JP2018535810A - 心血管処置のための血流低減器 - Google Patents
心血管処置のための血流低減器 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
- A61B17/1215—Coils or wires comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12036—Type of occlusion partial occlusion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
- A61B17/12145—Coils or wires having a pre-set deployed three-dimensional shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12177—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
- A61B2090/3975—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
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Abstract
Description
腎静脈の入口の後端にある、下大静脈内への本デバイスの設置は、その面積内により低い圧力のゾーンを生成し、それによって、腎臓における圧力勾配を増加させ、腎機能を改良する。
Claims (13)
- 血流低減アセンブリであって、
カテーテルシャフトと、
前記カテーテルシャフトと共に組み立てられる拡張可能閉塞部材であって、前記拡張可能閉塞部材は、相互接続支柱を備え、前記支柱の少なくともいくつかの遠位端は、折畳可能突出部を有し、前記折畳可能突出部は、前記折畳可能突出部が、1つまたはそれを上回る方向に前記支柱の前記少なくともいくつかのまわりで枢動するように、ヒンジ部材によって前記遠位端に接続される、拡張可能閉塞部材と、
前記折畳可能突出部に接続される1つまたはそれを上回る接続リンクであって、前記1つまたはそれを上回る接続リンクは、ハンドルまで延在し、前記ハンドルの操作は、前記1つまたはそれを上回る接続リンクおよび前記折畳可能突出部を移動させ、前記折畳可能突出部の閉塞能力を改変する、接続リンクと、
を備える、血流低減アセンブリ。 - 前記折畳可能突出部を被覆する被覆材をさらに備え、前記被覆材は、血流に不浸透性である、請求項1に記載の血流低減アセンブリ。
- 前記被覆材はまた、前記支柱の遠位端の一部および前記ヒンジ部材の一部を被覆する、請求項2に記載の血流低減アセンブリ。
- 前記折畳可能突出部が内向きに移動されたとき、オリフィスと呼ばれる空間は、前記被覆材内で開放されたままにされる、請求項2に記載の血流低減アセンブリ。
- 前記折畳可能突出部の閉鎖度を示すように構成される前記ハンドル上のインジケータをさらに備える、請求項1に記載の血流低減アセンブリ。
- 相互により近づく前記折畳可能突出部の移動は、前記折畳可能突出部の閉塞能力を増加させ、相互からより離れる前記折畳可能突出部の移動は、前記折畳可能突出部の閉塞能力を減少させる、請求項1に記載の血流低減アセンブリ。
- 前記ヒンジ部材は、前記支柱の一部または全部の遠位端のまわりで円周方向に分散される、請求項1に記載の血流低減アセンブリ。
- 前記折畳可能突出部が相互により近づけられたとき、オリフィスと呼ばれる空間は、前記被覆材内で開放されたままにされる、請求項2に記載の血流低減アセンブリ。
- 前記折畳可能突出部の閉鎖度を示すように構成される前記ハンドル上のインジケータをさらに備える、請求項1に記載の血流低減アセンブリ。
- 血流低減アセンブリであって、
カテーテルシャフトと、
前記カテーテルシャフトと共に組み立てられる拡張可能閉塞部材であって、前記拡張可能閉塞部材は、ループを含む、拡張可能閉塞部材と
を備え、
前記カテーテルシャフトは、外側シャフト内で摺動するように配列される内側シャフトを備える伸縮自在シャフトを備え、前記ループは、前記閉塞部材の近位端と遠位端との間に位置付けられる螺旋ループを備え、前記閉塞部材の近位端は、前記内側シャフトおよび外側シャフトの一方に固着され、前記閉塞部材の遠位端は、前記内側シャフトおよび外側シャフトの他方に固着され、前記近位端と遠位端との間の距離の減少は、前記閉塞部材のループをともに寄せ集め、前記拡張可能閉塞部材の閉塞能力を増加させる、血流低減アセンブリ。 - 前記拡張可能閉塞部材は、前記ループの中に形成される部分を伴う、バルーンを備える、請求項10に記載の血流低減アセンブリ。
- 前記拡張可能閉塞部材は、自己拡張式である、請求項1に記載の血流低減アセンブリ。
- 前記拡張可能閉塞部材は、流動的に拡張可能である、請求項1に記載の血流低減アセンブリ。
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JP2021139867A JP7220756B2 (ja) | 2015-11-09 | 2021-08-30 | 心血管処置のための血流低減器 |
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US201562252599P | 2015-11-09 | 2015-11-09 | |
US62/252,599 | 2015-11-09 | ||
PCT/IB2016/055763 WO2017081561A1 (en) | 2015-11-09 | 2016-09-27 | Blood flow reducer for cardiovascular treatment |
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JP6937313B2 JP6937313B2 (ja) | 2021-09-22 |
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US (3) | US10363044B2 (ja) |
EP (1) | EP3373828A1 (ja) |
JP (2) | JP6937313B2 (ja) |
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