USRE40305E1 - Apparatus and method for selectively positioning a device and manipulating it - Google Patents
Apparatus and method for selectively positioning a device and manipulating it Download PDFInfo
- Publication number
- USRE40305E1 USRE40305E1 US10/193,201 US19320102A USRE40305E US RE40305 E1 USRE40305 E1 US RE40305E1 US 19320102 A US19320102 A US 19320102A US RE40305 E USRE40305 E US RE40305E
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- United States
- Prior art keywords
- motor
- guide wire
- catheter
- lumen
- target area
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61M25/00—Catheters; Hollow probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00147—Holding or positioning arrangements
- A61B1/00148—Holding or positioning arrangements using anchoring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0113—Mechanical advancing means, e.g. catheter dispensers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- 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
- A61B2017/22072—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 instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22074—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
- A61B2017/22075—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with motorized advancing or retracting means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
Definitions
- This invention relates generally to an apparatus and method of selectively positioning the apparatus, e.g., within a lumen. More particularly, this invention relates to a device and method for pulling a catheter along a wire; a device and method for moving a wire relative to a catheter, a device and method for pulling a catheter relative to a guiding catheter or any larger bore pipeline through which it is inserted; and a device and method for pushing or pulling a device on top of a guide wire or inside a guiding catheter.
- a “pull” operation in which a pulling device precedes the apparatus and “pulls” it into place increases the tractability trackability of the device and reduces the likelihood that the device will get caught in a curve of the lumen or cause trauma to the lumen.
- Another problem is the need to push wires through occluded lumen sections that have a great resistance to such penetration.
- the fact that the wire is pushed from the outside may waste all the pushing energy in accessive loops with very little or none of the pushing energy actually reaching the tip of the wire.
- a device e.g., a stent, an Intra Vascular Sound (IVUS) transducer, an atherectomy device (both rotational and directional), pressure sensors, balloons, and pushing wires to open occlusions, by pulling rather than pushing these devices into place.
- IVUS Intra Vascular Sound
- embodiments of the present invention employ a piezoelectric micromotor to move a device to a target area in a lumen.
- the motor is attached to a catheter and frictionally engages a guide wire. Energizing the motor brings about relative motion between the wire and catheter. This allows moving the wire to a target area in a lumen with the catheter fixed and/or moving the catheter to the target area while holding the guide wire fixed.
- the catheter may have a balloon to be expanded in the lumen at the target area. Similarly, the catheter may deliver a stent to the target area where it can be expanded.
- the guide wire and motor may be used to clear the obstruction to permit the guide wire and catheter to be moved to the target area.
- FIG. 1 shows an embodiment of the invention in which a cylindrically shaped motor and a guide wire are utilized to dispose a device in the target area of a lumen;
- FIG. 2 is a cross-sectional end view of the embodiment of the invention shown in FIG. 1 ;
- FIG. 3 shows an embodiment of the invention in which a cylindrical motor and a cylindrical guide tube are used to dispose a device in the target area of a lumen;
- FIG. 4 shows a cross-sectional side view of another embodiment of the invention shown in FIG. 3 ;
- FIG. 5 shows the tractabilitytrackability of a catheter that is pulled through a curve in a lumen in accordance with the present invention
- FIG. 6 shows the tractabilitytrackability of a catheter that is pulled through a curve in a lumen in a conventional manner
- FIG. 7 shows an embodiment of the invention used to dispose a balloon expandable stent in the lumen of a blood vessel
- FIGS. 8A to 8 D shows an embodiment of the invention used to clear an obstructed lumen
- FIG. 9 shows an alternative embodiment of the invention.
- OCM Miniature Oscillating Ceramic Motors
- These motors can be made very small and in any shape and they operate by contacting a surface in an amount sufficient to generate sufficient friction to permit the motor to “crawl” along the contacted surface and change its position relative to the contracted surface when the motor is energized.
- These motors can be adequately insulated to act in aqueous environments. Their small size and low energy level requirements make them especially suitable for use inside living organisms.
- FIG. 1 is a lateral perspective of one embodiment of the invention and shows a cylindrical motor 1 , of the type described above in Zumeris, having a longitudinal bore therethrough.
- a guide wire 2 is disposed within the longitudinal bore 5 .
- FIG. 2 is a cross-sectional end view taken on line A-A of FIG. 1 and shows the cylindrical motor 1 having an outer surface 3 and an inner surface 4 defining a longitudinal bore 5 .
- the inner surface 4 defining the longitudinal bore 5 is provided with a friction area 6 adapted to engage the guide wire 2 .
- the longitudinal bore 5 and the guide wire 2 are sized and adapted so that when the motor 1 is energized the motor 1 will crawl along the guide wire 2 , thus, changing its position relative to the guide wire 2 .
- a biasing means e.g., a leaf spring 7 is utilized to bias the guide wire 2 against the friction area 6 of the motor 1 .
- FIG. 3 is a cross-sectional side view of another embodiment of the invention and shows a cylindrical motor 8 having an external surface 10 mounted within a guide tube 9 having and outer surface 11 and an inner surface 12 .
- the external surface 10 of the motor 8 and the internal surface 12 of the guide tube 9 are sized and adapted so that the friction area 14 of the motor 8 contacts the inner surface 12 of the guide tube 9 and crawls along the inner surface 12 so as to dispose a device, e.g., an Intra Vascular Ultra Sound (IVUS) transducer, atherectomy device, or physiological sensor, (not shown) in the target area of a lumen.
- IVUS Intra Vascular Ultra Sound
- a leaf spring 13 is utilized to bias the friction surface 14 of the motor 8 against the internal surface 12 of the guide tube 9 .
- FIG. 7 shows a catheter 15 having a proximal end 16 , a distal end 17 , and a longitudinal bore 18 therethrough.
- An expandable balloon 19 is disposed at the distal end 17 .
- a cylindrically shaped motor 1 is disposed at the distal end 17 of the catheter 15 distal to the balloon 19 .
- the motor 1 has a longitudinal bore 5 communicating with the longitudinal bore 18 of the catheter 15 and is provided with a motor friction area 6 disposed within the longitudinal bore 5 of the motor 1 .
- the guide wire 2 is disposed within the longitudinal bore 18 of the catheter 15 and the longitudinal bore 5 of the motor 1 .
- the guide wire 2 and the longitudinal bore 5 of the motor 1 are sized and adapted to impart friction between the friction area 6 of the motor 1 and the guide wire 2 in an amount sufficient to permit the motor 1 to change position relative to the guide wire 2 by crawling against the guide wire 2 when the motor 1 is energized.
- an expandable stent 20 is secured to the balloon portion 19 of the catheter 15 and the guide wire 2 is placed into the bore 18 of the catheter 15 .
- the guide wire 2 is then introduced into the lumen to be treated and is advanced by pushing it until it is near the target area.
- the guide wire 2 is then secured.
- the micro-motor 1 is then energized so that it crawls along the guide wire 2 which pulls the catheter 15 into the proximity of the target area to be treated. Because the catheter 15 is “pulled” into position as shown in FIG. 5 , there is improved tractability trackability and less kinking of the catheter 15 , and, thus, reduced risk of trauma to the internal surface of the lumen than when the catheter is “pushed” into place using conventional procedures as shown in FIG. 6 .
- the balloon 19 is then expanded to secure the stent 20 in the target area of the lumen.
- the balloon 19 is then deflated and the guide wire 2 and the catheter 15 are pulled out of the lumen using conventional methods.
- the motor is used to push the guide wire into, and if specific applications dictate through, a constricted area which clears the vessel of the obstruction to permit the catheter to advance beyond the obstruction to the target area.
- the catheter 15 is mounted on a guide wire 2 as previously discussed.
- the guide wire 2 is advanced to the obstruction 21 as shown in FIG. 8 A.
- the guide wire 2 is secured and the motor is energized causing the catheter to advance towards the obstruction 21 .
- the catheter 15 is advanced until it too is in proximity to the obstruction 21 as shown in FIG. 8 B.
- the catheter 15 is then secured and the motor 1 is activated which causes the guide wire 2 to advance into the obstructed area 21 as shown in FIG. 8 C.
- one or more passes may be utilized to clear the obstruction.
- vibrating the guide wire facilitates the wire passing through an obstruction.
- excitation of the micro- motor of the present invention with an AC voltage is possible. If excited with AC, a vibration in the range of 20 - 100 KHz., depending on the resonant frequency of the material used for the piezoelectric ceramic will result.
- two electrodes are excited by a positive DC voltage and two electrodes are excited by a negative DC voltage. Under this excitation the left side of piezoelectric ceramic becomes longer than the right side and ceramic moves to the right.
- the guide wire 2 is then secured, the motor 1 is energized, and the catheter 15 is advanced through the vessel past the area from which the guide wire 2 has cleared the obstruction 21 from the target area as shown in FIG. 8 D.
- This method may be used to simply clear an obstruction in a lumen as discussed above or may be used in conjunction with other embodiments of the invention, e.g., to facilitate the placement of an expandable stent in the target area of a lumen by first clearing the target area of any obstructions.
- FIG. 9 shows an alternative embodiment of the invention and shows a slab-shaped motor 22 incorporated in a catheter 23 .
- the motor 22 is shaped like a slab instead of being cylindrical.
- the slab-shaped motor 22 is disposed on the inner wall of the catheter 23 and is provided with a friction area 6 sized and adapted to frictionally engage a guide-wire 2 .
- the slab-shaped motor 22 is sized and adapted to permit the catheter 23 to be moved relative to the guide-wire 2 as previously discussed and as shown in FIG. 9 .
Abstract
Apparatus for pulling and positioning an apparatus, e.g., a stent, in the target area of a lumen. In one embodiment, a cylindrically shaped motor has a longitudinal bore, a friction area within the longitudinal bore, and a guide wire disposed within the longitudinal bore. The guide wire and friction area of the motor are sized and adapted to contact each other and impart friction between the friction area and the guide wire to permit the motor to pull a catheter to the target arcs by crawling against the guide wire. In another embodiment, a cylindrical motor having a friction area on its outer surface is disposed within a guide tube.
Description
This invention relates generally to an apparatus and method of selectively positioning the apparatus, e.g., within a lumen. More particularly, this invention relates to a device and method for pulling a catheter along a wire; a device and method for moving a wire relative to a catheter, a device and method for pulling a catheter relative to a guiding catheter or any larger bore pipeline through which it is inserted; and a device and method for pushing or pulling a device on top of a guide wire or inside a guiding catheter.
In many different applications of invasive and minimally invasive medicine there is a need to introduce catheters and other devices into the body, usually through open lumens or closed lumens, utilizing percutaneous entry. Conventional procedures for the introduction of the devices and their controlled motion in the body usually utilize a force, either a manual force or a motorized force, applied from the outside of the patient to “push” the device to the target area. One shortcoming of introducing the device via a “push” operation, even when done on top of a guiding wire, is that this procedure often does not provide optimal tractability trackability into a tortuous anatomy, e.g., the coronary arteries. In contrast, a “pull” operation in which a pulling device precedes the apparatus and “pulls” it into place increases the tractability trackability of the device and reduces the likelihood that the device will get caught in a curve of the lumen or cause trauma to the lumen.
Another problem is the need to push wires through occluded lumen sections that have a great resistance to such penetration. The fact that the wire is pushed from the outside may waste all the pushing energy in accessive loops with very little or none of the pushing energy actually reaching the tip of the wire.
It is an object of this invention to provide a device and method for pulling a catheter along a wire.
It is another object of this invention to provide a device and method for pushing a wire relative to a catheter.
In yet another object of this invention to provide a device and method for pulling a catheter relative to a guiding catheter or any larger bore pipeline through which it is inserted.
It is a further object of this invention to provide a device and method for pushing or pulling a device on top of a guidewire or inside a guiding catheter.
It is still a further object of this invention to provide an apparatus and method for selectively positioning a device, e.g., a stent, an Intra Vascular Sound (IVUS) transducer, an atherectomy device (both rotational and directional), pressure sensors, balloons, and pushing wires to open occlusions, by pulling rather than pushing these devices into place.
It is an object of this invention to provide an apparatus for disposing a device in the target area of a lumen, comprising: a cylindrically shaped motor attached to the device, the motor having a longitudinal bore, the motor provided with a motor friction area disposed within the longitudinal bore; a guide wire disposed within the longitudinal bore, the guide wire and the longitudinal bore sized and adapted to impart friction between the friction area of the motor and the guide wire in an amount sufficient to permit the motor to change position relative to the guide wire by crawling against the guide wire when the motor is energized.
It is another object of this invention to provide an apparatus for disposing a device in the target area of a lumen, comprising: a cylindrically shaped motor attached to the device, the motor having an outer surface, the motor provided with a friction area on the outer surface; a cylindrical guide tube having an outer surface and an inner surface defining a longitudinal bore, the outer surface of the motor and the inner surface of the guide tube sized and adapted to impart friction between the friction area of the motor and the inner surface of the cylindrical guide tube in an amount sufficient to permit the cylindrical motor to change position relative to the guide tube by crawling against the inner surface of the guide tube when the motor is energized.
It is still another object of this invention to provide an apparatus for disposing a stent in the target area of a lumen, comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at the distal end; a cylindrically shaped motor disposed at the distal end of the catheter distal to the balloon, the motor having a longitudinal bore communicating with the longitudinal bore of the catheter, the motor provided with a motor friction area disposed within the longitudinal bore; a guide wire disposed with the longitudinal bore of the catheter and the longitudinal bore of the motor, the guide wire and the longitudinal bore of the motor sized and adapted to impart friction between the friction area of the motor and the guide wire in an amount sufficient to permit the motor to change position relative to the guide wire by crawling against the guide wire when the motor is energized.
It is another object of this invention to provide a method of disposing a stent in the target area of a lumen, comprising the steps of:
-
- a) constructing an apparatus comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at the distal end; a cylindrically shaped motor disposed at the distal end of the catheter distal to the balloon, the motor having a longitudinal bore communicating with the longitudinal bore of the catheter, the motor provided with a motor friction area disposed within the longitudinal bore, a guide wire disposed within the longitudinal bore of the catheter and the longitudinal bore of the motor, the guide wire and the longitudinal bore of the motor sized and adapted to impart friction between the friction area of the motor and the guide wire in an amount sufficient to permit the motor to change position relative to the guide wire by crawling against the guide wire when the motor is energized;
- b) advancing the guide wire to the target area;
- c) securing the guide wire;
- d) energizing the motor so that it advances along the guide wire to the target area to dispose the stent in the target area of lumen;
- e) inflating the balloon to secure the stent in the target area of the lumen;
- f) deflating the balloon; and
- g) withdrawing the guide wire, motor, and catheter from the lumen.
It is yet another object of this invention to provide a method of disposing a stent in an obstructed target area of a lumen, comprising the steps of:
-
- a) constructing an apparatus comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at the distal end; a cylindrically shaped motor disposed at the distal end of the catheter distal to the balloon, the motor having a longitudinal bore communicating with the longitudinal bore of the catheter, the motor provided with a motor friction area disposed within the longitudinal bore, a guide wire disposed with the longitudinal bore of the catheter and the longitudinal bore of the motor, the guide wire and the longitudinal bore of the motor sized and adapted to impart friction between the friction area of the motor and the guide wire in an amount sufficient to permit the motor to change position relative to the guide wire by crawling against the guide wire when the motor is energized;
- b) advancing the guide wire to the target area;
- c) securing the guide wire;
- d) energizing the motor so that the motor advances along the guide wire to the obstructed target area;
- e) securing the catheter;
- f) energizing the motor so that the guide wire advances through the longitudinal bore of the motor and into the obstructed target area of the lumen;
- g) securing the guide wire;
- h) energizing the motor so that the motor advances along the guide wire and disposes the stent in the target area of the lumen;
- i) inflating the balloon to secure the stent in the target area of the lumen;
- j) deflating the balloon; and
- k) withdrawing the guide wire, motor, and catheter from the lumen.
More generally, embodiments of the present invention employ a piezoelectric micromotor to move a device to a target area in a lumen. In one embodiment, the motor is attached to a catheter and frictionally engages a guide wire. Energizing the motor brings about relative motion between the wire and catheter. This allows moving the wire to a target area in a lumen with the catheter fixed and/or moving the catheter to the target area while holding the guide wire fixed. The catheter may have a balloon to be expanded in the lumen at the target area. Similarly, the catheter may deliver a stent to the target area where it can be expanded. When there is an obstruction that prevents reaching the target area, the guide wire and motor may be used to clear the obstruction to permit the guide wire and catheter to be moved to the target area.
Miniature Oscillating Ceramic Motors (OCM) are well known in the art and are disclosed in U.S. Pat. No. 5,453,653 to Zumeris the specification of which is incorporated herein by reference. These motors can be made very small and in any shape and they operate by contacting a surface in an amount sufficient to generate sufficient friction to permit the motor to “crawl” along the contacted surface and change its position relative to the contracted surface when the motor is energized. These motors can be adequately insulated to act in aqueous environments. Their small size and low energy level requirements make them especially suitable for use inside living organisms.
In another embodiment of this invention, shown in FIG. 7 , a balloon catheter with a micro-motor disposed at the distal end is used to dispose an expandable stent in the target area of a lumen. FIG. 7 shows a catheter 15 having a proximal end 16, a distal end 17, and a longitudinal bore 18 therethrough. An expandable balloon 19 is disposed at the distal end 17. A cylindrically shaped motor 1 is disposed at the distal end 17 of the catheter 15 distal to the balloon 19. The motor 1 has a longitudinal bore 5 communicating with the longitudinal bore 18 of the catheter 15 and is provided with a motor friction area 6 disposed within the longitudinal bore 5 of the motor 1. The guide wire 2 is disposed within the longitudinal bore 18 of the catheter 15 and the longitudinal bore 5 of the motor 1. The guide wire 2 and the longitudinal bore 5 of the motor 1 are sized and adapted to impart friction between the friction area 6 of the motor 1 and the guide wire 2 in an amount sufficient to permit the motor 1 to change position relative to the guide wire 2 by crawling against the guide wire 2 when the motor 1 is energized.
In operation, an expandable stent 20 is secured to the balloon portion 19 of the catheter 15 and the guide wire 2 is placed into the bore 18 of the catheter 15. The guide wire 2 is then introduced into the lumen to be treated and is advanced by pushing it until it is near the target area. The guide wire 2 is then secured. The micro-motor 1 is then energized so that it crawls along the guide wire 2 which pulls the catheter 15 into the proximity of the target area to be treated. Because the catheter 15 is “pulled” into position as shown in FIG. 5 , there is improved tractability trackability and less kinking of the catheter 15, and, thus, reduced risk of trauma to the internal surface of the lumen than when the catheter is “pushed” into place using conventional procedures as shown in FIG. 6. The balloon 19 is then expanded to secure the stent 20 in the target area of the lumen. The balloon 19 is then deflated and the guide wire 2 and the catheter 15 are pulled out of the lumen using conventional methods.
In another embodiment of this invention shown in FIGS. 8A to 8D, the motor is used to push the guide wire into, and if specific applications dictate through, a constricted area which clears the vessel of the obstruction to permit the catheter to advance beyond the obstruction to the target area. In operation, the catheter 15 is mounted on a guide wire 2 as previously discussed. The guide wire 2 is advanced to the obstruction 21 as shown in FIG. 8A. The guide wire 2 is secured and the motor is energized causing the catheter to advance towards the obstruction 21. The catheter 15 is advanced until it too is in proximity to the obstruction 21 as shown in FIG. 8B. The catheter 15 is then secured and the motor 1 is activated which causes the guide wire 2 to advance into the obstructed area 21 as shown in FIG. 8C.
In some applications, one or more passes may be utilized to clear the obstruction. As has been recognized by those skilled in the art, vibrating the guide wire facilitates the wire passing through an obstruction. As explained in U.S. Pat. No. 5,453,653 to Zumeris, excitation of the micro-motor of the present invention with an AC voltage is possible. If excited with AC, a vibration in the range of 20 - 100 KHz., depending on the resonant frequency of the material used for the piezoelectric ceramic will result. As further explained, in a pulsed method of operation two electrodes are excited by a positive DC voltage and two electrodes are excited by a negative DC voltage. Under this excitation the left side of piezoelectric ceramic becomes longer than the right side and ceramic moves to the right. When the voltage is removed, the ceramic will move back to its original position. However, if a non-symmetrical voltage pulse is applied to the electrodes, then, during the return to zero, the inertia of body will cause the body not to return the ceramic to the starting position. Thus, when operating in the DC pulsed mode, a vibrating or pulsating motion will occur at a rate dependent on the pulse time, e.g., 10 - 50 ms. Stated another way, in each case, an oscillatory motion takes place.
The guide wire 2 is then secured, the motor 1 is energized, and the catheter 15 is advanced through the vessel past the area from which the guide wire 2 has cleared the obstruction 21 from the target area as shown in FIG. 8D. This method may be used to simply clear an obstruction in a lumen as discussed above or may be used in conjunction with other embodiments of the invention, e.g., to facilitate the placement of an expandable stent in the target area of a lumen by first clearing the target area of any obstructions.
While the invention has been described with respect to a limited number of embodiments, it will be appreciated that many variations, modifications, and other applications of the invention may be made.
Claims (65)
1. An apparatus, comprising: a cylindrically shaped motor, said motor having a longitudinal bore, said motor provided with a motor friction area disposed within said longitudinal bore; a guide wire disposed within said longitudinal bore, said guide wire and said longitudinal bore sized and adapted to impart friction between said friction area of said motor and said guide wire in an amount sufficient to permit said motor to change position relative to said guide wire by crawling against said guide wire when said motor is energized; and, further comprising a biasing means to bias said guide wire against said friction area.
2. The apparatus of claim 1 , wherein said biasing means is a leaf spring.
3. An apparatus, comprising: a cylindrically shaped motor, said motor having an outer surface, said motor provided with a friction area on said outer surface; a cylindrical guide tube having an outer surface and an inner surface defining a longitudinal bore, said outer surface of said motor and said inner surface of said guide tube sized and adapted to impart friction between said friction area of said motor and said inner surface of said cylindrical guide tube in an amount sufficient to permit said cylindrical motor to change position relative to said guide tube by crawling against said inner surface of said guide tube when said motor is energized.
4. The apparatus of claim 3 , further comprising a biasing means to bias said inner surface of said guide tube against said friction area.
5. The apparatus of claim 4 , wherein said biasing means is a leaf spring.
6. A method of disposing a device in the target area of a lumen, comprising the steps of:
a) constructing an apparatus comprising: a cylindrically shaped motor attached to said device, said motor having a longitudinal bore, said motor provided with a motor friction area disposed within said longitudinal bore, a guide wire disposed within said longitudinal bore, said guide wire and said longitudinal bore of said motor sized and adapted to impart friction between said friction area of said motor and said guide wire in an amount sufficient to permit said motor to change position relative to said guide wire by crawling against said guide wire when said motor is energized;
b) advancing said guide wire to said target area;
c) securing said guide wire;
d) energizing said motor so that said motor advances along said guide wire to said target area to dispose said device in said target area of said lumen; and
e) withdrawing said guide wire, motor, and catheter from said lumen.
7. A method of disposing a device in the target area of a lumen, comprising the steps of:
a) constructing an apparatus comprising: a cylindrically shaped motor having an outer surface, said motor provided with a friction area on said outer surface, a cylindrical guide tube having an outer surface and an inner surface defining a longitudinal bore, said outer surface of said motor and said inner surface of said guide tube sized and adapted to impart friction between said friction area and said inner surface of said cylindrical guide tube in an amount sufficient to permit said cylindrical motor to change position relative to said guide tube by crawling against said inner surface of said guide tube when said motor is energized;
b) advancing said guide tube to said target area;
c) securing said guide tube;
d) inserting said motor attached to said device in said bore of said guide tube;
e) energizing said motor so that said motor advances along said inner surface of said guide tube to said target area to dispose said device in said target area of said lumen; and
f) withdrawing said guide tube, motor, and catheter from said lumen.
8. An apparatus for disposing a stent in the target area of a lumen, comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at said distal end; a cylindrically shaped motor disposed at said distal end of said catheter distal to said balloon, said motor having a longitudinal bore communicating with a said longitudinal bore of said catheter, said motor provided with motor friction area disposed within said longitudinal bore of said motor; a guide wire disposed within said longitudinal bore of said catheter and said longitudinal bore of said motor, said guide wire and said longitudinal bore of said motor sized and adapted to impart friction between said friction area of said motor and said guide wire in an amount sufficient to permit said motor to change position relative to said guide wire by crawling against said guide wire when said motor is energized.
9. The apparatus of claim 8 , further comprising a biasing means to bias said guide wire against said friction area.
10. The apparatus of claim 9 , wherein said biasing means is a leaf spring.
11. A method of disposing a stent in the target area of a lumen, comprising the steps of:
a) constructing an apparatus comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at said distal end; a cylindrically shaped motor disposed at said distal end of said catheter distal to said balloon, said motor having a longitudinal bore communicating with said longitudinal bore of said catheter, said motor provided with a motor friction area disposed within said longitudinal bore of said motor, a guide wire disposed within said longitudinal bore of said catheter and said longitudinal bore of said motor, said guide wire and said longitudinal bore of said motor sized and adapted to impart friction between said friction area of said motor and said guide wire in an amount sufficient to permit said motor to change position relative to said guide wire by crawling against said guide wire when said motor is energized;
b) advancing said guide wire to said target area;
c) securing said guide wire;
d) energizing said motor so that it advances along said guide wire to said target area to dispose said stent in said target area of said lumen;
e) inflating said balloon to secure said stent in said target area of said lumen;
f) deflating the balloon; and
g) withdrawing said guide wire, motor, and catheter from said lumen.
12. A method of disposing a stent in an obstructed target area of a lumen, comprising the steps of:
a) constructing an apparatus comprising: a catheter having a proximal end, a distal end, a longitudinal bore therethrough, and an expandable balloon disposed at said distal end; a cylindrically shaped motor disposed at said distal end of said catheter distal to said balloon, said motor having a longitudinal bore communicating with said longitudinal bore of said catheter, said motor provided with a motor friction area disposed within said longitudinal bore, a guide wire disposed within said longitudinal bore of said catheter and said longitudinal bore of said motor, said guide wire and said longitudinal bore of said motor sized and adapted to impart friction between said friction area of said motor and said guide wire in an amount sufficient to permit said motor to change position relative to said guide wire by crawling against said guide wire when said motor is energized;
b) advancing said guide wire to said target area;
c) securing said guide wire;
d) energizing said motor so that said motor advances along said guide wire to said obstructed target area;
e) securing said catheter;
f) energizing said motor so that said guide wire advances through said longitudinal bore of said motor and into said obstructed target area of said lumen;
g) securing said guide wire;
h) energizing said motor so that said motor advances along said guide wire and disposes said stent in said target area of said lumen;
i) inflating said balloon to secure said stent in said target area of said lumen;
j) deflating the balloon; and
k) withdrawing said guide wire, motor, and catheter from said lumen.
13. A method comprising:
a) inserting a guide wire into of a catheter to which a micro-motor is attached, the guide wire passing through the catheter and operatively coupled to the micro-motor, into a lumen;
b) advancing the guide wire to a target area;
c) securing the guide wire;
d) energizing the micro-motor so that the micro-motor advances along the guide wire to target area, carrying with it the attached catheter.
14. The method according to claim 13 and further including:
e) withdrawing the guide wire, micro-motor, and catheter from the lumen.
15. The method according to claim 14 wherein a balloon is disposed on the distal end of the catheter and further including, prior to withdrawing the guide wire, micro-motor, and catheter from the lumen:
a) inflating the balloon in the target area of the lumen; and
b) deflating the balloon.
16. The method according to claim 15 wherein a stent is disposed over the balloon and the inflating of the balloon in the target area of the lumen expands the stent to dispose it in the target area.
17. The method according to claim 14 wherein a stent is provided at the distal end of the catheter and further comprising expanding the stent in the target area of the lumen to dispose it in the target area prior to withdrawing the guide wire, micro-motor, and catheter from the lumen.
18. A method comprising:
a) inserting a guide wire into a catheter to which a micro-motor is attached, the guide wire operatively coupled to the micro-motor, into a lumen in which there is an obstruction;
b) advancing the guide wire to a proximal end of the obstruction;
c) securing the guide wire;
d) energizing the micro-motor so that the micro-motor advances distally along the guide wire, carrying with it the attached catheter, toward the proximal end of the obstruction;
e) securing the catheter;
f) energizing the micro-motor so that the guide wire advances distally.
19. The method according to claim 18 wherein said energizing the micro-motor so that the guide wire advances distally comprises energizing in an oscillatory manner.
20. The method according to claim 19 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an AC voltage, thereby introducing a vibration to said guide wire.
21. The method according to claim 20 wherein said AC voltage has a frequency in the range of 20- 100 kHz.
22. The method according to claim 19 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with a pulsed DC voltage thereby imparting a pulsating motion to said guide wire.
23. The method according to claim 18 and further comprising disposing said guide wire within a bore in said motor.
24. The method according to claim 23 wherein said micro-motor is cylindrical with a bore, and said guide wire is passed through said bore of said micro-motor.
25. The method according to claim 18 wherein said step of energizing the motor so that the guide wire advances distally comprises repeatedly, until said guidewire and catheter pass substantially through said obstruction:
a) securing the catheter;
b) energizing the micro-motor so that the guide wire advances distally;
c) securing the guide wire;
d) energizing the micro-motor so that the micro-motor advances along the guide wire, carrying with it the attached catheter.
26. The method according to claim 25 wherein said steps b) and d) comprise energizing in an oscillatory manner.
27. The method according to claim 26 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an AC voltage, thereby introducing a vibration to said guide wire.
28. The method according to claim 27 wherein said AC voltage has a frequency in the range of 20- 100 kHz.
29. The method according to claim 26 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an pulsed DC voltage thereby imparting a pulsating motion to said guide wire.
30. The method according to claim 25 and further including withdrawing the guide wire, motor, and catheter from the lumen.
31. The method according to claim 18 wherein said step of energizing the motor so that the guide wire advances distally comprises alternatively:
a) energizing the motor so that the guide wire advances distally;
b) energizing the motor so that the guide wire advances proximally; and
c) repeating steps a) and b) a plurality of times.
32. The method according to claim 31 comprising repeating steps a) and b) until the guide wire has substantially cleared the obstruction.
33. The method according to claim 32 and further including withdrawing the guide wire, motor, and catheter from the lumen.
34. The method according to claim 33 wherein said obstruction is at or proximal to a target area of the lumen and wherein a balloon is disposed on the distal end of the catheter and further including, prior to withdrawing the guide wire, motor, and catheter from the lumen:
a) inflating the balloon in the target area of the lumen; and
b) deflating the balloon.
35. The method according to claim 34 wherein a stent is disposed over the balloon and the inflating of the balloon in the target area of the lumen expands the stent to dispose it in the target area.
36. The method according to claim 33 wherein a stent is provided at the distal end of the catheter and further comprising expanding the stent in the target area of the lumen to dispose it in the target area prior to withdrawing the guide wire, motor, and catheter from the lumen.
37. The method according to claim 31 wherein said steps a) and b) comprise energizing in an oscillatory manner.
38. The method according to claim 37 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an AC voltage, thereby introducing a vibration to said guide wire.
39. The method according to claim 38 wherein said AC voltage has a frequency in the range of 20- 100 kHz.
40. The method according to claim 37 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an pulsed DC voltage thereby imparting a pulsating motion to said guide wire.
41. The method according to claim 18 wherein said step f) comprises energizing the motor so that the guide wire advances through the obstruction.
42. The method according to claim 41 wherein said energizing the micro-motor so that the guide wire advances through the obstruction comprises energizing in an oscillatory manner.
43. The method according to claim 42 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an AC voltage, thereby introducing a vibration to said guide wire.
44. The method according to claim 43 wherein said AC voltage has a frequency in the range of 20- 100 kHz.
45. The method according to claim 42 wherein said micro-motor is a piezoelectric motor and said energizing comprises energizing with an pulsed DC voltage thereby imparting a pulsating motion to said guide wire.
46. The method according to claim 45 and further comprising disposing said guide wire within a bore in said motor.
47. The method according to claim 46 wherein said micro-motor is cylindrical with a bore, and said guide wire is passed through said bore of said micro-motor.
48. The method according to claim 41 and further including withdrawing the guide wire, motor, and catheter from the lumen.
49. The method according to claim 48 wherein said obstruction is at or proximal to a target area of the lumen and wherein a balloon is disposed on the distal end of the catheter and further including, prior to withdrawing the guide wire, motor, and catheter from the lumen:
a) inflating the balloon in the target area of the lumen; and
b) deflating the balloon.
50. The method according to claim 49 wherein a stent is disposed over the balloon and the inflating of the balloon in the target area of the lumen expands the stent to dispose it in the target area.
51. The method according to claim 48 wherein a stent is provided at the distal end of the catheter and further comprising expanding the stent in the target area of the lumen to dispose it in the target area prior to withdrawing the guide wire, motor, and catheter from the lumen.
52. An apparatus, comprising: a piezoelectric motor provided with a friction area; a cylindrical guide tube defining a longitudinal bore, said motor disposed within said bore in such a manner that said friction area presses against an inner surface of said cylindrical guide tube in such a manner as to impart friction between said friction area of said motor and said inner surface in an amount sufficient to permit said cylindrical motor to change position relative to said guide tube by crawling against said inner surface of said guide tube when said motor is energized.
53. The apparatus of claim 52 , further comprising a biasing means to bias said inner surface of said guide tube against said friction area.
54. The apparatus of claim 53 , wherein said biasing means is a leaf spring.
55. The apparatus of claim 52 , further comprising a device to be placed in a lumen disposed within said guide tube and contacting said motor.
56. A method comprising using a piezoelectric micromotor to move a device to a target area in a lumen comprising attaching said micro-motor to a catheter, frictionally engaging a guide wire that passes through said catheter with said motor and energizing said motor to bring about relative motion between the wire and catheter.
57. The method according to claim 56 wherein said relative motion comprises first moving the wire to a target area in a lumen with the catheter fixed and then moving the catheter to the target area while holding the guide wire fixed.
58. The method according to claim 57 and further including delivering a balloon on the end of said catheter to said target area and expanding said balloon at the target area.
59. The method according to claim 57 and further including delivering a stent on the end of said catheter to said target area and expanding said stent at the target area.
60. A method comprising traversing an obstruction in a lumen by causing a guide wire driven by a piezoelectric micro-motor in a oscillatory manner to advance into the obstruction including moving a catheter to which the micro-motor is attached and the guide wire to the target area using the micro-motor, holding the catheter fixed, and driving said micro-motor to cause said guide wire to advance against said obstruction in an oscillatory manner.
61. The method of claim 60 wherein said guide wire advances through said obstruction.
62. The method of claim 61 comprising alternatively advancing the catheter and the guide wire until the catheter and guide wire are clear of the obstruction.
63. The method according to claim 61 wherein said driving comprises energizing with an AC voltage, thereby introducing a vibration to said guide wire.
64. The method according to claim 63 wherein said AC voltage has a frequency in the range of 20- 100 kHz.
65. The method according to claim 61 wherein said driving comprises energizing with an pulsed DC voltage thereby imparting a pulsating motion to said guide wire.
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090137872A1 (en) * | 2007-11-27 | 2009-05-28 | Tyco Healthcare Group Lp | Method and Apparatus for Controlling Endoscopic Instruments |
US20100211088A1 (en) * | 2009-02-19 | 2010-08-19 | Cardiovascular Systems, Inc. | Rotational atherectomy segmented abrading head and method to improve abrading efficiency |
US20110224692A1 (en) * | 2008-06-09 | 2011-09-15 | Alon Goren | Device for applying high-frequency vibrations to hair for removing same |
US20110238085A1 (en) * | 2008-06-09 | 2011-09-29 | Applisonix Ltd. | Hair removal device |
US20120283565A1 (en) * | 2007-05-23 | 2012-11-08 | Oscillon Ltd. | Apparatus and method for guided chronic total occlusion penetration |
US9636127B2 (en) * | 2015-03-31 | 2017-05-02 | Terumo Kabushiki Kaisha | Method for retrieving objects from a living body |
US9662097B2 (en) * | 2015-03-31 | 2017-05-30 | Terumo Kabushiki Kaisha | Method for retrieving objects from a living body and expanding a narrowed region in the living body |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6796997B1 (en) | 1996-03-05 | 2004-09-28 | Evysio Medical Devices Ulc | Expandable stent |
CA2192520A1 (en) | 1996-03-05 | 1997-09-05 | Ian M. Penn | Expandable stent and method for delivery of same |
CA2248718A1 (en) * | 1996-03-05 | 1997-09-12 | Divysio Solutions Ulc. | Expandable stent and method for delivery of same |
US6238401B1 (en) | 1998-07-31 | 2001-05-29 | Zuli Holdings Ltd. | Apparatus and method for selectively positioning a device and manipulating it |
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KR100451020B1 (en) * | 2002-08-30 | 2004-10-06 | 주식회사 삼성메디칼 | Tube holder for medical treatment |
US9039755B2 (en) | 2003-06-27 | 2015-05-26 | Medinol Ltd. | Helical hybrid stent |
US9155639B2 (en) | 2009-04-22 | 2015-10-13 | Medinol Ltd. | Helical hybrid stent |
US9044264B2 (en) * | 2004-01-08 | 2015-06-02 | Boston Scientific Scimed, Inc. | Endoluminal access devices and related methods of use |
DE602006020881D1 (en) | 2005-08-15 | 2011-05-05 | Vegenics Pty Ltd | ENEN FEATURES |
KR100786075B1 (en) | 2005-12-16 | 2007-12-17 | 엘지전자 주식회사 | Method for controlling operation of refrigerator |
KR100755840B1 (en) | 2005-12-16 | 2007-09-07 | 엘지전자 주식회사 | Ice maker and ice making method using the same |
WO2011062739A1 (en) | 2009-11-17 | 2011-05-26 | Cook Medical Technologies Llc | Apparatus and method for advancing a wire guide |
EP3068280B1 (en) * | 2013-11-14 | 2021-06-02 | Clph, Llc | Apparatus and systems for epicardial imaging and injection |
Citations (47)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3760203A (en) * | 1971-02-25 | 1973-09-18 | Siemens Ag | Depolarization protection for ceramic piezoelectric motor |
US4389208A (en) | 1980-11-06 | 1983-06-21 | Leveen Robert F | Catheter advancer |
US4747407A (en) | 1985-09-03 | 1988-05-31 | The Field Surgery Research Department of the Third Military Medical University | Blood vessel anastomat |
US4854325A (en) | 1987-11-09 | 1989-08-08 | Stevens Robert C | Reciprocating guidewire method |
US4886061A (en) | 1988-02-09 | 1989-12-12 | Medinnovations, Inc. | Expandable pullback atherectomy catheter system |
JPH02129193A (en) | 1988-11-08 | 1990-05-17 | Sanpo Kagaku Kogyo Kk | 0-phosphonocholine ester derivative |
US4946466A (en) | 1989-03-03 | 1990-08-07 | Cordis Corporation | Transluminal angioplasty apparatus |
JPH04176770A (en) | 1990-11-09 | 1992-06-24 | Olympus Optical Co Ltd | Self-running device in pipe |
JPH0558338A (en) | 1991-09-05 | 1993-03-09 | Toyota Motor Corp | Vehicle frame structure |
JPH0584296A (en) * | 1991-05-14 | 1993-04-06 | Nemoto Kiyourindou:Kk | Injection apparatus for medical use |
EP0541258A1 (en) | 1991-11-06 | 1993-05-12 | Imagyn Medical, Inc. | Controller for manipulation of instruments within a catheter |
US5243997A (en) * | 1992-09-14 | 1993-09-14 | Interventional Technologies, Inc. | Vibrating device for a guide wire |
US5287858A (en) | 1992-09-23 | 1994-02-22 | Pilot Cardiovascular Systems, Inc. | Rotational atherectomy guidewire |
US5304115A (en) | 1991-01-11 | 1994-04-19 | Baxter International Inc. | Ultrasonic angioplasty device incorporating improved transmission member and ablation probe |
US5318541A (en) | 1993-03-02 | 1994-06-07 | Cordis Corporation | Apparatus for catheter exchange in vascular dilitation |
US5328471A (en) | 1990-02-26 | 1994-07-12 | Endoluminal Therapeutics, Inc. | Method and apparatus for treatment of focal disease in hollow tubular organs and other tissue lumens |
JPH06269185A (en) | 1993-03-12 | 1994-09-22 | Toshiba Corp | Inch worm type actuator |
US5380274A (en) | 1991-01-11 | 1995-01-10 | Baxter International Inc. | Ultrasound transmission member having improved longitudinal transmission properties |
US5380273A (en) | 1992-05-19 | 1995-01-10 | Dubrul; Will R. | Vibrating catheter |
DE4329162A1 (en) | 1993-08-30 | 1995-03-02 | Stm Medtech Starnberg | Endoscope with movable front terminal region |
JPH07156843A (en) | 1993-12-08 | 1995-06-20 | Sony Corp | Moving device |
US5453653A (en) | 1993-07-09 | 1995-09-26 | Nanomotion Ltd. | Ceramic motor |
WO1995032539A1 (en) | 1994-05-25 | 1995-11-30 | Kinetron B.V. | Micro motor and guide wire, in particular for guiding catheters, with such a micro motor |
US5499632A (en) | 1994-05-04 | 1996-03-19 | Devices For Vascular Intervention | Guide wire migration controller |
US5501228A (en) | 1992-10-30 | 1996-03-26 | Scimed Life Systems, Inc. | Vibration sensing guide wire |
JPH08207755A (en) | 1995-02-02 | 1996-08-13 | Nippondenso Co Ltd | In-hole moving device |
JPH08216876A (en) | 1995-02-14 | 1996-08-27 | Nippondenso Co Ltd | In-pipe traveling device |
US5549119A (en) | 1994-09-13 | 1996-08-27 | Cordis Corporation | Vibrating tip catheter |
US5571114A (en) | 1994-07-13 | 1996-11-05 | Devanaboyina; Udaya-Sankar | Mechanism to advance or withdraw objects in lumens or cavities of mammals |
JPH0937571A (en) | 1995-07-19 | 1997-02-07 | Denso Corp | Stacked-type actuator and moving device |
US5628719A (en) * | 1992-11-25 | 1997-05-13 | Scimed Life Systems, Inc. | In vivo mechanical energy source and perfusion pump |
US5632755A (en) | 1992-11-09 | 1997-05-27 | Endo Vascular Intruments, Inc. | Intra-artery obstruction clearing apparatus and methods |
US5662587A (en) * | 1992-09-16 | 1997-09-02 | Cedars Sinai Medical Center | Robotic endoscopy |
US5707376A (en) | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5713848A (en) | 1993-05-19 | 1998-02-03 | Dubrul; Will R. | Vibrating catheter |
JPH10113396A (en) | 1996-10-14 | 1998-05-06 | Takeshi Ikeuchi | Propelling device of medical appliance |
JPH10165510A (en) | 1996-12-10 | 1998-06-23 | Piolax Inc | Medical implement introducing device |
US5776153A (en) | 1993-07-03 | 1998-07-07 | Medical Miracles Company Limited | Angioplasty catheter with guidewire |
WO1998030266A1 (en) * | 1997-01-09 | 1998-07-16 | Endosonics Corporation | Device for withdrawing a catheter |
GB2328877A (en) | 1997-09-09 | 1999-03-10 | Intravascular Res Ltd | Lateral Translation of Ultrasound Imaging Intravascular Catheters |
US5908395A (en) | 1997-03-17 | 1999-06-01 | Advanced Cardiovascular Systems, Inc. | Vibrating guidewire |
US6001112A (en) | 1998-04-10 | 1999-12-14 | Endicor Medical, Inc. | Rotational atherectomy device |
US6183432B1 (en) | 1997-11-13 | 2001-02-06 | Lumend, Inc. | Guidewire and catheter with rotating and reciprocating symmetrical or asymmetrical distal tip |
US6184609B1 (en) * | 1996-03-26 | 2001-02-06 | Piezomotors Uppsala Ab | Piezoelectric actuator or motor, method therefor and method for fabrication thereof |
US6228046B1 (en) | 1997-06-02 | 2001-05-08 | Pharmasonics, Inc. | Catheters comprising a plurality of oscillators and methods for their use |
US6238401B1 (en) | 1998-07-31 | 2001-05-29 | Zuli Holdings Ltd. | Apparatus and method for selectively positioning a device and manipulating it |
US6302875B1 (en) | 1996-10-11 | 2001-10-16 | Transvascular, Inc. | Catheters and related devices for forming passageways between blood vessels or other anatomical structures |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1321844A (en) * | 1970-11-16 | 1973-07-04 | Corrosion Welding Eng Ltd | Pipe-line apparatus |
JPH06281586A (en) * | 1993-03-25 | 1994-10-07 | Osaka Gas Co Ltd | Driving truck in tube |
EP0633616B1 (en) * | 1993-07-09 | 2002-01-30 | Nanomotion Ltd | Ceramic motor |
-
1998
- 1998-07-31 US US09/127,222 patent/US6238401B1/en not_active Ceased
-
1999
- 1999-04-16 SG SG1999001868A patent/SG71207A1/en unknown
- 1999-04-27 CA CA002270021A patent/CA2270021C/en not_active Expired - Lifetime
- 1999-04-28 AU AU24996/99A patent/AU752246C/en not_active Expired
- 1999-05-07 NZ NZ335668A patent/NZ335668A/en unknown
- 1999-05-14 AR ARP990102307A patent/AR013040A1/en not_active Application Discontinuation
- 1999-05-17 BR BR9901543-9A patent/BR9901543A/en not_active Application Discontinuation
- 1999-05-19 KR KR1019990017953A patent/KR100330765B1/en not_active IP Right Cessation
- 1999-07-22 PL PL99334542A patent/PL334542A1/en unknown
- 1999-07-28 WO PCT/IL1999/000416 patent/WO2000006064A1/en active Application Filing
- 1999-07-28 UA UA99074357A patent/UA62950C2/en unknown
- 1999-07-28 AU AU50628/99A patent/AU5062899A/en not_active Abandoned
- 1999-07-28 IL IL131149A patent/IL131149A/en not_active IP Right Cessation
- 1999-07-29 SK SK1027-99A patent/SK102799A3/en unknown
- 1999-07-29 DE DE69942794T patent/DE69942794D1/en not_active Expired - Lifetime
- 1999-07-29 ES ES09014236.5T patent/ES2528308T3/en not_active Expired - Lifetime
- 1999-07-29 EP EP99114286A patent/EP0976417B1/en not_active Expired - Lifetime
- 1999-07-29 ES ES99114286T patent/ES2350176T3/en not_active Expired - Lifetime
- 1999-07-29 EE EEP199900291A patent/EE04145B1/en not_active IP Right Cessation
- 1999-07-29 AT AT99114286T patent/ATE482737T1/en not_active IP Right Cessation
- 1999-07-29 DE DE19935827A patent/DE19935827B4/en not_active Expired - Lifetime
- 1999-07-29 EP EP09014236.5A patent/EP2204207B1/en not_active Expired - Lifetime
- 1999-07-30 NO NO993718A patent/NO993718L/en not_active Application Discontinuation
- 1999-07-30 CN CN99111842A patent/CN1243755A/en active Pending
- 1999-07-30 JP JP11216406A patent/JP2000051366A/en active Pending
- 1999-07-30 GB GB9917804A patent/GB2340045B/en not_active Expired - Lifetime
-
2002
- 2002-09-19 US US10/193,201 patent/USRE40305E1/en not_active Expired - Lifetime
-
2003
- 2003-03-20 AR ARP030100987A patent/AR039091A2/en not_active Application Discontinuation
- 2003-03-24 JP JP2003080922A patent/JP4403446B2/en not_active Expired - Lifetime
-
2009
- 2009-09-01 JP JP2009201296A patent/JP5105204B2/en not_active Expired - Lifetime
Patent Citations (57)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3760203A (en) * | 1971-02-25 | 1973-09-18 | Siemens Ag | Depolarization protection for ceramic piezoelectric motor |
US4389208A (en) | 1980-11-06 | 1983-06-21 | Leveen Robert F | Catheter advancer |
US4747407A (en) | 1985-09-03 | 1988-05-31 | The Field Surgery Research Department of the Third Military Medical University | Blood vessel anastomat |
US4854325A (en) | 1987-11-09 | 1989-08-08 | Stevens Robert C | Reciprocating guidewire method |
US4886061A (en) | 1988-02-09 | 1989-12-12 | Medinnovations, Inc. | Expandable pullback atherectomy catheter system |
JPH02129193A (en) | 1988-11-08 | 1990-05-17 | Sanpo Kagaku Kogyo Kk | 0-phosphonocholine ester derivative |
US4946466A (en) | 1989-03-03 | 1990-08-07 | Cordis Corporation | Transluminal angioplasty apparatus |
US5662609A (en) | 1990-02-26 | 1997-09-02 | Endoluminal Therapeutics, Inc. | Method and apparatus for treatment of focal disease in hollow tubular organs and other tissue lumens |
US5328471A (en) | 1990-02-26 | 1994-07-12 | Endoluminal Therapeutics, Inc. | Method and apparatus for treatment of focal disease in hollow tubular organs and other tissue lumens |
JPH04176770A (en) | 1990-11-09 | 1992-06-24 | Olympus Optical Co Ltd | Self-running device in pipe |
US5304115A (en) | 1991-01-11 | 1994-04-19 | Baxter International Inc. | Ultrasonic angioplasty device incorporating improved transmission member and ablation probe |
US5380274A (en) | 1991-01-11 | 1995-01-10 | Baxter International Inc. | Ultrasound transmission member having improved longitudinal transmission properties |
JPH0584296A (en) * | 1991-05-14 | 1993-04-06 | Nemoto Kiyourindou:Kk | Injection apparatus for medical use |
JPH0558338A (en) | 1991-09-05 | 1993-03-09 | Toyota Motor Corp | Vehicle frame structure |
EP0541258A1 (en) | 1991-11-06 | 1993-05-12 | Imagyn Medical, Inc. | Controller for manipulation of instruments within a catheter |
US5389100A (en) | 1991-11-06 | 1995-02-14 | Imagyn Medical, Inc. | Controller for manipulation of instruments within a catheter |
US5498236A (en) | 1992-05-19 | 1996-03-12 | Dubrul; Will R. | Vibrating catheter |
US5380273A (en) | 1992-05-19 | 1995-01-10 | Dubrul; Will R. | Vibrating catheter |
US5707376A (en) | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5243997A (en) * | 1992-09-14 | 1993-09-14 | Interventional Technologies, Inc. | Vibrating device for a guide wire |
US5662587A (en) * | 1992-09-16 | 1997-09-02 | Cedars Sinai Medical Center | Robotic endoscopy |
US5287858A (en) | 1992-09-23 | 1994-02-22 | Pilot Cardiovascular Systems, Inc. | Rotational atherectomy guidewire |
US5501228A (en) | 1992-10-30 | 1996-03-26 | Scimed Life Systems, Inc. | Vibration sensing guide wire |
US5746758A (en) | 1992-11-09 | 1998-05-05 | Evi Corporation | Intra-artery obstruction clearing apparatus and methods |
US5643298A (en) | 1992-11-09 | 1997-07-01 | Nordgren; Gregory N. | Intra-artery obstruction clearing apparatus and methods |
US5643297A (en) | 1992-11-09 | 1997-07-01 | Endovascular Instruments, Inc. | Intra-artery obstruction clearing apparatus and methods |
US5632755A (en) | 1992-11-09 | 1997-05-27 | Endo Vascular Intruments, Inc. | Intra-artery obstruction clearing apparatus and methods |
US5628719A (en) * | 1992-11-25 | 1997-05-13 | Scimed Life Systems, Inc. | In vivo mechanical energy source and perfusion pump |
US5318541A (en) | 1993-03-02 | 1994-06-07 | Cordis Corporation | Apparatus for catheter exchange in vascular dilitation |
JPH06269185A (en) | 1993-03-12 | 1994-09-22 | Toshiba Corp | Inch worm type actuator |
US5713848A (en) | 1993-05-19 | 1998-02-03 | Dubrul; Will R. | Vibrating catheter |
US5776153A (en) | 1993-07-03 | 1998-07-07 | Medical Miracles Company Limited | Angioplasty catheter with guidewire |
US5453653A (en) | 1993-07-09 | 1995-09-26 | Nanomotion Ltd. | Ceramic motor |
DE4329162A1 (en) | 1993-08-30 | 1995-03-02 | Stm Medtech Starnberg | Endoscope with movable front terminal region |
JPH07156843A (en) | 1993-12-08 | 1995-06-20 | Sony Corp | Moving device |
US5499632A (en) | 1994-05-04 | 1996-03-19 | Devices For Vascular Intervention | Guide wire migration controller |
WO1995032539A1 (en) | 1994-05-25 | 1995-11-30 | Kinetron B.V. | Micro motor and guide wire, in particular for guiding catheters, with such a micro motor |
US5571114A (en) | 1994-07-13 | 1996-11-05 | Devanaboyina; Udaya-Sankar | Mechanism to advance or withdraw objects in lumens or cavities of mammals |
US5549119A (en) | 1994-09-13 | 1996-08-27 | Cordis Corporation | Vibrating tip catheter |
JPH08207755A (en) | 1995-02-02 | 1996-08-13 | Nippondenso Co Ltd | In-hole moving device |
JPH08216876A (en) | 1995-02-14 | 1996-08-27 | Nippondenso Co Ltd | In-pipe traveling device |
US6287271B1 (en) | 1995-06-07 | 2001-09-11 | Bacchus Vascular, Inc. | Motion catheter |
JPH0937571A (en) | 1995-07-19 | 1997-02-07 | Denso Corp | Stacked-type actuator and moving device |
US6184609B1 (en) * | 1996-03-26 | 2001-02-06 | Piezomotors Uppsala Ab | Piezoelectric actuator or motor, method therefor and method for fabrication thereof |
US6302875B1 (en) | 1996-10-11 | 2001-10-16 | Transvascular, Inc. | Catheters and related devices for forming passageways between blood vessels or other anatomical structures |
JPH10113396A (en) | 1996-10-14 | 1998-05-06 | Takeshi Ikeuchi | Propelling device of medical appliance |
JPH10165510A (en) | 1996-12-10 | 1998-06-23 | Piolax Inc | Medical implement introducing device |
WO1998030266A1 (en) * | 1997-01-09 | 1998-07-16 | Endosonics Corporation | Device for withdrawing a catheter |
US6290675B1 (en) * | 1997-01-09 | 2001-09-18 | Endosonics Corporation | Device for withdrawing a catheter |
US5908395A (en) | 1997-03-17 | 1999-06-01 | Advanced Cardiovascular Systems, Inc. | Vibrating guidewire |
US6348040B1 (en) | 1997-03-17 | 2002-02-19 | Advanced Cardiovascular Systems, Inc. | Vibrating guidewire |
US6228046B1 (en) | 1997-06-02 | 2001-05-08 | Pharmasonics, Inc. | Catheters comprising a plurality of oscillators and methods for their use |
GB2328877A (en) | 1997-09-09 | 1999-03-10 | Intravascular Res Ltd | Lateral Translation of Ultrasound Imaging Intravascular Catheters |
US6183432B1 (en) | 1997-11-13 | 2001-02-06 | Lumend, Inc. | Guidewire and catheter with rotating and reciprocating symmetrical or asymmetrical distal tip |
US6258052B1 (en) | 1997-11-13 | 2001-07-10 | Lumend, Inc. | Guidewire and catheter with rotating and reciprocating symmetrical or asymmetrical distal tip |
US6001112A (en) | 1998-04-10 | 1999-12-14 | Endicor Medical, Inc. | Rotational atherectomy device |
US6238401B1 (en) | 1998-07-31 | 2001-05-29 | Zuli Holdings Ltd. | Apparatus and method for selectively positioning a device and manipulating it |
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