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EP2498689A4 - Gewebeverschlussvorrichtungen, freisetzungsvorrichtung und -systeme, kits und verfahren dafür - Google Patents

Gewebeverschlussvorrichtungen, freisetzungsvorrichtung und -systeme, kits und verfahren dafür

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Withdrawn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
English (en)
French (fr)
Other versions
EP2498689A2 (de
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/de
Publication of EP2498689A4 publication Critical patent/EP2498689A4/de
Withdrawn legal-status Critical Current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
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • 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
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • 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
    • 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
    • A61B17/3209—Incision instruments
    • 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
    • A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • 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
    • A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00615—Implements with an occluder on one side of the opening and holding means therefor on the other
    • 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
    • A61B2017/00575—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 closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00623—Introducing or retrieving devices therefor
    • 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
    • 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
    • A61B2017/00668—Type of implements the implement being a tack or a staple
    • 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
    • A61B2017/00672—Locating means therefor, e.g. bleed back lumen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461—Means 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
    • A61B2017/0462—One way system, i.e. also tensioning the suture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • 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
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A61B2018/00422—Angioplasty
    • 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
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • 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
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • 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
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers 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)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Coating Apparatus (AREA)
EP10829294.7A 2009-11-09 2010-11-09 Gewebeverschlussvorrichtungen, freisetzungsvorrichtung und -systeme, kits und verfahren dafür Withdrawn EP2498689A4 (de)

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 (en) 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits and methods therefor

Publications (2)

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

Family

ID=46650269

Family Applications (1)

Application Number Title Priority Date Filing Date
EP10829294.7A Withdrawn EP2498689A4 (de) 2009-11-09 2010-11-09 Gewebeverschlussvorrichtungen, freisetzungsvorrichtung und -systeme, kits und verfahren dafür

Country Status (6)

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

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WO2007131110A2 (en) 2006-05-03 2007-11-15 Raptor Ridge, Llc Systems and methods of tissue closure
US8986327B2 (en) * 2012-10-18 2015-03-24 Smith & Nephew, Inc. Flexible anchor delivery system
CA2904976A1 (en) * 2013-03-14 2014-10-02 Cardiovantage Medical, Inc. Tissue and vascular closure devices and methods of use thereof
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
WO2015077356A1 (en) 2013-11-19 2015-05-28 Wheeler William K Fastener applicator with interlock
WO2015118373A1 (en) * 2014-02-09 2015-08-13 Calore Medical Ltd. Device for automatic anchor undeployment and retraction
WO2017035034A1 (en) * 2015-08-21 2017-03-02 Avenu Medical, Inc. Systems and methods for percutaneous access and formation of arteriovenous fistulas
US11964136B2 (en) 2016-04-01 2024-04-23 Merit Medical Systems, Inc. Medical devices for delivering plugs to voids
BR112018070374A2 (pt) 2016-04-04 2019-02-05 Merit Medical Systems Inc dispositivos para a aplicação de tampão médico com um magazine giratório e componentes e métodos relacionados
CN108495590B (zh) * 2016-05-20 2022-04-01 维瓦舒尔医疗设备有限公司 血管闭合装置
EP3300669A1 (de) * 2016-09-29 2018-04-04 Universität Zürich Vorrichtung und verfahren zur abdichtung einer membran
EP3568186B1 (de) * 2017-01-10 2022-09-14 Route 92 Medical, Inc. Aspirationskathetersysteme
JP2020505181A (ja) * 2017-02-06 2020-02-20 ユニベアズィテート チューリッヒ 膜を密閉するためのデバイス及び方法
CN110602997B (zh) * 2017-05-01 2023-05-05 血管移植解决方案有限公司 外科血管吻合手术中使用的器械和方法
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
US20190183468A1 (en) 2017-12-14 2019-06-20 Merit Medical Systems, Inc. Medical plugs, devices for delivering the plugs to voids, and related kits and methods
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
WO2021009836A1 (ja) * 2019-07-16 2021-01-21 オリンパス株式会社 内視鏡用処置具およびその使用方法
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
KR20220112776A (ko) * 2019-11-08 2022-08-11 아바사 리미티드 관형상 조직 트랜스포머
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
CN116687520A (zh) * 2022-03-02 2023-09-05 巴德阿克塞斯系统股份有限公司 组织切割装置和针组件
CN115916072A (zh) * 2022-03-21 2023-04-04 宁波新跃医疗科技股份有限公司 组织夹闭装置的一体式拉杆及制造方法
CN117425443A (zh) * 2022-03-28 2024-01-19 江苏唯德康医疗科技有限公司 一种医用闭合夹

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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
US20090163934A1 (en) * 1999-04-09 2009-06-25 Evalve, Inc. Detachment mechanism for implantable fixation devices

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Publication number Priority date Publication date Assignee Title
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

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2011057282A2 *

Also Published As

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

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