JP4833848B2 - 医療装置送達システム - Google Patents
医療装置送達システム Download PDFInfo
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- JP4833848B2 JP4833848B2 JP2006533819A JP2006533819A JP4833848B2 JP 4833848 B2 JP4833848 B2 JP 4833848B2 JP 2006533819 A JP2006533819 A JP 2006533819A JP 2006533819 A JP2006533819 A JP 2006533819A JP 4833848 B2 JP4833848 B2 JP 4833848B2
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- outer tube
- cam
- actuator
- tube
- dial
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Classifications
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- 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
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- 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
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
-
- 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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (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)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Description
アクチュエータの機械的倍率は該アクチュエータが外管と同一直線状にある軸を中心に回転すると変化する。
アクチュエータの機械的倍率は該アクチュエータが移動すると連続的に変化する。
アクチュエータは、該アクチュエータが回転すると増大する半径を有する回転可能な部材(例えば、カム)から形成される。システムは更に、回転可能な部材を外管に連結する巻き取り可能な部材を含む。巻き取り可能な部材は、例えば、ワイヤ、紐、リボン又は平坦なギアであり得る。
アクチュエータは、外管若しくは内管、又はその両方に連結され得る。
本発明の実施形態は以下の利点の一つ以上を与える。
一例として、システムはステント送達システムの外管を後退させるために一つ以上のアクチュエータを含むものとして記載されているが、幾らかの実施形態において、一つ以上のアクチュエータは外管を先端方向に移動させるべく構成され得る(例えば、カムを反対方向に移動させることにより、シャフトを反対方向に移動させることにより、ダイヤルを反対方向に回転させることにより、公知のものを反対方向に回転させることにより)。
更なる例として、ステント送達システムが記載されてきたが、ある実施形態において、該システムはその他の医療装置を送達するために使用され得る。そのような医療装置は、例えば、フィルタ(例えば、動脈フィルタ又は静脈フィルタ)及びステント移植体を含む。
Claims (15)
- 医療装置を制御可能に移動させるためのシステムであって、内管と、外管と、アクチュエータとからなるシステムにおいて、
前記外管は、医療装置が前記内管と前記外管との間にて配置されるように前記内管を少なくとも部分的に包囲し、前記内管及び前記外管は、体腔内に配置可能であるように構成され、
前記アクチュエータは、その回転時に増大する半径を有するカムを含み、
前記カムは、該カムに力が付与された時に、該カムが前記内管と前記外管との間の相対移動を引き起こすように構成され、前記カムが回転されると同カムの外縁部が増大し、それにより、前記カムの初期の回転時には前記外管の僅かな後退動作を可能にするとともに同カムのその後の回転時には前記外管の大まかな後退動作を可能にするように、前記外管の後退時には前記カムの機械的倍率が連続的に単調減少する、システム。 - 前記カムは前記外管と直交する軸を中心に回転する請求項1に記載のシステム。
- 前記カムを前記外管と連結する巻回可能な部材を更に含む請求項1に記載のシステム。
- 前記巻回可能な部材は、ワイヤ、紐、リボン、平坦なギア及びそれらの組み合わせからなる群より選択される請求項3に記載のシステム。
- 前記巻回可能な部材はワイヤを含む請求項3に記載のシステム。
- 前記カムに連結される回転可能な要素を更に含み、それにより、前記回転可能な要素が回転されると前記カムが回転する請求項1に記載のシステム。
- 前記カムは前記回転可能な要素と一体的である請求項6に記載のシステム。
- 前記回転可能な要素は、前記システムの使用時に該システムのオペレータにより回転されるように構成される請求項6に記載のシステム。
- 前記回転可能な要素はサムホイールである請求項6に記載のシステム。
- 前記回転可能な要素は前記外管の基端に近接して配置される請求項6に記載のシステム。
- 前記カムに連結されるハウジングを更に含む請求項1に記載のシステム。
- 前記カムは前記ハウジング内に少なくとも部分的に配置される請求項11に記載のシステム。
- 前記ハウジングの少なくとも一部は前記外管の基端に近接している請求項11に記載のシステム。
- 前記ハウジングは、前記システムの使用時に、該システムのオペレータが保持できるように構成されている請求項11に記載のシステム。
- 前記カムに力が付与される時に、該カムが前記外管を移動させる請求項1に記載のシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US51025803P | 2003-10-09 | 2003-10-09 | |
US60/510,258 | 2003-10-09 | ||
US10/874,336 | 2004-06-23 | ||
US10/874,336 US7967829B2 (en) | 2003-10-09 | 2004-06-23 | Medical device delivery system |
PCT/US2004/020386 WO2005039448A1 (en) | 2003-10-09 | 2004-06-24 | Medical device delivery system |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007508045A JP2007508045A (ja) | 2007-04-05 |
JP4833848B2 true JP4833848B2 (ja) | 2011-12-07 |
Family
ID=34426187
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006533819A Active JP4833848B2 (ja) | 2003-10-09 | 2004-06-24 | 医療装置送達システム |
Country Status (5)
Country | Link |
---|---|
US (1) | US7967829B2 (ja) |
EP (1) | EP1673032B1 (ja) |
JP (1) | JP4833848B2 (ja) |
CA (1) | CA2541120C (ja) |
WO (1) | WO2005039448A1 (ja) |
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- 2004-06-24 JP JP2006533819A patent/JP4833848B2/ja active Active
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CA2541120C (en) | 2013-05-14 |
CA2541120A1 (en) | 2005-05-06 |
US20050080476A1 (en) | 2005-04-14 |
EP1673032B1 (en) | 2015-02-25 |
WO2005039448A1 (en) | 2005-05-06 |
EP1673032A1 (en) | 2006-06-28 |
US7967829B2 (en) | 2011-06-28 |
JP2007508045A (ja) | 2007-04-05 |
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