JPH10314313A - ステント移植組織片 - Google Patents

ステント移植組織片

Info

Publication number
JPH10314313A
JPH10314313A JP36196897A JP36196897A JPH10314313A JP H10314313 A JPH10314313 A JP H10314313A JP 36196897 A JP36196897 A JP 36196897A JP 36196897 A JP36196897 A JP 36196897A JP H10314313 A JPH10314313 A JP H10314313A
Authority
JP
Japan
Prior art keywords
stent
stents
material layer
graft
expandable
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
JP36196897A
Other languages
English (en)
Other versions
JP3211156B2 (ja
Inventor
Oepen Randolf Von
ランドルフ・フオン・エーペン
Nikolaus Reifart
ニコラウス・ライフアルト
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.)
Jomed Implantate GmbH
Original Assignee
Jomed Implantate GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Jomed Implantate GmbH filed Critical Jomed Implantate GmbH
Publication of JPH10314313A publication Critical patent/JPH10314313A/ja
Application granted granted Critical
Publication of JP3211156B2 publication Critical patent/JP3211156B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61F2/02—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
    • A61F2/852—Two or more distinct overlapping stents
    • 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
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • 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
    • A61F2/82—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
    • A61F2/91—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 made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • 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
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063—Nested prosthetic parts

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Laminated Bodies (AREA)
  • Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)

Abstract

(57)【要約】 【課題】 結節又は折り目のないステントを提供する。 【解決手段】 両方のステント（１１，１２）の間に、
可とう性の膨張可能な材料層（１３）が配置されてい
る、同軸的に配置された半径方向に拡張可能な２つのス
テント（１１，１２）を有するステント移植組織片（１
０）。

Description

【発明の詳細な説明】
【０００１】
【発明の属する技術分野】本発明は、とくに動脈瘤の際
であるが、不安定な又は脆弱な又は血栓症の血管壁にお
いて、血管を援助するために使用されるようなステント
移植組織片に関する。
【０００２】
【従来の技術】従来のステント移植組織片は、通常例え
ばレーザ切断により金属管片から製造される半径方向に
拡張可能なステント、及び組織又はフォイルからなるこ
こに縫い付けられた被覆からなる。被覆は、血液流通又
は血液成分の流通又はステント移植組織片の壁を通した
沈着、及びステント移植組織片の内部への壁を通した組
織の固着を阻止するという役割を有する。それによりと
りわけ血圧による血管壁の負荷を逃し、かつステント移
植組織片の内移植個所に塞栓症が生じることがないこと
が保証される。しかしながら従来のステントにおいてス
テントにおける被覆の固定縫い付けに基づいて、結節が
生じ、これら結節は、血栓形成の危険を伴う血管の開い
た流通における渦形成を引起こす。被覆が、編物組織又
はより組織からなる場合、これは、ステントの回りで折
畳まなければならない。その際、ステントの拡張の際に
被覆の折り目のない広げは、常に保証されているわけで
はない。
【０００３】
【発明が解決しようとする課題】本発明の課題は、この
問題を除去することにある。
【０００４】
【課題を解決するための手段】この問題を除去するため
に、本発明は、同軸的に配置された半径方向に拡張可能
な２つのステントを有するステント移植組織片を提案
し、その際、両方のステントの間に、可とう性の膨張可
能な材料層、例えば可とう性の膨張可能な生物学的な組
織が配置されている。本発明によるステント移植組織片
において、材料層は、両方の同軸的なステントの間に締
付けられるので、一方のステントにおける材料層の縫い
付けは省略することができる。その上さらに材料層は、
血管内へのステントの挿入の際に、損傷を防止される。
材料層の可とう性のかつ膨張可能な特性に基づいて、こ
の材料層は、両方のステントとともに移植個所において
半径方向に広がることができる。押込む際に両方のステ
ントの相互のずれを防止するために、両方のステント
は、その端部範囲において互いに点状に結合することが
できる。そのために種々の技術を使用することができ
る。両方のステントは、例えば互いに溶接、プレス又は
接着することができる。材料層は、人体に協調性のある
材料又は生物学的な組織からなるフォイル又は組織から
なるホース状の要素によって形成することができる。し
かし材料層は、内側のステントの回りに巻かれたフォイ
ル又は組織テープからなることができる。それによりス
テント移植組織片のとくに経済的な製造が可能である。
材料中間層のための材料としては、例えばポリテトラフ
ルオロエチレン、ポリエチレンテレフタラート、又は自
己又は同種の静脈又は動脈のような生物学的な材料が問
題になる。その際、あらかじめ膨張したポリテトラフル
オロエチレンは、この材料が原線維構造を有するので、
格別の利点を有し、それにより血管壁内へのステント移
植組織片の固着が助長される。それにより時間ととも
に、血管とステント移植組織片との間の固定的な結合が
生じる。
【０００５】
【発明の実施の形態】次に本発明によるステント移植組
織片の有利な実施例を、図面により詳細に説明する。
【０００６】１つの図は、２つの同軸的なステント１１
及び１２を有するステント移植組織片１０の一部切り欠
いた斜視図を示しており、これらステントの間に、膨張
可能な材料層１３が配置されている。この層１３は、人
体に協調性のある合成物質フォイル又は合成物質組織か
ら製造することができる。しかし人体に協調性のある又
は生物学的なその他の材料の使用も可能である。図示し
た例において材料層１３は、ステント移植組織片１０の
長さの一部にわたってだけ延びている。
【図面の簡単な説明】
【図１】膨張可能な層を間に配置した２つの同軸的なス
テントを有するステント移植組織片を示す一部切り欠か
れた斜視図である。
【符号の説明】
１０ ステント移植組織片 １１ ステント １２ ステント １３ 材料層
───────────────────────────────────────────────────── フロントページの続き (72)発明者 ニコラウス・ライフアルト ドイツ連邦共和国エツプシユタイン・クン ツ−シユトラーセ21

Claims (10)

    【特許請求の範囲】
  1. 【請求項１】 同軸的に配置された半径方向に拡張可能
    な２つのステントが設けられており、その際、両方のス
    テント（１１，１２）の間に、可とう性の膨張可能な材
    料層（１３）が配置されていることを特徴とする、ステ
    ント移植組織片。
  2. 【請求項２】 材料層（１３）が、ステント（１１，１
    ２）の一部だけを覆っていることを特徴とする、請求項
    １記載のステント移植組織片。
  3. 【請求項３】 両方のステント（１１，１２）が、その
    端部範囲において互いに点状に結合されていることを特
    徴とする、請求項１又は２記載のステント移植組織片。
  4. 【請求項４】 材料層（１３）が、フォイル又は組織か
    らなるホース状の要素によって形成されていることを特
    徴とする、請求項１ないし３の１つに記載のステント移
    植組織片。
  5. 【請求項５】 材料層（１３）が、内側のステントの回
    りに巻かれたフォイル又は組織テープによって形成され
    ていることを特徴とする、請求項１ないし３の１つに記
    載のステント移植組織片。
  6. 【請求項６】 材料層（１３）が、ポリテトラフルオロ
    エチレンからなることを特徴とする、請求項１ないし５
    の１つに記載のステント移植組織片。
  7. 【請求項７】 材料層（１３）が、ポリエチレンテレフ
    タラートからなることを特徴とする、請求項１ないし５
    の１つに記載のステント移植組織片。
  8. 【請求項８】 材料層（１３）が、生物学的な材料から
    なることを特徴とする、請求項１ないし５の１つに記載
    のステント移植組織片。
  9. 【請求項９】 生物学的な材料が、自己源であることを
    特徴とする、請求項８記載のステント移植組織片。
  10. 【請求項１０】 生物学的な材料が、同種の源であるこ
    とを特徴とする、請求項８記載のステント移植組織片。
JP36196897A 1997-05-14 1997-11-21 ステント移植組織片 Expired - Lifetime JP3211156B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19720115A DE19720115C2 (de) 1997-05-14 1997-05-14 Stent-Graft
DE19720115.6 1997-05-14

Publications (2)

Publication Number Publication Date
JPH10314313A true JPH10314313A (ja) 1998-12-02
JP3211156B2 JP3211156B2 (ja) 2001-09-25

Family

ID=7829391

Family Applications (1)

Application Number Title Priority Date Filing Date
JP36196897A Expired - Lifetime JP3211156B2 (ja) 1997-05-14 1997-11-21 ステント移植組織片

Country Status (10)

Country Link
US (1) US5916264A (ja)
EP (1) EP0878173B1 (ja)
JP (1) JP3211156B2 (ja)
AT (1) ATE195239T1 (ja)
CA (1) CA2224548C (ja)
DE (1) DE19720115C2 (ja)
DK (1) DK0878173T3 (ja)
ES (1) ES2151218T3 (ja)
GR (1) GR3034716T3 (ja)
PT (1) PT878173E (ja)

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9415142B2 (en) 2006-04-26 2016-08-16 Micell Technologies, Inc. Coatings containing multiple drugs
US9433516B2 (en) 2007-04-17 2016-09-06 Micell Technologies, Inc. Stents having controlled elution
US9486431B2 (en) 2008-07-17 2016-11-08 Micell Technologies, Inc. Drug delivery medical device
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ATE195239T1 (de) 2000-08-15
CA2224548C (en) 2005-08-09
GR3034716T3 (en) 2001-01-31
ES2151218T3 (es) 2000-12-16
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US5916264A (en) 1999-06-29
JP3211156B2 (ja) 2001-09-25

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