JP2005535364A - プロテーゼ留置装置用トリガー・ワイヤ・システム - Google Patents
プロテーゼ留置装置用トリガー・ワイヤ・システム Download PDFInfo
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- JP2005535364A JP2005535364A JP2004508870A JP2004508870A JP2005535364A JP 2005535364 A JP2005535364 A JP 2005535364A JP 2004508870 A JP2004508870 A JP 2004508870A JP 2004508870 A JP2004508870 A JP 2004508870A JP 2005535364 A JP2005535364 A JP 2005535364A
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- Prior art keywords
- prosthesis
- trigger wire
- guide
- wire
- catheter
- Prior art date
- Legal status (The legal status 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 status listed.)
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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
- A61F2/95—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
- A61F2/95—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
-
- 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
-
- 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
- A61F2002/9505—Instruments 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
- A61F2002/9511—Instruments 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
-
- 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
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M2025/0096—Catheter tip comprising a tool being laterally outward extensions or tools, e.g. hooks or fibres
Abstract
Description
3 ノーズ・コーン拡張器
4 ポート
7 トリガー・ワイヤ・ガイド
11 トリガー・ワイヤ
13 開口
15 ループ
16 係留ループ
17 ステント
18 ノット/近位係留ループ
19 プロテーゼ
20 遠位端
22 近位端
26 カテーテル・ボディ
24 凹部
26 留置用カテーテル
28 シース
30 シース終端点
32 皮下シリンジ取り付け点
34 ピンバイス
36 サイドチューブ
40,41 摘みネジ
38、42 トリガー・ワイヤ解放機構
50 ガイド・ワイヤ・カテーテル
52 ノーズ・コーン拡張器
54 トリガー・ワイヤ・ガイド
56 拡大部分
58 管状部分
60 ルーメン
62 中央環状ルーメン
64 細長い開口
66 ループ
68 ルーメン
70 留置カテーテル
80 ガイド・ワイヤ・カテーテル
81 V字型断面要素
82 逆V字型断面要素
83 ハンダ
84 ルーメン
85 トリガー・ワイヤ
86 ループ
88 領域
90 ガイド・ワイヤ・カテーテル
91 同心金属チューブ
92,93 ポイント
94 ルーメン
96 トリガー・ワイヤ
97 ループ
98 領域
99 カットアウト
3 ノーズ・コーン拡張器
4 ポート
7 トリガー・ワイヤ・ガイド
11 トリガー・ワイヤ
13 開口
15 ループ
16 係留ループ
17 ステント
18 ノット/近位係留ループ
19 プロテーゼ
20 遠位端
22 近位端
26 カテーテル・ボディ
24 凹部
26 留置用カテーテル
28 シース
30 シース終端点
32 皮下シリンジ取り付け点
34 ピンバイス
36 サイドチューブ
40,41 摘みネジ
38、42 トリガー・ワイヤ解放機構
50 ガイド・ワイヤ・カテーテル
52 ノーズ・コーン拡張器
54 トリガー・ワイヤ・ガイド
56 拡大部分
58 管状部分
60 ルーメン
62 中央環状ルーメン
64 細長い開口
66 ループ
68 ルーメン
70 留置カテーテル
80 ガイド・ワイヤ・カテーテル
81 V字型断面要素
82 逆V字型断面要素
83 ハンダ
84 ルーメン
85 トリガー・ワイヤ
86 ループ
88 領域
90 ガイド・ワイヤ・カテーテル
91 同心金属チューブ
92,93 ポイント
94 ルーメン
96 トリガー・ワイヤ
97 ループ
98 領域
99 カットアウト
Claims (16)
- プロテーゼ留置装置用のトリガー・ワイヤ・ガイドにおいて、
前記プロテーゼ留置装置は、
近位端のノーズコーン拡張器まで伸びるワイヤ・ガイド・カテーテルと、
トリガー・ワイヤと
プロテーゼの近位端をノーズコーン拡張器の先端に保持するトリガー・ワイヤ解放機構と
を有し、
前記トリガー・ワイヤガイドは、ガイドワイヤカテーテルの長さ方向の少なくとも一部に沿ったダクトを有し、
前記ダクトは、
トリガー・ワイヤ用の少なくとも1個のルーメンと、
前記ノーズコーン拡張器に隣接したダクト内に、ダクトから出て、プロテーゼ、プロテーゼのステント、あるいはプロテーゼを保持する縫合糸に係合するトリガー・ワイヤ用の開口と
を有し、これにより、プロテーゼを保持する
ことを特徴とするトリガー・ワイヤガイド。 - 前記ダクトは、前記ガイドワイヤカテーテルを同軸状態で包囲する
ことを特徴とする請求項1記載のトリガー・ワイヤガイド。 - 前記ダクトは、前記ガイドワイヤ用に3個のルーメンを有する
ことを特徴とする請求項1記載のトリガー・ワイヤガイド。 - 前記ダクトは、前記ガイドワイヤカテーテルの周囲にそれにクリンプされた同軸チューブで形成される
ことを特徴とする請求項1記載のトリガー・ワイヤガイド。 - 前記ダクトは、前記ガイドワイヤカテーテルに保持されたV字型断面を有する構成要素に形成される
ことを特徴とする請求項1記載のトリガーワイヤガイド。 - 前記プロテーゼ留置装置は、
近位端のノーズコーン拡張器まで伸びる近位端と、
トリガー・ワイヤと
ノーズコーン拡張器に隣接するプロテーゼの近位端を保持するトリガー・ワイヤ解放機構と
を有し、
プロテーゼが留置装置上を搬送される時、トリガーワイヤがプロテーゼに当たらないようにトリガーワイヤを保持する、留置装置上に配置されたトリガーワイヤガイドを有する
ことを特徴とするトリガーワイヤガイド。 - 近位端に伸びるガイドワイヤカテーテルとトリガーワイヤとプロテーゼの近位端の先端に保持するトリガー・ワイヤ解放機構を有するプロテーゼ留置装置において、
前記トリガー・ワイヤ解放機構は、前記ガイド・ワイヤ・カテーテルの長さの少なくとも一部にそってダクトを有し、
前記ダクトは、
トリガー・ワイヤ用の少なくとも1個のルーメンと、
前記ノーズコーン拡張器に隣接したダクト内に、ダクトから出て、プロテーゼ、プロテーゼのステント、あるいはプロテーゼを保持する縫合糸に係合するトリガー・ワイヤ用の開口と
を有する
ことを特徴とするプロテーゼ留置装置。 - 前記装置は、プロテーゼが保持される領域を有し、
前記ダクトは、前記領域の少なくとも一部に渡って伸びる
ことを特徴とする請求項7記載のプロテーゼ留置装置。 - 前記ダクトは、前記ガイドワイヤカテーテルを同軸状態で包囲する
ことを特徴とする請求項7記載のプロテーゼ留置装置。 - 前記ダクトは、前記トリガワイヤ用に3個の開口を有する
ことを特徴とする請求項7記載のプロテーゼ留置装置。 - 前記ダクトは、前記ガイドワイヤカテーテルの周囲にそれにクリンプされた同軸チューブで形成される
ことを特徴とする請求項7記載のプロテーゼ留置装置。 - 前記ダクトは、前記ガイドワイヤカテーテルに保持されたV字型断面を有する構成要素に形成される
ことを特徴とする請求項7記載のプロテーゼ留置装置。 - カテーテルの細長い領域を有する近位端まで伸びる留置用カテーテルを有するプロテーゼ留置装置において、
プロテーゼが保持され、
トリガー・ワイヤとトリガーワイヤ解放機構がプロテーゼの近位端をノーズコーン拡張器の先端に保持し、
前記トリガー・ワイヤ解放機構は、前記領域の長さの少なくとも一部に沿ってトリガーワイヤガイドを有し、
前記ダクトは、トリガーワイヤ用の少なくとも1個のルーメンと、前記近位端に隣接したして開口を有し、トリガーワイヤが前記ダクトを介して出る
ことを特徴とするプロテーゼ留置装置。 - 前記トリガー・ワイヤ・ガイドは、前記トリガ・ワイヤ用に3個の開口を有する
ことを特徴とする請求項13記載のプロテーゼ留置装置。 - 前記領域は、ガイド・ワイヤ・カテーテルを有し、
前記トリガー・ワイヤ・ガイドは、ガイド・ワイヤ・カテーテルを同軸状に保持している
ことを特徴とする請求項13記載のプロテーゼ留置装置。 - 前記トリガー・ワイヤ・ガイドは、ガイド・ワイヤ・カテーテルと同軸でそれにクリンプされることにより形成される。
ことを特徴とする請求項15記載のプロテーゼ留置装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US38405602P | 2002-05-29 | 2002-05-29 | |
US60/384,056 | 2002-05-29 | ||
US39268202P | 2002-06-28 | 2002-06-28 | |
US60/392,682 | 2002-06-28 | ||
PCT/US2003/016791 WO2003101518A1 (en) | 2002-05-29 | 2003-05-29 | Trigger wire system for a prosthesis deployment device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005535364A true JP2005535364A (ja) | 2005-11-24 |
JP4575151B2 JP4575151B2 (ja) | 2010-11-04 |
Family
ID=29715306
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004508870A Expired - Lifetime JP4575151B2 (ja) | 2002-05-29 | 2003-05-29 | プロテーゼ留置装置用トリガー・ワイヤ・システム |
Country Status (9)
Country | Link |
---|---|
US (2) | US7803177B2 (ja) |
EP (1) | EP1509271B1 (ja) |
JP (1) | JP4575151B2 (ja) |
AT (1) | ATE310559T1 (ja) |
AU (1) | AU2003273575B2 (ja) |
CA (1) | CA2486390C (ja) |
DE (1) | DE60302459T2 (ja) |
DK (1) | DK1509271T3 (ja) |
WO (1) | WO2003101518A1 (ja) |
Cited By (8)
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JP2009528130A (ja) * | 2006-02-27 | 2009-08-06 | ウィリアム・エイ・クック・オーストラリア・プロプライエタリー・リミテッド | ステントの保持 |
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JP2013517910A (ja) * | 2010-01-29 | 2013-05-20 | クック メディカル テクノロジーズ エルエルシー | 機械的に拡張可能な給送装置及び拡張装置 |
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JP2020506016A (ja) * | 2017-02-14 | 2020-02-27 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティドW.L. Gore & Associates, Incorporated | 移植型医療デバイス送達システム及び方法 |
US11213415B2 (en) | 2017-02-14 | 2022-01-04 | W. L. Gore & Associates, Inc. | Medical device delivery systems and methods |
WO2020202715A1 (ja) * | 2019-03-29 | 2020-10-08 | 株式会社カネカ | 医療用管状体搬送装置 |
JP7329043B2 (ja) | 2019-03-29 | 2023-08-17 | 株式会社カネカ | 医療用管状体搬送装置 |
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CA2486390C (en) | 2011-01-04 |
WO2003101518A1 (en) | 2003-12-11 |
JP4575151B2 (ja) | 2010-11-04 |
CA2486390A1 (en) | 2003-12-11 |
ATE310559T1 (de) | 2005-12-15 |
US20100168838A1 (en) | 2010-07-01 |
DE60302459T2 (de) | 2006-08-03 |
AU2003273575B2 (en) | 2007-12-06 |
EP1509271B1 (en) | 2005-11-23 |
DK1509271T3 (da) | 2006-03-13 |
AU2003273575A1 (en) | 2003-12-19 |
US20030233140A1 (en) | 2003-12-18 |
US7803177B2 (en) | 2010-09-28 |
US8114145B2 (en) | 2012-02-14 |
EP1509271A1 (en) | 2005-03-02 |
DE60302459D1 (de) | 2005-12-29 |
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