JP6404829B2 - インプラント送達システムおよびインプラント - Google Patents
インプラント送達システムおよびインプラント Download PDFInfo
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- JP6404829B2 JP6404829B2 JP2015549687A JP2015549687A JP6404829B2 JP 6404829 B2 JP6404829 B2 JP 6404829B2 JP 2015549687 A JP2015549687 A JP 2015549687A JP 2015549687 A JP2015549687 A JP 2015549687A JP 6404829 B2 JP6404829 B2 JP 6404829B2
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- Prior art keywords
- implant
- filter
- imaging
- imaging element
- inner member
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0062—Arrangements for scanning
- A61B5/0066—Optical coherence imaging
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4444—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
- A61B8/445—Details of catheter construction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/06—Accessories for medical measuring apparatus
- A61B2560/063—Devices specially adapted for delivering implantable medical measuring apparatus
- A61B2560/066—Devices specially adapted for delivering implantable medical measuring apparatus catheters therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/07—Endoradiosondes
- A61B5/076—Permanent implantations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/02—Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/022—Stereoscopic imaging
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/12—Devices for detecting or locating foreign bodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/486—Diagnostic techniques involving generating temporal series of image data
- A61B6/487—Diagnostic techniques involving generating temporal series of image data involving fluoroscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/504—Clinical applications involving diagnosis of blood vessels, e.g. by angiography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/011—Instruments for their placement or removal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biophysics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Human Computer Interaction (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Description
本願は、2012年12月20日に出願された米国仮出願第61/740,196号、および、2013年3月12日に出願された米国仮出願第61/777,619号の利益および優先権を主張するものである。各出願の全体は、参照により本明細書中に援用される。
本発明は、概して、血管系の中への大静脈フィルタ等のインプラントの誘導式管腔内留置のための装置および方法に関する。
特許、特許出願、特許刊行物、雑誌、書籍、論文、ウェブ内容等の他の文書の参照および引用が、本開示全体を通して行われた。そのような文書は全て、あらゆる目的のために、参照することによって、全体として本明細書に組み込まれる。
本発明は、その精神または本質的特性から逸脱することなく、他の具体的形態で具現化されてもよい。前述の実施形態は、したがって、あらゆる点において、本明細書に説明される本発明の限定ではなく、例証と見なされる。発明の範囲は、したがって、前述の説明によってではなく、添付の請求項によって示され、請求項の均等物の意味および範囲内にある全ての変更は、したがって、その中に包含されるものと意図される。
Claims (9)
- インプラント送達デバイスであって、
第1の撮像要素を備え、開口部につながる中心管腔を画定する、カテーテル本体であって、前記カテーテル本体は、インプラントを前記中心管腔内に取り外し可能に保持するように構成され、前記第1の撮像要素は、前記インプラントが前記第1の撮像要素を通して展開可能であるように、少なくとも部分的に、前記中心管腔を囲繞するように構成される、カテーテル本体と、
前記カテーテル本体の中心管腔内に移動可能に配置可能である、内側部材であって、前記インプラントと係合し、前記開口部から、身体管腔の中にそれを展開するように構成される、
内側部材と、
を備え、
前記内側部材は、押動要素を備え、前記押動要素は、前記インプラントと係合するように構成され、
前記内側部材は、前記内側部材の前記押動要素の近位に第2の撮像要素を備える、
デバイス。 - 前記第1の撮像要素は、前記カテーテル本体の遠位端の外側表面上に位置付けられる、またはその一部として形成される、請求項1に記載のインプラント送達デバイス。
- 前記第2の撮像要素は、前記内側部材の少なくとも一部が、前記開口部から展開されるとき、前記管腔表面の画像を得るように構成される、請求項1に記載のインプラント送達デバイス。
- 前記第1の撮像要素は、超音波アセンブリおよび光コヒーレンス断層撮影アセンブリから成る群から選択される、請求項1に記載のインプラント送達デバイス。
- 前記第2の撮像要素は、超音波アセンブリおよび光コヒーレンス断層撮影アセンブリから成る群から選択される、請求項1に記載のインプラント送達デバイス。
- 前記第1および第2の撮像要素は、同一のタイプの撮像要素である、請求項1に記載のインプラント送達デバイス。
- 前記インプラントは、フィルタを備える、請求項1に記載のインプラント送達デバイス。
- 前記フィルタは、生体吸収性である、請求項7に記載のインプラント送達デバイス。
- 前記フィルタは、前記フィルタが前記カテーテル本体内に保持されるときの圧潰状態から、前記フィルタが前記身体管腔の中に展開されるときの拡張状態に拡張可能である、請求項7に記載のインプラント送達デバイス。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261740196P | 2012-12-20 | 2012-12-20 | |
US61/740,196 | 2012-12-20 | ||
US201361777619P | 2013-03-12 | 2013-03-12 | |
US61/777,619 | 2013-03-12 | ||
PCT/US2013/076480 WO2014100382A1 (en) | 2012-12-20 | 2013-12-19 | Implant delivery system and implants |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016506273A JP2016506273A (ja) | 2016-03-03 |
JP6404829B2 true JP6404829B2 (ja) | 2018-10-17 |
Family
ID=50975419
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015549687A Active JP6404829B2 (ja) | 2012-12-20 | 2013-12-19 | インプラント送達システムおよびインプラント |
Country Status (5)
Country | Link |
---|---|
US (1) | US20140180067A1 (ja) |
EP (1) | EP2934330B1 (ja) |
JP (1) | JP6404829B2 (ja) |
CA (1) | CA2895837A1 (ja) |
WO (1) | WO2014100382A1 (ja) |
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CA2895502A1 (en) | 2012-12-20 | 2014-06-26 | Jeremy Stigall | Smooth transition catheters |
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CA2895770A1 (en) | 2012-12-20 | 2014-07-24 | Jeremy Stigall | Locating intravascular images |
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-
2013
- 2013-12-19 CA CA2895837A patent/CA2895837A1/en not_active Abandoned
- 2013-12-19 EP EP13864454.7A patent/EP2934330B1/en active Active
- 2013-12-19 US US14/134,324 patent/US20140180067A1/en not_active Abandoned
- 2013-12-19 WO PCT/US2013/076480 patent/WO2014100382A1/en active Application Filing
- 2013-12-19 JP JP2015549687A patent/JP6404829B2/ja active Active
Also Published As
Publication number | Publication date |
---|---|
EP2934330A1 (en) | 2015-10-28 |
EP2934330A4 (en) | 2016-07-27 |
US20140180067A1 (en) | 2014-06-26 |
EP2934330B1 (en) | 2017-10-11 |
JP2016506273A (ja) | 2016-03-03 |
CA2895837A1 (en) | 2014-06-26 |
WO2014100382A1 (en) | 2014-06-26 |
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