JP7671582B2 - 二重操縦可能シースおよび医療デバイスの展開のための方法 - Google Patents

二重操縦可能シースおよび医療デバイスの展開のための方法 Download PDF

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JP7671582B2
JP7671582B2 JP2020511337A JP2020511337A JP7671582B2 JP 7671582 B2 JP7671582 B2 JP 7671582B2 JP 2020511337 A JP2020511337 A JP 2020511337A JP 2020511337 A JP2020511337 A JP 2020511337A JP 7671582 B2 JP7671582 B2 JP 7671582B2
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sheath
steerable
different
steering
steering points
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JP2020531153A (ja
JP2020531153A5 (enExample
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シュタッペンベック ナディーネ
シュトラウビンガー ヘルムート
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トライケアス
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    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • 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
    • A61F2/95—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
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0141—Tip steering devices having flexible regions as a result of using materials with different mechanical properties
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull 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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • A61M2025/015—Details of the distal fixation of the movable mechanical means
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M2025/0161—Tip steering devices wherein the distal tips have two or more deflection regions
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/12—Blood circulatory system
    • A61M2210/125—Heart
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0136—Handles therefor

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2020511337A 2017-08-24 2018-08-22 二重操縦可能シースおよび医療デバイスの展開のための方法 Active JP7671582B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP17001430 2017-08-24
EP17001430.2 2017-08-24
PCT/EP2018/072686 WO2019038337A1 (en) 2017-08-24 2018-08-22 DOUBLE ORIENTABLE SHEATH AND METHOD FOR DEPLOYING A MEDICAL DEVICE

Publications (3)

Publication Number Publication Date
JP2020531153A JP2020531153A (ja) 2020-11-05
JP2020531153A5 JP2020531153A5 (enExample) 2021-10-07
JP7671582B2 true JP7671582B2 (ja) 2025-05-02

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JP2020511337A Active JP7671582B2 (ja) 2017-08-24 2018-08-22 二重操縦可能シースおよび医療デバイスの展開のための方法

Country Status (7)

Country Link
US (1) US11925555B2 (enExample)
EP (1) EP3672675A1 (enExample)
JP (1) JP7671582B2 (enExample)
CN (1) CN111032141A (enExample)
AU (1) AU2018320405B2 (enExample)
CA (1) CA3072301C (enExample)
WO (1) WO2019038337A1 (enExample)

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EP2896387A1 (en) 2014-01-20 2015-07-22 Mitricares Heart valve anchoring device
US10646689B2 (en) 2016-07-29 2020-05-12 Cephea Valve Technologies, Inc. Mechanical interlock for catheters
US11109967B2 (en) 2016-08-29 2021-09-07 Cephea Valve Technologies, Inc. Systems and methods for loading and deploying an intravascular device
AU2020324390B2 (en) 2019-08-02 2025-12-04 Vizaramed, Inc. Steerable sheath
US20230028589A1 (en) * 2019-12-17 2023-01-26 Lifetech Scientific (Shenzhen) Co., Ltd. Delivery sheath and medical device
CN112971899B (zh) * 2019-12-17 2023-01-03 先健科技(深圳)有限公司 输送鞘管和医疗器械
CN112971901B (zh) * 2019-12-17 2023-01-03 先健科技(深圳)有限公司 输送鞘管和医疗器械
US12036119B2 (en) * 2020-04-20 2024-07-16 Cephea Valve Technologies, Inc. Delivery system for heart valve replacement
EP4267228A2 (en) * 2020-12-22 2023-11-01 Covidien LP Dual articulating catheter
CN112915358B (zh) * 2021-01-27 2024-02-02 康迪泰科(北京)医疗科技有限公司 医用导管
JP7608900B2 (ja) * 2021-03-17 2025-01-07 住友ベークライト株式会社 デリバリー装置及び留置具付きデリバリー装置
US20220347437A1 (en) * 2021-05-03 2022-11-03 Oscor Inc. Deflectable peel away sheath
CN114082075B (zh) * 2021-09-28 2023-07-18 四川大学华西医院 一种辅助控弯鞘管
CN116407725A (zh) * 2021-12-30 2023-07-11 先健科技(深圳)有限公司 双向可调弯鞘管及介入器械
CN115969577A (zh) * 2022-10-09 2023-04-18 苏州汇禾医疗科技有限公司 心血管介入治疗器械的输送系统及鞘管
CN115568891B (zh) * 2022-11-18 2023-04-28 苏州汇禾医疗科技有限公司 一种用于介入治疗的输送系统
WO2024175810A1 (en) * 2023-02-24 2024-08-29 Aortyx S.L. Steerable catheters
CN119606493B (zh) * 2023-09-14 2025-09-19 杭州德晋医疗科技有限公司 便于定位的房间隔穿刺系统
WO2025117321A1 (en) * 2023-11-27 2025-06-05 Edwards Lifesciences Corporation Transcatheter heart valve delivery system solutions

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US20060041188A1 (en) 2003-03-25 2006-02-23 Dirusso Carlo A Flexible endoscope
US20070270679A1 (en) 2006-05-17 2007-11-22 Duy Nguyen Deflectable variable radius catheters
US20090287187A1 (en) 2008-05-07 2009-11-19 Guided Delivery Systems Inc. Deflectable guide

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US20060041188A1 (en) 2003-03-25 2006-02-23 Dirusso Carlo A Flexible endoscope
US20070270679A1 (en) 2006-05-17 2007-11-22 Duy Nguyen Deflectable variable radius catheters
US20090287187A1 (en) 2008-05-07 2009-11-19 Guided Delivery Systems Inc. Deflectable guide

Also Published As

Publication number Publication date
AU2018320405B2 (en) 2024-06-27
US20200360141A1 (en) 2020-11-19
US11925555B2 (en) 2024-03-12
WO2019038337A1 (en) 2019-02-28
EP3672675A1 (en) 2020-07-01
CA3072301C (en) 2024-01-16
JP2020531153A (ja) 2020-11-05
AU2018320405A1 (en) 2020-02-20
CA3072301A1 (en) 2019-02-28
CN111032141A (zh) 2020-04-17

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