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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JP2020531153A5 (https=
JP2020531153A (ja
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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)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (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
EP17001430.2 2017-08-24
EP17001430 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 (https=) 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

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

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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
WO2020172224A1 (en) 2019-02-20 2020-08-27 Edwards Lifesciences Corporation Counterflexing steerable catheter for transcatheter heart valve therapy
WO2020239686A1 (en) 2019-05-27 2020-12-03 Tricares SAS Heart valve replacement prosthesis with variable sealing function
JP7660914B2 (ja) * 2019-08-02 2025-04-14 ビザラメド， インコーポレイテッド 操向可能シース
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
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
CA3170042A1 (en) * 2020-02-04 2021-08-12 Cardiovalve Ltd. Support-guided steering
US12036119B2 (en) * 2020-04-20 2024-07-16 Cephea Valve Technologies, Inc. Delivery system for heart valve replacement
WO2022140298A2 (en) * 2020-12-22 2022-06-30 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
US12551665B2 (en) * 2021-05-03 2026-02-17 Greatbatch Ltd. Deflectable peel away sheath
EP4376769A1 (en) * 2021-07-28 2024-06-05 Croivalve Ltd. Systems for delivering prosthetics to treat a cardiac valve
CN114082075B (zh) * 2021-09-28 2023-07-18 四川大学华西医院 一种辅助控弯鞘管
CN116407725B (zh) * 2021-12-30 2026-02-03 先健科技(深圳)有限公司 双向可调弯鞘管及介入器械
CN116687550A (zh) * 2022-02-25 2023-09-05 科凯(南通)生命科学有限公司 一种多向调弯导管
US20230364387A1 (en) * 2022-05-11 2023-11-16 Cephea Valve Technologies, Inc. Advanced 3-Way Steering
CN115300752B (zh) * 2022-10-09 2023-01-31 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、鞘管及其调弯方法
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
CN121152653A (zh) * 2023-02-24 2025-12-16 奥尔蒂克斯有限责任公司 可转向导管
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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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
WO2019038337A1 (en) 2019-02-28
CN111032141A (zh) 2020-04-17
US11925555B2 (en) 2024-03-12
AU2018320405A1 (en) 2020-02-20
EP3672675A1 (en) 2020-07-01
JP2020531153A (ja) 2020-11-05
US20200360141A1 (en) 2020-11-19
CA3072301C (en) 2024-01-16
CA3072301A1 (en) 2019-02-28

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