JP6343628B2 - 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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- JP6343628B2 JP6343628B2 JP2016081832A JP2016081832A JP6343628B2 JP 6343628 B2 JP6343628 B2 JP 6343628B2 JP 2016081832 A JP2016081832 A JP 2016081832A JP 2016081832 A JP2016081832 A JP 2016081832A JP 6343628 B2 JP6343628 B2 JP 6343628B2
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- wire
- prosthesis
- delivery catheter
- catheter
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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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing 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
- A61F2/02—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
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
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 (17)
- 管腔内人工器官を送り込んで配備するための器具であって、
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近位端部に配置され、該少なくとも1つの軸線方向の管腔に連通する第一及び第二のアクセスポートを有するアクセス器具と、
各々が該給送カテーテルの近位端部に配置されている第一及び第二の端部、及び該第一の端部と該第二の端部との間に配置されている本体部分を備えているワイヤと、を備え、
該ワイヤは、該第一の端部から該第一のアクセスポート及び該少なくとも1つの軸線方向の管腔を通って該給送カテーテルの遠位部分に向かって遠位方向に伸長し、該少なくとも1つの軸線方向の管腔及び該第二のアクセスポートを通って該第二の端部に向かって近位方向に伸長しており、
該ワイヤの第一の端部を覆うように該給送カテーテルの軸線方向の管腔内に摺動可能に配置されている第一の補助カテーテルを更に備える、器具。 - 該第一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、請求項1に記載の器具。
- 該ワイヤの第二の端部を覆うように該給送カテーテルの軸線方向の管腔内に摺動可能に配置されている第二の補助カテーテルを更に備える、請求項1に記載の器具。
- 該第一の補助カテーテルが該給送カテーテルの第一の軸線方向の管腔内に摺動可能に配置され、該第二の補助カテーテルが該給送カテーテルの第二の軸線方向の管腔内に摺動可能に配置されている、請求項3に記載の器具。
- 該第一及び第二の補助カテーテルが、それぞれ、細長いシースと、該シース内に配置された細長い拡張器とを備えている、請求項3に記載の器具。
- 該給送カテーテルの遠位端部に配置された人工器官であって、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、該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つの開窓部とを有する管状移植片を備えている人工器官をさらに備える、請求項1に記載の器具。
- 該ワイヤが、該少なくとも1つの開窓部を通って伸長する、請求項6に記載の器具。
- 該ワイヤが、該移植片の該少なくとも1つの開窓部を通って摺動可能に配置されている、請求項7に記載の器具。
- 該ワイヤが、該移植片の複数の開窓部を通って摺動可能に配置されている、請求項7に記載の器具。
- 該ワイヤが、該第一の端部から該給送カテーテルの第一の軸線方向の管腔を通って該給送カテーテルの遠位端部に向かって遠位方向に伸長し、該給送カテーテルの第二の軸線方向の管腔を通って該第二の端部に向かって近位方向に伸長する、請求項1に記載の器具。
- 該給送カテーテルの遠位端部に配置された人工器官であって、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、該第一の端部と該第二の端部との間に設けられた少なくとも1つの開窓部とを有する管状移植片を備えている人工器官をさらに備え、該ワイヤが該少なくとも1つの開窓部を通って伸長する、請求項10に記載の器具。
- 管腔内人工器官を送り込んで配備するための器具であって、
遠位端及び近位端を有する給送カテーテルであって、該近位端と該遠位端との間で当該給送カテーテルに沿って延びる第一及び第二の軸線方向の管腔を有する給送カテーテルと、
該給送カテーテルの近位端部に配置された第一及び第二の端部、並びに該第一の端部と該第二の端部との間に配置された本体部分を有するワイヤと、を備え、
該ワイヤは、該第一の端部から該給送カテーテルの該第一の軸線方向の管腔を通って該給送カテーテルの遠位端部に向かって遠位方向に伸長し、該給送カテーテルの該第二の軸線方向の管腔を通って該第二の端部に向かって近位方向に伸長しており、
該ワイヤの該第一の端部を覆うように該給送カテーテルの該第一の軸線方向の管腔内に摺動可能に配置されている第一の補助カテーテルを更に備える、器具。 - 該ワイヤの第二の端部を覆うように該給送カテーテルの該第二の軸線方向の管腔内に摺動可能に配置されている第二の補助カテーテルを更に備える、請求項12に記載の器具。
- 該給送カテーテルの遠位端部に配置された人工器官であって、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、該第一の端部と該第二の端部との間に設けられた少なくとも1つの開窓部とを有する管状移植片を備えている人工器官をさらに備える、請求項12に記載の器具。
- 該ワイヤが、該移植片の該少なくとも1つの開窓部を通って伸長する、請求項12に記載の器具。
- 該ワイヤが、該少なくとも1つの開窓部を通って摺動可能に配置されている、請求項13に記載の器具。
- 該ワイヤが、複数の開窓部を通って摺動可能に配置されている、請求項13に記載の器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37361010P | 2010-08-13 | 2010-08-13 | |
US61/373,610 | 2010-08-13 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011174653A Division JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
Related Child Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2017070286A Division JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Division JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
Publications (2)
Publication Number | Publication Date |
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JP2016128130A JP2016128130A (ja) | 2016-07-14 |
JP6343628B2 true JP6343628B2 (ja) | 2018-06-13 |
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Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
JP2016081840A Active JP6200027B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2016081832A Active JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2017070286A Active JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Family Applications Before (2)
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JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
JP2016081840A Active JP6200027B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
Family Applications After (3)
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JP2017070286A Active JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Country Status (4)
Country | Link |
---|---|
US (2) | US9918861B2 (ja) |
EP (2) | EP3192475B1 (ja) |
JP (6) | JP5922891B2 (ja) |
CA (1) | CA2747610C (ja) |
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EP2417942B1 (en) | 2017-05-10 |
CA2747610A1 (en) | 2012-02-13 |
JP6661689B2 (ja) | 2020-03-11 |
EP3192475A1 (en) | 2017-07-19 |
CA2747610C (en) | 2014-09-16 |
JP2012040378A (ja) | 2012-03-01 |
JP2018118118A (ja) | 2018-08-02 |
JP2018110886A (ja) | 2018-07-19 |
JP5922891B2 (ja) | 2016-05-24 |
JP2016128130A (ja) | 2016-07-14 |
EP3192475B1 (en) | 2020-10-21 |
US20120041535A1 (en) | 2012-02-16 |
JP2016128131A (ja) | 2016-07-14 |
JP6321256B2 (ja) | 2018-05-09 |
AU2011205040A1 (en) | 2012-03-01 |
JP2017136418A (ja) | 2017-08-10 |
US9918861B2 (en) | 2018-03-20 |
JP6659753B2 (ja) | 2020-03-04 |
US20180207012A1 (en) | 2018-07-26 |
EP2417942A1 (en) | 2012-02-15 |
JP6200027B2 (ja) | 2017-09-20 |
US10821012B2 (en) | 2020-11-03 |
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