EP3787525A4 - Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs - Google Patents

Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs Download PDF

Info

Publication number
EP3787525A4
EP3787525A4 EP19796112.1A EP19796112A EP3787525A4 EP 3787525 A4 EP3787525 A4 EP 3787525A4 EP 19796112 A EP19796112 A EP 19796112A EP 3787525 A4 EP3787525 A4 EP 3787525A4
Authority
EP
European Patent Office
Prior art keywords
methods
devices
left atrial
atrial appendage
appendage exclusion
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.)
Pending
Application number
EP19796112.1A
Other languages
English (en)
French (fr)
Other versions
EP3787525A1 (de
Inventor
David A. Melanson
Andy H. Levine
James H. Loper
Michael T. Radford
Carol Devellian
Aaron V. Kaplan
Ronald B. Lamport
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.)
Conformal Medical Inc
Original Assignee
Conformal Medical 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 US15/969,654 external-priority patent/US11426172B2/en
Application filed by Conformal Medical Inc filed Critical Conformal Medical Inc
Publication of EP3787525A1 publication Critical patent/EP3787525A1/de
Publication of EP3787525A4 publication Critical patent/EP3787525A4/de
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/12031—Type of occlusion complete occlusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12177—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12181—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical 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
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • 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
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065—Functions of balloons
    • A61B2017/22069—Immobilising; Stabilising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3624—Heart stimulators for treating or preventing abnormally high heart rate occurring in the atrium, i.e. atrial tachycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/395—Heart defibrillators for treating atrial fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
EP19796112.1A 2018-05-02 2019-04-26 Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs Pending EP3787525A4 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US15/969,654 US11426172B2 (en) 2016-10-27 2018-05-02 Devices and methods for excluding the left atrial appendage
PCT/US2019/029364 WO2019212894A1 (en) 2018-05-02 2019-04-26 Devices and methods for excluding the left atrial appendage

Publications (2)

Publication Number Publication Date
EP3787525A1 EP3787525A1 (de) 2021-03-10
EP3787525A4 true EP3787525A4 (de) 2022-06-22

Family

ID=68386645

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19796112.1A Pending EP3787525A4 (de) 2018-05-02 2019-04-26 Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs

Country Status (4)

Country Link
EP (1) EP3787525A4 (de)
JP (2) JP7366933B2 (de)
CN (1) CN112367929A (de)
WO (1) WO2019212894A1 (de)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11399842B2 (en) 2013-03-13 2022-08-02 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2014164572A1 (en) 2013-03-13 2014-10-09 Kaplan Aaron V Devices and methods for excluding the left atrial appendage
US11426172B2 (en) 2016-10-27 2022-08-30 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP4516244A3 (de) 2016-10-27 2025-09-03 Conformal Medical, Inc. Vorrichtungen zum ausschluss des linken herzohrs
US12268394B2 (en) 2019-02-08 2025-04-08 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
US12144508B2 (en) 2019-02-08 2024-11-19 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2020198259A1 (en) 2019-03-25 2020-10-01 Laminar, Inc. Devices and systems for treating the left atrial appendage
JP7758265B2 (ja) 2020-03-24 2025-10-22 ラミナー インコーポレイテッド 体内の空洞を塞ぐためのデバイス、システム、および方法
WO2023283440A1 (en) * 2021-07-09 2023-01-12 Boston Scientific Scimed, Inc. Direct oral anticoagulant-eluting medical device
CN113729860A (zh) * 2021-08-16 2021-12-03 万漉医疗科技(江苏)有限公司 血栓清除装置及方法
WO2023192189A1 (en) 2022-03-28 2023-10-05 Laminar, Inc. Devices, systems, and methods for transseptal puncture
CN114668444B (zh) * 2022-03-30 2024-11-22 宁波迪创医疗科技有限公司 一种防内凹的封堵器
EP4494571A4 (de) * 2022-04-04 2025-05-21 Terumo Kabushiki Kaisha Verweilendes medizinisches objekt
CN115024782B (zh) * 2022-05-05 2025-02-28 上海形状记忆合金材料有限公司 挂钩及封堵装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170042549A1 (en) * 2014-03-10 2017-02-16 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2017066197A1 (en) * 2015-10-12 2017-04-20 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP3531926A2 (de) * 2016-10-27 2019-09-04 Conformal Medical, Inc. Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs

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US7128073B1 (en) * 1998-11-06 2006-10-31 Ev3 Endovascular, Inc. Method and device for left atrial appendage occlusion
US20030181922A1 (en) * 2002-03-20 2003-09-25 Spiration, Inc. Removable anchored lung volume reduction devices and methods
JP2007521843A (ja) 2003-05-15 2007-08-09 バイオメリクス コーポレーション 網状化エラストマー系マトリックス、その製造、及び移植可能な装置における使用
US20050234540A1 (en) * 2004-03-12 2005-10-20 Nmt Medical, Inc. Dilatation systems and methods for left atrial appendage
EP2389121B1 (de) * 2009-01-22 2020-10-07 St. Jude Medical, Cardiology Division, Inc. Postoperatives einstellinstrument, minimalinvasive befestigungsvorrichtung und einstellbarer trikuspidalring
US10064628B2 (en) * 2009-06-17 2018-09-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8764793B2 (en) * 2011-06-17 2014-07-01 Northwestern University Left atrial appendage occluder
US8870947B2 (en) * 2011-09-16 2014-10-28 W.L. Gore & Associates, Inc. Medical device fixation anchors
BR112014016789A8 (pt) * 2012-01-06 2017-07-04 Inceptus Medical LLC dispositivos de oclusão expansíveis e métodos de uso
US20130237908A1 (en) * 2012-03-09 2013-09-12 Boston Scientific Scimed, Inc. Sponge-like left atrial occlusion device and related methods of use
US20140135817A1 (en) * 2012-11-14 2014-05-15 Boston Scientific Scimed, Inc. Left atrial appendage closure implant
WO2014164572A1 (en) * 2013-03-13 2014-10-09 Kaplan Aaron V Devices and methods for excluding the left atrial appendage
US9839431B2 (en) * 2014-01-14 2017-12-12 St. Jude Medical, Cardiology Division Inc. Occlusion devices and methods of making and using same
EP3028652A1 (de) * 2014-12-03 2016-06-08 Peter Osypka Stiftung Verschlussvorrichtung geeignet zum Verschließen des linken Herz Ohrs
CN109069160B (zh) * 2016-03-17 2022-05-17 S·珍耶那曼 封堵解剖结构
US11426172B2 (en) * 2016-10-27 2022-08-30 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170042549A1 (en) * 2014-03-10 2017-02-16 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
WO2017066197A1 (en) * 2015-10-12 2017-04-20 Conformal Medical, Inc. Devices and methods for excluding the left atrial appendage
EP3531926A2 (de) * 2016-10-27 2019-09-04 Conformal Medical, Inc. Vorrichtungen und verfahren zum ausschluss des linken vorhofanhangs

Also Published As

Publication number Publication date
CN112367929A (zh) 2021-02-12
JP2023184549A (ja) 2023-12-28
WO2019212894A1 (en) 2019-11-07
JP7366933B2 (ja) 2023-10-23
JP2021522896A (ja) 2021-09-02
EP3787525A1 (de) 2021-03-10

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