JP4394125B2 - 多管腔補綴具システムおよび方法 - Google Patents
多管腔補綴具システムおよび方法 Download PDFInfo
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- JP4394125B2 JP4394125B2 JP2006536617A JP2006536617A JP4394125B2 JP 4394125 B2 JP4394125 B2 JP 4394125B2 JP 2006536617 A JP2006536617 A JP 2006536617A JP 2006536617 A JP2006536617 A JP 2006536617A JP 4394125 B2 JP4394125 B2 JP 4394125B2
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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
- A61F2/04—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
- A61F2/86—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
- A61F2/02—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
-
- 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
- A61F2/04—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
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
Description
本発明は、一般に補綴具に関し、そして、特に、中空の身体器官および/または血管の疾患セクションおよび/または損傷したセクションの修復で用いられる補綴具に関する。
損傷または疾患からの血管の弱体化は、血管拡張および動脈瘤の形成に至り得る。処置しないでおくと、動脈瘤は、サイズが大きくなり、そして最終的には破裂し得る。
本発明は、中空の身体器官および/または血管の疾患セクションおよび/または損傷セクションを修復するための装置および方法を提供する。
(I.多管腔補綴具アセンブリ)
図1は、本発明の特徴を具現化する多管腔補綴具アセンブリ10を示す。示される実施形態において、この多管腔補綴具アセンブリ10は、トランク構成要素12および少なくとも1つの拡大部構成要素26を備える。
使用の間に(図5を参照のこと)、第1のカテーテル46は、腸骨動脈を通り、腎動脈近傍の大動脈内の所望の位置までガイドワイヤ48上で操縦される。このカテーテル46は、多管腔補綴具システム10のトランク構成要素12を半径方向に減少した形態で運ぶ。標的部位において、このカテーテル46は、トランク構成要素12を放出し、これは、図3に示される位置に半径方向に拡大する。
Claims (15)
- 血管または中空の身体器官のための補綴具アセンブリであって、
織物補綴具材料を含むトランクであって、該織物補綴具材料が該トランク中への、または該トランクからの流体流れのための近位開口部と連通する内部を規定し、該トランクが、
該近位開口部から距離を置かれ、そして織物補綴具材料の対向する表面をともに接続し、該トランクの内部内に少なくと第1の内部管腔および該第1の管腔より短い短縮された第2の内部管腔を備える多管腔流れチャネル形態を規定するようなサイズおよび形態である内部隔壁を形成する縫い目と、
該近位開口部の周りで該織物補綴具材料に連結される第1の環状ステントリング構造物と、
該第1の環状ステントリング構造物から離れて間隔を置かれ、そして該第1の環状ステントリング構造物に互いに取り付けられず、そして該隔壁に侵入または該隔壁を中断することなく該第1の内部管腔の周りで該織物補綴具材料に連結される第2の環状ステントリング構造物と、
該第1の環状ステントリング構造物および該第2の環状ステントリング構造物から離れて間隔を置かれ、そして該1の環状ステントリング構造物および該第2の環状ステントリング構造物に互いに取り付けられず、そして該隔壁に侵入または該隔壁を中断することなく該短縮された第2の内部管腔の周りで該織物補綴具材料に連結される第3の環状ステントリング構造物とを含み、
該間隔を置かれて離れ、そして互いに取り付けられない第1、第2、および第3の環状リング構造物が該トランクの半径方向の支持を維持しながら該トランクの長軸方向のコンプライアンスを可能にし、該第1の環状ステントリング構造物が、該第2の環状ステントリング構造物および第3の環状ステントリング構造物とは異なるサイズおよび形態であり、該補綴具をその場に係留して収容するトランク、および
該第1の内部管腔および該第2の内部管腔の少なくとも1つ内に適合されるようなサイズおよび形態であり、該少なくとも1つの内部管腔の拡大部を規定する拡大部構成要素を備える、補綴具アセンブリ。 - 前記多管腔流れチャネル形態が、2つの内部管腔を備える、請求項1に記載の補綴具アセンブリ。
- 前記多管腔流れチャネル形態が、前記トランクの中央線の軸に関して対称である、請求項1に記載の補綴具アセンブリ。
- 前記多管腔流れチャネル形態が、第1の内部管腔および第2の内部管腔を含み、該内部管腔の少なくとも1つが拡大された管腔を規定する管腔拡大部構成要素を受容するサイズかつ形態である、請求項1に記載の補綴具アセンブリ。
- 前記拡大された管腔が、前記隔壁によって他方の内部管腔に接続される部分、および該隔壁によって該他方の内部管腔に接続されない別の部分を含む、請求項4に記載の補綴具アセンブリ。
- 前記拡大された管腔が、前記隔壁によって前記第1の内部管腔に接続される部分、および該隔壁によって該第1の内部管腔に接続されない別の部分を含む、請求項1に記載の補綴具アセンブリ。
- 前記トランクの領域が、該トランクを身体組織に固定する固定要素を受容するサイズかつ形態である、請求項1に記載の補綴具アセンブリ。
- 前記トランクが、支持体足場を含む、請求項1に記載の補綴具アセンブリ。
- 前記環状ステントリング構造物が、自己拡大するステントリングを含む、請求項1に記載の補綴具アセンブリ。
- 前記トランクが軸に沿って延び、前記隔壁が該トランクの該軸に沿って形成された縫い目を備える、請求項1に記載の補綴具アセンブリ。
- 前記縫い目が、織ること、縫うこと、または熱結合することによって形成される、請求項1に記載の補綴具アセンブリ。
- 補綴具を展開するためのシステムであって、
請求項1に規定される補綴具アセンブリを、血管または中空の身体器官を含む標的部位中に導入する手段、および
該補綴具を該標的部位において身体組織と接触して位置決めする手段、を備える、システム。 - 前記補綴具を前記標的部位において身体組織に固定する手段をさらに備える、請求項12に記載のシステム。
- 補綴具を展開するためのシステムであって、
請求項1に規定される補綴具アセンブリを、血管または中空の身体器官を含む標的部位中に導入する手段、
該補綴具アセンブリのトランクを該標的部位において身体組織と接触して位置決めする手段、および
該補綴具アセンブリの管腔拡大部を該トランクに適合する手段、を備える、システム。 - 前記補綴具アセンブリのトランクを前記標的部位において身体組織に固定する手段をさらに備える、請求項14に記載のシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/693,255 US6929661B2 (en) | 2001-11-28 | 2003-10-24 | Multi-lumen prosthesis systems and methods |
PCT/US2004/027590 WO2005044148A1 (en) | 2003-10-24 | 2004-08-25 | Multi-lumen prosthesis systems and methods |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2008306790A Division JP2009106763A (ja) | 2003-10-24 | 2008-12-01 | 多管腔補綴具システムおよび方法 |
Publications (3)
Publication Number | Publication Date |
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JP2007508895A JP2007508895A (ja) | 2007-04-12 |
JP2007508895A5 JP2007508895A5 (ja) | 2007-10-18 |
JP4394125B2 true JP4394125B2 (ja) | 2010-01-06 |
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JP2006536617A Expired - Fee Related JP4394125B2 (ja) | 2003-10-24 | 2004-08-25 | 多管腔補綴具システムおよび方法 |
JP2008306790A Pending JP2009106763A (ja) | 2003-10-24 | 2008-12-01 | 多管腔補綴具システムおよび方法 |
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JP2008306790A Pending JP2009106763A (ja) | 2003-10-24 | 2008-12-01 | 多管腔補綴具システムおよび方法 |
Country Status (11)
Country | Link |
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US (2) | US6929661B2 (ja) |
EP (2) | EP2119416B1 (ja) |
JP (2) | JP4394125B2 (ja) |
CN (1) | CN1870951B (ja) |
AT (2) | ATE546109T1 (ja) |
AU (1) | AU2004287355B2 (ja) |
CA (1) | CA2546721C (ja) |
DE (1) | DE602004022444D1 (ja) |
DK (1) | DK1680045T3 (ja) |
ES (2) | ES2394976T3 (ja) |
WO (1) | WO2005044148A1 (ja) |
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CN1870951A (zh) | 2006-11-29 |
AU2004287355A1 (en) | 2005-05-19 |
DE602004022444D1 (de) | 2009-09-17 |
US20050240258A1 (en) | 2005-10-27 |
CA2546721A1 (en) | 2005-05-19 |
EP1680045A1 (en) | 2006-07-19 |
ES2394976T3 (es) | 2013-02-07 |
CA2546721C (en) | 2013-09-24 |
CN1870951B (zh) | 2010-05-26 |
JP2007508895A (ja) | 2007-04-12 |
US20050021132A1 (en) | 2005-01-27 |
ATE546109T1 (de) | 2012-03-15 |
US6929661B2 (en) | 2005-08-16 |
EP2119416B1 (en) | 2012-02-22 |
EP1680045B1 (en) | 2009-08-05 |
EP1680045A4 (en) | 2007-05-16 |
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