JP7541039B2 - 人工弁の直径推定のためのデバイスおよび方法 - Google Patents

人工弁の直径推定のためのデバイスおよび方法 Download PDF

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Publication number
JP7541039B2
JP7541039B2 JP2021574852A JP2021574852A JP7541039B2 JP 7541039 B2 JP7541039 B2 JP 7541039B2 JP 2021574852 A JP2021574852 A JP 2021574852A JP 2021574852 A JP2021574852 A JP 2021574852A JP 7541039 B2 JP7541039 B2 JP 7541039B2
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Japan
Prior art keywords
recompression
prosthetic valve
valve
assembly
diameter
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Japanese (ja)
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JP2023501846A (ja
JP2023501846A5 (enExample
Inventor
オーレン・コーエン
エラザール・リーヴァイ・シュワルツ
オフィル・ウィッツマン
エイタン・アティアス
ノーム・ミラー
トメル・サール
ノア・アクセルロッド・マネラ
エラン・ゴールドバーグ
タル・レイチ
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Edwards Lifesciences Corp
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Edwards Lifesciences Corp
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Priority to JP2024135477A priority Critical patent/JP7849420B2/ja
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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
    • A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/243—Deployment by mechanical expansion
    • 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439—Expansion controlled by filaments
    • 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
    • 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
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • 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
    • A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
    • 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
    • A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter
    • 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
    • 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
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2021574852A 2019-10-30 2020-10-27 人工弁の直径推定のためのデバイスおよび方法 Active JP7541039B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2024135477A JP7849420B2 (ja) 2019-10-30 2024-08-14 人工弁の直径推定のためのデバイスおよび方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962928320P 2019-10-30 2019-10-30
US62/928,320 2019-10-30
PCT/US2020/057502 WO2021086836A1 (en) 2019-10-30 2020-10-27 Devices and methods for prosthetic valve diameter estimation

Related Child Applications (1)

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JP2024135477A Division JP7849420B2 (ja) 2019-10-30 2024-08-14 人工弁の直径推定のためのデバイスおよび方法

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JP2023501846A JP2023501846A (ja) 2023-01-20
JP2023501846A5 JP2023501846A5 (enExample) 2023-11-08
JP7541039B2 true JP7541039B2 (ja) 2024-08-27

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JP2021574852A Active JP7541039B2 (ja) 2019-10-30 2020-10-27 人工弁の直径推定のためのデバイスおよび方法
JP2024135477A Active JP7849420B2 (ja) 2019-10-30 2024-08-14 人工弁の直径推定のためのデバイスおよび方法

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US (2) US20220331132A1 (enExample)
EP (1) EP4051178A1 (enExample)
JP (2) JP7541039B2 (enExample)
CN (1) CN114945344A (enExample)
CA (1) CA3143501A1 (enExample)
WO (1) WO2021086836A1 (enExample)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4069148A1 (en) * 2019-12-06 2022-10-12 Edwards Lifesciences Corporation Flex sensors for measuring real-time valve diameter during procedure
WO2022072564A1 (en) * 2020-09-30 2022-04-07 Edwards Lifesciences Corporation Delivery apparatus for mechanically expandable valve
WO2022256590A1 (en) * 2021-06-03 2022-12-08 Edwards Lifesciences Corporation Skirt for prosthetic heart valve
US20230063977A1 (en) * 2021-08-31 2023-03-02 Kennesaw State University Research And Service Foundation, Inc. Transcatheter soft robot
EP4475797A1 (en) * 2022-01-24 2024-12-18 Vactronix Scientific, LLC Cardiac valves having biased cells and methods of making same
US11517430B1 (en) 2022-01-24 2022-12-06 Vactronix Scientific, Llc Biased cell, devices using same, and methods of making and using same
WO2023167851A1 (en) * 2022-03-02 2023-09-07 Edwards Lifesciences Corporation Devices and methods for prosthetic valve positioning
CN120112251A (zh) * 2022-09-20 2025-06-06 波士顿科学国际有限公司 具有可视取向指示器的可植入医疗装置
JP2026508620A (ja) * 2023-03-16 2026-03-11 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 一次視覚インジケータを視認するための適切な配置を確実にする二次視覚インジケータを具備したステント送達装置
WO2025032469A1 (en) * 2023-08-04 2025-02-13 Libra Science Ltd. System and methods for supporting a tavi procedure

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US20100249896A1 (en) 2009-03-31 2010-09-30 Terumo Kabushiki Kaisha Stent delivery system
WO2014179763A1 (en) 2013-05-03 2014-11-06 Medtronic Inc. Valve delivery tool
WO2017117391A1 (en) 2016-01-01 2017-07-06 Intact Vascular, Inc. Delivery device and method of delivery
US20190125534A1 (en) 2017-10-31 2019-05-02 W. L. Gore & Associates, Inc. Transcatheter deployment systems and associated methods

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US6893460B2 (en) 2001-10-11 2005-05-17 Percutaneous Valve Technologies Inc. Implantable prosthetic valve
WO2004087017A1 (en) * 2003-04-02 2004-10-14 Boston Scientific Limited Detachable and retrievable stent assembly
US8579962B2 (en) * 2003-12-23 2013-11-12 Sadra Medical, Inc. Methods and apparatus for performing valvuloplasty
JP5386363B2 (ja) 2007-05-17 2014-01-15 Dic株式会社 ネマチック液晶組成物及びバイステイブルネマチック液晶表示素子
GB2476451A (en) * 2009-11-19 2011-06-29 Cook William Europ Stent Graft
PT4233799T (pt) 2008-06-06 2024-08-08 Edwards Lifesciences Corp Válvula cardíaca transcateter de baixo perfil
US8323335B2 (en) * 2008-06-20 2012-12-04 Edwards Lifesciences Corporation Retaining mechanisms for prosthetic valves and methods for using
EP2747716B1 (en) * 2011-08-22 2020-03-18 Cook Medical Technologies LLC Reconstrainable stent system
US9827093B2 (en) 2011-10-21 2017-11-28 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
US20170209268A1 (en) * 2016-01-27 2017-07-27 Medtronic, Inc. Systems and methods for repositioning a fully deployed valve assembly
US10603165B2 (en) 2016-12-06 2020-03-31 Edwards Lifesciences Corporation Mechanically expanding heart valve and delivery apparatus therefor
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US20100249896A1 (en) 2009-03-31 2010-09-30 Terumo Kabushiki Kaisha Stent delivery system
JP2010233934A (ja) 2009-03-31 2010-10-21 Terumo Corp 生体器官病変部改善用器具
WO2014179763A1 (en) 2013-05-03 2014-11-06 Medtronic Inc. Valve delivery tool
JP2016517749A (ja) 2013-05-03 2016-06-20 メドトロニック,インコーポレイテッド 弁搬送ツール
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US20190125534A1 (en) 2017-10-31 2019-05-02 W. L. Gore & Associates, Inc. Transcatheter deployment systems and associated methods

Also Published As

Publication number Publication date
JP2023501846A (ja) 2023-01-20
US20260183130A1 (en) 2026-07-02
WO2021086836A1 (en) 2021-05-06
EP4051178A1 (en) 2022-09-07
CN114945344A (zh) 2022-08-26
US20220331132A1 (en) 2022-10-20
JP7849420B2 (ja) 2026-04-21
JP2024161482A (ja) 2024-11-19
CA3143501A1 (en) 2021-05-06

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