JP4465192B2 - 移植物の配置において有用な結合システム - Google Patents
移植物の配置において有用な結合システム Download PDFInfo
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
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- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
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- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
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- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
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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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30079—Properties of materials and coating materials magnetic
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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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
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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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/009—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof magnetic
-
- 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
- A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
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Description
本出願は、2002年3月15日に出願された米国仮特許出願番号60/364,017、および2002年5月21日に出願された60/382,528に対する優先権および利益を主張する。上記出願の開示は、参考として本明細書中で援用される。
本発明は、一般に、経カテーテル送達システムに関し使用される結合デバイスまたは付着デバイス、および医療移植物を送達することまたは回収することに関連したそれらの使用に関する。
移植物の経皮的な経カテーテル送達についての多数のシステムは、患者の中に、好ましくは最小侵襲性様式で、移植物(例えば、閉塞具)を送達する際および配置する際に医師を助けるため、長年にわたって考案されてきた。多くの公知の送達システムの問題は、このシステムが、移植されているデバイスの配置にしばしば悪影響を及ぼし得ることであり、このことは、移植物を解放するより先に最終移植位置を評価する場合に、医師にこのような効果を評価することおよび考慮することを強制する。
本発明は、新規でかつ改良された、結合システムおよびその関連法を提供し、そして患者の中におよび患者から、移植物(例えば、中隔閉塞具)を送達すること、再配置すること、および除去することについて有用であり得る。
本明細書中に記載されている介入送達システムは、管状部分、管状部分の内腔中でスライドする心線、および移植物に結合する心線の遠位端で結合デバイスを備える。
本発明は、その精神またはその本質的な特性から逸脱することなく、他の特定の形態で具体化され得る。従って、本実施形態は、全ての局面で、説明的であり、そして制限しないように考慮されるべきであり、従って、前述の説明によってよりむしろ添付された特許請求の範囲によって示される本発明の範囲、ならびに特許請求の範囲の均等物の意味および範囲の中にある全ての変化は、本明細書中に包含されることが意図される。
Claims (19)
- 物体に結合するためのデバイスであって、該デバイスは、以下:
遠位端;および
第一端および第二端をそれぞれ備える第一プロングおよび第二プロングであって、該第一プロングおよび該第二プロングは、それらの第一端で接続され、そしてそれらの第二端では自由であり、該プロングの一つのみの該第二端は、開放位置と閉鎖位置との間で移動可能であり、該第一プロングの該第二端および該第二プロングの該第二端は、物体に結合するために、該閉鎖位置において該デバイスの該遠位端でスロットを規定し、該第一プロングの該第二端および該第二プロングの該第二端は、該開放位置において離れ、そして該第一プロングの該第二端および該第二プロングの該第二端は、該開放位置より該閉鎖位置において互いにより近づく、プロング、
を備え、
該プロングの少なくとも一つの該第二端が、空洞をさらに備え、該空洞が、該物体の形状に一致するために形作られており、該空洞が、球状のくぼみの少なくとも一部分を備え、ここで、該物体は、該空洞中を回転することができ、
該スロットが、実質的に180度にまたがる円弧を構成する、デバイス。 - 前記プロングの少なくとも一つが、ばね付勢されている、請求項1に記載のデバイス。
- 前記第一プロングおよび前記第二プロングに関してスライド的に移動可能なスリーブをさらに備え、該スリーブが、該プロングの少なくとも一部分にわたってスライドする場合、該スリーブは、前記閉鎖位置の方へ該プロングの少なくとも一つの第二端を押しつける、請求項1に記載のデバイス。
- 前記閉鎖位置において組み合される前記二つのプロングの前記第二端の外径が、組み合される該二つのプロングの前記第一端の外径より長い、請求項1に記載のデバイス。
- 前記プロングに関してスライド的に移動可能なスリーブをさらに備え、該スリーブが、内腔を規定し、ここで、該プロングの前記第一端が、該スリーブの該内腔中に入れられる場合、該プロングは、前記閉鎖位置であり、そして該プロングの該第一端が、該スリーブの該内腔から伸長する場合、該プロングは、開放位置である、請求項1に記載のデバイス。
- 前記プロングが、該プロングの前記第一端の全長を実質的に含む浮動範囲をさらに備える、請求項1に記載のデバイス。
- 前記プロングの少なくとも一つの少なくとも一部分が、磁性である、請求項1に記載のデバイス。
- 患者の中に移植物を送達するための介入する送達システムであって、以下:
内腔を規定する管状部分;
遠位端を備え、そして長手方向を有する心線であって、該管状部分の該内腔中をスライド的に移動可能な心線;および
該心線の該遠位端における結合デバイスであって、該結合デバイスは、遠位端を備え、該結合デバイスは、さらに第一端および第二端をそれぞれ備える第一プロングおよび第二プロングを備え、該第一プロングおよび該第二プロングは、それらの第一端で接続され、そしてそれらの第二端では自由であり、該プロングの一つのみの該第二端は、開放位置と閉鎖位置との間で移動可能であり、該第一プロングの該第二端および該第二プロングの該第二端は、該移植物に結合するために、該閉鎖位置において該デバイスの該遠位端でスロットを規定し、該第一プロングの該第二端および該第二プロングの該第二端は、該開放位置において離れ、そして該第一プロングの該第二端および該第二プロングの該第二端は、該開放位置より該閉鎖位置において互いにより近づく、デバイス、
を備え、
該プロングの少なくとも一つの該第二端が、さらに空洞を備え、
該移植物が、先端を備え、そして該プロングの少なくとも一つの中の該空洞は、該移植物の先端の形状に一致するために形作られ、ここで、該移植物の先端は、該空洞の中で回転することができ、
該スロットが、実質的に180度にまたがる円弧を構成する、システム。 - 前記移植物が、球状の先端を備える、請求項8に記載のシステム。
- 前記管状部分に接続されるハンドルをさらに備え、該ハンドルは、前記心線を動かすためのアクチュエーターを備える、請求項8に記載のシステム。
- 前記プロングの少なくとも一つが、ばね付勢されている、請求項8に記載のシステム。
- 前記第一プロングおよび前記第二プロングに関してスライド的に移動可能なスリーブをさらに備え、該スリーブが、該プロングの少なくとも一部分にわたってスライドする場合、該スリーブは、前記閉鎖位置の方に該プロングの少なくとも一つの第二端を押しつける、請求項8に記載のシステム。
- さらに、移植物を備える、請求項8に記載のシステム。
- 前記移植物が、中隔閉塞具を備える、請求項13に記載のシステム。
- 前記移植物が、心耳閉塞デバイスを備える、請求項13に記載のシステム。
- 前記プロングの一つが、前記心線の前記遠位端にしっかりと接続される、請求項8に記載のシステム。
- 少なくとも一つのプロングが、前記心線の前記遠位端に回転的に接続される、請求項8に記載のシステム。
- 前記プロングの少なくとも一部分が、磁性である、請求項8に記載のシステム。
- 前記移植物の少なくとも一部分が、磁性である、請求項8に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US36401702P | 2002-03-15 | 2002-03-15 | |
US38252802P | 2002-05-21 | 2002-05-21 | |
PCT/US2003/007911 WO2003077776A1 (en) | 2002-03-15 | 2003-03-14 | Coupling system useful in placement of implants |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009256594A Division JP2010057948A (ja) | 2002-03-15 | 2009-11-09 | 移植物の配置において有用な結合システム |
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-
2003
- 2003-03-14 ES ES03714155T patent/ES2379274T3/es not_active Expired - Lifetime
- 2003-03-14 CA CA002467702A patent/CA2467702C/en not_active Expired - Lifetime
- 2003-03-14 CA CA002643221A patent/CA2643221A1/en not_active Abandoned
- 2003-03-14 US US10/389,471 patent/US7344553B2/en active Active
- 2003-03-14 AU AU2003218164A patent/AU2003218164A1/en not_active Abandoned
- 2003-03-14 EP EP03714155A patent/EP1487357B1/en not_active Expired - Lifetime
- 2003-03-14 JP JP2003575833A patent/JP4465192B2/ja not_active Expired - Fee Related
- 2003-03-14 WO PCT/US2003/007911 patent/WO2003077776A1/en active Application Filing
- 2003-03-14 DK DK03714155.3T patent/DK1487357T3/da active
- 2003-03-14 AT AT03714155T patent/ATE534337T1/de active
-
2008
- 2008-03-03 US US12/074,272 patent/US8491627B2/en active Active
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Also Published As
Publication number | Publication date |
---|---|
EP1487357B1 (en) | 2011-11-23 |
US20080154302A1 (en) | 2008-06-26 |
AU2003218164A1 (en) | 2003-09-29 |
ES2379274T3 (es) | 2012-04-24 |
DK1487357T3 (da) | 2012-03-19 |
US7344553B2 (en) | 2008-03-18 |
EP1487357A1 (en) | 2004-12-22 |
JP2005520595A (ja) | 2005-07-14 |
CA2467702C (en) | 2009-01-13 |
WO2003077776A1 (en) | 2003-09-25 |
US20030181945A1 (en) | 2003-09-25 |
ATE534337T1 (de) | 2011-12-15 |
US8491627B2 (en) | 2013-07-23 |
JP2010057948A (ja) | 2010-03-18 |
US20130296928A1 (en) | 2013-11-07 |
CA2467702A1 (en) | 2003-09-25 |
CA2643221A1 (en) | 2003-09-25 |
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