JP7477245B2 - 弁インプラント、送達システムおよび方法 - Google Patents
弁インプラント、送達システムおよび方法 Download PDFInfo
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- JP7477245B2 JP7477245B2 JP2021534110A JP2021534110A JP7477245B2 JP 7477245 B2 JP7477245 B2 JP 7477245B2 JP 2021534110 A JP2021534110 A JP 2021534110A JP 2021534110 A JP2021534110 A JP 2021534110A JP 7477245 B2 JP7477245 B2 JP 7477245B2
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Images
Classifications
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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
- A61F2/2439—Expansion controlled by filaments
-
- 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
- A61F2/2442—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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/2436—Deployment by retracting a sheath
-
- 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
- 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
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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
- A61F2/95—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
- A61F2002/9511—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 the retaining means being filaments or wires
-
- 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
- A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
-
- 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
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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
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial 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)
- Media Introduction/Drainage Providing Device (AREA)
Description
Claims (9)
- 弁インプラントであって、
ワイヤフレーム、ワイヤフレームに付けられた弁尖ブレードパネル、ワイヤフレームから延びる一つ又は複数のテザー支柱を有する弁尖プロテーゼと、
長手方向のステント軸に沿った第1端部分および第2端部分と、第1端部分から長手方向に延びる可撓性伸張ステント支柱とを有するステントと、
を備え、
前記弁尖プロテーゼの一つ又は複数のテザー支柱は、前記一つ又は複数のテザー支柱に平行で且つステントの長手方向軸に対して横方向に延びる回転軸を中心に回転できるように、前記可撓性伸張ステント支柱に回転できるように結合される、弁インプラント。 - 前記弁尖プロテーゼの前記一つ又は複数のテザー支柱を前記可撓性伸張ステント支柱の接続部分に接続する、長手方向の円筒軸を有する円筒状結合部材を更に備え、前記一つ又は複数のテザー支柱は、前記円筒状結合部材の前記長手方向の円筒軸に平行になるように前記円筒状結合部材に挿入され、前記可撓性伸張ステント支柱の接続部分は、前記円筒状結合部材の長手方向円筒軸が前記回転軸を画定するように、前記円筒状結合部材と回転係合する、請求項1に記載のインプラント。
- 前記円筒状結合部材は、その外側円筒面の周囲に連続した無端状の周方向溝を有し、前記可撓性伸張ステント支柱の接続部分はループを備え、前記ループは、前記円筒状結合部材が前記円筒状結合部材の前記長手方向円筒軸の周りで前記ループに対して回転できるように、前記円筒状結合部材の前記連続した無端状の周方向溝に係合される、請求項2に記載のインプラント。
- 前記ループはフックによって形成され、前記フックは、波形の輪郭を有するシャンク部分と、それに続く湾曲部分と、それに続くフィンガ部分であって、前記シャンク部分と前記フィンガ部分との間に波形の捕捉スロットを形成するように前記シャンク部分に沿って延びるフィンガ部分と、を備える、請求項3に記載のインプラント。
- 前記シャンク部分は、前記フィンガ部分に向かって延びる少なくとも1つの出張り部を有し、前記フィンガ部分は、前記シャンク部分に向かって延びる少なくとも1つの出張り部を有し、前記シャンク部分の少なくとも1つの出張り部は、前記フィンガ部分の少なくとも1つの出張り部の上に突き出し、前記シャンク部分の少なくとも1つの出張り部と前記フィンガ部分の少なくとも1つの出張り部との周囲に蛇行する波状の捕捉スロットを形成する、請求項4に記載のインプラント。
- 前記円筒状結合部材は、円形の横断面、楕円形の横断面、長円形の横断面を有する、請求項2~5のいずれか一項に記載のインプラント。
- 前記弁尖ブレードパネルは、2以上の層の層状装置を備え、第1層は、第2層の周囲境界よりも広い周囲境界を有する、請求項1~6のいずれか一項に記載のインプラント。
- 前記弁尖プロテーゼは、前記弁尖プロテーゼの弁尖-先端-部分におけるガイド孔装置を備える、請求項1~7のいずれか一項に記載のインプラント。
- 前記ガイド孔装置は、前記弁尖プロテーゼの前記弁尖ブレードパネルを貫通するガイド孔、または前記ワイヤフレームに結合されるビーズであって、前記ビーズを貫通するガイド孔を有する、ビーズを備える、請求項8に記載のインプラント。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201862721428P | 2018-08-22 | 2018-08-22 | |
US62/721,428 | 2018-08-22 | ||
PCT/SG2019/050415 WO2020040699A1 (en) | 2018-08-22 | 2019-08-22 | Valve implant, delivery system and method |
Publications (2)
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JP2021534941A JP2021534941A (ja) | 2021-12-16 |
JP7477245B2 true JP7477245B2 (ja) | 2024-05-01 |
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JP2021534110A Active JP7477245B2 (ja) | 2018-08-22 | 2019-08-22 | 弁インプラント、送達システムおよび方法 |
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US (1) | US20210322168A1 (ja) |
EP (1) | EP3840695B8 (ja) |
JP (1) | JP7477245B2 (ja) |
KR (1) | KR20210053917A (ja) |
CN (1) | CN112912033A (ja) |
AU (1) | AU2019325823A1 (ja) |
CA (1) | CA3110408A1 (ja) |
SG (1) | SG11202101755RA (ja) |
WO (1) | WO2020040699A1 (ja) |
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EP4216874A1 (en) * | 2020-09-28 | 2023-08-02 | Singapore Health Services Pte Ltd | Prosthetic implant, delivery system and delivery apparatus |
KR102622004B1 (ko) | 2021-04-26 | 2024-01-11 | 대봉엘에스 주식회사 | 클로렐라 프로토테코이데스 추출물을 포함하는 피부 미백 또는 주름 개선용 화장료 조성물 및 이의 제조방법 |
CN116763502A (zh) * | 2022-03-11 | 2023-09-19 | 上海臻亿医疗科技有限公司 | 一种人工心脏瓣膜 |
WO2024006859A2 (en) * | 2022-06-28 | 2024-01-04 | Singapore Health Services Pte Ltd | Coaptation device with positioning system |
WO2024006864A2 (en) * | 2022-06-28 | 2024-01-04 | Singapore Health Services Pte Ltd | Coaptation device |
Citations (5)
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JP2014510563A (ja) | 2011-01-28 | 2014-05-01 | ミドル・ピーク・メディカル・インコーポレイテッド | 接合強化インプラント、システム、および方法 |
JP2015523898A (ja) | 2012-06-22 | 2015-08-20 | ミドル・ピーク・メディカル・インコーポレイテッド | 弁逆流症の経カテーテル的治療のためのデバイス、システム、および方法 |
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US6299637B1 (en) * | 1999-08-20 | 2001-10-09 | Samuel M. Shaolian | Transluminally implantable venous valve |
US20050177228A1 (en) * | 2003-12-16 | 2005-08-11 | Solem Jan O. | Device for changing the shape of the mitral annulus |
SE531468C2 (sv) * | 2005-04-21 | 2009-04-14 | Edwards Lifesciences Ag | En anordning för styrning av blodflöde |
US20090171456A1 (en) * | 2007-12-28 | 2009-07-02 | Kveen Graig L | Percutaneous heart valve, system, and method |
EP2633821B1 (en) * | 2009-09-15 | 2016-04-06 | Evalve, Inc. | Device for cardiac valve repair |
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US8926694B2 (en) * | 2012-03-28 | 2015-01-06 | Medtronic Vascular Galway Limited | Dual valve prosthesis for transcatheter valve implantation |
DE102013017750A1 (de) | 2013-10-28 | 2015-04-30 | Universität Duisburg-Essen | Implantierbare Vorrichtung zur Verbesserung oder Behebung einer Herzklappeninsuffizienz |
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JP2014510563A (ja) | 2011-01-28 | 2014-05-01 | ミドル・ピーク・メディカル・インコーポレイテッド | 接合強化インプラント、システム、および方法 |
US20130325110A1 (en) | 2012-05-16 | 2013-12-05 | Edwards Lifesciences Corporation | Systems and methods for placing a coapting member between valvular leaflets |
JP2015523898A (ja) | 2012-06-22 | 2015-08-20 | ミドル・ピーク・メディカル・インコーポレイテッド | 弁逆流症の経カテーテル的治療のためのデバイス、システム、および方法 |
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WO2017217932A1 (en) | 2016-06-13 | 2017-12-21 | Singapore Health Services Pte. Ltd. | Device for cardiac valve repair and method of implanting the same |
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EP3840695A4 (en) | 2022-05-25 |
SG11202101755RA (en) | 2021-03-30 |
KR20210053917A (ko) | 2021-05-12 |
EP3840695B1 (en) | 2023-09-27 |
EP3840695B8 (en) | 2023-11-01 |
CN112912033A (zh) | 2021-06-04 |
AU2019325823A1 (en) | 2021-04-15 |
CA3110408A1 (en) | 2020-02-27 |
JP2021534941A (ja) | 2021-12-16 |
US20210322168A1 (en) | 2021-10-21 |
EP3840695A1 (en) | 2021-06-30 |
WO2020040699A1 (en) | 2020-02-27 |
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