JP7198779B2 - ステント送達システム - Google Patents
ステント送達システム Download PDFInfo
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- JP7198779B2 JP7198779B2 JP2019565396A JP2019565396A JP7198779B2 JP 7198779 B2 JP7198779 B2 JP 7198779B2 JP 2019565396 A JP2019565396 A JP 2019565396A JP 2019565396 A JP2019565396 A JP 2019565396A JP 7198779 B2 JP7198779 B2 JP 7198779B2
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- outer sheath
- wheel
- delivery system
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- stent
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- 230000036262 stenosis Effects 0.000 description 3
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- 235000012828 Citrullus lanatus var citroides Nutrition 0.000 description 2
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- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical compound [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920000570 polyether Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000009966 trimming Methods 0.000 description 1
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 239000010937 tungsten Substances 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 208000019553 vascular disease Diseases 0.000 description 1
- 230000003245 working effect Effects 0.000 description 1
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
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies 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
- 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
-
- 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
-
- 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
- A61F2/97—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- 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
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)
- Media Introduction/Drainage Providing Device (AREA)
Description
本願は、2017年9月13日に出願された米国仮特許出願第62/558,104号の米国特許法セクション119又はパリ条約による利益を主張し、その内容全体がここに参照により、ここに完全に記載されているかのように組み入れられる。
Claims (9)
- ステント送達システムであって、
内側シャフト及び外側シースに結合されたカテーテル先端と、
長手軸に沿って第1端から第2端へと延びるハウジングと、
前記ハウジングの中に配置されて前記外側シースを前記外側シースの一表面に沿って切り取るように構成された鋭利部材と、
前記ハウジングの中に取り付けられて前記鋭利部材により切り取られた後の外側シースを巻き取るように構成されたスプールハブと、
前記ハウジングに取り付けられて前記スプールハブに同軸に結合されたホイールと
を含み、
前記内側シャフトと前記外側シースとの間にはステントが配置され、
前記内側シャフト及び前記外側シースは遠位端から近位端へと延び、
前記ホイールの回転が、前記内側シャフトに対し前記外側シースを長手軸に沿って前記第2端に向かうように動かし、
前記ホイールは、第1速度での前記外側シースの並進のための第1アクチュエーションモードと、前記第1速度よりも大きな第2速度での前記外側シースの並進のための第2アクチュエーションモードとを目的として構成される、ステント送達システム。 - ステント送達システムであって、
長手軸に沿って第1端から第2端へと延びるハウジングと、
前記長手軸に沿って動くようにかつステントを保持するように構成された外側シースと、
前記ハウジングの中に配置されて前記外側シースを前記外側シースの一表面に沿って分離するように構成された鋭利部材と、
前記ハウジングの中に取り付けられて前記鋭利部材により切り取られた後の外側シースを巻き取るように構成されたスプールハブと、
前記ハウジングに取り付けられて前記スプールハブに同軸に結合されたホイールと
を含み、
前記ホイールの回転が、内側シャフトに対し前記外側シースを長手軸に沿って前記第2端に向かうように動かして前記ステントを解放し、
前記ホイールは、第1速度での前記外側シースの並進のための第1アクチュエーションモードと、前記第1速度よりも大きな第2速度での前記外側シースの並進のための第2アクチュエーションモードとを目的として構成される、ステント送達システム。 - 前記ホイールに取り付けられたクランクアームをさらに含み、
前記クランクアームの連続的な回転により、前記外側シースが前記内側シャフトに対し前記長手軸に沿って前記第2端に向かって動かされ、
前記第1アクチュエーションモードは、前記ホイールを直接操作することを含み、
前記第2アクチュエーションモードは、前記クランクアームを操作することを含む、請求項1又は2のステント送達システム。 - 前記クランクアームは、前記クランクアームの長さが少なくとも前記ホイールの半径となるように前記ホイールに取り付けられる、請求項3のステント送達システム。
- 前記クランクアームは前記ホイールの周縁に近接する枢動点に取り付けられ、
前記クランクアームは、前記ホイールの表面から形成されたスロットの中に、実質的に連続的な表面を表すように折りたたむことができる、請求項3のステント送達システム。 - 管状部材が、前記鋭利部材から遠位の箇所において前記外側シースに結合される、請求項1又は2のステント送達システム。
- ハイポチューブが、前記鋭利部材から遠位の箇所において前記外側シースに結合される、請求項1又は2のステント送達システム。
- 螺旋ばねが前記ハウジングに取り付けられ、
前記螺旋ばねの一端が前記ホイールに接続され、
前記螺旋ばねの他端が前記ハウジング又は前記外側シースに接続される、請求項1又は2のステント送達システム。 - 前記ホイールは、前記ハウジングの側面と実質的に面一となるように取り付けられる、請求項1又は2のステント送達システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762558104P | 2017-09-13 | 2017-09-13 | |
US62/558,104 | 2017-09-13 | ||
PCT/IB2018/001118 WO2019053507A1 (en) | 2017-09-13 | 2018-09-12 | STENT CONTROLLED STENT CONTROL CATHETER WITH FINE HANDLE AND QUICK HAND CRANK |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020522302A JP2020522302A (ja) | 2020-07-30 |
JP7198779B2 true JP7198779B2 (ja) | 2023-01-04 |
Family
ID=64184120
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019565396A Active JP7198779B2 (ja) | 2017-09-13 | 2018-09-12 | ステント送達システム |
Country Status (10)
Country | Link |
---|---|
US (1) | US11241324B2 (ja) |
EP (1) | EP3600172A1 (ja) |
JP (1) | JP7198779B2 (ja) |
KR (1) | KR102386587B1 (ja) |
CN (1) | CN110662512B (ja) |
AU (1) | AU2018332159A1 (ja) |
CA (1) | CA3062045C (ja) |
IL (1) | IL270234B2 (ja) |
MX (1) | MX2019014215A (ja) |
WO (1) | WO2019053507A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111772873A (zh) * | 2019-04-04 | 2020-10-16 | 上海微创心通医疗科技有限公司 | 用于输送植入体的驱动手柄及输送*** |
US12048818B2 (en) | 2020-07-05 | 2024-07-30 | New Wave Endo-Surgical Corp. | Handheld elongate medical device advancer and related systems, devices and methods |
US20230240871A1 (en) * | 2022-02-03 | 2023-08-03 | Abbott Cardiovascular Systems Inc. | Stent delivery handle assembly |
Citations (2)
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US20090270969A1 (en) | 2008-04-26 | 2009-10-29 | Biotronik Vi Patent Ag | Delivery system having a release mechanism for releasing an object carried by a catheter as well as a release mechanism of a delivery system |
WO2010120671A1 (en) | 2009-04-15 | 2010-10-21 | Cook Incorporated | Everting deployment system and handle |
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US4580568A (en) | 1984-10-01 | 1986-04-08 | Cook, Incorporated | Percutaneous endovascular stent and method for insertion thereof |
IT1186142B (it) | 1984-12-05 | 1987-11-18 | Medinvent Sa | Dispositivo di impiantazione transluminale |
US6019778A (en) | 1998-03-13 | 2000-02-01 | Cordis Corporation | Delivery apparatus for a self-expanding stent |
US7367939B2 (en) * | 2004-06-14 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Rotational, translational and torqueing control members for an endoscopic instrument |
US7758625B2 (en) * | 2003-09-12 | 2010-07-20 | Abbott Vascular Solutions Inc. | Delivery system for medical devices |
US20050267518A1 (en) * | 2004-04-07 | 2005-12-01 | Tiax, Llc | Tourniquet and method of using same |
WO2008012844A1 (en) | 2006-07-26 | 2008-01-31 | Gian Claudio Paolo Faussone | Hall-effect nuclear cell |
GB0615658D0 (en) | 2006-08-07 | 2006-09-13 | Angiomed Ag | Hand-held actuator device |
WO2008124844A1 (en) | 2007-04-10 | 2008-10-16 | Edwards Lifesciences Corporation | Catheter having retractable sheath |
US8142801B2 (en) | 2009-02-02 | 2012-03-27 | Ecoblend, Llc | Pesticidal compositions and methods of use thereof |
US9326874B2 (en) | 2009-04-15 | 2016-05-03 | Cook Medical Technologies Llc | Introducer apparatus |
US9155619B2 (en) | 2011-02-25 | 2015-10-13 | Edwards Lifesciences Corporation | Prosthetic heart valve delivery apparatus |
EP2832316B1 (en) * | 2013-07-31 | 2017-03-29 | Venus MedTech (HangZhou), Inc. | Handle assembly for implant delivery apparatus comprising a displacement limiter, a force limiter and/or a brake frame assembly |
US9974676B2 (en) * | 2013-08-09 | 2018-05-22 | Cook Medical Technologies Llc | Wire collection device with geared advantage |
CN203914862U (zh) * | 2014-06-16 | 2014-11-05 | 吕文奇 | 一种微创支架通道枪 |
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-
2018
- 2018-09-11 US US16/128,165 patent/US11241324B2/en active Active
- 2018-09-12 AU AU2018332159A patent/AU2018332159A1/en active Pending
- 2018-09-12 EP EP18799819.0A patent/EP3600172A1/en active Pending
- 2018-09-12 KR KR1020197033920A patent/KR102386587B1/ko active IP Right Grant
- 2018-09-12 IL IL270234A patent/IL270234B2/en unknown
- 2018-09-12 MX MX2019014215A patent/MX2019014215A/es unknown
- 2018-09-12 JP JP2019565396A patent/JP7198779B2/ja active Active
- 2018-09-12 WO PCT/IB2018/001118 patent/WO2019053507A1/en unknown
- 2018-09-12 CA CA3062045A patent/CA3062045C/en active Active
- 2018-09-12 CN CN201880035834.2A patent/CN110662512B/zh active Active
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20090270969A1 (en) | 2008-04-26 | 2009-10-29 | Biotronik Vi Patent Ag | Delivery system having a release mechanism for releasing an object carried by a catheter as well as a release mechanism of a delivery system |
WO2010120671A1 (en) | 2009-04-15 | 2010-10-21 | Cook Incorporated | Everting deployment system and handle |
Also Published As
Publication number | Publication date |
---|---|
KR102386587B1 (ko) | 2022-04-13 |
WO2019053507A1 (en) | 2019-03-21 |
IL270234B1 (en) | 2023-06-01 |
US11241324B2 (en) | 2022-02-08 |
IL270234A (ja) | 2019-12-31 |
JP2020522302A (ja) | 2020-07-30 |
CN110662512A (zh) | 2020-01-07 |
BR112019023983A2 (pt) | 2020-06-09 |
AU2018332159A1 (en) | 2019-11-14 |
EP3600172A1 (en) | 2020-02-05 |
CA3062045A1 (en) | 2019-03-21 |
CA3062045C (en) | 2021-10-26 |
US20190076280A1 (en) | 2019-03-14 |
KR20190137154A (ko) | 2019-12-10 |
CN110662512B (zh) | 2022-02-01 |
IL270234B2 (en) | 2023-10-01 |
MX2019014215A (es) | 2020-01-23 |
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