EP4054448A4 - Procédé et dispositif de septostomie pour créer une ouverture interauriculaire - Google Patents

Procédé et dispositif de septostomie pour créer une ouverture interauriculaire 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
German (de)
English (en)
Other versions
EP4054448A1 (fr
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/fr
Publication of EP4054448A4 publication Critical patent/EP4054448A4/fr
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 Procédé et dispositif de septostomie pour créer une ouverture interauriculaire Pending EP4054448A4 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2019/060364 WO2021091566A1 (fr) 2019-11-07 2019-11-07 Procédé et dispositif de septostomie pour créer une ouverture interauriculaire

Publications (2)

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

Family

ID=75848565

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19951868.9A Pending EP4054448A4 (fr) 2019-11-07 2019-11-07 Procédé et dispositif de septostomie pour créer une ouverture interauriculaire

Country Status (2)

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

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
WO2021034537A1 (fr) 2019-08-22 2021-02-25 Edwards Lifesciences Corporation Aiguilles de ponction
CN114667117A (zh) 2019-09-09 2022-06-24 施菲姆德控股有限责任公司 可调整分流器和相关联的系统和方法
CN114727836B (zh) 2019-11-14 2026-01-09 爱德华兹生命科学公司 经导管的医疗植入物递送
EP4138649B1 (fr) 2020-04-23 2025-09-24 Shifamed Holdings, LLC Capteurs intracardiaques dotés de configurations commutables et systèmes et procédés associés
US12213817B2 (en) 2020-04-23 2025-02-04 Shifamed Holdings, Llc Systems and methods for radiographic monitoring of shunts
WO2021217059A1 (fr) 2020-04-23 2021-10-28 Shifamed Holdings, Llc Gestion d'énergie de shunts interauriculaires et systèmes et méthodes associés
EP4203847B1 (fr) 2020-08-25 2025-10-22 Shifamed Holdings, LLC Shunts interauriculaires réglables et systèmes associés
US12544010B2 (en) 2020-10-28 2026-02-10 Shifamed Holdings, Llc Systems and methods for electrical monitoring of implantable devices
EP4243915A4 (fr) 2020-11-12 2024-08-07 Shifamed Holdings, LLC Dispositifs pouvant être implantés réglables et procédés associés
US12527942B2 (en) 2021-02-01 2026-01-20 Edwards Lifesciences Corporation Pulmonary vein shunting
WO2022192280A1 (fr) 2021-03-09 2022-09-15 Shifamed Holdings, Llc Actionneurs à mémoire de forme pour systèmes de dérivation réglables et systèmes et procédés associés
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
EP4676369A1 (fr) 2023-03-03 2026-01-14 Theraheart Inc. Éléments expansibles pour cathéters de dérivation
WO2024211764A1 (fr) 2023-04-06 2024-10-10 Theraheart Inc. Éléments de découpage pour cathéters de dérivation
WO2024258474A1 (fr) * 2023-06-15 2024-12-19 Theraheart Inc. Mécanismes d'ablation extensibles pour cathéters de dérivation
US12201354B1 (en) 2024-04-01 2025-01-21 Theraheart Inc. Expandable ablation mechanisms for shunting catheters
WO2025212081A1 (fr) * 2024-04-01 2025-10-09 Theraheart Inc. Mécanismes d'ablation extensibles pour cathéters de dérivation

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 (fr) * 2017-02-10 2018-08-16 Texas Medical Center Dispositif transcathéter pour anastomose interauriculaire
WO2019109013A1 (fr) * 2017-11-30 2019-06-06 Alleviant Medical, Inc. Dispositif transcathéter pour anastomose interauriculaire
WO2019188916A1 (fr) * 2018-03-29 2019-10-03 テルモ株式会社 Dispositif médical et méthode de traitement

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010118064A1 (fr) * 2009-04-06 2010-10-14 O'donnell Michael J Système et procédé de résection d'une valvule

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 (fr) * 2017-02-10 2018-08-16 Texas Medical Center Dispositif transcathéter pour anastomose interauriculaire
WO2019109013A1 (fr) * 2017-11-30 2019-06-06 Alleviant Medical, Inc. Dispositif transcathéter pour anastomose interauriculaire
WO2019188916A1 (fr) * 2018-03-29 2019-10-03 テルモ株式会社 Dispositif médical et méthode de traitement

Non-Patent Citations (1)

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

Also Published As

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

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