JP5002740B1 - 心不全を処置する装置、システム及び方法 - Google Patents
心不全を処置する装置、システム及び方法 Download PDFInfo
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- JP5002740B1 JP5002740B1 JP2012508495A JP2012508495A JP5002740B1 JP 5002740 B1 JP5002740 B1 JP 5002740B1 JP 2012508495 A JP2012508495 A JP 2012508495A JP 2012508495 A JP2012508495 A JP 2012508495A JP 5002740 B1 JP5002740 B1 JP 5002740B1
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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
- A61F2/02—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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices 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
- A61F2/02—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
- A61F2/2493—Transmyocardial revascularisation [TMR] devices
-
- 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
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0029—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in bending or flexure capacity
Abstract
【選択図】図6
Description
RA:右心房
100:心房間圧力抜き装置
101:本体要素
102、103:フランジ
104:流れ制御要素
106:コアセグメント
107:心房間隔壁
109、110:マーカー穴又はスロット
111:配置カテーテル
112:内側シャフト
113:外側シャフト
114:周囲溝
115、116:遠方端
117:縫合リング
118、119:放射線不透過マーカー
120:くびれ区分
122:キー溝
123:キー
124:ハンドグリップ区分
125:管状シャフト区分
128:第1のハンドルコンポーネント
129:第2のハンドルコンポーネント
136:内腔
138:ガイドワイヤ
2000:ギャップ
3000:フランジ
Claims (12)
- 患者の心臓の隔壁の開口に植え込むための装置において、
i.近方端及び遠方端を各々有する複数のフランジセグメントより成る第1の環状フランジと、
ii.近方端及び遠方端を各々有する複数のフランジセグメントより成る第2の環状フランジであって、この第2の環状フランジのフランジセグメントの少なくとも1つは、配備されるときに、その遠方端が前記隔壁に実質的に平行となってそれに接触するようにされる第2の環状フランジと、
iii.配備されるときに第1の直径を有するコアセグメントであって、前記隔壁の片側から前記隔壁の他側へ流体を通流できるようにする通路を画成するコアセグメントと、
を備え、前記第1の環状フランジの近方端及び前記第2の環状フランジの近方端は、前記コアセグメントに隣接してそれを画成し、
前記コアセグメントの少なくとも一端及び前記第2の環状フランジのフランジセグメントの少なくとも1つは、配備されるときに前記第2の環状フランジのフランジセグメントの少なくとも1つと隔壁との間にスペースを画成するように心房へと延びる第1のカーブした区分と、この第1のカーブした区分から前記隔壁及び前記第2の環状フランジの少なくとも1つのフランジセグメントの遠方端に向かって延びる第2のカーブした区分と、を備え、
少なくとも1つの前記フランジセグメントの少なくとも一部分は、前記コアセグメントの一部分より柔軟性が高く、
前記コアセグメントは、そのコアセグメントが前記第1の直径より小さい第2の直径をもつことができるように潰れて、経皮的投与を可能にした、装置。 - 2つの側部を有しそして前記コアセグメントに取り付けられた流れ制御要素を更に備えた、請求項1に記載の装置。
- 前記流れ制御要素は、前記流れ制御要素の前記2つの側部の間に圧力差が生じたときに開放する、請求項2に記載の装置。
- 前記流れ制御要素は、前記通路を通して高圧力のエリアから低圧力のエリアへ流体を通流できるようにする、請求項3に記載の装置。
- 前記圧力差は、少なくとも2mmHgである、請求項4に記載の装置。
- 前記複数のフランジセグメントの各々は、放射線不透過マーカーを含む、請求項1に記載の装置。
- 前記コアセグメントは、複数の縫合穴を含み、そして前記流れ制御要素は、選択された数の前記縫合穴に縫合される、請求項2に記載の装置。
- 前記選択された数の縫合穴は、前記流れ制御要素の入口及び出口プロフィールの少なくとも一方を画成する、請求項7に記載の装置。
- 前記流れ制御要素は、弁である、請求項2に記載の装置。
- 前記弁は、少なくとも2つのリーフレットを含む、請求項9に記載の装置。
- 前記少なくとも2つのリーフレットのうちの少なくとも1つは、他のリーフレットより柔軟性が高い、請求項10に記載の装置。
- 前記隔壁は、前記患者の心臓の心房隔壁である、請求項1に記載の装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
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US44761709A | 2009-04-28 | 2009-04-28 | |
US12/447,617 | 2009-04-28 | ||
US24008509P | 2009-09-04 | 2009-09-04 | |
US61/240,085 | 2009-09-04 | ||
PCT/US2010/026574 WO2010129089A2 (en) | 2009-04-28 | 2010-03-08 | Devices, systems and methods to treat heart failure |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012115258A Division JP5755180B2 (ja) | 2009-04-28 | 2012-05-21 | 心不全を処置する装置、システム及び方法 |
Publications (2)
Publication Number | Publication Date |
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JP5002740B1 true JP5002740B1 (ja) | 2012-08-15 |
JP2012525210A JP2012525210A (ja) | 2012-10-22 |
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ID=43050685
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Application Number | Title | Priority Date | Filing Date |
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JP2012508495A Active JP5002740B1 (ja) | 2009-04-28 | 2010-03-08 | 心不全を処置する装置、システム及び方法 |
JP2012115258A Active JP5755180B2 (ja) | 2009-04-28 | 2012-05-21 | 心不全を処置する装置、システム及び方法 |
JP2015106477A Active JP6211034B2 (ja) | 2009-04-28 | 2015-05-26 | 心不全を処置する装置、システム及び方法 |
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JP2012115258A Active JP5755180B2 (ja) | 2009-04-28 | 2012-05-21 | 心不全を処置する装置、システム及び方法 |
JP2015106477A Active JP6211034B2 (ja) | 2009-04-28 | 2015-05-26 | 心不全を処置する装置、システム及び方法 |
Country Status (7)
Country | Link |
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EP (3) | EP3146937B1 (ja) |
JP (3) | JP5002740B1 (ja) |
CN (3) | CN105662653A (ja) |
AU (1) | AU2010245215B9 (ja) |
CA (2) | CA2778129C (ja) |
IL (3) | IL215975A (ja) |
WO (1) | WO2010129089A2 (ja) |
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JP2012179388A (ja) | 2012-09-20 |
WO2010129089A3 (en) | 2011-01-13 |
EP2424472B1 (en) | 2015-12-23 |
CA2760207C (en) | 2014-08-12 |
JP2015165934A (ja) | 2015-09-24 |
AU2010245215B2 (en) | 2013-09-12 |
EP2424472A2 (en) | 2012-03-07 |
JP2012525210A (ja) | 2012-10-22 |
IL220201A0 (en) | 2012-07-31 |
CN105662653A (zh) | 2016-06-15 |
WO2010129089A4 (en) | 2011-03-10 |
CN102908213B (zh) | 2015-05-13 |
IL215975A (en) | 2016-11-30 |
IL220201A (en) | 2017-08-31 |
CN102908213A (zh) | 2013-02-06 |
EP2537490A1 (en) | 2012-12-26 |
EP3146937B1 (en) | 2019-10-02 |
CA2760207A1 (en) | 2010-11-11 |
AU2010245215B9 (en) | 2013-11-07 |
IL215975A0 (en) | 2012-01-31 |
CA2778129C (en) | 2014-09-02 |
CA2778129A1 (en) | 2010-11-11 |
EP3146937A1 (en) | 2017-03-29 |
WO2010129089A2 (en) | 2010-11-11 |
IL253648B (en) | 2021-04-29 |
JP6211034B2 (ja) | 2017-10-11 |
JP5755180B2 (ja) | 2015-07-29 |
AU2010245215A1 (en) | 2011-12-08 |
CN102458316A (zh) | 2012-05-16 |
IL253648A0 (en) | 2017-09-28 |
EP2424472A4 (en) | 2012-04-18 |
EP2537490B1 (en) | 2016-08-24 |
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