CA2309428A1 - Procedes et systemes de traitement des obstructions dans une lumiere organique - Google Patents

Procedes et systemes de traitement des obstructions dans une lumiere organique Download PDF

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Publication number
CA2309428A1
CA2309428A1 CA002309428A CA2309428A CA2309428A1 CA 2309428 A1 CA2309428 A1 CA 2309428A1 CA 002309428 A CA002309428 A CA 002309428A CA 2309428 A CA2309428 A CA 2309428A CA 2309428 A1 CA2309428 A1 CA 2309428A1
Authority
CA
Canada
Prior art keywords
guidewire
guide section
lumen
removal mechanism
catheter
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
Application number
CA002309428A
Other languages
English (en)
Inventor
Kathy M. Mah
Greg R. Patterson
David J. Kupiecki
Ronald G. Williams
James D. Passafaro
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Prolifix Medical Inc
Original Assignee
Individual
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 US08/966,001 external-priority patent/US6156046A/en
Application filed by Individual filed Critical Individual
Publication of CA2309428A1 publication Critical patent/CA2309428A1/fr
Abandoned legal-status Critical Current

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
    • A61B17/22—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
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00685—Archimedes screw
    • 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
    • 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
    • A61B2017/22042—Details of the tip of the 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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2217—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions single wire changing shape to a gripping configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/314—Flexible bags or pouches
    • 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
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un système comprenant un cathéter (32), un élément (52) de couple qui s'étend longitudinalement à travers la lumière (50) du cathéter (32), un mécanisme (54) d'évacuation fixé à l'extrémité distale de l'élément (52) de couple, et un fil-guide (46) présentant un section (200) guide qui s'étend à travers une lumière du mécanisme (54) d'évacuation. La section (200) guide présente un profil courbe d'un diamètre supérieur à la dimension du mécanisme (54) d'évacuation. La section (200) guide du fil-guide (46) est conçue pour être placée dans un passage traversant le matériau d'occlusion de manière à aménager un cheminement courbe le long duquel on peut avancer le mécanisme (54) d'évacuation dans le matériau d'occlusion afin de fractionner et d'évacuer ce dernier. L'invention concerne également des procédés d'utilisation de ce système et de fabrication du fil-guide (46) ainsi qu'un système de fil de perfusion.
CA002309428A 1997-11-07 1998-11-06 Procedes et systemes de traitement des obstructions dans une lumiere organique Abandoned CA2309428A1 (fr)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US08/966,001 US6156046A (en) 1997-11-07 1997-11-07 Methods and systems for treating obstructions in a body lumen
US08/966,001 1997-11-07
US8163198P 1998-04-13 1998-04-13
US8161498P 1998-04-13 1998-04-13
US60/081,614 1998-10-07
US60/081,631 1998-10-07
PCT/US1998/023832 WO1999023958A1 (fr) 1997-11-07 1998-11-06 Procedes et systemes de traitement des obstructions dans une lumiere organique

Publications (1)

Publication Number Publication Date
CA2309428A1 true CA2309428A1 (fr) 1999-05-20

Family

ID=27374032

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002309428A Abandoned CA2309428A1 (fr) 1997-11-07 1998-11-06 Procedes et systemes de traitement des obstructions dans une lumiere organique

Country Status (4)

Country Link
EP (1) EP1030610A1 (fr)
JP (1) JP2001522631A (fr)
CA (1) CA2309428A1 (fr)
WO (1) WO1999023958A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021055148A1 (fr) * 2019-09-19 2021-03-25 Stryker Corporation Dispositifs pour éliminer des matériaux obstruant des vaisseaux sanguins
US11771458B2 (en) * 2017-12-12 2023-10-03 Charles GILLILAND Rotary embolectomy device

Families Citing this family (126)

* Cited by examiner, † Cited by third party
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