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Embolieschutzanordnung

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Publication number
DE20180086U1
DE20180086U1 DE2001280086 DE20180086U DE20180086U1 DE 20180086 U1 DE20180086 U1 DE 20180086U1 DE 2001280086 DE2001280086 DE 2001280086 DE 20180086 U DE20180086 U DE 20180086U DE 20180086 U1 DE20180086 U1 DE 20180086U1
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DE
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Grant
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Legal status (The legal status 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 status listed.)
Expired - Lifetime
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DE2001280086
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English (en)
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Salviac Ltd
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Salviac Ltd
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/0095Packages or dispensers for prostheses or other implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2/013Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stending
    • 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2002/011Instruments for their placement or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2/013Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stending
    • A61F2002/015Stop means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2002/018Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9522Means for mounting a stent onto the placement instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0006Rounded shapes, e.g. with rounded corners circular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical

Description

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Claims (53)

1. Embolieschutzanordnung, welche aufweist:
einen Leitdraht (99) zum Vorschieben durch Gefäß, wobei der Leitdraht ein dista­ les Ende und ein proximales Ende aufweist;
ein Embolieschutzfilter (1), welches einen Filterkörper (41) mit einem distalen Ende und einem proximalen Ende aufweist, wobei der Filterkörper für einen zusammenge­ falteten Zustand und einen expandierten entfalteten Zustand sorgt;
wobei der Embolieschutz-Filterkörper einen Leitdrahtweg aufweist, um den Leit­ draht (99) verschiebbar aufzunehmen, um eine Bewegung des Filters in bezug auf den Leit­ draht zuzulassen, wenn das Filter im zusammengefalteten Zustand und im expandierten ent­ falteten Zustand ist;
einen Zufuhrkatheter (2), welcher über den Leitdraht (99) zur Zufuhr des Embolie­ schutzfilters vorschiebbar ist, wobei der Zufuhrkatheter ein proximales Ende und ein distales Ende aufweist, wobei das Filter vom distalen Ende des Zufuhrkatheters in den expandierten entfalteten Zustand entfaltet wird;
einen Herausholkatheter (3), welcher über den Leitdraht zum Herausholen des Filters vorschiebbar ist, wobei der Herausholkatheter ein distales Ende und ein proximales Ende aufweist; und
Erfassungselemente zum Erfassen des Embolieschutzfilters mit dem Leitdraht, um das Filter in den Herausholkatheter im zusammengefalteten Zustand herauszuholen.
2. Embolieschutzanordnung nach Anspruch 1, wobei der Leitdrahtweg vom Em­ boliematerial, welches im Filterkörper (41) eingefangen ist, isoliert ist.
3. Embolieschutzanordnung nach Anspruch 1 oder 2, wobei der rohrförmige Leit­ drahtweg durch eine rohrförmige Hülse (43) bestimmt ist.
4. Embolieschutzanordnung nach Anspruch 3, wobei die rohrförmige Hülse sich vom proximalen Ende zum distalen Ende des Filters erstreckt.
5. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, wobei der Leitdrahtweg ein rohrförmiger Leitdrahtweg ist.
6. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, wobei die Erfassungselemente ein Leitdrahterfassungselement auf dem Leitdraht und ein Filtererfas­ sungselement auf dem Filter aufweisen, wobei die Erfassungselemente zusammenwirken, um selektive Erfassung und Positionierung des Filters in bezug auf den Leitdraht zu liefern.
7. Embolieschutzanordnung nach Anspruch 6, wobei das Erfassungselement des Leitdrahts ein Leitdrahtwiderlager auf dem Leitdraht aufweist.
8. Embolieschutzanordnung nach Anspruch 7, wobei das Leitdrahtwiderlager am distalen Ende des Leitdrahts angeordnet ist.
9. Embolieschutzanordnung nach Anspruch 7 oder 8, wobei das Leitdrahtwiderla­ ger proximal vom distalen Ende des Leitdrahts angeordnet ist.
10. Embolieschutzanordnung nach einem der Ansprüche 6 bis 9, wobei das Erfas­ sungselement des Filters ein Filterwiderlager auf dem Filter aufweist.
11. Embolieschutzanordnung nach Anspruch 10, wobei das Filterwiderlager ein distales Widerlager auf dem Filter ist.
12. Embolieschutzanordnung nach Anspruch 10, wobei das Filterwiderlager ein proximales Widerlager auf dem Filter ist.
13. Embolieschutzanordnung nach einem der Ansprüche 10 bis 12, wobei der rohrförmige Leitdrahtweg durch eine Hülse (43) festgelegt ist und das Filterwiderlager durch die Hülse bereitgestellt wird.
14. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, wobei die Erfassungselemente lösbare Verriegelungselemente aufweisen.
15. Embolieschutzanordnung nach Anspruch 14, wobei die lösbaren Verriege­ lungselemente eine Schrägverriegelung aufweisen.
16. Embolieschutzanordnung nach Anspruch 15, wobei das Leitdrahterfassungs­ element einen Verriegelungsring auf dem Leitdraht aufweist und das Filtererfassungselement eine abgeschrägte Fläche des Filters umfaßt, wobei der Verriegelungsring eine abgeschrägte Fläche aufweist, welche die abgeschrägte Fläche des Filters erfassen kann, um das Filter mit dem Leitdraht zu verriegeln.
17. Embolieschutzanordnung nach Anspruch 16, wobei der Verriegelungsring ein Spaltring ist.
18. Embolieschutzanordnung nach Anspruch 16 oder 17, welche eine Röhre auf­ weist, die über den Leitdraht vorschiebbar ist, wobei der Verriegelungsring zwischen einem distalen Ende der Röhre und dem Filter zum Herausholen des Filters angeordnet ist.
19. Embolieschutzanordnung nach einem der Ansprüche 15 bis 18, wobei die lös­ bare Verriegelungseinrichtung ein Halteseil aufweist, welches das Filter erfassen kann, um das Filter in den Herausholkatheter herauszuholen.
20. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, welche eine Entfaltungseinrichtung aufweist, um das zusammengefaltete Filter in bezug auf das di­ stale Ende des Zufuhrkatheters zu bewegen.
21. Embolieschutzanordnung nach Anspruch 21, wobei die Entfaltungseinrichtung eine Röhre aufweist, welche über den Leitdraht vorschiebbar ist, um das proximale Ende des Filters zu erfassen, wobei die Röhre in bezug auf den Zufuhrkatheter zum Entfalten des Fil­ ters vom proximalen Ende des Zufuhrkatheters longitudinal bewegbar ist.
22. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, welche eine Ladeeinrichtung aufweist, um das Filter in den Zufuhrkatheter zu laden.
23. Embolieschutzanordnung nach Anspruch 22, wobei die Ladeeinrichtung einen Trichter aufweist, der ein eingeengtes Teil aufweist, welches am distalen Ende des Zufuhrkatheters angeordnet ist, und ein vergrößertes Teil, um ein proximales Teil des Filters im expan­ dierten Zustand aufzunehmen, wobei das Filter progressiv zusammengefaltet wird, wenn die­ ses durch den Trichter bewegt wird, um dieses in den Zufuhrkatheter zu laden.
24. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, welche eine Erfassungseinrichtung aufweist, um das Filter im Heraushohlkatheter zu erfassen.
25. Embolieschutzanordnung nach Anspruch 24, wobei die Erfassungseinrichtung eine Reibungserfassungseinrichtung zwischen dem Filterkörper und einer internen Fläche des distalen Endes des Herausholkatheters aufweist.
26. Embolieschutzanordnung nach Anspruch 24 oder 25, wobei die Erfassungsein­ richtung Ansätze auf der Innenfläche des Herausholkatheters benachbart zu dessen distalem Ende aufweist.
27. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, wobei der Zufuhrkatheter einen Längsschlitz aufweist, welcher in dessen erster Seitenwand an einer ersten distalen Lage angeordnet ist, die um einen relativ längeren Abstand vom proximalen Ende des Zufuhrkatheters als vom distalen Ende des Zufuhrkatheters beabstandet ist, und wo­ bei der innere Entfaltungskatheter eine Öffnung aufweist, die in dessen zweiter Seitenwand an einer zweiten distalen Lage angeordnet ist, welche im wesentlichen der ersten distalen Lage für diesen Längsschlitz entspricht, um dadurch eine zusammenwirkende Bewegung des Fil­ ters in bezug auf den Leitdraht und verknüpfte Zufuhr- und Entfaltungskatheter zu erlauben, um das Filter selektiv zu entfalten, wobei der schnelle Austausch des Katheters und der Fil­ terbaugruppe über einen Leitdraht ohne die Verwendung von Austauschdrähten oder Erweite­ rungsdrähten erleichtert wird.
28. Embolieschutzanordnung nach einem der vorhergehenden Ansprüche, wobei das Embolieschutzfilter einen zusammenfaltbaren Filterkörper aufweist, wobei der proximale Einlaß des Filterkörpers eine oder mehrere Einlaßöffnungen aufweist, die bemaßt sind, um zu erlauben, daß Blut und Emboliematerial den Filterkörper betreten, wobei der distale Auslaß des Filterkörpers mehrere Auslaßöffnungen aufweist, die bemaßt sind, den Durchlaß von Blut zu erlauben, jedoch unerwünschtes Emboliematerial innerhalb des Filterkörpers halten.
29. Embolieschutzanordnung nach Anspruch 28, wobei das Filter einen zusam­ menfaltbaren Filterlagerrahmen aufweist, der ein proximales Ende und ein distales Ende hat, wobei der Filterlagerrahmen zwischen einer zusammengefalteten Position zur Bewegung während der Zufuhr durch das Gefäßsystem und einer erweiterten, nach außen ragenden Posi­ tion, um den Filterkörper in einer expandierten Position zu lagern, bewegbar ist, um dadurch den Filterkörper in Anlage mit dem Gefäß bei Entfaltung zu drücken.
30. Embolieschutzanordnung nach Anspruch 29 oder 29, welche eine Führungs­ olive aufweist, die am distalen Ende des Filterkörpers vorgesehen ist.
31. Embolieschutzanördnung nach Anspruch 30, welche eine innere langgestreckte Hülse aufweist, an welcher der Filterkörper und der Filterlagerrahmen befestigt sind, wobei die Hülse ein proximales Ende und ein distales Ende hat, wobei sich die Führungsolive distal vom distalen Ende der Hülse erstreckt.
32. Anordnung nach Anspruch 31, wobei das proximale Ende des Filterlagerrah­ mens und der Einlaß des Filterkörpers am proximalen Ende der Hülse angebracht sind.
33. Anordnung nach einem der Ansprüche 30 bis 32, wobei die Führungsolive in­ tegriert mit dem Filterkörper ausgebildet ist.
34. Anordnung nach einem der Ansprüche 30 bis 33, wobei die Führungsolive di­ stal nach innen abgeschrägt ist.
35. Embolieschutzanordnung, welche im wesentlichen wie oben mit Hilfe der bei­ liegenden Zeichnungen beschrieben ist.
36. Medizinkatheter zur Transvaskulärzufuhr und Entfaltung eines Embolieschutz­ filters, wobei der Katheter aufweist:
eine äußere Katheterröhre, die ein distales Ende festlegt; und
eine innere Katheterröhre, welche ein distales Ende festlegt;
wobei die äußere Röhre zumindest in bezug auf die innere Röhre zwischen einem Lieferzustand, bei dem das distale Ende der äußeren Röhre sich distal vom distalen Ende der inneren Röhre erstreckt, um einen Aufnahmeraum für ein Embolieschutzfilter in der äußeren Röhre festzulegen, und einem Entfaltungszustand, bei dem das distale Ende der inneren Röhre sich distal vom distalen Ende der äußeren Röhre zur Entfaltung des Embolieschutzfilters di­ stal erstreckt, teilweise bewegbar ist;
wobei innere Katheterröhre einen Kompressionswiderstand und die äußere Kathe­ terröhre einen Streckwiderstand bereitstellen.
37. Katheter nach Anspruch 36, wobei die innere Katheterröhre zumindest teil­ weise einen relativ steifen Kern, der von einem mehr biegsamen Körper umschlossen ist, aufweist.
38. Katheter nach Anspruch 36 oder 37, wobei die äußere Katheterröhre zumindest teilweise einen relativ steifen Kern aufweist, der von einem mehr biegsamen Körper um­ schlossen ist.
39. Katheter nach Anspruch 37 oder 38, wobei der Kern orientiert ist, die Verlän­ gerung der äußeren Katheterröhre und/oder die Kompression der inneren Katheterröhre zu verhindern.
40. Katheter nach einem der Ansprüche 36 bis 39, wobei der Kern ein Netz auf­ weist.
41. Katheter nach einem der Ansprüche 37 bis 40, wobei der Kern mehrere longi­ tudinal-orientierte Streifen aus einem steifem Material aufweist.
42. Katheter nach einem der Ansprüche 37 bis 41, wobei der Kern mehrere um­ fangsorientierte Streifen aus einem steifen Material aufweist.
43. Katheter nach einem der Ansprüche 37 bis 42, wobei der Kern aus einem Me­ tall besteht.
44. Katheter nach Anspruch 43, wobei der Kern aus rostfreiem Stahl besteht.
45. Katheter nach einem der Ansprüche 37 bis 44, wobei der biegsame Körper aus Kunststoff besteht.
46. Katheter nach Anspruch 45, wobei der Kunststoff Polyimid ist.
47. Medizinischer Katheter zur Transvaskulärzufuhr und Entfaltung eines Embo­ lieschutzfilters im wesentlichen wie oben mit Hilfe der beiliegenden Zeichnungen beschrie­ ben.
48. Embolieschutzgerät, welches aufweist:
ein zusammenfaltbares Filterelement zur Zufuhr durch ein Gefäßsystem eines Pa­ tienten;
wobei das Filterelement einen zusammenfaltbaren Filterkörper und einen zusam­ menfaltbaren Filterlagerrahmen, der den Filterkörper kontaktiert, aufweist;
wobei der Filterkörper einen Einlaß und einen Auslaß aufweist, wobei der Einlaß des Filterkörpers eine oder mehrere Einlaßöffnungen hat, die bemaßt sind, um zu erlauben, daß Blut und embolisches Material den Filterkörper betreten, wobei der Auslaß des Filterkör­ pers mehrere Auslaßöffnungen aufweist, die bemaßt sind, den Durchlaß von Blut zu erlauben, jedoch unerwünschtes Emboliematerial innerhalb des Filterkörpers halten;
wobei der Filterlagerrahmen zwischen einer zusammengefalteten Position zur Be­ wegung durch das Gefäßsystem und einer erstreckten, nach außen hin ragenden Position be­ wegbar ist, um den Filterkörper in einer expandierten Position zu lagern;
wobei der Rahmen einen Zwischenabschnitt aufweist, um den Filterkörper in der expandierten Position in Anlage mit einer Gefäßwand zu drängen, und einen proximalen Ab­ schnitt, der sich radial nach innen vom Zwischenabschnitt erstreckt;
wobei zumindest ein Teil des proximalen Abschnitts des Rahmens distal beabstan­ det ist, um den Zufluß von Emboliematerial über die Einlaßöffnungen in der expandierten Position unterzubringen.
49. Gerät nach Anspruch 48, wobei der Filterkörper einen oder mehrere Verbin­ dungsstege zwischen benachbarten Einlaßöffnungen aufweist und ein Teil des proximalen Abschnitts des Rahmens sich radial nach innen in Ausrichtung mit den Stegen erstreckt.
50. Gerät nach Anspruch 48 oder 49, wobei der proximale Rahmenabschnitt ein oder mehrere Rahmenelemente aufweist, wobei zumindest ein Rahmenelement den Teil des proximalen Abschnitts, der distal beabstandet ist, bereitstellt.
51. Gerät nach Ansprüch 49 oder 50, wobei zumindest ein Rahmenelement den Teil des proximalen Abschnitts bereitstellt, der sich radial nach innen in Ausrichtung mit ei­ nem Verbindungssteg zwischen benachbarten Einlaßöffnungen erstreckt.
52. Gerät nach Anspruch 51, wobei die Anzahl von Rahmenelementen vier be­ trägt, wobei sich zwei Rahmenelemente radial nach innen in Ausrichtung mit zwei Stegen zwischen zwei Einlaßöffnungen erstrecken und zwei Rahmenelemente distal von den Einlaß­ öffnungen beabstandet sind.
53. Gerät nach einem der Ansprüche 48 bis 52, wobei der Lagerrahmen goldplat­ tiert oder elektro-poliert ist.
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