JP5916237B2 - 血管内の動脈と静脈の吻合及び組織溶着カテーテル - Google Patents
血管内の動脈と静脈の吻合及び組織溶着カテーテル Download PDFInfo
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- JP5916237B2 JP5916237B2 JP2013515487A JP2013515487A JP5916237B2 JP 5916237 B2 JP5916237 B2 JP 5916237B2 JP 2013515487 A JP2013515487 A JP 2013515487A JP 2013515487 A JP2013515487 A JP 2013515487A JP 5916237 B2 JP5916237 B2 JP 5916237B2
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
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Description
体内において、様々な流体は、様々な本質的な機能を行なうために生物体の全体にわたる導管を通って運ばれる。血管、動脈、静脈、及び毛細管は、体の全体にわたって血液を運び、処理に関して異なる器官及び組織へ栄養素及び老廃物を運ぶ。胆管は肝臓から十二指腸まで胆汁を運ぶ。尿管は腎臓から膀胱まで尿を運ぶ。腸管は口から肛門まで栄養素と廃棄物を運ぶ。
Claims (13)
- 動静脈(AV)フィステルを作るためのデバイスであって、前記デバイスは、
遠位テーパ面を含む細長部材;
前記細長部材に接続され、かつ前記細長部材に対して移動可能である遠位部材であって、該遠位部材は、細長部材の遠位テーパ面にほぼ整列している近位テーパ面を含む、遠位部材;
前記遠位部材と前記細長部材とを接続するためのシャフトであって、該シャフトは、前記細長部材に対して前記遠位部材を伸長し、かつ後退させるために、伸長可能であり、かつ後退可能であり、ここで、遠位部材が後退すると、細長部材に対して、遠位テーパ面と近位テーパ面は、その間に組織を固定するようにほぼ係合する、シャフト;及び
遠位部材の前記近位テーパ面及び細長部材の前記遠位テーパ面の少なくとも1つに配置された発熱部材
を備え、
前記発熱部材が前記フィステルを作るため隣接した血管壁の結合、及び結合した組織を切り開くのに適している
ことを特徴とするデバイス。 - 前記細長部材が、細長いアウターチューブを備えてなる請求項1に記載のデバイス。
- 前記発熱部材が前記近位テーパ面に配置されている請求項1に記載のデバイス。
- 前記遠位テーパ面に配置された第2の発熱部材をさらに備えてなる請求項3に記載のデバイス。
- 前記発熱部材と前記第2の発熱部材の少なくとも1つが、起動されたヒーターと、前記ヒーターから熱を遠ざけ、拡散し、温度勾配を作るために、前記起動されたヒーターの下に配されたヒートスプレッダーとを備えてなる請求項4に記載のデバイス。
- 前記ヒートスプレッダーが熱伝導性材料を含み、前記発熱部材の下の前記テーパ面に配されてなる請求項5に記載のデバイス。
- 前記遠位部材がテーパ状であり、柔軟性を有してなる請求項1に記載のデバイス。
- 動静脈(AV)フィステルを作るためのデバイスであって、前記デバイスは、
細長部材;
前記細長部材に接続され、かつ前記細長部材に対して移動可能である遠位部材であって、該遠位部材は、細長部材に対して軸となるトグル部材を含む、遠位部材;及び
前記移動可能な遠位部材及び前記細長部材の少なくとも1つに配置された発熱部材
を備え、
前記遠位部材が、前記フィステルを作るために切断される組織を捕捉するための構造体を備え、前記発熱部材が前記フィステルを作るために隣接した血管壁の結合、及び結合した組織を切り開くのに適している
ことを特徴とするデバイス。 - 前記トグル部材と前記細長部材とを接続するためのシャフトをさらに備え、前記シャフトが、前記トグル部材を前記細長部材に対して伸長し、かつ後退するために、伸長可能であり、かつ後退可能であり、前記トグル部材が前記シャフトに旋回可能に接続されてなる請求項8に記載のデバイス。
- 前記発熱部材が前記細長部材の前記遠位テーパ面上に配されてなる請求項1に記載のデバイス。
- 前記発熱部材に関連付けられた組織受取キャビティをさらに含む請求項1に記載のデバイス。
- 前記発熱部材が、起動されたヒーター、前記ヒーターから熱を遠ざけ、拡散し、温度勾配を作るために前記起動されたヒーターの下に配されたヒートスプレッダーを備えてなる請求項10に記載のデバイス。
- 前記ヒートスプレッダーが熱伝導性材料を含む請求項12に記載のデバイス。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US35490310P | 2010-06-15 | 2010-06-15 | |
US61/354,903 | 2010-06-15 | ||
US201161480818P | 2011-04-29 | 2011-04-29 | |
US61/480,818 | 2011-04-29 | ||
PCT/US2011/040567 WO2011159825A1 (en) | 2010-06-15 | 2011-06-15 | Intravascular arterial to venous anastomosis and tissue welding catheter |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013545494A JP2013545494A (ja) | 2013-12-26 |
JP2013545494A5 JP2013545494A5 (ja) | 2014-07-24 |
JP5916237B2 true JP5916237B2 (ja) | 2016-05-11 |
Family
ID=45096810
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013515487A Active JP5916237B2 (ja) | 2010-06-15 | 2011-06-15 | 血管内の動脈と静脈の吻合及び組織溶着カテーテル |
Country Status (7)
Country | Link |
---|---|
US (4) | US9452015B2 (ja) |
EP (1) | EP2582314B1 (ja) |
JP (1) | JP5916237B2 (ja) |
AU (1) | AU2011268346B2 (ja) |
CA (1) | CA2804525C (ja) |
DK (1) | DK2582314T3 (ja) |
WO (1) | WO2011159825A1 (ja) |
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JP2015532152A (ja) | 2012-10-11 | 2015-11-09 | ティーブイエー メディカル, インコーポレイテッド | フィステル形成のための装置および方法 |
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JP6979021B2 (ja) | 2016-01-15 | 2021-12-08 | ティーブイエー メディカル, インコーポレイテッド | ワイヤを前進させるためのデバイスおよび方法 |
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