JP2009543667A - バルーン拡張式心臓弁を配置するためのシステム - Google Patents
バルーン拡張式心臓弁を配置するためのシステム Download PDFInfo
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- balloon
- heart valve
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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
- A61F2/2427—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
- A61F2/02—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
- 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
- A61F2250/0014—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
- A61F2250/0018—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 elasticity, stiffness or compressibility
-
- 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
- A61F2250/0039—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 diameter
-
- 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
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
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- 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
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Mechanical Engineering (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (20)
- 収縮状態および拡張状態、ならびにその軸長に沿って不均一な拡張抵抗プロファイルを有する構成を有する、バルーン拡張式人工心臓弁と、
収縮状態にある該人工心臓弁内に配置され、該人工弁を拡張状態に変換するために、該心臓弁に放射状に外側に向かう力を印加することができる拡張部材であって、その軸長に沿って、該心臓弁に不均一に放射状に外側に向かう力を印加するように構成されている、拡張部材と
を備える、人工心臓弁移植システム。 - 前記拡張部材は、別の区間より直径が大きく拡張した少なくとも1つの区間を有するバルーンである、請求項1に記載のシステム。
- 前記バルーンは、造影剤でドープされた材料から成る、請求項2に記載のシステム。
- 前記バルーンは、円錐形の弁接触部分を有する、請求項2に記載のシステム。
- 前記バルーンは、段付き直径弁接触部分を有する、請求項2に記載のシステム。
- 最も大きな拡張能力のある前記拡張部材の区間が、前記人工心臓弁の最も剛性の高い部分内に位置されることができるように、該拡張部材は、該拡張部材を該人工心臓弁内に位置合わせするための、少なくとも1つの外部マーカを含む、請求項1に記載のシステム。
- 流入端部および流出端部を有するバルーン拡張式人工心臓弁であって、外側ステントと、該ステントに付着される内側の柔軟な弁尖とを含み、その軸長に沿って不均一な拡張抵抗プロファイルを有する人工心臓弁と、
該人工心臓弁内に配置されたバルーンであって、該心臓弁のより剛性の高い部分内に位置されるより大きな直径の区間と、該心臓弁のより柔軟な部分内に位置されるより小さな直径の区間とを有する、非円筒状拡張プロファイルを有するバルーンと
を備える、人工心臓弁移植システム。 - 前記バルーンは、造影剤でドープされた材料から成る、請求項7に記載のシステム。
- 前記バルーンは、円錐形の弁接触部分を有する、請求項7に記載のシステム。
- 前記バルーンは、段付き直径弁接触部分を有する、請求項7に記載のシステム。
- 最も大きな拡張能力のある前記バルーンの区間が、前記人工心臓弁の最も剛性の高い部分内に位置されることができるように、該バルーンは、該バルーンを該人工心臓弁内に位置合わせするための、少なくとも1つの外部マーカを含む、請求項7に記載のシステム。
- 前記人工心臓弁は、その流出端部より、その流入端部の方が剛性が高い、請求項7に記載のシステム。
- 前記心臓弁の前記流出端部より前記流入端部に隣接してより集中された、前記弁尖とステントとの間の付着構造をさらに含む、請求項12に記載のシステム。
- 収縮状態および拡張状態、ならびにその軸長に沿って不均一な拡張抵抗プロファイルを有する構成を有する、バルーン拡張式人工心臓弁を提供するステップと、
収縮状態にある該人工心臓弁内に、拡張部材を提供するステップと、
該組み合わされた人工心臓弁および拡張部材を、標的弁輪へ送達するステップと、
該拡張部材で、不均一に放射状に外側へ向かう力を、その軸長に沿って該心臓弁に印加し、該心臓弁を拡張状態に転換するステップと
を包含する、人工心臓弁を移植する方法。 - 前記拡張部材は、別の区間より直径が大きく拡張した少なくとも1つの区間を有するバルーンである、請求項14に記載の方法。
- 前記バルーンは、造影剤でドープされた材料から成る、請求項15に記載の方法。
- 不均一に放射状に外側へ向かう力を、前記心臓弁に印加するステップは、どんな造影剤も用いずに、前記バルーンを食塩水で満たすステップから成る、請求項16に記載の方法。
- 前記拡張部材が少なくとも1つの外部マーカを含み、前記方法は、最も大きな拡張能力のある該拡張部材の区間が、前記人工心臓弁の最も剛性の高い部分内に位置されることができるように、該拡張部材を該人工心臓弁内に位置合わせするステップをさらに含む、請求項14に記載の方法。
- 前記拡張部材はバルーンであり、前記人工心臓弁のために、該バルーン上に軸方向の位置を示す2つのマーカがある、請求項18に記載の方法。
- 前記マーカは、前記弁が前記バルーン上で配置されるべき向きを示す、請求項19に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/488,510 | 2006-07-18 | ||
US11/488,510 US20080021546A1 (en) | 2006-07-18 | 2006-07-18 | System for deploying balloon-expandable heart valves |
PCT/US2007/072549 WO2008011261A2 (en) | 2006-07-18 | 2007-06-29 | System for deploying balloon-expandable heart valve |
Publications (3)
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JP2009543667A true JP2009543667A (ja) | 2009-12-10 |
JP2009543667A5 JP2009543667A5 (ja) | 2010-08-12 |
JP5147842B2 JP5147842B2 (ja) | 2013-02-20 |
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JP2009520881A Active JP5147842B2 (ja) | 2006-07-18 | 2007-06-29 | バルーン拡張式心臓弁を配置するためのシステム |
Country Status (13)
Country | Link |
---|---|
US (1) | US20080021546A1 (ja) |
EP (3) | EP3646820A1 (ja) |
JP (1) | JP5147842B2 (ja) |
CN (1) | CN101489504B (ja) |
CA (1) | CA2657036C (ja) |
DK (1) | DK2043559T3 (ja) |
ES (1) | ES2760677T3 (ja) |
HU (1) | HUE047005T2 (ja) |
LT (1) | LT2043559T (ja) |
PL (1) | PL2043559T3 (ja) |
PT (1) | PT2043559T (ja) |
SI (1) | SI2043559T1 (ja) |
WO (1) | WO2008011261A2 (ja) |
Cited By (5)
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JP2014195488A (ja) * | 2013-03-29 | 2014-10-16 | 日本ライフライン株式会社 | カテーテル用バルーンおよびバルーンカテーテル |
KR20160082755A (ko) * | 2014-12-29 | 2016-07-11 | (의료)길의료재단 | 풍선이 장착된 스텐트 삽입장치 및 이의 사용방법 |
JP2018502663A (ja) * | 2015-01-23 | 2018-02-01 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | プレジットを有するバルーンカテーテル縫合システム、方法、および装置 |
JP2020062399A (ja) * | 2011-07-27 | 2020-04-23 | エドワーズ ライフサイエンシーズ コーポレイションEdwards Lifesciences Corporation | 人工心臓弁用の送達システム |
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JP2018502663A (ja) * | 2015-01-23 | 2018-02-01 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | プレジットを有するバルーンカテーテル縫合システム、方法、および装置 |
US10285569B2 (en) | 2015-01-23 | 2019-05-14 | Boston Scientific Scimed, Inc | Balloon catheter suturing systems, methods, and devices having pledgets |
US10617281B2 (en) | 2015-01-23 | 2020-04-14 | Boston Scientific Scimed, Inc | Balloon catheter suturing systems, methods, and devices having pledgets |
US11826020B2 (en) | 2015-01-23 | 2023-11-28 | Boston Scientific Scimed, Inc. | Balloon catheter suturing systems, methods, and devices having pledgets |
US11497898B2 (en) | 2016-04-19 | 2022-11-15 | Boston Scientific Scimed, Inc. | Weeping balloon devices |
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EP3646820A1 (en) | 2020-05-06 |
JP5147842B2 (ja) | 2013-02-20 |
CA2657036A1 (en) | 2008-01-24 |
US20080021546A1 (en) | 2008-01-24 |
WO2008011261A2 (en) | 2008-01-24 |
CA2657036C (en) | 2014-09-23 |
EP3646821A1 (en) | 2020-05-06 |
CN101489504B (zh) | 2013-01-02 |
EP2043559B1 (en) | 2019-11-13 |
PT2043559T (pt) | 2019-12-11 |
PL2043559T3 (pl) | 2020-03-31 |
WO2008011261A3 (en) | 2008-05-02 |
DK2043559T3 (da) | 2019-12-09 |
EP2043559A2 (en) | 2009-04-08 |
LT2043559T (lt) | 2019-12-27 |
EP3646821B1 (en) | 2024-05-15 |
ES2760677T3 (es) | 2020-05-14 |
CN101489504A (zh) | 2009-07-22 |
SI2043559T1 (sl) | 2020-02-28 |
HUE047005T2 (hu) | 2020-04-28 |
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