JP5597309B2 - 解放と回収が制御される人工器官留置用器材 - Google Patents
解放と回収が制御される人工器官留置用器材 Download PDFInfo
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- JP5597309B2 JP5597309B2 JP2013523193A JP2013523193A JP5597309B2 JP 5597309 B2 JP5597309 B2 JP 5597309B2 JP 2013523193 A JP2013523193 A JP 2013523193A JP 2013523193 A JP2013523193 A JP 2013523193A JP 5597309 B2 JP5597309 B2 JP 5597309B2
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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
- A61F2/95—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
- A61F2/95—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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9534—Instruments specially adapted for placement or removal of stents or stent-grafts for repositioning of stents
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- 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)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2010年6月30日出願の米国仮特許出願第61/369,183号の優先権を主張する非仮特許出願であり、同出願の全体を参照によって本出願に援用する。
Claims (18)
- ハンドルと、
前記ハンドルに固定的に取り付けられ、前記ハンドルから遠位方向に延びる管状シースと、
前記ハンドルを通りかつ前記シースの長手方向の内腔を通って延びる長い押子部材と、
を含む、解放と回収が制御される人工器官留置用器材であって、
前記ハンドルは、
ハンドル本体と、
前記ハンドル本体の中の前進部材であって、器材近位端に向かって付勢される前進部材と、
前記ハンドル本体に取り付けられたキーパ部材であって、同様に器材近位端に向かって付勢されるキーパ部材と、
トリガ部材であって、
前記ハンドル本体に対して旋回可能で、
前記前進部材と機械的に連通して配置され、
前記トリガ部材が第一の方向に旋回されると、前記前進部材を遠位方向に移動させるように構成されたトリガ部材と、
を含み、
前記前進部材は、前進部材開口部であって前記押子部材がそこを通って延びる前記前進部材開口部を含み、前記前進部材開口部は、
前記前進部材が、前記トリガの前記第一の方向への旋回運動に対応して、前記押子部材に対して第一の角度に配置されると、前記押子部材と、前記押子部材を捕捉するように、係合するべく構成され、
前記前進部材が前記押子部材に対して第二の角度に配置されると、前記押子部材がそこを自由に摺動して通過できるように構成され、
前記キーパ部材は、キーパ部材開口部であって前記押子部材がそこを通って延びる前記キーパ部材開口部を含み、前記キーパ部材開口部は、前記キーパ部材が前記押子部材に対して第一の角度に配置されると、前記押子部材と、近位方向へのその運動を防止できるほど十分に、前記押子部材を捕捉するように、係合するべく構成され、かつ前記キーパ部材が前記押子部材に対して第二の角度に配置されると、前記押子部材がそこを自由に摺動して通過できるように構成されている器材。 - 前記シースの遠位部の中に取り外し可能に配置され、前記押子部材に取り付けられた自己拡張型人工器官をさらに含む、請求項1に記載の器材。
- 前記シースと前記押子部材が、人工器官を患者の消化管の中に導入するのに十分に柔軟で長い、請求項1に記載の器材。
- 前記シースと前記押子部材が、人工器官を前記患者の口から前記患者の食道の中に導入するのに十分に柔軟で長い、請求項3に記載の器材。
- 前記長い押子部材が、少なくとも1つの柔軟な関節部を含む少なくとも1つの近位領域を含む、請求項1に記載の器材。
- 前記少なくとも1つの柔軟な関節部が、前記少なくとも1つの柔軟な関節部を含む前記少なくとも1つの近位領域を、前記ハンドル本体の中に巻かれた状態で収めることができるように構成されている、請求項5に記載の器材。
- 前記ハンドル本体に取り付けられ、前記キーパ部材および前記押子部材と機械的に連通して配置された第二のトリガ部材をさらに含む、請求項5に記載の器材。
- 前記キーパ部材および前記押子部材と機械的に連通する前記第二のトリガ部材が、前記第二のトリガ部材を作動させると、前記キーパ部材が前記押子部材と係合して、前記押子部材を近位方向に移動させるように構成されている、請求項7に記載の器材。
- 前記シースの遠位部の中に取り外し可能に配置された自己拡張型人工器官をさらに含み、前記第二のトリガ部材を作動させると、前記人工器官が前記シースに対して近位方向に移動するように構成されている、請求項8に記載の器材。
- 前記ハンドル本体に取り付けられ、前記キーパ部材および前記押子部材と機械的に連通して配置された第二のトリガ部材をさらに含む、請求項1に記載の器材。
- 前記キーパ部材および前記押子部材と機械的に連通する前記第二のトリガ部材が、前記第二のトリガ部材を作動させると、前記キーパ部材が前記押子部材と係合して、前記押子部材が近位方向に移動するように構成されている、請求項10に記載の器材。
- 前記シースの遠位部の中に取り外し可能に配置された自己拡張型人工器官をさらに含み、前記第二のトリガ部材を作動させると、前記人工器官が前記シースに対して近位方向に移動するように構成されている、請求項11に記載の器材。
- ハンドル部材と、
前記ハンドルに取り付けられ、前記ハンドルから遠位方向に延びる管状シースと、
前記ハンドル部材の中に配置され、前記ハンドル部材の近位端に向かって付勢される第一のプレート部材であって、それを貫通する第一の開口部を含む第一のプレート部材と、
前記ハンドル部材の中に配置され、前記ハンドル部材の近位端に向かって付勢される第二のプレート部材であって、それを貫通する第二の開口部を含む第二のプレート部材と、
前記第一の開口部と前記第二の開口部とを通りかつ前記管状シースの長さにわたって延びる長い押子部材と、
前記長い押子部材の遠位端に隣接して配置された管腔内器具と、
を含む、管腔内器具を送達するための送達器材であって、
前記第一の開口部と前記第二の開口部が各々長手軸を有し、前記長手軸が第一の向きに配置されると、前記押子部材が遠位方向へは自由に移動できるが、近位方向へは移動できず、前記長手軸が第二の向きに配置されると、前記押子部材が近位方向へは自由に移動できるが、遠位方向へは移動できないように構成されている送達器材。 - 前記管腔内器具が自己拡張型ステントとして構成されている、請求項13に記載の送達器材。
- 前記押子部材の前記管状シースに対する遠位方向の移動により前記自己拡張型ステントを留置されるように構成されるべく構成されている、請求項14に記載の送達器材。
- 前記第一のプレート部材と機械的に連通して配置された第一のトリガ部材をさらに含み、前記機械的連通は、前記トリガが作動されると、前記第一の開口部を前記押子部材と係合させて、前記押子部材を遠位方向に前進させるように構成されている、請求項13に記載の送達器材。
- 前記第二のプレート部材と機械的に連通して配置された第二のトリガ部材をさらに含み、前記機械的連通は、前記トリガが作動されると、前記第二の開口部を前記押子部材と係合させて、前記押子部材を近位方向に前進させるように構成されている、請求項16に記載の送達器材。
- 前記近位方向への移動が、前記管腔内器具のシースに収容されていない部分をシース内に再収容するように構成されている、請求項17に記載の送達器材。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US36918310P | 2010-07-30 | 2010-07-30 | |
US61/369,183 | 2010-07-30 | ||
PCT/US2011/045282 WO2012015782A1 (en) | 2010-07-30 | 2011-07-26 | Controlled release and recapture prosthetic deployment device |
Publications (2)
Publication Number | Publication Date |
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JP2013535286A JP2013535286A (ja) | 2013-09-12 |
JP5597309B2 true JP5597309B2 (ja) | 2014-10-01 |
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JP2013523193A Active JP5597309B2 (ja) | 2010-07-30 | 2011-07-26 | 解放と回収が制御される人工器官留置用器材 |
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US (1) | US8932342B2 (ja) |
EP (1) | EP2598086B1 (ja) |
JP (1) | JP5597309B2 (ja) |
CN (1) | CN103052365B (ja) |
AU (1) | AU2011282909B2 (ja) |
CA (1) | CA2806234C (ja) |
PL (1) | PL2598086T3 (ja) |
WO (1) | WO2012015782A1 (ja) |
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AU2011282909A1 (en) | 2013-02-14 |
CA2806234C (en) | 2015-03-24 |
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US8932342B2 (en) | 2015-01-13 |
WO2012015782A1 (en) | 2012-02-02 |
AU2011282909B2 (en) | 2013-09-12 |
JP2013535286A (ja) | 2013-09-12 |
EP2598086B1 (en) | 2016-09-21 |
CN103052365A (zh) | 2013-04-17 |
CA2806234A1 (en) | 2012-02-02 |
EP2598086A1 (en) | 2013-06-05 |
CN103052365B (zh) | 2015-12-02 |
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