RU2014115208A - Обтураторные устройства - Google Patents

Обтураторные устройства Download PDF

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RU2014115208A
RU2014115208A RU2014115208/14A RU2014115208A RU2014115208A RU 2014115208 A RU2014115208 A RU 2014115208A RU 2014115208/14 A RU2014115208/14 A RU 2014115208/14A RU 2014115208 A RU2014115208 A RU 2014115208A RU 2014115208 A RU2014115208 A RU 2014115208A
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obturator
anchor
edge
obturator device
frame
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RU2014115208/14A
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Коуби К. ЛАРСЕН
Стивен Дж. МАСТЕРС
Эдвард И. ШОУ
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В.Л. Гор Энд Ассошиейтс, Инк.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214—Coils or wires
    • A61B17/12145—Coils or wires having a pre-set deployed three-dimensional shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214—Coils or wires
    • A61B17/1215—Coils or wires comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00579—Barbed implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00592—Elastic or resilient implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00597—Implements comprising a membrane
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00632—Occluding a cavity, i.e. closing a blind opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00641—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closing fistulae, e.g. anorectal fistulae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
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  • Engineering & Computer Science (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

1. Устройство обтураторное, содержащее:каркасный элемент, имеющий внешний край и внутренний край, транспортную конфигурацию и развернутую конфигурацию; иобтураторную грань, имеющую периферическую кромку,обтураторная кромка ориентирована в сторону внутреннего края каркасного элемента; и,по меньшей мере,, один якорь, расположенный на периферической кромке обтураторной грани; и,по меньшей мере,, один якорь, идущий под прямым углом к периферической кромке обтураторной грани.2. Устройство обтураторное по п. 1, в котором, по меньшей мере, один якорь содержит зацепляющийся с тканью элемент, который выступает во внутреннем направлении относительно осевого размера устройства.3. Устройство обтураторное по п. 1, в котором, по меньшей мере, один якорь содержит зацепляющийся с тканью элемент, который выступает во внешнем направлении относительно осевого размера устройства.4. Устройство обтураторное по п. 1, в котором, по меньшей мере,, один якорь включает зацепляющийся с тканью элемент, который проходит в тангенциальном направлении от участка каркасного элемента около якоря.5. Устройство обтураторное по п. 4, в котором, по меньшей мере,, один якорь расположен, по существу, в плоскости, определяемой периферической кромкой.6. Устройство обтураторное по п. 1, в котором обтураторная кромка является вогнутой.7. Устройство обтураторное по п. 1, в котором обтураторная кромка является выпуклой.8. Устройство обтураторное по п. 1, в котором обтураторная кромка является по существу плоской.9. Устройство обтураторное по п. 1, в котором множество якорей расположено на периферической кромке.10. Устройство обтураторное по п. 1, в котором каркас содер

Claims (24)

1. Устройство обтураторное, содержащее:
каркасный элемент, имеющий внешний край и внутренний край, транспортную конфигурацию и развернутую конфигурацию; и
обтураторную грань, имеющую периферическую кромку,
обтураторная кромка ориентирована в сторону внутреннего края каркасного элемента; и,
по меньшей мере,, один якорь, расположенный на периферической кромке обтураторной грани; и,
по меньшей мере,, один якорь, идущий под прямым углом к периферической кромке обтураторной грани.
2. Устройство обтураторное по п. 1, в котором, по меньшей мере, один якорь содержит зацепляющийся с тканью элемент, который выступает во внутреннем направлении относительно осевого размера устройства.
3. Устройство обтураторное по п. 1, в котором, по меньшей мере, один якорь содержит зацепляющийся с тканью элемент, который выступает во внешнем направлении относительно осевого размера устройства.
4. Устройство обтураторное по п. 1, в котором, по меньшей мере,, один якорь включает зацепляющийся с тканью элемент, который проходит в тангенциальном направлении от участка каркасного элемента около якоря.
5. Устройство обтураторное по п. 4, в котором, по меньшей мере,, один якорь расположен, по существу, в плоскости, определяемой периферической кромкой.
6. Устройство обтураторное по п. 1, в котором обтураторная кромка является вогнутой.
7. Устройство обтураторное по п. 1, в котором обтураторная кромка является выпуклой.
8. Устройство обтураторное по п. 1, в котором обтураторная кромка является по существу плоской.
9. Устройство обтураторное по п. 1, в котором множество якорей расположено на периферической кромке.
10. Устройство обтураторное по п. 1, в котором каркас содержит скошенный участок.
11. Устройство обтураторное по п. 1, дополнительно включающее мембрану, конфигурация которой обеспечивает предотвращение прохода крови, при этом мембрана покрывает, по меньшей мере,, один участок каркаса.
12. Устройство обтураторное по п. 11, в котором мембрана содержит фторполимер.
13. Устройство обтураторное по п. 11, в котором мембрана содержит политетрафторэтилен.
14. Устройство обтураторное по п. 11, в котором мембрана содержит расширенный политетрафторэтилен.
15. Устройство обтураторное по п. 1, в котором каркас содержит множество проволок.
16. Устройство обтураторное по п. 15, в котором множество проволок содержит нитинол.
17. Устройство обтураторное по п. 1, в котором каркас содержит цилиндрический участок, который проходит на первое расстояние от обтураторной грани, по существу, в наружном направлении, и скошенный участок, идущий от внешнего края цилиндрического участка к внешнему краю каркаса.
18. Устройство обтураторное по п. 17, дополнительно включающее один или большее число якорей, расположенных около стыка цилиндрического участка и скошенного участка.
19. Устройство обтураторное по п. 1, в котором каркас включает лепестковую форму и вершину лепестковой формы, при этом вершина лепестковой формы включает изгиб в каркасном элементе.
20. Устройство обтураторное по п. 19, в котором, по меньшей мере,, один якорь расположен на вершине лепестковой формы.
21. Устройство обтураторное по п. 20, в котором, по меньшей мере,, один якорь содержит первую манжету и вторую манжету, при этом каркасный элемент проходит через первую и вторую манжеты, и первая манжета расположена на первой стороне вершины, а вторая манжета расположена на второй стороне вершины, которая отлична от первой стороны.
22. Способ перекрытия сосуда, содержащий:
установку обтураторного устройства, которое содержит (а) каркасный элемент, имеющий внешний край и внутренний край и транспортную конфигурацию и развернутую конфигурацию; (b) обтураторную грань, имеющую периферическую кромку и установленную в сторону внешнего края каркасного элемента; и (с), по меньшей мере, один якорь, расположенный на периферической кромке обтураторной грани, при этом, по меньшей мере, один участок, по меньшей мере, одного якоря проходит под острым углом к периферической кромке обтураторной грани;
приведение обтураторного устройства в транспортную конфигурацию и продвижение обтураторного устройства к целевому участку;
развертывание обтураторного устройства на целевом участке.
23. Способ по п. 22, в котором целевой участок является ушком левого предсердия.
24. Способ по п. 23, в котором, по меньшей мере,, один якорь зацепляется с тканью около устья ушка левого предсердия.
RU2014115208/14A 2011-09-16 2012-09-14 Обтураторные устройства RU2014115208A (ru)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201161535830P 2011-09-16 2011-09-16
US61/535,830 2011-09-16
US13/615,228 US9554806B2 (en) 2011-09-16 2012-09-13 Occlusive devices
US13/615,228 2012-09-13
PCT/US2012/055537 WO2013040431A1 (en) 2011-09-16 2012-09-14 Occlusive devices with anchors extending from peripheral edge of the occlusive face

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RU2014115208A true RU2014115208A (ru) 2015-10-27

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US (5) US9554806B2 (ru)
EP (4) EP3560430B1 (ru)
JP (2) JP2014531249A (ru)
KR (1) KR101942129B1 (ru)
CN (1) CN103945775B (ru)
AU (2) AU2012308322B2 (ru)
BR (1) BR112014005679A2 (ru)
CA (2) CA2972536C (ru)
ES (2) ES2960497T3 (ru)
HK (1) HK1198900A1 (ru)
RU (1) RU2014115208A (ru)
WO (1) WO2013040431A1 (ru)

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AU2012308322A1 (en) 2014-03-13
JP2017196447A (ja) 2017-11-02
CA2972536A1 (en) 2013-03-21
US20210038230A1 (en) 2021-02-11
US20170181751A1 (en) 2017-06-29
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AU2012308322B2 (en) 2016-04-07
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AU2016204722A1 (en) 2016-07-28
KR101942129B1 (ko) 2019-01-24
US11457925B2 (en) 2022-10-04
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EP2755561B1 (en) 2016-03-23
KR20140062160A (ko) 2014-05-22
CA2846903A1 (en) 2013-03-21
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US20140379019A1 (en) 2014-12-25
US9597086B2 (en) 2017-03-21
BR112014005679A2 (pt) 2017-03-28
CN103945775A (zh) 2014-07-23
US20240041467A1 (en) 2024-02-08
US9554806B2 (en) 2017-01-31
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US20130245666A1 (en) 2013-09-19
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