JP2014519376A - 展開カテーテル - Google Patents
展開カテーテル Download PDFInfo
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- JP2014519376A JP2014519376A JP2014510288A JP2014510288A JP2014519376A JP 2014519376 A JP2014519376 A JP 2014519376A JP 2014510288 A JP2014510288 A JP 2014510288A JP 2014510288 A JP2014510288 A JP 2014510288A JP 2014519376 A JP2014519376 A JP 2014519376A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
-
- 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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
-
- 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
-
- 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
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
- A61M25/0053—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- 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
- A61F2002/044—Oesophagi or esophagi or gullets
-
- 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
- A61F2002/046—Tracheae
-
- 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
- A61F2250/0014—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
- A61F2250/0029—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 bending or flexure capacity
-
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
- A61M25/0051—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids made from fenestrated or weakened tubing layer
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Pulmonology (AREA)
- Gastroenterology & Hepatology (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Endoscopes (AREA)
Abstract
Description
を備える。
103 ハンドル部
105 カテーテルシャフト部
107 遠位先端部
110 管
115 弁搭載器
118 パッケージング
120 キット
202 把持部
204 プランジャ
205 指用ナーリング
206 可動ハンドル
207 ***部
208 固定タブ
210 ロックレバー
212 歪み緩和材コンポーネント
216 フォーク
217 叉部
220 凹部
222 ロックタブ
226 旋回地点
228 ばね
302 カテーテルシャフト
304 安定化ワイヤ
305 圧着管
308 へこみ、空胴
316 外側シース
330 高可撓性領域
331 パンチ孔
402 コネクタ
403 第2のコネクタ
404 ケージ
405 空胴
408 プッシャプランジャ
409 開窓部
410 遠位開口部、開口部
411 支柱
413 開窓部
414 支柱
415 リム
430 圧縮コーン
432 口輪
445 ライン
446 ライン
447 ライン
448 位置付けマーカー
450 高可撓性領域
452 先細の部分
500 弁
502 中央ロッド
510 気管支鏡
511 作業導管
515 Tuohy−Borstアダプタ
600 肺
601 気道
606 展開部位
Claims (22)
- 肺内に医療デバイスを展開するための展開カテーテルであって、
ハンドル部を含む近位端であって、前記ハンドル部が、プランジャを含み、前記プランジャが、前記プランジャの長さの少なくとも一部に沿った方向において軸方向に摺動されるように構成された可動ハンドルによって取り囲まれており、ロック位置とロック解除位置との間で切替えできるロックレバーをさらに含み、前記ロックレバーは、前記ロック位置にあるときには、前記可動ハンドルが前記プランジャに向けて近位方向に摺動することを防止するように構成されているが、前記ロック解除位置にあるときには、前記可動ハンドルが近位方向に摺動することを可能にするように構成され、前記ロックレバーは、ロック位置にリセットするようにさらに構成されている、近位端と、
カテーテルシャフト、および前記カテーテルシャフトの内側に安定化ワイヤを備えたカテーテルシャフト部であって、前記カテーテルシャフトが、近位端において前記可動ハンドルに固定され、前記安定化ワイヤが、前記プランジャに固定されている、カテーテルシャフト部と、
空胴内に医療デバイスを受けるように構成され、中空の前記カテーテルシャフトの遠位端に固定されている遠位先端部であって、前記空胴内に受けられたプッシャプランジャをさらに含み、プッシャプランジャが、前記安定化ワイヤの遠位端に連結されている、遠位先端部と、
を備えることを特徴とする展開カテーテル。 - 前記近位プランジャが、その近位端上にC形ハンドルをさらに含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記ロックレバーが、前記可動ハンドル内の凹部に係合するように構成されたロックタブを含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記ロックレバーが、前記ロックレバーに取り付けられて、前記展開カテーテルから医療デバイスが展開された後に、前記ロックレバーをロック位置にリセットするように構成されたばねを含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記カテーテルシャフト部が、その遠位端に高可撓性領域を含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記高可撓性領域が、ジグソー構成であることを特徴とする請求項5に記載の展開カテーテル。
- 前記高可撓性領域が、蛇行構成であることを特徴とする請求項5に記載の展開カテーテル。
- 前記高可撓性領域が、部分的に重複する、断続的で真っ直ぐな切れ目を含むことを特徴とする請求項5に記載の展開カテーテル。
- 前記遠位先端部は、少なくとも1つの空胴が医療デバイスを受けるように構成されたケージを含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記ケージが、螺旋の構成を形成する支柱の配列を有することを特徴とする請求項9に記載の展開カテーテル。
- 前記ケージが、1つまたは複数の大きな開窓部を含む、請求項9に記載の展開カテーテル。
- 前記1つまたは複数の大きな開窓部が、前記医療デバイスの可視化と、前記医療デバイスが前記空胴内に搭載されたことの確認とを可能にするように構成されていることを特徴とする請求項11に記載の展開カテーテル。
- 前記遠位先端部が、前記医療デバイスのおおよその展開場所を示すように構成された少なくとも1つの位置付けマーカーを含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記位置付けマーカーが、黄色であり、脇に2つのさらなる黒い帯が存在することを特徴とする請求項13に記載の展開カテーテル。
- 前記カテーテルシャフト部の前記遠位端が、少なくとも1つの長い位置付けマーカーをさらに含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記ハンドル部が、前記カテーテルシャフト部の近位領域を取り囲む、円錐台形の歪み緩和材をさらに含むことを特徴とする請求項1に記載の展開カテーテル。
- 前記カテーテルシャフト部の少なくとも近位領域を取り囲む外側シースをさらに備えることを特徴とする請求項1に記載の展開カテーテル。
- 気管支鏡内に搭載されるように構成されていることを特徴とする請求項1に記載の展開カテーテル。
- 患者の肺内に医療デバイスを展開する方法であって、
展開カテーテルの遠位先端部内に配設された空胴内に前記医療デバイスを搭載するステップと、
前記展開カテーテルを気管支鏡内に導入するステップと、
前記気管支鏡を肺気道内に挿入するステップと、
治療されるべき前記肺気道の部分に前記気管支鏡を誘導するステップと、
前記展開カテーテルの遠位先端部上に配設された少なくとも1つの位置付けマーカーに、治療されるべき前記肺気道の前記部分をアライメントするステップと、
前記展開カテーテル上のロックレバーをロック解除するステップと、
治療されるべき前記肺気道の前記部分に前記医療デバイスを展開するステップと、
を含むことを特徴とする方法。 - 前記ロックレバーが、前記医療デバイスの展開後にロック位置にリセットされることを特徴とする請求項19に記載の方法。
- 前記展開カテーテルが、その近位端上にC形ハンドルを含み、前記C形ハンドルが、前記気管支鏡の一部に取り付けられることを特徴とする請求項19に記載の方法。
- 前記気管支鏡を誘導する前記ステップが、放射線撮像手段を使用して前記展開カテーテルを追跡するステップをさらに含むことを特徴とする請求項19に記載の方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/US2011/036549 WO2012158152A1 (en) | 2011-05-13 | 2011-05-13 | Deployment catheter |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014519376A true JP2014519376A (ja) | 2014-08-14 |
JP6026513B2 JP6026513B2 (ja) | 2016-11-16 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2014510288A Active JP6026513B2 (ja) | 2011-05-13 | 2011-05-13 | 展開カテーテル |
Country Status (5)
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JP (1) | JP6026513B2 (ja) |
CN (3) | CN106333749B (ja) |
DE (1) | DE112011105242B4 (ja) |
GB (1) | GB2511375B (ja) |
WO (1) | WO2012158152A1 (ja) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2017021993A1 (ja) * | 2015-07-31 | 2017-02-09 | マルホ発條工業株式会社 | スリットパイプ及びこれを用いた医療用シャフト部材 |
JP2019506989A (ja) * | 2016-01-01 | 2019-03-14 | トラクタス ヴァスキュラー, エルエルシーTractus Vascular, Llc | 可撓性カテーテル |
WO2019146086A1 (ja) * | 2018-01-26 | 2019-08-01 | 朝日インテック株式会社 | カテーテル |
WO2019146088A1 (ja) * | 2018-01-26 | 2019-08-01 | 朝日インテック株式会社 | カテーテル |
Families Citing this family (63)
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US20030050648A1 (en) | 2001-09-11 | 2003-03-13 | Spiration, Inc. | Removable lung reduction devices, systems, and methods |
US6592594B2 (en) | 2001-10-25 | 2003-07-15 | Spiration, Inc. | Bronchial obstruction device deployment system and method |
US6866679B2 (en) | 2002-03-12 | 2005-03-15 | Ev3 Inc. | Everting stent and stent delivery system |
US20030216769A1 (en) | 2002-05-17 | 2003-11-20 | Dillard David H. | Removable anchored lung volume reduction devices and methods |
US20030181922A1 (en) | 2002-03-20 | 2003-09-25 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US7533671B2 (en) | 2003-08-08 | 2009-05-19 | Spiration, Inc. | Bronchoscopic repair of air leaks in a lung |
US7691151B2 (en) | 2006-03-31 | 2010-04-06 | Spiration, Inc. | Articulable Anchor |
US20100191168A1 (en) | 2009-01-29 | 2010-07-29 | Trustees Of Tufts College | Endovascular cerebrospinal fluid shunt |
US20130226278A1 (en) | 2012-02-23 | 2013-08-29 | Tyco Healthcare Group Lp | Methods and apparatus for luminal stenting |
US9072624B2 (en) | 2012-02-23 | 2015-07-07 | Covidien Lp | Luminal stenting |
US9078659B2 (en) | 2012-04-23 | 2015-07-14 | Covidien Lp | Delivery system with hooks for resheathability |
US9724222B2 (en) | 2012-07-20 | 2017-08-08 | Covidien Lp | Resheathable stent delivery system |
CN106691630A (zh) * | 2013-03-14 | 2017-05-24 | 斯波瑞申有限公司 | 瓣膜装载方法、***和装置 |
US10130500B2 (en) | 2013-07-25 | 2018-11-20 | Covidien Lp | Methods and apparatus for luminal stenting |
US9474639B2 (en) | 2013-08-27 | 2016-10-25 | Covidien Lp | Delivery of medical devices |
US9782186B2 (en) | 2013-08-27 | 2017-10-10 | Covidien Lp | Vascular intervention system |
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CN106333749B (zh) | 2020-01-03 |
CN102970945A (zh) | 2013-03-13 |
GB2511375B (en) | 2017-07-26 |
JP6026513B2 (ja) | 2016-11-16 |
CN106333749A (zh) | 2017-01-18 |
DE112011105242B4 (de) | 2024-04-25 |
DE112011105242T5 (de) | 2014-03-06 |
CN202723895U (zh) | 2013-02-13 |
GB201318950D0 (en) | 2013-12-11 |
GB2511375A (en) | 2014-09-03 |
WO2012158152A1 (en) | 2012-11-22 |
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