JP3211156B2 - ステント移植組織片 - Google Patents

ステント移植組織片

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Publication number
JP3211156B2
JP3211156B2 JP36196897A JP36196897A JP3211156B2 JP 3211156 B2 JP3211156 B2 JP 3211156B2 JP 36196897 A JP36196897 A JP 36196897A JP 36196897 A JP36196897 A JP 36196897A JP 3211156 B2 JP3211156 B2 JP 3211156B2
Authority
JP
Japan
Prior art keywords
stent
graft
tissue
material layer
stents
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.)
Expired - Lifetime
Application number
JP36196897A
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English (en)
Other versions
JPH10314313A (ja
Inventor
ランドルフ・フオン・エーペン
ニコラウス・ライフアルト
Original Assignee
ヨーメド・イムプランターテ・ゲゼルシヤフト・ミツト・ベシユレンクテル・ハフツング
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Publication of JPH10314313A publication Critical patent/JPH10314313A/ja
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Expired - Lifetime 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
    • A61F2/02—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
    • 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
    • A61F2/852—Two or more distinct overlapping 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
    • A61F2/82—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
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • 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
    • 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
    • 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
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length
    • 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
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063—Nested prosthetic parts

Landscapes

  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Laminated Bodies (AREA)
  • Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)

Description

【発明の詳細な説明】
【０００１】
【発明の属する技術分野】本発明は、とくに動脈瘤の際
であるが、不安定な又は脆弱な又は血栓症の血管壁にお
いて、血管を援助するために使用されるようなステント
移植組織片に関する。
【０００２】
【従来の技術】従来のステント移植組織片は、通常例え
ばレーザ切断により金属管片から製造される半径方向に
拡張可能なステント、及び組織又はフイルムからなりそ
れに縫い付けられた被覆からなる。被覆は、血液流通又
は血液成分の流通又はステント移植組織片の壁を通した
沈着、及びステント移植組織片の内部への壁を通した組
織の固着を阻止するという役割を有する。それによりと
りわけ血圧による血管壁の負荷を逃し、かつステント移
植組織片の内移植個所に塞栓症が生じることがないこと
が保証される。しかしながら従来のステントにおいてス
テントにおける被覆の固定縫い付けに基づいて、結節が
生じ、これら結節は、血栓形成の危険を伴う血管の開い
た流通における渦形成を引起こす。被覆が、編物組織又
はより組織からなる場合。これは、ステントの回りで折
畳まなければならない。その際、ステントの拡張の際に
被覆の折り目のない広げは、常に保証されているわけで
はない。
【０００３】
【発明が解決しようとする課題】本発明の課題は、この
問題を除去することにある。
【０００４】
【課題を解決するための手段】この問題を解決するため
に、本発明によれば、ステント移植組織片が同軸的に配
置されて半径方向に拡張可能な２つのステントを含み、
両方のステントが端部範囲で互いに結合され、可とう性
の膨張可能な材料層が両方のステントの間に配置され、
かつ内側のステントの周りに巻かれるフイルムテープ又
は編物組織又はより組織テープとして形成されている。
本発明によるステント移植組織片において、材料層は、
両方の同軸的なステントの間に締付けられるので、一方
のステントにおける材料層の縫い付けは省略することが
できる。その上さらに材料層は。血管内へのステントの
挿入の際に、損傷を防止される。材料層の可とう性のか
つ膨張可能な特性に基いて、この材料層は、両方のステ
ントとともに移植個所において半径方向に広がることが
できる。押込む際に両方のステントの相互のずれを防止
するために、両方のステントは、その端部範囲において
互いに点状に結合することができる。そのために種々の
技術を使用することができる。両方のステントは、例え
ば互いに溶接、プレス又は接着することができる。材料
層は、人体に協調性のある材料又は生物学的な組織から
なるフイルム又は編物組織又はより組織からなるホース
状の要素によって形成することができる。しかし材料層
は、内側のステントの回りに巻かれたフイルム又は編物
組織又はより組織テープからなることができる。それに
よりステント移植組織片のとくに経済的な製造が可能で
ある。材料中間層のための材料としては、例えばポリテ
トラフルオロエチレン、ポリエチレンテレフタラート、
又は自己又は同種（又は相同）の静脈又は動脈にような
生物学的な材料が採用される。ここで「自己の」は対象
物が自己により産生されたか又は自己に由来することを
意味し、「同種（又は相同）」は異なる種の構造の間の
類似性を意味する。その際、あらかじめ膨張した例えば
ポリテトラフルオロエチレンは、この材料が原線維（繊
維を構成する細糸状の単位）の構造を有するので、格別
の利点を有し、それにより血管壁内へのステント移植組
織片の固着が助長される。それにより時間とともに、血
管とステント移植片との間の固定的な結合が生じる。
【０００５】
【発明の実施の形態】次に本発明によるステント移植組
織片の有利な実施例を、図面により詳細に説明する。
【０００６】１つの図は、２つの同軸的なステント１１
及び１２を有するステント移植組織片１０の一部切り欠
いた斜視図を示しており、これらのステントの間に、膨
張可能な材料層１３が配置されている。この層１３は、
人体に協調性のある合成物質フイルム又は合成物質の編
物組織又はより組織から製造することができる。しかし
人体に協調性のあるか又は生物学的なその他の材料の使
用も可能である。図示した例において材料層１３は、ス
テント移植組織片１０の長さの一部にわたって延びてい
る。
【図面の簡単な説明】
【図１】膨張可能な層を間に配置した２つの同軸的なス
テントを有するステント移植組織片を示す一部切り欠か
れた斜視図である。
【符号の説明】
１０ ステント移植組織片 １１ ステント １２ ステント １３ 材料層
───────────────────────────────────────────────────── フロントページの続き (72)発明者 ニコラウス・ライフアルト ドイツ連邦共和国エツプシユタイン・ク ンツ−シユトラーセ21 (56)参考文献 国際公開96／33672（ＷＯ，Ａ１) 国際公開93／21860（ＷＯ，Ａ１) 国際公開95／24873（ＷＯ，Ａ１) (58)調査した分野(Int.Cl.7，ＤＢ名) A61M 29/02 A61L 27/00

Claims (10)

    (57)【特許請求の範囲】
  1. 【請求項１】 ステント移植組織片が同軸的に配置され
    て半径方向に拡張可能な２つのステント（１１，１２）
    を含み、両方のステント（１１，１２）が端部範囲で互
    いに結合され、可とう性の膨張可能な材料層（１３）が
    両方のステント（１１，１２）の間に配置され、かつ内
    側のステントの周りに巻かれるフイルムテープ又は編物
    組織又はより組織テープとして形成されている、ステン
    ト移植組織片。
  2. 【請求項２】 材料層（１３）が、ステント（１１，１
    ２）の一部だけを覆っていることを特徴とする、請求項
    １記載のステント移植組織片。
  3. 【請求項３】 両方のステント（１１，１２）が、その
    端部範囲において互いに点状に結合されていることを特
    徴とする、請求項１又は２に記載のステント移植組織
    片。
  4. 【請求項４】 材料層（１３）が、フイルム又は編物組
    織又はより組織からなるホース状の要素によって形成さ
    れていることを特徴とする、請求項１ないし３の１つに
    記載のステント移植組織片。
  5. 【請求項５】 材料層（１３）が、内側のステントの回
    りに巻かれたホース状のフイルムテープ又は編物組織又
    はより組織テープによって形成されていることを特徴と
    する、請求項４に記載のステント記載の移植組織片。
  6. 【請求項６】 材料層（１３）が、ポリテトラフルオロ
    エチレンからなることを特徴とする、請求項１ないし５
    の１つに記載のステント移植組織片。
  7. 【請求項７】 材料層（１３）が、ポリエチレンテレフ
    フタラートからなることを特徴とする、請求項１ないし
    ５の１つに記載のステント移植組織片。
  8. 【請求項８】 材料層（１３）が、生物学的な材料から
    なることを特徴とする、請求項１ないし５の１つに記載
    のステント移植組織片。
  9. 【請求項９】 生物学的な材料が、自己の源即ち同一材
    料であることを特徴とする、請求項８に記載のステント
    移植組織片。
  10. 【請求項１０】 生物学的な材料が、同種の源即ち同種
    材料であることを特徴とする、請求項８に記載のステン
    ト移植組織片。
JP36196897A 1997-05-14 1997-11-21 ステント移植組織片 Expired - Lifetime JP3211156B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19720115A DE19720115C2 (de) 1997-05-14 1997-05-14 Stent-Graft
DE19720115.6 1997-05-14

Publications (2)

Publication Number Publication Date
JPH10314313A JPH10314313A (ja) 1998-12-02
JP3211156B2 true JP3211156B2 (ja) 2001-09-25

Family

ID=7829391

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GR3034716T3 (en) 2001-01-31
DE19720115C2 (de) 1999-05-20
DK0878173T3 (da) 2000-12-27
PT878173E (pt) 2000-11-30
DE19720115A1 (de) 1998-12-24
CA2224548A1 (en) 1998-11-14
EP0878173B1 (de) 2000-08-09
US5916264A (en) 1999-06-29
ES2151218T3 (es) 2000-12-16
EP0878173A1 (de) 1998-11-18
JPH10314313A (ja) 1998-12-02
CA2224548C (en) 2005-08-09
ATE195239T1 (de) 2000-08-15

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