JP4531774B2 - 体内の通路を閉塞するためのインプラント - Google Patents
体内の通路を閉塞するためのインプラント Download PDFInfo
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- JP4531774B2 JP4531774B2 JP2006551700A JP2006551700A JP4531774B2 JP 4531774 B2 JP4531774 B2 JP 4531774B2 JP 2006551700 A JP2006551700 A JP 2006551700A JP 2006551700 A JP2006551700 A JP 2006551700A JP 4531774 B2 JP4531774 B2 JP 4531774B2
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- implant
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- 239000007943 implant Substances 0.000 title claims abstract description 70
- 239000000463 material Substances 0.000 claims description 12
- 238000003780 insertion Methods 0.000 claims description 5
- 230000037431 insertion Effects 0.000 claims description 5
- 238000004904 shortening Methods 0.000 claims description 2
- 230000000903 blocking effect Effects 0.000 claims 1
- 210000003157 atrial septum Anatomy 0.000 description 4
- 210000000596 ventricular septum Anatomy 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 229910000990 Ni alloy Inorganic materials 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- SZMZREIADCOWQA-UHFFFAOYSA-N chromium cobalt nickel Chemical compound [Cr].[Co].[Ni] SZMZREIADCOWQA-UHFFFAOYSA-N 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 208000025339 heart septal defect Diseases 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00597—Implements comprising a membrane
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00619—Locking means for locking the implement in expanded state
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00623—Introducing or retrieving devices therefor
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Description
本発明の目的は特に人体の循環系内の通路を閉塞するための改善されたインプラントを提供することである。
本発明のインプラントは、
第一の端部と第二の端部をそれぞれが有する複数の薄く細長い部材;
細長い部材の第一の端部が取り付けられている第一のホルダ;
細長い部材の第二の端部が取り付けられている第二のホルダ;
を備え、細長い部材が第一と第二のホルダに取り付けられており;
第一の閉塞本体が細長い部材に取り付けられており;
インプラントが第一の状態において、長軸に沿って延在する細長い物体を形成し、インプラントが第一の状態において、循環系への挿入に適合しており、且つインプラントが循環系において、第二の状態になるように適合しており、ホルダ間の距離は、細長い部材に軸に対する捩れ運動を行うことを引き起こし、少なくとも1つの固定構造を形成する、ほぼ放射状に延びる複数のループが得られるような仕方で短縮可能であり、それによって閉塞本体の断面を増加し、且つ第二の状態において、少なくとも1つの固定構造が固定可能であり、
ここでインプラントが、第一の閉塞本体に対して距離をあけて細長い部材に取り付けられている少なくとも1つの第二の閉塞本体を備え、且つ第一と第二の閉塞本体間の距離が、2つのホルダ間の距離を短縮することによって短縮可能であり、次の固定構造、即ち第一の閉塞本体と第一のホルダの間の第一の固定構造および第二の閉塞本体と第二のホルダの間の第二の固定構造の群の少なくとも1つが形成される。
2 第一の閉塞本体
2’ 第二の閉塞本体
3 第一のホルダ
4 第二のホルダ
5 キャリアロッド
6 駆動器具
7 圧縮可能な本体
10 肉厚部
11 第一の部分
12 第二の部分
13 第三の部分
20 中央穴
20’ 中央穴
21 外側の穴
21’ 外側の穴
22 遠位面
23 近位面
30 第一のロック手段
40 第二のロック手段
60 スリーブ
61 プッシュロッド
A 長軸
Claims (10)
- 循環系内の通路を塞ぐためのインプラントにおいて、
前記インプラントが、
第一の端部と第二の端部をそれぞれが有する複数の薄く細長い部材(1)と、
細長い部材(1)の第一の端部が取り付けられている第一のホルダ(3)と、
細長い部材(1)の第二の端部が取り付けられている第二のホルダ(4)と、
を備え、
細長い部材(1)が第一と第二のホルダ(3,4)に取り付けられており;
第一の閉塞本体(2)が細長い部材(1)に取り付けられており;
インプラントが第一の状態において、長軸(A)に沿って延びる細長い物体を形成し、インプラントがこの第一の状態において、循環系への挿入に適合しており、且つ循環系において、第二の状態になるように適合しており、
ホルダ(3,4)間の距離が、細長い部材(1)が軸Aに対する捩れ運動を引き起こし、少なくとも1つの固定構造を形成する、ほぼ放射状に延びる複数のループが得られるように短縮可能であり、
それによって閉塞本体(2)の断面を増加し、且つ第二の状態において、少なくとも1つの固定構造が固定可能なインプラントであって、
インプラントが、第一の閉塞本体(2)に対して距離をあけて細長い部材(1)に取り付けられている第二の閉塞本体(2’)を備え、
第一と第二の閉塞本体(2,2’)間の距離が2つのホルダ(3,4)間の距離を短縮することによって短縮可能であり、
以下の固定構造、即ち、第一の閉塞本体(2)と第一のホルダ(3)の間の第一の固定構造、および第二の閉塞本体(2’)と第二のホルダ(4)の間の第二の固定構造が、2つのホルダ(3,4)間の距離を短縮することにより、それぞれ通路の両側上に同じ動きにより構築され、第二の状態において形成され、
2つの閉塞本体(2,2’)は、細長い部材(1)を3つの部分に分割し、第一の部分(11)は、第一のホルダ(3)と第一の閉塞本体(2)の間に配置され、第二の部分(12)は、第二の閉塞本体(2’)と第二のホルダ(4)の間に配置され、第三の部分(13)は、第一と第二の閉塞本体(2,2’)の間に配置され、
第一と第二の部分(11,12)は、それぞれ第一と第二の固定構造を構成し、細長い部材(1)の第三の部分(13)は、第一と第二の部分(11,12)に比べて湾曲が少なく、捩れない
ことを特徴とする循環系の通路を塞ぐためのインプラント。 - それぞれの細長い部材(1)の第一と第二の部分(11,12)が略同じ長さを有する、請求項1に記載のインプラント。
- それぞれの細長い部材(1)の第一、第二および第三の部分(11,12)が略同じ長さを有する、請求項1に記載のインプラント。
- 第二の状態において、第三の部分が第一または第二の閉塞本体(2,2’)の断面の直径と略同じサイズの外径を有する湾曲構造を形成する、請求項1から請求項3までの1つに記載のインプラント。
- 第二の状態において、第一と第二の閉塞本体(2,2’)が同じサイズの断面を有する、請求項1から請求項4までの1つに記載のインプラント。
- 第一と第二の閉塞本体(2,2’)が柔軟な材料で作られており、前記第一と第二の閉塞本体(2,2’)のそれぞれが第二の状態において、略ディスク状の形状を有し、第一の状態において、圧縮された形状を有する、請求項1から請求項5までの1つに記載のインプラント。
- 第一と第二の閉塞本体(2,2’)が少なくとも略円形の形状を有する、請求項6に記載のインプラント。
- 第一と第二の閉塞本体(2,2’)が穴(20,20’)を備え、且つ細長い部材(1)が前記穴(20,20’)を通して延在している、請求項1から請求項7までの1つに記載のインプラント。
- すべての細長い部材(1)が同じ長さを有する、請求項1から請求項8までの1つに記載のインプラント。
- 圧縮可能な本体(7)が第一と第二の閉塞本体(2,2’)の間に配置されている、請求項1から請求項9までの1つに記載のインプラント。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CH2004/000059 WO2005074813A1 (en) | 2004-02-04 | 2004-02-04 | An implant for occluding a body passage |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007519502A JP2007519502A (ja) | 2007-07-19 |
JP4531774B2 true JP4531774B2 (ja) | 2010-08-25 |
Family
ID=34832033
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006551700A Expired - Fee Related JP4531774B2 (ja) | 2004-02-04 | 2004-02-04 | 体内の通路を閉塞するためのインプラント |
Country Status (9)
Country | Link |
---|---|
US (1) | US8764790B2 (ja) |
EP (1) | EP1718213B1 (ja) |
JP (1) | JP4531774B2 (ja) |
CN (1) | CN100413472C (ja) |
AT (1) | ATE366547T1 (ja) |
DE (1) | DE602004007555T2 (ja) |
ES (1) | ES2289478T3 (ja) |
IL (1) | IL176419A (ja) |
WO (1) | WO2005074813A1 (ja) |
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JP7322133B2 (ja) * | 2018-07-18 | 2023-08-07 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド | シャント、閉塞器、開窓のためのメディカルデバイスならびに関連するシステム及び方法 |
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JPH03286752A (ja) * | 1990-04-02 | 1991-12-17 | Kanji Inoue | 非手術的に短絡口を閉鎖する器具 |
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US5725552A (en) * | 1994-07-08 | 1998-03-10 | Aga Medical Corporation | Percutaneous catheter directed intravascular occlusion devices |
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DE19604817C2 (de) * | 1996-02-09 | 2003-06-12 | Pfm Prod Fuer Die Med Ag | Vorrichtung zum Verschließen von Defektöffnungen im menschlichen oder tierischen Körper |
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DE10000137A1 (de) * | 2000-01-04 | 2001-07-12 | Pfm Prod Fuer Die Med Ag | Implantat zum Verschließen von Defektöffnungen im menschlichen oder tierischen Körper |
ES2336726T3 (es) | 2000-11-07 | 2010-04-15 | Carag Ag | Un dispositivo para obturar una abertura tal como en una pared de un organo hueco o tubular. |
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EP1651116B1 (en) * | 2003-07-14 | 2013-06-26 | W.L. Gore & Associates, Inc. | Tubular patent foramen ovale (pfo) closure device with catch system |
-
2004
- 2004-02-04 JP JP2006551700A patent/JP4531774B2/ja not_active Expired - Fee Related
- 2004-02-04 DE DE602004007555T patent/DE602004007555T2/de not_active Expired - Lifetime
- 2004-02-04 US US10/588,325 patent/US8764790B2/en active Active
- 2004-02-04 AT AT04707862T patent/ATE366547T1/de not_active IP Right Cessation
- 2004-02-04 CN CNB2004800411658A patent/CN100413472C/zh not_active Expired - Fee Related
- 2004-02-04 WO PCT/CH2004/000059 patent/WO2005074813A1/en active IP Right Grant
- 2004-02-04 ES ES04707862T patent/ES2289478T3/es not_active Expired - Lifetime
- 2004-02-04 EP EP04707862A patent/EP1718213B1/en not_active Expired - Lifetime
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CN1909839A (zh) | 2007-02-07 |
ATE366547T1 (de) | 2007-08-15 |
DE602004007555D1 (de) | 2007-08-23 |
WO2005074813A1 (en) | 2005-08-18 |
US8764790B2 (en) | 2014-07-01 |
IL176419A (en) | 2010-04-29 |
IL176419A0 (en) | 2008-02-09 |
EP1718213A1 (en) | 2006-11-08 |
CN100413472C (zh) | 2008-08-27 |
EP1718213B1 (en) | 2007-07-11 |
DE602004007555T2 (de) | 2008-03-13 |
JP2007519502A (ja) | 2007-07-19 |
ES2289478T3 (es) | 2008-02-01 |
US20070282430A1 (en) | 2007-12-06 |
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