JP6744095B2 - 操向可能な血管内デバイス、並びに関連デバイス、システム、及び方法 - Google Patents
操向可能な血管内デバイス、並びに関連デバイス、システム、及び方法 Download PDFInfo
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Images
Classifications
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
- A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0883—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the heart
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- A—HUMAN NECESSITIES
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0891—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of blood vessels
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- A—HUMAN NECESSITIES
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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- A—HUMAN NECESSITIES
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- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
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- A—HUMAN NECESSITIES
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- A61B5/026—Measuring blood flow
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- A—HUMAN NECESSITIES
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- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
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Description
102 筺体
104 カテーテルシースデバイス
106 ケーブル
108 ジョイスティック
110 引き金
111 アラインメントチューブ
112 ポート
114 操向ワイヤガイド
116 カム
118A〜D 操向ワイヤ
122 モータ
124 ギアボックス
126 ギア
128 ボタン
130 電子部品
200 カテーテルシースデバイス
204 遠位部分
206 近位部分
208 開口部
210 テーパ部分
212 可撓性細長部材
214 操向環
216 連結チューブ
218 遠位端部
220 操向ワイヤ
222 操向ワイヤ
224 操向ワイヤ
226 操向ワイヤ
230 末梢管腔
232 末梢管腔
234 末梢管腔
236 末梢管腔
238 末梢管腔
240 末梢管腔
242 末梢管腔
244 末梢管腔
246 中央管腔
248 血管内デバイス
250 管腔
302 血管内デバイス
304 血管内デバイス
400 カテーテルシースデバイス
402 可撓性細長部材
404 遠位部分
406 近位部分
408 開口部
410 中央管腔
412 テーパ部分
420 操向ワイヤ
422 操向ワイヤ
424 操向ワイヤ
426 操向ワイヤ
430 末梢管腔
432 末梢管腔
434 末梢管腔
436 末梢管腔
438 末梢管腔
440 末梢管腔
442 末梢管腔
444 末梢管腔
500 カテーテルデバイス
502 可撓性細長部材
504 遠位部分
505 遠位端部
506 近位部分
507 近位端部
508 部品
510 コネクタ
512 距離
600 方法
602 ステップ
604 ステップ
606 ステップ
608 ステップ
610 ステップ
Claims (10)
- カテーテル送達システムであって、
操向可能な遠位部分を有するカテーテルシースを含み、前記カテーテルシースが、前記カテーテルシース内で位置が定められた第1の可撓性細長部材及び操向環、並びに前記操向環を前記第1の可撓性細長部材と連結する連結チューブを含み、且つ中央管腔を有する前記第1の可撓性細長部材の複数の末梢管腔を通って伸長する複数の操向系統を有し、前記複数の操向系統の遠位端部が、前記カテーテルシースの前記操向可能な遠位部分の前記操向環に接続されており、前記複数の操向系統の近位端部が、手持ちで使用するための大きさ及び形状の筐体に取り付けられている操向アクチュエータに接続されており、前記連結チューブは、その遠位端部で前記操向環に当接し、前記第1の可撓性細長部材の遠位端部に位置するカウンターボア内に位置決めされ、前記筐体が、前記第1の可撓性細長部材の前記中央管腔と連通している開口部を含み、該開口部によって、前記第1の可撓性細長部材の前記中央管腔内に異なる種類の診断又は治療モダリティの血管内デバイスを挿入することを可能にし、前記第1の可撓性細長部材の前記中央管腔から前記血管内デバイスを取り出すことを可能にし、
前記操向環は、前記カテーテルシースの中央管腔を囲み、前記カテーテルシースの前記操向可能な遠位部分内で位置が定められる、
カテーテル送達システム。 - 前記操向アクチュエータが、ジョイスティックを含む、請求項1に記載のカテーテル送達システム。
- 前記操向アクチュエータが、当該ジョイスティックを含む前記操向アクチュエータに連結されている複数のカムを更に含む、請求項2に記載のカテーテル送達システム。
- 前記ジョイスティックが、ユーザの親指で制御されるように前記筐体に位置決めされている、請求項3に記載のカテーテル送達システム。
- 引き金機構が、前記ジョイスティックの反対側で前記筐体に連結されており、前記引き金機構が、前記ジョイスティックに係合すると、前記ジョイスティックが動くのを防止するように構成されている、請求項4に記載のカテーテル送達システム。
- 前記第1の可撓性細長部材が、その遠位端部に前記中央管腔と連通する開口部を含み、前記異なるモダリティの血管内デバイスを、前記開口部から、前記第1の可撓性細長部材の前記遠位端部を越えて遠位に前進させることができる、請求項1に記載のカテーテル送達システム。
- 前記筐体内に位置決めされている少なくとも1つの回転アクチュエータを更に含み、前記回転アクチュエータが、前記筐体から前記第1の可撓性細長部材の前記中央管腔内を通過する血管内デバイスの少なくとも部分を回転させるように構成されている、請求項1に記載のカテーテル送達システム。
- 前記回転アクチュエータが、モータを含む、請求項7に記載のカテーテル送達システム。
- 前記回転アクチュエータが、前記筐体から前記第1の可撓性細長部材の前記中央管腔内を通過する前記血管内デバイスの駆動シャフトに回転を付与するように構成されている、請求項7に記載のカテーテル送達システム。
- 前記回転アクチュエータが、前記血管内デバイスの区間を選択的に固定係合するように構成されている係合特徴を含み、前記回転アクチュエータが、前記血管内デバイスの前記区間に回転を付与することができる、請求項7に記載のカテーテル送達システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201261745512P | 2012-12-21 | 2012-12-21 | |
US61/745,512 | 2012-12-21 | ||
PCT/US2013/075732 WO2014099961A1 (en) | 2012-12-21 | 2013-12-17 | Steerable intravascular devices and associated devices, systems, and methods |
Publications (2)
Publication Number | Publication Date |
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JP2016503679A JP2016503679A (ja) | 2016-02-08 |
JP6744095B2 true JP6744095B2 (ja) | 2020-08-19 |
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JP2015549575A Active JP6744095B2 (ja) | 2012-12-21 | 2013-12-17 | 操向可能な血管内デバイス、並びに関連デバイス、システム、及び方法 |
Country Status (5)
Country | Link |
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US (1) | US10207078B2 (ja) |
EP (1) | EP2934652B1 (ja) |
JP (1) | JP6744095B2 (ja) |
CA (1) | CA2895976A1 (ja) |
WO (1) | WO2014099961A1 (ja) |
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US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US10029074B2 (en) * | 2015-07-13 | 2018-07-24 | Jamil Mogul | Steerable catheter handle with slide lock |
JP2019504655A (ja) * | 2015-10-09 | 2019-02-21 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 血管内装置用のハンドヘルドステアリング装置並びに関連するシステム及び方法 |
JP2018532482A (ja) * | 2015-10-09 | 2018-11-08 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 血管内デバイスのための操縦デバイスのための進化した制御機能並びに関連するシステム及び方法 |
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US10661052B2 (en) | 2016-07-29 | 2020-05-26 | Cephea Valve Technologies, Inc. | Intravascular device delivery sheath |
US11324495B2 (en) | 2016-07-29 | 2022-05-10 | Cephea Valve Technologies, Inc. | Systems and methods for delivering an intravascular device to the mitral annulus |
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US11109967B2 (en) | 2016-08-29 | 2021-09-07 | Cephea Valve Technologies, Inc. | Systems and methods for loading and deploying an intravascular device |
US10874512B2 (en) | 2016-10-05 | 2020-12-29 | Cephea Valve Technologies, Inc. | System and methods for delivering and deploying an artificial heart valve within the mitral annulus |
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US10207078B2 (en) | 2019-02-19 |
EP2934652B1 (en) | 2020-06-17 |
EP2934652A4 (en) | 2016-11-09 |
US20140180124A1 (en) | 2014-06-26 |
WO2014099961A1 (en) | 2014-06-26 |
CA2895976A1 (en) | 2014-06-26 |
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