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WO2009126309A3 - Dispositifs et procédés d’athérectomie - Google Patents

Dispositifs et procédés d’athérectomie Download PDF

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Publication number
WO2009126309A3
WO2009126309A3 PCT/US2009/002253 US2009002253W WO2009126309A3 WO 2009126309 A3 WO2009126309 A3 WO 2009126309A3 US 2009002253 W US2009002253 W US 2009002253W WO 2009126309 A3 WO2009126309 A3 WO 2009126309A3
Authority
WO
WIPO (PCT)
Prior art keywords
methods
atherectomy devices
devices
body lumens
relate
Prior art date
Application number
PCT/US2009/002253
Other languages
English (en)
Other versions
WO2009126309A2 (fr
Inventor
John To
Paul Escudero
Christopher Danek
Original Assignee
Atheromed, Inc.
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
Priority claimed from US12/215,752 external-priority patent/US20090018566A1/en
Priority claimed from US12/215,721 external-priority patent/US8628549B2/en
Priority claimed from PCT/US2008/008140 external-priority patent/WO2009005779A1/fr
Priority claimed from US12/215,855 external-priority patent/US9314263B2/en
Priority claimed from US12/215,854 external-priority patent/US9492192B2/en
Priority claimed from US12/288,593 external-priority patent/US8070762B2/en
Priority claimed from PCT/US2008/012012 external-priority patent/WO2009054968A1/fr
Priority to CA2720761A priority Critical patent/CA2720761A1/fr
Priority to JP2011504008A priority patent/JP2011517601A/ja
Priority to EP09730501.5A priority patent/EP2268213A4/fr
Application filed by Atheromed, Inc. filed Critical Atheromed, Inc.
Priority to AU2009234392A priority patent/AU2009234392A1/en
Priority to CN2009801215582A priority patent/CN102088920B/zh
Publication of WO2009126309A2 publication Critical patent/WO2009126309A2/fr
Publication of WO2009126309A3 publication Critical patent/WO2009126309A3/fr

Links

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
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00309—Cut-outs or slits
    • 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
    • A61B2017/22038—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 a guide wire
    • 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
    • A61B2017/22051—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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22068—Centering

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

La présente invention concerne des dispositifs et des procédés destinés en général au traitement des occlusions de lumières corporelles. Plus précisément, la présente invention concerne des dispositifs et un procédé destinés à l’élimination du matériau oblitérant dans les vaisseaux sanguins, ainsi que dans d’autres lumières corporelles.
PCT/US2009/002253 2008-04-10 2009-04-10 Dispositifs et procédés d’athérectomie WO2009126309A2 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CN2009801215582A CN102088920B (zh) 2008-04-10 2009-04-10 动脉斑块旋切术装置
AU2009234392A AU2009234392A1 (en) 2008-04-10 2009-04-10 Atherectomy devices and methods
CA2720761A CA2720761A1 (fr) 2008-04-10 2009-04-10 Dispositifs et procedes d'atherectomie
EP09730501.5A EP2268213A4 (fr) 2008-04-10 2009-04-10 Dispositifs et procédés d'athérectomie
JP2011504008A JP2011517601A (ja) 2008-04-10 2009-04-10 アテローム切除術用デバイスおよび方法

Applications Claiming Priority (16)

Application Number Priority Date Filing Date Title
US4399808P 2008-04-10 2008-04-10
US61/043,998 2008-04-10
US12/215,752 US20090018566A1 (en) 2006-06-30 2008-06-30 Atherectomy devices, systems, and methods
US12/215,854 2008-06-30
US12/215,854 US9492192B2 (en) 2006-06-30 2008-06-30 Atherectomy devices, systems, and methods
US12/215,855 US9314263B2 (en) 2006-06-30 2008-06-30 Atherectomy devices, systems, and methods
US12/215,752 2008-06-30
PCT/US2008/008140 WO2009005779A1 (fr) 2007-06-29 2008-06-30 Dispositifs, systèmes et procédés d'athérectomie
USPCT/US08/08140 2008-06-30
US12/215,721 2008-06-30
US12/215,855 2008-06-30
US12/215,721 US8628549B2 (en) 2006-06-30 2008-06-30 Atherectomy devices, systems, and methods
PCT/US2008/012012 WO2009054968A1 (fr) 2007-10-22 2008-10-22 Dispositifs et procédés d'athérectomie
US12/288,593 US8070762B2 (en) 2007-10-22 2008-10-22 Atherectomy devices and methods
USPCT/US08/12012 2008-10-22
US12/288,593 2008-10-22

Publications (2)

Publication Number Publication Date
WO2009126309A2 WO2009126309A2 (fr) 2009-10-15
WO2009126309A3 true WO2009126309A3 (fr) 2010-01-21

Family

ID=56291112

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/002253 WO2009126309A2 (fr) 2008-04-10 2009-04-10 Dispositifs et procédés d’athérectomie

Country Status (7)

Country Link
EP (1) EP2268213A4 (fr)
JP (1) JP2011517601A (fr)
KR (1) KR20110005842A (fr)
CN (1) CN102088920B (fr)
AU (1) AU2009234392A1 (fr)
CA (1) CA2720761A1 (fr)
WO (1) WO2009126309A2 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8236016B2 (en) 2007-10-22 2012-08-07 Atheromed, Inc. Atherectomy devices and methods
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US8628549B2 (en) 2006-06-30 2014-01-14 Atheromed, Inc. Atherectomy devices, systems, and methods
US8647355B2 (en) 2007-10-22 2014-02-11 Atheromed, Inc. Atherectomy devices and methods
US8795306B2 (en) 2011-10-13 2014-08-05 Atheromed, Inc. Atherectomy apparatus, systems and methods
US8888801B2 (en) 2006-06-30 2014-11-18 Atheromed, Inc. Atherectomy devices and methods
US8920448B2 (en) 2006-06-30 2014-12-30 Atheromed, Inc. Atherectomy devices and methods
US9308016B2 (en) 2006-06-30 2016-04-12 Atheromed, Inc. Devices, systems, and methods for performing atherectomy including delivery of a bioactive material
US9314263B2 (en) 2006-06-30 2016-04-19 Atheromed, Inc. Atherectomy devices, systems, and methods
US9492192B2 (en) 2006-06-30 2016-11-15 Atheromed, Inc. Atherectomy devices, systems, and methods

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CN102697534A (zh) 2006-06-30 2012-10-03 阿瑟罗迈德公司 用于从体腔除去物质的装置
US20080045986A1 (en) 2006-06-30 2008-02-21 Atheromed, Inc. Atherectomy devices and methods
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
CA2763324C (fr) 2009-05-28 2018-10-23 Avinger, Inc. Tomographie par coherence optique (oct) pour imagerie biologique
US9579197B2 (en) * 2010-12-15 2017-02-28 Medtronic Vascular, Inc. Systems and methods for positioning a heart valve using visual markers
US9138566B2 (en) * 2012-05-13 2015-09-22 Bendit Technologies Ltd. Steering tool
US8684953B2 (en) 2012-05-13 2014-04-01 Ozca Engineering Solutions Ltd. Steering tool
US9345398B2 (en) 2012-05-14 2016-05-24 Avinger, Inc. Atherectomy catheter drive assemblies
CN102670283A (zh) * 2012-06-08 2012-09-19 李广成 血肿清除器的碎吸器
US9949753B2 (en) 2012-09-14 2018-04-24 The Spectranetics Corporation Tissue slitting methods and systems
EP2931148B1 (fr) * 2012-12-12 2016-09-21 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
WO2014106847A1 (fr) 2013-01-07 2014-07-10 Taryag Medical Ltd. Dispositif d'athérectomie extensible
US10149720B2 (en) * 2013-03-08 2018-12-11 Auris Health, Inc. Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment
US10080576B2 (en) 2013-03-08 2018-09-25 Auris Health, Inc. Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment
US9283040B2 (en) 2013-03-13 2016-03-15 The Spectranetics Corporation Device and method of ablative cutting with helical tip
US9883885B2 (en) 2013-03-13 2018-02-06 The Spectranetics Corporation System and method of ablative cutting and pulsed vacuum aspiration
US10383691B2 (en) 2013-03-13 2019-08-20 The Spectranetics Corporation Last catheter with helical internal lumen
US9291663B2 (en) 2013-03-13 2016-03-22 The Spectranetics Corporation Alarm for lead insulation abnormality
US9456872B2 (en) 2013-03-13 2016-10-04 The Spectranetics Corporation Laser ablation catheter
US10835279B2 (en) 2013-03-14 2020-11-17 Spectranetics Llc Distal end supported tissue slitting apparatus
US10842532B2 (en) 2013-03-15 2020-11-24 Spectranetics Llc Medical device for removing an implanted object
US9925366B2 (en) 2013-03-15 2018-03-27 The Spectranetics Corporation Surgical instrument for removing an implanted object
US9603618B2 (en) 2013-03-15 2017-03-28 The Spectranetics Corporation Medical device for removing an implanted object
US10448999B2 (en) 2013-03-15 2019-10-22 The Spectranetics Corporation Surgical instrument for removing an implanted object
US9980743B2 (en) 2013-03-15 2018-05-29 The Spectranetics Corporation Medical device for removing an implanted object using laser cut hypotubes
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
EP3113701B1 (fr) 2014-03-03 2020-07-22 The Spectranetics Corporation Dispositif de coupe chirurgical à configurations multiples
US12053203B2 (en) 2014-03-03 2024-08-06 Spectranetics, Llc Multiple configuration surgical cutting device
US10405924B2 (en) 2014-05-30 2019-09-10 The Spectranetics Corporation System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port
US9980737B2 (en) 2014-08-04 2018-05-29 Medos International Sarl Flexible transport auger
AU2015343054B2 (en) * 2014-11-07 2019-06-06 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
USD770616S1 (en) 2015-02-20 2016-11-01 The Spectranetics Corporation Medical device handle
USD765243S1 (en) 2015-02-20 2016-08-30 The Spectranetics Corporation Medical device handle
JP6924704B2 (ja) 2015-06-17 2021-08-25 ストライカー・ユーロピアン・ホールディングス・Ｉ，リミテッド・ライアビリティ・カンパニー 線維組織除去のための超音波チップを有する外科器具
WO2017210466A1 (fr) 2016-06-03 2017-12-07 Avinger, Inc. Cathéter à extrémité distale détachable
CN105852932B (zh) * 2016-06-23 2018-01-19 天津大学 一种流体驱动的血管内斑块清除装置
JP6993404B2 (ja) * 2017-03-28 2022-01-13 テルモ株式会社 医療デバイス
CA3066361A1 (fr) 2017-06-07 2018-12-13 Shifamed Holdings, Llc Dispositifs de deplacement de fluide intravasculaire, systemes et procedes d'utilisation
KR102058037B1 (ko) * 2017-10-11 2020-01-22 (주)비엠에이 의료용 스네어
US11511103B2 (en) 2017-11-13 2022-11-29 Shifamed Holdings, Llc Intravascular fluid movement devices, systems, and methods of use
CN112004563B (zh) 2018-02-01 2024-08-06 施菲姆德控股有限责任公司 血管内血泵以及使用和制造方法
US12167867B2 (en) 2018-04-19 2024-12-17 Avinger, Inc. Occlusion-crossing devices
US12161857B2 (en) 2018-07-31 2024-12-10 Shifamed Holdings, Llc Intravascular blood pumps and methods of use
WO2020073047A1 (fr) 2018-10-05 2020-04-09 Shifamed Holdings, Llc Pompes à sang intravasculaires et procédés d'utilisation
WO2021011473A1 (fr) 2019-07-12 2021-01-21 Shifamed Holdings, Llc Pompes à sang intravasculaires et méthode d'utilisation et procédé de fabrication
WO2021016372A1 (fr) 2019-07-22 2021-01-28 Shifamed Holdings, Llc Pompes à sang intravasculaires à entretoises et procédés d'utilisation et de fabrication
JP7535100B2 (ja) 2019-08-22 2024-08-15 フィリップス イメージ ガイディッド セラピー コーポレイション 異なるエッジ形状をもつカッティングブレードを含む粥腫切除デバイス
JP7579262B2 (ja) 2019-09-04 2024-11-07 テルモ株式会社 医療デバイス
WO2021062265A1 (fr) 2019-09-25 2021-04-01 Shifamed Holdings, Llc Dispositifs et systèmes de pompes à sang intravasculaires et leurs procédés d'utilisation et de commande
US12102815B2 (en) 2019-09-25 2024-10-01 Shifamed Holdings, Llc Catheter blood pumps and collapsible pump housings
WO2021062260A1 (fr) 2019-09-25 2021-04-01 Shifamed Holdings, Llc Pompes à sang de cathéter et conduits sanguins pliables
CN110985521B (zh) * 2019-09-27 2025-04-04 上海微创旋律医疗科技有限公司 旋转装置以及用于旋转装置的驱动轴
US11304723B1 (en) 2020-12-17 2022-04-19 Avantec Vascular Corporation Atherectomy devices that are self-driving with controlled deflection
WO2022201246A1 (fr) * 2021-03-22 2022-09-29 テルモ株式会社 Dispositif médical
EP4340755A4 (fr) 2021-06-07 2024-10-09 Avantec Vascular Corporation Dispositifs d'athérectomie hybrides
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CN115245373B (zh) * 2022-09-26 2023-06-23 上海百心安生物技术股份有限公司 一种均匀碎化的脉冲球囊扩张导管
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WO2025038964A1 (fr) 2023-08-16 2025-02-20 Avantec Vascular Corporation Dispositifs de thrombectomie à sollicitation latérale et verticale

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361094B2 (en) 2006-06-30 2013-01-29 Atheromed, Inc. Atherectomy devices and methods
US8628549B2 (en) 2006-06-30 2014-01-14 Atheromed, Inc. Atherectomy devices, systems, and methods
US8888801B2 (en) 2006-06-30 2014-11-18 Atheromed, Inc. Atherectomy devices and methods
US8920448B2 (en) 2006-06-30 2014-12-30 Atheromed, Inc. Atherectomy devices and methods
US9308016B2 (en) 2006-06-30 2016-04-12 Atheromed, Inc. Devices, systems, and methods for performing atherectomy including delivery of a bioactive material
US9314263B2 (en) 2006-06-30 2016-04-19 Atheromed, Inc. Atherectomy devices, systems, and methods
US9492193B2 (en) 2006-06-30 2016-11-15 Atheromed, Inc. Devices, systems, and methods for cutting and removing occlusive material from a body lumen
US9492192B2 (en) 2006-06-30 2016-11-15 Atheromed, Inc. Atherectomy devices, systems, and methods
US8236016B2 (en) 2007-10-22 2012-08-07 Atheromed, Inc. Atherectomy devices and methods
US8647355B2 (en) 2007-10-22 2014-02-11 Atheromed, Inc. Atherectomy devices and methods
US9198679B2 (en) 2007-10-22 2015-12-01 Atheromed, Inc. Atherectomy devices and methods
US8795306B2 (en) 2011-10-13 2014-08-05 Atheromed, Inc. Atherectomy apparatus, systems and methods

Also Published As

Publication number Publication date
JP2011517601A (ja) 2011-06-16
EP2268213A2 (fr) 2011-01-05
CN102088920A (zh) 2011-06-08
AU2009234392A1 (en) 2009-10-15
CA2720761A1 (fr) 2009-10-15
CN102088920B (zh) 2013-04-24
WO2009126309A2 (fr) 2009-10-15
EP2268213A4 (fr) 2013-09-18
KR20110005842A (ko) 2011-01-19

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