JP2016510629A - 経カテーテル弁置換術 - Google Patents
経カテーテル弁置換術 Download PDFInfo
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- JP2016510629A JP2016510629A JP2016500150A JP2016500150A JP2016510629A JP 2016510629 A JP2016510629 A JP 2016510629A JP 2016500150 A JP2016500150 A JP 2016500150A JP 2016500150 A JP2016500150 A JP 2016500150A JP 2016510629 A JP2016510629 A JP 2016510629A
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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
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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
- A61F2/2403—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 pivoting rigid closure 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
- A61F2/02—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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
-
- 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
- A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
-
- 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
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial 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 (22)
- 流入端および流出端を有する人工心臓弁であって、
折畳み式で拡張可能なステントと、
前記ステント内に配設され、複数の小葉を有している、折畳み式で拡張可能な弁組立体と、
編組線で形成された折畳み式で拡張可能なフレームと、を備え、
前記フレームは、本体部と、前記ステントおよび前記弁組立体を受け入れるために前記本体部内を通じて延びる内腔と、を有していることを特徴とする人工心臓弁。 - 前記フレームは、生来の弁輪内に前記フレームを固定するための前記本体部の横断面よりも大きい横断面を有する少なくとも1つのフランジを備えていることを特徴とする請求項1に記載の人工心臓弁。
- 前記フレームは、心臓組織に係合するように構成された少なくとも1つのフックをさらに備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記少なくとも1つのフランジは、前記人工心臓弁の前記流入端に隣接していることを特徴とする、請求項2に記載の人工心臓弁。
- 前記少なくとも1つのフランジは、前記人工心臓弁の前記流出端に隣接していることを特徴とする、請求項2に記載の人工心臓弁。
- 前記少なくとも1つのフランジは、前記フレームの前記本体部に向かって戻るように延びる二次的な曲げ部を備えていることを特徴とする、請求項2に記載の人工心臓弁。
- 前記少なくとも1つのフランジに配設されると共に心臓組織に係合するように構成された安定化ワイヤをさらに備えていることを特徴とする、請求項2に記載の人工心臓弁。
- 前記少なくとも1つのフランジを心臓組織に接合するためのダンベル形アンカーをさらに備えていることを特徴とする、請求項2に記載の人工心臓弁。
- 前記フレームは、前記人工心臓弁の前記流出端に隣接したホタテ貝の縁のような部分を備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記フレームは、前記人工心臓弁の前記流入端と前記流出端との間で長手方向に延び、前記フレームの前記本体部は、ほぼ円形の縦断面を有する拡張部分を備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 組織成長を促進するために前記フレームに接合された補強材をさらに備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記補強材は、ポリエステルストランドを備えていることを特徴とする、請求項11に記載の人工心臓弁。
- 前記フレームは、非円形の横断面を有していることを特徴とする、請求項1に記載の人工心臓弁。
- 前記フレームは、楕円形の横断面を有していることを特徴とする、請求項13に記載の人工心臓弁。
- 前記フレーム、前記ステント、および前記弁組立体のうち少なくとも1つに配設された少なくとも1つのX線不透過性マーカをさらに備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記人工心臓弁は、生来の僧帽弁を置き換えるように構成されていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記弁組立体が2つの小葉を備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 前記フレームは、患者の左心房内にフィットするように構成された半球形のインフロークラウンを備えていることを特徴とする、請求項1に記載の人工心臓弁。
- 目標部位において人工心臓弁を展開する方法であって、前記人工心臓弁が、折畳み式で拡張可能なステントと、前記ステント内に配設された折畳み式で拡張可能な弁組立体と、編組線で形成された折畳み式で拡張可能なフレームとを備え、前記フレームが、本体部と、前記ステントおよび前記弁組立体を受け入れるために前記本体部を通じて延びる内腔とを有し、前記方法が、
折畳まれた構成で前記目標部位において送達デバイスを介して前記送達デバイスに結合されている前記人工心臓弁を展開し、前記目標部位において前記人工心臓弁が拡張することを可能にするステップと、
前記送達デバイスを用いて前記目標部位において前記人工心臓弁を再配置するステップと、
前記人工心臓弁の機能を評価した後に、前記送達デバイスから前記人工心臓弁を切り離すステップと
を含む方法。 - 前記目標部位が、患者の僧帽弁の弁輪である、請求項19に記載の方法。
- 前記送達デバイスがカテーテルおよび内側シャフトを備え、前記内側シャフトが前記人工心臓弁とはめ合わせるように構成された、請求項19に記載の方法。
- 前記目標部位において拡張した後に前記カテーテル内の前記人工心臓弁を取り戻すステップをさらに含む、請求項21に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/793,818 US9119713B2 (en) | 2013-03-11 | 2013-03-11 | Transcatheter valve replacement |
US13/793,818 | 2013-03-11 | ||
PCT/US2013/078294 WO2014163705A1 (en) | 2013-03-11 | 2013-12-30 | Transcatheter valve replacement |
Related Child Applications (1)
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JP2018049438A Division JP6600028B2 (ja) | 2013-03-11 | 2018-03-16 | 経カテーテル弁置換術 |
Publications (2)
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JP2016510629A true JP2016510629A (ja) | 2016-04-11 |
JP6359626B2 JP6359626B2 (ja) | 2018-07-18 |
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JP2016500150A Expired - Fee Related JP6359626B2 (ja) | 2013-03-11 | 2013-12-30 | 経カテーテル弁置換術 |
JP2018049438A Expired - Fee Related JP6600028B2 (ja) | 2013-03-11 | 2018-03-16 | 経カテーテル弁置換術 |
Family Applications After (1)
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JP2018049438A Expired - Fee Related JP6600028B2 (ja) | 2013-03-11 | 2018-03-16 | 経カテーテル弁置換術 |
Country Status (7)
Country | Link |
---|---|
US (4) | US9119713B2 (ja) |
EP (2) | EP3569196B1 (ja) |
JP (2) | JP6359626B2 (ja) |
AU (2) | AU2013385566B2 (ja) |
CA (1) | CA2904831C (ja) |
CR (1) | CR20150499U (ja) |
WO (1) | WO2014163705A1 (ja) |
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EP3569196A1 (en) | 2019-11-20 |
CA2904831A1 (en) | 2014-10-09 |
CR20150499U (es) | 2015-11-03 |
CA2904831C (en) | 2017-07-25 |
US20140257466A1 (en) | 2014-09-11 |
AU2013385566A1 (en) | 2015-10-01 |
AU2017201202A1 (en) | 2017-03-23 |
EP3569196B1 (en) | 2024-08-14 |
JP6600028B2 (ja) | 2019-10-30 |
US9119713B2 (en) | 2015-09-01 |
WO2014163705A1 (en) | 2014-10-09 |
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