JP7013591B2 - 拡張可能部材を備えた閉塞装置 - Google Patents
拡張可能部材を備えた閉塞装置 Download PDFInfo
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- JP7013591B2 JP7013591B2 JP2020552688A JP2020552688A JP7013591B2 JP 7013591 B2 JP7013591 B2 JP 7013591B2 JP 2020552688 A JP2020552688 A JP 2020552688A JP 2020552688 A JP2020552688 A JP 2020552688A JP 7013591 B2 JP7013591 B2 JP 7013591B2
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- expandable member
- medical device
- atrial appendage
- left atrial
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
上記実施形態のいずれか1つに代替的に又は追加的に、第2の端部は底面を備え、背骨部材の少なくとも一部は、底面に沿って配置される。
上記実施形態のいずれか1つに代替的に又は追加的に、背骨部材それぞれの一部は、拡張可能部材の壁の中に延びる。
上記実施形態のいずれか1つに代替的に又は追加的に、第2の端部は、コーティングを備え、コーティングは、内皮細胞の成長を促進するように構成される。
上記実施形態のいずれか1つに代替的に又は追加的に、固定部材は、拡張可能部材の外面から突出した複数の剛毛を含む。
左心耳を閉塞する為の医療装置の別例は、外面及び内側の拡張キャビティを備える拡張可能バルーンと、拡張可能バルーンに結合された複数の位置決め部材と、拡張バルーンの外面から延びる固定部材とを含み、複数の位置決め部材は、医療装置を左心耳の口内に配置し、拡張可能バルーンは、拡張して左心耳の口を密閉する。
上記実施形態のいずれか1つに代替的に又は追加的に、バルーンの第2の端部は、底面を含み、位置決め部材それぞれの少なくとも一部は、底面に沿って配置される。
上記実施形態のいずれか1つに代替的に又は追加的に、第2の端部は、コーティングを備え、コーティングは、内皮細胞の成長を促進するように構成される。
上記実施形態のいずれか1つに代替的に又は追加的に、固定部材は、バルーンの外面から突出した棘を含む。
いくつかの実施形態についての上記概要は、説明する各実施形態又は本開示の全ての実施態様を説明することを意図していない。以下の図面及び詳細な説明が上記実施形態をより具体的に例示する。
全ての数値は、明記されているか否かに拘わらず、「約」という用語で修飾されると想定されている。「約」という用語は、数値の文脈においては、当業者が記載の数値に等しいと考える(例えば、同一の機能又は効果をもたらす)であろう数値範囲を一般に指す。多くの場合において、「約」という用語には、最も近い有効数字に四捨五入される複数の数値が含まれる。「約」という用語の他の用途(例えば、数値以外での文脈)では、特定されない限り、具体的な文脈から理解され且つ具体的な文脈に整合するように一般的且つ慣習的な定義を有すると考えられる。
Claims (10)
- 左心耳を閉塞する為の医療装置において、前記医療装置は、
第1の端部と、第2の端部と、膨張キャビティとを有する拡張可能部材であって、前記拡張可能部材は、前記医療装置の長手方向軸に向かって径方向内方に延びる湾曲部を備え、前記湾曲部は、左心耳の開口部にはまる、前記拡張可能部材と、
前記拡張可能部材に結合され、前記拡張可能部材の外面に周方向に間隔をあけて配置される複数の背骨部材と、
前記膨張キャビティの中に少なくとも部分的に延びる弁部材と、
を備え、
前記複数の背骨部材は、前記医療装置を左心耳の開口部内に配置し、
前記拡張可能部材は拡張して、左心耳の開口部を密閉する、医療装置。 - 前記背骨部材はそれぞれ、前記医療装置の長手方向軸に沿って前記第1の端部から前記第2の端部に延びる、請求項1に記載の医療装置。
- 前記第2の端部は底面を備え、前記背骨部材それぞれの少なくとも一部は、前記底面に沿って配置される、請求項2に記載の医療装置。
- 前記背骨部材はそれぞれ、前記拡張可能部材の外面に沿って配置される、請求項1~3のいずれか一項に記載の医療装置。
- 前記背骨部材それぞれの一部は、前記拡張可能部材の壁の中に延びる、請求項1~4のいずれか一項に記載の医療装置。
- 前記拡張可能部材の第1の端部は、前記医療装置の長手方向軸に向かって延びて頂部を形成する、請求項1~5のいずれか一項に記載の医療装置。
- 前記第2の端部は、コーティングを含み、前記コーティングは、内皮細胞の成長を促進する、請求項1~6のいずれか一項に記載の医療装置。
- 前記医療装置を左心耳の標的組織に固定する固定部材をさらに備える、請求項1~7のいずれか一項に記載の医療装置。
- 前記固定部材は、前記拡張可能部材の外面から離間する方向に突出した複数の剛毛を含む、請求項8に記載の医療装置。
- 前記固定部材は、前記拡張可能部材の外面から離間する方向に突出した棘を含む、請求項8に記載の医療装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762607053P | 2017-12-18 | 2017-12-18 | |
US62/607,053 | 2017-12-18 | ||
PCT/US2018/066163 WO2019126124A1 (en) | 2017-12-18 | 2018-12-18 | Occlusive device with expandable member |
Publications (2)
Publication Number | Publication Date |
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JP2021506552A JP2021506552A (ja) | 2021-02-22 |
JP7013591B2 true JP7013591B2 (ja) | 2022-01-31 |
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Application Number | Title | Priority Date | Filing Date |
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JP2020552688A Active JP7013591B2 (ja) | 2017-12-18 | 2018-12-18 | 拡張可能部材を備えた閉塞装置 |
Country Status (4)
Country | Link |
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US (2) | US10952741B2 (ja) |
EP (2) | EP4338688A3 (ja) |
JP (1) | JP7013591B2 (ja) |
WO (1) | WO2019126124A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR101359903B1 (ko) | 2014-01-07 | 2014-02-10 | 주식회사 엘가 | 에어 흐름 변동에 의한 측정값 편차를 최소화한 총유기 탄소 및 총질소 함유량 측정 장치 |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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JP7013591B2 (ja) * | 2017-12-18 | 2022-01-31 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 拡張可能部材を備えた閉塞装置 |
EP3801301A1 (en) | 2018-06-08 | 2021-04-14 | Boston Scientific Scimed Inc. | Occlusive device with actuatable fixation members |
CN116725607B (zh) * | 2023-06-14 | 2024-04-26 | 南京友德邦医疗科技有限公司 | 一种左心耳封堵器 |
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Also Published As
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EP3727164A1 (en) | 2020-10-28 |
EP4338688A3 (en) | 2024-05-22 |
US20190183509A1 (en) | 2019-06-20 |
EP3727164B1 (en) | 2024-03-13 |
JP2021506552A (ja) | 2021-02-22 |
EP4338688A2 (en) | 2024-03-20 |
WO2019126124A1 (en) | 2019-06-27 |
US10952741B2 (en) | 2021-03-23 |
US20210169491A1 (en) | 2021-06-10 |
US11925356B2 (en) | 2024-03-12 |
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