JP5584773B2 - 分岐した流出カニューレ - Google Patents
分岐した流出カニューレ Download PDFInfo
- Publication number
- JP5584773B2 JP5584773B2 JP2012537876A JP2012537876A JP5584773B2 JP 5584773 B2 JP5584773 B2 JP 5584773B2 JP 2012537876 A JP2012537876 A JP 2012537876A JP 2012537876 A JP2012537876 A JP 2012537876A JP 5584773 B2 JP5584773 B2 JP 5584773B2
- Authority
- JP
- Japan
- Prior art keywords
- tube
- blood
- exit
- exit tube
- cannula
- 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
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
- A61M60/178—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart drawing blood from a ventricle and returning the blood to the arterial system via a cannula external to the ventricle, e.g. left or right ventricular assist devices
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/205—Non-positive displacement blood pumps
- A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
- A61M60/237—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller the blood flow through the rotating member having mainly axial components, e.g. axial flow pumps
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/857—Implantable blood tubes
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/861—Connections or anchorings for connecting or anchoring pumps or pumping devices to parts of the patient's body
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/89—Valves
- A61M60/894—Passive valves, i.e. valves actuated by the blood
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Hematology (AREA)
- Mechanical Engineering (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- External Artificial Organs (AREA)
- Prostheses (AREA)
Description
12 心臓
16 右心房
18 左心房
20 右心室
22 左心室
24 左鎖骨下静脈
26 右鎖骨下静脈
28 左頸静脈
30 右頸静脈
32 上大静脈
34 下大静脈
36 肺静脈
38 大動脈
40 左鎖骨下動脈
42 左総頸動脈
44 腕頭動脈
46 右鎖骨下動脈
48 右総頸動脈
50 可撓性を有するカニューレ本体
52 心房内隔壁
54 脈管アクセスサイト
56 流入口
58 埋め込み可能なポンプ
60 ケーブル
62 ポンプポケット
64、120 分岐した流出カニューレ
66 排出口
68 進入管
70 第一の退出管
72 第二の退出管
74 第一のステントグラフト
76 第二のステントグラフト
82 第一の脈管切開部
84 第二の脈管切開部
86、88、96、124、134、136、138、140 返し
90、92、98 グラフトコレット
94 延長チューブ
100、116、118 コレット
104 椎骨動脈
106 腋窩動脈
108 上腕動脈
114 U字形状アダプタ
121、122、150、152 退出管
123 進入管
126、128 管取付部
130、132 内部管腔
141、142 絞り
Claims (11)
- 第一の方向への血流を有する動脈系内に血液を導くための分岐したカニューレであって、
ポンプからの血流を収容するための進入管と、
前記血液の第一の部分を前記進入管から前記動脈系内へと、前記第一の方向に導くように構成された第一の退出管と、
前記血液の第二の部分を前記進入管から前記動脈系内へと、前記第一の方向に対向する方向に導くように構成された第二の退出管と、
を備えている分岐したカニューレであって、
第一のステントグラフト及び第二のステントグラフトが、流体連通するように前記第一の退出管及び前記第二の退出管にそれぞれ連結され、且つ前記動脈系に接続するようにさらに適合されていることを特徴とする分岐したカニューレ。 - 前記第一の退出管及び前記第二の退出管それぞれの断面積が、前記第一の退出管及び前記第二の退出管を貫流する血液の前記第一の部分及び前記第二の部分を決定することを特徴とする請求項1に記載の分岐したカニューレ。
- 前記第一の退出管及び前記第二の退出管の断面積は、前記血液の第一の部分が前記血液の第二の部分よりも少なくなるようなサイズであることを特徴とする請求項2に記載の分岐したカニューレ。
- 前記第一の退出管及び前記第二の退出管の断面積は、前記血液の前記第一の部分及び前記第二の部分が、それぞれ前記進入管を貫流する血液の50%となるようなサイズであることを特徴とする請求項2に記載の分岐したカニューレ。
- 前記第一の退出管及び前記第二の退出管それぞれの外表面が、前記第一のステントグラフト及び前記第二のステントグラフトそれぞれを保持するための返しを含んでいることを特徴とする請求項1に記載の分岐したカニューレ。
- 延長チューブが、流体連通するように前記進入管に連結され、且つ前記ポンプに接続するようにさらに適合されていることを特徴とする請求項1に記載の分岐したカニューレ。
- 前記第一の退出管及び前記第二の退出管いずれかの断面積を減少させるように構成されたフローセレクタをさらに備える請求項1に記載の分岐したカニューレ。
- 前記フローセレクタは、2つ以上の枢動可能なブレードを有する絞りであることを特徴とする請求項7に記載の分岐したカニューレ。
- 前記第一の退出管によって受けられる第一の管取付部であって、前記第一の管取付部を通じる管腔の断面積が前記第一の退出管の断面積よりも小さい第一の管取付部をさらに備えることを特徴とする請求項1に記載の分岐したカニューレ。
- 前記第二の退出管によって受けられる第二の管取付部であって、前記第二の管取付部を通じる管腔の断面積が前記第二の退出管の断面積よりも小さい第二の管取付部をさらに備えることを特徴とする請求項9に記載の分岐したカニューレ。
- 前記第一のステントグラフト及び前記第二のステントグラフトそれぞれの第一の部分が、前記動脈系の内部に位置決めされており、
前記第一のステントグラフト及び前記第二のステントグラフトそれぞれの第二の部分が、前記第一の退出管及び前記第二の退出管の近位に且つ前記動脈系の外部に位置決めされていることを特徴とする請求項1に記載の分岐したカニューレ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US25934709P | 2009-11-09 | 2009-11-09 | |
US61/259,347 | 2009-11-09 | ||
PCT/US2010/046793 WO2011056280A1 (en) | 2009-11-09 | 2010-08-26 | Bifurcated outflow cannulae |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013509945A JP2013509945A (ja) | 2013-03-21 |
JP5584773B2 true JP5584773B2 (ja) | 2014-09-03 |
Family
ID=43970223
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012537876A Expired - Fee Related JP5584773B2 (ja) | 2009-11-09 | 2010-08-26 | 分岐した流出カニューレ |
Country Status (6)
Country | Link |
---|---|
US (2) | US20110112353A1 (ja) |
EP (1) | EP2498836B1 (ja) |
JP (1) | JP5584773B2 (ja) |
CA (1) | CA2776137A1 (ja) |
HK (1) | HK1175417A1 (ja) |
WO (1) | WO2011056280A1 (ja) |
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JP5940064B2 (ja) | 2010-07-06 | 2016-06-29 | ノバルティス アーゲー | 低用量のrnaを用いた大型哺乳動物の免疫化 |
WO2012006378A1 (en) | 2010-07-06 | 2012-01-12 | Novartis Ag | Liposomes with lipids having an advantageous pka- value for rna delivery |
LT3243526T (lt) | 2010-07-06 | 2020-02-10 | Glaxosmithkline Biologicals S.A. | Rnr pristatymas, skirtas keleto imuninio atsako paleidimui |
WO2012006376A2 (en) | 2010-07-06 | 2012-01-12 | Novartis Ag | Virion-like delivery particles for self-replicating rna molecules |
RS63983B1 (sr) | 2010-08-31 | 2023-03-31 | Glaxosmithkline Biologicals Sa | Pegilovani lipozomi za isporuku rnk koja kodira imunogen |
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-
2010
- 2010-08-20 US US12/860,106 patent/US20110112353A1/en not_active Abandoned
- 2010-08-26 EP EP10828700.4A patent/EP2498836B1/en not_active Not-in-force
- 2010-08-26 CA CA2776137A patent/CA2776137A1/en not_active Abandoned
- 2010-08-26 WO PCT/US2010/046793 patent/WO2011056280A1/en active Application Filing
- 2010-08-26 JP JP2012537876A patent/JP5584773B2/ja not_active Expired - Fee Related
-
2013
- 2013-03-06 HK HK13102778.9A patent/HK1175417A1/xx not_active IP Right Cessation
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2015
- 2015-01-14 US US14/596,665 patent/US9801987B2/en active Active
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CA2776137A1 (en) | 2011-05-12 |
EP2498836B1 (en) | 2015-10-14 |
EP2498836A1 (en) | 2012-09-19 |
US9801987B2 (en) | 2017-10-31 |
EP2498836A4 (en) | 2014-08-27 |
HK1175417A1 (en) | 2013-07-05 |
US20110112353A1 (en) | 2011-05-12 |
JP2013509945A (ja) | 2013-03-21 |
WO2011056280A1 (en) | 2011-05-12 |
US20150133720A1 (en) | 2015-05-14 |
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