JP2020529241A - 肺動脈挿入用三尖弁逆流症手術用器具 - Google Patents
肺動脈挿入用三尖弁逆流症手術用器具 Download PDFInfo
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- 210000001147 pulmonary artery Anatomy 0.000 title claims abstract description 178
- 238000003780 insertion Methods 0.000 title claims abstract description 116
- 230000037431 insertion Effects 0.000 title claims abstract description 116
- 201000001943 Tricuspid Valve Insufficiency Diseases 0.000 title claims abstract description 60
- 206010044640 Tricuspid valve incompetence Diseases 0.000 title claims abstract description 42
- 210000000591 tricuspid valve Anatomy 0.000 claims abstract description 46
- 238000001356 surgical procedure Methods 0.000 claims abstract description 7
- 230000000903 blocking effect Effects 0.000 claims description 44
- 201000010099 disease Diseases 0.000 claims description 25
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 25
- 238000010992 reflux Methods 0.000 claims description 25
- 230000002093 peripheral effect Effects 0.000 claims description 8
- 210000001631 vena cava inferior Anatomy 0.000 claims description 3
- 239000012528 membrane Substances 0.000 claims 2
- 238000000034 method Methods 0.000 abstract description 14
- 206010039163 Right ventricular failure Diseases 0.000 abstract description 4
- 230000004888 barrier function Effects 0.000 abstract 1
- 210000005241 right ventricle Anatomy 0.000 description 8
- 210000001367 artery Anatomy 0.000 description 5
- 230000002159 abnormal effect Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 4
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- 229920003002 synthetic resin Polymers 0.000 description 1
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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
- A61F2/2472—Devices for testing
-
- 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
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/246—Devices for obstructing a leak through a native valve in a closed condition
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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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- 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
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
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- A—HUMAN NECESSITIES
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- 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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
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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
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2466—Delivery devices therefor
-
- 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
- A61F2/2476—Valves implantable in the body not otherwise provided for
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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
-
- 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
- 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
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
-
- 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
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
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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
- 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
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
Description
さらに、患者の右心室の過負荷による異常症状が確認されると、簡単に除去して右心室内の血圧を復元することができる。
図1は本発明の好適な実施形態による肺動脈挿入用三尖弁逆流症手術用器具を示す斜視図である。
12 遮断膜
14 支持ワイヤー
16 遮断バルーン
17 バルーンチューブ
18 バルーン調節ハブ
19 リング状ワイヤー
20 挿入チューブ
22 ガイドワイヤー案内用ルーメン
30 肺動脈固定部材
32 肺動脈固定体
34 肺動脈固定部材胴体
36 肺動脈突出フック
38 固定部材連結ワイヤー
40 シースチューブ
50 ガイドワイヤー
100 肺動脈挿入用三尖弁逆流症手術用器具
S10 ガイドワイヤーの移動ステップ
S20 肺動脈挿入用三尖弁逆流症手術用器具の移動ステップ
S30 肺動脈挿入用三尖弁オリフィスの遮断ステップ
S40 肺動脈挿入用三尖弁逆流症手術用器具の除去ステップ
Claims (13)
- 肺動脈挿入用三尖弁逆流症手術用器具であって、
三尖弁に斜めに貫通する遮断部と、
ガイドワイヤーに沿って下大静脈から肺動脈へ移動できるように内部にガイドワイヤー案内用ルーメンが形成された挿入チューブと、を含む、肺動脈挿入用三尖弁逆流症手術用器具。 - 肺動脈挿入用三尖弁逆流症手術用器具は、
肺動脈に肺動脈挿入用三尖弁逆流症手術用器具を固定することができる肺動脈固定部材をさらに含む、請求項1に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記肺動脈固定部材は、
下部の肺動脈固定部材胴体と、
前記肺動脈固定部材胴体に放射状に結合された多数の肺動脈固定体と、を含む、請求項2に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記肺動脈固定部材胴体は、
中心軸上にホールを有する円筒状に形成され、前記挿入チューブと結合されることを特徴とする、請求項3に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記肺動脈固定部材胴体は、
外周面に結合され、外部から挿入されるフックを用いて掛けることができる肺動脈突出フックをさらに含む、請求項4に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記肺動脈固定部材胴体は、リング状に形成され、前記肺動脈固定部材は、一端が前記肺動脈固定部材胴体と結合され、前記挿入チューブ内に挿入される固定部材連結ワイヤーを含む、請求項3に記載の肺動脈挿入用三尖弁逆流症手術用器具。
- 前記肺動脈固定部材は、
リボン形状を有するワイヤーで形成された肺動脈固定体と、
前記肺動脈固定体に結合されている肺動脈固定部材胴体と、を含む、請求項2に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記肺動脈固定部材胴体は、中心軸上にホールを有する円筒状に形成され、前記挿入チューブと結合されることを特徴とする、請求項7に記載の肺動脈挿入用三尖弁逆流症手術用器具。
- 前記肺動脈固定部材胴体は、リング状に形成され、
前記肺動脈固定部材は、前記肺動脈固定体と結合され、リング状に形成された前記肺動脈固定部材胴体の中心軸を貫通して前記挿入チューブ内に挿入されている固定部材連結ワイヤーを含む、請求項7に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記遮断部は、
両端が前記挿入チューブに結合される支持ワイヤーと、
一側が前記挿入チューブに固定され、前記支持ワイヤーによって支持される遮断膜と、を含む、請求項1に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記遮断部は、
膨張または収縮することができる風船状の遮断バルーンであり、
一端が前記遮断バルーンに連結されて連通するバルーンチューブと、
前記バルーンチューブの他端に連結されて患者の体外に設置され、前記遮断バルーンを膨張または収縮させるバルーン調節ハブと、をさらに含む、請求項1に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 前記遮断部は、
前記挿入チューブが貫通するように設置され、中心軸が前記挿入チューブに斜めに形成されたリング状ワイヤーと、
前記挿入チューブと前記リング状ワイヤーとを連結する遮断膜とを含む、請求項1に記載の肺動脈挿入用三尖弁逆流症手術用器具。 - 肺動脈挿入用三尖弁逆流症器具は、体内へ移動するために、前記肺動脈挿入用三尖弁逆流症器具を挿入することができるルーメンが形成されたシースチューブをさらに含む、請求項1に記載の肺動脈挿入用三尖弁逆流症手術用器具。
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KR1020170096695A KR101965637B1 (ko) | 2017-07-31 | 2017-07-31 | 폐동맥 삽입용 삼첨판막 역류증 시술용 기구 |
KR10-2017-0096695 | 2017-07-31 | ||
PCT/KR2018/008525 WO2019027183A2 (ko) | 2017-07-31 | 2018-07-27 | 폐동맥 삽입용 삼첨판막 역류증 시술용 기구 |
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EP (2) | EP3662867B1 (ja) |
JP (1) | JP7019937B2 (ja) |
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US10765518B2 (en) | 2016-12-21 | 2020-09-08 | TriFlo Cardiovascular Inc. | Heart valve support device and methods for making and using the same |
KR101965637B1 (ko) | 2017-07-31 | 2019-04-03 | (주) 타우피엔유메디칼 | 폐동맥 삽입용 삼첨판막 역류증 시술용 기구 |
KR102156647B1 (ko) | 2019-01-21 | 2020-09-16 | (주) 타우피엔유메디칼 | 조립형 삼첨판막 역류증 시술용 기구 |
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CN110996852B (zh) | 2022-06-21 |
WO2019027183A2 (ko) | 2019-02-07 |
CN110996852A (zh) | 2020-04-10 |
JP7019937B2 (ja) | 2022-02-16 |
US20230149169A1 (en) | 2023-05-18 |
EP3662867A2 (en) | 2020-06-10 |
US20210085451A1 (en) | 2021-03-25 |
WO2019027183A3 (ko) | 2019-03-28 |
KR101965637B1 (ko) | 2019-04-03 |
EP3662867B1 (en) | 2023-12-20 |
CN114903656A (zh) | 2022-08-16 |
US11576781B2 (en) | 2023-02-14 |
EP4324507A3 (en) | 2024-04-17 |
EP4324507A2 (en) | 2024-02-21 |
KR20190012936A (ko) | 2019-02-11 |
EP3662867A4 (en) | 2021-05-19 |
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