JP6506721B2 - 閉鎖デバイス、展開装置及び閉鎖デバイスの展開方法 - Google Patents
閉鎖デバイス、展開装置及び閉鎖デバイスの展開方法 Download PDFInfo
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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
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
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- A61B2017/00641—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closing fistulae, e.g. anorectal fistulae
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- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
Claims (10)
- 閉鎖デバイス展開デバイスであって、
長手軸方向に沿って延びる細長いハウジングと、
前記ハウジングの内部に連結されると共に、近位方向に第1の力が加えられると、長手軸方向に沿って近位方向に第1の位置と第2の位置との間で前記ハウジング内をスライド可能に連結される第1の部分と、前記ハウジングの外側で且つ長手軸方向に垂直な平面に沿って延びる第2の部分とを有するスライド手段と、
前記スライド手段の前記第1の部分の遠位端に接続された近位端を含む長手軸方向に沿って延び、前記スライド手段に第1の力が加えられると、シースが長手軸方向に沿って近位方向へ移動可能であるシースアセンブリと、
長手軸方向に沿って延び、前記ハウジングの近位端に連結される剛性ワイヤと、
前記ワイヤの遠位端と連結され、長手軸方向に平行な平面に沿って延びると共に、スライド手段が第1の位置にあるときにはシースアセンブリの遠位端を超えずにあり、スライド手段が第2の位置にあるときにはシースアセンブリの外側にあるように構成されるフットプレートと、
長手軸方向に沿って延び、前記ハウジングの外部に接続され、第1の位置と第2の位置との間で前記ハウジングに沿って遠位方向にスライド可能である皮膚フランジと、
前記皮膚フランジを前記第1の位置にロックするように構成される皮膚フランジロッキング機構であって、前記スライド手段が、前記スライド手段の近位方向の移動につき前記皮膚フランジを該皮膚フランジロッキング機構から解放して、前記皮膚フランジを遠位方向にスライドさせるように構成され、前記皮膚フランジの遠位端が、前記第2の位置において皮膚の表面と接触するように構成され、また、前記皮膚フランジが患者の皮膚表面に対して前記第2の位置にあり、前記フットプレートが閉鎖デバイス展開デバイスの使用中に患者の血管内にあるとき、所定の一定の近位の力が前記フットプレートを血管の内壁に着座させる、皮膚フランジロッキング機構
とを有する閉鎖デバイス展開デバイス。 - 前記スライド手段は、さらに前記スライド手段の近位方向への移動を容易にするために、前記ハウジング内にガイドレールを有する請求項1記載の閉鎖デバイス展開デバイス。
- 前記細長いハウジングは、前記スライド手段が第2の位置にある際に前記スライド手段を固定するハウジング固定機能をさらに有する請求項2記載の閉鎖デバイス展開デバイス。
- 前記皮膚フランジに装着され、遠位方向に皮膚フランジ上に力を作用するように構成される皮膚フランジばねをさらに有する請求項3記載の閉鎖デバイス展開デバイス。
- 前記皮膚フランジばねは、前記皮膚フランジが前記皮膚フランジロッキング機構から解放された後に前記皮膚フランジ上に力を印加する第2の位置に遠位方向に前記皮膚フランジがスライドするように作動させる請求項4記載の閉鎖デバイス展開デバイス。
- 前記皮膚フランジばねは、一定力ばねである請求項5記載の閉鎖デバイス展開デバイス。
- 前記皮膚フランジの遠位端は、閉鎖デバイス展開デバイスの使用中に患者の皮膚の部分の一面を移動して再配向させるように構成されるオトガイ機構をさらに有する請求項6記載の閉鎖デバイス展開デバイス。
- 前記オトガイ機構は、患者の皮膚の一部の面が前記シースアセンブリに実質的に鉛直であるように患者の皮膚の一部の面を移動して再配向させるよう構成される請求項7記載の閉鎖デバイス展開デバイス。
- 前記オトガイ機構は、上部把持機構と下部把持機構を有する請求項7記載の閉鎖デバイス展開デバイス。
- 前記皮膚フランジは、皮膚フランジ及びハウジングのガイドレール機構に沿った皮膚フランジの直線移動を粘性せん断により制動し得る高粘度生体適合性潤滑剤の膜によって、前記ハウジングとの係合摺動面が被覆される請求項1記載の閉鎖デバイス展開デバイス。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/917,979 US8876861B2 (en) | 2007-09-12 | 2010-11-02 | Closure device, deployment apparatus, and method of deploying a closure device |
US12/917,979 | 2010-11-02 |
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JP2013537783A Division JP2013545529A (ja) | 2010-11-02 | 2011-11-02 | 閉鎖デバイス、展開装置及び閉鎖デバイスの展開方法 |
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AU2011323464A1 (en) | 2013-05-30 |
EP2635197A2 (en) | 2013-09-11 |
KR101533898B1 (ko) | 2015-07-03 |
CN103298415B (zh) | 2016-05-11 |
WO2012061486A2 (en) | 2012-05-10 |
US20110046665A1 (en) | 2011-02-24 |
WO2012061486A3 (en) | 2012-07-12 |
KR20130105869A (ko) | 2013-09-26 |
NZ610135A (en) | 2015-02-27 |
HK1184666A1 (zh) | 2014-01-30 |
EP2635197A4 (en) | 2016-01-27 |
JP2013545529A (ja) | 2013-12-26 |
IL226115A (en) | 2017-04-30 |
JP6567614B2 (ja) | 2019-08-28 |
CA2816863C (en) | 2015-07-28 |
JP2016163765A (ja) | 2016-09-08 |
US8876861B2 (en) | 2014-11-04 |
AU2011323464B2 (en) | 2014-10-30 |
MX2013004971A (es) | 2013-08-01 |
EP2635197B1 (en) | 2019-01-09 |
IL226115A0 (en) | 2013-06-27 |
JP2017205649A (ja) | 2017-11-24 |
CA2816863A1 (en) | 2012-05-10 |
CN103298415A (zh) | 2013-09-11 |
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