EP2498689A4 - Dispositifs de fermeture de tissu, dispositif et systèmes pour leur pose, coffrets et méthodes pour ceux-ci - Google Patents

Dispositifs de fermeture de tissu, dispositif et systèmes pour leur pose, coffrets et méthodes pour ceux-ci

Info

Publication number
EP2498689A4
EP2498689A4 EP10829294.7A EP10829294A EP2498689A4 EP 2498689 A4 EP2498689 A4 EP 2498689A4 EP 10829294 A EP10829294 A EP 10829294A EP 2498689 A4 EP2498689 A4 EP 2498689A4
Authority
EP
European Patent Office
Prior art keywords
kits
delivery
systems
closure devices
methods therefor
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.)
Withdrawn
Application number
EP10829294.7A
Other languages
German (de)
English (en)
Other versions
EP2498689A2 (fr
Inventor
Russell A Houser
John Hunter Bower
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.)
CARDIOVASCULAR TECHNOLOGIES Inc
Original Assignee
CARDIOVASCULAR TECHNOLOGIES Inc
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
Priority claimed from US12/757,275 external-priority patent/US9345460B2/en
Application filed by CARDIOVASCULAR TECHNOLOGIES Inc filed Critical CARDIOVASCULAR TECHNOLOGIES Inc
Publication of EP2498689A2 publication Critical patent/EP2498689A2/fr
Publication of EP2498689A4 publication Critical patent/EP2498689A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00615Implements with an occluder on one side of the opening and holding means therefor on the other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00646Type of implements
    • A61B2017/00659Type of implements located only on one side of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00646Type of implements
    • A61B2017/00668Type of implements the implement being a tack or a staple
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00672Locating means therefor, e.g. bleed back lumen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462One way system, i.e. also tensioning the suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • A61B2018/00422Angioplasty
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Coating Apparatus (AREA)
EP10829294.7A 2009-11-09 2010-11-09 Dispositifs de fermeture de tissu, dispositif et systèmes pour leur pose, coffrets et méthodes pour ceux-ci Withdrawn EP2498689A4 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US28089609P 2009-11-09 2009-11-09
US12/757,275 US9345460B2 (en) 2001-04-24 2010-04-09 Tissue closure devices, device and systems for delivery, kits and methods therefor
PCT/US2010/056059 WO2011057282A2 (fr) 2009-11-09 2010-11-09 Dispositifs de fermeture de tissu, dispositif et systèmes pour leur pose, coffrets et méthodes pour ceux-ci

Publications (2)

Publication Number Publication Date
EP2498689A2 EP2498689A2 (fr) 2012-09-19
EP2498689A4 true EP2498689A4 (fr) 2015-04-22

Family

ID=46650269

Family Applications (1)

Application Number Title Priority Date Filing Date
EP10829294.7A Withdrawn EP2498689A4 (fr) 2009-11-09 2010-11-09 Dispositifs de fermeture de tissu, dispositif et systèmes pour leur pose, coffrets et méthodes pour ceux-ci

Country Status (6)

Country Link
EP (1) EP2498689A4 (fr)
JP (1) JP5626738B2 (fr)
KR (1) KR101426627B1 (fr)
CN (1) CN102711631B (fr)
IN (1) IN2012DN05147A (fr)
WO (1) WO2011057282A2 (fr)

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EP2015681B1 (fr) 2006-05-03 2018-03-28 Datascope Corp. Dispositif de fermeture de tissu
EP2739217B1 (fr) 2011-08-05 2022-07-20 Route 92 Medical, Inc. Systèmes de traitement d'un accident ischémique cérébral aigu
US10779855B2 (en) 2011-08-05 2020-09-22 Route 92 Medical, Inc. Methods and systems for treatment of acute ischemic stroke
US8986327B2 (en) * 2012-10-18 2015-03-24 Smith & Nephew, Inc. Flexible anchor delivery system
CA2904976A1 (fr) * 2013-03-14 2014-10-02 Cardiovantage Medical, Inc. Dispositifs d'obturations tissulaire et vasculaire et procedes d'utilisation associes
CN105377191A (zh) * 2013-03-15 2016-03-02 瓣膜医学有限公司 用于密封经皮瓣膜的系统和方法
US10485545B2 (en) 2013-11-19 2019-11-26 Datascope Corp. Fastener applicator with interlock
WO2015118373A1 (fr) * 2014-02-09 2015-08-13 Calore Medical Ltd. Dispositif pour le repliement et la rétraction automatiques d'une ancre
US11065019B1 (en) 2015-02-04 2021-07-20 Route 92 Medical, Inc. Aspiration catheter systems and methods of use
US10499919B2 (en) * 2015-08-21 2019-12-10 Avenu Medical, Inc. Systems and methods for percutaneous access and formation of arteriovenous fistulas
US10716915B2 (en) 2015-11-23 2020-07-21 Mivi Neuroscience, Inc. Catheter systems for applying effective suction in remote vessels and thrombectomy procedures facilitated by catheter systems
CN108883258B (zh) 2016-04-01 2022-12-27 美国医疗设备有限公司 用于将塞递送到空隙的医疗装置
JP7182054B2 (ja) 2016-04-04 2022-12-02 メリット・メディカル・システムズ・インコーポレイテッド 回転可能なマガジンを有する医療用栓送達装置並びに関連する構成要素及び方法
WO2017198789A1 (fr) * 2016-05-20 2017-11-23 Vivasure Medical Limited Dispositif de fermeture vasculaire
EP3300669A1 (fr) * 2016-09-29 2018-04-04 Universität Zürich Dispositif et procédé de fermeture étanche d'une membrane
EP4134120A1 (fr) 2017-01-10 2023-02-15 Route 92 Medical, Inc. Systèmes de cathéter d'aspiration
WO2018141951A1 (fr) * 2017-02-06 2018-08-09 Universitaet Zürich Dispositif et méthode pour sceller une membrane
AU2018262901B2 (en) * 2017-05-01 2022-06-30 Vascular Graft Solutions Ltd Apparatuses and methods for use in surgical vascular anastomotic procedures
RU175859U1 (ru) * 2017-06-16 2017-12-21 Федеральное государственное бюджетное образовательное учреждение высшего образования "Самарский государственный медицинский университет" Министерства здравоохранения Российской Федерации Баллонный зонд для временной остановки геморроидального кровотечения
EP3723629B1 (fr) * 2017-12-14 2024-11-20 Merit Medical Systems, Inc. Bouchons médicaux, dispositifs de pose des bouchons dans des vides, et kits
AU2019243731B2 (en) 2018-03-28 2024-12-12 Datascope Corp. Device for atrial appendage exclusion
US10610280B1 (en) 2019-02-02 2020-04-07 Ayad K. M. Agha Surgical method and apparatus for destruction and removal of intraperitoneal, visceral, and subcutaneous fat
CN114096201B (zh) * 2019-07-16 2024-08-27 奥林巴斯株式会社 内窥镜用处置器具及其使用方法
JP2022546160A (ja) * 2019-08-30 2022-11-04 エドワーズ ライフサイエンシーズ イノベーション (イスラエル) リミテッド アンカーチャネル先端
US11357771B2 (en) 2019-09-04 2022-06-14 City University Of Hong Kong Methods of preventing or treating flavivirus virus infections and methods of inhibiting the entry of flvivirus, enterovirus or lentivirus into host cells
CN110623720B (zh) * 2019-10-31 2025-03-28 王平山 一种可吸收骨折固定材料热塑器
US20220378430A1 (en) * 2019-11-08 2022-12-01 Avasa Limited A tubular tissue transformer
US12582802B2 (en) 2020-10-09 2026-03-24 Route 92 Medical, Inc. Aspiration catheter systems and methods of use
CN112137669B (zh) * 2020-10-23 2024-11-05 上海理工大学 一种便于调整钛夹的钛夹钳装置及其使用方法
AU2021379752B2 (en) 2020-11-13 2025-10-02 Bard Access Systems,Inc. Mechanical dilator
CA3202879A1 (fr) 2020-12-04 2022-06-09 Bard Access Systems, Inc. Systemes d'insertion de catheter avec dilatation de la peau passive
EP4479116A1 (fr) * 2022-03-02 2024-12-25 Bard Access Systems, Inc. Dispositif de coupe de tissu séparable
WO2023015893A1 (fr) * 2022-03-21 2023-02-16 宁波新跃医疗科技股份有限公司 Tige de traction intégrée d'un dispositif de clampage de tissu et procédé de fabrication associé
WO2023184056A1 (fr) * 2022-03-28 2023-10-05 江苏唯德康医疗科技有限公司 Pince de fermeture médicale
CN116211374A (zh) * 2022-12-05 2023-06-06 中国科学院自动化研究所 用于介入止血机器人的止血器械递送系统

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US20070010851A1 (en) * 2003-07-14 2007-01-11 Chanduszko Andrzej J Tubular patent foramen ovale (PFO) closure device with catch system
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US5486193A (en) * 1992-01-22 1996-01-23 C. R. Bard, Inc. System for the percutaneous transluminal front-end loading delivery of a prosthetic occluder
US20090163934A1 (en) * 1999-04-09 2009-06-25 Evalve, Inc. Detachment mechanism for implantable fixation devices
US20070010851A1 (en) * 2003-07-14 2007-01-11 Chanduszko Andrzej J Tubular patent foramen ovale (PFO) closure device with catch system

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Title
See also references of WO2011057282A2 *

Also Published As

Publication number Publication date
EP2498689A2 (fr) 2012-09-19
WO2011057282A3 (fr) 2011-09-15
CN102711631A (zh) 2012-10-03
WO2011057282A2 (fr) 2011-05-12
IN2012DN05147A (fr) 2015-10-23
CN102711631B (zh) 2015-04-22
KR20120101677A (ko) 2012-09-14
JP2013509974A (ja) 2013-03-21
KR101426627B1 (ko) 2014-08-05
JP5626738B2 (ja) 2014-11-19

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