JP6382214B2 - 医学的治療をアシストするためのデバイス - Google Patents
医学的治療をアシストするためのデバイス Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
- A61B17/12118—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm for positioning in conjunction with a stent
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/0108—Both ends closed, i.e. legs gathered at both ends
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/011—Instruments for their placement or removal
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
-
- 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
-
- 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
- A61F2/844—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents folded prior to deployment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2002/016—Filters implantable into blood vessels made from wire-like elements
-
- 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
- A61F2002/823—Stents, different from stent-grafts, adapted to cover an aneurysm
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0015—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in density or specific weight
- A61F2250/0017—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in density or specific weight differing in yarn density
Description
本出願は、参照によりその開示の全体が本明細書に組み込まれている、2012年12月5日に出願した米国仮出願第61/733,755号からの優先権の利益を主張するものである。
本開示の実施例は、医学的治療をアシストする(例えば、及び非限定的に、動脈瘤の血管内治療及び胆道治療をアシストする)ためのデバイス及び方法を提供する。加えて、説明されるデバイスの実施例は、また、凝血塊を血管から除去し血管の閉塞されたセクションを横断するために、外科手術の間の血管保護のための一時的な足場として使用され得る。説明されるデバイスのさらなる実施例は、また、血管の血管けいれんを治療するため及び他の血管内のデバイスを拡張させるために使用され得る。
Claims (25)
- 遠位端を含むシャフトと、
近位端と遠位端とを含む拡張可能部材であって、前記拡張可能部材の前記近位端は前記シャフトの前記遠位端に結合されている、拡張可能部材と、
シャフト内又はシャフトに平行な第1の細長い制御部材及び第2の細長い制御部材であって、各々が前記拡張可能部材の一部の異なる接続点位置において接続され、他の制御部材と協調して又は独立して前記拡張可能部材に力を加えるように構成された、第1の細長い制御部材及び第2の細長い制御部材と、
を備え、
前記拡張可能部材は、さらに、少なくとも、第1の制御可能な部分と第2の制御可能な部分とを含み、
前記第1の制御可能な部分と前記第2の制御可能な部分とを含む前記拡張可能部材は、少なくとも前記第1の細長い制御部材の制御下において、少なくとも、部分的に引っ込められた構成と拡張された構成との間を移行するように構成されており、及び
前記第2の制御可能な部分は、少なくとも前記第2の細長い制御部材の制御下において、実質的に不変のままであるように構成されていると同時に、前記第1の制御可能な部分は、少なくとも、部分的に引っ込められた構成と拡張された構成との間を移行するように構成されている、治療デバイス。 - 前記第2の制御可能な部分は、前記第1の制御可能な部分よりも遠位であり且つこれに隣接している、請求項1に記載の治療デバイス。
- 第3の制御可能な部分と第3の細長い制御部材とをさらに備え、前記第3の制御可能な部分は、実質的に不変のままであるように構成されていると同時に、前記第1の制御可能な部分は、少なくとも前記部分的に引っ込められた構成と前記拡張された構成との間を移行するように構成されており、前記第3の制御可能な部分は、前記第1の制御可能な部分よりも近位であり且つこれに隣接している、請求項2に記載の治療デバイス。
- 前記第1の細長い制御部材及び前記第2の細長い制御部材は、少なくとも1つのモーターによって制御されるように構成されている、請求項1に記載の治療デバイス。
- 前記第1の細長い制御部材は、前記第1の細長い制御部材が近位方向に引く力を受けたときに、前記拡張可能部材を部分的に引っ込めるように構成されており、及び前記第1の細長い制御部材は、前記第1の細長い制御部材が遠位方向に押す力を受けたときに、前記拡張可能部材を拡張させるように構成されている、請求項1に記載の治療デバイス。
- 少なくとも1つの細長い制御部材の遠位端は、血管壁に対して実質的に非侵襲性であるように構成されている、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、拡張された構成において、その近位端とその遠位端との間で実質的に一様な形状を示すように構成されている、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、拡張された構成において、その近位端とその遠位端との間で実質的に非対称な形状を示すように構成されている、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、拡張された構成において、その近位端とその遠位端との間で少なくとも2つの実質的に一様な形状を示すように構成されている、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、拡張された構成において、その近位端とその遠位端との間で、少なくとも第1の実質的に非対称な形状と、実質的に一様な形状と第2の実質的に非対称な形状とのうちの少なくとも1つと、を示すように構成されている、請求項1に記載の治療デバイス。
- 前記2つの実質的に一様な形状は、洋梨形状を含む、請求項10に記載の治療デバイス。
- 前記拡張可能部材の前記遠位端は、周囲値を持つ開口を含み、前記拡張された構成において、前記周囲値は、前記拡張可能部材の周囲長と実質的に等しい、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、ワイヤーを含み、前記第1の細長い制御部材は、前記拡張可能部材の前記ワイヤーの延長として構成される、請求項1に記載の治療デバイス。
- 前記拡張可能部材はワイヤーを含み、前記第1の細長い制御部材は制御ワイヤーを含み、前記制御ワイヤーは、拡張可能部材の前記ワイヤーと結び付けられている、請求項1に記載の治療デバイス。
- 前記制御ワイヤーは、前記拡張可能部材の前記ワイヤーを通ってループ状である、請求項14に記載の治療デバイス。
- 前記制御ワイヤーは、前記拡張可能部材の実質的に遠位部分に結び付けられている、請求項14に記載の治療デバイス。
- 前記制御ワイヤーは、前記拡張可能部材の実質的に中央部分に結び付けられている、請求項14に記載の治療デバイス。
- 前記制御ワイヤーは、前記拡張可能部材の実質的に近位部分に結び付けられている、請求項14に記載の治療デバイス。
- 前記拡張可能部材は、ワイヤーを含み、前記拡張可能部材の前記ワイヤーは、前記シャフトの一部の延長である、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、ワイヤーを含み、前記拡張可能部材の前記ワイヤーは、約50μmから約120μmの間の径を示す、請求項1に記載の治療デバイス。
- 前記第1の細長い制御部材は、制御ワイヤーを含み、前記制御ワイヤーは、約50μm未満の径を示す、請求項1に記載の治療デバイス。
- 前記拡張可能部材は、拡張可能な材料の群の少なくとも1つから選択される材料を含み、前記拡張可能な材料の群は、ポリマー材料と、金属と、金属合金と、を含む、請求項1に記載の治療デバイス。
- 前記拡張可能部材はニチノールを含む、請求項1に記載の治療デバイス。
- 前記拡張可能部材はX線不透過性の材料を含む、請求項1に記載の治療デバイス。
- 前記拡張可能部材はワイヤーを含み、前記X線不透過性の材料は、前記ワイヤーのコアであり、前記X線不透過性の材料は、体積で前記ワイヤーの約20パーセントから約50パーセントの間である、請求項24に記載の治療デバイス。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261733755P | 2012-12-05 | 2012-12-05 | |
US61/733,755 | 2012-12-05 | ||
IBPCT/IB2013/000359 | 2013-01-03 | ||
PCT/IB2013/000359 WO2013102848A2 (en) | 2012-01-04 | 2013-01-03 | Devices and methods for assisting medical treatments |
PCT/IB2013/003161 WO2014087245A2 (en) | 2012-12-05 | 2013-12-04 | Devices and methods for assisting medical treatments |
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JP2018093607A Division JP6617174B2 (ja) | 2012-12-05 | 2018-05-15 | 医学的治療をアシストするためのデバイス |
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JP2015536745A JP2015536745A (ja) | 2015-12-24 |
JP6382214B2 true JP6382214B2 (ja) | 2018-08-29 |
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JP2015546104A Active JP6382214B2 (ja) | 2012-12-05 | 2013-12-04 | 医学的治療をアシストするためのデバイス |
JP2018093607A Active JP6617174B2 (ja) | 2012-12-05 | 2018-05-15 | 医学的治療をアシストするためのデバイス |
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JP (2) | JP6382214B2 (ja) |
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CN (1) | CN105007842B (ja) |
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IL (1) | IL239084B (ja) |
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PL2928391T3 (pl) * | 2012-12-05 | 2020-03-31 | Rapid Medical Ltd. | Urządzenia do wspomagania leczenia medycznego |
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WO2014087245A2 (en) | 2014-06-12 |
IL239084B (en) | 2020-05-31 |
ES2759989T3 (es) | 2020-05-12 |
JP2015536745A (ja) | 2015-12-24 |
KR20150092277A (ko) | 2015-08-12 |
AU2013353760A1 (en) | 2015-05-14 |
PL2928391T3 (pl) | 2020-03-31 |
AU2013353760B2 (en) | 2018-01-18 |
US9844381B2 (en) | 2017-12-19 |
JP2018153665A (ja) | 2018-10-04 |
IL239084A0 (en) | 2015-07-30 |
EP2928391B1 (en) | 2019-11-20 |
JP6617174B2 (ja) | 2019-12-11 |
CN105007842A (zh) | 2015-10-28 |
US20150327866A1 (en) | 2015-11-19 |
WO2014087245A3 (en) | 2015-02-19 |
EP2928391A2 (en) | 2015-10-14 |
CN105007842B (zh) | 2018-03-09 |
KR102199098B1 (ko) | 2021-01-07 |
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