WO2020217327A1 - Cathéter à ballonnet - Google Patents

Cathéter à ballonnet Download PDF

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Publication number
WO2020217327A1
WO2020217327A1 PCT/JP2019/017317 JP2019017317W WO2020217327A1 WO 2020217327 A1 WO2020217327 A1 WO 2020217327A1 JP 2019017317 W JP2019017317 W JP 2019017317W WO 2020217327 A1 WO2020217327 A1 WO 2020217327A1
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WO
WIPO (PCT)
Prior art keywords
chamber
hollow shaft
balloon
balloon catheter
tip
Prior art date
Application number
PCT/JP2019/017317
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English (en)
Japanese (ja)
Inventor
武治 桂田
Original Assignee
朝日インテック株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 朝日インテック株式会社 filed Critical 朝日インテック株式会社
Priority to PCT/JP2019/017317 priority Critical patent/WO2020217327A1/fr
Priority to JP2021515363A priority patent/JP7076044B2/ja
Publication of WO2020217327A1 publication Critical patent/WO2020217327A1/fr

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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
    • A61M25/10—Balloon catheters

Definitions

  • the present invention relates to a balloon catheter.
  • Patent Documents 1 to 4 disclose, as a type of catheter, a balloon catheter including a balloon that expands by supplying a fluid and contracts by discharging the fluid.
  • a balloon catheter for example, after delivering a deflated balloon to the stenosis portion, the balloon is expanded at the position of the stenosis portion to expand the stenosis portion from the inside (hereinafter, "expansion of the stenosis portion"). Also called).
  • the balloon catheter is required to have a small diameter in the contracted state in order to improve the passage through the stenosis, and to have high visibility (contrast enhancement) in the living lumen for positioning with respect to the stenosis. It should be noted that such a requirement is particularly remarkable in a balloon catheter used for dilation of a stenosis in a blood vessel.
  • the balloon catheters described in Patent Documents 1 to 4 include a contrast marker formed of a radiation-impermeable material inside the balloon.
  • the contrast marker in the balloon catheters described in Patent Documents 1 to 4, if the visibility of the contrast marker is to be improved, the contrast marker must be thickened, so that the diameter of the balloon cannot be reduced, and the balloon cannot be reduced in diameter. In order to reduce the diameter of the balloon, there is a problem that the visibility of the contrast marker cannot be improved because the contrast marker must be thinned.
  • the present invention has been made to solve the above-mentioned problems, and is a technique for making it possible to reduce the diameter of a balloon in a contracted state and improve the visibility (contrast-enhancement) of the balloon position in a balloon catheter. For the purpose of providing.
  • the present invention has been made to solve at least a part of the above-mentioned problems, and can be realized as the following forms.
  • a balloon catheter is provided.
  • This balloon catheter is a balloon that can be expanded and contracted, including a first hollow shaft, a second hollow shaft that is arranged inside the first hollow shaft and whose tip protrudes from the tip of the first hollow shaft.
  • the chamber includes a balloon whose base end is joined to the tip of the first hollow shaft and whose tip is joined to the tip of the second hollow shaft, and a chamber provided inside the balloon.
  • the chamber provided inside the balloon has a separation portion that defines a space between the inside of the chamber and the outer surface of the second hollow shaft, and at least a part of the separation portion is a chamber.
  • An opening is formed that communicates the inner space of the balloon with the inner space of the balloon. Therefore, when the balloon is expanded, the fluid (contrast medium) fills the inside of the balloon and flows from the opening of the separation portion into the inner space of the chamber. When the balloon contracts, fluid is expelled from the inside of the balloon, but some of the fluid still remains in the inner space of the chamber.
  • the visibility (contrast property) of the position of the balloon can be improved by the fluid (contrast medium) remaining in the inner space of the chamber. Further, according to this configuration, since the chamber can be thinned, the diameter of the balloon in the contracted state can be reduced.
  • the fixing portion is composed of a first fixing portion provided at the tip end portion of the chamber and a second fixing portion provided at the proximal end portion, and the separation portion is the above-mentioned separating portion. It may be provided between the first fixing portion and the second fixing portion.
  • the fixing portion is composed of a first fixing portion provided at the tip end portion of the chamber and a second fixing portion provided at the base end portion, and the separation portion is a first fixing portion and a second fixing portion. It is provided between the parts. Therefore, it is possible to make it difficult for the fluid (contrast medium) that has flowed into the inner space of the chamber to escape from the inner space of the chamber. Further, the chamber can be firmly fixed to the second hollow shaft by two places, the tip end portion and the base end portion.
  • the fixing portion may be provided at the base end portion of the chamber, and the separating portion may be provided at the distal end side of the chamber.
  • the tip end portion of the chamber (the tip end portion of the separating portion) is used as it is in the inner space of the chamber. It can be an opening that communicates with the inside of the balloon. Therefore, it is not necessary to process the chamber to form an opening, and the chamber can be easily formed. Further, since the diameter of the opening can be increased, the fluid (contrast medium) can easily flow into the inner space of the chamber. Further, since the opening is located at the tip of the chamber, it is possible to make it difficult for the fluid that has flowed into the inner space of the chamber to escape from the inner space of the chamber.
  • the chamber may be provided over the entire circumferential direction of the second hollow shaft. According to this configuration, since the chamber is provided over the entire circumferential direction of the second hollow shaft, a large amount of fluid (contrast medium) can be retained in the inner space of the chamber, and the position of the balloon can be adjusted. Visibility (contrast) can be further improved.
  • the chamber may be provided with the fixing portion and the separating portion alternately in the circumferential direction of the second hollow shaft.
  • the fixing portion and the separating portion are alternately provided in the circumferential direction of the second hollow shaft, the fluid (contrast medium) that has flowed into the inner space of the chamber is allowed to flow into the inner space of the chamber. It can be made more difficult to get out of.
  • the chamber can be firmly fixed to the second hollow shaft by the fixing portions provided alternately with the separating portions in the circumferential direction.
  • a recess may be formed on the inner surface of the separated portion. According to this configuration, since the concave portion is formed on the inner surface of the separated portion, the fluid (contrast medium) that has flowed into the inner space of the chamber can be captured in the concave portion. As a result, the fluid that has flowed into the inner space of the chamber can be made more difficult to escape from the inner space of the chamber.
  • a plurality of the openings may be formed in the separation portion. According to this configuration, since a plurality of openings are formed in the separated portion, the fluid (contrast medium) can easily flow into the inner space of the chamber.
  • the chamber is formed by spirally winding a wire having a substantially rectangular or substantially circular cross section on the outer surface of the second hollow shaft. Good. According to this configuration, the chamber is formed by spirally winding a wire having a substantially rectangular or substantially circular cross section on the outer surface of the second hollow shaft, so that the chamber can be easily formed. it can.
  • the chamber may be made of a radiation permeable material.
  • the chamber is made of a radiation opaque material. Therefore, visibility (contrast enhancement) of the position of the balloon can be ensured even before the balloon is expanded. Further, after the expansion and contraction of the balloon, the visibility of the position of the balloon can be further improved by the chamber formed of the radiation opaque material and the fluid (contrast agent) remaining in the inner space of the chamber.
  • a balloon catheter is provided.
  • This balloon catheter includes an expandable balloon and a chamber provided inside the balloon, and the inside of the chamber is used for expansion of the balloon after expansion and contraction of the balloon.
  • the fluid remains.
  • the fluid used for the expansion of the balloon remains inside the chamber after the expansion and contraction of the balloon. Therefore, the fluid (contrast medium) remaining inside the chamber can improve the visibility (contrast medium) of the position of the balloon, and the chamber can be thinned, so that the diameter of the balloon in the contracted state can be reduced. Can be planned.
  • the present invention can be realized in various aspects, for example, in the form of a balloon catheter, a method for manufacturing a balloon catheter, or the like.
  • FIG. 1 is an explanatory view illustrating a cross-sectional configuration of the balloon catheter 1 of the first embodiment.
  • the balloon catheter 1 is a catheter that is inserted into a blood vessel and used, and is a balloon catheter including a balloon that expands / contracts by supplying / discharging a fluid.
  • the balloon catheter 1 is used by being inserted into a living lumen such as a lymph gland system, a biliary tract system, a urethral system, an airway system, a digestive organ system, a secretory gland, and a reproductive organ in addition to the vascular system. It may be configured as.
  • the balloon catheter 1 includes a balloon 10, a chamber 20, a first hollow shaft 30, a second hollow shaft 40, a core wire 50, a connector 60, and a tip 70.
  • FIG. 1 shows a state in which the balloon 10 is contracted (reduced in diameter).
  • FIG. 1 shows XYZ axes that are orthogonal to each other.
  • the X-axis corresponds to the axial direction of the balloon catheter 1 (the insertion direction of the balloon catheter 1)
  • the Y-axis corresponds to the height direction of the balloon catheter 1
  • the Z-axis corresponds to the width direction of the balloon catheter 1.
  • the tip side of the balloon catheter 1 and each component is referred to as the "tip side” of the balloon catheter 1 and each component
  • the right side (+ X-axis direction) of FIG. 1 is referred to as the "base end side” of the balloon catheter 1 and each component.
  • the end portion located on the distal end side is referred to as a "tip”
  • the distal end and its vicinity are referred to as a "tip portion”
  • the end portion located on the proximal end side is referred to as a "base end”
  • the proximal end and its vicinity are referred to as a "base end portion”.
  • the distal end side corresponds to the "distal side” inserted into the living body
  • the proximal end side corresponds to the "proximal side” operated by an operator such as a doctor.
  • the balloon 10 is a tubular member that can be expanded and contracted in the radial direction (YZ axis direction) and that both ends on the distal end side and the proximal end side are open.
  • the balloon 10 deforms out of the plane and expands (diameters) outward in the radial direction as shown in FIG.
  • the balloon 10 is in-plane deformed and contracted (diameter reduced) inward in the radial direction as shown in FIG. 1 by discharging the fluid inside.
  • the balloon 10 can be freely expanded / contracted by supplying / discharging the fluid.
  • the expansion pressure, outer diameter and length of the balloon 10 can be arbitrarily determined.
  • the balloon 10 is arranged on the distal end side of the balloon catheter 1 in the O-axis direction (X-axis direction).
  • the base end portion of the balloon 10 is joined to the tip end portion of the first hollow shaft 30.
  • the tip of the balloon 10 is joined to a tip tip 70 arranged at the tip of the second hollow shaft 40.
  • the tip of the balloon 10 may be directly joined to the second hollow shaft 40, not via the tip 70.
  • the bonding can be realized by any method, and for example, bonding with an adhesive such as an epoxy adhesive can be adopted.
  • the balloon 10 is made of a material having flexibility that can be expanded and contracted with a change in internal pressure and that can suppress damage inside a blood vessel, and hardness that can be expanded within a lesion.
  • the balloon 10 has heat of polyolefins such as polyethylene, polypropylene and ethylene-propylene copolymer, polyesters such as polyethylene terephthalate, polyvinyl chloride, ethylene-vinyl acetate copolymers, crosslinked ethylene-vinyl acetate copolymers and polyurethanes. It can be formed of a plastic resin, a polyamide elastomer, a polyolefin elastomer, a silicone rubber, a latex rubber, or the like.
  • FIG. 2 is an explanatory view illustrating the configuration of the chamber 20.
  • FIG. 2 shows an enlarged view of the region A portion surrounded by the broken line frame of FIG.
  • FIG. 3 is an explanatory view illustrating the cross-sectional configuration of the line B1-B1 of FIG.
  • the chamber 20 is arranged on the outer surface of the second hollow shaft 40 extending in the axis O direction inside the balloon 10. That is, the chamber 20 is provided inside the balloon 10.
  • the chamber 20 includes a first fixing portion 21, a second fixing portion 22, and a separating portion 23.
  • the first fixing portion 21 is provided at the tip end portion of the chamber 20.
  • the second fixing portion 22 is provided at the base end portion of the chamber 20.
  • the first fixing portion 21 and the second fixing portion 22 are fixed to the outer surface of the second hollow shaft 40, respectively. Fixing can be realized by any method, and for example, joining with an adhesive such as an epoxy adhesive or joining with a metal solder such as silver brazing, gold brazing, zinc, Sn—Ag alloy, Au—Sn alloy can be adopted.
  • the first fixed portion 21 and the second fixed portion 22 correspond to the “fixed portion”.
  • the separation portion 23 is provided between the first fixing portion 21 and the second fixing portion 22 in the axis O direction.
  • the tip of the separating portion 23 is connected to the first fixing portion 21.
  • the base end portion of the separating portion 23 is connected to the second fixing portion 22.
  • the separating portion 23 is separated from the outer surface of the second hollow shaft 40 in the YZ axis direction.
  • Such a separating portion 23 defines a space (hereinafter, also referred to as “inner space 20S”) between the separating portion 23 and the outer surface of the second hollow shaft 40 inside the separating portion 23.
  • An opening OP is formed in the separating portion 23.
  • the opening OP is a through hole that communicates the inner space 20S of the chamber 20 with the inside of the balloon 10.
  • the shape of the opening OP, the length in the axis O direction, and the length in the circumferential direction can be arbitrarily determined.
  • the chamber 20 is provided over the entire circumferential direction of the second hollow shaft 40. That is, the first fixing portion 21 and the second fixing portion 22 are fixed to the entire circumference of the outer surface of the second hollow shaft 40. Further, the separating portion 23 is arranged so as to cover the entire outer surface of the outer surface of the second hollow shaft 40 except for the portion provided with the opening OP (FIG. 3).
  • the chamber 20 is formed of a radiation opaque material such as gold, platinum, tungsten, or an alloy containing these elements.
  • the first hollow shaft 30 is a long member extending along the axis O.
  • the first hollow shaft 30 has a hollow substantially cylindrical shape in which openings are formed at the tip end portion and the base end portion, respectively, and a cavity (fluid lumen 30L) communicating both openings is formed inside.
  • the first hollow shaft 30 is formed with an opening 36 that communicates the inside and outside of the cylinder.
  • the opening 36 functions as a port for inserting and removing a guide wire from the inside of the catheter 1.
  • the outer diameter and length of the first hollow shaft 30, the position, size, shape, etc. of the opening 36 can be arbitrarily determined.
  • the opening 36 may be omitted.
  • the base end of the balloon 10 is joined to the outer surface of the tip of the first hollow shaft 30 in a state where the fluid lumen 30L and the inner space of the balloon 10 communicate with each other.
  • a connector 60 is joined to the outer surface of the base end portion of the first hollow shaft 30 in a state where the fluid lumen 30L and the lumen 60L are communicated with each other.
  • the joining can be realized by any method, and for example, joining with an adhesive such as an epoxy adhesive or joining with a metal solder such as silver brazing, gold brazing, zinc, Sn—Ag alloy, Au—Sn alloy can be adopted.
  • FIG. 4 is an explanatory view illustrating the cross-sectional configuration of the B2-B2 line of FIG.
  • the second hollow shaft 40 is an elongated member extending along the axis O.
  • the second hollow shaft 40 has a hollow substantially cylindrical shape in which openings are formed at the tip end portion and the base end portion, respectively, and an inner cavity (guide wire lumen 40L) communicating both openings is formed.
  • the second hollow shaft 40 has a smaller diameter than the first hollow shaft 30, a part on the tip side protrudes from the tip portion of the first hollow shaft 30, and a part on the base end side is in the cavity of the first hollow shaft 30. It is placed in the inserted state.
  • the base end of the tip 70 is joined to the tip of the second hollow shaft 40 in a state where the guide wire lumen 40L and the lumen 70L are communicated with each other.
  • the inner side surface of the first hollow shaft 30 is joined to the base end portion of the second hollow shaft 40 in a state where the guide wire lumen 40L and the opening 36 are communicated with each other.
  • the joining can be realized by any method, and for example, joining with an adhesive such as an epoxy adhesive or joining with a metal solder such as silver brazing, gold brazing, zinc, Sn—Ag alloy, Au—Sn alloy can be adopted.
  • the core wire 50 is a solid long member of the balloon catheter 1 provided to maintain the shape on the proximal end side of the region where the second hollow shaft 40 is provided.
  • the core wire 50 is arranged so that the tip end portion is located on the tip end side of the opening 36 of the first hollow shaft 30 and the base end portion is located on the base end portion of the first hollow shaft 30.
  • the tip of the core wire 50 is joined to the inner surface of the first hollow shaft 30 by the tip joining portion 51.
  • the base end portion of the core wire 50 is joined to the inner surface of the first hollow shaft 30 by the base end joint portion 52.
  • the tip joint portion 51 and the base end joint portion 52 can be formed by an adhesive such as an epoxy adhesive or a metal solder such as silver brazing, gold brazing, zinc, Sn-Ag alloy, Au-Sn alloy or the like.
  • the cross-sectional shape, outer diameter and length of the core wire 50 can be arbitrarily determined. Further, the core wire 50 may be joined to the first hollow shaft 30 over the entire axis O direction, or may be joined to the first hollow shaft 30 by three or more joining portions.
  • the connector 60 is a member that is arranged at the base end portion 1p of the balloon catheter 1 and is gripped by the operator.
  • the connector 60 has a hollow shape in which openings are formed at the tip end portion and the base end portion, respectively, and a lumen 60L that communicates both openings is formed inside.
  • the connector 60 has two blade members 61 that the operator uses to grip the catheter 1.
  • the blade member 61 can have any shape.
  • the blade member 61 may be omitted.
  • the tip tip 70 is a member that is arranged at the tip portion 1d of the balloon catheter 1 and advances in the blood vessel ahead of other members.
  • the tip tip 70 has a hollow shape in which openings are formed at the tip portion and the base end portion, respectively, and a lumen 70L that communicates both openings is formed inside.
  • the outer shape of the tip tip 70 is reduced in diameter from the proximal end side to the distal end side in order to facilitate the progress of the balloon catheter 1 in the biological lumen.
  • the outer diameter and length of the tip tip 70 can be arbitrarily determined.
  • the first hollow shaft 30 and the second hollow shaft 40 preferably have antithrombotic properties, flexibility, and biocompatibility, and can be formed of a resin material or a metal material.
  • resin material for example, polyamide resin, polyolefin resin, polyester resin, polyurethane resin, silicon resin, fluororesin and the like can be adopted.
  • metal material for example, stainless steel such as SUS304, nickel titanium alloy, cobalt chromium alloy and the like can be adopted.
  • gold, platinum, tungsten, or an alloy containing these elements which are radiation opaque materials, because visibility under X-ray fluoroscopy can be improved.
  • the core wire 50 can be formed of, for example, a stainless steel such as SUS304, a metal material such as a nickel titanium alloy, a cobalt chromium alloy, or a tungsten alloy.
  • the connector 60 can be formed of, for example, a resin material such as polyamide, polypropylene, polycarbonate, polyacetal, or polyether sulfone.
  • the tip 70 is preferably flexible and can be formed of, for example, a resin material such as polyurethane or polyurethane elastomer.
  • FIG. 5 is an explanatory view illustrating the cross-sectional configuration of the balloon catheter 1 in the expanded state.
  • the lumen of the first hollow shaft 30 functions as a fluid lumen 30L for circulating the fluid CA for expanding the balloon 10.
  • the lumen of the second hollow shaft 40 is a guide wire lumen for inserting the guide wire from the opening provided at the tip of the tip tip 70 to the opening 36 provided on the side surface of the first hollow shaft 30. Functions as 40L.
  • the operator supplies the fluid CA from the proximal end of the connector 60.
  • the fluid CA expands the balloon 10 by passing through the fluid lumen 30L of the first hollow shaft 30 and accumulating in the inner space of the balloon 10 (FIG. 5).
  • the operator drains the fluid CA from the proximal end of the connector 60.
  • the fluid CA accumulated in the inner space of the balloon 10 is discharged, and the balloon 10 is contracted (FIG. 1).
  • a liquid containing a contrast agent having radiation impermeableness is used as the fluid CA for expanding the balloon 10.
  • FIG. 6 is an explanatory view illustrating the configuration of the chamber 20 after the expansion and contraction of the balloon 10.
  • the chamber 20 provided inside the balloon 10 has a separating portion 23 that defines a space (inner space 20S) between the inside of the chamber 20 and the outer surface of the second hollow shaft 40, and is separated. At least a part of the portion 23 is formed with an opening OP that communicates the inner space 20S of the chamber 20 with the inside of the balloon 10. Therefore, when the balloon 10 is expanded, the fluid CA (contrast medium) fills the inside of the balloon 10 and flows from the opening OP of the separation portion 23 into the inner space 20S of the chamber 20 (FIG. 5).
  • the fluid CA contrast medium
  • the balloon catheter 1 of the first embodiment the visibility (contrast property) of the position of the balloon 10 can be improved by the fluid CA (contrast medium) remaining in the inner space 20S of the chamber 20. .. Further, according to the balloon catheter 1 of the first embodiment, since the chamber 20 can be thinned, the diameter of the balloon 10 in the contracted state can be reduced.
  • the fixing portions include a first fixing portion 21 provided at the tip end portion of the chamber 20 and a second fixing portion 22 provided at the base end portion of the chamber 20.
  • the separating portion 23 is provided between the first fixing portion 21 and the second fixing portion 22. Therefore, as shown in FIG. 6, the fluid CA (contrast medium) that has flowed into the inner space 20S of the chamber 20 can be made difficult to escape from the inner space 20S of the chamber 20. Further, the chamber 20 can be firmly fixed to the second hollow shaft 40 by two places, the tip end portion and the base end portion.
  • the chamber 20 is provided over the entire circumferential direction of the second hollow shaft 40. Therefore, as shown in FIG. 6, a large amount of fluid CA (contrast medium) can be retained in the inner space 20S of the chamber 20, and the visibility (contrast medium) of the position of the balloon 10 can be further improved.
  • CA contrast medium
  • the chamber 20 is made of a radiation opaque material. Therefore, the visibility (contrast-enhancement) of the position of the balloon 10 can be ensured even before the balloon 10 is expanded. Further, after the expansion and contraction of the balloon 10, the visibility of the position of the balloon 10 is improved by the chamber 20 formed of the radiation opaque material and the fluid CA (contrast agent) remaining in the inner space 20S of the chamber 20. It can be further improved.
  • FIG. 7 is an explanatory view illustrating the configuration of the chamber 20a of the second embodiment.
  • the balloon catheter 1a of the second embodiment includes a chamber 20a instead of the chamber 20.
  • the chamber 20a includes a second fixing portion 22 provided at the base end portion of the chamber 20a and a separating portion 23a provided on the distal end side of the chamber 20a.
  • the chamber 20a does not include the first fixing portion 21 described in the first embodiment.
  • Both the second fixing portion 22 and the separating portion 23a are provided over the entire circumferential direction of the second hollow shaft 40.
  • the tip of the separating portion 23a forms an opening OP with the outer surface of the second hollow shaft 40. That is, the opening OP is formed on the tip end side of the chamber 20a.
  • the length between the outer surface of the second hollow shaft 40 and the inner surface of the chamber 20a at the tip of the separating portion 23a is L1.
  • the length between the outer surface of the second hollow shaft 40 and the inner surface of the chamber 20a at the substantially central portion of the separation portion 23a in the axis O direction is L2.
  • the lengths L1 and L2 are substantially the same. That is, the outer diameter of the separating portion 23a is substantially constant from the substantially central portion in the axis O direction toward the tip portion.
  • the configuration of the chamber 20a can be changed in various ways, and may be fixed to the second hollow shaft 40 by a single fixing portion (second fixing portion 22).
  • the fixing portion (second fixing portion 22) provided at the base end portion of the chamber 20a is illustrated as a single fixing portion, but the fixing portion (second fixing portion 22) provided at the tip end portion of the chamber 20a as a single fixing portion is illustrated.
  • a fixed portion (first fixed portion 21) may be adopted.
  • an opening OP is formed on the proximal end side of the chamber 20a.
  • the second fixing portion 22 (fixing portion) is provided at the proximal end portion of the chamber 20a, and the separating portion 23a is provided at the distal end side of the chamber 20a. Therefore, the tip end portion of the chamber 20a (the tip end portion of the separation portion 23a) can be used as an opening OP for communicating the inner space 20S of the chamber 20a and the inside of the balloon 10 as it is. Therefore, it is not necessary to process the chamber 20a to form the opening OP, and the chamber 20a can be easily formed. Further, since the opening OP can be increased in diameter, the fluid CA (contrast medium) can be easily flowed into the inner space 20S of the chamber 20a. Further, since the opening OP is located at the tip of the chamber 20a, the fluid CA that has flowed into the inner space 20S of the chamber 20a can be made difficult to escape from the inner space 20S of the chamber 20a.
  • FIG. 8 is an explanatory view illustrating the configuration of the chamber 20b of the third embodiment.
  • the balloon catheter 1b of the third embodiment includes a chamber 20b instead of the chamber 20a described in the second embodiment.
  • the chamber 20b includes a separation portion 23b instead of the separation portion 23a described in the second embodiment.
  • the tip of the separating portion 23b forms an opening OP with the outer surface of the second hollow shaft 40.
  • L1 be the length between the outer surface of the second hollow shaft 40 and the inner surface of the chamber 20b at the tip of the separating portion 23b.
  • L2 be the length between the outer surface of the second hollow shaft 40 and the inner surface of the chamber 20b at the substantially central portion of the separation portion 23b in the axis O direction.
  • the length L1 is smaller than the length L2. That is, the outer diameter of the separating portion 23b is reduced from the substantially central portion in the axis O direction toward the tip portion.
  • the shape of the separation portion 23b can be changed in various ways.
  • a separation portion 23b whose diameter is reduced from the substantially central portion in the axis O direction toward the tip portion may be adopted, and the diameter is expanded from the substantially central portion in the axis O direction toward the tip portion.
  • the separated portion 23b may be adopted.
  • FIG. 9 is an explanatory view illustrating the configuration of the chamber 20c of the fourth embodiment.
  • the balloon catheter 1c of the fourth embodiment includes a chamber 20c instead of the chamber 20.
  • the chamber 20c includes a separating portion 23c instead of the separating portion 23.
  • the separating portion 23c is formed with three opening OPs arranged apart from each other in the axis O direction.
  • the number and arrangement of the opening OPs formed in the separation portion 23c can be arbitrarily changed.
  • three opening OPs may be formed in the separation portion 23c, and an arbitrary number of opening OPs such as two, four or more may be formed.
  • a configuration may be adopted in which innumerable opening OPs are formed in the separation portion 23c by forming the chamber 20c with a porous body.
  • the opening OPs may be arranged apart from each other in the axial direction O direction, may be arranged apart from each other in the circumferential direction of the chamber 20c, and two or more opening OPs are arranged in combination. You may.
  • the same effect as that of the first embodiment described above can be obtained. Further, according to the balloon catheter 1c of the fourth embodiment, since a plurality of opening OPs are formed in the separation portion 23c, the fluid CA (contrast medium) can easily flow into the inner space 20S of the chamber 20c.
  • FIG. 10 is an explanatory view illustrating the configuration of the chamber 20d of the fifth embodiment.
  • the balloon catheter 1d of the fifth embodiment includes a chamber 20d instead of the chamber 20.
  • the chamber 20d includes a first fixing portion 21d in place of the first fixing portion 21, and a separating portion 23d in place of the separating portion 23.
  • the separating portion 23d has the same shape as the separating portion 23 of the first embodiment in a part 23d2 on the proximal end side.
  • the separation portion 23d is formed by spirally winding a wire having a substantially rectangular cross section around the outer surface of the second hollow shaft 40 in a part 23d1 on the tip side.
  • the wire is wound so that the outer diameter of the separating portion 23d gradually decreases from the proximal end side toward the distal end side, and at the distal end portion of the chamber 20d, the wire is wound. 2 It is fixed to the outer surface of the hollow shaft 40 to form the first fixing portion 21d.
  • the gap between adjacent strands forms an opening OP. That is, the opening OP extends spirally on the outside of the second hollow shaft 40.
  • the strands may be a single wire formed from one strand, or may be a stranded wire obtained by twisting a plurality of strands.
  • the configuration of the chamber 20d can be changed in various ways, and may be formed by winding a wire around the second hollow shaft 40.
  • a part 23d1 on the tip end side of the separation part 23d and a first fixing part 21d are formed by a wire, but the same applies to the part 23d2 on the base end side of the separation part 23d and the second fixing part 22.
  • it may be formed by a wire.
  • the cross-sectional shape and diameter of the strands, single wire / stranded wire, winding pitch of the strands, etc. can be arbitrarily determined. Even with such a fifth embodiment, the same effect as that of the first embodiment described above can be obtained.
  • the chamber 20d is formed by spirally winding a wire having a substantially rectangular cross section on the outer surface of the second hollow shaft 40. , Chamber 20d can be easily formed.
  • FIG. 11 is an explanatory view illustrating the configuration of the chamber 20e of the sixth embodiment.
  • the balloon catheter 1e of the sixth embodiment includes a chamber 20e instead of the chamber 20a described in the second embodiment.
  • the chamber 20e includes a separation portion 23e instead of the separation portion 23a described in the second embodiment.
  • the separating portion 23e has three recesses 23N formed on the inner surface thereof. Each recess 23N has a groove shape extending in the circumferential direction of the separating portion 23e.
  • the inner space 20S (that is, the space between the inside of the separating portion 23e and the outer surface of the guide wire lumen 40L) also includes the inside of the recess 23N.
  • a recess 23N may be formed on the inner surface of the separating portion 23e.
  • the recess 23N may be one or a plurality.
  • the shape, size, and arrangement of the recess 23N can be arbitrarily determined.
  • the recess 23N may have a circular shape instead of a groove shape, or may have a cross shape.
  • the recess 23N may be formed on the inner surface of the first fixing portion 21 (FIG. 2) or the second fixing portion 22 in addition to the inner surface of the separating portion 23e. Even with such a sixth embodiment, the same effects as those of the first embodiment and the second embodiment described above can be obtained.
  • the recess 23N is formed on the inner surface of the separating portion 23e of the chamber 20e, the fluid CA (contrast agent) that has flowed into the inner space 20S of the chamber 20e. ) Can be captured in the recess 23N. As a result, the fluid CA that has flowed into the inner space 20S of the chamber 20e can be made more difficult to escape from the inner space 20S of the chamber 20e.
  • FIG. 12 is an explanatory view illustrating the configuration of the chamber 20f of the seventh embodiment.
  • the lower part of FIG. 7 shows a cross-sectional view of the upper C1-C1 line and a cross-sectional view of the upper C2-C2 line, respectively.
  • the balloon catheter 1f of the seventh embodiment includes a chamber 20f instead of the chamber 20a described in the second embodiment.
  • the chamber 20f includes a separation portion 23f instead of the separation portion 23a described in the second embodiment, and further includes a third fixing portion 24.
  • the separating portions 23f and the third fixing portions 24 are alternately provided in the circumferential direction of the second hollow shaft 40. Specifically, four separating portions 23f are provided apart from each other in the circumferential direction of the second hollow shaft 40, and four third fixing portions 24 are provided so as to bridge each separating portion 23f. Each of the separation portions 23f forms an inner space 20S with the outer surface of the second hollow shaft 40. Further, each of the third fixing portions 24 is fixed to the outer surface of the second hollow shaft 40. The length of the separating portion 23f and the length of the third fixing portion 24 in the circumferential direction of the second hollow shaft 40 can be arbitrarily determined. The third fixed portion 24 corresponds to the “fixed portion”.
  • the configuration of the chamber 20f can be changed in various ways, even if a separate fixing portion (third fixing portion 24) is provided between one separating portion 23f and the other separating portion 23f. Good.
  • a separate fixing portion third fixing portion 24
  • the separating portions 23f and the third fixing portion 24 may be provided alternately.
  • the number of the separating portion 23f and the third fixing portion 24 can be arbitrarily determined. Even with such a seventh embodiment, the same effects as those of the first and second embodiments described above can be obtained.
  • the chamber 20f since the third fixing portion 24 (fixing portion) and the separating portion 23f are alternately provided in the circumferential direction of the second hollow shaft 40, the chamber 20f
  • the fluid CA (contrast medium) that has flowed into the inner space 20S of the chamber 20f can be made more difficult to escape from the inner space 20S of the chamber 20f.
  • the chamber 20f can be firmly fixed to the second hollow shaft 40 by the third fixing portion 24 provided alternately with the separating portion 23f in the circumferential direction.
  • FIG. 13 is an explanatory view illustrating the configuration of the chamber 20 g of the eighth embodiment.
  • the lower part of FIG. 8 shows a cross-sectional view taken along the upper D1-D1 line and a cross-sectional view taken along the upper D2-D2 line.
  • the balloon catheter 1g of the eighth embodiment includes a chamber 20g instead of the chamber 20f described in the seventh embodiment.
  • the chamber 20g includes a second fixing portion 22g in place of the second fixing portion 22 described in the first embodiment, and includes a separating portion 23g in place of the separating portion 23f described in the seventh embodiment.
  • a third fixing portion 24g is provided in place of the third fixing portion 24 described in the above.
  • the chamber 20 g of the present embodiment is provided in a part of the second hollow shaft 40 in the circumferential direction.
  • the second fixing portion 22g is arranged so as to cover a part of the second hollow shaft 40 in the circumferential direction and is fixed to the outer surface of the second hollow shaft 40. ..
  • a pair of third fixing portions 24g are formed at both ends of one separating portion 23g and are fixed to the outer surface of the second hollow shaft 40.
  • One inner space 20S is formed between the inside of the separating portion 23g and the outer surface of the second hollow shaft 40.
  • the configuration of the chamber 20 g can be changed in various ways, and as shown in FIG. 13, it may be provided in a part of the second hollow shaft 40 in the circumferential direction.
  • the circumferential range in which the chamber 20 g is formed can be arbitrarily determined. Even with such an eighth embodiment, the same effects as those of the first embodiment, the second embodiment, and the seventh embodiment described above can be obtained. Further, in the balloon catheter 1g of the eighth embodiment, since the chamber 20g is provided only in a part in the circumferential direction, the diameter of the balloon 10 can be further reduced.
  • FIG. 14 is an explanatory view illustrating the configuration of the chamber 20h of the ninth embodiment.
  • the balloon catheter 1h of the ninth embodiment includes a chamber 20h instead of the chamber 20.
  • the chamber 20h is formed by spirally winding a wire having a substantially circular cross section around the outer surface of the second hollow shaft 40.
  • the wire is in contact with the outer surface of the second hollow shaft 40 at the tip portion, is separated from the outer surface of the second hollow shaft 40 at the substantially central portion, and is separated from the outer surface of the second hollow shaft 40 at the base end portion. It is in contact with the outer surface of the hollow shaft 40.
  • the strands may be a single wire formed from one strand, or may be a stranded wire obtained by twisting a plurality of strands.
  • the wire fixed to the second hollow shaft 40 at the tip portion corresponds to the first fixing portion 21h
  • the wire fixed to the second hollow shaft 40 at the base end portion is the second wire. It corresponds to the fixed portion 22h.
  • the strands separated from the second hollow shaft 40 in the substantially central portion correspond to the separated portion 23h.
  • a gap between adjacent strands forms an opening OP. That is, the opening OP extends spirally on the outside of the second hollow shaft 40.
  • the configuration of the chamber 20h can be changed in various ways, and may be formed by winding a wire around the second hollow shaft 40.
  • the cross-sectional shape and diameter of the strands, single wire / stranded wire, winding pitch of the strands, etc. can be arbitrarily determined.
  • the opening OP is formed by loosely winding the strands in the entire separating portion 23h, but the opening OP is formed by loosely winding the strands in the separating portion 23h.
  • a portion may be mixed with a portion in which the opening OP is not formed by tightly winding the wire.
  • FIG. 15 is an explanatory view illustrating the cross-sectional configuration of the balloon catheter 1i according to the tenth embodiment.
  • the balloon catheter 1i of the tenth embodiment is provided with an inner shaft 50i instead of the core wire 50, so that fluid can be supplied / discharged using a lumen different from that of the first embodiment.
  • the inner shaft 50i is a long member extending along the axis O.
  • the inner shaft 50i has a hollow substantially cylindrical shape in which openings are formed at the tip end portion and the base end portion, respectively, and a lumen (fluid lumen 50L) communicating both openings is formed inside.
  • the inner shaft 50i has a smaller diameter than the first hollow shaft 30 and the second hollow shaft 40, a part on the tip side protrudes from the tip of the first hollow shaft 30, and a part on the base end side protrudes from the base end of the connector 60. It is arranged in a protruding state.
  • the tip of the inner shaft 50i is joined to the inner surface of the first hollow shaft 30 and the outer surface of the second hollow shaft 40 by the sealing portion 55.
  • the inner shaft 50i can be formed of the same material as the first hollow shaft 30 described in the first embodiment.
  • the sealing portion 55 can be formed of the same material as the tip joining portion 51 described in the first embodiment.
  • the lumen of the inner shaft 50i functions as a fluid lumen 50L for circulating a fluid for expanding the balloon 10.
  • the operator supplies the fluid from the proximal end of the inner shaft 50i.
  • the fluid passes through the fluid lumen 50L of the inner shaft 50i and accumulates in the inner space of the balloon 10 to expand the balloon 10.
  • the inner space of the balloon 10 is sealed by the sealing portion 55. Therefore, the supplied fluid is accumulated only in the inner space of the balloon 10 and the fluid lumen 50L.
  • the configuration of the balloon catheter 1i can be changed in various ways, and another shaft (inner shaft 50i) constituting the fluid lumen may be provided.
  • the connector 60 may be further provided with a port for supplying a fluid to the inner shaft 50i.
  • the same effect as that of the first embodiment described above can be obtained.
  • the core wire 50 (FIG. 1) for maintaining the shape of the balloon catheter 1 can be omitted.
  • the amount of fluid used can be reduced.
  • the first hollow shaft 30 and the second hollow shaft 40 may be formed by combining a plurality of hollow shafts.
  • the opening 36 may be formed by shifting the joint between the one hollow shaft and the other hollow shaft, or the opening 36 may be formed by changing the diameters of the one hollow shaft and the other hollow shaft. ..
  • the tip 70 may be omitted.
  • the tip of the second hollow shaft 40 may be made flexible and function as the tip 70 by changing the material or shape of the tip of the second hollow shaft 40.
  • the balloon catheter 1 may have other configurations not described above.
  • Other configurations include, for example, a radiation opaque marker portion provided at the tip of the first hollow shaft 30, a second balloon provided at the tip or proximal end of the balloon 10, and a separate separate for medical devices.
  • a second inner shaft or the like for forming a lumen can be exemplified.
  • the configuration of the chamber 20 can be changed in various ways.
  • the chamber 20 does not have to be made of a radiation opaque material.
  • a plurality of chambers 20 may be provided in the axis O direction.
  • a plurality of chambers 20 may be provided in the circumferential direction of the second hollow shaft 40.
  • the separating portions 23 and the fixing portions may be provided alternately in the axis O direction.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

Ce cathéter à ballonnet est pourvu : d'une première tige creuse ; d'une seconde tige creuse disposée à l'intérieur de la première tige creuse et ayant une section d'extrémité distale faisant saillie à partir d'une section d'extrémité distale de la première tige creuse ; d'un ballonnet qui a une section proximale liée à la section d'extrémité distale de la première tige creuse et a une section d'extrémité distale liée à la section d'extrémité distale de la seconde tige creuse ; et une chambre disposée à l'intérieur du ballonnet. La chambre comprend : une section fixe fixée à la surface externe de la seconde tige creuse ; et une section séparée reliée à la section fixe, espacée de la surface externe de la seconde tige creuse, et définissant un espace entre la section séparée et la surface externe de la seconde tige creuse à l'intérieur de celle-ci. Une ouverture reliant l'espace et l'intérieur du ballonnet est formée au niveau d'au moins une partie de la section séparée.
PCT/JP2019/017317 2019-04-23 2019-04-23 Cathéter à ballonnet WO2020217327A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/JP2019/017317 WO2020217327A1 (fr) 2019-04-23 2019-04-23 Cathéter à ballonnet
JP2021515363A JP7076044B2 (ja) 2019-04-23 2019-04-23 バルーンカテーテル

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2019/017317 WO2020217327A1 (fr) 2019-04-23 2019-04-23 Cathéter à ballonnet

Publications (1)

Publication Number Publication Date
WO2020217327A1 true WO2020217327A1 (fr) 2020-10-29

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JP (1) JP7076044B2 (fr)
WO (1) WO2020217327A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6558401B1 (en) * 1998-08-04 2003-05-06 Medtronic Percusurge, Inc. Low profile catheter for angioplasty and occlusion
US20030176886A1 (en) * 2002-03-12 2003-09-18 Wholey Mark H. Vascular catheter with expanded distal tip for receiving a thromboembolic protection device and method of use
WO2016133048A1 (fr) * 2015-02-20 2016-08-25 テルモ株式会社 Outil médical

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6558401B1 (en) * 1998-08-04 2003-05-06 Medtronic Percusurge, Inc. Low profile catheter for angioplasty and occlusion
US20030176886A1 (en) * 2002-03-12 2003-09-18 Wholey Mark H. Vascular catheter with expanded distal tip for receiving a thromboembolic protection device and method of use
WO2016133048A1 (fr) * 2015-02-20 2016-08-25 テルモ株式会社 Outil médical

Also Published As

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JPWO2020217327A1 (ja) 2021-11-25

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