CN106413586A - 封堵器和吻合装置 - Google Patents

封堵器和吻合装置 Download PDF

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Publication number
CN106413586A
CN106413586A CN201580021833.9A CN201580021833A CN106413586A CN 106413586 A CN106413586 A CN 106413586A CN 201580021833 A CN201580021833 A CN 201580021833A CN 106413586 A CN106413586 A CN 106413586A
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CN
China
Prior art keywords
tissue
medical device
arms
sealing
frame
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.)
Pending
Application number
CN201580021833.9A
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English (en)
Chinese (zh)
Inventor
M·A·约翰逊
N·K·穆尼
C·S·米哈韦克
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
WL Gore and Associates Inc
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WL Gore and Associates 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.)
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Publication date
Application filed by WL Gore and Associates Inc filed Critical WL Gore and Associates Inc
Priority to CN201911266463.1A priority Critical patent/CN111714176A/zh
Publication of CN106413586A publication Critical patent/CN106413586A/zh
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/12145Coils or wires having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00592Elastic or resilient implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00597Implements comprising a membrane
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00615Implements with an occluder on one side of the opening and holding means therefor on the other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00632Occluding a cavity, i.e. closing a blind opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements 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
    • A61B2017/00676Implements 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 promotion of self-sealing of the puncture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1103Approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
CN201580021833.9A 2014-05-02 2015-05-01 封堵器和吻合装置 Pending CN106413586A (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201911266463.1A CN111714176A (zh) 2014-05-02 2015-05-01 封堵器和吻合装置

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201461987802P 2014-05-02 2014-05-02
US61/987,802 2014-05-02
US14/701,440 US11712230B2 (en) 2014-05-02 2015-04-30 Occluder and anastomosis devices
US14/701,440 2015-04-30
PCT/US2015/028707 WO2015168501A2 (en) 2014-05-02 2015-05-01 Occluder and anastomosis devices

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN201911266463.1A Division CN111714176A (zh) 2014-05-02 2015-05-01 封堵器和吻合装置

Publications (1)

Publication Number Publication Date
CN106413586A true CN106413586A (zh) 2017-02-15

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Family Applications (2)

Application Number Title Priority Date Filing Date
CN201911266463.1A Pending CN111714176A (zh) 2014-05-02 2015-05-01 封堵器和吻合装置
CN201580021833.9A Pending CN106413586A (zh) 2014-05-02 2015-05-01 封堵器和吻合装置

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CN201911266463.1A Pending CN111714176A (zh) 2014-05-02 2015-05-01 封堵器和吻合装置

Country Status (10)

Country Link
US (2) US11712230B2 (enExample)
EP (2) EP3136981B1 (enExample)
JP (2) JP6741653B2 (enExample)
KR (1) KR20170003962A (enExample)
CN (2) CN111714176A (enExample)
AU (3) AU2015252978B2 (enExample)
BR (1) BR112016024746A2 (enExample)
CA (1) CA2943307C (enExample)
ES (1) ES2985060T3 (enExample)
WO (1) WO2015168501A2 (enExample)

Cited By (10)

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CN108513541A (zh) * 2015-10-29 2018-09-07 W.L.戈尔及同仁股份有限公司 闭塞装置和吻合装置
CN108670343A (zh) * 2018-05-07 2018-10-19 北京航空航天大学 一种血管内封堵装置
CN109464168A (zh) * 2018-12-17 2019-03-15 先健科技(深圳)有限公司 封堵器
CN110621236A (zh) * 2017-05-16 2019-12-27 爱德华兹生命科学公司 跨间隔闭合装置
CN114555008A (zh) * 2019-09-23 2022-05-27 萨里亚Cets私人基金会化学研究院 贴片展开装置
US11344307B2 (en) 2014-05-02 2022-05-31 W. L. Gore & Associates, Inc. Anastomosis devices
CN114945329A (zh) * 2020-01-17 2022-08-26 W.L.戈尔及同仁股份有限公司 用于分流器、闭塞器、开窗部的医疗设备以及相关的系统和方法
US11439396B2 (en) 2014-05-02 2022-09-13 W. L. Gore & Associates, Inc. Occluder and anastomosis devices
US11724075B2 (en) 2017-04-18 2023-08-15 W. L. Gore & Associates, Inc. Deployment constraining sheath that enables staged deployment by device section
US12478362B2 (en) 2014-05-02 2025-11-25 W. L. Gore & Associates, Inc. Occluder and anastomosis devices

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US12453626B2 (en) 2009-05-04 2025-10-28 V-Wave Ltd. Shunt for redistributing atrial blood volume
US12186176B2 (en) 2009-05-04 2025-01-07 V-Wave Ltd. Shunt for redistributing atrial blood volume
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US11291807B2 (en) 2017-03-03 2022-04-05 V-Wave Ltd. Asymmetric shunt for redistributing atrial blood volume
EP4467111A3 (en) 2017-03-15 2025-03-05 Merit Medical Systems, Inc. Transluminal stents
WO2018170066A1 (en) 2017-03-15 2018-09-20 Merit Medical Systems, Inc. Transluminal delivery devices and related kits and methods
USD836194S1 (en) 2017-03-21 2018-12-18 Merit Medical Systems, Inc. Stent deployment device
CN111132639B (zh) * 2017-07-07 2022-05-24 W.L.戈尔及同仁股份有限公司 具有中心固定的胃内衬贴片
US10898698B1 (en) 2020-05-04 2021-01-26 V-Wave Ltd. Devices with dimensions that can be reduced and increased in vivo, and methods of making and using the same
US11744589B2 (en) 2018-01-20 2023-09-05 V-Wave Ltd. Devices and methods for providing passage between heart chambers
US11458287B2 (en) 2018-01-20 2022-10-04 V-Wave Ltd. Devices with dimensions that can be reduced and increased in vivo, and methods of making and using the same
WO2019152799A1 (en) * 2018-02-02 2019-08-08 University Of Louisville Research Foundation, Inc. Sutureless graft anastomotic quick connect system
US11219459B2 (en) * 2018-04-17 2022-01-11 David Ruebeck Device and method for connecting tubular structures
JP7280939B2 (ja) 2018-07-18 2023-05-24 ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド インプラント可能なメディカルデバイスの展開システム
AU2019308262B2 (en) * 2018-07-18 2022-08-04 W. L. Gore & Associates, Inc. Medical devices for shunts, occluders, fenestrations and related systems and methods
EP3897369B1 (en) 2018-12-21 2024-03-27 W. L. Gore & Associates, Inc. Implantable cardiac sensors
US11612385B2 (en) 2019-04-03 2023-03-28 V-Wave Ltd. Systems and methods for delivering implantable devices across an atrial septum
US12226602B2 (en) 2019-04-03 2025-02-18 V-Wave Ltd. Systems for delivering implantable devices across an atrial septum
CN117838209A (zh) * 2019-05-03 2024-04-09 瑞克偌斯有氧运动公司 可穿越间隔心脏封堵器装置
WO2020234751A1 (en) 2019-05-20 2020-11-26 V-Wave Ltd. Systems and methods for creating an interatrial shunt
WO2021055963A1 (en) 2019-09-20 2021-03-25 W. L. Gore & Associates, Inc. Implantable cardiac assist devices and methods
AU2021207646B2 (en) * 2020-01-17 2024-05-23 W. L. Gore & Associates, Inc. Medical devices for shunts, occluders, fenestrations and related systems and methods
CA3169631A1 (en) * 2020-02-11 2021-08-19 Edwards Lifesciences Corporation Shunt systems and methods with tissue growth prevention
EP4185239A4 (en) 2020-07-24 2024-08-07 Merit Medical Systems, Inc. Esophageal stents and related methods
CA3194910A1 (en) 2020-10-26 2022-05-05 Tiffany ETHRIDGE Esophageal stents with helical thread
US11234702B1 (en) 2020-11-13 2022-02-01 V-Wave Ltd. Interatrial shunt having physiologic sensor
CN117597075A (zh) * 2021-05-10 2024-02-23 波士顿科学国际有限公司 吻合装置、系统和方法
EP4358872A1 (en) 2021-06-22 2024-05-01 Boston Scientific Scimed, Inc. Left atrial appendage implant
JP2024531786A (ja) * 2021-09-16 2024-08-29 タヴァー ソリューションズ,エルエルシー 経カテーテル心房中隔閉鎖デバイス
JP2025512028A (ja) 2022-04-14 2025-04-16 ブイ-ウェーブ リミテッド 拡張された縮径部領域を伴う心房間シャント
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