JP2012532677A - 一時的放射線放射線不透過性要素の送達および移動のためのデバイスおよび方法 - Google Patents
一時的放射線放射線不透過性要素の送達および移動のためのデバイスおよび方法 Download PDFInfo
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- JP2012532677A JP2012532677A JP2012519700A JP2012519700A JP2012532677A JP 2012532677 A JP2012532677 A JP 2012532677A JP 2012519700 A JP2012519700 A JP 2012519700A JP 2012519700 A JP2012519700 A JP 2012519700A JP 2012532677 A JP2012532677 A JP 2012532677A
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- 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
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22098—Decalcification of valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
- A61B2090/395—Visible markers with marking agent for marking skin or other tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
-
- 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
-
- 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
- A61M25/1027—Making of balloon catheters
- A61M25/1029—Production methods of the balloon members, e.g. blow-moulding, extruding, deposition or by wrapping a plurality of layers of balloon material around a mandril
- A61M2025/1031—Surface processing of balloon members, e.g. coating or deposition; Mounting additional parts onto the balloon member's surface
-
- 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
- A61M2025/1075—Balloon catheters with special features or adapted for special applications having a balloon composed of several layers, e.g. by coating or embedding
-
- 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
- A61M2025/1079—Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
-
- 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
- A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
-
- 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
- A61M2025/1088—Balloon catheters with special features or adapted for special applications having special surface characteristics depending on material properties or added substances, e.g. for reducing 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1095—Balloon catheters with special features or adapted for special applications with perfusion means for enabling blood circulation while the balloon is in an inflated state or in a deflated state, e.g. permanent by-pass within catheter shaft
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Child & Adolescent Psychology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
Claims (20)
- 内腔部位をマーキングする方法であって、該方法は、
拡張可能部材を提供することであって、該拡張可能部材は、その外部表面上に放出可能に担持される放射線不透過性材料を有する、ことと、
該内腔部位内において該拡張可能部材を拡張させることであって、それにより、該放射線不透過性材料の少なくとも一部分を該内腔部位に移動する、ことと
を含む、方法。 - 前記内腔部位は、大動脈基部、大動脈弁、および大動脈弁輪のうちの少なくとも1つを含む大動脈弁部位を備える、請求項1に記載の方法。
- 人工大動脈弁の留置の間に、蛍光透視的に前記大動脈弁部位を撮像することをさらに含み、前記放射線不透過性材料は、前記埋込部位の輪郭を描く、請求項2に記載の方法。
- 前記拡張可能部材を拡張することは、前記大動脈弁部位内においてバルーンを膨張させることを含む、請求項3に記載の方法。
- 前記バルーン膨張は、弁尖を開放し、該弁尖上またはその間に存在する石灰化を破壊する、請求項4に記載の方法。
- 前記バルーンは、0.1気圧乃至20気圧の範囲の圧力まで膨張させられる、請求項5に記載の方法。
- 前記放射線不透過性材料は、前記拡張可能部材の表面の少なくとも一部分を覆って塗膜される、請求項1に記載の方法。
- 前記放射線不透過性材料は、前記拡張可能部材の多孔性構造内に配置される、請求項1に記載の方法。
- 前記放射線不透過性材料は、前記拡張可能部材の外部表面上につくられるウェル内に配置される、請求項1に記載の方法。
- 前記放射線不透過性材料は、複数のマイクロドットとして前記外部表面上に存在する、請求項1に記載の方法。
- 前記放射線不透過性材料は、拡張可能膜の下の前記外部表面上に存在する、請求項1に記載の方法。
- 内腔部位をマーキングするカテーテルであって、該システムは、
近位端および遠位端を有するカテーテル本体と、
該カテーテル本体の遠位部分上の拡張可能部材と、
該拡張可能部材の外部表面上に放出可能に担持される放射線不透過性材料であって、該材料が、該拡張可能部材に連結されることにより、該部材が該材料の中において拡張されると、該材料の少なくとも一部分が、内腔表面に移動する、放射線不透過性材料と
を備える、カテーテル。 - 前記拡張可能部材は、バルーンである、請求項12に記載のカテーテル。
- 前記バルーンは、ヒトの大動脈内において弁形成術を行うために適合される、請求項12に記載のカテーテル。
- 前記バルーンは、非伸張性であり、10mm乃至60mmの範囲の膨張した直径、15mm乃至80mmの範囲の長さを有し、0.1気圧乃至20気圧の範囲の圧力に膨張可能である、請求項14に記載のカテーテル。
- 前記放射線不透過性材料は、前記拡張可能部材の表面の少なくとも一部分を覆って塗膜される、請求項12に記載のカテーテル。
- 前記放射線不透過性材料は、前記拡張可能部材の多孔性構造内に配置される、請求項12に記載のカテーテル。
- 前記放射線不透過性材料は、前記拡張可能部材の外部表面上に形成されるウェル内に配置される、請求項12に記載のカテーテル。
- 前記放射線不透過性材料は、複数のマイクロドットとして前記外部表面上に存在する、請求項12に記載のカテーテル。
- 前記放射線不透過性材料は、膜の下の前記外部表面上に存在する、請求項12に記載のカテーテル。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US22364009P | 2009-07-07 | 2009-07-07 | |
US61/223,640 | 2009-07-07 | ||
PCT/US2010/041237 WO2011005877A1 (en) | 2009-07-07 | 2010-07-07 | Device and methods for delivery and transfer of temporary radiopaque element |
Publications (3)
Publication Number | Publication Date |
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JP2012532677A true JP2012532677A (ja) | 2012-12-20 |
JP2012532677A5 JP2012532677A5 (ja) | 2013-08-01 |
JP5925120B2 JP5925120B2 (ja) | 2016-05-25 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2012519700A Active JP5925120B2 (ja) | 2009-07-07 | 2010-07-07 | 一時的放射線放射線不透過性要素の送達および移動のためのデバイスおよび方法 |
Country Status (5)
Country | Link |
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US (2) | US8828040B2 (ja) |
EP (1) | EP2451360A4 (ja) |
JP (1) | JP5925120B2 (ja) |
CN (1) | CN102469992B (ja) |
WO (1) | WO2011005877A1 (ja) |
Cited By (1)
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JP7510184B2 (ja) | 2019-09-17 | 2024-07-03 | 国立大学法人大阪大学 | 大動脈弁形成術用カテーテル |
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- 2010-07-07 WO PCT/US2010/041237 patent/WO2011005877A1/en active Application Filing
- 2010-07-07 JP JP2012519700A patent/JP5925120B2/ja active Active
- 2010-07-07 CN CN201080035841.6A patent/CN102469992B/zh not_active Expired - Fee Related
- 2010-07-07 EP EP10797796A patent/EP2451360A4/en not_active Withdrawn
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2014
- 2014-08-01 US US14/450,103 patent/US20140336506A1/en not_active Abandoned
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Cited By (1)
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JP7510184B2 (ja) | 2019-09-17 | 2024-07-03 | 国立大学法人大阪大学 | 大動脈弁形成術用カテーテル |
Also Published As
Publication number | Publication date |
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WO2011005877A1 (en) | 2011-01-13 |
US20140336506A1 (en) | 2014-11-13 |
CN102469992A (zh) | 2012-05-23 |
CN102469992B (zh) | 2015-09-09 |
EP2451360A4 (en) | 2012-11-28 |
US20110009818A1 (en) | 2011-01-13 |
US8828040B2 (en) | 2014-09-09 |
JP5925120B2 (ja) | 2016-05-25 |
EP2451360A1 (en) | 2012-05-16 |
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