WO2001032088A3 - Method and apparatus for demand injury in stimulating angiogenesis - Google Patents

Method and apparatus for demand injury in stimulating angiogenesis Download PDF

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Publication number
WO2001032088A3
WO2001032088A3 PCT/US2000/041905 US0041905W WO0132088A3 WO 2001032088 A3 WO2001032088 A3 WO 2001032088A3 US 0041905 W US0041905 W US 0041905W WO 0132088 A3 WO0132088 A3 WO 0132088A3
Authority
WO
WIPO (PCT)
Prior art keywords
injury
underperfused
demand
patient
cardiac
Prior art date
Application number
PCT/US2000/041905
Other languages
French (fr)
Other versions
WO2001032088A2 (en
Inventor
Richard L Mueller
U Hiram Chee
Original Assignee
Microheart Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Microheart Inc filed Critical Microheart Inc
Priority to CA002389863A priority Critical patent/CA2389863A1/en
Priority to AU36424/01A priority patent/AU3642401A/en
Priority to EP00991944A priority patent/EP1229845A2/en
Priority to JP2001534300A priority patent/JP2003512884A/en
Publication of WO2001032088A2 publication Critical patent/WO2001032088A2/en
Publication of WO2001032088A3 publication Critical patent/WO2001032088A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements 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
    • A61B2017/22072Implements 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
    • A61B2017/22074Implements 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
    • A61B2017/22077Implements 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 a part piercing the tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00392Transmyocardial revascularisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/374NMR or MRI
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Abstract

Various methods and devices for treating a patient who has lost, or is at risk of losing cardiac function by cardiac ischemia are disclosed. Treatment includes first imaging a patient's heart, or a portion thereof, to identify underperfused regions of cardiac muscle, and a source of oxygenated blood that is proximate to the underperfused region. Between the underperfused regions and the oxygenated blood source, a target area is selected where thermal or mechanical injury is introduced, and optionally reintroduced, to convert initial capillary blush, resulting from the injury.
PCT/US2000/041905 1999-11-05 2000-11-03 Method and apparatus for demand injury in stimulating angiogenesis WO2001032088A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA002389863A CA2389863A1 (en) 1999-11-05 2000-11-03 Method and apparatus for demand injury in stimulating angiogenesis
AU36424/01A AU3642401A (en) 1999-11-05 2000-11-03 Method and apparatus for demand injury in stimulating angiogenesis
EP00991944A EP1229845A2 (en) 1999-11-05 2000-11-03 Method and apparatus for demand injury in stimulating angiogenesis
JP2001534300A JP2003512884A (en) 1999-11-05 2000-11-03 Method and apparatus for demand part injury in stimulating angiogenesis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16370499P 1999-11-05 1999-11-05
US60/163,704 1999-11-05

Publications (2)

Publication Number Publication Date
WO2001032088A2 WO2001032088A2 (en) 2001-05-10
WO2001032088A3 true WO2001032088A3 (en) 2001-12-13

Family

ID=22591212

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/041905 WO2001032088A2 (en) 1999-11-05 2000-11-03 Method and apparatus for demand injury in stimulating angiogenesis

Country Status (6)

Country Link
US (2) US6524324B1 (en)
EP (1) EP1229845A2 (en)
JP (1) JP2003512884A (en)
AU (1) AU3642401A (en)
CA (1) CA2389863A1 (en)
WO (1) WO2001032088A2 (en)

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US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9345532B2 (en) 2011-05-13 2016-05-24 Broncus Medical Inc. Methods and devices for ablation of tissue
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue

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US6638237B1 (en) * 1999-08-04 2003-10-28 Percardia, Inc. Left ventricular conduits and methods for delivery
US6908435B1 (en) * 1999-11-05 2005-06-21 Scimed Life Systems, Inc. Method and monitor for enhancing angiogenesis in the heart by exercise follow-up
US6854467B2 (en) * 2000-05-04 2005-02-15 Percardia, Inc. Methods and devices for delivering a ventricular stent
US20020032478A1 (en) * 2000-08-07 2002-03-14 Percardia, Inc. Myocardial stents and related methods of providing direct blood flow from a heart chamber to a coronary vessel
US6976990B2 (en) * 2001-01-25 2005-12-20 Percardia, Inc. Intravascular ventriculocoronary bypass via a septal passageway
US20030036698A1 (en) * 2001-08-16 2003-02-20 Robert Kohler Interventional diagnostic catheter and a method for using a catheter to access artificial cardiac shunts
US8308784B2 (en) 2006-08-24 2012-11-13 Jackson Streeter Low level light therapy for enhancement of neurologic function of a patient affected by Parkinson's disease
US7303578B2 (en) * 2001-11-01 2007-12-04 Photothera, Inc. Device and method for providing phototherapy to the brain
US7534255B1 (en) 2003-01-24 2009-05-19 Photothera, Inc Low level light therapy for enhancement of neurologic function
US6949118B2 (en) * 2002-01-16 2005-09-27 Percardia, Inc. Encased implant and methods
US7008397B2 (en) * 2002-02-13 2006-03-07 Percardia, Inc. Cardiac implant and methods
US20030220661A1 (en) * 2002-05-21 2003-11-27 Heartstent Corporation Transmyocardial implant delivery system
US7326219B2 (en) * 2002-09-09 2008-02-05 Wilk Patent Development Device for placing transmyocardial implant
US20040147868A1 (en) * 2003-01-27 2004-07-29 Earl Bardsley Myocardial implant with collar
US11439815B2 (en) * 2003-03-10 2022-09-13 Impulse Dynamics Nv Protein activity modification
US6960208B2 (en) 2003-06-30 2005-11-01 Boston Scientific Scimed, Inc. Apparatus and methods for delivering energy to a target site within bone
US11779768B2 (en) 2004-03-10 2023-10-10 Impulse Dynamics Nv Protein activity modification
US8409167B2 (en) 2004-07-19 2013-04-02 Broncus Medical Inc Devices for delivering substances through an extra-anatomic opening created in an airway
US7575589B2 (en) 2006-01-30 2009-08-18 Photothera, Inc. Light-emitting device and method for providing phototherapy to the brain
US7848035B2 (en) 2008-09-18 2010-12-07 Photothera, Inc. Single-use lens assembly
WO2013078235A1 (en) 2011-11-23 2013-05-30 Broncus Medical Inc Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
JP6406990B2 (en) * 2014-11-27 2018-10-17 テルモ株式会社 Medical system
US11832877B2 (en) 2017-04-03 2023-12-05 Broncus Medical Inc. Electrosurgical access sheath
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Publication number Priority date Publication date Assignee Title
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue
US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
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US9421070B2 (en) 2011-05-13 2016-08-23 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
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Also Published As

Publication number Publication date
WO2001032088A2 (en) 2001-05-10
AU3642401A (en) 2001-05-14
JP2003512884A (en) 2003-04-08
EP1229845A2 (en) 2002-08-14
CA2389863A1 (en) 2001-05-10
US6524324B1 (en) 2003-02-25
US20030114872A1 (en) 2003-06-19

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