JP7001587B2 - 非対称な僧帽弁形成バンド - Google Patents
非対称な僧帽弁形成バンド Download PDFInfo
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- JP7001587B2 JP7001587B2 JP2018516389A JP2018516389A JP7001587B2 JP 7001587 B2 JP7001587 B2 JP 7001587B2 JP 2018516389 A JP2018516389 A JP 2018516389A JP 2018516389 A JP2018516389 A JP 2018516389A JP 7001587 B2 JP7001587 B2 JP 7001587B2
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- mitral valve
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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
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
-
- 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
-
- 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
-
- 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
- A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
- A61F2/2448—D-shaped rings
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0015—Kidney-shaped, e.g. bean-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0034—D-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0095—Saddle-shaped
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (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)
Description
24 短軸
30 外周スパン
40 僧帽弁輪形成バンド
42 中間セクション
44a 第1自由端
44b 第2自由端
48 鉛直軸
50 弓形部
60 第1スパン
62 第2スパン
70 内側コア
72 エラストマースリーブ
74 外側カバー
76 フランジ
80a 自由端
80b 自由端
Claims (14)
- 僧帽弁輪に対して埋め込まれるように適合された非対称な僧帽弁形成バンド(40)であって、前記僧帽弁輪は、後尖(PL)の付いた後面及び前尖(AL)の付いた前面を有し、前記僧帽弁輪は、僧帽弁輪の流入側から見てD字型又は腎臓型の形状を画定し、前記前面は前記後面より直線に近く、前記後面は前記前面より丸みを帯びており、前記僧帽弁輪と交差するとともに前記前面の中点と前記後面の中点との間で前記僧帽弁輪にわたって延在する短軸(24)は、前記短軸(24)に垂直であり前記僧帽弁輪と交差するとともに前記僧帽弁輪にわたって延在する長軸(22)より短く、前記僧帽弁輪の形状は、前記流入側から見て前記短軸に対し対称で、前交連(AC)及び後交連(PC)が二つの弁尖(AL、PL)の間の二つの接合部において前記僧帽弁輪上に位置し、前記前交連(AC)は、前記後尖(PL)の中点から時計回り方向に位置し、前記後交連(PC)は、前記後尖(PL)の前記中点から反時計回り方向に位置し、
縫合糸通過可能面(72、74)に取り囲まれた剛性を有する内側コア(70)を含む細長い本体部を備え、前記本体部は、前記僧帽弁輪の形状の一部に従って前記後面全体の周りに延び、時計回り方向に延在するとともに前記長軸(22)と前記僧帽弁輪との交点に配置された第1自由端(44a)で終端し、その反対側で前記長軸(22)と前記僧帽弁輪との交点を越えて前記前面へより長く反時計回り方向に延在して第2自由端(44b)で終端する、前記僧帽弁輪の流入側から見て非対称形状を画定し、前記第1自由端(44a)が、前記前交連(AC)に隣接して埋め込まれるように適合され、前記本体部は、前記前面内で反時計回り方向に前記第2自由端(44b)まで延在している、僧帽弁形成バンド。 - 前記本体部の外周スパン全体が前記僧帽弁輪の周りの58~67%延在する、請求項1に記載の僧帽弁形成バンド(40)。
- 前記後面の中点から反時計周り方向の前記本体部の一部の第1外周スパン(60)は、前記僧帽弁輪の周りの37~42%延在し、前記後面の前記中点から時計回り方向の前記本体部の一部の第2外周スパン(62)は、前記僧帽弁輪の周りの21~25%延在する、請求項1または2に記載の僧帽弁形成バンド(40)。
- 前記本体部は、前記後面の中点を中心とする上向き弓形部(50)を含む、請求項1~3のいずれか一項に記載の僧帽弁形成バンド(40)。
- 前記本体部は、前記上向き弓形部(50)に第1高位置点を有し、前記第1自由端(44a)と前記第1自由端(44a)と正反対の位置(52)とに位置する二つの低位置点を有し、前記第2自由端(44b)に第2高位置点を有する、部分的なサドル形状を備える、請求項4に記載の僧帽弁形成バンド(40)。
- 前記僧帽弁輪が前記前面の中点及び前記後面の中点の両方において左心房に向かって盛り上がるサドル形状を画定し、
前記本体部は、前記後面における盛り上がりに対応する上向き弓形部(50)を含み、前記本体部は、前記上向き弓形部(50)の中点から前記第1自由端(44a)まで第1スパン(62)に沿って時計回り方向に延在するとともに、前記上向き弓形部(50)の中点から第2自由端(44b)まで第2スパン(60)に沿ってより長く延在する、請求項1に記載の僧帽弁形成バンド(40)。 - 前記本体部は、前記上向き弓形部(50)に第1高位置点を有し、前記第1自由端(44a)と前記第1自由端(44a)と正反対の位置とに位置する二つの低位置点を有し、前記第2自由端(44b)に第2高位置点を有する、部分的なサドル形状を備える、請求項6に記載の僧帽弁形成バンド(40)。
- 前記本体部の外周スパン全体が前記僧帽弁輪の周りの58~67%延在する、請求項6に記載の僧帽弁形成バンド(40)。
- 前記上向き弓形部(50)の中点から反時計周り方向の前記本体部の一部の第1外周スパンは、前記僧帽弁輪の周りの37~42%延在し、前記上向き弓形部(50)の前記中点から時計回り方向の前記本体部の一部の第2外周スパンは、前記僧帽弁輪の周りの21~25%延在する、請求項8に記載の僧帽弁形成バンド(40)。
- 前記僧帽弁輪の流入側がD字型形状又は腎臓型の形状に見える時計の文字盤視であって、前記短軸(24)が12:00の位置及び6:00の位置で前記僧帽弁輪と交差し、前記長軸が3:00の位置及び9:00の位置で前記僧帽弁輪の前記長軸(22)より上側でより直線に近い前記前面と交差する、時計の文字盤視において、当該僧帽弁形成バンドが僧帽弁輪に移植されると、前記第2自由端(44b)が6:00の位置から反時計回り方向に3:00の位置を越えて延在する、請求項1~9のいずれか一項に記載の僧帽弁形成バンド(40)。
- 前記第2自由端(44b)は、1:30の位置に配置される、請求項10に記載の僧帽弁形成バンド(40)。
- 前記第2自由端(44b)は、1:00の位置に配置される、請求項10に記載の僧帽弁形成バンド(40)。
- 前記第1自由端(44a)は、6:00から時計回り方向の8:30の位置に配置される、請求項10~12のいずれか一項に記載の僧帽弁形成バンド(40)。
- 前記第1自由端(44a)は、6:00から時計回り方向の9:00の位置に配置される、請求項10~12のいずれか一項に記載の僧帽弁形成バンド(40)。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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JP2021108693A JP7522080B2 (ja) | 2015-06-09 | 2021-06-30 | 非対称な僧帽弁形成バンド |
JP2023026456A JP2023059960A (ja) | 2015-06-09 | 2023-02-22 | 非対称な僧帽弁形成バンド |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562173294P | 2015-06-09 | 2015-06-09 | |
US62/173,294 | 2015-06-09 | ||
US15/177,112 | 2016-06-08 | ||
US15/177,112 US10314707B2 (en) | 2015-06-09 | 2016-06-08 | Asymmetric mitral annuloplasty band |
PCT/US2016/036662 WO2016201084A1 (en) | 2015-06-09 | 2016-06-09 | Asymmetric mitral annuloplasty band |
Related Child Applications (1)
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JP2021108693A Division JP7522080B2 (ja) | 2015-06-09 | 2021-06-30 | 非対称な僧帽弁形成バンド |
Publications (2)
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JP2018519986A JP2018519986A (ja) | 2018-07-26 |
JP7001587B2 true JP7001587B2 (ja) | 2022-01-19 |
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JP2018516389A Active JP7001587B2 (ja) | 2015-06-09 | 2016-06-09 | 非対称な僧帽弁形成バンド |
JP2021108693A Active JP7522080B2 (ja) | 2015-06-09 | 2021-06-30 | 非対称な僧帽弁形成バンド |
JP2023026456A Pending JP2023059960A (ja) | 2015-06-09 | 2023-02-22 | 非対称な僧帽弁形成バンド |
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JP2021108693A Active JP7522080B2 (ja) | 2015-06-09 | 2021-06-30 | 非対称な僧帽弁形成バンド |
JP2023026456A Pending JP2023059960A (ja) | 2015-06-09 | 2023-02-22 | 非対称な僧帽弁形成バンド |
Country Status (10)
Country | Link |
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US (5) | US10314707B2 (ja) |
EP (2) | EP4197493A1 (ja) |
JP (3) | JP7001587B2 (ja) |
CN (2) | CN111529132B (ja) |
AU (1) | AU2016276770C1 (ja) |
CA (1) | CA2986819C (ja) |
CR (1) | CR20170558A (ja) |
MX (2) | MX2017015996A (ja) |
SG (1) | SG10202100339UA (ja) |
WO (1) | WO2016201084A1 (ja) |
Families Citing this family (12)
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US10314707B2 (en) * | 2015-06-09 | 2019-06-11 | Edwards Lifesciences, Llc | Asymmetric mitral annuloplasty band |
GB2548891B (en) * | 2016-03-31 | 2018-07-04 | I Birdi Ltd | A prosthetic device for mitral valve repair |
CA3073834A1 (en) | 2017-08-25 | 2019-02-28 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
EP3829490A1 (en) * | 2018-07-30 | 2021-06-09 | Edwards Lifesciences Corporation | Minimally-invasive low strain annuloplasty ring |
CN113271890A (zh) | 2018-11-08 | 2021-08-17 | 内奥瓦斯克迪亚拉公司 | 经导管二尖瓣假体的心室展开 |
WO2020185597A1 (en) | 2019-03-08 | 2020-09-17 | Neovasc Tiara Inc. | Retrievable prosthesis delivery system |
AU2020271896B2 (en) | 2019-04-10 | 2022-10-13 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
EP3972673A4 (en) | 2019-05-20 | 2023-06-07 | Neovasc Tiara Inc. | INTRODUCER DEVICE WITH HEMOSTASIS MECHANISM |
CN114144144A (zh) | 2019-06-20 | 2022-03-04 | 内奥瓦斯克迪亚拉公司 | 低轮廓假体二尖瓣 |
WO2021158487A1 (en) | 2020-02-06 | 2021-08-12 | Edwards Lifesciences Corporation | Enhanced flexibility annuloplasty bands |
AU2021390312A1 (en) | 2020-12-02 | 2023-07-20 | S.H.I Bio Co., Ltd. | Annuloplasty ring and method for producing same |
EP4376771A1 (en) | 2021-07-30 | 2024-06-05 | Aarhus Universitet | An external aortic annuloplasty ring and a method of manufacturing same |
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