KR970702012A - 혈관의 구멍봉합용 어셈블리(Assembly for sealing a puncture in a vessel) - Google Patents

혈관의 구멍봉합용 어셈블리(Assembly for sealing a puncture in a vessel)

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KR970702012A
KR970702012A KR1019960705766A KR19960705766A KR970702012A KR 970702012 A KR970702012 A KR 970702012A KR 1019960705766 A KR1019960705766 A KR 1019960705766A KR 19960705766 A KR19960705766 A KR 19960705766A KR 970702012 A KR970702012 A KR 970702012A
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incision
assembly
patient
sealing
seal
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KR100227079B1 (ko
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헨리 한남 피터
데일 앨리슨 리차드
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스탠리 엔. 가버
셔우드 메디칼 캄파니
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00491—Surgical glue applicators
    • 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
    • A61B2017/00637—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 sealing trocar wounds through abdominal wall
    • 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
    • A61B2017/00659—Type of implements located only on one side of the opening

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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)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Closures For Containers (AREA)

Abstract

이 발명은 환자의 몸 내의 절개된 곳 또는 구멍(puncture)을 봉인하기 위해서, 환자의 혈관, 도관, 체강 또는 루멘의 벽을 따라 위치하는 제1부재(30) 및 상기 환자의 혈과, 도관 또는 루멘을 통해 체액의 흐름으로부터 절개부 또는 구멍을 봉인하도록 제1부재에 결합된 필라멘트(36) 또는 클립 부재(78) 주위에 절개부 또는 구멍 내로 주입되는 젤라틴 물질을 포함하여 생흡수되는 어셈블리 및 이에 대한 방법에 관한 것이다.

Description

혈관의 구멍봉합용 어셈블리(Assembly for sealing a puncture in a vessel)
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제21도는 환자의 몸체내 절개된 곳에 제19도에 도시된 실시예의 젤라틴 물질, 클립 부재 및 앵커 부재를 부분 단면으로 도시한 측면도.

Claims (34)

  1. 환자의 피부로부터 환자의 혈관, 도관(duct), 루멘(lumen) 또는 체강 안으로 연장되는 환자의 신체의 절개부를 봉인하기 위한 어셈블리에 있어서, 생체내로 흡수되는(bioabsorbable)물질로 형성되며, 환자의 혈관, 도관 또는 루멘 내에 배치되는 크기로 된 제1부재; 및 생체내로 흡수되는 젤라틴 물질로 형성되며, 상기 제1부재와 협력하여 상기 절개부를 통해 체액의 흐름으로부터 상기 절개부와 봉인하는 제2부재를 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  2. 제1항에 있어서, 상기 제2부재는 환자의 몸 내에서 흡수되는 지혈 촉진 물질로 형성된 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  3. 제1항에 있어서, 상기 제1부재와 상기 제2부재 사이에는 연장되는 제3부재를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  4. 제3항에 있어서, 상기 제3부재는 필라멘트 부재이며, 상기 제3부재는 상기 제1부재 또는 상기 제2부재 중 한개 이상과 마찰로(frictionally) 맞물리는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  5. 제3항에 있어서, 상기 제3부재는 가요성 필라멘트 부재인 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  6. 제3항에 있어서, 상기 제3부재는 단단한(rigid)물질로 형성되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  7. 제6항에 있어서, 상기 제3부재는 상기 제2부재에 의해서 적어도 부분적으로 둘러싸인 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  8. 제1항에 있어서, 상기 제1부재는 앵커(anchor)부재인 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  9. 제1항에 있어서, 상기 제2부재는 환자 몸 내의 절개부 안으로 주입되는 주사가능한 물질로 형성되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  10. 제1항에 있어서, 상기 제1부재는 환자의 혈관 내에 조작적으로 배치되고, 상기 제2부재는 상기 절개부내에 조작적으로 배치되며, 제3부재는 상기 제1부재, 상기 제2부재 및 상기 제3부재가 협동하여 상기 절개부를 통해 상기 혈관에서의 혈액의 흐름으로부터 상기 절개부를 봉인하도록 상기 제1부재와 상기 제2부재 사이에서 연장되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  11. 제10항에 있어서, 상기 제2부재는 상기 절개부를 통한 체액의 흐름으로부터 상기 절개부를 봉인하도록 함께 혼합되는 복수의 주사가능한 물질로 형성된 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  12. 제11항에 있어서, 상기 주사가능한 물질은 내부에 함유 물질을 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  13. 제11항에 있어서, 상기 물질은 내부에 피브리노겐 함유 물질을 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  14. 환자의 피부로부터 상기 환자의 혈관, 도관, 루멘 내부로 연장되는, 환자의 신체의 절개부를 봉인하기 위한 어셈블리에 있어서, 생체 내로 흡수되는 물질로 형성되며, 환자의 혈관, 도관, 체강 또는 루멘 내에 배치되는 크기로 된 제1부재와; 생체 내로 흡수되는 젤라틴 물질로 형성되며, 상기 제1부재와 협력하여 상기 절개부를 통해 체액의 흐름으로부터 상기 절개부와 협동하여 봉인하는 제2부재; 및 상기 제1부재 또는 상기 제2부재 중 한개 이상의 삽입이 용이하도록 가늘고 긴 관형 부재가 구비된 삽입 어셈블리를 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  15. 제14항에 있어서, 상기 관형 부재는 가늘고 긴 유도 장치(introducer) 부재이며, 상기 제1부재는 상기 유도 장치 부재로부터 환자의 혈관, 도관 또는 루멘 내로 방출되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  16. 제14항에 있어서, 상기 관형 부재는 이에 결합된 방출용 수단을 포함하며, 상기 제2부재는 상기 수단으로 방출되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  17. 제14항에 있어서, 복수의 챔버를 안에 갖고 있는 주사기 어셈블리를 포함하며, 상기 챔버는 상기 제2부재의 일부를 내부에 포함하는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  18. 제14항에 있어서, 상기 관형 부재는 그 위에 주입 포트를 포함하며, 상기 제2부재는 상기 주입포트를 통해 주입되는 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  19. 제14항에 있어서, 클립 부재를 위에 갖는 주사기 어셈블리를 포함하며, 사용할 때 상기 클립 부재는 상기 제1부재로부터 상기 주사기 어셈블리를 이격시키도록 하는 크기로 된 것을 특징으로 하는 신체 절개부봉인용 어셈블리.
  20. 제19항에 있어서, 사용할 때 상기 클립 부재는 생체 내로 흡수되며 상기 제1부재와 접촉하도록 하는 크기로 된 것을 특징으로 하는 신체 절개부 봉인용 어셈블리.
  21. 상기 환자의 선택된 혈관 안에서 환자의 피부로부터 연장되는 환자 신체에 형성된 절개부를 봉인하기 위한 방법에 있어서, 상기 혈관의 벽에 인접한 위치까지 상기 절개부 안으로 제1부재를 삽입하는 단계; 및 상기 혈관을 통해 흐르는 혈액의 흐름으로부터 절개부를 봉인하기 위해, 상기 제1부재의 중앙 단부쪽의 절개부 내에 놓이도록 젤라틴 물질을 상기 절개부 안으로 주입하는 단계를 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  22. 제21항에 있어서, 주사기 부재로부터 상기 젤라틴 물질을 상기 절개부 안으로 방출하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  23. 제22항에 있어서, 상기 젤라틴 물질을 형성하도록 상기 절개부 안으로 복수의 물질을 주입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  24. 제21항에 있어서, 필라멘트 부재가 상기 절개부 내의 젤라틴 물질에 의해 마찰성 맞물림이 되도록 상기 절개부 내에 상기 필라멘트 부재를 삽입시키는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  25. 제21항에 있어서, 클립 부재가 상기 절개부 내의 젤라틴 물질에 의해 마찰성 맞물림이 되도록 상기 절개부 내에 상기 클립 부재를 삽입시키는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  26. 제21항에 있어서, 클립 부재가 상기 절개부 내에 배치되고, 상기 제1부재와 접촉하도록 상기 클립 부재를 상기 절개부 내에 삽입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  27. 제26항에 있어서, 주사기 어셈블리의 말단 단부 부분 상에 상기 클립 부재가 위치하게 함으로써 상기 절개부 내에 상기 클립 부재를 삽입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  28. 제21항에 있어서, 상기 주사기 어셈블리의 말단 단부 부분을 원하는 위치에 삽입하도록 필라멘트 부재를 따라 상기 절개부 내로 주사기 어셈블리를 삽입하고, 상기 어셈블리로부터 상기 제라틴 물질을 방출하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  29. 제21항에 있어서, 가늘고 긴 관형 부재를 통해 상기 절개부 내에 상기 젤라틴 물질을 삽입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  30. 제29항에 있어서, 상기 절개부 내에 그리고 상기 제1부재에 조작적으로 접속되는 필라멘트 부재 주위에 젤라틴 물질을 삽입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  31. 제30항에 있어서, 상기 젤라틴 물질이 상기 절개부 내에서 경화하여 상기 절개부를 통해 체액의 흐름으로부터 상기 절개부를 봉인하도록 가늘고 긴 관형 부재를 통해 상기 절개부 내에로 젤라틴 물질을 주입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  32. 제21항에 있어서, 상기 절개부 내에 상기 젤라틴 물질의 일부로서 트롬빈을 함유하는 물질을 주입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  33. 제21항에 있어서, 상기 절개부 내에 상기 젤라틴 물질의 일부로서 피브린을 함유하는 물질을 주입하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
  34. 제21항에 있어서, 트롬빈 및 피브린을 함유하는 별도의 물질들을 주입하고 절개부 내에 상기 젤라틴 물질을 형성하도록 절개부 내에 상기 피브린 및 트롬빈을 혼합하는 단계를 추가로 포함하는 것을 특징으로 하는 신체 절개부 봉인 방법.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019960705766A 1995-02-10 1996-02-05 혈관의 구멍 봉합용 어셈블리 Expired - Fee Related KR100227079B1 (ko)

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US08/389,839 US5649959A (en) 1995-02-10 1995-02-10 Assembly for sealing a puncture in a vessel
US389,839 1995-02-10
PCT/US1996/001719 WO1996024290A1 (en) 1995-02-10 1996-02-05 Assembly for sealing a puncture in a vessel

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