JP4526821B2 - バルーン・カテーテル - Google Patents
バルーン・カテーテル Download PDFInfo
- Publication number
- JP4526821B2 JP4526821B2 JP2003574244A JP2003574244A JP4526821B2 JP 4526821 B2 JP4526821 B2 JP 4526821B2 JP 2003574244 A JP2003574244 A JP 2003574244A JP 2003574244 A JP2003574244 A JP 2003574244A JP 4526821 B2 JP4526821 B2 JP 4526821B2
- Authority
- JP
- Japan
- Prior art keywords
- balloon
- catheter
- guidewire
- sheath
- extension
- 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
-
- 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
- A61F2/02—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
- 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
- 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1045—Balloon catheters with special features or adapted for special applications for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Child & Adolescent Psychology (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
Description
本発明は動脈瘤を修復するための装置および方法に関連しており、特に、一定の同側の接近部位から一定の分枝動脈の中に一定のバルーンを位置決めするために操作可能な一定のバルーン・カテーテルに関連している。
動脈瘤は、通常において全身系的なコラーゲン合成また構造的な欠陥により生じる、一定の動脈壁部における1個以上の層の異常な拡張である。腹大動脈瘤は、通常において2個の腸骨動脈の一方または両方の中またはその近くにおいて、あるいは、各腎動脈の近くにおいて存在する、大動脈の腹部における一定の動脈瘤である。この動脈瘤は、例えば、各腎臓の下方における病気の大動脈の腎下部内において生じる場合が多い。また、胸大動脈瘤は大動脈の胸部内における一定の動脈瘤である。これらは治療しないままに放置すると、その動脈瘤が破裂して、通常的に迅速で致命的な出血を生じる。
本発明の腸骨分枝部バルーン・カテーテルは上記において簡単に説明したようにこれらの装置および方法における種々の制限を解消している。
本発明の腸骨分枝部(IB)バルーン・カテーテルは本明細書に参考文献として含まれる米国特許第6,224,609号において開示されているトリビュータリー(Tributary)(商標)ステント・グラフト・システムに対する一定の補助装置として用いることができる。このIBバルーン・カテーテルは医者の決定における必要に応じて図1において示されている一定の分枝状の脈管内プロテーゼ10におけるサイド−アーム部15の後方バルーン処理を容易にするために利用できる。すなわち、種々の動物体による研究および臨床的な研究により、後方バルーン処理用のプロテーゼにおけるサイド−アーム部が一部の場合において要望されることが有り得る。本発明のカテーテル・システムの主要な機能の一例は一定の同側の接近部位から一定のプロテーゼにおけるサイド−アーム部の中に一定のバルーンを位置決めすることである。
Claims (8)
- バルーン・カテーテルにおいて、
シース・ポートを有している外部シース、
無外傷性の先端部分を有していて、前記シース・ポートの中をたどるガイドワイヤ、
前記ガイドワイヤを前記シース・ポートを通して外に操縦および伸長するための移動可能なカテーテル伸長部分、
前記ガイドワイヤおよびカテーテル伸長部分に連結しているバルーン軸部、
前記カテーテル伸長部分および前記バルーン軸部の内の少なくとも1個に固定されていて、外側シースに対して摺動自在に係合可能なカテーテル先端部分、および
前記バルーン軸部に対して接続しているバルーンを備えており、
前記無外傷性の先端部分が屈曲部分を含み、
前記外部シースが前記シース・ポートの位置を示すための放射線不透過性のマーカーを含み、前記無外傷性の先端部分が放射線不透過性のマーカーを含み、前記カテーテル伸長部分は、前記ガイドワイヤを操縦して前記シース・ポートから前記ガイドワイヤを出すために回転できる、バルーン・カテーテル。 - さらに、前記バルーンの各端部の近くにおいて前記バルーン軸部に接続している第1および第2の放射線不透過性のマーカーを備えている請求項1に記載のバルーン・カテーテル。
- 前記カテーテル先端部分が前記カテーテル伸長部分およびバルーン軸部に対して熱接着している請求項1に記載のバルーン・カテーテル。
- さらに、前記カテーテル伸長部分および前記バルーン軸部の接合部分に熱接着している非溶融性のチューブを備えている請求項3に記載のバルーン・カテーテル。
- 前記カテーテル伸長部分および前記バルーン軸部が前記熱接着部分の近くにおいて約180°の屈曲部分を含む請求項3に記載のバルーン・カテーテル。
- 前記ガイドワイヤは前記シース・ポートの中を通して前記バルーンを引き動かすために十分な捩れ抵抗性を有している請求項1に記載のバルーン・カテーテル。
- 前記ガイドワイヤは前記無外傷性の先端部分からその長さに沿って増大している直径を有している請求項1に記載のバルーン・カテーテル。
- 前記無外傷性の先端部分の前記屈曲部分が60°乃至70°の角度を定めている請求項1に記載のバルーン・カテーテル。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US36257602P | 2002-03-07 | 2002-03-07 | |
PCT/US2003/006631 WO2003075976A2 (en) | 2002-03-07 | 2003-03-06 | Iliac bifurcation balloon catheter |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005518903A JP2005518903A (ja) | 2005-06-30 |
JP4526821B2 true JP4526821B2 (ja) | 2010-08-18 |
Family
ID=27805194
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003574244A Expired - Lifetime JP4526821B2 (ja) | 2002-03-07 | 2003-03-06 | バルーン・カテーテル |
Country Status (8)
Country | Link |
---|---|
US (1) | US7901425B2 (ja) |
EP (1) | EP1494734B1 (ja) |
JP (1) | JP4526821B2 (ja) |
AT (1) | ATE423580T1 (ja) |
AU (1) | AU2003216517A1 (ja) |
CA (2) | CA2705569C (ja) |
DE (1) | DE60326332D1 (ja) |
WO (1) | WO2003075976A2 (ja) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004030718A2 (en) | 2002-09-20 | 2004-04-15 | Flowmedica, Inc. | Method and apparatus for intra aortic substance delivery to a branch vessel |
AU2003276903A1 (en) | 2002-09-20 | 2004-05-04 | Flowmedica, Inc. | Method and apparatus for selective material delivery via an intra-renal catheter |
US7993325B2 (en) * | 2002-09-20 | 2011-08-09 | Angio Dynamics, Inc. | Renal infusion systems and methods |
US20050197624A1 (en) | 2004-03-04 | 2005-09-08 | Flowmedica, Inc. | Sheath for use in peripheral interventions |
JP2006526464A (ja) | 2003-06-05 | 2006-11-24 | フローメディカ,インコーポレイテッド | 分枝した身体管腔において両側介入または診断を行うためのシステムおよび方法 |
WO2005112980A2 (en) * | 2004-05-14 | 2005-12-01 | Flowmedica, Inc. | Bi-lateral local renal delivery for treating congestive heart failure and for bnp therapy |
US7771401B2 (en) | 2006-06-08 | 2010-08-10 | Angiodynamics, Inc. | Selective renal cannulation and infusion systems and methods |
US20070283969A1 (en) * | 2006-06-12 | 2007-12-13 | Medtronic Vascular, Inc. | Method of Diagnosing and Treating Erectile Dysfunction |
US7771465B2 (en) | 2006-06-23 | 2010-08-10 | Gore Enterprise Holdings, Inc. | Branched stent delivery system |
US20080114444A1 (en) * | 2006-11-09 | 2008-05-15 | Chun Ho Yu | Modular stent graft and delivery system |
FR2924018B1 (fr) * | 2007-11-23 | 2010-12-24 | Protomed | Dispositif d'implantation d'une prothese vasculaire |
KR101125626B1 (ko) | 2010-08-12 | 2012-03-28 | 안용철 | 벌룬 카테터 |
WO2012065625A1 (en) * | 2010-11-15 | 2012-05-24 | Endovascular Development AB | An assembly with a guide wire and a fixator for attaching to a blood vessel |
WO2014197962A1 (en) * | 2013-06-12 | 2014-12-18 | Carnevale Francisco Cesar | Catheter and methods related thereto |
US10166373B2 (en) | 2014-10-31 | 2019-01-01 | Biosensors International Group, Ltd. | Elastic tip for an adjustable length angioplasty balloon sheath |
Family Cites Families (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4774949A (en) * | 1983-06-14 | 1988-10-04 | Fogarty Thomas J | Deflector guiding catheter |
US4582181A (en) * | 1983-08-12 | 1986-04-15 | Advanced Cardiovascular Systems, Inc. | Steerable dilatation catheter |
US4811743A (en) * | 1987-04-21 | 1989-03-14 | Cordis Corporation | Catheter guidewire |
US4976691A (en) * | 1989-01-23 | 1990-12-11 | Harvinder Sahota | Topless catheters |
US5628783A (en) | 1991-04-11 | 1997-05-13 | Endovascular Technologies, Inc. | Bifurcated multicapsule intraluminal grafting system and method |
US6514262B1 (en) * | 1994-06-29 | 2003-02-04 | Mattioli Engineering Ltd. | Dermabrasion by a flow of reducing substances and having disposable sterilized components |
US6099497A (en) * | 1998-03-05 | 2000-08-08 | Scimed Life Systems, Inc. | Dilatation and stent delivery system for bifurcation lesions |
US6224609B1 (en) * | 1998-03-16 | 2001-05-01 | Teramed Inc. | Bifurcated prosthetic graft |
US6022342A (en) * | 1998-06-02 | 2000-02-08 | Mukherjee; Dipankar | Catheter introducer for antegrade and retrograde medical procedures |
JP2000000297A (ja) * | 1998-06-15 | 2000-01-07 | Akihisa Inoue | ガイドワイヤとその製造方法 |
US6261316B1 (en) * | 1999-03-11 | 2001-07-17 | Endologix, Inc. | Single puncture bifurcation graft deployment system |
JP2001009040A (ja) * | 1999-06-30 | 2001-01-16 | Piolax Inc | ガイドワイヤ |
-
2003
- 2003-03-06 CA CA2705569A patent/CA2705569C/en not_active Expired - Lifetime
- 2003-03-06 JP JP2003574244A patent/JP4526821B2/ja not_active Expired - Lifetime
- 2003-03-06 EP EP03744179A patent/EP1494734B1/en not_active Expired - Lifetime
- 2003-03-06 US US10/379,911 patent/US7901425B2/en not_active Expired - Fee Related
- 2003-03-06 CA CA2478609A patent/CA2478609C/en not_active Expired - Lifetime
- 2003-03-06 AU AU2003216517A patent/AU2003216517A1/en not_active Abandoned
- 2003-03-06 AT AT03744179T patent/ATE423580T1/de not_active IP Right Cessation
- 2003-03-06 WO PCT/US2003/006631 patent/WO2003075976A2/en active Application Filing
- 2003-03-06 DE DE60326332T patent/DE60326332D1/de not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
US20030220664A1 (en) | 2003-11-27 |
JP2005518903A (ja) | 2005-06-30 |
AU2003216517A8 (en) | 2003-09-22 |
WO2003075976A2 (en) | 2003-09-18 |
WO2003075976A3 (en) | 2004-02-05 |
EP1494734A2 (en) | 2005-01-12 |
EP1494734B1 (en) | 2009-02-25 |
DE60326332D1 (de) | 2009-04-09 |
CA2705569C (en) | 2014-07-08 |
ATE423580T1 (de) | 2009-03-15 |
US7901425B2 (en) | 2011-03-08 |
CA2478609C (en) | 2011-05-17 |
EP1494734A4 (en) | 2008-04-30 |
CA2705569A1 (en) | 2003-09-18 |
CA2478609A1 (en) | 2003-09-18 |
AU2003216517A1 (en) | 2003-09-22 |
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