EP4054448A4 - Verfahren und septostomievorrichtung zum erzeugen einer interatrialen apertur - Google Patents

Verfahren und septostomievorrichtung zum erzeugen einer interatrialen apertur Download PDF

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Publication number
EP4054448A4
EP4054448A4 EP19951868.9A EP19951868A EP4054448A4 EP 4054448 A4 EP4054448 A4 EP 4054448A4 EP 19951868 A EP19951868 A EP 19951868A EP 4054448 A4 EP4054448 A4 EP 4054448A4
Authority
EP
European Patent Office
Prior art keywords
creating
septostomy device
interatrial aperture
interatrial
aperture
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
EP19951868.9A
Other languages
English (en)
French (fr)
Other versions
EP4054448A1 (de
Inventor
Gil Vardi
Chris Minar
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.)
Intershunt Technologies Inc
Original Assignee
Intershunt 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
Application filed by Intershunt Technologies Inc filed Critical Intershunt Technologies Inc
Publication of EP4054448A1 publication Critical patent/EP4054448A1/de
Publication of EP4054448A4 publication Critical patent/EP4054448A4/de
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61B2017/22038—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 a guide wire
    • A61B2017/22042—Details of the tip of the guide wire
    • A61B2017/22044—Details of the tip of the guide wire with a pointed tip
    • 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
    • A61B2017/22054—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 with two balloons
    • 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
    • A61B2017/22061—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 for spreading elements apart
    • 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
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • 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
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • 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
    • A61B2018/1475—Electrodes retractable in or deployable from a housing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
EP19951868.9A 2019-11-07 2019-11-07 Verfahren und septostomievorrichtung zum erzeugen einer interatrialen apertur Pending EP4054448A4 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2019/060364 WO2021091566A1 (en) 2019-11-07 2019-11-07 Method and septostomy device for creating an interatrial aperture

Publications (2)

Publication Number Publication Date
EP4054448A1 EP4054448A1 (de) 2022-09-14
EP4054448A4 true EP4054448A4 (de) 2023-07-12

Family

ID=75848565

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19951868.9A Pending EP4054448A4 (de) 2019-11-07 2019-11-07 Verfahren und septostomievorrichtung zum erzeugen einer interatrialen apertur

Country Status (2)

Country Link
EP (1) EP4054448A4 (de)
WO (1) WO2021091566A1 (de)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12533500B2 (en) 2019-06-18 2026-01-27 Shifamed Holdings, Llc Adjustable interatrial shunts and associated systems and methods
EP4017384A1 (de) 2019-08-22 2022-06-29 Edwards Lifesciences Corporation Punktionsnadeln
WO2021050589A1 (en) 2019-09-09 2021-03-18 Shifamed Holdings, Llc Adjustable shunts and associated systems and methods
CN121694847A (zh) 2019-11-14 2026-03-20 爱德华兹生命科学公司 经导管的医疗植入物递送
EP4138981A4 (de) 2020-04-23 2024-05-22 Shifamed Holdings, LLC Leistungsverwaltung für interatriale shunts sowie zugehörige systeme und verfahren
EP4138978A4 (de) 2020-04-23 2024-05-01 Shifamed Holdings, LLC Systeme und verfahren zur radiographischen überwachung von shunts
EP4138649B1 (de) 2020-04-23 2025-09-24 Shifamed Holdings, LLC Intrakardiale sensoren mit schaltbaren konfigurationen und zugehörige systeme und verfahren
US11801369B2 (en) 2020-08-25 2023-10-31 Shifamed Holdings, Llc Adjustable interatrial shunts and associated systems and methods
US12544010B2 (en) 2020-10-28 2026-02-10 Shifamed Holdings, Llc Systems and methods for electrical monitoring of implantable devices
US11857197B2 (en) 2020-11-12 2024-01-02 Shifamed Holdings, Llc Adjustable implantable devices and associated methods
US12527942B2 (en) 2021-02-01 2026-01-20 Edwards Lifesciences Corporation Pulmonary vein shunting
WO2022192280A1 (en) 2021-03-09 2022-09-15 Shifamed Holdings, Llc Shape memory actuators for adjustable shunting systems, and associated systems and methods
CN113576609A (zh) * 2021-08-12 2021-11-02 深圳佰特微医疗科技有限公司 造口器械
CN113576610A (zh) * 2021-08-30 2021-11-02 深圳佰特微医疗科技有限公司 造口器械
US12569296B2 (en) 2021-09-29 2026-03-10 Medtronic Vascular, Inc. Left-atrium-to-coronary-sinus shunt
CN113967053A (zh) * 2021-10-21 2022-01-25 深圳佰特微医疗科技有限公司 组织牵引装置及用于在组织中形成孔的装置
CN116019607B (zh) * 2021-11-22 2024-02-23 武汉唯柯医疗科技有限公司 一种心房分流减压装置
CN114305537B (zh) * 2022-01-19 2024-04-09 上海腾复医疗科技有限公司 房间隔血流通道创建装置
CN121079048B (zh) 2023-03-03 2026-04-10 塞纳医疗公司 用于分流导管的可扩展元件
WO2024211764A1 (en) 2023-04-06 2024-10-10 Theraheart Inc. Slicing elements for shunting catheters
US12262943B2 (en) 2023-06-15 2025-04-01 Theraheart Inc. Expandable ablation mechanisms for shunting catheters
US12201354B1 (en) 2024-04-01 2025-01-21 Theraheart Inc. Expandable ablation mechanisms for shunting catheters
WO2025212081A1 (en) * 2024-04-01 2025-10-09 Theraheart Inc. Expandable ablation mechanisms for shunting catheters

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140309679A1 (en) * 2013-04-15 2014-10-16 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements
US20180064460A1 (en) * 2014-06-13 2018-03-08 InterShunt Technologies, Inc. Method and catheter for creating an interatrial aperture
WO2018148456A1 (en) * 2017-02-10 2018-08-16 Texas Medical Center Transcatheter device for interatrial anastomosis
WO2019109013A1 (en) * 2017-11-30 2019-06-06 Alleviant Medical, Inc. Transcatheter device for interatrial anastomosis
WO2019188916A1 (ja) * 2018-03-29 2019-10-03 テルモ株式会社 医療デバイス及び処置方法

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8496655B2 (en) * 2009-04-06 2013-07-30 Michael J. O'Donnell System and method for resecting a valve

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140309679A1 (en) * 2013-04-15 2014-10-16 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements
US20180064460A1 (en) * 2014-06-13 2018-03-08 InterShunt Technologies, Inc. Method and catheter for creating an interatrial aperture
WO2018148456A1 (en) * 2017-02-10 2018-08-16 Texas Medical Center Transcatheter device for interatrial anastomosis
WO2019109013A1 (en) * 2017-11-30 2019-06-06 Alleviant Medical, Inc. Transcatheter device for interatrial anastomosis
WO2019188916A1 (ja) * 2018-03-29 2019-10-03 テルモ株式会社 医療デバイス及び処置方法

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2021091566A1 *

Also Published As

Publication number Publication date
EP4054448A1 (de) 2022-09-14
WO2021091566A1 (en) 2021-05-14

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