JP5347175B2 - 導入器 - Google Patents
導入器 Download PDFInfo
- Publication number
- JP5347175B2 JP5347175B2 JP2011512474A JP2011512474A JP5347175B2 JP 5347175 B2 JP5347175 B2 JP 5347175B2 JP 2011512474 A JP2011512474 A JP 2011512474A JP 2011512474 A JP2011512474 A JP 2011512474A JP 5347175 B2 JP5347175 B2 JP 5347175B2
- Authority
- JP
- Japan
- Prior art keywords
- capsule
- plug device
- plug
- introducer
- distal
- 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.)
- Active
Links
- 239000002775 capsule Substances 0.000 claims abstract description 119
- 230000007704 transition Effects 0.000 claims abstract description 9
- 239000000853 adhesive Substances 0.000 claims description 5
- 230000001070 adhesive effect Effects 0.000 claims description 5
- 239000000463 material Substances 0.000 claims description 5
- 239000004033 plastic Substances 0.000 claims description 5
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 4
- 229920002530 polyetherether ketone Polymers 0.000 claims description 4
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 claims 2
- 238000011084 recovery Methods 0.000 description 16
- 210000000709 aorta Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000002265 prevention Effects 0.000 description 2
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
Images
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
- A61F2/95—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
-
- 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
- A61F2/02—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
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or 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
- A61F2/962—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
- A61F2002/9665—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 with additional retaining means
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)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
この発明は、医療機器に関し、より詳細には、管腔内グラフトまたはステントグラフトの配置に用いられる医療機器に関する。当該医療機器は導入器またはステントグラフト導入器とも呼ばれる。特に、この発明はトップキャップ回収装置に関する。
グラフトまたはステントグラフトを人間または動物の体内に管腔内法により配置する際に、グラフトを体の内腔に導入するのに配置装置が用いられる。当該グラフトが内腔内で配置および展開された後、導入器は引き戻される必要がある。
本発明のある局面によると、ハンドルからガイドワイヤカニューレの近位端に存在するノーズコーン拡張器に延在するガイドワイヤカニューレと、ノーズコーン拡張器上の遠位方向開口カプセルと、カプセル内のプラグ装置とを含む導入器が提供される。プラグ装置はガイドワイヤカニューレ上に搭載されるとともにガイドワイヤカニューレに対して長手方向に移動可能であり、これにより、カプセルから延在するようカプセルの遠位端へプラグ装置を移動させることによって、カプセルの遠位開口部だったところからスムーズな遷移部が与えられ、配置されたステントを通ってノーズコーン拡張器が引込まれるのを可能にする。
プラグ装置は、長手方向溝またはアパーチャを含み得、これによりトリガワイヤがプラグ装置を通ることを可能にする。
ここで、図面、特に図1A〜図1Dおよび図2をより詳細に参照する。図1A〜図1Dは、動作のさまざまな段階におけるトップキャップ回収装置の一実施例の概略図を示す。図2は、トップキャップ回収装置の一部を組み込むステントグラフト送達装置のハンドル部分を示す。
Claims (11)
- ハンドル(13)と、前記ハンドル(13)からガイドワイヤカニューレの近位端に存在するノーズコーン拡張器(3)に延在するガイドワイヤカニューレ(11)と、を含み、前記ガイドワイヤカニューレは前記ハンドルに対して長手方向に移動可能であり、前記ノーズコーン拡張器上の遠位方向開口カプセル(5)をさらに含み、前記遠位方向開口カプセル(5)は内側に湾曲する遠位端(7)を含み、前記カプセル内のプラグ装置(17;53)をさらに含み、前記プラグ装置は前記ガイドワイヤカニューレ上に搭載されるとともに前記ガイドワイヤカニューレに対して長手方向に移動可能であり、前記ガイドワイヤカニューレ上に同軸上に存在するとともに前記ガイドワイヤカニューレに対して長手方向に移動可能であるプラグカテーテル(19)をさらに含み、前記プラグカテーテルはその近位端において前記プラグ装置(17;53)に固定され、これにより、前記ハンドルに対する前記ガイドワイヤカニューレの移動によって、前記プラグ装置を前記カプセル(5)の遠位端へと動かすように前記プラグ装置が前記遠位方向開口カプセルに対して動かされ、これにより、前記カプセルから延在するよう前記カプセルの遠位端へ前記プラグ装置を移動させることによって、前記カプセルの遠位開口部だったところからスムーズな遷移部が与えられ、配置されたステント(35)を通ってノーズコーン拡張器が引込まれるのを可能にし、前記プラグ装置は近位肩部(25)を含み、これにより前記プラグ装置が前記カプセルから完全に引き出されるのを防止する、導入器(1)。
- 前記プラグカテーテル(19)は薄い壁を有するプラスチック材料を含む、請求項1に記載の導入器(1)。
- 前記薄い壁を有するプラスチック材料はポリエーテルエーテルケトン(PEEK)を含む、請求項2に記載の導入器(1)。
- 遠位端での前記プラグカテーテルの前記ハンドル(13)への固定は接着剤を含む、請求項1〜3のいずれかに記載の導入器(1)。
- 前記プラグ装置(17)は線形にテーパが付与された遠位表面(27)を含む、請求項1〜4のいずれかに記載の導入器(1)。
- 前記プラグ装置(53)は、遠位方向に向く弾丸形状の表面を含む、請求項1〜4のいずれかに記載の導入器(1)。
- 前記カプセル(5)または前記プラグ装置(17;53)に関連する戻り防止装置(76;80)を含む、請求項1〜6のいずれかに記載の導入器(1)。
- 前記カプセル(5)に関連する戻り防止装置は、前記カプセルの中に延在する少なくとも1つの係合タブ(76)を含み、これにより前記プラグ装置(17;53)は、遠位方向に移動する際には少なくとも1つの係合タブを通過し得るが、近位方向に移動する際には前記少なくとも1つの係合タブを通過し得ない、請求項7に記載の導入器(1)。
- 前記プラグ装置(17;53)に関連する戻り防止装置を含み、前記戻り防止装置は、前記カプセル(5)から出ることは可能であるが前記カプセルに再び入ることはできないOリング(80)を前記プラグ装置の周りに含む、請求項7に記載の導入器(1)。
- 前記プラグ装置(17;53)は、長手方向溝(45;55)またはアパーチャを含み、これによりトリガワイヤ(39)が前記プラグ装置(17;53)を通ることを可能にする、請求項1〜9のいずれかに記載の導入器(1)。
- ステントまたはステントグラフト(35)が搭載される、請求項1〜10のいずれかに記載の導入器(1)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13095208P | 2008-06-04 | 2008-06-04 | |
US61/130,952 | 2008-06-04 | ||
PCT/US2009/003393 WO2009148602A1 (en) | 2008-06-04 | 2009-06-04 | Introducer |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2011522591A JP2011522591A (ja) | 2011-08-04 |
JP2011522591A5 JP2011522591A5 (ja) | 2011-09-22 |
JP5347175B2 true JP5347175B2 (ja) | 2013-11-20 |
Family
ID=40911934
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011512474A Active JP5347175B2 (ja) | 2008-06-04 | 2009-06-04 | 導入器 |
Country Status (5)
Country | Link |
---|---|
US (1) | US8876879B2 (ja) |
EP (1) | EP2282704B1 (ja) |
JP (1) | JP5347175B2 (ja) |
AU (1) | AU2009255608B2 (ja) |
WO (1) | WO2009148602A1 (ja) |
Families Citing this family (30)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2006330816B2 (en) * | 2005-12-23 | 2012-05-24 | Cook Medical Technologies Llc | Prosthesis deployment system |
AU2009200350B1 (en) | 2009-02-02 | 2009-07-16 | Cook Incorporated | Preloaded stent graft delivery device |
KR101477613B1 (ko) * | 2009-03-31 | 2014-12-30 | 롬엔드하스전자재료코리아유한회사 | 신규한 유기 전자재료용 화합물 및 이를 포함하는 유기 전자 소자 |
DE102009023155A1 (de) | 2009-05-29 | 2010-12-02 | Merck Patent Gmbh | Materialien für organische Elektrolumineszenzvorrichtungen |
US9504589B2 (en) * | 2009-10-29 | 2016-11-29 | Cook Medical Technologies Llc | Stent delivery system with nitinol trigger wire |
AU2010202487B1 (en) | 2010-06-15 | 2011-07-28 | Cook Incorporated | Pre-loaded multiport delivery device |
DE102010050569A1 (de) * | 2010-11-05 | 2012-05-10 | Acandis Gmbh & Co. Kg | Vorrichtung zum Entlassen eines selbstexpandierbaren medizinischen Funktionselements |
US9220620B2 (en) | 2011-11-22 | 2015-12-29 | Cook Medical Technologies Llc | Endoluminal prosthesis introducer |
WO2013080729A1 (ja) | 2011-11-28 | 2013-06-06 | ニプロ株式会社 | 粥腫切除カテーテル |
US9433521B2 (en) * | 2012-11-27 | 2016-09-06 | Medtronic, Inc. | Distal tip for a delivery catheter |
US9901471B2 (en) * | 2013-01-30 | 2018-02-27 | Cook Medical Technologies Llc | Spring assisted medical device deployment assembly |
US9095463B2 (en) * | 2013-02-21 | 2015-08-04 | Medtronic Vascular, Inc. | Stent-graft delivery having a tip capture mechanism with elongated cables for gradual deployment and repositioning |
US9351860B2 (en) | 2013-03-14 | 2016-05-31 | Cook Medical Technologies Llc | Loading tool for capturing stent points |
EP2777643B1 (en) | 2013-03-15 | 2016-04-27 | Cook Medical Technologies LLC | Implant introducer with helical trigger wire |
AU2013257415B1 (en) | 2013-11-08 | 2014-06-26 | Cook Medical Technologies Llc | An endograft introducer and a capsule assembly for an endograft introducer |
AU2014200686B1 (en) * | 2014-02-05 | 2014-06-26 | Cook Medical Technologies Llc | An endograft introducer and a capsule assembly for an endograft introducer |
WO2015179780A1 (en) | 2014-05-23 | 2015-11-26 | Boston Scientific Scimed, Inc. | Deployment system incorporating application of adhesive |
US10231858B2 (en) | 2014-12-22 | 2019-03-19 | Cook Medical Technologies Llc | Delivery system for preloaded fenestrated device |
EP3037072B1 (en) | 2014-12-23 | 2020-04-22 | Cook Medical Technologies LLC | Introducer with side opening |
US10092428B2 (en) | 2014-12-30 | 2018-10-09 | Cook Medical Technologies Llc | Low profile prosthesis delivery device |
US10610393B2 (en) | 2016-03-24 | 2020-04-07 | Cook Medical Technologies Llc | Wire retention and release mechanisms |
US11964136B2 (en) * | 2016-04-01 | 2024-04-23 | Merit Medical Systems, Inc. | Medical devices for delivering plugs to voids |
WO2017176787A1 (en) | 2016-04-04 | 2017-10-12 | Merit Medical Systems, Inc. | Medical plug delivery devices with a rotatable magazine and related components and methods |
US10603198B2 (en) | 2016-09-09 | 2020-03-31 | Cook Medical Technologies Llc | Prosthesis deployment system and method |
EP3369401B1 (en) | 2017-02-28 | 2024-07-10 | Cook Medical Technologies LLC | Delivery system for a preloaded fenestrated device having a ratcheted wire release |
EP3369402A1 (en) | 2017-02-28 | 2018-09-05 | Cook Medical Technologies LLC | Delivery system for a preloaded fenestrated device having a thumbwheel sheath deployment |
US10646338B2 (en) * | 2017-06-02 | 2020-05-12 | Twelve, Inc. | Delivery systems with telescoping capsules for deploying prosthetic heart valve devices and associated methods |
US11096810B2 (en) | 2017-11-29 | 2021-08-24 | Cook Medical Technologies Llc | Preloaded pusher tip for endografts |
EP3508172B1 (en) | 2018-01-03 | 2020-08-19 | Cook Medical Technologies LLC | Pre-loaded multiport delivery device |
KR102148225B1 (ko) * | 2018-08-29 | 2020-08-26 | 인제대학교 산학협력단 | 유도자를 포함하는 혈관내 시술장치 |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB9706766D0 (en) * | 1997-04-03 | 1997-05-21 | Sulzer Vascutek Ltd | Endovascular prostheses |
US7578828B2 (en) * | 1999-01-15 | 2009-08-25 | Medtronic, Inc. | Methods and devices for placing a conduit in fluid communication with a target vessel |
US7264632B2 (en) | 2002-06-07 | 2007-09-04 | Medtronic Vascular, Inc. | Controlled deployment delivery system |
DE602004026756D1 (de) * | 2003-10-15 | 2010-06-02 | Cook Inc | Haltevorrichtung für ein prothesenablagesystem |
US8043354B2 (en) * | 2004-06-16 | 2011-10-25 | William A. Cook Australia Pty. Ltd. | Thoracic deployment device and stent graft |
JP2007175120A (ja) * | 2005-12-27 | 2007-07-12 | Osaka Industrial Promotion Organization | スライド式ダブルルーメンカテーテル |
US20070186933A1 (en) * | 2006-01-17 | 2007-08-16 | Pulmonx | Systems and methods for delivering flow restrictive element to airway in lungs |
US8052732B2 (en) * | 2006-11-14 | 2011-11-08 | Medtronic Vascular, Inc. | Delivery system for stent-graft with anchoring pins |
-
2009
- 2009-06-04 JP JP2011512474A patent/JP5347175B2/ja active Active
- 2009-06-04 US US12/995,286 patent/US8876879B2/en active Active
- 2009-06-04 EP EP09758765.3A patent/EP2282704B1/en active Active
- 2009-06-04 WO PCT/US2009/003393 patent/WO2009148602A1/en active Application Filing
- 2009-06-04 AU AU2009255608A patent/AU2009255608B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
EP2282704B1 (en) | 2015-08-12 |
WO2009148602A1 (en) | 2009-12-10 |
AU2009255608B2 (en) | 2013-09-19 |
JP2011522591A (ja) | 2011-08-04 |
US8876879B2 (en) | 2014-11-04 |
EP2282704A1 (en) | 2011-02-16 |
AU2009255608A1 (en) | 2009-12-10 |
US20110144735A1 (en) | 2011-06-16 |
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