Methods and apparatus for treating vascular occlusions

A - Human Necessities – 61 – M

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A61M 29/00 (2006.01) A61B 17/22 (2006.01) A61B 17/32 (2006.01)

Patent

CA 2343050

An intravascular catheter system for the treatment of occluded blood vessels that includes tissue displacement or hinged expansion members that are movable from a closed to an open position. An actuating assembly may be provided for moving the tissue expansion members between an open and closed position to exert a substantially lateral distal end force upon the region surrounding an occluded blood vessel. The tissue expansion members may stretch apart, tear or otherwise disrupt a vascular occlusion sufficiently to create a pathway that may support the passage or placement of a guidewire or an interventional vascular device across the occlusion or obstruction. Methods of crossing or displacing a vascular occlusion are further provided that include the positioning of a vascular catheter having at least one hinged spreading member positioned at the distal region of the catheter that is responsive to directed force along the longitudinal axis of the catheter. A directed force is applied to the actuator in order to deploy the spreading member and displace a vascular occlusion creating a path to permit the passage of a guidewire or device therethrough.

L'invention concerne un système cathéter intravasculaire utilisé dans le traitement des vaisseaux sanguins occlus, comportant des éléments de déplacement tissulaire ou des éléments articulés de dilatation, mobiles de position fermée à position ouverte. L'invention peut comporter un ensemble actionneur permettant de faire passer les éléments de dilatation tissulaire de position ouverte à position fermée, de manière à exercer sur la partie entourant un vaisseau sanguin occlus une force de l'extrémité distale sensiblement latérale. Les éléments de dilatation tissulaire permettent d'étirer, de déchirer ou encore de briser une occlusion vasculaire suffisamment pour créer un passage pouvant résister au déplacement ou à la mise en place d'un fil guide ou d'un dispositif d'intervention vasculaire traversant l'occlusion ou l'obstruction. Cette invention a trait également aux procédés de traversée ou de déplacement d'une occlusion vasculaire, consistant à positionner un cathéter vasculaire, qui possède au niveau de la partie distale du cathéter au moins un élément d'expansion articulé. Cet élément réagit à une force s'exerçant selon l'axe longitudinal du cathéter. Une force dirigée appliquée sur le dispositif de commande permet de déployer l'élément de dilatation et de déplacer une occlusion vasculaire en créant une voie, afin d'y permettre le passage d'un guide ou dispositif.

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