JP4762228B2 - 迅速交換式介入デバイスおよび方法 - Google Patents
迅速交換式介入デバイスおよび方法 Download PDFInfo
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- JP4762228B2 JP4762228B2 JP2007506576A JP2007506576A JP4762228B2 JP 4762228 B2 JP4762228 B2 JP 4762228B2 JP 2007506576 A JP2007506576 A JP 2007506576A JP 2007506576 A JP2007506576 A JP 2007506576A JP 4762228 B2 JP4762228 B2 JP 4762228B2
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0169—Exchanging a catheter while keeping the guidewire in place
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0183—Rapid exchange or monorail catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
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- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
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Description
Claims (24)
- 血管貫入部を通って脈管内の処置部位に導入するための介入デバイスであって、
近位端と、遠位端と、そして前記遠位端に結合した介入要素とを有するカテーテル軸と、
近位末端と、遠位末端と、そしてそれらの間でガイドワイヤを摺動可能に受け取るように構成されガイドワイヤ内腔とを有するガイドワイヤ管であって、前記遠位末端は前記カテーテル軸の前記遠位端に結合され、前記近位末端は前記カテーテル軸から分離している、ガイドワイヤ管と、そして
前記血管貫入部内に位置決め可能な遠位末端を持つ遠位部分と前記血管貫入部外に残るようにされた近位部分とを有するカラーであって、前記カラーは、実質的な血液の漏れ無しで前記カテーテル軸の前記近位端を摺動可能に受け取るように構成された第1通路と実質的な血液の漏れ無しで前記ガイドワイヤ管の前記近位末端を摺動可能に受け取るように構成された第2通路とを有し、前記第1通路は前記近位部分の少なくとも一部分まで前記遠位末端からの前記第2通路とは分離している、カラーと
から構成され、
前記カテーテル軸の前記近位端と前記ガイドワイヤ管は、それぞれ、介入デバイスが前記処置部位に位置決めされる時に、前記血管貫入部へ延びるのに十分な長さを有する
ことを特徴とする介入デバイス。 - 前記カラーは、止血デバイスを通して前記血管貫入部内に位置決め可能であり、前記カラーは、前記止血デバイス内でシールするように構成された外部表面を有することを特徴とする請求項1に記載の介入デバイス。
- 前記カラーは、前記近位端の周りでの血液の漏れを阻止するための、前記少なくとも1つの通路と連通するシールを備えることを特徴とする請求項1に記載の介入デバイス。
- 前記ガイドワイヤ管は、前記遠位末端から約50cm未満の遠位点から、前記遠位末端から前記ガイドワイヤ管の少なくとも約半分の長さの近位点まで、内部に長手方向に配設されたスリットを備えることを特徴とする請求項1に記載の介入デバイス。
- 前記近位点は前記近位末端から約20cm以内であることを特徴とする請求項4に記載の介入デバイス。
- 前記近位点は前記近位末端であることを特徴とする請求項4に記載の介入デバイス。
- 前記スリットを通して位置決め可能な、且つ前記ガイドワイヤに対して動作可能なワイヤ・ガイドをさらに備え、それによって前記ガイドワイヤは、前記ワイヤ・ガイドの遠位で前記ガイドワイヤ内腔内に配設され、前記ワイヤ・ガイドの近位で前記ガイドワイヤ内腔の外に配設されることを特徴とする請求項4に記載の介入デバイス。
- 前記ワイヤ・ガイドは前記カラーに結合していることを特徴とする請求項7に記載の介入デバイス。
- 前記ワイヤ・ガイドは、遠位開口、近位開口、前記遠位開口と前記近位開口の間のガイド通路を備え、前記ワイヤ・ガイドが前記スリットを通して位置決めされると、前記遠位開口は前記ガイドワイヤ内腔と位置合わせされ、前記近位開口は前記ガイドワイヤ管の外にあることを特徴とする請求項7に記載の介入デバイス。
- 前記ワイヤ・ガイドは、前記ガイドワイヤ管内で前記スリットを広げるように構成された丸い、または、テーパ付き遠位縁部を備えることを特徴とする請求項7に記載の介入デバイス。
- 前記ガイドワイヤ管は少なくとも約100cmの長さを有することを特徴とする請求項1に記載の介入デバイス。
- 前記ガイドワイヤ管は延びた長さから折り畳まれた長さまで折畳み可能であることを特徴とする請求項1に記載の介入デバイス。
- 前記ガイドワイヤ管はアコーデオンに似た壁を有することを特徴とする請求項12に記載の介入デバイス。
- 前記ガイドワイヤ管は、ヒンジによって接続される一連の全体が円錐のセグメントを備え、隣接する円錐セグメントは、前記ヒンジを中心として互いの方に、また、互いから離れるように回動可能であることを特徴とする請求項12に記載の介入デバイス。
- 前記ガイドワイヤ管はジグザグ断面を有する壁を有することを特徴とする請求項12に記載の介入デバイス。
- 前記折り畳まれた長さは前記延びた長さの約50%未満であることを特徴とする請求項12に記載の介入デバイス。
- 前記介入要素はステントを備えることを特徴とする請求項1に記載の介入デバイス。
- 前記介入要素は複数のステント・セグメントを備えることを特徴とする請求項17に記載の介入デバイス。
- 前記ステント・セグメントを覆って摺動可能に配設されるシースをさらに備えることを特徴とする請求項18に記載の介入デバイス。
- 前記シースは、前記カテーテル軸上に第2の選択された数のステント・セグメントを保持しながら、前記カテーテル軸から第1の選択された数のステント・セグメントを展開するように選択的に位置決めされることを特徴とする請求項19に記載の介入デバイス。
- 前記介入要素はバルーンであることを特徴とする請求項1に記載の介入デバイス。
- 前記バルーンを覆って摺動可能に配設されるシースをさらに備えることを特徴とする請求項21に記載の介入デバイス。
- 前記シースは、前記バルーンの第2の部分を拘束しながら、前記バルーンの第1の部分を拡張するように選択的に位置決めされることを特徴とする請求項22に記載の介入デバイス。
- 前記ガイドワイヤ管は、前記介入要素の近位で前記カテーテル軸に結合し、前記介入要素の遠位の点まで延びることを特徴とする請求項1に記載の介入デバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/814,581 US7323006B2 (en) | 2004-03-30 | 2004-03-30 | Rapid exchange interventional devices and methods |
US10/814,581 | 2004-03-30 | ||
PCT/US2005/010961 WO2006065262A2 (en) | 2004-03-30 | 2005-03-30 | Rapid exchange interventional devices and methods |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2007531600A JP2007531600A (ja) | 2007-11-08 |
JP2007531600A5 JP2007531600A5 (ja) | 2008-05-29 |
JP4762228B2 true JP4762228B2 (ja) | 2011-08-31 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2007506576A Active JP4762228B2 (ja) | 2004-03-30 | 2005-03-30 | 迅速交換式介入デバイスおよび方法 |
Country Status (6)
Country | Link |
---|---|
US (2) | US7323006B2 (ja) |
EP (1) | EP1742699A4 (ja) |
JP (1) | JP4762228B2 (ja) |
AU (1) | AU2005317254A1 (ja) |
CA (1) | CA2560993A1 (ja) |
WO (1) | WO2006065262A2 (ja) |
Families Citing this family (280)
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WO2006065262A3 (en) | 2007-03-22 |
US7323006B2 (en) | 2008-01-29 |
WO2006065262A2 (en) | 2006-06-22 |
JP2007531600A (ja) | 2007-11-08 |
US8460358B2 (en) | 2013-06-11 |
EP1742699A2 (en) | 2007-01-17 |
US20050222603A1 (en) | 2005-10-06 |
EP1742699A4 (en) | 2012-10-17 |
CA2560993A1 (en) | 2006-06-22 |
US20080097299A1 (en) | 2008-04-24 |
AU2005317254A1 (en) | 2006-06-22 |
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