JP2016533240A - インプラントの導入および解放システム - Google Patents
インプラントの導入および解放システム Download PDFInfo
- Publication number
- JP2016533240A JP2016533240A JP2016537344A JP2016537344A JP2016533240A JP 2016533240 A JP2016533240 A JP 2016533240A JP 2016537344 A JP2016537344 A JP 2016537344A JP 2016537344 A JP2016537344 A JP 2016537344A JP 2016533240 A JP2016533240 A JP 2016533240A
- Authority
- JP
- Japan
- Prior art keywords
- housing
- implant
- hose
- outer diameter
- section
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000007943 implant Substances 0.000 title claims abstract description 145
- 230000008878 coupling Effects 0.000 claims abstract description 50
- 238000010168 coupling process Methods 0.000 claims abstract description 50
- 238000005859 coupling reaction Methods 0.000 claims abstract description 50
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 19
- 230000002093 peripheral effect Effects 0.000 claims abstract description 5
- 239000000463 material Substances 0.000 claims description 49
- 238000000034 method Methods 0.000 claims description 18
- 238000004026 adhesive bonding Methods 0.000 claims description 8
- 238000004519 manufacturing process Methods 0.000 claims description 6
- 230000014759 maintenance of location Effects 0.000 claims description 5
- 230000003247 decreasing effect Effects 0.000 claims 1
- 230000013011 mating Effects 0.000 claims 1
- 239000010410 layer Substances 0.000 description 19
- 230000007704 transition Effects 0.000 description 19
- 206010002329 Aneurysm Diseases 0.000 description 15
- 229910001000 nickel titanium Inorganic materials 0.000 description 15
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 15
- 230000006870 function Effects 0.000 description 13
- 230000009286 beneficial effect Effects 0.000 description 10
- 229910052751 metal Inorganic materials 0.000 description 9
- 239000002184 metal Substances 0.000 description 9
- 230000007423 decrease Effects 0.000 description 8
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 8
- 239000004033 plastic Substances 0.000 description 8
- 238000003860 storage Methods 0.000 description 8
- 210000005166 vasculature Anatomy 0.000 description 8
- 239000008280 blood Substances 0.000 description 7
- 210000004369 blood Anatomy 0.000 description 7
- 229910052697 platinum Inorganic materials 0.000 description 7
- 238000000576 coating method Methods 0.000 description 6
- 238000005304 joining Methods 0.000 description 6
- -1 polytetrafluoroethylene Polymers 0.000 description 6
- 238000003466 welding Methods 0.000 description 6
- 238000005452 bending Methods 0.000 description 5
- 239000011248 coating agent Substances 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 239000003550 marker Substances 0.000 description 5
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 5
- 239000004810 polytetrafluoroethylene Substances 0.000 description 5
- 229910001220 stainless steel Inorganic materials 0.000 description 5
- 239000010935 stainless steel Substances 0.000 description 5
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 4
- 230000002792 vascular Effects 0.000 description 4
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000022211 Arteriovenous Malformations Diseases 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 230000005744 arteriovenous malformation Effects 0.000 description 2
- TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 239000006185 dispersion Substances 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000036244 malformation Effects 0.000 description 2
- 239000002245 particle Substances 0.000 description 2
- 238000005498 polishing Methods 0.000 description 2
- 238000002601 radiography Methods 0.000 description 2
- 238000005476 soldering Methods 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 206010003226 Arteriovenous fistula Diseases 0.000 description 1
- 229920002101 Chitin Polymers 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 229910001260 Pt alloy Inorganic materials 0.000 description 1
- 229910002835 Pt–Ir Inorganic materials 0.000 description 1
- 229910004298 SiO 2 Inorganic materials 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical class [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 230000001028 anti-proliverative effect Effects 0.000 description 1
- 230000002965 anti-thrombogenic effect Effects 0.000 description 1
- 238000009954 braiding Methods 0.000 description 1
- 238000005219 brazing Methods 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000000916 dilatatory effect Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000003511 endothelial effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000009986 fabric formation Methods 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 229910001385 heavy metal Inorganic materials 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 150000002497 iodine compounds Chemical class 0.000 description 1
- 229910052741 iridium Inorganic materials 0.000 description 1
- GKOZUEZYRPOHIO-UHFFFAOYSA-N iridium atom Chemical compound [Ir] GKOZUEZYRPOHIO-UHFFFAOYSA-N 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 239000002105 nanoparticle Substances 0.000 description 1
- 230000009707 neogenesis Effects 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- 238000007500 overflow downdraw method Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000002985 plastic film Substances 0.000 description 1
- 229920006255 plastic film Polymers 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 239000002861 polymer material Substances 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000009258 post-therapy Methods 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 238000004062 sedimentation Methods 0.000 description 1
- 239000012781 shape memory material Substances 0.000 description 1
- 239000002356 single layer Substances 0.000 description 1
- 238000002791 soaking Methods 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 239000010937 tungsten Substances 0.000 description 1
- 230000024883 vasodilation Effects 0.000 description 1
Images
Classifications
-
- 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
-
- 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
- A61F2/844—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents folded prior to deployment
-
- 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
- A61F2/86—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
-
- 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
- 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
- A61F2002/9665—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 with additional retaining means
-
- 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
- A61F2250/0036—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 thickness
-
- 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
- A61F2250/0037—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 height or in length
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Prostheses (AREA)
Abstract
Description
2 フィラメント
3 交差点
4 ワイヤ
5 スリーブ
6 結合素子
7 トルカ
8 保管スリーブ
9 ガイドワイヤチップ
13 ホース状ハウジング
14 ガイドワイヤ
15 保持素子
16 凹所
17 遠位区間
18 中央区間
19 近位区間
22 移行部
Claims (15)
- ヒトの身体の血管内にインプラントを導入するためのデバイスであって、前記デバイスはインプラント、ガイドワイヤおよびホース状ハウジングを含み、前記インプラントは径が細くなる形状をとることを可能にする方法でマイクロカテーテルの内側で変形させることができ、かつ前記マイクロカテーテルによって加えられるそのような外的制約の除去後には留置部位で拡張して前記血管径に適合し、前記インプラントには近位端に保持素子に取り付ける結合素子が提供されており、それによって前記インプラントが前記ガイドワイヤに結合させられ、前記保持素子にはその中に前記結合素子が収められる周辺凹所が提供されており、前記ホース状ハウジングは、前記結合素子が前記保持素子の前記凹所内に固定されるように収められた前記結合素子を伴う前記保持素子を覆って形態によって閉じる(form−closed)方法で引き寄せられ、前記インプラントは前記ホース状ハウジングを近位方向に引き戻すことによって抜去でき、前記ホース状ハウジングの外径は前記近位端と前記遠位端との間で変動することを特徴とするデバイス。
- 前記ホース状ハウジングが、遠位区間、近位方向に伸長し小さな外径を有する隣接して配された中央区間、および前記中央区間に隣接して配されて近位方向に伸長し、大きな外径を有する近位区間を含むことを特徴とする、請求項1記載のデバイス。
- 前記ホース状ハウジングの前記外径は、前記中央区間におけるより前記遠位区間における方が大きいことを特徴とする、請求項2記載のデバイス。
- 小さな外径の近位端が、近位方向において前記ホース状ハウジングの前記近位区間に隣接することを特徴とする、請求項2または3記載のデバイス。
- 大きな外径の前記ホース状ハウジングの前記区間では、ハウジングの肉厚が小さな外径の区間におけるより大きいことを特徴とする、請求項1から4のいずれか一項記載のデバイス。
- 前記ホース状ハウジングは一体型設計であり、一様な外径および一定の肉厚のハウジングを基とし、前記外径および前記肉厚は、部分区間における、特に前記中央区間における材料の除去によって減少させられることを特徴とする、請求項1から5のいずれか一項記載のデバイス。
- 前記ホース状ハウジングは複数の部品を含み、前記ハウジングの小さな外径の少なくとも1つの部分区間が、前記ハウジングの大きな外径の部分区間に結合されるように形成されていることを特徴とする、請求項1から5のいずれか一項記載のデバイス。
- ハウジングの前記部分区間同士は接着結合によって結合されることを特徴とする、請求項7記載のデバイス。
- 前記ハウジングの小さな肉厚の層はハウジングの前記近位端まで伸長し、前記近位および/または遠位区間では、前記ハウジングの1つの外層によって包まれて該1つの外層に取り付けられていることを特徴とする、請求項7または8記載のデバイス。
- 前記ガイドワイヤの前記径がその全長にわたって変動することを特徴とする、請求項1から9のいずれか一項記載のデバイス。
- 前記ガイドワイヤの平均径は、近位半分におけるより遠位半分における方が小さいことを特徴とする、請求項10記載のデバイス。
- 前記ガイドワイヤの前記遠位端は、前記保持素子に固定された状態にある前記インプラントの前記遠位端よりさらに遠位に伸長することを特徴とする、請求項1から11のいずれか一項記載のデバイス。
- 前記インプラントは、相互に交差して管状ブレードを形成する個別フィラメントから構成された壁を有することを特徴とする、請求項1から12のいずれか一項記載のデバイス。
- 一様な外径および一定の肉厚のハウジングを基とし、前記外径および前記肉厚が、部分区間における、特に前記中央区間における材料の除去によって減少させられることを特徴とする、請求項1から13のいずれか一項記載のデバイスと組み合わせて使用できるホース状ハウジングの製造方法。
- 前記ハウジングの小さな外径の少なくとも1つの部分区間が、特に接着結合によって前記ハウジングの大きな外径の部分区間に結合されることを特徴とする、請求項1から13のいずれか一項記載のデバイスと組み合わせて使用できるホース状ハウジングの製造方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102013014523.6 | 2013-09-03 | ||
DE102013014523.6A DE102013014523A1 (de) | 2013-09-03 | 2013-09-03 | Einführ- und Ablösesystem für Implantate |
PCT/EP2014/068691 WO2015032798A1 (de) | 2013-09-03 | 2014-09-03 | Einführ- und ablösesystem für implantate |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016533240A true JP2016533240A (ja) | 2016-10-27 |
JP2016533240A5 JP2016533240A5 (ja) | 2019-12-26 |
JP6712548B2 JP6712548B2 (ja) | 2020-06-24 |
Family
ID=51628100
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016537344A Active JP6712548B2 (ja) | 2013-09-03 | 2014-09-03 | インプラントの導入および解放システム |
Country Status (12)
Country | Link |
---|---|
US (1) | US11369499B2 (ja) |
EP (1) | EP3041439B9 (ja) |
JP (1) | JP6712548B2 (ja) |
KR (1) | KR101961530B1 (ja) |
CN (1) | CN105682616B (ja) |
AU (1) | AU2014317165B2 (ja) |
BR (1) | BR112016004618B1 (ja) |
CA (1) | CA2922882C (ja) |
DE (1) | DE102013014523A1 (ja) |
ES (1) | ES2682323T3 (ja) |
SG (1) | SG11201601617TA (ja) |
WO (1) | WO2015032798A1 (ja) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3266486B1 (en) * | 2016-07-06 | 2019-01-30 | Abiomed Europe GmbH | Introducer sheath for vascular access |
DK179517B1 (en) * | 2017-05-11 | 2019-02-05 | Mbh-International A/S | An artificial insemination device and a method of performing artificial insemination using the device |
CN109248012B (zh) * | 2017-07-14 | 2020-12-25 | 先健科技(深圳)有限公司 | 植入物的输送系统 |
CN108283513B (zh) * | 2017-12-27 | 2021-08-27 | 郭成军 | 一种植入物的植入装置 |
DE102018109580A1 (de) | 2018-04-20 | 2019-10-24 | Phenox Gmbh | Vorrichtung zur Einbringung von Implantaten |
CN110840509B (zh) * | 2019-12-18 | 2024-06-07 | 上海加奇生物科技苏州有限公司 | 一种弹簧圈双导丝解脱系统 |
US20220339014A1 (en) * | 2021-04-23 | 2022-10-27 | DeepIn Technologies, LLC | Mechanical detachment system with a hold-release structure for deployment of endovascular devices |
CN115867209A (zh) * | 2021-06-24 | 2023-03-28 | 杭州启明医疗器械股份有限公司 | 介入器械预装输送系统、预装输送总成及装载方法 |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH10503411A (ja) * | 1995-05-25 | 1998-03-31 | メドトロニック・インコーポレーテッド | ステントアッセンブリ及びその使用方法 |
US20060259120A1 (en) * | 2005-05-12 | 2006-11-16 | Ev3, Inc. | Implant delivery system with interlocked RX port orientation |
JP2008534169A (ja) * | 2005-03-30 | 2008-08-28 | ボストン サイエンティフィック リミテッド | カテーテル |
JP2011522650A (ja) * | 2008-06-11 | 2011-08-04 | アンジオメト・ゲーエムベーハー・ウント・コンパニー・メディツィンテクニク・カーゲー | カテーテルの送り込み装置 |
US20130211492A1 (en) * | 2010-09-08 | 2013-08-15 | Manuel Schneider | Implant for influencing the blood flow in arteriovenous defects |
Family Cites Families (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH08500757A (ja) * | 1992-12-30 | 1996-01-30 | シュナイダー・(ユーエスエイ)・インコーポレーテッド | 身体に移植可能なステントを展開する装置 |
US5338296A (en) * | 1993-01-06 | 1994-08-16 | Ethicon, Inc. | Catheter and sheath assembly |
GB9522332D0 (en) * | 1995-11-01 | 1996-01-03 | Biocompatibles Ltd | Braided stent |
US5772669A (en) * | 1996-09-27 | 1998-06-30 | Scimed Life Systems, Inc. | Stent deployment catheter with retractable sheath |
US6398791B1 (en) * | 1999-06-11 | 2002-06-04 | Scimed Life Systems Inc | Variable composite sheath with interrupted sections |
US6942688B2 (en) * | 2000-02-29 | 2005-09-13 | Cordis Corporation | Stent delivery system having delivery catheter member with a clear transition zone |
US6629992B2 (en) * | 2000-08-04 | 2003-10-07 | Advanced Cardiovascular Systems, Inc. | Sheath for self-expanding stent |
WO2002032496A1 (en) * | 2000-10-18 | 2002-04-25 | Nmt Medical, Inc. | Over-the-wire interlock attachment/detachment mechanism |
US6488654B2 (en) | 2000-12-12 | 2002-12-03 | Advanced Cardiovascular Systems, Inc. | Method of removing material from a polymer tube or catheter balloon shaft |
US6623518B2 (en) * | 2001-02-26 | 2003-09-23 | Ev3 Peripheral, Inc. | Implant delivery system with interlock |
ES2338001T3 (es) * | 2002-10-10 | 2010-05-03 | Micro Therapeutics, Inc. | Microcateter reforzado con trenzado de alambre. |
US7235093B2 (en) * | 2003-05-20 | 2007-06-26 | Boston Scientific Scimed, Inc. | Mechanism to improve stent securement |
US20050004553A1 (en) * | 2003-07-02 | 2005-01-06 | Medtronic Ave, Inc. | Sheath catheter having variable over-the-wire length and methods of use |
US7794489B2 (en) * | 2003-09-02 | 2010-09-14 | Abbott Laboratories | Delivery system for a medical device |
US7993384B2 (en) * | 2003-09-12 | 2011-08-09 | Abbott Cardiovascular Systems Inc. | Delivery system for medical devices |
US7867271B2 (en) | 2003-11-20 | 2011-01-11 | Advanced Cardiovascular Systems, Inc. | Rapid-exchange delivery systems for self-expanding stents |
AU2006236228B2 (en) * | 2005-04-20 | 2011-02-24 | Cook Medical Technologies Llc | Melt-bonded joint for medical devices |
US8652192B2 (en) * | 2006-03-31 | 2014-02-18 | St. Jude Medical, Cardiology Division, Inc. | Stent and system and method for deploying a stent |
EP2366362B1 (en) * | 2006-04-27 | 2020-05-06 | Cook Medical Technologies LLC | Deploying medical implants |
DE102007012964A1 (de) * | 2007-03-06 | 2008-09-11 | Phenox Gmbh | Implantat zur Beeinflussung des Blutflusses |
US20090088791A1 (en) * | 2007-10-02 | 2009-04-02 | Boston Scientific Scimed, Inc. | Carotid System Simplification |
DE102009006180A1 (de) | 2008-10-29 | 2010-05-06 | Acandis Gmbh & Co. Kg | Medizinisches Implantat und Verfahren zum Herstellen eines Implantats |
GB0921236D0 (en) * | 2009-12-03 | 2010-01-20 | Angiomed Ag | Stent device delivery system and method of making such |
CN102188300B (zh) * | 2010-03-02 | 2014-05-28 | 上海微创医疗器械(集团)有限公司 | 一种动脉瘤手术装置 |
US8512400B2 (en) * | 2010-04-09 | 2013-08-20 | Medtronic, Inc. | Transcatheter heart valve delivery system with reduced area moment of inertia |
US8663302B2 (en) * | 2010-04-13 | 2014-03-04 | Medtronic Vascular, Inc. | Delivery system ejection component and method |
US9192495B2 (en) | 2010-07-23 | 2015-11-24 | Medtronic, Inc. | Attachment mechanism for stent release |
-
2013
- 2013-09-03 DE DE102013014523.6A patent/DE102013014523A1/de not_active Withdrawn
-
2014
- 2014-09-03 EP EP14777276.8A patent/EP3041439B9/de active Active
- 2014-09-03 CN CN201480059341.4A patent/CN105682616B/zh active Active
- 2014-09-03 SG SG11201601617TA patent/SG11201601617TA/en unknown
- 2014-09-03 US US14/915,695 patent/US11369499B2/en active Active
- 2014-09-03 ES ES14777276.8T patent/ES2682323T3/es active Active
- 2014-09-03 AU AU2014317165A patent/AU2014317165B2/en active Active
- 2014-09-03 WO PCT/EP2014/068691 patent/WO2015032798A1/de active Application Filing
- 2014-09-03 JP JP2016537344A patent/JP6712548B2/ja active Active
- 2014-09-03 KR KR1020167008576A patent/KR101961530B1/ko active IP Right Grant
- 2014-09-03 CA CA2922882A patent/CA2922882C/en active Active
- 2014-09-03 BR BR112016004618-8A patent/BR112016004618B1/pt active IP Right Grant
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH10503411A (ja) * | 1995-05-25 | 1998-03-31 | メドトロニック・インコーポレーテッド | ステントアッセンブリ及びその使用方法 |
JP2008534169A (ja) * | 2005-03-30 | 2008-08-28 | ボストン サイエンティフィック リミテッド | カテーテル |
US20060259120A1 (en) * | 2005-05-12 | 2006-11-16 | Ev3, Inc. | Implant delivery system with interlocked RX port orientation |
JP2011522650A (ja) * | 2008-06-11 | 2011-08-04 | アンジオメト・ゲーエムベーハー・ウント・コンパニー・メディツィンテクニク・カーゲー | カテーテルの送り込み装置 |
US20130211492A1 (en) * | 2010-09-08 | 2013-08-15 | Manuel Schneider | Implant for influencing the blood flow in arteriovenous defects |
Also Published As
Publication number | Publication date |
---|---|
BR112016004618A2 (ja) | 2017-08-01 |
EP3041439B1 (de) | 2018-05-09 |
BR112016004618B1 (pt) | 2022-02-22 |
KR101961530B1 (ko) | 2019-03-22 |
JP6712548B2 (ja) | 2020-06-24 |
CA2922882A1 (en) | 2015-03-12 |
AU2014317165B2 (en) | 2018-09-27 |
AU2014317165A1 (en) | 2016-03-24 |
DE102013014523A1 (de) | 2015-03-05 |
CA2922882C (en) | 2019-04-16 |
EP3041439B9 (de) | 2018-12-26 |
WO2015032798A1 (de) | 2015-03-12 |
SG11201601617TA (en) | 2016-04-28 |
KR20160049547A (ko) | 2016-05-09 |
CN105682616B (zh) | 2017-11-03 |
US11369499B2 (en) | 2022-06-28 |
CN105682616A (zh) | 2016-06-15 |
US20160206455A1 (en) | 2016-07-21 |
EP3041439A1 (de) | 2016-07-13 |
ES2682323T3 (es) | 2018-09-20 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US11484400B2 (en) | Bifurcated medical device for treating a target site and associated method | |
JP6712548B2 (ja) | インプラントの導入および解放システム | |
JP7206363B2 (ja) | インプラント挿入システム | |
EP2317956B1 (en) | Multi-layered medical device for treating a target site and associated method | |
EP3632339B1 (en) | Device and method for occluding abnormal openings in a patient's vasculature | |
KR20100049560A (ko) | 관절 세그먼트에 의해 분리되는 반복된 확장 체적 세그먼트를 갖는 편조 폐색 장치 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20170831 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20180726 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20180807 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20181107 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20181227 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20190207 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20190731 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20191031 |
|
A524 | Written submission of copy of amendment under article 19 pct |
Free format text: JAPANESE INTERMEDIATE CODE: A524 Effective date: 20191114 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20200430 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20200601 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6712548 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |