JP7005710B2 - 血管オクルーダー - Google Patents
血管オクルーダー Download PDFInfo
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- JP7005710B2 JP7005710B2 JP2020136160A JP2020136160A JP7005710B2 JP 7005710 B2 JP7005710 B2 JP 7005710B2 JP 2020136160 A JP2020136160 A JP 2020136160A JP 2020136160 A JP2020136160 A JP 2020136160A JP 7005710 B2 JP7005710 B2 JP 7005710B2
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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
- A61B17/12159—Solid plugs; being solid before insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
-
- 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
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
-
- 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
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- 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
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12177—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
- A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
- A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
- A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
- A61B2017/00597—Implements comprising a membrane
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
- A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
-
- 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
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
- A61B2017/12068—Details concerning the detachment of the occluding device from the introduction device detachable by heat
-
- 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
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
- A61B2017/1209—Details concerning the detachment of the occluding device from the introduction device detachable by electrical current or potential, e.g. electroactive polymer
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Description
図22は、マイクロコイルを有する血管プラグの他の実施形態を示す図である。
Claims (15)
- カテーテル内での制限時に径方向に圧縮した構成と、非制限時に径方向に拡張した構成とを有し、該径方向に拡張した構成は略球形である、メッシュ部と、
前記メッシュ部の空洞内に位置するリング部であって、該リング部は円形であり、前記メッシュ部が前記径方向に拡張した構成にある時、前記メッシュ部の基端と先端との間の軸を横断する平面を形成する前記リング部と、
前記リング部に固定された膜であって、前記メッシュ部が前記径方向に拡張した構成にある時、前記メッシュ部の空洞をほぼ完全に横切って拡張し、前記メッシュ部の前記基端と前記先端との間の血液通過を遮断する前記膜と、
を含むことを特徴とする血管プラグ。 - 前記リング部は、前記メッシュ部の前記空洞の内径と同様のサイズの直径に拡張する請求項1に記載の血管プラグ。
- 前記リング部に接続され、前記メッシュ部の前記空洞の基端部にわたる基端支持アームをさらに含む請求項1に記載の血管プラグ。
- 前記基端支持アームは、前記メッシュ部の前記基端に接続される請求項3に記載の血管プラグ。
- 前記リング部に接続され、前記メッシュ部の前記空洞の先端部にわたる先端支持アームをさらに含む請求項1に記載の血管プラグ。
- 前記先端支持アームは、前記メッシュ部の前記先端に接続される請求項5に記載の血管プラグ。
- 前記リング部は、基端支持アームおよび先端支持アームに接続され、
前記基端支持アームは、前記メッシュ部の前記空洞の基端部にわたり、
前記先端支持アームは、前記メッシュ部の前記空洞の先端部にわたる請求項1に記載の血管プラグ。 - 前記基端支持アームおよび前記先端支持アームは、前記メッシュ部の中心近傍で径方向外向きに湾曲して前記リング部を画定する請求項7に記載の血管プラグ。
- 前記リング部は、単一のリング、または複数の重なり合うリングを含む請求項1に記載の血管プラグ。
- 前記リング部は、前記メッシュ部の前記基端と前記先端との間の前記軸に対してほぼ直角で、前記メッシュ部の前記空洞内に拡張する請求項1に記載の血管プラグ。
- 前記リング部は、前記メッシュ部の前記基端と前記先端との間の前記軸に対して非直角で、前記空洞内に拡張する請求項1に記載の血管プラグ。
- 前記膜は、前記メッシュ部が拡張した構成にある時、前記メッシュ部の前記基端と前記先端との間の前記軸に対してほぼ直角の構成をとる請求項1に記載の血管プラグ。
- 前記膜は、前記メッシュ部が拡張した構成にある時、前記メッシュ部の前記基端と前記先端との間の前記軸に対して非直角の構成をとる請求項1に記載の血管プラグ。
- 前記膜がPETを含む請求項1に記載の血管プラグ。
- 前記メッシュ部に接続された長尺のプッシャをさらに含む請求項1に記載の血管プラグ。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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JP2022000635A JP7338826B2 (ja) | 2016-06-10 | 2022-01-05 | 血管オクルーダー |
JP2023138441A JP2023169181A (ja) | 2016-06-10 | 2023-08-09 | 血管オクルーダー |
Applications Claiming Priority (2)
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US201662348729P | 2016-06-10 | 2016-06-10 | |
US62/348,729 | 2016-06-10 |
Related Parent Applications (1)
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JP2018564798A Division JP6750045B2 (ja) | 2016-06-10 | 2017-06-09 | 血管オクルーダー |
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JP2022000635A Division JP7338826B2 (ja) | 2016-06-10 | 2022-01-05 | 血管オクルーダー |
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JP2020203094A JP2020203094A (ja) | 2020-12-24 |
JP7005710B2 true JP7005710B2 (ja) | 2022-01-24 |
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JP2018564798A Active JP6750045B2 (ja) | 2016-06-10 | 2017-06-09 | 血管オクルーダー |
JP2020136160A Active JP7005710B2 (ja) | 2016-06-10 | 2020-08-12 | 血管オクルーダー |
JP2022000635A Active JP7338826B2 (ja) | 2016-06-10 | 2022-01-05 | 血管オクルーダー |
JP2023138441A Pending JP2023169181A (ja) | 2016-06-10 | 2023-08-09 | 血管オクルーダー |
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JP2018564798A Active JP6750045B2 (ja) | 2016-06-10 | 2017-06-09 | 血管オクルーダー |
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JP2022000635A Active JP7338826B2 (ja) | 2016-06-10 | 2022-01-05 | 血管オクルーダー |
JP2023138441A Pending JP2023169181A (ja) | 2016-06-10 | 2023-08-09 | 血管オクルーダー |
Country Status (5)
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US (3) | US10470773B2 (ja) |
EP (2) | EP3912569A1 (ja) |
JP (4) | JP6750045B2 (ja) |
CN (2) | CN109688940B (ja) |
WO (1) | WO2017214577A1 (ja) |
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JP2022062006A (ja) | 2022-04-19 |
CN111904522B (zh) | 2023-06-16 |
US11583287B2 (en) | 2023-02-21 |
US20170354421A1 (en) | 2017-12-14 |
JP2020203094A (ja) | 2020-12-24 |
JP2023169181A (ja) | 2023-11-29 |
EP3912569A1 (en) | 2021-11-24 |
CN109688940A (zh) | 2019-04-26 |
CN109688940B (zh) | 2020-09-22 |
WO2017214577A1 (en) | 2017-12-14 |
JP7338826B2 (ja) | 2023-09-05 |
JP6750045B2 (ja) | 2020-09-02 |
US10470773B2 (en) | 2019-11-12 |
EP3468479A4 (en) | 2020-02-19 |
US20230149024A1 (en) | 2023-05-18 |
JP2019519304A (ja) | 2019-07-11 |
EP3468479A1 (en) | 2019-04-17 |
EP3468479B1 (en) | 2021-08-04 |
US20200038034A1 (en) | 2020-02-06 |
CN111904522A (zh) | 2020-11-10 |
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