Tunnelbohrer

English translation: tunneling device

10:37 Apr 30, 2021
German to English translations [PRO]
Medical - Medical (general)
German term or phrase: Tunnelbohrer
Details from an angiogram to treat a stent occlusion in the femoral artery.

Examination performed is "Rekanalisation eines Gefaesses (Tunnelbohrer)"

I can't find any English terms resembling "tunnel borer" used in this context.

In the description of the devices used in the procedure they mention an Angiojet (Solent Omni). As the other devices mentioned are just catheters and stents/balloons, I am guessing this must be the "Tunnelbohrer", but the device description from the manufacturer doesn't describe it in this way at all.

Any other ideas of what this "Tunnelbohrer" could be?
Peter Bajorek
Local time: 07:38
English translation:tunneling device
Explanation:

Percutaneous recanalization of total occlusions of the iliac veinhttps://www.sciencedirect.com › science › article › pii
by S Raju · 2009 · Cited by 178 — Cutting balloons and tunneling devices (Frontrunner CTO, LuMend Inc, Redwood City, Calif) may be helpful to gain initial entry into the occluded segment.

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A multicenter experience evaluating chronic total occlusion ...https://www.sciencedirect.com › science › article › pii
by JP Pigott · 2012 · Cited by 43 — The Wildcat catheter (Avinger, Redwood City, Calif) is a novel device with a ... These devices employ various technologies for tunneling through the CTO, ...
Peopl

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Note added at 1 hr (2021-04-30 12:19:27 GMT)
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also

channeling device


Transvascular TMR device and method - Fogarty, Thomas J.https://www.freepatentsonline.com › ...
25 Apr 2000 — 5041109, Laser apparatus for the recanalization of vessels and the ... providing a combined channeling and infusion device for making ...

good luck!
Selected response from:

liz askew
United Kingdom
Local time: 07:38
Grading comment
Selected automatically based on peer agreement.
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +2tunneling device
liz askew
4rotablator
Barbara Schmidt, M.A. (X)
1 +1atherectomy / thrombectomy catheter
andres-larsen
3 -1Cross-Stream catheter (thrombectomy catheter)
Johannes Gleim
Summary of reference entries provided
Angiojet
uyuni

Discussion entries: 3





  

Answers


1 hr   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
tunneling device


Explanation:

Percutaneous recanalization of total occlusions of the iliac veinhttps://www.sciencedirect.com › science › article › pii
by S Raju · 2009 · Cited by 178 — Cutting balloons and tunneling devices (Frontrunner CTO, LuMend Inc, Redwood City, Calif) may be helpful to gain initial entry into the occluded segment.

--------------------------------------------------
Note added at 1 hr (2021-04-30 12:17:45 GMT)
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A multicenter experience evaluating chronic total occlusion ...https://www.sciencedirect.com › science › article › pii
by JP Pigott · 2012 · Cited by 43 — The Wildcat catheter (Avinger, Redwood City, Calif) is a novel device with a ... These devices employ various technologies for tunneling through the CTO, ...
Peopl

--------------------------------------------------
Note added at 1 hr (2021-04-30 12:19:27 GMT)
--------------------------------------------------

also

channeling device


Transvascular TMR device and method - Fogarty, Thomas J.https://www.freepatentsonline.com › ...
25 Apr 2000 — 5041109, Laser apparatus for the recanalization of vessels and the ... providing a combined channeling and infusion device for making ...

good luck!

liz askew
United Kingdom
Local time: 07:38
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 166
Grading comment
Selected automatically based on peer agreement.

Peer comments on this answer (and responses from the answerer)
agree  philgoddard
2 hrs

neutral  writeaway: can you also show a German ref that confirms this English suggestion?
3 hrs

neutral  Nils Andersson: I would stay closer to the original, and write "Tunnel drill(er)
4 hrs

agree  Cillie Swart: Yeah, makes sense
2 days 20 hrs
Login to enter a peer comment (or grade)

4 hrs   confidence: Answerer confidence 1/5Answerer confidence 1/5 peer agreement (net): +1
atherectomy / thrombectomy catheter


Explanation:
AngioJet™ Peripheral Thrombectomy System - Boston Scientific
https://www.bostonscientific.com › en-US › products
play icon. ZelanteDVT deep vein thrombosis animation. AngioJet peripheral thrombectomy catheters. play icon. AngioJet ZelanteDVT Thrombectomy Catheter.

Applications and techniques using Pathway's Jetstream G2 ...
https://evtoday.com › pdfs › 0909_supp
PDF
revascularization system, which combines atherectomy and thrombectomy. 2 I SUPPLEMENT TO ... The Jetstream® catheter (Pathway Medical Technologies,.

Jetstream System Brochure - Boston Scientific
https://www.bostonscientific.com › dam › Resources
PDF
Atherectomy System is indicated for both thrombectomy and ... The Jetstream™ Atherectomy System offers the XC Catheter for above the knee and the SC ...

andres-larsen
Venezuela
Local time: 03:38
Native speaker of: Native in EnglishEnglish
PRO pts in category: 215

Peer comments on this answer (and responses from the answerer)
agree  Harald Moelzer (medical-translator)
18 hrs
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7 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): -1
Cross-Stream catheter (thrombectomy catheter)


Explanation:
Im 4. Link von Barbara wird zur Rotablation (Gefäßfräse) weiter erwähnt, "dass sich dieses Verfahren nicht bewährt habe, weil es zu häufigen Restenosen der betroffenen Gefäße gekommen sei".
https://de.wikipedia.org/wiki/Rotablation
Deshalb habe ich diese Spur nicht weiter verfolgt, zumal das AngioJet- Solent™Omni- System anders funktioniert, siehe Video.

AngioJet Ultra Power Puls Kit
AngioJet Thrombectomy Device with PowerPulse Delivery for DVT
https://www.bostonscientific.com/en-US/products/thrombectomy...

High-speed saline jets inside the Solent catheter create a powerful low pressure zone that pulls thrombus into the catheter and removes it from the body. Cross-Stream catheter technology can treat larger arteries without vessel wall contact. The Solent Omni catheter is compatible with the Ultra Thrombectomy System, 6FR sheath, and 0.035 guidewires—a treatment that works with the standards of your practice.
http://www.medicalecart.com/109681-001-6fr-angiojet-ultra-so...

June 22, 2011—Medrad Interventional (Indianola, PA) announced the launch of the Solent Omni, part of the company's Solent family of thrombectomy catheters that are designed for the treatment of large, difficult-to-remove thrombus in the peripheral vasculature. The Solent Omni's 120-cm length gives it a longer reach than the 90-cm Solent Proxi. The Solent catheters are enabled for power-pulse delivery, allowing them to power-infuse lytic into the thrombus.
According to Medrad, the Solent thrombectomy devices are available for use with the AngioJet Ultra system and provide the highest clot-removing power in the AngioJet range. They also allow for swapping of guidewires during the procedure. A port with a stopcock on the catheter's hub facilitates in situ contrast injection. A flexible, polymer-clad spiral shaft with a hydrophilic coating on the distal section provides improved handling. The Solent catheters are based on the AngioJet Cross-Stream technology, which uses high-speed saline jets inside the catheter tip to create a powerful, low-pressure zone that entrains and removes clot, the company stated.
https://evtoday.com/news/medrad-launches-120-cm-angiojet-sol...

Direct aspiration
A different technique for mechanical thrombectomy in the brain is direct aspiration. It is performed by pushing a large soft aspiration catheter into the occluded vessel and applying direct aspiration to retrieve the thrombus; it can be combined with the stent-retriever technique to achieve higher recanalization rates, but the complexity of the procedure increases
https://en.wikipedia.org/wiki/Thrombectomy
(ähnlich wie der Katheter im Kontext)

Boston Scientific Corporation
AngioJet Solent Omni Thrombectomy Set
High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal (PowerPulse enabled)
Breaking apart and removing thrombus from upper and lower extremity peripheral arteries, upper extremity peripheral veins, iliofemoral and lower extremity veins, and AV access conduits ≥ 3 mm in diameter
https://evtoday.com/device-guide/european/mechanical-thrombe...

Das AngioJet™ Ultra Thrombektomie System ist indiziert für die Behandlung von venösen und arteriellen Erkrankungen. Das AngioJet Ultra Thrombektomie System bietet unübertroffene Vielfalt und eine verlässliche Performance bei der Entfernung herausfordernder Thromben und der Wiederherstellung des Blutflusses. Bei über 700.000 Behandlungen weltweit wurde die AngioJet™ Technologie so verbessert, dass sie Interventionalisten viele Möglichkeiten für die Wiederherstellung des Blutflusses bei PAD, DVT, PE, STEMI und AV zur Verfügung stellt.
Model
Solent™ Dista
Solent™ Omni
Solent™ Prox
https://docplayer.net/86910844-Peripheral-interventions-prod...

Fazit: Es scheint kein Schlagwort für diese Technik zu geben.

Johannes Gleim
Local time: 08:38
Native speaker of: German
PRO pts in category: 32

Peer comments on this answer (and responses from the answerer)
disagree  Harald Moelzer (medical-translator): mit Kim Metzger
15 hrs
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8 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
rotablator


Explanation:
Clinical Benefits of Vessel Preparation

Facilitate stent delivery inundilatable lesions
Ensure complete stent expansion
Reduce occurrence of failed or prolonged procedures


https://www.bostonscientific.com/en-EU/products/atherectomy-...

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Note added at 8 Stunden (2021-04-30 19:26:09 GMT)
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This is a procedure which attempts to “bore out” a narrowing in a coronary artery which might not otherwise respond to stenting.

This involves the insertion of a long thin catheter into an artery in the groin or wrist under local anaesthetic. The catheter is moved up the inside of the artery until it reaches the heart. When the catheter is in place, a small amount of dye will be injected into it. X-rays will be taken as the dye travels through the coronary arteries. A specially-designed burr is used to grind away the blockage.
https://www.saheart.com.au/services/procedures/rotablator.ht...


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Note added at 8 Stunden (2021-04-30 19:27:59 GMT)
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https://www.pcronline.com/Cases-resources-images/Complicatio...

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Note added at 9 Stunden (2021-04-30 19:37:28 GMT)
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... and the video:
https://www.bing.com/videos/search?q=rotablator&docid=608055...

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Note added at 1 Tag 5 Stunden (2021-05-01 16:06:29 GMT)
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Hier noch eine genaue Erläuterung
https://www.wuppertaler-rundschau.de/gesundheit/gefaessfraes...

Barbara Schmidt, M.A. (X)
Germany
Local time: 08:38
Specializes in field
Native speaker of: German
PRO pts in category: 119
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Reference comments


1 hr peer agreement (net): +1
Reference: Angiojet

Reference information:
https://www.bostonscientific.com/content/dam/bostonscientifi...

https://www.bostonscientific.com/en-EU/products/thrombectomy...

uyuni
Specializes in field
Native speaker of: Native in GermanGerman
PRO pts in category: 789

Peer comments on this reference comment (and responses from the reference poster)
agree  Kim Metzger
11 hrs
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