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RU2018145325A - Система отделения имплантируемого медицинского устройства с раскладной трубкой и цилиндрическим соединением - Google Patents

Система отделения имплантируемого медицинского устройства с раскладной трубкой и цилиндрическим соединением Download PDF

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RU2018145325A
RU2018145325A RU2018145325A RU2018145325A RU2018145325A RU 2018145325 A RU2018145325 A RU 2018145325A RU 2018145325 A RU2018145325 A RU 2018145325A RU 2018145325 A RU2018145325 A RU 2018145325A RU 2018145325 A RU2018145325 A RU 2018145325A
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tube
distal
proximal
medical device
implantable medical
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RU2018145325A
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Хуан ЛОРЕНСО
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Депуи Синтез Продактс, Инк.
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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
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
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    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
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    • 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
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    • 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
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    • A61B2017/1205—Introduction devices
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    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • 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
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
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    • 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
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    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Reproductive Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Neurosurgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)

Claims (52)

1. Система отделения для доставки имплантируемого медицинского устройства в целевое месторасположение сосуда в теле, содержащая
по существу полую дистальную трубку, содержащую
проксимальный конец;
дистальный конец; и
сжимаемый участок самой дистальной трубки между проксимальным и дистальным концами, выполненный с возможностью аксиального перемещения из сжатого состояния в удлиненное состояние;
по существу полую проксимальную трубку, имеющую проксимальный конец и дистальный конец;
соединение, расположенное между проксимальным концом дистальной трубки и дистальным концом проксимальной трубки, соединяющее проксимальную и дистальную трубки;
систему зацепления, зацепляющую и размещающую имплантируемое медицинское устройство, зацепленное на дистальном конце дистальной трубки;
причем система зацепления перемещает сжимаемый участок в сжатое состояние при зацеплении имплантируемого медицинского устройства, и
при этом система зацепления размещает имплантируемое медицинское устройство и высвобождает сжимаемый участок в удлиненное состояние.
2. Система отделения по п. 1, в которой система зацепления съемно прикреплена к проксимальному концу дистальной трубки при зацеплении имплантируемого медицинского устройства для поддержания сжатого состояния.
3. Система отделения по п. 2, в которой система зацепления съемно прикреплена к проксимальному концу проксимальной трубки при зацеплении имплантируемого медицинского устройства.
4. Система отделения по п. 2, в которой система зацепления содержит
запирающий элемент; и
проволочную петлю,
причем, когда проволочная петля взаимодействует с запирающим элементом для зацепления имплантируемого медицинского устройства, усилие, прилагаемое к проволочной петле, перемещает сжимаемый участок в сжатое состояние, и
при этом проволочная петля приварена к проксимальному концу дистальной трубки с возможностью съемного прикрепления системы зацепления.
5. Система отделения по п. 4, в которой усилие, прилагаемое к запирающему элементу, высвобождает проволочную петлю, высвобождает имплантируемое медицинское устройство и обеспечивает возвращение сжимаемого участка в удлиненное состояние.
6. Система отделения по п. 1, в которой сжимаемый участок дистальной трубки представляет собой участок спирального вруба дистальной трубки.
7. Система отделения по п. 1, в которой сжимаемый участок выполнен с возможностью размещения имплантируемого медицинского устройства, зацепленного системой зацепления, когда сжимаемый участок перемещается в удлиненное состояние.
8. Система отделения по п. 1, в которой сжимаемый участок дистальной трубки выполнен с возможностью автоматического/упругого перемещения в удлиненное состояние при высвобождении системы зацепления из имплантируемого медицинского устройства.
9. Система отделения по п. 1,
в которой проксимальная трубка частично перекрывает соединение,
причем дистальная трубка частично перекрывает соединение,
при этом зазор, образованный на соединении между проксимальной трубкой и дистальной трубкой, содержит сварочную ленту для сварки соединения с проксимальной трубкой и дистальной трубкой.
10. Система отделения по п. 1, в которой соединение является рентгеноконтрастным.
11. Система отделения по п. 1,
в которой проксимальная трубка содержит гибкий участок самой проксимальной трубки между проксимальным и дистальным концами, который является гибким; и
при этом дистальная трубка содержит гибкий участок самой дистальной трубки между проксимальным концом и сжимаемым участком, который является гибким.
12. Способ отделения имплантируемого медицинского устройства, содержащего дистальную трубку, имеющую проксимальный конец и дистальный конец, полую проксимальную трубку, имеющую проксимальный конец и дистальный конец, и соединение, включающий стадии, на которых:
формируют сжимаемый участок на дистальной трубке между проксимальным и дистальным концами;
зацепляют имплантируемое медицинское устройство системой зацепления;
прилагают усилие к системе зацепления для сжатия сжимаемого участка;
прикрепляют систему зацепления к дистальной трубке для поддержания сжатого состояния;
соединяют дистальную трубку и проксимальную трубку вместе с применением соединения.
13. Способ отделения по п. 12, в котором система зацепления съемно прикреплена к проксимальному концу дистальной трубки.
14. Способ отделения по п. 13, дополнительно включающий стадию съемного прикрепления системы зацепления к проксимальному концу проксимальной трубки при зацеплении имплантируемого медицинского устройства.
15. Способ отделения по п. 13, в котором система зацепления содержит запирающий элемент и проволочную петлю,
причем стадия зацепления дополнительно включает стадию применения проволочной петли с запирающим элементом для зацепления имплантируемого медицинского устройства; и
при этом стадия приложения дополнительно включает стадию приложения усилия к проволочной петле для перемещения сжимаемого участка в сжатое состояние.
16. Способ отделения по п. 15, дополнительно включающий стадии, на которых
прилагают усилие к запирающему элементу;
высвобождают имплантируемое медицинское устройство; и
обеспечивают возврат сжимаемого участка в удлиненное состояние.
17. Способ отделения по п. 12, в котором стадия формирования включает стадию спирального вруба части дистальной трубки.
18. Способ отделения по п. 12, дополнительно включающий стадию размещения зацепленного имплантируемого медицинского устройства путем перемещения сжимаемого участка в удлиненное состояние.
19. Способ отделения по п. 12, в котором сжимаемый участок дистальной трубки выполнен с возможностью автоматического/упругого перемещения в удлиненное состояние при высвобождении системы зацепления из имплантируемого медицинского устройства.
20. Способ отделения по п. 12, в котором стадия соединения дополнительно включает стадии, на которых:
частично перекрывают соединение проксимальной трубкой;
частично перекрывают соединение дистальной трубкой;
формируют зазор на соединении между проксимальной трубкой и дистальной трубкой, содержащий сварочную ленту; и
сваривают соединение с проксимальной трубкой и дистальной трубкой в области сварочной ленты.
RU2018145325A 2017-12-21 2018-12-20 Система отделения имплантируемого медицинского устройства с раскладной трубкой и цилиндрическим соединением RU2018145325A (ru)

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