JP5925300B2 - 人工器官のための反転送達デバイスおよび方法 - Google Patents

人工器官のための反転送達デバイスおよび方法 Download PDF

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JP5925300B2
JP5925300B2 JP2014511500A JP2014511500A JP5925300B2 JP 5925300 B2 JP5925300 B2 JP 5925300B2 JP 2014511500 A JP2014511500 A JP 2014511500A JP 2014511500 A JP2014511500 A JP 2014511500A JP 5925300 B2 JP5925300 B2 JP 5925300B2
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delivery
catheter
reversible device
tethers
implant
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JP2014524760A (ja
JP2014524760A5 (enExample
Inventor
ジョン ピー． ゲイナー，
ジョン ピー． ゲイナー，
ロバート エフ． ウィルソン，
ロバート エフ． ウィルソン，
デール ケー． ネルソン，
デール ケー． ネルソン，
ジョセフ エス． ジスコン，
ジョセフ エス． ジスコン，
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エイチエルティー， インコーポレイテッド
エイチエルティー， インコーポレイテッド
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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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439—Expansion controlled by filaments
    • 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
    • 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436—Deployment by retracting a sheath
    • 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
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies 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
    • 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
    • A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support 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
    • A61F2/95—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
    • 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
    • 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
    • A61F2002/9665—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 with additional retaining means

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial 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)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2014511500A 2011-05-16 2012-05-16 人工器官のための反転送達デバイスおよび方法 Active JP5925300B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161486682P 2011-05-16 2011-05-16
US61/486,682 2011-05-16
PCT/US2012/038205 WO2012158837A1 (en) 2011-05-16 2012-05-16 Inversion delivery device and method for a prosthesis

Related Child Applications (2)

Application Number Title Priority Date Filing Date
JP2016039584A Division JP6271618B2 (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法
JP2016039585A Division JP2016104302A (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法

Publications (3)

Publication Number Publication Date
JP2014524760A JP2014524760A (ja) 2014-09-25
JP2014524760A5 JP2014524760A5 (enExample) 2015-04-16
JP5925300B2 true JP5925300B2 (ja) 2016-05-25

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Family Applications (5)

Application Number Title Priority Date Filing Date
JP2014511500A Active JP5925300B2 (ja) 2011-05-16 2012-05-16 人工器官のための反転送達デバイスおよび方法
JP2016039585A Withdrawn JP2016104302A (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法
JP2016039584A Active JP6271618B2 (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法
JP2018021718A Expired - Fee Related JP6553761B2 (ja) 2011-05-16 2018-02-09 人工器官のための反転送達デバイスおよび方法
JP2019107844A Pending JP2019166388A (ja) 2011-05-16 2019-06-10 人工器官のための反転送達デバイスおよび方法

Family Applications After (4)

Application Number Title Priority Date Filing Date
JP2016039585A Withdrawn JP2016104302A (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法
JP2016039584A Active JP6271618B2 (ja) 2011-05-16 2016-03-02 人工器官のための反転送達デバイスおよび方法
JP2018021718A Expired - Fee Related JP6553761B2 (ja) 2011-05-16 2018-02-09 人工器官のための反転送達デバイスおよび方法
JP2019107844A Pending JP2019166388A (ja) 2011-05-16 2019-06-10 人工器官のための反転送達デバイスおよび方法

Country Status (6)

Country Link
EP (4) EP3967268A1 (enExample)
JP (5) JP5925300B2 (enExample)
CN (2) CN105943214B (enExample)
AU (1) AU2012255753B2 (enExample)
CA (2) CA3062345A1 (enExample)
WO (1) WO2012158837A1 (enExample)

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US8579964B2 (en) 2010-05-05 2013-11-12 Neovasc Inc. Transcatheter mitral valve prosthesis
US9308087B2 (en) 2011-04-28 2016-04-12 Neovasc Tiara Inc. Sequentially deployed transcatheter mitral valve prosthesis
US9554897B2 (en) 2011-04-28 2017-01-31 Neovasc Tiara Inc. Methods and apparatus for engaging a valve prosthesis with tissue
US12502276B2 (en) 2011-05-16 2025-12-23 Edwards Lifesciences Corporation Inversion delivery device and method for a prosthesis
CA2873589C (en) * 2012-05-16 2021-01-19 Hlt, Inc. Inversion delivery device and method for a prosthesis
US9345573B2 (en) 2012-05-30 2016-05-24 Neovasc Tiara Inc. Methods and apparatus for loading a prosthesis onto a delivery system
US9572665B2 (en) 2013-04-04 2017-02-21 Neovasc Tiara Inc. Methods and apparatus for delivering a prosthetic valve to a beating heart
CN104665965B (zh) * 2013-11-29 2018-04-17 赛诺医疗科学技术有限公司 一种医疗器械的释放装置和释放方法
JP7002451B2 (ja) 2015-12-15 2022-01-20 ニオバスク ティアラ インコーポレイテッド 経中隔送達システム
CN108882981B (zh) 2016-01-29 2021-08-10 内奥瓦斯克迪亚拉公司 用于防止流出阻塞的假体瓣膜
JP6968113B2 (ja) * 2016-06-30 2021-11-17 テンダイン ホールディングス，インコーポレイテッド 人工心臓弁の経心尖送達装置
JP7306654B2 (ja) * 2016-10-07 2023-07-11 ヌハート エーエス 体内装置の送達用経カテーテル装置およびシステム
AU2017361296B2 (en) 2016-11-21 2022-09-29 Neovasc Inc. Methods and systems for rapid retraction of a transcatheter heart valve delivery system
CN110381860B (zh) * 2017-02-02 2023-07-28 史密斯和内修有限公司 用于输送和定位外科植入物的系统和方法
ES3064010T3 (en) * 2017-05-14 2026-04-22 Edwards Lifesciences Corp Valved stent for orthotopic replacement of dysfunctional cardiac valve and delivery system
EP3672530A4 (en) 2017-08-25 2021-04-14 Neovasc Tiara Inc. SEQUENTIALLY INSERTED TRANSCATHETER MITRAL VALVE PROSTHESIS
AU2019374743B2 (en) 2018-11-08 2022-03-03 Neovasc Inc. Ventricular deployment of a transcatheter mitral valve prosthesis
CN113747863B (zh) 2019-03-08 2024-11-08 内奥瓦斯克迪亚拉公司 可取回假体递送系统
AU2020256195B2 (en) 2019-04-01 2022-10-13 Neovasc Inc. Controllably deployable prosthetic valve
US11491006B2 (en) 2019-04-10 2022-11-08 Neovasc Tiara Inc. Prosthetic valve with natural blood flow
CA3282225A1 (en) 2019-05-20 2026-03-02 Neovasc Tiara Inc. Introducer with hemostasis mechanism
JP7520897B2 (ja) 2019-06-20 2024-07-23 ニオバスク ティアラ インコーポレイテッド 薄型人工補綴僧帽弁

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US9522064B2 (en) * 2011-05-16 2016-12-20 Hlt, Inc. Inversion delivery device and method for a prosthesis

Also Published As

Publication number Publication date
CN105943214A (zh) 2016-09-21
WO2012158837A1 (en) 2012-11-22
CN105943214B (zh) 2018-06-12
EP2709561A1 (en) 2014-03-26
EP3381409A1 (en) 2018-10-03
EP3967268A1 (en) 2022-03-16
CA2836422C (en) 2020-01-21
EP2709561B1 (en) 2018-04-25
EP3381409B1 (en) 2019-12-25
AU2012255753B2 (en) 2016-06-30
JP6553761B2 (ja) 2019-07-31
JP2018083124A (ja) 2018-05-31
CN103826569A (zh) 2014-05-28
CA3062345A1 (en) 2012-11-22
JP6271618B2 (ja) 2018-01-31
JP2016104302A (ja) 2016-06-09
CN103826569B (zh) 2016-06-15
JP2014524760A (ja) 2014-09-25
EP3659553A1 (en) 2020-06-03
CA2836422A1 (en) 2012-11-22
JP2019166388A (ja) 2019-10-03
AU2012255753A1 (en) 2014-01-16
EP3659553B1 (en) 2021-08-25
EP2709561A4 (en) 2014-10-01
JP2016104301A (ja) 2016-06-09

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