JP6898037B2 - 三尖弁逆流症手術用器具 - Google Patents
三尖弁逆流症手術用器具 Download PDFInfo
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- JP6898037B2 JP6898037B2 JP2019562530A JP2019562530A JP6898037B2 JP 6898037 B2 JP6898037 B2 JP 6898037B2 JP 2019562530 A JP2019562530 A JP 2019562530A JP 2019562530 A JP2019562530 A JP 2019562530A JP 6898037 B2 JP6898037 B2 JP 6898037B2
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- tricuspid valve
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- 201000001943 Tricuspid Valve Insufficiency Diseases 0.000 title claims description 55
- 206010044640 Tricuspid valve incompetence Diseases 0.000 title claims description 48
- 210000000591 tricuspid valve Anatomy 0.000 claims description 171
- 230000000903 blocking effect Effects 0.000 claims description 61
- 210000003748 coronary sinus Anatomy 0.000 claims description 47
- 201000010099 disease Diseases 0.000 claims description 22
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 22
- 238000010992 reflux Methods 0.000 claims description 20
- 239000012528 membrane Substances 0.000 claims description 18
- 238000000034 method Methods 0.000 description 23
- 238000001356 surgical procedure Methods 0.000 description 23
- 210000005241 right ventricle Anatomy 0.000 description 16
- 210000004115 mitral valve Anatomy 0.000 description 12
- 239000008280 blood Substances 0.000 description 11
- 210000004369 blood Anatomy 0.000 description 11
- 210000005245 right atrium Anatomy 0.000 description 11
- 238000010586 diagram Methods 0.000 description 10
- 239000000463 material Substances 0.000 description 9
- 210000004351 coronary vessel Anatomy 0.000 description 5
- 210000005240 left ventricle Anatomy 0.000 description 5
- 239000007769 metal material Substances 0.000 description 5
- 206010027727 Mitral valve incompetence Diseases 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 4
- 239000011248 coating agent Substances 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 210000005246 left atrium Anatomy 0.000 description 4
- 239000004810 polytetrafluoroethylene Substances 0.000 description 4
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 4
- 210000001147 pulmonary artery Anatomy 0.000 description 4
- 229920003002 synthetic resin Polymers 0.000 description 4
- 239000000057 synthetic resin Substances 0.000 description 4
- 239000004677 Nylon Substances 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 229920001778 nylon Polymers 0.000 description 3
- 210000000709 aorta Anatomy 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 229920002457 flexible plastic Polymers 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 229920000098 polyolefin Polymers 0.000 description 2
- 229920001296 polysiloxane Polymers 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 210000000596 ventricular septum Anatomy 0.000 description 2
- 206010049694 Left Ventricular Dysfunction Diseases 0.000 description 1
- 206010067171 Regurgitation Diseases 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000001746 atrial effect Effects 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 210000003698 chordae tendineae Anatomy 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
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- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/243—Deployment by mechanical expansion
- A61F2/2433—Deployment by mechanical expansion using balloon catheter
-
- 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
-
- 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2451—Inserts in the coronary sinus for correcting the valve shape
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/246—Devices for obstructing a leak through a native valve in a closed condition
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2466—Delivery devices therefor
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
-
- 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
- A61M25/10—Balloon catheters
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Mechanical Engineering (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
12 アーチ部
12a アーチ型保護具
12b コーティング部
20 冠状静脈洞チューブ(Coronary sinus、CStube)
30 三尖弁チューブ(Tricuspid Valve tube、TVtube)
32 固定部材
40 シースチューブ(sheath tube)
50 ストッパー(stopper)
52 ストッパー移動用チューブ
60 遮断部材(blocking member)
61 遮断バルーン(blocking balloon)
62 遮断膜(blocking membrane)
64 支持ワイヤー(supportwire)
65 支持ワイヤー用チューブ
66 バルーン用チューブ
67 バルーン調節ハブ(balloon control hub)
Claims (10)
- 三尖弁逆流症手術用器具において、
冠状静脈洞に挿入される冠状静脈洞チューブと、
三尖弁を横断する三尖弁チューブとを含み、
前記三尖弁チューブの上部側から所定の長さまでは前記冠状静脈洞チューブと前記三尖弁チューブとは互いに連通又は隣接しており、前記三尖弁チューブの下部側では前記冠状静脈洞チューブと前記三尖弁チューブとは互いに分離されており、
前記三尖弁の不完全な閉鎖現象により発生する空間を塞ぐ遮断部材が前記三尖弁チューブの下部側、又は前記冠状静脈洞チューブと前記三尖弁チューブの下部側との間に設けられ、
前記遮断部材は遮断膜を含み、前記遮断膜の一側は前記三尖弁チューブの長手方向における一部分に固定されていることを特徴とする、三尖弁逆流症手術用器具。 - 前記三尖弁チューブの下部側には、前記三尖弁チューブの端部が心室中隔内へ侵入することを防ぐためのストッパーが設けられていることを特徴とする、請求項1に記載の三尖弁逆流症手術用器具。
- 前記三尖弁チューブ内には移動可能なストッパー移動用チューブが挿入され、前記ストッパーは前記ストッパー移動用チューブの下端部に設けられ、前記ストッパー移動用チューブを移動させることにより前記ストッパーがサークラージワイヤーに沿って移動することを特徴とする、請求項2に記載の三尖弁逆流症手術用器具。
- 前記三尖弁チューブの上部側はシースチューブに挿入されており、前記シースチューブと前記冠状静脈洞チューブとは互いに密着して、前記冠状静脈洞チューブと前記三尖弁チューブとは所定の区間隣接することを特徴とする、請求項1に記載の三尖弁逆流症手術用器具。
- 前記三尖弁チューブの上端には、前記三尖弁チューブを前記シースチューブに沿って上下に移動させることができる固定部材が設けられ、
前記三尖弁の不完全な閉鎖現象により生じる空間(ホール)に前記遮断部材を合わせるように、前記固定部材を上下に移動させることにより前記三尖弁チューブを移動させて前記遮断部材の位置を調整することを特徴とする、請求項4に記載の三尖弁逆流症手術用器具。 - 前記遮断膜は、一側が前記三尖弁チューブに固定され、支持ワイヤーによって支持されることを特徴とする、請求項1に記載の三尖弁逆流症手術用器具。
- 前記支持ワイヤーの両端は前記三尖弁チューブに固定されることを特徴とする、請求項6に記載の三尖弁逆流症手術用器具。
- 前記遮断膜は、2層以上からなり、
前記支持ワイヤーは、上部側は前記三尖弁チューブに結合した支持ワイヤー用チューブに挿入され、下部側は前記遮断膜の間で動くことができるように挿入されており、下部の端は前記三尖弁チューブの下端部に固定されていることを特徴とする、請求項6に記載の三尖弁逆流症手術用器具。 - 前記遮断部材は、
前記三尖弁チューブに結合する支持ワイヤーと、
前記支持ワイヤーに結合する前記遮断膜と、を含むことを特徴とする、請求項1に記載の三尖弁逆流症手術用器具。 - 前記遮断膜は、柔軟性を有する漏斗状の膜(membrane)であることを特徴とする、請求項9に記載の三尖弁逆流症手術用器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR10-2017-0014420 | 2017-02-01 | ||
KR1020170014420A KR101805679B1 (ko) | 2017-02-01 | 2017-02-01 | 삼첨판막 역류증 시술용 기구 |
PCT/KR2017/014781 WO2018143560A1 (ko) | 2017-02-01 | 2017-12-15 | 삼첨판막 역류증 시술용 기구 |
Publications (2)
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JP2020506027A JP2020506027A (ja) | 2020-02-27 |
JP6898037B2 true JP6898037B2 (ja) | 2021-07-07 |
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JP2019562530A Active JP6898037B2 (ja) | 2017-02-01 | 2017-12-15 | 三尖弁逆流症手術用器具 |
Country Status (6)
Country | Link |
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US (3) | US20200015850A1 (ja) |
EP (1) | EP3578137B1 (ja) |
JP (1) | JP6898037B2 (ja) |
KR (1) | KR101805679B1 (ja) |
CN (1) | CN110234298B (ja) |
WO (1) | WO2018143560A1 (ja) |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9943409B2 (en) * | 2006-11-14 | 2018-04-17 | The United States Of America, As Represented By The Secretary, Department Of Health And Human Services | Transcatheter coronary sinus mitral valve annuloplasty procedure and coronary artery and myocardial protection device |
KR101805679B1 (ko) | 2017-02-01 | 2017-12-06 | (주) 타우피엔유메디칼 | 삼첨판막 역류증 시술용 기구 |
KR101965637B1 (ko) * | 2017-07-31 | 2019-04-03 | (주) 타우피엔유메디칼 | 폐동맥 삽입용 삼첨판막 역류증 시술용 기구 |
KR101972991B1 (ko) | 2017-07-31 | 2019-08-16 | (주) 타우피엔유메디칼 | 삼첨판막 역류증 시술용 기구 |
KR101955291B1 (ko) | 2017-10-25 | 2019-03-08 | (주) 타우피엔유메디칼 | 판막 역류증 시술 및 심박동기 리드 고정장치 |
KR102053451B1 (ko) | 2017-11-24 | 2020-01-08 | (주) 타우피엔유메디칼 | 서클라지 심방 제세동장치 |
WO2020105768A1 (ko) | 2018-11-23 | 2020-05-28 | 주식회사 타우피엔유메디칼 | 판막 역류증 시술 및 심박동기 리드 고정장치 |
CN111437065A (zh) * | 2019-01-17 | 2020-07-24 | TauPNU医疗有限公司 | 位置可调节的三尖瓣返流手术用器械 |
KR102268984B1 (ko) * | 2019-01-17 | 2021-06-24 | (주) 타우피엔유메디칼 | 위치조절 가능한 삼첨판막 역류증 시술용 기구 |
KR102156647B1 (ko) | 2019-01-21 | 2020-09-16 | (주) 타우피엔유메디칼 | 조립형 삼첨판막 역류증 시술용 기구 |
KR102268993B1 (ko) * | 2019-05-16 | 2021-06-24 | (주) 타우피엔유메디칼 | 위치고정튜브를 구비한 삼첨판막 역류증 시술용 기구 |
KR102240798B1 (ko) | 2019-05-31 | 2021-04-15 | (주) 타우피엔유메디칼 | 크기조절 및 각도조절이 가능한 삼첨판막 역류증 시술용 기구 |
KR102240805B1 (ko) | 2019-07-12 | 2021-04-15 | (주) 타우피엔유메디칼 | 위치고정장치를 구비한 서클라지 시술장치 |
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US20190350706A1 (en) | 2019-11-21 |
WO2018143560A1 (ko) | 2018-08-09 |
KR101805679B1 (ko) | 2017-12-06 |
US20200015850A1 (en) | 2020-01-16 |
JP2020506027A (ja) | 2020-02-27 |
EP3578137A1 (en) | 2019-12-11 |
US11285000B2 (en) | 2022-03-29 |
EP3578137A4 (en) | 2021-05-12 |
CN110234298A (zh) | 2019-09-13 |
CN110234298B (zh) | 2023-07-21 |
US20220168101A1 (en) | 2022-06-02 |
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