JP2013545515A - 心室内ロープロファイル補綴僧帽弁 - Google Patents
心室内ロープロファイル補綴僧帽弁 Download PDFInfo
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- JP2013545515A JP2013545515A JP2013535104A JP2013535104A JP2013545515A JP 2013545515 A JP2013545515 A JP 2013545515A JP 2013535104 A JP2013535104 A JP 2013535104A JP 2013535104 A JP2013535104 A JP 2013535104A JP 2013545515 A JP2013545515 A JP 2013545515A
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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
- A61F2/2412—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
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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
- 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
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
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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
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
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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
- A61F2230/0028—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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0073—Quadric-shaped
- A61F2230/008—Quadric-shaped paraboloidal
-
- 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
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
- A61F2250/0063—Nested prosthetic parts
Abstract
Description
本願は、2010年10月21日に出願された米国特許仮出願第61/405,370号について35U.S.C.§119(e)の規定による権益主張出願であり、この米国特許仮出願を参照により引用し、その記載内容全体を本明細書の一部とする。
Claims (19)
- 心臓内の僧帽弁のところに経皮的に配備可能に構成された補綴弁であって、前記補綴弁は、
補綴心臓弁を支持するよう構成された支持構造体を含み、
前記支持構造体は、下流側区分よりも大きな拡張直径を備えた上流側区分を有し、
前記支持構造体は、前記上流側区分が前記下流側区分と連続状態にある複数の連続領域及び前記上流側区分が前記下流側区分と不連続状態にある複数の不連続領域を備え、
前記連続領域と前記不連続領域は、前記支持構造体の周囲に沿って互いに交互に位置し、
前記不連続領域内において、前記支持構造体の前記下流側区分は、前記支持構造体の前記上流側区分内で延びることによって、前記支持構造体の前記上流側区分と少なくとも部分的にオーバーラップしている、補綴弁。 - 前記支持構造体は、セルを構成するステントフレームを有し、前記下流側区分の少なくとも1つの上流側セルと前記上流側区分の少なくとも1つの下流側セルは、前記不連続領域の各々内において互いに連結されていない、請求項1記載の補綴弁。
- 前記下流側区分の前記少なくとも1つの上流側セルは、前記不連続領域の各々内の前記上流側区分と前記下流側区分との前記少なくとも部分的オーバーラップを生じさせるよう前記上流側区分の前記少なくとも1つの下流側セルの半径方向内方に位置決めされている、請求項2記載の補綴弁。
- 前記下流側区分の前記少なくとも1つの上流側セルは、前記不連続領域の各々内に前記下流側区分の上流側の内側端部を形成している、請求項3記載の補綴弁。
- 前記支持構造体の前記下流側区分に取り付けられた補綴三尖心臓弁を更に含み、前記補綴三尖心臓弁の葉片の各々は、その最も高い曲率箇所のところが前記下流側区分の対応の上流側の内側端部に取り付けられている、請求項4記載の補綴弁。
- 前記不連続領域の各々内において、前記上流側区分の前記少なくとも1つの下流側セルは、内方に湾曲していて、生体内への配備時に前記支持構造体を固定するための突刺であるよう構成されている、請求項3記載の補綴弁。
- 前記支持構造体の前記下流側区分は、拡張形態において、長さL1の短いセグメント及び前記長さL1よりも長い長さL2の長いセグメントを含む筒体を構成する、請求項1記載の補綴弁。
- 前記下流側区分の前記短いセグメントは、前記支持構造体の前記連続領域内に位置し、前記下流側区分の前記長いセグメントは、前記支持構造体の前記不連続領域内に位置し、前記短いセグメントと前記長いセグメントは、前記支持構造体の周囲に沿って互いに交互に位置している、請求項7記載の補綴弁。
- 前記下流側区分の前記長いセグメントは、前記不連続領域の各々内の前記上流側区分と前記下流側区分との前記少なくとも部分的なオーバーラップを生じさせるよう前記上流側区分の内側で延びる上流側の内側端部を有する、請求項8記載の補綴弁。
- 前記支持構造体の前記下流側区分に取り付けられた補綴三尖心臓弁を更に含み、前記補綴三尖心臓弁の葉片の各々は、その最も高い曲率箇所のところが前記下流側区分の対応の上流側の内側端部に取り付けられている、請求項9記載の補綴弁。
- 前記筒体の長さL1は、14mm〜18mmであり、前記筒体の長さL2は、8mm〜13mmである、請求項7記載の補綴弁。
- 前記支持構造体内に固定されていて、前記不連続領域内に滑らかな流れ面をもたらす内張りを更に含む、請求項1記載の補綴弁。
- 心臓内の僧帽弁のところに経皮的に配備可能に構成された補綴弁であって、前記補綴弁は、
補綴心臓弁を支持するよう構成されると共に下流側区分よりも大きな拡張直径を備えた上流側区分を有する支持構造体を含み、前記支持構造体は、複数のセルを備え、前記上流側区分の少なくとも1つの下流側セルは、前記支持構造体の周囲に沿う互いに間隔を置いた場所においては前記下流側区分の対応の上流側セルに連結されておらず、前記支持構造体の前記下流側区分は、前記支持構造体の前記上流側区分内で延びることによって前記支持構造体の前記上流側区分と少なくとも部分的にオーバーラップしている、補綴弁。 - 互い間隔を置いた場所の各々において、前記下流側区分の前記少なくとも1つの上流側セルは、前記上流側区分と前記下流側区分との前記少なくとも部分的オーバーラップを生じさせるよう前記上流側区分の前記対応の下流側セルの半径方向内方に位置決めされている、請求項13記載の補綴弁。
- 互いに間隔を置いた場所の各々において、前記下流側区分の前記少なくとも1つの上流側セルは、前記下流側区分の上流側の内側端部を形成している、請求項14記載の補綴弁。
- 前記支持構造体の前記下流側区分に取り付けられた補綴三尖心臓弁を更に含み、前記補綴三尖心臓弁の葉片の各々は、その最も高い曲率箇所のところが前記下流側区分の対応の上流側の内側端部に取り付けられている、請求項15記載の補綴弁。
- 前記上流側区分の前記対応の下流側セルは、内方に湾曲していて、生体内への配備時に前記支持構造体を固定するための突刺であるよう構成されている、請求項14記載の補綴弁。
- 前記支持構造体内に固定されていて、前記支持構造体内滑らかな流れ面をもたらす内張りを更に含む、請求項13記載の補綴弁。
- 前記内張りは、前記支持構造体の内側を覆っており、前記支持構造体の前記下流側区分は、うっ血を阻止するよう前記支持構造体の前記上流側区分と少なくとも部分的にオーバーラップしている、請求項18記載の補綴弁。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US40537010P | 2010-10-21 | 2010-10-21 | |
US61/405,370 | 2010-10-21 | ||
PCT/US2011/057170 WO2012054776A1 (en) | 2010-10-21 | 2011-10-20 | Mitral bioprosthesis with low ventricular profile |
Publications (2)
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JP2013545515A true JP2013545515A (ja) | 2013-12-26 |
JP5995110B2 JP5995110B2 (ja) | 2016-09-21 |
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JP2013535104A Expired - Fee Related JP5995110B2 (ja) | 2010-10-21 | 2011-10-20 | 心室内ロープロファイル補綴僧帽弁 |
Country Status (5)
Country | Link |
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US (1) | US9192466B2 (ja) |
EP (1) | EP2629699B1 (ja) |
JP (1) | JP5995110B2 (ja) |
CN (1) | CN103153232B (ja) |
WO (1) | WO2012054776A1 (ja) |
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EP2629699B1 (en) | 2017-01-04 |
WO2012054776A1 (en) | 2012-04-26 |
CN103153232B (zh) | 2016-09-21 |
CN103153232A (zh) | 2013-06-12 |
EP2629699A1 (en) | 2013-08-28 |
JP5995110B2 (ja) | 2016-09-21 |
US20120101572A1 (en) | 2012-04-26 |
US9192466B2 (en) | 2015-11-24 |
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