JP2016537178A - 僧帽弁逆流を含む心臓弁の機能不全を治療するためのシステム - Google Patents
僧帽弁逆流を含む心臓弁の機能不全を治療するためのシステム Download PDFInfo
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
- A61M60/191—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart mechanically acting upon the outside of the patient's native heart, e.g. compressive structures placed around the heart
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- A—HUMAN NECESSITIES
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- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/289—Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/40—Details relating to driving
- A61M60/465—Details relating to driving for devices for mechanical circulatory actuation
- A61M60/468—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being hydraulic or pneumatic
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/839—Constructional details other than related to driving of devices for mechanical circulatory actuation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
- A61N1/36843—Bi-ventricular stimulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/0597—Surface area electrodes, e.g. cardiac harness
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Abstract
Description
12 ポンプアセンブリ
15 第1の外面、第1の表面部分
15’ 第2の外面、第2の表面部分
17 第1のコーティング
18 第2のコーティング
20 保持アセンブリ
22 ガイドワイヤ
24 保持構造体
26 ストランド
40 起動アセンブリ
42 電極
44 プロセッサ
46 回路
120 力
Claims (31)
- 僧帽弁逆流を含む心臓弁の機能不全を治療するためのシステムであって、
拡張した向きおよび収縮した向きをとるよう動作する配置構造と、
前記配置構造を、心臓の壁の外部に対して可動に配置する関係に配設するよう配置され構成された保持アセンブリと
を備え、
前記保持アセンブリおよび前記配置構造が、前記配置構造の前記拡張した向きと略一致した、前記心臓の形状変化を達成するよう協働するよう配置され構成されており、
前記形状変化が、僧帽弁逆流を制限する所定の向きへの僧帽弁の配置を少なくとも部分的に定める
ことを特徴とするシステム。 - 前記所定の向きが、収縮期中の前記僧帽弁の少なくとも一部の配置を含む、請求項1記載のシステム。
- 前記所定の向きが、拡張期充満を容易にするのに十分な前記僧帽弁の部分の動的な配置を更に含む、請求項2記載のシステム。
- 前記保持アセンブリが、前記配置構造を、繋がった乳頭筋に対応する前記心臓の心室壁の外部に対して、可動に支持する関係に動作可能に配設するよう配置された、請求項1記載のシステム。
- 前記保持アセンブリが、前記心臓の両心室のまとまりに係合して保持された関係に配設された、請求項4記載のシステム。
- 前記配置構造が、少なくとも1つのインフレータブル部材であって、該インフレータブル部材のインフレートおよびデフレートの際に、前記拡張した向きおよび収縮した向きをそれぞれ定めるよう構成されたインフレータブル部材を含む、請求項4記載のシステム。
- 前記1つのインフレータブル部材と流体連通して配設されたポンプアセンブリであって、前記1つのインフレータブル部材の前記インフレートおよび前記デフレートを制御するよう構成されたポンプアセンブリを更に備える、請求項1記載のシステム。
- 前記ポンプアセンブリが、該ポンプアセンブリの胸腔内への動作可能な配置を容易にするために十分減少された寸法を有する、請求項7記載のシステム。
- 1つのインフレータブル部材が、柔軟なインフレータブル材料で少なくとも部分的に形成されたブラダーを含む、請求項6記載のシステム。
- 前記保持アセンブリが、心筋の両心室のまとまりに対して少なくとも部分的に覆う関係に配設されるような寸法を有し且つ構成された保持構造体を含む、請求項1記載のシステム。
- 前記保持構造体が、少なくとも部分的に互いに離間した関係に配設された複数のストランドを含むオープンメッシュ材料を含み、前記ストランドが、集合的に、前記両心室のまとまりに対して少なくとも部分的に囲む関係に、および、それと同時に、前記配置構造に対して保持する関係に配設される、請求項10記載のシステム。
- 前記保持する関係が、前記配置部材が前記拡張した向きにあるときに、前記僧帽弁に繋がった乳頭筋に対応する心室壁に対して持ち上げる関係に配設された前記配置構造を含む、請求項11記載のシステム。
- 前記配置構造が、拡張した向きにインフレートされ収縮した向きにデフレート可能な前記複数のストランドの少なくとも一部を含む、請求項11記載のシステム。
- 前記複数のストランドと前記保持構造体の残りの部分とが、インフレートされた拡張した向きにあるときに、前記僧帽弁に繋がった乳頭筋に対応する心室壁部分に持ち上げ力を協働して及ぼすよう配置され構成されており、前記持ち上げる関係が、僧帽弁逆流を制限する向きへの前記僧帽弁の配置を含む前記心臓の形状変化を少なくとも部分的に定める、請求項13記載のシステム。
- 前記心臓に対して動作可能な関係に、前記保持構造体に接続された起動アセンブリであって、前記心臓の電気的活動を検出するよう構成された起動アセンブリを更に備える、請求項10記載のシステム。
- 前記起動アセンブリが、前記配置構造の拡張および収縮を心周期と同期させるよう動作する感知機能を含む、請求項15記載のシステム。
- 前記起動アセンブリが、前記心臓を刺激して両心室の再同期ペーシングを行うよう動作するペーシング機能を含む、請求項16記載のシステム。
- 前記起動アセンブリが、前記保持構造体に少なくとも部分的に互いに離間した関係に接続された複数の電極を含み、該複数の電極が、集合的に、前記感知機能および前記ペーシング機能を実施するよう構成された、請求項16記載のシステム。
- 前記起動アセンブリが、前記複数の電極に電気的に接続されたプロセッサであって、前記感知機能を動作的に決定し、前記保持構造体の前記同期された拡張および収縮を含むプロセッサを更に含む、請求項16記載のシステム。
- 前記プロセッサが、前記複数の電極に電気的に接続されており、前記ペーシング機能を動作的に決定する、請求項19記載のシステム。
- 前記配置構造が、心膜内面と心筋の外面との間に動作可能に配設された、請求項1記載のシステム。
- 前記配置構造が、心膜内面および心筋の外面との所定の動作可能な係合を容易にするようそれぞれ構成された第1の表面部分および第2の表面部分を含む、請求項21記載のシステム。
- 前記第1の表面部分が、前記心膜内面との把持係合を容易にするよう構成された第1のコーティングを含むよう構成された、請求項22記載のシステム。
- 前記第2の表面部分が、前記心筋の外面との実質的に摩擦を生じない係合を容易にするよう構成された第2のコーティングを含むよう構成された、請求項22記載のシステム。
- 僧帽弁逆流を治療するためのシステムであって、
拡張した向きおよび収縮した向きをとるよう動作する配置構造と、
前記配置構造を、前記心臓の心室壁部分に対して可動に配置する関係に、心膜内に維持するよう配置され構成された保持アセンブリと
を備え、
前記保持アセンブリが、心筋の両心室のまとまりに対して少なくとも部分的に覆う関係に、および、同時に、前記配置構造に対して保持する関係に配設されるための寸法を有し且つ構成された保持構造体を含み、
前記配置構造が前記拡張した向きにあるときに、前記配置構造が、前記僧帽弁に繋がった乳頭筋に対応する心室壁部分に対して持ち上げる関係に配設され、
前記持ち上げる関係が、僧帽弁逆流を制限する向きへの前記僧帽弁の配置を含む前記心臓の形状変化を少なくとも部分的に定める
ことを特徴とするシステム。 - 前記配置構造が、少なくとも1つのインフレータブル部材であって、該1つのインフレータブル部材のインフレートおよびデフレートの際に、前記拡張した向きおよび収縮した向きをそれぞれ定めるよう構成されたインフレータブル部材を含む、請求項25記載のシステム。
- 前記保持構造体が、少なくとも部分的に互いに離間した関係に配設された複数のストランドを含むオープンメッシュ材料を含み、前記ストランドが、集合的に、前記両心室のまとまりに対して少なくとも部分的に囲む関係に、および、それと同時に、前記配置構造に対して保持する関係に配設される、請求項26記載のシステム。
- 前記心臓に対して動作可能な関係に接続され、前記心臓の電気的活動を検出するよう構成された起動アセンブリであって、前記保持構造体の拡張および収縮を心周期と同期させるよう動作する感知機能を含む起動アセンブリを更に備える、請求項25記載のシステム。
- 前記起動アセンブリが、前記心臓を刺激して両心室の再同期ペーシングを行うよう動作するペーシング機能を含む、請求項28記載のシステム。
- 前記配置構造が、心膜内面と心筋の外面との間に動作可能に配設された、請求項25記載のシステム。
- 前記配置部材が、第1のコーティングおよび第2のコーティングをそれぞれ含む第1の表面部分および第2の表面部分を含み、前記第1のコーティングおよび前記第2のコーティングが、前記心膜内面との把持係合を容易にするよう、および前記心筋の外面との実質的に摩擦を生じない係合を容易にするようそれぞれ構成された、請求項30記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US14/090,383 US9566443B2 (en) | 2013-11-26 | 2013-11-26 | System for treating heart valve malfunction including mitral regurgitation |
US14/090,383 | 2013-11-26 | ||
PCT/US2014/067264 WO2015081053A1 (en) | 2013-11-26 | 2014-11-25 | System for treating heart valve malfunction including mitral regurgitation |
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EP (1) | EP3073962A4 (ja) |
JP (1) | JP2016537178A (ja) |
AU (1) | AU2014354885A1 (ja) |
CA (1) | CA2931522A1 (ja) |
IL (1) | IL245810A0 (ja) |
WO (1) | WO2015081053A1 (ja) |
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-
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- 2014-11-25 CA CA2931522A patent/CA2931522A1/en not_active Abandoned
- 2014-11-25 JP JP2016554824A patent/JP2016537178A/ja not_active Withdrawn
- 2014-11-25 AU AU2014354885A patent/AU2014354885A1/en not_active Abandoned
- 2014-11-25 WO PCT/US2014/067264 patent/WO2015081053A1/en active Application Filing
-
2016
- 2016-05-24 IL IL245810A patent/IL245810A0/en unknown
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US11229802B2 (en) | 2019-02-26 | 2022-01-25 | Ut-Heart Inc. | Heart support net and implantable cardioverter defibrillator |
WO2021171468A1 (ja) | 2020-02-27 | 2021-09-02 | 株式会社iCorNet研究所 | 電極付心臓ネット |
US11413462B2 (en) | 2020-02-27 | 2022-08-16 | Icornet Laboratory Co., Ltd. | Cardiac net having at least one electrode |
Also Published As
Publication number | Publication date |
---|---|
AU2014354885A1 (en) | 2016-06-09 |
IL245810A0 (en) | 2016-07-31 |
CA2931522A1 (en) | 2015-06-04 |
EP3073962A1 (en) | 2016-10-05 |
WO2015081053A1 (en) | 2015-06-04 |
EP3073962A4 (en) | 2017-08-23 |
US9566443B2 (en) | 2017-02-14 |
US20150148590A1 (en) | 2015-05-28 |
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