JP2023535689A - イントロデューサシースの遠位先端を広げるための拡張可能なイントロデューサ - Google Patents

イントロデューサシースの遠位先端を広げるための拡張可能なイントロデューサ Download PDF

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Publication number
JP2023535689A
JP2023535689A JP2023503227A JP2023503227A JP2023535689A JP 2023535689 A JP2023535689 A JP 2023535689A JP 2023503227 A JP2023503227 A JP 2023503227A JP 2023503227 A JP2023503227 A JP 2023503227A JP 2023535689 A JP2023535689 A JP 2023535689A
Authority
JP
Japan
Prior art keywords
sheath
balloon
introducer
expandable
diameter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2023503227A
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English (en)
Japanese (ja)
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JP2023535689A5 (https=
Inventor
ヤイール・エー・ニューマン
ラッセル・ティー・ジョセフ
オルナ・ポッパー
イザーク・ロセン
ティファニー・ディエムトリン・トラン
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Edwards Lifesciences Corp
Original Assignee
Edwards Lifesciences Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Publication of JP2023535689A publication Critical patent/JP2023535689A/ja
Publication of JP2023535689A5 publication Critical patent/JP2023535689A5/ja
Pending legal-status Critical Current

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Classifications

    • 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
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/243—Deployment by mechanical expansion
    • A61F2/2433—Deployment by mechanical expansion using balloon catheter
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M2025/0024—Expandable catheters or sheaths
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M2025/0687—Guide tubes having means for atraumatic insertion in the body or protection of the tip of the sheath during insertion, e.g. special designs of dilators, needles or sheaths
    • 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
    • A61M2025/1061—Balloon catheters with special features or adapted for special applications having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube
    • 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
    • A61M2025/1079—Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
    • 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
    • A61M2025/1081—Balloon catheters with special features or adapted for special applications having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Mechanical Engineering (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
JP2023503227A 2020-07-17 2021-07-16 イントロデューサシースの遠位先端を広げるための拡張可能なイントロデューサ Pending JP2023535689A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202063053506P 2020-07-17 2020-07-17
US63/053,506 2020-07-17
PCT/US2021/041991 WO2022016059A1 (en) 2020-07-17 2021-07-16 Expandable introducer for dilating the distal tip of an introducer sheath

Publications (2)

Publication Number Publication Date
JP2023535689A true JP2023535689A (ja) 2023-08-21
JP2023535689A5 JP2023535689A5 (https=) 2025-10-17

Family

ID=77519748

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2023503227A Pending JP2023535689A (ja) 2020-07-17 2021-07-16 イントロデューサシースの遠位先端を広げるための拡張可能なイントロデューサ

Country Status (5)

Country Link
US (1) US20230149674A1 (https=)
EP (1) EP4181830A1 (https=)
JP (1) JP2023535689A (https=)
CN (1) CN116157173A (https=)
WO (1) WO2022016059A1 (https=)

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WO2023163948A1 (en) * 2022-02-22 2023-08-31 Boston Scientific Scimed, Inc. Seamless expandable introducer sheath
CN119031890A (zh) * 2022-02-28 2024-11-26 爱德华兹生命科学公司 具有用于护套尖端的包封特征的扩张器
WO2023172485A1 (en) * 2022-03-07 2023-09-14 Edwards Lifesciences Corporation Introducer with dilation feature and expandable access sheaths
JP2025507107A (ja) * 2022-03-07 2025-03-13 エドワーズ ライフサイエンシーズ コーポレイション 医療機器の低侵襲送達のためのシステム
JP2025510000A (ja) * 2022-03-21 2025-04-11 シルク・ロード・メディカル・インコーポレイテッド アクセスシースシステム装置及び方法
WO2023196205A1 (en) * 2022-04-04 2023-10-12 Edwards Lifesciences Corporation Medical delivery sheath assembly
CN114849026A (zh) * 2022-04-11 2022-08-05 北京泰杰伟业科技有限公司 一种带球囊扩张的脑组织通路鞘管系统
JP2025524116A (ja) * 2022-07-25 2025-07-25 エドワーズ ライフサイエンシーズ コーポレイション 医療器具イントロデューサ、その製造方法、及びその滅菌方法
EP4580722A1 (en) * 2022-08-30 2025-07-09 Edwards Lifesciences Corporation Introducer with expandable plug
EP4688076A1 (en) * 2023-03-24 2026-02-11 Edwards Lifesciences Corporation Inflatable introducer sheath
WO2024226928A1 (en) * 2023-04-27 2024-10-31 Edwards Lifesciences Corporation Expandable sheath and pre-dilation tool
WO2024263844A1 (en) * 2023-06-22 2024-12-26 Edwards Lifesciences Corporation Pre-dilated expandable sheath with protective cover
WO2025019168A1 (en) * 2023-07-14 2025-01-23 Edwards Lifesciences Corporation Two component introducer assembly
WO2025019477A1 (en) * 2023-07-18 2025-01-23 St. Jude Medical, Cardiology Division, Inc. Expandable braided introducer sheath
WO2025029777A1 (en) * 2023-08-01 2025-02-06 Edwards Lifesciences Corporation Introducer/dilator with folded balloon
USD1084324S1 (en) * 2023-08-01 2025-07-15 Edwards Lifesciences Corporation Handle for implant delivery device
WO2025080650A1 (en) * 2023-10-13 2025-04-17 Abiomed, Inc. Expandable sheath with trapping dilator
EP4574194A1 (en) * 2023-12-22 2025-06-25 PerQHern Limited A percutaneous delivery system
WO2025240167A1 (en) * 2024-05-15 2025-11-20 Edwards Lifesciences Corporation Expandable sheath and introducer
WO2026054987A1 (en) * 2024-09-04 2026-03-12 Edwards Lifesciences Corporation Multi-part in-sheath dilator
CN120771416A (zh) * 2025-08-25 2025-10-14 苏州杰成医疗科技有限公司 一种医疗件、推送件及导引装置

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US20190307589A1 (en) * 2018-04-09 2019-10-10 Edwards Lifesciences Corporation Expandable sheath

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JP2013526896A (ja) * 2010-02-03 2013-06-27 サーキュライト・インコーポレーテッド 拡張可能な部分を有する脈管導入器
JP2011193896A (ja) * 2010-03-17 2011-10-06 Terumo Corp ステント回収デバイス
US20190307589A1 (en) * 2018-04-09 2019-10-10 Edwards Lifesciences Corporation Expandable sheath

Also Published As

Publication number Publication date
CN116157173A (zh) 2023-05-23
EP4181830A1 (en) 2023-05-24
WO2022016059A1 (en) 2022-01-20
US20230149674A1 (en) 2023-05-18

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