JP2012507344A - 湾曲した管腔内にステント移植片を配備するための導入器及びそのためのステント移植片 - Google Patents
湾曲した管腔内にステント移植片を配備するための導入器及びそのためのステント移植片 Download PDFInfo
- Publication number
- JP2012507344A JP2012507344A JP2011534517A JP2011534517A JP2012507344A JP 2012507344 A JP2012507344 A JP 2012507344A JP 2011534517 A JP2011534517 A JP 2011534517A JP 2011534517 A JP2011534517 A JP 2011534517A JP 2012507344 A JP2012507344 A JP 2012507344A
- Authority
- JP
- Japan
- Prior art keywords
- stent
- graft
- proximal
- introducer
- restraining
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
- 230000000452 restraining effect Effects 0.000 claims abstract description 101
- 230000007246 mechanism Effects 0.000 claims abstract description 64
- 239000000463 material Substances 0.000 claims abstract description 43
- 210000002376 aorta thoracic Anatomy 0.000 abstract description 25
- 238000000034 method Methods 0.000 description 32
- 239000003356 suture material Substances 0.000 description 28
- 210000000709 aorta Anatomy 0.000 description 24
- 239000007943 implant Substances 0.000 description 20
- 230000002439 hemostatic effect Effects 0.000 description 16
- 238000007789 sealing Methods 0.000 description 16
- 210000000115 thoracic cavity Anatomy 0.000 description 16
- 210000004204 blood vessel Anatomy 0.000 description 12
- 230000004048 modification Effects 0.000 description 12
- 238000012986 modification Methods 0.000 description 12
- 238000010586 diagram Methods 0.000 description 10
- 206010002329 Aneurysm Diseases 0.000 description 6
- 239000012530 fluid Substances 0.000 description 6
- 230000000717 retained effect Effects 0.000 description 6
- 208000002251 Dissecting Aneurysm Diseases 0.000 description 4
- 230000004913 activation Effects 0.000 description 4
- 206010002895 aortic dissection Diseases 0.000 description 4
- 210000001367 artery Anatomy 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 239000000560 biocompatible material Substances 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 210000000624 ear auricle Anatomy 0.000 description 4
- 238000004519 manufacturing process Methods 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 229910052751 metal Inorganic materials 0.000 description 4
- 230000002028 premature Effects 0.000 description 4
- 210000005166 vasculature Anatomy 0.000 description 4
- 229920000742 Cotton Polymers 0.000 description 2
- 208000034693 Laceration Diseases 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 2
- 210000000702 aorta abdominal Anatomy 0.000 description 2
- 208000007474 aortic aneurysm Diseases 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 239000003153 chemical reaction reagent Substances 0.000 description 2
- 239000002872 contrast media Substances 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 238000007429 general method Methods 0.000 description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 2
- 239000010931 gold Substances 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 210000003090 iliac artery Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 150000002739 metals Chemical class 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 229920000728 polyester Polymers 0.000 description 2
- 239000002861 polymer material Substances 0.000 description 2
- 229920001296 polysiloxane Polymers 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 229920002994 synthetic fiber Polymers 0.000 description 2
- 229940124597 therapeutic agent Drugs 0.000 description 2
Images
Classifications
-
- 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
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- 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
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
-
- 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
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
Abstract
Description
3 坦持部材
4 ステント、
4’ 近位端に配置されているステント、近位のステント、
7 穴、
8 坦持部材、拘束ワイヤー坦持部材、ガイドワイヤー坦持部材、
10 移植片配備器具、
10’ 導入器、
11 縫合糸材料からなるループ、縫合糸材料又は紐状部材11、
12 外部操作部、
13 耳たぶ状突出部、
14 近位の取り付け領域、
16 遠位の取り付け領域、
18 移植片、ステント、ステント移植片、
20 拡張器先端、ノーズコーン型拡張器、
22 穴、
24 ガイドワイヤー坦持部材、カテーテル、又はカニューレ、
25 大動脈、
26 接続器具、
27 大動脈解離、
30 プッシャー部材、
31 内側湾曲部、湾曲部の内側部分
32 シース、
33 外側湾曲部、
34 止血用密封ユニット、
36 側方チューブ、
38 ルアーロック、
40 人工器官の遠位端、
42 拘束ワイヤー、解放ワイヤー、
44 環状領域、環状空間、
46 遠位のワイヤー解放機構、
48 本体、
50 拘束ワイヤー起動部、近位のワイヤー解放機構、
52 クランプねじ、
54 ピンバイス、
56 ねじ込みキャップ、
112 結び目、
114 湾曲部、縫合糸ループ、
120 重なり領域、
126 大動脈の壁の裂傷部、
130 大動脈弓又は胸部動脈弓、
132 縫合糸、
3 坦持部材
4 ステント、
4’ 近位端に配置されているステント、近位のステント、
7 穴、
8 坦持部材、拘束ワイヤー坦持部材、ガイドワイヤー坦持部材、
10 移植片配備器具、
10’ 導入器、
11 縫合糸材料からなるループ、縫合糸材料又は紐状部材11、
12 外部操作部、
13 耳たぶ状突出部、
14 近位の取り付け領域、
16 遠位の取り付け領域、
18 移植片、ステント、ステント移植片、
20 拡張器先端、ノーズコーン型拡張器、
22 穴、
24 ガイドワイヤー坦持部材、カテーテル、又はカニューレ、
25 大動脈、
26 接続器具、
27 大動脈解離、
30 プッシャー部材、
31 内側湾曲部、湾曲部の内側部分
32 シース、
33 外側湾曲部、
34 止血用密封ユニット、
36 側方チューブ、
38 ルアーロック、
40 人工器官の遠位端、
42 拘束ワイヤー、解放ワイヤー、
44 環状領域、環状空間、
46 遠位のワイヤー解放機構、
48 本体、
50 拘束ワイヤー起動部、近位のワイヤー解放機構、
52 クランプねじ、
54 ピンバイス、
56 ねじ込みキャップ、
112 結び目、
114 湾曲部、縫合糸ループ、
120 重なり領域、
126 大動脈の壁の裂傷部、
130 大動脈弓又は胸部動脈弓、
132 縫合糸、
Claims (19)
- 湾曲した管腔内にステント移植片を配備するための導入器であり、
近位端に設けられた近位のステントを含む複数のステントが設けられているステント移植片のための担持部材と、
配備中に少なくとも2つの点で前記ステント移植片の近位のステントを拘束形態に維持する一方で前記近位のステントの遠位側のステント移植片の少なくとも一部分を拡張させるように操作可能な拘束機構を備えている解放機構と、を備えており、
前記拘束機構は、前記少なくとも2つの点で前記近位のステントの近位端と遠位端との両方を拘束するように操作可能である、ことを特徴とする導入器。 - 前記解放機構が、拘束されたステントが拡張して前記ステント移植片の前記拡張せしめられた部分内の遠位方向に隣接しているステントの少なくとも一部分の内側と重なるのを可能するように操作可能である、ことを特徴とする請求項1に記載の導入器。
- 前記解放機構が、配備中に3つの点で前記近位のステントを拘束するように操作可能である、ことを特徴とする請求項1に記載の導入器。
- 前記少なくとも2つの点が前記近位のステントの外周で周方向に等間隔で隔置されている、ことを特徴とする請求項1に記載の導入器。
- 前記解放機構が、埋め込み医療器具に設けられている糸からなるループを保持して、前記埋め込み医療器具を該導入器に拘束することができる少なくとも1つの拘束ワイヤーを備えている、ことを特徴とする請求項1に記載の導入器。
- 前記少なくとも1つの拘束ワイヤーが該導入器の前記坦持部材の管腔内に配置されている、ことを特徴とする請求項5に記載の導入器。
- 前記坦持部材の管腔内に設けられている中心のガイドワイヤー坦持部材を備えている、ことを特徴とする請求項6に記載の導入器。
- 前記坦持部材に、前記埋め込み医療器具の前記糸からなるループを受け入れる複数の穴が設けられている、ことを特徴とする請求項6に記載の導入器。
- 前記拘束ワイヤーを少なくとも3本備えている、ことを特徴とする請求項5に記載の導入器。
- 前記拘束ワイヤーを少なくとも6本備えている、ことを特徴とする請求項5に記載の導入器。
- 湾曲した管腔内に配備するためのステント移植片であり、内側管腔を提供している移植片材料からなる部材と、該移植片部材に沿って長手方向に配置され且つそのうちの少なくとも1つが前記ステント移植片の近位端に配置されている複数のステントと、前記近位端のステントの近位端及び遠位端に又はこれらの端部に隣接して配置されており且つ前記内側管腔内へ伸長している糸からなる複数のループとを備えており、前記複数のループが、配備中に前記近位の少なくとも2つの点で拘束されるようにする一方で前記ステント移植片の一部分が拡張せしめられ、前記の近位のステントの前記少なくとも2つの点が、前記ステントの近位端と遠位端との両方を拘束することができるようになされている、ことを特徴とするステント移植片。
- 前記機構が、前記近位のステントが配備中に3つの点において拘束されるのを可能にする、ことを特徴とする請求項11に記載のステント移植片。
- 前記少なくとも2つの点が前記近位のステントの周囲で周方向に等間隔で隔置されている、ことを特徴とする請求項11に記載のステント移植片。
- 前記拘束機構が、前記近位のステントの2つの互いに隣接している支柱を前記近位のステントの前記少なくとも2つの点の各々において、前記導入器に対して拘束するように操作可能である、ことを特徴とする請求項11に記載のステント移植片。
- 前記ループが前記近位のステントの外周に沿って等間隔で隔置されている、ことを特徴とする請求項11に記載のステント移植片。
- 前記内側管腔内へ伸長している前記ループの部分が、前記近位のステントを形成している2つの隣接している支柱の結合部に又は該結合部に隣接して配置されていることを、ことを特徴とする請求項11に記載のステント移植片。
- 前記ループを形成するための複数の糸材料が設けられている、ことを特徴とする請求項11に記載のステント移植片。
- 前記複数のループを提供する単一の長さの糸が設けられている、ことを特徴とする請求項11に記載のステント移植片。
- ステント移植片を湾曲した管腔内に配備するための導入器を備えたアセンブリであり、
前記ステント移植片の近位端に近位のステントを備えている複数のステントが設けられているステント移植片の坦持部材と、
配備中に、前記ステント移植片の近位のステントを少なくとも2つの点において拘束された形態に維持する一方で前記近位のステントの遠位側の前記ステント移植片の少なくとも一部分を拡張させるように操作することができる拘束機構を備えている解放機構と、を備えており、
前記拘束機構は、前記近位のステントの近位端と遠位端との両方を前記少なくとも2つの点において拘束するように操作可能であり、
該アセンブリはステント移植片を備えており、該ステント移植片は、
内側管腔を提供している移植片材料からなる部材と、該移植片部材に沿って長手方向に配置されており且つそのうちの少なくとも1つが前記ステント移植片の近位端に配置される近位のステントである複数のステントと、前記近位のステントの近位端と遠位端とに又はこれらに隣接して配置されている糸からなる複数のループとを備えており、前記複数のループは、配備中に前記近位のステントの少なくとも2つの点が拘束されるのを可能にする一方で前記近位のステントの前記少なくとも2つの点がステントの近位端と遠位端との両方を拘束することができるようになされている、アセンブリ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0820061.0 | 2008-10-31 | ||
GB0820061A GB2464977B (en) | 2008-10-31 | 2008-10-31 | Introducer for deploying a stent graft in a curved lumen and stent graft therefor |
PCT/US2009/005890 WO2010062355A1 (en) | 2008-10-31 | 2009-10-30 | Introducer for deploying a stent graft in a curved lumen and stent graft therefor |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012507344A true JP2012507344A (ja) | 2012-03-29 |
JP5470399B2 JP5470399B2 (ja) | 2014-04-16 |
Family
ID=40138197
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011534517A Active JP5470399B2 (ja) | 2008-10-31 | 2009-10-30 | 湾曲した管腔内にステント移植片を配備するための導入器及びそのためのステント移植片 |
Country Status (8)
Country | Link |
---|---|
US (2) | US9855128B2 (ja) |
EP (1) | EP2344072B1 (ja) |
JP (1) | JP5470399B2 (ja) |
CN (1) | CN102202606B (ja) |
AU (1) | AU2009320336B2 (ja) |
CA (1) | CA2737438C (ja) |
GB (1) | GB2464977B (ja) |
WO (1) | WO2010062355A1 (ja) |
Families Citing this family (55)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2624595T3 (es) | 2007-03-05 | 2017-07-17 | Endospan Ltd | Injertos endoluminales bifurcados, soportantes, expandibles, con múltiples componentes y métodos para su uso |
CN101965162B (zh) | 2007-12-15 | 2014-12-10 | 恩多斯潘有限公司 | 用于与血管内支架-移植物联用治疗主动脉瘤的血管外包套及其方法 |
US8574284B2 (en) | 2007-12-26 | 2013-11-05 | Cook Medical Technologies Llc | Low profile non-symmetrical bare alignment stents with graft |
GB2475494B (en) | 2009-11-18 | 2011-11-23 | Cook William Europ | Stent graft and introducer assembly |
GB2476451A (en) | 2009-11-19 | 2011-06-29 | Cook William Europ | Stent Graft |
US9180030B2 (en) | 2007-12-26 | 2015-11-10 | Cook Medical Technologies Llc | Low profile non-symmetrical stent |
US9226813B2 (en) | 2007-12-26 | 2016-01-05 | Cook Medical Technologies Llc | Low profile non-symmetrical stent |
DE102008012113A1 (de) * | 2008-03-02 | 2009-09-03 | Transcatheter Technologies Gmbh | Stent, welcher vom expandierten Zustand erneut im Durchmesser kontrolliert verringerbar ist |
US11376114B2 (en) * | 2008-10-31 | 2022-07-05 | Cook Medical Technologies Llc | Introducer for deploying a stent graft in a curved lumen and stent graft therefor |
JP2012525239A (ja) | 2009-05-01 | 2012-10-22 | エンドロジックス、インク | 解離を治療するための経皮的な方法および装置(優先権情報および参照による組み入れ) |
US10772717B2 (en) | 2009-05-01 | 2020-09-15 | Endologix, Inc. | Percutaneous method and device to treat dissections |
CA3009244C (en) | 2009-06-23 | 2020-04-28 | Endospan Ltd. | Vascular prostheses for treating aneurysms |
US8979892B2 (en) | 2009-07-09 | 2015-03-17 | Endospan Ltd. | Apparatus for closure of a lumen and methods of using the same |
US9757263B2 (en) * | 2009-11-18 | 2017-09-12 | Cook Medical Technologies Llc | Stent graft and introducer assembly |
CN105361976B (zh) | 2009-11-30 | 2017-08-18 | 恩多斯潘有限公司 | 用于植入到具有多个分支的血管中的多部件覆膜支架*** |
EP2509535B1 (en) | 2009-12-08 | 2016-12-07 | Endospan Ltd | Endovascular stent-graft system with fenestrated and crossing stent-grafts |
EP2519166A4 (en) | 2009-12-31 | 2017-06-14 | Endospan Ltd | Endovascular flow direction indicator |
EP2533722B1 (en) | 2010-02-08 | 2017-03-29 | Endospan Ltd. | Thermal energy application for prevention and management of endoleaks in stent-grafts |
US9095466B2 (en) | 2010-11-16 | 2015-08-04 | W. L. Gore & Associates, Inc. | Apposition fiber for use in endoluminal deployment of expandable devices in tortuous anatomies |
US9393100B2 (en) * | 2010-11-17 | 2016-07-19 | Endologix, Inc. | Devices and methods to treat vascular dissections |
US9198787B2 (en) * | 2010-12-31 | 2015-12-01 | Cook Medical Technologies Llc | Conformable prosthesis delivery system and method for deployment thereof |
CA2826022A1 (en) | 2011-02-03 | 2012-08-09 | Endospan Ltd. | Implantable medical devices constructed of shape memory material |
WO2012111006A1 (en) | 2011-02-17 | 2012-08-23 | Endospan Ltd. | Vascular bands and delivery systems therefor |
EP2680788A4 (en) | 2011-03-02 | 2014-12-10 | Endospan Ltd | OUTER RING WITH REDUCED VOLTAGE FOR THE TREATMENT OF AORTIC ANATOMY |
US8574287B2 (en) | 2011-06-14 | 2013-11-05 | Endospan Ltd. | Stents incorporating a plurality of strain-distribution locations |
US8951298B2 (en) | 2011-06-21 | 2015-02-10 | Endospan Ltd. | Endovascular system with circumferentially-overlapping stent-grafts |
EP2729095B1 (en) | 2011-07-07 | 2016-10-26 | Endospan Ltd. | Stent fixation with reduced plastic deformation |
WO2013030818A2 (en) | 2011-08-28 | 2013-03-07 | Endospan Ltd. | Stent-grafts with post-deployment variable axial and radial displacement |
WO2013065040A1 (en) | 2011-10-30 | 2013-05-10 | Endospan Ltd. | Triple-collar stent-graft |
EP2785277B1 (en) | 2011-12-04 | 2017-04-05 | Endospan Ltd. | Branched stent-graft system |
US9770350B2 (en) | 2012-05-15 | 2017-09-26 | Endospan Ltd. | Stent-graft with fixation elements that are radially confined for delivery |
WO2014108895A2 (en) | 2013-01-08 | 2014-07-17 | Endospan Ltd. | Minimization of stent-graft migration during implantation |
CN105208969B (zh) | 2013-03-11 | 2017-10-20 | 恩多斯潘有限公司 | 用于主动脉夹层的多组件支架移植物*** |
US9808364B2 (en) * | 2013-03-11 | 2017-11-07 | Cook Medical Technologies Llc | Systems and methods for maintaining perfusion of branch vessels |
WO2015075708A1 (en) | 2013-11-19 | 2015-05-28 | Endospan Ltd. | Stent system with radial-expansion locking |
EP3089780B1 (en) * | 2013-12-30 | 2019-09-04 | Medi-Tate Ltd. | An incising implant for the prostatic urethra |
WO2016098113A1 (en) | 2014-12-18 | 2016-06-23 | Endospan Ltd. | Endovascular stent-graft with fatigue-resistant lateral tube |
EP3040056B1 (en) * | 2014-12-29 | 2019-09-11 | Cook Medical Technologies LLC | Prosthesis deployment system |
KR102501552B1 (ko) | 2015-01-11 | 2023-03-21 | 어씨러스 메디컬, 엘엘씨 | 외과적 대동맥 수복용 하이브리드 장치 |
ES2921535T3 (es) | 2015-06-18 | 2022-08-29 | Ascyrus Medical Llc | Injerto aórtico ramificado |
JP2018525108A (ja) * | 2015-08-31 | 2018-09-06 | サンフォード ヘルス | 予め湾曲したステントグラフトおよび使用方法 |
US10500046B2 (en) * | 2015-12-14 | 2019-12-10 | Medtronic, Inc. | Delivery system having retractable wires as a coupling mechanism and a deployment mechanism for a self-expanding prosthesis |
EP3493767B1 (en) | 2016-08-05 | 2020-11-11 | W. L. Gore & Associates, Inc. | Integrated medical device constraining lumen |
US11135077B2 (en) | 2016-12-16 | 2021-10-05 | Cook Medical Technologies Llc | Method of air reduction in stent graft delivery device |
JP7299838B2 (ja) * | 2017-02-01 | 2023-06-28 | エンドーロジックス リミテッド ライアビリティ カンパニー | 長手方向に伸長可能なステントグラフトシステム及び方法 |
WO2018175048A1 (en) | 2017-03-24 | 2018-09-27 | Ascyrus Medical, Llc | Multi-spiral self-expanding stent and methods of making and using the same |
US10709541B2 (en) | 2017-04-28 | 2020-07-14 | Cook Medical Technologies Llc | Systems and methods for adjusting the diameter of an endoluminal prosthesis and an endoluminal prosthesis configured for the same |
US11357628B2 (en) | 2018-08-06 | 2022-06-14 | Thubrikar Aortic Valve, Inc. | Apparatus and method for delivery of a prosthetic valve device |
US20210401566A1 (en) * | 2018-09-24 | 2021-12-30 | Endologix Llc | Stent graft systems and methods with cuff and limb |
US10888414B2 (en) | 2019-03-20 | 2021-01-12 | inQB8 Medical Technologies, LLC | Aortic dissection implant |
GB2605559B (en) | 2021-01-07 | 2023-04-05 | Cook Medical Technologies Llc | Stent graft |
US11786388B2 (en) | 2021-03-12 | 2023-10-17 | Cook Medical Technologies Llc | Endovascular delivery systems with radial orientation mechanisms |
CN113893061A (zh) * | 2021-12-13 | 2022-01-07 | 上海微创心脉医疗科技(集团)股份有限公司 | 一种医用装置及输送器 |
CN115024858B (zh) * | 2022-08-11 | 2022-11-04 | 上海微创心脉医疗科技(集团)股份有限公司 | 输送装置和支架*** |
EP4356875A1 (en) | 2022-10-17 | 2024-04-24 | Cook Medical Technologies LLC | Stent graft assembly |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2002000288A1 (fr) * | 2000-06-26 | 2002-01-03 | Kanji Inoue | Dispositif de transport pour instrument de transplantation |
WO2004017868A1 (en) * | 2002-08-23 | 2004-03-04 | William A. Cook Australia Pty. Ltd. | Asymmetric stent graft attachment |
JP2005506874A (ja) * | 2001-10-26 | 2005-03-10 | クック インコーポレイティド | 湾曲したルーメン用のプロテーゼ |
JP2006346350A (ja) * | 2005-06-20 | 2006-12-28 | Ube Junken:Kk | ステントの挿入装置およびステントの留置方法 |
Family Cites Families (51)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5693083A (en) * | 1983-12-09 | 1997-12-02 | Endovascular Technologies, Inc. | Thoracic graft and delivery catheter |
US4878906A (en) | 1986-03-25 | 1989-11-07 | Servetus Partnership | Endoprosthesis for repairing a damaged vessel |
US4913141A (en) | 1988-10-25 | 1990-04-03 | Cordis Corporation | Apparatus and method for placement of a stent within a subject vessel |
US5405378A (en) | 1992-05-20 | 1995-04-11 | Strecker; Ernst P. | Device with a prosthesis implantable in the body of a patient |
KR960700662A (ko) * | 1993-03-11 | 1996-02-24 | 리치터 예휴디트 | 스텐트(stent) |
US5843158A (en) | 1996-01-05 | 1998-12-01 | Medtronic, Inc. | Limited expansion endoluminal prostheses and methods for their use |
US5830229A (en) | 1997-03-07 | 1998-11-03 | Micro Therapeutics Inc. | Hoop stent |
EP1311208B1 (en) | 2000-03-30 | 2010-03-03 | TERAMed Corporation | Bifurcated graft |
US20030050684A1 (en) * | 2001-09-10 | 2003-03-13 | Abrams Robert M. | Internal restraint for delivery of self-expanding stents |
US6562064B1 (en) | 2000-10-27 | 2003-05-13 | Vascular Architects, Inc. | Placement catheter assembly |
DE10105160B4 (de) | 2001-02-06 | 2005-09-01 | Osypka, Peter, Dr.-Ing. | Implantierbare Gefäßstütze |
EP1372534B1 (en) | 2001-03-28 | 2006-11-29 | Cook Incorporated | Set of sections for a modular stent graft assembly |
US20040138734A1 (en) * | 2001-04-11 | 2004-07-15 | Trivascular, Inc. | Delivery system and method for bifurcated graft |
US20090112302A1 (en) * | 2001-11-28 | 2009-04-30 | Josh Stafford | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
AU2003273575B2 (en) | 2002-05-29 | 2007-12-06 | Cook Incorporated | Trigger wire system for a prosthesis deployment device |
ATE468828T1 (de) * | 2002-06-28 | 2010-06-15 | Cook Inc | Thorax-aortenaneurysma-stentimplantat |
AU2002951147A0 (en) * | 2002-09-02 | 2002-09-19 | Cook Incorporated | Branch grafting device and method |
DE60325999D1 (de) * | 2002-12-04 | 2009-03-12 | Cook Inc | Vorrichtung zur behandlung der thorax-aorta |
US7611528B2 (en) | 2003-01-24 | 2009-11-03 | Medtronic Vascular, Inc. | Stent-graft delivery system |
EP1605866B1 (en) | 2003-03-03 | 2016-07-06 | Syntach AG | Electrical conduction block implant device |
US20040193178A1 (en) * | 2003-03-26 | 2004-09-30 | Cardiomind, Inc. | Multiple joint implant delivery systems for sequentially-controlled implant deployment |
US8500792B2 (en) | 2003-09-03 | 2013-08-06 | Bolton Medical, Inc. | Dual capture device for stent graft delivery system and method for capturing a stent graft |
US9198786B2 (en) * | 2003-09-03 | 2015-12-01 | Bolton Medical, Inc. | Lumen repair device with capture structure |
WO2005034811A1 (en) | 2003-10-10 | 2005-04-21 | William Cook Europe Aps | Stent graft retention system |
EP2204141B1 (en) | 2003-10-15 | 2013-06-05 | Cook Medical Technologies LLC | Prosthesis deployment system retention device |
US7635382B2 (en) | 2003-10-22 | 2009-12-22 | Medtronic Vascular, Inc. | Delivery system for long self-expanding stents |
FR2863160B1 (fr) * | 2003-12-09 | 2006-03-03 | Perouse Laboratoires | Dispositif de traitement d'un vaisseau sanguin et procede de preparation de ce dispositif |
US8182528B2 (en) | 2003-12-23 | 2012-05-22 | Sadra Medical, Inc. | Locking heart valve anchor |
AU2005262541B2 (en) | 2004-06-16 | 2011-04-21 | Cook Incorporated | Thoracic deployment device and stent graft |
US7955373B2 (en) * | 2004-06-28 | 2011-06-07 | Boston Scientific Scimed, Inc. | Two-stage stent-graft and method of delivering same |
US7993383B2 (en) | 2004-09-28 | 2011-08-09 | William A. Cook Australia Pty. Ltd. | Device for treating aortic dissection |
US9308104B2 (en) * | 2004-10-25 | 2016-04-12 | Merit Medical Systems, Inc. | Stent removal and repositioning device and associated method |
US20060190070A1 (en) * | 2005-02-23 | 2006-08-24 | Dieck Martin S | Rail stent and methods of use |
FR2894131B1 (fr) | 2005-12-02 | 2008-12-05 | Perouse Soc Par Actions Simpli | Dispositif de traitement d'un vaisseau sanguin, et necessaire de traitement associe. |
EP1991179B1 (en) | 2006-02-27 | 2013-03-20 | William A. Cook Australia Pty. Ltd. | Retention of stents |
US20070208409A1 (en) * | 2006-03-01 | 2007-09-06 | Boston Scientific Scimed, Inc. | Flexible stent-graft devices and methods of producing the same |
CN101045022B (zh) | 2006-03-30 | 2010-08-25 | 温宁 | 自扩型支架轴向拉线张紧机构 |
FR2899096B1 (fr) | 2006-04-04 | 2008-12-05 | Perouse Soc Par Actions Simpli | Dispositif de traitement d'un conduit de circulation du sang et procede de preparation de ce dispositif |
AU2007325652B2 (en) * | 2006-11-30 | 2012-07-12 | Cook Medical Technologies Llc | Implant release mechanism |
US8092510B2 (en) * | 2007-07-25 | 2012-01-10 | Cook Medical Technologies Llc | Retention wire for self-expanding stent |
US20090082847A1 (en) * | 2007-09-26 | 2009-03-26 | Boston Scientific Corporation | System and method of securing stent barbs |
US8226701B2 (en) | 2007-09-26 | 2012-07-24 | Trivascular, Inc. | Stent and delivery system for deployment thereof |
BRPI0906759A2 (pt) | 2008-01-16 | 2015-07-07 | St Jude Medical | Aparelho para fornecer uma válvula cardíaca protética dobravel e re-expansível a um local de implante em um paciente, e, método para operar o mesmo. |
US8163007B2 (en) | 2008-02-08 | 2012-04-24 | Cook Medical Technologies Llc | Stent designs for use with one or more trigger wires |
JP5602129B2 (ja) | 2008-04-09 | 2014-10-08 | クック メディカル テクノロジーズ エルエルシー | ステントグラフト及び装置並びに取り付け方法 |
US9192497B2 (en) | 2008-09-05 | 2015-11-24 | Cook Medical Technologies Llc | Apparatus and methods for improved stent deployment |
JP5284165B2 (ja) | 2009-03-31 | 2013-09-11 | テルモ株式会社 | 生体器官病変部改善用器具 |
WO2011094527A1 (en) | 2010-01-29 | 2011-08-04 | Cook Medical Technologies Llc | Mechanically expandable delivery and dilation systems |
US8523932B2 (en) | 2010-05-24 | 2013-09-03 | Cook Medical Technologies Llc | Variable diameter trigger wire |
US8840659B2 (en) | 2011-04-28 | 2014-09-23 | Cook Medical Technologies Llc | Stent and stent-graft designs |
US9402755B2 (en) | 2012-03-13 | 2016-08-02 | W. L. Gore & Associates, Inc. | Sleeve retraction system |
-
2008
- 2008-10-31 GB GB0820061A patent/GB2464977B/en active Active
-
2009
- 2009-10-30 CN CN200980143413.2A patent/CN102202606B/zh active Active
- 2009-10-30 JP JP2011534517A patent/JP5470399B2/ja active Active
- 2009-10-30 AU AU2009320336A patent/AU2009320336B2/en active Active
- 2009-10-30 EP EP09748867.0A patent/EP2344072B1/en active Active
- 2009-10-30 CA CA2737438A patent/CA2737438C/en active Active
- 2009-10-30 US US12/609,066 patent/US9855128B2/en active Active
- 2009-10-30 WO PCT/US2009/005890 patent/WO2010062355A1/en active Application Filing
-
2017
- 2017-12-12 US US15/839,115 patent/US10675140B2/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2002000288A1 (fr) * | 2000-06-26 | 2002-01-03 | Kanji Inoue | Dispositif de transport pour instrument de transplantation |
JP2005506874A (ja) * | 2001-10-26 | 2005-03-10 | クック インコーポレイティド | 湾曲したルーメン用のプロテーゼ |
WO2004017868A1 (en) * | 2002-08-23 | 2004-03-04 | William A. Cook Australia Pty. Ltd. | Asymmetric stent graft attachment |
JP2006346350A (ja) * | 2005-06-20 | 2006-12-28 | Ube Junken:Kk | ステントの挿入装置およびステントの留置方法 |
Also Published As
Publication number | Publication date |
---|---|
US9855128B2 (en) | 2018-01-02 |
US20100114291A1 (en) | 2010-05-06 |
US10675140B2 (en) | 2020-06-09 |
GB2464977B (en) | 2010-11-03 |
AU2009320336A1 (en) | 2010-06-03 |
GB2464977A (en) | 2010-05-05 |
US20180110610A1 (en) | 2018-04-26 |
EP2344072A1 (en) | 2011-07-20 |
GB0820061D0 (en) | 2008-12-10 |
JP5470399B2 (ja) | 2014-04-16 |
CA2737438C (en) | 2016-11-08 |
AU2009320336B2 (en) | 2013-03-14 |
CN102202606B (zh) | 2015-02-18 |
CN102202606A (zh) | 2011-09-28 |
CA2737438A1 (en) | 2010-06-03 |
EP2344072B1 (en) | 2017-02-01 |
WO2010062355A1 (en) | 2010-06-03 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5470399B2 (ja) | 湾曲した管腔内にステント移植片を配備するための導入器及びそのためのステント移植片 | |
AU2010322201B2 (en) | Stent graft and introducer assembly | |
JP5463362B2 (ja) | ステント移植片を湾曲している管腔内に配備するための導入器 | |
US9925032B2 (en) | Stent graft and introducer assembly | |
US9237960B2 (en) | Apparatus for curving an implantable medical device in a lumen | |
US9717611B2 (en) | Stent graft and introducer assembly | |
US11376114B2 (en) | Introducer for deploying a stent graft in a curved lumen and stent graft therefor |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A711 | Notification of change in applicant |
Free format text: JAPANESE INTERMEDIATE CODE: A711 Effective date: 20120926 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20121023 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20130827 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20130830 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20131127 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20140114 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20140203 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5470399 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |