JP5779283B2 - 大動脈病変の血管内治療のための方法および装置 - Google Patents
大動脈病変の血管内治療のための方法および装置 Download PDFInfo
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- JP5779283B2 JP5779283B2 JP2014536001A JP2014536001A JP5779283B2 JP 5779283 B2 JP5779283 B2 JP 5779283B2 JP 2014536001 A JP2014536001 A JP 2014536001A JP 2014536001 A JP2014536001 A JP 2014536001A JP 5779283 B2 JP5779283 B2 JP 5779283B2
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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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/852—Two or more distinct overlapping 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
-
- 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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2250/0039—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 diameter
-
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
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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)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
110、210 第一構成要素
111、112 窓
120、220 第二構成要素
121、122 窓
130、230 第1の端部
135、235 第2の端部
140 テーパ部
150 第1の端部
155 第2の端部
160 テーパ部
180 通路
192、194 窓
231 第一構成要素の第一の端部の外側表面
240 第1の端部
245 第2の端部
250 血管壁
260 反転部
275 第一の端部の第2の端部の外側領域
280 第一の端部の第2の端部の内側領域
290 環状空間
295 窓
Claims (8)
- 体腔内の標的部位を治療するための血管装置であって、
第1の端部、第2の端部と、それらの間に延びる管腔を規定する第一構成要素と、
第1の端部、第2の端部と、それらの間に延びる管腔を規定し、前記第2の端部は前記第一構成要素の前記第2の端部を受容するように構成されている第二構成要素と
を備え、
前記第一構成要素は、前記標的部位における少なくとも1つの動脈枝の近傍の血管壁の内側表面と結合するように構成されており、
前記第二構成要素は、前記標的部位における血管壁の内側表面と結合するように構成されており、
前記第一および第二構成要素の各々は、前記標的部位に独立して展開可能であるとともに、前記標的部位において他方の構成要素と独立して及び他の構成要素と協働しての両方による使用がなされるように構成されており、
前記第一又は第二構成要素の少なくとも1つは、対応する動脈枝内に脱分岐肢を拡張するために構成された少なくとも1つの窓を規定しており、
前記第一又は第二構成要素の前記の少なくとも1つは、当該構成要素の内壁より規定されている少なくとも1つの通路を構成しており、
前記通路は前記脱分岐肢の端を受け入れるように構成されている。 - 前記第一又は第二構成要素のうちの少なくとも1つの前記第2の端部は、それぞれの前記構成要素の前記第1の端部よりも小さい内径を有する、請求項1に記載の血管装置。
- 前記第一又は第二構成要素の少なくとも1つは、統合された脱分岐肢を規定しており、
前記脱分岐肢は対応する動脈枝内へ延びている、請求項1に記載の血管装置。 - 前記第一構成要素の前記第1の端部の外側表面は、前記標的部位の近傍の血管壁の内側表面に結合するように構成されており、
前記第一構成要素の前記第2の端部の外側表面は、前記第二構成要素が少なくとも部分的に前記第一構成要素内に受け入れられて、前記第二構成要素の位置が実質的に前記第一構成要素に対して固定されているように前記第二構成要素の外側表面に結合するように構成されている、請求項1に記載の血管装置。 - 前記第一構成要素の前記第2の端部は反転部を備え、前記第一構成要素の前記第2の端部の外側領域の内側表面が、前記反転部において前記第一構成要素の前記第2の端部の内部領域の内側表面に面している、請求項1に記載の血管装置。
- 前記反転部は環状空間を形成していて、前記第2の端部の前記外側領域は、少なくとも1つの窓又は脱分岐肢を規定しており、
各前記窓又は脱分岐肢と実質的に位置合わせされた枝血管への血流を維持するために前記環状空間内に流れる血液は、前記窓又は脱分岐肢を通過することができる、請求項5に記載の血管装置。 - 体腔内の標的部位を治療するための血管装置であって、第1の端部、第2の端部と、それらの間に延びる管腔を規定する第一構成要素を備え、
前記第1の端部の外側表面は、前記標的部位の近傍の血管壁の内面と結合するように構成されており、
前記第2の端部の外側表面は、第二構成要素の外側表面と結合するように構成されていて、前記第二構成要素は、少なくとも部分的に前記第一構成要素内に受容され、前記第二構成要素の位置は、実質的に第一構成要素に対して固定されており、
前記第一構成要素の前記第2の端部は反転部を備えており、前記第2の端部の外側領域の内側表面は、前記反転部内の前記第2の端部の内部領域の内側表面に面している。 - 前記反転部は環状空間を形成しており、前記第2の端部の前記外側領域は、少なくとも一つの窓又は脱分岐肢を規定しており、前記各窓又は脱分岐肢と実質的に位置合わせされた枝血管へ血流を維持するために、前記環状空間に流入する血液は前記窓又は脱分岐肢を通過することができる、請求項7に記載の血管装置。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161550066P | 2011-10-21 | 2011-10-21 | |
US61/550,066 | 2011-10-21 | ||
US201261636846P | 2012-04-23 | 2012-04-23 | |
US61/636,846 | 2012-04-23 | ||
US13/651,920 | 2012-10-15 | ||
US13/651,920 US9066824B2 (en) | 2011-10-21 | 2012-10-15 | Method and apparatus for endovascular therapy of aortic pathology |
PCT/US2012/061028 WO2013059596A1 (en) | 2011-10-21 | 2012-10-19 | Method and apparatus for endovascular therapy of aortic pathology |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2015138666A Division JP5941583B2 (ja) | 2011-10-21 | 2015-07-10 | 大動脈病変の血管内治療のための方法および装置 |
Publications (2)
Publication Number | Publication Date |
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JP2015502190A JP2015502190A (ja) | 2015-01-22 |
JP5779283B2 true JP5779283B2 (ja) | 2015-09-16 |
Family
ID=48136602
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2014536001A Active JP5779283B2 (ja) | 2011-10-21 | 2012-10-19 | 大動脈病変の血管内治療のための方法および装置 |
JP2015138666A Active JP5941583B2 (ja) | 2011-10-21 | 2015-07-10 | 大動脈病変の血管内治療のための方法および装置 |
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JP2015138666A Active JP5941583B2 (ja) | 2011-10-21 | 2015-07-10 | 大動脈病変の血管内治療のための方法および装置 |
Country Status (7)
Country | Link |
---|---|
US (1) | US9066824B2 (ja) |
EP (1) | EP2758001A1 (ja) |
JP (2) | JP5779283B2 (ja) |
CN (1) | CN104023672B (ja) |
CA (1) | CA2852621C (ja) |
TW (1) | TW201414514A (ja) |
WO (1) | WO2013059596A1 (ja) |
Families Citing this family (7)
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EP2787925B1 (en) | 2011-12-06 | 2018-04-18 | Aortic Innovations LLC | Device for endovascular aortic repair |
US10524943B2 (en) | 2014-05-13 | 2020-01-07 | Jeko Metodiev Madjarov | Method and apparatus for ultrasound-guided delivery of vascular devices |
CH710439A1 (de) * | 2014-12-18 | 2016-06-30 | Intellistent Ag | Einstellbarer mehrlumiger Stent. |
US20170086993A1 (en) * | 2015-09-30 | 2017-03-30 | Cook Medical Technologies Llc | Modular system with at least one branch graft |
WO2020125226A1 (zh) * | 2018-12-18 | 2020-06-25 | 深圳市先健畅通医疗有限公司 | 管腔支架及植入物 |
CA3133857A1 (en) | 2019-03-20 | 2020-09-24 | inQB8 Medical Technologies, LLC | Aortic dissection implant |
CN110731834A (zh) * | 2019-10-25 | 2020-01-31 | 郑州美港高科生物科技有限公司 | 铁基合金肾动脉支架 |
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-
2012
- 2012-10-15 US US13/651,920 patent/US9066824B2/en active Active
- 2012-10-19 WO PCT/US2012/061028 patent/WO2013059596A1/en unknown
- 2012-10-19 EP EP12788353.6A patent/EP2758001A1/en active Pending
- 2012-10-19 JP JP2014536001A patent/JP5779283B2/ja active Active
- 2012-10-19 CN CN201280051654.6A patent/CN104023672B/zh active Active
- 2012-10-19 CA CA2852621A patent/CA2852621C/en active Active
- 2012-11-05 TW TW101140969A patent/TW201414514A/zh unknown
-
2015
- 2015-07-10 JP JP2015138666A patent/JP5941583B2/ja active Active
Also Published As
Publication number | Publication date |
---|---|
JP2015221223A (ja) | 2015-12-10 |
US20130103132A1 (en) | 2013-04-25 |
JP5941583B2 (ja) | 2016-06-29 |
TW201414514A (zh) | 2014-04-16 |
CN104023672B (zh) | 2016-10-19 |
CN104023672A (zh) | 2014-09-03 |
WO2013059596A1 (en) | 2013-04-25 |
US9066824B2 (en) | 2015-06-30 |
CA2852621C (en) | 2017-08-22 |
CA2852621A1 (en) | 2013-04-25 |
JP2015502190A (ja) | 2015-01-22 |
EP2758001A1 (en) | 2014-07-30 |
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