JP2013538607A - 独立して作動する機構を有する強制展開シーケンスハンドル組立体 - Google Patents
独立して作動する機構を有する強制展開シーケンスハンドル組立体 Download PDFInfo
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- 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
- A61M25/0133—Tip steering devices
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- A—HUMAN NECESSITIES
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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
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- A—HUMAN NECESSITIES
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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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
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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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/852—Two or more distinct overlapping stents
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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
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
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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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/97—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
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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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30599—Special structural features of bone or joint prostheses not otherwise provided for stackable
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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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30696—Means for preventing the accidental forgetting of prosthetic parts inside the body during operation
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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
- A61F2/82—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
- A61F2002/8486—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 provided on at least one of the ends
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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
- A61F2002/9534—Instruments specially adapted for placement or removal of stents or stent-grafts for repositioning of 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
- 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
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
- A61F2250/0063—Nested prosthetic parts
-
- 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
- A61F2250/0079—Means for preventing the accidental forgetting of prosthetic parts inside the body during operation
-
- 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
- A61F2250/009—Additional features; Implant or prostheses properties not otherwise provided for for single use, e.g. having means for preventing re-use
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- Animal Behavior & Ethology (AREA)
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- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
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- Mechanical Engineering (AREA)
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Abstract
Description
本出願は、2010年8月17日に出願された米国仮特許出第61/374560号に対する利益を請求し、その内容全体は、すべての目的のために参照することにより本出願に組み込まれる。
本発明の一実施態様に従って固定具を製作して、ケーブル保持力を試験した。図10Aの平面図及び図10Bの斜視図に示されるように、基体1002を有する取り付け部1000を組み立てた。基体1002は、ケーブル1008及び保持球1004を受け入れるようにサイズ設定され空洞1006を有していた。図10C及び図10Dは、空洞1006の中心線に沿った断面図である。図示したように、ケーブル1008を空洞1006内に設置した。次に、ボール球1004を空洞1006に押し込み、図10Dに示されるようにケーブルを変形させた。次に、医療等級のUV硬化型接着剤を空洞内に供給し、空洞、ボールベアリング及び変形したケーブルを部分的に一体化した。
実施例1からの固定具にケーブルセクションを嵌め込み、ボールベアリングを空洞に押し込み、接着剤をオーバコートとして塗布した。ボールベアリングを押し込んで保持するために必要な圧縮荷重を、アメテク(Ametek(登録商標))(ペオリ、ペンシルベニア州)チャティリオン(Chatillion(登録商標))DFX−050の圧縮ゲージを使用して記録した。接着剤を硬化させた後、ケーブルに張力を加えて保持荷重を決定した。インストロン(Instron(登録商標))(ノーウッド、マサチューセッツ州)引張試験機及びロードセルを使用して、ケーブルに張力を加えた。20の組立体を評価した。
Claims (11)
- カテーテルを通して延びる複数の展開ラインを介した医療装置の展開に使用するためのハンドル組立体であって、
各々が前記複数のラインの少なくとも1つに取り付けられている複数の取り外し可能な部材と、
前記取り外し可能な部材とは独立に前記医療装置を作動させるために、前記カテーテルを通して延びるワイヤを変位させるための作動機構と、を具備しており
前記複数のラインの各々は、前記医療装置の選択的な展開又は作動のために前記医療装置と作動可能に連結されており、前記複数の取り外し可能な部材は、前記複数の取り外し可能な部材の1つのみが使用者による操作に対して与えられ、且つ前記複数の取り外し可能な部材の各々の取り外しが、前記複数の取り外し可能な部材の他の1つを前記使用者による操作に対して与えるように、取り外し可能に互いに取り付けられている、ハンドル組立体。 - 前記ワイヤが、縦軸線を中心とする前記ロッドの選択的な回転に応じて前記縦軸線に沿って前記ナットと共に並進移動するように、前記作動機構が、前記縦軸線に沿って延びるねじ付きロッドと、前記ワイヤに連結されかつ前記ロッドにねじ係合されたナットとを含む、請求項1に記載のハンドル組立体。
- 前記縦軸線と概ね同軸に整列されるチューブを含む、請求項2に記載のハンドル組立体。
- 前記ロッドが、該ロッドを通して前記チューブを受容する中心孔を含むとともに、前記縦軸線を中心に回転可能である、請求項3に記載のハンドル組立体。
- ガイドワイヤが前記カテーテル及び前記チューブを通して挿入可能であるように、前記チューブが、前記カテーテルを通して延びる少なくとも1つの管腔と概ね連続して長手方向に延びる孔を含む、請求項3に記載のハンドル組立体。
- 前記カテーテルの近位端を受容しかつ支持する遠位部と、反対側の近位部との間に延びるハウジングを含む、請求項5に記載のハンドル組立体。
- 前記チューブの前記孔が前記カテーテルと前記ハウジングの前記近位部との間に延び、その結果、前記ガイドワイヤが、前記近位部の近くの前記ハウジングの外側へのアクセスのために、前記カテーテルから前記チューブを通して送られることができる、請求項6に記載のハンドル組立体。
- 前記ワイヤが、前記カテーテルの遠位端を操縦するための操縦ワイヤである、請求項1に記載のハンドル組立体。
- カテーテルを通して延びる複数の展開ラインを介した医療装置の展開に使用するためのハンドル組立体であって、
前記複数の展開ラインとは独立に前記医療装置を操作するために、前記カテーテルを通して延びるワイヤを変位させるための作動機構を具備しており、
前記作動機構は、
縦軸線に沿って延びるねじ付きロッドと、
ナット及び前記ワイヤが、前記縦軸線を中心とする前記ロッドの選択的な回転に応じて概ね前記縦軸線に沿って並進移動するように、前記ロッドにねじ係合されかつ前記ワイヤの端部に連結されるナットと、
前記縦軸線を中心とする前記ロッドの回転のために前記ロッドを通して延びかつ前記ロッドに回転可能に連結されるチューブと、を有しており、
前記チューブが、前記カテーテルの少なくとも1つの管腔と概ね連続して、前記カテーテル及び前記ハンドル組立体を通したガイドワイヤの布線を可能にする孔をさらに含む、ハンドル組立体。 - カテーテルを通して延びる複数の展開ラインを介した医療装置の展開に使用するためのハンドル組立体であって、
前記複数の展開ラインとは独立に前記医療装置を操作するために、前記カテーテルを通して延びるワイヤを変位させるための作動機構を具備しており、
前記作動機構は、
縦軸線に沿って延びるねじ付きロッドと、
ナット及び前記ワイヤが、前記縦軸線を中心とする前記ロッドの選択的な回転に応じて概ね前記縦軸線に沿って並進移動するように、前記ロッドにねじ係合されかつ前記ワイヤの端部に連結されるナットと、
前記縦軸線を中心とする回転のための前記ねじ付きロッドを回転可能に支持するための外側支持面と、前記ハンドル組立体の外側のガイドワイヤにアクセスするために前記ガイドワイヤが前記カテーテル及び前記ハンドル組立体を通過することを可能にするように前記カテーテルの管腔と概ね連続している孔を画定する反対側の内側表面とを有するチューブと、を有するハンドル組立体。 - 前記ワイヤが、前記カテーテルの遠位端を操縦するための操縦ワイヤである、請求項10に記載のハンドル組立体。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37456010P | 2010-08-17 | 2010-08-17 | |
US61/374,560 | 2010-08-17 | ||
US13/210,205 | 2011-08-15 | ||
US13/210,205 US9326872B2 (en) | 2010-08-17 | 2011-08-15 | Forced deployment sequence handle assembly with independent actuating mechanism |
PCT/US2011/047938 WO2012024308A1 (en) | 2010-08-17 | 2011-08-16 | Forced deployment sequence handle assembly with independent actuating mechanism |
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JP2013538607A true JP2013538607A (ja) | 2013-10-17 |
JP5986086B2 JP5986086B2 (ja) | 2016-09-06 |
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US (2) | US9326872B2 (ja) |
EP (1) | EP2605728B1 (ja) |
JP (1) | JP5986086B2 (ja) |
KR (1) | KR101828109B1 (ja) |
CN (1) | CN103068344B (ja) |
AU (1) | AU2011292077B2 (ja) |
BR (1) | BR112013002640B1 (ja) |
CA (1) | CA2806871C (ja) |
ES (1) | ES2744230T3 (ja) |
RU (1) | RU2013111830A (ja) |
WO (1) | WO2012024308A1 (ja) |
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Publication number | Priority date | Publication date | Assignee | Title |
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US8858610B2 (en) | 2009-01-19 | 2014-10-14 | W. L. Gore & Associates, Inc. | Forced deployment sequence |
US9744033B2 (en) | 2011-04-01 | 2017-08-29 | W.L. Gore & Associates, Inc. | Elastomeric leaflet for prosthetic heart valves |
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US20160206854A1 (en) | 2016-07-21 |
AU2011292077B2 (en) | 2015-08-13 |
JP5986086B2 (ja) | 2016-09-06 |
CA2806871A1 (en) | 2012-02-23 |
US9326872B2 (en) | 2016-05-03 |
CA2806871C (en) | 2015-11-17 |
CN103068344A (zh) | 2013-04-24 |
ES2744230T3 (es) | 2020-02-24 |
CN103068344B (zh) | 2016-05-04 |
KR101828109B1 (ko) | 2018-02-09 |
AU2011292077A1 (en) | 2013-04-11 |
KR20130138356A (ko) | 2013-12-18 |
BR112013002640B1 (pt) | 2021-02-17 |
WO2012024308A1 (en) | 2012-02-23 |
EP2605728B1 (en) | 2019-06-19 |
BR112013002640A2 (pt) | 2016-06-07 |
EP2605728A1 (en) | 2013-06-26 |
RU2013111830A (ru) | 2014-09-27 |
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