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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Prior art keywords
recompression
prosthetic valve
valve
assembly
diameter
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JP2021574852A
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Japanese (ja)
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JP2023501846A (ja
JP2023501846A5 (https=
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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    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (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 (https=) 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 (1) US20220331132A1 (https=)
EP (1) EP4051178A1 (https=)
JP (2) JP7541039B2 (https=)
CN (1) CN114945344A (https=)
CA (1) CA3143501A1 (https=)
WO (1) WO2021086836A1 (https=)

Families Citing this family (8)

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Publication number Priority date Publication date Assignee Title
CN216394380U (zh) * 2019-12-06 2022-04-29 爱德华兹生命科学公司 递送组件
EP4221636A1 (en) * 2020-09-30 2023-08-09 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
WO2023034382A1 (en) * 2021-08-31 2023-03-09 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
WO2025032469A1 (en) * 2023-08-04 2025-02-13 Libra Science Ltd. System and methods for supporting a tavi procedure

Citations (4)

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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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US5713948A (en) * 1995-07-19 1998-02-03 Uflacker; Renan Adjustable and retrievable graft and graft delivery system for stent-graft system
US6893460B2 (en) 2001-10-11 2005-05-17 Percutaneous Valve Technologies Inc. Implantable prosthetic valve
US20050131523A1 (en) * 2003-04-02 2005-06-16 Mehran Bashiri Detachable and retrievable stent assembly
US8579962B2 (en) * 2003-12-23 2013-11-12 Sadra Medical, Inc. Methods and apparatus for performing valvuloplasty
EP2147081A1 (en) 2007-05-17 2010-01-27 DIC Corporation Nematic liquid crystal composition and bistable nematic liquid crystal display
GB2476451A (en) * 2009-11-19 2011-06-29 Cook William Europ Stent Graft
CA3272239A1 (en) 2008-06-06 2025-10-28 Edwards Lifesciences Corporation Low profile transcatheter heart valve
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
US10869759B2 (en) 2017-06-05 2020-12-22 Edwards Lifesciences Corporation Mechanically expandable heart valve
US10806573B2 (en) 2017-08-22 2020-10-20 Edwards Lifesciences Corporation Gear drive mechanism for heart valve delivery apparatus

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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
WO2017117391A1 (en) 2016-01-01 2017-07-06 Intact Vascular, Inc. Delivery device and method of delivery
JP2019500136A (ja) 2016-01-01 2019-01-10 インタクト ヴァスキュラー インコーポレイテッドＩｎｔａｃｔ Ｖａｓｃｕｌａｒ， Ｉｎｃ． 搬送装置および搬送方法
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
US20220331132A1 (en) 2022-10-20
JP2024161482A (ja) 2024-11-19
JP7849420B2 (ja) 2026-04-21
WO2021086836A1 (en) 2021-05-06
CN114945344A (zh) 2022-08-26
EP4051178A1 (en) 2022-09-07
JP2023501846A (ja) 2023-01-20
CA3143501A1 (en) 2021-05-06

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