Intraluminal devices and methods for removing an obstruction from a blood vessel using an intraluminal device are provided. The intraluminal device can include a flexible shaft and an expandable wire mesh structure extending from the flexible shaft, the wire mesh structure including at least one first expandable section having a first wire arrangement pattern and at least one second expandable section having a second wire arrangement pattern different from the first wire arrangement pattern. In addition, interstices in the at least one first expandable section can differ in size from interstices in the at least one second expandable section.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
2.
SYSTEMS FOR REDUCING FRICTION IN ENDOVASCULAR DEVICES
An endovascular device for navigation of a blood vessel is disclosed. The endovascular device includes a tube with a selectively bendable portion, a control element extending through at least a portion of the tube, wherein movement of the control element relative to the tube is configured to cause the selectively bendable portion of the tube to bend, and a spacer disposed within the tube and placed between the tube and the control element, the spacer comprising at least one wire formed in a coil and configured to reduce sliding friction between the tube and the control element, and wherein the coil has a pitch at least 1.2 times a diameter of the wire.
A force meter for detecting force applied to an endovascular device includes a housing with a hollow tube disposed in the housing. The hollow tube is formed with a bend in the housing and extends between two exterior sides of the housing. The hollow tube is configured to receive the endovascular device. A member is disposed in the housing and is mechanically coupled to the hollow tube such that the member displaces when a force is applied to the endovascular device. An indicator is mechanically coupled to the member and is configured to present the force when the member is displaced.
An actuation control or handle for an endovascular device includes a housing containing an actuator that is linked to a portion of an endovascular device extending into the handle. An actuator linkage joins the actuator and first portion to allow the actuator to apply a force to the first portion of the endovascular device. Buttons disposed on the housing allow a user to control the movement of the actuator. A slider disposed on the housing allows for manual actuation of a second portion of the endovascular device inside the housing.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A system for controlling an endovascular device includes a portion of an endovascular device configured to manipulate a mechanical portion of the endovascular device and an actuator configured to apply a force to the portion of the endovascular device. A sensor is configured to perform a measurement on the portion of the endovascular device. At least one component is connected to the sensor and is configured to receive the measurement, to calculate a strain applied to the portion of the endovascular device based on the measurement, and to determine a position of the actuator based on the calculated strain.
A61B 9/00 - Instruments pour l'examen par percussionPlessimètres
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
6.
ENDOVASCULAR DEVICE CONFIGURED FOR SELECTIVE NARROWING
An endovascular device, including an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough, the sheath having at least a first region and a second region; an electrode within the first region of the sheath; and a constrictor associated with the first region of the sheath, the constrictor being configured, while at least the first region and the second region of the sheath are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen of the sheath in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/70 - Moyens d'actionnement ou de commande électriques
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for digital control of an endovascular device and for controlling movement of an endovascular device may be provided. Embodiments may include a control device configured to be positioned outside a body of a patient. Embodiments may also include an input mechanism configured to receive input from a user. Embodiments may also include a device movement mechanism configured to control at least one movable portion of the endovascular device, the movable portion of the endovascular device configured for placement within the body of the patient.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
8.
GUIDABLE ENDOVASCULAR MESH DEVICE, AND APPLICATIONS THEREOF
An endovascular device for mechanical treatment of a blood vessel includes a body having a selectively bendable portion, a mechanical treatment portion, and a proximal portion. The endovascular device also includes an activation tube slidably disposed around the body. The activation tube can slide to cover or uncover the mechanical treatment portion. The selectively bendable portion can be mechanically actuated via an actuator control disposed at the proximal portion. The selectively bendable portion can be actuated to improve navigation of the endovascular device through curved or twisted portions of blood vessels. The mechanical treatment portion can be deployed from a resting state to an expanded state to apply a mechanical treatment.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A non-transitory computer readable medium containing instructions that when executed by at least one processor, cause the at least one processor to provide automation of an endovascular procedure, is provided. The operations include receiving a medical image captured prior to or during an invasive procedure; analyzing the medical image to detect one or more of a body structure and a portion of an endovascular device in the body structure; based on the detected one or more of the body structure and the portion of the endovascular device in the body structure, selecting an action for controlling the endovascular device during the invasive procedure; and causing a performance of the selected action.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
An intraluminal device including an elongated structure formed of a plurality of wires may be provided. The intraluminal device may include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure. The sets of looped wires may be spaced circumferentially about the elongated structure and may be configured to cooperate with each other to form a plurality of clot entry openings. The intraluminal device may also include at least one grouping of woven wires that may be longitudinally located adjacent to the intermediate area and may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping of woven wires may provide structural support to hold open first interstices between the plurality of sets of looped wires.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
11.
Systems and methods for intravascular obstruction removal
Intraluminal devices and methods for removing an obstruction from a blood vessel using an intraluminal device are provided. The intraluminal device can include a flexible shaft and an expandable wire mesh structure extending from the flexible shaft, the wire mesh structure including at least one first expandable section having a first wire arrangement pattern and at least one second expandable section having a second wire arrangement pattern different from the first wire arrangement pattern. In addition, interstices in the at least one first expandable section can differ in size from interstices in the at least one second expandable section.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
12.
SYSTEMS AND METHODS FOR MEASURING FORCE APPLIED TO AN ENDOVASCULAR DEVICE
A force meter for detecting force applied to an endovascular device includes a housing, a passage in the housing configured to receive the endovascular device, and a sensor disposed in the housing to measure force from the endovascular device to the housing. The force meter may also include electronic components to process the force readings from the sensor, transmit the readings to an external receiver, and to indicate the force readings to a user.
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
In one exemplary embodiment, an intraluminal device may include elongated structure formed of a plurality of wires. The intraluminal device may also include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure and the plurality of sets may be spaced circumferentially about the structure and being configured to cooperate with each other to form a plurality of clot entry openings. At least one grouping of woven wires may be longitudinally located adjacent the intermediate area and the at one grouping of woven wires may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping provides structural support to hold open first interstices between the plurality of sets of looped wires.
An endovascular device for navigation of a blood vessel includes a tube with a selectively bendable portion. The selectively bendable portion can be mechanically actuated via an actuator control placed on the tube. The selectively bendable portion can be actuated to improve navigation of the endovascular device through curved or twisted portions of blood vessels.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
Medical apparatus and instruments for endovascular
procedure; medical apparatus and instruments for
endovascular surgery, namely, navigation assisting device.
Medical apparatus and instruments for use in endovascular procedures; medical apparatus and instruments in the nature of navigation assisting devices for use in endovascular surgery
17.
GUIDE WIRE ACTIVATION MECHANISM AND PROXIMAL ACTUATION MECHANISM
An intraluminal guide wire may include an elongated shaft extending between a distal and a proximal end. The guide wire may include a user actuation segment positioned proximal to the proximal end of the shaft and configured for movement relative to the shaft. The guide wire may include a core wire affixed to the user actuation segment and the distal end of the shaft. The guide wire may also include an inner member having a proximal end situated at least partially within and fixed relative to the user actuation segment and a distal end situated partially within the shaft, the core wire passing through the inner member. The guide wire may be configured with a distal segment of the inner member within the shaft exhibiting a friction-based restraint on movement within the shaft. The friction-based restraint on movement may be a frictional force between the inner member and the shaft.
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for digital control of an endovascular device and for controlling movement of an endovascular device may be provided. Embodiments may include a control device configured to be positioned outside a body of a patient. Embodiments may also include an input mechanism configured to receive input from a user. Embodiments may also include a device movement mechanism configured to control at least one movable portion of the endovascular device, the movable portion of the endovascular device configured for placement within the body of the patient.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
19.
ANALYZING ACTIONS, AUTOMATIC CORRECTION OF ACTIONS, AND DECISION SUPPORT AND AUTOMATION DURING ENDOVASCULAR PROCEDURES
A non-transitory computer readable medium containing instructions that when executed by at least one processor, cause the at least one processor to provide automation of an endovascular procedure, is provided. The operations include receiving a medical image captured prior to or during an invasive procedure; analyzing the medical image to detect one or more of a body structure and a portion of an endovascular device in the body structure; based on the detected one or more of the body structure and the portion of the endovascular device in the body structure, selecting an action for controlling the endovascular device during the invasive procedure; and causing a performance of the selected action.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
20.
Endovascular device configured for selective narrowing
An endovascular device, including an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough, the sheath having at least a first region and a second region; an electrode within the first region of the sheath; and a constrictor associated with the first region of the sheath, the constrictor being configured, while at least the first region and the second region of the sheath are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen of the sheath in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/70 - Moyens d'actionnement ou de commande électriques
Medical apparatus and instruments for endovascular
procedure; medical apparatus and instruments for
endovascular surgery; peripheral vascular medical devices
and instruments; catheters; medical devices, namely,
adjustable remodelling mesh for use in microcatheters.
22.
ROTATIONALLY TORQUABLE ENDOVASCULAR DEVICE WITH ACTUATABLE WORKING END
In one exemplary embodiment, an endovascular device may include a hollow shaft having a proximal end and a distal end, and sized for insertion into a blood vessel. The endovascular device may also include a control line having a proximal end and a distal end, and extending through the hollow shaft. The endovascular device may also include an actuatable working element located proximate the distal end of the hollow shaft, and configured to receive an actuation force transmitted via the distal end of the control line. The endovascular device may further include an actuator configured to exert the actuation force on the proximal end of the control line, to thereby cause relative movement between the control line and the hollow shaft and to actuate the working element. The hollow shaft may also include a cable formed of a plurality of wound wires and including a proximal segment, at least one transition segment, and a distal segment. The proximal segment, at least one transition segment, and distal segment may include different numbers of wires.
C08L 77/02 - Polyamides dérivés des acides oméga-aminocarboxyliques ou de leurs lactames
C08L 69/00 - Compositions contenant des polycarbonatesCompositions contenant des dérivés des polycarbonates
C08L 101/00 - Compositions contenant des composés macromoléculaires non spécifiés
C08L 67/00 - Compositions contenant des polyesters obtenus par des réactions créant une liaison ester carboxylique dans la chaîne principaleCompositions contenant des dérivés de tels polymères
C08L 77/00 - Compositions contenant des polyamides obtenus par des réactions créant une liaison amide carboxylique dans la chaîne principaleCompositions contenant des dérivés de tels polymères
23.
ROTATIONALLY TORQUABLE ENDOVASCULAR DEVICE WITH VARIABLE FLEXIBILITY TIP
Endovascular and intravascular devices and methods of manufacturing endovascular and intravascular devices may be provided. In one implementation, an intravascular device including an elongated sheath and an elongated coil distal to the sheath may be provided. The coil may include a first coil segment formed from a plurality of wires helically-wound at a first coil angle; a second coil segment formed from a first subset of the plurality of wires that is helically-wound at a second coil angle that is different from the first coil angle; and a third coil segment formed from a second subset of the plurality of wires that is helically-wound at a third coil angle that is different from the first and second coil angles. The coil segments may be configured such that flexibility of the coil increases in a longitudinal direction toward the distal end of the coil.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
24.
Systems and methods for intravascular obstruction removal
Intraluminal devices and methods for removing an obstruction from a blood vessel using an intraluminal device are provided. The intraluminal device can include a flexible shaft and an expandable wire mesh structure extending from the flexible shaft, the wire mesh structure including at least one first expandable section having a first wire arrangement pattern and at least one second expandable section having a second wire arrangement pattern different from the first wire arrangement pattern. In addition, interstices in the at least one second expandable section.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
25.
SYSTEMS AND METHODS FOR SELECTIVE DETACHMENT OF ENDOVASCULAR COILS
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for monitoring and facilitating endovascular coil delivery may be provided. Embodiments may include obtaining a first input from a coil movement sensor associated with an endovascular coil within a lumen of a catheter positioned within a body. The catheter may include a coil partitioning mechanism configured to sever the endovascular coil. Embodiments may further include obtaining a second input to activate the coil partitioning mechanism. Embodiments may further include activating, in response to the second input, the coil partitioning mechanism to sever the endovascular coil into a first coil section for delivery and a residual second coil section. Embodiments may further include determining, based on at least the first input and the second input, a length of the second coil section and outputting a signal based on the determined length of the second coil section.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for delivery of an endovascular instrument to a treatment site within a body may be provided. Embodiments may include a flexible, elongated sheath having a proximal end and a distal end. An embodiment may further include an inner wall of the sheath delimiting an inner lumen which may extend between the proximal end and the distal end of the sheath. The inner lumen may be sized to enable axial advancement of the endovascular instrument therethrough. The embodiments may also include at least one electrode within the distal section of the sheath. The electrode may be configured to selectively deliver an electric current through a segment of the endovascular instrument within the inner lumen.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61F 2/70 - Moyens d'actionnement ou de commande électriques
An endovascular apparatus, including an elongated catheter having an inner lumen extending therethrough; a balloon affixed to the catheter for expansion into the inner lumen of the catheter when the balloon is inflated; and a tube secured relative to the balloon, wherein the tube is configured to enable selective inflation and deflation of the balloon, and wherein an outer diameter of a portion of the catheter adjacent the balloon is substantially the same when the balloon is inflated and when the balloon is deflated.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/70 - Moyens d'actionnement ou de commande électriques
28.
Systems and methods for endovascular coil detachment monitoring
A non-transitory computer readable medium containing instructions that when executed by at least one processor, cause the at least one processor to perform operations for monitoring partitioning of a medical instrument during an endovascular procedure. The operations may further be configured to obtain an input to activate a partitioning mechanism associated with a medical instrument within a lumen of a catheter, the catheter being positioned within a body. Further, embodiments may be configured in response to the input, to activate the partitioning mechanism. The operations may further be configured, following the activation, to obtain partitioning outcome data. The operations may determine, based on the partitioning outcome data, whether the medical instrument may be in a severed state or a connected state. The operations may, if the severed state of the medical instrument is detected, output a success notification. Some embodiments may be configured, if the connected state of the medical instrument is detected, to output at least one of (i) a control signal to vary activation of the partitioning mechanism or (ii) an instruction to reposition the medical instrument relative to the partitioning mechanism.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/70 - Moyens d'actionnement ou de commande électriques
29.
Systems and methods for facilitating endovascular coil delivery
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for monitoring and facilitating endovascular coil delivery may be provided. Embodiments may include obtaining a first input from a coil movement sensor associated with an endovascular coil within a lumen of a catheter positioned within a body. The catheter may include a coil partitioning mechanism configured to sever the endovascular coil. Embodiments may further include obtaining a second input to activate the coil partitioning mechanism. Embodiments may further include activating, in response to the second input, the coil partitioning mechanism to sever the endovascular coil into a first coil section for delivery and a residual second coil section. Embodiments may further include determining, based on at least the first input and the second input, a length of the second coil section and outputting a signal based on the determined length of the second coil section.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61F 2/70 - Moyens d'actionnement ou de commande électriques
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for filling a hollow body structure may be provided. In some implementations, an endovascular instrument for filling a hollow body structure may be provided and may include an elongated member configured to exhibit differing coiling properties along a length thereof. The elongated member may include a first region configured to bend within the hollow body structure to form a stabilizing frame. The elongated member may also include a second region located proximal to the first region and configured to bend, after formation of the frame, substantially within the frame, thereby forming a curved mass substantially within the frame. The first region and the second region may be interconnected. The embodiments may further include at least one structural property that differs between the first region and the second region.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/70 - Moyens d'actionnement ou de commande électriques
31.
Endovascular device configured for selective narrowing
An endovascular device, including an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough, the sheath having at least a first region and a second region; an electrode within the first region of the sheath; and a constrictor associated with the first region of the sheath, the constrictor being configured, while at least the first region and the second region of the sheath are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen of the sheath in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Intraluminal and endovascular devices and methods of manufacturing intraluminal and endovascular devices may be provided. In one implementation, an intraluminal device may include a sheath having a flexible distal bending segment and a core wire arranged within the sheath. The core wire may include a distal end portion doubled back in a loop within the sheath such that the distal tip of the core wire is situated proximally from the loop. The intraluminal device may also include a movement restrictor within the sheath that is configured to limit axial movement of the distal tip of the core wire. Limiting the axial movement of the core wire distal tip may cause the loop of the core wire to buckle, resulting in a bend in the distal bending segment of the sheath, when a force is exerted on the core wire.
Intraluminal devices and methods of fabricating intraluminal devices may be provided. In one implementation, an intraluminal device may be formed of a plurality of wires and may include a distal coil, a proximal coil, and an expandable mesh segment positioned between the distal and proximal coils. The distal coil, proximal coil, and expandable mesh segment may be formed as a single, unitary structure, with at least one wire of the plurality of wires extending continuously from the proximal coil to the distal coil.
Intraluminal devices and methods of fabricating intraluminal devices may be provided. In one implementation, an intraluminal device may be formed of a plurality of wires and may include a distal coil, a proximal coil, and an expandable mesh segment positioned between the distal and proximal coils. The proximal coil may include more wires of the plurality of wires than the distal coil and the expandable mesh segment. Due to the smaller number of wires forming the distal coil, the intraluminal device may be configured to have a soft and atraumatic distal tip and a more rigid proximal cable.
Intraluminal and endovascular devices and methods of manufacturing intraluminal and endovascular devices may be provided. In one implementation, an intraluminal device may include a sheath having a flexible distal bending segment and a core wire arranged within the sheath. The core wire may include a distal end portion doubled back in a loop within the sheath such that the distal tip of the core wire is situated proximally from the loop. The intraluminal device may also include a movement restrictor within the sheath that is configured to limit axial movement of the distal tip of the core wire. Limiting the axial movement of the core wire distal tip may cause the loop of the core wire to buckle, resulting in a bend in the distal bending segment of the sheath, when a force is exerted on the core wire.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
36.
ROTATIONALLY TORQUABLE ENDOVASCULAR DEVICE WITH VARIABLE FLEXIBILITY TIP
Endovascular and intravascular devices and methods of manufacturing endovascular and intravascular devices may be provided. In one implementation, an intravascular device including an elongated sheath and an elongated coil distal to the sheath may be provided. The coil may include a first coil segment formed from a plurality of wires helically-wound at a first coil angle; a second coil segment formed from a first subset of the plurality of wires that is helically-wound at a second coil angle that is different from the first coil angle; and a third coil segment formed from a second subset of the plurality of wires that is helically-wound at a third coil angle that is different from the first and second coil angles. The coil segments may be configured such that flexibility of the coil increases in a longitudinal direction toward the distal end of the coil.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
Intraluminal and endovascular devices and methods of manufacturing intraluminal and endovascular devices may be provided. In one implementation, an intraluminal device may include a sheath having a flexible distal bending segment and a core wire arranged within the sheath. The core wire may include a distal end portion doubled back in a loop within the sheath such that the distal tip of the core wire is situated proximally from the loop. The intraluminal device may also include a movement restrictor within the sheath that is configured to limit axial movement of the distal tip of the core wire. Limiting the axial movement of the core wire distal tip may cause the loop of the core wire to buckle, resulting in a bend in the distal bending segment of the sheath, when a force is exerted on the core wire.
An intraluminal guide wire may include an elongated shaft extending between a distal and a proximal end. The guide wire may include a user actuation segment positioned proximal to the proximal end of the shaft and configured for movement relative to the shaft. The guide wire may include a core wire affixed to the user actuation segment and the distal end of the shaft. The guide wire may also include an inner member having a proximal end situated at least partially within and fixed relative to the user actuation segment and a distal end situated partially within the shaft, the core wire passing through the inner member. The guide wire may be configured with a distal segment of the inner member within the shaft exhibiting a friction-based restraint on movement within the shaft. The friction-based restraint on movement may be a frictional force between the inner member and the shaft.
In one exemplary embodiment, an intraluminal device may include elongated structure formed of a plurality of wires. The intraluminal device may also include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure and the plurality of sets may be spaced circumferentially about the structure and being configured to cooperate with each other to form a plurality of clot entry openings. At least one grouping of woven wires may be longitudinally located adjacent the intermediate area and the at one grouping of woven wires may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping provides structural support to hold open first interstices between the plurality of sets of looped wires.
In one exemplary embodiment, an endovascular device may include a hollow shaft having a proximal end and a distal end, and sized for insertion into a blood vessel. The endovascular device may also include a control line having a proximal end and a distal end, and extending through the hollow shaft. The endovascular device may also include an actuatable working element located proximate the distal end of the hollow shaft, and configured to receive an actuation force transmitted via the distal end of the control line. The endovascular device may further include an actuator configured to exert the actuation force on the proximal end of the control line, to thereby cause relative movement between the control line and the hollow shaft and to actuate the working element. The hollow shaft may also include a cable formed of a plurality of wound wires and including a proximal segment, at least one transition segment, and a distal segment. The proximal segment, at least one transition segment, and distal segment may include different numbers of wires.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
An intraluminal device and a method of removing a clot from a body lumen with an intraluminal device may be provided. The intraluminal device may include a hollow elongated shaft and a radially-expandable mesh segment situated distal to the elongated shaft. The elongated shaft may be secured relative to a first portion of the mesh segment. The intraluminal device may additionally include a core wire affixed to a second portion of the mesh segment and extending through the elongated shaft. The elongated shaft may be configured to radially expand the mesh segment by axially moving the first portion of the mesh segment relative to the second portion of the mesh segment. In addition, the core wire may be configured to radially expand the mesh segment by axially moving the second portion of the mesh segment relative to the first portion of the mesh segment.
Endovascular and intravascular devices and methods of manufacturing endovascular and intravascular devices may be provided. In one implementation, an intravascular device including an elongated sheath and an elongated coil distal to the sheath may be provided. The coil may include a first coil segment formed from a plurality of wires helically-wound at a first coil angle; a second coil segment formed from a first subset of the plurality of wires that is helically-wound at a second coil angle that is different from the first coil angle; and a third coil segment formed from a second subset of the plurality of wires that is helically-wound at a third coil angle that is different from the first and second coil angles. The coil segments may be configured such that flexibility of the coil increases in a longitudinal direction toward the distal end of the coil.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
43.
INTRALUMINAL DEVICE WITH WIRE BRAIDING CONFIGURATION
An intraluminal device may be formed of a plurality of wires, including a distal coil, a proximal coil, and an expandable mesh segment positioned between the distal and proximal coils. The device may be formed as a single, unitary structure, with at least one wire of the plurality of wires extending continuously from the proximal coil to the distal coil. An intraluminal device may include a soft and atraumatic distal coil forming a distal tip of the device. An intraluminal device may include two pairs of wires meeting at a wire crossing and one wire of each pair of wires may pass between the wires of the other pair of wires. In another implementation, the proximal coil may include more wires of the plurality of wires than the distal coil and the expandable mesh segment.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
A61M 29/02 - Dilatateurs gonflablesDilatateurs faits de matériaux dilatables
D04C 1/06 - Tresses ou dentelles destinées à des usages particuliers
An intraluminal device may be provided including an elongated structure formed of a plurality of wires. The intraluminal device may include at least one expandable mesh segment configured to engage an obstruction in a body lumen, wherein the plurality of wires may be arranged into sets of looped wires that overlap to form the expandable mesh segment. The intraluminal device may also include at least one clot anchoring segment that may be configured to trap the obstruction to prevent downstream movement of the obstruction relative to the intraluminal device.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
An intraluminal device including an elongated structure formed of a plurality of wires may be provided. The intraluminal device may include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure. The sets of looped wires may be spaced circumferentially about the elongated structure and may be configured to cooperate with each other to form a plurality of clot entry openings. The intraluminal device may also include at least one grouping of woven wires that may be longitudinally located adjacent to the intermediate area and may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping of woven wires may provide structural support to hold open first interstices between the plurality of sets of looped wires.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
In one exemplary embodiment, an endovascular device may include a hollow shaft having a proximal end and a distal end, and sized for insertion into a blood vessel. The endovascular device may also include a control line having a proximal end and a distal end, and extending through the hollow shaft. The endovascular device may also include an actuatable working element located proximate the distal end of the hollow shaft, and configured to receive an actuation force transmitted via the distal end of the control line. The endovascular device may further include an actuator configured to exert the actuation force on the proximal end of the control line, to thereby cause relative movement between the control line and the hollow shaft and to actuate the working element. The hollow shaft may also include a cable formed of a plurality of wound wires and including a proximal segment, at least one transition segment, and a distal segment. The proximal segment, at least one transition segment, and distal segment may include different numbers of wires.
An endovascular device including a hollow shaft having a proximal end and a distal end, and sized for insertion into a blood vessel, may be provided. The endovascular device may also include a control line configured to extend through the hollow shaft and an actuatable working portion situated distally from the distal end of the hollow shaft and configured to receive an actuation force transmitted via the control line. The endovascular device may further include an actuator configured to exert the actuation force on the control line to cause relative movement between the control line and the hollow shaft and to actuate the working portion. The endovascular device may also include a rotation restriction barrier configured to substantially impede the control line from rotating relative to the working portion, while permitting relative axial movement between the control line and the hollow shaft.
An intraluminal guide wire may include an elongated shaft extending between a distal end thereof and a proximal end thereof. The intraluminal guide wire may include a user actuation segment positioned proximal to the proximal end of the elongated shaft, the user actuation segment configured for movement relative to the elongated shaft. The intraluminal guide wire may include a core wire affixed to the user actuation segment and the distal end of the elongated shaft. The intraluminal guide wire may also include an inner member having a proximal end thereof positioned at least partially within and fixed relative to the user actuation segment and a distal end thereof positioned at least partially within the elongated shaft, the core wire passing through the inner member. In some embodiments, the intraluminal guide wire may be configured such that a distal segment of the inner member within the elongated shaft is configured to exhibit a friction-based restraint on movement within the elongated shaft, the friction-based restraint on movement being a frictional force between an outer surface of the inner member and an inner surface of the elongated shaft.An intraluminal guide wire may include an elongated shaft extending between a distal end thereof and a proximal end thereof. The intraluminal guide wire may include a user actuation segment positioned proximal to the proximal end of the elongated shaft, the user actuation segment configured for movement relative to the elongated shaft. The intraluminal guide wire may include a core wire affixed to the user actuation segment and the distal end of the elongated shaft. The intraluminal guide wire may also include an inner member having a proximal end thereof positioned at least partially within and fixed relative to the user actuation segment and a distal end thereof positioned at least partially within the elongated shaft, the core wire passing through the inner member. In some embodiments, the intraluminal guide wire may be configured such that a distal segment of the inner member within the elongated shaft is configured to exhibit a friction-based restraint on movement within the elongated shaft, the friction-based restraint on movement being a frictional force between an outer surface of the inner member and an inner surface of the elongated shaft.
An intraluminal device and a method of removing a clot from a body lumen with an intraluminal device may be provided. The intraluminal device may include a hollow elongated shaft and a radially-expandable mesh segment situated distal to the elongated shaft. The elongated shaft may be secured relative to a first portion of the mesh segment. The intraluminal device may additionally include a core wire affixed to a second portion of the mesh segment and extending through the elongated shaft. The elongated shaft may be configured to radially expand the mesh segment by axially moving the first portion of the mesh segment relative to the second portion of the mesh segment. In addition, the core wire may be configured to radially expand the mesh segment by axially moving the second portion of the mesh segment relative to the first portion of the mesh segment.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
In one exemplary embodiment, an intraluminal device may include elongated structure formed of a plurality of wires. The intraluminal device may also include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure and the plurality of sets may be spaced circumferentially about the structure and being configured to cooperate with each other to form a plurality of clot entry openings. At least one grouping of woven wires may be longitudinally located adjacent the intermediate area and the at one grouping of woven wires may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping provides structural support to hold open first interstices between the plurality of sets of looped wires.
In one exemplary embodiment, an intraluminal device may include a first region wherein the plurality of wires are twisted to form a shaft. The intraluminal device may also include a second region, adjacent to the first region, wherein the plurality of wires are woven to form a scaffold. The intraluminal device may also include a third region, wherein the plurality of wires are separated into sets of looped pairs to form at least one clot engaging expandable mesh segment. The intraluminal device may also include a fourth region, including at least one clot anchoring segment.
In one exemplary embodiment, an intraluminal device may include elongated structure formed of a plurality of wires. The intraluminal device may also include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure and the plurality of sets may be spaced circumferentially about the structure and being configured to cooperate with each other to form a plurality of clot entry openings. At least one grouping of woven wires may be longitudinally located adjacent the intermediate area and the at one grouping of woven wires may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping provides structural support to hold open first interstices between the plurality of sets of looped wires.
In one exemplary embodiment, an endovascular device may include a hollow shaft having a proximal end and a distal end, and sized for insertion into a blood vessel. The endovascular device may also include a control line having a proximal end and a distal end, and extending through the hollow shaft. The endovascular device may also include an actuatable working element located beyond the distal end of the hollow shaft, and configured to receive an actuation force transmitted via the distal end of the control line. The endovascular device may further include an actuator configured to exert the actuation force on the proximal end of the control line, to thereby cause relative movement between the control line and the hollow shaft and to actuate the working element. The endovascular device may also include at least one control line rotation restrictor integral with the control line and located within the hollow shaft; and at least one rotation restrictor element associated with at least one of the hollow shaft and the working element, and configured to engage with the control line rotation restrictor to thereby substantially impede the control line from rotating relative to the working element, while permitting relative axial movement between the control line and the hollow shaft.
Intraluminal devices and methods for removing an obstruction from a blood vessel using an intraluminal device are provided. The intraluminal device can include a flexible shaft and an expandable wire mesh structure extending from the flexible shaft, the wire mesh structure including at least one first expandable section having a first wire arrangement pattern and at least one second expandable section having a second wire arrangement pattern different from the first wire arrangement pattern. In addition, interstices in the at least one first expandable section can differ in size from interstices in the at least one second expandable section.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
In one exemplary embodiment, an angioplasty device may include a flexible shaft. The angioplasty device may also include an expandable wire mesh structure extending from the flexible shaft. At least one actuator, connected to the expandable wire mesh structure, the actuator being configured to cooperate with the wire mesh structure to transfer angioplasty forces to a vessel obstruction.
In one exemplary embodiment, an intraluminal device may include elongated structure formed of a plurality of wires. The intraluminal device may also include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure and the plurality of sets may be spaced circumferentially about the structure and being configured to cooperate with each other to form a plurality of clot entry openings. At least one grouping of woven wires may be longitudinally located adjacent the intermediate area and the at one grouping of woven wires may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping provides structural support to hold open first interstices between the plurality of sets of looped wires.
Intraluminal devices and methods for removing an obstruction from a blood vessel using an intraluminal device are provided. The intraluminal device can include a flexible shaft and an expandable wire mesh structure extending from the flexible shaft, the wire mesh structure including at least one first expandable section having a first wire arrangement pattern and at least one second expandable section having a second wire arrangement pattern different from the first wire arrangement pattern. In addition, interstices in the at least one first expandable section can differ in size from interstices in the at least one second expandable section.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
63.
Devices and methods for assisting medical treatments
A treatment device (500) is provided including a shaft (507), an expandable member, a first elongated control member (508) and a second elongated control member (502). The expandable member can further include at least a first controllable portion (504) and a second controllable portion (503), where the expandable member, including the first controllable portion and the second controllable portion, is configured to transition between at least a partially retracted configuration and an expanded configuration under control of at least the first elongated control member (508). Further still, the first controllable portion can be configured to transition between at least a partially retracted configuration and an expanded configuration, while the second controllable portion (503) is configured to remain substantially unchanged, under control of at least the second elongated control member (502).
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61F 2/844 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents repliés avant déploiement
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A clot removal device and method for removing a clot from a blood vessel are provided, where the clot removal device includes a shaft and an elongate clot engagement element having one end connected to the shaft and a distal end remote from the end connected to the shaft, and where the shaft and elongate clot engagement element having a principal longitudinal axis. Further, the distal end can include an end formation forming a curved contact surface at the distal end, and the end formation can be displaced to one side of the principal longitudinal axis.
An intravascular device (100) includes an elongated shaft (3) extending in an axial direction and an expandable braided arrangement (110) of a plurality of filaments. The braided arrangement has a proximal end, a distal end (1), and an intermediate region therebetween. The intravascular device can include an endpiece (112-1) located proximate an intersection of the elongated shaft and the braided arrangement. The endpiece can be configured to orient the filaments in a substantially single file continuum. At a junction with the endpiece, the filaments can initially extend in a substantially parallel, non-crossing manner, and as the filaments extend toward the intermediate region, the initially extending non-crossing filaments can cross each other.
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
A61M 29/02 - Dilatateurs gonflablesDilatateurs faits de matériaux dilatables
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A clot removal device and method for removing a dot from a blood vessel may include an expandable clot engagement element, an expandable dot capture element, and a sheath surrounding and compressing the capture element and the engagement element. The sheath may be removable to thereby enable the capture element to expand in a blood vessel in which the sheath is deployed, and to enable the engagement element to expand within the capture element.
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A treatment device (500) is provided including a shaft (507), an expandable member, a first elongated control member (508) and a second elongated control member (502). The expandable member can further include at least a first controllable portion (504) and a second controllable portion (503), where the expandable member, including the first controllable portion and the second controllable portion, is configured to transition between at least a partially retracted configuration and an expanded configuration under control of at least the first elongated control member (508). Further still, the first controllable portion can be configured to transition between at least a partially retracted configuration and an expanded configuration, while the second controllable portion (503) is configured to remain substantially unchanged, under control of at least the second elongated control member (502).
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A clot removal device and method for removing a clot from a blood vessel are provided, where the clot removal device includes a shaft and an elongate clot engagement element having one end connected to the shaft and a distal end remote from the end connected to the shaft, and where the shaft and elongate clot engagement element having a principal longitudinal axis. Further, the distal end can include an end formation forming a curved contact surface at the distal end, and the end formation can be displaced to one side of the principal longitudinal axis.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
An intravascular device (100) includes an elongated shaft (3) extending in an axial direction and an expandable braided arrangement (110) of a plurality of filaments. The braided arrangement has a proximal end, a distal end (1), and an intermediate region therebetween. The intravascular device can include an endpiece (112-1) located proximate an intersection of the elongated shaft and the braided arrangement. The endpiece can be configured to orient the filaments in a substantially single file continuum. At a junction with the endpiece, the filaments can initially extend in a substantially parallel, non-crossing manner, and as the filaments extend toward the intermediate region, the initially extending non-crossing filaments can cross each other.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61M 29/02 - Dilatateurs gonflablesDilatateurs faits de matériaux dilatables
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A clot removal device and method for removing a clot from a blood vessel may include an expandable clot engagement element, an expandable clot capture element, and a sheath surrounding and compressing the capture element and the engagement element. The sheath may be removable to thereby enable the capture element to expand in a blood vessel in which the sheath is deployed, and to enable the engagement element to expand within the capture element. Additionally, a clot removal device and method for removing a clot from a blood vessel may employ a tubular clot capture element for deployment in a blood vessel for surrounding a clot, such that when the clot capture element surrounds a clot and is retracted in a longitudinal direction of the blood vessel, the clot capture element is configured to exert a radially inward compression force on the clot. Further, a clot removal device and method may include a tubular clot capture element having a first internal diameter and a clot engaging element having a second external diameter. The first diameter and the second diameter may be selected to permit the clot engaging element to be rotated within the tubular clot capture element. Further still, a clot removal device and method may employ a shaft and a clot engagement element on an end of the shaft, both configured for deployment in a blood vessel. The clot removal device may also include a stabilizer configured to at least partially surround the shaft and to maintain a portion of the shaft in a non-contacting relationship with the blood vessel wall.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A clot removal device and method for removing a clot from a blood vessel may employ a tubular clot capture element. The clot capture element may be configured for deployment in a blood vessel for surrounding a clot. The clot capture element may have an opening therein configured to receive and guide a clot engaging element and may be configured to radially contract upon retraction, such that when the clot capture element surrounds a clot and is retracted in a longitudinal direction of the blood vessel, the clot capture element is configured to exert a radially inward compression force on the clot.
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
72.
Device and method involving stabilization during clot removal
A clot removal device and method may employ a shaft and a clot engagement element on an end of the shaft. The clot engagement element and the shaft may be configured for deployment in a blood vessel. The clot removal device may also include a stabilizer configured to at least partially surround the shaft and to maintain a portion of the shaft in a non-contacting relationship with the blood vessel wall.
A61M 29/00 - Dilatateurs avec ou sans moyens pour introduire des agents, p. ex. des remèdes
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A clot removal device and method for removing a clot from a blood vessel may include an expandable clot engagement element, an expandable clot capture element, and a sheath surrounding and compressing the capture element and the engagement element. The sheath may be removable to thereby enable the capture element to expand in a blood vessel in which the sheath is deployed, and to enable the engagement element to expand within the capture element.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A clot removal device may include a tubular clot capture element having a first internal diameter and a clot engaging element having a second external diameter. The first diameter and the second diameter may be selected to permit the clot engaging element to be rotated within the tubular clot capture element. A method of removing a clot from a blood vessel may including delivering the tubular clot capture element and clot engaging element to a clot site such that the clot engaging element may rotate within the tubular clot engaging element.
The present invention provides an embolectomy device for removal of clots from vasculature, said device comprising: a proximal effecter characterized by a non-expanded configuration and an expanded configuration; a distal effecter characterized by a non-expanded configuration and an expanded configuration; said proximal effecter, in said expanded configuration is adapted for grasping a proximal portion of the target embolus; said proximal effecter, in said expanded configuration is adapted for grasping a distal portion of said target embolus; wherein both said effecters, when expanded, are oppositely positioned and are adapted to operate in concert, for trapping said clot such that said clot is (i) manipulatable along and/or around the main longitudinal axis of said vasculature in a predetermined set of motions; (ii) extracted out of said vasculature.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
It is one object of the present invention to provide a device for extracting a clot from a blood vessel in a non fragmented manner, comprising: 1. an endless wire coupled to a spring-like helical member having a plurality of loops; said loops are positioned at an angle A relatively to the main longitudinal axis of said blood vessel; and, are adapted to radially encircle at least a portion of the outer circumference of said clot; and, 2. a tubular mesh-like net for both enveloping said helical member and enclosing said clot therein; wherein at least a portion of said clot is contemporaneously confined within said loops and said mesh-like net, such that radial compression forces and longitudinal shearing forces are exerted on said clot and the tendency of said clot to fragment is mitigated.
