JP4823303B2 - ハイブリッドモジュラー脈管内グラフト - Google Patents
ハイブリッドモジュラー脈管内グラフト Download PDFInfo
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- JP4823303B2 JP4823303B2 JP2008504109A JP2008504109A JP4823303B2 JP 4823303 B2 JP4823303 B2 JP 4823303B2 JP 2008504109 A JP2008504109 A JP 2008504109A JP 2008504109 A JP2008504109 A JP 2008504109A JP 4823303 B2 JP4823303 B2 JP 4823303B2
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- Prior art keywords
- graft
- fluid flow
- distal
- anchor member
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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
- A61F2/04—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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
-
- 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
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8483—Barbs
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
Landscapes
- Health & Medical Sciences (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
大動脈瘤を治療する外科手術は、この病気の外科的修復に特有の危険因子による比較的高い病的状態および死亡率、並びに長期入院および激痛を伴う回復期間を有する。このことは、一般に、AAAの外科的修復と比較して、より高い危険性および困難性を伴うと考えられているTAAの外科的修復の場合に当てはまる。AAAの修復を含む外科手術の一例が、下記非特許文献1に開示されている。
12 分枝形メイングラフト
14 同側グラフト延長部
18 メイン流体流れルーメン
20 同側脚
30 反対側脚
32 近位側アンカー部材
40 同側アタッチメント要素
42 反対側アタッチメント要素
50 延長アンカー部材
72 付加アンカー部材
Claims (10)
- 内部にメイン流体流れルーメンを備えたメイングラフトと、内部に流体流れルーメンを備えたメイングラフトの遠位側脚と、メイングラフトの近位端に配置された近位側アンカー部材と、遠位側脚の遠位側部分に配置された遠位側アンカー部材とを有し、該遠位側アンカー部材は、患者の脈管構造の内側面と係合するように膨張可能であり、該遠位側アンカー部材は、近位側アンカー部材から約12cmから約14cmの長さだけ軸線方向に分離されており、
内部に流体流れルーメンが設けられたグラフト延長部を更に有し、グラフト延長部の流体流れルーメンは、遠位側脚の流体流れルーメンに流体連通しかつ該遠位側脚の流体流れルーメンに対してシールされることを特徴とするハイブリッドモジュラー脈管内グラフトシステム。 - 前記グラフト延長部の流体流れルーメンは、メイングラフトの遠位側脚の流体流れルーメンにオーバーラップされることを特徴とする請求項1記載の脈管内グラフトシステム。
- 前記近位側アンカー部材および遠位側アンカー部材は、拡大可能ステントを有していることを特徴とする請求項1または2記載の脈管内グラフトシステム。
- 前記グラフト延長部は、該グラフト延長部の遠位端に配置された遠位側アンカー部材を更に有していることを特徴とする請求項1から3のいずれか1項記載の脈管内グラフトシステム。
- 前記メイングラフトは、メイングラフトの本体セクション上に分散配置された膨張可能チャネルのネットワークを更に有し、該膨張可能チャネルのネットワークは、これが膨張された状態にあるときに、メイングラフトに対する構造的剛性を付与しかつ支持を行うことを特徴とする請求項1から4のいずれか1項記載の脈管内グラフトシステム。
- 前記メイングラフトおよびグラフト延長部の壁部分は、層状発泡ポリテトラフルオロエチレン(ePTFE)、層状ポリテトラフルオロエチレン(PTFE)、またはそれらの組合せからなることを特徴とする請求項5記載の脈管内グラフトシステム。
- 前記メイングラフトは分枝グラフトからなり、かつメイン流体流れルーメンと流体連通している流体流れルーメンを備えた第二遠位側脚と、該第二遠位側脚の遠位側部分に配置された第二遠位側アンカー部材とを更に有していることを特徴とする請求項1から6のいずれか1項記載の脈管内グラフトシステム。
- 前記第二遠位側脚の流体流れルーメンと流体連通している流体流れルーメンが内部に設けられた第二グラフト延長部を更に有していることを特徴とする請求項7記載の脈管内グラフトシステム。
- 内部にメイン流体流れルーメンを備えたメイングラフトと、内部に流体流れルーメンを備えたメイングラフトの遠位側脚と、メイングラフトの近位端に配置された近位側アンカー部材と、遠位側脚の遠位側部分に配置された遠位側アンカー部材とを有し、該遠位側アンカー部材は、近位側アンカー部材から約11cmから約15cmの長さだけ軸線方向に分離されており、
内部に流体流れルーメンを備えたグラフト延長部を更に有し、該グラフと延長部の流体流れルーメンは、遠位側脚の流体流れルーメンに流体連通しかつ該遠位側脚の流体流れルーメンに対してシールされ、
前記メイングラフトは、メイングラフトの本体セクション上に分散配置された膨張可能チャネルのネットワークを更に有し、該膨張可能チャネルのネットワークは、これが膨張された状態にあるときに、メイングラフトに対する構造的剛性を付与しかつ支持を行い、
前記メイングラフトおよびグラフト延長部の壁部分は、層状発泡ポリテトラフルオロエチレン(ePTFE)、層状ポリテトラフルオロエチレン(PTFE)、またはそれらの組合せからなることを特徴とするハイブリッド脈管内グラフト。 - 前記遠位側アンカー部材は、約12cmから約14cmの長さだけ近位側アンカー部材から軸線方向に分離されていることを特徴とする請求項9記載のハイブリッド脈管内グラフト。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/097,718 | 2005-04-01 | ||
US11/097,718 US20060224232A1 (en) | 2005-04-01 | 2005-04-01 | Hybrid modular endovascular graft |
PCT/US2006/009426 WO2006107562A2 (en) | 2005-04-01 | 2006-03-16 | Hybrid modular endovascular graft |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008534128A JP2008534128A (ja) | 2008-08-28 |
JP4823303B2 true JP4823303B2 (ja) | 2011-11-24 |
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ID=36704068
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008504109A Expired - Fee Related JP4823303B2 (ja) | 2005-04-01 | 2006-03-16 | ハイブリッドモジュラー脈管内グラフト |
Country Status (5)
Country | Link |
---|---|
US (1) | US20060224232A1 (ja) |
EP (1) | EP1874228A2 (ja) |
JP (1) | JP4823303B2 (ja) |
CA (1) | CA2602733A1 (ja) |
WO (1) | WO2006107562A2 (ja) |
Cited By (2)
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WO2014045424A1 (ja) * | 2012-09-24 | 2014-03-27 | テルモ株式会社 | 留置デバイス及び留置デバイス組立体 |
WO2014045426A1 (ja) * | 2012-09-24 | 2014-03-27 | テルモ株式会社 | 留置デバイス及び留置デバイス組立体 |
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Also Published As
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EP1874228A2 (en) | 2008-01-09 |
WO2006107562A2 (en) | 2006-10-12 |
WO2006107562A3 (en) | 2007-03-15 |
JP2008534128A (ja) | 2008-08-28 |
CA2602733A1 (en) | 2006-10-12 |
US20060224232A1 (en) | 2006-10-05 |
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