Balloon angioplasty catheters having cutting or scoring members that are moveable in at least one direction between a stowed position (away from the angioplasty balloon) and an operative position (on the angioplasty balloon). A balloon catheter of the present invention alternately useable to perform balloon dilation of a body lumen with and without concurrent cutting or scoring.
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
A61D 1/02 - Trocarts ou canules pour tettesAppareils de vaccination
A balloon catheter, in particular a balloon catheter for angioplasty, the balloon having an inner or outer surface modified by means of a photoactivation reaction.
A61L 29/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 29/16 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
C08J 3/28 - Traitement par ondes énergétiques ou par rayonnement de particules
B05D 3/06 - Traitement préalable des surfaces sur lesquelles des liquides ou d'autres matériaux fluides doivent être appliquésTraitement ultérieur des revêtements appliqués, p. ex. traitement intermédiaire d'un revêtement déjà appliqué, pour préparer les applications ultérieures de liquides ou d'autres matériaux fluides par exposition à des rayonnements
A61L 29/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A catheter having a distal balloon and a deformable guidewire shaft of the catheter. The deformable guidewire shaft is adjacent to and external to the balloon. Inflation of the balloon bends the deformable guidewire shaft in order to orient or deflect a distal tip of the deformable guidewire shaft in a desired direction to guide and direct a guidewire extending through the deformable guidewire shaft towards a specific endovascular region. For example, it may be desired to orient the distal tip of the guidewire shaft towards a target vessel of a bifurcation or the balloon catheter may be used to bypass a Chronic Total Occlusion (CTO).
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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 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
Catheter assemblies include a stabilization mechanism disposed at a distal end of the catheter assembly for stabilizing the catheter assembly within a subintimal space. The stabilization mechanism includes a self-expanding support structure that is slidably positionable within an inflatable balloon. The catheter assemblies include an outer shaft which has the balloon at a distal end thereof and an inner shaft which has the support structure mounted on a distal end thereof. The inner shaft is slidably disposed within a lumen of the outer shaft and has a first configuration in which the support structure is held in a compressed state within the outer shaft and a second configuration in which the support structure is permitted to return to an expanded state within the inflatable balloon. In the expanded state, the stabilization mechanism has a flattened laterally-extending profile.
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 25/02 - Dispositifs de maintien en position, p. ex. sur le corps
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Catheter devices and methods useable for directing a guidewire from a subintimal position within the wall of an artery into the true lumen of that artery or other applications wherein it is desired to direct a guidewire or other elongate device from one location to another location within a subject's body.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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 catheter for use with a subintimal reentry guidewire includes a proximal portion having a proximal guidewire lumen and a proximal inflation lumen, a distal portion having a distal guidewire lumen and a distal inflation lumen, and an intermediate portion disposed between the proximal portion and the distal portion and having an intermediate inflation lumen in fluid communication with the proximal and distal inflation lumens. The intermediate portion is devoid of a guidewire lumen. A blocking mechanism disposed in the distal portion of the catheter is transformable from a non-blocking configuration in which a guidewire is free to translate through the distal guidewire lumen and a blocking configuration in which a guidewire disposed in the distal guidewire lumen is prevented from translating through the distal guidewire lumen.
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
7.
MEDICAL BALLOON COATED WITH THERAPEUTIC AGENT, CARBOXYLIC ACID, AND SALT THEREOF
A coated medical balloon that includes a polymeric material having a surface with a therapeutic agent-containing mixture coated thereon, wherein the mixture includes a therapeutic agent, an unsaturated carboxylic acid, and a salt of the unsaturated carboxylic acid.
A coated medical balloon that includes a polymeric material having a surface with a therapeutic agent-containing mixture coated thereon, wherein the mixture includes a therapeutic agent, an unsaturated carboxylic acid, and a salt of the unsaturated carboxylic acid.
An occlusion bypassing apparatus is disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The apparatus includes an outer shaft component, an inner shaft component disposed within the outer shaft component, and a needle component slidably disposed within the inner shaft component. The inner shaft component includes a body portion and a needle housing, which is distal to the body portion. The needle housing is less flexible than the body portion. In order to smooth the transition between the body portion and the needle housing, the needle housing includes a transition portion that has a variable flexibility along its length that decreases in a distal direction. A curved distal end of the needle component is distally advanced relative to the inner shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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
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
An occlusion bypassing apparatus is disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The apparatus includes an outer shaft component (102), an inner shaft component (110) disposed within the outer shaft component (102), and a needle component (134) slidably disposed within the inner shaft component (110). The inner shaft component (110) includes a body portion (114) and a needle housing (116), which is distal to the body portion (114). The needle housing (116) is less flexible than the body portion (114). In order to smooth the transition between the body portion (114) and the needle housing (116), the needle housing includes a transition portion (118) that has a variable flexibility along its length that decreases in a distal direction. A curved distal end (120) of the needle component (134) is distally advanced relative to the inner shaft component (110) to pierce through the intima of the vessel and thereafter enter the true lumen.
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 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
Catheter assemblies (100) include a stabilization mechanism (130) disposed at a distal end of the catheter assembly for stabilizing the catheter assembly within a subintimal space. The stabilization mechanism includes a self-expanding support structure (130) that is slidably positionable within an inflatable balloon (124). The catheter assemblies include an outer shaft (102) which has the balloon at a distal end thereof and an inner shaft (114) which has the support structure mounted on a distal end thereof. The inner shaft is slidably disposed within a lumen of the outer shaft and has a first configuration in which the support structure is held in a compressed state within the outer shaft and a second configuration in which the support structure is permitted to return to an expanded state within the inflatable balloon. In the expanded state, the stabilization mechanism has a flattened laterally-extending profile.
Catheter assemblies include a stabilization mechanism disposed at a distal end of the catheter assembly for stabilizing the catheter assembly within a subintimal space. The stabilization mechanism includes a self-expanding support structure that is slidably positionable within an inflatable balloon. The catheter assemblies include an outer shaft which has the balloon at a distal end thereof and an inner shaft which has the support structure mounted on a distal end thereof. The inner shaft is slidably disposed within a lumen of the outer shaft and has a first configuration in which the support structure is held in a compressed state within the outer shaft and a second configuration in which the support structure is permitted to return to an expanded state within the inflatable balloon. In the expanded state, the stabilization mechanism has a flattened laterally-extending profile.
A61M 29/02 - Dilatateurs gonflablesDilatateurs faits de matériaux dilatables
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 25/02 - Dispositifs de maintien en position, p. ex. sur le corps
An apparatus having a distal end that may be selectively bent in situ. The apparatus has a curved configuration and a substantially straightened configuration. First (114) and second (126) tubular components of the apparatus each include a distal portion that is at an acute angle with respect to a longitudinal axis of the apparatus. The second tubular component is rotatably disposed within the first tubular component. In the curved configuration, the distal portions of the first and second tubular components are positioned to extend at substantially the same acute angle with respect to the longitudinal axis of the apparatus. In the substantially straightened configuration, the distal portions of the first and second tubular components are positioned such that the curvatures thereof counterbalance each other. The first and second tubular components may be used in an occlusion bypassing apparatus for re-entering the true lumen of a vessel after subintimally bypassing an occlusion.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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
14.
Balloon catheter systems and methods for bypassing an occlusion in a blood vessel
A catheter for subintimally bypassing an occlusion in a vessel includes a catheter shaft including a guidewire lumen disposed therethrough and having a shaft longitudinal axis, at least two balloons coupled to an exterior of the catheter shaft such that longitudinal axes of the balloons are in a common plane with the shaft longitudinal axis when uninflated and with no external forces on the catheter. The balloons are configured such that when the catheter is disposed in the subintima of a vessel and the balloons are inflated, a tip of the catheter shaft is oriented towards a true lumen of the vessel distal of the occlusion.
A catheter for use with a subintimal reentry guidewire includes a proximal portion having a proximal guidewire lumen and a proximal inflation lumen, a distal portion having a distal guidewire lumen and a distal inflation lumen, and an intermediate portion disposed between the proximal portion and the distal portion and having an intermediate inflation lumen in fluid communication with the proximal and distal inflation lumens. The intermediate portion is devoid of a guidewire lumen. A blocking mechanism disposed in the distal portion of the catheter is transformable from a non-blocking configuration in which a guidewire is free to translate through the distal guidewire lumen and a blocking configuration in which a guidewire disposed in the distal guidewire lumen is prevented from translating through the distal guidewire lumen.
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
16.
OCCLUSION BYPASSING APPARATUSES AND METHODS FOR BYPASSING AN OCCLUSION IN A BLOOD VESSEL
Occlusion bypassing apparatuses are disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The occlusion bypassing apparatuses include a shaft component and a needle component slidably disposed within the shaft component and having an angled configuration when deployed. In embodiments hereof, the needle component has an angled distal tip segment that may be utilized to selectively bend a flexible distal portion of the shaft component in order to extend the flexible distal portion towards the true lumen of the vessel. The needle component is distally advanced relative to the shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.
Occlusion bypassing apparatuses are disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The occlusion bypassing apparatuses include a shaft component and a needle component slidably disposed within the shaft component and having an angled configuration when deployed. In embodiments hereof, the needle component has an angled distal tip segment that may be utilized to selectively bend a flexible distal portion of the shaft component in order to extend the flexible distal portion towards the true lumen of the vessel. The needle component is distally advanced relative to the shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.
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
18.
Occlusion bypassing apparatuses and methods for bypassing an occlusion in a blood vessel
Occlusion bypassing apparatuses are disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The occlusion bypassing apparatuses include a shaft component and a needle component slidably disposed within the shaft component and having an angled configuration when deployed. In embodiments hereof, the needle component has an angled distal tip segment that may be utilized to selectively bend a flexible distal portion of the shaft component in order to extend the flexible distal portion towards the true lumen of the vessel. The needle component is distally advanced relative to the shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.
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
19.
Balloon catheter with polymeric balloon having a surface modified by a photoactivation reaction and method of making
A balloon catheter, in particular a balloon catheter for angioplasty, the balloon having an inner or outer surface modified by means of a photoactivation reaction.
A61L 29/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
B05D 3/06 - Traitement préalable des surfaces sur lesquelles des liquides ou d'autres matériaux fluides doivent être appliquésTraitement ultérieur des revêtements appliqués, p. ex. traitement intermédiaire d'un revêtement déjà appliqué, pour préparer les applications ultérieures de liquides ou d'autres matériaux fluides par exposition à des rayonnements
20.
Balloon for treatment of stenosis and method for manufacturing the balloon
A balloon (1) for treating stenosis and the method for obtaining this balloon. The method comprises the steps of: bringing the balloon in the deployed configuration; placing a plurality of stylets (17) that are arranged in the axial direction along the outer wall (10) of the balloon, pushing the stylets towards the balloon core (11) in the radial direction such as to form a plurality of laps (12); laying the laps about the core in the tangential direction such as to lay each lap on an adjacent stylet; removing the stylets such as to form a plurality of cavities (13) comprised between each lap and the balloon core; filling the cavities with the drug.
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
Balloon angioplasty catheters having cutting or scoring members that are moveable in at least one direction between a stowed position (away from the angioplasty balloon) and an operative position (on the angioplasty balloon). A balloon catheter of the present invention alternately useable to perform balloon dilation of a body lumen with and without concurrent cutting or scoring.
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
A61D 1/02 - Trocarts ou canules pour tettesAppareils de vaccination
Balloon angioplasty catheters having cutting or scoring members that are moveable in at least one direction between a stowed position (away from the angioplasty balloon) and an operative position (on the angioplasty balloon). A balloon catheter of the present invention alternately useable to perform balloon dilation of a body lumen with and without concurrent cutting or scoring.
True lumen reentry devices and methods useable for redirecting a guidewire from a subintimal tract within a wall of a blood vessel into the true lumen of the blood vessel. A reentry catheter device comprises a main catheter shaft having at least one guidewire outlet aperture with at least one side tube located on a distal portion of the main catheter shaft. The side tube(s) is/are tracked over initially inserted guidewire(s) to advance a distal portion of the reentry catheter device into the subintimal tract with a guidewire.
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
True lumen reentry devices and methods useable for redirecting a guidewire from a subintimal tract within a wall of a blood vessel into the true lumen of the blood vessel. A reentry catheter device comprises a main catheter shaft having at least one guidewire outlet aperture with at least one side tube located on a distal portion of the main catheter shaft. The side tube(s) is/are tracked over initially inserted guidewire(s) to advance a distal portion of the reentry catheter device into the subintimal tract with a guidewire.
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
Catheter devices and methods useable for directing a guidewire from a subintimal position within the wall of an artery into the true lumen of that artery or other applications wherein it is desired to direct a guidewire or other elongate device from one location to another location within a subject's body.
Catheter devices and methods useable for directing a guidewire from a subintimal position within the wall of an artery into the true lumen of that artery or other applications wherein it is desired to direct a guidewire or other elongate device from one location to another location within a subject's body.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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 catheter having a distal balloon (122) and a deformable guidewire shaft (114) of the catheter. The deformable guidewire shaft is adjacent to and external to the balloon. Inflation of the balloon bends the deformable guidewire shaft in order to orient or deflect a distal tip (120) of the deformable guidewire shaft in a desired direction to guide and direct a guidewire extending through the deformable guidewire shaft towards a specific endovascular region. For example, it may be desired to orient the distal tip of the guidewire shaft towards a target vessel of a bifurcation or the balloon catheter may be used to bypass a Chronic Total Occlusion (CTO).
Balloon catheter comprising: a main catheter shaft including a first guidewire lumen, a second guidewire lumen, and an inflation lumen; a balloon extending from a distal end of the main catheter shaft, wherein the inflation lumen of the main catheter shaft is in fluid communication with an interior of the balloon; a first deformable guidewire shaft extending from a distal end of the main catheter shaft, adjacent and external to the balloon, wherein the first deformable guidewire shaft defines a lumen in fluid communication with the first guidewire lumen of the main catheter shaft; a second deformable guidewire shaft extending from a distal end of the main catheter shaft, adjacent and external to the balloon, wherein the second deformable guidewire shaft defines a lumen in fluid communication with the second guidewire lumen of the main catheter shaft; a proximal bond that fixes a proximal end of the balloon to a distal end of the main catheter shaft; a first distal bond that fixes a distal end of the balloon to a first distal end of the first deformable guidewire shaft and a second distal bond that fixes the first distal end of the first deformable guidewire shaft to a second distal end of the second deformable guidewire shaft; at least one intermediate bond that fixes an intermediate portion of the balloon to an intermediate portion of the second deformable guidewire shaft, wherein an outer surface of the first deformable guidewire shaft between the proximal bond and the first distal bond is not bonded to the balloon, and wherein the balloon inflation causes the balloon and the first deformable guidewire shaft to bend in radially opposing directions and causes the balloon and the second deformable guidewire shaft to bend in the same direction, thereby orienting the distal ends of the first and second deformable guidewire shafts in directions different from that of the main catheter shaft.
A catheter having a distal balloon and a deformable guidewire shaft of the catheter. The deformable guidewire shaft is adjacent to and external to the balloon. Inflation of the balloon bends the deformable guidewire shaft in order to orient or deflect a distal tip of the deformable guidewire shaft in a desired direction to guide and direct a guidewire extending through the deformable guidewire shaft towards a specific endovascular region. For example, it may be desired to orient the distal tip of the guidewire shaft towards a target vessel of a bifurcation or the balloon catheter may be used to bypass a Chronic Total Occlusion (CTO).
A catheter having a distal balloon and a deformable guidewire shaft of the catheter. The deformable guidewire shaft is adjacent to and external to the balloon. Inflation of the balloon bends the deformable guidewire shaft in order to orient or deflect a distal tip of the deformable guidewire shaft in a desired direction to guide and direct a guidewire extending through the deformable guidewire shaft towards a specific endovascular region. For example, it may be desired to orient the distal tip of the guidewire shaft towards a target vessel of a bifurcation or the balloon catheter may be used to bypass a Chronic Total Occlusion (CTO).
Catheters, systems, and methods for achieving renal neuromodulation by intravascular access. A catheter has an energy delivery device positionable in a renal blood vessel and being transformable between a radially constrained low-profile state and a self-expanded deployed state. The energy delivery device includes a first electrode array spaced longitudinally from and flexibly connected to a second electrode array, the arrays being sized and shaped so that the electrode regions contact an interior wall of the renal blood vessel when the energy delivery device is in the deployed state. The electrode regions are configured for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function or of vascular structures that feed or perfuse the neural fibers.
Catheters, systems, and methods for achieving renal neuromodulation by intravascular access. A catheter has an energy delivery device positionable in a renal blood vessel and being transformable between a radially constrained low-profile state and a self-expanded deployed state. The energy delivery device includes a first electrode array spaced longitudinally from and flexibly connected to a second electrode array, the arrays being sized and shaped so that the electrode regions contact an interior wall of the renal blood vessel when the energy delivery device is in the deployed state. The electrode regions are configured for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function or of vascular structures that feed or perfuse the neural fibers.
A balloon catheter, in particular a balloon catheter for angioplasty, the balloon having an inner or outer surface modified by means of a photoactivation reaction.
The present invention relates to a balloon (1) for treating stenosis and the method for obtaining this balloon. The method comprises the steps of: bringing the balloon in the deployed configuration; placing a plurality of stylets (17) that are arranged in the axial direction along the outer wall (10) of the balloon; pushing the stylets towards the balloon core (11) in the radial direction such as to form a plurality of laps (12); laying the laps about the core in the tangential direction such as to lay each lap on an adjacent stylet; removing the stylets such as to form a plurality of cavities (13) comprised between each lap and the balloon core; filling the cavities with the drug.
B05D 3/00 - Traitement préalable des surfaces sur lesquelles des liquides ou d'autres matériaux fluides doivent être appliquésTraitement ultérieur des revêtements appliqués, p. ex. traitement intermédiaire d'un revêtement déjà appliqué, pour préparer les applications ultérieures de liquides ou d'autres matériaux fluides
A61M 31/00 - Dispositifs pour l'introduction ou la rétention d'agents, p. ex. de remèdes, dans les cavités du corps
A61M 37/00 - Autres appareils pour introduire des agents dans le corpsPercutanisation, c.-à-d. introduction de médicaments dans le corps par diffusion à travers la peau
B29C 49/00 - Moulage par soufflage, c.-à-d. en soufflant une préforme ou une paraison dans un moule pour obtenir la forme désiréeAppareils à cet effet
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
The present invention relates to a catheter suitable for conducting and positioning a medical device in an organic cavity comprising at least one side branch, such as a blood vessel, which comprises a tubular body, having a central lumen having a cross-section suitable for the passage of the medical device and a mandrel slidable in the central lumen and distally a flexible end portion. On the outer surface of the mandrel there is a longitudinal groove defining, with the inner wall of the tubular body, a passage suitable for receiving a first guide wire in a sliding manner. In addition, in the mandrel there is an inner lumen suitable for housing a second guide wire in a sliding manner. The present invention further relates to a catheter assembly comprising the aforesaid catheter and a method of use the same.
This invention concerns a guide catheter comprising a hollow tubular body extending along a main longitudinal axis, said tubular body defining at ] least one internal lumen suitable for receiving at least one medical device, the tubular body further defining at least one proximal opening and one distal opening. The tubular body includes a distal portion preformed in such a way as to take on a curved configuration with regard to the main axis. At least the distal portion of the tubular body has a flattened shape that extends prevalently along a main transversal axis, the curvature of said distal portion being created around said main transversal axis.
A blood clot removal device (1), comprising a capture member (2) having a tubular body (3) of prevailing longitudinal extension and provided with a lumen (10) extending longitudinally in said tubular body (3), at least one proximal portion (4), at least one distal portion (5), an apical end (6) of said distal portion (5), and a tip (7); said at least one distal portion (5) of said capture member (2) having at least one helical length (8) provided, with coils (16) wrapped in a helical manner forming a pitch (p) therebetween in the longitudinal direction and adapted to the capture of blood clots (9); an inner cable (11) received in said longitudinal lumen (10) of said tubular body (3) so as to remain within said tubular body (3) helical length (8), said inner cable (11) comprising a proximal length (12) having a proximal maneuvering end (13) and a distal length (14) provided with a tip (15); wherein said tip (15) of said inner cable (11) is secured to said apical end (6) of said capture member (2) tubular body (3), said tip (15) being firmly secured to said apical end (6) so that, when said inner cable (11) is subjected to a relative movement relative to the capture member (2) in the proximal direction, said inner cable (11) brings the tubular body (3) apical end (6) closer to the proximal portion thereof, shortening the pitch (p) of said coils (16) of the helical length (8) of the blood clot (9) capture member (2).
A61M 29/00 - Dilatateurs avec ou sans moyens pour introduire des agents, p. ex. des remèdes
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
38.
PHOTOACTIVATED POLYMERIC MATERIAL AND ITS USE FOR THE PREPARATION OF MEDICAL DEVICES
The disclosed invention concerns a medical device, in particular, a catheter tube or a balloon catheter for angioplasty having an improved inner surface.
The disclosed invention concerns a medical device, in particular, a catheter tube or a balloon catheter for angioplasty having an improved inner surface.
The present invention relates to a catheter (1', 1' ') for intraluminal treatment which comprises a main tubular body (2) extending along a longitudinal axis (X) between a proximal end portion (2') and a distal end portion (2' '), which delimits at least one central lumen (4). The main tubular body identifies at least one balloon (8). The catheter further comprises at least one inner tubular body (6), at least partially housed in the central lumen, which delimits at least one inner lumen (16) for housing at least one guide wire, the portion of distal extremity of the balloon being joined to the inner tubular body. Furthermore, the central axis (Y) of the inner lumen is arched or undulated to form an accumulation of material for the expansion of the balloon. The present invention further refers to a method of manufacturing the catheter of the invention and to a machine for the production of a tool used during the aforesaid method.
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A blood clot removal device (1), comprising a capture member (2) having a tubular body (3) of prevailing longitudinal extension and provided with a lumen (10) extending longitudinally in said tubular body (3), at least one proximal portion (4), at least one distal portion (5), an apical end (6) of said distal portion (5), and a tip (7); said at least one distal portion (5) of said capture member (2) having at least one helical length (8) provided,with coils (16) wrapped in a helical manner forming a pitch (p) therebetween in the longitudinal direction and adapted to the capture of blood clots (9); an inner cable (11) received in said longitudinal lumen (10) of said tubular body (3) so as to remain within said tubular body (3) helical length (8), said inner cable (11) comprising a proximal length (12) having a proximal manoeuvering end (13) and a distal length (14) provided with a tip (15); wherein said tip (15) of said inner cable (11) is secured to said apical end (6) of said capture member (2) tubular body (3), said tip (15) being firmly secured to said apical end (6) so that, when said inner cable (11) is subjected to a relative movement relative to the capture member (2) in the proximal direction, said inner cable (11) brings the tubular body (3) apical end (6) closer to the proximal portion thereof, shortening the pitch (p) of said coils (16) of the helical length (8) of the blood clot (9) capture member (2).
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
The present invention relates to a catheter suitable for conducting and positioning a medical device in an organic cavity comprising at least one side branch, such as a blood vessel, which comprises a tubular body, having a central lumen having a cross-section suitable for the passage of the medical device and a mandrel slidable in the central lumen and distally a flexible end portion. On the outer surface of the mandrel there is a longitudinal groove defining, with the inner wall of the tubular body, a passage suitable for receiving a first guide wire in a sliding manner. In addition, in the mandrel there is an inner lumen suitable for housing a second guide wire in a sliding manner. The present invention further relates to a catheter assembly comprising the aforesaid catheter and a method of use the same.
This invention concerns a guide catheter comprising a hollow tubular body extending along a main longitudinal axis, said tubular body defining at ] least one internal lumen suitable for receiving at least one medical device, the tubular body further defining at least one proximal opening and one distal opening. The tubular body includes a distal portion preformed in such a way as to take on a curved configuration with regard to the main axis. At least the distal portion of the tubular body has a flattened shape that extends prevalently along a main transversal axis, the curvature of said distal portion being created around said main transversal axis.
(1) Surgical and medical apparatus and instruments, namely, catheters, permanent metal prostheses for treating obstruction of the peripheral arteries (peripheral stents) and of the coronary arteries (coronary stents), angioplasty catheters and stents.
Surgical, medical, dental and veterinary apparatus and instruments, in particular catheters, medical devices, including permanent metal prostheses for treating obstruction of the peripheral arteries (peripheral stents) and of the coronary arteries (coronary stents), angioplasty catheteters and/or stents; artificial limbs, eyes and teeth; orthopedic articles; suture materials.
An endoluminal prosthesis, comprising a tubular body, said tubular body developing along a longitudinal axis, said tubular body comprising a plurality of serpentines, which develop along a substantially circumferential direction, each of said serpentines comprising arm portions of a preset width transversal to their main longitudinal extension, and bend portions joining two subsequent arms, at least one bridge, having a main longitudinal extension, connecting two adjacent serpentines, wherein the bends facing an adjacent serpentine are circumferentially staggered relative to the opposite bends of the adjoining serpentine, both when the prosthesis is collapsed and when the prosthesis is expanded or partially expanded, wherein the at least one bridge connecting adjacent serpentines extends substantially straight, and wherein the at least one bridge has a width transversal to its main longitudinal direction of a greater value than the arm width.
The present invention relates to a balloon (1) for treating stenosis and the method for obtaining this balloon. The method comprises the steps of : bringing the balloon in the deployed configuration; placing a plurality of stylets (17) that are arranged in the axial direction along the outer wall (10) of the balloon; pushing the stylets towards the balloon core (11) in the radial direction such as to form a plurality of laps (12); laying the laps about the core in the tangential direction such as to lay each lap on an adjacent stylet; removing the stylets such as to form a plurality of cavities (13) comprised between each lap and the balloon core; filling the cavities with the drug.
Surgical, medical, dental and veterinary apparatus and instruments and in particular catheters, artificial limbs, eyes and teeth; orthopedic articles; suture materials.
Surgical, medical, dental and veterinary apparatus and instruments, in particular catheters, artificial limbs, eyes and teeth; orthopedic articles; suture materials.
