JPWO2019147950A5 - A device for sealing blood vessel punctures - Google Patents

A device for sealing blood vessel punctures Download PDF

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Publication number
JPWO2019147950A5
JPWO2019147950A5 JP2020540759A JP2020540759A JPWO2019147950A5 JP WO2019147950 A5 JPWO2019147950 A5 JP WO2019147950A5 JP 2020540759 A JP2020540759 A JP 2020540759A JP 2020540759 A JP2020540759 A JP 2020540759A JP WO2019147950 A5 JPWO2019147950 A5 JP WO2019147950A5
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Japan
Prior art keywords
sealing material
push rack
actuator
lock
deployed
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JP2020540759A
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Japanese (ja)
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JP7482780B2 (en
JP2021511164A (en
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Priority claimed from PCT/US2019/015170 external-priority patent/WO2019147950A1/en
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Claims (17)

穿刺部を閉鎖するためのシステムであって、
密封材と、
前記密封材に対して軸方向に移動可能な密封材スリーブであって、前記密封材が密封材スリーブ内に配置されている密封材スリーブと、
前記密封材スリーブの近位セクションに連結されているプルラックと、
前記密封材スリーブ内で前記密封材の近位に配置されている支持部材と、
前記支持部材の近位セクションに連結されているプッシュラックと、
アームと、前記アームの端部にあるプッシュラック係合部とを含むプッシュラックロックであって、前記プッシュラック係合部が前記プッシュラックに接触して前記プッシュラックの遠位側への移動を防止するロック位置と、前記プッシュラック係合部が前記プッシュラックから横方向に離間して前記プッシュラックの遠位側への移動を可能にするロック解除位置とを有するプッシュラックロックと
を含み、
前記プッシュラックロックは、前記アームに軸方向の力を加えたときに前記ロック位置から前記ロック解除位置に移動可能である、システム。 A system for closing the puncture site
Sealing material and
A sealing material sleeve that is axially movable with respect to the sealing material, and the sealing material sleeve in which the sealing material is arranged in the sealing material sleeve.
With a pull rack connected to the proximal section of the sealant sleeve,
With the support member located proximal to the sealant within the sealant sleeve,
With a push rack connected to the proximal section of the support member,
A push rack lock that includes an arm and a push rack engaging portion at the end of the arm that allows the push rack engaging portion to contact the push rack and move to the distal side of the push rack. Includes a push rack lock having a locking position to prevent and an unlocking position where the push rack engaging portion is laterally separated from the push rack to allow movement of the push rack to the distal side.
The push rack lock is a system capable of moving from the lock position to the unlock position when an axial force is applied to the arm. 前記支持部材は、前記密封材に対して実質的に付勢されない、請求項１に記載のシステム。 The system according to claim 1 , wherein the support member is substantially not urged against the sealing material. ロック解除位置、部分作動位置、及び完全作動位置を有する配備アクチュエータをさらに含む、請求項１に記載のシステム。 The system of claim 1 , further comprising a deployed actuator having an unlocked position, a partially actuated position, and a fully actuated position. 前記プッシュラックは、前記配備アクチュエータが前記ロック解除位置及び前記部分作動位置にあるとき、実質的に同じ位置にある、請求項３に記載のシステム。 The system of claim 3 , wherein the push rack is in substantially the same position when the deployed actuator is in the unlocked position and the partially actuated position. 前記プッシュラックは、前記配備アクチュエータが完全作動位置にあるときに、前記配備アクチュエータが部分作動位置にあるときのその位置と比較して遠位側に配置される、請求項３に記載のシステム。 The system of claim 3 , wherein the push rack is located distal to the deployed actuator when it is in the fully actuated position as compared to that position when the deployed actuator is in the partially actuated position. 前記システムは配備前形態及び部分配備形態を有し、
前記配備前形態において、前記密封材は前記密封材スリーブ内に配置され、前記プッシュラックロックは前記ロック位置にある、
前記部分配備形態において、前記密封材スリーブは前記密封材から少なくとも部分的に後退し、前記プッシュラックロックは前記ロック解除位置にある、請求項１に記載のシステム。 The system has a pre-deployment form and a partial deployment form.
In the pre-deployment form, the sealant is disposed within the sealant sleeve and the push rack lock is in the lock position.
The system of claim 1 , wherein in the partially deployed configuration, the sealing material sleeve is at least partially retracted from the sealing material and the push rack lock is in the unlocked position. 前記プッシュラックロックは、前記プルラックの近位側への移動時に、前記ロック位置から前記ロック解除位置に移動可能である、請求項１に記載のシステム。 The system according to claim 1 , wherein the push rack lock can be moved from the lock position to the unlock position when the pull rack is moved to the proximal side. 前記プルラックの近位側への移動を防止するロック位置と、前記プルラックが近位側に移動可能なロック解除位置とを有するプルラックロックをさらに含む、請求項１に記載のシステム。 The system of claim 1 , further comprising a pull rack lock having a locking position that prevents the pull rack from moving proximally and an unlocking position that allows the pull rack to move proximally. 前記プッシュラック係合部がラッチを含む、請求項１に記載のシステム。 The system of claim 1 , wherein the push rack engaging portion comprises a latch. 前記プッシュラックは、前記プッシュラックロックが前記ロック位置及び前記ロック解除位置にあるとき、同じ位置を維持することができる、請求項１に記載のシステム。 The system of claim 1 , wherein the push rack can maintain the same position when the push rack lock is in the lock position and the unlock position. 細長い部材と、前記細長い部材の遠位セクションにある位置決め要素とをさらに含む、請求項１に記載のシステム。 The system of claim 1 , further comprising an elongated member and a positioning element located in the distal section of the elongated member. 穿刺部を閉鎖するためのシステムであって、
その遠位セクションに位置決め要素を有する細長い部材と、
密封材と、
外側ハウジングと、前記外側ハウジングに対して移動可能な内側フレームとを含むハンドルと、
前記外側ハウジングに連結されている配備アクチュエータであって、前記配備アクチュエータの作動が防止されるロック位置と、前記配備アクチュエータが作動可能であるロック解除位置とを有する配備アクチュエータと
を含み、
前記配備アクチュエータは、前記ロック位置で提供され、前記細長い部材に張力を加えたときに前記ロック解除位置に移動可能である、システム。 A system for closing the puncture site
An elongated member with a positioning element in its distal section,
Sealing material and
A handle that includes an outer housing and an inner frame that is movable relative to the outer housing.
A deployment actuator coupled to the outer housing, comprising a deployment actuator having a locked position in which the deployment actuator is prevented from operating and an unlocked position in which the deployment actuator is operable.
The deployed actuator is provided in the locked position and is movable to the unlocked position when tension is applied to the elongated member. 密封材スリーブをさらに含み、前記密封材は前記密封材スリーブ内に配置され、前記密封材スリーブは、前記配備アクチュエータの作動時に後退可能である、請求項１２に記載のシステム。 12. The system of claim 12 , further comprising a sealing material sleeve, wherein the sealing material is disposed within the sealing material sleeve, and the sealing material sleeve is retractable when the deployed actuator is activated. 前記密封材の近位に配置された支持部材をさらに含み、前記支持部材は、前記配備アクチュエータの作動時に前進可能である、請求項１２に記載のシステム。 12. The system of claim 12 , further comprising a support member located proximal to the sealant, wherein the support member is retractable when the deployed actuator is activated. 前記内側フレームは溝を有し、前記配備アクチュエータはロック面を有し、
前記ロック面は、前記配備アクチュエータが前記ロック位置にあるときに前記溝からずらされ、前記ロック面は、前記配備アクチュエータが前記ロック解除位置にあるときに前記溝と整列される、請求項１２に記載のシステム。 The inner frame has a groove and the deployed actuator has a locking surface.
12. The locking surface is displaced from the groove when the deployed actuator is in the locked position, and the locking surface is aligned with the groove when the deployed actuator is in the unlocked position. The system described. 前記ロック面は、前記細長い部材に張力を加えたときに前記溝に対して軸方向に移動可能である、請求項１５に記載のシステム。 15. The system of claim 15 , wherein the locking surface is axially movable with respect to the groove when tension is applied to the elongated member. 前記外側ハウジング及び前記配備アクチュエータを前記内側フレームに対して遠位側に付勢するように構成されたばねをさらに含み、前記ばねは、前記内側フレームに対する前記配備アクチュエータの近位側への移動を可能にするために前記細長い部材に張力を加えたときに圧縮可能である、請求項１２に記載のシステム。 It further includes a spring configured to urge the outer housing and the deployed actuator distally to the inner frame, the spring being capable of moving proximal to the deployed actuator with respect to the inner frame. 12. The system of claim 12 , which is compressible when tension is applied to the elongated member to make it.
JP2020540759A 2018-01-29 2019-01-25 Apparatus for sealing a vascular puncture - Patent application Active JP7482780B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862623350P 2018-01-29 2018-01-29
US62/623,350 2018-01-29
PCT/US2019/015170 WO2019147950A1 (en) 2018-01-29 2019-01-25 Apparatus and method for sealing a vascular puncture

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JP2021511164A JP2021511164A (en) 2021-05-06
JPWO2019147950A5 true JPWO2019147950A5 (en) 2022-06-06
JP7482780B2 JP7482780B2 (en) 2024-05-14

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US (3) US20190231326A1 (en)
EP (2) EP3745962B1 (en)
JP (1) JP7482780B2 (en)
KR (2) KR102667349B1 (en)
CN (2) CN118319393A (en)
AU (1) AU2019212628A1 (en)
BR (1) BR112020015461A2 (en)
CA (1) CA3089740A1 (en)
MX (1) MX2020008012A (en)
WO (1) WO2019147950A1 (en)

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