JP2019531828A - 患者の心臓内または心臓血管内に埋め込むための腔内人工血管 - Google Patents
患者の心臓内または心臓血管内に埋め込むための腔内人工血管 Download PDFInfo
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- JP2019531828A JP2019531828A JP2019521708A JP2019521708A JP2019531828A JP 2019531828 A JP2019531828 A JP 2019531828A JP 2019521708 A JP2019521708 A JP 2019521708A JP 2019521708 A JP2019521708 A JP 2019521708A JP 2019531828 A JP2019531828 A JP 2019531828A
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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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- 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
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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
- A61F2/82—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
- A61F2/91—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 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
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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
- A61F2/82—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
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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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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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
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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
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Abstract
Description
Claims (12)
- 患者の心臓(70)内および/または心臓血管内に埋め込むための、特に心臓の弁尖(71)の領域に固定するための、遠位端(11)および近位端(12)を有する腔内人工血管(10)であって、
該人工血管(10)が、ステント支持体(14)とプロテーゼ材料(16)とを含み、該プロテーゼ材料(16)がステント支持体(14)の少なくとも一部をカバーすることによってカバーされた近位部分(15)とカバーされていない遠位部分(17)とが形成されていること、ならびに
該人工血管(10)が、ワイヤで形作られた少なくとも1つの細長い固定構造(20)を近位端(12)に有し、該固定構造が、実質的にループ形であり、2つの端部(23;24)を介してステント支持体(14)に固定されており、ループ形(21)の近位端(22)が近位方向(12’)を指しており、かつステント支持体(14)の近位端(12)を越えて突出するように配置されていること
を特徴とする腔内人工血管(10)。 - 前記ワイヤで形作られた固定構造(20)の遠位端(23;24)が、2つのひし形セル(18)の直接隣接する角(18’;18”)に配置されている、請求項1に記載の腔内人工血管(10)。
- 前記ワイヤで形作られた固定構造(20)が、ループ(21)の領域に台形の伸長部(25)を含む、請求項1または2に記載の腔内人工血管(10)。
- 前記ワイヤで形作られた固定構造の最も外側の近位端(26)が涙滴形である、請求項1〜3のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)が、レーザ切断されたステント支持体または編組もしくは織組されたステント支持体である、請求項1〜4のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)と前記固定構造(20)とが一体に形成されている、請求項1〜5のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)の近位端(12)に1つ〜3つの固定構造(20)が備えられている、請求項1〜6のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)および/または前記ワイヤで形作られた固定構造(20)がそれぞれ、血管壁に面していない側にフックまたはスパイクを有する、請求項1〜7のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)が、血管壁に面した側にフックまたはスパイクを有する、請求項1〜8のいずれか1項に記載の腔内人工血管(10)。
- 前記ステント支持体(14)および/または前記ワイヤで形作られた固定構造がX線マーカーを含む、請求項1〜9のいずれか1項に記載の腔内人工血管(10)。
- 直径が約20mm〜48mm、好ましくは約24mm〜44mmである、請求項1〜10のいずれか1項に記載の腔内人工血管(10)。
- 人工心臓弁(40)をさらに含み、該人工心臓弁(40)が、その遠位端(41)が腔内人工血管(10)の近位端(12)にある状態で開放されるとともに、腔内人工血管(10)の近位端(12)を介して心臓弁の領域で固定されるように設計されている、請求項1〜11のいずれか1項に記載の腔内人工血管(10)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE202016105963.1U DE202016105963U1 (de) | 2016-10-24 | 2016-10-24 | Intraluminale Gefäßprothese zur Implantation in das Herz oder Herzgefäße eines Patienten |
DE202016105963.1 | 2016-10-24 | ||
PCT/EP2017/077044 WO2018077821A1 (de) | 2016-10-24 | 2017-10-24 | Intraluminale gefaessprothese zur implantation in das herz oder herzgefaesse eines patienten |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2019531828A true JP2019531828A (ja) | 2019-11-07 |
JP6831009B2 JP6831009B2 (ja) | 2021-02-17 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2019521708A Active JP6831009B2 (ja) | 2016-10-24 | 2017-10-24 | 患者の心臓内または心臓血管内に埋め込むための腔内人工血管 |
Country Status (7)
Country | Link |
---|---|
US (1) | US11007055B2 (ja) |
EP (1) | EP3528748B2 (ja) |
JP (1) | JP6831009B2 (ja) |
CN (1) | CN109862852B (ja) |
DE (1) | DE202016105963U1 (ja) |
ES (1) | ES2866932T3 (ja) |
WO (1) | WO2018077821A1 (ja) |
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EP3528748A1 (de) | 2019-08-28 |
CN109862852B (zh) | 2021-04-09 |
US11007055B2 (en) | 2021-05-18 |
EP3528748B2 (de) | 2024-02-14 |
CN109862852A (zh) | 2019-06-07 |
JP6831009B2 (ja) | 2021-02-17 |
DE202016105963U1 (de) | 2018-01-25 |
EP3528748B1 (de) | 2021-01-20 |
ES2866932T3 (es) | 2021-10-20 |
US20190254817A1 (en) | 2019-08-22 |
WO2018077821A1 (de) | 2018-05-03 |
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