JP2016128131A - 予めカニューレが挿入された開窓部 - Google Patents
予めカニューレが挿入された開窓部 Download PDFInfo
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- JP2016128131A JP2016128131A JP2016081840A JP2016081840A JP2016128131A JP 2016128131 A JP2016128131 A JP 2016128131A JP 2016081840 A JP2016081840 A JP 2016081840A JP 2016081840 A JP2016081840 A JP 2016081840A JP 2016128131 A JP2016128131 A JP 2016128131A
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- Prior art keywords
- wire
- prosthesis
- assembly
- fenestration
- graft
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Classifications
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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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F2/9662—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod the middle portion of the stent or stent-graft is released first
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
Abstract
【解決手段】管腔内人工器官を送り込み且つ配備させる器具が開示されている。該器具は、給送カテーテル(1)と、該給送カテーテルの遠位端部に設けられている管腔内人工器官(20)と、ワイヤ(31)とを備えている。前記人工器官は、少なくとも1つの開窓部(27)を含んでいる管状の移植片(18)を備えている。前記ワイヤは、第一のワイヤ端部から遠位方向に、前記給送カテーテル及び前記人工器官の軸線方向の管腔内を通り且つ前記移植片の開窓部内を通過して伸長している。前記ワイヤは、近位方向に、前記人工器官の管腔内及び前記給送カテーテルの軸線方向の管腔内を通って第二のワイヤ端部に向かって伸長している。付加的な器具、装置、及び方法も開示されている。
【選択図】 図1
Description
5 近位の位置決め機構又は取り付け部分、
7 遠位の位置決め機構又は取り付け部分、
11 テーパーが付けられている伸長部、
13 ガイドワイヤ、 15 内側カニューレ、
16 結合器具、 18 管状移植片材料、
19 ステント、 20 管腔内人工器官、
21 ステント、 27,27A,27B 開窓部、
28 押込み器、 30 シース、
31 ワイヤ、 31A ワイヤの第一の端部、
31B ワイヤの第二の端部、 31C ワイヤの本体部分、
33 管腔、 35 シール装置、
36 側方チューブ、 38 補助アクセス器具、
40 ハウジング、 42,42A,42B チャネル、
44,44A,44B ポート、 46A,46B 固定構造、
50A,50B 補助カテーテル、 52A,52B 拡張器、
54A,54B シース、 56A,56B 止血用シール装置、
58A,58B 側方チューブ、 60A,60B 結合装置、
70 近位の人工器官保持器具、 72 近位のトリガーワイヤ、
74 制御部材、 75 クランプねじ、
80 遠位の人工器官保持器具、 82 遠位のトリガーワイヤ、
84 制御部材、 85 クランプねじ、
86 先端キャップ、 90 血管、
92,92A,92B 血管側枝、 94A,94B 側枝ガイドワイヤ、
96A,96B 側枝アクセスカテーテル、 98A,98B 介入カテーテル、
Claims (20)
- 交差する血管側枝と重なるようにして主要血管内に配置される管状移植片であって、第一の端部に設けられた第一の開口部、第二の端部に設けられた第二の開口部、及び該第一の端部と該第二の端部との間に設けられた開窓部を有し、該開窓部が、該移植片の側壁を通って該主要血管と該血管側枝との間に流体通路を形成するようにされた、管状移植片と、
第一の端部、第二の端部、及び該第一の端部と該第二の端部との間の本体部分を有するワイヤと、を備え、
該ワイヤは、該第一の端部から該移植片の軸線方向の管腔を通り更に該移植片の該開窓部を通って遠位方向に伸長し、該移植片の該軸線方向の管腔を通って該第二の端部に向かって近位方向に伸長している、予めカニューレが挿入される管腔内移植片の組立体。 - 該ワイヤが、該開窓部を通って摺動可能に配置されている、請求項1に記載の組立体。
- 該ワイヤが該移植片に取り付けられている、請求項1に記載の組立体。
- 該ワイヤが該移植片に縫合されている、請求項3に記載の組立体。
- 該ワイヤが該移植片の外面に取り付けられている、請求項3に記載の組立体。
- 該ワイヤが該移植片の材料内を通っている、請求項1に記載の組立体。
- 該移植片が、当該移植片の該第一の端部と該第二の端部との間に配置された第二の開窓部であって、該移植片の該側壁を通って該主要血管と第二の血管側枝との間に流体通路を形成する第二の開窓部を備え、
該ワイヤが、該第二の開窓部を通って該ワイヤの該第二の端部に向かって近位方向に伸長している、請求項1に記載の組立体。 - 該ワイヤが、各開窓部を通って摺動可能に配置されている、請求項7に記載の組立体。
- 該ワイヤが該移植片に取り付けられている、請求項7に記載の組立体。
- 該ワイヤが該移植片に縫合されている、請求項9に記載の組立体。
- 該ワイヤが該移植片の外面に取り付けられている、請求項9に記載の組立体。
- 該ワイヤが該移植片の材料内を通っている、請求項7に記載の組立体。
- 遠位端部と近位端部とを有する給送カテーテルをさらに備え、
該移植片が該給送カテーテルの遠位端部に配置され、
該ワイヤの該第一の端部と該第二の端部とが、該給送カテーテルの近位端部に配置されている、請求項1に記載の組立体。 - 該ワイヤが該開窓部を通って摺動可能に配置されている、請求項13に記載の組立体。
- 該ワイヤが、該給送カテーテルの軸線方向の管腔内に部分的に配置されている、請求項13に記載の組立体。
- 該ワイヤの第一の端部を覆うように配置された補助カテーテルをさらに備える、請求項13に記載の組立体。
- 該補助カテーテルが該給送カテーテルの軸線方向の管腔内に摺動可能に配置されている、請求項16に記載の組立体。
- 該補助カテーテルが、細長いシースと、該シースの軸線方向の管腔内に配置された細長い拡張器とを備える、請求項17に記載の組立体。
- 該ワイヤが該移植片に取り付けられている、請求項13に記載の組立体。
- 該ワイヤが該移植片の材料内を通っている、請求項13に記載の組立体。
Applications Claiming Priority (2)
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US37361010P | 2010-08-13 | 2010-08-13 | |
US61/373,610 | 2010-08-13 |
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JP2011174653A Division JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
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JP2016128131A true JP2016128131A (ja) | 2016-07-14 |
JP6200027B2 JP6200027B2 (ja) | 2017-09-20 |
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JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
JP2016081840A Active JP6200027B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2016081832A Active JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2017070286A Active JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
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JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
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JP2016081832A Active JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2017070286A Active JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Country Status (4)
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US (2) | US9918861B2 (ja) |
EP (2) | EP3192475B1 (ja) |
JP (6) | JP5922891B2 (ja) |
CA (1) | CA2747610C (ja) |
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CA2747610A1 (en) | 2012-02-13 |
JP6661689B2 (ja) | 2020-03-11 |
EP3192475A1 (en) | 2017-07-19 |
CA2747610C (en) | 2014-09-16 |
JP2012040378A (ja) | 2012-03-01 |
JP6343628B2 (ja) | 2018-06-13 |
JP2018118118A (ja) | 2018-08-02 |
JP2018110886A (ja) | 2018-07-19 |
JP5922891B2 (ja) | 2016-05-24 |
JP2016128130A (ja) | 2016-07-14 |
EP3192475B1 (en) | 2020-10-21 |
US20120041535A1 (en) | 2012-02-16 |
JP6321256B2 (ja) | 2018-05-09 |
AU2011205040A1 (en) | 2012-03-01 |
JP2017136418A (ja) | 2017-08-10 |
US9918861B2 (en) | 2018-03-20 |
JP6659753B2 (ja) | 2020-03-04 |
US20180207012A1 (en) | 2018-07-26 |
EP2417942A1 (en) | 2012-02-15 |
JP6200027B2 (ja) | 2017-09-20 |
US10821012B2 (en) | 2020-11-03 |
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