JP4647884B2 - 医療装置を配置するための急速交換カテーテルシース及びその使用方法 - Google Patents
医療装置を配置するための急速交換カテーテルシース及びその使用方法 Download PDFInfo
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- JP4647884B2 JP4647884B2 JP2002562275A JP2002562275A JP4647884B2 JP 4647884 B2 JP4647884 B2 JP 4647884B2 JP 2002562275 A JP2002562275 A JP 2002562275A JP 2002562275 A JP2002562275 A JP 2002562275A JP 4647884 B2 JP4647884 B2 JP 4647884B2
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0169—Exchanging a catheter while keeping the guidewire in place
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0172—Exchanging a guidewire while keeping the catheter in place
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2002/018—Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0093—Umbrella-shaped, e.g. mushroom-shaped
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/018—Catheters having a lateral opening for guiding elongated means lateral to the catheter
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0183—Rapid exchange or monorail catheters
-
- 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
- A61M25/104—Balloon catheters used for angioplasty
Description
患者を守る為に有用である。急速交換シースは、冠状動脈、大動脈、総頚動脈、外及び内頚動脈、腕頭動脈、中大脳動脈、脳底動脈、鎖骨下動脈、腋窩動脈、腸骨動脈、腎動脈、大腿動脈、膝窩動脈、腹腔動脈、上腸間膜動脈、下腸間膜動脈、前脛骨動脈、後脛骨動脈及び、酸素を多く含んだ血液が流れる他の全ての動脈内部に医学機器を配置する為に挿入できる。シースはプロテインCやプロテインSの欠乏症を含む、凝固性亢進状態を伴う患者にフィルタの配置や肺塞栓を防ぐ為に予防的に使用できる。また血管管腔処置中に、接近の為や、トロンビンによる末梢血栓や、上大静脈、下大静脈、外及び内頚静脈、腕頭静脈、肺動脈、鎖骨下静脈、上腕静脈、腋窩静脈、腸骨静脈、腎静脈、大腿静脈、大腿深静脈、大伏在静脈、門脈、脾静脈、肝静脈、奇静脈、からの静脈循環内の異物による末梢塞栓を防ぐ為に使用することができる。
部材10からなる。管状部材10は先端部12において第一開口部15と、先端部12から基端方向の短い距離にある第二開口部16とを備える。開口部16は開口部15の基端方向に1ミリメータから50センチの距離で設置することが可能であり、開口部15の基端方向に2,4,6,8,10,12,14,16,18センチメータの距離、他のいかなる適した距離に設置することが可能である。ルーメン11は血管形成カテーテル30等、血管管腔医療機器を受け取るのに適応されている。血管形成バルーン33は血管形成カテーテルの先端部32に取り付けられている。基端部と先端部21を備えるガイドワイヤ20は管状部材10の開口部16、ルーメン11、開口部15を通過する。
程式から計算され、これらは完全に本願に併合されている。
Claims (9)
- 基端部と、先端部と、ルーメンとを備え、かつ先端部に第一開口部と、先端部よりも基端側に第二開口部と、第二開口部よりも基端側かつ基端部よりも先端側に第三開口部とを備える長尺管状部材と、
該第一開口部、該長尺管状部材のルーメン、及び該第二開口部を通過するガイドワイヤと、
該長尺管状部材のルーメン内部に位置し、かつ管腔内医療装置の受け取りに適し、かつ基端部と先端部を備える支持ワイヤと、
前記長尺管状部材は、前記第一開口部、前記ルーメン、及び前記第三開口部を通じた前記支持ワイヤの基端側への後進を容易にするよう構成されていることと、
からなる医療装置配置用のシース。 - 急速交換シースである請求項1に記載のシース。
- 第二開口部が先端部から基端方向の短い距離にある請求項1に記載のシース。
- 支持ワイヤがさらに先端部に取り付けられた拡張フィルタを備える請求項1に記載のシース。
- 支持ワイヤとフィルタが長尺管状部材のルーメンに位置する請求項4に記載のシース。
- 管腔内医療装置をさらに備える請求項1に記載のシース。
- 長尺管状部材の基端部に止血バルブを備える請求項1に記載のシース。
- 管腔内医療装置が血管形成用カテーテル、ステント配置用カテーテル、アテローム切除術用カテーテル、血管内部超音波カテーテル、フィルタカテーテル、ガイドワイヤ、吸引カテーテルからなるグループから選択される請求項6に記載のシース。
- 第二開口部が先端部から10cm基端方向に位置する請求項1に記載のシース。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US26213601P | 2001-01-16 | 2001-01-16 | |
US10/039,214 US7169165B2 (en) | 2001-01-16 | 2002-01-04 | Rapid exchange sheath for deployment of medical devices and methods of use |
PCT/US2002/000281 WO2002062266A2 (en) | 2001-01-16 | 2002-01-07 | Rapid exchange catheter sheath for deployment of medical devices and methods of use |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008283510A Division JP4932814B2 (ja) | 2001-01-16 | 2008-11-04 | 医療装置用のシース |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2004522525A JP2004522525A (ja) | 2004-07-29 |
JP4647884B2 true JP4647884B2 (ja) | 2011-03-09 |
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ID=26715921
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002562275A Expired - Fee Related JP4647884B2 (ja) | 2001-01-16 | 2002-01-07 | 医療装置を配置するための急速交換カテーテルシース及びその使用方法 |
JP2008283510A Expired - Fee Related JP4932814B2 (ja) | 2001-01-16 | 2008-11-04 | 医療装置用のシース |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008283510A Expired - Fee Related JP4932814B2 (ja) | 2001-01-16 | 2008-11-04 | 医療装置用のシース |
Country Status (8)
Country | Link |
---|---|
US (2) | US7169165B2 (ja) |
EP (4) | EP1949932B1 (ja) |
JP (2) | JP4647884B2 (ja) |
AT (3) | ATE399036T1 (ja) |
AU (1) | AU2002251736A1 (ja) |
CA (1) | CA2433078C (ja) |
DE (2) | DE60227295D1 (ja) |
WO (1) | WO2002062266A2 (ja) |
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2002
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- 2002-01-07 DE DE60227295T patent/DE60227295D1/de not_active Expired - Lifetime
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- 2002-01-07 AU AU2002251736A patent/AU2002251736A1/en not_active Abandoned
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Publication number | Publication date |
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CA2433078C (en) | 2010-05-04 |
WO2002062266A2 (en) | 2002-08-15 |
US7169165B2 (en) | 2007-01-30 |
ATE523220T1 (de) | 2011-09-15 |
EP1351737A2 (en) | 2003-10-15 |
DE60227295D1 (de) | 2008-08-07 |
EP2308545A1 (en) | 2011-04-13 |
US20070083216A1 (en) | 2007-04-12 |
AU2002251736A1 (en) | 2002-08-19 |
JP2009095682A (ja) | 2009-05-07 |
ATE399036T1 (de) | 2008-07-15 |
DE60205212D1 (de) | 2005-09-01 |
JP2004522525A (ja) | 2004-07-29 |
US7842065B2 (en) | 2010-11-30 |
DE60205212T2 (de) | 2006-04-20 |
ATE300330T1 (de) | 2005-08-15 |
EP1598089A1 (en) | 2005-11-23 |
EP1351737B1 (en) | 2005-07-27 |
US20020095141A1 (en) | 2002-07-18 |
CA2433078A1 (en) | 2002-08-15 |
WO2002062266A8 (en) | 2002-12-12 |
EP1949932B1 (en) | 2011-09-07 |
EP1598089B1 (en) | 2008-06-25 |
WO2002062266A3 (en) | 2002-10-03 |
EP1949932A1 (en) | 2008-07-30 |
JP4932814B2 (ja) | 2012-05-16 |
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