WO2008081423A3 - Atherectomy methods and apparatus - Google Patents

Atherectomy methods and apparatus Download PDF

Info

Publication number
WO2008081423A3
WO2008081423A3 PCT/IL2007/001441 IL2007001441W WO2008081423A3 WO 2008081423 A3 WO2008081423 A3 WO 2008081423A3 IL 2007001441 W IL2007001441 W IL 2007001441W WO 2008081423 A3 WO2008081423 A3 WO 2008081423A3
Authority
WO
WIPO (PCT)
Prior art keywords
blood vessel
pressure
jet
opening
atherectomy
Prior art date
Application number
PCT/IL2007/001441
Other languages
French (fr)
Other versions
WO2008081423A2 (en
Inventor
Ricardo Osiroff
Izhak Kirshenbaum
Yaniv Garty
Yosi Weitzman
Ariel Ben-Porath
Yossi Gross
Original Assignee
Vascure Ltd
Ricardo Osiroff
Izhak Kirshenbaum
Yaniv Garty
Yosi Weitzman
Ariel Ben-Porath
Yossi Gross
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 Vascure Ltd, Ricardo Osiroff, Izhak Kirshenbaum, Yaniv Garty, Yosi Weitzman, Ariel Ben-Porath, Yossi Gross filed Critical Vascure Ltd
Priority to EP07827414A priority Critical patent/EP2104460A2/en
Publication of WO2008081423A2 publication Critical patent/WO2008081423A2/en
Publication of WO2008081423A3 publication Critical patent/WO2008081423A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • A61B17/32037Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system

Abstract

Apparatus (20) is provided for removing plaque from a blood vessel of a subject, including a catheter (22) shaped to define an opening that is placed in the blood vessel. A pressure source propels a fluid jet through the opening, and a pressure sensor (38) detects a pressure in the blood vessel induced by the jet. A control unit (28) steers the jet in response to the detected pressure. Other embodiments are also described.
PCT/IL2007/001441 2006-12-29 2007-11-21 Atherectomy methods and apparatus WO2008081423A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP07827414A EP2104460A2 (en) 2006-12-29 2007-11-21 Atherectomy methods and apparatus

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US88260506P 2006-12-29 2006-12-29
US60/882,605 2006-12-29

Publications (2)

Publication Number Publication Date
WO2008081423A2 WO2008081423A2 (en) 2008-07-10
WO2008081423A3 true WO2008081423A3 (en) 2009-05-28

Family

ID=39585060

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2007/001441 WO2008081423A2 (en) 2006-12-29 2007-11-21 Atherectomy methods and apparatus

Country Status (3)

Country Link
US (1) US20080161840A1 (en)
EP (1) EP2104460A2 (en)
WO (1) WO2008081423A2 (en)

Families Citing this family (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8328829B2 (en) 1999-08-19 2012-12-11 Covidien Lp High capacity debulking catheter with razor edge cutting window
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
US6299622B1 (en) 1999-08-19 2001-10-09 Fox Hollow Technologies, Inc. Atherectomy catheter with aligned imager
ATE499054T1 (en) 2000-12-20 2011-03-15 Fox Hollow Technologies Inc REDUCTION CATHETER
US8246640B2 (en) 2003-04-22 2012-08-21 Tyco Healthcare Group Lp Methods and devices for cutting tissue at a vascular location
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
US8784440B2 (en) 2008-02-25 2014-07-22 Covidien Lp Methods and devices for cutting tissue
KR101645754B1 (en) 2008-10-13 2016-08-04 코비디엔 엘피 Devices and methods for manipulating a catheter shaft
CN102625673B (en) 2009-04-29 2014-12-24 泰科保健集团有限合伙公司 Methods and devices for cutting and abrading tissue
AU2010248909B2 (en) 2009-05-14 2013-03-21 Covidien Lp Easily cleaned atherectomy catheters and methods of use
AU2010326063B2 (en) 2009-12-02 2013-07-04 Covidien Lp Methods and devices for cutting tissue
JP5511107B2 (en) 2009-12-11 2014-06-04 コヴィディエン リミテッド パートナーシップ Substance removal device and method with improved substance capture efficiency
US9119662B2 (en) 2010-06-14 2015-09-01 Covidien Lp Material removal device and method of use
CA2815186C (en) 2010-10-28 2015-12-29 Covidien Lp Material removal device and method of use
AU2011326420B2 (en) 2010-11-11 2014-11-27 Covidien Lp Flexible debulking catheters with imaging and methods of use and manufacture
JP5849501B2 (en) * 2011-08-01 2016-01-27 セイコーエプソン株式会社 Fluid ejecting apparatus and medical device
US8992717B2 (en) 2011-09-01 2015-03-31 Covidien Lp Catheter with helical drive shaft and methods of manufacture
US9579157B2 (en) 2012-09-13 2017-02-28 Covidien Lp Cleaning device for medical instrument and method of use
EP2719344A1 (en) * 2012-10-11 2014-04-16 Erbe Elektromedizin GmbH Fluid surgical instrument with variable spray pattern
US9943329B2 (en) 2012-11-08 2018-04-17 Covidien Lp Tissue-removing catheter with rotatable cutter
US9936970B2 (en) 2013-03-14 2018-04-10 Cardiovascular Systems, Inc. Devices, systems and methods for an oscillating crown drive for rotational atherectomy
US9750525B2 (en) 2013-03-14 2017-09-05 Cardiovascular Systems, Inc. Devices, systems and methods for an oscillating crown drive for rotational atherectomy
US9700351B2 (en) 2013-04-15 2017-07-11 Transseptal Solutions Ltd. Fossa ovalis penetration
US9788858B2 (en) 2013-04-15 2017-10-17 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements
US9545265B2 (en) 2013-04-15 2017-01-17 Transseptal Solutions Ltd. Fossa ovalis penetration using balloons
US11813416B2 (en) * 2013-04-25 2023-11-14 Hexacath Catheter systems and methods for performing a destruction of a body obstruction
WO2015200702A1 (en) 2014-06-27 2015-12-30 Covidien Lp Cleaning device for catheter and catheter including the same
EP3206603B1 (en) 2014-10-14 2019-10-02 Transseptal Solutions Ltd. Fossa ovalis penetration apparatus
KR20160065226A (en) * 2014-11-07 2016-06-09 세메스 주식회사 Apparatus and method for treating a subtrate
WO2016081321A2 (en) 2014-11-18 2016-05-26 C.R. Bard, Inc. Ultrasound imaging system having automatic image presentation
EP3220828B1 (en) 2014-11-18 2021-12-22 C.R. Bard, Inc. Ultrasound imaging system having automatic image presentation
US9668674B2 (en) 2015-03-03 2017-06-06 Transseptal Solutions Ltd. Measurement of appendage openings
US9706982B2 (en) 2015-03-03 2017-07-18 Transseptal Solutions Ltd. Treatment of appendage openings
US10314667B2 (en) 2015-03-25 2019-06-11 Covidien Lp Cleaning device for cleaning medical instrument
US9730773B2 (en) 2015-04-22 2017-08-15 Maxillent Ltd. Bone graft injection methods
US10292721B2 (en) 2015-07-20 2019-05-21 Covidien Lp Tissue-removing catheter including movable distal tip
US10314664B2 (en) 2015-10-07 2019-06-11 Covidien Lp Tissue-removing catheter and tissue-removing element with depth stop
US10398503B2 (en) 2015-10-14 2019-09-03 Transseptal Soulutions Ltd. Fossa ovalis penetration
US10441312B2 (en) * 2017-02-23 2019-10-15 Cardio Flow, Inc. Atherectomy devices and methods
US11690645B2 (en) 2017-05-03 2023-07-04 Medtronic Vascular, Inc. Tissue-removing catheter
CN114948106A (en) 2017-05-03 2022-08-30 美敦力瓦斯科尔勒公司 Tissue removal catheter with guidewire isolation bushing
US10588656B2 (en) 2017-11-10 2020-03-17 Penumbra, Inc. Thrombectomy catheter
US10463390B1 (en) 2018-05-24 2019-11-05 Cardio Flow, Inc. Atherectomy devices and methods
US11147582B2 (en) 2018-06-14 2021-10-19 Cardio Flow, Inc. Atherectomy devices and methods
WO2020033260A1 (en) 2018-08-07 2020-02-13 Cardio Flow, Inc. Atherectomy devices and methods
EP3880096A1 (en) 2018-11-16 2021-09-22 Medtronic Vascular Inc. Tissue-removing catheter
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter
WO2023278495A2 (en) 2021-06-28 2023-01-05 Inquis Medical, Inc. Apparatuses and methods for controlling removal of obstructive material

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5536242A (en) * 1994-07-01 1996-07-16 Scimed Life Systems, Inc. Intravascular device utilizing fluid to extract occlusive material
US5944686A (en) * 1995-06-07 1999-08-31 Hydrocision, Inc. Instrument for creating a fluid jet
US6689089B1 (en) * 1997-04-26 2004-02-10 Convergenza Ag Therapeutic catheter having sensor for monitoring distal environment

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4445509A (en) * 1982-02-04 1984-05-01 Auth David C Method and apparatus for removal of enclosed abnormal deposits
DE8426270U1 (en) * 1984-09-06 1985-02-14 Veltrup, Elmar Michael, Dipl.-Ing., 4150 Krefeld DEVICE FOR REMOVING SOLID BODIES OR DEPOSITS FROM BODY VESSELS
US4729763A (en) * 1986-06-06 1988-03-08 Henrie Rodney A Catheter for removing occlusive material
US4902276A (en) * 1986-06-09 1990-02-20 The Regents Of The University Of California Apparatus and method for removing obstructions in bodily organs or cavities
US5135484A (en) * 1990-05-09 1992-08-04 Pioneering Technologies, Inc. Method of removing plaque from vessels
CA2048120A1 (en) * 1990-08-06 1992-02-07 William J. Drasler Thrombectomy method and device
US5322504A (en) * 1992-05-07 1994-06-21 United States Surgical Corporation Method and apparatus for tissue excision and removal by fluid jet
US5353807A (en) * 1992-12-07 1994-10-11 Demarco Thomas J Magnetically guidable intubation device
CA2127637C (en) * 1993-07-26 2006-01-03 Scott Bair Fluid jet surgical cutting tool
US5735815A (en) * 1993-07-26 1998-04-07 Sentinel Medical, Inc. Method of using fluid jet surgical cutting tool
US5843022A (en) * 1995-10-25 1998-12-01 Scimied Life Systems, Inc. Intravascular device utilizing fluid to extract occlusive material
US6755803B1 (en) * 1998-02-06 2004-06-29 Possis Medical, Inc. Single operator exchange fluid jet thrombectomy device
US6375635B1 (en) * 1999-05-18 2002-04-23 Hydrocision, Inc. Fluid jet surgical instruments
US6511493B1 (en) * 2000-01-10 2003-01-28 Hydrocision, Inc. Liquid jet-powered surgical instruments
US6572578B1 (en) * 2000-08-25 2003-06-03 Patrick A. Blanchard Fluid-jet catheter and its application to flexible endoscopy
US20060142630A1 (en) * 2004-12-29 2006-06-29 Attila Meretei Systems and methods for treating a thrombus in a blood vessel

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5536242A (en) * 1994-07-01 1996-07-16 Scimed Life Systems, Inc. Intravascular device utilizing fluid to extract occlusive material
US5944686A (en) * 1995-06-07 1999-08-31 Hydrocision, Inc. Instrument for creating a fluid jet
US6689089B1 (en) * 1997-04-26 2004-02-10 Convergenza Ag Therapeutic catheter having sensor for monitoring distal environment

Also Published As

Publication number Publication date
WO2008081423A2 (en) 2008-07-10
EP2104460A2 (en) 2009-09-30
US20080161840A1 (en) 2008-07-03

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