WO2004034869A3 - Atherectomy system with imaging guidewire - Google Patents

Atherectomy system with imaging guidewire Download PDF

Info

Publication number
WO2004034869A3
WO2004034869A3 PCT/IL2003/000807 IL0300807W WO2004034869A3 WO 2004034869 A3 WO2004034869 A3 WO 2004034869A3 IL 0300807 W IL0300807 W IL 0300807W WO 2004034869 A3 WO2004034869 A3 WO 2004034869A3
Authority
WO
WIPO (PCT)
Prior art keywords
guidewire
plaque
working head
imaging guidewire
catheter
Prior art date
Application number
PCT/IL2003/000807
Other languages
French (fr)
Other versions
WO2004034869A2 (en
Inventor
Arieh Sher
Original Assignee
Arieh Sher
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 Arieh Sher filed Critical Arieh Sher
Priority to JP2004544652A priority Critical patent/JP2006502784A/en
Priority to US10/531,184 priority patent/US7734332B2/en
Priority to EP03751240A priority patent/EP1551273A4/en
Priority to AU2003269460A priority patent/AU2003269460A1/en
Publication of WO2004034869A2 publication Critical patent/WO2004034869A2/en
Publication of WO2004034869A3 publication Critical patent/WO2004034869A3/en
Priority to US12/767,816 priority patent/US20100280534A1/en

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
    • 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
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, 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
    • 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
    • A61B17/22—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
    • A61B2017/22071—Steering
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
    • 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
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3618—Image-producing devices, e.g. surgical cameras with a mirror
    • 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
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters

Abstract

Systems and methods of increasing blood flow in a blood vessel (21) with an ultraluminal plaque (22). One disclosed method includes inserting an imaging guidewire (16) into the blood vessel (21) to the intraluminal plaque (22), propelling a catheter with a working head (6) over the guidewire (16) towards the distal end of the guidewire (16), scanning with the imaging guidewire (16) to generate a cross-sectional image, radially positioning the catheter using a positioning element (14), monitoring the image to ascertain that the working head (6) is properly positioned and operating the working head (6) to remove th plaque. A computerized system designed, constructed and configured to perform the methods is further disclosed.
PCT/IL2003/000807 2002-10-18 2003-10-08 Atherectomy system with imaging guidewire WO2004034869A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2004544652A JP2006502784A (en) 2002-10-18 2003-10-08 Atherotomy system with imaging guidewire
US10/531,184 US7734332B2 (en) 2002-10-18 2003-10-08 Atherectomy system with imaging guidewire
EP03751240A EP1551273A4 (en) 2002-10-18 2003-10-08 Atherectomy system with imaging guidewire
AU2003269460A AU2003269460A1 (en) 2002-10-18 2003-10-08 Atherectomy system with imaging guidewire
US12/767,816 US20100280534A1 (en) 2002-10-18 2010-04-27 Atherectomy system with imaging guidewire

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US41908702P 2002-10-18 2002-10-18
US60/419,087 2002-10-18

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/767,816 Continuation US20100280534A1 (en) 2002-10-18 2010-04-27 Atherectomy system with imaging guidewire

Publications (2)

Publication Number Publication Date
WO2004034869A2 WO2004034869A2 (en) 2004-04-29
WO2004034869A3 true WO2004034869A3 (en) 2004-07-08

Family

ID=32108025

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2003/000807 WO2004034869A2 (en) 2002-10-18 2003-10-08 Atherectomy system with imaging guidewire

Country Status (6)

Country Link
US (2) US7734332B2 (en)
EP (1) EP1551273A4 (en)
JP (1) JP2006502784A (en)
CN (1) CN100401994C (en)
AU (1) AU2003269460A1 (en)
WO (1) WO2004034869A2 (en)

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Also Published As

Publication number Publication date
US20100280534A1 (en) 2010-11-04
US20060015126A1 (en) 2006-01-19
EP1551273A2 (en) 2005-07-13
US7734332B2 (en) 2010-06-08
WO2004034869A2 (en) 2004-04-29
AU2003269460A1 (en) 2004-05-04
CN100401994C (en) 2008-07-16
EP1551273A4 (en) 2011-04-06
AU2003269460A8 (en) 2004-05-04
CN1705461A (en) 2005-12-07
JP2006502784A (en) 2006-01-26

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