JP5922891B2 - 予めカニューレが挿入された開窓部 - Google Patents
予めカニューレが挿入された開窓部 Download PDFInfo
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- JP5922891B2 JP5922891B2 JP2011174653A JP2011174653A JP5922891B2 JP 5922891 B2 JP5922891 B2 JP 5922891B2 JP 2011174653 A JP2011174653 A JP 2011174653A JP 2011174653 A JP2011174653 A JP 2011174653A JP 5922891 B2 JP5922891 B2 JP 5922891B2
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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
- 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
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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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F2/9662—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod the middle portion of the stent or stent-graft is released first
-
- 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
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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
- 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
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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
- 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
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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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
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Description
5 近位の位置決め機構又は取り付け部分、
7 遠位の位置決め機構又は取り付け部分、
11 テーパーが付けられている伸長部、
13 ガイドワイヤ、 15 内側カニューレ、
16 結合器具、 18 管状移植片材料、
19 ステント、 20 管腔内人工器官、
21 ステント、 27,27A,27B 開窓部、
28 押込み器、 30 シース、
31 ワイヤ、 31A ワイヤの第一の端部、
31B ワイヤの第二の端部、 31C ワイヤの本体部分、
33 管腔、 35 シール装置、
36 側方チューブ、 38 補助アクセス器具、
40 ハウジング、 42,42A,42B チャネル、
44,44A,44B ポート、 46A,46B 固定構造、
50A,50B 補助カテーテル、 52A,52B 拡張器、
54A,54B シース、 56A,56B 止血用シール装置、
58A,58B 側方チューブ、 60A,60B 結合装置、
70 近位の人工器官保持器具、 72 近位のトリガーワイヤ、
74 制御部材、 75 クランプねじ、
80 遠位の人工器官保持器具、 82 遠位のトリガーワイヤ、
84 制御部材、 85 クランプねじ、
86 先端キャップ、 90 血管、
92,92A,92B 血管側枝、 94A,94B 側枝ガイドワイヤ、
96A,96B 側枝アクセスカテーテル、 98A,98B 介入カテーテル、
Claims (21)
- 管腔内人工器官を送り込み且つ配備させるための器具であり、
少なくとも1つの軸線方向の管腔を有している給送カテーテルと、
該給送カテーテルの遠位端部に設けられ、第一の端部に設けられた第一の開口部と、第二の端部に設けられた第二の開口部と、前記第一の端部と第二の端部との間に設けられた少なくとも1つの開窓部とを備えている管状移植片を備えている管腔内人工器官と、
各々が前記給送カテーテルの近位端部に設けられている第一及び第二の端部と、該第一の端部と第二の端部との間に配置されている本体部分とを備えているワイヤと、を備えており、
前記ワイヤは、前記第一の端部から遠位方向に前記給送カテーテルの管腔の軸線方向の管腔内及び前記人工器官内を通り且つ前記移植片の前記開窓部内を通って前記移植片の外部へと伸長し、
前記人工器官内に入って前記人工器官の管腔内を近位方向に伸長し且つ前記給送カテーテルの軸線方向の管腔内を前記第二の端部に向かって伸長している、ことを特徴とする器具。 - 前記ワイヤの第一の端部を覆うように前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で配置されている補助カテーテルを更に備えている、ことを特徴とする請求項1に記載の器具。
- 前記補助カテーテルが、細長いシースと、該シースの軸線方向の管腔内に配置されている細長い拡張器とを備えている、ことを特徴とする請求項2に記載の器具。
- 前記ワイヤの第二の端部を覆うように前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で配置されている第二の補助カテーテルを更に備えている、ことを特徴とする請求項2に記載の器具。
- 前記第二の補助カテーテルが、細長いシースと、該シースの軸線方向の管腔内に配置されている細長い拡張器とを備えている、ことを特徴とする請求項4に記載の器具。
- 前記人工器官が2以上の開窓部を前記移植片内に備えている、ことを特徴とする請求項1に記載の器具。
- 前記人工器官と前記ワイヤとの間に1以上の取り付け箇所を備えている、ことを特徴とする請求項1に記載の器具。
- 前記取り付け箇所の各々が縫合糸からなる、ことを特徴とする請求項7に記載の器具。
- 前記1以上の取り付け箇所によって、前記ワイヤが前記人工器官の外面に取り付けられている、ことを特徴とする請求項7に記載の器具。
- 前記ワイヤが前記開窓部の中に摺動可能な形態で通されて設けられている、ことを特徴とする請求項7に記載の器具。
- 前記ワイヤが前記開窓部の中に摺動可能な形態で通されて設けられている、ことを特徴とする請求項1に記載の器具。
- 前記ワイヤの第一の端部を覆うように前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で設けられ、細長いシースと、該シースの軸線方向の管腔内に配置されている細長い拡張器とを備えている補助カテーテルと、
前記ワイヤの第二の端部を覆うように前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で設けられ、細長いシースと、該シースの軸線方向の管腔内に設けられている細長い拡張器とを備えている第二の補助カテーテルと、を更に備えており、
前記人工器官は2以上の開窓部を前記移植片内に備えており、
前記人工器官と前記ワイヤとの間に1以上の取り付け箇所が設けられており、
該取り付け箇所の各々が縫合糸からなり、
前記1以上の取り付け箇所によって、前記ワイヤが前記人工器官の外面に取り付けられており、
前記ワイヤが前記開窓部内を摺動可能な形態で設けられている、ことを特徴とする請求項1に記載の器具。 - 管腔内人工器官を送り込み且つ配備させるための器具であり、
給送カテーテルと、
該給送カテーテルの遠位端部に配置され、第一の端部に設けられた第一の開口部と、第二の端部に設けられた第二の開口部と、前記第一の端部と第二の端部との間に設けられた少なくとも第一の開窓部及び第二の開窓部とを備えている管状移植片を備えている管腔内人工器官と、
各々が前記給送カテーテルの近位の端部に設けられている第一及び第二の端部と、該第一の端部と第二の端部との間に配置されている本体部分とを備えているワイヤと、を備えており、
前記ワイヤの本体部分が、前記第一の端部から前記人工器官内を遠位方向に伸長し、前記移植片内の前記第一の開窓部を通って前記移植片の外部へと伸長し、さらに前記第二の開窓部を通って前記移植片の内部へと伸長して、前記人工器官内を近位方向に前記第二の端部にまで伸長するようにされている、ことを特徴とする器具。 - 前記ワイヤが、前記第一の開窓部と第二の開窓部との中を摺動可能な形態で通されて設けられている、ことを特徴とする請求項13に記載の器具。
- 前記ワイヤが、部分的に前記給送カテーテルの軸線方向の管腔内に配置されている、ことを特徴とする、請求項13に記載の器具。
- 前記ワイヤの第一の端部を覆うように設けられている第一の補助カテーテルと、前記ワイヤの第二の端部を覆うように設けられている第二の補助カテーテルとを更に備えている、ことを特徴とする請求項13に記載の器具。
- 前記第一の補助カテーテルと第二の補助カテーテルとが、前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で配置されている、ことを特徴とする請求項16に記載の器具。
- 前記第一の補助カテーテルが前記給送カテーテルの第一の軸線方向の管腔内に摺動可能な形態で配置されており、前記第二の補助カテーテルが前記給送カテーテルの第二の軸線方向の管腔内に摺動可能な形態で配置されている、ことを特徴とする請求項17に記載の器具。
- 前記第一の補助カテーテルと第二の補助カテーテルとの各々が、細長いシースと、該シース内に設けられている細長い拡張器とを備えている、ことを特徴とする請求項16に記載の器具。
- 前記ワイヤが前記第一の開窓部と第二の開窓部とに摺動可能な形態で通されて設けられていること、
前記ワイヤが部分的に前記給送カテーテルの軸線方向の管腔内に配置されていること、
前記ワイヤの第一の端部を覆うように配置されている第一の補助カテーテル及び前記ワイヤの第二の端部を覆うように配置されている第二の補助カテーテルを備えていること、
前記第一及び第二の補助カテーテルが前記給送カテーテルの軸線方向の管腔内に摺動可能な形態で配置されていること、
前記第一の補助カテーテルが前記給送カテーテルの第一の軸線方向の管腔内に摺動可能な形態で配置されており、前記第二の補助カテーテルが前記給送カテーテルの第二の軸線方向の管腔内に摺動可能な形態で配置されていること、
前記第一と第二の補助カテーテルとの各々が、細長いシースと、該シースの軸線方向の管腔内に設けられている細長い拡張器とを備えていること、
のうちの2以上の特徴を更に備えている、ことを特徴とする請求項13に記載の器具。 - 管腔内人工器官内の多数の開窓部にカニューレを挿入する方法であり、
給送カテーテルを準備するステップと、
前記給送カテーテルの遠位端部に管腔内人工器官を配置するステップであり、該管腔人工器官は管状移植片を備えており、該管状移植片は、第一の端部に第一の開口部を備え、第二の端部に第二の開口部を備え、前記第一の端部と第二の端部との間に第一及び第二の開窓部を備えている、前記ステップと、
第一の端部と、第二の端部と、該第一の端部と第二の端部との間に配置されている本体部分と、を備えているワイヤを準備するステップと、
前記ワイヤの前記本体部分が、前記第一の端部から前記人工器官内を遠位方向に伸長し、前記移植片内の前記第一の開窓部を通って前記移植片の外部へと伸長し、さらに前記第二の開窓部を通って前記移植片の内部へと伸長して、前記人工器官内を近位方向に前記第二の端部にまで伸長するように、前記ワイヤを配置するステップと、
前記ワイヤの前記第一及び第二の端部を前記給送カテーテルの近位部分に配置するステップと、を含んでいる方法。
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EP3192475B1 (en) | 2020-10-21 |
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JP2012040378A (ja) | 2012-03-01 |
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AU2011205040A1 (en) | 2012-03-01 |
EP2417942A1 (en) | 2012-02-15 |
US10821012B2 (en) | 2020-11-03 |
JP2017136418A (ja) | 2017-08-10 |
JP2016128131A (ja) | 2016-07-14 |
US20180207012A1 (en) | 2018-07-26 |
CA2747610C (en) | 2014-09-16 |
EP3192475A1 (en) | 2017-07-19 |
JP2016128130A (ja) | 2016-07-14 |
CA2747610A1 (en) | 2012-02-13 |
US20120041535A1 (en) | 2012-02-16 |
JP6321256B2 (ja) | 2018-05-09 |
US9918861B2 (en) | 2018-03-20 |
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JP2018110886A (ja) | 2018-07-19 |
JP6661689B2 (ja) | 2020-03-11 |
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