JP5602151B2 - 給送器具 - Google Patents
給送器具 Download PDFInfo
- Publication number
- JP5602151B2 JP5602151B2 JP2011544591A JP2011544591A JP5602151B2 JP 5602151 B2 JP5602151 B2 JP 5602151B2 JP 2011544591 A JP2011544591 A JP 2011544591A JP 2011544591 A JP2011544591 A JP 2011544591A JP 5602151 B2 JP5602151 B2 JP 5602151B2
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- JP
- Japan
- Prior art keywords
- stent
- wire
- catheter
- distal
- outer sheath
- 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.)
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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
-
- 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
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
-
- 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
- A61F2002/9505—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
- A61F2002/9534—Instruments specially adapted for placement or removal of stents or stent-grafts for repositioning of 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
- A61F2/95—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
- A61F2002/9623—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the sleeve being reinforced
Description
(関連出願)
第三の特徴においては、管腔内器具を送り込むための給送器具が提供されている。該器具は、第一の歯車の組と第二の歯車の組とを備えている歯車とプーリーとからなる機構と、前記第一の歯車の組と第二の歯車の組とに択一的に機械結合されるようになされている駆動プーリーとを備えている。補強されている外側シースが内側の長手方向に伸長している部材の外周を覆うように設けられている。補強されている外側シースは、近位の補強された部分と遠位の補強された部分とを備えている。該補強されている外側シースは、近位方向に後退させたり遠位方向に再被覆させたりするために、前記の駆動プーリーに機械的に連結されている。前記の給送器具のハンドルの遠位端においては、固定チューブが前記の補強されている外側シース内に設けられている。該固定チューブは、該固定チューブの長手方向の長さに沿って所定の数のスリットを備えている。これらのスリットは、固定部材を該スリットの内へ及び該スリットから外方への織り上げを形成するために該固定部材を受け入れる構造とされている。
102 トリガー部材、 104 後方のハブ、
110 ハンドルの遠位端、
210 リング、 290 保持ワイヤ、
291 双管腔チューブ、
300 頭頂部、 301 ステント、
400 第二の歯車の組、 401 第二の駆動歯車、
402 第二のプーリー歯車、 403 ローラークラッチ軸受、
500 第一の歯車の組、 501 第一のアイドル歯車、
502 第一の駆動歯車、 503 第一のプーリー歯車、
504 ワンウェイローラークラッチ軸受、
701 メインの駆動歯車、 702 駆動軸、
704 歯、 709 ラック、
901 中心の駆動プーリー、 902 リブ付きの長穴、
1000 リブ又は突出部、 1200 外側カテーテル、
1201 ベルト、 1202 シャットル、
1205 位置、 1206 位置、内側カテーテルの部分、
1207 内側カテーテル、 1208 裾広がり部分、
1209 ステント押し込み部分、 1210 部分、
1211 プーリー、 1212 プーリー、
1215 アイドラ、 1216 アイドラ、
1217 シャットルキャップ、 1218 穴、
1219 突出部、 1220 溝、
1300 縫合糸ループ、 1308 段部、
1500 支柱、 1510 溝、
1700 器具の遠位端、 1702 ステント給送部分、
1703 外部の操作部分、 1721 放射線不透過性のマーカー、
1722 外側カテーテルの遠位端、
2401 繋ぎ紐、
2800 係留アセンブリ、 2801 係留点、
2802 係止ワイヤ、 2804 ステント、
2805,2806 突っ張り部、 2810 係止ワイヤの遠位部分、
2811 近位部分、 2891 保持ループアセンブリ、
2902,2904 第一のカニューレの対、
2903 第二のカニューレ、 2930 保持ループワイヤ、
2931 保持ループワイヤの先端、 2932 保持ループワイヤの遠位部分、
2934,2935 第二の近位部分、 2950 近位端、
2955,2956 穴、 2960 係留アセンブリ、
2962 保持ループワイヤ、 2964 係止ワイヤ、
2968 第一のカニューレ、
2970,2972 一対の保持ループ用カニューレ、
2974 係止ワイヤ用カニューレ、
3200 固定チューブ、
3300 外側シース、 3301 近位の補強された部分、
3302 遠位の補強された部分、 3303 重なり部分、
3304 内側の層、内側ライナー、 3310 平らなワイヤ部材、
3314 コイル、 3316 編物構造、
3317 ワイヤ、 3318 外側の層、
3319 内側の層、 3366 遠位先端、
3377 コイルの近位端、
3610 フラットワイヤ部材、
3700 長穴、 3702 第一プーリー歯車、
3703 第二のプーリー歯車、
3801 中心の駆動プーリー、 3802 長穴、
3803 角度付きの構造、
4000 短いワイヤ構造の給送器具、 4010 内側カテーテル、
4012 外側シース、 4014 交換部分、交換ポート、
4016 給送器具の遠位部分、 4018 ガイドワイヤ、
4020 遠位部分、遠位のポート、 4022 給送器具の主軸、
4024 ハンドル、 4026 給送器具の近位部分、
4044 係止ワイヤ用ポート、
5000 給送装置、 5004 ステント、
5010 内側カテーテル、 5012 外側シース、
5015 漏斗形状部材、 5030 拡張形態、
5032 遠位端、 5034 ホルダ器具、
5036 押し込みカテーテル、 5038 ステントの近位部分、
5040 シースの遠位端、 5042 外側面、
5048 係留アセンンブリ、 5050 近位の縫合糸ループ、
5052 近位の係止ワイヤ、 5056 漏斗の近位部分、
5060 ハンドル、 5062 給送器具の近位部分、
Claims (6)
- 管腔内器具を送り込む給送器具であり、
第一の歯車の組と第二の歯車の組とを備えている、歯車及びプーリー機構と、
前記第一の歯車の組と第二の歯車の組とのどちらか一方に択一的に機械結合されるようになされている駆動プーリーと、
内側の長手方向に細長い部材の外周に沿って設けられ、近位方向に後退したり遠位方向に再被覆するように前記駆動プーリーに機械的に連結されている外側シースと、
係留アセンブリを備えている固定部材と、を備えており、
前記係留アセンブリは、保持ループアセンブリと係止ワイヤとを備えており、前記外側シースが前記内側の細長い部材に対して動く際に、前記係止ワイヤの遠位部分が前記保持ループアセンブリと係合することによって、前記管腔内器具が前記内側の細長い部材に係留される、ことを特徴とする給送器具。 - 前記係留アセンブリが更に、第一の対のカニューレと、該第一の対のカニューレに固定された第二のカニューレと、遠位のループ部分と第一の近位端と第二の近位端とを備えている保持ループワイヤとを備えており、前記第一の近位端と第二の近位端とは、前記第一の対のカニューレに挿入されている、ことを特徴とする請求項1に記載の給送器具。
- 前記係留アセンブリが、約70ニュートンの軸線方向に負荷に耐える構造とされている、ことを特徴とする請求項1に記載の給送器具。
- 該給送器具のハンドルの遠位側に設けられた固定チューブを更に備えており、該固定チューブは、該固定チューブの長手方向の長さに沿って複数のスリットを備えており、該スリットは、該スリット内へ及び該スリットから外方へ織り上げられた係止ワイヤの織物を形成するために前記係止ワイヤの近位部分を収容できる構造とされている、ことを特徴とする請求項1に記載の給送器具。
- 前記外側シース、内側の細長い部材、及び係留アセンブリの全体の直径が、約3.7mm未満である、ことを特徴とする請求項1に記載の給送器具。
- 前記管腔内器具がスルー・ザ・スコープ(TTS)型ステントである、ことを特徴とする請求項1に記載の給送器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US14145508P | 2008-12-30 | 2008-12-30 | |
US61/141,455 | 2008-12-30 | ||
PCT/US2009/069721 WO2010078352A1 (en) | 2008-12-30 | 2009-12-29 | Delivery device |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2012513878A JP2012513878A (ja) | 2012-06-21 |
JP2012513878A5 JP2012513878A5 (ja) | 2013-02-14 |
JP5602151B2 true JP5602151B2 (ja) | 2014-10-08 |
Family
ID=41581003
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011544591A Active JP5602151B2 (ja) | 2008-12-30 | 2009-12-29 | 給送器具 |
Country Status (6)
Country | Link |
---|---|
US (1) | US9615949B2 (ja) |
EP (2) | EP2391309B1 (ja) |
JP (1) | JP5602151B2 (ja) |
AU (1) | AU2009335031B2 (ja) |
CA (1) | CA2747748C (ja) |
WO (1) | WO2010078352A1 (ja) |
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