JP2013521884A - 洞係合固定部材 - Google Patents
洞係合固定部材 Download PDFInfo
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- 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
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- 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
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
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- 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
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- 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
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- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
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- A—HUMAN NECESSITIES
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- 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
- A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
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- A—HUMAN NECESSITIES
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- 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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- 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
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Abstract
【選択図】図1
Description
係合アームは、3つのそれぞれの接合部の3つの頂部複合体、およびそれぞれが頂部複合体の2つの間に存在する、3つの谷部複合体を画定するように成形され、かつ 補綴具を移植するとき、係合アームのそれぞれは、半月洞のそれぞれの内に少なくとも部分的に配置されるため、頂部複合体のそれぞれは、生来の交連のそれぞれに遠位に、かつ回転整合に配置され、谷部複合体のそれぞれは、半月洞のそれぞれの内に少なくとも部分的に配置される。
係合アームは、2つのそれぞれの接合部の2つの頂部複合体、およびそれぞれが頂部複合体の間に存在する、2つの谷部複合体を画定するように成形され、かつ補綴具を移植するとき、係合アームのそれぞれは、大動脈洞のそれぞれの内に少なくとも部分的に配置されるため、頂部複合体のそれぞれは、生来の交連のそれぞれに遠位に、かつ回転整合に配置され、谷部複合体のそれぞれは、大動脈洞のそれぞれの内に少なくとも部分的に配置される。
米国特許出願公開第2006/0149360号明細書として公開された、「流体流動補綴デバイス」という表題の、2004年12月30日に出願された米国特許出願第11/024,908号明細書、
PCT公開第WO06/070372号として公開された、「流体流動補綴デバイス」という表題の、2005年12月29日に出願された国際特許出願第PCT/IL2005/001399号、および/または
PCT公開第WO05/002466号として公開された、「特に大動脈弁狭窄の治療における経動脈送達のための移植可能な補綴デバイスおよびそのようなデバイスを移植する方法」とう表題の、2004年7月6日に出願された国際特許出願第PCT/IL2004/000601号、ならびに米国特許出願公開第2006/0259134として公開された、その国内段階で、2006年4月20日に出願された、米国特許出願第10/563,384号明細書。
Claims (12)
- 弁補綴具支持構造体であって、
厳密に3つの遠位外側支柱支持体および厳密に3つの近位係合アームを有し、各係合アームが2つの遠位外側支柱支持体を連結し、かつ各係合アームが、前記遠位外側支柱支持体との接合部でそれぞれの頂部と、それぞれの頂部のそれぞれの間のそれぞれの谷部とを画定するように、上方に凹状の形状を有する、折り畳み可能な外側支持構造体と、
近位スカートから延びる厳密に3つの遠位内側支柱支持体を有し、前記近位スカートは、フレア状の遠位部分、狭窄した喉部分、および膨らんだ近位部分を含む、折り畳み可能な内側支持構造体と、を備え、
前記外側支持構造体は、それぞれの外側および内側支柱支持体で、前記内側支持構造体に縫合される、
ことを特徴とする弁補綴具支持構造体。 - 各係合アームは、他のそれぞれの係合アームから約0.5mm〜約8mmの距離にある、
請求項1に記載の弁補綴具支持構造体。 - 各係合アームの前記谷部は、前記内側支持構造体の前記近位スカートから約1mm〜約14mmの距離にある、
請求項1に記載の弁補綴具支持構造体。 - 前記内側支持構造体の前記内側支持支柱のレベルでの内径は、約23mmの直径を有し、各係合アームの前記谷部は、前記内側支持構造体の前記近位スカートから約1mm〜約10mmの距離にある、
請求項1に記載の弁補綴具支持構造体。 - 前記内側支持構造体の前記内側支持支柱のレベルでの内径は、約26mmの直径を有し、各係合アームの前記谷部は、前記内側支持構造体の前記近位スカートから約1mm〜約12mmの距離にある、
請求項1に記載の弁補綴具支持構造体。 - 前記内側支持構造体の前記近位スカートの前記喉部分は、約29mmの直径を有する、請求項1に記載の弁補綴具支持構造体であり、前記内側支持構造体の前記内側支持支柱のレベルでの内径は、約29mmの直径を有し、各係合アームの前記谷部は、前記内側支持構造体の前記近位スカートから約1mm〜約14mmの距離にある、
請求項1に記載の弁補綴具支持構造体の前記谷部。 - 弁補綴具であって、
厳密に3つの遠位外側支柱支持体および厳密に3つの近位係合アームを有し、各係合アームが2つの遠位外側支柱支持体を連結し、かつ各係合アームが、前記遠位外側支柱支持体との接合部でそれぞれの頂部と、それぞれの頂部のそれぞれの間のそれぞれの谷部とを画定するように、上方に凹状の形状を有する遠位固定部材と、
近位スカートから延びる厳密に3つの遠位内側支柱支持体を有する近位固定部材であって、前記近位スカートは、フレア状の遠位部分、狭窄した喉部分、および膨らんだ近位部分を含み、前記遠位固定部材は、それぞれの外側および内側支柱支持体で前記近位固定部材に縫合される近位固定部材と、
前記近位固定部材に縫合される弁と、を備えている、
ことを特徴とする弁補綴具。 - 各係合アームは、他のそれぞれの係合アームから約0.5mm〜約8mmの距離にある、
請求項7に記載の弁補綴具。 - 各係合アームの前記谷部は、前記近位固定部材の前記近位スカートから約1mm〜約14mmの距離にある、
請求項7に記載の弁補綴具支持構造体。 - 前記近位固定部材の前記内側支持支柱のレベルでの前記内径は、約23mmの直径を有し、各係合アームの前記谷部は、前記近位固定部材の前記近位スカートから約1mm〜約10mmの距離、前記近位固定部材の前記近位スカートから約1mm〜約10mmの距離にある、
請求項7に記載の弁補綴具支持構造体。 - 前記近位固定部材の前記内側支持支柱のレベルでの内径は、約26mmの直径を有し、各係合アームの前記谷部は、前記近位固定部材の前記近位スカートから約1mm〜約12mmの距離にある、
請求項7に記載の弁補綴具支持構造体。 - 前記近位固定部材の前記内側支持支柱のレベルでの内径は、約29mmの直径を有し、各係合アームの前記谷部は、前記近位固定部材の前記近位スカートから約1mm〜約14mmの距離にある、
請求項7に記載の弁補綴具支持構造体。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US12/721,789 | 2010-03-11 | ||
US12/721,789 US8834564B2 (en) | 2006-09-19 | 2010-03-11 | Sinus-engaging valve fixation member |
PCT/US2011/027730 WO2011112706A2 (en) | 2010-03-11 | 2011-03-09 | Sinus-engaging fixation member |
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US20140379077A1 (en) | 2014-12-25 |
WO2011112706A2 (en) | 2011-09-15 |
WO2011112706A3 (en) | 2011-10-20 |
US9387071B2 (en) | 2016-07-12 |
CN102869319A (zh) | 2013-01-09 |
AU2011224438A1 (en) | 2012-09-20 |
AU2011224438B2 (en) | 2014-04-17 |
US8834564B2 (en) | 2014-09-16 |
EP2544626A2 (en) | 2013-01-16 |
US20180147053A1 (en) | 2018-05-31 |
US20160354203A1 (en) | 2016-12-08 |
BR112012022789A2 (pt) | 2017-12-12 |
US20100262231A1 (en) | 2010-10-14 |
US10543077B2 (en) | 2020-01-28 |
EP2544626B1 (en) | 2015-10-21 |
US9913714B2 (en) | 2018-03-13 |
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