JP5140800B2 - アクセスおよび閉塞デバイス - Google Patents
アクセスおよび閉塞デバイス Download PDFInfo
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- JP5140800B2 JP5140800B2 JP2008511478A JP2008511478A JP5140800B2 JP 5140800 B2 JP5140800 B2 JP 5140800B2 JP 2008511478 A JP2008511478 A JP 2008511478A JP 2008511478 A JP2008511478 A JP 2008511478A JP 5140800 B2 JP5140800 B2 JP 5140800B2
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- JP
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- Prior art keywords
- lumen
- anchor
- arteriotomy
- introduction
- guide
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/32093—Incision instruments for skin incisions
-
- 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
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
-
- 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
- A61M25/06—Body-piercing guide needles or the like
- A61M25/065—Guide needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00455—Orientation indicators, e.g. recess on the handle
-
- 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
- A61B2017/00637—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 sealing trocar wounds through abdominal wall
-
- 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
- A61B2017/00646—Type of implements
- A61B2017/0065—Type of implements the implement being an adhesive
-
- 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
- A61B2017/00672—Locating means therefor, e.g. bleed back lumen
-
- 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
- A61B2017/00676—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 promotion of self-sealing of the puncture
-
- 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
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0293—Catheter, guide wire or the like with means for holding, centering, anchoring or frictionally engaging the device within an artificial lumen, e.g. tube
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Cardiology (AREA)
- Dermatology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
動脈切開デバイス2の要素、ならびに、本明細書で開示される任意の他のデバイスおよび構成部材の要素は、たとえば、溶解、ねじ込み、接着、溶接、あるいは、クリンピング、スナッピング、またはその組合せ方法などの締め嵌合または圧入の使用によって直接取り付けられることができる。要素は、たとえば、単一片または材料からの、鋳造、ダイカッティング、レーザカッティング、放電加工(EDM)、またはスタンピングによって一体化されることができる。当業者に知られる任意の他の方法を使用することができる。
Claims (16)
- 内面及び外面を含む壁を有する血管の内腔にアクセスするためのシステムであって、
送出ガイドと;
該送出ガイドから延び、かつ該血管の壁を通過して該内腔の中に前進するように構成されたアンカーと;
該血管壁の表面及び該血管壁の該表面を囲む組織の間に第1の部分の経路を形成するために該送出ガイドから放出可能の導入デバイスと;を含み、
該第1の部分が、該血管壁の表面に沿った位置をとり、かつ、該導入デバイスが、該血管壁を通過して該血管の該内腔の中に延びる第2の部分の経路を形成するために、該血管壁を通過して前進するように構成されたシステム。 - 請求項1に記載された該システムにおいて、
該導入デバイスは、該第1の部分の経路を形成するために該血管壁の表面及び該血管壁の該表面を囲む該組織の間に挿入するように構成されたシステム。 - 請求項1に記載された該システムにおいて、
該アンカーは、該デバイスを該内腔に対して安定化するように構成されたシステム。 - 請求項3に記載された該システムにおいて、
該アンカーが該デバイスを該内腔に対して安定化しながら、該導入デバイスは該血管壁を通過して前進するように構成されたシステム。 - 請求項2に記載された該システムにおいて、
該システムが、該経路内に充填物を送出するように構成されたシステム。 - 請求項1に記載された該システムにおいて、
該システムが、該経路を充填するように構成されたシステム。 - 請求項6に記載された該システムにおいて、
該システムが、該経路内に充填物を送出するように構成されたシステム。 - 請求項7に記載された該システムにおいて、
該充填物が、固形凝結液を含むシステム。 - 請求項8に記載された該システムにおいて、
該充填物が、エポキシを含むシステム。 - 請求項1に記載された該システムにおいて、
該システムが、該経路に圧力を加えるように構成されたシステム。 - 請求項10に記載された該システムにおいて、
該システムが、該経路に隣接して充填物を送出することにより、該経路に圧力を加えるように構成されたシステム。 - 請求項11に記載された該システムにおいて、
該システムが、該血管壁の該表面及び該血管壁の該表面を囲む該組織の間の第1の部分の経路に充填物を送出するように構成されたシステム。 - 請求項11に記載された該システムにおいて、
該システムが、該血管壁内に充填物を送出するように構成されたシステム。 - 請求項11に記載された該システムにおいて、
該システムが、該血管壁の該表面を囲む該組織内に充填物を送出するように構成されたシステム。 - 請求項1に記載された該システムにおいて、
該アンカーが、該送出ガイドと連結されたシステム。 - 請求項1に記載された該システムにおいて、
該アンカーが、該送出ガイドと一体化されたシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US68038805P | 2005-05-12 | 2005-05-12 | |
US60/680,388 | 2005-05-12 | ||
PCT/US2006/018915 WO2006124896A2 (en) | 2005-05-12 | 2006-05-12 | Access and closure device and method |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010101185A Division JP5341816B2 (ja) | 2005-05-12 | 2010-04-26 | アクセスおよび閉塞デバイスおよび方法 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2008539989A JP2008539989A (ja) | 2008-11-20 |
JP2008539989A5 JP2008539989A5 (ja) | 2010-08-19 |
JP5140800B2 true JP5140800B2 (ja) | 2013-02-13 |
Family
ID=37432036
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008511478A Expired - Fee Related JP5140800B2 (ja) | 2005-05-12 | 2006-05-12 | アクセスおよび閉塞デバイス |
JP2010101185A Expired - Fee Related JP5341816B2 (ja) | 2005-05-12 | 2010-04-26 | アクセスおよび閉塞デバイスおよび方法 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010101185A Expired - Fee Related JP5341816B2 (ja) | 2005-05-12 | 2010-04-26 | アクセスおよび閉塞デバイスおよび方法 |
Country Status (8)
Country | Link |
---|---|
US (4) | US8241325B2 (ja) |
EP (1) | EP1885260A4 (ja) |
JP (2) | JP5140800B2 (ja) |
CN (2) | CN103190942A (ja) |
AU (1) | AU2006247355B2 (ja) |
CA (1) | CA2607387C (ja) |
IL (1) | IL187109A0 (ja) |
WO (1) | WO2006124896A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2016529060A (ja) * | 2013-09-06 | 2016-09-23 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | 埋込み可能な電気刺激システムのためのリード導入器 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2016529060A (ja) * | 2013-09-06 | 2016-09-23 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | 埋込み可能な電気刺激システムのためのリード導入器 |
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US20070106246A1 (en) | 2007-05-10 |
US8241325B2 (en) | 2012-08-14 |
IL187109A0 (en) | 2008-02-09 |
EP1885260A2 (en) | 2008-02-13 |
US20070255313A1 (en) | 2007-11-01 |
EP1885260A4 (en) | 2015-01-21 |
US8002794B2 (en) | 2011-08-23 |
JP2008539989A (ja) | 2008-11-20 |
JP2010184124A (ja) | 2010-08-26 |
US20090318889A1 (en) | 2009-12-24 |
US20060271078A1 (en) | 2006-11-30 |
CN103190942A (zh) | 2013-07-10 |
CN101217916A (zh) | 2008-07-09 |
US8083767B2 (en) | 2011-12-27 |
CA2607387C (en) | 2014-12-23 |
CN101217916B (zh) | 2013-04-10 |
AU2006247355A1 (en) | 2006-11-23 |
WO2006124896A2 (en) | 2006-11-23 |
WO2006124896A3 (en) | 2007-10-11 |
CA2607387A1 (en) | 2006-11-23 |
AU2006247355B2 (en) | 2013-01-10 |
JP5341816B2 (ja) | 2013-11-13 |
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