JP2009527282A - 人工動静脈瘻を確立するための装置および方法 - Google Patents
人工動静脈瘻を確立するための装置および方法 Download PDFInfo
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Abstract
Description
後述の本発明は、肺高血圧症の処置および血管手術に関する。
Claims (30)
- 少なくとも1つの第1の対のクリンチ部材であって、第1の血管と第2の血管との隣り合う部分に対し縦方向に配置される配備構成を有し、該第1および第2の血管の隣り合う平行部で閉じるように該第1の対のクリンチ部材が付勢されている、少なくとも1つの第1の対のクリンチ部材と、
少なくとも1つの第2の対のクリンチ部材であって、該第1の対に対し横切った配備構成を有し、該第1および第2の血管の側壁の円周方向に離れた点にわずかな圧力を及ぼすように該第2の対のクリンチ部材が付勢されている、少なくとも1つの第2の対のクリンチ部材と
を含む、血管内コネクタ。 - 各クリンチ部材は、該クリンチ部材に沿ったスリットを画定し、前記コネクタが半径方向に拡張されると、該スリット付近で該クリンチ部材の半径方向変形が生じる、請求項1に記載のコネクタ。
- その配備構成で解放されると、各並置されるクリンチ部材の遠位部が互いに近接するように、前記第1の対のクリンチ部材が外転するように付勢されている、請求項1に記載のコネクタ。
- 各並置されるクリンチ部材の前記遠位部は、前記第1および第2の血管への影響のために、該クリンチ部材の間に非侵襲性座面を形成するように構成される、請求項3に記載のコネクタ。
- 前記第1の対のクリンチ部材は、介在胴部が無い連続的に形成されたクリップを含む、請求項1に記載のコネクタ。
- 前記第2の対のクリンチ部材は、前記第1の対のクリンチ部材に対し角度を成す、請求項1に記載のコネクタ。
- 前記第1の血管は、動脈を含む、請求項1に記載のコネクタ。
- 動脈内に配置される前記第1および第2の対のクリンチ部材は、該動脈内で上流方向、すなわち逆行方向へ傾斜する、請求項7に記載のコネクタ。
- 前記第2の血管は、静脈を含む、請求項1に記載のコネクタ。
- 前記静脈内に配置される前記第1および第2の対のクリンチ部材は、該静脈内で上流方向、すなわち逆行方向へ傾斜する、請求項9に記載のコネクタ。
- 前記第2の対のクリンチ部材は、前記第1と第2の血管との間に僅かなコンプライアンスミスマッチを構築するように付勢される、請求項1に記載のコネクタ。
- 前記第2の対のクリンチ部材はそれぞれ、前記配備構成において互いに離れた遠位部を画定する、請求項1に記載のコネクタ。
- 前記第2の対のクリンチ部材は、介在胴部が無い連続的に形成されたクリップを含む、請求項1に記載のコネクタ。
- 前記第2の対のクリンチ部材は、前記コネクタに対し外向きに弧を描く遠位部を有する弧状または弓状の形を形成する、請求項13に記載のコネクタ。
- 前記第2の対のクリンチ部材は、前記第1および第2の血管への影響のために、該第2の対のクリンチ部材の間に非侵襲性座面を形成するように構成される、請求項13に記載のコネクタ。
- 少なくとも部分的に前記コネクタを覆う治療剤の被覆または膜をさらに含む、請求項1に記載のコネクタ。
- 第1の血管と第2の血管との隣り合う部分に対し縦方向に配置された配備構成を有する少なくとも1対のクリップと、
少なくとも1対の引張バネであって、該対のクリップに対し横切った配備構成を有し、該引張バネが少なくとも部分的に該第1および第2の血管内に延びる、少なくとも1対の引張バネと
を含み、
該クリップおよび引張バネの配列は、開流路が該第1と第2の血管との間に維持されるように該クリップと引張バネとの間に開口部を画定する、血管内コネクタ。 - 前記対のクリップは、前記第1および第2の血管の隣り合う平行部で閉じるように付勢されている、請求項17に記載のコネクタ。
- 各クリップ部材の遠位部は、前記第1および第2の血管への影響のために、非侵襲性座面を形成する、請求項17に記載のコネクタ。
- 前記クリップは、介在胴部が無く連続的に形成された部材から成る、請求項17に記載のコネクタ。
- 各引張バネの遠位部は、前記第1および第2の血管への影響のために、非侵襲性座面を形成する、請求項17に記載のコネクタ。
- 前記引張バネは、介在胴部が無く連続的に形成された部材から成る、請求項20に記載のコネクタ。
- 前記引張バネは、それぞれ第1および第2の血管の側壁の円周方向に離れた点にわずかな圧力を加えるように付勢されている、請求項17に記載のコネクタ。
- 前記コネクタは、互いに対し外向きに位置決めされた少なくとも2対のクリップを含む、請求項17に記載のコネクタ。
- 互いに対し外向きに配置された少なくとも2対の引張バネをさらに含む、請求項24に記載のコネクタ。
- 前記対のクリップおよび対の引張バネは、円形配列に位置決めされ、各クリップまたは引張バネの閉口端は、各クリップまたは引張バネの開口端が該円形配列から外向きに向くように、隣り合うクリップまたは引張バネの閉口端に固定される、請求項25に記載のコネクタ。
- 前記対のクリップおよび対の引張バネは、交互に配列される、請求項26に記載のコネクタ。
- 前記対のクリップおよび対の引張バネは、前記円形配列において、互いに30度〜90度離れている、請求項26に記載のコネクタ。
- 各クリップの先端部は、前記開口部から縦方向に離れた第1または第2の血管内の点で閉じる、請求項17に記載のコネクタ。
- 少なくとも部分的に前記コネクタを覆う治療剤の被覆または膜をさらに含む、請求項17に記載のコネクタ。
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US11/356,876 | 2006-02-17 | ||
US11/356,876 US9706997B2 (en) | 2004-08-27 | 2006-02-17 | Device and method for establishing an artificial arterio-venous fistula |
PCT/US2007/061986 WO2007100970A2 (en) | 2006-02-17 | 2007-02-12 | Device and method for establishing an artificial arterio-venous fistula |
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JP5030975B2 JP5030975B2 (ja) | 2012-09-19 |
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JP2012082160A Withdrawn JP2012148123A (ja) | 2006-02-17 | 2012-03-30 | 人工動静脈瘻を確立するための装置および方法 |
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EP (1) | EP1983934B1 (ja) |
JP (2) | JP5030975B2 (ja) |
AU (1) | AU2007220961B2 (ja) |
CA (1) | CA2640555C (ja) |
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KR20170003954A (ko) * | 2014-05-02 | 2017-01-10 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | 문합 장치 |
KR20170013265A (ko) * | 2014-05-02 | 2017-02-06 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | 문합 장치 |
JP2017513607A (ja) * | 2014-05-02 | 2017-06-01 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティドW.L. Gore & Associates, Incorporated | 吻合器 |
JP2017517309A (ja) * | 2014-05-02 | 2017-06-29 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティドW.L. Gore & Associates, Incorporated | 吻合器具 |
KR101982389B1 (ko) * | 2014-05-02 | 2019-05-28 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | 문합 장치 |
KR101986317B1 (ko) * | 2014-05-02 | 2019-06-07 | 더블유.엘. 고어 앤드 어소시에이트스, 인코포레이티드 | 문합 장치 |
JP2018528009A (ja) * | 2015-09-15 | 2018-09-27 | ザ ユナイテッド ステイツ オブ アメリカ, アズ リプレゼンテッド バイ ザ セクレタリー, デパートメント オブ ヘルス アンド ヒューマン サービスThe United States Of America, As Represented By The Secretary, Department Of Health And Human Service | 経皮的グレン並びにフォンタン手術を実施するための装置及び方法 |
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EP1983934A4 (en) | 2011-06-08 |
US9706997B2 (en) | 2017-07-18 |
EP1983934A2 (en) | 2008-10-29 |
US20170258470A1 (en) | 2017-09-14 |
CA2640555C (en) | 2013-04-23 |
US8088171B2 (en) | 2012-01-03 |
WO2007100970A2 (en) | 2007-09-07 |
WO2007100970A3 (en) | 2008-01-17 |
AU2007220961A1 (en) | 2007-09-07 |
AU2007220961B2 (en) | 2012-05-31 |
EP1983934B1 (en) | 2016-01-27 |
CA2640555A1 (en) | 2007-09-07 |
JP5030975B2 (ja) | 2012-09-19 |
US20120101423A1 (en) | 2012-04-26 |
US20060206123A1 (en) | 2006-09-14 |
JP2012148123A (ja) | 2012-08-09 |
US9468441B2 (en) | 2016-10-18 |
US20070173867A1 (en) | 2007-07-26 |
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