CA3144246C - Creation de plasma par rupture optique non aqueuse d'energie pulsee laser pour fragmentation de calcium vasculaire - Google Patents

Creation de plasma par rupture optique non aqueuse d'energie pulsee laser pour fragmentation de calcium vasculaire Download PDF

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Publication number
CA3144246C
CA3144246C CA3144246A CA3144246A CA3144246C CA 3144246 C CA3144246 C CA 3144246C CA 3144246 A CA3144246 A CA 3144246A CA 3144246 A CA3144246 A CA 3144246A CA 3144246 C CA3144246 C CA 3144246C
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CA
Canada
Prior art keywords
light guide
plasma
target
catheter system
plasma target
Prior art date
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Active
Application number
CA3144246A
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English (en)
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CA3144246A1 (fr
Inventor
Daniel MASSIMINI
Roger Mcgowan
Haiping Shao
Christopher A. Cook
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.)
Boston Scientific Scimed Inc
Bolt Medical Inc
Original Assignee
Bolt Medical Inc
Scimed Life Systems Inc
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Filing date
Publication date
Priority claimed from US16/874,065 external-priority patent/US11717139B2/en
Priority claimed from US16/884,257 external-priority patent/US11819229B2/en
Application filed by Bolt Medical Inc, Scimed Life Systems Inc filed Critical Bolt Medical Inc
Publication of CA3144246A1 publication Critical patent/CA3144246A1/fr
Application granted granted Critical
Publication of CA3144246C publication Critical patent/CA3144246C/fr
Active legal-status Critical Current
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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
    • A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A—HUMAN NECESSITIES
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    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
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    • A61B2017/22025—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement applying a shock wave
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    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
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    • A61B2018/263—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy the conversion of laser energy into mechanical shockwaves taking place in a liquid
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    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A61B2018/266—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy the conversion of laser energy into mechanical shockwaves taking place in a part of the probe

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Optics & Photonics (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Otolaryngology (AREA)
  • Electromagnetism (AREA)
  • Mechanical Engineering (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un système de cathéter (100) permettant de traiter un site de traitement (106) à l'intérieur ou à proximité d'un vaisseau sanguin (108) et comprenant une source de puissance (124), un guide lumineux (122) et une cible de plasma (242). Selon divers modes de réalisation, le guide lumineux (122) reçoit de la puissance provenant de la source de puissance (124). Le guide lumineux (122) comporte une pointe distale (244) et le guide lumineux (122) émet de l'énergie lumineuse (243) selon une direction d'éloignement de la pointe distale (244). La cible de plasma (242) est espacée de la pointe distale (244) du guide lumineux (122) d'une distance cible d'espace (245). La cible de plasma (242) est conçue pour recevoir de l'énergie lumineuse (243) du guide lumineux (122) pour qu'une bulle de plasma (234) soit générée au niveau de la cible de plasma (242). La source de puissance (124) peut être un laser et le guide lumineux (122) une fibre optique. Selon certains modes de réalisation, le système de cathéter (100) peut également comprendre un ballonnet gonflable (104) encerclant la pointe distale (244) du guide lumineux (122). La cible de plasma (242) peut être positionnée à l'intérieur du ballonnet gonflable (104). La distance cible d'espace (245) peut être supérieure à 1 µm. La cible de plasma (242) peut avoir une face cible (1672) qui reçoit l'énergie lumineuse (243) du guide lumineux (122). La face cible (1672) peut être inclinée par rapport à une direction dans laquelle l'énergie lumineuse (243) est émise vers la cible de plasma (242). La cible de plasma (242) peut être formée d'un ou de plusieurs éléments parmi le tungstène, le tantale, le platine, le molybdène, le niobium, l'iridium, l'oxyde de magnésium, l'oxyde de béryllium, le carbure de tungstène, le nitrure de titane, le carbonitrure de titane et le carbure de titane.
CA3144246A 2019-06-19 2020-06-04 Creation de plasma par rupture optique non aqueuse d'energie pulsee laser pour fragmentation de calcium vasculaire Active CA3144246C (fr)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201962863506P 2019-06-19 2019-06-19
US62/863,506 2019-06-19
US202062965069P 2020-01-23 2020-01-23
US62/965,069 2020-01-23
US16/874,065 US11717139B2 (en) 2019-06-19 2020-05-14 Plasma creation via nonaqueous optical breakdown of laser pulse energy for breakup of vascular calcium
US16/874,065 2020-05-14
US16/884,257 2020-05-27
US16/884,257 US11819229B2 (en) 2019-06-19 2020-05-27 Balloon surface photoacoustic pressure wave generation to disrupt vascular lesions
PCT/US2020/036107 WO2020256949A1 (fr) 2019-06-19 2020-06-04 Création de plasma par rupture optique non aqueuse d'énergie pulsée laser pour fragmentation de calcium vasculaire

Publications (2)

Publication Number Publication Date
CA3144246A1 CA3144246A1 (fr) 2020-12-24
CA3144246C true CA3144246C (fr) 2024-03-05

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CA3144246A Active CA3144246C (fr) 2019-06-19 2020-06-04 Creation de plasma par rupture optique non aqueuse d'energie pulsee laser pour fragmentation de calcium vasculaire

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EP (1) EP3986310A1 (fr)
JP (1) JP7408696B2 (fr)
CN (1) CN114340532B (fr)
CA (1) CA3144246C (fr)
WO (1) WO2020256949A1 (fr)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11819229B2 (en) 2019-06-19 2023-11-21 Boston Scientific Scimed, Inc. Balloon surface photoacoustic pressure wave generation to disrupt vascular lesions
US12402946B2 (en) 2019-06-19 2025-09-02 Boston Scientific Scimed, Inc. Breakdown of laser pulse energy for breakup of vascular calcium
US11717139B2 (en) 2019-06-19 2023-08-08 Bolt Medical, Inc. Plasma creation via nonaqueous optical breakdown of laser pulse energy for breakup of vascular calcium
US11660427B2 (en) 2019-06-24 2023-05-30 Boston Scientific Scimed, Inc. Superheating system for inertial impulse generation to disrupt vascular lesions
US20200406010A1 (en) 2019-06-26 2020-12-31 Boston Scientific Scimed, Inc. Side light direction plasma system to disrupt vascular lesions
US11583339B2 (en) 2019-10-31 2023-02-21 Bolt Medical, Inc. Asymmetrical balloon for intravascular lithotripsy device and method
US12102384B2 (en) 2019-11-13 2024-10-01 Bolt Medical, Inc. Dynamic intravascular lithotripsy device with movable energy guide
US12274497B2 (en) 2019-12-18 2025-04-15 Bolt Medical, Inc. Multiplexer for laser-driven intravascular lithotripsy device
US12446961B2 (en) 2020-02-10 2025-10-21 Bolt Medical, Inc. System and method for pressure monitoring within a catheter system
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JP7408696B2 (ja) 2024-01-05
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