JP4685630B2 - 血管外組織構造をリモデリングするための方法および装置 - Google Patents
血管外組織構造をリモデリングするための方法および装置 Download PDFInfo
- Publication number
- JP4685630B2 JP4685630B2 JP2005510332A JP2005510332A JP4685630B2 JP 4685630 B2 JP4685630 B2 JP 4685630B2 JP 2005510332 A JP2005510332 A JP 2005510332A JP 2005510332 A JP2005510332 A JP 2005510332A JP 4685630 B2 JP4685630 B2 JP 4685630B2
- Authority
- JP
- Japan
- Prior art keywords
- proximal
- implant
- distal
- configuration
- forming element
- 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
Links
- 238000007634 remodeling Methods 0.000 title claims abstract description 53
- 238000000034 method Methods 0.000 title abstract description 90
- 239000007943 implant Substances 0.000 claims description 262
- 210000003748 coronary sinus Anatomy 0.000 claims description 81
- 230000008878 coupling Effects 0.000 claims description 36
- 238000010168 coupling process Methods 0.000 claims description 36
- 238000005859 coupling reaction Methods 0.000 claims description 36
- 230000004323 axial length Effects 0.000 claims description 16
- 230000004044 response Effects 0.000 claims description 16
- 210000004204 blood vessel Anatomy 0.000 claims description 12
- 238000000576 coating method Methods 0.000 claims description 4
- 239000011248 coating agent Substances 0.000 claims description 3
- 238000007493 shaping process Methods 0.000 claims description 2
- 210000004115 mitral valve Anatomy 0.000 abstract description 46
- 210000003462 vein Anatomy 0.000 abstract description 17
- 210000001519 tissue Anatomy 0.000 description 122
- 230000033001 locomotion Effects 0.000 description 50
- 238000007906 compression Methods 0.000 description 40
- 230000006835 compression Effects 0.000 description 40
- 230000007246 mechanism Effects 0.000 description 36
- 210000002216 heart Anatomy 0.000 description 31
- 238000002513 implantation Methods 0.000 description 25
- 239000000463 material Substances 0.000 description 23
- 230000006870 function Effects 0.000 description 19
- 238000005452 bending Methods 0.000 description 16
- 238000004873 anchoring Methods 0.000 description 15
- 230000000747 cardiac effect Effects 0.000 description 15
- 230000000004 hemodynamic effect Effects 0.000 description 15
- 238000011282 treatment Methods 0.000 description 14
- 230000001746 atrial effect Effects 0.000 description 13
- 230000036961 partial effect Effects 0.000 description 13
- 238000001356 surgical procedure Methods 0.000 description 13
- 239000011800 void material Substances 0.000 description 13
- 230000008439 repair process Effects 0.000 description 12
- 229910001220 stainless steel Inorganic materials 0.000 description 12
- 210000005240 left ventricle Anatomy 0.000 description 11
- 239000010935 stainless steel Substances 0.000 description 11
- 230000007704 transition Effects 0.000 description 10
- 230000002829 reductive effect Effects 0.000 description 9
- 238000004904 shortening Methods 0.000 description 9
- 206010027727 Mitral valve incompetence Diseases 0.000 description 8
- 230000000295 complement effect Effects 0.000 description 8
- 229910052751 metal Inorganic materials 0.000 description 8
- 239000002184 metal Substances 0.000 description 8
- 229910001000 nickel titanium Inorganic materials 0.000 description 8
- 210000000038 chest Anatomy 0.000 description 7
- 239000013543 active substance Substances 0.000 description 6
- 239000004020 conductor Substances 0.000 description 6
- 238000002651 drug therapy Methods 0.000 description 6
- 210000004731 jugular vein Anatomy 0.000 description 6
- 125000006850 spacer group Chemical group 0.000 description 6
- 206010007559 Cardiac failure congestive Diseases 0.000 description 5
- 238000013459 approach Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 5
- 239000002131 composite material Substances 0.000 description 5
- 238000005520 cutting process Methods 0.000 description 5
- 239000003814 drug Substances 0.000 description 5
- 229940079593 drug Drugs 0.000 description 5
- 210000003191 femoral vein Anatomy 0.000 description 5
- 230000013011 mating Effects 0.000 description 5
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 5
- 229920000642 polymer Polymers 0.000 description 5
- 238000010992 reflux Methods 0.000 description 5
- 210000003270 subclavian artery Anatomy 0.000 description 5
- 210000000115 thoracic cavity Anatomy 0.000 description 5
- 206010056370 Congestive cardiomyopathy Diseases 0.000 description 4
- 201000010046 Dilated cardiomyopathy Diseases 0.000 description 4
- 206010019280 Heart failures Diseases 0.000 description 4
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 230000005540 biological transmission Effects 0.000 description 4
- 210000004351 coronary vessel Anatomy 0.000 description 4
- 230000001965 increasing effect Effects 0.000 description 4
- 210000005246 left atrium Anatomy 0.000 description 4
- 238000012544 monitoring process Methods 0.000 description 4
- 230000009467 reduction Effects 0.000 description 4
- 230000000717 retained effect Effects 0.000 description 4
- 210000002435 tendon Anatomy 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 210000005166 vasculature Anatomy 0.000 description 4
- 230000002861 ventricular Effects 0.000 description 4
- 210000000709 aorta Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 238000012377 drug delivery Methods 0.000 description 3
- 230000004064 dysfunction Effects 0.000 description 3
- 238000002592 echocardiography Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000003628 erosive effect Effects 0.000 description 3
- 239000004744 fabric Substances 0.000 description 3
- 238000002594 fluoroscopy Methods 0.000 description 3
- 230000004217 heart function Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 230000002685 pulmonary effect Effects 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 229920004934 Dacron® Polymers 0.000 description 2
- 208000011682 Mitral valve disease Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 150000001875 compounds Chemical class 0.000 description 2
- 238000009833 condensation Methods 0.000 description 2
- 230000005494 condensation Effects 0.000 description 2
- 239000002872 contrast media Substances 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 229920000295 expanded polytetrafluoroethylene Polymers 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 210000005003 heart tissue Anatomy 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 210000004165 myocardium Anatomy 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 210000003540 papillary muscle Anatomy 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000002787 reinforcement Effects 0.000 description 2
- 229910000679 solder Inorganic materials 0.000 description 2
- 230000000451 tissue damage Effects 0.000 description 2
- 231100000827 tissue damage Toxicity 0.000 description 2
- 208000027896 Aortic valve disease Diseases 0.000 description 1
- 208000031229 Cardiomyopathies Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 208000020128 Mitral stenosis Diseases 0.000 description 1
- 208000029549 Muscle injury Diseases 0.000 description 1
- 208000008589 Obesity Diseases 0.000 description 1
- URLKBWYHVLBVBO-UHFFFAOYSA-N Para-Xylene Chemical group CC1=CC=C(C)C=C1 URLKBWYHVLBVBO-UHFFFAOYSA-N 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 229920002614 Polyether block amide Polymers 0.000 description 1
- 206010067171 Regurgitation Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 239000002260 anti-inflammatory agent Substances 0.000 description 1
- 229940121363 anti-inflammatory agent Drugs 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000003416 augmentation Effects 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000005779 cell damage Effects 0.000 description 1
- 230000004663 cell proliferation Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 230000003750 conditioning effect Effects 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 238000005336 cracking Methods 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000010494 dissociation reaction Methods 0.000 description 1
- 230000005593 dissociations Effects 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 230000003511 endothelial effect Effects 0.000 description 1
- 239000003623 enhancer Substances 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000000834 fixative Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- -1 for example Substances 0.000 description 1
- 208000021302 gastroesophageal reflux disease Diseases 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 229920001903 high density polyethylene Polymers 0.000 description 1
- 239000004700 high-density polyethylene Substances 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 238000003698 laser cutting Methods 0.000 description 1
- 229920000126 latex Polymers 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 210000005248 left atrial appendage Anatomy 0.000 description 1
- 210000000111 lower esophageal sphincter Anatomy 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000013160 medical therapy Methods 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 208000005907 mitral valve insufficiency Diseases 0.000 description 1
- 208000006887 mitral valve stenosis Diseases 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000002715 modification method Methods 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 230000010016 myocardial function Effects 0.000 description 1
- 235000020824 obesity Nutrition 0.000 description 1
- 229940019331 other antithrombotic agent in atc Drugs 0.000 description 1
- 208000021090 palsy Diseases 0.000 description 1
- 238000000206 photolithography Methods 0.000 description 1
- 229920001084 poly(chloroprene) Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 210000001187 pylorus Anatomy 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 230000002040 relaxant effect Effects 0.000 description 1
- 230000003938 response to stress Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
- 238000007157 ring contraction reaction Methods 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 210000001562 sternum Anatomy 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 238000013175 transesophageal echocardiography Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 210000004026 tunica intima Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 210000001631 vena cava inferior Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
- 210000000596 ventricular septum Anatomy 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
Classifications
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2451—Inserts in the coronary sinus for correcting the valve shape
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2466—Delivery devices therefor
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Preparation Of Compounds By Using Micro-Organisms (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US42928102P | 2002-11-25 | 2002-11-25 | |
| US10/634,655 US7011682B2 (en) | 2000-01-31 | 2003-08-05 | Methods and apparatus for remodeling an extravascular tissue structure |
| PCT/US2003/037727 WO2004047677A2 (en) | 2002-11-25 | 2003-11-24 | Methods and apparatus for remodeling an extravascular tissue structure |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010210203A Division JP2011015992A (ja) | 2002-11-25 | 2010-09-17 | 血管外組織構造をリモデリングするための方法および装置 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2006507104A JP2006507104A (ja) | 2006-03-02 |
| JP2006507104A5 JP2006507104A5 (https=) | 2007-03-29 |
| JP4685630B2 true JP4685630B2 (ja) | 2011-05-18 |
Family
ID=42371939
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2005510332A Expired - Lifetime JP4685630B2 (ja) | 2002-11-25 | 2003-11-24 | 血管外組織構造をリモデリングするための方法および装置 |
| JP2010210203A Withdrawn JP2011015992A (ja) | 2002-11-25 | 2010-09-17 | 血管外組織構造をリモデリングするための方法および装置 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010210203A Withdrawn JP2011015992A (ja) | 2002-11-25 | 2010-09-17 | 血管外組織構造をリモデリングするための方法および装置 |
Country Status (3)
| Country | Link |
|---|---|
| JP (2) | JP4685630B2 (https=) |
| AT (1) | ATE474527T1 (https=) |
| DE (1) | DE60333482D1 (https=) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP4249032A1 (en) * | 2022-03-23 | 2023-09-27 | Magnus Settergren | Catheter, catheter handle |
| WO2023180414A1 (en) * | 2022-03-23 | 2023-09-28 | Msh Innovations Ab | Catheter, catheter handle and method of navigating a catheter |
Families Citing this family (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| ATE464028T1 (de) | 2002-08-29 | 2010-04-15 | St Jude Medical Cardiology Div | Implantierbare vorrichtungen zur kontrolle des inneren durchmessers einer öffnung im körper |
| US8758372B2 (en) | 2002-08-29 | 2014-06-24 | St. Jude Medical, Cardiology Division, Inc. | Implantable devices for controlling the size and shape of an anatomical structure or lumen |
| US8864823B2 (en) | 2005-03-25 | 2014-10-21 | StJude Medical, Cardiology Division, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
| EP1861045B1 (en) | 2005-03-25 | 2015-03-04 | St. Jude Medical, Cardiology Division, Inc. | Apparatus for controlling the internal circumference of an anatomic orifice or lumen |
| CA2654359A1 (en) * | 2006-05-19 | 2007-11-29 | Mitralsolutions, Inc. | Implantable devices for controlling the size and shape of an anatomical structure or lumen |
| US7890174B2 (en) * | 2006-06-02 | 2011-02-15 | Cardiac Pacemakers, Inc. | Medical electrical lead with deployable fixation features |
| JP5443169B2 (ja) | 2007-01-03 | 2014-03-19 | ミトラル・ソリューションズ・インコーポレイテッド | 解剖学的構造又は内腔のサイズ及び形状を制御するための移植可能な装置 |
| EP2387433A4 (en) * | 2009-01-15 | 2012-07-18 | Cathrx Ltd | ORIENTABLE PEN |
| EP2389121B1 (en) | 2009-01-22 | 2020-10-07 | St. Jude Medical, Cardiology Division, Inc. | Post-operative adjustment tool, minimally invasive attachment apparatus, and adjustable tricuspid ring |
| US9254123B2 (en) | 2009-04-29 | 2016-02-09 | Hansen Medical, Inc. | Flexible and steerable elongate instruments with shape control and support elements |
| US9314306B2 (en) | 2010-09-17 | 2016-04-19 | Hansen Medical, Inc. | Systems and methods for manipulating an elongate member |
| US20130030363A1 (en) | 2011-07-29 | 2013-01-31 | Hansen Medical, Inc. | Systems and methods utilizing shape sensing fibers |
| US10080576B2 (en) | 2013-03-08 | 2018-09-25 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
| US10149720B2 (en) * | 2013-03-08 | 2018-12-11 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
| US10376672B2 (en) | 2013-03-15 | 2019-08-13 | Auris Health, Inc. | Catheter insertion system and method of fabrication |
| JP6656148B2 (ja) | 2013-10-24 | 2020-03-04 | オーリス ヘルス インコーポレイテッド | ロボット支援管腔内手術のためのシステムおよび関連する方法 |
| US9744335B2 (en) | 2014-07-01 | 2017-08-29 | Auris Surgical Robotics, Inc. | Apparatuses and methods for monitoring tendons of steerable catheters |
| US9561083B2 (en) | 2014-07-01 | 2017-02-07 | Auris Surgical Robotics, Inc. | Articulating flexible endoscopic tool with roll capabilities |
| US10792464B2 (en) | 2014-07-01 | 2020-10-06 | Auris Health, Inc. | Tool and method for using surgical endoscope with spiral lumens |
| US11819636B2 (en) | 2015-03-30 | 2023-11-21 | Auris Health, Inc. | Endoscope pull wire electrical circuit |
| US10463439B2 (en) | 2016-08-26 | 2019-11-05 | Auris Health, Inc. | Steerable catheter with shaft load distributions |
| JP7440263B2 (ja) * | 2016-12-16 | 2024-02-28 | エドワーズ ライフサイエンシーズ コーポレイション | 人工弁用のアンカリングデバイスを送達するための展開システム、ツール、および方法 |
| WO2018213078A1 (en) | 2017-05-17 | 2018-11-22 | Auris Health, Inc. | Exchangeable working channel |
| EP3773135B1 (en) | 2018-03-28 | 2024-02-14 | Auris Health, Inc. | Medical instruments with variable bending stiffness profiles |
| CN112804946B (zh) | 2018-08-07 | 2025-03-25 | 奥瑞斯健康公司 | 将基于应变的形状感测与导管控制相结合 |
| WO2020068853A2 (en) | 2018-09-26 | 2020-04-02 | Auris Health, Inc. | Articulating medical instruments |
| US11986257B2 (en) | 2018-12-28 | 2024-05-21 | Auris Health, Inc. | Medical instrument with articulable segment |
| US11617627B2 (en) | 2019-03-29 | 2023-04-04 | Auris Health, Inc. | Systems and methods for optical strain sensing in medical instruments |
| CN114554930A (zh) | 2019-08-15 | 2022-05-27 | 奥瑞斯健康公司 | 具有多个弯曲节段的医疗装置 |
| WO2021137104A1 (en) | 2019-12-31 | 2021-07-08 | Auris Health, Inc. | Dynamic pulley system |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002060352A1 (en) * | 2001-01-30 | 2002-08-08 | Ev3 Santa Rosa, Inc. | Medical system and method for remodeling an extravascular tissue structure |
| WO2002078576A2 (en) * | 2001-03-29 | 2002-10-10 | Viacor, Inc. | Method and apparatus for improving mitral valve function |
-
2003
- 2003-11-24 JP JP2005510332A patent/JP4685630B2/ja not_active Expired - Lifetime
- 2003-11-24 AT AT03787147T patent/ATE474527T1/de not_active IP Right Cessation
- 2003-11-24 DE DE60333482T patent/DE60333482D1/de not_active Expired - Lifetime
-
2010
- 2010-09-17 JP JP2010210203A patent/JP2011015992A/ja not_active Withdrawn
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002060352A1 (en) * | 2001-01-30 | 2002-08-08 | Ev3 Santa Rosa, Inc. | Medical system and method for remodeling an extravascular tissue structure |
| WO2002078576A2 (en) * | 2001-03-29 | 2002-10-10 | Viacor, Inc. | Method and apparatus for improving mitral valve function |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP4249032A1 (en) * | 2022-03-23 | 2023-09-27 | Magnus Settergren | Catheter, catheter handle |
| WO2023180414A1 (en) * | 2022-03-23 | 2023-09-28 | Msh Innovations Ab | Catheter, catheter handle and method of navigating a catheter |
Also Published As
| Publication number | Publication date |
|---|---|
| ATE474527T1 (de) | 2010-08-15 |
| DE60333482D1 (de) | 2010-09-02 |
| JP2011015992A (ja) | 2011-01-27 |
| JP2006507104A (ja) | 2006-03-02 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP4685630B2 (ja) | 血管外組織構造をリモデリングするための方法および装置 | |
| US7004176B2 (en) | Heart valve leaflet locator | |
| US7011682B2 (en) | Methods and apparatus for remodeling an extravascular tissue structure | |
| EP1684656B1 (en) | Heart valve leaflet locator | |
| EP1355590B1 (en) | Medical system for remodeling an extravascular tissue structure | |
| JP2006507104A5 (https=) | ||
| EP1629794B1 (en) | Percutaneous mitral annuloplasty and cardiac reinforcement | |
| US6810882B2 (en) | Transluminal mitral annuloplasty | |
| US6989028B2 (en) | Medical system and method for remodeling an extravascular tissue structure | |
| US20050096740A1 (en) | Transluminal mitral annuloplasty | |
| AU2001231219A1 (en) | Percutaneous mitral annuloplasty and cardiac reinforcement |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20061124 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20061124 |
|
| A524 | Written submission of copy of amendment under article 19 pct |
Free format text: JAPANESE INTERMEDIATE CODE: A524 Effective date: 20070205 |
|
| A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20091118 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20091120 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20100215 |
|
| A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20100726 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20100917 |
|
| A911 | Transfer to examiner for re-examination before appeal (zenchi) |
Free format text: JAPANESE INTERMEDIATE CODE: A911 Effective date: 20101102 |
|
| TRDD | Decision of grant or rejection written | ||
| A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20110124 |
|
| A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 |
|
| A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20110210 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20140218 Year of fee payment: 3 |
|
| R150 | Certificate of patent or registration of utility model |
Ref document number: 4685630 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| EXPY | Cancellation because of completion of term |