WO2018096572A1 - バルーンカテーテル - Google Patents
バルーンカテーテル Download PDFInfo
- Publication number
- WO2018096572A1 WO2018096572A1 PCT/JP2016/084550 JP2016084550W WO2018096572A1 WO 2018096572 A1 WO2018096572 A1 WO 2018096572A1 JP 2016084550 W JP2016084550 W JP 2016084550W WO 2018096572 A1 WO2018096572 A1 WO 2018096572A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- balloon
- uneven
- expanded
- region
- base layer
- Prior art date
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Classifications
-
- 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
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon 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
- A61B17/12136—Balloons
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- 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
- A61M2025/0183—Rapid exchange or monorail catheters
-
- 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
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
- A61M2025/1004—Balloons with folds, e.g. folded or multifolded
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/105—Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1075—Balloon catheters with special features or adapted for special applications having a balloon composed of several layers, e.g. by coating or embedding
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1081—Balloon catheters with special features or adapted for special applications having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
-
- 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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
Definitions
- the present invention can be inserted into a stenosis or an occlusion formed in a body lumen such as a blood vessel, a bile duct, a pancreatic duct and the like to dilate the stenosis or the occlusion to obtain blood, bile (bile fluid), pancreatic juice, etc.
- the present invention relates to a balloon catheter for securing flow.
- a narrow portion or an occluded portion is formed in a body lumen such as a blood vessel, a bile duct, a pancreatic duct, etc.
- a treatment method using a balloon catheter has been widely used as a method for treating such a stenotic part or occluded part.
- the balloon catheter mainly includes a balloon which is a dilator, an outer tube fixed to the proximal end of the balloon, and an inner tube inserted inside the balloon and the outer tube.
- the inner tube is used to insert a guide wire, and the dilation lumen provided between the outer tube and the inner tube is for circulating a fluid (contrast medium, saline, etc.) for dilating the balloon.
- a fluid contrast medium, saline, etc.
- a balloon catheter is inserted into a body lumen such as a blood vessel, bile duct, or pancreatic duct with the balloon folded around the inner tube, and after being inserted up to the stenosis or occlusion, it is expanded at the stenosis or occlusion Be done.
- a body lumen such as a blood vessel, bile duct, or pancreatic duct
- the frictional force between the balloon and the body lumen can be reduced as much as possible in order to rapidly insert the balloon to the narrowed portion or the closed portion. preferable.
- Patent Document 1 describes a balloon catheter having a low coefficient of sliding friction in the deflated state of the balloon and a high coefficient of sliding friction in the inflated state of the balloon.
- the entire surface is a region of low coefficient of friction, and the region of high coefficient of friction is located inside the fold of the balloon.
- the area of the high coefficient of friction which was disposed inside the fold of the balloon, is exposed to the surface, and the area of the high coefficient of friction fixes the balloon to the constriction or occlusion .
- the present invention has been made in view of these circumstances, and allows the balloon to be rapidly inserted into the constriction or occlusion when the balloon is deflated, and ensures that the balloon is in the stenosis or occlusion when the balloon is expanded.
- areas of high coefficient of friction hereinafter referred to as uneven areas
- uneven areas areas of high coefficient of friction
- a balloon catheter comprising a balloon having a base layer having uneven regions on its surface and a coating layer coated on the surface of the base layer.
- the surface of the balloon Before the balloon expands, the surface of the balloon is smooth based on the coating layer, and when the balloon is expanded, the surface of the balloon becomes uneven based on the uneven area of the base layer It is characterized by
- the uneven region is formed on the entire surface of the base layer in the entire cross-sectional circumference perpendicular to the long axis direction. .
- the surface of the coating layer is broken so that the surface of the balloon is uneven. It is characterized by becoming.
- the balloon includes the base layer having the uneven region on the surface and the coating layer coated on the surface of the base layer, and the balloon is expanded before expanding.
- the surface of the surface is smooth based on the coating layer, and when the balloon is expanded, the surface of the balloon has a concavo-convex shape based on the concavo-convex area of the base layer, so that the concavo-convex area can be freely disposed on the balloon As well as being able to easily manufacture such a balloon.
- the balloon when the balloon is folded, the balloon can be freely folded without distinguishing the uneven region from the other region.
- the concavo-convex area is formed over the entire cross-sectional circumference perpendicular to the long axis direction in the base layer.
- the balloon can be easily fixed regardless of the position of the affected area.
- the surface of the balloon when the balloon is expanded, the surface of the balloon is roughened by tearing of the surface of the coating layer. Because of the shape, fixation of the balloon to the affected area can be further facilitated.
- FIG. 1 is a schematic view of the entire balloon catheter (when the balloon is deflated) of the first embodiment of the present invention.
- FIG. 2 is a view showing an AA cross section in a state in which the balloon of FIG. 1 is slightly expanded.
- FIG. 3 is a view showing an AA cross section in a state in which the folded state of the balloon in FIG. 1 is changed and the balloon is slightly expanded.
- FIG. 4 is a schematic view of the entire balloon catheter (at the time of expansion of a balloon) of the first embodiment.
- FIG. 7 is an explanatory view showing the uneven region of the balloon catheter (at the time of expansion of the balloon) of the second embodiment.
- FIG. 8 is a cross-sectional view taken along the line CC in FIG.
- FIG. 9 is an explanatory view showing the uneven region of the balloon catheter (at the time of expansion of the balloon) of the third embodiment.
- FIG. 10 is a cross-sectional view taken along a line DD in FIG.
- FIG. 1 is a schematic view of the entire balloon catheter (at the time of contraction of a balloon) of the first embodiment of the present invention
- FIG. 2 is a view showing an AA cross section in a state in which the balloon of FIG. 3 is a cross-sectional view of the balloon of FIG. 1 in a folded state and a slightly expanded state
- FIG. 4 is a view of the balloon catheter of the first embodiment (when the balloon is expanded 5 is an overall schematic view
- FIG. 5 is an explanatory view showing the uneven region of the balloon catheter (at the time of expansion of the balloon) of the first embodiment
- FIG. 6 is a cross-sectional view taken along the line BB in FIG. .
- a balloon catheter 1 is used to treat, for example, a constriction or an occlusion formed in a body lumen such as a blood vessel, a bile duct, a pancreatic duct and the like.
- the balloon catheter 1 mainly includes a balloon 3, an outer tube 7, a connector 9, an inner tube 11 and a distal end tip 5.
- FIG. 1 shows a state in which the balloon 3 is contracted.
- the balloon 3 for expanding the constricted portion or the closed portion is made of a resin member, and the distal end attaching portion 16 of the balloon 3 is fixed to the distal end of the inner tube 11 and the distal end tip 5. Is fixed to the tip of the outer tube 7.
- the distal end attaching portion 16 of the balloon 3 covers and secures the distal end of the distal end tip 5 and the inner tube 11 (see FIG. 4). It may be sandwiched and fixed.
- the proximal end attachment portion 12 of the balloon 3 is fixed to the outer periphery of the tip of the outer tube 7, but may be fixed to the inner periphery of the tip of the outer tube 7.
- the outer tube 7 is a tubular member constituting an expansion lumen 23 for supplying a liquid such as a contrast medium or saline to expand the balloon 3.
- the outer tube 7 includes a distal end outer tube portion 19, a guide wire port portion 14, an intermediate outer tube portion 13 and a proximal end outer tube portion 17 in this order from the distal end side.
- the tip outer tube portion 19 and the middle outer tube portion 13 are tubes made of resin such as polyamide, polyamide elastomer, polyolefin, polyester, polyester elastomer and the like.
- the guide wire port portion 14 is a portion to which the distal end outer tube portion 19, the intermediate outer tube portion 13, and the inner tube 11 are fixed.
- the inner tube 11 is inserted into the distal end outer tube portion 19, and the expanded lumen 23 described above is formed between the distal end outer tube portion 19 and the inner tube 11.
- the proximal outer tube portion 17 is a metal tubular member called a so-called hypotube.
- the distal end of the proximal outer tube portion 17 is inserted into and fixed to the proximal end of the intermediate outer tube portion 13.
- a connector 9 is attached to the proximal end of the proximal outer tube portion 17.
- the material of the proximal outer tube portion 17 is not particularly limited, and superelastic alloys such as stainless steel (SUS 304) and Ni-Ti alloy can be used.
- the inner tube 11 forms a guide wire lumen 21 for inserting a guide wire inside.
- the proximal end of the inner tube 11 is fixed to the guidewire port portion 14 of the outer tube 7 to form a proximal guidewire port 25.
- the tip of the inner tube 11 is fixed to the tip 5 and the tip attachment portion 16 of the balloon 3.
- the distal end tip 5 is a member having a tapered outer shape whose outer diameter gradually decreases toward the distal end, and is formed of a flexible resin.
- the resin forming the tip 5 is not particularly limited, but polyurethane, polyurethane elastomer or the like can be used.
- the distal end tip 5 is a cylindrical member fixed to the distal end of the guide wire lumen 21 and has a distal end side guide wire port 27 (see FIG. 4) formed at its distal end.
- Two markers 18 (see FIG. 4) having radiopacity are attached to the inside of the balloon 3 so that the position of the balloon 3 can be grasped under radiation irradiation.
- a reinforcing body 15 is attached to the inner peripheral surface of the distal end of the proximal end outer tube portion 17.
- the reinforcing body 15 is a tapered metal wire having a circular cross section and a diameter reduced toward the tip.
- the material of the reinforcing body 15 is not particularly limited, but superelastic alloys such as stainless steel (SUS 304) and Ni-Ti alloy can be used.
- the reinforcing body 15 extends from the distal end of the proximal outer tube portion 17 to the vicinity of the distal end of the distal outer tube portion 19 through the intermediate outer tube portion 13 and the proximal guide wire port 25.
- the tip of the reinforcing body 15 is not fixed to the outer tube 7 and the inner tube 11, but the tip of the reinforcing body 15 may be fixed so as to be sandwiched between the outer tube 7 and the inner tube 11. .
- FIG. 2 shows a state in which the balloon 3 is slightly expanded from a folded state in which the circumference of a cross section perpendicular to the longitudinal direction of the catheter 1 is divided into six.
- a second base layer 3b made of another thermoplastic polyamide elastomer or the like is laminated on the surface of the first base layer 3a made of a thermoplastic polyamide elastomer or the like, and the second base layer 3b
- the entire periphery of the cross section perpendicular to the long axis direction of the balloon catheter 1 has a convex-concave shape as shown in FIG. 2 before the balloon 3 is expanded.
- the surface of the balloon 3 is smooth in the state where the base 3x is coated with the coating agent 3d.
- the base portion 3x has a smooth surface on the first base layer 3a and the second base layer 3b, and a surface on the third base layer 3c that is uneven.
- the first base layer 3a may have a convex-concave shape
- the second base layer 3b and the third base layer 3c may be smooth, as long as the surface of the portion 3x has a convex-concave shape.
- All of the second base layer 3b and the third base layer 3c may have a concavo-convex shape.
- At least the third base layer 3c adjacent to the lower layer of the coating agent 3d is uneven in order to make the surface of the balloon 3 significantly exhibit the uneven shape when the balloon 3 is expanded. It is preferable that it is a shape.
- the uneven shape in the base layer may be formed by various methods commonly used in the resin film manufacturing process, such as surface coating methods such as coating, physical roughening treatment such as sand mat, and discharge treatment. it can.
- the base part 3x of this embodiment is 3 layer structure of 1st base layer 3a, 2nd base layer 3b, and 3rd base layer 3c
- 2 layer structure may be sufficient and it is 1 layer structure. It is good.
- the surface of the balloon 3 is in the state where the coating 3 d is applied to the base 3 x. Because it is smooth, the balloon 3 can be freely folded.
- FIG. 3 shows a state in which the balloon 3 is slightly expanded from a folded state in which the circumference of a cross section perpendicular to the longitudinal direction of the catheter 1 is divided into four.
- the balloon 3 is folded in four or six sections around the cross section perpendicular to the long axis direction of the catheter 1. Can be folded into free form.
- the uneven area P appears on the surface of the balloon 3 as shown in FIG.
- the uneven region P in the present embodiment is formed only in the region of the maximum expansion width of the balloon 3, it is preferable to form the uneven region over the entire balloon 3 in manufacturing the balloon 3, the tip of the balloon 3.
- the uneven region P may be formed up to the attachment portion 16 and / or the proximal end attachment portion 12 of the balloon 3.
- the balloon 3 of the present embodiment has the base portion 3x in which the uneven third base layer 3c is formed on the surfaces of the smooth first base layer 3a and the second base layer 3b, and the base thereof.
- the coating 3d is applied to the surface of the portion 3x, but when the balloon 3 is expanded, as shown in FIG. 6, the surface of the balloon 3 is based on the uneven region of the base 3x. As a result, it becomes uneven with the coating 3d.
- the uneven region P of the balloon catheter 1 of the present embodiment is formed in the region of the maximum expansion width of the balloon 3, as described above, the uneven region P is from the region of the maximum expansion width of the balloon 3 to the tip of the balloon 3.
- the attachment portion 16 and / or the proximal end attachment portion 12 of the balloon 3 may be extended, or may be formed in any region such as the region shown in the balloon catheter of the second embodiment or the third embodiment described later. good.
- the shape of the uneven region P can be freely set.
- the balloon 3 is provided with the base 3x having the uneven region P on the surface, and the coating 3d covering the surface of the base 3x, before the balloon 3 is expanded.
- the surface of the balloon 3 is smooth based on the coating agent 3d, and when the balloon 3 is expanded, the surface of the balloon 3 has a convex-concave shape based on the convex-concave region P of the base portion 3x.
- the balloon 3 is rapidly inserted to the narrowed portion or the occluded portion, and when the balloon 3 is expanded, the convex-concave region P is freely disposed on the balloon 3 to securely fix the balloon 3 to the narrowed portion or the occluded portion. can do.
- the balloon 3 is rapidly inserted to the narrowed portion or the closed portion at the time of contraction of the balloon 3, and the balloon 3 is reliably in the narrowed portion or the closed portion at the expansion of the balloon 3.
- the balloon to be fixed can be easily manufactured.
- the balloon catheter 1 of the present embodiment when the balloon 3 is folded, since the surface of the balloon 3 is smooth, it can be freely folded without discriminating the uneven region P and the other region. it can.
- FIG. 7 is an explanatory view showing the uneven region of the balloon catheter (at the time of expansion of the balloon) of the second embodiment
- FIG. 8 is a cross-sectional view taken along the line CC in FIG.
- the balloon catheter 31 is basically the same as the balloon catheter 1, and only the balloon is different.
- the uneven region Q of the balloon 33 is different from the uneven region P of the balloon 3. That is, the uneven region P of the balloon 3 is formed over the entire cross section in the direction perpendicular to the long axis direction of the balloon catheter 1 and is formed over the entire maximum expansion width region in the long axis direction of the balloon catheter 1 On the other hand, the uneven region Q of the balloon 33 is formed over the entire cross section in the direction perpendicular to the long axis direction of the balloon catheter 31 as shown in FIG. 8 and as shown in FIG. A plurality of locations (three locations in the present embodiment) are formed at predetermined intervals in the longitudinal direction of the catheter 31.
- the coating 33d is applied to the surface, and the surface of the balloon 33 is smooth based on the coating 33d (similar to FIGS. 2 and 3) before the balloon 33 is expanded.
- the convex-concave region Q of the base portion 33x breaks the surface of the coating agent 33d and protrudes to form a concavo-convex shape.
- the balloon 33 is not directly shown in a contracted state, it is similar to the first embodiment, and as shown in FIGS. 2 and 3, the balloon 33 is in the longitudinal direction of the catheter 31.
- the vertical cross section can be folded into four or six parts and folded, of course, and can be freely folded.
- the surface of the balloon 33 is smooth based on the coating agent 33 d in a state where the balloon 33 is contracted.
- the balloon catheter 31 of the second embodiment when the balloon 33 is expanded, the uneven region Q of the base portion 33 x breaks the surface of the coating agent 33 d, whereby the surface of the balloon 33 becomes uneven. Therefore, the balloon 33 can be more easily fixed to the affected area.
- FIG. 9 is an explanatory view showing the uneven region of the balloon catheter (at the time of expansion of the balloon) of the third embodiment
- FIG. 10 is a cross-sectional view taken along the line DD in FIG.
- the balloon catheter 41 is also basically the same as the balloon catheter 1, and only the balloon is different.
- the uneven region R of the balloon 43 is different from the uneven region P of the balloon 3. That is, the uneven region P of the balloon 3 is formed over the entire cross section in the direction perpendicular to the long axis direction of the balloon catheter 1 and is formed over the entire maximum expansion width region in the long axis direction of the balloon catheter 1
- the uneven region R of the balloon 43 is formed on a part of the cross section of the balloon catheter 41 in the direction perpendicular to the long axis direction (six locations in this embodiment)
- the balloon catheter 41 is formed over the entire region of the maximum expansion width in the longitudinal direction of the balloon catheter 41.
- the base portion 43x in which the uneven third base layer 43c is formed on the surfaces of the smooth first base layer 43a and the second base layer 43b, and the base portion 43x The surface of the balloon 43 is smooth based on the coating agent 43d before the balloon 43 expands, and the base portion 43x is expanded when the balloon 43 is expanded.
- the convex-concave region R has a convex-concave shape by penetrating the surface of the coating agent 43d and projecting.
- the balloon 43 is not directly shown in a contracted state, it is the same as the first embodiment, and as shown in FIG. 2 and FIG.
- the vertical cross section can be folded into four or six parts and folded, of course, and can be freely folded.
- the surface of the balloon 43 is smooth based on the coating agent 43 d in a state in which the balloon 43 is contracted.
- the balloon catheter 41 of the third embodiment when the balloon 43 expands, the uneven region R of the base portion 43x breaks the surface of the coating agent 43d, so that the surface of the balloon becomes uneven. , And the balloon 43 can be more easily fixed to the affected area.
Abstract
Description
(第1実施形態)
図1は、本発明の第1実施形態のバルーンカテーテル(バルーンの収縮時)全体の概略図であり、図2は、図1のバルーンを若干拡張させた状態のA-A断面を示した図であり、図3は、図1のバルーンの折り畳み状態を変え、若干拡張させた状態のA-A断面を示した図であり、図4は、第1実施形態のバルーンカテーテル(バルーンの拡張時)全体の概略図であり、図5は、第1実施形態のバルーンカテーテル(バルーンの拡張時)の凸凹領域を示した説明図であり、図6は、図5のB-B断面図である。
図2には、バルーン3を、カテーテル1の長軸方向に垂直な断面の周囲を6分割して折り畳んだ状態から若干拡張させた状態が示されている。
本実施形態のバルーン3を拡張すると、図5に示すように、凸凹領域Pがバルーン3の表面に現れる。本実施形態における凸凹領域Pは、バルーン3の最大拡張幅の領域にのみ形成されているが、バルーン3の製造上バルーン全体に凸凹領域を形成する方が好適な場合には、バルーン3の先端取付部16及び/またはバルーン3の基端取付部12にまで凸凹領域Pが形成されるようにしても良い。
(第2実施形態)
図7は、第2実施形態のバルーンカテーテル(バルーンの拡張時)の凸凹領域を示した説明図であり、図8は、図7のC-C断面図である。
(第3実施形態)
図9は、第3実施形態のバルーンカテーテル(バルーンの拡張時)の凸凹領域を示した説明図であり、図10は、図9のD-D断面図である。
3、33、43 バルーン
5 先端チップ
7 アウターチューブ
9 コネクタ
11 インナーチューブ
12 基端取付部
13 中間アウターチューブ部
14 ガイドワイヤポート部
15 補強体
16 先端取付部
17 基端アウターチューブ部
18 マーカー
19 先端アウターチューブ部
21 ガイドワイヤルーメン
23 拡張ルーメン
25 基端側ガイドワイヤポート
27 先端側ガイドワイヤポート
Claims (3)
- 表面に凸凹領域を有するベース層と、
そのベース層の表面を被覆したコーティング層と
を有するバルーンを備えたバルーンカテーテルにおいて、
前記バルーンが拡張する前には、前記バルーンの表面は、前記コーティング層に基づいて平滑であり、
前記バルーンが拡張したときには、前記バルーンの表面は、前記ベース層の前記凸凹領域に基づいて凸凹形状となることを特徴とするバルーンカテーテル。 - 前記凸凹領域は、前記ベース層において、長軸方向に垂直な断面円周全体に形成されていることを特徴とする請求項1に記載のバルーンカテーテル。
- 前記バルーンが拡張したときには、前記コーティング層の表面が破れることにより、前記バルーンの表面が凸凹形状となることを特徴とする請求項1または請求項2に記載のバルーンカテーテル。
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2017510925A JP6726172B2 (ja) | 2016-11-22 | 2016-11-22 | バルーンカテーテル |
PCT/JP2016/084550 WO2018096572A1 (ja) | 2016-11-22 | 2016-11-22 | バルーンカテーテル |
CN201680003507.XA CN108601927A (zh) | 2016-11-22 | 2016-11-22 | 气囊导管 |
KR1020177014417A KR102149574B1 (ko) | 2016-11-22 | 2016-11-22 | 벌룬 카테터 |
EP16856461.5A EP3546013A4 (en) | 2016-11-22 | 2016-11-22 | BALLOON CATHETER |
US15/622,622 US20180140804A1 (en) | 2016-11-22 | 2017-06-14 | Balloon catheter |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/JP2016/084550 WO2018096572A1 (ja) | 2016-11-22 | 2016-11-22 | バルーンカテーテル |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US15/622,622 Continuation US20180140804A1 (en) | 2016-11-22 | 2017-06-14 | Balloon catheter |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2018096572A1 true WO2018096572A1 (ja) | 2018-05-31 |
Family
ID=62144567
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/JP2016/084550 WO2018096572A1 (ja) | 2016-11-22 | 2016-11-22 | バルーンカテーテル |
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US (1) | US20180140804A1 (ja) |
EP (1) | EP3546013A4 (ja) |
JP (1) | JP6726172B2 (ja) |
KR (1) | KR102149574B1 (ja) |
CN (1) | CN108601927A (ja) |
WO (1) | WO2018096572A1 (ja) |
Families Citing this family (12)
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US11229777B2 (en) | 2008-03-21 | 2022-01-25 | Cagent Vascular, Inc. | System and method for plaque serration |
JP5846905B2 (ja) | 2008-03-21 | 2016-01-20 | ケイジェント ヴァスキュラー, エルエルシーCagent Vascular, Llc | 血管内でのアテローム斑の穿孔およびセレーションのための血管内装置 |
US9480826B2 (en) | 2008-03-21 | 2016-11-01 | Cagent Vascular, Llc | Intravascular device |
US10463842B2 (en) | 2014-06-04 | 2019-11-05 | Cagent Vascular, Llc | Cage for medical balloon |
US10471238B2 (en) | 2014-11-03 | 2019-11-12 | Cagent Vascular, Llc | Serration balloon |
WO2017049227A2 (en) | 2015-09-17 | 2017-03-23 | Cagent Vascular, Llc | Wedge dissectors for a medical ballon |
EP3383246A4 (en) | 2015-12-05 | 2019-08-07 | The Regents of the University of Colorado, a body corporate | NOVEL ENDOSCOPIC DEVICES AND METHODS OF USE |
JP7194459B2 (ja) | 2018-01-16 | 2022-12-22 | ザ リージェンツ オブ ザ ユニバーシティ オブ コロラド,ア ボディー コーポレイト | テクスチャ加工された膨張可能バルーンを含む医療用デバイス |
US11730928B2 (en) | 2018-01-16 | 2023-08-22 | Aspero Medical, Inc. | Split overtube assembly |
US11577056B2 (en) | 2018-01-16 | 2023-02-14 | Aspero Medical, Inc. | Medical devices including textured inflatable balloons |
WO2020023749A1 (en) | 2018-07-25 | 2020-01-30 | Cagent Vascular, Llc | Medical balloon catheters with enhanced pushability |
CN111265760B (zh) * | 2018-12-04 | 2023-05-16 | 东莞市先健医疗有限公司 | 球囊导管及其制作方法 |
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- 2016-11-22 KR KR1020177014417A patent/KR102149574B1/ko active IP Right Grant
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Also Published As
Publication number | Publication date |
---|---|
KR102149574B1 (ko) | 2020-08-28 |
KR20180080991A (ko) | 2018-07-13 |
EP3546013A4 (en) | 2020-09-02 |
JP6726172B2 (ja) | 2020-07-22 |
CN108601927A (zh) | 2018-09-28 |
JPWO2018096572A1 (ja) | 2018-12-06 |
EP3546013A1 (en) | 2019-10-02 |
US20180140804A1 (en) | 2018-05-24 |
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