JP6238959B2 - 脈管プロテーゼ送達デバイスおよび使用方法 - Google Patents
脈管プロテーゼ送達デバイスおよび使用方法 Download PDFInfo
- Publication number
- JP6238959B2 JP6238959B2 JP2015505761A JP2015505761A JP6238959B2 JP 6238959 B2 JP6238959 B2 JP 6238959B2 JP 2015505761 A JP2015505761 A JP 2015505761A JP 2015505761 A JP2015505761 A JP 2015505761A JP 6238959 B2 JP6238959 B2 JP 6238959B2
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- Prior art keywords
- proximal
- handle body
- handle
- delivery device
- catheter
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- 230000002792 vascular Effects 0.000 title claims description 42
- 238000000034 method Methods 0.000 title description 7
- 230000007246 mechanism Effects 0.000 claims description 26
- 230000008878 coupling Effects 0.000 claims description 22
- 238000010168 coupling process Methods 0.000 claims description 22
- 238000005859 coupling reaction Methods 0.000 claims description 22
- 238000006073 displacement reaction Methods 0.000 claims description 11
- 238000000926 separation method Methods 0.000 claims description 8
- 230000008602 contraction Effects 0.000 claims description 6
- 230000000994 depressogenic effect Effects 0.000 claims description 4
- 230000013011 mating Effects 0.000 claims description 3
- 230000006835 compression Effects 0.000 claims 1
- 238000007906 compression Methods 0.000 claims 1
- 230000008707 rearrangement Effects 0.000 claims 1
- 239000000758 substrate Substances 0.000 claims 1
- 230000009467 reduction Effects 0.000 description 7
- 230000000881 depressing effect Effects 0.000 description 5
- 208000007474 aortic aneurysm Diseases 0.000 description 4
- 210000000709 aorta Anatomy 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 206010002329 Aneurysm Diseases 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000000887 hydrating effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
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
- A61F2/95—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
- A61F2/95—Instruments specially adapted for placement or removal of stents or 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
- A61F2/95—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
- A61F2/82—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
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
-
- 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)
- 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)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261623235P | 2012-04-12 | 2012-04-12 | |
| US61/623,235 | 2012-04-12 | ||
| PCT/US2013/031702 WO2013154749A1 (en) | 2012-04-12 | 2013-03-14 | Vascular prosthetic delivery device and method of use |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2017210741A Division JP6556210B2 (ja) | 2012-04-12 | 2017-10-31 | 脈管プロテーゼ送達デバイスおよび使用方法 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2015512746A JP2015512746A (ja) | 2015-04-30 |
| JP2015512746A5 JP2015512746A5 (enExample) | 2016-04-21 |
| JP6238959B2 true JP6238959B2 (ja) | 2017-11-29 |
Family
ID=48045735
Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2015505761A Active JP6238959B2 (ja) | 2012-04-12 | 2013-03-14 | 脈管プロテーゼ送達デバイスおよび使用方法 |
| JP2017210741A Active JP6556210B2 (ja) | 2012-04-12 | 2017-10-31 | 脈管プロテーゼ送達デバイスおよび使用方法 |
| JP2019127644A Active JP6846470B2 (ja) | 2012-04-12 | 2019-07-09 | 脈管プロテーゼ送達デバイスおよび使用方法 |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2017210741A Active JP6556210B2 (ja) | 2012-04-12 | 2017-10-31 | 脈管プロテーゼ送達デバイスおよび使用方法 |
| JP2019127644A Active JP6846470B2 (ja) | 2012-04-12 | 2019-07-09 | 脈管プロテーゼ送達デバイスおよび使用方法 |
Country Status (7)
| Country | Link |
|---|---|
| US (5) | US8998970B2 (enExample) |
| EP (2) | EP2846743B1 (enExample) |
| JP (3) | JP6238959B2 (enExample) |
| CN (1) | CN104363862B (enExample) |
| BR (1) | BR112014025430A2 (enExample) |
| ES (1) | ES2618221T3 (enExample) |
| WO (1) | WO2013154749A1 (enExample) |
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| US20070198078A1 (en) | 2003-09-03 | 2007-08-23 | Bolton Medical, Inc. | Delivery system and method for self-centering a Proximal end of a stent graft |
| US11259945B2 (en) | 2003-09-03 | 2022-03-01 | Bolton Medical, Inc. | Dual capture device for stent graft delivery system and method for capturing a stent graft |
| US8500792B2 (en) | 2003-09-03 | 2013-08-06 | Bolton Medical, Inc. | Dual capture device for stent graft delivery system and method for capturing a stent graft |
| US9198786B2 (en) | 2003-09-03 | 2015-12-01 | Bolton Medical, Inc. | Lumen repair device with capture structure |
| US20080264102A1 (en) | 2004-02-23 | 2008-10-30 | Bolton Medical, Inc. | Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same |
| US11596537B2 (en) | 2003-09-03 | 2023-03-07 | Bolton Medical, Inc. | Delivery system and method for self-centering a proximal end of a stent graft |
| US7763063B2 (en) | 2003-09-03 | 2010-07-27 | Bolton Medical, Inc. | Self-aligning stent graft delivery system, kit, and method |
| US8292943B2 (en) | 2003-09-03 | 2012-10-23 | Bolton Medical, Inc. | Stent graft with longitudinal support member |
| EP3219292B1 (en) | 2008-06-30 | 2019-08-14 | Bolton Medical Inc. | Abdominal aortic aneurysms systems |
| EP2405868B1 (en) | 2009-03-13 | 2017-06-28 | Bolton Medical Inc. | System for deploying an endoluminal prosthesis at a surgical site |
| WO2013071222A1 (en) | 2011-11-11 | 2013-05-16 | Parodi Juan C | Universal endovascular grafts |
| JP6097303B2 (ja) | 2011-11-16 | 2017-03-15 | ボルトン メディカル インコーポレイテッド | 大動脈の枝分かれした血管の修復のためのデバイスおよび方法 |
| US10376362B2 (en) | 2012-04-05 | 2019-08-13 | Medtronic Vascular Galway | Valve introducers with adjustable deployment mechanism and implantation depth gauge |
| WO2013154749A1 (en) | 2012-04-12 | 2013-10-17 | Bolton Medical, Inc. | Vascular prosthetic delivery device and method of use |
| US9539130B2 (en) | 2012-10-29 | 2017-01-10 | Cook Medical Technologies Llc | Low profile stepped delivery system |
| US9439751B2 (en) | 2013-03-15 | 2016-09-13 | Bolton Medical, Inc. | Hemostasis valve and delivery systems |
| GB201323008D0 (en) | 2013-12-24 | 2014-02-12 | Amazentis As | Compounds and uses thereof |
| US9486350B2 (en) * | 2014-03-31 | 2016-11-08 | Medtronic Vascular, Inc. | Stent-graft delivery system having handle mechanism for two-stage tip release |
| CN103961194B (zh) | 2014-05-21 | 2016-05-18 | 苏州茵络医疗器械有限公司 | 一种高回缩性血管支架输送系统 |
| US10524893B2 (en) | 2014-09-23 | 2020-01-07 | Bolton Medical, Inc. | Vascular repair devices and methods of use |
| CN104546243B (zh) * | 2015-01-04 | 2016-05-25 | 苏州茵络医疗器械有限公司 | 单手握持式的血管支架输送系统及其使用方法 |
| US11504236B2 (en) | 2015-03-13 | 2022-11-22 | Medtronic Vascular, Inc. | Delivery device for prosthetic heart valve with capsule adjustment device |
| US10758349B2 (en) | 2015-03-13 | 2020-09-01 | Medtronic Vascular, Inc. | Delivery device for prosthetic heart valve with capsule adjustment device |
| US10327899B2 (en) * | 2015-03-13 | 2019-06-25 | Medtronic Vascular, Inc. | Delivery device for prosthetic heart valve with capsule adjustment device |
| JP6854282B2 (ja) * | 2015-09-18 | 2021-04-07 | テルモ株式会社 | 押圧可能なインプラント送出システム |
| EP3426193A1 (en) * | 2016-03-11 | 2019-01-16 | Medtronic Vascular Inc. | Delivery device for prosthetic heart valve with capsule adjustment device |
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| JP7007294B2 (ja) | 2016-04-05 | 2022-01-24 | ボルトン メディカル インコーポレイテッド | 内部トンネルおよび開窓を有するステントグラフト |
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| EP2846743B1 (en) | 2016-12-14 |
| US11998469B2 (en) | 2024-06-04 |
| JP2018033998A (ja) | 2018-03-08 |
| JP6846470B2 (ja) | 2021-03-24 |
| WO2013154749A1 (en) | 2013-10-17 |
| BR112014025430A2 (pt) | 2020-03-10 |
| US20190269539A1 (en) | 2019-09-05 |
| US20170100271A1 (en) | 2017-04-13 |
| ES2618221T8 (es) | 2022-02-08 |
| US9554929B2 (en) | 2017-01-31 |
| US8998970B2 (en) | 2015-04-07 |
| EP2846743A1 (en) | 2015-03-18 |
| JP2019193862A (ja) | 2019-11-07 |
| JP6556210B2 (ja) | 2019-08-07 |
| US11351049B2 (en) | 2022-06-07 |
| EP3141223A1 (en) | 2017-03-15 |
| US20130274856A1 (en) | 2013-10-17 |
| CN104363862A (zh) | 2015-02-18 |
| US10299951B2 (en) | 2019-05-28 |
| JP2015512746A (ja) | 2015-04-30 |
| ES2618221T3 (es) | 2017-06-21 |
| US20220257398A1 (en) | 2022-08-18 |
| US20150173922A1 (en) | 2015-06-25 |
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