JP6933421B2 - 心臓弁修復用の医療器具および方法 - Google Patents

心臓弁修復用の医療器具および方法 Download PDF

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Publication number
JP6933421B2
JP6933421B2 JP2018518491A JP2018518491A JP6933421B2 JP 6933421 B2 JP6933421 B2 JP 6933421B2 JP 2018518491 A JP2018518491 A JP 2018518491A JP 2018518491 A JP2018518491 A JP 2018518491A JP 6933421 B2 JP6933421 B2 JP 6933421B2
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arm
implant
distal
valve
proximal
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JP2018533398A5 (enExample
JP2018533398A (ja
Inventor
シルヴィオ シャッフナー，
シルヴィオ シャッフナー，
トバイアス エシュリマン，
トバイアス エシュリマン，
オリヴァー ビュートリッヒ，
オリヴァー ビュートリッヒ，
トーマス バウアー，
トーマス バウアー，
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Coremedic AG
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Coremedic AG
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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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2454—Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457—Chordae tendineae prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466—Delivery devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0437—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
JP2018518491A 2015-10-21 2016-10-19 心臓弁修復用の医療器具および方法 Active JP6933421B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CH01535/15 2015-10-21
CH15352015 2015-10-21
PCT/CH2016/000138 WO2017066890A1 (en) 2015-10-21 2016-10-19 Medical instrument and method for heart valve repair

Publications (3)

Publication Number Publication Date
JP2018533398A JP2018533398A (ja) 2018-11-15
JP2018533398A5 JP2018533398A5 (enExample) 2019-11-28
JP6933421B2 true JP6933421B2 (ja) 2021-09-08

Family

ID=57199849

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JP2018518491A Active JP6933421B2 (ja) 2015-10-21 2016-10-19 心臓弁修復用の医療器具および方法

Country Status (5)

Country Link
US (1) US10799357B2 (enExample)
EP (1) EP3364884B1 (enExample)
JP (1) JP6933421B2 (enExample)
CN (1) CN108289662B (enExample)
WO (1) WO2017066890A1 (enExample)

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GB2536538B (en) 2014-09-17 2018-07-18 Cardiomech As Anchor for implantation in body tissue
CN108778187A (zh) 2015-12-30 2018-11-09 管道医疗技术股份有限公司 二尖瓣瓣叶拴系
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
DE102017002974B4 (de) * 2017-03-28 2024-08-08 Immanuel Albertinen Diakonie Ggmbh Herzklappen-Implantat, geeignet für den Einsatz in der minimal-invasiven Chirurgie zur Reparatur einer Herzklappe und/oder eines Herzklappensegels am schlagenden Herzen und Herzklappen-lmplantat-System
WO2019072412A1 (de) * 2017-10-12 2019-04-18 Christoph Miethke Gmbh & Co Kg Perikardgreifer und verfahren zur implantation eines temporären herzunterstützungssystems
US11376127B2 (en) * 2017-12-20 2022-07-05 W. L. Gore & Associates, Inc. Artificial chordae tendineae repair devices and delivery thereof
CN109009490B (zh) * 2018-09-13 2023-11-24 中国医科大学附属盛京医院 柔性可回收穿刺锚及其固定器
CA3120462A1 (en) 2018-11-29 2020-06-04 Cardiomech As Device for heart repair
WO2020109579A1 (en) * 2018-11-29 2020-06-04 Cardiomech As Device for heart repair
JP2022513793A (ja) 2018-12-12 2022-02-09 パイプライン メディカル テクノロジーズ， インコーポレイテッド 僧帽弁腱索修復のための方法及び装置
US20200188115A1 (en) * 2018-12-13 2020-06-18 Medtronic Vascular, Inc. Heart valve repair tool and techniques
WO2020187944A1 (en) 2019-03-19 2020-09-24 Coremedic Gmbh Instrument for repairing an atrioventricular heart valve
JP7318013B2 (ja) * 2019-07-03 2023-07-31 ボストン サイエンティフィック サイムド，インコーポレイテッド 人工腱索のための装置、システム及び方法
EP3993709B1 (en) 2019-07-03 2024-08-28 Boston Scientific Scimed, Inc. System for anchoring an artificial chordae tendineae to a papillary muscle or heart wall
JP7375050B2 (ja) 2019-07-03 2023-11-07 ボストン サイエンティフィック サイムド，インコーポレイテッド 弁尖と乳頭筋または心臓壁の間の人工腱索に調節可能に張力付与するためのデバイス、システム、および方法
US11850152B2 (en) 2019-07-03 2023-12-26 Boston Scientific Scimed, Inc. Devices, systems, and methods for artificial chordae tendineae
EP3996606B1 (en) 2019-07-12 2025-09-10 Boston Scientific Scimed, Inc. Systems for clamping an artificial chordae tendineae to a leaflet of a heart valve
US12208008B2 (en) 2019-12-09 2025-01-28 Boston Scientific Scimed, Inc. Edge to edge repair device for valves
US12350155B2 (en) 2020-06-17 2025-07-08 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
JP7784416B2 (ja) * 2020-09-30 2025-12-11 ボストン サイエンティフィック サイムド，インコーポレイテッド 心臓内において人工腱索にかかるテンションを調整可能にするための装置及びシステム
GB2601146B (en) * 2020-11-19 2023-02-22 Cardiomech As Device for heart repair
CN113017923B (zh) * 2021-03-05 2025-04-08 上海骊霄医疗技术有限公司 一种直接穿刺可调节的二尖瓣修复装置
EP4629904A1 (en) 2022-12-06 2025-10-15 Boston Scientific Scimed Inc. Medical device for cutting a suture during a minimally invasive procedure
CN119097471B (zh) * 2023-06-08 2025-11-14 杭州德晋医疗科技有限公司 人工腱索植入器械
CN117017573A (zh) * 2023-07-12 2023-11-10 金仕生物科技（常熟）有限公司 可实现对腱索进行滑动调节的辅助器件
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Also Published As

Publication number Publication date
EP3364884A1 (en) 2018-08-29
CN108289662B (zh) 2021-03-12
CN108289662A (zh) 2018-07-17
US10799357B2 (en) 2020-10-13
JP2018533398A (ja) 2018-11-15
WO2017066890A1 (en) 2017-04-27
US20180303614A1 (en) 2018-10-25
EP3364884B1 (en) 2020-02-05

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