JP4795451B2 - 開存卵円孔の治療装置 - Google Patents
開存卵円孔の治療装置 Download PDFInfo
- Publication number
- JP4795451B2 JP4795451B2 JP2009101427A JP2009101427A JP4795451B2 JP 4795451 B2 JP4795451 B2 JP 4795451B2 JP 2009101427 A JP2009101427 A JP 2009101427A JP 2009101427 A JP2009101427 A JP 2009101427A JP 4795451 B2 JP4795451 B2 JP 4795451B2
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- Prior art keywords
- pfo
- catheter
- tissue
- needle
- foramen ovale
- Prior art date
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- Expired - Lifetime
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- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
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- A—HUMAN NECESSITIES
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- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
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- A—HUMAN NECESSITIES
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1472—Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
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- A61N7/022—Localised ultrasound hyperthermia intracavitary
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Description
本出願は、以下の米国仮特許出願:60/458,854(代理人整理番号022128−000100US)(2003年3月27日に出願された);60/478,035(代理人整理番号022 128−000110US)(2003年1月11日に出願された)、および60/49008(代理人整理番号022128−000120US)(2003年7月24日に出願された)(これらの全開示は、本明細書中において参考として援用される)に対して優先権を主張する。本出願は、以下の米国特許出願番号:10/665974(代理人整理番号022128−000300US)(2003年9月16日に出願された);10/679245(代理人整理番号022128−000200US)(2003年10月2日に出願された);10/787532(代理人整理番号022128−000130US)(2004年2月25日に出願された)に関連するが、これらの全開示は、本明細書中において参考として援用されている。
16 エネルギ伝達部材、
24 バルーン、
33 エネルギ搬送部材、
34 外側カテーテルシャフト、
36 内側カテーテルシャフト、
42、52、82 カテーテルシャフト、
46 拡張可能部材、
48 エネルギ搬送部材、
53 突起部、
58a 細長い形状、
58b 山高帽形状、
59 遠位端、
59b 外側シャフト、
59a 内側シャフト、
60 クリップ、
74a アーム、
75 ループ、
76 メッシュ素材、
82b 遠位部、
82a 近位部、
85 ガイドワイヤ、
86 クリップ、
87 クリップ搬送管腔、
88 ガイドワイヤ管腔、
90 クリップ装置、
92 ステント、
92 自己閉鎖型ステント、
93 スリット、
94 組織取付け部材、
95 搬送カテーテル、
96 バルーン、
100 閉鎖システム、
102 搬送カテーテル、
103 ステント、
104 クリップ装置、
122 カテーテル、
140 閉鎖装置、
142 カテーテル、
144 アーム、
146 ステープル装置、
150 閉鎖装置、
152 カテーテル、
154 バネアーム、
156 ステープル装置、
158 成形機能部、
160 閉鎖装置、
164 バネアーム、
166 ステープル装置、
168 機能部、
170、172、178、182 バネクリップ、
173b 下位部、
173a 上位部、
174、180 棘、
183 搬送カテーテル、
185 解放機能部、
190 クリップ装置、
192 ワイヤフレーム、
194 顎部材、
198 貼布、
200 針、
201 棘、
202 カテーテル、
203 ユニバーサルジョイント、
204 搬送アーム。
Claims (8)
- 開存卵円孔の治療装置であって、該装置は、
近位端および遠位端を設けた細長いカテーテル本体部と、
前記カテーテル本体部から突出し、開存卵円孔を通って右心房から左心房に進行可能であり、開存卵円孔を通って左心房から右心房側に後退しようとすると組織に係止する戻り止めと、
前記戻り止めに配置され、開存卵円孔の組織に接触して、開存卵円孔を閉鎖するようにエネルギを伝達する少なくとも一のエネルギ伝達要素とを備えている、ことを特徴とする装置。 - 前記戻り止めは、複数の線状部材が左心房で展開されることによって、左心房側の組織に係止する、請求項1記載の装置。
- 前記カテーテル本体の遠位端には、右心房内で拡張可能な拡張可能部材が設けられている請求項1または請求項2記載の装置。
- 前記エネルギ伝達要素は、前記拡張可能部材の内側にも設けられている請求項3記載の装置。
- 前記カテーテル本体部の遠位には、前記開存卵円孔を右心房側から覆う貼布が設けられている請求項1または請求項2記載の装置。
- 前記貼布は、前記開存卵円孔に向かって突出する山高帽状に形成されている請求項5記載の装置。
- 前記貼布は、細長形状から前記山高帽状に変形可能である請求項6記載の装置。
- 前記貼布は、編組素材から作成されている請求項5〜7のいずれか一項に記載の装置。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US45885403P | 2003-03-27 | 2003-03-27 | |
US60/458,854 | 2003-03-27 | ||
US47803503P | 2003-06-11 | 2003-06-11 | |
US60/478,035 | 2003-06-11 | ||
US49008203P | 2003-07-24 | 2003-07-24 | |
US60/490,082 | 2003-07-24 |
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JP2006509395A Division JP4382087B2 (ja) | 2003-03-27 | 2004-03-26 | 卵円孔開存の治療方法および装置 |
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JP2009195717A JP2009195717A (ja) | 2009-09-03 |
JP4795451B2 true JP4795451B2 (ja) | 2011-10-19 |
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JP2006509395A Expired - Lifetime JP4382087B2 (ja) | 2003-03-27 | 2004-03-26 | 卵円孔開存の治療方法および装置 |
JP2009101427A Expired - Lifetime JP4795451B2 (ja) | 2003-03-27 | 2009-04-17 | 開存卵円孔の治療装置 |
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JP2006509395A Expired - Lifetime JP4382087B2 (ja) | 2003-03-27 | 2004-03-26 | 卵円孔開存の治療方法および装置 |
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US (4) | US20040267191A1 (ja) |
EP (2) | EP2455037A1 (ja) |
JP (2) | JP4382087B2 (ja) |
AU (1) | AU2004226374B2 (ja) |
CA (1) | CA2519636A1 (ja) |
WO (1) | WO2004087235A2 (ja) |
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2004
- 2004-03-26 AU AU2004226374A patent/AU2004226374B2/en not_active Ceased
- 2004-03-26 US US10/811,228 patent/US20040267191A1/en not_active Abandoned
- 2004-03-26 JP JP2006509395A patent/JP4382087B2/ja not_active Expired - Lifetime
- 2004-03-26 WO PCT/US2004/009445 patent/WO2004087235A2/en active Application Filing
- 2004-03-26 EP EP12155811A patent/EP2455037A1/en not_active Withdrawn
- 2004-03-26 EP EP04749470.3A patent/EP1605848B1/en not_active Expired - Lifetime
- 2004-03-26 CA CA002519636A patent/CA2519636A1/en not_active Abandoned
-
2005
- 2005-02-07 US US11/053,274 patent/US7637924B2/en active Active
-
2006
- 2006-06-21 US US11/472,630 patent/US8038672B2/en active Active
-
2009
- 2009-04-17 JP JP2009101427A patent/JP4795451B2/ja not_active Expired - Lifetime
-
2011
- 2011-09-21 US US13/238,659 patent/US20120010608A1/en not_active Abandoned
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WO2004087235A2 (en) | 2004-10-14 |
US20040267191A1 (en) | 2004-12-30 |
AU2004226374A1 (en) | 2004-10-14 |
CA2519636A1 (en) | 2004-10-14 |
EP1605848A2 (en) | 2005-12-21 |
US20050131460A1 (en) | 2005-06-16 |
JP2006521186A (ja) | 2006-09-21 |
EP1605848B1 (en) | 2020-03-04 |
AU2004226374B2 (en) | 2009-11-12 |
US8038672B2 (en) | 2011-10-18 |
EP1605848A4 (en) | 2011-01-05 |
US7637924B2 (en) | 2009-12-29 |
US20060241581A1 (en) | 2006-10-26 |
EP2455037A1 (en) | 2012-05-23 |
JP2009195717A (ja) | 2009-09-03 |
US20120010608A1 (en) | 2012-01-12 |
WO2004087235A3 (en) | 2005-01-06 |
JP4382087B2 (ja) | 2009-12-09 |
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