JP7648547B2 - 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定 - Google Patents

心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定 Download PDF

Info

Publication number
JP7648547B2
JP7648547B2 JP2021575005A JP2021575005A JP7648547B2 JP 7648547 B2 JP7648547 B2 JP 7648547B2 JP 2021575005 A JP2021575005 A JP 2021575005A JP 2021575005 A JP2021575005 A JP 2021575005A JP 7648547 B2 JP7648547 B2 JP 7648547B2
Authority
JP
Japan
Prior art keywords
sensor
shaft
nosecone
valve
lumen
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2021575005A
Other languages
English (en)
Japanese (ja)
Other versions
JP2023501847A5 (enExample
JP2023501847A (ja
Inventor
エラン・ゴールドバート
タミール・エス・リーヴァイ
デイヴィッド・マイモン
オーレン・コーエン
マーティン・リース・トーマス
トメル・サール
エラザール・リーヴァイ・シュワルツ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Edwards Lifesciences Corp
Original Assignee
Edwards Lifesciences Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Publication of JP2023501847A publication Critical patent/JP2023501847A/ja
Publication of JP2023501847A5 publication Critical patent/JP2023501847A5/ja
Priority to JP2025035606A priority Critical patent/JP2025100537A/ja
Application granted granted Critical
Publication of JP7648547B2 publication Critical patent/JP7648547B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02154—Measuring pressure in heart or blood vessels by means inserted into the body by optical transmission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0883—Clinical applications for diagnosis of the heart
    • 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
    • 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
    • A61F2/2436—Deployment by retracting a sheath
    • 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
    • A61F2/02—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
    • 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
    • A61F2/2472—Devices for testing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • 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
    • 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
    • A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001—Designing or manufacturing processes
    • A61F2240/008—Means for testing implantable prostheses
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M2025/0001—Catheters; Hollow probes for pressure measurement
    • A61M2025/0002—Catheters; Hollow probes for pressure measurement with a pressure sensor at the distal end

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Prostheses (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2021575005A 2019-10-31 2020-10-30 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定 Active JP7648547B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025035606A JP2025100537A (ja) 2019-10-31 2025-03-06 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962928925P 2019-10-31 2019-10-31
US62/928,925 2019-10-31
PCT/US2020/058106 WO2021087196A1 (en) 2019-10-31 2020-10-30 Real time measurements of physiological parameters associated with heart valve replacement

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025035606A Division JP2025100537A (ja) 2019-10-31 2025-03-06 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定

Publications (3)

Publication Number Publication Date
JP2023501847A JP2023501847A (ja) 2023-01-20
JP2023501847A5 JP2023501847A5 (enExample) 2023-11-02
JP7648547B2 true JP7648547B2 (ja) 2025-03-18

Family

ID=73554503

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2021575005A Active JP7648547B2 (ja) 2019-10-31 2020-10-30 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定
JP2025035606A Pending JP2025100537A (ja) 2019-10-31 2025-03-06 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2025035606A Pending JP2025100537A (ja) 2019-10-31 2025-03-06 心臓弁交換に関連付けられる生理学的パラメータのリアルタイム測定

Country Status (6)

Country Link
US (1) US20220257128A1 (enExample)
EP (2) EP4051181B1 (enExample)
JP (2) JP7648547B2 (enExample)
CN (2) CN215960462U (enExample)
CA (1) CA3143511A1 (enExample)
WO (1) WO2021087196A1 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023137024A1 (en) * 2022-01-17 2023-07-20 Edwards Lifesciences Corporation Mechanical wave sensor for detecting detachment of prosthetic valve actuator
WO2023141067A1 (en) * 2022-01-19 2023-07-27 Edwards Lifesciences Corporation Prosthetic valve actuator attachment status detection system
WO2023167851A1 (en) * 2022-03-02 2023-09-07 Edwards Lifesciences Corporation Devices and methods for prosthetic valve positioning
CN119173228A (zh) * 2022-05-02 2024-12-20 美敦力公司 具有支撑延伸部的经导管假体心脏瓣膜递送装置及将假体心脏瓣膜装载到递送装置的方法
WO2024191981A1 (en) * 2023-03-13 2024-09-19 Edwards Lifesciences Corporation Tissue perforation assemblies with stiff dilators
CN116672051B (zh) * 2023-07-21 2023-11-07 合源医疗器械(上海)有限公司 输送装置和医疗系统
US20260199686A1 (en) * 2025-01-10 2026-07-16 Impulse Dynamics Nv Ccm stimulation as a treatment for cardiac anti-inflammatory
CN120770983B (zh) * 2025-09-09 2025-11-28 四川大学华西医院 一种用于人工瓣膜植入的装置

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005291945A (ja) 2004-03-31 2005-10-20 Masaki Esashi センサ装置
JP2016518223A (ja) 2013-05-16 2016-06-23 シンセオン カーディオロジー， エルエルシー 能動的に制御可能なステント、ステントグラフト、心臓弁、及びそれらを制御する方法

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020072679A1 (en) * 2000-12-12 2002-06-13 Schock Robert B. Intra-aortic balloon catheter having a fiberoptic sensor
US20060009740A1 (en) * 2001-08-28 2006-01-12 Michael Higgins Multiple lumen catheter having a soft tip
US6893460B2 (en) 2001-10-11 2005-05-17 Percutaneous Valve Technologies Inc. Implantable prosthetic valve
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
PT4233799T (pt) 2008-06-06 2024-08-08 Edwards Lifesciences Corp Válvula cardíaca transcateter de baixo perfil
US20130274618A1 (en) * 2012-04-17 2013-10-17 Boston Scientific Scimed, Inc. Guidewire system for use in transcatheter aortic valve implantation procedures
US10667904B2 (en) * 2016-03-08 2020-06-02 Edwards Lifesciences Corporation Valve implant with integrated sensor and transmitter
US11272847B2 (en) * 2016-10-14 2022-03-15 Hemocath Ltd. System and apparatus comprising a multi-sensor catheter for right heart and pulmonary artery catheterization
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
CA3021877C (en) * 2017-11-14 2019-04-09 Three Rivers Cardiovascular Systems Inc. Dual sensor system for continuous blood pressure monitoring during transcatheter heart valve therapies

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005291945A (ja) 2004-03-31 2005-10-20 Masaki Esashi センサ装置
JP2016518223A (ja) 2013-05-16 2016-06-23 シンセオン カーディオロジー， エルエルシー 能動的に制御可能なステント、ステントグラフト、心臓弁、及びそれらを制御する方法

Also Published As

Publication number Publication date
EP4051181A1 (en) 2022-09-07
CN215960462U (zh) 2022-03-08
EP4659707A2 (en) 2025-12-10
JP2025100537A (ja) 2025-07-03
JP2023501847A (ja) 2023-01-20
CN114144143A (zh) 2022-03-04
CA3143511A1 (en) 2021-05-06
WO2021087196A1 (en) 2021-05-06
EP4659707A3 (en) 2026-03-18
EP4051181B1 (en) 2025-07-16
US20220257128A1 (en) 2022-08-18

Similar Documents

Publication Publication Date Title
EP4051181B1 (en) Real time measurements of physiological parameters associated with heart valve replacement
US10537287B2 (en) Sensors for prosthetic heart devices
US20220287851A1 (en) Methods of personalizing drug treatment based on real-time pressure gradient measurements
EP3716912B1 (en) Prosthetic heart valve for cardiac hemodynamic optimization and monitoring
US9737264B2 (en) Sensors for prosthetic heart devices
US20260069418A1 (en) Valves and delivery apparatuses equipped with optic fiber sensors
US20230255752A1 (en) Sound and vibration sensors for estimating prosthetic valve diameter during expansion
US20240358506A1 (en) Mechanical wave sensor for detecting detachment of prosthetic valve actuator
US20260060801A1 (en) Prosthetic valves and delivery assemblies with positioning and stabilization members
WO2025151779A1 (en) Delivery assemblies with ultrasound sensors

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20231025

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20231025

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20240716

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20240819

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20241119

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20250120

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20250204

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20250306

R150 Certificate of patent or registration of utility model

Ref document number: 7648547

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150