DK2575696T3 - Kateteranordning med protesekrympnings- og proteseholdetilbehør - Google Patents
Kateteranordning med protesekrympnings- og proteseholdetilbehør Download PDFInfo
- Publication number
- DK2575696T3 DK2575696T3 DK11725271.8T DK11725271T DK2575696T3 DK 2575696 T3 DK2575696 T3 DK 2575696T3 DK 11725271 T DK11725271 T DK 11725271T DK 2575696 T3 DK2575696 T3 DK 2575696T3
- Authority
- DK
- Denmark
- Prior art keywords
- valve
- prosthesis
- crimping
- assembly
- retainer
- Prior art date
Links
- 230000000903 blocking effect Effects 0.000 claims description 100
- 238000002788 crimping Methods 0.000 description 125
- 238000000034 method Methods 0.000 description 47
- 230000008569 process Effects 0.000 description 16
- 239000000463 material Substances 0.000 description 15
- 210000003709 heart valve Anatomy 0.000 description 14
- 238000000429 assembly Methods 0.000 description 10
- 230000000712 assembly Effects 0.000 description 10
- 239000010410 layer Substances 0.000 description 9
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 6
- 229910001000 nickel titanium Inorganic materials 0.000 description 6
- 238000011010 flushing procedure Methods 0.000 description 4
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- 238000013459 approach Methods 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 210000003516 pericardium Anatomy 0.000 description 3
- 230000002787 reinforcement Effects 0.000 description 3
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- 239000007943 implant Substances 0.000 description 2
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- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- ZGDWHDKHJKZZIQ-UHFFFAOYSA-N cobalt nickel Chemical compound [Co].[Ni].[Ni].[Ni] ZGDWHDKHJKZZIQ-UHFFFAOYSA-N 0.000 description 1
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- 238000012377 drug delivery Methods 0.000 description 1
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- 210000004115 mitral valve Anatomy 0.000 description 1
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- 210000000591 tricuspid valve Anatomy 0.000 description 1
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Classifications
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/2436—Deployment by retracting a sheath
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- 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
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
-
- 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
- A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
-
- 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
- A61F2002/9665—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 with additional retaining means
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Claims (14)
1. Proteseholdeanordning (2500; 3600) til fastholdelse af en implanterbar protese til en kateteranordning, hvilken proteseholdeanordning omfatter: et første element (2508; 3636), der indbefatter en proteseholdespalte (2504; 3604), der er konfigureret til at holde en del af protesten (200), hvor holdespalten (2504; 3604) har en første del med en første bredde og en anden del med en anden bredde, hvor den første del er distal for den anden del, hvor den anden bredde er større end den første bredde, hvor holdespalten (2504; 3604) har en åbning ved en første overflade af det første element (2508; 3636); et andet element (2502; 3702), der er konfigureret til at blive bevæget i forhold til det første element (2508; 3636), hvor andet element (2502; 3702) er konfigureret til at bevæge sig til en position, der blokerer en position af åbningen af holdespalten (2504; 3604), hvor det første element (2508; 3636) indbefatter et hult kammer, og hvor overfladen af det første element (2508; 3636) er en indre overflade, der definerer det hule kammer, og hvor det andet element (2502; 3702) omfatter et blokeringselement, der er placeret inde i kammeret.
2. Proteseholdeanordning ifølge krav 1, hvor det andet element (2502; 3702) er et ydre rør, der omgiver det første element (2508).
3. Proteseholdeanordning ifølge krav 2, hvor det første element (3636) endvidere omfatter en anden proteseholdespalte og mindst to vægge (3618), der strækker sig fra en indre del af en øvre overflade af det første element (3636), hvor rum mellem væggene hvert definerer en kanal, der åbnes mod én af proteseholdespalterne (3604), hvilke mindst to vægge (3618) definerer en ansats på en ydre del af den øvre overflade, hvor væggene (3618) er konfigureret til at forhindre, at en anden del af protesten, der støder op til den første del af protesten, bevæger sig indefter.
4. Proteseholdeanordning ifølge krav 2, hvor det ydre rør (2502; 3702) er konfigureret til at rotere i forhold til det første element (2508; 3636), og hvor det ydre rør (2502; 3702) indbefatter en indskæring ved en øvre overflade af det ydre rør.
5. Proteseholdeanordning ifølge krav 1, hvor blokeringselementet (2502) indbefatter et centralt lumen (2506).
6. Proteseholdeanordning ifølge krav 1, hvilken anordning endvidere omfatter et forspændingselement, der er koblet til blokeringselementet (2502), hvor forspændingselementet påfører blokeringselementet (2502) en forspændingskraft.
7. Proteseholdeanordning ifølge krav 6, hvor forspændingselementet bevæger blokeringselementet (2502) til en anden position, der ikke blokerer delen af åbningen af holdespalten (2504).
8. Proteseholdeanordning ifølge krav 6, hvor forspændingselementet er konfigureret til rotationsmæssigt at forspænde blokeringselementet (2502) til positionen, der blokerer en position af åbningen af holdespalten (2504).
9. Proteseholdeanordning ifølge krav 4, hvor det første element (2508; 3636) endvidere omfatter et centralt lumen (2306), der er konfigureret til at modtage et kateterskaft.
10. Proteseholdeanordning ifølge krav 9, hvor en basedel af blokeringselementet strækker sig fra en bundoverflade af det første element, og hvor basedelen har en bredde, der er større end en bredde af kammeret.
11. Proteseholdeanordning ifølge krav 9, hvilken anordning endvidere omfatter et forspændingselement, for eksempel et forspændingselement omfattende en elastisk skive, der er koblet til blokeringselementet, hvor forspændingselementet forspænder blokeringselementet til positionen, der blokerer en position af åbningen af holdespalten.
12. Proteseholdeanordning ifølge krav 1, hvilken anordning endvidere omfatter et tredje element, der er konfigureret til at blive bevæget i forhold til det første element, hvor holdespalten har en anden åbning ved en anden overflade af det første element, og hvor det tredje element er konfigureret til at bevæge sig til en position, der blokerer en del af den anden åbning af holdespalten.
13. Proteseholdeanordning ifølge krav 12, hvor det tredje element er et ydre rør, der omgiver det andet element.
14. Proteseholdeanordning ifølge krav 1, hvilken anordning endvidere omfatter anden og tredje proteseholdespalter.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US34876010P | 2010-05-27 | 2010-05-27 | |
| PCT/US2011/038446 WO2011150399A1 (en) | 2010-05-27 | 2011-05-27 | Catheter assembly with prosthesis crimping and prosthesis retaining accessories |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DK2575696T3 true DK2575696T3 (da) | 2017-02-27 |
Family
ID=44314999
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK16201170.4T DK3184083T3 (da) | 2010-05-27 | 2011-05-27 | Katetersamling med proteseindfalsnings- og protesefastholdelsestilbehør |
| DK11725271.8T DK2575696T3 (da) | 2010-05-27 | 2011-05-27 | Kateteranordning med protesekrympnings- og proteseholdetilbehør |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK16201170.4T DK3184083T3 (da) | 2010-05-27 | 2011-05-27 | Katetersamling med proteseindfalsnings- og protesefastholdelsestilbehør |
Country Status (7)
| Country | Link |
|---|---|
| US (5) | US9387077B2 (da) |
| EP (2) | EP2575696B1 (da) |
| JP (1) | JP5811419B2 (da) |
| CN (1) | CN102985034A (da) |
| AU (1) | AU2011257971B2 (da) |
| DK (2) | DK3184083T3 (da) |
| WO (1) | WO2011150399A1 (da) |
Families Citing this family (114)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2006041505A1 (en) | 2004-10-02 | 2006-04-20 | Huber Christoph Hans | Methods and devices for repair or replacement of heart valves or adjacent tissue without the need for full cardiopulmonary support |
| AU2006315812B2 (en) | 2005-11-10 | 2013-03-28 | Cardiaq Valve Technologies, Inc. | Balloon-expandable, self-expanding, vascular prosthesis connecting stent |
| WO2008013915A2 (en) | 2006-07-28 | 2008-01-31 | Arshad Quadri | Percutaneous valve prosthesis and system and method for implanting same |
| US20090276040A1 (en) | 2008-05-01 | 2009-11-05 | Edwards Lifesciences Corporation | Device and method for replacing mitral valve |
| CA2749026C (en) | 2008-09-29 | 2018-01-09 | Impala, Inc. | Heart valve |
| EP4321134A3 (en) | 2008-11-21 | 2024-05-01 | Percutaneous Cardiovascular Solutions Pty Limited | Heart valve prosthesis and method |
| AU2010236288A1 (en) | 2009-04-15 | 2011-10-20 | Cardiaq Valve Technologies, Inc. | Vascular implant and delivery system |
| NZ624106A (en) | 2009-04-29 | 2015-12-24 | Cleveland Clinic Foundation | Apparatus and method for replacing a diseased cardiac valve |
| US8652203B2 (en) | 2010-09-23 | 2014-02-18 | Cardiaq Valve Technologies, Inc. | Replacement heart valves, delivery devices and methods |
| US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
| US8579964B2 (en) | 2010-05-05 | 2013-11-12 | Neovasc Inc. | Transcatheter mitral valve prosthesis |
| US9387077B2 (en) * | 2010-05-27 | 2016-07-12 | Medtronic Vascular Galway | Catheter assembly with prosthesis crimping and prosthesis retaining accessories |
| CA2803149C (en) | 2010-06-21 | 2018-08-14 | Impala, Inc. | Replacement heart valve |
| WO2012023979A2 (en) * | 2010-08-17 | 2012-02-23 | St. Jude Medical, Inc. | A device for collapsing and loading a heart valve into a minimally invasive delivery system |
| EP2608741A2 (en) | 2010-08-24 | 2013-07-03 | St. Jude Medical, Inc. | Staged deployment devices and methods for transcatheter heart valve delivery systems |
| WO2012036741A2 (en) | 2010-09-17 | 2012-03-22 | St. Jude Medical, Cardiology Division, Inc. | Staged deployment devices and methods for transcatheter heart valve delivery |
| AU2011306028B2 (en) | 2010-09-20 | 2014-07-17 | St. Jude Medical, Cardiology Division, Inc. | Valve leaflet attachment in collapsible prosthetic valves |
| US9717593B2 (en) | 2011-02-01 | 2017-08-01 | St. Jude Medical, Cardiology Division, Inc. | Leaflet suturing to commissure points for prosthetic heart valve |
| US9308087B2 (en) | 2011-04-28 | 2016-04-12 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
| US9554897B2 (en) | 2011-04-28 | 2017-01-31 | Neovasc Tiara Inc. | Methods and apparatus for engaging a valve prosthesis with tissue |
| US12502276B2 (en) | 2011-05-16 | 2025-12-23 | Edwards Lifesciences Corporation | Inversion delivery device and method for a prosthesis |
| US9060860B2 (en) | 2011-08-18 | 2015-06-23 | St. Jude Medical, Cardiology Division, Inc. | Devices and methods for transcatheter heart valve delivery |
| US9131926B2 (en) | 2011-11-10 | 2015-09-15 | Boston Scientific Scimed, Inc. | Direct connect flush system |
| US8940014B2 (en) | 2011-11-15 | 2015-01-27 | Boston Scientific Scimed, Inc. | Bond between components of a medical device |
| US20130123912A1 (en) * | 2011-11-15 | 2013-05-16 | Boston Scientific Scimed, Inc. | Medical device with nosecone and nosecone tube extension |
| US8951243B2 (en) | 2011-12-03 | 2015-02-10 | Boston Scientific Scimed, Inc. | Medical device handle |
| US8652145B2 (en) * | 2011-12-14 | 2014-02-18 | Edwards Lifesciences Corporation | System and method for crimping a prosthetic valve |
| US9510945B2 (en) * | 2011-12-20 | 2016-12-06 | Boston Scientific Scimed Inc. | Medical device handle |
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| US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
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| US9615923B2 (en) * | 2013-07-17 | 2017-04-11 | Medtronic Vascular Galway | Clocking valve retainer |
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| US9387074B2 (en) | 2013-09-26 | 2016-07-12 | Medtronic Vascular Galway | Medical device delivery systems and methods |
| WO2015063118A1 (en) * | 2013-10-28 | 2015-05-07 | Symetis Sa | Stent-valve, delivery apparatus and method of use |
| EP3068344A1 (en) | 2013-11-12 | 2016-09-21 | St. Jude Medical, Cardiology Division, Inc. | Pneumatically power-assisted tavi delivery system |
| EP3107497B1 (en) | 2014-02-21 | 2020-07-22 | Edwards Lifesciences CardiAQ LLC | Delivery device for controlled deployment of a replacement valve |
| CA3161000A1 (en) | 2014-05-19 | 2015-11-26 | Edwards Lifesciences Cardiaq Llc | Replacement mitral valve with annular flap |
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| EP3184083B1 (en) | 2019-02-20 |
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