JP2019506241A - 縮小された外形を有するステント送達システム - Google Patents
縮小された外形を有するステント送達システム Download PDFInfo
- Publication number
- JP2019506241A JP2019506241A JP2018544201A JP2018544201A JP2019506241A JP 2019506241 A JP2019506241 A JP 2019506241A JP 2018544201 A JP2018544201 A JP 2018544201A JP 2018544201 A JP2018544201 A JP 2018544201A JP 2019506241 A JP2019506241 A JP 2019506241A
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- Prior art keywords
- stent
- region
- medical device
- shaft
- distal
- 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
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Images
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-
- A—HUMAN NECESSITIES
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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Abstract
Description
ステント受け領域を有している内側シャフトと、
内側シャフトの周りに配置されたバンパーシャフトと、
内側シャフトの周りに摺動可能に配置された留置シースであって、留置シースは本体領域及び先端側ステントカバー領域を有しており、先端側ステントカバー領域は本体領域の外径よりも小さい外径を有している、留置シースと、
を含んでなる。
上記の実施形態のうちいずれかの別例として又は追加として、バンパーシャフトは、本体区間と、本体区間の外径よりも小さい外径を備えた先端側区間とを有する。
上記の実施形態のうちいずれかの別例として又は追加として、距離は少なくともステント長の1.25倍である。
上記の実施形態のうちいずれかの別例として又は追加として、バンパーシャフトに隣接して位置付けられたバンパーをさらに含んでなり、バンパーはバンパーシャフトの外径よりも大きい外径を有している。
上記の実施形態のうちいずれかの別例として又は追加として、留置シースの少なくとも一部分に沿って配置された外側シャフトをさらに含んでなる。
上記の実施形態のうちいずれかの別例として又は追加として、傾斜式移行領域が留置シースの本体領域と留置シースの先端側ステントカバー領域との間に配置される。
内側シャフトの周りにバンパーシャフトを配置するステップであって、内側シャフトはステント受け領域を有している、ステップと、
内側シャフトの周りに配置される留置シースを配置するステップであって、留置シースは、本体領域、先端側ステントカバー領域、及び本体領域と先端側ステントカバー領域との間の第1移行部を有し、先端側ステントカバー領域は本体領域の外径よりも小さい外径を有している、ステップと、
ステントをステント受け領域に沿って配置するステップであって、ステントはステント長を有している、ステップと、
バンパーシャフトは、本体部分、先端側部分、及び本体部分と先端側部分との間の第2移行部を有することと、
第1移行部は、少なくともステント長と同じ長さを有する距離だけ第2移行部から離隔されていることと、
を含んでなる。
上記の実施形態のうちいずれかの別例として又は追加として、距離は少なくともステント長の1.5倍である。
ステント受け領域を有している内側シャフトと、
ステント受け領域に沿って配置された自己拡張式ステントであって、ステント長を有しているステントと、
内側シャフトの周りに配置されたバンパーシャフトと、
内側シャフトの周りに摺動可能に配置された留置シースであって、留置シースは、本体領域、先端側ステントカバー領域、及び本体領域と先端側ステントカバー領域との間の第1移行部を有し、先端側ステントカバー領域は本体領域の外径よりも小さい外径を有している、留置シースと、
バンパーシャフトは、本体部分、先端側部分、及び本体部分と先端側部分との間の第2移行部を有することと、
第1移行部は、少なくともステント長と同じ長さを有する距離だけ第2移行部から離隔されていることと、
留置シースに連結されたハンドルと、
を含んでなる。
上記の実施形態のうちいずれかの別例として又は追加として、距離は少なくともステント長の1.5倍である。
上記の実施形態のうちいずれかの別例として又は追加として、第1移行部、第2移行部、又は両方が傾斜式移行部を備えている。
全ての数値は、本明細書中においては明示的に示されるか否かに関わらず用語「約」によって修飾されていると見なされる。用語「約」は一般に、当業者がその挙げられた値と等価である(例えば、同じ機能又は結果を有している)と考えるであろう数値の範囲を指す。多くの場合、用語「約」は最も近い有効数字に丸められる数を含みうる。
本明細書及び添付の特許請求の範囲において使用されるように、単数形「1つの(a)」、「1つの(an)」及び「その(the)」は、内容がそうでないことを明らかに示していないかぎり、複数の指示物を含む。本明細書及び添付の特許請求の範囲において使用されるように、用語「又は、若しくは(or)」は一般に、内容がそうでないことを明らかに示していないかぎり、「(〜及び…の)うち少なくともいずれか一方(and/or)」を含んでいる意味で使用される。
当然のことであるが、本開示は多くの点において例証であるにすぎない。細部、特に形状、大きさ、及びステップの配置構成に関して、本開示の範囲を超えることなく変更を加えることができる。これは、適切である限りにおいて、使用されている1つの例示的な実施形態の特徴のうちのいずれかを他の実施形態において使用することを含みうる。本発明の範囲は、当然ながら、添付の特許請求の範囲が表現されている言語において規定される。
Claims (15)
- 医療用デバイスであって、
ステント受け領域を有している内側シャフトと、
前記内側シャフトの周りに配置されたバンパーシャフトと、
前記内側シャフトの周りに摺動可能に配置された留置シースであって、前記留置シースは本体領域及び先端側ステントカバー領域を有しており、前記先端側ステントカバー領域は前記本体領域の外径よりも小さい外径を有している、留置シースと、
を含んでなる医療用デバイス。 - 前記ステント受け領域に沿って配置されたステントをさらに含んでなる、請求項1に記載の医療用デバイス。
- 前記バンパーシャフトは、本体区間と、前記本体区間の外径よりも小さい外径を備えた先端側区間とを有する、請求項1または2に記載の医療用デバイス。
- 第1移行部が前記留置シースの前記本体領域と前記先端側ステントカバー領域との間に配置され、第2移行部が前記バンパーシャフトの前記本体区間と前記先端側区間との間に配置され、ステント長を有しているステントが内側部材に沿って配置され、前記第1移行部及び前記第2移行部は、前記留置シースが前記ステントを覆って先端側に伸長しているときに距離をおいて離隔されている、請求項3に記載の医療用デバイス。
- 前記距離は少なくとも前記ステント長と同じ長さである、請求項4に記載の医療用デバイス。
- 前記距離は少なくとも前記ステント長の1.25倍である、請求項4に記載の医療用デバイス。
- 前記距離は少なくとも前記ステント長の1.5倍である、請求項4に記載の医療用デバイス。
- 前記バンパーシャフトに隣接して位置付けられたバンパーをさらに含んでなり、前記バンパーは前記バンパーシャフトの外径よりも大きい外径を有している、請求項1〜7のいずれか1項に記載の医療用デバイス。
- 前記先端側ステントカバー領域は、患者の膝と足関節との間の距離を渡すのに適した長さを有する、請求項1〜8のいずれか1項に記載の医療用デバイス。
- 前記留置シースの少なくとも一部分に沿って配置された外側シャフトをさらに含んでなる、請求項1〜9のいずれか1項に記載の医療用デバイス。
- 階段式移行領域が前記留置シースの前記本体領域と前記留置シースの前記先端側ステントカバー領域との間に配置される、請求項1〜10のいずれか1項に記載の医療用デバイス。
- 傾斜式移行領域が前記留置シースの前記本体領域と前記留置シースの前記先端側ステントカバー領域との間に配置される、請求項1〜11のいずれか1項に記載の医療用デバイス。
- ステント送達システムを製造する方法であって、
内側シャフトの周りにバンパーシャフトを配置するステップであって、前記内側シャフトはステント受け領域を有している、ステップと、
前記内側シャフトの周りに配置される留置シースを配置するステップであって、前記留置シースは、本体領域、先端側ステントカバー領域、及び前記本体領域と前記先端側ステントカバー領域との間の第1移行部を有し、前記先端側ステントカバー領域は前記本体領域の外径よりも小さい外径を有している、ステップと、
ステントを前記ステント受け領域に沿って配置するステップであって、前記ステントはステント長を有している、ステップと、
前記バンパーシャフトは、本体部分、先端側部分、及び前記本体部分と前記先端側部分との間の第2移行部を有することと、
前記第1移行部は、少なくとも前記ステント長と同じ長さを有する距離だけ前記第2移行部から離隔されていることと、
を含んでなる方法。 - 前記距離は少なくとも前記ステント長の1.25倍である、請求項13に記載の方法。
- 前記距離は少なくとも前記ステント長の1.5倍である、請求項13に記載の方法。
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2003521332A (ja) * | 2000-02-07 | 2003-07-15 | エス アンド ジー バイオテック インコーポレーテッド | 人造血管ステントおよびステント挿入装置 |
JP2007504897A (ja) * | 2003-09-12 | 2007-03-08 | ガイダント エンドヴァスキュラー ソリューションズ | 医療器具の送達システム |
US20070233222A1 (en) * | 2006-02-21 | 2007-10-04 | Med Institute, Inc. | Split sheath deployment system |
US20110118817A1 (en) * | 2009-11-17 | 2011-05-19 | Boston Scientific Scimed, Inc. | Stent delivery system |
JP2013528112A (ja) * | 2010-06-08 | 2013-07-08 | ベニティ・インコーポレイテッド | 二方向ステント搬送システム |
US20140128963A1 (en) * | 2012-11-02 | 2014-05-08 | Medtronic, Inc. | Transcatheter Valve Prosthesis Delivery System With Recapturing Feature and Method |
Family Cites Families (137)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3613684A (en) | 1969-09-19 | 1971-10-19 | David S Sheridan | Trocar catheters |
IT1186142B (it) | 1984-12-05 | 1987-11-18 | Medinvent Sa | Dispositivo di impiantazione transluminale |
US4665918A (en) | 1986-01-06 | 1987-05-19 | Garza Gilbert A | Prosthesis system and method |
US6071273A (en) | 1988-02-29 | 2000-06-06 | Scimed Life Systems, Inc. | Fixed wire dilatation balloon catheter |
US4906232A (en) | 1988-03-01 | 1990-03-06 | Abbott Laboratories | Intravascular delivery device |
EP0408245B1 (en) | 1989-07-13 | 1994-03-02 | American Medical Systems, Inc. | Stent placement instrument |
US5163905A (en) | 1990-01-12 | 1992-11-17 | Don Michael T Anthony | Regional perfusion dissolution catheter |
US5238004A (en) | 1990-04-10 | 1993-08-24 | Boston Scientific Corporation | High elongation linear elastic guidewire |
US5071407A (en) | 1990-04-12 | 1991-12-10 | Schneider (U.S.A.) Inc. | Radially expandable fixation member |
US5221261A (en) | 1990-04-12 | 1993-06-22 | Schneider (Usa) Inc. | Radially expandable fixation member |
US5158548A (en) | 1990-04-25 | 1992-10-27 | Advanced Cardiovascular Systems, Inc. | Method and system for stent delivery |
US5628783A (en) | 1991-04-11 | 1997-05-13 | Endovascular Technologies, Inc. | Bifurcated multicapsule intraluminal grafting system and method |
US5443907A (en) | 1991-06-18 | 1995-08-22 | Scimed Life Systems, Inc. | Coating for medical insertion guides |
US5833706A (en) | 1991-07-05 | 1998-11-10 | Scimed Life Systems, Inc. | Single operator exchange perfusion catheter having a distal catheter shaft section |
ATE157525T1 (de) | 1991-10-11 | 1997-09-15 | Angiomed Ag | Vorrichtung zum aufweiten einer stenose |
CA2081424C (en) | 1991-10-25 | 2008-12-30 | Timothy A. Chuter | Expandable transluminal graft prosthesis for repair of aneurysm |
US5201757A (en) | 1992-04-03 | 1993-04-13 | Schneider (Usa) Inc. | Medial region deployment of radially self-expanding stents |
US5599300A (en) | 1992-05-11 | 1997-02-04 | Arrow Precision Products, Inc. | Method for electrosurgically obtaining access to the biliary tree with an adjustably positionable needle-knife |
US5707376A (en) | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5336178A (en) | 1992-11-02 | 1994-08-09 | Localmed, Inc. | Intravascular catheter with infusion array |
WO1994015549A1 (en) | 1992-12-30 | 1994-07-21 | Schneider (Usa) Inc. | Apparatus for deploying body implantable stents |
US5346471A (en) | 1993-03-22 | 1994-09-13 | Raulerson J Daniel | Dual lumen catheter |
US5772609A (en) | 1993-05-11 | 1998-06-30 | Target Therapeutics, Inc. | Guidewire with variable flexibility due to polymeric coatings |
US5445646A (en) | 1993-10-22 | 1995-08-29 | Scimed Lifesystems, Inc. | Single layer hydraulic sheath stent delivery apparatus and method |
US5989280A (en) | 1993-10-22 | 1999-11-23 | Scimed Lifesystems, Inc | Stent delivery apparatus and method |
US5571135A (en) | 1993-10-22 | 1996-11-05 | Scimed Life Systems Inc. | Stent delivery apparatus and method |
US6139510A (en) | 1994-05-11 | 2000-10-31 | Target Therapeutics Inc. | Super elastic alloy guidewire |
US5683451A (en) | 1994-06-08 | 1997-11-04 | Cardiovascular Concepts, Inc. | Apparatus and methods for deployment release of intraluminal prostheses |
US5743874A (en) * | 1994-08-29 | 1998-04-28 | Fischell; Robert E. | Integrated catheter for balloon angioplasty and stent delivery |
EP0788332B1 (en) | 1994-10-27 | 2000-11-08 | Boston Scientific Limited | Stent delivery device |
US6017577A (en) | 1995-02-01 | 2000-01-25 | Schneider (Usa) Inc. | Slippery, tenaciously adhering hydrophilic polyurethane hydrogel coatings, coated polymer substrate materials, and coated medical devices |
US5571168A (en) | 1995-04-05 | 1996-11-05 | Scimed Lifesystems Inc | Pull back stent delivery system |
ATE232067T1 (de) | 1995-04-14 | 2003-02-15 | Boston Scient Ltd | Stentanbringungsvorrichtung mit rollmembran |
US5534007A (en) | 1995-05-18 | 1996-07-09 | Scimed Life Systems, Inc. | Stent deployment catheter with collapsible sheath |
WO1996037167A1 (en) | 1995-05-25 | 1996-11-28 | Raychem Corporation | Stent assembly |
US5674242A (en) | 1995-06-06 | 1997-10-07 | Quanam Medical Corporation | Endoprosthetic device with therapeutic compound |
US5700269A (en) | 1995-06-06 | 1997-12-23 | Corvita Corporation | Endoluminal prosthesis deployment device for use with prostheses of variable length and having retraction ability |
US5788707A (en) | 1995-06-07 | 1998-08-04 | Scimed Life Systems, Inc. | Pull back sleeve system with compression resistant inner shaft |
ATE177928T1 (de) | 1995-11-14 | 1999-04-15 | Schneider Europ Gmbh | Vorrichtung zur stentimplantierung |
US5980483A (en) | 1996-05-21 | 1999-11-09 | Dimitri; Mauro | Drainage catheter for continent urinary neo-bladders |
US6077295A (en) | 1996-07-15 | 2000-06-20 | Advanced Cardiovascular Systems, Inc. | Self-expanding stent delivery system |
US6391032B2 (en) | 1996-08-23 | 2002-05-21 | Scimed Life Systems, Inc. | Stent delivery system having stent securement means |
NL1003984C2 (nl) | 1996-09-09 | 1998-03-10 | Cordis Europ | Katheter met inwendige verstijvingsbruggen. |
US5968068A (en) * | 1996-09-12 | 1999-10-19 | Baxter International Inc. | Endovascular delivery system |
US5954764A (en) | 1996-09-20 | 1999-09-21 | Parodi; Juan Carlos | Device for concurrently placing an endovascular expander with an endovascular prosthesis |
US5772669A (en) | 1996-09-27 | 1998-06-30 | Scimed Life Systems, Inc. | Stent deployment catheter with retractable sheath |
US5843090A (en) | 1996-11-05 | 1998-12-01 | Schneider (Usa) Inc. | Stent delivery device |
US5830181A (en) | 1997-02-07 | 1998-11-03 | Advanced Cardiovascular Systems, Inc. | Perfusion catheter with high flow distal tip |
US5817101A (en) | 1997-03-13 | 1998-10-06 | Schneider (Usa) Inc | Fluid actuated stent delivery system |
US5891154A (en) | 1997-05-06 | 1999-04-06 | Advanced Cardiovascular System, Inc. | Passive perfusion stent delivery system |
US6221467B1 (en) | 1997-06-03 | 2001-04-24 | Scimed Life Systems, Inc. | Coating gradient for lubricious coatings on balloon catheters |
US5906619A (en) | 1997-07-24 | 1999-05-25 | Medtronic, Inc. | Disposable delivery device for endoluminal prostheses |
US6206888B1 (en) | 1997-10-01 | 2001-03-27 | Scimed Life Systems, Inc. | Stent delivery system using shape memory retraction |
US6330884B1 (en) | 1997-11-14 | 2001-12-18 | Transvascular, Inc. | Deformable scaffolding multicellular stent |
JP4131508B2 (ja) | 1997-11-14 | 2008-08-13 | ボストン サイエンティフィック リミテッド | マルチ−シース送達カテーテル |
US6280467B1 (en) | 1998-02-26 | 2001-08-28 | World Medical Manufacturing Corporation | Delivery system for deployment and endovascular assembly of a multi-stage stented graft |
US6019778A (en) | 1998-03-13 | 2000-02-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6425898B1 (en) | 1998-03-13 | 2002-07-30 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
EP1067882A1 (en) | 1998-03-31 | 2001-01-17 | Salviac Limited | A delivery catheter |
US6776791B1 (en) | 1998-04-01 | 2004-08-17 | Endovascular Technologies, Inc. | Stent and method and device for packing of same |
US6033413A (en) | 1998-04-20 | 2000-03-07 | Endocare, Inc. | Stent delivery system |
US6117140A (en) | 1998-06-26 | 2000-09-12 | Scimed Life Systems, Inc. | Stent delivery device |
US6120522A (en) | 1998-08-27 | 2000-09-19 | Scimed Life Systems, Inc. | Self-expanding stent delivery catheter |
EP1117341B1 (en) | 1998-09-30 | 2004-12-29 | Bard Peripheral Vascular, Inc. | Delivery mechanism for implantable stent |
US6139524A (en) | 1998-10-16 | 2000-10-31 | Scimed Life Systems, Inc. | Stent delivery system with perfusion |
US6508803B1 (en) | 1998-11-06 | 2003-01-21 | Furukawa Techno Material Co., Ltd. | Niti-type medical guide wire and method of producing the same |
US6059813A (en) | 1998-11-06 | 2000-05-09 | Scimed Life Systems, Inc. | Rolling membrane stent delivery system |
US6544278B1 (en) | 1998-11-06 | 2003-04-08 | Scimed Life Systems, Inc. | Rolling membrane stent delivery system |
US6254609B1 (en) | 1999-01-11 | 2001-07-03 | Scimed Life Systems, Inc. | Self-expanding stent delivery system with two sheaths |
US6514228B1 (en) | 1999-03-05 | 2003-02-04 | Scimed Life Systems, Inc. | Balloon catheter having high flow tip |
US6379365B1 (en) | 1999-03-29 | 2002-04-30 | Alexis Diaz | Stent delivery catheter system having grooved shaft |
US6726712B1 (en) | 1999-05-14 | 2004-04-27 | Boston Scientific Scimed | Prosthesis deployment device with translucent distal end |
US6375676B1 (en) | 1999-05-17 | 2002-04-23 | Advanced Cardiovascular Systems, Inc. | Self-expanding stent with enhanced delivery precision and stent delivery system |
US6858034B1 (en) | 1999-05-20 | 2005-02-22 | Scimed Life Systems, Inc. | Stent delivery system for prevention of kinking, and method of loading and using same |
US6176849B1 (en) | 1999-05-21 | 2001-01-23 | Scimed Life Systems, Inc. | Hydrophilic lubricity coating for medical devices comprising a hydrophobic top coat |
US6168617B1 (en) | 1999-06-14 | 2001-01-02 | Scimed Life Systems, Inc. | Stent delivery system |
US6398802B1 (en) | 1999-06-21 | 2002-06-04 | Scimed Life Systems, Inc. | Low profile delivery system for stent and graft deployment |
US6287329B1 (en) | 1999-06-28 | 2001-09-11 | Nitinol Development Corporation | Stent keeper for a self-expanding stent delivery system |
US6709667B1 (en) | 1999-08-23 | 2004-03-23 | Conceptus, Inc. | Deployment actuation system for intrafallopian contraception |
US6331184B1 (en) | 1999-12-10 | 2001-12-18 | Scimed Life Systems, Inc. | Detachable covering for an implantable medical device |
US6368301B1 (en) | 1999-12-21 | 2002-04-09 | Advanced Cardiovascular Systems, Inc. | Catheter having a soft distal tip |
US6322586B1 (en) | 2000-01-10 | 2001-11-27 | Scimed Life Systems, Inc. | Catheter tip designs and method of manufacture |
US6942688B2 (en) | 2000-02-29 | 2005-09-13 | Cordis Corporation | Stent delivery system having delivery catheter member with a clear transition zone |
US6391050B1 (en) | 2000-02-29 | 2002-05-21 | Scimed Life Systems, Inc. | Self-expanding stent delivery system |
US7947059B2 (en) | 2000-03-02 | 2011-05-24 | Boston Scientific Scimed, Inc. | Multilayer medical device |
US7660621B2 (en) | 2000-04-07 | 2010-02-09 | Medtronic, Inc. | Medical device introducer |
US6613014B1 (en) | 2000-06-09 | 2003-09-02 | Advanced Cardiovascular Systems, Inc. | Catheter hub with detachable push device |
US6743219B1 (en) | 2000-08-02 | 2004-06-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US6602226B1 (en) | 2000-10-12 | 2003-08-05 | Scimed Life Systems, Inc. | Low-profile stent delivery system and apparatus |
US6533751B2 (en) * | 2001-01-09 | 2003-03-18 | Andrew Cragg | Micro catheter and guidewire system having improved pushability and control |
US20020095203A1 (en) | 2001-01-18 | 2002-07-18 | Intra Therapeutics, Inc. | Catheter system with spacer member |
US6736839B2 (en) | 2001-02-01 | 2004-05-18 | Charles Cummings | Medical device delivery system |
US6660031B2 (en) | 2001-04-11 | 2003-12-09 | Scimed Life Systems, Inc. | Multi-length delivery system |
US6761733B2 (en) | 2001-04-11 | 2004-07-13 | Trivascular, Inc. | Delivery system and method for bifurcated endovascular graft |
US6726714B2 (en) | 2001-08-09 | 2004-04-27 | Scimed Life Systems, Inc. | Stent delivery system |
US6939352B2 (en) | 2001-10-12 | 2005-09-06 | Cordis Corporation | Handle deployment mechanism for medical device and method |
US6866669B2 (en) | 2001-10-12 | 2005-03-15 | Cordis Corporation | Locking handle deployment mechanism for medical device and method |
US6989024B2 (en) | 2002-02-28 | 2006-01-24 | Counter Clockwise, Inc. | Guidewire loaded stent for delivery through a catheter |
US6951675B2 (en) | 2003-01-27 | 2005-10-04 | Scimed Life Systems, Inc. | Multilayer balloon catheter |
WO2004071352A1 (en) | 2003-02-14 | 2004-08-26 | Salviac Limited | Stent delivery and deployment system |
US20040267348A1 (en) | 2003-04-11 | 2004-12-30 | Gunderson Richard C. | Medical device delivery systems |
GB0310714D0 (en) | 2003-05-09 | 2003-06-11 | Angiomed Ag | Fluid flow management in stent delivery system |
WO2005020856A2 (en) | 2003-09-02 | 2005-03-10 | Abbott Laboratories | Delivery system for a medical device |
US8292943B2 (en) | 2003-09-03 | 2012-10-23 | Bolton Medical, Inc. | Stent graft with longitudinal support member |
US7993384B2 (en) | 2003-09-12 | 2011-08-09 | Abbott Cardiovascular Systems Inc. | Delivery system for medical devices |
US7867268B2 (en) * | 2003-09-24 | 2011-01-11 | Boston Scientific Scimed, Inc. | Stent delivery system for self-expanding stent |
US20050113804A1 (en) | 2003-10-03 | 2005-05-26 | Von Lehe Cathleen | Variable diameter delivery catheter |
US7967829B2 (en) | 2003-10-09 | 2011-06-28 | Boston Scientific Scimed, Inc. | Medical device delivery system |
US7326236B2 (en) | 2003-12-23 | 2008-02-05 | Xtent, Inc. | Devices and methods for controlling and indicating the length of an interventional element |
US20050154439A1 (en) | 2004-01-08 | 2005-07-14 | Gunderson Richard C. | Medical device delivery systems |
US8012192B2 (en) | 2004-02-18 | 2011-09-06 | Boston Scientific Scimed, Inc. | Multi-stent delivery system |
US8137397B2 (en) | 2004-02-26 | 2012-03-20 | Boston Scientific Scimed, Inc. | Medical devices |
US7285130B2 (en) | 2004-04-27 | 2007-10-23 | Boston Scientific Scimed, Inc. | Stent delivery system |
US20050256562A1 (en) | 2004-05-14 | 2005-11-17 | Boston Scientific Scimed, Inc. | Stent delivery handle and assembly formed therewith |
US7955370B2 (en) | 2004-08-06 | 2011-06-07 | Boston Scientific Scimed, Inc. | Stent delivery system |
US7393358B2 (en) | 2004-08-17 | 2008-07-01 | Boston Scientific Scimed, Inc. | Stent delivery system |
US20060074477A1 (en) | 2004-09-29 | 2006-04-06 | Medtronic Vascular, Inc. | Self-expanding stent delivery system |
ATE484263T1 (de) | 2004-12-28 | 2010-10-15 | Cook Inc | Unidirektionales zufuhrsystem |
US7632296B2 (en) | 2005-03-03 | 2009-12-15 | Boston Scientific Scimed, Inc. | Rolling membrane with hydraulic recapture means for self expanding stent |
US7740652B2 (en) | 2005-03-30 | 2010-06-22 | Boston Scientific Scimed, Inc. | Catheter |
US20060259118A1 (en) * | 2005-04-20 | 2006-11-16 | Dharmendra Pal | Delivery system and devices for the rapid insertion of self-expanding devices |
US9463426B2 (en) | 2005-06-24 | 2016-10-11 | Boston Scientific Scimed, Inc. | Methods and systems for coating particles |
EP1981432B1 (en) | 2005-06-30 | 2012-10-03 | Abbott Laboratories | Delivery system for a medical device |
EP1931237A2 (en) | 2005-09-14 | 2008-06-18 | Neoguide Systems, Inc. | Methods and apparatus for performing transluminal and other procedures |
CA2936205C (en) | 2006-01-13 | 2018-08-21 | C.R. Bard, Inc. | Stent delivery system |
US20070208350A1 (en) | 2006-03-06 | 2007-09-06 | Gunderson Richard C | Implantable medical endoprosthesis delivery systems |
US9237916B2 (en) | 2006-12-15 | 2016-01-19 | Gmedeleware 2 Llc | Devices and methods for vertebrostenting |
CA2676777A1 (en) | 2007-02-02 | 2008-08-14 | Boston Scientific Limited | Medical systems and related methods |
US9149379B2 (en) | 2007-07-16 | 2015-10-06 | Cook Medical Technologies Llc | Delivery device |
US8114144B2 (en) | 2007-10-17 | 2012-02-14 | Abbott Cardiovascular Systems Inc. | Rapid-exchange retractable sheath self-expanding delivery system with incompressible inner member and flexible distal assembly |
US8758421B2 (en) | 2008-01-30 | 2014-06-24 | Boston Scientific Scimed, Inc. | Medical systems and related methods |
US20100137966A1 (en) * | 2008-12-01 | 2010-06-03 | Cook Incorporated | System and method for sequentially deploying two or more implantable medical devices |
US8784468B2 (en) * | 2010-11-17 | 2014-07-22 | Boston Scientific Scimed, Inc. | Stent delivery systems and locking members for use with stent delivery systems |
EP2640324B1 (en) | 2010-11-17 | 2015-02-18 | Boston Scientific Scimed, Inc. | Stent delivery system |
EP2640320B1 (en) | 2010-11-17 | 2018-04-18 | Boston Scientific Scimed, Inc. | Stent delivery system |
US9119740B2 (en) * | 2012-08-09 | 2015-09-01 | Cook Medical Technologies Llc | Introducer sheath |
CN102764165B (zh) * | 2012-08-13 | 2015-01-07 | 宁波健世生物科技有限公司 | 经皮主动脉或主动脉瓣膜支架输送*** |
-
2017
- 2017-02-24 CN CN201780026211.4A patent/CN109069281B/zh active Active
- 2017-02-24 EP EP17709872.0A patent/EP3419568B1/en active Active
- 2017-02-24 JP JP2018544201A patent/JP6686156B2/ja active Active
- 2017-02-24 US US15/441,811 patent/US11065137B2/en active Active
- 2017-02-24 WO PCT/US2017/019361 patent/WO2017147429A1/en active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2003521332A (ja) * | 2000-02-07 | 2003-07-15 | エス アンド ジー バイオテック インコーポレーテッド | 人造血管ステントおよびステント挿入装置 |
JP2007504897A (ja) * | 2003-09-12 | 2007-03-08 | ガイダント エンドヴァスキュラー ソリューションズ | 医療器具の送達システム |
US20070233222A1 (en) * | 2006-02-21 | 2007-10-04 | Med Institute, Inc. | Split sheath deployment system |
US20110118817A1 (en) * | 2009-11-17 | 2011-05-19 | Boston Scientific Scimed, Inc. | Stent delivery system |
JP2013528112A (ja) * | 2010-06-08 | 2013-07-08 | ベニティ・インコーポレイテッド | 二方向ステント搬送システム |
US20140128963A1 (en) * | 2012-11-02 | 2014-05-08 | Medtronic, Inc. | Transcatheter Valve Prosthesis Delivery System With Recapturing Feature and Method |
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CN109069281B (zh) | 2021-03-09 |
EP3419568B1 (en) | 2021-09-08 |
WO2017147429A1 (en) | 2017-08-31 |
US20170246017A1 (en) | 2017-08-31 |
JP6686156B2 (ja) | 2020-04-22 |
US11065137B2 (en) | 2021-07-20 |
EP3419568A1 (en) | 2019-01-02 |
CN109069281A (zh) | 2018-12-21 |
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