CA2730173A1 - Tissue access site system and method - Google Patents
Tissue access site system and method Download PDFInfo
- Publication number
- CA2730173A1 CA2730173A1 CA2730173A CA2730173A CA2730173A1 CA 2730173 A1 CA2730173 A1 CA 2730173A1 CA 2730173 A CA2730173 A CA 2730173A CA 2730173 A CA2730173 A CA 2730173A CA 2730173 A1 CA2730173 A1 CA 2730173A1
- Authority
- CA
- Canada
- Prior art keywords
- tissue
- access site
- closure
- access
- cutting
- 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
- 238000000034 method Methods 0.000 title claims description 40
- 230000000916 dilatatory effect Effects 0.000 claims description 21
- 230000003447 ipsilateral effect Effects 0.000 claims description 18
- 210000004204 blood vessel Anatomy 0.000 claims description 16
- 230000010339 dilation Effects 0.000 claims description 9
- 239000000853 adhesive Substances 0.000 claims description 5
- 230000001070 adhesive effect Effects 0.000 claims description 5
- 239000000565 sealant Substances 0.000 claims description 3
- 230000000451 tissue damage Effects 0.000 claims description 2
- 231100000827 tissue damage Toxicity 0.000 claims description 2
- 210000001367 artery Anatomy 0.000 description 35
- 230000002792 vascular Effects 0.000 description 10
- 229920001296 polysiloxane Polymers 0.000 description 7
- 238000013459 approach Methods 0.000 description 6
- 238000004873 anchoring Methods 0.000 description 5
- 230000006835 compression Effects 0.000 description 5
- 238000007906 compression Methods 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 230000007246 mechanism Effects 0.000 description 5
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 230000000670 limiting effect Effects 0.000 description 4
- 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 description 4
- 229910001000 nickel titanium Inorganic materials 0.000 description 4
- 230000009467 reduction Effects 0.000 description 4
- 229910052710 silicon Inorganic materials 0.000 description 4
- 239000010703 silicon Substances 0.000 description 4
- 208000002223 abdominal aortic aneurysm Diseases 0.000 description 3
- 208000007474 aortic aneurysm Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 210000001105 femoral artery Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000036961 partial effect Effects 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 239000004626 polylactic acid Substances 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 206010034203 Pectus Carinatum Diseases 0.000 description 1
- 229920000954 Polyglycolide Polymers 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 239000000701 coagulant Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 230000003116 impacting effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 229920001606 poly(lactic acid-co-glycolic acid) Polymers 0.000 description 1
- 239000004633 polyglycolic acid Substances 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000003356 suture material Substances 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000003106 tissue adhesive Substances 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 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
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- 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
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
- A61B17/0482—Needle or suture guides
-
- 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- 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
- A61B2017/00637—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 sealing trocar wounds through abdominal wall
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00663—Type of implements the implement being a suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00672—Locating means therefor, e.g. bleed back lumen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Gastroenterology & Hepatology (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12958308P | 2008-07-07 | 2008-07-07 | |
| US12958908P | 2008-07-07 | 2008-07-07 | |
| US61/129,589 | 2008-07-07 | ||
| US61/129,583 | 2008-07-07 | ||
| PCT/IL2009/000673 WO2010004552A1 (en) | 2008-07-07 | 2009-07-06 | Tissue access site system and method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2730173A1 true CA2730173A1 (en) | 2010-01-14 |
Family
ID=41506732
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2730173A Abandoned CA2730173A1 (en) | 2008-07-07 | 2009-07-06 | Tissue access site system and method |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US9265497B2 (enExample) |
| EP (1) | EP2303389A4 (enExample) |
| JP (1) | JP5695564B2 (enExample) |
| AU (1) | AU2009269566A1 (enExample) |
| CA (1) | CA2730173A1 (enExample) |
| WO (1) | WO2010004552A1 (enExample) |
Families Citing this family (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2730173A1 (en) | 2008-07-07 | 2010-01-14 | Eyal Teichman | Tissue access site system and method |
| US8574245B2 (en) | 2008-08-13 | 2013-11-05 | Silk Road Medical, Inc. | Suture delivery device |
| WO2012178073A1 (en) * | 2011-06-24 | 2012-12-27 | Accessclosure, Inc. | Method and devices for flow occlusion during device exchanges |
| US10434292B2 (en) | 2011-06-24 | 2019-10-08 | Access Closure | Method and devices for flow occlusion during device exchanges |
| US9480497B2 (en) | 2012-02-01 | 2016-11-01 | Angiodynamics, Inc. | Skin nicking device, method and assembly |
| US9532785B2 (en) | 2012-05-09 | 2017-01-03 | Access Closure, Inc. | Method and devices for flow occlusion during device exchanges |
| AU2013329517A1 (en) * | 2012-10-09 | 2015-04-09 | Accessclosure, Inc. | Method and devices for flow occlusion during device exchanges |
| US10010317B2 (en) * | 2012-12-05 | 2018-07-03 | Young Jae Kim | Method of improving elasticity of tissue of living body |
| US9301746B2 (en) | 2013-10-11 | 2016-04-05 | Abbott Cardiovascular Systems, Inc. | Suture-based closure with hemostatic tract plug |
| CA2977072A1 (en) * | 2015-02-24 | 2016-09-01 | Silk Road Medical, Inc. | Suture delivery device |
| CN111818856A (zh) | 2018-01-05 | 2020-10-23 | 米特瑞克斯公司 | 荷包缝合牵开器和使用方法 |
| FR3094886A1 (fr) * | 2019-04-15 | 2020-10-16 | Paul Pittaluga | Dispositif et méthode de traitement des télangiectasies |
| US10603071B1 (en) | 2019-05-03 | 2020-03-31 | Gwbn, Llc | Cutting device and related systems and methods |
| US10813665B1 (en) | 2019-05-03 | 2020-10-27 | Gwbn, Llc | Cutting device and related systems and methods |
| EP4161393B1 (en) * | 2020-06-08 | 2025-09-17 | AMX Technologies, LLC | Device allowing large bore transseptal access with subsequent atrial re-access |
Family Cites Families (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5372588A (en) * | 1992-11-24 | 1994-12-13 | Farley; Kevin | Trocar having blunt tip |
| US5417699A (en) * | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
| US5830125A (en) | 1993-08-12 | 1998-11-03 | Scribner-Browne Medical Design Incorporated | Catheter introducer with suture capability |
| US5527322A (en) | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
| US5846253A (en) * | 1995-07-14 | 1998-12-08 | C. R. Bard, Inc. | Wound closure apparatus and method |
| US5944730A (en) * | 1997-05-19 | 1999-08-31 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
| US6520988B1 (en) | 1997-09-24 | 2003-02-18 | Medtronic Ave, Inc. | Endolumenal prosthesis and method of use in bifurcation regions of body lumens |
| US20010041902A1 (en) * | 1998-02-13 | 2001-11-15 | Michael J. Lynch | Anastomotic methods and devices for placing a target vessel in fluid communication with a source of blood |
| US6280460B1 (en) * | 1998-02-13 | 2001-08-28 | Heartport, Inc. | Devices and methods for performing vascular anastomosis |
| US6231518B1 (en) * | 1998-05-26 | 2001-05-15 | Comedicus Incorporated | Intrapericardial electrophysiological procedures |
| 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 |
| US6911034B2 (en) * | 2000-06-14 | 2005-06-28 | Sterilis, Inc. | Suturing method and apparatus |
| US7029480B2 (en) | 2001-01-24 | 2006-04-18 | Abott Laboratories | Device and method for suturing of internal puncture sites |
| US20070073389A1 (en) | 2001-11-28 | 2007-03-29 | Aptus Endosystems, Inc. | Endovascular aneurysm devices, systems, and methods |
| US20040092985A1 (en) | 2002-09-30 | 2004-05-13 | Ethicon, Inc. | Device for providing thoracoscopic intracardiac access |
| US8394114B2 (en) * | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
| US20050267520A1 (en) | 2004-05-12 | 2005-12-01 | Modesitt D B | Access and closure device and method |
| JP2008500125A (ja) * | 2004-05-21 | 2008-01-10 | ニートスティッチ リミティド | 縫合デバイス |
| US20060095056A1 (en) | 2004-10-29 | 2006-05-04 | Peter Douglas | Device for incising a blood vessel |
| EP2260770B1 (en) * | 2005-04-29 | 2014-07-02 | Vivasure Medical Limited | An interventional medical closure device |
| JP2007185495A (ja) * | 2006-01-13 | 2007-07-26 | Olympus Medical Systems Corp | オーバーチューブ |
| US7731727B2 (en) | 2006-04-26 | 2010-06-08 | Lsi Solutions, Inc. | Medical instrument to place a pursestring suture, open a hole and pass a guidewire |
| WO2008045703A2 (en) * | 2006-10-09 | 2008-04-17 | Isik Frank F | Vascular access devices and methods of use |
| US8834493B2 (en) | 2006-10-20 | 2014-09-16 | St. Jude Medical, Cardiology Division, Inc. | Device and method for vascular closure |
| CA2730173A1 (en) | 2008-07-07 | 2010-01-14 | Eyal Teichman | Tissue access site system and method |
-
2009
- 2009-07-06 CA CA2730173A patent/CA2730173A1/en not_active Abandoned
- 2009-07-06 JP JP2011517309A patent/JP5695564B2/ja not_active Expired - Fee Related
- 2009-07-06 WO PCT/IL2009/000673 patent/WO2010004552A1/en not_active Ceased
- 2009-07-06 AU AU2009269566A patent/AU2009269566A1/en not_active Abandoned
- 2009-07-06 US US13/002,767 patent/US9265497B2/en active Active
- 2009-07-06 EP EP09794096.9A patent/EP2303389A4/en not_active Withdrawn
-
2016
- 2016-01-20 US US15/002,203 patent/US20160135833A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| US9265497B2 (en) | 2016-02-23 |
| WO2010004552A1 (en) | 2010-01-14 |
| US20160135833A1 (en) | 2016-05-19 |
| AU2009269566A1 (en) | 2010-01-14 |
| JP2011527226A (ja) | 2011-10-27 |
| EP2303389A1 (en) | 2011-04-06 |
| JP5695564B2 (ja) | 2015-04-08 |
| US20110118759A1 (en) | 2011-05-19 |
| EP2303389A4 (en) | 2013-12-18 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20140616 |
|
| FZDE | Discontinued |
Effective date: 20160706 |