JP5256212B2 - 複式同心ガイドワイヤおよび分岐型移植片の展開方法 - Google Patents
複式同心ガイドワイヤおよび分岐型移植片の展開方法 Download PDFInfo
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- JP5256212B2 JP5256212B2 JP2009545714A JP2009545714A JP5256212B2 JP 5256212 B2 JP5256212 B2 JP 5256212B2 JP 2009545714 A JP2009545714 A JP 2009545714A JP 2009545714 A JP2009545714 A JP 2009545714A JP 5256212 B2 JP5256212 B2 JP 5256212B2
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- Prior art keywords
- hollow guidewire
- graft
- branch
- deployment
- guidewire
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- Expired - Fee Related
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- 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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/02—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09075—Basic structures of guide wires having a core without a coil possibly combined with a sheath
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09016—Guide wires with mandrils
- A61M25/09025—Guide wires with mandrils with sliding mandrils
Description
本発明は管腔内血管プロテーゼの展開に関し、具体的には、展開後における処置部位へのアクセスを維持するための複式同心ガイドワイヤシステムに関する。
Claims (14)
- 少なくとも、管腔を有するメイン移植片部分と、管腔を有する第1分枝移植片部分とを有する管腔内血管プロテーゼと、
前記管腔内血管プロテーゼを展開するためのカテーテル本体を有し、遠位側端部と近位側端部および該両方の端部を通って延びる管腔を有する展開用カテーテルであって、展開前に前記第1分枝移植片部分が、分枝移植片拘束部材内に拘束されている展開用カテーテルと、
前記分枝移植片拘束部材に固着して連結されている、中空ガイドワイヤと、
前記中空ガイドワイヤ内に摺動可能に位置付け可能な内側コア部材であって、前記内側コア部材が、前記内側コア部材の近位側端部および遠位側端部が前記中空ガイドワイヤの近位側端部および遠位側端部を越えて延びるような長さを有する、内側コア部材と、
を含む、自己拡張型管腔内血管プロテーゼ展開システムであって、
前記展開システムが、前記展開システムの少なくとも一部は身体の第一の穿刺部位を通って進行可能であるように構成され、
前記中空ガイドワイヤが、展開前の状態で、前記第1分枝移植片部分の管腔を通って延びるように構成される遠位側端部を含み、
前記中空ガイドワイヤの前記メイン移植片部分からの近位方向への回収が、同時に前記分枝移植片拘束部材を前記メイン移植片部分から離れて移動させ、且つ前記分枝移植片を前記分枝移植片拘束部材から解放させるように、前記中空ガイドワイヤが、前記分枝移植片拘束部材に連結されており、並びに、
前記中空ガイドワイヤの近位側端部が、前記身体の第一の穿刺部位を通って進行可能であり、且つ第二の穿刺部位を通って回収されるようサイズおよび構成されている、自己拡張型管腔内血管プロテーゼ展開システム。 - 上記分枝移植片拘束部材が上記中空ガイドワイヤの遠位側端部の近くに位置決めされている、請求項1記載の展開システム。
- 上記分枝移植片拘束部材が上記中空ガイドワイヤの外壁に取り付けられたチューブ状シースを含む、請求項1または2記載の展開システム。
- 上記内側コア部材が上記中空ガイドワイヤよりも実質的に長い、請求項1〜3のいずれか1項記載の展開システム。
- 上記内側コア部材が上記中空ガイドワイヤの長さよりも2から3倍大きな長さを有する、請求項1〜4のいずれか1項記載の展開システム。
- 上記中空ガイドワイヤが120から140cmの間の長さを有し、上記内側コア部材が240から300cmの間の長さを有する、請求項1〜5のいずれか1項記載の展開システム。
- 上記中空ガイドワイヤが、PTFE熱収縮チューブによって覆われているポリイミドチューブにより覆われているワイヤコイルを含む複合チューブ状部材を含む、請求項1〜6のいずれか1項記載の展開システム。
- 上記中空ガイドワイヤが、ニチノールおよびニチノールの巻き付けられた糸状物の少なくとも1つを含む、請求項1〜7のいずれか1項記載の展開システム。
- 上記中空ガイドワイヤが6個から15個までの間のニチノールの糸状物を含む、請求項1〜8のいずれか1項記載の展開システム。
- 前記中空ガイドワイヤの遠位側端部が、展開前の状態で、前記メイン移植片部分の管腔の少なくとも一部分を通って延びるように構成されている、請求項1〜9のいずれか1項記載の展開システム。
- 前記中空ガイドワイヤが、全体の長さに沿って一様の断面サイズおよび形状を有している、請求項1〜10のいずれか1項記載の展開システム。
- 少なくとも、管腔を有するメイン移植片部分と、管腔を有する第1分枝移植片部分とを有する管腔内血管プロテーゼと、
前記管腔内血管プロテーゼを展開するためのカテーテル本体を有し、遠位側端部と近位側端部および該両方の端部を通って延びる管腔を有する中央のチューブ状コアを有する展開用カテーテルであって、展開前に前記第1分枝移植片部分が、分枝移植片拘束部材のチューブ状シース内に拘束されている展開用カテーテルと、
展開前の状態で、前記第1分枝移植片部分および前記分枝移植片拘束部材のチューブ状シースを通って延びる対側ガイドワイヤと、
前記対側ガイドワイヤ内に摺動可能に位置付け可能な内側コア部材と、
を含む、自己拡張型管腔内血管プロテーゼ展開システムであって、
前記対側ガイドワイヤが、前記分枝移植片拘束部材に固着して連結されている中空ガイドワイヤを含み、前記中空ガイドワイヤおよび前記分枝移植片拘束部材の前記メイン移植片部分から離れる動きが、同時に前記分枝移植片拘束部材を前記メイン移植片部分から離れて移動させ、且つ前記分枝移植片を前記分枝移植片拘束部材から解放させるよう構成され、並びに、
前記中空ガイドワイヤが、展開前の状態で、前記第1分枝移植片部分の管腔および前記メイン移植片部分の管腔を通って、少なくとも前記メイン移植片部分の末端まで延びるように構成されている、自己拡張型管腔内血管プロテーゼ展開システム。 - 上記分枝移植片拘束部材が上記中空ガイドワイヤの外壁に取り付けられたチューブ状シースを含む、請求項12記載の展開システム。
- 前記中空ガイドワイヤが、全体の長さに沿って一様の断面サイズおよび形状を有している、請求項12または13記載の展開システム。
Applications Claiming Priority (3)
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US11/623,022 US8523931B2 (en) | 2007-01-12 | 2007-01-12 | Dual concentric guidewire and methods of bifurcated graft deployment |
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Publications (2)
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JP2010515553A JP2010515553A (ja) | 2010-05-13 |
JP5256212B2 true JP5256212B2 (ja) | 2013-08-07 |
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JP2009545714A Expired - Fee Related JP5256212B2 (ja) | 2007-01-12 | 2008-01-11 | 複式同心ガイドワイヤおよび分岐型移植片の展開方法 |
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US (1) | US8523931B2 (ja) |
EP (1) | EP2117631B1 (ja) |
JP (1) | JP5256212B2 (ja) |
WO (1) | WO2008089097A1 (ja) |
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WO2008089097A1 (en) | 2008-07-24 |
US8523931B2 (en) | 2013-09-03 |
US20080172122A1 (en) | 2008-07-17 |
EP2117631B1 (en) | 2017-07-12 |
JP2010515553A (ja) | 2010-05-13 |
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