HRP20210032T1 - Perivalvularno brtvljenje za transkateterski srčani zalistak - Google Patents
Perivalvularno brtvljenje za transkateterski srčani zalistak Download PDFInfo
- Publication number
- HRP20210032T1 HRP20210032T1 HRP20210032TT HRP20210032T HRP20210032T1 HR P20210032 T1 HRP20210032 T1 HR P20210032T1 HR P20210032T T HRP20210032T T HR P20210032TT HR P20210032 T HRP20210032 T HR P20210032T HR P20210032 T1 HRP20210032 T1 HR P20210032T1
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- Croatia
- Prior art keywords
- supports
- valve
- row
- frame
- extending
- Prior art date
Links
- 238000007789 sealing Methods 0.000 title claims 2
- 210000003709 heart valve Anatomy 0.000 title 1
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 claims 2
- 229910045601 alloy Inorganic materials 0.000 claims 2
- 239000000956 alloy Substances 0.000 claims 2
- 239000000463 material Substances 0.000 claims 2
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 claims 1
- 210000001765 aortic valve Anatomy 0.000 claims 1
- SZMZREIADCOWQA-UHFFFAOYSA-N chromium cobalt nickel Chemical compound [Cr].[Co].[Ni] SZMZREIADCOWQA-UHFFFAOYSA-N 0.000 claims 1
- 239000004744 fabric Substances 0.000 claims 1
- 229910052759 nickel Inorganic materials 0.000 claims 1
- 229920000642 polymer Polymers 0.000 claims 1
- 230000003014 reinforcing effect Effects 0.000 claims 1
- 239000010935 stainless steel Substances 0.000 claims 1
- 229910001220 stainless steel Inorganic materials 0.000 claims 1
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 claims 1
Classifications
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- 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
- A61F2/02—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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0054—V-shaped
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0065—Additional features; Implant or prostheses properties not otherwise provided for telescopic
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0069—Sealing means
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Check Valves (AREA)
Claims (13)
1. Protetski zalistak (100) naznačen time da sadrži:
strukturu listića koja sadrži mnoštvo listića (104);
uređaj za brtvljenje u obliku suknje (106); i sklopivi i proširivi prstenasti okvir (102), konfiguriran da se uruši u radijalno urušeno stanje za postavljanje na uređaj za isporuku i proširiv u radijalno prošireno stanje unutar tijela;
pri čemu svaki listić (104) ima zarezani dio donje ivice (134), pričvršćen za okvir (102) i/ili suknju (106) šavovima, i dio umetka (116) uz gornju slobodnu ivicu listića (104) koji je postavljen uz drugi dio umetka (116) susjednog listića kako bi se formiralo preklapanje (124);
i pri čemu okvir (102) sadrži mnoštvo redova (112a, 112b, 112c, 112d) kutnih nosača (114), kutni nosači (114) međusobno spojeni tako da čine mnoštvo redova šesterokutnih ćelija, pri čemu je svaka šesterokutna ćelija definirana sa šest nosača (144, 146, 148), uključujući:
dva suprotna bočna nosača (144) koji se pružaju paralelno sa osi protoka zaliska (100),
par donjih kutnih nosača (146), koji se pružaju prema dolje od donjih krajeva bočnih nosača (144) i konvergiraju da bi se međusobno presijecali,
i par gornjih kutnih nosača (148) koji se pružaju prema gore od odgovarajućih gornjih krajeva bočnih nosača (144) i konvergiraju da bi se međusobno presijecali.
2. Zalistak (100) prema patentnom zahtjevu 1, naznačen time da se okvir sastoji od četiri reda (112a, 112b, 112c, 112d) kutnih nosača (114) formirajući tri reda šesterokutnih ćelija, pri čemu se prvi red (112a) kutnih nosača (114) nalazi na dovodnom kraju (108) okvira (102), drugi red (112b) kutnih nosača (114) se nalazi pored prvog reda (112a) kutnih nosača (114) u smjeru protoka, treći red (112c) kutnih nosača (114) se nalazi pored drugog reda (112b) kutnih nosača (114) u smjeru protoka, i četvrti red (112d) kutnih nosača (114) se nalazi na odvodnom kraju (110) okvira (102), smjer protoka koji se proteže duž ose protoka od dovodnog kraja (108) do odvodnog kraja (110).
3. Zalistak (100) prema patentnom zahtjevu 2, naznačen time da svaku ćeliju prvog reda ćelija šesterokutnog oblika čine dva suprotna bočna nosača (144) koji se protežu u smjeru protoka, par donjih kutnih nosača (146) prvog reda (112a) kutnih nosača (114) se proteže u smjeru suprotnom od protoka respektivno od donjih krajeva dva bočna nosača (144) i konvergirajući tako da se presijecaju na kraju (150) i par gornjih kutnih nosača (148) drugog reda (112b) kutnih nosača (114) koji se protežu u smjeru protoka respektivno od odgovarajućih gornjih krajeva dva bočna nosača (144) i konvergiraju da bi se međusobno presjekli, svaku ćeliju drugog reda ćelija šesterokutnog oblika čine dva suprotstavljena bočna nosača (144) koji se protežu u smjeru protoka, par donjih kutnih nosača (146) drugog reda (112b) kutnih nosača (114) protežući se u smjeru suprotnom od protoka od donjih krajeva dva bočna nosača (144) i konvergirajući da bi se međusobno presijecali, i par gornjih kutnih nosača (148) trećeg reda (112c) kutnih nosača (114) protežući se u smjeru protoka od odgovarajućih gornjih krajeva dva bočna nosača (144) i konvergirajući da bi se međusobno presijecali, i pri čemu je svaka ćelija trećeg reda ćelija šesterokutnog oblika formirana od dva suprotna bočna nosača (144) koji se protežu u smjeru protoka, par donjih kutnih nosača (146) trećeg reda (112c) kutnih nosača (114) koji se protežu u smjeru suprotnom od protoka od donjih krajeva dva bočna nosača (144) i konvergiraju tako da se presijecaju, i par gornjih kutnih nosača (148) četvrtog reda (112d) kutnih nosača (114) koji se pružaju u smjeru protoka od odgovarajućih gornjih krajeva dva bočna nosača (144) i konvergiraju tako da se presijecaju na kraju (152).
4. Zalistak (100) prema patentnom zahtjevu 3, naznačen time da se u svakoj ćeliji od tri reda šesterokutnih ćelija nalazi par kutnih nosača (146) koji se pružaju u smjeru suprotnom od smjera protoka od odgovarajućeg donjeg kraja dva bočna nosača (144) i konvergirajući tako da se međusobno presijecaju, formirajući U-oblik na presijeku i par kutnih nosača (148) koji se pružaju u smjeru protoka respektivno od odgovarajućeg gornjeg kraja dva bočna nosača (144) i konvergiraju tako da se međusobno presijecaju, formirajući obrnuti U-oblik na presijeku.
5. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da je okvir (102) napravljen od plastično ekspanzivnog materijala, poželjno odabranog iz grupe koju čine nehrđajući čelik, legura na bazi nikla, legura nikal kobalt hroma, polimeri ili njihova kombinacija.
6. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da okvir (102) ima ukupnu visinu od dovodnog kraja (108) do odvodnog kraja (110) od oko 20 mm i pri čemu nosači (112, 144 , 146, 148) imaju širinu W oko 0,4 mm i debljinu T oko 0,45 mm.
7. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da je suknja (106) postavljena na unutrašnjoj strani okvira (102) i, u zavisnosti od patentnog zahtjeva 2, veličine je da pokrije otvore okvira (102) koji čine prvi i drugi red šesterokutnih ćelija.
8. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da suknja (106) obuhvaća osnovno prstenasto tijelo (126) i mnoštvo osiguravajućih dijelova za preklapanje (128).
9. Zalistak (100) prema patentnom zahtjevu 8, naznačen time da je glavno tijelo (126) suknje (106) pričvršćenu za okvir (102) tako da, kada je okvir (102) u svom radijalno proširenom stanju, višak materijala je osiguran između gornje ivice (130) i donje ivice (132) suknje (106), konfigurirane da strše izvana kroz otvore okvira (102) kada se preko zaliska (100) primijeni nagib pritiska.
10. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da su na svakom preklopu (124) odgovarajući dijelovi umetka (116) postavljeni između para odvojenih kraka (122) pričvršćenih za okvir (102).
11. Zalistak (100) prema patentnom zahtjevu 10, naznačen time da je svaki dio umetka (116) prekriven odgovarajućom trakom za ojačavanje (118).
12. Zalistak (100) prema bilo kojem od prethodnih patentnih zahtjeva, naznačen time da je suknja (106) napravljena od tkanine, tkanina poželjno napravljena od PET ili UHMWPE.
13. Sustav naznačen time da sadrži:
zalistak (100) prema bilo kojem od patentnih zahtjeva od 5 do 12, i
kateter za isporuku koji sadrži balon na napuhavanje,
pri čemu je protetski zalistak (100) u svom radijalno komprimiranom stanju stisnut na balonu uređaja za isporuku, i pri čemu je balon konfiguriran da se napuhava tako da se širi radijalno proširujući protetski zalistak (100) na željenom mjestu primjene, poželjno unutar nativnog aortnog zaliska.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161508456P | 2011-07-15 | 2011-07-15 | |
US13/549,068 US8795357B2 (en) | 2011-07-15 | 2012-07-13 | Perivalvular sealing for transcatheter heart valve |
EP19191125.4A EP3583922B1 (en) | 2011-07-15 | 2012-07-16 | Perivalvular sealing for transcatheter heart valve |
Publications (1)
Publication Number | Publication Date |
---|---|
HRP20210032T1 true HRP20210032T1 (hr) | 2021-03-05 |
Family
ID=47519355
Family Applications (5)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
HRP20201280TT HRP20201280T1 (hr) | 2011-07-15 | 2020-08-13 | Protetski okvir srčanog zaliska |
HRP20210032TT HRP20210032T1 (hr) | 2011-07-15 | 2021-01-08 | Perivalvularno brtvljenje za transkateterski srčani zalistak |
HRP20210706TT HRP20210706T1 (hr) | 2011-07-15 | 2021-05-06 | Sustav koji sadrži protetski zalistak i kateter za isporuku |
HRP20210715TT HRP20210715T1 (hr) | 2011-07-15 | 2021-05-07 | Protetski srčani zalistak na bazi katetera |
HRP20210804TT HRP20210804T1 (hr) | 2011-07-15 | 2021-05-19 | Sustav koji se sastoji od protetskog zaliska i katetera za isporuku |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
HRP20201280TT HRP20201280T1 (hr) | 2011-07-15 | 2020-08-13 | Protetski okvir srčanog zaliska |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
HRP20210706TT HRP20210706T1 (hr) | 2011-07-15 | 2021-05-06 | Sustav koji sadrži protetski zalistak i kateter za isporuku |
HRP20210715TT HRP20210715T1 (hr) | 2011-07-15 | 2021-05-07 | Protetski srčani zalistak na bazi katetera |
HRP20210804TT HRP20210804T1 (hr) | 2011-07-15 | 2021-05-19 | Sustav koji se sastoji od protetskog zaliska i katetera za isporuku |
Country Status (12)
Country | Link |
---|---|
US (8) | US8795357B2 (hr) |
EP (10) | EP3205309B1 (hr) |
DK (5) | DK3646825T3 (hr) |
ES (6) | ES2812323T3 (hr) |
HR (5) | HRP20201280T1 (hr) |
HU (5) | HUE054295T4 (hr) |
LT (5) | LT3646823T (hr) |
PL (5) | PL3646824T3 (hr) |
PT (5) | PT3583922T (hr) |
RS (5) | RS60671B1 (hr) |
SI (5) | SI3646824T1 (hr) |
WO (1) | WO2013012801A2 (hr) |
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US9566178B2 (en) | 2010-06-24 | 2017-02-14 | Edwards Lifesciences Cardiaq Llc | Actively controllable stent, stent graft, heart valve and method of controlling same |
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