TR201803586A2 - Transcatheter aortic valve implantation without stopping the flow, stenting to the main coronary, balloon valvuloplasty perforated, channeled Balloon allows. - Google Patents
Transcatheter aortic valve implantation without stopping the flow, stenting to the main coronary, balloon valvuloplasty perforated, channeled Balloon allows. Download PDFInfo
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- TR201803586A2 TR201803586A2 TR2018/03586A TR201803586A TR201803586A2 TR 201803586 A2 TR201803586 A2 TR 201803586A2 TR 2018/03586 A TR2018/03586 A TR 2018/03586A TR 201803586 A TR201803586 A TR 201803586A TR 201803586 A2 TR201803586 A2 TR 201803586A2
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- Prior art keywords
- balloon
- flow
- aortic valve
- stopping
- perforated
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- 238000013158 balloon valvuloplasty Methods 0.000 title claims description 6
- 210000001765 aortic valve Anatomy 0.000 title abstract description 8
- 238000002513 implantation Methods 0.000 title abstract description 8
- 230000002685 pulmonary effect Effects 0.000 claims abstract description 4
- 210000000591 tricuspid valve Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 description 6
- 210000000709 aorta Anatomy 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000003038 endothelium Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 210000004115 mitral valve Anatomy 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 210000005241 right ventricle Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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Abstract
Bu tarifnamede ve patent başvurusunda mitral balon transkateter aort kapak implantasyonun da(TAVI) kullanılan bir balon tasarımı anlatılmaktadır. Bu tasarımda balon içinde şiştiğinde kanallar açılacak ve balon uygulanan bölgede akım durmayacaktır.(3) İstendiği takdirde balon içinde valf yapılabilecek böylece akım tek yönlü sağlanabilecektir.(8) Böylece işlem akım durmadığı için daha yavaş ve güvenli bir şekilde yapılabilecektir. Şu an piyasada TAVI mitral balon pulmoner balon için kullanılan veya patenti alınmış bir delikli balon yoktur.This disclosure and patent application describe a balloon design using mitral balloon transcatheter aortic valve implantation (TAVI). In this design, when the balloon is swollen, the channels will be opened and the flow will not stop in the area where the balloon is applied. Currently, there is no patent or perforated balloon used for TAVI mitral balloon pulmonary balloon.
Description
TARIFNAME Akimi Durdurmadan, transkateter aort kapak implantasyonu, ana koronere stent uygulamaya, balon valvuloplastiye imkân saglayan delikli, kanalli Balon. DESCRIPTION Without Stopping Flow, transcatheter aortic valve implantation, main enabling coronary stenting, balloon valvuloplasty perforated, channeled Balloon.
Teknik Alan: Bulus Transkateter aortic valve implantation (TAVI) ve Balon mitral valvuloplasti isleminde akimi durdurmadan islemin yapilabilmesi saglayan kanallari olan bir balon dizaynidir. Technical Area: Invention in Transcatheter aortic valve implantation (TAVI) and Balloon mitral valvuloplasty It is a balloon design with channels that allow the operation to be performed without stopping the flow.
Teknigin bilinen durumu Su an TAVI de akimi durdurmadan implantasyona imkan verecek bir balon kateter bulunmamaktadir, distale akim verecek, veya operasyonlarda tikali yerde geçici akim saglayan bazi tasarimlar vardir.(1,2) fakat stent balon implantasyonu için tasarlanmis içinde çoklu kanal olan balon tasarimi ve Üretimi mevcut degildir. State of the art Currently, a balloon catheter that will allow implantation without stopping the flow in TAVI There is no transient flow, which will give distal flow, or at the clogged place in operations. (1,2) but the stent is designed for balloon implantation. Balloon design and production with multiple channels is not available.
Balonun ve stentin kaymasini engellemeye yönelik yeni tasarimlar bulunmaktadir fakat balon esnasinda akimi kesmeyen bir balon tasarimi bulunmamaktadir.(3) Bulusun Amaci TAVI ve diger balon valvuloplastilerde, ana koronere stent uygulanirken, balon sistigi anda akim tamamen durmaktadir. Bu durum hastanin hayatini riske attigi için islem hizli yapilip hemen sonlandirilmalidir. Bu durum islem basarisini bazen gölgelemekte, balon stent kayabilmektedir, stent migrasyonu olabilmektedir. There are new designs to prevent the balloon and stent from slipping, but the balloon There is no balloon design that does not interrupt the flow during the process.(3) Purpose of the Invention In TAVI and other balloon valvuloplasties, the main coronary stent is applied, while the balloon is inflated. The current stops completely. Since this situation puts the life of the patient at risk, the procedure should be done quickly. should be terminated immediately. This situation sometimes overshadows the success of the procedure, balloon stent may slip, stent migration may occur.
Bizim balon tasarimimizda dilatasyon balonu sistigi anda, içinde kanallar açilmaktadir. Bu kanallardan kan akimi devam etmektedir. Hatta içinde bulunan valfler sayesinde akim tek yönlü olarak devam edebilmektedir. In our balloon design, as soon as the dilatation balloon inflates, channels are opened in it. This blood flow continues through the channels. In fact, the current is only one thanks to the valves in it. can continue in the opposite direction.
Resim açiklamalari: 01Sistikten sonraki Balonun görüntüsü 02 balona istendigi takdirde yüklenecek olan stent ve aort kapaginin balonun üstündeki hali. Picture descriptions: 01 Image of Balloon after Cystic 02 The stent to be loaded on the balloon if requested, and the aortic valve on the balloon.
Balon söndügünde implante edildigi yerde kalabilecektir. Balon söndürülüp geri çekilecek kapak stentiyle beraber native aort kapagini ezerek ayni halkaya implante olarak kalacaktir. 03 Balonun sistigi anda içinde ortaya çikan kanallar yani delikler.. Bu kanallar sayesinde balon sistigi anda akim durmayacaktir. Istendigi takdirde bu kanallarin içine kapak yapilabilecektir böylece tek yönlü akim elde edilebilecektir. 04 balonun bulundugu kateterin dista kalacak olan parçasindaki kilavuz telin geçecegi kanalin 05 balonu sisirmeye yarayan kanalin dista indeflatöre baglanabilecek olan ucu. 06 balonu sisirmeye yarayacak kanal. 07 balonun içinden kilavuz telin geçebilecegi kanal. 08 Istendiginde tasarlanacak olan, kanallarin içine yerlestirilecek, akima tek yönlü olarak müsaade edecek olan kapakçiklar. 09 Ana boru(saft) in daha saglam olmasi için orta katmanda bulunan Tel Örgü En uçta bulunan yumusak plastik veya kauçuk kisim bu uç sayesinde atravmatik olacak ve endotele zarar vermeyecektir. When the balloon deflates, it will be able to stay where it was implanted. The balloon will be deflated and withdrawn together with the valve stent, it will crush the native aortic valve and remain implanted in the same ring. 03 The channels that appear inside the balloon when it inflates, namely the holes. Thanks to these channels, the balloon When it blows, the current will not stop. If desired, a cover can be made inside these channels. so that one-way current can be obtained. 04 is the channel where the guide wire will pass in the part that will be outside of the catheter where the balloon is located. 05 The outer end of the channel for inflating the balloon, which can be connected to the inflator. 06 channel to inflate the balloon. 07 is the channel through which the guide wire can pass through the balloon. 08 To be designed at will, to be placed in the channels, to be unidirectional to the flow the valves that will allow it. 09 Wire Mesh in the middle layer to make the main pipe (shaft) stronger The soft plastic or rubber part at the end will be atraumatic thanks to this tip and It will not damage the endothelium.
Bulusun açiklamasi: Transkateter balon uygulamalarinda temel sorun akimin kesilmesidir. Akimi durdurmadan balon yapmak mümkün oldugunda islem daha güvenli yapilabilecektir. Akim durma süresinin uzun olmamasi için, sisirilme islemi Hizli yapilmak zorundadir. Bu hiz yüzünden, Balon damarda, aortta, kapaklarda istenmeyen yirtilmalara sebep olabilmektedir. Description of the invention: The main problem in transcatheter balloon applications is the interruption of the flow. Without stopping my current When it is possible to make a balloon, the process will be safer. Current stop time In order not to be long, the inflation process must be done quickly. Because of this speed, Balloon It can cause undesirable ruptures in veins, aorta and valves.
Balonda boylu boyunca olan kanallar (02) iki bosluk arasinda, örnegin ventrikül ve aort arasinda kan akiminin kesilmemesini saglayacaktir. The longitudinal channels (02) in the balloon are located between the two cavities, for example the ventricle and the aorta. It will ensure that the blood flow between them is not interrupted.
Isleme baslanmadan önce, balon sönük ve katetere yapisik durumda oldugu için, kanallar görünmez, ama balon sistikçe, balonun içinde tasarlamis delikler de görünür hale gelmeye ve iki bosluk arasinda akimi saglamakta etkili olmaya baslayacaktir. Bu kanallarda tek yönlü kapakçiklar yapilacak (08) aort kapak implantasyonunda ve mitral kapak balonu yapilirken kan tek yönlü akabilecektir. Kapaklarin yönü, TAVI için tasarlanan balonda, akim, ventrikülden aorta dogru, pulmoner balon uygulama esnasinda, sag ventrikülden pulmoner artere dogru, mitral balon uygulama esnasinda ise, atriyumdan ventriküle dogru olacak sekilde yapilacaktir. Before the procedure is started, since the balloon is deflated and adhered to the catheter, the channels are invisible, but as the balloon inflates, the holes designed in the balloon begin to become visible and it will begin to be effective in providing the flow between the two spaces. These channels are unidirectional. valves to be made (08) in aortic valve implantation and mitral valve balloon blood can flow in one direction. The direction of the caps is in the balloon designed for TAVI, current, from the ventricle to the aorta, during the application of the pulmonary balloon, from the right ventricle to the pulmonary towards the artery, and during the mitral balloon application, from the atrium to the ventricle it will be done in .
Kateter için tasarlanan balon disinda, kateter safti ve diger ekipman resimlerle e tarifnamede yeteri kadar tarif edilmistir, fakat, bu tarifname ve istemlerde koruma talep edilen kisimlar degildir. Bu kisimlar standarttir. Vücut disinda kalacak olan proksimal kisimda kilavuz telin geçebilecegi kanal disinda, ayrica balonun sisirilmesine yarayan indeflator baglanabilecek uç da bulunacaktir. Kateter boyunca, balonu sisirmeye yarayacak kanal veya kanallar olacaktir.(06) Balon non-Komplian saglam plastik malzemenden üretilecektir. Balonun saftinda, gücü artiracak metal veya sert plastikten yapilmis bir güçlendirici hat olacaktir.(09) Balonun distal ucu yumusak plastik ile sonlanacaktir. Bu sayede balonun distal kismi damarlarin, aortun, ventrikül ve atriyumun iç yüzeyine zarar vermeyecektir. Except for the balloon designed for the catheter, the catheter shaft and other equipment are in the description with pictures. has been adequately described, but the parts for which protection is claimed in this specification and claims. is not. These parts are standard. Guide wire in the proximal part that will remain outside the body. Apart from the channel through which it can pass, an inflator for inflating the balloon can be attached. will also be found. Channel or channels along the catheter to inflate the balloon (06) Balloon will be produced from non-Complian solid plastic material. your balloon On the shaft there will be a reinforcing line made of metal or hard plastic to increase the strength.(09) The distal end of the balloon will end with the soft plastic. In this way, the distal part of the balloon It will not damage the inner surface of the vessels, aorta, ventricle and atrium.
Referanslar: [ll-Madrid G, Winston DMT., Sok S, Ana S, Le TH, Tran TD, Le K. Stability device for use [3]-KeebIeT.R , Khokhar A , Akhtar MM, Mathur A, Weerackody R. Percutaneous balloon aortic valvuloplasty in the era of transcatheter aortic valve implantation: a narrative References: [ll-Madrid G, Winston DMT., Sok S, Ana S, Le TH, Tran TD, Le K. Stability device for use [3]-KeebIeT.R , Khokhar A , Akhtar MM, Mathur A, Weerackody R. Percutaneous balloon aortic valvuloplasty in the era of transcatheter aortic valve implantation: a narrative
Claims (2)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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TR2018/03586A TR201803586A2 (en) | 2018-03-13 | 2018-03-13 | Transcatheter aortic valve implantation without stopping the flow, stenting to the main coronary, balloon valvuloplasty perforated, channeled Balloon allows. |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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TR2018/03586A TR201803586A2 (en) | 2018-03-13 | 2018-03-13 | Transcatheter aortic valve implantation without stopping the flow, stenting to the main coronary, balloon valvuloplasty perforated, channeled Balloon allows. |
Publications (1)
Publication Number | Publication Date |
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TR201803586A2 true TR201803586A2 (en) | 2018-06-21 |
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TR2018/03586A TR201803586A2 (en) | 2018-03-13 | 2018-03-13 | Transcatheter aortic valve implantation without stopping the flow, stenting to the main coronary, balloon valvuloplasty perforated, channeled Balloon allows. |
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TR (1) | TR201803586A2 (en) |
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- 2018-03-13 TR TR2018/03586A patent/TR201803586A2/en unknown
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