CA2564671A1 - Systems and methods for closing internal tissue defects - Google Patents
Systems and methods for closing internal tissue defects Download PDFInfo
- Publication number
- CA2564671A1 CA2564671A1 CA002564671A CA2564671A CA2564671A1 CA 2564671 A1 CA2564671 A1 CA 2564671A1 CA 002564671 A CA002564671 A CA 002564671A CA 2564671 A CA2564671 A CA 2564671A CA 2564671 A1 CA2564671 A1 CA 2564671A1
- Authority
- CA
- Canada
- Prior art keywords
- clip
- needle
- coiled
- distal end
- inner lumen
- 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.)
- Abandoned
Links
- 230000007547 defect Effects 0.000 title claims abstract description 44
- 238000000034 method Methods 0.000 title claims description 35
- 208000025339 heart septal defect Diseases 0.000 claims abstract description 28
- 239000000463 material Substances 0.000 claims description 13
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims description 8
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 8
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000000956 alloy Substances 0.000 claims description 3
- 230000003068 static effect Effects 0.000 claims description 3
- 229910001566 austenite Inorganic materials 0.000 claims description 2
- 230000036760 body temperature Effects 0.000 claims description 2
- 239000012781 shape memory material Substances 0.000 claims description 2
- 238000005452 bending Methods 0.000 claims 2
- 210000004204 blood vessel Anatomy 0.000 claims 2
- 210000001519 tissue Anatomy 0.000 description 58
- 238000003384 imaging method Methods 0.000 description 6
- 230000033001 locomotion Effects 0.000 description 6
- 210000005166 vasculature Anatomy 0.000 description 6
- 239000008280 blood Substances 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 210000003754 fetus Anatomy 0.000 description 4
- 238000007373 indentation Methods 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 210000005245 right atrium Anatomy 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 206010003664 atrial septal defect Diseases 0.000 description 2
- 230000004323 axial length Effects 0.000 description 2
- 208000034158 bleeding Diseases 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 230000001605 fetal effect Effects 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 208000003278 patent ductus arteriosus Diseases 0.000 description 2
- 210000002826 placenta Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 208000002121 Paradoxical Embolism Diseases 0.000 description 1
- 208000008883 Patent Foramen Ovale Diseases 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 208000001910 Ventricular Heart Septal Defects Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000001746 atrial effect Effects 0.000 description 1
- 208000013914 atrial heart septal defect Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 210000003092 coiled body Anatomy 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 238000009760 electrical discharge machining Methods 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 230000005831 heart abnormality Effects 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 238000003698 laser cutting Methods 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 229910000734 martensite Inorganic materials 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000000059 patterning Methods 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000000206 photolithography Methods 0.000 description 1
- HWLDNSXPUQTBOD-UHFFFAOYSA-N platinum-iridium alloy Chemical compound [Ir].[Pt] HWLDNSXPUQTBOD-UHFFFAOYSA-N 0.000 description 1
- 238000007781 pre-processing Methods 0.000 description 1
- 230000004088 pulmonary circulation Effects 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Classifications
-
- 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
- A61B17/064—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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- 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
-
- 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
- A61B2017/00592—Elastic or resilient implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- 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
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
-
- 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
- A61B2017/0649—Coils or spirals
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/847,747 US20050267495A1 (en) | 2004-05-17 | 2004-05-17 | Systems and methods for closing internal tissue defects |
| US10/847,747 | 2004-05-17 | ||
| PCT/US2005/017286 WO2005115256A2 (en) | 2004-05-17 | 2005-05-17 | Systems and methods for closing internal tissue defects |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2564671A1 true CA2564671A1 (en) | 2005-12-08 |
Family
ID=35426385
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002564671A Abandoned CA2564671A1 (en) | 2004-05-17 | 2005-05-17 | Systems and methods for closing internal tissue defects |
Country Status (6)
| Country | Link |
|---|---|
| US (4) | US20050267495A1 (https=) |
| EP (1) | EP1765183A2 (https=) |
| JP (1) | JP2008504943A (https=) |
| AU (1) | AU2005247420A1 (https=) |
| CA (1) | CA2564671A1 (https=) |
| WO (1) | WO2005115256A2 (https=) |
Families Citing this family (252)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8758400B2 (en) | 2000-01-05 | 2014-06-24 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
| US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
| US8690910B2 (en) | 2000-12-07 | 2014-04-08 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
| US20080015633A1 (en) | 2001-09-06 | 2008-01-17 | Ryan Abbott | 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 |
| US20070129755A1 (en) * | 2005-12-05 | 2007-06-07 | Ovalis, Inc. | Clip-based systems and methods for treating septal defects |
| US20070112358A1 (en) * | 2001-09-06 | 2007-05-17 | Ryan Abbott | Systems and Methods for Treating Septal Defects |
| US20060052821A1 (en) | 2001-09-06 | 2006-03-09 | Ovalis, Inc. | 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 |
| WO2003101310A1 (en) | 2002-06-04 | 2003-12-11 | Christy Cummins | Blood vessel closure clip and delivery device |
| US8287555B2 (en) | 2003-02-06 | 2012-10-16 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
| US20060122633A1 (en) | 2002-06-13 | 2006-06-08 | John To | Methods and devices for termination |
| US8641727B2 (en) | 2002-06-13 | 2014-02-04 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
| US7883538B2 (en) | 2002-06-13 | 2011-02-08 | Guided Delivery Systems Inc. | Methods and devices for termination |
| US9949829B2 (en) | 2002-06-13 | 2018-04-24 | Ancora Heart, Inc. | Delivery devices and methods for heart valve repair |
| US7753924B2 (en) | 2003-09-04 | 2010-07-13 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
| US8398656B2 (en) | 2003-01-30 | 2013-03-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
| WO2004080290A2 (en) | 2003-03-11 | 2004-09-23 | Tyco Healthcare Group, Lp | Clip applying apparatus with angled jaw |
| US6939348B2 (en) | 2003-03-27 | 2005-09-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
| AU2004226374B2 (en) | 2003-03-27 | 2009-11-12 | Terumo Kabushiki Kaisha | 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 |
| US7972330B2 (en) | 2003-03-27 | 2011-07-05 | Terumo Kabushiki Kaisha | Methods and apparatus for closing a layered tissue defect |
| US7293562B2 (en) | 2003-03-27 | 2007-11-13 | Cierra, Inc. | Energy based devices and methods for treatment of anatomic tissue defects |
| US7165552B2 (en) | 2003-03-27 | 2007-01-23 | Cierra, Inc. | Methods and apparatus for treatment of patent foramen ovale |
| US7186251B2 (en) | 2003-03-27 | 2007-03-06 | Cierra, Inc. | Energy based devices and methods for treatment of patent foramen ovale |
| US7311701B2 (en) | 2003-06-10 | 2007-12-25 | Cierra, Inc. | Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound |
| JP2007505657A (ja) | 2003-09-15 | 2007-03-15 | アボット・ラボラトリーズ | 縫合糸ロックデバイスおよび方法 |
| US20050273138A1 (en) * | 2003-12-19 | 2005-12-08 | Guided Delivery Systems, Inc. | Devices and methods for anchoring tissue |
| US7367975B2 (en) | 2004-06-21 | 2008-05-06 | Cierra, Inc. | Energy based devices and methods for treatment of anatomic tissue defects |
| DE102004040135B3 (de) * | 2004-08-19 | 2005-12-15 | Abg Allgemeine Baumaschinen-Gesellschaft Mbh | Selbstfahrendes Gerät zum Abfräsen von Verkehrsflächen |
| ES2650172T3 (es) | 2004-09-23 | 2018-01-17 | Covidien Lp | Aparato aplicador de sujetadores y sujetador de ligación |
| US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
| US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
| US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
| JP4833988B2 (ja) | 2004-10-08 | 2011-12-07 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 内視鏡外科用クリップ取付器 |
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| US20110054492A1 (en) * | 2009-08-26 | 2011-03-03 | Abbott Laboratories | Medical device for repairing a fistula |
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| US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
| JP4801230B2 (ja) * | 2009-11-09 | 2011-10-26 | オリンパスメディカルシステムズ株式会社 | インプラント留置装置、連結支持具、及び内視鏡用処置具 |
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-
2005
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- 2005-05-17 EP EP05750403A patent/EP1765183A2/en not_active Withdrawn
- 2005-05-17 CA CA002564671A patent/CA2564671A1/en not_active Abandoned
- 2005-05-17 WO PCT/US2005/017286 patent/WO2005115256A2/en not_active Ceased
- 2005-05-17 AU AU2005247420A patent/AU2005247420A1/en not_active Abandoned
-
2006
- 2006-06-07 US US11/422,869 patent/US20060212071A1/en not_active Abandoned
- 2006-11-09 US US11/558,298 patent/US20070073315A1/en not_active Abandoned
-
2010
- 2010-05-05 US US12/774,265 patent/US20100256670A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| WO2005115256A2 (en) | 2005-12-08 |
| US20060212071A1 (en) | 2006-09-21 |
| US20070073315A1 (en) | 2007-03-29 |
| AU2005247420A1 (en) | 2005-12-08 |
| US20050267495A1 (en) | 2005-12-01 |
| EP1765183A2 (en) | 2007-03-28 |
| JP2008504943A (ja) | 2008-02-21 |
| WO2005115256A3 (en) | 2009-04-09 |
| US20100256670A1 (en) | 2010-10-07 |
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| FZDE | Discontinued |