JP5791048B2 - 生理的開口部又は腔を支持し又は閉塞するシステム及び方法 - Google Patents
生理的開口部又は腔を支持し又は閉塞するシステム及び方法 Download PDFInfo
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Description
11、12、13、14、154、202、204、206、208、202′、204′、206′、208′ フレームワーク辺
15、16、41、42、52、142、144、205、209 横角部(横領域)
17、18、203、207 軸方向角部(軸方向領域)
19 側部マーカー
20、21、43、44、84、86、94、96、116、116′、118、118′、120、120′、138、140、164、166、168、169、210、210′、212、212′、 アンカー脚
24、54、114、114′、153、163、241、242、243、244、246、265、 閉鎖膜(閉塞又は半閉塞の膜、カバー)
26、28、218、220、222、224 アンカー(脚)延長部
30、45 搬送カテーテル
32、49 搬送ワイヤ
33、34、113、115、113′、115′、121、123、121′、123′ 放射線不透過マーカー
40、92、112、112′、152、162、240、252、280、290 フレームワーク支持構造体
56 開口部
108 追加の構造物
132 中間面
134、136 側面
164、166 遠位のアンカー部分
168、169、270、272、274、276 近位のアンカー(脚)部分
214、216 接合点
219、221、223、225 結合点
Claims (21)
- 生理的腔の開口部に全体に小径の搬送状態からより大径の展開状態に順応可能に配置される植え込み型デバイスであって、
前記植え込み型デバイスは、展開状態で、長手方向中心線から離れる方向に角度を付けて曲がる逆U字状フレームワーク構造体であって、前記逆U字状フレームワーク構造体から直接伸長する少なくとも2本のアンカー脚を有する、U字状フレームワーク構造体を備え、
前記U字状フレームワーク構造体は、前記生理的腔の前記開口部の近くに置かれるように寸法決めされ、設定された、少なくとも1つの横領域を有し、
前記少なくとも2本のアンカー脚は、展開状態で、前記U字状フレームワーク構造体の全体的に互いに対向する側から、全体的に平行で対向する面に沿って直接伸長し、
さらに、前記少なくとも2本のアンカー脚は、近接する腔上の全体的に互いに対向する組織表面領域に接触するように寸法決めされ、設定されている、植え込み型デバイス。 - 前記U字状フレームワーク構造体は、長手方向中心線上に位置合わせされた2つの横領域であってそれぞれが前記開口部の近傍に配置されるように寸法決めされまた設定されている2つの横領域を有する、請求項1に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、該フレームワーク構造の長手方向中心線上に整列する2つの横領域と、前記長手方向中心線から両側で実質的に対称的に前記長手方向中心線から離れて先細る側壁とを有する周辺構造を備える、請求項1に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、先細りの曲線状の側壁を備える、請求項1に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体及びアンカー脚は、一体に形成されている、請求項1に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、その長手方向中心線に沿って曲線状である、請求項2に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、その長手方向中心線沿って凹の曲線状である、請求項6に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、形作られた曲線状の三次元の部分を含む、請求項1に記載の植え込み型デバイス。
- 前記U字状フレームワーク構造体は、ステンレス鋼、生体適合性形状変化合金、超弾性金属材料、生体適合性の柔軟な高分子材料、それらの複合材料及び組み合わせのグループから選ばれた材料から構成されている、請求項1に記載の植え込み型デバイス。
- 前記アンカー脚の周辺は、近位の頂点で終端する全体に三角形状を有する、請求項1に記載の植え込み型デバイス。
- 前記アンカー脚は、異なる幾何構造の組み合わせを含む、請求項1に記載の植え込み型デバイス。
- 前記アンカー脚は、少なくとも1つの曲線状の撓み部分を含んでいる、請求項1に記載の植え込み型デバイス。
- 前記アンカー脚は、ステンレス鋼、生体適合性形状変化合金、超弾性金属材料、生体適合性の柔軟な高分子材料、それの複合材料及び組み合わせのグループから選ばれた材料から構成されている、請求項1に記載の植え込み型デバイス。
- さらに、各アンカー脚から、また該アンカー脚の平面から伸長する近位のアンカー部分を含む、請求項1に記載の植え込み型デバイス。
- 前記近位のアンカー部分は、全体的に互いに対向して配置された末端部を有する、請求項14に記載の植え込み型デバイス。
- 前記近位のアンカー部分は、アンカー脚の終末部と異なる軸方向及び周方向位置に配置された終末部を有する、請求項14に記載の植え込み型デバイス。
- 少なくとも1つの放射線不透過のマーカーが前記U字状フレームワーク構造体に結合され、少なくとも1つの放射線不透過のマーカーが前記アンカー脚の少なくとも1つに結合され、前記U字状フレームワーク構造体及び前記少なくとも1つのアンカー脚に結合された前記両マーカーは互いに異なる、請求項1に記載の植え込み型デバイス。
- 全体に小さな直径の搬送状態からより大きな直径形状を占める展開状態に順応可能な、生理的腔の開口部に配置するための植え込み可能なデバイスであって、
前記植え込み可能なデバイスは、展開状態で、
(a)長手方向中心線から離れる方向に角度を付けて曲がり、
前記腔の開口部の近傍の組織に近接して位置決めるように寸法が決められ設定された少なくとも1つの横領域を有する、フレームワーク構造体、
(b)展開状態で、前記フレームワーク構造体から直接伸長し、全体的に互いに対向する側から、全体的に平行で対向する面に沿って配置される少なくとも2つのアンカー脚であって、
前記対向する面は全体的に前記長手方向中心線と平行であり、
前記少なくとも2つのアンカー脚は、対向するアンカー表面領域に沿って、近傍の血管壁に接触するように設定される、少なくとも2つのアンカー脚、及び
(c)展開状態で、前記アンカー表面領域に近接する表面領域で、前記アンカー表面領域とは異なる周方向の血管壁位置で、前記近傍血管壁と接触するように寸法が決められ設定される、少なくとも2つの近位のアンカー延長部を備える、
植え込み可能なデバイス。 - 搬送状態と展開状態との間で変化するように設定され、生理的腔の開口部に配置するための植え込み可能なデバイスであって、
前記植え込み可能なデバイスは、展開状態で、
長手方向中心線から離れる方向に角度を付けて伸長する、フレームワーク構造体と、
前記フレームワーク構造体から離れる方向に、全体的に対向する側から、全体的に平行で対向する面に沿って直接伸長する、少なくとも2本のアンカー脚とを定義し、
前記対向する面は全体的に前記長手方向中心線と平行であり、
前記フレームワーク構造体は、最も広い寸法を有する少なくとも1つの横領域を有し、
さらに、前記少なくとも2本のアンカー脚間の距離は、展開状態において、前記フレームワーク構造体の横領域の前記最も広い寸法よりも小さい、
植え込み可能なデバイス。 - 標的組織中の開口部又は腔に配置するための植え込み可能なデバイス組立体であって、
細長い柔軟な搬送カテーテルと、
該搬送カテーテルに関して軸方向に可動の少なくとも1つの細長い柔軟な搬送機構と、
該搬送機構の先端に結合され、前記搬送カテーテルの先端に配置された植え込み可能なデバイスとを含み、
前記植え込み可能なデバイスは、搬送状態と、前記カテーテルの外でより大きな直径形状を占める展開状態との間で変形可能であり、
さらに、該植え込み可能なデバイスは、展開状態で、
長手方向中心線から離れる方向に横方向に曲がる、全体にU字形のU字形フレームワーク構造体と、
全体的に互いに対向する側から、全体的に平行で対向する面に沿って、前記U字状フレームワーク構造体から直接伸長する、少なくとも2つのアンカー脚とを含む、
植え込み可能なデバイス組み立て体。 - 生理的腔の開口部に配置するための植え込み可能なデバイスであって、
前記植え込み可能なデバイスは、
長手方向中心線から離れる方向に角度をつけて曲がる逆U字状フレームワーク構造体であって、前記生理的腔の開口部に近接して位置決めるように寸法決めされ設定される少なくとも1つの横領域を有する、U字状フレームワーク構造体と、
前記U字状フレームワーク構造体から直接伸長し、全体的に互いに対向する2本のアンカー脚とを備え、
前記アンカー脚は、近接する腔上で全体的に互いに対向する組織表面領域に接触するように寸法決めされ設定され、
前記互いのアンカー脚の外周は、全体的に三角形の形状を定義し、近位の頂点で終端する、
植え込み可能なデバイス。
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JP7156725B2 (ja) | 2021-02-15 | 2022-10-19 | アイリスオーヤマ株式会社 | 乾燥装置 |
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