JP5976899B2 - 生理的開口部又は腔を支持し又は閉塞するシステム及び方法 - Google Patents
生理的開口部又は腔を支持し又は閉塞するシステム及び方法 Download PDFInfo
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Description
11、12、13、14、154、202、204、206、208、202′、204′、206′、208′ フレームワーク辺
15、16、41、42、52、142、144、205、209 横角部(横領域)
17、18、203、207 軸方向角部(軸方向領域)
19 側部マーカー
20、21、43、44、84、86、94、96、116、116′、118、118′、120、120′、138、140、164、166、168、169、210、210′、212、212′、 アンカー脚
24、54、114、114′、153、163、241、242、243、244、246、265、 閉鎖膜(閉塞又は半閉塞の膜、カバー)
26、28、218、220、222、224 アンカー(脚)延長部
30、45 搬送カテーテル
32、49 搬送ワイヤ
33、34、113、115、113′、115′、121、123、121′、123′ 放射線不透過マーカー
40、92、112、112′、152、162、240、252、280、290 フレームワーク支持構造体
56 開口部
108 追加の構造物
132 中間面
134、136 側面
164、166 遠位のアンカー部分
168、169、270、272、274、276 近位のアンカー(脚)部分
214、216 接合点
219、221、223、225 結合点
Claims (14)
- 生理的腔の開口部に全体に小径の搬送状態からより大径の展開状態に順応可能に配置される植え込み型デバイスであって、
前記植え込み型デバイスは、展開状態で、長手方向中心線から離れる方向に角度をつけて曲がる逆U字状のU字状フレームワーク構造体であって、前記U字状フレームワーク構造体から直接伸長する少なくとも2本のアンカー脚を有する、U字状フレームワーク構造体を備え、
前記U字状フレームワーク構造体は、前記生理的腔の前記開口部の近くに置かれるように寸法決めされ、設定された、少なくとも1つの横領域を有し、
前記少なくとも2本のアンカー脚は、展開状態で、前記U字状フレームワーク構造体の全体的に対向する側から、全体的に平行で対向する面に沿って伸長し、前記少なくとも2本のアンカー脚は、近接する腔上の全体的に互いに対向する組織表面領域に接触するように寸法決めされ、設定され、
前記植え込み型デバイスは、前記フレームワーク構造体の少なくとも一部に結合された膜をさらに備える、
植え込み型デバイス。 - 前記膜は、実質的に流体を通さない、請求項1に記載の植え込み型デバイス。
- 前記膜は、実質的に流体に透過性を示す、請求項1に記載の植え込み型デバイス。
- 前記膜は、高分子材料、ポリウレタン、シリコーン材料、共重合体材料、ゴム材料、織布、不織布、フッ素重合体の混合物、延伸ポリテトラフルオロエチレン材料、及びこれらの組み合わせからなるグループから選ばれた材料から構成されている、請求項1に記載の植え込み型デバイス。
- 前記膜は金属材料から構成される、請求項1に記載の植え込み型デバイス。
- 前記膜は、ステンレス鋼、生体適合性形状変化合金、超弾性金属材料、生体適合性の柔軟な高分子材料、これらの複合材料及び組み合わせからなるグループから選ばれた材料から構成されている、請求項5に記載の植え込み型デバイス。
- 前記膜は網目状構造を有する、請求項1に記載の植え込み型デバイス。
- 前記膜は前記U字状フレームワーク構造体の近傍に細孔を有する、請求項1に記載の植え込み型デバイス。
- 前記膜は、流れを導くための表面輪郭を有する、請求項1に記載の植え込み型デバイス。
- 前記膜、前記U字状フレームワーク構造体及び前記アンカー脚の少なくとも1つは、細胞の付着及び成長を促進する材料を含んでいる、請求項1に記載の植え込み型デバイス。
- 前記膜、前記U字状フレームワーク構造体及び前記アンカー脚の少なくとも1つは、親水性薬剤、疎水性薬剤、結合剤、減摩剤、血栓溶解剤、抗凝血薬、抗炎症薬、放射性物質、治療薬及び膨潤性物質からなるグループから選ばれたタイプの物質を伴う、請求項1に記載の植え込み型デバイス。
- 少なくとも1つの放射線不透過のマーカーが、前記U字状フレームワーク構造体、前記膜及び前記アンカー脚のうちの少なくとも1つに結合されている、請求項1に記載の植え込み型デバイス。
- 標的組織中の開口部又は腔に配置するための植え込み可能なデバイス組立体であって、
細長い柔軟な搬送シースと、
前記搬送シースに関して軸方向に可動の少なくとも1つの細長い柔軟な搬送機構と、
前記搬送機構の先端に結合され、前記搬送シースの先端に配置された植え込み可能なデバイスとを含み、
前記植え込み可能なデバイスは、搬送状態と、前記搬送シースの外でより大きな直径形状を占める展開状態との間で変形可能であり、
さらに、前記植え込み可能なデバイスは、展開状態で、
長手方向中心線から離れる方向に横方向に曲がる、全体的にU字形のU字状フレームワーク構造体と、
前記U字状フレームワーク構造体の少なくとも一部に結合する膜と、
全体的に互いに対向する側から、全体的に平行で対向する面に沿って、前記U字状フレームワーク構造体から直接伸長する、少なくとも2本のアンカー脚とを含む、
植え込み可能なデバイス組立体。 - 生理的腔の開口部に配置するための植え込み型デバイスであって、
前記植え込み型デバイスは、
長手方向中心線から離れる方向に角度をつけて曲がる逆U字状のU字状フレームワーク構造体であって、前記生理的腔の前記開口部に近接して位置決めるように寸法決めされ設定される少なくとも1つの横領域を有する、U字状フレームワーク構造体と、
前記U字状フレームワーク構造体の少なくとも一部に結合する膜と、
前記U字状フレームワーク構造体から直接伸長し、全体的に互いに対向する2本のアンカー脚であって、近接する腔上で全体的に互いに対向する組織表面領域に接触するように寸法決めされ設定される、2本のアンカー脚とを備え、
前記各アンカー脚の外周は、全体的に三角形状であり、近位の頂点で終端する、
植え込み型デバイス。
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CN102202585A (zh) | 2011-09-28 |
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