外国特許コード F180009570
整理番号 S2017-0385-C0
掲載日 2018年11月5日
出願国 世界知的所有権機関(WIPO)
国際出願番号 2018JP008867
国際公開番号 WO 2018164205
国際出願日 平成30年3月7日(2018.3.7)
国際公開日 平成30年9月13日(2018.9.13)
  • 特願2017-043453 (2017.3.8) JP
発明の概要(英語) A cylindrically shaped indwelling instrument (1) is formed into said cylindrical shape in the form of a mesh by linking a plurality of struts (3) in a circumferential direction in such a way as to share an axial direction rib (2), to form annular or helical rows, and linking the rows of the plurality of struts (3) at required locations in the axial direction by means of links (2a). Each strut (3) has at least one group of strut edges forming a bistable structure supporting a load resulting from an action of the indwelling instrument acting in a diametrically contracting direction, and a part which induces snap buckling deformation thereof. An action which acts in such a way as to diametrically contract the indwelling instrument imparts to the at least one group of strut edges forming the bistable structure a load in a direction impeding reverse snap buckling deformation. As a result, after the indwelling instrument has been introduced into the luminal organ, has been expanded diametrically and has been left in place, reverse snap buckling deformation is prevented and actions causing the indwelling instrument to contract diametrically are adequately resisted, making it possible for the diametrically expanded state to be reliably maintained.
従来技術、競合技術の概要(英語) BACKGROUND ART
Such as cerebral infarction and myocardial infarction, therapy of disease by disease of the blood vessel, the stent is expanded by a balloon catheter placement of the blood vessel is performed.As the stent is made of metal is generally used, for a metal stent is permanently remain in the body so that they are, changes the size of the young but is applicable to, in addition, mechanical stimulation confined by the long risk of recurrence.Made of metal excellent in the strength of the stent is poor in flexibility, mechanical stimulation to the lumen wall of the blood vessel or the like, stress is easily given, resulting in thickening of the lumen wall in addition to, the metal remaining in the interior of the instrument is placed in a state in which the MRI (magnetic resonance imaging) diagnostic image in order to affect it is difficult to be referred to.
Made of the metal instrument is placed in the placement of the device becomes a problem to suppress the stress applied to the lumen, the stent biodegradable/bioabsorbable polymer stent in a living body by making permanently due to the presence of stress can be eliminated, and the like do not affect the MRI image of the point, can be solved the disadvantages of the metallic stents has the advantage that the, have recently been widely used in a stent made of polymer.
On the other hand, a polymeric stent, the stent as compared to a metal elastic modulus, low strength and hence to the contraction force is small, the creep deformation from the prone, deployment of a balloon-expandable to the diameter of the instrument after deployment because it is possible, further, a self-expanding placement of the instrument to maintain the contracted state for a long time, the larger the ratio of contraction or permanent deformation occurs in the case where the restoring extension, that is self-expanding may not be such that have a weakness.
Of a polymeric stent is placed into a tubular organ such as a blood vessel as a device, configured in a cylindrical shape, inserted into the tubular organ as the diameter-reduced state and, after placement of the diameter, so as to prevent narrowing of a tubular organ and acts, essentially of a polymer material or by a mesh structure of the struts to the circumferential direction of the cylindrical shape of the cell, aligned and extend in the axis direction becomes to have a structure formed.
Patent Document 1 is, in a spiral around the longitudinal axis of the helical elements extend in a wave-like, axially adjacent to the helical element extends from the peak of the peak portion of the column are connected by the cell is described for forming the stent, the stent is made of a metal and, due to the difficulty of metal.
Is Patent Document 2, a network structure of the struts of the plurality of waveform is formed in the circumferential direction without a ring, ring of the adjacent ridges and troughs of the waveform is coupled to the cell so as to form a tubular stent and are described, in the stent in such a configuration, the diameter of the material the ability to resist the action of attempting to increase the characteristic of an, made of a material having a low rigid material such as a polymer is by, the diameter of the action of the clot Thus, functions of the stent may not be able to hold.
Patent Document 3 is, the peak and valley are alternately arranged in the axial direction are formed so as to strut element in the circumferential direction to form a rounded cylindrical shape of the stent, each vertex of the strut element is formed to a convex portion provided with teeth, is inserted into the protruding portion of each valley formed in a plurality of vertices is formed and, each vertex of the convex portion vertex of the convex portions of the valley of the teeth can be inserted in the slit, the cylindrical stent diameter of the stent strut elements formed in a direction against the force of the shape such as a stent and apparatus which, in addition, in Patent Document 4, the slit is formed on one side of the head and the protrusion is formed like a hook to the sides of the shank T-shaped unit consisting of a plurality arranged side by side and rolled into a cylindrical shape, the head of the body portion and inserted into a slit, the hook-shaped protrusions in the body portion on opposite sides of the body portion by the action of variable to the slit to facilitate the insertion of a polymeric stent has been described.
Patent Document 3, the pawl 4, the slit engaged with the hook portion of the stent by a ratchet mechanism is held in the expanded state, or is used as a material film, the flexibility against bending is not obtained has a drawback.
Patent Document 5 is, as thick as the thin strut and the strut in combination with a series of spirally wound in a plurality of cells of the stent and the tubular, each cell is connected by a bridging element forms a bi-stable cell a stent has been described, in addition, in Patent Document 6, a link strut side in combination with a plurality of cells arranged in a mesh configured of a cylindrical polymeric stent, via the link connected thereto by a pulling action on the one side of the struts of the deformable from a stable state in the other stable state and having a bi-stability of a polymeric stent has been described.
  • 出願人(英語)
  • ※2012年7月以前掲載分については米国以外のすべての指定国
  • 発明者(英語)
  • MINAMI Kazuyuki