CA2274032A1 - Neovascularization catheter - Google Patents

Neovascularization catheter Download PDF

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Publication number
CA2274032A1
CA2274032A1 CA002274032A CA2274032A CA2274032A1 CA 2274032 A1 CA2274032 A1 CA 2274032A1 CA 002274032 A CA002274032 A CA 002274032A CA 2274032 A CA2274032 A CA 2274032A CA 2274032 A1 CA2274032 A1 CA 2274032A1
Authority
CA
Canada
Prior art keywords
catheter
cutting
positioning
deployment lumen
positioning 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.)
Granted
Application number
CA002274032A
Other languages
French (fr)
Other versions
CA2274032C (en
Inventor
Banning Gray Lary
Herbert R. Radisch, Jr.
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.)
InterVentional Technologies Inc
Original Assignee
InterVentional Technologies 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
Application filed by InterVentional Technologies Inc filed Critical InterVentional Technologies Inc
Publication of CA2274032A1 publication Critical patent/CA2274032A1/en
Application granted granted Critical
Publication of CA2274032C publication Critical patent/CA2274032C/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • A61B2017/22044—Details of the tip of the guide wire with a pointed tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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
    • A61B2017/22069—Immobilising; Stabilising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Abstract

The present invention is a device and a method for boring a perfusion channel from a coronary artery into a cardiac muscle of a patient. Structurally, the present invention includes a positioning catheter, anchor means and a cutting catheter. The cutting catheter includes a plurality of blades and is advanceable through a deployment lumen of the positioning catheter. Advancement of the cutting catheter through the deployment lumen causes a distal end of the cutting catheter to project laterally from the positioning catheter. In use, the positioning catheter is positioned within the coronary artery. The anchor means is then expanded to anchor the positioning catheter within the artery. The cutting catheter is then advanced through the deployment lumen to bore one or more perfusion channels in the myocardial tissue.
CA002274032A 1998-07-27 1999-06-03 Neovascularization catheter Expired - Fee Related CA2274032C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/123,758 1998-07-27
US09/123,758 US6117153A (en) 1996-10-03 1998-07-27 Neovascularization catheter

Publications (2)

Publication Number Publication Date
CA2274032A1 true CA2274032A1 (en) 2000-01-27
CA2274032C CA2274032C (en) 2009-01-13

Family

ID=22410711

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002274032A Expired - Fee Related CA2274032C (en) 1998-07-27 1999-06-03 Neovascularization catheter

Country Status (7)

Country Link
US (2) US6117153A (en)
EP (1) EP0976363A3 (en)
JP (1) JP3720641B2 (en)
AU (1) AU741554B2 (en)
CA (1) CA2274032C (en)
DE (1) DE976363T1 (en)
ES (1) ES2144389T1 (en)

Families Citing this family (53)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6540693B2 (en) * 1998-03-03 2003-04-01 Senorx, Inc. Methods and apparatus for securing medical instruments to desired locations in a patients body
US6659105B2 (en) * 1998-02-26 2003-12-09 Senorx, Inc. Tissue specimen isolating and damaging device and method
US6196230B1 (en) 1998-09-10 2001-03-06 Percardia, Inc. Stent delivery system and method of use
US6261304B1 (en) 1998-09-10 2001-07-17 Percardia, Inc. Delivery methods for left ventricular conduit
US6692458B2 (en) * 2000-12-19 2004-02-17 Edwards Lifesciences Corporation Intra-pericardial drug delivery device with multiple balloons and method for angiogenesis
EP1441669B1 (en) 2001-11-09 2009-03-25 AngioScore, Inc. Baloon catheter with non-deployable stent
US20040111108A1 (en) 2001-11-09 2004-06-10 Farnan Robert C. Balloon catheter with non-deployable stent
US7029450B2 (en) 2001-12-14 2006-04-18 Boston Scientific Scimed, Inc. Dilation catheter assembly and related methods
US7985234B2 (en) * 2002-02-27 2011-07-26 Boston Scientific Scimed, Inc. Medical device
EP1534372B1 (en) * 2002-08-23 2006-07-05 Medical Components, Inc. Shielded tip catheter
US20050021070A1 (en) * 2003-01-21 2005-01-27 Angioscore, Inc. Methods and apparatus for manipulating vascular prostheses
US8080026B2 (en) 2003-01-21 2011-12-20 Angioscore, Inc. Apparatus and methods for treating hardened vascular lesions
US7686824B2 (en) * 2003-01-21 2010-03-30 Angioscore, Inc. Apparatus and methods for treating hardened vascular lesions
JP3971320B2 (en) 2003-02-17 2007-09-05 修 加藤 catheter
JP2004297166A (en) * 2003-03-25 2004-10-21 Murata Mfg Co Ltd Temperature-compensated piezoelectric oscillator and electronic equipment using the same
US7279002B2 (en) * 2003-04-25 2007-10-09 Boston Scientific Scimed, Inc. Cutting stent and balloon
US7632288B2 (en) 2003-05-12 2009-12-15 Boston Scientific Scimed, Inc. Cutting balloon catheter with improved pushability
US7758604B2 (en) * 2003-05-29 2010-07-20 Boston Scientific Scimed, Inc. Cutting balloon catheter with improved balloon configuration
US6921269B2 (en) * 2003-07-30 2005-07-26 Honeywell International Inc. Relative rotation signal transfer assembly
EP1533146B1 (en) * 2003-11-19 2008-09-03 Siemens VDO Automotive Corporation Asynchronous interleaving of RF signals
US8048093B2 (en) * 2003-12-19 2011-11-01 Boston Scientific Scimed, Inc. Textured balloons
US7270673B2 (en) * 2003-12-31 2007-09-18 Boston Scientific Scimed, Inc. Microsurgical balloon with protective reinforcement
US7754047B2 (en) 2004-04-08 2010-07-13 Boston Scientific Scimed, Inc. Cutting balloon catheter and method for blade mounting
US7566319B2 (en) 2004-04-21 2009-07-28 Boston Scientific Scimed, Inc. Traction balloon
US7976557B2 (en) * 2004-06-23 2011-07-12 Boston Scientific Scimed, Inc. Cutting balloon and process
US7753907B2 (en) * 2004-10-29 2010-07-13 Boston Scientific Scimed, Inc. Medical device systems and methods
US8038691B2 (en) 2004-11-12 2011-10-18 Boston Scientific Scimed, Inc. Cutting balloon catheter having flexible atherotomes
US8066726B2 (en) * 2004-11-23 2011-11-29 Boston Scientific Scimed, Inc. Serpentine cutting blade for cutting balloon
US20060184191A1 (en) 2005-02-11 2006-08-17 Boston Scientific Scimed, Inc. Cutting balloon catheter having increased flexibility regions
US20060247674A1 (en) * 2005-04-29 2006-11-02 Roman Ricardo D String cutting balloon
US10076641B2 (en) 2005-05-11 2018-09-18 The Spectranetics Corporation Methods and systems for delivering substances into luminal walls
US7988670B2 (en) * 2005-06-30 2011-08-02 Tyco Healthcare Group Lp Trocar assembly with rotatable obturator housing
US20070005087A1 (en) * 2005-06-30 2007-01-04 Smith Robert C Thin bladed obturator with curved surfaces
GB0625936D0 (en) * 2006-12-28 2007-02-07 Thermoteknix Systems Ltd Correction of non-uniformity of response in sensor arrays
AU2008219113B2 (en) 2007-02-20 2013-05-09 Covidien Lp Surgical apparatus with annular penetrator
US8663263B2 (en) * 2007-05-22 2014-03-04 Covidien Lp Access sheath with blade
US20080300610A1 (en) 2007-05-31 2008-12-04 Cook Incorporated Device for treating hardened lesions and method of use thereof
US20080319467A1 (en) * 2007-06-22 2008-12-25 Thomas Wenchell Thin bladed obturator
US20090105687A1 (en) * 2007-10-05 2009-04-23 Angioscore, Inc. Scoring catheter with drug delivery membrane
US8911463B2 (en) * 2008-06-10 2014-12-16 Covidien Lp Bladed/bladeless obturator for use in a surgical trocar assembly
US20110087258A1 (en) * 2009-10-14 2011-04-14 Sluss Robert K Cannulated arthroscopic knife
US8372055B2 (en) 2009-10-27 2013-02-12 Medtronic, Inc. Method of using a deflectable subselecting catheter
US20110112623A1 (en) * 2009-11-10 2011-05-12 Schatz Richard A System and Method for Placing a Coronary Stent at the Ostium of a Blood Vessel
EP2380604A1 (en) 2010-04-19 2011-10-26 InnoRa Gmbh Improved coating formulations for scoring or cutting balloon catheters
US8632559B2 (en) 2010-09-21 2014-01-21 Angioscore, Inc. Method and system for treating valve stenosis
US9259340B2 (en) * 2012-04-23 2016-02-16 Pq Bypass, Inc. Methods and systems for bypassing occlusions in a femoral artery
US10117668B2 (en) 2013-10-08 2018-11-06 The Spectranetics Corporation Balloon catheter with non-deployable stent having improved stability
JP6400826B2 (en) * 2014-07-15 2018-10-03 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． Device and method for intrahepatic shunt
WO2016044072A1 (en) 2014-09-18 2016-03-24 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
JP6815998B2 (en) 2014-12-03 2021-01-20 パブメド インク． Systems and methods for percutaneous division of fibrous structures
US10864055B2 (en) 2017-10-13 2020-12-15 Sonex Health, Inc. Tray for a soft tissue cutting device and methods of use
WO2020146458A1 (en) 2019-01-11 2020-07-16 Mayo Foundation For Medical Education And Research Micro-invasive surgical device and methods of use
USD989961S1 (en) 2021-04-30 2023-06-20 Sonex Health, Inc. Soft tissue cutting device

Family Cites Families (38)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3512519A (en) * 1967-10-26 1970-05-19 Robert M Hall Anatomical biopsy sampler
US3605721A (en) * 1969-11-03 1971-09-20 Ismet Hallac Biopsy needle
US3990453A (en) * 1973-04-25 1976-11-09 Douvas Nicholas G Apparatus for cataract surgery
CH616337A5 (en) * 1977-10-21 1980-03-31 Schneider Medintag Ag
US4441509A (en) * 1981-05-21 1984-04-10 Sherwood Medical Company Endometrial sampling device
US4582181A (en) * 1983-08-12 1986-04-15 Advanced Cardiovascular Systems, Inc. Steerable dilatation catheter
US4589412A (en) * 1984-01-03 1986-05-20 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
US4926858A (en) * 1984-05-30 1990-05-22 Devices For Vascular Intervention, Inc. Atherectomy device for severe occlusions
US4708147A (en) * 1985-02-25 1987-11-24 Haaga John R Universal biopsy needle
US4757826A (en) * 1985-05-01 1988-07-19 Gazi Abdulhay Endocervical biopsy instrument
US4728319A (en) * 1986-03-20 1988-03-01 Helmut Masch Intravascular catheter
US4696667A (en) * 1986-03-20 1987-09-29 Helmut Masch Intravascular catheter and method
US4690140A (en) * 1986-04-01 1987-09-01 John Mecca Arterial regenerator
US4765332A (en) * 1986-07-14 1988-08-23 Medinnovations, Inc. Pullback atherectomy catheter system
US4887613A (en) * 1987-11-23 1989-12-19 Interventional Technologies Inc. Cutter for atherectomy device
US4966604A (en) * 1989-01-23 1990-10-30 Interventional Technologies Inc. Expandable atherectomy cutter with flexibly bowed blades
SE463429B (en) * 1989-11-24 1990-11-19 Saab Scania Ab ARRANGEMENTS CONTROL TOUR CONTROL IN A COMBUSTION ENGINE
US5135484A (en) * 1990-05-09 1992-08-04 Pioneering Technologies, Inc. Method of removing plaque from vessels
US5674232A (en) * 1990-06-05 1997-10-07 Halliburton; Alexander George Catheter and method of use thereof
JPH0714394B2 (en) 1990-12-10 1995-02-22 ハウメディカ・インコーポレーテッド Device and method for supplying laser energy to stromal cells
US5325860A (en) * 1991-11-08 1994-07-05 Mayo Foundation For Medical Education And Research Ultrasonic and interventional catheter and method
US6102046A (en) * 1995-11-22 2000-08-15 Arthrocare Corporation Systems and methods for electrosurgical tissue revascularization
US5224949A (en) * 1992-01-13 1993-07-06 Interventional Technologies, Inc. Camming device
US5312341A (en) * 1992-08-14 1994-05-17 Wayne State University Retaining apparatus and procedure for transseptal catheterization
US5287861A (en) * 1992-10-30 1994-02-22 Wilk Peter J Coronary artery by-pass method and associated catheter
US5372588A (en) * 1992-11-24 1994-12-13 Farley; Kevin Trocar having blunt tip
US5527325A (en) * 1993-07-09 1996-06-18 Device For Vascular Intervention, Inc. Atherectomy catheter and method
US5554167A (en) * 1993-10-08 1996-09-10 United States Surgical Corporation Tissue piercing members
US5464395A (en) * 1994-04-05 1995-11-07 Faxon; David P. Catheter for delivering therapeutic and/or diagnostic agents to the tissue surrounding a bodily passageway
US5507795A (en) * 1994-04-29 1996-04-16 Devices For Vascular Intervention, Inc. Catheter with perfusion system
US5454782A (en) * 1994-08-11 1995-10-03 Perkins; Rodney C. Translumenal circumferential energy delivery device
CA2157697C (en) * 1995-01-10 2007-03-13 Banning Gray Lary Vascular incisor/dilator
US5697944A (en) * 1995-11-15 1997-12-16 Interventional Technologies Inc. Universal dilator with expandable incisor
US5769843A (en) * 1996-02-20 1998-06-23 Cormedica Percutaneous endomyocardial revascularization
US5891133A (en) * 1996-03-29 1999-04-06 Eclipse Surgical Technologies, Inc. Apparatus for laser-assisted intra-coronary transmyocardial revascularization and other applications
US5755714A (en) * 1996-09-17 1998-05-26 Eclipse Surgical Technologies, Inc. Shaped catheter for transmyocardial revascularization
US5800450A (en) * 1996-10-03 1998-09-01 Interventional Technologies Inc. Neovascularization catheter
CA2270921A1 (en) * 1996-11-08 1998-05-14 Thomas J. Fogarty Transvascular tmr device and method

Also Published As

Publication number Publication date
JP2000041988A (en) 2000-02-15
US6296651B1 (en) 2001-10-02
ES2144389T1 (en) 2000-06-16
AU3916599A (en) 2000-02-17
JP3720641B2 (en) 2005-11-30
EP0976363A2 (en) 2000-02-02
EP0976363A3 (en) 2001-01-24
DE976363T1 (en) 2001-09-06
CA2274032C (en) 2009-01-13
AU741554B2 (en) 2001-12-06
US6117153A (en) 2000-09-12

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EEER Examination request
MKLA Lapsed

Effective date: 20130604