JP4262593B2 - 閉鎖装置、関連する送り出し方法及び道具、及び関連する使用法 - Google Patents
閉鎖装置、関連する送り出し方法及び道具、及び関連する使用法 Download PDFInfo
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Description
以上の概要及び以下の詳細な説明は例示的及び説明的なものに過ぎず、本発明を限定するものではない。
次に本発明の実施態様について詳細に述べる。実施態様例は添付図面に示されている。可能な限り、図面全体を通じて同じまたは同様の部分を指すために同じ参照番号が使用される。
Claims (59)
- 人間の心臓の通路を封鎖するための装置であって、
第一の材料から作成された複数のアームを備えるが、該複数のアームの間に広がる構造を備えず、前記通路の第一の端部に近接して配置されるように構成された第一のアンカーと、
複数のアームと、該複数のアームの間に広がるカバーとを備え、前記通路の第二の端部に近接して配置されるように構成された第二のアンカーと、
前記通路を通って延び前記第一のアンカーと前記第二のアンカーとを接続するように構成されており、前記第一の材料とは異なる第二の材料から作成されている可撓性の細長い部材とを備える、装置。 - 前記装置は、心臓の開存性卵円孔を封鎖するための閉鎖装置であり、前記第一のアンカーが前記通路の左心房開口に係合するように構成され、前記第二のアンカーが前記通路の右心房開口に係合するように構成されている、請求項1に記載の装置。
- 前記細長い部材が、前記第一のアンカーに固定的に接続された第一の端部を有する、請求項1に記載の装置。
- 前記第一のアンカーの前記複数のアームが、前記第一のアンカーの中央ハブから放射状に延びている、請求項1に記載の装置。
- 前記第一のアンカーの前記複数のアームが、折り畳み状態と散開状態とをとることができる、請求項1に記載の装置。
- 前記第二のアンカーの前記複数のアームが、前記第二のアンカーの中央ハブから放射状に延びている、請求項1に記載の装置。
- 前記第二のアンカーの前記複数のアームが、折り畳み状態と散開状態とをとることができる、請求項1に記載の装置。
- 前記第一のアンカーが前記細長い部材に対して旋回可能である、請求項1に記載の装置。
- 前記第二のアンカーが前記細長い部材に対して旋回可能である、請求項1に記載の装置。
- 前記細長い部材が、前記第一のアンカーと前記第二のアンカーとの間の前記細長い部材の長さを変動させるために前記第二のアンカーを通って移動することができる、請求項1に記載の装置。
- 前記第二のアンカーが前記細長い部材に対して移動可能である、請求項1に記載の装置。
- 前記第二のアンカーは、前記細長い部材に対して移動可能であり、前記細長い部材の長さに沿った複数の位置のうちの何れか一つの位置において、前記細長い部材に解除可能に取り付けられるように構成されている、請求項1に記載の装置。
- 前記細長い部材が、前記人間の体に移植されたときに前記第一のアンカー及び前記第二のアンカーに永久的に接続されるように構成されている、請求項1に記載の装置。
- 前記細長い部材が、該細長い部材の張力を変動させるために前記第二のアンカーを通って移動することができる、請求項1に記載の装置。
- 前記装置が、前記細長い部材に対する前記第二のアンカーの位置を固定するために、前記細長い部材上に配置され且つ該細長い部材に対して相対移動可能な固定機素を備える、請求項1に記載の装置。
- 前記固定要素が、前記細長い部材に沿って一方向のみに移動可能なロック機素である、請求項15に記載の装置。
- 前記固定機素が解除可能な固定機素である、請求項15に記載の装置。
- 前記解除可能な固定機素が前記第二のアンカーの中央部分を形成する、請求項17に記載の装置。
- 前記カバーが単一のシート状の材料から形成される、請求項1に記載の装置。
- 前記カバーが、ポリエステル織布、編地ポリエステル及びePTFEのうちの一つから作成される、請求項1に記載の装置。
- 前記カバーが、組織内殖を促すに十分な気孔を有する多孔性材料からなる、請求項1に記載の装置。
- 前記カバーが抗血栓コーティングを含む、請求項1に記載の装置。
- 前記抗血栓コーティングがヘパリンである、請求項22に記載の装置。
- 前記カバーが縫合によって前記第二のアンカーの複数のアームに取り付けられている、請求項1に記載の装置。
- 前記第二の材料が高分子材料である、請求項1に記載の装置。
- 前記第二の材料が、超高分子量ポリエチレン、液晶ポリマー及びポリエステルのうちの一つである、請求項25に記載の装置。
- 前記第二の材料が超高分子量ポリエチレンであり、SPECTRA及びDYNEEMAの一方である、請求項26に記載の装置。
- 前記第二の材料が液晶ポリマーであるVECTRANである、請求項26に記載の装置。
- 前記細長い部材が非中空である、請求項1に記載の装置。
- 前記細長い部材が、前記通路の形状に追従するに十分な可撓性を有する、請求項1に記載の装置。
- 前記細長い部材は、前記第一のアンカーの中央ハブが前記第二のアンカーの中央ハブに対してオフセット配置されることを許容するように構成されている、請求項1に記載の装置。
- 前記第二のアンカーの前記複数のアームが前記第一の材料から作成されている、請求項1に記載の装置。
- 前記第一の材料が金属である、請求項1に記載の装置。
- 前記第一の材料が金属ワイヤである、請求項33に記載の装置。
- 前記第一の材料が、ステンレス鋼、ニッケル−チタン、ELGILOY又はMP35Nのうちの一つである、請求項33に記載の装置。
- 前記細長い部材が編組構造である、請求項1に記載の装置。
- 前記細長い部材がマルチフィラメント構造である、請求項1に記載の装置。
- 身体内の通路を封鎖するための装置であって、
前記通路の第一の端部に近接して配置されるように構成された第一のアンカーであって、複数のアームを含み、該複数のアームの間に広がる構造を含まない第一のアンカーと、
前記通路の第二の端部に近接して配置されるように構成された第二のアンカーであって、複数のアーム及び該複数のアームの間に広がるカバーを含む第二のアンカーと、
前記通路を通って延び前記第一のアンカーと前記第二のアンカーとを接続するように構成されており、前記第一のアンカーと前記第二のアンカーとの間の長さを変動させるために前記第二のアンカーを通って移動することができる可撓性の細長い部材と、
前記細長い部材上で前記第二のアンカーの位置を固定するために、前記細長い部材上に配置され且つ該細長い部材に対して相対移動可能な固定機素とを備える、装置。 - 前記装置は、心臓の通路を封鎖するための閉鎖装置であり、前記第一のアンカーが前記通路の前記第一の端部を閉鎖するように構成されると共に、前記第二のアンカーが前記通路の前記第二の端部を閉鎖するように構成されており、前記可撓性の細長い部材が前記第一のアンカーに固定的に接続された第一の端部を有している、請求項38に記載の装置。
- 前記第一のアンカーの前記複数のアームが前記第一のアンカーの中央ハブから延びている、請求項38に記載の装置。
- 前記第一のアンカーの前記複数のアームが折り畳み状態と散開状態とをとることができる、請求項38に記載の装置。
- 前期第二のアンカーの前記複数のアームが前記第二のアンカーの中央ハブから延びている、請求項38に記載の装置。
- 前記第二のアンカーの前記複数のアームが、折り畳み状態と散開状態とをとることができる、請求項38に記載の装置。
- 前記第一のアンカーが前記細長い部材に対して旋回可能である、請求項38に記載の装置。
- 前記第二のアンカーが前記細長い部材に対して旋回可能である、請求項38に記載の装置。
- 前記固定機素が、前記可撓性の細長い部材に沿って一方向のみに移動可能なロック機素である、請求項38に記載の装置。
- 前記通路が開存性卵円孔である、請求項38に記載の装置。
- 前記細長い部材が編組構造である、請求項38に記載の装置。
- 前記細長い部材がマルチフィラメント構造である、請求項38に記載の装置。
- 前記可撓性の細長い部材は、身体に移植されるときに前記第一のアンカー及び前記第二のアンカーに永久的に接続されるように構成されている、請求項38に記載の装置。
- 前記第二のアンカーが前記可撓性の細長い部材に対して移動可能であり、前記可撓性の細長い部材の長さに沿った複数の位置のうちの何れか一つの位置において、前記可撓性の細長い部材に解除可能に取り付けられるように構成されている、請求項38に記載の装置。
- 前記可撓性の細長い部材が、該可撓性の細長い部材の張力を変動させるために前記第二のアンカーを通って移動することができる、請求項38に記載の装置。
- 前記固定機素が解除可能な固定機素である、請求項38に記載の装置。
- 前記解除可能な固定機素が前記第二のアンカーの中央部分を形成する、請求項53に記載の装置。
- 心臓の通路を封鎖するための組立体であって、
請求項38に記載の装置と、
身体内への入口点から前記通路まで延びる形態のガイドカテーテルとを備え、
前記細長い部材が前記第二のアンカー及び前記ガイドカテーテルを通って前記身体内への入口点まで延びるようになっている、組立体。 - 前記通路まで延びることができるポジショニングカテーテルをさらに備える、請求項55に記載の組立体。
- 前記ポジショニングカテーテルが前記ガイドカテーテルを通って延びることができる、請求項56に記載の組立体。
- 前記装置が、第一の折り畳み状態において前記ポジショニングカテーテル内に配置可能であり、第二の散開状態において前記ポジショニングカテーテルから延出させることができる、請求項57に記載の組立体。
- 前記ポジショニングカテーテルが前記固定機素と選択的に係合する遠位部分を含む、請求項56に記載の組立体。
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US09/870,813 US7338514B2 (en) | 2001-06-01 | 2001-06-01 | Closure devices, related delivery methods and tools, and related methods of use |
PCT/US2002/017012 WO2002098298A1 (en) | 2001-06-01 | 2002-05-31 | Closure devices , related delivery methods and tools, and related methods of use |
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US7662161B2 (en) | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
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US7842068B2 (en) | 2000-12-07 | 2010-11-30 | Integrated Vascular Systems, Inc. | Apparatus and methods for providing tactile feedback while delivering a closure device |
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-
2001
- 2001-06-01 US US09/870,813 patent/US7338514B2/en not_active Expired - Lifetime
-
2002
- 2002-05-31 ES ES05010346T patent/ES2297563T3/es not_active Expired - Lifetime
- 2002-05-31 JP JP2003501345A patent/JP4262593B2/ja not_active Expired - Fee Related
- 2002-05-31 ES ES02737266T patent/ES2266507T3/es not_active Expired - Lifetime
- 2002-05-31 EP EP05010346A patent/EP1563790B1/en not_active Expired - Lifetime
- 2002-05-31 EP EP02737266A patent/EP1392176B1/en not_active Expired - Lifetime
- 2002-05-31 AT AT02737266T patent/ATE336944T1/de active
- 2002-05-31 WO PCT/US2002/017012 patent/WO2002098298A1/en active IP Right Grant
- 2002-05-31 DE DE60214160T patent/DE60214160T2/de not_active Expired - Lifetime
- 2002-05-31 DE DE60223855T patent/DE60223855T2/de not_active Expired - Lifetime
-
2005
- 2005-07-21 US US11/185,951 patent/US20050267526A1/en not_active Abandoned
- 2005-08-08 US US11/198,325 patent/US7717937B2/en not_active Expired - Fee Related
-
2010
- 2010-05-17 US US12/781,573 patent/US9078630B2/en not_active Expired - Fee Related
-
2013
- 2013-01-09 US US13/737,266 patent/US8777985B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
ATE336944T1 (de) | 2006-09-15 |
US20130123838A1 (en) | 2013-05-16 |
DE60214160D1 (de) | 2006-10-05 |
WO2002098298A1 (en) | 2002-12-12 |
ES2266507T3 (es) | 2007-03-01 |
US20100234882A1 (en) | 2010-09-16 |
ES2297563T3 (es) | 2008-05-01 |
DE60223855T2 (de) | 2008-12-04 |
US7338514B2 (en) | 2008-03-04 |
EP1392176B1 (en) | 2006-08-23 |
US20050267526A1 (en) | 2005-12-01 |
US7717937B2 (en) | 2010-05-18 |
EP1563790B1 (en) | 2007-11-28 |
US9078630B2 (en) | 2015-07-14 |
US20020183787A1 (en) | 2002-12-05 |
US20060036282A1 (en) | 2006-02-16 |
DE60214160T2 (de) | 2006-12-21 |
US8777985B2 (en) | 2014-07-15 |
EP1563790A1 (en) | 2005-08-17 |
DE60223855D1 (de) | 2008-01-10 |
JP2004528131A (ja) | 2004-09-16 |
EP1392176A1 (en) | 2004-03-03 |
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