WO2011057282A3 - Tissue closure devices, device and systems for delivery, kits and methods therefor - Google Patents

Tissue closure devices, device and systems for delivery, kits and methods therefor Download PDF

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Publication number
WO2011057282A3
WO2011057282A3 PCT/US2010/056059 US2010056059W WO2011057282A3 WO 2011057282 A3 WO2011057282 A3 WO 2011057282A3 US 2010056059 W US2010056059 W US 2010056059W WO 2011057282 A3 WO2011057282 A3 WO 2011057282A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue closure
kits
delivery
systems
closure devices
Prior art date
Application number
PCT/US2010/056059
Other languages
French (fr)
Other versions
WO2011057282A2 (en
Inventor
Russell A. Houser
John Hunter Bower
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.
Priority to CN201080060904.3A priority Critical patent/CN102711631B/en
Priority to JP2012538090A priority patent/JP5626738B2/en
Priority to IN5147DEN2012 priority patent/IN2012DN05147A/en
Priority to KR1020127014579A priority patent/KR101426627B1/en
Priority to EP10829294.7A priority patent/EP2498689A4/en
Publication of WO2011057282A2 publication Critical patent/WO2011057282A2/en
Publication of WO2011057282A3 publication Critical patent/WO2011057282A3/en

Links

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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • A61B2017/00477—Coupling
    • 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
    • A61B2017/00615—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, 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
    • A61B2017/00623—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, 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
    • A61B2017/00646—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, 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
    • A61B2017/00646—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, 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
    • A61B2017/00672—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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • 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)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Coating Apparatus (AREA)

Abstract

The present invention relates to tissue closure devices, devices and systems for delivery, kits and methods therefor. The tissue closure devices can achieve tissue closure in lieu of compression and can be configured to be quickly deployable by an introducer or from outside the body.
PCT/US2010/056059 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits and methods therefor WO2011057282A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CN201080060904.3A CN102711631B (en) 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits therefor
JP2012538090A JP5626738B2 (en) 2009-11-09 2010-11-09 Tissue suturing device, transfer device and system, kit and method therefor
IN5147DEN2012 IN2012DN05147A (en) 2009-11-09 2010-11-09
KR1020127014579A KR101426627B1 (en) 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits and methods therefor
EP10829294.7A EP2498689A4 (en) 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits and methods therefor

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US28089609P 2009-11-09 2009-11-09
US61/280,896 2009-11-09
US12/757,275 2010-04-09
US12/757,275 US9345460B2 (en) 2001-04-24 2010-04-09 Tissue closure devices, device and systems for delivery, kits and methods therefor

Publications (2)

Publication Number Publication Date
WO2011057282A2 WO2011057282A2 (en) 2011-05-12
WO2011057282A3 true WO2011057282A3 (en) 2011-09-15

Family

ID=46650269

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/056059 WO2011057282A2 (en) 2009-11-09 2010-11-09 Tissue closure devices, device and systems for delivery, kits and methods therefor

Country Status (6)

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

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JP5148598B2 (en) 2006-05-03 2013-02-20 ラプトール リッジ， エルエルシー Tissue closure system and method
US8986327B2 (en) * 2012-10-18 2015-03-24 Smith & Nephew, Inc. Flexible anchor delivery system
JP6396986B2 (en) * 2013-03-14 2018-09-26 カーディオヴァンテージ・メディカル・インク Tissue and vascular closure device and method of use thereof
CA2907013A1 (en) * 2013-03-15 2014-11-13 Yoram Richter System and method for sealing percutaneous valve
WO2015077356A1 (en) 2013-11-19 2015-05-28 Wheeler William K Fastener applicator with interlock
EP3102116A1 (en) * 2014-02-09 2016-12-14 Calore Medical Ltd. Device for automatic anchor undeployment and retraction
AU2016313523B2 (en) * 2015-08-21 2020-10-15 Avenu Medical, Inc. Systems and methods for percutaneous access and formation of arteriovenous fistulas
CA3018391A1 (en) 2016-04-01 2017-10-05 Merit Medical Systems, Inc. Medical devices for delivering plugs to voids
CN109069808B (en) 2016-04-04 2021-08-27 美国医疗设备有限公司 Tampon delivery device having a rotatable magazine and related components and methods
EP3457948B1 (en) * 2016-05-20 2020-07-01 Vivasure Medical Limited Vascular closure device
EP3300669A1 (en) * 2016-09-29 2018-04-04 Universität Zürich Device and method for sealing a membrane
JP2020505181A (en) * 2017-02-06 2020-02-20 ユニベアズィテート チューリッヒ Device and method for sealing a membrane
WO2018203237A1 (en) * 2017-05-01 2018-11-08 Vascular Graft Solutions Ltd Apparatuses and methods for use in surgical vascular anastomotic procedures
RU175859U1 (en) * 2017-06-16 2017-12-21 Федеральное государственное бюджетное образовательное учреждение высшего образования "Самарский государственный медицинский университет" Министерства здравоохранения Российской Федерации CYLINDER PROBE FOR TEMPORARY STOP OF HEMORROIDAL BLEEDING
EP3723629A4 (en) * 2017-12-14 2021-08-11 Merit Medical Systems, Inc. Medical plugs, devices for delivering the plugs to voids, and related kits and methods
JP7348199B2 (en) 2018-03-28 2023-09-20 データスコープ コーポレイション 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
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
CN219846709U (en) * 2022-03-02 2023-10-20 巴德阿克塞斯***股份有限公司 Tissue cutting device and needle assembly
WO2023015893A1 (en) * 2022-03-21 2023-02-16 宁波新跃医疗科技股份有限公司 Integrated pull rod of tissue clamping device and manufacturing method therefor
WO2023184056A1 (en) * 2022-03-28 2023-10-05 江苏唯德康医疗科技有限公司 Medical closing clamp

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US20090005777A1 (en) * 2001-04-24 2009-01-01 Vascular Closure Systems, Inc. Arteriotomy closure devices and techniques
US20060058844A1 (en) * 2004-09-13 2006-03-16 St. Jude Medical Puerto Rico B.V. Vascular sealing device with locking system
US20090254121A1 (en) * 2008-04-02 2009-10-08 Cardica, Inc. Vascular Closure with Multi-Pronged Clip

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Title
See also references of EP2498689A4 *

Also Published As

Publication number Publication date
WO2011057282A2 (en) 2011-05-12
EP2498689A4 (en) 2015-04-22
EP2498689A2 (en) 2012-09-19
JP5626738B2 (en) 2014-11-19
JP2013509974A (en) 2013-03-21
CN102711631A (en) 2012-10-03
KR101426627B1 (en) 2014-08-05
CN102711631B (en) 2015-04-22
KR20120101677A (en) 2012-09-14
IN2012DN05147A (en) 2015-10-23

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