JP5778183B2 - セミフレキシブル弁形成リング - Google Patents
セミフレキシブル弁形成リング Download PDFInfo
- Publication number
- JP5778183B2 JP5778183B2 JP2012552041A JP2012552041A JP5778183B2 JP 5778183 B2 JP5778183 B2 JP 5778183B2 JP 2012552041 A JP2012552041 A JP 2012552041A JP 2012552041 A JP2012552041 A JP 2012552041A JP 5778183 B2 JP5778183 B2 JP 5778183B2
- Authority
- JP
- Japan
- Prior art keywords
- annuloplasty ring
- ring according
- annulus
- commissure
- tricuspid
- 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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Links
- ANLKZVDMILBJDJ-UHFFFAOYSA-N CC(C=C(C)C)N=O Chemical compound CC(C=C(C)C)N=O ANLKZVDMILBJDJ-UHFFFAOYSA-N 0.000 description 1
- DJDZSUKPWHDHQQ-UHFFFAOYSA-O CCCC(CC(CCCO)C(CN)C(C)(CC)C(C1)C1=CC[NH3+])C(CC)CCCC[U] Chemical compound CCCC(CC(CCCO)C(CN)C(C)(CC)C(C1)C1=CC[NH3+])C(CC)CCCC[U] DJDZSUKPWHDHQQ-UHFFFAOYSA-O 0.000 description 1
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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
-
- 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
- A61F2/2466—Delivery devices 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
- 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
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0018—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
Description
Claims (14)
- 前方/後方交連(A/P交連)、後方/中隔交連(P/S交連)および中隔/前方交連(S/A交連)でそれぞれ連結された前方弁尖、後方弁尖および中隔弁尖を含む三尖弁の弁輪に取り付けるための弁形成リングであって、
中央部分ならびに第1および第2の端部分を含む細長い縫合可能材料チューブと、
前記チューブの中央部分に収容され、該中央部分の長さにわたって延びる弧状補強材であって、前記チューブに対する補強材の円周方向の移動を防ぐために、前記中央部分内に周方向の移動を拘束されている弧状補強材と、を備え、
前記チューブの第1と第2の端部分に補強材が無く、前記第1と第2の端は軸線方向に変形可能であり、
前記弧状補強材は、密巻コイルスプリングと該密巻コイルスプリングのバネキャビティ内に収容された補強ワイヤとを備え、
前記弧状補強材は、該補強ワイヤを前記弧状補強材の各端の端キャップによって密巻コイルスプリング内に長手方向に固定するように、構成されている、
ことを特徴とする弁形成リング。 - 弁形成リングが三尖弁の弁輪に作動的に取り付けられ、その中央部分が、S/P交連の周辺からA/P交連までの範囲に及ぶように形成されている、
請求項1に記載の弁形成リング。 - 弧状補強材が、後方半径を有する後方部分および前方半径を有する前方部分を含み、前方半径が後方半径よりも大きい、
請求項1に記載の弁形成リング。 - 後方半径および前方半径が、弁形成リングが三尖弁の弁輪に作動的に取り付けられ、後方半径が、拡張前の状態の少なくとも弁輪の後方部分に適合し、前方半径が、拡張前の状態の弁輪の前方部分の少なくとも一部に適合するように選択される、
請求項3に記載の弁形成リング。 - 第1と第2の端が、軸線方向に充分に変形可能であり、それにより、弁形成リングが作動的に三尖弁の弁輪に取り付けられた場合、第1と第2の端が弧状補強材により定まる平面より容易に逸脱して、正常な動作と実質的に干渉をせずに、三尖弁の解剖学的形態に適合することができる、
請求項1に記載の弁形成リング。 - 細長い縫合可能材料チューブが、弧状補強材で定まる平面内でC形状に熱硬化する編んだ熱硬化性材料を含む、
請求項1に記載の弁形成リング。 - Cの開口部が弁形成リングの公称寸法の約50%超の長さを有するギャップを規定する、
請求項6に記載の弁形成リング。 - ギャップが公称寸法の約60%の長さである、
請求項7に記載の弁形成リング。 - 弧状補強材が、弧状補強材の各端での縫合線により中央部分内に周方向移動を拘束されている、
請求項1に記載の弁形成リング。 - 各第1と第2の端部分にX線マーカをさらに含む、
請求項1に記載の弁形成リング。 - X線マーカが、軸線方向および半径方向に容易に変形可能である、
請求項10に記載の弁形成リング。 - 第1と第2の端部分が、軸線方向および半径方向に容易に変形可能である、
請求項1に記載の弁形成リング。 - 周方向に間隔をあけて設けた約11以下の取り付け縫合糸をさらに含む、
請求項1に記載の弁形成リング。 - 弧状補強材が弧状補強材の各端の縫合線により縫合可能材料に固定される、
請求項8に記載の弁形成リング。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US30115810P | 2010-02-03 | 2010-02-03 | |
US61/301,158 | 2010-02-03 | ||
US30153210P | 2010-02-04 | 2010-02-04 | |
US61/301,532 | 2010-02-04 | ||
PCT/US2011/023386 WO2011097251A1 (en) | 2010-02-03 | 2011-02-01 | Semi-flexible annuloplasty ring |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013518671A JP2013518671A (ja) | 2013-05-23 |
JP2013518671A5 JP2013518671A5 (ja) | 2014-03-20 |
JP5778183B2 true JP5778183B2 (ja) | 2015-09-16 |
Family
ID=44355742
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012552041A Active JP5778183B2 (ja) | 2010-02-03 | 2011-02-01 | セミフレキシブル弁形成リング |
Country Status (5)
Country | Link |
---|---|
US (2) | US10932907B2 (ja) |
EP (1) | EP2531143B1 (ja) |
JP (1) | JP5778183B2 (ja) |
CN (1) | CN102985031B (ja) |
WO (1) | WO2011097251A1 (ja) |
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US20090287303A1 (en) * | 2008-05-13 | 2009-11-19 | Edwards Lifesciences Corporation | Physiologically harmonized tricuspid annuloplasty ring |
EP2381895B1 (en) * | 2008-12-31 | 2021-07-07 | Medtronic, Inc. | Semi-rigid annuloplasty ring and band and method of making an annuloplasty ring |
US20110160849A1 (en) * | 2009-12-22 | 2011-06-30 | Edwards Lifesciences Corporation | Bimodal tricuspid annuloplasty ring |
US8932350B2 (en) | 2010-11-30 | 2015-01-13 | Edwards Lifesciences Corporation | Reduced dehiscence annuloplasty ring |
-
2011
- 2011-02-01 JP JP2012552041A patent/JP5778183B2/ja active Active
- 2011-02-01 US US13/576,982 patent/US10932907B2/en active Active
- 2011-02-01 EP EP11740273.5A patent/EP2531143B1/en active Active
- 2011-02-01 CN CN201180015528.0A patent/CN102985031B/zh active Active
- 2011-02-01 WO PCT/US2011/023386 patent/WO2011097251A1/en active Application Filing
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JP2013518671A (ja) | 2013-05-23 |
EP2531143B1 (en) | 2018-01-17 |
EP2531143A1 (en) | 2012-12-12 |
CN102985031B (zh) | 2015-09-30 |
US20130204361A1 (en) | 2013-08-08 |
WO2011097251A1 (en) | 2011-08-11 |
US20210161665A1 (en) | 2021-06-03 |
US10932907B2 (en) | 2021-03-02 |
EP2531143A4 (en) | 2015-12-02 |
CN102985031A (zh) | 2013-03-20 |
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