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DE448859T1 - System zur gefuehrten atherektomie. - Google Patents

System zur gefuehrten atherektomie.

Info

Publication number
DE448859T1
DE448859T1 DE199090305091T DE90305091T DE448859T1 DE 448859 T1 DE448859 T1 DE 448859T1 DE 199090305091 T DE199090305091 T DE 199090305091T DE 90305091 T DE90305091 T DE 90305091T DE 448859 T1 DE448859 T1 DE 448859T1
Authority
DE
Germany
Prior art keywords
flexible
arterectomy
blood vessel
wire
distal end
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.)
Pending
Application number
DE199090305091T
Other languages
English (en)
Inventor
Samuel Mundelein Ill. Shiber
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.)
Individual
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
Application filed by Individual filed Critical Individual
Publication of DE448859T1 publication Critical patent/DE448859T1/de
Pending legal-status Critical Current

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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
    • 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
    • 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
    • F16C1/00—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing
    • F16C1/02—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16D—COUPLINGS FOR TRANSMITTING ROTATION; CLUTCHES; BRAKES
    • F16D7/00—Slip couplings, e.g. slipping on overload, for absorbing shock
    • F16D7/02—Slip couplings, e.g. slipping on overload, for absorbing shock of the friction type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods pneumatically or hydraulically operated hydraulically
    • 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
    • A61B2017/0084—Material properties low friction
    • A61B2017/00845—Material properties low friction of moving parts with respect to each other
    • 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
    • A61B2017/22052—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 eccentric
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320084—Irrigation sleeves
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
    • 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
    • A61B2090/3933—Liquid markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • 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
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
    • F16C2316/00—Apparatus in health or amusement
    • F16C2316/10—Apparatus in health or amusement in medical appliances, e.g. in diagnosis, dentistry, instruments, prostheses, medical imaging appliances

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • General Engineering & Computer Science (AREA)
  • Mechanical Engineering (AREA)
  • Otolaryngology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Plasma & Fusion (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Claims (1)

  1. Ansprüche
    1 . Arterektomie-System zum Entfernen eines Obstruktionsmaterials aus dem Blutgefäß eines Patienten, beinhaltend in Kombination:
    einen in das Blutgefäß einführbaren flexiblen Führungsdraht, der einen Hohlraum zum Festhalten des Obstruktionsmaterials definiert,
    einen flexiblen Katheter mit einem Ausschneidemittel an seinem distalen Ende mit einem ununterbrochenen Durchgang zur Aufnahme des ausgeschnittenen Obstruktionsmaterials, wobei der flexible Katheter von dem flexiblen Führungsdraht geführt und über ihn schiebbar ist,
    Kupplungsmittel am proximalen Ende des flexiblen Katheters
    zur Verbindung des flexiblen Katheters mit Antriebsmitteln.
    2. Arterektomie-System nach Anspruch 1, worin das Ausschneidemittel eine rohrförmige Klinge ist.
    3. Arterektomie-System nach Anspruch 1, worin das Ausschneidemittel eine rohrförmige Klinge ist, die wenigstens einen Zahn aufweist.
    4. Arterektomie-System nach Anspruch 1, worin das Ausschneidemittel Hilfsenergie benutzt.
    5. Arterektomie-System nach Anspruch 1, worin das Ausschneidemittel eine rohrförmige Klinge ist, die eine
    Hilfsenergie benutzt zur Unterstützung beim Ausschneiden des Obstruktionsmaterials.
    6. Arterektomie-System nach Anspruch 1, mit einer flexiblen Hülse, in der der flexible Katheter angeordnet ist.
    7. Arterektomie-System nach Anspruch 6, worin die Hülse Mittel besitzt, um sie in dem Blutgefäß auszurichten.
    8. Arterektomie-System nach Anspruch 7, worin die Ausrichtmittel eine aufblasbare Kammer beinhalten, die an dem distalen Ende der flexiblen Hülse gebildet ist.
    9. Arterektomie-System nach Anspruch 7, worin die flexible Hülse eine Zunge an ihrem distalen Ende aufweist, um die Hülse in dem Blutgefäß auszurichten.
    10. Arterektomie-System nach Anspruch 9, worin die Zunge wahlweise einstellbar ist.
    11. Arterektomie-System nach Anspruch 6, worin Mittel zur Übertragung von Fluid in das Blutgefäß mit der flexiblen Hülse verbunden sind.
    12. Arterektomie-System nach Anspruch 1, worin Unterdruck angewendet wird, um das ausgeschnittene Obstruktionsmaterial in dem ununterbrochenen Durchgang proximal zu ziehen.
    13. Arterektomie-System nach Anspruch 12, worin der Unterdruck seitens einer Pumpe der Verdrangerbauart zur Verfugung gestellt ist.
    14. Arterektomie-System nach Anspruch 1, worin ein Abschnitt des distal in den flexiblen Katheter eingesetzten und in das Blutgefäß eingeführten flexiblen Führungsdrahtes den flexiblen Katheter mit dem Blutgefäß in konzentrische Flucht bringt.
    10
    15. Arterektomie-System nach Anspruch 1, worin ein Abschnitt des flexiblen Führungsdrahtes, der sich von dem flexiblen Katheter aus distal in das Blutgefäß erstreckt, einen Hebelarm zur Verfügung stellt, der den flexiblen Katheter mit dem Blutgefäß winkelmäßig in Flucht bringt.
    16. Arterektomie-System nach Anspruch 1, worin wenigstens ein Abschnitt des flexiblen Führungsdrahtes wie ein Bohrer geformt ist. .
    17. Arterektomie-System nach Anspruch 16, worin der Bohrer aus einem gewendelten Draht besteht, der aus wenigstens zwei Lagen gebildet ist, die sein absolutes Querschnittsmaß rund um eine quer zur Hauptachse des Bohrers verlaufende neutrale Achse vermindern.
    18. Arterektomie-System nach Anspruch 1, worin der flexiblen Führungsdraht aus einem Pilotdraht und einem darauf gleitenden flexiblen Gehäuse besteht, welches einen Hohlraum zum Festhalten des Obstruktionsmaterials definiert.
    19. Arterektomie-System nach Anspruch 18, worin der flexible Pilotdraht an seinem distalen Ende ein Hilfsenergie-Hülse aufweist.
    20. Arterektomie-System nach Anspruch 19, worin die Hilfsenergie von dem Pilotdraht emittiert wird, um den gewendelten Draht beim Durchqueren des Obstruktionsmaterials zu unterstützen.
    21. Arterektomie-System nach Anspruch 18, worin der flexible Pilotdraht ein Rohr ist.
    22. Arterektomie-System nach Anspruch 18, worin ein Abschnitt des flexiblen Pilotdrahts distal in das
    flexible Gehäuse und das Blutgefäß einführbar ist und einen Hebelarm bereitstellt, um das flexible Gehäuse mit dem Blutgefäß winkelmäßig in Flucht miteinander zu bringen.
    20
    23. Arterektomie-System nach Anspruch 18, worin wenigstens ein Abschnitt des flexiblen Gehäuses ein gewendelter Draht ist.
    24. Arterektomie-System nach Anspruch 23, worin das distale Ende des gewendelten Drahtes mit einem schmalen Durchgang abgeschlossen ist.
    25. Arterektomie-System nach Anspruch 24, worin der Durchgang ein kurzer Rohrabschnitt ist, der an dem distalen Ende des gewendelten Drahtes befestigt ist.
    26. Arterektomie-System nach Anspruch 23, worin der gewendelte Draht Hilfsenergie durch sein distales Ende aussendet.
    28. Arterektomie-System nach Anspruch 23, worin der gewendelte Draht aus einem Draht gemacht ist, der um eine quer zur Hauptachse des gewendelten Drahtes verlaufende neutrale Achse herum einen verminderten Querschnittsmodul hat.
    10
    29. Arterektomie-System nach Anspruch 28, worin der gewendelte Draht aus wenigstens zwei Lagen gebildet ist, die den Querschnittsmodul des gewendelten Drahtes um eine quer zur Hauptachse des gewendelten Drahtes verlaufende neutrale Achse herum vermindern.
    30. Arterektomie-System nach Anspruch 1, worin der flexiblen Führungsdraht eine radial vorstehende Sperre hat.
    31 . Arterektomie-System nach Anspruch 30, worin die Sperre wahlweise ausgedehnt werden kann.
    32. Arterektomie-System nach Anspruch 1, worin der flexiblen Führungsdraht an seinem distalen Ende eine Hülse zum Senden und Empfangen von Hilfsenergie aufweist.
    33. Arterektomie-System nach Anspruch 32, worin das distale Ende des flexiblen Führungsdrahtes Mittel zum Durchbohren des Obstruktionsmaterials aufweist.
    34. Arterektomie-System nach Anspruch 33, worin die Bohrmittel scharfe Vorsprünge umfassen.
    35. Arterektomie-System nach Anspruch 33, worin die Bohrmittel Hilfsenergie benutzen.
    36. Arterektomie-System nach Anspruch 1, mit Einstellmitteln zum Ablenken der Bahnkurve des flexiblen Führungsdrahtes in dem Blutgefäß.
    37. Arterektomie-System nach Anspruch 36, worin die Einstellmittel eine wahlweise aufblasbare asymmetrische Kammer umfassen, die an dem distalen Ende der flexiblen Hülse ausgebildet ist.
    38. Verfahren zum Entfernen einer Obstruktion aus einem Blutgefäß mit einem Arterektomie-System, beinhaltend die folgenden Schritte:
    Einführen eines flexiblen Führungsdrahtes in das Blutgefäß und in die Obstruktion,
    Festhalten der Obstruktion mit dem flexiblen Führungsdraht ,
    Vorschieben eines an einem distalen Ende eines flexiblen Katheters angeordneten Ausschneidemittels über den flexiblen Führungsdraht,
    Vorschieben des Ausschneidemittels in die Obstruktion und ausschneiden der Obstruktion, während das Ausschneidemittel in dem Blutgefäß geführt und durch den flexiblen Führungsdraht mit dem Blutgefäß ausgerichtet ist.
    39. Verfahren nach Anspruch 38, worin ein röntgenstrahlenundurchlässiges Fluid durch den flexiblen Führungsdraht injiziert wird, um ein Durchleuchtungsbild des Blutgefäßes zu erleichtern.
DE199090305091T 1990-03-27 1990-05-11 System zur gefuehrten atherektomie. Pending DE448859T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US07/499,726 US5135531A (en) 1984-05-14 1990-03-27 Guided atherectomy system

Publications (1)

Publication Number Publication Date
DE448859T1 true DE448859T1 (de) 1992-01-16

Family

ID=23986446

Family Applications (1)

Application Number Title Priority Date Filing Date
DE199090305091T Pending DE448859T1 (de) 1990-03-27 1990-05-11 System zur gefuehrten atherektomie.

Country Status (3)

Country Link
US (1) US5135531A (de)
EP (1) EP0448859A3 (de)
DE (1) DE448859T1 (de)

Families Citing this family (244)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5443443A (en) * 1984-05-14 1995-08-22 Surgical Systems & Instruments, Inc. Atherectomy system
US5100424A (en) * 1990-05-21 1992-03-31 Cardiovascular Imaging Systems, Inc. Intravascular catheter having combined imaging abrasion head
US5423846A (en) * 1991-10-21 1995-06-13 Cathco, Inc. Dottering auger catheter system
US5257990A (en) * 1992-02-24 1993-11-02 Kensey Nash Corporation Electrosurgical catheter instrument with impacting working head and method of use
US5295493A (en) * 1992-03-19 1994-03-22 Interventional Technologies, Inc. Anatomical guide wire
US5250060A (en) * 1992-06-26 1993-10-05 Carbo Paul L Angioplasty apparatus
FR2696924B1 (fr) * 1992-08-06 1995-01-06 Domilens Laboratoires Instrument chirurgical pour la fragmentation in situ d'un matériau vivant, notamment instrument de phaco-fragmentation ou phaco-émulsification.
US5643297A (en) 1992-11-09 1997-07-01 Endovascular Instruments, Inc. Intra-artery obstruction clearing apparatus and methods
US5571122A (en) 1992-11-09 1996-11-05 Endovascular Instruments, Inc. Unitary removal of plaque
US5792157A (en) * 1992-11-13 1998-08-11 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5501694A (en) * 1992-11-13 1996-03-26 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5490859A (en) * 1992-11-13 1996-02-13 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US6712783B1 (en) * 1992-11-13 2004-03-30 Cardiovascular Imaging, Inc. Catheter system having a balloon angioplasty device disposed over a work element lumen
US5836868A (en) * 1992-11-13 1998-11-17 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
US5575794A (en) * 1993-02-12 1996-11-19 Walus; Richard L. Tool for implanting a fiducial marker
US5409376A (en) * 1993-03-10 1995-04-25 Murphy; Quentin M. Apparatus and process for laser-assisted driling
US5429136A (en) * 1993-04-21 1995-07-04 Devices For Vascular Intervention, Inc. Imaging atherectomy apparatus
CA2121861A1 (en) * 1993-04-23 1994-10-24 William D. Fox Mechanical morcellator
US5897567A (en) * 1993-04-29 1999-04-27 Scimed Life Systems, Inc. Expandable intravascular occlusion material removal devices and methods of use
AU682338B2 (en) * 1993-05-06 1997-10-02 Linvatec Corporation Rotatable endoscopic shaver with polymeric blades
US5373854A (en) * 1993-07-15 1994-12-20 Kolozsi; William Z. Biopsy apparatus for use in endoscopy
US5441510A (en) * 1993-09-01 1995-08-15 Technology Development Center Bi-axial cutter apparatus for catheter
US5462529A (en) * 1993-09-29 1995-10-31 Technology Development Center Adjustable treatment chamber catheter
US5427107A (en) * 1993-12-07 1995-06-27 Devices For Vascular Intervention, Inc. Optical encoder for catheter device
AU1399995A (en) * 1993-12-09 1995-06-27 Devices For Vascular Intervention, Inc. Composite drive shaft
US5499632A (en) * 1994-05-04 1996-03-19 Devices For Vascular Intervention Guide wire migration controller
US5919161A (en) * 1994-05-04 1999-07-06 Devices For Vascular Intervention Guidewire migration controller
DE69536046D1 (de) * 1994-07-08 2010-04-01 Ev3 Inc System zum Durchführen eines intravaskulären Verfahrens
WO1996029942A1 (de) * 1995-03-28 1996-10-03 Straub Federnfabrik Ag Katheter zum ablösen von abnormalen ablagerungen in menschlichen blutgefässen
CA2220689A1 (en) * 1995-05-10 1996-11-14 Cardiogenesis Corporation System for treating or diagnosing heart tissue
US6251104B1 (en) 1995-05-10 2001-06-26 Eclipse Surgical Technologies, Inc. Guiding catheter system for ablating heart tissue
US5868685A (en) * 1995-11-14 1999-02-09 Devices For Vascular Intervention Articulated guidewire
US5827304A (en) * 1995-11-16 1998-10-27 Applied Medical Resources Corporation Intraluminal extraction catheter
US20030069522A1 (en) * 1995-12-07 2003-04-10 Jacobsen Stephen J. Slotted medical device
US5733296A (en) * 1996-02-06 1998-03-31 Devices For Vascular Intervention Composite atherectomy cutter
WO1997038631A1 (en) 1996-04-18 1997-10-23 Applied Medical Resources Corporation Remote clot management
US6152909A (en) * 1996-05-20 2000-11-28 Percusurge, Inc. Aspiration system and method
US6440088B1 (en) * 1996-05-24 2002-08-27 Precision Vascular Systems, Inc. Hybrid catheter guide wire apparatus and method
US5662671A (en) * 1996-07-17 1997-09-02 Embol-X, Inc. Atherectomy device having trapping and excising means for removal of plaque from the aorta and other arteries
US6406442B1 (en) 1996-11-07 2002-06-18 Prolifix Medical, Inc. Guidewire for precision catheter positioning
US5910150A (en) 1996-12-02 1999-06-08 Angiotrax, Inc. Apparatus for performing surgery
US6102926A (en) 1996-12-02 2000-08-15 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having means for sensing tissue parameters and methods of use
US6120520A (en) 1997-05-27 2000-09-19 Angiotrax, Inc. Apparatus and methods for stimulating revascularization and/or tissue growth
US6051008A (en) 1996-12-02 2000-04-18 Angiotrax, Inc. Apparatus having stabilization members for percutaneously performing surgery and methods of use
US6379334B1 (en) 1997-02-10 2002-04-30 Essex Technology, Inc. Rotate advance catheterization system
US6849068B1 (en) 1997-03-06 2005-02-01 Medtronic Ave, Inc. Aspiration catheter
US6183487B1 (en) 1997-03-06 2001-02-06 Scimed Life Systems, Inc. Ablation device for reducing damage to vessels and/or in-vivo stents
US7094249B1 (en) 1997-03-06 2006-08-22 Boston Scientific Scimed, Inc. Distal protection device and method
US6015420A (en) * 1997-03-06 2000-01-18 Scimed Life Systems, Inc. Atherectomy device for reducing damage to vessels and/or in-vivo stents
US6676682B1 (en) 1997-05-08 2004-01-13 Scimed Life Systems, Inc. Percutaneous catheter and guidewire having filter and medical device deployment capabilities
US5911734A (en) 1997-05-08 1999-06-15 Embol-X, Inc. Percutaneous catheter and guidewire having filter and medical device deployment capabilities
WO2001028618A2 (en) 1999-10-22 2001-04-26 Boston Scientific Corporation Double balloon thrombectomy catheter
US6090118A (en) * 1998-07-23 2000-07-18 Mcguckin, Jr.; James F. Rotational thrombectomy apparatus and method with standing wave
US7037316B2 (en) 1997-07-24 2006-05-02 Mcguckin Jr James F Rotational thrombectomy device
GB9717580D0 (en) * 1997-08-19 1997-10-22 Curry Paul Device for opening blocked tubes
US6066149A (en) 1997-09-30 2000-05-23 Target Therapeutics, Inc. Mechanical clot treatment device with distal filter
US6139557A (en) * 1997-11-07 2000-10-31 Prolifix Medical, Inc. Apparatus for making wire with radial expansible guide section and methods of manufacturing the same
US6371928B1 (en) 1997-11-07 2002-04-16 Prolifix Medical, Inc. Guidewire for positioning a catheter against a lumen wall
EP1042618A1 (de) 1997-12-31 2000-10-11 Jack W. Romano Verfahren und vorrichtung zur übertragung von bohrenergie nach einem schneidelement
US6666874B2 (en) 1998-04-10 2003-12-23 Endicor Medical, Inc. Rotational atherectomy system with serrated cutting tip
US6482217B1 (en) 1998-04-10 2002-11-19 Endicor Medical, Inc. Neuro thrombectomy catheter
US6001112A (en) 1998-04-10 1999-12-14 Endicor Medical, Inc. Rotational atherectomy device
US6036708A (en) * 1998-08-13 2000-03-14 Advanced Cardiovascular Systems, Inc. Cutting stent with flexible tissue extractor
US7524289B2 (en) * 1999-01-25 2009-04-28 Lenker Jay A Resolution optical and ultrasound devices for imaging and treatment of body lumens
US6592526B1 (en) 1999-01-25 2003-07-15 Jay Alan Lenker Resolution ultrasound devices for imaging and treatment of body lumens
US7316697B2 (en) * 1999-02-02 2008-01-08 Samuel Shiber Vessel cleaning system with asymmetrical auto retracting agitator
US6758851B2 (en) 1999-02-02 2004-07-06 Samuel Shiber Vessel cleaner
US6818002B2 (en) * 1999-02-02 2004-11-16 Samuel Shiber Vessel cleaner and barrier
US6171327B1 (en) 1999-02-24 2001-01-09 Scimed Life Systems, Inc. Intravascular filter and method
AU1343400A (en) * 1999-03-01 2000-09-21 Endicor Medical, Inc. Rotational atherectomy system with side balloon
EP1870044B1 (de) * 1999-03-01 2009-07-29 ev3 Endovascular, Inc. Rotierende atherektomievorrichtung mit gezahnter schneidespitze
US6066153A (en) * 1999-03-31 2000-05-23 Lev; Avigdor Device and method for resecting body tissues
WO2000076570A2 (en) 1999-06-15 2000-12-21 Cryocath Technologies, Inc. Steerable catheter
US20030150821A1 (en) 1999-07-16 2003-08-14 Bates Mark C. Emboli filtration system and methods of use
US6530939B1 (en) 1999-07-30 2003-03-11 Incept, Llc Vascular device having articulation region and methods of use
US6620182B1 (en) 1999-07-30 2003-09-16 Incept Llc Vascular filter having articulation region and methods of use in the ascending aorta
US7320697B2 (en) 1999-07-30 2008-01-22 Boston Scientific Scimed, Inc. One piece loop and coil
US6544279B1 (en) 2000-08-09 2003-04-08 Incept, Llc Vascular device for emboli, thrombus and foreign body removal and methods of use
US6371970B1 (en) 1999-07-30 2002-04-16 Incept Llc Vascular filter having articulation region and methods of use in the ascending aorta
US6589263B1 (en) 1999-07-30 2003-07-08 Incept Llc Vascular device having one or more articulation regions and methods of use
US6616679B1 (en) 1999-07-30 2003-09-09 Incept, Llc Rapid exchange vascular device for emboli and thrombus removal and methods of use
US6142987A (en) 1999-08-03 2000-11-07 Scimed Life Systems, Inc. Guided filter with support wire and methods of use
US6235044B1 (en) 1999-08-04 2001-05-22 Scimed Life Systems, Inc. Percutaneous catheter and guidewire for filtering during ablation of mycardial or vascular tissue
US6168579B1 (en) 1999-08-04 2001-01-02 Scimed Life Systems, Inc. Filter flush system and methods of use
US8328829B2 (en) 1999-08-19 2012-12-11 Covidien Lp High capacity debulking catheter with razor edge cutting window
US6299622B1 (en) 1999-08-19 2001-10-09 Fox Hollow Technologies, Inc. Atherectomy catheter with aligned imager
US7713279B2 (en) 2000-12-20 2010-05-11 Fox Hollow Technologies, Inc. Method and devices for cutting tissue
US7708749B2 (en) 2000-12-20 2010-05-04 Fox Hollow Technologies, Inc. Debulking catheters and methods
US7655016B2 (en) 1999-09-17 2010-02-02 Covidien Mechanical pump for removal of fragmented matter and methods of manufacture and use
US6454775B1 (en) * 1999-12-06 2002-09-24 Bacchus Vascular Inc. Systems and methods for clot disruption and retrieval
WO2001023027A1 (en) 1999-09-27 2001-04-05 Essex Technology, Inc. Rotate-to-advance catheterization system
US8414543B2 (en) 1999-10-22 2013-04-09 Rex Medical, L.P. Rotational thrombectomy wire with blocking device
US6371971B1 (en) 1999-11-15 2002-04-16 Scimed Life Systems, Inc. Guidewire filter and methods of use
ES2309079T3 (es) 2000-07-13 2008-12-16 Abbott Cardiovascular Systems Inc. Sistema de despliegue para material celular miocardico.
US6500185B1 (en) 2000-09-29 2002-12-31 Primus Medical, Inc. Snare device
US6616681B2 (en) 2000-10-05 2003-09-09 Scimed Life Systems, Inc. Filter delivery and retrieval device
AU2002231074A1 (en) 2000-12-20 2002-07-01 Fox Hollow Technologies, Inc. Debulking catheter
US6663651B2 (en) 2001-01-16 2003-12-16 Incept Llc Systems and methods for vascular filter retrieval
US6689151B2 (en) 2001-01-25 2004-02-10 Scimed Life Systems, Inc. Variable wall thickness for delivery sheath housing
US6840950B2 (en) 2001-02-20 2005-01-11 Scimed Life Systems, Inc. Low profile emboli capture device
US6537295B2 (en) 2001-03-06 2003-03-25 Scimed Life Systems, Inc. Wire and lock mechanism
ES2333585T3 (es) * 2001-04-16 2010-02-24 Gary A. Strobel Nuevos hongos endofitos y procedimientos de uso.
US6951570B2 (en) 2001-07-02 2005-10-04 Rubicon Medical, Inc. Methods, systems, and devices for deploying a filter from a filter device
US6962598B2 (en) 2001-07-02 2005-11-08 Rubicon Medical, Inc. Methods, systems, and devices for providing embolic protection
US6997939B2 (en) 2001-07-02 2006-02-14 Rubicon Medical, Inc. Methods, systems, and devices for deploying an embolic protection filter
ES2274984T3 (es) 2001-07-05 2007-06-01 Precision Vascular Systems, Inc. Dispositivo medico de punta blanda que puede someterse a torsion y metodo para conformarlo.
US20030023263A1 (en) 2001-07-24 2003-01-30 Incept Llc Apparatus and methods for aspirating emboli
US20030023261A1 (en) 2001-07-30 2003-01-30 Scimed Life Systems Inc. Chronic total occlusion device with variable stiffness shaft
US20030050648A1 (en) 2001-09-11 2003-03-13 Spiration, Inc. Removable lung reduction devices, systems, and methods
US6755847B2 (en) 2001-10-05 2004-06-29 Scimed Life Systems, Inc. Emboli capturing device and method of manufacture therefor
US7749243B2 (en) * 2001-10-19 2010-07-06 Boston Scientific Scimed, Inc. Embolus extractor
US7052500B2 (en) 2001-10-19 2006-05-30 Scimed Life Systems, Inc. Embolus extractor
US6592594B2 (en) 2001-10-25 2003-07-15 Spiration, Inc. Bronchial obstruction device deployment system and method
US7594926B2 (en) 2001-11-09 2009-09-29 Boston Scientific Scimed, Inc. Methods, systems and devices for delivering stents
JP4350515B2 (ja) 2001-11-09 2009-10-21 ルビコン・メデイカル・インコーポレイテツド ステント搬送装置
US7485125B2 (en) * 2001-12-17 2009-02-03 Smith & Nephew, Inc. Cutting instrument
US20030216769A1 (en) 2002-05-17 2003-11-20 Dillard David H. Removable anchored lung volume reduction devices and methods
US20030181922A1 (en) 2002-03-20 2003-09-25 Spiration, Inc. Removable anchored lung volume reduction devices and methods
US7244263B2 (en) * 2002-04-09 2007-07-17 Stryker Corporation Surgical instrument
US20030195511A1 (en) * 2002-04-16 2003-10-16 Spiration, Inc. Device for and method of removing deleterious body tissue from a site within a patient
US7179269B2 (en) * 2002-05-20 2007-02-20 Scimed Life Systems, Inc. Apparatus and system for removing an obstruction from a lumen
ATE318638T1 (de) * 2002-07-11 2006-03-15 Nucletron Bv Harnröhrensonde
AU2003259064A1 (en) 2002-07-25 2004-02-16 Boston Scientific Limited Medical device for navigation through anatomy and method of making same
US7914467B2 (en) 2002-07-25 2011-03-29 Boston Scientific Scimed, Inc. Tubular member having tapered transition for use in a medical device
US6929639B2 (en) * 2002-08-30 2005-08-16 Scimed Life Systems, Inc. Cryo ablation coil
US8468678B2 (en) 2002-10-02 2013-06-25 Boston Scientific Scimed, Inc. Expandable retrieval device
US7998163B2 (en) 2002-10-03 2011-08-16 Boston Scientific Scimed, Inc. Expandable retrieval device
US8377035B2 (en) 2003-01-17 2013-02-19 Boston Scientific Scimed, Inc. Unbalanced reinforcement members for medical device
US7169118B2 (en) 2003-02-26 2007-01-30 Scimed Life Systems, Inc. Elongate medical device with distal cap
US7001369B2 (en) 2003-03-27 2006-02-21 Scimed Life Systems, Inc. Medical device
US7100616B2 (en) 2003-04-08 2006-09-05 Spiration, Inc. Bronchoscopic lung volume reduction method
US8246640B2 (en) 2003-04-22 2012-08-21 Tyco Healthcare Group Lp Methods and devices for cutting tissue at a vascular location
US7780611B2 (en) * 2003-05-01 2010-08-24 Boston Scientific Scimed, Inc. Medical instrument with controlled torque transmission
US20050143768A1 (en) * 2003-06-17 2005-06-30 Samuel Shiber Sleeved guidewire system method of use
US7104966B2 (en) * 2003-07-16 2006-09-12 Samuel Shiber Guidewire system with exposed midsection
US20050004594A1 (en) * 2003-07-02 2005-01-06 Jeffrey Nool Devices and methods for aspirating from filters
US8308708B2 (en) 2003-07-15 2012-11-13 Abbott Cardiovascular Systems Inc. Deployment system for myocardial cellular material
US7533671B2 (en) 2003-08-08 2009-05-19 Spiration, Inc. Bronchoscopic repair of air leaks in a lung
US8535344B2 (en) 2003-09-12 2013-09-17 Rubicon Medical, Inc. Methods, systems, and devices for providing embolic protection and removing embolic material
US7651514B2 (en) 2003-12-11 2010-01-26 Boston Scientific Scimed, Inc. Nose rider improvement for filter exchange and methods of use
US7824345B2 (en) 2003-12-22 2010-11-02 Boston Scientific Scimed, Inc. Medical device with push force limiter
JP4756030B2 (ja) 2004-03-04 2011-08-24 シュトラウブ メディカル アーゲー 血管から除去可能な物質を吸い込み、破砕し、排出するためのカテーテル
US7473265B2 (en) 2004-03-15 2009-01-06 Boston Scientific Scimed, Inc. Filter media and methods of manufacture
US7879055B1 (en) * 2004-06-23 2011-02-01 Biomet Sports Medicine, Llc Method and apparatus for sizing a material
US8241315B2 (en) 2004-06-24 2012-08-14 Boston Scientific Scimed, Inc. Apparatus and method for treating occluded vasculature
US7794472B2 (en) 2004-08-11 2010-09-14 Boston Scientific Scimed, Inc. Single wire intravascular filter
US7621904B2 (en) 2004-10-21 2009-11-24 Boston Scientific Scimed, Inc. Catheter with a pre-shaped distal tip
US8038696B2 (en) 2004-12-06 2011-10-18 Boston Scientific Scimed, Inc. Sheath for use with an embolic protection filter
US7478465B1 (en) 2005-01-10 2009-01-20 Boston Scientific Scimed, Inc. Method of securing a restraining member on a medical device
US7204464B2 (en) 2005-01-21 2007-04-17 Boston Scientific Scimed, Inc. Medical wire holder
US8480629B2 (en) 2005-01-28 2013-07-09 Boston Scientific Scimed, Inc. Universal utility board for use with medical devices and methods of use
US20090209987A1 (en) * 2005-02-01 2009-08-20 Mathews Eric D Snare with capture-area enhancement
EP1861133B1 (de) 2005-02-28 2012-11-21 Spirus Medical Inc. System zur Katheterisierung durch drehende Einführung
US20060229638A1 (en) * 2005-03-29 2006-10-12 Abrams Robert M Articulating retrieval device
US8414477B2 (en) 2005-05-04 2013-04-09 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US7780650B2 (en) 2005-05-04 2010-08-24 Spirus Medical, Inc. Rotate-to-advance catheterization system
US8343040B2 (en) 2005-05-04 2013-01-01 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US8235942B2 (en) 2005-05-04 2012-08-07 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US8317678B2 (en) 2005-05-04 2012-11-27 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US7850623B2 (en) 2005-10-27 2010-12-14 Boston Scientific Scimed, Inc. Elongate medical device with continuous reinforcement member
US8435229B2 (en) 2006-02-28 2013-05-07 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US8574220B2 (en) 2006-02-28 2013-11-05 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US7691151B2 (en) 2006-03-31 2010-04-06 Spiration, Inc. Articulable Anchor
US20070276419A1 (en) 2006-05-26 2007-11-29 Fox Hollow Technologies, Inc. Methods and devices for rotating an active element and an energy emitter on a catheter
US8551020B2 (en) 2006-09-13 2013-10-08 Boston Scientific Scimed, Inc. Crossing guidewire
US8556914B2 (en) 2006-12-15 2013-10-15 Boston Scientific Scimed, Inc. Medical device including structure for crossing an occlusion in a vessel
EP3689274A1 (de) 2007-02-05 2020-08-05 Boston Scientific Limited Thrombektomiesystem
US8870755B2 (en) 2007-05-18 2014-10-28 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US8409114B2 (en) 2007-08-02 2013-04-02 Boston Scientific Scimed, Inc. Composite elongate medical device including distal tubular member
US8105246B2 (en) 2007-08-03 2012-01-31 Boston Scientific Scimed, Inc. Elongate medical device having enhanced torque and methods thereof
US8821477B2 (en) 2007-08-06 2014-09-02 Boston Scientific Scimed, Inc. Alternative micromachined structures
US9808595B2 (en) 2007-08-07 2017-11-07 Boston Scientific Scimed, Inc Microfabricated catheter with improved bonding structure
US7841994B2 (en) 2007-11-02 2010-11-30 Boston Scientific Scimed, Inc. Medical device for crossing an occlusion in a vessel
US20090138031A1 (en) * 2007-11-24 2009-05-28 Tsukernik Vladimir B Thrombectomy catheter with a helical cutter
US8784440B2 (en) 2008-02-25 2014-07-22 Covidien Lp Methods and devices for cutting tissue
US8376961B2 (en) 2008-04-07 2013-02-19 Boston Scientific Scimed, Inc. Micromachined composite guidewire structure with anisotropic bending properties
US8939991B2 (en) 2008-06-08 2015-01-27 Hotspur Technologies, Inc. Apparatus and methods for removing obstructive material from body lumens
US9101382B2 (en) 2009-02-18 2015-08-11 Hotspur Technologies, Inc. Apparatus and methods for treating obstructions within body lumens
US8945160B2 (en) 2008-07-03 2015-02-03 Hotspur Technologies, Inc. Apparatus and methods for treating obstructions within body lumens
US8535243B2 (en) 2008-09-10 2013-09-17 Boston Scientific Scimed, Inc. Medical devices and tapered tubular members for use in medical devices
EP2358282B1 (de) 2008-10-13 2017-12-06 Covidien LP Vorrichtungen zum manipulieren eines katheterschafts
CH699981A2 (de) 2008-11-27 2010-05-31 Straub Medical Ag Katheter zum Ansaugen, Fragmentieren und Hinausbefördern von entfernbarem Material aus Blutgefässen.
US8795254B2 (en) 2008-12-10 2014-08-05 Boston Scientific Scimed, Inc. Medical devices with a slotted tubular member having improved stress distribution
US8444669B2 (en) 2008-12-15 2013-05-21 Boston Scientific Scimed, Inc. Embolic filter delivery system and method
US20120109057A1 (en) 2009-02-18 2012-05-03 Hotspur Technologies, Inc. Apparatus and methods for treating obstructions within body lumens
US9687266B2 (en) 2009-04-29 2017-06-27 Covidien Lp Methods and devices for cutting and abrading tissue
WO2010132748A1 (en) 2009-05-14 2010-11-18 Fox Hollow Technologies, Inc. Easily cleaned atherectomy catheters and methods of use
CH701695A1 (de) 2009-08-27 2011-02-28 Straub Medical Ag Katheter mit Protektionssystem zum Ansaugen, Fragmentieren und Hinausfördern von entfernbarem Material aus Hohlkörpern bzw. Gefässen, insbesondere des menschlichen oder tierischen Körpers.
US9693799B2 (en) 2009-09-17 2017-07-04 Pilofocus, Inc. System and method for aligning hair follicle
US9314082B2 (en) 2009-09-17 2016-04-19 Pilofocus, Inc. System and method for extraction of hair follicle
CA2774676A1 (en) * 2009-09-17 2011-03-24 Carlos Wesley Hair restoration surgery
US8137293B2 (en) 2009-11-17 2012-03-20 Boston Scientific Scimed, Inc. Guidewires including a porous nickel-titanium alloy
EP2913013B1 (de) 2009-12-02 2016-11-09 Covidien LP Verfahren und Vorrichtung zum Schneiden von Gewebe
IN2012DN04977A (de) 2009-12-11 2015-09-25 Tyco Healthcare
JP2013523282A (ja) 2010-03-31 2013-06-17 ボストン サイエンティフィック サイムド，インコーポレイテッド 曲げ剛性プロファイルを有するガイドワイヤ
AU2011267862B2 (en) 2010-06-14 2013-11-07 Covidien Lp Material removal device
US20120004596A1 (en) * 2010-07-02 2012-01-05 Neurodynamics, LLC Catheter for Use in Revascularization Procedures and Method of Using Same
EP2632352B1 (de) 2010-10-28 2017-04-12 Covidien LP Vorrichtung zur materialentfernung
EP2637567B1 (de) 2010-11-11 2017-03-08 Covidien LP Flexibler debulking-katheter mit bildgebung sowie verfahren zur herstellung
EP2670470B1 (de) 2011-02-04 2019-04-24 Boston Scientific Scimed, Inc. Führungsdrähte
AU2012221758B2 (en) * 2011-02-24 2017-05-04 Eximo Medical Ltd. Hybrid catheter for tissue resection
US8821478B2 (en) 2011-03-04 2014-09-02 Boston Scientific Scimed, Inc. Catheter with variable stiffness
US8795241B2 (en) 2011-05-13 2014-08-05 Spiration, Inc. Deployment catheter
US9072874B2 (en) 2011-05-13 2015-07-07 Boston Scientific Scimed, Inc. Medical devices with a heat transfer region and a heat sink region and methods for manufacturing medical devices
US8956376B2 (en) 2011-06-30 2015-02-17 The Spectranetics Corporation Reentry catheter and method thereof
US8998936B2 (en) 2011-06-30 2015-04-07 The Spectranetics Corporation Reentry catheter and method thereof
WO2013003757A2 (en) 2011-06-30 2013-01-03 The Spectranetics Corporation Reentry catheter and method thereof
ES2657019T3 (es) * 2011-08-17 2018-03-01 Samuel Shiber Catéter giratorio adaptativo para abrir vasos corporales obstruidos
JP5806407B2 (ja) 2011-09-01 2015-11-10 コヴィディエン リミテッド パートナーシップ 螺旋駆動軸を有するカテーテルおよび製造方法
SG11201402357TA (en) 2011-10-17 2014-08-28 Carlos K Wesley Hair restoration
US9381062B2 (en) 2012-05-31 2016-07-05 Covidien Lp Electro-mechanical intravascular device
US9101449B2 (en) * 2012-07-27 2015-08-11 Cook Medical Technologies Llc Filter removal device
US10342699B2 (en) 2012-08-03 2019-07-09 J.D. Franco & Co., Llc Systems and methods for treating eye diseases
US9579157B2 (en) 2012-09-13 2017-02-28 Covidien Lp Cleaning device for medical instrument and method of use
US9943329B2 (en) 2012-11-08 2018-04-17 Covidien Lp Tissue-removing catheter with rotatable cutter
WO2014074764A1 (en) 2012-11-08 2014-05-15 Covidien Lp Tissue-removing catheter including operational control mechanism
US10105159B2 (en) * 2013-03-15 2018-10-23 W.L. Gore Associates, Inc Recanalization device
CN105873530B (zh) 2013-09-18 2019-11-08 埃克斯爱博凯斯有限公司 用于穿越并治疗阻塞的系统和方法
CN104586469B (zh) * 2013-11-01 2016-09-14 上海理工大学 局部循环式血栓取除器
US9456843B2 (en) 2014-02-03 2016-10-04 Covidien Lp Tissue-removing catheter including angular displacement sensor
US9526519B2 (en) 2014-02-03 2016-12-27 Covidien Lp Tissue-removing catheter with improved angular tissue-removing positioning within body lumen
US9901706B2 (en) 2014-04-11 2018-02-27 Boston Scientific Scimed, Inc. Catheters and catheter shafts
US9883877B2 (en) 2014-05-19 2018-02-06 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
WO2015200702A1 (en) 2014-06-27 2015-12-30 Covidien Lp Cleaning device for catheter and catheter including the same
US9980737B2 (en) * 2014-08-04 2018-05-29 Medos International Sarl Flexible transport auger
WO2016138424A1 (en) * 2015-02-28 2016-09-01 Transmed7, Llc Devices and methods for percutaneous transluminal angioplasty and atherectomy intervention procedures
US10314667B2 (en) 2015-03-25 2019-06-11 Covidien Lp Cleaning device for cleaning medical instrument
US10292721B2 (en) 2015-07-20 2019-05-21 Covidien Lp Tissue-removing catheter including movable distal tip
US10561440B2 (en) 2015-09-03 2020-02-18 Vesatek, Llc Systems and methods for manipulating medical devices
US10314664B2 (en) 2015-10-07 2019-06-11 Covidien Lp Tissue-removing catheter and tissue-removing element with depth stop
US11351048B2 (en) 2015-11-16 2022-06-07 Boston Scientific Scimed, Inc. Stent delivery systems with a reinforced deployment sheath
US10226263B2 (en) 2015-12-23 2019-03-12 Incuvate, Llc Aspiration monitoring system and method
US11684420B2 (en) 2016-05-05 2023-06-27 Eximo Medical Ltd. Apparatus and methods for resecting and/or ablating an undesired tissue
US10980555B2 (en) 2016-07-12 2021-04-20 Cardioprolific Inc. Methods and devices for clots and tissue removal
CN110022775B (zh) 2016-11-28 2022-11-11 巴德股份有限公司 超声波张开医疗装置部件及其方法
US10953204B2 (en) 2017-01-09 2021-03-23 Boston Scientific Scimed, Inc. Guidewire with tactile feel
AU2018213053A1 (en) 2017-01-25 2019-08-29 J.D. Franco & Co., Llc Blood vessel access and closure devices and related methods of use
US10779929B2 (en) 2017-10-06 2020-09-22 J.D. Franco & Co., Llc Treating eye diseases by deploying a stent
US10758254B2 (en) 2017-12-15 2020-09-01 J.D. Franco & Co., Llc Medical systems, devices, and related methods
EP3790502A1 (de) 2018-05-09 2021-03-17 Boston Scientific Scimed, Inc. Emboliefilterhülle mit pedalzugang
US11678905B2 (en) 2018-07-19 2023-06-20 Walk Vascular, Llc Systems and methods for removal of blood and thrombotic material
US10814109B2 (en) 2018-12-31 2020-10-27 J.D. Franco & Co., Llc Intravascular devices, systems, and methods to address eye disorders
JP2024506374A (ja) 2021-02-15 2024-02-13 ウォーク バスキュラー， エルエルシー 血液および血栓性物質を除去するためのシステムおよび方法
US12038322B2 (en) 2022-06-21 2024-07-16 Eximo Medical Ltd. Devices and methods for testing ablation systems

Family Cites Families (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4517977A (en) * 1981-07-24 1985-05-21 Unisearch Limited Co-axial tube surgical infusion/suction cutter tip
US4662371A (en) * 1983-01-26 1987-05-05 Whipple Terry L Surgical instrument
JPS59200644A (ja) * 1983-04-27 1984-11-14 オリンパス光学工業株式会社 外科用切除器具
US4944727A (en) * 1986-06-05 1990-07-31 Catheter Research, Inc. Variable shape guide apparatus
US4589412A (en) * 1984-01-03 1986-05-20 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
US4631052A (en) * 1984-01-03 1986-12-23 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
US4819634A (en) * 1984-05-14 1989-04-11 Surgical Systems & Instruments Rotary-catheter for atherectomy system
US4754755A (en) * 1984-05-14 1988-07-05 Husted Royce Hill Catheter with a rotary blade
US4678459A (en) * 1984-07-23 1987-07-07 E-Z-Em, Inc. Irrigating, cutting and aspirating system for percutaneous surgery
US4790813A (en) * 1984-12-17 1988-12-13 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
EP0310685A1 (de) * 1985-11-22 1989-04-12 Kontron-Holding Ag Angioplastie-Katheter
SE454045B (sv) * 1986-08-04 1988-03-28 Radisensor Ab Ledare for mekanisk styrning av en kateter vid hjert- och kerlundersokningar
US4923462A (en) * 1987-03-17 1990-05-08 Cordis Corporation Catheter system having a small diameter rotatable drive member
US4867156A (en) * 1987-06-25 1989-09-19 Stack Richard S Percutaneous axial atheroectomy catheter assembly and method of using the same
US4898575A (en) * 1987-08-31 1990-02-06 Medinnovations, Inc. Guide wire following tunneling catheter system and method for transluminal arterial atherectomy
US4878492A (en) * 1987-10-08 1989-11-07 C. R. Bard, Inc. Laser balloon catheter
US4857046A (en) * 1987-10-21 1989-08-15 Cordis Corporation Drive catheter having helical pump drive shaft
DE68925757T2 (de) * 1988-06-13 1996-09-05 Samuel Shiber Atherectomiesystem mit einem Führungsdraht
JPH03501212A (ja) * 1988-07-05 1991-03-22 ディバイシズ　フォー　バスキュラー　インターベンション，インコーポレイティド アテローム切開装置及びその方法
US4946466A (en) * 1989-03-03 1990-08-07 Cordis Corporation Transluminal angioplasty apparatus

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EP0448859A3 (en) 1992-05-27
EP0448859A2 (de) 1991-10-02

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