JP2025507638A - 神経血管用フローダイバータおよび送達システム - Google Patents

神経血管用フローダイバータおよび送達システム Download PDF

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Publication number
JP2025507638A
JP2025507638A JP2024549566A JP2024549566A JP2025507638A JP 2025507638 A JP2025507638 A JP 2025507638A JP 2024549566 A JP2024549566 A JP 2024549566A JP 2024549566 A JP2024549566 A JP 2024549566A JP 2025507638 A JP2025507638 A JP 2025507638A
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JP
Japan
Prior art keywords
flow diverter
microcatheter
core wire
bump
deployment
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
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JP2024549566A
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English (en)
Japanese (ja)
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JP2025507638A5 (https=
Inventor
バラハス，ビクター
トラン，クアン
トゥ，イェン
バグナル，ノエル
Original Assignee
イーラム テクノロジーズ，インコーポレイテッド
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Application filed by イーラム テクノロジーズ，インコーポレイテッド filed Critical イーラム テクノロジーズ，インコーポレイテッド
Publication of JP2025507638A publication Critical patent/JP2025507638A/ja
Publication of JP2025507638A5 publication Critical patent/JP2025507638A5/ja
Pending legal-status Critical Current

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Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or 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
    • A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
    • A61B17/12118—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm for positioning in conjunction with a stent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or 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
    • A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • 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
    • 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
    • A61F2002/823—Stents, different from stent-grafts, adapted to cover an aneurysm
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2024549566A 2022-02-23 2023-02-22 神経血管用フローダイバータおよび送達システム Pending JP2025507638A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202263313205P 2022-02-23 2022-02-23
US63/313,205 2022-02-23
PCT/US2023/013643 WO2023164008A1 (en) 2022-02-23 2023-02-22 Neurovascular flow diverter and delivery systems

Publications (2)

Publication Number Publication Date
JP2025507638A true JP2025507638A (ja) 2025-03-21
JP2025507638A5 JP2025507638A5 (https=) 2026-03-04

Family

ID=87573317

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2024549566A Pending JP2025507638A (ja) 2022-02-23 2023-02-22 神経血管用フローダイバータおよび送達システム

Country Status (5)

Country Link
US (2) US12508031B2 (https=)
EP (1) EP4482439A4 (https=)
JP (1) JP2025507638A (https=)
CN (1) CN116940311A (https=)
WO (1) WO2023164008A1 (https=)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20230389930A1 (en) * 2022-02-23 2023-12-07 eLum Technologies, Inc. Neurovascular Flow Diverter and Delivery Systems

Family Cites Families (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5601600A (en) 1995-09-08 1997-02-11 Conceptus, Inc. Endoluminal coil delivery system having a mechanical release mechanism
EP1180003B1 (en) 1999-05-20 2008-01-16 Boston Scientific Limited Stent delivery system with nested stabilizer
WO2002007795A2 (en) 2000-07-24 2002-01-31 Jeffrey Grayzel Stiffened balloon catheter for dilatation and stenting
US20020016597A1 (en) 2000-08-02 2002-02-07 Dwyer Clifford J. Delivery apparatus for a self-expanding stent
US7137993B2 (en) 2001-12-03 2006-11-21 Xtent, Inc. Apparatus and methods for delivery of multiple distributed stents
US6833003B2 (en) * 2002-06-24 2004-12-21 Cordis Neurovascular Expandable stent and delivery system
US7001422B2 (en) 2002-09-23 2006-02-21 Cordis Neurovascular, Inc Expandable stent and delivery system
JP4584832B2 (ja) 2003-05-23 2010-11-24 株式会社 京都医療設計 ステント供給装置
US7470282B2 (en) 2003-06-30 2008-12-30 Boston Scientific Scimed, Inc. Stent grip and system for use therewith
US8317859B2 (en) * 2004-06-28 2012-11-27 J.W. Medical Systems Ltd. Devices and methods for controlling expandable prostheses during deployment
US20050288766A1 (en) 2004-06-28 2005-12-29 Xtent, Inc. Devices and methods for controlling expandable prostheses during deployment
EP3266414B1 (en) 2005-05-12 2024-07-17 Covidien LP Implant delivery system with interlocked rx port orientation
US8273101B2 (en) * 2005-05-25 2012-09-25 Tyco Healthcare Group Lp System and method for delivering and deploying an occluding device within a vessel
EP1883371B1 (en) 2005-05-25 2015-10-07 Covidien LP System and method for delivering and deploying and occluding device within a vessel
US7942894B2 (en) 2006-01-31 2011-05-17 Codman & Shurtleff, Inc. Embolic device delivery system
US7766933B2 (en) 2006-03-31 2010-08-03 Codman & Shurtleff, Inc. Stretch resistant design for embolic coils with stabilization bead
FR2939637B1 (fr) 2008-12-17 2012-01-13 Newco Dispositif pour delivrer un stent et procede pour sa fabrication
JP2013500792A (ja) 2009-07-30 2013-01-10 ストライカー コーポレイション ステントデリバリーシステム
US9119738B2 (en) 2010-06-28 2015-09-01 Colibri Heart Valve Llc Method and apparatus for the endoluminal delivery of intravascular devices
DE102010044746A1 (de) * 2010-09-08 2012-03-08 Phenox Gmbh Implantat zur Beeinflussung des Blutflusses bei arteriovenösen Fehlbildungen
EP2680796A1 (en) 2011-03-04 2014-01-08 Stryker Corporation Stent delivery system
US9017365B2 (en) 2011-05-02 2015-04-28 Cook Medical Technologies Llc Polarizable delivery mechanism for medical device deployment
WO2013119332A2 (en) 2012-02-09 2013-08-15 Stout Medical Group, L.P. Embolic device and methods of use
US20130226278A1 (en) 2012-02-23 2013-08-29 Tyco Healthcare Group Lp Methods and apparatus for luminal stenting
EP3156006B1 (en) 2012-03-16 2022-05-18 Terumo Corporation Stent and stent delivery device
US9155647B2 (en) 2012-07-18 2015-10-13 Covidien Lp Methods and apparatus for luminal stenting
US20140180387A1 (en) 2012-12-21 2014-06-26 Stryker Nv Operations Limited Stent delivery system
US9943313B2 (en) 2013-01-03 2018-04-17 Empirilon Technology Llc Detachable coil release system and handle assembly
US9119948B2 (en) 2013-02-20 2015-09-01 Covidien Lp Occlusive implants for hollow anatomical structures, delivery systems, and related methods
US9192499B2 (en) 2013-03-11 2015-11-24 Cook Medical Technologies Llc Inner catheter for a self-expanding medical device delivery system with a closed coil wire
US20140277360A1 (en) 2013-03-13 2014-09-18 DePuy Synthes Products, LLC Delivery system for expandable stents
US10561509B2 (en) 2013-03-13 2020-02-18 DePuy Synthes Products, Inc. Braided stent with expansion ring and method of delivery
US9980837B2 (en) 2013-03-15 2018-05-29 Boston Scientific Scimed, Inc. Delivery device for partially unconstrained endoprosthesis
US9387074B2 (en) 2013-09-26 2016-07-12 Medtronic Vascular Galway Medical device delivery systems and methods
JP6241969B2 (ja) 2014-05-28 2017-12-06 ストライカー ヨーロピアン ホールディングス Ｉ，エルエルシーＳｔｒｙｋｅｒ Ｅｕｒｏｐｅａｎ Ｈｏｌｄｉｎｇｓ Ｉ，Ｌｌｃ 血管閉塞器具及びその使用方法
JP2016073553A (ja) * 2014-10-08 2016-05-12 朝日インテック株式会社 プッシャーガイドワイヤ
GB2533087B (en) 2014-12-08 2018-08-08 Cook Medical Technologies Llc Medical implant detachment mechanism and introducer assembly
CN107427376B (zh) 2015-01-28 2020-09-01 俄奥梯科创新有限公司 模块化内主动脉装置及其使用方法
US9375336B1 (en) 2015-01-29 2016-06-28 Intact Vascular, Inc. Delivery device and method of delivery
US10888331B2 (en) 2015-02-10 2021-01-12 Boston Scientific Scimed, Inc. Active release of embolic coils
DE102015103240A1 (de) 2015-03-05 2016-09-08 Phenox Gmbh Implantateinführsystem
US20160302794A1 (en) 2015-04-15 2016-10-20 Cook Medical Technologies Llc Detachment mechanism for vascular devices
WO2017195125A1 (en) 2016-05-13 2017-11-16 Jenavalve Technology, Inc. Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system
US11051822B2 (en) 2016-06-28 2021-07-06 Covidien Lp Implant detachment with thermal activation
US11547415B2 (en) 2016-07-22 2023-01-10 Route 92 Medical, Inc. Endovascular interventions in neurovascular anatomy
CN106214205A (zh) 2016-07-26 2016-12-14 加奇生物科技（上海）有限公司苏州分公司 动脉血管输送系统
JP7237313B2 (ja) 2016-07-29 2023-03-13 シャンハイ ワラビー メディカル テクノロジーズ カンパニー インコーポレイテッド インプラント送達システムおよび方法
US10292851B2 (en) 2016-09-30 2019-05-21 DePuy Synthes Products, Inc. Self-expanding device delivery apparatus with dual function bump
US10376396B2 (en) 2017-01-19 2019-08-13 Covidien Lp Coupling units for medical device delivery systems
US11083611B2 (en) 2017-08-23 2021-08-10 Stryker Corporation Implant delivery system
US11071637B2 (en) 2018-04-12 2021-07-27 Covidien Lp Medical device delivery
US11413176B2 (en) 2018-04-12 2022-08-16 Covidien Lp Medical device delivery
CA3051087A1 (en) 2018-08-06 2020-02-06 DePuy Synthes Products, Inc. Braid implant delivery and retraction device with distal engagement
US10278848B1 (en) 2018-08-06 2019-05-07 DePuy Synthes Products, Inc. Stent delivery with expansion assisting delivery wire
CN109700572B (zh) 2018-12-29 2020-09-25 先健科技(深圳)有限公司 用于输送器的止缩装置及其输送器
CN111528956B (zh) 2020-05-08 2021-06-11 上海申淇医疗科技股份有限公司 可解脱弹簧圈

Also Published As

Publication number Publication date
US12508031B2 (en) 2025-12-30
WO2023164008A1 (en) 2023-08-31
EP4482439A1 (en) 2025-01-01
US20230263529A1 (en) 2023-08-24
CN116940311A (zh) 2023-10-24
US20230263530A1 (en) 2023-08-24
EP4482439A4 (en) 2026-02-25
US12053183B2 (en) 2024-08-06

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