WO2009134346A3 - Methods and apparatus for crossing occlusions in blood vessels - Google Patents

Methods and apparatus for crossing occlusions in blood vessels Download PDF

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Publication number
WO2009134346A3
WO2009134346A3 PCT/US2009/002571 US2009002571W WO2009134346A3 WO 2009134346 A3 WO2009134346 A3 WO 2009134346A3 US 2009002571 W US2009002571 W US 2009002571W WO 2009134346 A3 WO2009134346 A3 WO 2009134346A3
Authority
WO
WIPO (PCT)
Prior art keywords
shaft
rotation
methods
blood vessels
longitudinal axis
Prior art date
Application number
PCT/US2009/002571
Other languages
French (fr)
Other versions
WO2009134346A2 (en
Inventor
David Bryan Robinson
Chad John Kugler
Matthew Jonathan Olson
Ross Arlan Olson
Original Assignee
David Bryan Robinson
Chad John Kugler
Matthew Jonathan Olson
Ross Arlan Olson
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 David Bryan Robinson, Chad John Kugler, Matthew Jonathan Olson, Ross Arlan Olson filed Critical David Bryan Robinson
Priority to EP16185838.6A priority Critical patent/EP3165184B1/en
Priority to JP2011506307A priority patent/JP5513486B2/en
Priority to EP09739149.4A priority patent/EP2291128B1/en
Priority to EP21210339.4A priority patent/EP4011305A1/en
Publication of WO2009134346A2 publication Critical patent/WO2009134346A2/en
Publication of WO2009134346A3 publication Critical patent/WO2009134346A3/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
    • 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
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00469—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
    • 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
    • A61B2017/22094—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 for crossing total occlusions, i.e. piercing
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting

Abstract

Exemplary embodiments of the present disclosure are directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device (132) includes an intravascular device including a shaft (136) having a distal end and a proximal end. The device further includes a handle assembly (134) fixed about the proximal end of the shaft, the handle assembly including a first portion (138). Further rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Still further, rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.
PCT/US2009/002571 2008-04-28 2009-04-27 Methods and apparatus for crossing occlusions in blood vessels WO2009134346A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP16185838.6A EP3165184B1 (en) 2008-04-28 2009-04-27 Apparatus for crossing occlusions in blood vessels
JP2011506307A JP5513486B2 (en) 2008-04-28 2009-04-27 Method and apparatus for traversing a vessel occlusion
EP09739149.4A EP2291128B1 (en) 2008-04-28 2009-04-27 Apparatus for crossing occlusions in blood vessels
EP21210339.4A EP4011305A1 (en) 2008-04-28 2009-04-27 Apparatus for crossing occlusions in blood vessels

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US4839808P 2008-04-28 2008-04-28
US61/048,398 2008-04-28

Publications (2)

Publication Number Publication Date
WO2009134346A2 WO2009134346A2 (en) 2009-11-05
WO2009134346A3 true WO2009134346A3 (en) 2010-01-28

Family

ID=41037844

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/002571 WO2009134346A2 (en) 2008-04-28 2009-04-27 Methods and apparatus for crossing occlusions in blood vessels

Country Status (4)

Country Link
US (4) US8172863B2 (en)
EP (3) EP4011305A1 (en)
JP (1) JP5513486B2 (en)
WO (1) WO2009134346A2 (en)

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US20130296907A1 (en) 2013-11-07
US8496679B2 (en) 2013-07-30
US20090270890A1 (en) 2009-10-29

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