WO2003037203A3 - Method and apparatus for providing medicament to tissue - Google Patents

Method and apparatus for providing medicament to tissue Download PDF

Info

Publication number
WO2003037203A3
WO2003037203A3 PCT/US2002/034155 US0234155W WO03037203A3 WO 2003037203 A3 WO2003037203 A3 WO 2003037203A3 US 0234155 W US0234155 W US 0234155W WO 03037203 A3 WO03037203 A3 WO 03037203A3
Authority
WO
WIPO (PCT)
Prior art keywords
medicament
tissue
laser energy
delivery
handpiece
Prior art date
Application number
PCT/US2002/034155
Other languages
French (fr)
Other versions
WO2003037203A2 (en
Inventor
Donald E Bobo Jr
Original Assignee
Edwards Lifesciences Corp
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 Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Priority to CA002465613A priority Critical patent/CA2465613A1/en
Priority to EP02786508A priority patent/EP1439794A2/en
Publication of WO2003037203A2 publication Critical patent/WO2003037203A2/en
Publication of WO2003037203A3 publication Critical patent/WO2003037203A3/en

Links

Classifications

    • 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
    • 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
    • A61B17/22—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
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291—Anchoring means for temporary attachment of a device to tissue using suction
    • 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
    • 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
    • A61B18/1815—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 microwaves
    • A61B2018/1861—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 microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

Abstract

A system for delivering medicaments to tissue includes a tissue-removal and medicament-delivery device. The device includes a delivery member and an optical fiber formed together into a unitary structure by cladding. The optical fiber has an inlet for receiving laser energy from a laser energy source and an outlet for emitting laser energy. The delivery member has an inlet for receiving medicament from a medicament source and an outlet for injecting medicament. A handpiece is adapted to receive the ablating and injecting device in a controlled and movable relationship. The distal end of the handpiece disposes at least one tissue stabilizing member thereon. The medicament delivery system is particulary useful in cardiac applications for performing transmyocardial revascularization (TMR) in ischemic myocardium and promoting endothelial cell growth within the myocardium.
PCT/US2002/034155 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue WO2003037203A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CA002465613A CA2465613A1 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue
EP02786508A EP1439794A2 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/021,132 2001-10-29
US10/021,132 US7776025B2 (en) 2001-10-29 2001-10-29 Method for providing medicament to tissue

Publications (2)

Publication Number Publication Date
WO2003037203A2 WO2003037203A2 (en) 2003-05-08
WO2003037203A3 true WO2003037203A3 (en) 2003-10-30

Family

ID=21802513

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/034155 WO2003037203A2 (en) 2001-10-29 2002-10-24 Method and apparatus for providing medicament to tissue

Country Status (4)

Country Link
US (1) US7776025B2 (en)
EP (1) EP1439794A2 (en)
CA (1) CA2465613A1 (en)
WO (1) WO2003037203A2 (en)

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US8226566B2 (en) 2009-06-12 2012-07-24 Flowcardia, Inc. Device and method for vascular re-entry
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US9993664B2 (en) 2010-03-03 2018-06-12 Lumenis Ltd. System and methods of tissue microablation using fractional treatment patterns
WO2013109269A1 (en) 2012-01-18 2013-07-25 Bard Peripheral Vascular, Inc. Vascular re-entry device
EP3895632A1 (en) 2012-08-02 2021-10-20 Bard Peripheral Vascular, Inc. Ultrasound catheter system
WO2014130359A1 (en) 2013-02-20 2014-08-28 Cytrellis Biosystems, Inc. Methods and devices for skin tightening
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US10953143B2 (en) 2013-12-19 2021-03-23 Cytrellis Biosystems, Inc. Methods and devices for manipulating subdermal fat
US10492863B2 (en) * 2014-10-29 2019-12-03 The Spectranetics Corporation Laser energy delivery devices including laser transmission detection systems and methods
JP2017533774A (en) 2014-11-14 2017-11-16 サイトレリス バイオシステムズ，インコーポレーテッド Device and method for skin ablation
US10695128B2 (en) * 2015-04-16 2020-06-30 Boston Scientific Scimed, Inc. Methods and devices for targeted ablation of tissue
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USD828550S1 (en) 2016-04-07 2018-09-11 Coloplast A/S Connector of an anal irrigation system
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Also Published As

Publication number Publication date
EP1439794A2 (en) 2004-07-28
CA2465613A1 (en) 2003-05-08
US20030083607A1 (en) 2003-05-01
WO2003037203A2 (en) 2003-05-08
US7776025B2 (en) 2010-08-17

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