DK2083901T3 - Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass - Google Patents

Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass Download PDF

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Publication number
DK2083901T3
DK2083901T3 DK07827211.9T DK07827211T DK2083901T3 DK 2083901 T3 DK2083901 T3 DK 2083901T3 DK 07827211 T DK07827211 T DK 07827211T DK 2083901 T3 DK2083901 T3 DK 2083901T3
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DK
Denmark
Prior art keywords
valve
patient
prosthetic device
bypass
tube
Prior art date
Application number
DK07827211.9T
Other languages
English (en)
Inventor
Raphael Benary
Yosi Tuval
Original Assignee
Medtronic Ventor Tech Ltd
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.)
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Publication date
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Publication of DK2083901T3 publication Critical patent/DK2083901T3/da

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3468Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3498Valves therefor, e.g. flapper valves, slide valves
    • 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
    • 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
    • A61B2017/00252Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M25/003Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Claims (18)

1. Apparat til implantering af en proteseindretning hos en patient, hvilket apparat omfatter: et trokartrør (101), en første del af hvilken er konfigureret til at blive placeret i en venstre (højre) ventrikel (12) hos patienten under et indgreb til implantering af proteseindretningen, og en anden del af hvilken er konfigureret til at blive placeret på en ekstrakardial lokalitet under indgrebet, idet den første del er formet med henblik på at definere mindst én åbning til et indre deraf; og ét eller flere bøjelige bypass-rør (103, 104), hvert af hvilke er sammenkoblet med den anden del, og hvert af hvilke er konfigureret til at blive sammenkoblet med mindst én arterie (30) hos patienten med henblik på at skabe en blodgennemstrømnings-bypass-vej under indgrebet fra den venstre (højre) ventrikel (12) via åbningen og bypass-rørene til den mindst ene arterie, hvor en distal ende af den første del er formet med henblik på at definere den mindst ene åbning derigennem til det indre af den første del, og hvor trokartrøret (101) er konfigureret til at muliggøre indføring af proteseindretningen via den mindst ene åbning.
2. Apparat ifølge krav 1, der omfatter én eller flere envejsventiler (105), som er konfigureret til at forhindre tilbagestrømning af blod ind i den venstre (højre) ventrikel.
3. Apparat ifølge krav 1, hvor apparatet er konfigureret til at muliggøre passiv blodgennemstrømning gennem trokartrørets mindst ene åbning som reaktion på kraft genereret af den venstre (højre) ventrikel.
4. Apparat ifølge krav 1, der endvidere omfatter en ekstern kraftkilde, hvor kraftkilden er konfigureret til at facilitere aktiv blodgennemstrømning gennem trokartrørets mindst ene åbning.
5. Apparat ifølge krav 1, hvor trokartrøret er konfigureret til transmyokardiel afgivelse gennem en fri væg i et hjerte hos patienten.
6. Apparat ifølge krav 1, hvor trokartrøret er konfigureret til transapikal afgivelse gennem en apex i et hjerte hos patienten og ind i den venstre (højre) ventrikel hos patienten.
7. Apparat ifølge et hvilket som helst af kravene 1-6, hvor den første del er formet med henblik på at definere en væg, idet væggen er formet med henblik på at definere den mindst ene åbning til den indre af den første del.
8. Apparat ifølge krav 7, hvor væggen i den første del er formet med henblik på at tilvejebringe en flerhed af åbninger (102).
9. Apparat ifølge et hvilket som helst af kravene 1-6, der endvidere omfatter proteseindretningen (108), hvor den første del af trokartrøret er konfigureret til deri at rumme proteseindretningen (108) i komprimeret tilstand deraf.
10. Apparat ifølge krav 9, hvor proteseindretningen (108) er konfigureret til at blive skubbet gennem en ventil hos patienten indefra den første del.
11. Apparat ifølge krav 10, hvor proteseindretningen (108) er konfigureret til at ekspandere fra den komprimerede tilstand, når først proteseindretningen er skubbet gennem ventilen.
12. Apparat ifølge krav 9, hvor en del af den første del er konfigureret til at blive bevæget fremad gennem en ventil hos patienten, og hvor proteseindretningen (108) er konfigureret til at blive skubbet indefra den første del, når først den første del er bevæget fremad gennem ventilen.
13. Apparat ifølge krav 12, hvor proteseindretningen (108) er konfigureret til at ekspandere fra den komprimerede tilstand, når først proteseindretningen er skubbet indefra den første del af røret.
14. Apparat ifølge et hvilket som helst af kravene 1-6, der endvidere omfatter proteseindretningen (108), hvor proteseindretningen (108) omfatter en proteseventil.
15. Apparat ifølge krav 14, hvor proteseventilen er konfigureret til at blive bevæget fremad gennem en nativ ventil hos patienten.
16. Apparat ifølge krav 15, hvor det ene eller flere bypass-rør (103, 104, 106) er konfigureret til at skabe blodgennemstrømnings-bypass-vejen under fremføring af proteseventilen gennem den native ventil hos patienten.
17. Apparat ifølge krav 12, hvor den første del er konfigureret til at blive placeret i en venstre ventrikel, og ventilen indbefatter en aortaventil, og hvor det ene eller flere bypass-rør er konfigureret til at skabe en blodgennemstrømnings-bypass til en descenderende aorta eller en arteria femoralis eller en arteria iliaca hos patienten.
18. Apparat ifølge krav 12, hvor den første del er konfigureret til at blive placeret i en højre ventrikel, og ventilen indbefatter en lungeventil, og hvor det ene eller flere bypass-rør er konfigureret til at skabe en blodgennemstrømnings-bypass til en arteria pulmonalis hos patienten.
DK07827211.9T 2006-10-16 2007-10-16 Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass DK2083901T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US85243506P 2006-10-16 2006-10-16
PCT/IL2007/001237 WO2008047354A2 (en) 2006-10-16 2007-10-16 Transapical delivery system with ventriculo-arterial overflow bypass

Publications (1)

Publication Number Publication Date
DK2083901T3 true DK2083901T3 (da) 2018-02-26

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Family Applications (1)

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DK07827211.9T DK2083901T3 (da) 2006-10-16 2007-10-16 Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass

Country Status (4)

Country Link
US (1) US8784478B2 (da)
EP (1) EP2083901B1 (da)
DK (1) DK2083901T3 (da)
WO (1) WO2008047354A2 (da)

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US20110112631A1 (en) 2011-05-12
WO2008047354A2 (en) 2008-04-24
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US8784478B2 (en) 2014-07-22
EP2083901A2 (en) 2009-08-05
EP2083901B1 (en) 2017-12-27

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