JP5250046B2 - 経皮的心臓弁、システム、および方法 - Google Patents
経皮的心臓弁、システム、および方法 Download PDFInfo
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- JP5250046B2 JP5250046B2 JP2010540650A JP2010540650A JP5250046B2 JP 5250046 B2 JP5250046 B2 JP 5250046B2 JP 2010540650 A JP2010540650 A JP 2010540650A JP 2010540650 A JP2010540650 A JP 2010540650A JP 5250046 B2 JP5250046 B2 JP 5250046B2
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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
- A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- 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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/243—Deployment by mechanical expansion
- A61F2/2433—Deployment by mechanical expansion using balloon catheter
-
- 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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/2436—Deployment by retracting a sheath
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0073—Quadric-shaped
- A61F2230/008—Quadric-shaped paraboloidal
-
- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
-
- 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
Description
Claims (9)
- 弁フレーム部材(105、405、450、505、550)を含む拡張可能な弁フレーム(102、402、502、602)と、
該弁フレーム(102、402、502、602)に結合された弁尖(132、632)と、
該弁フレーム(102、402、502、602)に結合され、かつ第1部分(108、308、608)および該第1部分(108、308、608)より大きな可撓性を有する第2部分(110、210、310、610)を画定するステント・フレーム部材(106、206、306)を含む拡張可能なステント固定フレーム(104、204、304、604)と、からなる経皮的人工心臓弁(100、600)であって、
該第1部分(108、308、608)と該弁フレーム(102、402、502、602)とが長さ(140)を画定し、該長さ(140)に沿った該ステント・フレーム部材(106、206、306)と該弁フレーム部材(105、405、450、505、550)とが、送達装置からの送達中に該第1部分(108、308、608)および該弁フレーム(102、402、502、602)が部分的拡張状態にあるときに該送達装置が2つの長手方向で該長さ(140)全体にわたって繰り返し摺動できる接触面を形成し、
前記ステント・フレーム部材(106、206、306)が、環状ステント・フレーム部材(106、206、306)であり、該環状ステント・フレーム部材(106、206、306)を接続する頂部(114、314)およびコネクタ(112、312)を有し、前記第1部分(108、308、608)においてコネクタ(112、312)が該環状ステント・フレーム部材によって形成された各頂部の間に設置され、前記第2部分(110、210、310、610)において該環状ステント・フレーム部材によって形成された各頂部の間に設置された該コネクタ(112、312)が各頂部の間の数より少ない、経皮的人工心臓弁(100、600)。 - 前記弁フレーム(102、402、502、602)が、前記弁フレーム(102、402、502、602)の近位端に設置された移行ゾーン(142、642)を含む、請求項1に記載の弁(100、600)。
- 前記移行ゾーン(142、642)が、前記ステント固定フレーム(104、204、304、604)の遠位端(144、644)に結合された移行ゾーン部材(146、646)を含む、請求項2に記載の弁(100、600)。
- 前記移行ゾーン部材(146、646)が、前記ステント固定フレーム(104、204、304、604)の前記第1部分(108、308、608)に結合される、請求項3に記載の弁(100、600)。
- 前記弁フレーム(102、402、502、602)が、前記弁フレーム(102、402、502、602)の遠位端(134、534)に支持リング(148)を含む、請求項1乃至4のいずれか一項に記載の弁(100、600)。
- 前記弁フレーム(102、402、502、602)および前記ステント固定フレーム(104、204、304、604)が円筒形であり、かつ前記弁フレーム(102、402、502、602)の遠位端(134、534)および前記ステント固定フレーム(104、204、304、604)の近位端(124、324)が外向きの拡張方向にラッパ形に広がる、請求項1乃至5のいずれか一項に記載の弁(100、600)。
- 前記ステント固定フレーム(104、204、304、604)の前記第2部分(110、210、310、610)が、長手方向において前記ステント固定フレーム(104、204、304、604)の前記第1部分(108、308、608)の近位に設置される、請求項1乃至6のいずれか一項に記載の弁(100、600)。
- 弁フレーム部材(105、405、450、505、550)を含む拡張可能な弁フレーム(102、402、502、602)を形成する工程と、
弁尖(132、632)を該弁フレーム(102、402、502、602)に結合する工程と、
第1部分(108、308、608)および該第1部分(108、308、608)より大きな可撓性を有する第2部分(110、210、310、610)を画定するステント・フレーム部材(106、206、306)を含むステント固定フレーム(104、204、304、604)を形成する工程と、
該ステント固定フレーム(104、204、304、604)を該弁フレーム(102、402、502、602)に結合する工程と、からなる方法であって、
該第1部分(108、308、608)と該弁フレーム(102、402、502、602)とが長さ(140)を画定し、該長さ(140)に沿った該ステント・フレーム部材(106、206、306)と該弁フレーム部材(105、405、450、505、550)が、送達装置からの送達中に該第1部分(108、308、608)および該弁フレーム(102、402、502、602)が部分的拡張状態にあるときに引き込み可能なシース(662、762)が2つの長手方向で該長さ(140)全体にわたって繰り返し摺動できる接触面を形成し、
前記ステント・フレーム部材(106、206、306)が、環状ステント・フレーム部材(106、206、306)であり、該環状ステント・フレーム部材(106、206、306)を接続する頂部(114、314)およびコネクタ(112、312)を有し、前記第1部分(108、308、608)においてコネクタ(112、312)が該環状ステント・フレーム部材によって形成された各頂部の間に設置され、前記第2部分(110、210、310、610)において該環状ステント・フレーム部材によって形成された各頂部の間に設置された該コネクタ(112、312)が各頂部の間の数より少ない、方法。 - 前記送達装置上で、細長い送達カテーテル(660)と該細長い送達カテーテル(660)に対して長手方向に動く前記引き込み可能なシース(662、762)との間に、前記ステント固定フレーム(104、204、304、604)に結合された前記弁フレーム(102、402、502、602)を設置する工程を含む、請求項8に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/005,881 | 2007-12-28 | ||
US12/005,881 US20090171456A1 (en) | 2007-12-28 | 2007-12-28 | Percutaneous heart valve, system, and method |
PCT/US2008/013888 WO2009085206A2 (en) | 2007-12-28 | 2008-12-19 | Percutaneous heart valve, system, and method |
Publications (2)
Publication Number | Publication Date |
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JP2011507658A JP2011507658A (ja) | 2011-03-10 |
JP5250046B2 true JP5250046B2 (ja) | 2013-07-31 |
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ID=40546941
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2010540650A Active JP5250046B2 (ja) | 2007-12-28 | 2008-12-19 | 経皮的心臓弁、システム、および方法 |
Country Status (6)
Country | Link |
---|---|
US (3) | US20090171456A1 (ja) |
EP (1) | EP2237746B1 (ja) |
JP (1) | JP5250046B2 (ja) |
CN (1) | CN101951857B (ja) |
CA (1) | CA2710770C (ja) |
WO (1) | WO2009085206A2 (ja) |
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- 2008-12-19 CN CN2008801259317A patent/CN101951857B/zh not_active Expired - Fee Related
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2017
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2018
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EP2237746A2 (en) | 2010-10-13 |
CA2710770C (en) | 2016-11-15 |
US20170143482A1 (en) | 2017-05-25 |
WO2009085206A2 (en) | 2009-07-09 |
WO2009085206A3 (en) | 2009-10-08 |
EP2237746B1 (en) | 2016-05-04 |
CA2710770A1 (en) | 2009-07-09 |
CN101951857B (zh) | 2013-07-24 |
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