HRP20231208T1 - Priključna stanica za transkateterske zaliske - Google Patents

Priključna stanica za transkateterske zaliske Download PDF

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Publication number
HRP20231208T1
HRP20231208T1 HRP20231208TT HRP20231208T HRP20231208T1 HR P20231208 T1 HRP20231208 T1 HR P20231208T1 HR P20231208T T HRP20231208T T HR P20231208TT HR P20231208 T HRP20231208 T HR P20231208T HR P20231208 T1 HRP20231208 T1 HR P20231208T1
Authority
HR
Croatia
Prior art keywords
docking station
door
frame
wall
station
Prior art date
Application number
HRP20231208TT
Other languages
English (en)
Inventor
Liron TAYEB
Eran Goldberg
David Maimon
Adi CARMI
Arie Tylis
Ofir Witzman
Ralph Schneider
Mohammad Jafari
Hengchu Cao
Eason Michael Abbott
Dustin P. Armer
Michael D. Franklin
Tomer Saar
Anatoly Dvorsky
John J. Desrosiers
Daniel James Murray
Michael G. Valdez
Assaf Bash
Amir Blumenfeld
Noa AXELROD
Eitan ATIAS
Original Assignee
Edwards Lifesciences Corporation
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 Edwards Lifesciences Corporation filed Critical Edwards Lifesciences Corporation
Publication of HRP20231208T1 publication Critical patent/HRP20231208T1/hr

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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0039—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063—Nested prosthetic parts

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Non-Portable Lighting Devices Or Systems Thereof (AREA)
  • Lift Valve (AREA)
  • Automatic Cycles, And Cycles In General (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Claims (15)

1. Priključna stanica (10) za implantaciju u krvnu žilu, te je krvna žila IVC i SVC, te priključna stanica (10) sadrži: samo proširujući okvir (350) konfiguriran da odgovara unutarnjem obliku krvne žile kada se proširi unutar krvne žile; i tkaninu (21) pričvršćenu na okvir (350) tako da tvori najmanje jedan brtveni dio konfiguriran za kontakt s unutarnjom površinom krvne žile, pri čemu okvir (350) sadrži: prstenasto sjedište zaliska (18) koje ima prvi kraj i slobodni drugi kraj, pri čemu je sjedište zaliska (18) integralno oblikovano s okvirom (350) i konfigurirano za podupiranje proširivog transkateterskog zaliska koji se osigurava odvojeno od priključne stanice (10); cilindričnu vanjsku stijenku (368) koja se sastoji od većeg broja podupirača; veze (1202) koje spajaju prvi kraj sjedišta zaliska (18) s vanjskom stijenkom (368), pri čemu se veze (1202) protežu od sjedišta zaliska (18) do vanjske stijenke (368) pod kutom u odnosu na radijalni smjer, pri čemu su veze (1202) dijelovi podupirača i integralno oblikovane s mnoštvom podupirača (1200); i krak (319) koji se proteže aksijalno od kraja vanjske stijenke (368).
2. Priključna stanica (10) prema zahtjevu 1, naznačena time što su veze (1202) zakrivljene, poželjno zakrivljene u polukružnom obliku.
3. Priključna stanica (10) prema zahtjevu 1 ili 2, naznačena time što je debljina veza manja od debljine mnoštva podupirača (1200) vanjske stijenke (368), pri čemu su veze (1202) i mnoštvo podupirača (1200) poželjno integralno oblikovani, a prijelazni dio poželjno postupno prelazi iz debljine veza (1202) u debljinu mnoštva podupirača (1200).
4. Priključna stanica (10) prema zahtjevu 2 ili 3, naznačena time što je sjedište zaliska (18) smješteno radijalno unutar vanjske stijenke (368) okvira (350).
5. Priključna stanica (10) prema bilo kojem od zahtjeva 2 do 4, naznačena time što je vrh (1204) veza (1202) savijen tako da se dijelovi veza (1202) na suprotnim stranama vrha (1204) protežu daleko jedna od druge pod šiljatim kutom, pri čemu vrh (1204) veza (1202) poželjno uključuje kružni dio koji se proteže prema gore i/ili kružni dio koji se proteže prema dolje.
6. Priključna stanica (10) prema bilo kojem od zahtjeva 2 do 5, naznačena time što su veze upletene dok se protežu od sjedišta zaliska (18) do prstenaste stijenke (368).
7. Priključna stanica (10) prema bilo kojem od zahtjeva 1 do 6, naznačena time što dalje sadrži cjevasti presadak (902) spojen na proširivi okvir (350) koji se proteže aksijalno izvan kraja proširivog okvira (350).
8. Priključna stanica (10) prema bilo kojem od zahtjeva 1 do 7, naznačena time što okvir (350) ima mnoštvo segmenata stenta (3702) spojenih na mnoštvo opružnih elemenata (3700), pri čemu se poželjno opružni elementi (3700) sastoje od žica za opruge, torzijskih opruga, vlačnih opruga i njihovih kombinacija.
9. Priključna stanica (10) prema zahtjevu 1, naznačena time što je sjedište zaliska (18) koaksijalno s vanjskom stijenkom (368) okvira (350).
10. Priključna stanica (10) prema bilo kojem od zahtjeva 1 do 9, naznačena time što okvir (350) nadalje sadrži izduženi krak (323) koji se proteže aksijalno dalje od kraja vanjske stijenke (368) nego krak (319).
11. Sustav za postavljanje priključne stanice, naznačen time što obuhvaća: kateter (2200) koji definira prolaz za dovođenje i ima distalni otvor; samo proširivu priključnu stanicu (10) prema bilo kojem od zahtjeva 1 do 10, te se priključna stanica (10) može radijalno stlačivati i proširivati, pri čemu se priključna stanica (10) može držati u stlačenoj konfiguraciji unutar prolaza za dovođenje katetera (2200); i a uređaj za zadržavanje (2300) koji se može odvojivo spajati na priključnu stanicu (10) tako da uređaj za zadržavanje (2300) sprječava da priključna stanica (10) distalno iskoči iz katetera (2200).
12. Sustav prema zahtjevu 11, naznačen time što je uređaj za zadržavanje (2300) potiskivač koji ima distalni kraj koji se može spojiti na proksimalni kraj priključne stanice (10), pri čemu je uređaj za zadržavanje (2300) poželjno konfiguriran da održava aksijalni položaj priključne stanice sve dok se priključna stanica (10) potpuno ne proširi na mjestu implantacije.
13. Sustav prema zahtjevu 11 ili 12, naznačen time što priključna stanica (10) obuhvaća najmanje jedan krak (319) koji se proteže proksimalno na proksimalnom kraju priključne stanice (10) i može se odvojivo povezati na uređaj za zadržavanje (2300).
14. Sustav prema zahtjevu 13, naznačen time što uređaj za zadržavanje (2300) sadrži priključak za zaključavanje i oslobađanje koji ima tijelo i vrata, pri čemu se vrata mogu pomicati iz prvog položaja u drugi položaj, pri čemu priključak za zaključavanje i oslobađanje poželjno ima druga vrata koja se mogu pomicati iz trećeg položaja u četvrti položaj, i priključak za zaključavanje i oslobađanje je poželjno konfiguriran tako da može držati prvi krak priključne stanice (10) između vrata i tijela u prvom položaju i može držati drugi krak priključne stanice između drugih vrata i tijela u trećem položaju.
15. Sustav prema zahtjevu 13, naznačen time što uređaj za zadržavanje (2300) sadrži priključak za zaključavanje i oslobađanje koji ima tijelo i vrata, pri čemu se vrata mogu pomicati iz prvog položaja u drugi položaj, i pri čemu je uređaj za zadržavanje (2300) spojen na priključnu stanicu (10) kada je krak (319) između vrata i tijela i kada su vrata u prvom položaju, pri čemu je uređaj za zadržavanje (2300) poželjno konfiguriran da oslobodi krak kada se vrata pomaknu u drugi položaj.
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