JP7618595B2 - 心臓弁の解剖学的構造の蛍光透視法による視覚化 - Google Patents

心臓弁の解剖学的構造の蛍光透視法による視覚化 Download PDF

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JP7618595B2
JP7618595B2 JP2021574831A JP2021574831A JP7618595B2 JP 7618595 B2 JP7618595 B2 JP 7618595B2 JP 2021574831 A JP2021574831 A JP 2021574831A JP 2021574831 A JP2021574831 A JP 2021574831A JP 7618595 B2 JP7618595 B2 JP 7618595B2
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annulus
tissue
marking device
application
radiopaque
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JP2022542766A5 (enExample
JP2022542766A (ja
Inventor
タル・シェプス
エフド・イフラ
ヤロン・ヘルマン
アサフ・シャロン
ボアズ・マナッシュ
シュロミト・チャペル－ラム
エラン・ホファー
オル・コーヘン
ヴァディム・ゴードン
ベザレル・ハベルマン・ブラウンズ
タル・レイチ
タル・ベンシャハル
アミット・ピアー
ガド・テンネンバウム
リオール・ハルーシュ
メアー・クツィク
ユヴァル・カシェル
オル・チェルニン
エヴァ・クルツ・ロミト
サリト・アヴィヴィ
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エドワーズ ライフサイエンシーズ イノベーション （イスラエル） リミテッド
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    • 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
    • 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
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
    • 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
    • A61F2/2496—Devices for determining the dimensions of the prosthetic valve to be implanted, e.g. templates, sizers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22068—Centering
    • 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
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/001—Figure-8-shaped, e.g. hourglass-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • 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)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
JP2021574831A 2019-07-23 2020-07-22 心臓弁の解剖学的構造の蛍光透視法による視覚化 Active JP7618595B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025002270A JP2025039694A (ja) 2019-07-23 2025-01-07 心臓弁の解剖学的構造の蛍光透視法による視覚化

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962877785P 2019-07-23 2019-07-23
US62/877,785 2019-07-23
PCT/IL2020/050807 WO2021014439A2 (en) 2019-07-23 2020-07-22 Fluoroscopic visualization of heart valve anatomy

Related Child Applications (1)

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JP2025002270A Division JP2025039694A (ja) 2019-07-23 2025-01-07 心臓弁の解剖学的構造の蛍光透視法による視覚化

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JP2022542766A JP2022542766A (ja) 2022-10-07
JP2022542766A5 JP2022542766A5 (enExample) 2023-07-27
JP7618595B2 true JP7618595B2 (ja) 2025-01-21

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JP2025002270A Pending JP2025039694A (ja) 2019-07-23 2025-01-07 心臓弁の解剖学的構造の蛍光透視法による視覚化

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EP (2) EP4570294A3 (enExample)
JP (2) JP7618595B2 (enExample)
CN (1) CN114521137B (enExample)
AU (1) AU2020317121A1 (enExample)
BR (1) BR112022001126A2 (enExample)
CA (1) CA3142674A1 (enExample)
CR (1) CR20210636A (enExample)
IL (1) IL288482A (enExample)
MX (1) MX2021015090A (enExample)
WO (1) WO2021014439A2 (enExample)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023173349A1 (en) * 2022-03-17 2023-09-21 Medtronic, Inc. Implantable apapratus having markers for determining penetration depth

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US20080125860A1 (en) 2002-11-15 2008-05-29 Webler William E Valve aptation assist device
JP2008529561A (ja) 2005-01-11 2008-08-07 エイジーエイ メディカル コーポレイション 開放構造のサイジング装置
JP2012532677A (ja) 2009-07-07 2012-12-20 トーマス ジー． ゴフ， 一時的放射線放射線不透過性要素の送達および移動のためのデバイスおよび方法
US20140222144A1 (en) 2013-02-01 2014-08-07 Medtronic CV Luxembourg S.a.r.l Anti-Paravalvular Leakage Component for a Transcatheter Valve Prosthesis
US20150045826A1 (en) 2013-08-06 2015-02-12 Intervalve, Inc. Bulbous Balloon With Mechanical Pressure Regulator
US20150306359A1 (en) 2014-04-23 2015-10-29 Intervalve, Inc. Post Dilation Balloon With Marker Bands For Use With Stented Valves
US20160331536A1 (en) 2015-05-15 2016-11-17 Intervalve, Inc. Mitral Annular Measurement And LVOT Obstruction Tool

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EP1991168B1 (en) * 2006-02-16 2016-01-27 Transcatheter Technologies GmbH Minimally invasive heart valve replacement
WO2010073246A2 (en) 2008-12-22 2010-07-01 Valtech Cardio, Ltd. Adjustable annuloplasty devices and adjustment mechanisms therefor
US8940044B2 (en) * 2011-06-23 2015-01-27 Valtech Cardio, Ltd. Closure element for use with an annuloplasty structure
US8147542B2 (en) 2008-12-22 2012-04-03 Valtech Cardio, Ltd. Adjustable repair chords and spool mechanism therefor
US8911494B2 (en) 2009-05-04 2014-12-16 Valtech Cardio, Ltd. Deployment techniques for annuloplasty ring
US8715342B2 (en) 2009-05-07 2014-05-06 Valtech Cardio, Ltd. Annuloplasty ring with intra-ring anchoring
US8808368B2 (en) 2008-12-22 2014-08-19 Valtech Cardio, Ltd. Implantation of repair chords in the heart
US8579964B2 (en) * 2010-05-05 2013-11-12 Neovasc Inc. Transcatheter mitral valve prosthesis
US20120296160A1 (en) * 2011-05-17 2012-11-22 Boston Scientific Scimed, Inc. Positioning Cage
US9364326B2 (en) * 2011-06-29 2016-06-14 Mitralix Ltd. Heart valve repair devices and methods
EP3970627B1 (en) 2011-11-08 2023-12-20 Edwards Lifesciences Innovation (Israel) Ltd. Controlled steering functionality for implant-delivery tool
US9078747B2 (en) * 2011-12-21 2015-07-14 Edwards Lifesciences Corporation Anchoring device for replacing or repairing a heart valve
US9949828B2 (en) * 2012-10-23 2018-04-24 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
WO2015013536A2 (en) * 2013-07-24 2015-01-29 Shifamed Holdings, Llc Heart valve sizing
SG11201708397PA (en) * 2015-04-30 2017-11-29 Valtech Cardio Ltd Annuloplasty technologies
US10500049B2 (en) * 2016-10-31 2019-12-10 Cardiac Implants Llc Flexible radio-opaque protrusions for revealing the position of a constricting cord or annulus ring prior to installation onto a cardiac valve annulus
US10517598B2 (en) * 2017-06-07 2019-12-31 Evalve, Inc. Tissue tensioning device for cardiac valve repair

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080125860A1 (en) 2002-11-15 2008-05-29 Webler William E Valve aptation assist device
JP2008529561A (ja) 2005-01-11 2008-08-07 エイジーエイ メディカル コーポレイション 開放構造のサイジング装置
JP2012532677A (ja) 2009-07-07 2012-12-20 トーマス ジー． ゴフ， 一時的放射線放射線不透過性要素の送達および移動のためのデバイスおよび方法
US20140222144A1 (en) 2013-02-01 2014-08-07 Medtronic CV Luxembourg S.a.r.l Anti-Paravalvular Leakage Component for a Transcatheter Valve Prosthesis
US20150045826A1 (en) 2013-08-06 2015-02-12 Intervalve, Inc. Bulbous Balloon With Mechanical Pressure Regulator
US20150306359A1 (en) 2014-04-23 2015-10-29 Intervalve, Inc. Post Dilation Balloon With Marker Bands For Use With Stented Valves
US20160331536A1 (en) 2015-05-15 2016-11-17 Intervalve, Inc. Mitral Annular Measurement And LVOT Obstruction Tool

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Publication number Publication date
WO2021014439A3 (en) 2021-03-04
EP4003232B1 (en) 2025-04-30
CN114521137B (zh) 2025-07-15
EP4570294A3 (en) 2025-09-10
WO2021014439A2 (en) 2021-01-28
CR20210636A (es) 2022-05-30
MX2021015090A (es) 2022-01-18
EP4570294A2 (en) 2025-06-18
AU2020317121A1 (en) 2021-12-23
CN114521137A (zh) 2022-05-20
BR112022001126A2 (pt) 2022-05-17
IL288482A (en) 2022-01-01
EP4003232A2 (en) 2022-06-01
JP2022542766A (ja) 2022-10-07
JP2025039694A (ja) 2025-03-21
CA3142674A1 (en) 2021-01-28

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