JP7158721B2 - 房室三尖弁を置換するための組立品 - Google Patents
房室三尖弁を置換するための組立品 Download PDFInfo
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- JP7158721B2 JP7158721B2 JP2018545550A JP2018545550A JP7158721B2 JP 7158721 B2 JP7158721 B2 JP 7158721B2 JP 2018545550 A JP2018545550 A JP 2018545550A JP 2018545550 A JP2018545550 A JP 2018545550A JP 7158721 B2 JP7158721 B2 JP 7158721B2
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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
- A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- 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
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-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
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
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- 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)
Description
Claims (13)
- ヒトの心臓の三尖弁口用の組立品であって、
円筒形状を有する三尖弁バイオプロテーゼ(210)と封止スカート(610)とを担持している内部ステント(200)に接続された外部フレーム(100)
を含み、
前記内部ステント(200)は円筒形状を有し、
前記外部フレーム(100)は、その位置を自己三尖弁弁輪内に保持するように構成されており、
前記内部ステント(200)は、1つ以上の固定ストランドによって前記外部フレームに接続されており、
前記封止スカート(610)は前記外部フレーム(100)と前記内部ステント(200)との間に存在する隙間空間を覆っており、
前記封止スカート(610)は、前記外部フレーム(100)と前記自己三尖弁弁輪の領域内の自己組織の部位との間の接触空間を遮断するように構成されており、
前記外部フレーム(100)は、前記フレーム(100)と前記ステント(200)との間の径方向の隙間空間を規定する、異なる直径の3つの領域(131、132、133)を備え、3つの領域は、内部ステントの軸方向に並んでおり、かつ、外部フレーム(100)は、3つの領域にわたって相互に接続されていない、複数のサブセクションを含み、前記3つの領域は、2つの軸方向外向きの凸状のゾーン(132、133)を含み、2つの軸方向外向きの凸状のゾーン(132、133)は、2つの軸方向外向きの凸状のゾーン(132、133)よりも小さい直径を有するゾーン(131)によって軸方向に隔てられていることを特徴とする、
組立品。 - 前記外部フレーム(100)は、前記組立品を前記自己三尖弁弁輪内の適所に保持するように構成されている変形可能領域を有する、請求項1に記載の組立品。
- 前記外部フレーム(100)は、前記自己三尖弁弁輪の領域から上流側に、前記自己三尖弁弁輪内における前記組立品の保持を強化するように構成された形状を有する、請求項1又は2に記載の組立品。
- 前記外部フレーム(100)は、前記自己三尖弁弁輪の領域から下流側に、前記自己三尖弁弁輪内における前記組立品の保持を強化するように構成された形状を有する、請求項1~3のいずれか一項に記載の組立品。
- 前記外部フレーム(100)は、1つ以上のストランド(411,412,413,414)によって前記内部ステント(200)に接続されている、請求項1~4のいずれか一項に記載の組立品。
- 前記外部フレーム(100)は4つの前記サブセクション(101,102,103,104)を含み、前記サブセクションのそれぞれは、ニチノール製のストランドによって前記内部ステントに接続されている、請求項1~5のいずれか一項に記載の組立品。
- 前記自己組織に固定するための少なくとも1つの固定要素(501,502)を更に含む、請求項1~6のいずれか一項に記載の組立品。
- 前記封止スカート(610)は、複数のサブセクションから構成されている、及び/又は、層で配置された複数の材料から構成されている、請求項1~7のいずれか一項に記載の組立品。
- 前記フレーム(100)及び/又は前記ステント(200)及び/又は固定ストランド(411,412,413,414)及び/又は固定要素(501,502)は感熱材料及び/又は形状記憶材料から構成されている、請求項1~8のいずれか一項に記載の組立品。
- 少なくとも1つのセンサ及び/又は放射線不透過性マーカーを更に含む、請求項1~9のいずれか一項に記載の組立品。
- 前記組立品の構造を変更するのに好適な及び/又は前記自己三尖弁弁輪に対する前記組立品の一部の位置を調整するのに好適なアクチュエータを更に含む、請求項1~10のいずれか一項に記載の組立品。
- 前記組立品は、下大静脈内に配置するのに好適なステント(701)に接続されており、前記ステントは、ニチノール製のストランドによって前記組立品の前記フレームに接続されている、請求項1~11のいずれか一項に記載の組立品。
- 前記組立品は、経皮的経路による導入のためにカテーテル内でパッケージされた状態(800)に折り畳まれている、請求項1~12のいずれか一項に記載の組立品。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2022030709A JP2022088374A (ja) | 2015-11-23 | 2022-03-01 | 房室三尖弁を置換するための組立品 |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1561217A FR3043907A1 (fr) | 2015-11-23 | 2015-11-23 | Assemblage pour le remplacement de la valve atrio-ventriculaire tricuspide |
FR1561217 | 2015-11-23 | ||
PCT/EP2016/077715 WO2017089179A1 (fr) | 2015-11-23 | 2016-11-15 | Assemblage pour le remplacement de la valve atrio-ventriculaire tricuspide |
Related Child Applications (1)
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JP2022030709A Division JP2022088374A (ja) | 2015-11-23 | 2022-03-01 | 房室三尖弁を置換するための組立品 |
Publications (3)
Publication Number | Publication Date |
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JP2018535074A JP2018535074A (ja) | 2018-11-29 |
JP2018535074A5 JP2018535074A5 (ja) | 2019-12-19 |
JP7158721B2 true JP7158721B2 (ja) | 2022-10-24 |
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JP2018545550A Active JP7158721B2 (ja) | 2015-11-23 | 2016-11-15 | 房室三尖弁を置換するための組立品 |
JP2022030709A Pending JP2022088374A (ja) | 2015-11-23 | 2022-03-01 | 房室三尖弁を置換するための組立品 |
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JP2022030709A Pending JP2022088374A (ja) | 2015-11-23 | 2022-03-01 | 房室三尖弁を置換するための組立品 |
Country Status (9)
Country | Link |
---|---|
US (2) | US11154396B2 (ja) |
EP (2) | EP3380042B1 (ja) |
JP (2) | JP7158721B2 (ja) |
CN (1) | CN108495600B (ja) |
AU (1) | AU2016360524B2 (ja) |
BR (1) | BR112018010342B1 (ja) |
ES (1) | ES2775700T3 (ja) |
FR (1) | FR3043907A1 (ja) |
WO (1) | WO2017089179A1 (ja) |
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EP3380042A1 (fr) | 2018-10-03 |
AU2016360524B2 (en) | 2021-05-13 |
WO2017089179A1 (fr) | 2017-06-01 |
CN108495600A (zh) | 2018-09-04 |
US20180333259A1 (en) | 2018-11-22 |
US11154396B2 (en) | 2021-10-26 |
ES2775700T3 (es) | 2020-07-28 |
JP2022088374A (ja) | 2022-06-14 |
BR112018010342A2 (pt) | 2018-12-04 |
AU2016360524A1 (en) | 2018-06-21 |
JP2018535074A (ja) | 2018-11-29 |
CN108495600B (zh) | 2020-10-30 |
US20220015901A1 (en) | 2022-01-20 |
FR3043907A1 (fr) | 2017-05-26 |
EP3380042B1 (fr) | 2019-12-11 |
EP3622918A1 (fr) | 2020-03-18 |
BR112018010342B1 (pt) | 2023-01-31 |
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