CN105163671B - 组织和血管闭合装置及其使用方法 - Google Patents

组织和血管闭合装置及其使用方法 Download PDF

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Publication number
CN105163671B
CN105163671B CN201480024597.1A CN201480024597A CN105163671B CN 105163671 B CN105163671 B CN 105163671B CN 201480024597 A CN201480024597 A CN 201480024597A CN 105163671 B CN105163671 B CN 105163671B
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China
Prior art keywords
tissue
tubular member
sheath
closure assembly
suture
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CN201480024597.1A
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English (en)
Chinese (zh)
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CN105163671A (zh
Inventor
J·张
B·G·沃尔什
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Suzhou Jiecheng Medical Technology Co Ltd
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Suzhou Jiecheng Medical Technology Co Ltd
Heart And Lung Medical Co ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00579—Barbed implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00597—Implements comprising a membrane
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00623—Introducing or retrieving devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/0065—Type of implements the implement being an adhesive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00659—Type of implements located only on one side of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00668—Type of implements the implement being a tack or a staple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00884—Material properties enhancing wound closure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00951—Material properties adhesive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00982—General structural features
    • A61B2017/00986—Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06076—Needles, e.g. needle tip configurations helically or spirally coiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
    • A61B2017/308—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction with suction cups
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
CN201480024597.1A 2013-03-14 2014-03-12 组织和血管闭合装置及其使用方法 Active CN105163671B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361785970P 2013-03-14 2013-03-14
US61/785,970 2013-03-14
PCT/US2014/025003 WO2014159754A2 (en) 2013-03-14 2014-03-12 Tissue and vascular closure devices and methods of use thereof

Publications (2)

Publication Number Publication Date
CN105163671A CN105163671A (zh) 2015-12-16
CN105163671B true CN105163671B (zh) 2020-05-19

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ID=51625611

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Application Number Title Priority Date Filing Date
CN201480024597.1A Active CN105163671B (zh) 2013-03-14 2014-03-12 组织和血管闭合装置及其使用方法

Country Status (7)

Country Link
US (1) US10575837B2 (2)
EP (1) EP2967523A4 (2)
JP (1) JP6396986B2 (2)
CN (1) CN105163671B (2)
CA (1) CA2904976A1 (2)
HK (1) HK1220339A1 (2)
WO (1) WO2014159754A2 (2)

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US9889275B2 (en) 2006-06-28 2018-02-13 Abbott Laboratories Expandable introducer sheath to preserve guidewire access
US10219796B2 (en) * 2009-02-21 2019-03-05 Farideh Roshanali Device for percutaneous transcathertral closure of atrial septal defect by deploying pericardial patch
CA2904976A1 (en) 2013-03-14 2014-10-02 Cardiovantage Medical, Inc. Tissue and vascular closure devices and methods of use thereof
TW201618722A (zh) * 2014-10-28 2016-06-01 特羅凱爾有限公司 筋膜縫合裝置與方法
CN105520758B (zh) * 2016-01-19 2019-01-25 高伟 一种卵圆孔未闭或小房间隔缺损的闭合装置
EP3407803B1 (en) * 2016-01-29 2023-08-02 GI Dynamics, Inc. Flanged gastrointestinal devices
EP3544523A4 (en) * 2016-11-25 2020-10-21 Novogate Ltd. CARDIAC CLOSURE DEVICE AND INSTALLATION TOOL
US10716668B2 (en) * 2017-04-05 2020-07-21 Medtronic, Inc. Delivery system with anchoring nosecone and method of delivery
CN107898488A (zh) * 2017-12-28 2018-04-13 济宁医学院 用于腹腔镜手术可防止标本在体内残留的装置
CN108261174B (zh) * 2018-03-13 2024-06-07 南微医学科技股份有限公司 一种内窥镜端帽
WO2019241229A1 (en) 2018-06-11 2019-12-19 University Of Louisville Research Foundation Inc. Trocar site closure clip
EP4461266A3 (en) * 2019-05-15 2025-01-22 ZuriMED Technologies AG Felt material for use in a method of repairing or augmenting human or animal soft tissues
CN110281514B (zh) * 2019-08-02 2021-12-03 曾婧 一种塑料制品用冷却定型设备
CN115776873B (zh) * 2020-06-08 2026-04-10 Amx技术有限责任公司 允许大口径经间隔进入并随后再进入心房的装置及其方法
CN111920468B (zh) * 2020-08-12 2021-10-15 复旦大学附属中山医院 一种经心尖二尖瓣缝合器
CN120417843A (zh) * 2022-10-26 2025-08-01 管道医疗技术股份有限公司 二尖瓣瓣叶修复系统
CN116869593B (zh) * 2023-09-06 2023-11-28 北京大学人民医院 一种硬脑膜闭合器
WO2025184862A1 (en) * 2024-03-07 2025-09-12 Medtronic, Inc. Devices, systems, and methods for closing openings in vessel walls
CN118000798B (zh) * 2024-04-08 2024-06-25 泓欣科创生物科技(北京)有限公司 止血装置

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WO2010085449A1 (en) * 2009-01-23 2010-07-29 Cook Incorporated Vessel puncture closure device
CN102405022A (zh) * 2009-03-14 2012-04-04 瓦索斯蒂奇股份有限公司 血管进入和闭合装置
CN102711631A (zh) * 2009-11-09 2012-10-03 心血管科技有限公司 组织闭合装置、用于输送的装置和系统、用于组织闭合装置的套件和方法

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US7842068B2 (en) * 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
SE523902C2 (sv) * 2001-09-07 2004-06-01 Jan Otto Solem Anordning för förslutning av en punkation i ett kroppskärl
US7351250B2 (en) * 2002-08-21 2008-04-01 Kci Licensing, Inc. Circumferential medical closure device and method
WO2004037333A1 (en) * 2002-10-25 2004-05-06 Nmt Medical, Inc. Expandable sheath tubing
WO2004105621A1 (en) * 2003-05-09 2004-12-09 Tyco Healthcare Group, Lp Anastomotic staple with fluid dispensing capillary
US7678123B2 (en) * 2003-07-14 2010-03-16 Nmt Medical, Inc. Tubular patent foramen ovale (PFO) closure device with catch system
US20070123936A1 (en) 2005-11-15 2007-05-31 Aoi Medical, Inc. Arterial Closure Button
WO2008124603A1 (en) * 2007-04-05 2008-10-16 Nmt Medical, Inc. Septal closure device with centering mechanism
WO2011088381A1 (en) * 2010-01-14 2011-07-21 Pavilion Medical Innovations Systems and methods for bariatric therapy
AU2011279728B2 (en) * 2010-07-12 2015-06-25 St. Jude Medical Puerto Rico Llc Compactionless tissue puncture closure device and methods
WO2012047981A2 (en) * 2010-10-07 2012-04-12 Boston Scientific Scimed, Inc. Biodegradable adhesive film for vascular closure
US8556932B2 (en) * 2011-05-19 2013-10-15 Abbott Cardiovascular Systems, Inc. Collapsible plug for tissue closure
CA2904976A1 (en) 2013-03-14 2014-10-02 Cardiovantage Medical, Inc. Tissue and vascular closure devices and methods of use thereof

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010085449A1 (en) * 2009-01-23 2010-07-29 Cook Incorporated Vessel puncture closure device
CN102405022A (zh) * 2009-03-14 2012-04-04 瓦索斯蒂奇股份有限公司 血管进入和闭合装置
CN102711631A (zh) * 2009-11-09 2012-10-03 心血管科技有限公司 组织闭合装置、用于输送的装置和系统、用于组织闭合装置的套件和方法

Also Published As

Publication number Publication date
WO2014159754A2 (en) 2014-10-02
WO2014159754A3 (en) 2014-12-24
US20160022252A1 (en) 2016-01-28
CA2904976A1 (en) 2014-10-02
US10575837B2 (en) 2020-03-03
JP2016512103A (ja) 2016-04-25
EP2967523A2 (en) 2016-01-20
EP2967523A4 (en) 2017-03-15
HK1220339A1 (zh) 2017-05-05
JP6396986B2 (ja) 2018-09-26
CN105163671A (zh) 2015-12-16

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