CA2443735A1 - Devices and methods for removing occlusions in vessels - Google Patents
Devices and methods for removing occlusions in vessels Download PDFInfo
- Publication number
- CA2443735A1 CA2443735A1 CA002443735A CA2443735A CA2443735A1 CA 2443735 A1 CA2443735 A1 CA 2443735A1 CA 002443735 A CA002443735 A CA 002443735A CA 2443735 A CA2443735 A CA 2443735A CA 2443735 A1 CA2443735 A1 CA 2443735A1
- Authority
- CA
- Canada
- Prior art keywords
- cutting element
- housing
- casing
- embolism
- longitudinal axis
- 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
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
- A61B17/3203—Fluid jet cutting instruments
- A61B17/32037—Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy
-
- 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
- A61B17/320758—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, 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
- A61B17/22—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
- A61B2017/22067—Blocking; Occlusion
-
- 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
- A61B2017/22068—Centering
-
- 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
- A61B2017/320004—Surgical cutting instruments abrasive
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Abstract
Occlusion-removing devices (10) that include an inflatable balloon (15) for arresting blood flow and a occlusion-shearing element (14) are provided. The device includes a housing element (11) with lumens and an embolism collector (12) and cutting element (14). Also provided are methods for making and usin g these devices.
Claims (21)
1. A device for removing occlusions from a vessel, comprising a housing element having a distal end, a proximal end and a longitudinal axis, wherein one or more lumens are disposed along the longitudinal axis;
an embolism collector element;
a cutting element attached to the distal end of the drive shaft; and an inflatable balloon.
an embolism collector element;
a cutting element attached to the distal end of the drive shaft; and an inflatable balloon.
2. The device of claim 1, further comprising a fluid channel in operable communication with the cutting element.
3. The device of claim 1 or 2, further comprising a casing disposed around cutting element.
4. The device of any of claims 1 to 3, further comprising a drive shaft disposed along the longitudinal axis of the housing.
5. The device of any of claims 1 to 4, further comprising a power source connected to the cutting element.
6. The device of claim 5, wherein the power source comprises a micro electro mechanical system (MEMS) motor.
7. The device of any of claims 1 to 6, wherein the embolism collector element is disposed along the longitudinal axis of the housing.
8. The device of claim 7, wherein the collector element comprises a vacuum aspirator.
9. The device of any of claims 1 to 8, wherein the surface of the cutting element is not smooth.
10. The device of any of claims 1 to 9, wherein the cutting element further comprises perforations therein.
11. The device of any of claims 1 to 10, wherein the lumen of the housing which contacts the cutting element is surface-modified.
12. The device of any of claims 3 to 11, wherein the surface of the casing surrounding the cutting element is surface-modified.
13. The device of claim 11 or claim 12, wherein the surface modification comprises braiding or ribbons.
14. The device of any of claims 3 to 13, wherein the casing extends from the distal end of the housing.
15. The device of any of claims 3 to 14, wherein the casing comprises a cage-like structure.
16. The device of any of claims 1 to 15, wherein the inflatable balloon is capable of centering the cutting element.
17. The device of any of claims 1 to 15, wherein the inflatable balloon is capable of at least partially arresting blood flow around the occlusion.
18. A method of removing an occlusion in a vessel, comprising accessing a selected site with the device according to any of claims 1 to 17;
inflating the balloon to the desired dimensions;
shearing at least a portion of the embolism with the cutting element; and removing the sheared fragments of the embolism with the collection element.
inflating the balloon to the desired dimensions;
shearing at least a portion of the embolism with the cutting element; and removing the sheared fragments of the embolism with the collection element.
19. The method of claim 18, wherein the shearing comprises:
drawing a portion of the embolism into the housing and manipulating the cutting element to shear the embolism against the interior wall of the housing.
drawing a portion of the embolism into the housing and manipulating the cutting element to shear the embolism against the interior wall of the housing.
20. The method of claim 18 or 19, wherein the device further comprises a casing disposed around the cutting element.
21. The method of claim 20, wherein the shearing comprises extending the cutting element and surrounding casing from the distal end of the housing and manipulating the cutting element against the casing.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/832,444 | 2001-04-10 | ||
US09/832,444 US6616676B2 (en) | 2001-04-10 | 2001-04-10 | Devices and methods for removing occlusions in vessels |
PCT/US2002/011565 WO2002082974A2 (en) | 2001-04-10 | 2002-04-10 | Devices and methods for removing occlusions in vessels |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2443735A1 true CA2443735A1 (en) | 2002-10-24 |
CA2443735C CA2443735C (en) | 2010-09-21 |
Family
ID=25261666
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2443735A Expired - Fee Related CA2443735C (en) | 2001-04-10 | 2002-04-10 | Devices and methods for removing occlusions in vessels |
Country Status (7)
Country | Link |
---|---|
US (2) | US6616676B2 (en) |
EP (1) | EP1377224B1 (en) |
AT (1) | ATE509583T1 (en) |
AU (1) | AU2002307275A1 (en) |
CA (1) | CA2443735C (en) |
ES (1) | ES2364834T3 (en) |
WO (1) | WO2002082974A2 (en) |
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-
2001
- 2001-04-10 US US09/832,444 patent/US6616676B2/en not_active Expired - Lifetime
-
2002
- 2002-04-10 WO PCT/US2002/011565 patent/WO2002082974A2/en active Application Filing
- 2002-04-10 EP EP02762065A patent/EP1377224B1/en not_active Expired - Lifetime
- 2002-04-10 AT AT02762065T patent/ATE509583T1/en not_active IP Right Cessation
- 2002-04-10 AU AU2002307275A patent/AU2002307275A1/en not_active Abandoned
- 2002-04-10 CA CA2443735A patent/CA2443735C/en not_active Expired - Fee Related
- 2002-04-10 ES ES02762065T patent/ES2364834T3/en not_active Expired - Lifetime
-
2003
- 2003-05-08 US US10/434,985 patent/US20030195536A1/en not_active Abandoned
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AU2002307275A1 (en) | 2002-10-28 |
ES2364834T3 (en) | 2011-09-15 |
WO2002082974A3 (en) | 2003-04-24 |
US20030195536A1 (en) | 2003-10-16 |
US20020147459A1 (en) | 2002-10-10 |
EP1377224A4 (en) | 2008-06-04 |
ATE509583T1 (en) | 2011-06-15 |
EP1377224B1 (en) | 2011-05-18 |
CA2443735C (en) | 2010-09-21 |
WO2002082974A2 (en) | 2002-10-24 |
US6616676B2 (en) | 2003-09-09 |
EP1377224A2 (en) | 2004-01-07 |
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