RU2016114525A - Медицинское устройство для модификации ушка левого предсердия и соответствующие системы и способы - Google Patents

Медицинское устройство для модификации ушка левого предсердия и соответствующие системы и способы Download PDF

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RU2016114525A
RU2016114525A RU2016114525A RU2016114525A RU2016114525A RU 2016114525 A RU2016114525 A RU 2016114525A RU 2016114525 A RU2016114525 A RU 2016114525A RU 2016114525 A RU2016114525 A RU 2016114525A RU 2016114525 A RU2016114525 A RU 2016114525A
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anchor
medical device
sleeve
occluder
carcass
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RU2016114525A
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RU2016114525A3 (ru
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Дэрил Р. ЭДМИСТОН
Кларк С. ДЭВИС
Джон Александер МАРТИН
Скотт Д. МАЙЛЗ
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Кохирекс Медикал, 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
    • A61B17/12—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
    • A61B17/0057—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
    • 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
    • A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure 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
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12177—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure comprising additional materials, e.g. thrombogenic, having filaments, having fibers or 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
    • A61B17/12—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
    • A61B17/12181—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00309—Cut-outs or slits
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • 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
    • 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
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/0069—Aspects not otherwise provided for with universal joint, cardan joint
    • 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
    • A61B2017/1205—Introduction devices
    • 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
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • 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
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • A61B2017/12095—Threaded connection

Claims (25)

1. Медицинское устройство для модификации ушка левого предсердия сердца, содержащее
участок анкера, включающий в себя сегменты каркаса анкера, причем каждый сегмент каркаса анкера проходит между первым концом и вторым концом, и второй конец каждого сегмента каркаса анкера связан со втулкой анкера; и
участок окклюдера, включающий в себя втулку, образующую ось, причем участок окклюдера включает в себя множество сегментов каркаса окклюдера, проходящих между проксимальным концом и дистальным концом, при этом проксимальный конец сегментов каркаса окклюдера связан с возможностью поворота со втулкой, а дистальный конец сегментов каркаса окклюдера связан с возможностью поворота с первым концом сегментов каркаса анкера.
2. Медицинское устройство по п. 1, в котором втулка анкера выполнена с возможностью перемещения вдоль оси для перемещения участка анкера между втянутым положением и раскрытым положением.
3. Медицинское устройство по п. 1, в котором втулка анкера выполнена с возможностью перемещения вдоль оси для перемещения, по меньшей мере, части участка анкера через втулку.
4. Медицинское устройство по п. 1, в котором участок окклюдера содержит элемент для прорастания ткани.
5. Медицинское устройство по п. 1, в котором участок окклюдера содержит, по меньшей мере, один из пеноматериала и вспененного политетрафторэтилена (ePTFE).
6. Медицинское устройство по п. 1, в котором сегменты каркаса окклюдера и сегменты каркаса анкера содержат суперэластичный материал.
7. Медицинское устройство по п. 6, в котором суперэластичный материал представляет собой материал нитинол.
8. Медицинское устройство для модификации ушка левого предсердия сердца, содержащее
участок окклюдера, включающий в себя втулку, образующую ось, причем участок окклюдера включает в себя каркас, проходящий между проксимальным концом и дистальным концом, при этом проксимальный конец каркаса связан со втулкой;
участок анкера, проходящий между первым концом и вторым концом, причем первый конец связан с возможностью поворота с дистальным концом каркаса, а второй конец связан со втулкой анкера, при этом втулка анкера выполнена с возможностью перемещения вдоль оси проксимально для перемещения участка анкера во втянутое положение анкера, при этом часть участка анкера выполнена с возможностью перемещения через втулку, а втулка анкера выполнена с возможностью перемещения вдоль оси дистально для перемещения участка анкера в раскрытое положение анкера.
9. Медицинское устройство по п. 8, в котором после перемещения участка анкера во втянутое положение анкера участок окклюдера сохраняет раскрытое положение.
10. Медицинское устройство по п. 8, в котором участок анкера содержит удлинения, проходящие дистально смежно с зубцами участка анкера и непрерывно проходящие вовнутрь, а затем проходящие проксимально ко втулке анкера.
11. Медицинское устройство по п. 8, в котором участок окклюдера содержит элемент для прорастания ткани.
12. Медицинское устройство по п. 8, в котором участок окклюдера содержит, по меньшей мере, один из пеноматериала и вспененного политетрафторэтилена (ePTFE).
13. Медицинское устройство по п. 8, в котором каркас содержит суперэластичный материал.
14. Медицинское устройство по п. 13, в котором суперэластичный материал представляет собой материал нитинол.
15. Медицинское устройство для модификации ушка левого предсердия сердца, содержащее
каркас, включающий в себя втулку, образующую ось, причем каркас включает в себя элемент для прорастания ткани, проходящий по проксимальной стороне каркаса, при этом каркас включает в себя участок анкера, проходящий дистально от элемента для прорастания ткани, при этом участок анкера включает в себя зубцы, выполненные с возможностью прикрепления к ушку левого предсердия, причем каркас включает в себя удлинения, проходящие дистально смежно от зубцов, при этом удлинения непрерывно проходят дистально и вовнутрь, а затем проходят проксимально ко вторичной втулке.
16. Медицинское устройство по п. 15, в котором вторичная втулка перемещается вдоль оси, причем при перемещении вторичной втулки вдоль оси каркас перемещается между нераскрытым положением и раскрытым положением.
17. Медицинское устройство по п. 15, в котором вторичная втулка перемещается проксимально и дистально вдоль оси, причем при перемещении вторичной втулки проксимально каркас перемещается в нераскрытое положение, и при перемещении вторичной втулки дистально каркас перемещается в раскрытое положение.
18. Медицинское устройство по п. 15, в котором вторичная втулка выполнена с возможностью перемещения вдоль оси относительно втулки.
19. Медицинское устройство по п. 15, в котором элемент для прорастания ткани содержит, по меньшей мере, один из пеноматериала и ePTFE.
20. Медицинское устройство по п. 15, в котором каркас содержит суперэластичный материал.
RU2016114525A 2015-04-16 2016-04-15 Медицинское устройство для модификации ушка левого предсердия и соответствующие системы и способы RU2016114525A (ru)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201562148317P 2015-04-16 2015-04-16
US62/148,317 2015-04-16
US15/094,254 US10064628B2 (en) 2009-06-17 2016-04-08 Medical device for modification of left atrial appendage and related systems and methods
US15/094,254 2016-04-08

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RU2016114525A true RU2016114525A (ru) 2017-10-17
RU2016114525A3 RU2016114525A3 (ru) 2019-08-13

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US (2) US10064628B2 (ru)
EP (3) EP3085310B1 (ru)
JP (1) JP6824621B2 (ru)
CN (2) CN106037852B (ru)
AU (1) AU2016202279A1 (ru)
CA (1) CA2927296A1 (ru)
IL (1) IL245094B (ru)
RU (1) RU2016114525A (ru)

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