JP2007533359A - 段階的展開型エンドグラフト - Google Patents
段階的展開型エンドグラフト Download PDFInfo
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- JP2007533359A JP2007533359A JP2006533163A JP2006533163A JP2007533359A JP 2007533359 A JP2007533359 A JP 2007533359A JP 2006533163 A JP2006533163 A JP 2006533163A JP 2006533163 A JP2006533163 A JP 2006533163A JP 2007533359 A JP2007533359 A JP 2007533359A
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/844—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents folded prior to deployment
-
- 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
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8483—Barbs
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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
- A61F2/95—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
- 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
- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2220/0066—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements stapled
-
- 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
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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
- 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
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/001—Figure-8-shaped, e.g. hourglass-shaped
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
- Y10S623/902—Method of implanting
- Y10S623/903—Blood vessel
Abstract
Description
拡張する。
10 体液路
20 体液路
30 体液路
100 ステント骨組み
101 ステント部材
103 エンドグラフト
120 被覆層
199 エンドグラフト
200 拘束部材
201 フレキシブルチューブ
300 配送装置
310 カテーテル
311 カテーテル
320 ノーズコーン
330 シース
331 シース
340 ガイドワイヤ
350 安定器
351 安定器
Claims (27)
- 管状のエンドグラフトにおいて、
貫通する共通の長手方向管腔を形成する複数の一体の長手方向部分と、前記長手方向部分の選択されたものと操作連係して、その連係部分の拡張をエンドグラフトの長さに沿って拘束する一方、前記長手方向部分の残りのものの拡張を許容する少なくとも1個の解放自在の拘束部材とを備えるエンドグラフト。 - 前記拘束部材が、別々に解放自在の2個以上の個別の拘束部材を備える請求項1に記載のエンドグラフト。
- 自己拡張型ステント骨組みと、前記ステント骨組みに固定された被覆層とを更に備え、、又、前記拘束部材が、配送構成の前記ステント骨組みに巻付けられた請求項1に記載のエンドグラフト。
- 前記拘束部材がワイヤである請求項3に記載のエンドグラフト。
- 前記拘束部材が縫合糸である請求項3に記載のエンドグラフト。
- 前記拘束部材がフレキシブルチューブである請求項1に記載のエンドグラフト。
- 前記拘束部材がロッド状要素を備える請求3に記載のエンドグラフト。
- エンドグラフトを身体管腔壁に固定する突起を更に備える請求項1に記載のエンドグラフト。
- エンドグラフトを展開する方法において、
エンドグラフトがシースによって半径方向に拘束されると共に、エンドグラフトの選択された長手方向部分が、該選択された長手方向部分と操作連係する解放自在の拘束部材によって半径方向に拘束されるように、エンドグラフトを身体管腔の疾患部に配送するステップと、拘束部材が、前記選択された長手方向部分を拘束して、拘束部材の近位側でエンドグラフトの外方に流路を付与する一方、エンドグラフトの前記選択された長手方向部分の中間の部分の拡張を許容するために、エンドグラフトを部分的に展開するように、シースを後退させるステップと、前記選択された長手方向部分を更に展開して、エンドグラフトを完全に展開するように、拘束部材を解放するステップとを備える方法。 - 拘束部材を解放する前記ステップの前に、エンドグラフトの位置を決定するステップと、必要に応じて、エンドグラフトを再位置決めするステップとを更に備える請求項9に記載の方法。
- エンドグラフトの位置が、X線撮影法により決定される請求項10に記載の方法。
- 拘束部材が選択的に解放される請求項9に記載の方法。
- 拘束部材が逐次的に解放される請求項12に記載の方法。
- 拘束部材を解放する前記ステップが、拘束部材を切断することと、拘束部材を遠位方向に後退させることとを備える請求項9に記載の方法。
- 拘束部材が、エンドグラフトの近位側で螺合してエンドグラフトの上を長手方向に延在するフレキシブルチューブであり、又、拘束部材を解放する前記ステップが、フレキシブルチューブを螺合解除することと、エンドグラフト上を遠位方向にフレキシブルチューブを後退させることとを備える請求項9に記載の方法。
- 被覆層を固定した自己拡張型ステント骨組みと、ステント骨組みの連係部の上を長手方向に配置された少なくとも1個の解放自在の拘束部材とを備えるエンドグラフトにおいて、
エンドグラフトが、管腔内展開に適した圧縮構成に拘束された第1構成と、拘束部材がエンドグラフトの連係部分を半径方向に拘束すると共に、前記連係部分の中間のエンドグラフトの部分が自己拡張することを許容される第2構成と、拘束部材が解放されて、前記連係部分が自己拡張することを許容される第3構成とを少なくとも有するエンドグラフト。 - 2個の解放自在の拘束部材が、エンドグラフトの長さに沿って直径方向に反対の位置に配置された請求項16に記載のエンドグラフト。
- エンドグラフトを第2構成に再位置決めすることを許容するように、ステント骨組みが寸法設定及び構成されている請求項16に記載のエンドグラフト。
- 配送シースによって第1構成に拘束される請求項16に記載のエンドグラフト。
- 第2構成において、被覆層の外側で拘束部材の近傍に体液路を付与する請求項16に記載のエンドグラフト。
- 第1構成において、及び、第1構成から第2構成への移行中において、エンドグラフトの外側に体液路を付与し、又、第2構成において、エンドグラフトの外側及びエンドグラフトを貫通する体液路を付与し、更に、第3構成において、及び、第2構成から第3構成への移行中において、エンドグラフトを貫通する体液路を付与する請求項20に記載のエンドグラフト。
- エンドグラフトを支承すると共に、身体管腔を挿通して管腔内を前進するように構成されたカテーテルと、カテーテルの近位端に止着されたノーズコーンと、管腔内前進中に半径方向に圧縮された構成でエンドグラフトを拘束すると共に、エンドグラフトを部分的に展開するように、エンドグラフトから軸方向に後退するように構成されたシースと、エンドグラフトの長手方向部分の上を延在すると共に、該長手方向部分を半径方向に拘束する少なくとも2個の解放自在の拘束部材とを備えるエンドグラフト配送装置。
- 拘束部材が、ノーズコーンに解放自在に止着されている請求項22に記載のエンドグラフト配送装置。
- 拘束部材が、拘束部材を切断することにより解放されるように構成された請求項22に記載のエンドグラフト配送装置。
- 拘束部材が、吸収自在であると共に、吸収により解放されるように構成された請求項22に記載のエンドグラフト配送装置。
- 拘束部材が個別に解放自在である請求項22に記載のエンドグラフト配送装置。
- 拘束部材が逐次的に解放自在である請求項26に記載のエンドグラフト配送装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/445,406 US7101390B2 (en) | 2003-05-27 | 2003-05-27 | Staged deployment endograft |
PCT/US2004/015481 WO2004105645A2 (en) | 2003-05-27 | 2004-05-18 | Staged deployment endograft |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007533359A true JP2007533359A (ja) | 2007-11-22 |
JP4565166B2 JP4565166B2 (ja) | 2010-10-20 |
Family
ID=33450850
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006533163A Expired - Fee Related JP4565166B2 (ja) | 2003-05-27 | 2004-05-18 | 段階的展開型エンドグラフト |
Country Status (5)
Country | Link |
---|---|
US (2) | US7101390B2 (ja) |
EP (1) | EP1631215B1 (ja) |
JP (1) | JP4565166B2 (ja) |
CA (1) | CA2526380C (ja) |
WO (1) | WO2004105645A2 (ja) |
Cited By (1)
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JP7446407B2 (ja) | 2020-03-05 | 2024-03-08 | 日本ライフライン株式会社 | デリバリシャフトおよびデリバリシステム |
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US8715336B2 (en) * | 2007-04-19 | 2014-05-06 | Medtronic Vascular, Inc. | Methods and apparatus for treatment of aneurysms adjacent to branch arteries |
WO2008151204A1 (en) | 2007-06-04 | 2008-12-11 | Sequent Medical Inc. | Methods and devices for treatment of vascular defects |
US10813779B2 (en) * | 2008-04-25 | 2020-10-27 | CARDINAL HEALTH SWITZERLAND 515 GmbH | Stent attachment and deployment mechanism |
EP2279023B1 (en) | 2008-05-02 | 2020-12-02 | Sequent Medical, Inc. | Filamentary devices for treatment of vascular defects |
EP2293838B1 (en) | 2008-07-01 | 2012-08-08 | Endologix, Inc. | Catheter system |
US8771333B2 (en) | 2009-06-23 | 2014-07-08 | Cordis Corporation | Stent-graft securement device |
CA2778639A1 (en) * | 2009-11-05 | 2011-05-12 | Sequent Medical Inc. | Multiple layer filamentary devices or treatment of vascular defects |
US9198787B2 (en) * | 2010-12-31 | 2015-12-01 | Cook Medical Technologies Llc | Conformable prosthesis delivery system and method for deployment thereof |
CN103561807B (zh) | 2011-03-01 | 2015-11-25 | 恩朵罗杰克斯股份有限公司 | 导管系统及其使用方法 |
US10335296B2 (en) | 2011-05-17 | 2019-07-02 | The University Of Kentucky Research Foundation | Graft within a graft endoluminal graft |
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WO2004105645A2 (en) | 2004-12-09 |
US20060229703A1 (en) | 2006-10-12 |
US7101390B2 (en) | 2006-09-05 |
CA2526380C (en) | 2012-08-07 |
US20040243215A1 (en) | 2004-12-02 |
US7297156B2 (en) | 2007-11-20 |
WO2004105645A3 (en) | 2005-02-17 |
EP1631215A2 (en) | 2006-03-08 |
CA2526380A1 (en) | 2004-12-09 |
EP1631215B1 (en) | 2014-10-08 |
JP4565166B2 (ja) | 2010-10-20 |
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