JP4222481B2 - グラフト - Google Patents
グラフト Download PDFInfo
- Publication number
- JP4222481B2 JP4222481B2 JP2003539570A JP2003539570A JP4222481B2 JP 4222481 B2 JP4222481 B2 JP 4222481B2 JP 2003539570 A JP2003539570 A JP 2003539570A JP 2003539570 A JP2003539570 A JP 2003539570A JP 4222481 B2 JP4222481 B2 JP 4222481B2
- Authority
- JP
- Japan
- Prior art keywords
- graft
- lumen
- balloon
- wall
- tube
- 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
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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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/58—Materials at least partially resorbable by the body
-
- 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
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
-
- 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
- A61F2/94—Stents retaining their form, i.e. not being deformable, after placement in the predetermined place
- A61F2/945—Stents retaining their form, i.e. not being deformable, after placement in the predetermined place hardenable, e.g. stents formed in situ
-
- 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
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2002/065—Y-shaped blood vessels
- A61F2002/067—Y-shaped blood vessels modular
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30581—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid
- A61F2002/30583—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid filled with hardenable fluid, e.g. curable in-situ
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0085—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof hardenable in situ, e.g. epoxy resins
-
- 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
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
Description
2 外壁
3 内壁
4 ウエブ
5 端部壁
6 中空スペース
6’流入チューブ
7 環状フランジ
8 流出チューブ
9 ガイドワイヤ
10 大動脈
11 瘤
12 配置装置
13 配置用バルーン
14 グラフト
15 シール用フランジ
17 流入チューブ
19 光ファイバケーブル
20 UV光放射
30 グラフト
31 開口
32 放射線不透過マーカ
35 瘤
36 腎動脈
37 シール用フランジ
38 大動脈
40 カテーテル
41 クランク部分
42 ガイドワイヤ
50,51 フランジ
52 細長体
53 チューブ
54 ギャップ
55 壁
56 端部
57 フランジ
58 本体
59 端部
60 主要部分
61 上部部分
62 シール用フランジ
63 テーパ状下部部分
64 シール用フランジ
65 ショートレグ
67 拡張レググラフト
68 上部端
69 シール用フランジ
70 カテーテル
71 テーパ状先端部分
72 ガイドワイヤ
74 シース スリーブ
75 グラフト
76 バルーン
77 流入チューブ
78 流出チューブ
80 カテーテル
81 スリーブ
82 遠位端
83 接続点
84 近位端
86 流体供給ポート
87 グラフト
88 バルーン
90 シリンジ
91 充填材料供給シリンジ
Claims (11)
- 体内ルーメンを確保したり治療するグラフトにおいて、
前記グラフトは、所定の拡張形状を有する拡張可能部材を有し、固化可能な充填材料で充填することにより配置され、配置場所で硬化され、
前記グラフトは、体内ルーメンに対し連通していない、充填材料が注入される内部ルーメンを有し、
前記内部ルーメンは、内壁と外壁からなる二重壁構造のプラスチックチューブで形成され、
前記充填材料は、内壁と外壁の間に注入され、グラフトを所定の形状に拡張し、
前記充填材料を内部ルーメンに供給する流入チューブを有し、内部ルーメンの充填の完了は、内部ルーメンから流出チューブを介して過剰分が流れ出すことにより決定し、
前記グラフトは、少なくと1つの開口を有し、
前記少なくとも1つの開口は、グラフトの血液流用ルーメンと連通する
ことを特徴とするグラフト。 - 前記グラフトは、拡張時には細長いトロイダル形状あるいは環状形状をしており、
前記血液流用ルーメンは、体内ルーメン用に人工の流路を提供する
ことを特徴とする請求項1記載のグラフト。 - 前記グラフトの内壁と外壁との間にバッフルを有し、前記グラフトが所定の形状に拡張する
ことを特徴とする請求項1記載のグラフト。 - 前記グラフトは、生物適合性フィルムから形成されている
ことを特徴とする請求項1記載のグラフト。 - 前記生物適合性フィルムは、非柔軟性材料あるいは半柔軟性材料であり、拡張した時は、所定のサイズを採り、過剰に拡張しない、あるいは歪んだ形で拡張しない
ことを特徴とする請求項4記載のグラフト。 - 前記充填材料は、生物適合性材料である
ことを特徴とする請求項1記載のグラフト。 - 前記充填材料は、モノマー、液状プレポリマー、未架橋ポリマーからなる群から選択される
ことを特徴とする請求項1記載のグラフト。 - 前記充填材料は、UV光、IR光または可視光により固化される
ことを特徴とする請求項1記載のグラフト。 - 前記グラフトは、その一端あるいは両端の外側表面に、端部を円周状に包囲するシール用フランジを有する
ことを特徴とする請求項1記載のグラフト。 - 前記グラフトは、二股構造を有する
ことを特徴とする請求項1記載のグラフト。 - 前記グラフトは、配置バルーン上に配置され、前記配置バルーンは非柔軟性材料から形成される
ことを特徴とする請求項1記載のグラフト。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AUPR8472A AUPR847201A0 (en) | 2001-10-26 | 2001-10-26 | Endoluminal graft |
PCT/US2002/034269 WO2003037222A2 (en) | 2001-10-26 | 2002-10-24 | Endoluminal graft |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005507707A JP2005507707A (ja) | 2005-03-24 |
JP4222481B2 true JP4222481B2 (ja) | 2009-02-12 |
Family
ID=3832294
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003539570A Expired - Lifetime JP4222481B2 (ja) | 2001-10-26 | 2002-10-24 | グラフト |
Country Status (9)
Country | Link |
---|---|
US (1) | US7108715B2 (ja) |
EP (1) | EP1453437B1 (ja) |
JP (1) | JP4222481B2 (ja) |
KR (1) | KR20040066106A (ja) |
AT (1) | ATE437615T1 (ja) |
AU (1) | AUPR847201A0 (ja) |
CA (1) | CA2459742C (ja) |
DE (1) | DE60233159D1 (ja) |
WO (1) | WO2003037222A2 (ja) |
Families Citing this family (248)
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US7653438B2 (en) | 2002-04-08 | 2010-01-26 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
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-
2001
- 2001-10-26 AU AUPR8472A patent/AUPR847201A0/en not_active Abandoned
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2002
- 2002-10-24 AT AT02802468T patent/ATE437615T1/de not_active IP Right Cessation
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- 2002-10-24 EP EP02802468A patent/EP1453437B1/en not_active Expired - Lifetime
- 2002-10-24 US US10/279,446 patent/US7108715B2/en not_active Expired - Lifetime
- 2002-10-24 KR KR10-2004-7006209A patent/KR20040066106A/ko not_active Application Discontinuation
- 2002-10-24 DE DE60233159T patent/DE60233159D1/de not_active Expired - Lifetime
- 2002-10-24 JP JP2003539570A patent/JP4222481B2/ja not_active Expired - Lifetime
- 2002-10-24 CA CA2459742A patent/CA2459742C/en not_active Expired - Lifetime
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WO2003037222A2 (en) | 2003-05-08 |
AUPR847201A0 (en) | 2001-11-15 |
DE60233159D1 (de) | 2009-09-10 |
US7108715B2 (en) | 2006-09-19 |
EP1453437B1 (en) | 2009-07-29 |
EP1453437A2 (en) | 2004-09-08 |
CA2459742A1 (en) | 2003-05-08 |
ATE437615T1 (de) | 2009-08-15 |
CA2459742C (en) | 2011-02-01 |
KR20040066106A (ko) | 2004-07-23 |
JP2005507707A (ja) | 2005-03-24 |
WO2003037222A3 (en) | 2003-10-16 |
US20030093145A1 (en) | 2003-05-15 |
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