JPH03210273A - 血管内フィルタ - Google Patents

血管内フィルタ

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Publication number
JPH03210273A
JPH03210273A JP2325096A JP32509690A JPH03210273A JP H03210273 A JPH03210273 A JP H03210273A JP 2325096 A JP2325096 A JP 2325096A JP 32509690 A JP32509690 A JP 32509690A JP H03210273 A JPH03210273 A JP H03210273A
Authority
JP
Japan
Prior art keywords
side elements
filter
leg
legs
hub
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2325096A
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English (en)
Other versions
JP3016851B2 (ja
Inventor
Erik Rasmussen
エリック、ラスムッセン
Rolf W Guenther
ロルフ、ダブリュ、ギュンター
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
William Cook Europe ApS
Original Assignee
William Cook Europe ApS
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Filing date
Publication date
Application filed by William Cook Europe ApS filed Critical William Cook Europe ApS
Publication of JPH03210273A publication Critical patent/JPH03210273A/ja
Application granted granted Critical
Publication of JP3016851B2 publication Critical patent/JP3016851B2/ja
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • 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
    • A61F2/01—Filters implantable into blood vessels
    • 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
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/0105—Open ended, i.e. legs gathered only at one side
    • 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
    • A61F2/01—Filters implantable into blood vessels
    • A61F2002/016—Filters implantable into blood vessels made from wire-like elements
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/005—Rosette-shaped, e.g. star-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/008—Quadric-shaped paraboloidal

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)
  • Materials For Medical Uses (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は患者の血管内に挿入するための折りたたみ可能
な血管内フィルタでありかつ先端のハブから分岐した複
数個の脚部を備え、各々の脚部が前記ハブに対するその
遠位端部で逆方向に向いたフックを有する種類の血管内
フィルタに関する。
本発明は、専用のものではないが、特定的には、静脈を
通しての血液の流れの中の血栓または塞栓を捕捉して血
栓または塞栓が患者の肺に到達して肺塞栓症をひき起す
ことを阻止するために、大静脈、特に工大静脈中に導入
するように意図された、いわゆる大静脈用の血管内フィ
ルタに関する。
〔従来の技術及び発明が解決しようとする課題〕このよ
うなフィルタとしては、例えば米国特許ｍ３．５４０，
４３１号、第３，９５２．７４７号および第４，６１９
，２４６号の各明細書に開示されているような種々の異
なる型式のものが知られている。
米国特許節３．５４０，４３１号明細書には、全体とし
て軸線方向に傾斜したスポーク形部材の骨格状本体と、
支柱を蔽いかつ該支柱間のスペースにわたって配置され
たか過材からなるキャノピ−とを備えた、いわゆる、モ
ビン・ラブイン（Ｍｏｂｂｌｎ　−ｕｄｄｌｎ　）フィ
ルタ、すなわちＭＵフィルタが開示されている。
キャノピ一部分が大静脈のｍ瘍部分を閉ざす作用がある
ので、この型式のフィルタはもはやほとんど使用されて
いない。
もう一つのフィルタの型式はこの技術の背景および状態
をやや総括的に分析した結果を包含した米国特許節３，
９５２．７４７号明細書に開示された、いわゆる、キム
レー・グリーンフィールド（Ｋｌｓｒａｙ　−Ｇｒｅｅ
ｎｆｌｅｌｄ）フィルタである。このフィルタ装置は高
い濾過効率を有すると共に、静脈の横断面積を極めて適
度に減少させるという利点がある半面、挿入する器械が
かなり大きい直径を要する不利点がある。
後者の不利点は、折りたたみ可能なフィルタバスケット
を！え、該フィルタバスケットが広げられた状態におい
て該バスケットの一端部から延びる複数個のアンカー脚
部を有する開口した細長い回転体の形状になる米国特許
節４．６１９．２４６号明細書に開示された、いわゆる
ギュンタ（Ｇｉｉｎｔｅｒ）フィルタにおいて解消され
ている。
ギュンタフィルタの不利点はフィルタの軸線方向の長さ
がかなり長く、そのためにその挿入操作に支障を生ずる
ことである。
〔課題を解決するための手段〕
本発明の目的は、前記の不利点をなくしまたは少なくと
も実質的に減少させて、簡単な構造で高い効率を有する
フィルタであって、静脈の血液の流路面積を適度に減少
させると共に比較的に短い軸線方向の長さを有し、しか
もフィルタが折りたたまれた状態で細長くかつ細いフィ
ルタエレメントの束に集結され、それにより相応して細
長くかつ細いカテーテルの挿入を可能ならしめるフィル
タを提供する前記の種類の血管内フィルタを提供するこ
とにある。
これらの目的を達成するために、本発明による折りたた
み可能な血管内フィルタは、各々の脚部が平滑な半正弦
波状の形態に湾曲した中央エレメントと、該中央エレメ
ントの両側に延びる２個のほぼ対称形の湾曲した側部エ
レメントとを備え、ソレニヨリフィルタを全体としてす
べての脚部の中央エレメントおよび側部エレメントがカ
テーテルのような挿入器械内に配置するための細い束を
構成する折りたたまれた挿入状態から脚部の中央エレメ
ントの間に介在した側部エレメントが前記ハブにおいて
一つの尖端部を有する開口した回転体の形状になるチュ
ーリップのようなフィルタの形状に広げることができる
ことを特°徴としている。
このような構成にした結果、折りたたまれた状態におけ
るフィルタの断面寸法はすべての脚部の中央エレメント
および側部エレメントの厚さの合計にほぼ合致する。
この血管内フィルタは、広げられたチューリップのよう
な形状において、大部分の効率の良い従来技術のフィル
タにより得られる血栓または塞栓を捕捉しかつ血液を流
す特性と少なくとも等しい特性を有している。
そのうえ、広げられた状態でチューリップの形状になる
結果、フィルタの脚部の遠位端部がある長さにわたって
静脈の壁部と係合する。それにより、従来技術のフィル
タに発生することのある静脈の壁部が穿孔するおそれが
最小限にとどめられ、そしてフィルタは移植中ならびに
その後移動する場合に静脈内の中心位置に保持される。
静脈の壁部には、実際に、脚部の中央エレメントおよび
側部エレメントにより形成された「扁平板部」の遠位端
部が接触するので、フィルタが静脈壁部内に最適な状態
で延びることが可能になり、そしてそれによりフィルタ
を最適な長期間移動しないように固定することができる
。
〔実施例〕
本発明を添付図面について以下にさらに詳細に説明する
。
図示の実施例においては、フィルタは先端のハブ５から
分岐した４個の脚部１．２．３および４を備えており、
脚部１乃至４はハブ５において米国特許節４，６１９，
２４６号明細書に開示された種類の端末フェルール６に
より一緒に保持されている。
各々の脚部は平滑な半正弦波状の形態に湾曲しかつハブ
５に対して遠位端部において逆方向に向いたアンカーフ
ック１ｂ乃至４ｂを有する中央エレメント１ａ乃至４ａ
と該中央エレメントの両側に延びる２個の対称な湾曲し
た側部エレメント１ｃ乃至４ｃおよび１ｄ乃至４ｄとを
備えている。
図示の実施例においては、各々の脚部１乃至４の２個の
側部エレメントは１本の線材から形成され、該線材の両
端はハブ５において一緒に保持され、しかも該線材はそ
の長さの中央部において脚部の中央エレメントの長さの
一部分に沿って自由に摺動可能であるように該中央エレ
メントを囲繞するアイレット７〜１０を構成している。
このフィルタは第１図及び第３図に例示した広げられた
チューリップのような形状から第５図に示したような細
長く非常に細いフィルタエレメントの束に折りたたむこ
とができる。このフィルタエレメントの束の横断面の寸
法はすべての４個の脚部の中央エレメントおよび側部エ
レメントの厚さの合計にほぼ等しい。
各々の脚部１．２．３．４の側部エレメントは、第２図
に最も明瞭に示したように、フィルタの広げられたチュ
ーリップの形状において、側部エレメントの間の最大距
離が２個の隣接した脚部の隣り合う側部エレメントの間
の距離と同程度になるような長さおよび曲率を有してい
る。そのうえ、この長さおよび曲率は、工大静脈中に挿
入後にアイレット７乃至１０が血管の壁部のほぼ内側に
配置されるような値に選択されることが好ましい。
本発明によるフィルタは、第１図に最も明瞭に示したよ
うに、その広げられた状態においてフィルタの直径と同
じ程度の短い軸線方向の長さを有しており、それにより
フィルタを工大静脈中に適正に配置することが容易にな
る。
以上、本発明を４個の脚部を有する特定の一実施例につ
いて記載し・かつ例示したが、種々の変更、例えば、脚
部の数に関する変更を特許請求の範囲から逸脱すること
な〈実施することができることは理解されよう。
【図面の簡単な説明】
第１図および第２図は広げられた状態における本発明に
よる血管内フィルタの一実施例を示した図、第３図およ
び第４図は広げられた状態における血管内フィルタの単
一の脚部および広げられた形状と折りたたまれた形状と
の間の中間の状態をそれぞれ示した図、第５図は折りた
たまれた状態における血管内フィルタを示した図である
。 １．２．３．４・・・脚部、１ａ、　２ａ、　３ａ。 ４　ａ　・・・中央エレメント、１ｂ、２ｂ、３ｂ、４
ｂ・・・アンカーフック、１ｃ、２ｃ、３ｃ、４ｃ・・
・側部エレメント、ｌｄ、２ｄ、３ｄ、４ｄ・・・側部
エレメント、５・・・ハブ、６・・・フェルール、７．
８，９．１０・・・アイレット。

Claims (5)

    【特許請求の範囲】
  1. １．患者の血管内に導入するための折りたたみ可能な血
    管内フィルタでありかつ先端のハブ（５）から分岐した
    複数個の脚部（１−４）を備え、各々の脚部が前記ハブ
    （５）に対するその遠位端部で逆方向に向いたフック（
    １ｂ−４ｂ）を有する種類のフィルタにおいて、各々の
    脚部が平滑な半正弦状の形態に湾曲した中央エレメント
    （１ａ−４ｂ）と、該中央エレメントの両側に延びる２
    個のほぼ対称な湾曲した側部エレメント（１ｃ−４ｃ、
    １ｄ−４ｄ）とを備え、それによりフィルタ全体として
    すべての脚部の中央エレメント（１ａ−４ａ）と側部エ
    レメント（１ｃ−４ｃ，１ｄ−４ｄ）とがカテーテルの
    ような挿入機器内に配置するための細い束を構成する折
    りたたまれた挿入状態から脚部（１−４）中央エレメン
    ト（１ａ−４ａ）の間に介在した側部エレメント（１ｃ
    −４ｃ）１ｄ−４ｄ）が前記ハブ（５）において一つの
    尖端部を有する開口した回転体の形状になるチューリッ
    プのようなフィルタの形状に広げることができることを
    特徴とする血管内フィルタ。
  2. ２．各々の脚部の湾曲した側部エレメント （１ｃ−４ｃ，１ｄ−４ｄ）が１本の線材から形成され
    、該線材の両端部が先端のハブ（５）において一緒に連
    結され、しかも前記１本の線材がその長さの中央部にお
    いて中央エレメント（１ａ−４ａ）の長さの一部分に沿
    って自由に摺動可能であるように該中央エレメントを囲
    繞するアイレット（７−１０）を構成したことを特徴と
    する請求項１記載の血管内フィルタ。
  3. ３．各々の脚部の側部エレメント（１ｃー ４ｃ、１ｄ−４ｄ）が折りたたまれた状態において中央
    エレメント（１ａ−４ａ）にほぼ平行に並置されな関係
    に延設されたことを特徴とする請求項１または２のいず
    れか一項に記載の血管内フィルタ。
  4. ４．各々の脚部の側部エレメント（１ｃー ４ｃ、１ｄ−４ｄ）が広げられた状態においてアイレッ
    ト（７−１０）を内部にフィルタが挿入される大静脈の
    壁部のほぼ内側に配置されるような長さおよび曲率を有
    することを特徴とする請求項２記載の血管内フィルタ。
  5. ５．フィルタの広げられたチューリップ状の形状におい
    て、先端のハブ（５）とアイレット（７−１０）との間
    の中間の各々の脚部の２個の側部エレメント（１ｃ−４
    ｃ、１ｄ−４ｄ）の間の最大の距離が２個の隣接した脚
    部（１−４）に属する隣り合う側部エレメントの間の距
    離と同じ程度であることを特徴とする請求項１から４ま
    でのいずれか一項に記載の血管内フィルタ。
JP2325096A 1989-11-28 1990-11-27 血管内フィルタ Expired - Fee Related JP3016851B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB8926857A GB2238485B (en) 1989-11-28 1989-11-28 A collapsible filter for introduction in a blood vessel of a patient
GB8926857.7 1989-11-28

Publications (2)

Publication Number Publication Date
JPH03210273A true JPH03210273A (ja) 1991-09-13
JP3016851B2 JP3016851B2 (ja) 2000-03-06

Family

ID=10667034

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2325096A Expired - Fee Related JP3016851B2 (ja) 1989-11-28 1990-11-27 血管内フィルタ

Country Status (9)

Country Link
US (1) US5133733A (ja)
EP (1) EP0430848B1 (ja)
JP (1) JP3016851B2 (ja)
AT (1) ATE98856T1 (ja)
AU (1) AU634312B2 (ja)
CA (1) CA2030956C (ja)
DE (1) DE69005424T2 (ja)
DK (1) DK0430848T3 (ja)
GB (1) GB2238485B (ja)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006026423A (ja) * 2004-07-12 2006-02-02 Rex Medical Lp 静脈フィルタ
JP2007501680A (ja) * 2003-05-07 2007-02-01 ボストン サイエンティフィック リミテッド 増加した表面積を備えるフィルタメンブレン

Families Citing this family (338)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5626605A (en) * 1991-12-30 1997-05-06 Scimed Life Systems, Inc. Thrombosis filter
US5324304A (en) * 1992-06-18 1994-06-28 William Cook Europe A/S Introduction catheter set for a collapsible self-expandable implant
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DK0430848T3 (da) 1994-02-21
EP0430848B1 (en) 1993-12-22
AU6658990A (en) 1991-06-06
DE69005424D1 (de) 1994-02-03
EP0430848A1 (en) 1991-06-05
US5133733A (en) 1992-07-28
DE69005424T2 (de) 1994-06-16
ATE98856T1 (de) 1994-01-15
AU634312B2 (en) 1993-02-18
CA2030956A1 (en) 1991-05-29

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