JP2007500545A - 体内腔を閉塞するための装置及び方法 - Google Patents
体内腔を閉塞するための装置及び方法 Download PDFInfo
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- JP2007500545A JP2007500545A JP2006521984A JP2006521984A JP2007500545A JP 2007500545 A JP2007500545 A JP 2007500545A JP 2006521984 A JP2006521984 A JP 2006521984A JP 2006521984 A JP2006521984 A JP 2006521984A JP 2007500545 A JP2007500545 A JP 2007500545A
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- Prior art keywords
- lumen
- phase material
- gallbladder
- occlusion device
- embolic
- Prior art date
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12181—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
- A61B17/12186—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices liquid materials adapted to be injected
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12159—Solid plugs; being solid before insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Instructional Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Solid-Sorbent Or Filter-Aiding Compositions (AREA)
Abstract
【選択図】図2
Description
心臓手術後の急性無石胆嚢炎の管理は依然として議論の余地があるが、経皮経肝胆嚢ドレナージが安全で有効な処置であることが認められている。Ishikawa,S.、Ohtaki,A., Koyano,T., Takahashi,T., Sato,Y., Nakamura,S., Ohwada,S., Morishita,Y.の「心臓血管術後の急性無石胆嚢炎の経皮経肝胆嚢ドレナージ」、J.Cardiovasc. Surg.38.5(1997年)513−5。ドレナージ(胆嚢造瘻術)は、一時的な管理(感染を治癒すること)であって、現時点では胆嚢管閉塞は、恒久的且つ胆嚢除去すなわちこの場合は非機能化の一部とすべきである。このような場合においては、胆嚢管のカテーテル誘導閉塞は、胆嚢を非機能化する化学療法又は粘膜の機械的切除と併用する有用な補助療法である。
22 塞栓手段
24 送出手段
26 アクセスカテーテル
28 操作式コア
Claims (17)
- 少なくとも一部が二相材料を含む栓子と、
前記栓子を前記内腔の選択された位置に移動するために前記栓子に着脱可能に結合された送出器具と、
を備える内腔閉塞装置。 - 前記栓子が先細部分及び拡張可能部分を含む請求項1に記載の内腔閉塞装置。
- 前記拡張可能部分が二相材料を含む請求項2に記載の内腔閉塞装置。
- 前記拡張可能部分が、前記内腔の内壁と接触する複数の構造部を含む請求項2に記載の内腔閉塞装置。
- 前記複数の構造部が二相材料を含む請求項4に記載の内腔閉塞装置。
- 前記栓子の少なくとも一部が生体吸収可能な材料を含む請求項1に記載の内腔閉塞装置。
- 前記二相材料が生体吸収可能である請求項1に記載の内腔閉塞装置。
- 前記二相材料が形状記憶材料である請求項1に記載の内腔閉塞装置。
- 複数の開口部を定める栓子と、
前記栓子を内腔の選択された位置に移動させるために前記栓子に着脱可能に結合された送出器具と、
前記開口部を通って移動される生体結合剤と、
を含む内腔閉塞装置。 - 前記結合剤が二相材料を含む請求項9に記載の内腔閉塞装置。
- 前記結合剤が生体吸収可能な材料を含む請求項9に記載の内腔閉塞装置。
- 前記二相材料が生体吸収可能である請求項10に記載の内腔閉塞装置。
- 前記結合剤が形状記憶材料である請求項9に記載の内腔閉塞装置。
- 体内腔を閉塞する方法であって、
体内腔を閉塞するように適合された複数の開口部を有する塞栓手段と、前記塞栓手段に着脱可能に結合される送出手段とを備えた装置を準備する段階と、
前記塞栓手段が前記内腔に最初に入ることにより前記体内腔内に前記装置を挿入する段階と、
前記装置を前記体内腔を通じて目標とする部位に進める段階と、
前記送出手段中に二相材料を注入し、前記二相材料を前記塞栓手段に運ぶ段階と、
前記塞栓手段の開口部を通して前記二相材料を移動させ、前記体内腔の内壁に対して該塞栓手段を固定する段階と、
前記塞栓手段から前記送出手段を取り外す段階と、
前記塞栓手段を前記体内腔内部に残したまま、前記体内腔から前記送出手段を回収する段階と、
を含む方法。 - 前記二相材料が生体吸収可能な材料を含む請求項14に記載の方法。
- 前記二相材料が形状記憶材料である請求項14に記載の方法。
- 前記二相材料が生体吸収可能である請求項16に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/891,961 US6599299B2 (en) | 2001-06-26 | 2001-06-26 | Device and method for body lumen occlusion |
US10/628,843 US20040073317A1 (en) | 2001-06-26 | 2003-07-28 | Device and method for body lumen occlusion |
PCT/US2004/024091 WO2005020786A2 (en) | 2001-06-26 | 2004-07-27 | Device and method for body lumen occlusion |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007500545A true JP2007500545A (ja) | 2007-01-18 |
JP2007500545A5 JP2007500545A5 (ja) | 2007-08-16 |
Family
ID=49882719
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006521984A Pending JP2007500545A (ja) | 2001-06-26 | 2004-07-27 | 体内腔を閉塞するための装置及び方法 |
Country Status (6)
Country | Link |
---|---|
US (2) | US6599299B2 (ja) |
EP (2) | EP1414354A4 (ja) |
JP (1) | JP2007500545A (ja) |
AU (2) | AU2002313644B2 (ja) |
CA (2) | CA2451700C (ja) |
WO (2) | WO2003001970A2 (ja) |
Cited By (3)
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JP2013537434A (ja) * | 2010-05-08 | 2013-10-03 | ザ ボード オブ トラスティーズ オブ ザ レランド スタンフォード ジュニア ユニバーシティー | 胆石を治療するデバイス及び方法 |
JP2015519973A (ja) * | 2012-06-15 | 2015-07-16 | 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 | 血管閉塞及び薬物送達装置、システム及び方法 |
JP2021512719A (ja) * | 2018-02-08 | 2021-05-20 | テキサス メディカル センター | 胆嚢を機能低下させるための機器及び方法 |
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US6599299B2 (en) * | 2001-06-26 | 2003-07-29 | Leonard S. Schultz | Device and method for body lumen occlusion |
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2001
- 2001-06-26 US US09/891,961 patent/US6599299B2/en not_active Expired - Lifetime
-
2002
- 2002-06-25 WO PCT/US2002/020024 patent/WO2003001970A2/en not_active Application Discontinuation
- 2002-06-25 EP EP02753348A patent/EP1414354A4/en not_active Withdrawn
- 2002-06-25 CA CA002451700A patent/CA2451700C/en not_active Expired - Lifetime
- 2002-06-25 AU AU2002313644A patent/AU2002313644B2/en not_active Ceased
-
2003
- 2003-07-28 US US10/628,843 patent/US20040073317A1/en not_active Abandoned
-
2004
- 2004-07-27 WO PCT/US2004/024091 patent/WO2005020786A2/en active Application Filing
- 2004-07-27 AU AU2004268516A patent/AU2004268516A1/en not_active Abandoned
- 2004-07-27 JP JP2006521984A patent/JP2007500545A/ja active Pending
- 2004-07-27 EP EP04801975A patent/EP1651118A2/en not_active Withdrawn
- 2004-07-27 CA CA002532862A patent/CA2532862A1/en not_active Abandoned
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Cited By (8)
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JP2013537434A (ja) * | 2010-05-08 | 2013-10-03 | ザ ボード オブ トラスティーズ オブ ザ レランド スタンフォード ジュニア ユニバーシティー | 胆石を治療するデバイス及び方法 |
JP2015519973A (ja) * | 2012-06-15 | 2015-07-16 | 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 | 血管閉塞及び薬物送達装置、システム及び方法 |
US9878132B2 (en) | 2012-06-15 | 2018-01-30 | W. L. Gore & Associates, Inc. | Vascular occlusion and drug delivery devices, systems, and methods |
JP2020171736A (ja) * | 2012-06-15 | 2020-10-22 | 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 | 血管閉塞及び薬物送達装置、システム及び方法 |
US10926064B2 (en) | 2012-06-15 | 2021-02-23 | W. L. Gore & Associates, Inc. | Vascular occlusion and drug delivery devices, systems, and methods |
US11865276B2 (en) | 2012-06-15 | 2024-01-09 | W. L. Gore & Associates, Inc. | Vascular occlusion and drug delivery devices, systems, and methods |
JP2021512719A (ja) * | 2018-02-08 | 2021-05-20 | テキサス メディカル センター | 胆嚢を機能低下させるための機器及び方法 |
JP7486427B2 (ja) | 2018-02-08 | 2024-05-17 | テキサス メディカル センター | 胆嚢を機能低下させるための機器及び方法 |
Also Published As
Publication number | Publication date |
---|---|
EP1414354A4 (en) | 2009-09-09 |
AU2004268516A1 (en) | 2005-03-10 |
AU2002313644B2 (en) | 2007-11-29 |
CA2451700A1 (en) | 2003-01-09 |
WO2005020786A2 (en) | 2005-03-10 |
US6599299B2 (en) | 2003-07-29 |
EP1414354A2 (en) | 2004-05-06 |
US20020198547A1 (en) | 2002-12-26 |
CA2451700C (en) | 2008-06-17 |
US20040073317A1 (en) | 2004-04-15 |
WO2003001970A3 (en) | 2004-03-04 |
EP1651118A2 (en) | 2006-05-03 |
WO2005020786A3 (en) | 2005-05-26 |
WO2003001970A2 (en) | 2003-01-09 |
CA2532862A1 (en) | 2005-03-10 |
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