2006-04-25 Percardia, Inc. Corkscrew reinforced left ventricle to coronary artery channel
US6854467B2 (en) 2000-05-04 2005-02-15 Percardia, Inc. Methods and devices for delivering a ventricular stent
US6976990B2 (en) 2001-01-25 2005-12-20 Percardia, Inc. Intravascular ventriculocoronary bypass via a septal passageway
US6949118B2 (en) 2002-01-16 2005-09-27 Percardia, Inc. Encased implant and methods
US7008397B2 (en) 2002-02-13 2006-03-07 Percardia, Inc. Cardiac implant and methods

Also Published As

Publication number Publication date
AU3453299A (en) 1999-10-18
WO1999048549A2 (fr) 1999-09-30

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