JP4395519B2 - フランジ付閉塞デバイスおよび方法 - Google Patents
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- JP4395519B2 JP4395519B2 JP2006547640A JP2006547640A JP4395519B2 JP 4395519 B2 JP4395519 B2 JP 4395519B2 JP 2006547640 A JP2006547640 A JP 2006547640A JP 2006547640 A JP2006547640 A JP 2006547640A JP 4395519 B2 JP4395519 B2 JP 4395519B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, 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
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00615—Implements with an occluder on one side of the opening and holding means therefor on the other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00632—Occluding a cavity, i.e. closing a blind opening
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
Claims (10)
- 左心耳内に配置するための折りたたみ可能な医療用デバイスであって、
第1の端部および第2の端部を有する管状本体であって、前記第1の端部と前記第2の端部の間に延びる長手方向軸線を画定しており、且つ該長手方向軸線を横断して測定される本体幅を有している管状本体と、
前記本体の前記第2の端部の近傍の前記本体に取り付けられたフランジであって、該フランジは、前記本体の前記第1の端部の方を向いた凹外面、および前記本体の前記第2の端部の方を向いた凸面を有し、前記凹面および凸面は、前記本体の前記第1の端部と前記第2の端部の間に位置するフランジ・リップであって、前記長手方向軸線に沿って前記第2の端部から内方に離れたフランジ・リップのところで結合し、また前記フランジは、前記長手方向軸線を横断するフランジ幅を有しているフランジと
を有する医療用デバイスにおいて、
前記本体幅および前記フランジ幅は、前記デバイスが緩んだ形態であるときに測定され、前記フランジの近傍の前記本体幅が前記フランジ幅の1/2以上である医療用デバイス。 - 左心耳内に配置するための折りたたみ可能な医療用デバイスであって、
第1の端部および第2の端部を有する管状本体であって、前記第1の端部と前記第2の端部の間に延びる長手方向軸線を画定しており、且つ該長手方向軸線を横断して測定される本体幅を有している管状本体と、
前記本体の前記第2の端部の近傍の前記本体に取り付けられた複数のフランジであって、各フランジは、前記本体の前記第1の端部の方を向いた凹外面、および前記本体の前記第2の端部の方を向いた凸面を有し、前記凹面および凸面は、前記本体の前記第1の端部と前記第2の端部の間に位置するフランジ・リップであって、前記長手方向軸線に沿って前記第2の端部から内方に離れたフランジ・リップのところで結合し、また前記各フランジは、前記長手方向軸線を横断するフランジ幅を有している複数のフランジと
を有する医療用デバイスにおいて、
前記本体幅および前記フランジ幅は、前記デバイスが緩んだ形態であるときに測定され、各フランジの近傍の前記本体幅が前記フランジ幅の1/2以上である医療用デバイス。 - 左心耳内に配置するための折りたたみ可能な医療用デバイスであって、
第1の端部および第2の端部を有する管状本体であって、前記第1の端部と前記第2の端部の間に延びる長手方向軸線を画定しており、且つ該長手方向軸線を横断して測定される本体幅を有している管状本体と、
前記本体の前記第2の端部の近傍の前記本体に取り付けられたただ1つのフランジであって、該ただ1つのフランジは、前記本体の前記第1の端部の方を向いた凹外面、および前記本体の前記第2の端部の方を向いた凸面を有し、前記凹面および凸面は、前記本体の前記第1の端部と前記第2の端部の間に位置するフランジ・リップであって、前記長手方向軸線に沿って前記第2の端部から内方に離れたフランジ・リップのところで結合し、また前記ただ1つのフランジは、前記長手方向軸線を横断するフランジ幅を有しているただ1つのフランジと
を有する医療用デバイスにおいて、
前記本体幅および前記フランジ幅は、前記デバイスが緩んだ形態であるときに測定され、前記ただ1つのフランジの近傍の前記本体幅が前記フランジ幅の1/2以上である医療用デバイス。 - 前記折りたたみ可能な医療用デバイスは、前記本体幅および前記フランジ幅が減少するように前記第1の端部と前記第2の端部の間の距離が増大される折りたたみ形状であって、前記デバイスがカテーテルの管腔内を通過することを可能にする折りたたみ形状を有し、また前記デバイスは、前記管腔から取り出された後、前記緩んだ形態に戻ることを特徴とする、請求項1から請求項3までのいずれか一項に記載の医療用デバイス。
- 前記デバイスは、該デバイスの前記緩んだ形態と形が一致するように処理された複数のストランドを有し、該複数のストランドの各ストランドは近位端および遠位端を有し、前記複数のストランドの前記近位端および前記遠位端の少なくとも一方が共通の終点で固定されている、請求項1から請求項4までのいずれか一項に記載の医療用デバイス。
- 前記複数のストランドがファブリックに構成された、請求項5に記載の医療用デバイス。
- 前記フランジが前記ファブリックの2つの層を有している、請求項6に記載の医療用デバイス。
- 前記共通の終点で前記デバイスに取り付けられたクランプをさらに有している、請求項5から請求項7までのいずれか一項に記載の医療用デバイス。
- 前記クランプがねじ山を有し、該ねじ山が、相補的なねじ山を有する送達デバイスを回転的に受けるようになっている、請求項8に記載の医療用デバイス。
- 前記共通の終点が、前記デバイスの前記第1の端部の近傍に位置している、請求項5から請求項9までのいずれか一項に記載の医療用デバイス。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US56082504P | 2004-04-08 | 2004-04-08 | |
PCT/US2005/010551 WO2005099365A2 (en) | 2004-04-08 | 2005-03-31 | Flange occlusion devices and methods |
Publications (2)
Publication Number | Publication Date |
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JP2007520271A JP2007520271A (ja) | 2007-07-26 |
JP4395519B2 true JP4395519B2 (ja) | 2010-01-13 |
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Application Number | Title | Priority Date | Filing Date |
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JP2006547640A Expired - Fee Related JP4395519B2 (ja) | 2004-04-08 | 2005-03-31 | フランジ付閉塞デバイスおよび方法 |
Country Status (13)
Country | Link |
---|---|
US (5) | US9743932B2 (ja) |
EP (3) | EP2856949B2 (ja) |
JP (1) | JP4395519B2 (ja) |
KR (1) | KR100819393B1 (ja) |
CN (1) | CN101146570B (ja) |
AU (1) | AU2005232562B2 (ja) |
BR (1) | BRPI0506947A2 (ja) |
CA (1) | CA2549323C (ja) |
EA (1) | EA009163B1 (ja) |
ES (3) | ES2551618T3 (ja) |
MX (1) | MXPA06006905A (ja) |
WO (1) | WO2005099365A2 (ja) |
ZA (1) | ZA200604868B (ja) |
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