JP2015508004A - 単リング型心臓弁支持構造体 - Google Patents
単リング型心臓弁支持構造体 Download PDFInfo
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- JP2015508004A JP2015508004A JP2014558268A JP2014558268A JP2015508004A JP 2015508004 A JP2015508004 A JP 2015508004A JP 2014558268 A JP2014558268 A JP 2014558268A JP 2014558268 A JP2014558268 A JP 2014558268A JP 2015508004 A JP2015508004 A JP 2015508004A
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- valve
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- support device
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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
- A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
-
- 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
-
- 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
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
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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
-
- 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
-
- 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
- A61F2230/0073—Quadric-shaped
- A61F2230/0078—Quadric-shaped hyperboloidal
-
- 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
-
- 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
- A61F2250/0069—Sealing means
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)
- Prostheses (AREA)
Abstract
Description
Claims (18)
- 内側直径と外側直径を有する単リング形状の支持要素を備える、心臓弁への血管内送達に適合された人工心臓弁支持装置であって、前記支持要素は完全に剛性である外側周囲を有し、前記支持要素には1つまたは複数の心室内および/または心房内安定化要素が装着され、前記支持要素は折り畳まれた送達構成と展開された構成とを有する、弁支持装置。
- 展開された構成の支持要素が平坦な環状リングの形態を有し、前記環状リングの外側半径と内側半径との間の差(Rd)は1〜14mmの範囲内にある、請求項1に記載の弁支持装置。
- Rdと単リング型支持要素の厚みとの割合が10:1から20:1の範囲内にある、請求項2に記載の弁支持装置。
- 単リング型支持要素の内側半径が23〜29mmの範囲内にあり、その外側半径は30〜50mmの範囲にある、請求項2に記載の弁支持装置。
- 前記支持装置の厚みが0.25〜0.6mmの範囲にある、請求項2に記載の弁支持装置。
- 安定化要素が、全リング構造体、部分リング、湾曲アームまたは翼、細長いアームまたは翼、レバー付アームまたは翼から成る一群から選択される、請求項1に記載の弁支持装置。
- 単リング型支持要素の内側周囲が半径方向に弾性変形することが可能である、請求項1に記載の弁支持装置。
- 単リング型支持要素に取り付けられた生体適合性織物から形成される翼様ドレープ要素をさらに備える、請求項1に記載の弁支持装置。
- 支持要素には、置換用心臓弁にしっかりと係合するように適合された置換用弁係合手段が装着される、請求項1に記載の弁支持装置。
- 僧房弁の置換で使用される血管内または経皮的送達システムにして、
a)前記請求項のいずれか一項に記載の、折り畳まれた送達構成と展開された構成とを備える単リング形状の支持要素を備える人工心臓弁支持装置、および
b)拡張可能なアンカーと複数の弁葉とを備える置換用心臓弁
を備える送達システムであって、
前記置換用心臓弁は前記人工心臓弁支持装置に固定されるように適合される、送達システム。 - 置換用心臓弁が人工大動脈弁である、請求項10に記載のシステム。
- そのような治療を必要とする患者で僧房弁を置換する方法であって、患者の僧房弁付近の位置に、単リング形状の支持要素を備える弁支持装置を送達することと、支持要素を折り畳まれた構成から、僧房弁輪の平面よりも上、この平面よりも下で心臓組織に対して、あるいは弁輪そのものに対して固定された、展開された構成に拡張することとを備える、方法。
- 血管内の経路によって弁支持装置を送達するように使用される、請求項12に記載の方法。
- 弁支持装置を経皮的経路によって送達するように使用される、請求項12に記載の方法。
- 前記置換用心臓弁を折り畳まれた送達の構成から拡張された構成に拡張することによって置換用心臓弁を弁支持装置に固定するステップをさらに備える、請求項12に記載の方法。
- 弁支持装置と置換用心臓弁は両方とも同じ経路によって送達され、血管内経路および経皮的経路から成る一群から選択される、請求項15に記載の方法。
- 弁支持装置と置換用心臓弁は異なった経路によって送達される、請求項15に記載の方法。
- 置換用心臓弁が人工大動脈弁である、請求項15に記載の方法。
Applications Claiming Priority (13)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261604083P | 2012-02-28 | 2012-02-28 | |
US61/604,083 | 2012-02-28 | ||
US201261620679P | 2012-04-05 | 2012-04-05 | |
US61/620,679 | 2012-04-05 | ||
US201261639924P | 2012-04-29 | 2012-04-29 | |
US61/639,924 | 2012-04-29 | ||
US201261650559P | 2012-05-23 | 2012-05-23 | |
US61/650,559 | 2012-05-23 | ||
US201361752994P | 2013-01-16 | 2013-01-16 | |
US201361752996P | 2013-01-16 | 2013-01-16 | |
US61/752,994 | 2013-01-16 | ||
US61/752,996 | 2013-01-16 | ||
PCT/IL2013/000025 WO2013128436A1 (en) | 2012-02-28 | 2013-02-28 | Single-ring cardiac valve support |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2015508004A true JP2015508004A (ja) | 2015-03-16 |
Family
ID=48143614
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014558268A Pending JP2015508004A (ja) | 2012-02-28 | 2013-02-28 | 単リング型心臓弁支持構造体 |
Country Status (6)
Country | Link |
---|---|
EP (1) | EP2819618B1 (ja) |
JP (1) | JP2015508004A (ja) |
CN (1) | CN104334119B (ja) |
AU (1) | AU2013227235B2 (ja) |
CA (1) | CA2865074A1 (ja) |
WO (1) | WO2013128436A1 (ja) |
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Also Published As
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AU2013227235A1 (en) | 2014-09-11 |
AU2013227235B2 (en) | 2017-10-19 |
CA2865074A1 (en) | 2013-09-06 |
EP2819618B1 (en) | 2018-05-02 |
EP2819618A1 (en) | 2015-01-07 |
CN104334119A (zh) | 2015-02-04 |
CN104334119B (zh) | 2016-10-12 |
WO2013128436A1 (en) | 2013-09-06 |
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