WO1992017118A1 - Method and apparatus for in vivo heart valve decalcification - Google Patents
Method and apparatus for in vivo heart valve decalcification Download PDFInfo
- Publication number
- WO1992017118A1 WO1992017118A1 PCT/US1992/002599 US9202599W WO9217118A1 WO 1992017118 A1 WO1992017118 A1 WO 1992017118A1 US 9202599 W US9202599 W US 9202599W WO 9217118 A1 WO9217118 A1 WO 9217118A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- catheter
- anchoring balloon
- balloon
- positioning
- blood
- Prior art date
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Classifications
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- 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
- A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
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- 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
- A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
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- A—HUMAN NECESSITIES
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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- A—HUMAN NECESSITIES
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- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
- A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
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- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/13—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
- A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
- A61M60/38—Blood oxygenation
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- A61M60/861—Connections or anchorings for connecting or anchoring pumps or pumping devices to parts of the patient's body
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/884—Constructional details other than related to driving of implantable pumps or pumping devices being associated to additional implantable blood treating devices
- A61M60/888—Blood filters
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/89—Valves
- A61M60/894—Passive valves, i.e. valves actuated by the blood
- A61M60/896—Passive valves, i.e. valves actuated by the blood having flexible or resilient parts, e.g. flap valves
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- 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
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- 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
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- 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
- A61B2017/22097—Valve removal in veins
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- 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
- A61B2017/22098—Decalcification of valves
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- A—HUMAN NECESSITIES
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- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
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- A—HUMAN NECESSITIES
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/40—Details relating to driving
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- A61M60/408—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable
- A61M60/411—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor
- A61M60/414—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Mechanical Engineering (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Pulmonology (AREA)
- Electromagnetism (AREA)
- Biophysics (AREA)
- Child & Adolescent Psychology (AREA)
- Plasma & Fusion (AREA)
- Optics & Photonics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Emergency Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
- Prostheses (AREA)
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP4508935A JPH06505416A (en) | 1991-04-04 | 1992-03-30 | Method and device for in vivo heart valve decalcification |
AU16773/92A AU652902B2 (en) | 1991-04-04 | 1992-03-30 | Method and apparatus for in vivo heart valve decalcification |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/680,705 US5295958A (en) | 1991-04-04 | 1991-04-04 | Method and apparatus for in vivo heart valve decalcification |
US680,705 | 1991-04-04 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1992017118A1 true WO1992017118A1 (en) | 1992-10-15 |
Family
ID=24732176
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1992/002599 WO1992017118A1 (en) | 1991-04-04 | 1992-03-30 | Method and apparatus for in vivo heart valve decalcification |
Country Status (6)
Country | Link |
---|---|
US (2) | US5295958A (en) |
EP (1) | EP0578731A4 (en) |
JP (1) | JPH06505416A (en) |
AU (1) | AU652902B2 (en) |
CA (1) | CA2107231A1 (en) |
WO (1) | WO1992017118A1 (en) |
Cited By (263)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1995016476A1 (en) * | 1993-12-17 | 1995-06-22 | Heartport Inc. | System for cardiac procedures |
US5433700A (en) * | 1992-12-03 | 1995-07-18 | Stanford Surgical Technologies, Inc. | Method for intraluminally inducing cardioplegic arrest and catheter for use therein |
US5458574A (en) * | 1994-03-16 | 1995-10-17 | Heartport, Inc. | System for performing a cardiac procedure |
US5545214A (en) * | 1991-07-16 | 1996-08-13 | Heartport, Inc. | Endovascular aortic valve replacement |
US5584803A (en) * | 1991-07-16 | 1996-12-17 | Heartport, Inc. | System for cardiac procedures |
WO1997039785A1 (en) * | 1996-04-25 | 1997-10-30 | Medtronic, Inc. | Active intravascular lung |
US5759170A (en) * | 1993-11-30 | 1998-06-02 | Heartport, Inc. | Method for intraluminally inducing cardioplegic arrest and catheter for use therein |
US5795325A (en) * | 1991-07-16 | 1998-08-18 | Heartport, Inc. | Methods and apparatus for anchoring an occluding member |
US5814016A (en) * | 1991-07-16 | 1998-09-29 | Heartport, Inc. | Endovascular system for arresting the heart |
US5836957A (en) * | 1994-12-22 | 1998-11-17 | Devices For Vascular Intervention, Inc. | Large volume atherectomy device |
US5840081A (en) * | 1990-05-18 | 1998-11-24 | Andersen; Henning Rud | System and method for implanting cardiac valves |
US5863366A (en) * | 1995-06-07 | 1999-01-26 | Heartport, Inc. | Method of manufacture of a cannula for a medical device |
US5879499A (en) * | 1996-06-17 | 1999-03-09 | Heartport, Inc. | Method of manufacture of a multi-lumen catheter |
WO1999015223A1 (en) * | 1997-09-26 | 1999-04-01 | Cardeon Corporation | Multi-function aortic catheterization and bumper instrument |
AU714807B2 (en) * | 1993-12-17 | 2000-01-13 | Heartport, Inc. | System for cardiac procedures |
GB2349824A (en) * | 1999-05-04 | 2000-11-15 | Medtronic Inc | Inhibiting or minimising calcification of aortic valves |
US6217546B1 (en) | 1997-05-19 | 2001-04-17 | United States Surgical Corporation | Catheter system |
WO2001097697A1 (en) * | 2000-06-22 | 2001-12-27 | White Geoffrey H | Method and apparatus for performing percutaneous thromboembolectomies |
DE10049815A1 (en) * | 2000-10-09 | 2002-04-25 | Universitaetsklinikum Freiburg | Aortic valve removal system uses hollow catheter flexibly conforming to aortic arch and fluid tightly fitted to sharp-edged sleeve with projecting spiral element. |
EP1411849A1 (en) * | 2001-07-03 | 2004-04-28 | Nidus Medical LLC | Apparatus and methods for treating tissue |
US6866650B2 (en) | 1991-07-16 | 2005-03-15 | Heartport, Inc. | System for cardiac procedures |
US6932792B1 (en) | 1997-04-23 | 2005-08-23 | Frederick G. St. Goar | Antegrade cardioplegia catheter and method |
US6936222B2 (en) | 2002-09-13 | 2005-08-30 | Kenneth L. Franco | Methods, apparatuses, and applications for compliant membrane blood gas exchangers |
US7018406B2 (en) | 1999-11-17 | 2006-03-28 | Corevalve Sa | Prosthetic valve for transluminal delivery |
EP1670545A2 (en) * | 2003-07-22 | 2006-06-21 | Corazon Technologies, Inc. | Devices and methods for treating aortic valve stenosis |
US7252682B2 (en) | 2001-07-04 | 2007-08-07 | Corevalve, S.A. | Kit enabling a prosthetic valve to be placed in a body enabling a prosthetic valve to be put into place in a duct in the body |
US7399315B2 (en) | 2003-03-18 | 2008-07-15 | Edwards Lifescience Corporation | Minimally-invasive heart valve with cusp positioners |
US7462191B2 (en) | 2004-06-30 | 2008-12-09 | Edwards Lifesciences Pvt, Inc. | Device and method for assisting in the implantation of a prosthetic valve |
WO2012040225A2 (en) | 2010-09-21 | 2012-03-29 | Angioscore, Inc. | Method and system for treating valve stenosis |
US8206438B2 (en) | 2001-03-23 | 2012-06-26 | Edwards Lifesciences Corporation | Prosthetic heart valve having flared outflow section |
US8236045B2 (en) | 2006-12-22 | 2012-08-07 | Edwards Lifesciences Corporation | Implantable prosthetic valve assembly and method of making the same |
US8500645B2 (en) | 2007-04-10 | 2013-08-06 | C. R. Bard, Inc. | Low power ultrasound system |
US8568475B2 (en) | 2010-10-05 | 2013-10-29 | Edwards Lifesciences Corporation | Spiraled commissure attachment for prosthetic valve |
US8652204B2 (en) | 2010-04-01 | 2014-02-18 | Medtronic, Inc. | Transcatheter valve with torsion spring fixation and related systems and methods |
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Also Published As
Publication number | Publication date |
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JPH06505416A (en) | 1994-06-23 |
CA2107231A1 (en) | 1992-10-05 |
AU1677392A (en) | 1992-11-02 |
EP0578731A4 (en) | 1994-07-13 |
AU652902B2 (en) | 1994-09-08 |
EP0578731A1 (en) | 1994-01-19 |
US5443446A (en) | 1995-08-22 |
US5295958A (en) | 1994-03-22 |
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