JP5849699B2 - 補綴具固定装置および方法 - Google Patents
補綴具固定装置および方法 Download PDFInfo
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- JP5849699B2 JP5849699B2 JP2011506341A JP2011506341A JP5849699B2 JP 5849699 B2 JP5849699 B2 JP 5849699B2 JP 2011506341 A JP2011506341 A JP 2011506341A JP 2011506341 A JP2011506341 A JP 2011506341A JP 5849699 B2 JP5849699 B2 JP 5849699B2
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- stent
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
-
- 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
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- 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
- A61F2/07—Stent-grafts
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8486—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs provided on at least one of the ends
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
-
- 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
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
-
- 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
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/005—Rosette-shaped, e.g. star-shaped
Description
Claims (15)
- 管状補綴具であって、
第1の終端部と、第2の終端部と、両者の間の中央部とを有する管状グラフトと、
複数の頂部と、前記頂部の第1の群によって少なくとも部分的に画定される第1の端と、前記頂部の第2の群によって少なくとも部分的に画定される第2の端とを有する波状ステントとを備え、
前記波状ステントの頂部の第1の群が前記管状グラフトの前記第1の終端部で前記管状グラフトに固定され、
前記波状ステントが、
前記波状ステントが前記第1の終端部に固定された前記第1の端から前記管状グラフトの外側に配置された前記第2の端まで略長手方向に延び、前記中央部と反対方向を指している反転状態と、
前記波状ステントが、前記第2の端が前記管状グラフトの第1および第2の終端部の間に配置されるように、前記第1の終端部に固定された前記第1の端から前記管状グラフトの中央部に向かって略長手方向に延びる非反転状態と、をとることができ、
非反転状態で、前記頂部の第2の群が前記管状グラフトの内面または外面に当接する、
ことを特徴とする管状補綴具。 - 前記波状ステントが、閉鎖リングを形成する、
請求項1に記載の管状補綴具。 - 前記波状ステントが、非反転状態にあるとき、前記管状グラフトの前記内側表面および外側表面の一方に接して載置される、
請求項1に記載の管状補綴具。 - 前記波状ステントの一部分が、非反転状態にあるとき、半径方向に拡張する、
請求項1に記載の管状補綴具。 - 前記波状ステントが、非反転状態にあるとき、前記中央部の方に折り返される、
請求項4に記載の管状補綴具。 - 前記波状ステントが、グラフト材料によって覆われる、
請求項4に記載の管状補綴具。 - 前記グラフト材料が、前記管状グラフトの一部分を形成する、
前記波状ステントが、星形状構成を有する、
請求項6に記載の管状補綴具。 - 前記波状ステントだけが、前記頂部の前記第1の群を通して前記管状グラフトに固定される、
請求項1に記載の管状補綴具。 - 複数の前記第1の群の頂部を前記管状グラフト材料に固定する複数の縫合糸をさらに含む、
請求項1に記載の管状補綴具。 - 前記縫合糸が、前記波状ステントに沿って摺動可能であり、
単一縫合糸ループだけが、前記複数の前記第1の群の頂部の各頂部を前記管状グラフト材料に固定する、
請求項9に記載の管状補綴具。 - 前記終端部の一部分が、前記第1の群の頂部の一部分に折りたたまれ、前記管状グラフト材料に固定される、
請求項1に記載の管状補綴具。 - 前記第1の群の頂部が、前記管状グラフトの内側表面に固定される、
請求項1に記載の管状補綴具。 - 複数のフックをさらに含み、各フックが、複数の前記第1の群の頂部の1つの頂部から延在する、および/または、各フックが、複数の前記第2の群の頂部の1つの頂部から延在する、
請求項1に記載の管状補綴具。 - 自己拡張型ステントグラフトである、
請求項1に記載の管状補綴具。 - 管状補綴具送達システムであって、
遠位展開端および近位端を有するシースと、
請求項1ないし14のいずれか1項に記載された半径方向に圧縮されたステントグラフトと、を備え、
前記波状ステントが、前記第2の群の頂部が前記シースの前記遠位展開端の方に向いた状態で反転される、
ことを特徴とするシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/109,076 | 2008-04-24 | ||
US12/109,076 US20090270971A1 (en) | 2008-04-24 | 2008-04-24 | Prosthesis Fixation Apparatus and Methods |
PCT/US2009/039636 WO2009131823A1 (en) | 2008-04-24 | 2009-04-06 | Endoprosthesis with retaining means and methods of use |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2011518610A JP2011518610A (ja) | 2011-06-30 |
JP2011518610A5 JP2011518610A5 (ja) | 2012-05-31 |
JP5849699B2 true JP5849699B2 (ja) | 2016-02-03 |
Family
ID=40671360
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011506341A Expired - Fee Related JP5849699B2 (ja) | 2008-04-24 | 2009-04-06 | 補綴具固定装置および方法 |
Country Status (4)
Country | Link |
---|---|
US (1) | US20090270971A1 (ja) |
EP (1) | EP2303188A1 (ja) |
JP (1) | JP5849699B2 (ja) |
WO (1) | WO2009131823A1 (ja) |
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US20050149166A1 (en) * | 2003-11-08 | 2005-07-07 | Schaeffer Darin G. | Branch vessel prosthesis with anchoring device and method |
EP1746952A1 (en) * | 2004-05-20 | 2007-01-31 | Cook Incorporated | Endoluminal device with extracellular matrix material and methods |
WO2007014088A2 (en) * | 2005-07-25 | 2007-02-01 | Cook Incorporated | Intraluminal prosthesis and stent |
US7955380B2 (en) * | 2006-03-17 | 2011-06-07 | Medtronic Vascular, Inc. | Prosthesis fixation apparatus and methods |
US9757260B2 (en) * | 2006-03-30 | 2017-09-12 | Medtronic Vascular, Inc. | Prosthesis with guide lumen |
US7481836B2 (en) * | 2006-03-30 | 2009-01-27 | Medtronic Vascular, Inc. | Prosthesis with coupling zone and methods |
US7806917B2 (en) * | 2007-04-17 | 2010-10-05 | Medtronic Vascular, Inc. | Stent graft fixation system and method |
US8163004B2 (en) * | 2008-02-18 | 2012-04-24 | Aga Medical Corporation | Stent graft for reinforcement of vascular abnormalities and associated method |
-
2008
- 2008-04-24 US US12/109,076 patent/US20090270971A1/en not_active Abandoned
-
2009
- 2009-04-06 WO PCT/US2009/039636 patent/WO2009131823A1/en active Application Filing
- 2009-04-06 EP EP09735039A patent/EP2303188A1/en not_active Withdrawn
- 2009-04-06 JP JP2011506341A patent/JP5849699B2/ja not_active Expired - Fee Related
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EP2303188A1 (en) | 2011-04-06 |
WO2009131823A1 (en) | 2009-10-29 |
US20090270971A1 (en) | 2009-10-29 |
JP2011518610A (ja) | 2011-06-30 |
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