RU2014124125A - Волокно с внешним управлением для использования при эндолюминальном размещении расширяемых устройств - Google Patents
Волокно с внешним управлением для использования при эндолюминальном размещении расширяемых устройств Download PDFInfo
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- RU2014124125A RU2014124125A RU2014124125/14A RU2014124125A RU2014124125A RU 2014124125 A RU2014124125 A RU 2014124125A RU 2014124125/14 A RU2014124125/14 A RU 2014124125/14A RU 2014124125 A RU2014124125 A RU 2014124125A RU 2014124125 A RU2014124125 A RU 2014124125A
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- Prior art keywords
- expandable device
- catheter
- catheter assembly
- diameter
- control line
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- 238000005452 bending Methods 0.000 claims abstract 4
- 239000000463 material Substances 0.000 claims abstract 2
- 239000000835 fiber Substances 0.000 claims 3
- 239000003550 marker Substances 0.000 claims 3
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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
-
- 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
- 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
- A61F2002/9665—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 with additional retaining means
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)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
1. Узел катетера, содержащий:катетер, имеющий ведущий конец и замыкающий конец и содержащий основной просвет, продолжающийся между ведущим концом и замыкающим концом;расширяемое устройство, расположенное на ведущем конце катетера, имеющее проксимальный конец и дистальный конец, сжатую конфигурацию для эндолюминальной подачи расширяемого устройства на место лечения, и расширенную конфигурацию, имеющую диаметр, который больше, чем диаметр сжатой конфигурации; илинию управления, проходящую через основной просвет катетера и расположенную в пределах, по меньшей мере, участка расширяемого устройства, для обеспечения возможности избирательного изгиба расширяемого устройства.2. Узел катетера по п. 1, дополнительно содержащий первичную муфту, обернутую по окружности вокруг расширяемого устройства, в котором первичная муфта содержит лист материала, имеющий первую основную поверхность и вторую основную поверхность и множество отверстий, продолжающихся от первой основной поверхности до второй основной поверхности; ипервичный соединительный элемент, взаимодействующий с множеством отверстий для соединения с возможностью высвобождения соединительных участков листа друг с другом, для ограничения расширяемого устройства в сжатой конфигурации.3. Узел катетера по п. 2, дополнительно содержащий вторичную муфту и вторичный соединительный элемент, в котором вторичная муфта ограничивает расширение расширяемого устройства до промежуточной конфигурации, имеющей больший диаметр, чем диаметр в сжатой конфигурации, и меньший диаметр, чем диаметр в расширенной конфигурации.4. Узел катетера по п. 1, в котором расширяемое ус
Claims (20)
1. Узел катетера, содержащий:
катетер, имеющий ведущий конец и замыкающий конец и содержащий основной просвет, продолжающийся между ведущим концом и замыкающим концом;
расширяемое устройство, расположенное на ведущем конце катетера, имеющее проксимальный конец и дистальный конец, сжатую конфигурацию для эндолюминальной подачи расширяемого устройства на место лечения, и расширенную конфигурацию, имеющую диаметр, который больше, чем диаметр сжатой конфигурации; и
линию управления, проходящую через основной просвет катетера и расположенную в пределах, по меньшей мере, участка расширяемого устройства, для обеспечения возможности избирательного изгиба расширяемого устройства.
2. Узел катетера по п. 1, дополнительно содержащий первичную муфту, обернутую по окружности вокруг расширяемого устройства, в котором первичная муфта содержит лист материала, имеющий первую основную поверхность и вторую основную поверхность и множество отверстий, продолжающихся от первой основной поверхности до второй основной поверхности; и
первичный соединительный элемент, взаимодействующий с множеством отверстий для соединения с возможностью высвобождения соединительных участков листа друг с другом, для ограничения расширяемого устройства в сжатой конфигурации.
3. Узел катетера по п. 2, дополнительно содержащий вторичную муфту и вторичный соединительный элемент, в котором вторичная муфта ограничивает расширение расширяемого устройства до промежуточной конфигурации, имеющей больший диаметр, чем диаметр в сжатой конфигурации, и меньший диаметр, чем диаметр в расширенной конфигурации.
4. Узел катетера по п. 1, в котором расширяемое устройство содержит стент-трансплантат.
5. Узел катетера по п. 4, в котором стент-трансплантат содержит, по меньшей мере, одну вершину и в котором линия управления сплетена через, по меньшей мере, одну вершину стента-трансплантата.
6. Узел катетера по п. 1, в котором линия управления выполнена съемной.
7. Узел катетера по п. 1, дополнительно содержащий фиксирующий провод, продолжающийся через основной просвет, в котором фиксирующий провод соединяет с возможностью разъединения линию управления и соединяет линию управления с катетером.
8. Узел катетера по п. 3, в котором линия управления расположена внутри вторичной муфты таким образом, что, когда узел катетера вставляют в сосуд, линия управления не имеет непосредственного контакта с тканью внутри сосуда.
9. Узел катетера по п. 1, в котором расширяемое устройство выполнено с возможностью изгиба более чем приблизительно на 90° относительно оси катетера.
10. Узел катетера по п. 1, в котором степень изгиба расширяемого устройства относительно оси катетера пропорциональна величине натяжения линии управления.
11. Узел катетера по п. 1, в котором расширяемое устройство, по существу, поддерживает требуемую степень изгиба, в то время как расширяемое устройство разворачивают в расширенную конфигурацию.
12. Узел катетера по п. 1, в котором линия управления соединена на одном из проксимального конца и дистального конца расширяемого устройства.
13. Узел катетера по п. 1, в котором расширяемое устройство дополнительно содержит рентгеноконтрастный маркер.
14. Узел катетера по п. 13, в котором рентгеноконтрастный маркер содержит полоску, продолжающуюся вокруг периметра одного из проксимального конца и дистального конца расширяемого устройства, в котором узел катетера просматривают с помощью рентгенографического устройства, расположенного за пределами тела пациента, и в котором, когда расширяемое устройство правильно установлено на месте лечения, двумерный профиль рентгеноконтрастного маркера устанавливается, по существу, как линия.
15. Узел катетера по п. 1, в котором линия управления торсионно зацеплена на расширяемом устройстве и катетер обеспечивает возможность поворотной установки устройства на месте лечения путем поворота катетера.
16. Узел катетера по п. 3, дополнительно содержащий первый вторичный соединительный элемент и второй вторичный соединительный элемент, в котором первый вторичный соединительный элемент пропускают вдоль приблизительно половины длины вторичной муфты и второй вторичный соединительный элемент пропускают приблизительно вдоль другой половины вторичной муфты.
17. Узел катетера по п. 1, дополнительно содержащий вторичный соединительный элемент и множество вторичных отверстий, в котором вторичный соединительный элемент взаимодействует с множеством вторичных отверстий для соединения с возможностью высвобождения соединительных участков листа друг с другом, для ограничения расширяемого устройства в промежуточной конфигурации, промежуточная конфигурация, имеющая диаметр, больший, чем сжатая конфигурация, и меньший, чем расширенная конфигурация.
18. Узел катетера, содержащий:
катетер, имеющий ведущий конец и замыкающий конец и содержащий основной просвет, продолжающийся между ведущим концом и замыкающим концом;
расширяемое устройство, расположенное на ведущем конце катетера, имеющее проксимальный конец и дистальный конец, сжатую конфигурацию для эндолюминальной подачи расширяемого устройства на место лечения и расширенную конфигурацию, имеющую диаметр, который больше, чем диаметр сжатой конфигурации; и
фиксирующий провод, продолжающийся через основной просвет, в котором участок фиксирующего провода, пропущенный через боковой порт основного просвета катетера, зацеплен с волокном и повторно входит в боковой порт основного просвета катетера.
19. Узел катетера по п. 18, в котором волокно представляет собой управляющее волокно, зацепленное с расширяемым устройством.
20. Узел катетера по п. 18, в котором расширяемое устройство содержит стент-трансплантат.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161559408P | 2011-11-14 | 2011-11-14 | |
| US61/559,408 | 2011-11-14 | ||
| US13/658,597 | 2012-10-23 | ||
| US13/658,597 US9782282B2 (en) | 2011-11-14 | 2012-10-23 | External steerable fiber for use in endoluminal deployment of expandable devices |
| PCT/US2012/061928 WO2013074266A1 (en) | 2011-11-14 | 2012-10-25 | External steerable fiber for use in endoluminal deployment of expandable devices |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| RU2014124125A true RU2014124125A (ru) | 2015-12-27 |
Family
ID=48281354
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2014124125/14A RU2014124125A (ru) | 2011-11-14 | 2012-10-25 | Волокно с внешним управлением для использования при эндолюминальном размещении расширяемых устройств |
Country Status (12)
| Country | Link |
|---|---|
| US (4) | US9782282B2 (ru) |
| EP (3) | EP2779959B1 (ru) |
| JP (1) | JP6306511B2 (ru) |
| KR (1) | KR20140096305A (ru) |
| CN (2) | CN106859822B (ru) |
| AU (2) | AU2012337259A1 (ru) |
| BR (1) | BR112014011468A2 (ru) |
| CA (1) | CA2854127C (ru) |
| ES (2) | ES2651187T3 (ru) |
| HK (1) | HK1248517A1 (ru) |
| RU (1) | RU2014124125A (ru) |
| WO (1) | WO2013074266A1 (ru) |
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| US8870950B2 (en) | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
| US20110224785A1 (en) | 2010-03-10 | 2011-09-15 | Hacohen Gil | Prosthetic mitral valve with tissue anchors |
| US11653910B2 (en) | 2010-07-21 | 2023-05-23 | Cardiovalve Ltd. | Helical anchor implantation |
| US9763657B2 (en) | 2010-07-21 | 2017-09-19 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
| US9744033B2 (en) | 2011-04-01 | 2017-08-29 | W.L. Gore & Associates, Inc. | Elastomeric leaflet for prosthetic heart valves |
| US10117765B2 (en) | 2011-06-14 | 2018-11-06 | W.L. Gore Associates, Inc | Apposition fiber for use in endoluminal deployment of expandable implants |
| EP2739214B1 (en) | 2011-08-05 | 2018-10-10 | Cardiovalve Ltd | Percutaneous mitral valve replacement and sealing |
| US20140324164A1 (en) | 2011-08-05 | 2014-10-30 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
| US8852272B2 (en) | 2011-08-05 | 2014-10-07 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
| WO2013021374A2 (en) | 2011-08-05 | 2013-02-14 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
| US9554806B2 (en) | 2011-09-16 | 2017-01-31 | W. L. Gore & Associates, Inc. | Occlusive devices |
| US9877858B2 (en) | 2011-11-14 | 2018-01-30 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
| US9782282B2 (en) | 2011-11-14 | 2017-10-10 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
| US9375308B2 (en) | 2012-03-13 | 2016-06-28 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
| US9486349B2 (en) * | 2012-08-10 | 2016-11-08 | W. L. Gore & Associates, Inc. | Systems and methods of deployment of endoluminal devices |
| US8628571B1 (en) | 2012-11-13 | 2014-01-14 | Mitraltech Ltd. | Percutaneously-deliverable mechanical valve |
| ES2934670T3 (es) | 2013-01-24 | 2023-02-23 | Cardiovalve Ltd | Válvulas protésicas ancladas de forma ventricular |
| DE102013106463A1 (de) * | 2013-06-20 | 2014-12-24 | Jotec Gmbh | Stentgraft |
| US11911258B2 (en) | 2013-06-26 | 2024-02-27 | W. L. Gore & Associates, Inc. | Space filling devices |
| EP3071156B1 (en) * | 2013-11-19 | 2021-05-05 | W. L. Gore & Associates, Inc. | Steerable catheter for use in endoluminal deployment of expandable devices |
| US10524910B2 (en) | 2014-07-30 | 2020-01-07 | Mitraltech Ltd. 3 Ariel Sharon Avenue | Articulatable prosthetic valve |
| US11553966B2 (en) | 2015-01-22 | 2023-01-17 | Koninklijke Philips N.V. | Device visualization through optical shape sensing of a guidewire |
| EP3253333B1 (en) | 2015-02-05 | 2024-04-03 | Cardiovalve Ltd | Prosthetic valve with axially-sliding frames |
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| JP2018515246A (ja) | 2015-05-14 | 2018-06-14 | ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティドＷ．Ｌ． Ｇｏｒｅ ＆ Ａｓｓｏｃｉａｔｅｓ， Ｉｎｃｏｒｐｏｒａｔｅｄ | 心耳の閉塞のためのデバイスおよび方法 |
| US10531866B2 (en) | 2016-02-16 | 2020-01-14 | Cardiovalve Ltd. | Techniques for providing a replacement valve and transseptal communication |
| US20190231525A1 (en) | 2016-08-01 | 2019-08-01 | Mitraltech Ltd. | Minimally-invasive delivery systems |
| WO2018027215A1 (en) | 2016-08-05 | 2018-02-08 | W. L. Gore & Associates, Inc. | Integrated medical device constraining lumen |
| EP3496664B1 (en) | 2016-08-10 | 2021-09-29 | Cardiovalve Ltd | Prosthetic valve with concentric frames |
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-
2012
- 2012-10-23 US US13/658,597 patent/US9782282B2/en active Active
- 2012-10-25 KR KR1020147013902A patent/KR20140096305A/ko not_active Withdrawn
- 2012-10-25 ES ES12783781.3T patent/ES2651187T3/es active Active
- 2012-10-25 WO PCT/US2012/061928 patent/WO2013074266A1/en not_active Ceased
- 2012-10-25 CN CN201710095629.2A patent/CN106859822B/zh active Active
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- 2012-10-25 ES ES17190962T patent/ES2982056T3/es active Active
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- 2012-10-25 BR BR112014011468A patent/BR112014011468A2/pt not_active Application Discontinuation
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- 2012-10-25 EP EP17190962.5A patent/EP3278771B1/en active Active
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2022
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| KR20140096305A (ko) | 2014-08-05 |
| ES2651187T3 (es) | 2018-01-24 |
| EP2779959B1 (en) | 2017-10-04 |
| ES2982056T3 (es) | 2024-10-14 |
| US11324615B2 (en) | 2022-05-10 |
| US9782282B2 (en) | 2017-10-10 |
| AU2012337259A1 (en) | 2014-04-24 |
| EP2779959A1 (en) | 2014-09-24 |
| HK1202046A1 (en) | 2015-09-18 |
| WO2013074266A1 (en) | 2013-05-23 |
| US20220211525A1 (en) | 2022-07-07 |
| JP2014533189A (ja) | 2014-12-11 |
| JP6306511B2 (ja) | 2018-04-04 |
| EP4360598A3 (en) | 2024-07-17 |
| CN103930075B (zh) | 2017-03-22 |
| US12257166B2 (en) | 2025-03-25 |
| CN106859822A (zh) | 2017-06-20 |
| CN106859822B (zh) | 2019-07-23 |
| AU2015207853B2 (en) | 2017-07-27 |
| US20250221837A1 (en) | 2025-07-10 |
| AU2015207853A1 (en) | 2015-08-20 |
| EP3278771A1 (en) | 2018-02-07 |
| CA2854127C (en) | 2018-01-02 |
| BR112014011468A2 (pt) | 2017-05-09 |
| US20130123896A1 (en) | 2013-05-16 |
| EP4360598A2 (en) | 2024-05-01 |
| HK1248517A1 (en) | 2018-10-19 |
| EP3278771B1 (en) | 2024-04-17 |
| CN103930075A (zh) | 2014-07-16 |
| CA2854127A1 (en) | 2013-05-23 |
| US20170367859A1 (en) | 2017-12-28 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FA93 | Acknowledgement of application withdrawn (no request for examination) |
Effective date: 20151026 |