JP6712548B2 - インプラントの導入および解放システム - Google Patents
インプラントの導入および解放システム Download PDFInfo
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- JP6712548B2 JP6712548B2 JP2016537344A JP2016537344A JP6712548B2 JP 6712548 B2 JP6712548 B2 JP 6712548B2 JP 2016537344 A JP2016537344 A JP 2016537344A JP 2016537344 A JP2016537344 A JP 2016537344A JP 6712548 B2 JP6712548 B2 JP 6712548B2
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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
- A61F2/82—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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- 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
-
- 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
- A61F2250/0036—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 thickness
-
- 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
- A61F2250/0037—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 height or in length
-
- 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
- A61F2250/0039—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 diameter
Description
2 フィラメント
3 交差点
4 ワイヤ
5 スリーブ
6 結合素子
7 トルカ
8 保管スリーブ
9 ガイドワイヤチップ
13 ホース状ハウジング
14 ガイドワイヤ
15 保持素子
16 凹所
17 遠位区間
18 中央区間
19 近位区間
22 移行部
Claims (18)
- ヒトの身体の血管内にインプラントを導入するためのデバイスであって、前記デバイスはインプラント、ガイドワイヤおよびホース状ハウジングを含み、
前記インプラントは径が細くなる形状をとることを可能にする方法でマイクロカテーテルの内側で変形させることができ、かつ前記マイクロカテーテルによって加えられるそのような外的制約の除去後には留置部位で拡張して前記血管の径に適合し、
前記インプラントには近位端に保持素子に取り付ける結合素子が提供されており、それによって前記インプラントが前記ガイドワイヤに結合させられ、
前記保持素子にはその中に前記結合素子が収められる周辺凹所が提供されており、前記ホース状ハウジングは、前記結合素子が前記保持素子の前記凹所内に固定され外れないように収められた前記結合素子を伴う前記保持素子上に引き寄せられ、前記インプラントは前記ホース状ハウジングを近位方向に引き戻すことによって抜去でき、前記ホース状ハウジングの外径は前記近位端と前記遠位端との間で変化するよう構成されており、
前記ホース状ハウジングが、遠位区間、近位方向に伸長する隣接して配された中央区間、および前記中央区間に隣接して配されて近位方向に伸長し、前記中央区間の外径より大きな外径を有する近位区間を含むとともに、前記遠位区間、前記中央区間および前記近位区間の中で、前記近位区間が最も長い区間であり、
前記ホース状ハウジングの前記外径は、前記中央区間における外径より前記遠位区間における外径の方が大きいことを特徴とするデバイス。 - 前記近位区間の外径より小さな外径の近位端が、近位方向において前記ホース状ハウジングの前記近位区間に隣接することを特徴とする、請求項1記載のデバイス。
- 前記ホース状ハウジングの前記近位区間および前記遠位区間では、ハウジングの肉厚が前記中央区間における肉厚より大きいことを特徴とする、請求項1または2記載のデバイス。
- 前記ホース状ハウジングは一体型設計であり、一様な外径および一定の肉厚のハウジングを基とし、前記外径および前記肉厚は、部分区間における、特に前記中央区間における材料の除去によって減少させられることを特徴とする、請求項1から3のいずれか一項記載のデバイス。
- 前記ハウジングの前記中央区間が、前記ハウジングの前記近位区間および前記遠位区間に結合するように形成されていることを特徴とする、請求項1から3のいずれか一項記載のデバイス。
- ハウジングの前記部分区間同士は接着結合によって結合していることを特徴とする、請求項5記載のデバイス。
- 前記ハウジングの小さな肉厚の層はハウジングの前記近位端まで伸長し、前記近位および/または遠位区間では、前記ハウジングの1つの外層によって包まれて該1つの外層に取り付けられていることを特徴とする、請求項5または6記載のデバイス。
- 前記ガイドワイヤの径がその全長にわたって変化していることを特徴とする、請求項1から7のいずれか一項記載のデバイス。
- 前記ガイドワイヤの平均径は、近位半分における平均径より遠位半分における平均径の方が小さいことを特徴とする、請求項8記載のデバイス。
- 前記ガイドワイヤの前記遠位端は、前記保持素子に固定された状態にある前記インプラントの前記遠位端よりさらに遠位に伸長していることを特徴とする、請求項1から9のいずれか一項記載のデバイス。
- 前記インプラントは、相互に交差して管状ブレードを形成する個別フィラメントから構成された壁を有することを特徴とする、請求項1から10のいずれか一項記載のデバイス。
- 一様な外径および一定の肉厚のハウジングを基とし、前記外径および前記肉厚が、前記中央区間における材料の除去によって減少していることを特徴とする、請求項1から11のいずれか一項記載のデバイスと組み合わせて使用できるホース状ハウジングの製造方法。
- 前記ハウジングの前記中央区間が、接着結合によって前記ハウジングの前記近位区間および前記遠位区間に結合していることを特徴とする、請求項1から11のいずれか一項記載のデバイスと組み合わせて使用できるホース状ハウジングの製造方法。
- 前記中央区間の長さが、50mm以上500mm以下であることを特徴とする、請求項1から11のいずれか一項記載のデバイス。
- 前記中央区間の長さが、80mm以上120mm以下であることを特徴とする、請求項14記載のデバイス。
- 前記遠位区間の長さが、2mm以上10mm以下であることを特徴とする、請求項1から11および14から15のいずれか一項記載のデバイス。
- 前記近位区間の長さが、500mm以上1900mm以下であることを特徴とする、請求項1から11および14から16のいずれか一項記載のデバイス。
- 前記遠位区間が、前記結合素子を伴う前記保持素子を包むことを特徴とする、請求項1から11および14から17のいずれか一項記載のデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102013014523.6 | 2013-09-03 | ||
DE102013014523.6A DE102013014523A1 (de) | 2013-09-03 | 2013-09-03 | Einführ- und Ablösesystem für Implantate |
PCT/EP2014/068691 WO2015032798A1 (de) | 2013-09-03 | 2014-09-03 | Einführ- und ablösesystem für implantate |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016533240A JP2016533240A (ja) | 2016-10-27 |
JP2016533240A5 JP2016533240A5 (ja) | 2019-12-26 |
JP6712548B2 true JP6712548B2 (ja) | 2020-06-24 |
Family
ID=51628100
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016537344A Active JP6712548B2 (ja) | 2013-09-03 | 2014-09-03 | インプラントの導入および解放システム |
Country Status (12)
Country | Link |
---|---|
US (1) | US11369499B2 (ja) |
EP (1) | EP3041439B9 (ja) |
JP (1) | JP6712548B2 (ja) |
KR (1) | KR101961530B1 (ja) |
CN (1) | CN105682616B (ja) |
AU (1) | AU2014317165B2 (ja) |
BR (1) | BR112016004618B1 (ja) |
CA (1) | CA2922882C (ja) |
DE (1) | DE102013014523A1 (ja) |
ES (1) | ES2682323T3 (ja) |
SG (1) | SG11201601617TA (ja) |
WO (1) | WO2015032798A1 (ja) |
Families Citing this family (8)
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EP3266486B1 (en) * | 2016-07-06 | 2019-01-30 | Abiomed Europe GmbH | Introducer sheath for vascular access |
DK179517B1 (en) * | 2017-05-11 | 2019-02-05 | Mbh-International A/S | An artificial insemination device and a method of performing artificial insemination using the device |
CN109248012B (zh) * | 2017-07-14 | 2020-12-25 | 先健科技(深圳)有限公司 | 植入物的输送系统 |
CN108283513B (zh) * | 2017-12-27 | 2021-08-27 | 郭成军 | 一种植入物的植入装置 |
DE102018109580A1 (de) | 2018-04-20 | 2019-10-24 | Phenox Gmbh | Vorrichtung zur Einbringung von Implantaten |
CN110840509A (zh) * | 2019-12-18 | 2020-02-28 | 上海加奇生物科技苏州有限公司 | 一种弹簧圈双导丝解脱系统 |
US20220339014A1 (en) * | 2021-04-23 | 2022-10-27 | DeepIn Technologies, LLC | Mechanical detachment system with a hold-release structure for deployment of endovascular devices |
CN116098740A (zh) * | 2021-06-24 | 2023-05-12 | 杭州启明医疗器械股份有限公司 | 全回收人工心脏瓣膜系统 |
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-
2013
- 2013-09-03 DE DE102013014523.6A patent/DE102013014523A1/de not_active Withdrawn
-
2014
- 2014-09-03 BR BR112016004618-8A patent/BR112016004618B1/pt active IP Right Grant
- 2014-09-03 AU AU2014317165A patent/AU2014317165B2/en active Active
- 2014-09-03 CN CN201480059341.4A patent/CN105682616B/zh active Active
- 2014-09-03 JP JP2016537344A patent/JP6712548B2/ja active Active
- 2014-09-03 CA CA2922882A patent/CA2922882C/en active Active
- 2014-09-03 ES ES14777276.8T patent/ES2682323T3/es active Active
- 2014-09-03 SG SG11201601617TA patent/SG11201601617TA/en unknown
- 2014-09-03 US US14/915,695 patent/US11369499B2/en active Active
- 2014-09-03 EP EP14777276.8A patent/EP3041439B9/de active Active
- 2014-09-03 KR KR1020167008576A patent/KR101961530B1/ko active IP Right Grant
- 2014-09-03 WO PCT/EP2014/068691 patent/WO2015032798A1/de active Application Filing
Also Published As
Publication number | Publication date |
---|---|
BR112016004618A2 (ja) | 2017-08-01 |
JP2016533240A (ja) | 2016-10-27 |
WO2015032798A1 (de) | 2015-03-12 |
SG11201601617TA (en) | 2016-04-28 |
EP3041439A1 (de) | 2016-07-13 |
CN105682616A (zh) | 2016-06-15 |
CN105682616B (zh) | 2017-11-03 |
US20160206455A1 (en) | 2016-07-21 |
EP3041439B1 (de) | 2018-05-09 |
US11369499B2 (en) | 2022-06-28 |
DE102013014523A1 (de) | 2015-03-05 |
CA2922882C (en) | 2019-04-16 |
CA2922882A1 (en) | 2015-03-12 |
ES2682323T3 (es) | 2018-09-20 |
EP3041439B9 (de) | 2018-12-26 |
KR20160049547A (ko) | 2016-05-09 |
AU2014317165B2 (en) | 2018-09-27 |
BR112016004618B1 (pt) | 2022-02-22 |
KR101961530B1 (ko) | 2019-03-22 |
AU2014317165A1 (en) | 2016-03-24 |
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