Treatment method and medical device
There is provided a treatment method that is capable of reducing burden on a patient when a medical sheet is indwelled in the body of the patient. A treatment method includes an introduction of introducing a catheter, which has stored a medical sheet (e.g., a myocardial cell sheet), to a heart inside a living body, and an indwelling step of drawing the myocardial cell sheet from the catheter and indwelling the myocardial cell sheet in the heart.
1. A treatment method comprising:
storing a medical sheet inside a lumen of a catheter, wherein during storing of the medical sheet, a negative pressure is maintained inside the lumen of the catheter by applying a vacuum thereto aspirating a central portion of the medical sheet and maintaining the medical sheet in a folded state inside the lumen of the catheter;
introducing the catheter, which stores the medical sheet therein, to a target site inside a body, wherein the medical sheet is held by a plurality of support portions disposed inside the lumen of the catheter, wherein the plurality of support portions comprise claw portions disposed at an end thereof, wherein the claw portions are bent in a direction radially inward toward an axis of the lumen, and wherein the claw portions extend past and grip an outer peripheral edge of the medical sheet;
extending the plurality of support portions from the lumen of the catheter, wherein the plurality of support portions extend radially outward from the lumen expanding the medical sheet while being gripped at the outer peripheral edge by the claw portions and disposing the medical sheet in a position outside of the lumen of the catheter;
indwelling the medical sheet in the target site; and
extracting the catheter from the body, the medical sheet caused to remain indwelled in the target site inside the body after the catheter has been extracted from the body.
2. The treatment method according to claim 1 , wherein prior to introducing the catheter to the target site inside the body, the method further comprises:
sealing the catheter storing the medical sheet therein with a protective cover disposed at an end of the catheter; and
releasing the sealing of the catheter by removing the protective cover from the end of the catheter before introducing the catheter to the target site.
3. The treatment method according to claim 1 , wherein, during storing of the medical sheet, the plurality of support portions surround the medical sheet in the folded state.
4. The treatment method according to claim 3 , wherein a myocardial cell sheet is used as the medical sheet, and the target site is a heart.
5. The treatment method according to claim 4 , wherein the catheter is introduced to the target site via thoracoscopy.
6. A medical device comprising:
a catheter including a lumen that accommodates a medical sheet;
an aspiration member that maintains a negative pressure in the inside the lumen and aspirates a central portion of the medical sheet gripped by the gripping member and maintains the medical sheet in a folded state inside the lumen of the catheter;
a gripping member comprising a plurality of support portions disposed inside the lumen of the catheter in an inserted state, wherein the plurality of support portions comprise claw portions disposed at an end thereof, wherein the claw portions are bent in a direction radially inward toward an axis of the lumen, wherein the medical sheet is stored in the lumen by the claw portions extending past and gripping an outer peripheral edge of the medical sheet, wherein the plurality of support portions extend radially outward from the lumen of the catheter in a protruded state expanding the medical sheet while being gripped at the outer peripheral edge by the claw portions and disposing the medical sheet in a position outside of the lumen of the catheter, causing the medical sheet to remain indwelled in the target site inside the body after the catheter has been extracted from the body.
7. The medical device according to claim 6 , wherein the gripping member is inserted into the lumen while being deformed inwardly in a radial direction of the catheter.
8. The medical device according to claim 7 , wherein the plurality of support members, when fully protruded from the lumen of the catheter in the protruded state extend in a direction substantially perpendicular to the axis of the lumen.
9. The medical device according to claim 8 , wherein the medical sheet is in a folded state while stored in the lumen, and wherein the plurality of support portions surround the medical sheet while the medical sheet is in the folded state.