JP5680622B2 - 操舵可能な先端部捕捉taa送達システム - Google Patents

操舵可能な先端部捕捉taa送達システム Download PDF

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Publication number
JP5680622B2
JP5680622B2 JP2012507238A JP2012507238A JP5680622B2 JP 5680622 B2 JP5680622 B2 JP 5680622B2 JP 2012507238 A JP2012507238 A JP 2012507238A JP 2012507238 A JP2012507238 A JP 2012507238A JP 5680622 B2 JP5680622 B2 JP 5680622B2
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Japan
Prior art keywords
steering member
steering
release
delivery catheter
distal
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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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JP2012507238A
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English (en)
Japanese (ja)
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JP2012524608A5 (enExample
JP2012524608A (ja
Inventor
ジェフリー アルゼンチン
ジェフリー アルゼンチン
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メドトロニック ヴァスキュラー インコーポレイテッド
メドトロニック ヴァスキュラー インコーポレイテッド
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Publication of JP2012524608A5 publication Critical patent/JP2012524608A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082Catheter tip comprising a tool
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9505Instruments 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
    • A61F2002/9511Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966Instruments 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
    • A61F2002/9665Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • A61M2025/015Details of the distal fixation of the movable mechanical means

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2012507238A 2009-04-23 2010-03-31 操舵可能な先端部捕捉taa送達システム Expired - Fee Related JP5680622B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12/428,636 US8876877B2 (en) 2009-04-23 2009-04-23 Centering for a TAA
US12/428,636 2009-04-23
PCT/US2010/029499 WO2010123664A1 (en) 2009-04-23 2010-03-31 Steerable tip capture taa delivery system

Publications (3)

Publication Number Publication Date
JP2012524608A JP2012524608A (ja) 2012-10-18
JP2012524608A5 JP2012524608A5 (enExample) 2013-05-16
JP5680622B2 true JP5680622B2 (ja) 2015-03-04

Family

ID=42289674

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2012507238A Expired - Fee Related JP5680622B2 (ja) 2009-04-23 2010-03-31 操舵可能な先端部捕捉taa送達システム

Country Status (5)

Country Link
US (1) US8876877B2 (enExample)
EP (1) EP2421481B1 (enExample)
JP (1) JP5680622B2 (enExample)
ES (1) ES2416507T3 (enExample)
WO (1) WO2010123664A1 (enExample)

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EP3735937A1 (en) 2009-11-30 2020-11-11 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US9226826B2 (en) * 2010-02-24 2016-01-05 Medtronic, Inc. Transcatheter valve structure and methods for valve delivery
US20110208289A1 (en) * 2010-02-25 2011-08-25 Endospan Ltd. Flexible Stent-Grafts
US9439795B2 (en) * 2010-09-17 2016-09-13 St. Jude Medical, Cardiology Division, Inc. Retainers for transcatheter heart valve delivery systems
US9526638B2 (en) 2011-02-03 2016-12-27 Endospan Ltd. Implantable medical devices constructed of shape memory material
EP2522307B1 (en) * 2011-05-08 2020-09-30 ITSO Medical AB Device for delivery of medical devices to a cardiac valve
EP2729095B1 (en) 2011-07-07 2016-10-26 Endospan Ltd. Stent fixation with reduced plastic deformation
WO2013030818A2 (en) 2011-08-28 2013-03-07 Endospan Ltd. Stent-grafts with post-deployment variable axial and radial displacement
US8945145B2 (en) * 2011-09-22 2015-02-03 Medtronic, Inc. Delivery system assemblies for implantable medical devices
US8945146B2 (en) 2011-10-24 2015-02-03 Medtronic, Inc. Delivery system assemblies and associated methods for implantable medical devices
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
US8721587B2 (en) 2011-11-17 2014-05-13 Medtronic, Inc. Delivery system assemblies and associated methods for implantable medical devices
US9216293B2 (en) * 2011-11-17 2015-12-22 Medtronic, Inc. Delivery system assemblies for implantable medical devices
WO2013084235A2 (en) 2011-12-04 2013-06-13 Endospan Ltd. Branched stent-graft system
US9629737B2 (en) 2011-12-23 2017-04-25 Cook Medical Technologies Llc Delivery system for staged stent release
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US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
US9480561B2 (en) 2012-06-26 2016-11-01 St. Jude Medical, Cardiology Division, Inc. Apparatus and method for aortic protection and TAVI planar alignment
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US8974482B2 (en) * 2012-12-21 2015-03-10 Edgar Louis Shriver Device to steer into subintimal false lumen and parallel park in true lumen
CN107456297A (zh) * 2013-01-08 2017-12-12 恩多斯潘有限公司 在植入期间支架移植物迁移的最小化
CN105208969B (zh) 2013-03-11 2017-10-20 恩多斯潘有限公司 用于主动脉夹层的多组件支架移植物系统
US9351860B2 (en) * 2013-03-14 2016-05-31 Cook Medical Technologies Llc Loading tool for capturing stent points
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CN104706449B (zh) * 2013-12-17 2017-11-07 微创心脉医疗科技(上海)有限公司 一种支架输送系统及其后释放组件
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Also Published As

Publication number Publication date
US20100274187A1 (en) 2010-10-28
EP2421481A1 (en) 2012-02-29
WO2010123664A1 (en) 2010-10-28
US8876877B2 (en) 2014-11-04
ES2416507T3 (es) 2013-08-01
JP2012524608A (ja) 2012-10-18
EP2421481B1 (en) 2013-03-27

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