JP5108997B2 - 胸部大動脈瘤用ステントグラフト - Google Patents
胸部大動脈瘤用ステントグラフト Download PDFInfo
- Publication number
- JP5108997B2 JP5108997B2 JP2004518146A JP2004518146A JP5108997B2 JP 5108997 B2 JP5108997 B2 JP 5108997B2 JP 2004518146 A JP2004518146 A JP 2004518146A JP 2004518146 A JP2004518146 A JP 2004518146A JP 5108997 B2 JP5108997 B2 JP 5108997B2
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- Prior art keywords
- stent
- graft
- stent graft
- sealing
- material body
- 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
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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
- A61F2/95—Instruments specially adapted for placement or removal of 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
- A61F2/82—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
- A61F2/95—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
- A61F2/02—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
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
Landscapes
- 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)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Materials For Medical Uses (AREA)
- Engine Equipment That Uses Special Cycles (AREA)
- Air-Conditioning For Vehicles (AREA)
Description
3 グラフト材料
5 近位端
7 遠位端
9 外側ステント
10,12 縫い目
11 内側ステント
13 かえし
15 支柱
17 内側シーリングステント
19 縫い目
20 ステントグラフト
22 管状グラフト材料本体
24 外側ステント
27 遠位端
28 内側シーリングステント
30 かえし
32 内側遠位シーリングステント
34 ジグザグステント
36 かえし
38 放射線不透過マーカ
50 第1部分
52 第2部分
58 遠位端
60 近位端
62,63 内側シーリングステント
70 ステントグラフト
72 グラフト材料本体
73 かえし
74 内側シーリングステント
75 支柱
78 縫い目
79 支柱
80 第1固定部
81 第2固定部
82 曲げ部
83 ステント
Claims (15)
- 近位端(5)と、遠位端(7)と、それらの間を伸びるルーメンとを有する対生物適合性の管状グラフト材料本体(3)と、
前記管状グラフト材料本体の近位端(5)に取りつけられたシーリングステント(11)と、
前記シーリングステント(11)に取りつけられた係止装置(13)と
前記シーリングステント(11)と遠位端(7)との間に配置された複数の中間ステント(9)と、
を有し、
前記シーリングステント(11)は、前記管状グラフト材料本体(22)の内側に配置され、
前記係止装置(13)は、前記シーリングステント(11)に取り付けられ、前記シーリングステント(11)から伸び、前記管状グラフト材料本体(22)を貫通して、遠位方向(7)に伸びる複数の「かえし」を有し、
前記複数の中間ステント(9)の内の少なくともいくつかは、前記管状グラフト材料本体(22)の外側表面に配置され、
前記中間ステント(9)は、5mmから10mmの範囲、互いに離間して配置され、前記管状グラフト材料本体(22)を曲げることができる
ことを特徴とする胸部ステントグラフト。 - 前記管状グラフト材料本体の遠位端(7)に取りつけられ、前記遠位端(7)から伸びる遠位取りつけステント(34)
を更に有する
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記遠位取りつけステント(34)は、前記遠位取りつけステント(34)に取りつけられ、前記近位端(5)方向に伸びる係止装置(36)を有する
ことを特徴とする請求項2記載の胸部ステントグラフト。 - 前記係止装置(36)は、「かえし」である
ことを特徴とする請求項3記載の胸部ステントグラフト。 - 前記ステントは、自己拡張ステントである
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記ステントは、ジグザクした自己拡張ステントである
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記管状グラフト材料本体の遠位端(7)にシーリング・ステント(17)
を更に具備する
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記グラフト材料は、ポリエステル、多孔性ポリテトラフルオロエチレン、細胞外マトリックスの内の少なくとも1つから選択された材料である
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記管状グラフト材料本体(3)は、第1部分(50)と第2部分(52)とを有し、
前記第1部分(50)は、シーリングステントを有し、
前記第2部分(52)は、遠位取りつけステントを有する
ことを特徴とする請求項2記載の胸部ステントグラフト。 - 前記第1部分(50)は、その遠位端に内側シーリングステントを有する
ことを特徴とする請求項9記載の胸部ステントグラフト。 - 前記第2部分(52)は、ぞの近位端に、少なくとも2個の内側シーリングステント(62)を有する
ことを特徴とする請求項9記載の胸部ステントグラフト。 - 前記第2部分(52)は、中間ステントを有し、
前記前記中間ステントは、前記内側シーリングステントと前記第2部分の遠位端との間の管状グラフト材料本体の外側表面に配置される
ことを特徴とする請求項11記載の胸部ステントグラフト。 - 前記第1部分と第2部分とは、組み立てられた時に、前記シーリングステントが少なくとも2個重なるような長さをそれぞれ有する
ことを特徴とする請求項9記載の胸部ステントグラフト。 - 前記管状グラフト材料本体(3)は、75−240mmの範囲の長さと、22−42mmの範囲の直径を有する
ことを特徴とする請求項1記載の胸部ステントグラフト。 - 前記第1部分と第2部分とは、組み立てられた時に、150−350mmの範囲の長さと、22−42mmの範囲の直径を有する
ことを特徴とする請求項9記載の胸部ステントグラフト。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US39259902P | 2002-06-28 | 2002-06-28 | |
US60/392,599 | 2002-06-28 | ||
PCT/US2003/020642 WO2004002370A1 (en) | 2002-06-28 | 2003-06-30 | Thoracic aortic aneurysm stent graft |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010173734A Division JP5621093B2 (ja) | 2002-06-28 | 2010-08-02 | 胸部ステントグラフト |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005537824A JP2005537824A (ja) | 2005-12-15 |
JP5108997B2 true JP5108997B2 (ja) | 2012-12-26 |
Family
ID=30000900
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004518146A Expired - Lifetime JP5108997B2 (ja) | 2002-06-28 | 2003-06-30 | 胸部大動脈瘤用ステントグラフト |
JP2004518151A Expired - Lifetime JP4743836B2 (ja) | 2002-06-28 | 2003-06-30 | 胸部用イントロデューサ |
JP2010173734A Expired - Lifetime JP5621093B2 (ja) | 2002-06-28 | 2010-08-02 | 胸部ステントグラフト |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004518151A Expired - Lifetime JP4743836B2 (ja) | 2002-06-28 | 2003-06-30 | 胸部用イントロデューサ |
JP2010173734A Expired - Lifetime JP5621093B2 (ja) | 2002-06-28 | 2010-08-02 | 胸部ステントグラフト |
Country Status (9)
Country | Link |
---|---|
US (2) | US7611529B2 (ja) |
EP (2) | EP1517652B1 (ja) |
JP (3) | JP5108997B2 (ja) |
AT (2) | ATE468828T1 (ja) |
AU (2) | AU2003248771B2 (ja) |
CA (2) | CA2489495C (ja) |
DE (1) | DE60332733D1 (ja) |
DK (2) | DK1517652T3 (ja) |
WO (2) | WO2004002371A2 (ja) |
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CA2487131A1 (en) | 2004-01-08 |
AU2003258976A1 (en) | 2004-01-19 |
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EP1517651B1 (en) | 2010-05-26 |
AU2003258976B2 (en) | 2008-05-29 |
JP4743836B2 (ja) | 2011-08-10 |
CA2489495C (en) | 2010-07-13 |
JP2010269161A (ja) | 2010-12-02 |
CA2489495A1 (en) | 2004-01-08 |
JP5621093B2 (ja) | 2014-11-05 |
DK1517651T3 (da) | 2010-08-02 |
CA2487131C (en) | 2011-04-26 |
ATE536148T1 (de) | 2011-12-15 |
AU2003248771A1 (en) | 2004-01-19 |
JP2005537824A (ja) | 2005-12-15 |
DE60332733D1 (en) | 2010-07-08 |
EP1517652A2 (en) | 2005-03-30 |
WO2004002371A3 (en) | 2004-04-01 |
US7232459B2 (en) | 2007-06-19 |
JP2006506107A (ja) | 2006-02-23 |
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