JP6321256B2 - 予めカニューレが挿入された開窓部 - Google Patents
予めカニューレが挿入された開窓部 Download PDFInfo
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- JP6321256B2 JP6321256B2 JP2017070286A JP2017070286A JP6321256B2 JP 6321256 B2 JP6321256 B2 JP 6321256B2 JP 2017070286 A JP2017070286 A JP 2017070286A JP 2017070286 A JP2017070286 A JP 2017070286A JP 6321256 B2 JP6321256 B2 JP 6321256B2
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Images
Classifications
-
- 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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F2/9662—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod the middle portion of the stent or stent-graft is released first
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
5 近位の位置決め機構又は取り付け部分、
7 遠位の位置決め機構又は取り付け部分、
11 テーパーが付けられている伸長部、
13 ガイドワイヤ、 15 内側カニューレ、
16 結合器具、 18 管状移植片材料、
19 ステント、 20 管腔内人工器官、
21 ステント、 27,27A,27B 開窓部、
28 押込み器、 30 シース、
31 ワイヤ、 31A ワイヤの第一の端部、
31B ワイヤの第二の端部、 31C ワイヤの本体部分、
33 管腔、 35 シール装置、
36 側方チューブ、 38 補助アクセス器具、
40 ハウジング、 42,42A,42B チャネル、
44,44A,44B ポート、 46A,46B 固定構造、
50A,50B 補助カテーテル、 52A,52B 拡張器、
54A,54B シース、 56A,56B 止血用シール装置、
58A,58B 側方チューブ、 60A,60B 結合装置、
70 近位の人工器官保持器具、 72 近位のトリガーワイヤ、
74 制御部材、 75 クランプねじ、
80 遠位の人工器官保持器具、 82 遠位のトリガーワイヤ、
84 制御部材、 85 クランプねじ、
86 先端キャップ、 90 血管、
92,92A,92B 血管側枝、 94A,94B 側枝ガイドワイヤ、
96A,96B 側枝アクセスカテーテル、 98A,98B 介入カテーテル、
Claims (1)
- 移植片材料壁、近位端開口部、遠位端開口部、および長手方向に延びる管腔を有する管状本体を備える管腔内人工器官であって、前記移植片材料壁に設けられた第1の開窓部と、前記移植片材料壁に設けられた第2の開窓部と、を備え、前記第1の開窓部と前記第2の開窓部とが前記管状本体の周りで互いに周方向に離間している、管腔内人工器官と、
前記管状本体の前記近位端開口部の近位の領域から近位方向に延びる第1および第2の端部を有するワイヤであって、前記第1の端部から遠位方向に延びて前記近位端開口部から入り、前記第1の開窓部から出て、前記管腔内人工器官の外面に沿って遠位方向に延び、前記移植片材料壁を通って前記管腔内に入り、前記管腔内を横断して前記移植片材料壁を通って前記管腔を出て、前記管腔内人工器官の前記外面に沿って近位方向に延び、前記第2の開窓部に入って、前記管腔内を近位方向に延びて、前記管腔内人工器官の前記近位端開口部から出て前記第2の端部に至るようにされたワイヤと、
を備え、
該ワイヤが、第1の補助カテーテルを当該ワイヤに沿って該第1の端部から該第1の開窓部に向けて案内し、第2の補助カテーテルを当該ワイヤに沿って該第2の端部から該第2の開窓部に向けて案内するようにされた、システム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37361010P | 2010-08-13 | 2010-08-13 | |
US61/373,610 | 2010-08-13 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016081832A Division JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018072750A Division JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017136418A JP2017136418A (ja) | 2017-08-10 |
JP6321256B2 true JP6321256B2 (ja) | 2018-05-09 |
Family
ID=44903127
Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
JP2016081840A Active JP6200027B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2016081832A Active JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2017070286A Active JP6321256B2 (ja) | 2010-08-13 | 2017-03-31 | 予めカニューレが挿入された開窓部 |
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011174653A Active JP5922891B2 (ja) | 2010-08-13 | 2011-08-10 | 予めカニューレが挿入された開窓部 |
JP2016081840A Active JP6200027B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
JP2016081832A Active JP6343628B2 (ja) | 2010-08-13 | 2016-04-15 | 予めカニューレが挿入された開窓部 |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018039893A Expired - Fee Related JP6659753B2 (ja) | 2010-08-13 | 2018-03-06 | 予めカニューレが挿入された開窓部 |
JP2018072750A Expired - Fee Related JP6661689B2 (ja) | 2010-08-13 | 2018-04-04 | 予めカニューレが挿入された開窓部 |
Country Status (4)
Country | Link |
---|---|
US (2) | US9918861B2 (ja) |
EP (2) | EP2417942B1 (ja) |
JP (6) | JP5922891B2 (ja) |
CA (1) | CA2747610C (ja) |
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US9034027B2 (en) | 2009-10-13 | 2015-05-19 | Cook Medical Technologies Llc | Paraplegia prevention stent graft |
US9095456B2 (en) | 2009-10-13 | 2015-08-04 | Cook Medical Technologies Llc | Paraplegia prevention stent graft |
CA2747610C (en) | 2010-08-13 | 2014-09-16 | Cook Medical Technologies Llc | Precannulated fenestration |
US9101455B2 (en) | 2010-08-13 | 2015-08-11 | Cook Medical Technologies Llc | Preloaded wire for endoluminal device |
EP2517671B1 (en) | 2011-04-28 | 2016-05-11 | Cook Medical Technologies LLC | Apparatus for facilitating deployment of an endoluminal prosthesis |
EP2606851B1 (en) * | 2011-12-22 | 2015-11-04 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
EP2745813A1 (en) * | 2012-12-18 | 2014-06-25 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
AU2015261727B2 (en) * | 2012-12-18 | 2018-01-18 | Cook Medical Technologies Llc | Preloaded wire for endoluminal device |
US9545324B2 (en) * | 2013-03-13 | 2017-01-17 | Cook Medical Technologies Llc | Pre-loaded iliac branch device and methods of deployment |
US20140277347A1 (en) * | 2013-03-15 | 2014-09-18 | W. L. Gore & Associates, Inc. | Endoprosthetic device comprising a support channel capapble of receiving a branch endoprosthetic device |
AU2013206712B1 (en) | 2013-07-03 | 2013-11-28 | Cook Medical Technologies Llc | Endovascular graft having a cannulation pocket |
ES2871552T3 (es) | 2016-06-10 | 2021-10-29 | Yosuke Furusawa | Procedimiento para guiar organismos submarinos y sistema para guiar organismos submarinos |
US10772751B2 (en) | 2016-09-09 | 2020-09-15 | Cook Medical Technologies Llc | Fenestrated endoluminal prosthesis and system and method of deployment thereof |
US10500079B2 (en) | 2016-10-27 | 2019-12-10 | Cook Medical Technologies Llc | Preloaded branch wire loop constraint |
EP3369401B1 (en) | 2017-02-28 | 2024-07-10 | Cook Medical Technologies LLC | Delivery system for a preloaded fenestrated device having a ratcheted wire release |
US11446168B2 (en) | 2017-04-25 | 2022-09-20 | Cook Medical Technologies Llc | Prosthesis with side branch and method of making the same |
JP7408542B2 (ja) | 2017-09-20 | 2024-01-05 | シノプシス サージカル インコーポレイテッド | 副鼻腔流体アクセス埋め込み器具、アセンブリ、キット、および方法 |
US10888414B2 (en) | 2019-03-20 | 2021-01-12 | inQB8 Medical Technologies, LLC | Aortic dissection implant |
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EP2417942B1 (en) | 2017-05-10 |
JP6200027B2 (ja) | 2017-09-20 |
US20120041535A1 (en) | 2012-02-16 |
JP2016128130A (ja) | 2016-07-14 |
EP3192475B1 (en) | 2020-10-21 |
JP2012040378A (ja) | 2012-03-01 |
EP3192475A1 (en) | 2017-07-19 |
JP2016128131A (ja) | 2016-07-14 |
US20180207012A1 (en) | 2018-07-26 |
JP5922891B2 (ja) | 2016-05-24 |
JP2018110886A (ja) | 2018-07-19 |
JP2018118118A (ja) | 2018-08-02 |
JP6661689B2 (ja) | 2020-03-11 |
AU2011205040A1 (en) | 2012-03-01 |
CA2747610C (en) | 2014-09-16 |
EP2417942A1 (en) | 2012-02-15 |
JP2017136418A (ja) | 2017-08-10 |
US9918861B2 (en) | 2018-03-20 |
CA2747610A1 (en) | 2012-02-13 |
JP6659753B2 (ja) | 2020-03-04 |
JP6343628B2 (ja) | 2018-06-13 |
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