JP5734178B2 - 心臓弁を修復するための弁形成リングおよび方法 - Google Patents
心臓弁を修復するための弁形成リングおよび方法 Download PDFInfo
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- JP5734178B2 JP5734178B2 JP2011504127A JP2011504127A JP5734178B2 JP 5734178 B2 JP5734178 B2 JP 5734178B2 JP 2011504127 A JP2011504127 A JP 2011504127A JP 2011504127 A JP2011504127 A JP 2011504127A JP 5734178 B2 JP5734178 B2 JP 5734178B2
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Images
Classifications
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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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
- A61F2/2448—D-shaped rings
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
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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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
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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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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- A—HUMAN NECESSITIES
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- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
Description
Claims (3)
- 前部分、中隔部分および後部分を有する三尖弁輪への移植用の三尖弁形成リングであって、
前記三尖弁形成リングは、前セグメント、中隔セグメントおよび後セグメントを有する三角形をした連続する本体を有し、
前記前セグメント、前記中隔セグメントおよび前記後セグメントの各々は、前記三尖弁輪の前部分、中隔部分および後部分の解剖学的形状に一致する幾何学的形状を有し、
前記前セグメント、前記中隔セグメントおよび前記後セグメントについて、お互いに比較して、長さおよび曲率を変化させることができ、
前記三尖弁形成リングは、様々な硬度を有し、
硬質な前記中隔セグメントに埋め込まれたギアボックスは前記前セグメントの変形可能な内部アームおよび前記後セグメントの変形可能な内部アームとそれぞれ第1軟質ワイヤおよび第2軟質ワイヤで結ばれ、前記ギアボックスのシャフトが前記第1軟質ワイヤ及び前記第2軟質ワイヤを前記ギアボックスの前記シャフトに巻きつけるよう回転し、前記中隔セグメントと前記前セグメント間の直線距離、および、前記中隔セグメントと前記後セグメント間の直線距離を変更できることを特徴とする三尖弁形成リング。 - 前部分、中隔部分および後部分を有する三尖弁輪への移植用の三尖弁形成リングであって、
前記三尖弁形成リングは、前セグメント、中隔セグメントおよび後セグメントを有する三角形をした連続する本体を有し、
前記前セグメント、前記中隔セグメントおよび前記後セグメントの各々は、前記三尖弁輪の前部分、中隔部分および後部分の解剖学的形状に一致する幾何学的形状を有し、
前記前セグメント、前記中隔セグメントおよび前記後セグメントについて、お互いに比較して、長さおよび曲率を変化させることができ
前記前セグメント、前記中隔セグメントおよび前記後セグメントの各セグメントは各々内部アームコアと外側層からなり
前記内部アームコアは、第1ギアボックスの第1コネクタが挿入される開口を第1末端に有する第1サブセグメントと、第2ギアボックスの第2コネクタが挿入される開口を第1末端に有する第2サブセグメントからなり、前記第1サブセグメントの第2末端は、前記第2サブセグメントの第2末端において構成された中空のめねじ部の中に挿入されるサイズのおねじ部を構成して、
前記第1ギアボックスの前記第1コネクタと前記第1サブセグメントは、係合し、第1ギアボックスの前記第1コネクタを回転させることにより、前記第1サブセグメントの前記第2末端の前記おねじ部が前記第2サブセグメントの前記第2末端に構成された前記中空のめねじ部へとねじ込まれることにより前記セグメントの長さが調節され、他の2つのセグメント間の角度を調整できるため、前記三尖弁形成リングの幾何学構造が調節されることを特徴とする三尖弁形成リング。 - 前記前セグメント、前記中隔セグメントおよび前記後セグメントの各セグメントは、前記内部アームコアの前記第1および前記第2サブセグメントへとそれぞれ第1結合クランプ及び第2結合クランプにより取り付けられた調整アームを含み、
前記セグメントの長さが調節されることにより、前記長さが調整されたセグメントの形状が調節されることを特徴とする、請求項2記載の三尖弁形成リング。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US4352508P | 2008-04-09 | 2008-04-09 | |
US61/043,525 | 2008-04-09 | ||
PCT/US2009/039777 WO2009126629A1 (en) | 2008-04-09 | 2009-04-07 | Annuloplasty rings and methods for heart valve repair |
Publications (3)
Publication Number | Publication Date |
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JP2011516209A JP2011516209A (ja) | 2011-05-26 |
JP2011516209A5 JP2011516209A5 (ja) | 2014-12-18 |
JP5734178B2 true JP5734178B2 (ja) | 2015-06-10 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2011504127A Expired - Fee Related JP5734178B2 (ja) | 2008-04-09 | 2009-04-07 | 心臓弁を修復するための弁形成リングおよび方法 |
Country Status (5)
Country | Link |
---|---|
US (1) | US9295553B2 (ja) |
EP (1) | EP2273951B1 (ja) |
JP (1) | JP5734178B2 (ja) |
CA (1) | CA2753027C (ja) |
WO (1) | WO2009126629A1 (ja) |
Cited By (1)
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JP7022860B1 (ja) | 2021-06-09 | 2022-02-18 | Dmg森精機株式会社 | モータ用ロータ |
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EP0624080B1 (en) * | 1992-01-27 | 2001-12-12 | Medtronic, Inc. | Annuloplasty and suture rings |
US6217610B1 (en) * | 1994-07-29 | 2001-04-17 | Edwards Lifesciences Corporation | Expandable annuloplasty ring |
US5776189A (en) * | 1997-03-05 | 1998-07-07 | Khalid; Naqeeb | Cardiac valvular support prosthesis |
US6368348B1 (en) * | 2000-05-15 | 2002-04-09 | Shlomo Gabbay | Annuloplasty prosthesis for supporting an annulus of a heart valve |
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US6726716B2 (en) * | 2001-08-24 | 2004-04-27 | Edwards Lifesciences Corporation | Self-molding annuloplasty ring |
US6749630B2 (en) * | 2001-08-28 | 2004-06-15 | Edwards Lifesciences Corporation | Tricuspid ring and template |
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US8758372B2 (en) * | 2002-08-29 | 2014-06-24 | St. Jude Medical, Cardiology Division, Inc. | Implantable devices for controlling the size and shape of an anatomical structure or lumen |
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- 2009-04-07 JP JP2011504127A patent/JP5734178B2/ja not_active Expired - Fee Related
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JP7022860B1 (ja) | 2021-06-09 | 2022-02-18 | Dmg森精機株式会社 | モータ用ロータ |
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WO2009126629A1 (en) | 2009-10-15 |
EP2273951B1 (en) | 2021-02-17 |
CA2753027A1 (en) | 2009-10-15 |
EP2273951A4 (en) | 2015-08-12 |
US9295553B2 (en) | 2016-03-29 |
CA2753027C (en) | 2016-06-14 |
EP2273951A1 (en) | 2011-01-19 |
JP2011516209A (ja) | 2011-05-26 |
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