JP6065173B2 - 旋回開窓を有するプロテーゼ - Google Patents
旋回開窓を有するプロテーゼ Download PDFInfo
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- JP6065173B2 JP6065173B2 JP2011179519A JP2011179519A JP6065173B2 JP 6065173 B2 JP6065173 B2 JP 6065173B2 JP 2011179519 A JP2011179519 A JP 2011179519A JP 2011179519 A JP2011179519 A JP 2011179519A JP 6065173 B2 JP6065173 B2 JP 6065173B2
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- prosthesis
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Images
Classifications
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61F2/856—Single tubular stent with a side portal passage
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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
- A61F2/86—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
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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
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- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
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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
- A61F2002/065—Y-shaped blood vessels
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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
- 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
- A61F2002/821—Ostial 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
- 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
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- A61F2230/005—Rosette-shaped, e.g. star-shaped
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- A—HUMAN NECESSITIES
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- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
Landscapes
- 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)
Description
[先行技術文献]
12 旋回可能な開窓
14 グラフト
16 ステント
16a−c 体外ステント
16d 内部ステント
18 管腔
20 表面
22 近位端部
24 遠位端部
26 第一の内側周辺
28 可撓性材料の帯
30 第二の外側周辺
32 支柱
34 支柱
35 マーカ
36 頂端
38 非旋回開窓
40 スカロップ
42 取付けステント
44a−d 強化フレーム
48 可撓性フレーム
50 支持ユニット
54 頂端
56a−d ループ
58 突起
70 疾病管
72 管状グラフト
76 管腔
78 第一端部
80 第二端部
82 ステント
86 シーリングステント
92 枝管プロテーゼ
94 枝管プロテーゼ
96 枝管
98 枝管
102 枝管
146 枝管プロテーゼ
310 プロテーゼ
Claims (10)
- 長手軸を有するプロテーゼであって、
管状本体と第一生体適合性材料を含む表面とを有するグラフトと、
該グラフトの側壁から延びるある直径を有する少なくとも1つの開窓と、
第一直径を有し且つ前記開窓を取り囲む第一周辺と、
該第一周辺を取り囲み、且つ、可撓性フレームを有する可撓性材料の帯とを含み、前記可撓性フレームは前記可撓性材料の帯の表面に配置されるとともに、複数の支持ユニットを有し、
前記プロテーゼはさらに、
該可撓性材料の帯に取り付けられ且つ前記可撓性材料の帯を取り囲み、且つ、前記第一周辺の直径よりも大きい第二直径を有する第二周辺を含み、
前記可撓性材料の帯は、前記第一周辺の直径と実質的に等しい第一直径と、前記第二周辺の直径と実質的に等しい第二直径とを有し、前記可撓性材料の帯の前記直径は、前記第二周辺から前記第一周辺に、前記グラフトの表面から離れる方向に減少し、
各前記開窓は、前記プロテーゼの前記長手軸に対して垂直な軸から離れる如何なる方向にも旋回可能であり、
前記複数の支持ユニットは、前記帯の表面において前記第一周辺から前記第二周辺まで延び、
前記可撓性材料の帯は、前記グラフトの内側表面と前記グラフトの外側表面との間を独立して移動するように設けられており、
前記第1周辺、前記可撓性材料の帯、および前記第2周辺は、半球形状を形成する、
プロテーゼ。 - 前記可撓性材料の帯は、前記グラフトの前記表面に対して凸状又は凹状の向きを有する、請求項1に記載のプロテーゼ。
- 前記帯の前記第一直径は6mmであり、前記帯の前記第二直径は15mmである、請求項1に記載のプロテーゼ。
- 前記第一周辺、前記可撓性材料の帯、及び、前記第二周辺は、互いに実質的に同軸状である、請求項1に記載のプロテーゼ。
- 1つ又はそれよりも多くの枝管付近の主管の欠陥を治療するための、長手軸を有するプロテーゼであって、
生体適合性材料を含む表面を有する管状グラフト本体と、
該グラフトの側壁から延びて配置されるある直径を有する少なくとも1つの開窓と、
第一直径を有し且つ前記開窓を取り囲む第一周辺と、
該第一周辺を取り囲み、且つ、可撓性フレームを有する材料の帯とを含み、前記可撓性フレームは前記可撓性の帯の表面に配置されるとともに、複数の支持ユニットを有し、
前記プロテーゼはさらに、
前記材料の帯に取り付けられ且つ前記材料の帯を取り囲む前記第一周辺の直径よりも大きい第二直径を有する第二周辺とを含み、
各前記開窓は、前記プロテーゼの前記長手軸に対して垂直な軸から離れる如何なる向きにも旋回可能であり、
前記複数の支持ユニットは、前記帯の表面において前記第一周辺から前記第二周辺まで延び、
前記可撓性材料の帯は、前記グラフトの内側表面と前記グラフトの外側表面との間を独立して移動するように設けられており、
前記第1周辺、前記可撓性材料の帯、および前記第2周辺は、半球形状を形成する、
プロテーゼ。 - 前記材料の帯は、前記第一周辺の直径と実質的に同じ第一直径と、前記第二周辺の直径と実質的に同じ第二直径とを有する、請求項5に記載のプロテーゼ。
- 前記材料の帯の前記直径は、前記第二周辺から前記第一周辺に、前記グラフトの前記表面から離れる方向に減少する、請求項6に記載のプロテーゼ。
- 前記材料の帯は、前記グラフトの前記表面に対して凸状又は凹状の向きを有する、請求項5に記載のプロテーゼ。
- 前記材料の帯は、前記グラフトの内表面と前記グラフトの外表面との間を独立して移動するよう構成される、請求項5に記載のプロテーゼ。
- 前記第一周辺、前記材料の帯、及び、前記第二周辺は、互いに実質的に同軸状である、請求項5に記載のプロテーゼ。
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