HRP20210356T1 - Sistemi isporuke za protetski srčani zalistak - Google Patents

Sistemi isporuke za protetski srčani zalistak Download PDF

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Publication number
HRP20210356T1
HRP20210356T1 HRP20210356TT HRP20210356T HRP20210356T1 HR P20210356 T1 HRP20210356 T1 HR P20210356T1 HR P20210356T T HRP20210356T T HR P20210356TT HR P20210356 T HRP20210356 T HR P20210356T HR P20210356 T1 HRP20210356 T1 HR P20210356T1
Authority
HR
Croatia
Prior art keywords
stop
distal
proximal
balloon
delivery device
Prior art date
Application number
HRP20210356TT
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English (en)
Inventor
Tri D. Tran
Ronaldo Cayabyab
David J. Evans
Sean Chow
Christoper CHIA
Original Assignee
Edwards Lifesciences Corporation
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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Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=47597865&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=HRP20210356(T1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Edwards Lifesciences Corporation filed Critical Edwards Lifesciences Corporation
Publication of HRP20210356T1 publication Critical patent/HRP20210356T1/hr

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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
    • A61F2/243—Deployment by mechanical expansion
    • A61F2/2433—Deployment by mechanical expansion using balloon catheter
    • 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
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • 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
    • A61F2/958—Inflatable balloons for placing 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
    • A61F2/48—Operating or control means, e.g. from outside the body, control of sphincters
    • A61F2/484—Fluid means, i.e. hydraulic or pneumatic
    • 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
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts
    • A61F2002/9583—Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
    • A61F2002/9586—Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve the means being inside the balloon
    • 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
    • A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
    • 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
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0021—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in coefficient of friction
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • A61M2025/1013—Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • 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
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1084—Balloon catheters with special features or adapted for special applications having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • 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
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10184—Means for controlling or monitoring inflation or deflation

Claims (14)

1. Uređaj za isporuku (600) za implantaciju protetskog uređaja (12) u tijelo, pri čemu se protetski uređaj (12) radijalno proširuje iz radijalno stisnutog u radijalno prošireno stanje, a uređaj za isporuku (600) sadrži: balon na napuhavanje (612); i proksimalni graničnik (614) i distalni graničnik (618) konfigurirani da ograniče uzdužno kretanje protetskog uređaja (12) u odnosu na balon (612), dok je protetski uređaj (12) postavljen na balon (612) u radijalnom komprimirano stanje između proksimalnog graničnika (614) i distalnog graničnika (618), protetski uređaj (12) koji ima proksimalni kraj i distalni kraj; pri čemu proksimalni graničnik (614) i distalni graničnik (618) sadrže po jedan završni dio (628, 630) smješten unutar balona (612) i konfiguriran za postavljanje uz odgovarajući kraj protetskog uređaja (12) kada protetski Uređaj (12) je radijalno komprimiran između proksimalnog i distalnog graničnika (614, 618), a svaki od krajnjih dijelova (628, 630) sadrži barem jedan uzdužno produžavajući utor (632) koji omogućuje krajnji dio (628, 630) dotični graničnik (614, 618) koji se radijalno komprimira na manji promjer, naznačen time da je proksimalni graničnik (614) konfiguriran tako da se naslanja na proksimalni kraj protetskog uređaja (12), a distalni graničnik (618) konfiguriran je tako da se naslanja na distalni kraj protetskog uređaja (12).
2. Uređaj za dovod (600) u skladu s patentnim zahtjevom 1, naznačen time da je barem jedan uzdužno produžavajući utor (632) u svakom krajnjem dijelu zaustavljanja (628, 630) konfiguriran da omogući protok tekućine za napuhavanje balona radijalno kroz odgovarajući graničnik (614, 618).
3. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 2, naznačen time da su, kada je protetski uređaj (12) postavljen na uređaj za isporuku (600) u radijalno komprimiranom stanju, proksimalni graničnik (614) i distalni graničnik (618) konfigurirani da dopustiti da tekućina za napuhavanje balona teče iz proksimalnog dijela balona, kroz najmanje jedan utor (632) u proksimalnom graničniku (614), kroz međuvrijedni dio balona (612) smještenog unutar protetskog uređaja (12 ), kroz najmanje jedan utor (632) u distalnom graničniku (618), i u distalni dio balona (612).
4. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da je proksimalni kraj balona (612) pričvršćen na proksimalni graničnik (614), a distalni kraj balona na distalni graničnik (618).
5. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da uređaj za isporuku (600) nadalje sadrži vanjsku osovinu (608) koja ima lumen i unutarnju osovinu (610) koja se proteže kroz lumen vanjske osovine (608), pri čemu proksimalni graničnik (614) pričvršćen je na distalni kraj vanjskog vratila (608) i / ili pričvršćen na vanjsku površinu unutarnjeg vratila (610), a pri čemu je distalni graničnik (618) pričvršćen na vanjsku površinu unutarnjeg okna osovina (610).
6. Uređaj za isporuku (600) prema zahtjevu 5, naznačen time da proksimalni graničnik (614) nadalje sadrži: proksimalni dio (620) pričvršćen na distalni kraj vanjske osovine (608) i na proksimalni kraj balona (612); i srednji dio između proksimalnog dijela (620) i završnog dijela (628, 630), pri čemu srednji dio ima vanjski promjer koji je manji od vanjskog promjera proksimalnog dijela (620) i manji od promjera krajnjeg dijela (628, 630).
7. Uređaj za dovod (600) u skladu s patentnim zahtjevom 5, naznačen time da je proksimalni graničnik (614) pričvršćen na distalni kraj vanjskog vratila (608) i dalje sadrži barem jedan prolaz tekućine koji omogućuje protok tekućine za napuhavanje kroz najmanje jedan prolaz i u balon (612).
8. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 5, naznačen time da distalni graničnik (618) nadalje sadrži: distalni dio (626) pričvršćen na distalni kraj balona (612); i srednji dio između distalnog dijela (626) i krajnjeg dijela (628, 630), pri čemu srednji dio ima vanjski promjer koji je manji od vanjskog promjera distalnog dijela (626) i manji od promjera krajnjeg dijela (628, 630).
9. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da krajnji dio (628, 630) svakog graničnika (614, 618) smanjuje promjer u smjeru koji se proteže od protetskog uređaja (12).
10. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da uređaj za isporuku (600) nadalje sadrži nazubni konus (616) pričvršćen na distalni kraj distalnog graničnika (618).
11. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da barem jedan od krajnjih dijelova zaustavljača (628, 630) sadrži najmanje tri uzdužna utora (632) koji omogućuju radijalno komprimiranje zaustavnog završnog dijela (628, 630) na manji promjer kada se protetski uređaj (12) nagura na uređaj za isporuku (600).
12. Uređaj za isporuku (600) u skladu s patentnim zahtjevom 1, naznačen time da u kombinaciji s protetskim srčanim zaliskom uvijenim u balon između proksimalnog i distalnog graničnika (614, 618).
13. Sustav za isporuku protetskog uređaja (12) pacijentu, naznačen time da sadrži: ovojnica uvodnika (304, 602) konfigurirana za djelomično umetanje u pacijenta; utovarivač (306, 604) konfiguriran za umetanje u proksimalni kraj ovojnice uvodnika (304,602); i 13. uređaj za isporuku (600) u skladu s bilo kojim od patentnih zahtjeva 1 do 12, koji je konfiguriran za prolazak kroz utovarivač (306, 604) i uvodni omotač (304, 602) u pacijenta koji nosi protetski uređaj (12) koji treba ugraditi u pacijent; pri čemu utovarivač (306, 604) sadrži otvor za ispiranje za selektivno unošenje tekućine u utovarivač (306, 604) i otvor za odzračivanje za selektivno ispuštanje tekućine iz utovara (306, 604), te otvor za ispiranje i ispuštanje priključci su zapečaćeni elastičnim savitljivim prstenastim brtvenim elementom (686).
14. Sustav prema patentnom zahtjevu 13, naznačen time da brtveni element (686) sadrži jezičak za potiskivanje (688) koji se radijalno proteže kroz otvor za odzračivanje, tako da je otvor za odzračivanje konfiguriran za selektivno otvaranje pritiskom na jezičak za potiskivanje (688) u radijalnom prema unutra.
HRP20210356TT 2011-07-27 2021-03-02 Sistemi isporuke za protetski srčani zalistak HRP20210356T1 (hr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161512328P 2011-07-27 2011-07-27
US13/559,284 US9339384B2 (en) 2011-07-27 2012-07-26 Delivery systems for prosthetic heart valve
EP19192981.9A EP3593763B1 (en) 2011-07-27 2012-07-27 Delivery systems for prosthetic heart valve

Publications (1)

Publication Number Publication Date
HRP20210356T1 true HRP20210356T1 (hr) 2021-04-16

Family

ID=47597865

Family Applications (2)

Application Number Title Priority Date Filing Date
HRP20230334TT HRP20230334T1 (hr) 2011-07-27 2012-07-27 Sustavi isporuke za protetski srčani zalistak
HRP20210356TT HRP20210356T1 (hr) 2011-07-27 2021-03-02 Sistemi isporuke za protetski srčani zalistak

Family Applications Before (1)

Application Number Title Priority Date Filing Date
HRP20230334TT HRP20230334T1 (hr) 2011-07-27 2012-07-27 Sustavi isporuke za protetski srčani zalistak

Country Status (16)

Country Link
US (11) US9119716B2 (hr)
EP (5) EP3593763B1 (hr)
JP (8) JP6077538B2 (hr)
CN (4) CN103826571B (hr)
CA (5) CA2843270C (hr)
DK (2) DK3308745T3 (hr)
ES (4) ES2859495T3 (hr)
FI (1) FI3308745T3 (hr)
HR (2) HRP20230334T1 (hr)
HU (2) HUE053592T2 (hr)
LT (1) LT3593763T (hr)
PL (2) PL3593763T3 (hr)
PT (2) PT3593763T (hr)
RS (1) RS61575B1 (hr)
SI (2) SI3308745T1 (hr)
WO (2) WO2013016681A2 (hr)

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