JP5179499B2 - Pfoクリップ - Google Patents
Pfoクリップ Download PDFInfo
- Publication number
- JP5179499B2 JP5179499B2 JP2009528248A JP2009528248A JP5179499B2 JP 5179499 B2 JP5179499 B2 JP 5179499B2 JP 2009528248 A JP2009528248 A JP 2009528248A JP 2009528248 A JP2009528248 A JP 2009528248A JP 5179499 B2 JP5179499 B2 JP 5179499B2
- Authority
- JP
- Japan
- Prior art keywords
- elongate member
- control component
- elongate
- pfo
- members
- 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.)
- Expired - Fee Related
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
にある開口部もしくはその両方の閉塞、閉止またはその両方を行うために使用されることもできる。
20,222,224のうちの1つ以上の厚さは、圧縮力を調節するために増加または減少されることが可能である。一般に(および他の同様の設計的考慮と共に)、より厚い部材220,222,224は、より大きい圧縮力を提供することができる。さらに、様々な部材220,222,224の構成が、圧縮力を増加させるように選択されることが可能である。一般に、より小さな角度に屈曲させることによって、より多くの圧縮力が提供される。これに代えて、装置218が予め或る形状および配置に曲げられるように、部材220,222に沿った他の場所に、より広い部分を有することも可能である。本装置の異なる部品は、堅牢さおよび回復性を異にするように異なる方法で扱われることができる。
のPFOクリップとして使用されることができる。装置318は、第1長尺状部材320、第2長尺状部材322、および接続部材324を備える。部材320、322、および324は、各々、装置318が調節され、再調節され、操作され、部分的に引き込まれ、完全に引き込まれ、および/または除去されることを可能にする部分および/または部品を備えている。
用されることが可能である。さらに、オフセットは、部材320および322の各々がPFOの非対称開口部の各側の周囲に中心化されることを可能にすることがある。
性剤の溶出を促進することのような複数の機能を行なうことができる。
さらに、抗ウイルス剤は、アマンタジン、リマンタジン、リバビリン、イドクスウリジン、ビダラビン、トリフルリジン、アシクロビル、ガンシクロビル、ジドブジン、ホスカネット、インターフェロン、それらの同族体、類似体、断片、派生物、その医薬用塩、およびそれらの混合物を含むが、これらに限定されるものではない。
び細胞増殖を阻害するのに有用な他の薬剤。
Claims (1)
- 開口部を閉塞する装置であって、
第1制御構成要素と、
第1制御構成要素から延びている第1長尺状部材と、
第2長尺状部材と、
ループ構成部を有する第2制御構成要素と、第2長尺状部材は第2制御構成要素から延びていることと、
第1長尺状部材を第2長尺状部材に隣接して配置する接続部材と、
対応する第1制御構成要素に、および第2制御構成要素のループ構成部にそれぞれ解放可能に結合されており、第1長尺状部材および第2長尺状部材の相対位置を変化させるとともに第1長尺状部材および第2長尺状部材の位置を個別に調整する第1および第2引込み部材とを備え、
前記第1引込み部材に加えられる力は第1長尺状部材を弾性変形させ、
前記第2引込み部材に加えられる力は第2長尺状部材を弾性変形させ、
第1制御構成要素は前記第1引込み部材を解放可能に受容するループ構成部を有し、
前記第2引込み部材は、第1長尺状部材に対する第2長尺状部材の配置を変化させるように第2制御構成要素に解放可能に結合されており、
前記第1および第2引込み部材は糸状体である装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/518,753 US8894682B2 (en) | 2006-09-11 | 2006-09-11 | PFO clip |
US11/518,753 | 2006-09-11 | ||
PCT/US2007/019677 WO2008033309A1 (en) | 2006-09-11 | 2007-09-11 | Pfo clip |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2010502410A JP2010502410A (ja) | 2010-01-28 |
JP2010502410A5 JP2010502410A5 (ja) | 2010-10-28 |
JP5179499B2 true JP5179499B2 (ja) | 2013-04-10 |
Family
ID=38943024
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009528248A Expired - Fee Related JP5179499B2 (ja) | 2006-09-11 | 2007-09-11 | Pfoクリップ |
Country Status (5)
Country | Link |
---|---|
US (1) | US8894682B2 (ja) |
EP (1) | EP2063786A1 (ja) |
JP (1) | JP5179499B2 (ja) |
CA (1) | CA2663086A1 (ja) |
WO (1) | WO2008033309A1 (ja) |
Families Citing this family (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9861346B2 (en) | 2003-07-14 | 2018-01-09 | W. L. Gore & Associates, Inc. | Patent foramen ovale (PFO) closure device with linearly elongating petals |
US9138208B2 (en) | 2006-08-09 | 2015-09-22 | Coherex Medical, Inc. | Devices for reducing the size of an internal tissue opening |
US20080039743A1 (en) | 2006-08-09 | 2008-02-14 | Coherex Medical, Inc. | Methods for determining characteristics 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 |
WO2008124603A1 (en) | 2007-04-05 | 2008-10-16 | Nmt Medical, Inc. | Septal closure device with centering mechanism |
US9138213B2 (en) | 2008-03-07 | 2015-09-22 | W.L. Gore & Associates, Inc. | Heart occlusion devices |
US9119607B2 (en) * | 2008-03-07 | 2015-09-01 | Gore Enterprise Holdings, Inc. | Heart occlusion devices |
US20130165967A1 (en) | 2008-03-07 | 2013-06-27 | W.L. Gore & Associates, Inc. | Heart occlusion devices |
US8652202B2 (en) | 2008-08-22 | 2014-02-18 | Edwards Lifesciences Corporation | Prosthetic heart valve and delivery apparatus |
US9636094B2 (en) | 2009-06-22 | 2017-05-02 | W. L. Gore & Associates, Inc. | Sealing device and delivery system |
US20120029556A1 (en) | 2009-06-22 | 2012-02-02 | Masters Steven J | Sealing device and delivery system |
US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
US9770232B2 (en) | 2011-08-12 | 2017-09-26 | W. L. Gore & Associates, Inc. | Heart occlusion devices |
US9414823B2 (en) * | 2012-04-25 | 2016-08-16 | Medtronic Ventor Technologies Ltd. | Hole-closure device |
US9445797B2 (en) * | 2012-09-13 | 2016-09-20 | Medtronic, Inc. | Percutaneous atrial and ventricular septal defect closure device |
US10828019B2 (en) | 2013-01-18 | 2020-11-10 | W.L. Gore & Associates, Inc. | Sealing device and delivery system |
US9808230B2 (en) | 2014-06-06 | 2017-11-07 | W. L. Gore & Associates, Inc. | Sealing device and delivery system |
CN115721454A (zh) | 2014-12-04 | 2023-03-03 | 爱德华兹生命科学公司 | 用于修复心脏瓣膜的经皮夹具 |
WO2016183485A1 (en) | 2015-05-14 | 2016-11-17 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10835714B2 (en) | 2016-03-21 | 2020-11-17 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799676B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799677B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US11219746B2 (en) | 2016-03-21 | 2022-01-11 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799675B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Cam controlled multi-direction steerable handles |
US10973638B2 (en) | 2016-07-07 | 2021-04-13 | Edwards Lifesciences Corporation | Device and method for treating vascular insufficiency |
US10653862B2 (en) | 2016-11-07 | 2020-05-19 | Edwards Lifesciences Corporation | Apparatus for the introduction and manipulation of multiple telescoping catheters |
US10905554B2 (en) | 2017-01-05 | 2021-02-02 | Edwards Lifesciences Corporation | Heart valve coaptation device |
IL302989A (en) | 2017-04-18 | 2023-07-01 | Edwards Lifesciences Corp | Devices for sealing heart valves and devices for their conduction |
US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10799312B2 (en) | 2017-04-28 | 2020-10-13 | Edwards Lifesciences Corporation | Medical device stabilizing apparatus and method of use |
US10959846B2 (en) | 2017-05-10 | 2021-03-30 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11051940B2 (en) | 2017-09-07 | 2021-07-06 | Edwards Lifesciences Corporation | Prosthetic spacer device for heart valve |
US11065117B2 (en) | 2017-09-08 | 2021-07-20 | Edwards Lifesciences Corporation | Axisymmetric adjustable device for treating mitral regurgitation |
US11040174B2 (en) | 2017-09-19 | 2021-06-22 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10076415B1 (en) | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10973639B2 (en) | 2018-01-09 | 2021-04-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
CA3086678A1 (en) | 2018-01-09 | 2019-07-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10507109B2 (en) | 2018-01-09 | 2019-12-17 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11207181B2 (en) | 2018-04-18 | 2021-12-28 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
CR20210427A (es) | 2019-02-14 | 2022-03-30 | Edwards Lifesciences Corp | Dispositivos de sellado de válvulas cardíacas y dispositivos de suministro para los mismos |
Family Cites Families (17)
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US6171329B1 (en) * | 1994-12-19 | 2001-01-09 | Gore Enterprise Holdings, Inc. | Self-expanding defect closure device and method of making and using |
US7452371B2 (en) * | 1999-06-02 | 2008-11-18 | Cook Incorporated | Implantable vascular device |
EP2108315B1 (en) | 1999-05-13 | 2017-09-06 | St. Jude Medical ATG, Inc. | Device for closure of body defect openings |
WO2001017435A1 (en) * | 1999-09-07 | 2001-03-15 | Microvena Corporation | Retrievable septal defect closure device |
US7288105B2 (en) | 2001-08-01 | 2007-10-30 | Ev3 Endovascular, Inc. | Tissue opening occluder |
US20050267495A1 (en) | 2004-05-17 | 2005-12-01 | Gateway Medical, Inc. | Systems and methods for closing internal tissue defects |
US7318833B2 (en) | 2001-12-19 | 2008-01-15 | Nmt Medical, Inc. | PFO closure device with flexible thrombogenic joint and improved dislodgement resistance |
CA2480021A1 (en) | 2002-03-25 | 2003-10-09 | Nmt Medical, Inc. | Patent foramen ovale (pfo) closure clips |
JP2005528181A (ja) | 2002-06-05 | 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 | 放射状および円周状支持体を備える卵円孔開存(pfo)閉塞デバイス |
EP1596723A2 (en) | 2003-02-04 | 2005-11-23 | ev3 Sunnyvale, Inc. | Patent foramen ovale closure system |
CA2519636A1 (en) | 2003-03-27 | 2004-10-14 | Cierra, Inc. | Methods and apparatus for treatment of patent foramen ovale |
JP4917887B2 (ja) | 2003-07-14 | 2012-04-18 | ダブリュー.エル.ゴア アンド アソシエイツ,インコーポレイテッド | 捕捉システムを有する管状の卵円孔開存(pfo)閉鎖デバイス |
EP1663011A1 (en) * | 2003-09-11 | 2006-06-07 | NMT Medical, Inc. | Devices, systems, and methods for suturing tissue |
US20050192627A1 (en) | 2003-10-10 | 2005-09-01 | Whisenant Brian K. | Patent foramen ovale closure devices, delivery apparatus and related methods and systems |
US20050273119A1 (en) | 2003-12-09 | 2005-12-08 | Nmt Medical, Inc. | Double spiral patent foramen ovale closure clamp |
US20050234509A1 (en) | 2004-03-30 | 2005-10-20 | Mmt Medical, Inc. | Center joints for PFO occluders |
US8361110B2 (en) | 2004-04-26 | 2013-01-29 | W.L. Gore & Associates, Inc. | Heart-shaped PFO closure device |
-
2006
- 2006-09-11 US US11/518,753 patent/US8894682B2/en not_active Expired - Fee Related
-
2007
- 2007-09-11 EP EP07837984A patent/EP2063786A1/en not_active Withdrawn
- 2007-09-11 JP JP2009528248A patent/JP5179499B2/ja not_active Expired - Fee Related
- 2007-09-11 CA CA002663086A patent/CA2663086A1/en not_active Abandoned
- 2007-09-11 WO PCT/US2007/019677 patent/WO2008033309A1/en active Application Filing
Also Published As
Publication number | Publication date |
---|---|
WO2008033309A1 (en) | 2008-03-20 |
US8894682B2 (en) | 2014-11-25 |
JP2010502410A (ja) | 2010-01-28 |
EP2063786A1 (en) | 2009-06-03 |
CA2663086A1 (en) | 2008-03-20 |
US20080065149A1 (en) | 2008-03-13 |
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