Recanalization apparatus and devices for use therein and method

A - Human Necessities – 61 – M

Patent

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Details

A61M 29/00 (2006.01) A61B 17/22 (2006.01) A61B 17/00 (2006.01) A61M 25/00 (2006.01)

Patent

CA 2309999

The present invention is a recanalization apparatus (11) for crossing a stenosis forming a total occlusion in a lumen in a vessel formed by a vessel wall. The stenosis has a fibrous cap comprising a guiding sheath comprised of a flexible elongate tubular member having proximal and distal extremities. A lumen extends from the proximal extremity to the distal extremity. A hemostasis valve (46) is mounted on the proximal extremity of the flexible elongate tubular member (16). A needle cannula is slidable mounted in the lumen of the guiding sheath, and has proximal distal extremities (58), and has a lumen extending from the proximal extremity to the distal extremity. A sharpened tip (71) is mounted on the distal extremity. The needle cannula has a length so that its proximal extremity extends beyond the proximal extremity of the guiding sheath when the sharpened tip is deployed beyond the distal extremity of the guiding sheath.

La présente invention concerne un appareil de recanalisation (11) pour croiser une sténose formant une occlusion totale dans une lumière d'un vaisseau formée par une paroi vasculaire. La sténose comporte une coiffe fibreuse munie d'une gaine-guide constituée d'un élément tubulaire souple allongé présentant une extrémité proximale et une extrémité distale entre lesquelles s'étend une lumière. Une soupape hémostatique (46) est montée sur l'extrémité proximale de l'élément tubulaire souple allongé (16). Une aiguille cathéter est montée de manière à glisser dans la lumière de la gaine-guide et présente une extrémité proximale et une extrémité distale (58) entre lesquelles s'étend une lumière. Une pointe effilée (71) est montée sur l'extrémité distale. La longueur de l'aiguille cathéter est telle que l'extrémité proximale de cette dernière dépasse l'extrémité proximale de la gaine-guide lorsque la pointe effilée est déployée au-delà de l'extrémité distale de la gaine-guide.

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