JP2012528670A - 凹状接地領域を有する定着構造体を備える心臓弁 - Google Patents
凹状接地領域を有する定着構造体を備える心臓弁 Download PDFInfo
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- 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
- A61F2/24—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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- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
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- 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
-
- 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
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
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- 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
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0054—V-shaped
-
- 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
- A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-shaped
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- 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)
- Prostheses (AREA)
Abstract
Description
Claims (41)
- 大動脈弁輪に位置決めされるように構成された人工心臓弁であって、
流入端、出口端、およびそれらの間に複数の支柱を有する概略的に円筒状の定着構造体と、
前記流入端で前記管状体により形成された流入縁であって、断面が実質的にC字形の凹状接地領域を形成する外側に拡がった遠位部分および近位部分を有する少なくとも1つのレールを含む流入縁と、
前記流入端および流出端を有する実質的に管状の弁構造を形成するように、それらの側端の少なくとも一部に沿って共に連結された複数の小葉を含む柔軟な人工心臓弁であって、前記流出端は、前記小葉と一体化して形成された複数の交連タブを含み、前記交連タブは、前記支柱に連結された柔軟な人工心臓弁と、を備え、
前記心臓弁は、隣接する小葉の前記流出端が互いに係合する閉位置と、隣接する小葉の流出端が前記側端沿いを除いて互いから分離される開位置との間で可動であり、前記小葉の前記側端の縫合された部分が、部分的に閉鎖した位置に向かって前記小葉を付勢する、
ことを特徴とする人工心臓弁。 - 前記流入縁は、一重のレールを含む、請求項1に記載の人工心臓弁。
- 前記流入縁は、遠位流入リングおよび近位流入リングを含む二重のレールを含む、請求項1に記載の人工心臓弁。
- 前記遠位流入リングおよび前記近位流入リングは、複数のピーク部および複数の谷部を形成する正弦波パターンで構成される、請求項3に記載の人工心臓弁。
- 前記近位流入リングの前記複数のピーク部のうちの少なくとも1つは、前記遠位流入リングの前記複数の谷部のうちの少なくとも1つの谷部と動作可能に接続される、請求項4に記載の人工心臓弁。
- 前記流入縁から軸線方向に延びる複数のフィンガー要素をさらに含む、請求項1に記載の人工心臓弁。
- 前記近位流入リングおよび前記遠位流入リングから軸線方向に延びる複数のフィンガー要素をさらに含む、請求項3に記載の人工心臓弁。
- 少なくとも1つのレールを有する流出縁をさらに備え、前記流出縁は、前記管状体と動作可能に接続される、請求項1に記載の人工心臓弁。
- 前記流出縁は、断面が実質的にC字形の凹状接地領域を形成する、広がった遠位および近位部分を含む、請求項8に記載の人工心臓弁。
- 前記流入縁は、中央流入リングと動作可能に接続された遠位流入リングおよび前記中央流入リングと動作可能に接続された近位流入リングを含む三重のレールを含む、請求項1に記載の人工心臓弁。
- 前記遠位流入リング、前記中央流入リング、および前記近位流入リングは、複数のピーク部および複数の谷部を形成する正弦波パターンで構成される、請求項10に記載の人工心臓弁。
- 前記遠位流入リングのピーク部は、前記中央流入リングの前記谷部と動作可能に接続され、前記中央流入リングのピーク部は、前記近位流入リングの前記谷部と動作可能に接続される、請求項11に記載の人工心臓弁。
- 前記流入および流出縁を接続する複数の長手方向の支柱をさらに含む、請求項1に記載の人工心臓弁。
- 前記支柱は、それを通じる軸線方向スロットを有する実質的にパドル形の刃および細長い垂直材を含む、請求項13に記載の人工心臓弁。
- 前記細長い垂直材は、前記流入縁に連結され、前記刃は、前記流出縁に連結される、請求項14に記載の人工心臓弁。
- 前記刃と動作可能に連結された少なくとも2つの交連タブを含む生体熱弁をさらに含む、請求項15に記載の人工心臓弁。
- 前記複数の長手方向の支柱は、2つの支柱を含む、請求項13に記載の人工心臓弁。
- 前記複数の長手方向の支柱は、3つの支柱を含む、請求項13に記載の人工心臓弁。
- 断面が前記C字形の凹状接地領域の前記遠位部分は、前記大動脈弁輪の前記遠位側の近位に位置するように構成され、断面が前記C字形の凹状接地領域の前記近位部分は、前記大動脈弁輪の前記近位側の近位に位置するように構成される、請求項1に記載の人工心臓弁。
- 断面が前記C字形の凹状接地領域の前記近位部分は、ヒス束との接触を回避するように構成される、請求項19に記載の人工心臓弁。
- 断面が前記C字形の凹状接地領域は、前記人工心臓弁と前記大動脈弁輪との間の封を形成するように構成される、請求項1に記載の人工心臓弁。
- 前記封は、弁周囲漏出を実質的に低減または防止する、請求項21に記載の人工心臓弁。
- 前記封は、前記心臓弁の移植部位からの移動を実質的に防止する、請求項21に記載の人工心臓弁。
- 身体の血管内に定着されるように適合させた定着構造体であって、前記定着構造体は、流入端および流出端を有する概略的には円筒状の管状体と、前記流入端の前記管状体と同延に形成された流入縁と、を含み、前記流入縁は、外側に広がった遠位および近位部分を有する少なくとも1つのレールを含む、定着構造体。
- 前記流入縁は、一重のレールを含む、請求項24に記載の人工心臓弁。
- 前記流入縁は、遠位流入リングおよび近位流入リングを含む二重のレールを含む、請求項24に記載の人工心臓弁。
- 前記遠位流入リングおよび前記近位流入リングは、複数のピーク部および複数の谷部を形成する正弦波パターンで構成される、請求項26に記載の定着構造体。
- 前記近位流入リングの前記複数のピーク部のうちの少なくとも1つは、前記遠位流入リングの前記複数の谷部のうちの少なくとも1つの谷部と動作可能に接続される、請求項27に記載の定着構造体。
- 前記流入縁から軸線方向に延びる複数のフィンガー要素をさらに含む、請求項24に記載の定着構造体。
- 前記近位流入リングおよび前記遠位流入リングから軸線方向に延びる複数のフィンガー要素をさらに含む、請求項26に記載の定着構造体。
- 少なくとも1つのレールを有する流出縁をさらに含み、前記流出縁は、前記管状体と動作可能に接続される、請求項24に記載の定着構造体。
- 前記流出縁は、断面が実質的にC字形の凹状接地領域を形成する、広がった遠位および近位部分を含む、請求項31に記載の定着構造体。
- 前記流入縁は、中央流入リングと動作可能に接続された遠位流入リングおよび前記中央流入リングと動作可能に接続された近位流入リングを含む三重のレールを含む、請求項24に記載の定着構造体。
- 前記遠位流入リング、前記中央流入リング、および前記近位流入リングは、複数のピーク部および複数の谷部を形成する正弦波パターンで構成される、請求項33に記載の定着構造体。
- 前記遠位流入リングの前記ピーク部は、前記中央流入リングの前記谷部と動作可能に接続され、中央流入リングの前記ピーク部は、前記近位流入リングの前記谷部と動作可能に接続される、請求項34に記載の定着構造体。
- 前記流入および流出縁を接続する複数の長手方向の支柱をさらに含む、請求項24に記載の定着構造体。
- 前記支柱は、それを通じる軸線方向スロットを有する実質的にパドル形の刃および細長い垂直材を含む、請求項36に記載の定着構造体。
- 前記細長い垂直材は、前記流入縁に連結され、前記刃は、前記流出縁に連結される、請求項37に記載の定着構造体。
- 前記刃と動作可能に連結された少なくとも2つの交連タブを含む生体熱弁をさらに含む、請求項38に記載の定着構造体。
- 前記複数の長手方向の支柱は、2つの支柱を含む、請求項36に記載の定着構造体。
- 前記複数の長手方向の支柱は、3つの支柱を含む、請求項36に記載の定着構造体。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US18465009P | 2009-06-05 | 2009-06-05 | |
US61/184,650 | 2009-06-05 | ||
US12/603,315 | 2009-10-21 | ||
US12/603,315 US9579194B2 (en) | 2003-10-06 | 2009-10-21 | Anchoring structure with concave landing zone |
PCT/US2010/001043 WO2010141047A1 (en) | 2009-06-05 | 2010-04-07 | Heart valve with anchoring structure having concave landing zone |
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Publication Number | Publication Date |
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JP2012528670A true JP2012528670A (ja) | 2012-11-15 |
JP2012528670A5 JP2012528670A5 (ja) | 2013-05-30 |
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JP2012513922A Pending JP2012528670A (ja) | 2009-06-05 | 2010-04-07 | 凹状接地領域を有する定着構造体を備える心臓弁 |
Country Status (7)
Country | Link |
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US (1) | US9579194B2 (ja) |
EP (3) | EP4014927A1 (ja) |
JP (1) | JP2012528670A (ja) |
CN (1) | CN102481189B (ja) |
ES (1) | ES2902446T3 (ja) |
PT (1) | PT3760164T (ja) |
WO (1) | WO2010141047A1 (ja) |
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Also Published As
Publication number | Publication date |
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EP2437688A4 (en) | 2018-01-10 |
EP2437688B1 (en) | 2020-05-06 |
EP2437688A1 (en) | 2012-04-11 |
WO2010141047A1 (en) | 2010-12-09 |
EP3760164A1 (en) | 2021-01-06 |
ES2902446T3 (es) | 2022-03-28 |
EP4014927A1 (en) | 2022-06-22 |
EP3760164B1 (en) | 2021-11-17 |
CN102481189B (zh) | 2014-12-10 |
CN102481189A (zh) | 2012-05-30 |
PT3760164T (pt) | 2021-12-31 |
US9579194B2 (en) | 2017-02-28 |
US20100100176A1 (en) | 2010-04-22 |
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