DK2777648T3 - Fangstrørmekanisme til tilførsel og frigivelse af en stent - Google Patents

Fangstrørmekanisme til tilførsel og frigivelse af en stent Download PDF

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Publication number
DK2777648T3
DK2777648T3 DK14159026.5T DK14159026T DK2777648T3 DK 2777648 T3 DK2777648 T3 DK 2777648T3 DK 14159026 T DK14159026 T DK 14159026T DK 2777648 T3 DK2777648 T3 DK 2777648T3
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DK
Denmark
Prior art keywords
tubular
self
expanding stent
core wire
proximal
Prior art date
Application number
DK14159026.5T
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English (en)
Inventor
Robert Slazas
Juan A Lorenzo
Original Assignee
Depuy Synthes Products Llc
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Publication of DK2777648T3 publication Critical patent/DK2777648T3/da

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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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/97Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
    • 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
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966Instruments 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
    • 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • 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
    • A61F2002/9505Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
    • 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
    • A61F2002/9534Instruments specially adapted for placement or removal of stents or stent-grafts for repositioning of stents
    • 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
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966Instruments 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
    • A61F2002/9665Instruments 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

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic 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)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)

Claims (5)

1. Apparat (10) til tilførsel og frigivelse afen selvekspanderende stent (12) gennem et kateter (14) til et behandlingssted i en patients vaskulatur, omfattende: en kernewire (16) der har en proksimal del (22), en distal del (24), og en mellemliggende del (26) anbragt mellem de proksimale og distale dele (22, 24) af kernewiren (16); en selvekspanderende stent (12) der har en proksimal ende (28), en proksimal del (30) og et indre lumen (32), hvor den distale del (24) af kernewiren (16) strækker sig gennem mindst en del af det indre lumen (32) af den selvekspanderende stent (12), med den proksimale del (30) af den selvekspanderende stent (12) anbragt over den mellemliggende del (26) af kernewiren (16); et rørformet fangsthylster (18) der har et lumen (34), en proksimal del (36), en distal del (38) og en distal ende (40), hvor den distale del (38) af det rørformede fangsthylster (18) er anbragt over den proksimale del (30) af den selvekspanderende stent (12), og hvor den distale del (38) af det rørformede fangsthylster (18) er konfigureret til aftageligt at fastholde den proksimale del (30) af den selvekspanderende stent (12) inde i lumenet (34) af det rørformede fangsthylster (18) og på den mellemliggende del (26) af kernewiren (16), det rørformede fangsthylster (18) omfatter mindst en åbning (42) der strækker sig gennem den distale del (38) af det rørformede fangsthylster (18) ved et sted på linje med den proksimale ende (28) af den selvekspanderende stent; og mindst et aflangt element (20) der har første og anden ender (46, 48) og en mellemliggende del (50) mellem de første og anden ender (46, 48) af det aflange element (20), den mellemliggende del (50) af det mindst ene aflange element (20) der strækker sig gennem den mindst ene åbning (42) af det rørformede fangsthylster (18) og gennem dette lumen (34) af det rørformede fangsthylster (18) og ud af den distale ende (40) af det rørformede fangsthylster (18), de første og anden ender (46, 48) af det mindst ene aflange element (20) der strækker sig proksimalt fra det rørformede fangsthylster (18), og det mindst ene aflange element (20) er konfigureret til at dele det rørformede fangsthylster (18) når de første og anden ender (46, 48) af det mindst ene aflange element (20) er trukket proksimalt for at frigive den proksimale ende (28) af den selvekspanderende stent (12) fra det rørformede fangsthylster (18) og den mellemliggende del (26) af kernewiren (16).
2. Apparatet (10) ifølge krav 1, hvor det mindst ene aflange element (20) omfatter en flerhed af polymerfibre anbragt radialt rundt om det rørformede fangsthylster (18), eller en flerhed af wirer anbragt radialt rundt om det rørformede fangsthylster (18).
3. Apparatet (10) ifølge krav 1, hvor det rørformede fangsthylster (18) omfatter mindst en perforering langs en bane mellem den mindst ene åbning (42) og den distale ende (40) af det rørformede fangsthylster (18), eller mindst en skive (44) langs en bane mellem den mindst ene åbning (42) og den distale ende (40) af det rørformede fangsthylster (18).
4. Apparatet (10) ifølge krav 1, hvor det rørformede fangsthylster (18) omfatter en krympbar bøsning, eller en elastisk bøsning.
5. Apparatet ifølge krav 1, hvor den distale del (38) af det rørformede fangsthylster (18) er konfigureret til at klemme den proksimale del (30) af den selvekspanderende stent (12) inde i lumenet (34) af det rørformede fangsthylster (18) og på den mellemliggende del (26) af kernewiren (16), til at blive sammentrykt over den proksimale del (30) af den selvekspanderende stent (12) inde i lumenet (34) af det rørformede fangsthylster (18) og på den mellemliggende del (26) af kernewiren (16), eller til at fange den proksimale del (30) af den selvekspanderende stent (12) inde i lumenet (34) af det rørformede fangsthylster (18) og på den mellemliggende del ( 26) af kernewiren (16).
DK14159026.5T 2013-03-13 2014-03-12 Fangstrørmekanisme til tilførsel og frigivelse af en stent DK2777648T3 (da)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US13/801,728 US10172734B2 (en) 2013-03-13 2013-03-13 Capture tube mechanism for delivering and releasing a stent

Publications (1)

Publication Number Publication Date
DK2777648T3 true DK2777648T3 (da) 2016-08-22

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US (2) US10172734B2 (da)
EP (2) EP3067020A1 (da)
JP (2) JP6333585B2 (da)
KR (1) KR102246514B1 (da)
CN (1) CN104042379B (da)
AU (2) AU2014201050B2 (da)
BR (1) BR102014005950A2 (da)
CA (1) CA2845180C (da)
DK (1) DK2777648T3 (da)
IN (1) IN2014DE00455A (da)

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CN104042379A (zh) 2014-09-17
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AU2018253652A1 (en) 2018-11-22
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JP2014176652A (ja) 2014-09-25
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