Medical device and treatment method
A medical device is disclosed, which is capable of preventing a maintenance treatment element imparting energy to biological tissue from being displaced from a treatment target site and a treatment method performed on a heart failure patient. A medical device is disclosed, which includes a shaft portion, an expandable and contractible expansion body provided on a distal side of the shaft portion, and a maintenance treatment element disposed in the expansion body and imparting energy to biological tissue. The expansion body includes a concave portion recessed in a direction intersecting with an axial direction of the shaft portion. The maintenance treatment element is disposed in the concave portion.
1 . A treatment method, the method comprising:
expanding a through-hole formed in an atrial septum so as to allow a right atrium and a left atrium of a heart failure patient to communicate with each other;
confirming hemodynamics of blood flow in a vicinity of the through-hole; and
performing maintenance treatment for maintaining a size of the through-hole with a medical device comprising a shaft portion, an expandable and contractible expansion body disposed distal of the shaft portion, the expansion body including a plurality of linear expansion portions disposed at different positions in a circumferential direction of the shaft portion, each of the plurality of linear expansion portions including a concave portion recessed in a direction intersecting with an axial direction of the shaft portion, and a maintenance treatment element disposed in each of the linear expansion portions.
2 . The method according to claim 1 , further comprising:
confirming the hemodynamics of the blood flow through the through-hole formed in the atrial septum of the heart failure patient when the concave portion of the medical device is disposed in the through-hole; and
performing the maintenance treatment of the through-hole while biological tissue is in the concave portion.
3 . The method according to claim 1 , wherein the concave portion of each of the plurality of linear expansion portions includes a bottom portion, a distal side standing portion that is formed distal of the bottom portion in the axial direction and that rises in a direction intersecting with the axial direction from the bottom portion; and a proximal side standing portion that is formed proximal of the bottom portion and that rises in a direction intersecting with the axial direction from the bottom portion, the method comprising:
disposing the maintenance treatment element in at least one of the bottom portion and the distal side standing portion.
4 . The method according to claim 3 , comprising:
forming the distal side standing portion and the proximal side standing portion having substantially a same height dimension in a direction intersecting with the axial direction; and
disposing the maintenance treatment element in the bottom portion.
5 . The method according to claim 3 , comprising:
forming the distal side standing portion to be larger than the proximal side standing portion in height dimension in a direction intersecting with the axial direction; and
disposing the maintenance treatment element in the distal side standing portion.
6 . A treatment method, the method comprising:
expanding a through-hole formed in an atrial septum in a first expansion process to allow a right atrium and a left atrium of a heart failure patient to communicate with each other;
expanding the through-hole more than in the first expansion process in a second expansion process; and
performing maintenance treatment for maintaining the through-hole with respect to the through-hole after the second expansion process with a medical device comprising a shaft portion, an expandable and contractible expansion body disposed distal of the shaft portion, the expansion body including a plurality of linear expansion portions disposed at different positions in a circumferential direction of the shaft portion, each of the plurality of linear expansion portions including a concave portion recessed in a direction intersecting with an axial direction of the shaft portion, and a maintenance treatment element disposed in each of the linear expansion portions.
7 . The method according to claim 6 , comprising:
performing the first expansion process and the second expansion process with the concave portion of the medical device in the through-hole.