JP2017510367A - インプラント送達システム - Google Patents
インプラント送達システム Download PDFInfo
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- JP2017510367A JP2017510367A JP2016560651A JP2016560651A JP2017510367A JP 2017510367 A JP2017510367 A JP 2017510367A JP 2016560651 A JP2016560651 A JP 2016560651A JP 2016560651 A JP2016560651 A JP 2016560651A JP 2017510367 A JP2017510367 A JP 2017510367A
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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
- A61F2/958—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
- A61F2/95—Instruments specially adapted for placement or removal of 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
- A61F2/95—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
- 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
- A61M25/10—Balloon catheters
-
- 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
- A61F2002/9583—Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
-
- 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
- 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
- A61F2230/0093—Umbrella-shaped, e.g. mushroom-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
- 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
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1056—Balloon catheters with special features or adapted for special applications having guide wire lumens outside the main shaft, i.e. the guide wire lumen is within or on the surface of the balloon
Abstract
Description
Claims (17)
- インプラント送達システムであって、
送達ルーメンを有するカテーテルと、
前記カテーテルの送達ルーメン内にスライド可能に配置される押し込み部材と、
前記押し込み部材の遠位端部に連結される保持部材であって、前記カテーテルの送達ルーメンを介して拡張可能なインプラントを送達するために、前記押し込み部材上で前記インプラントを折畳み形態で保持するように構成された保持部材と、
前記押し込み部材の遠位端部に連結されるとともに前記保持部材と動作可能に関連する拡張可能なアクチュエータとを備え、
前記アクチュエータの拡張が、前記押し込み部材上にあるインプラントから前記保持部材を引き離して、前記インプラントが前記折畳み形態から拡張することを可能にすることを特徴とするシステム。 - 請求項1に記載のシステムにおいて、
前記アクチュエータが、膨張可能な膜を含み、前記押し込み部材が、前記膜によって規定される内部領域と連通する膨張ルーメンを含むことを特徴とするシステム。 - 請求項2に記載のシステムにおいて、
前記保持部材が、前記膜に取り付けられていることを特徴とするシステム。 - 請求項1乃至3の何れか一項に記載のシステムにおいて、
前記押し込み部材に運ばれる拡張可能なインプラントをさらに備え、前記保持部材が、前記インプラントに対して遠位の位置で前記押し込み部材に取り付けられる第1端と、前記インプラントに解放可能に係合して、前記押し込み部材上に前記折畳み形態で前記インプラントを保持する第2端とを備えることを特徴とするシステム。 - 請求項4に記載のシステムにおいて、
前記保持部材が、前記押し込み部材上に前記折畳み形態で前記インプラントを保持するように付勢されていることを特徴とするシステム。 - 請求項4または5に記載のシステムにおいて、
前記拡張可能なインプラントが、管状体を含むことを特徴とするシステム。 - インプラント送達システムであって、
送達ルーメンを有するカテーテルと、
前記カテーテルの送達ルーメン内にスライド可能に配置される押し込み部材と、
前記押し込み部材の遠位端部上に配置される拡張可能なインプラントと、
複数の保持部材であって、各保持部材が、前記インプラントに対して遠位の位置で前記押し込み部材に取り付けられる第1端と、前記カテーテルの送達ルーメンを介して前記インプラントを送達するために、前記インプラントに解放可能に係合して、前記押し込み部材上に前記折畳み形態で前記インプラントを保持する第2端とを有する、複数の保持部材と、
前記押し込み部材に取り付けられる膨張可能な膜であって、それぞれの保持部材に取り付けられる外面を有する膨張可能な膜とを備え、
前記押し込み部材が、前記膜により規定される内部領域と連通する膨張ルーメンを含み、
前記膜の膨張が、前記保持部材を前記インプラントから引き離して、前記インプラントが前記折畳み形態から拡張することを可能にすることを特徴とするシステム。 - 請求項7に記載のシステムにおいて、
前記保持部材のそれぞれの第1端が、前記押し込み部材に対して回動可能に取り付けられていることを特徴とするシステム。 - 請求項7または8に記載のシステムにおいて、
前記保持部材が、前記押し込み部材上に前記折畳み形態で前記インプラントを保持するように付勢されていることを特徴とするシステム。 - 請求項7乃至9の何れか一項に記載のシステムにおいて、
前記押し込み部材が、前記押し込み部材上にある前記拡張可能なインプラントの近位に配置された止め部材を含み、前記止め部材が、前記インプラントの平行移動をその折畳み形態で制限することを特徴とするシステム。 - 請求項10に記載のシステムにおいて、
前記止め部材が、前記押し込み部材上に配置された環状リングまたは複数の突起を含むことを特徴とするシステム。 - 請求項7乃至11の何れか一項に記載のシステムにおいて、
前記押し込み部材の膨張ルーメン内に配置されたガイドワイヤをさらに備えることを特徴とするシステム。 - 請求項12に記載のシステムにおいて、
前記押し込み部材の拡張可能なアクチュエータに対して遠位に配置されたシール部材をさらに備え、前記シール部材が、前記ガイドワイヤの通過を可能にする開口部を有することを特徴とするシステム。 - 体腔内の標的部位にインプラントを送達する方法であって、前記インプラントが、折り畳んだ送達形態と、拡張した移植形態とを有する、方法において、
カテーテルの開口遠位端が体腔内の標的部位に接近するまで、前記カテーテルを体腔内に挿入するステップと、
前記インプラントが前記カテーテルの開口遠位端に隣接して配置されるまで、前記カテーテルの送達ルーメンを介して、折り畳んだ形態で前記インプラントが搭載された押し込み部材を前進させるステップであって、前記インプラントに対して遠位にある前記押し込み部材に連結された保持部材によって、前記インプラントが、前記押し込み部材上に折り畳んだ形態で解放可能に保持される、ステップと、
前記押し込み部材に対して前記カテーテルを引き寄せることと、前記カテーテルに対して前記押し込み部材をさらに前進させることのうちの一方または両方によって、前記カテーテルの開口遠位端から標的部位近傍の体腔内に前記インプラントを前進させるステップと、
前記押し込み部材の遠位端部に連結されたアクチュエータを拡張させるステップであって、前記アクチュエータの拡張が、前記保持部材を前記インプラントから引き離して、前記インプラントが折り畳んだ形態から拡張した形態に拡張することを可能にする、ステップとを備えることを特徴とする方法。 - 請求項14に記載の方法において、
前記アクチュエータが膨張可能な膜を含み、前記押し込み部材が、前記膜によって規定される内部領域と連通するルーメンを含み、前記アクチュエータを拡張するステップが、前記押し込み部材のルーメンを介して膨張媒体を供給して前記膜を膨張させるステップを含むことを特徴とする方法。 - 請求項15に記載の方法において、
前記膜が前記保持部材に取り付けられ、
当該方法がさらに、
前記膜を膨張させることにより、前記保持部材を前記インプラントから引き離して、前記インプラントが折り畳んだ形態から拡張した形態に拡張することを可能にした後に、
前記押し込み部材のルーメンを介して真空を供給して前記膜を収縮させて、前記押し込み部材に向けて前記保持部材を折り畳むステップと、
前記カテーテル内に前記押し込み部材および保持部材を引き込むステップとを備えることを特徴とする方法。 - 請求項15または16に記載の方法において、
前記保持部材が、前記押し込み部材上に前記インプラントを折り畳んだ形態で保持するように付勢されていることを特徴とする方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201461976653P | 2014-04-08 | 2014-04-08 | |
US61/976,653 | 2014-04-08 | ||
PCT/US2015/024535 WO2015157181A1 (en) | 2014-04-08 | 2015-04-06 | Implant delivery system |
Publications (2)
Publication Number | Publication Date |
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JP2017510367A true JP2017510367A (ja) | 2017-04-13 |
JP6154082B2 JP6154082B2 (ja) | 2017-06-28 |
Family
ID=52988476
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016560651A Active JP6154082B2 (ja) | 2014-04-08 | 2015-04-06 | インプラント送達システム |
Country Status (6)
Country | Link |
---|---|
US (2) | US9775732B2 (ja) |
EP (1) | EP3128962B1 (ja) |
JP (1) | JP6154082B2 (ja) |
CN (1) | CN106163459B (ja) |
ES (1) | ES2684405T3 (ja) |
WO (1) | WO2015157181A1 (ja) |
Cited By (1)
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US20180008440A1 (en) | 2018-01-11 |
JP6154082B2 (ja) | 2017-06-28 |
EP3128962B1 (en) | 2018-05-23 |
CN106163459A (zh) | 2016-11-23 |
ES2684405T3 (es) | 2018-10-02 |
EP3128962A1 (en) | 2017-02-15 |
CN106163459B (zh) | 2018-05-29 |
US9775732B2 (en) | 2017-10-03 |
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