JP4318718B2 - 開存性卵円孔の処置のための方法および装置 - Google Patents
開存性卵円孔の処置のための方法および装置 Download PDFInfo
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- JP4318718B2 JP4318718B2 JP2006509418A JP2006509418A JP4318718B2 JP 4318718 B2 JP4318718 B2 JP 4318718B2 JP 2006509418 A JP2006509418 A JP 2006509418A JP 2006509418 A JP2006509418 A JP 2006509418A JP 4318718 B2 JP4318718 B2 JP 4318718B2
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- closure device
- pfo
- energy
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- foramen ovale
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- Expired - Lifetime
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Description
本出願は、以下の米国仮特許出願:60/458,854(代理人整理番号022128−000100US)(2003年3月27日に出願された);60/478,035(代理人整理番号022 128−000110US)(2003年1月11日に出願された)、および60/49008(代理人整理番号022128−000120US)(2003年7月24日に出願された)(これらの全開示は、本明細書中において参考として援用される)に対して優先権を主張する。本出願は、以下の米国特許出願番号:10/665974(代理人整理番号022128−000300US)(2003年9月16日に出願された);10/679245(代理人整理番号022128−000200US)(2003年10月2日に出願された);10/787532(代理人整理番号022128−000130US)(2004年2月25日に出願された);および10/ (代理人整理番号02212B−000400US(本出願と同時に出願された)(この全開示は、本明細書中において参考として援用される)に関連する。
本発明は、一般的に、医療用装置および方法に関する。より詳細には、本発明は、開存性卵円孔の処置のための装置および方法に関する。
開存性卵円孔(PFO)の処置のための方法および装置は、一般的に、その遠位端に処置装置を有するカテーテルの使用を含む。本実施形態において、この処置装置は、カテーテルの遠位端に配置される少なくとも1つの伝導性要素を備える。この処置装置はまた、PFO内へ所定の深さまで処置装置の貫入を制限するためのポジティブストップ特徴を備え得る。この装置はまた、閉鎖デバイスとともに使用される、エネルギー供給源(例えば、無線周波数発電機)を備える。
本発明の方法および装置は、一般的に、孔の閉鎖をもたらすために、開存性卵円孔(PFO)に隣接する組織を処理するために提供される。この方法およびデバイスは、代表的に、処置を提供するために、PFO近くにカテーテルの遠位端を位置付けるように、患者の脈管構造を通して進められ得るカテーテルデバイスを備える。次いで、カテーテル遠位端または遠位端近くに配置される処置装置は、PFOの周囲の心臓壁組織の少なくとも一部を処置して、PFOを閉鎖するために使用され得る。多くの実施形態において、処置装置は、エネルギーを閉鎖デバイスおよびPFOの周囲の組織に伝達するために使用される。エネルギーによって、PFOの組織と閉鎖デバイスとの間に結合が生じ、これは次いで、PFOを閉鎖する組織の応答を誘導する。1つの実施形態において、処置装置は、1つ以上の伝導性要素を備える。このような伝導性要素は、カテーテルの本体内後退可能であり得る(本体内から伸長可能であり得る)。
Claims (22)
- 開存性卵円孔を処置するための装置であって、
近位端及び遠位端を有する細長いカテーテル本体と、
前記遠位端近くで前記カテーテル本体と連結したエネルギー伝達部材と、
前記エネルギー伝達部材に取り外し自在に取り付けられた閉鎖デバイスと、を備え、
前記閉鎖デバイスは、前記エネルギー伝達部材からエネルギーが供給されることによって開存性卵円孔の組織と結合して開存性卵円孔を埋めつつ閉鎖する、装置。 - 前記閉鎖デバイスは、エネルギー伝達部材が挿入された状態で、該エネルギー伝達部材に取り付けられている、請求項1記載の装置。
- 前記閉鎖デバイスは、エネルギー供給後に前記エネルギー伝達部材が前記閉鎖デバイスから取り外される際には前記エネルギー伝達部材の跡をシールする、請求項1または請求項2記載の装置。
- 前記少なくとも一つの閉鎖デバイスは、生体再吸収性材料から構成される、請求項1乃至3のいずれか一項に記載の装置。
- 前記少なくとも一つの閉鎖デバイスは、非生体再吸収性材料から構成される、請求項1乃至3のいずれか一項に記載の装置。
- 前記閉鎖デバイスは、二以上のエネルギー伝達部材にわたる、請求項1乃至5のいずれか一項に装置。
- 前記エネルギー伝達部材は、無線周波数、抵抗加熱、超音波、マイクロ波、及びレーザエネルギーの少なくとも一つを伝達する、請求項1乃至6のいずれか一項に記載の装置。
- 前記開存性卵円孔に隣接する左心房組織を係合して、開存性卵円孔の組織に対する前記閉鎖デバイスの位置決めを向上させる、前記カテーテルと結合された少なくとも一つのバックストップ部材を更に備える、請求項1乃至7のいずれか一項に記載の装置。
- 前記細長いカテーテル本体及び前記遠位端近くに配置され、前記開存性卵円孔の組織に対して前記閉鎖デバイスを展開するための少なくとも一つの拡張可能バルーン部材を更に備える、請求項1乃至8のいずれか一項に記載の装置。
- 閉鎖前及び/又は閉鎖中に、開存性卵円孔に側面力を加える手段をカテーテルデバイスに更に有する、請求項1乃至9のいずれか一項に記載の装置。
- 前記手段は、閉鎖前及び/又は閉鎖中に、開存性卵円孔に拡張力を加えるようになっている一つ以上の要素を更に有する、請求項10に記載の装置。
- 前記閉鎖デバイスは、エネルギー伝達に応じて、開存性卵円孔の組織への閉鎖デバイスの固定をもたらす組織接合剤又は組織接着剤を有する、請求項1乃至11のいずれか一項に記載の装置。
- 前記少なくとも一つのエネルギー伝達部材は、前記閉鎖デバイスの伝導性または低抵抗/インピーダンスの平面または経路を通してエネルギーを伝達する、請求項1乃至12のいずれか一項に記載の装置。
- 前記閉鎖デバイスは、閉鎖デバイスの一部が展開後に左心房へ延びないように形成される、請求項1乃至13のいずれか一項に記載の装置。
- 少なくとも一つの閉鎖デバイスは、組織結合を補助する材料をドープされる、請求項1乃至14のいずれか一項に記載の装置。
- 前記材料は、伝導を補助し、或いは、抵抗又はインピーダンスを減少させるように選択される、請求項15記載の装置。
- 前記材料は、増加した伝導、又は、減少した抵抗若しくはインピーダンスの特定の経路を形成するように選択される、請求項15記載の装置。
- 前記材料は、金、白金、イリジウム、タンタル、タングステン、塩化ナトリウム、これらの合金又は組み合わせ、並びに、鉄合金及びニッケル合金のような再吸収性金属からなる群より選択される、請求項15記載の装置。
- 前記少なくとも一つの閉鎖デバイスは、血液を吸収し、該血液は、自己組織接着剤として作用する、請求項1乃至18のいずれか一項に記載の装置。
- 前記閉鎖デバイスは、開存性卵円孔のトンネルを満たすように拡張する、請求項1乃至19のいずれか一項に記載の装置。
- 前記閉鎖デバイスへのエネルギーの印加によって、前記閉鎖デバイスが前記開存性卵円孔の形状に一致する、請求項1乃至20のいずれか一項に記載の装置。
- 前記エネルギー伝達部材を制御する制御システムをさらに有し、該制御システムは、前記エネルギー伝達部材によってエネルギーが付与された前記閉鎖デバイスの状態の変化を検出して、該変化に基づいて前記エネルギー伝達部材によるエネルギーの送達を自動的に停止する、請求項1乃至21のいずれか一項に記載の装置。
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US49008203P | 2003-07-24 | 2003-07-24 | |
US10/665,974 US7165552B2 (en) | 2003-03-27 | 2003-09-18 | Methods and apparatus for treatment of patent foramen ovale |
PCT/US2004/009533 WO2004086951A2 (en) | 2003-03-27 | 2004-03-26 | Methods and apparatus for treatment of patent foramen ovale |
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EP (1) | EP1605851A4 (ja) |
JP (1) | JP4318718B2 (ja) |
AU (1) | AU2004226398B2 (ja) |
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Families Citing this family (123)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2446920A1 (en) * | 2001-05-21 | 2002-11-28 | Medtronic, Inc. | Trans-septal catheter with retention mechanism |
US7338514B2 (en) * | 2001-06-01 | 2008-03-04 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods and tools, and related methods of use |
US20070129755A1 (en) * | 2005-12-05 | 2007-06-07 | Ovalis, Inc. | Clip-based systems and methods for treating septal defects |
US20090054912A1 (en) * | 2001-09-06 | 2009-02-26 | Heanue Taylor A | Systems and Methods for Treating Septal Defects |
US20060052821A1 (en) * | 2001-09-06 | 2006-03-09 | Ovalis, Inc. | Systems and methods for treating septal defects |
US20070112358A1 (en) * | 2001-09-06 | 2007-05-17 | Ryan Abbott | Systems and Methods for Treating Septal Defects |
US6776784B2 (en) * | 2001-09-06 | 2004-08-17 | Core Medical, Inc. | Clip apparatus for closing septal defects and methods of use |
US20050267495A1 (en) * | 2004-05-17 | 2005-12-01 | Gateway Medical, Inc. | Systems and methods for closing internal tissue defects |
US6702835B2 (en) | 2001-09-07 | 2004-03-09 | Core Medical, Inc. | Needle apparatus for closing septal defects and methods for using such apparatus |
US20080015633A1 (en) * | 2001-09-06 | 2008-01-17 | Ryan Abbott | Systems and Methods for Treating Septal Defects |
US8614768B2 (en) * | 2002-03-18 | 2013-12-24 | Raytheon Company | Miniaturized imaging device including GRIN lens optically coupled to SSID |
US7976564B2 (en) * | 2002-05-06 | 2011-07-12 | St. Jude Medical, Cardiology Division, Inc. | PFO closure devices and related methods of use |
WO2004026147A2 (en) * | 2002-09-23 | 2004-04-01 | Nmt Medical, Inc. | Septal puncture device |
US7257450B2 (en) * | 2003-02-13 | 2007-08-14 | Coaptus Medical Corporation | Systems and methods for securing cardiovascular tissue |
US8021359B2 (en) * | 2003-02-13 | 2011-09-20 | Coaptus Medical Corporation | Transseptal closure of a patent foramen ovale and other cardiac defects |
US7658747B2 (en) * | 2003-03-12 | 2010-02-09 | Nmt Medical, Inc. | Medical device for manipulation of a medical implant |
US7186251B2 (en) | 2003-03-27 | 2007-03-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
US6939348B2 (en) * | 2003-03-27 | 2005-09-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
US7293562B2 (en) | 2003-03-27 | 2007-11-13 | Cierra, Inc. | Energy based devices and methods for treatment of anatomic tissue defects |
US8021362B2 (en) * | 2003-03-27 | 2011-09-20 | Terumo Kabushiki Kaisha | Methods and apparatus for closing a layered tissue defect |
US7972330B2 (en) | 2003-03-27 | 2011-07-05 | Terumo Kabushiki Kaisha | Methods and apparatus for closing a layered tissue defect |
AU2004226374B2 (en) * | 2003-03-27 | 2009-11-12 | Terumo Kabushiki Kaisha | Methods and apparatus for treatment of patent foramen ovale |
US7165552B2 (en) | 2003-03-27 | 2007-01-23 | Cierra, Inc. | Methods and apparatus for treatment of patent foramen ovale |
US8372112B2 (en) * | 2003-04-11 | 2013-02-12 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods, and related methods of use |
US20040267306A1 (en) * | 2003-04-11 | 2004-12-30 | Velocimed, L.L.C. | Closure devices, related delivery methods, and related methods of use |
CN1852688A (zh) * | 2003-05-19 | 2006-10-25 | 斯托特药物集团公司 | 组织扩张装置及用于治疗介入的相关方法 |
US7311701B2 (en) * | 2003-06-10 | 2007-12-25 | Cierra, Inc. | Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound |
US8480706B2 (en) | 2003-07-14 | 2013-07-09 | W.L. Gore & Associates, Inc. | Tubular patent foramen ovale (PFO) closure device with catch system |
EP1651116B1 (en) | 2003-07-14 | 2013-06-26 | W.L. Gore & Associates, Inc. | Tubular patent foramen ovale (pfo) closure device with catch system |
US9861346B2 (en) | 2003-07-14 | 2018-01-09 | W. L. Gore & Associates, Inc. | Patent foramen ovale (PFO) closure device with linearly elongating petals |
US7691112B2 (en) * | 2003-09-11 | 2010-04-06 | Nmt Medical, Inc. | Devices, systems, and methods for suturing tissue |
US20050113719A1 (en) | 2003-09-26 | 2005-05-26 | Vahid Saadat | Left atrial access apparatus and methods |
US20050192627A1 (en) * | 2003-10-10 | 2005-09-01 | Whisenant Brian K. | Patent foramen ovale closure devices, delivery apparatus and related methods and systems |
US20050125032A1 (en) * | 2003-10-10 | 2005-06-09 | Whisenant Brian K. | Patent foramen ovale (PFO) closure devices, delivery apparatus and related methods and systems |
WO2005039419A1 (en) * | 2003-10-24 | 2005-05-06 | Ev3, Inc. | Patent foramen ovale closure system |
US8292910B2 (en) | 2003-11-06 | 2012-10-23 | Pressure Products Medical Supplies, Inc. | Transseptal puncture apparatus |
JP4496223B2 (ja) | 2003-11-06 | 2010-07-07 | エヌエムティー メディカル, インコーポレイティッド | 中隔貫通穿刺装置 |
US8262694B2 (en) * | 2004-01-30 | 2012-09-11 | W.L. Gore & Associates, Inc. | Devices, systems, and methods for closure of cardiac openings |
EP1713401A2 (en) * | 2004-01-30 | 2006-10-25 | NMT Medical, Inc. | Devices, systems, and methods for closure of cardiac openings |
US8257389B2 (en) * | 2004-05-07 | 2012-09-04 | W.L. Gore & Associates, Inc. | Catching mechanisms for tubular septal occluder |
US7704268B2 (en) * | 2004-05-07 | 2010-04-27 | Nmt Medical, Inc. | Closure device with hinges |
US7367975B2 (en) * | 2004-06-21 | 2008-05-06 | Cierra, Inc. | Energy based devices and methods for treatment of anatomic tissue defects |
US7678133B2 (en) * | 2004-07-10 | 2010-03-16 | Arstasis, Inc. | Biological tissue closure device and method |
US7473252B2 (en) * | 2004-10-07 | 2009-01-06 | Coaptus Medical Corporation | Systems and methods for shrinking and/or securing cardiovascular tissue |
JP5033787B2 (ja) | 2005-04-11 | 2012-09-26 | テルモ株式会社 | 層状組織の欠損の閉鎖をもたらすための方法および装置 |
CA2605538A1 (en) * | 2005-04-28 | 2006-11-02 | Nmt Medical, Inc. | System and method for bonding closure of an intra-cardiac opening using energy |
US20070042326A1 (en) * | 2005-06-01 | 2007-02-22 | Osseous Technologies Of America | Collagen antral membrane expander |
US8579936B2 (en) | 2005-07-05 | 2013-11-12 | ProMed, Inc. | Centering of delivery devices with respect to a septal defect |
US7837619B2 (en) * | 2005-08-19 | 2010-11-23 | Boston Scientific Scimed, Inc. | Transeptal apparatus, system, and method |
US8062309B2 (en) * | 2005-08-19 | 2011-11-22 | Boston Scientific Scimed, Inc. | Defect occlusion apparatus, system, and method |
US7998095B2 (en) * | 2005-08-19 | 2011-08-16 | Boston Scientific Scimed, Inc. | Occlusion device |
US7766906B2 (en) * | 2005-08-19 | 2010-08-03 | Boston Scientific Scimed, Inc. | Occlusion apparatus |
US7824397B2 (en) * | 2005-08-19 | 2010-11-02 | Boston Scientific Scimed, Inc. | Occlusion apparatus |
US7846179B2 (en) * | 2005-09-01 | 2010-12-07 | Ovalis, Inc. | Suture-based systems and methods for treating septal defects |
WO2007030433A2 (en) | 2005-09-06 | 2007-03-15 | Nmt Medical, Inc. | Removable intracardiac rf device |
US20070055229A1 (en) * | 2005-09-06 | 2007-03-08 | Kladakis Stephanie M | In tunnel electrode for sealing intracardiac defects |
US9259267B2 (en) * | 2005-09-06 | 2016-02-16 | W.L. Gore & Associates, Inc. | Devices and methods for treating cardiac tissue |
US20070088388A1 (en) * | 2005-09-19 | 2007-04-19 | Opolski Steven W | Delivery device for implant with dual attachment sites |
US20090216264A1 (en) * | 2005-09-19 | 2009-08-27 | Friedman Paul A | Implantable closure apparatus and methods |
US7799023B2 (en) * | 2005-09-26 | 2010-09-21 | Coherex Medical, Inc. | Compliant electrode for patent foramen ovale closure device |
US20070093804A1 (en) * | 2005-10-17 | 2007-04-26 | Coaptus Medical Corporation | Control systems for patient devices, including devices for securing cardiovascular tissue, and associated methods |
WO2007055783A1 (en) * | 2005-11-08 | 2007-05-18 | Nmt Medical, Inc. | Conformable electrode catheter and method of use |
US8221405B2 (en) * | 2006-02-06 | 2012-07-17 | Coherex Medical, Inc. | Patent foramen ovale closure device and methods for determining RF dose for patent foramen ovale closure |
KR101299751B1 (ko) | 2006-02-24 | 2013-08-23 | 테루모 가부시키가이샤 | 피에프오 폐쇄 장치 |
US20070244494A1 (en) * | 2006-04-18 | 2007-10-18 | Downing Stephen W | Methods and devices for treating atrial septal defects |
US8402974B2 (en) * | 2006-05-30 | 2013-03-26 | Coherex Medical, Inc. | Methods, systems, and devices for sensing, measuring, and controlling closure of a patent foramen ovale |
US7938826B2 (en) * | 2006-05-30 | 2011-05-10 | Coherex Medical, Inc. | Methods, systems, and devices for closing a patent foramen ovale using mechanical structures |
AU2007257706B2 (en) * | 2006-06-09 | 2012-08-30 | Cardinal Health 529, Llc | Single disc intraluminal patent foramen ovale closure device |
WO2008010905A2 (en) * | 2006-06-30 | 2008-01-24 | Cvdevices, Llc | Percutaneous intravascular access to cardiac tissue |
US8840655B2 (en) * | 2006-08-09 | 2014-09-23 | Coherex Medical, Inc. | Systems and devices for reducing the size of an internal tissue opening |
US8529597B2 (en) | 2006-08-09 | 2013-09-10 | Coherex Medical, Inc. | Devices for reducing the size of an internal tissue opening |
US9220487B2 (en) | 2006-08-09 | 2015-12-29 | Coherex Medical, Inc. | Devices for reducing the size of an internal tissue opening |
US20080051830A1 (en) * | 2006-08-24 | 2008-02-28 | Boston Scientific Scimed, Inc. | Occluding device and method |
US20080065156A1 (en) * | 2006-09-08 | 2008-03-13 | Hauser David L | Expandable clip for tissue repair |
US20080161825A1 (en) * | 2006-11-20 | 2008-07-03 | Stout Medical Group, L.P. | Anatomical measurement tool |
US20080140113A1 (en) * | 2006-12-07 | 2008-06-12 | Cierra, Inc. | Method for sealing a pfo using an energy delivery device |
US8617205B2 (en) | 2007-02-01 | 2013-12-31 | Cook Medical Technologies Llc | Closure device |
WO2008094706A2 (en) * | 2007-02-01 | 2008-08-07 | Cook Incorporated | Closure device and method of closing a bodily opening |
EP2117441A1 (en) * | 2007-02-05 | 2009-11-18 | Boston Scientific Scimed, Inc. | Apparatus and method for closing an opening in a blood vessel using a permanent implant |
US9005242B2 (en) | 2007-04-05 | 2015-04-14 | W.L. Gore & Associates, Inc. | Septal closure device with centering mechanism |
US7835074B2 (en) | 2007-06-05 | 2010-11-16 | Sterling Lc | Mini-scope for multi-directional imaging |
US8394090B2 (en) | 2007-06-25 | 2013-03-12 | Terumo Kabushiki Kaisha | Medical device |
EP2008600B1 (en) * | 2007-06-25 | 2010-09-22 | Terumo Kabushiki Kaisha | Medical device |
JP2009050589A (ja) * | 2007-08-28 | 2009-03-12 | Terumo Corp | Pfo閉鎖デバイス |
EP2184019B1 (en) * | 2007-08-28 | 2015-12-09 | Terumo Kabushiki Kaisha | Device for opening/closing biological tissue |
JP2009050588A (ja) | 2007-08-28 | 2009-03-12 | Terumo Corp | Pfo閉鎖デバイス |
US20090062839A1 (en) * | 2007-08-31 | 2009-03-05 | Cook Incorporated | Barbed stent vascular occlusion device |
US8292907B2 (en) * | 2007-08-31 | 2012-10-23 | Cook Medical Technologies Llc | Balloon assisted occlusion device |
US7875054B2 (en) * | 2007-10-01 | 2011-01-25 | Boston Scientific Scimed, Inc. | Connective tissue closure device and method |
US8308763B2 (en) | 2007-10-05 | 2012-11-13 | Coaptus Medical Corporation | Systems and methods for transeptal cardiac procedures, including separable guidewires |
EP2207485A1 (en) * | 2007-11-07 | 2010-07-21 | Ovalis, Inc. | Systems devices and methods for achieving transverse orientation in the treatment of septal defects |
US20130165967A1 (en) | 2008-03-07 | 2013-06-27 | W.L. Gore & Associates, Inc. | Heart occlusion devices |
US20090287048A1 (en) * | 2008-05-16 | 2009-11-19 | Sterling Lc | Method and apparatus for imaging within a living body |
EP2326256A1 (en) * | 2008-05-20 | 2011-06-01 | Ovalis, Inc. | Wire-like and other devices for treating septal defects and systems and methods for delivering the same |
US9603674B2 (en) * | 2008-05-30 | 2017-03-28 | The Regents Of The University Of California | Method to protect the esophagus and other mediastinal structures during cardiac and thoracic interventions |
JP5596027B2 (ja) | 2008-06-18 | 2014-09-24 | レイセオン カンパニー | カテーテル |
JP5157689B2 (ja) * | 2008-07-07 | 2013-03-06 | ニプロ株式会社 | 内視鏡下手術用デバイス |
US8486735B2 (en) * | 2008-07-30 | 2013-07-16 | Raytheon Company | Method and device for incremental wavelength variation to analyze tissue |
WO2010053916A2 (en) | 2008-11-04 | 2010-05-14 | Sterling Lc | Method and device for wavelength shifted imaging |
DE102009002768A1 (de) * | 2009-04-30 | 2010-11-04 | Celon Ag Medical Instruments | Materialschicht und Elektrochirurgiesystem für die elektrochirurgische Gewebefusion |
US20120029556A1 (en) | 2009-06-22 | 2012-02-02 | Masters Steven J | Sealing device and delivery system |
US8956389B2 (en) | 2009-06-22 | 2015-02-17 | W. L. Gore & Associates, Inc. | Sealing device and delivery system |
US20120010644A1 (en) * | 2009-07-09 | 2012-01-12 | Sideris Eleftherios B | Method and apparatus for occluding a physiological opening |
US8298218B2 (en) * | 2009-07-29 | 2012-10-30 | Medtronic Cryocath Lp | Compliant balloon |
US8717428B2 (en) | 2009-10-01 | 2014-05-06 | Raytheon Company | Light diffusion apparatus |
WO2011041728A2 (en) | 2009-10-01 | 2011-04-07 | Jacobsen Stephen C | Needle delivered imaging device |
WO2011041720A2 (en) | 2009-10-01 | 2011-04-07 | Jacobsen Stephen C | Method and apparatus for manipulating movement of a micro-catheter |
US8828028B2 (en) | 2009-11-03 | 2014-09-09 | Raytheon Company | Suture device and method for closing a planar opening |
SG10201913438WA (en) | 2009-12-17 | 2020-03-30 | Univ Nanyang Tech | Occlusion Device for Closing Anatomical Defects |
EP2627265B8 (en) | 2010-10-15 | 2019-02-20 | Cook Medical Technologies LLC | Occlusion device for blocking fluid flow through bodily passages |
JP2012115535A (ja) * | 2010-12-02 | 2012-06-21 | Kochi Univ | 近赤外蛍光を発する医療具及び医療具位置確認システム |
US10245049B2 (en) * | 2011-06-08 | 2019-04-02 | Cvdevices, Llc | Thrombus removal systems and devices and methods of using the same |
US9084592B2 (en) * | 2011-07-11 | 2015-07-21 | C2 Therapeutics, Inc. | Focal ablation assembly |
US9770232B2 (en) | 2011-08-12 | 2017-09-26 | W. L. Gore & Associates, Inc. | Heart occlusion devices |
EP3281608B1 (en) | 2012-02-10 | 2020-09-16 | CVDevices, LLC | Medical product comprising a frame and visceral pleura |
US9821145B2 (en) | 2012-03-23 | 2017-11-21 | Pressure Products Medical Supplies Inc. | Transseptal puncture apparatus and method for using the same |
US10828019B2 (en) | 2013-01-18 | 2020-11-10 | W.L. Gore & Associates, Inc. | Sealing device and delivery system |
EP2953580A2 (en) | 2013-02-11 | 2015-12-16 | Cook Medical Technologies LLC | Expandable support frame and medical device |
CN105682726B (zh) | 2013-08-07 | 2020-01-03 | 贝利斯医疗公司 | 用于穿刺组织的方法和设备 |
JP2015181705A (ja) * | 2014-03-24 | 2015-10-22 | テルモ株式会社 | 治療デバイス |
US9808230B2 (en) | 2014-06-06 | 2017-11-07 | W. L. Gore & Associates, Inc. | Sealing device and delivery system |
US10993807B2 (en) | 2017-11-16 | 2021-05-04 | Medtronic Vascular, Inc. | Systems and methods for percutaneously supporting and manipulating a septal wall |
CA3175575A1 (en) * | 2021-10-22 | 2023-04-22 | Chance Line Industrial Co., Ltd. | Textile for supporting human motor organs and supportive thermoprinting material |
Family Cites Families (263)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US667685A (en) * | 1900-07-20 | 1901-02-12 | Sigmund Willner | Railway-joint. |
US2275167A (en) | 1939-04-26 | 1942-03-03 | Bierman William | Electrosurgical instrument |
US2580628A (en) | 1950-07-12 | 1952-01-01 | Bowen & Company Inc | Suction electrode |
US2888928A (en) | 1957-04-15 | 1959-06-02 | Seiger Harry Wright | Coagulating surgical instrument |
US3490442A (en) | 1966-02-09 | 1970-01-20 | Hellige & Co Gmbh F | Electrode with contact-forming suction cup means |
GB1260919A (en) | 1969-02-21 | 1972-01-19 | Spitalul Clinic De Obstetrica | Device for collecting biocurrents of the foetal heart |
US3874388A (en) | 1973-02-12 | 1975-04-01 | Ochsner Med Found Alton | Shunt defect closure system |
US3862627A (en) | 1973-08-16 | 1975-01-28 | Sr Wendel J Hans | Suction electrode |
US3906955A (en) | 1974-05-06 | 1975-09-23 | Richard R Roberts | Surgical cauterizing tool having suction means |
GB1550676A (en) | 1976-07-07 | 1979-08-15 | Vickers Ltd | Sensing probe for attachment to a body |
US4900303A (en) * | 1978-03-10 | 1990-02-13 | Lemelson Jerome H | Dispensing catheter and method |
US4326529A (en) | 1978-05-26 | 1982-04-27 | The United States Of America As Represented By The United States Department Of Energy | Corneal-shaping electrode |
US4307720A (en) | 1979-07-26 | 1981-12-29 | Weber Jr Jaroy | Electrocautery apparatus and method and means for cleaning the same |
JPS614260B2 (ja) | 1980-05-13 | 1986-02-07 | Amerikan Hosupitaru Sapurai Corp | |
US4562838A (en) | 1981-01-23 | 1986-01-07 | Walker William S | Electrosurgery instrument |
US4473077A (en) | 1982-05-28 | 1984-09-25 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4485817A (en) | 1982-05-28 | 1984-12-04 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US5370675A (en) | 1992-08-12 | 1994-12-06 | Vidamed, Inc. | Medical probe device and method |
DE3300765C1 (de) | 1983-01-12 | 1983-10-20 | Ingeborg Nieß Elektromedizinische Apparate, 7906 Blaustein | Elektrodenvorrichtung zur Abnahme elektro-physiologischer Spannungen |
US4590934A (en) * | 1983-05-18 | 1986-05-27 | Jerry L. Malis | Bipolar cutter/coagulator |
GB8316194D0 (en) | 1983-06-14 | 1983-07-20 | Medeci Developments Ltd | Electrode holders for current therapy |
US4938218A (en) | 1983-08-30 | 1990-07-03 | Nellcor Incorporated | Perinatal pulse oximetry sensor |
US5409479A (en) | 1983-10-06 | 1995-04-25 | Premier Laser Systems, Inc. | Method for closing tissue wounds using radiative energy beams |
US4682596A (en) | 1984-05-22 | 1987-07-28 | Cordis Corporation | Electrosurgical catheter and method for vascular applications |
USRE33925E (en) | 1984-05-22 | 1992-05-12 | Cordis Corporation | Electrosurgical catheter aned method for vascular applications |
HU194499B (en) | 1986-01-08 | 1988-02-29 | Peter Polgar | Electrode-catheter for ablation of his fascicle |
EP0265532B1 (en) | 1986-10-22 | 1990-07-04 | Fukuda Denshi Co., Ltd. | Electrocardiographic electrode pad |
US4796622A (en) * | 1987-03-06 | 1989-01-10 | The United States Of America As Represented By The Department Of Health And Human Services | Catheter with oxyhydrogen catalytic thermal tip |
JPS6426784A (en) * | 1987-04-28 | 1989-01-30 | Kanebo Ltd | Method for processing silk fiber |
US4895565A (en) | 1987-09-21 | 1990-01-23 | Cordis Corporation | Medical instrument valve |
US4798594A (en) | 1987-09-21 | 1989-01-17 | Cordis Corporation | Medical instrument valve |
US4832048A (en) | 1987-10-29 | 1989-05-23 | Cordis Corporation | Suction ablation catheter |
US4788975B1 (en) | 1987-11-05 | 1999-03-02 | Trimedyne Inc | Control system and method for improved laser angioplasty |
US4919129A (en) | 1987-11-30 | 1990-04-24 | Celebration Medical Products, Inc. | Extendable electrocautery surgery apparatus and method |
US4884567A (en) | 1987-12-03 | 1989-12-05 | Dimed Inc. | Method for transvenous implantation of objects into the pericardial space of patients |
US4929246A (en) | 1988-10-27 | 1990-05-29 | C. R. Bard, Inc. | Method for closing and sealing an artery after removing a catheter |
US4911159A (en) | 1988-11-21 | 1990-03-27 | Johnson Jeffrey W | Electrosurgical instrument with electrical contacts between the probe and the probe holder |
FR2641003B1 (ja) | 1988-12-23 | 1991-04-05 | Tech Milieu Ionisant | |
US5078717A (en) | 1989-04-13 | 1992-01-07 | Everest Medical Corporation | Ablation catheter with selectively deployable electrodes |
US5057107A (en) | 1989-04-13 | 1991-10-15 | Everest Medical Corporation | Ablation catheter with selectively deployable electrodes |
US4976711A (en) | 1989-04-13 | 1990-12-11 | Everest Medical Corporation | Ablation catheter with selectively deployable electrodes |
US5125928A (en) | 1989-04-13 | 1992-06-30 | Everest Medical Corporation | Ablation catheter with selectively deployable electrodes |
US5055100A (en) | 1989-06-19 | 1991-10-08 | Eugene Olsen | Suction attachment for electrosurgical instruments or the like |
US5056517A (en) | 1989-07-24 | 1991-10-15 | Consiglio Nazionale Delle Ricerche | Biomagnetically localizable multipurpose catheter and method for magnetocardiographic guided intracardiac mapping, biopsy and ablation of cardiac arrhythmias |
GB8924806D0 (en) | 1989-11-03 | 1989-12-20 | Neoligaments Ltd | Prosthectic ligament system |
DE3941108C1 (ja) | 1989-12-13 | 1991-06-27 | Richard Wolf Gmbh, 7134 Knittlingen, De | |
US5041095A (en) | 1989-12-22 | 1991-08-20 | Cordis Corporation | Hemostasis valve |
GB9008764D0 (en) | 1990-04-19 | 1990-06-13 | Egnell Ameda Ltd | A resilient suction cup |
US5171311A (en) | 1990-04-30 | 1992-12-15 | Everest Medical Corporation | Percutaneous laparoscopic cholecystectomy instrument |
US5071418A (en) | 1990-05-16 | 1991-12-10 | Joseph Rosenbaum | Electrocautery surgical scalpel |
US5725522A (en) | 1990-06-15 | 1998-03-10 | Rare Earth Medical, Inc. | Laser suturing of biological materials |
US5071417A (en) | 1990-06-15 | 1991-12-10 | Rare Earth Medical Lasers, Inc. | Laser fusion of biological materials |
US5540677A (en) | 1990-06-15 | 1996-07-30 | Rare Earth Medical, Inc. | Endoscopic systems for photoreactive suturing of biological materials |
US5292362A (en) | 1990-07-27 | 1994-03-08 | The Trustees Of Columbia University In The City Of New York | Tissue bonding and sealing composition and method of using the same |
DE4024106C1 (ja) | 1990-07-30 | 1992-04-23 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
AU8653291A (en) | 1990-09-26 | 1992-04-15 | Marius Van Der Merwe | Monitoring device |
US5086570A (en) * | 1990-09-28 | 1992-02-11 | Screen Printing Enterprises, Inc. | Drying apparatus for screen process printing and coating |
US5611794A (en) | 1990-10-11 | 1997-03-18 | Lasersurge, Inc. | Clamp for approximating tissue sections |
US5042707A (en) | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
US5749895A (en) | 1991-02-13 | 1998-05-12 | Fusion Medical Technologies, Inc. | Method for bonding or fusion of biological tissue and material |
US5156613A (en) | 1991-02-13 | 1992-10-20 | Interface Biomedical Laboratories Corp. | Collagen welding rod material for use in tissue welding |
JPH06505656A (ja) | 1991-02-13 | 1994-06-30 | フュージョン メデイカル テクノロジーズ インコーポレーテッド | 組織溶接用充填剤材料 |
US5669934A (en) | 1991-02-13 | 1997-09-23 | Fusion Medical Technologies, Inc. | Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets |
US5195959A (en) | 1991-05-31 | 1993-03-23 | Paul C. Smith | Electrosurgical device with suction and irrigation |
US5196007A (en) | 1991-06-07 | 1993-03-23 | Alan Ellman | Electrosurgical handpiece with activator |
US5620481A (en) | 1991-07-05 | 1997-04-15 | Desai; Jawahar M. | Device for multi-phase radio-frequency ablation |
US5383917A (en) | 1991-07-05 | 1995-01-24 | Jawahar M. Desai | Device and method for multi-phase radio-frequency ablation |
US20010051803A1 (en) | 1991-07-05 | 2001-12-13 | Desai Jawahar M. | Device and method for multi-phase radio-frequency ablation |
US5380304A (en) | 1991-08-07 | 1995-01-10 | Cook Incorporated | Flexible, kink-resistant, introducer sheath and method of manufacture |
AU2563092A (en) | 1991-09-19 | 1993-04-27 | Surgicraft Limited | A device for use in monitoring electric signals generated by the human body |
US5197963A (en) | 1991-12-02 | 1993-03-30 | Everest Medical Corporation | Electrosurgical instrument with extendable sheath for irrigation and aspiration |
US5290276A (en) * | 1992-02-06 | 1994-03-01 | Sewell Jr Frank | Rotatable laparoscopic puncturing instrument |
WO1993015791A1 (en) | 1992-02-12 | 1993-08-19 | Dimed, Incorporated | System for access to pericardial space |
US5295955A (en) | 1992-02-14 | 1994-03-22 | Amt, Inc. | Method and apparatus for microwave aided liposuction |
US5300068A (en) * | 1992-04-21 | 1994-04-05 | St. Jude Medical, Inc. | Electrosurgical apparatus |
US6063085A (en) | 1992-04-23 | 2000-05-16 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
US5810810A (en) * | 1992-04-23 | 1998-09-22 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
CA2134071C (en) | 1992-04-23 | 1999-04-27 | Sew Wah Tay | Apparatus and method for sealing vascular punctures |
US5334191A (en) | 1992-05-21 | 1994-08-02 | Dix Phillip Poppas | Laser tissue welding control system |
SE9201600L (sv) | 1992-05-21 | 1993-11-22 | Siemens Elema Ab | Elektrodanordning |
US5324284A (en) | 1992-06-05 | 1994-06-28 | Cardiac Pathways, Inc. | Endocardial mapping and ablation system utilizing a separately controlled ablation catheter and method |
US5336252A (en) | 1992-06-22 | 1994-08-09 | Cohen Donald M | System and method for implanting cardiac electrical leads |
DE9390317U1 (de) | 1992-06-26 | 1995-02-09 | Schneider (Usa) Inc., Plymouth, Minn. | Katheder mit aufweitbarer Drahtgeflechtspitze |
WO1994002077A2 (en) | 1992-07-15 | 1994-02-03 | Angelase, Inc. | Ablation catheter system |
US5292332A (en) * | 1992-07-27 | 1994-03-08 | Lee Benjamin I | Methods and device for percutanceous sealing of arterial puncture sites |
US5309910A (en) | 1992-09-25 | 1994-05-10 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
US6398782B1 (en) * | 1992-10-13 | 2002-06-04 | Edwards Lifesciences Corporation | Bipolar vascular sealing apparatus and methods |
US5336221A (en) | 1992-10-14 | 1994-08-09 | Premier Laser Systems, Inc. | Method and apparatus for applying thermal energy to tissue using a clamp |
US5290278A (en) | 1992-10-20 | 1994-03-01 | Proclosure Inc. | Method and apparatus for applying thermal energy to luminal tissue |
US5300065A (en) | 1992-11-06 | 1994-04-05 | Proclosure Inc. | Method and apparatus for simultaneously holding and sealing tissue |
DE4338758C2 (de) * | 1992-11-13 | 2001-08-09 | Scimed Life Systems Inc | Katheteranordnung |
US6036699A (en) | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US5797960A (en) * | 1993-02-22 | 1998-08-25 | Stevens; John H. | Method and apparatus for thoracoscopic intracardiac procedures |
US6832996B2 (en) | 1995-06-07 | 2004-12-21 | Arthrocare Corporation | Electrosurgical systems and methods for treating tissue |
US5571088A (en) * | 1993-07-01 | 1996-11-05 | Boston Scientific Corporation | Ablation catheters |
US5405322A (en) | 1993-08-12 | 1995-04-11 | Boston Scientific Corporation | Method for treating aneurysms with a thermal source |
US5571216A (en) | 1994-01-19 | 1996-11-05 | The General Hospital Corporation | Methods and apparatus for joining collagen-containing materials |
US5505730A (en) | 1994-06-24 | 1996-04-09 | Stuart D. Edwards | Thin layer ablation apparatus |
US6302898B1 (en) | 1994-06-24 | 2001-10-16 | Advanced Closure Systems, Inc. | Devices for sealing punctures in body vessels |
US6092528A (en) | 1994-06-24 | 2000-07-25 | Edwards; Stuart D. | Method to treat esophageal sphincters |
US6123715A (en) * | 1994-07-08 | 2000-09-26 | Amplatz; Curtis | Method of forming medical devices; intravascular occlusion devices |
US5730742A (en) | 1994-08-04 | 1998-03-24 | Alto Development Corporation | Inclined, flared, thermally-insulated, anti-clog tip for electrocautery suction tubes |
US5972023A (en) | 1994-08-15 | 1999-10-26 | Eva Corporation | Implantation device for an aortic graft method of treating aortic aneurysm |
US5931165A (en) | 1994-09-06 | 1999-08-03 | Fusion Medical Technologies, Inc. | Films having improved characteristics and methods for their preparation and use |
US5662643A (en) | 1994-09-28 | 1997-09-02 | Abiomed R & D, Inc. | Laser welding system |
CA2201877C (en) * | 1994-10-07 | 2004-06-08 | Richard D. Bucholz | Surgical navigation systems including reference and localization frames |
US6087552A (en) | 1994-11-15 | 2000-07-11 | Sisters Of Providence Of Oregon | Method of producing fused biomaterials and tissue |
US5665109A (en) | 1994-12-29 | 1997-09-09 | Yoon; Inbae | Methods and apparatus for suturing tissue |
AUPN066795A0 (en) * | 1995-01-20 | 1995-02-16 | Macquarie Research Limited | Method of repair |
US6063081A (en) | 1995-02-22 | 2000-05-16 | Medtronic, Inc. | Fluid-assisted electrocautery device |
US6409722B1 (en) * | 1998-07-07 | 2002-06-25 | Medtronic, Inc. | Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue |
US5626607A (en) * | 1995-04-03 | 1997-05-06 | Heartport, Inc. | Clamp assembly and method of use |
US5713891A (en) | 1995-06-02 | 1998-02-03 | Children's Medical Center Corporation | Modified solder for delivery of bioactive substances and methods of use thereof |
US5709224A (en) | 1995-06-07 | 1998-01-20 | Radiotherapeutics Corporation | Method and device for permanent vessel occlusion |
US6456865B2 (en) | 1995-06-08 | 2002-09-24 | Ilan Zadik Samson | Non-invasive medical probe |
NL1001890C2 (nl) | 1995-12-13 | 1997-06-17 | Cordis Europ | Catheter met plaatvormige elektrode-reeks. |
US6475213B1 (en) | 1996-01-19 | 2002-11-05 | Ep Technologies, Inc. | Method of ablating body tissue |
US5827265A (en) | 1996-02-07 | 1998-10-27 | Regents Of The University Of California | Intraluminal tissue welding for anastomosis |
US5814065A (en) | 1996-02-09 | 1998-09-29 | Cordis Corporation | Suture delivery tool |
US6149660A (en) | 1996-04-22 | 2000-11-21 | Vnus Medical Technologies, Inc. | Method and apparatus for delivery of an appliance in a vessel |
AUPN957296A0 (en) | 1996-04-30 | 1996-05-23 | Cardiac Crc Nominees Pty Limited | A system for simultaneous unipolar multi-electrode ablation |
US5728133A (en) | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5855312A (en) | 1996-07-25 | 1999-01-05 | Toledano; Haviv | Flexible annular stapler for closed surgery of hollow organs |
AU4082497A (en) | 1996-08-22 | 1998-03-06 | Trustees Of Columbia University, The | Endovascular flexible stapling device |
US6171311B1 (en) * | 1996-10-18 | 2001-01-09 | Marc Richelsoph | Transverse connector |
US5827268A (en) * | 1996-10-30 | 1998-10-27 | Hearten Medical, Inc. | Device for the treatment of patent ductus arteriosus and method of using the device |
US5972024A (en) | 1996-12-24 | 1999-10-26 | Metacardia, Inc. | Suture-staple apparatus and method |
JP3134288B2 (ja) | 1997-01-30 | 2001-02-13 | 株式会社ニッショー | 心腔内縫合手術用具 |
US6012457A (en) * | 1997-07-08 | 2000-01-11 | The Regents Of The University Of California | Device and method for forming a circumferential conduction block in a pulmonary vein |
US6083223A (en) | 1997-08-28 | 2000-07-04 | Baker; James A. | Methods and apparatus for welding blood vessels |
US6358246B1 (en) * | 1999-06-25 | 2002-03-19 | Radiotherapeutics Corporation | Method and system for heating solid tissue |
US7094215B2 (en) | 1997-10-02 | 2006-08-22 | Arthrocare Corporation | Systems and methods for electrosurgical tissue contraction |
AU1077799A (en) * | 1997-10-10 | 1999-05-03 | Hearten Medical, Inc. | A catheter for causing thermal trauma to a patent foramen ovale and method of using the catheter |
WO1999018862A1 (en) | 1997-10-10 | 1999-04-22 | Hearten Medical, Inc. | A catheter device for abrading a patent foramen ovale and method of using the device |
WO1999018870A1 (en) * | 1997-10-10 | 1999-04-22 | Hearten Medical, Inc. | A balloon catheter for causing thermal trauma to a patent foramen ovale and method of using the balloon catheter |
AU9604498A (en) | 1997-10-10 | 1999-05-03 | Hearten Medical, Inc. | A balloon catheter for abrading a patent foramen ovale and method of using the balloon catheter |
US6401420B1 (en) * | 1997-11-24 | 2002-06-11 | Darwin Aldis Salls | Tire recycling/disposal system and tire recycling/disposal annulet cylinder or construction block |
US6221068B1 (en) * | 1998-01-15 | 2001-04-24 | Northwestern University | Method for welding tissue |
US5944738A (en) | 1998-02-06 | 1999-08-31 | Aga Medical Corporation | Percutaneous catheter directed constricting occlusion device |
US6562037B2 (en) * | 1998-02-12 | 2003-05-13 | Boris E. Paton | Bonding of soft biological tissues by passing high frequency electric current therethrough |
US6352543B1 (en) * | 2000-04-29 | 2002-03-05 | Ventrica, Inc. | Methods for forming anastomoses using magnetic force |
US6132429A (en) | 1998-02-17 | 2000-10-17 | Baker; James A. | Radiofrequency medical instrument and methods for luminal welding |
US6325798B1 (en) | 1998-02-19 | 2001-12-04 | Curon Medical, Inc. | Vacuum-assisted systems and methods for treating sphincters and adjoining tissue regions |
JP3799810B2 (ja) | 1998-03-30 | 2006-07-19 | ニプロ株式会社 | 経カテーテル手術用閉鎖栓およびカテーテル組立体 |
WO1999051282A1 (en) | 1998-04-06 | 1999-10-14 | Cornell Research Foundation, Inc. | Composition for tissue welding and method of use |
US6050994A (en) * | 1998-05-05 | 2000-04-18 | Cardiac Pacemakers, Inc. | RF ablation apparatus and method using controllable duty cycle with alternate phasing |
WO2000007506A2 (en) | 1998-08-03 | 2000-02-17 | Anson Medical Ltd. | Devices and methods for the repair of arteries |
US7435247B2 (en) * | 1998-08-11 | 2008-10-14 | Arthrocare Corporation | Systems and methods for electrosurgical tissue treatment |
WO2000009027A1 (en) | 1998-08-13 | 2000-02-24 | Keravision, Inc. | Corneal electrosurgical probe with a variable-height active site |
US6086586A (en) | 1998-09-14 | 2000-07-11 | Enable Medical Corporation | Bipolar tissue grasping apparatus and tissue welding method |
US6355030B1 (en) * | 1998-09-25 | 2002-03-12 | Cardiothoracic Systems, Inc. | Instruments and methods employing thermal energy for the repair and replacement of cardiac valves |
US6086570A (en) | 1998-09-29 | 2000-07-11 | A-Med Systems, Inc. | Hemostasis valve with membranes having offset apertures |
US6156032A (en) | 1998-09-30 | 2000-12-05 | Scimed Life Systems, Inc. | Method for causing a stricture of a body passageway |
WO2000019926A1 (en) | 1998-10-05 | 2000-04-13 | Scimed Life Systems, Inc. | Large area thermal ablation |
US5919200A (en) * | 1998-10-09 | 1999-07-06 | Hearten Medical, Inc. | Balloon catheter for abrading a patent foramen ovale and method of using the balloon catheter |
US6398779B1 (en) * | 1998-10-23 | 2002-06-04 | Sherwood Services Ag | Vessel sealing system |
US7128073B1 (en) * | 1998-11-06 | 2006-10-31 | Ev3 Endovascular, Inc. | Method and device for left atrial appendage occlusion |
US6423057B1 (en) | 1999-01-25 | 2002-07-23 | The Arizona Board Of Regents On Behalf Of The University Of Arizona | Method and apparatus for monitoring and controlling tissue temperature and lesion formation in radio-frequency ablation procedures |
US6248124B1 (en) * | 1999-02-22 | 2001-06-19 | Tyco Healthcare Group | Arterial hole closure apparatus |
US6257241B1 (en) | 1999-03-31 | 2001-07-10 | Ethicon Endo-Surgery, Inc. | Method for repairing tissue defects using ultrasonic radio frequency energy |
US6606523B1 (en) | 1999-04-14 | 2003-08-12 | Transneuronix Inc. | Gastric stimulator apparatus and method for installing |
US6712836B1 (en) * | 1999-05-13 | 2004-03-30 | St. Jude Medical Atg, Inc. | Apparatus and methods for closing septal defects and occluding blood flow |
US6375668B1 (en) | 1999-06-02 | 2002-04-23 | Hanson S. Gifford | Devices and methods for treating vascular malformations |
AU775394B2 (en) | 1999-07-19 | 2004-07-29 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Apparatus and method for ablating tissue |
US7526342B2 (en) | 1999-08-10 | 2009-04-28 | Maquet Cardiovascular Llc | Apparatus for endoscopic cardiac mapping and lead placement |
WO2001017435A1 (en) * | 1999-09-07 | 2001-03-15 | Microvena Corporation | Retrievable septal defect closure device |
US6231561B1 (en) | 1999-09-20 | 2001-05-15 | Appriva Medical, Inc. | Method and apparatus for closing a body lumen |
US20030069570A1 (en) * | 1999-10-02 | 2003-04-10 | Witzel Thomas H. | Methods for repairing mitral valve annulus percutaneously |
US6391049B1 (en) * | 1999-10-06 | 2002-05-21 | Board Of Regents The University Of Texas System | Solid biodegradable device for use in tissue repair |
US6551303B1 (en) * | 1999-10-27 | 2003-04-22 | Atritech, Inc. | Barrier device for ostium of left atrial appendage |
US6383198B1 (en) | 1999-12-07 | 2002-05-07 | Scimed Life System, Inc. | Flexible vacuum grabber for holding lesions |
US6726718B1 (en) * | 1999-12-13 | 2004-04-27 | St. Jude Medical, Inc. | Medical articles prepared for cell adhesion |
US6790218B2 (en) | 1999-12-23 | 2004-09-14 | Swaminathan Jayaraman | Occlusive coil manufacture and delivery |
US6391048B1 (en) * | 2000-01-05 | 2002-05-21 | Integrated Vascular Systems, Inc. | Integrated vascular device with puncture site closure component and sealant and methods of use |
US6451013B1 (en) | 2000-01-19 | 2002-09-17 | Medtronic Xomed, Inc. | Methods of tonsil reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
US6692450B1 (en) * | 2000-01-19 | 2004-02-17 | Medtronic Xomed, Inc. | Focused ultrasound ablation devices having selectively actuatable ultrasound emitting elements and methods of using the same |
US6413254B1 (en) | 2000-01-19 | 2002-07-02 | Medtronic Xomed, Inc. | Method of tongue reduction by thermal ablation using high intensity focused ultrasound |
US6409720B1 (en) | 2000-01-19 | 2002-06-25 | Medtronic Xomed, Inc. | Methods of tongue reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions |
EP1253857B1 (en) * | 2000-02-03 | 2009-01-21 | Tissuemed Limited | Device for the closure of a surgical puncture |
GB2359024A (en) | 2000-02-09 | 2001-08-15 | Anson Medical Ltd | Fixator for arteries |
US6558314B1 (en) * | 2000-02-11 | 2003-05-06 | Iotek, Inc. | Devices and method for manipulation of organ tissue |
US6641604B1 (en) | 2000-02-11 | 2003-11-04 | Iotek, Inc. | Devices and method for manipulation of organ tissue |
US6946134B1 (en) | 2000-04-12 | 2005-09-20 | Human Genome Sciences, Inc. | Albumin fusion proteins |
US6650923B1 (en) | 2000-04-13 | 2003-11-18 | Ev3 Sunnyvale, Inc. | Method for accessing the left atrium of the heart by locating the fossa ovalis |
US6551344B2 (en) * | 2000-04-26 | 2003-04-22 | Ev3 Inc. | Septal defect occluder |
US6558382B2 (en) | 2000-04-27 | 2003-05-06 | Medtronic, Inc. | Suction stabilized epicardial ablation devices |
US6514250B1 (en) | 2000-04-27 | 2003-02-04 | Medtronic, Inc. | Suction stabilized epicardial ablation devices |
AU2001249874A1 (en) | 2000-04-27 | 2001-11-12 | Medtronic, Inc. | System and method for assessing transmurality of ablation lesions |
US8486065B2 (en) | 2000-06-07 | 2013-07-16 | Wisconsin Alumni Research Foundation | Radio-frequency ablation system and method using multiple electrodes |
US6645225B1 (en) | 2000-11-01 | 2003-11-11 | Alvan W. Atkinson | Method and apparatus for plugging a patent foramen ovale formed in the heart |
US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
US6846319B2 (en) * | 2000-12-14 | 2005-01-25 | Core Medical, Inc. | Devices for sealing openings through tissue and apparatus and methods for delivering them |
US6837848B2 (en) | 2003-01-15 | 2005-01-04 | Medtronic, Inc. | Methods and apparatus for accessing and stabilizing an area of the heart |
US20020143322A1 (en) | 2001-01-23 | 2002-10-03 | Haghighi Ali Z. | Apparatus and method for shrinking collagen |
US6699245B2 (en) | 2001-02-05 | 2004-03-02 | A-Med Systems, Inc. | Anastomosis system and related methods |
US6726696B1 (en) * | 2001-04-24 | 2004-04-27 | Advanced Catheter Engineering, Inc. | Patches and collars for medical applications and methods of use |
US20030069502A1 (en) * | 2001-05-29 | 2003-04-10 | Makin Inder Raj. S. | Ultrasound feedback in medically-treated patients |
US7338514B2 (en) * | 2001-06-01 | 2008-03-04 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods and tools, and related methods of use |
US20050267495A1 (en) | 2004-05-17 | 2005-12-01 | Gateway Medical, Inc. | Systems and methods for closing internal tissue defects |
US20060052821A1 (en) | 2001-09-06 | 2006-03-09 | Ovalis, Inc. | Systems and methods for treating septal defects |
US6702835B2 (en) | 2001-09-07 | 2004-03-09 | Core Medical, Inc. | Needle apparatus for closing septal defects and methods for using such apparatus |
US6776784B2 (en) * | 2001-09-06 | 2004-08-17 | Core Medical, Inc. | Clip apparatus for closing septal defects and methods of use |
AU2002323634A1 (en) * | 2001-09-06 | 2003-03-24 | Nmt Medical, Inc. | Flexible delivery system |
US6652518B2 (en) | 2001-09-28 | 2003-11-25 | Ethicon, Inc. | Transmural ablation tool and method |
US6907297B2 (en) * | 2001-09-28 | 2005-06-14 | Ethicon, Inc. | Expandable intracardiac return electrode and method of use |
US6893431B2 (en) * | 2001-10-15 | 2005-05-17 | Scimed Life Systems, Inc. | Medical device for delivering patches |
US6929644B2 (en) | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US6926716B2 (en) | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
US7083619B2 (en) * | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
US6669693B2 (en) | 2001-11-13 | 2003-12-30 | Mayo Foundation For Medical Education And Research | Tissue ablation device and methods of using |
US6575971B2 (en) * | 2001-11-15 | 2003-06-10 | Quantum Cor, Inc. | Cardiac valve leaflet stapler device and methods thereof |
US6849075B2 (en) * | 2001-12-04 | 2005-02-01 | Estech, Inc. | Cardiac ablation devices and methods |
EP1467661A4 (en) | 2001-12-19 | 2008-11-05 | Nmt Medical Inc | SEPTAL SHUTTER AND ASSOCIATED METHODS |
EP1471835A4 (en) * | 2002-01-14 | 2008-03-19 | Nmt Medical Inc | METHOD AND DEVICE FOR CLOSING AN OPEN FORM OVALE (PFO) |
US6733498B2 (en) * | 2002-02-19 | 2004-05-11 | Live Tissue Connect, Inc. | System and method for control of tissue welding |
EP1487353A4 (en) | 2002-03-25 | 2008-04-16 | Nmt Medical Inc | FORAMEN OVAL PERSISTENT CLOSURE CLAMPS (PFO) |
US7976564B2 (en) | 2002-05-06 | 2011-07-12 | St. Jude Medical, Cardiology Division, Inc. | PFO closure devices and related methods of use |
JP2005528162A (ja) * | 2002-06-03 | 2005-09-22 | エヌエムティー メディカル インコーポレイテッド | 心臓内欠損閉塞のための生物学的組織足場を有するデバイス |
US7063698B2 (en) | 2002-06-14 | 2006-06-20 | Ncontact Surgical, Inc. | Vacuum coagulation probes |
US6893442B2 (en) | 2002-06-14 | 2005-05-17 | Ablatrics, Inc. | Vacuum coagulation probe for atrial fibrillation treatment |
US20040044391A1 (en) | 2002-08-29 | 2004-03-04 | Stephen Porter | Device for closure of a vascular defect and method of treating the same |
US7208003B2 (en) * | 2002-09-20 | 2007-04-24 | Cordis Neurovascular, Inc. | Reattachable introducer for a medical device deployment system |
WO2004026147A2 (en) * | 2002-09-23 | 2004-04-01 | Nmt Medical, Inc. | Septal puncture device |
US6755790B2 (en) | 2002-10-14 | 2004-06-29 | Medtronic, Inc. | Transseptal access tissue thickness sensing dilator devices and methods for fabricating and using same |
DE60325880D1 (de) | 2002-11-07 | 2009-03-05 | Nmt Medical Inc | Agnetischer kraft |
US7172562B2 (en) * | 2002-11-22 | 2007-02-06 | Mckinley Laurence M | System, method and apparatus for locating, measuring and evaluating the enlargement of a foramen |
US9017373B2 (en) | 2002-12-09 | 2015-04-28 | W.L. Gore & Associates, Inc. | Septal closure devices |
US6960224B2 (en) | 2003-01-22 | 2005-11-01 | Cardia, Inc. | Laminated sheets for use in a fully retrievable occlusion device |
EP1596723A2 (en) | 2003-02-04 | 2005-11-23 | ev3 Sunnyvale, Inc. | Patent foramen ovale closure system |
US8021359B2 (en) * | 2003-02-13 | 2011-09-20 | Coaptus Medical Corporation | Transseptal closure of a patent foramen ovale and other cardiac defects |
ATE416717T1 (de) | 2003-03-17 | 2008-12-15 | Ev3 Endovascular Inc | Stent mit laminierter dünnfilmverbund |
US7293562B2 (en) | 2003-03-27 | 2007-11-13 | Cierra, Inc. | Energy based devices and methods for treatment of anatomic tissue defects |
AU2004226374B2 (en) * | 2003-03-27 | 2009-11-12 | Terumo Kabushiki Kaisha | Methods and apparatus for treatment of patent foramen ovale |
US7972330B2 (en) | 2003-03-27 | 2011-07-05 | Terumo Kabushiki Kaisha | Methods and apparatus for closing a layered tissue defect |
US7165552B2 (en) | 2003-03-27 | 2007-01-23 | Cierra, Inc. | Methods and apparatus for treatment of patent foramen ovale |
US8021362B2 (en) | 2003-03-27 | 2011-09-20 | Terumo Kabushiki Kaisha | Methods and apparatus for closing a layered tissue defect |
US7186251B2 (en) * | 2003-03-27 | 2007-03-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
US6939348B2 (en) | 2003-03-27 | 2005-09-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
US20040267306A1 (en) | 2003-04-11 | 2004-12-30 | Velocimed, L.L.C. | Closure devices, related delivery methods, and related methods of use |
US7238182B2 (en) | 2003-04-25 | 2007-07-03 | Medtronic, Inc. | Device and method for transurethral prostate treatment |
US7311701B2 (en) | 2003-06-10 | 2007-12-25 | Cierra, Inc. | Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound |
EP1651116B1 (en) | 2003-07-14 | 2013-06-26 | W.L. Gore & Associates, Inc. | Tubular patent foramen ovale (pfo) closure device with catch system |
US20050055050A1 (en) * | 2003-07-24 | 2005-03-10 | Alfaro Arthur A. | Intravascular occlusion device |
US7438714B2 (en) * | 2003-09-12 | 2008-10-21 | Boston Scientific Scimed, Inc. | Vacuum-based catheter stabilizer |
WO2005027753A1 (en) | 2003-09-19 | 2005-03-31 | St. Jude Medical, Inc. | Apparatus and methods for tissue gathering and securing |
US20050065509A1 (en) * | 2003-09-22 | 2005-03-24 | Scimed Life Systems, Inc. | Flat electrode arrays for generating flat lesions |
US7462188B2 (en) * | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US20050125032A1 (en) | 2003-10-10 | 2005-06-09 | Whisenant Brian K. | Patent foramen ovale (PFO) closure devices, delivery apparatus and related methods and systems |
US20050192627A1 (en) | 2003-10-10 | 2005-09-01 | Whisenant Brian K. | Patent foramen ovale closure devices, delivery apparatus and related methods and systems |
US8190248B2 (en) | 2003-10-16 | 2012-05-29 | Louisiana Tech University Foundation, Inc. | Medical devices for the detection, prevention and/or treatment of neurological disorders, and methods related thereto |
WO2005039419A1 (en) | 2003-10-24 | 2005-05-06 | Ev3, Inc. | Patent foramen ovale closure system |
EP1713401A2 (en) | 2004-01-30 | 2006-10-25 | NMT Medical, Inc. | Devices, systems, and methods for closure of cardiac openings |
US8262694B2 (en) | 2004-01-30 | 2012-09-11 | W.L. Gore & Associates, Inc. | Devices, systems, and methods for closure of cardiac openings |
US7282051B2 (en) | 2004-02-04 | 2007-10-16 | Boston Scientific Scimed, Inc. | Ablation probe for delivering fluid through porous structure |
US20050187568A1 (en) | 2004-02-20 | 2005-08-25 | Klenk Alan R. | Devices and methods for closing a patent foramen ovale with a coil-shaped closure device |
US8361110B2 (en) | 2004-04-26 | 2013-01-29 | W.L. Gore & Associates, Inc. | Heart-shaped PFO closure device |
US20050256532A1 (en) | 2004-05-12 | 2005-11-17 | Asha Nayak | Cardiovascular defect patch device and method |
JP4418785B2 (ja) * | 2004-09-29 | 2010-02-24 | テルモ株式会社 | 卵円孔開存治療用具および卵円孔開存治療用器具 |
US7473252B2 (en) * | 2004-10-07 | 2009-01-06 | Coaptus Medical Corporation | Systems and methods for shrinking and/or securing cardiovascular tissue |
US7553309B2 (en) * | 2004-10-08 | 2009-06-30 | Covidien Ag | Electrosurgical system employing multiple electrodes and method thereof |
US7970458B2 (en) * | 2004-10-12 | 2011-06-28 | Tomophase Corporation | Integrated disease diagnosis and treatment system |
US20080140113A1 (en) | 2006-12-07 | 2008-06-12 | Cierra, Inc. | Method for sealing a pfo using an energy delivery device |
-
2003
- 2003-09-18 US US10/665,974 patent/US7165552B2/en not_active Expired - Lifetime
-
2004
- 2004-03-26 JP JP2006509418A patent/JP4318718B2/ja not_active Expired - Lifetime
- 2004-03-26 WO PCT/US2004/009533 patent/WO2004086951A2/en active Application Filing
- 2004-03-26 EP EP04758521A patent/EP1605851A4/en not_active Withdrawn
- 2004-03-26 CA CA002519558A patent/CA2519558A1/en not_active Abandoned
- 2004-03-26 AU AU2004226398A patent/AU2004226398B2/en not_active Ceased
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2006
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CA2519558A1 (en) | 2004-10-14 |
US20070078485A1 (en) | 2007-04-05 |
EP1605851A2 (en) | 2005-12-21 |
WO2004086951A3 (en) | 2005-05-06 |
JP2006521189A (ja) | 2006-09-21 |
EP1605851A4 (en) | 2010-09-29 |
US8057469B2 (en) | 2011-11-15 |
US20070044811A1 (en) | 2007-03-01 |
US7165552B2 (en) | 2007-01-23 |
US20050034735A1 (en) | 2005-02-17 |
AU2004226398A1 (en) | 2004-10-14 |
WO2004086951A2 (en) | 2004-10-14 |
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