JP5379161B2 - 流動可能シール材料を有する脈管閉鎖装置 - Google Patents
流動可能シール材料を有する脈管閉鎖装置 Download PDFInfo
- Publication number
- JP5379161B2 JP5379161B2 JP2010540653A JP2010540653A JP5379161B2 JP 5379161 B2 JP5379161 B2 JP 5379161B2 JP 2010540653 A JP2010540653 A JP 2010540653A JP 2010540653 A JP2010540653 A JP 2010540653A JP 5379161 B2 JP5379161 B2 JP 5379161B2
- Authority
- JP
- Japan
- Prior art keywords
- vascular
- sealing material
- closure device
- hole
- blood vessel
- 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 - Fee Related
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Classifications
-
- 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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L24/00—Surgical adhesives or cements; Adhesives for colostomy devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L24/00—Surgical adhesives or cements; Adhesives for colostomy devices
- A61L24/001—Use of materials characterised by their function or physical properties
- A61L24/0042—Materials resorbable by the body
-
- 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
- A61M25/02—Holding devices, e.g. on the body
- A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
-
- 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
- A61B2017/00646—Type of implements
- A61B2017/0065—Type of implements the implement being an adhesive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00951—Material properties adhesive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/04—Materials for stopping bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/06—Flowable or injectable implant compositions
-
- 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
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
- A61M2025/0233—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
Description
本出願は、2007年12月31日に出願した米国特許出願第11/968,020号の優先権を主張するものであり、参照によりその開示全体を本明細書に取り込む。2007年8月21日に出願された「Extra-Vascular Sealing Device and Method」と題する米国特許出願第11/842,509号の開示全体を、参照により本明細書に取り込む。不一致が生じた場合には、本明細書に明確に記載または示した主題は、参照により取り込まれたいかなる主題に対しても優先する。本明細書に参照により取り込まれた主題に含まれる(表現された、または、暗黙の)用語の全ての定義は、本明細書では無関係のものとする。特許請求の範囲の直前に記載した段落群は、先行する文における注意書きとして本明細書に明確に記載した用語に付与すべき意味を規定する。
本明細書に記載の主題における多数の例示的な実施形態は、以下を参照することができる。以下の実施形態は、本明細書に記載した主題の多様な特性、特徴及び有利な点を含んだ、いくつかの選択された実施形態を示したものである。よって、以下の実施形態は、全ての可能な実施形態の包括的なものと考えるべきではない。また、一実施形態の特性及び特徴は、その他の実施形態に同様に適用し得るものであり、または、多様な実施形態におけるその他の多数の特徴と組み合わせて、更なる付加的な実施形態を提供することに使用されるものであると解釈され、以下に示す特定の実施形態から(例えば、広く)変更した内容のものを説明するものである。よって、本明細書に記載の主題の任意な組み合わせが予想されるものである。
Claims (7)
- 脈管閉鎖デバイスであって、
血管の孔から挿入し、該孔に隣接する血管壁を位置決めする脈管位置決め部材と、
前記孔に隣接し、かつ、前記血管の外側に配置するシール材料と、
を備え、
該シール材料は、12〜22個の炭素原子をもつ脂肪酸基を含むモノグリセリドを有し、約27℃〜37℃の融点をもつことにより前記血管の孔につながる組織経路内に挿入された後溶解し、前記血管の孔に向かって流動すると共に、前記血管の孔に隣接した位置で膨張かつ立方相を形成することにより、前記血管の外側から前記血管の孔を閉鎖するものとした、脈管閉鎖デバイス。 - 請求項1に記載の脈管閉鎖デバイスであって、該脈管閉鎖デバイスは、前記血管の孔へとつながる組織の経路内に挿入する構成とし、前記シール材料は、キャリアチューブを後退させて該シール材料を前記組織の経路に露出させることによって配置するよう構成した、脈管閉鎖デバイス。
- 請求項1に記載の脈管閉鎖デバイスであって、前記脈管閉鎖デバイスは、前記血管の孔に至る組織の経路内に挿入する構成とし、前記脈管閉鎖デバイスは、前記シール材料が前記組織の経路と平行でない方向に前記脈管閉鎖デバイスから流出するよう構成した、脈管閉鎖デバイス。
- 請求項1に記載の脈管閉鎖デバイスであって、前記脈管位置決め部材は、該脈管位置決め部材が前記血管壁の内面と接触可能な拡張形態と、前記脈管位置決め部材が前記血管の孔を通り抜け可能な収縮形態との間で移行可能に構成した、脈管閉鎖デバイス。
- 請求項1に記載の脈管閉鎖デバイスであって、前記脈管位置決め部材は、該脈管閉鎖デバイスの長手方向軸線に対して斜めに角度をなす方向に延在する構成とした、脈管閉鎖デバイス。
- 請求項1に記載の脈管閉鎖デバイスであって、前記脈管位置決め部材は、弾性部材で被覆された複数の構造支持部材を有する構成とした、脈管閉鎖デバイス。
- 請求項1に記載の脈管閉鎖デバイスであって、前記脈管位置決め部材が前記血管壁に隣接して位置することを知らせるインジケータを備えた、脈管閉鎖デバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/968,020 US8333787B2 (en) | 2007-12-31 | 2007-12-31 | Vascular closure device having a flowable sealing material |
US11/968,020 | 2007-12-31 | ||
PCT/US2008/013952 WO2009088439A2 (en) | 2007-12-31 | 2008-12-22 | Vascular closure device having a flowable sealing material |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011508626A JP2011508626A (ja) | 2011-03-17 |
JP5379161B2 true JP5379161B2 (ja) | 2013-12-25 |
Family
ID=40524578
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010540653A Expired - Fee Related JP5379161B2 (ja) | 2007-12-31 | 2008-12-22 | 流動可能シール材料を有する脈管閉鎖装置 |
Country Status (7)
Country | Link |
---|---|
US (3) | US8333787B2 (ja) |
EP (1) | EP2234654B1 (ja) |
JP (1) | JP5379161B2 (ja) |
AU (1) | AU2008347096B2 (ja) |
CA (1) | CA2707622C (ja) |
CR (1) | CR11539A (ja) |
WO (1) | WO2009088439A2 (ja) |
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-
2007
- 2007-12-31 US US11/968,020 patent/US8333787B2/en active Active
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- 2008-12-22 CA CA2707622A patent/CA2707622C/en not_active Expired - Fee Related
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US9254346B2 (en) | 2016-02-09 |
EP2234654A2 (en) | 2010-10-06 |
CA2707622A1 (en) | 2009-07-16 |
WO2009088439A3 (en) | 2010-05-14 |
US20090171282A1 (en) | 2009-07-02 |
US8333787B2 (en) | 2012-12-18 |
AU2008347096B2 (en) | 2014-03-06 |
EP2234654B1 (en) | 2013-02-13 |
JP2011508626A (ja) | 2011-03-17 |
WO2009088439A2 (en) | 2009-07-16 |
US9913635B2 (en) | 2018-03-13 |
AU2008347096A1 (en) | 2009-07-16 |
CR11539A (es) | 2010-08-05 |
US20130006299A1 (en) | 2013-01-03 |
US20160113636A1 (en) | 2016-04-28 |
CA2707622C (en) | 2017-01-10 |
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