DK2083901T3 - Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass - Google Patents
Transapikalt afgivelsessystem med ventrikulo-arterielt overløbs-bypass Download PDFInfo
- 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
- Authority
- DK
- Denmark
- Prior art keywords
- valve
- patient
- prosthetic device
- bypass
- tube
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
- A61B2017/00252—Making 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/003—Multi-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.
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 |
Family
ID=39314447
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
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) |
Families Citing this family (125)
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-
2007
- 2007-10-16 WO PCT/IL2007/001237 patent/WO2008047354A2/en active Application Filing
- 2007-10-16 DK DK07827211.9T patent/DK2083901T3/da active
- 2007-10-16 EP EP07827211.9A patent/EP2083901B1/en active Active
- 2007-10-16 US US12/445,824 patent/US8784478B2/en active Active
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WO2008047354A3 (en) | 2009-05-07 |
US20110112631A1 (en) | 2011-05-12 |
WO2008047354A2 (en) | 2008-04-24 |
EP2083901A4 (en) | 2010-10-27 |
US8784478B2 (en) | 2014-07-22 |
EP2083901A2 (en) | 2009-08-05 |
EP2083901B1 (en) | 2017-12-27 |
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