JP5524069B2 - 植込み型巾着縫合糸張力調整装置 - Google Patents
植込み型巾着縫合糸張力調整装置 Download PDFInfo
- Publication number
- JP5524069B2 JP5524069B2 JP2010530180A JP2010530180A JP5524069B2 JP 5524069 B2 JP5524069 B2 JP 5524069B2 JP 2010530180 A JP2010530180 A JP 2010530180A JP 2010530180 A JP2010530180 A JP 2010530180A JP 5524069 B2 JP5524069 B2 JP 5524069B2
- Authority
- JP
- Japan
- Prior art keywords
- suture
- tension
- purse string
- tension adjustment
- string suture
- 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
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- 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
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
-
- 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
- A61B2017/1142—Purse-string sutures
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
- Electrotherapy Devices (AREA)
Description
Claims (12)
- a)近位端と遠位端とを有する少なくとも1つの圧縮性の張力調整要素と、
b)近位面と、遠位面と、巾着縫合糸のそれぞれの端を受け入れるための少なくとも2つの別個の直線状の貫通する通路とを有する縫合糸ガイド要素であって、前記張力調整要素に隣接した前記縫合糸を安定させ、それにより、止血を維持するため、所定の圧力下に余分な縫合糸の長さを吸収可能な縫合糸ガイド要素と、
を含む植込み型巾着縫合糸張力調整装置であって、
患者に内在する形で植え込むことのできる大きさ及び形状を有する、装置。 - 前記ガイド要素の少なくとも一部分が、前記張力調整要素を貫通して延在する、請求項1に記載の張力調整装置。
- 前記張力調整要素の少なくとも一部分が、前記ガイド要素を貫通して延在する、請求項1または2に記載の張力調整装置。
- 前記張力調整要素を圧縮形態に保持する着脱自在な張力保持要素をさらに含む、請求項1〜3のいずれか一項に記載の張力調整装置。
- 前記縫合糸ガイド要素が、そこを通る前記縫合糸の長さを変化させることが可能な複数のテレスコープ型要素をさらに含む、請求項1〜4のいずれか一項に記載の張力調整装置。
- 縫合糸保持要素をさらに含む、請求項1〜5のいずれか一項に記載の張力調整装置。
- 前記縫合糸保持要素が、巾着縫合糸の各端部用の別個の通路間にある近位隔壁である、請求項6に記載の張力調整装置。
- 巾着縫合部に挿入された細長の医療装置があるとき、及び前記医療装置がないとき、ある範囲の張力により前記巾着縫合部を封鎖する、請求項1〜7のいずれか一項に記載の張力調整装置。
- a)近位端と遠位端とを有する少なくとも1つの圧縮性の張力調整要素と、
b)近位面と、遠位面と、巾着縫合糸を受け入れるための少なくとも2つの別個の直線状の貫通する通路とを有するガイド要素であって、前記張力調整要素に隣接した前記縫合糸を安定させ、それにより、止血を維持するため、所定の圧力下に余分な縫合糸の長さを吸収可能な縫合糸ガイド要素と、
c)前記巾着縫合糸のそれぞれの端部を受け入れるための複数の通路要素であって、各々が前記張力調整要素の各端部に取り付けられる、複数の通路要素と、
を含む植込み型巾着縫合糸張力調整装置であって、
患者に内在する形で植え込むことのできる大きさ及び形状を有する、装置。 - 前記張力調整要素に取り付けられた縫合糸保持要素であって、巾着縫合糸の端部を固定するように構成された縫合糸保持要素をさらに含む、請求項9に記載の張力調整装置。
- 前記張力調整要素が、組織の平面と実質的に平行である、請求項9または10に記載の張力調整装置。
- 巾着縫合部に挿入された細長の医療装置があるとき、及び前記医療装置がないとき、ある範囲の張力により前記巾着縫合部を封鎖する、請求項9〜11のいずれか一項に記載の張力調整装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US98092707P | 2007-10-18 | 2007-10-18 | |
US60/980,927 | 2007-10-18 | ||
US8850608P | 2008-08-13 | 2008-08-13 | |
US61/088,506 | 2008-08-13 | ||
PCT/US2008/080522 WO2009052509A1 (en) | 2007-10-18 | 2008-10-20 | Implantable purse string suture tensioning device |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013130295A Division JP2013215603A (ja) | 2007-10-18 | 2013-06-21 | 植込み型の巾着縫合糸張力調整装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011500226A JP2011500226A (ja) | 2011-01-06 |
JP5524069B2 true JP5524069B2 (ja) | 2014-06-18 |
Family
ID=40567820
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010530180A Expired - Fee Related JP5524069B2 (ja) | 2007-10-18 | 2008-10-20 | 植込み型巾着縫合糸張力調整装置 |
JP2013130295A Pending JP2013215603A (ja) | 2007-10-18 | 2013-06-21 | 植込み型の巾着縫合糸張力調整装置 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013130295A Pending JP2013215603A (ja) | 2007-10-18 | 2013-06-21 | 植込み型の巾着縫合糸張力調整装置 |
Country Status (7)
Country | Link |
---|---|
US (1) | US8529589B2 (ja) |
EP (1) | EP2214564B1 (ja) |
JP (2) | JP5524069B2 (ja) |
AU (1) | AU2008311802B2 (ja) |
BR (1) | BRPI0817816A2 (ja) |
CR (1) | CR11404A (ja) |
WO (1) | WO2009052509A1 (ja) |
Families Citing this family (28)
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US8641727B2 (en) | 2002-06-13 | 2014-02-04 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US7297150B2 (en) | 2002-08-29 | 2007-11-20 | Mitralsolutions, Inc. | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
US8758372B2 (en) | 2002-08-29 | 2014-06-24 | St. Jude Medical, Cardiology Division, Inc. | Implantable devices for controlling the size and shape of an anatomical structure or lumen |
JP5222552B2 (ja) * | 2004-04-30 | 2013-06-26 | ミトラル・ソリューションズ・インコーポレイテッド | 心臓弁機能の調節のための方法及びデバイス |
US20060106405A1 (en) * | 2004-11-16 | 2006-05-18 | Fann James I | Systems and methods for delivering fastener to opposed tissue structures |
WO2006105084A2 (en) | 2005-03-25 | 2006-10-05 | Mitralsolutions, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
US8864823B2 (en) | 2005-03-25 | 2014-10-21 | StJude Medical, Cardiology Division, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
JP5443169B2 (ja) | 2007-01-03 | 2014-03-19 | ミトラル・ソリューションズ・インコーポレイテッド | 解剖学的構造又は内腔のサイズ及び形状を制御するための移植可能な装置 |
US9427215B2 (en) * | 2007-02-05 | 2016-08-30 | St. Jude Medical, Cardiology Division, Inc. | Minimally invasive system for delivering and securing an annular implant |
BRPI0916696A2 (pt) * | 2008-07-29 | 2015-11-17 | St Jude Medical Cardiology Div | método e sistema para ajuste a longo prazo de um dispositivo de implante |
WO2010048151A1 (en) | 2008-10-20 | 2010-04-29 | Mitralsolutions, Inc. | Method of post-operative adjustment for mitral valve implant |
BRPI1007070A2 (pt) | 2009-01-22 | 2016-02-10 | St Jude Medical Cardiology Div | sistema de dispositivo implantável. |
AU2010210404A1 (en) | 2009-02-09 | 2011-08-25 | St. Jude Medical, Cardiology Division, Inc. | Inflatable minimally invasive system for delivering and securing an annular implant |
KR101231140B1 (ko) * | 2011-08-12 | 2013-02-07 | 부산대학교 산학협력단 | 승모판막 서클라지 시술용 장치 |
US9468435B2 (en) | 2009-12-23 | 2016-10-18 | Cook Medical Technologies Llc | Wound closure device |
CA2801923A1 (en) | 2010-06-11 | 2011-12-15 | Entourage Medical Technologies, Inc. | System and method for transapical access and closure |
US9161778B2 (en) | 2010-06-11 | 2015-10-20 | Entourage Medical Technologies, Inc. | System and method for transapical access and closure |
US8827136B2 (en) | 2010-08-11 | 2014-09-09 | Covidien Lp | Endoscopic purse string surgical device |
US9782168B2 (en) * | 2010-09-20 | 2017-10-10 | Entourage Medical Technologies, Inc. | System for providing surgical access |
EP2628451B1 (en) | 2012-02-16 | 2018-01-31 | Cook Medical Technologies LLC | Suture retention device |
WO2015066243A2 (en) | 2013-10-29 | 2015-05-07 | Entourage Medical Technologies, Inc. | System for providing surgical access |
US10130377B2 (en) | 2016-02-08 | 2018-11-20 | Crossroads Extremity Systems, Llc | Plantar plate repair |
EP3793449A4 (en) | 2018-05-16 | 2022-02-09 | Munday, George Swope | DEVICE AND METHOD FOR CLOSING AN OPERATING SITE |
EP3998969A4 (en) | 2019-07-15 | 2023-08-02 | Ancora Heart, Inc. | DEVICES AND METHODS FOR ATTACHING CUTTING |
US11382609B2 (en) * | 2020-12-03 | 2022-07-12 | Xdot Medical Inc. | Access site management system for percutaneous vascular access |
US20220387023A1 (en) | 2021-06-08 | 2022-12-08 | George Swope MUNDAY | Apparatus for closing a surgical site |
US11701104B2 (en) | 2021-06-08 | 2023-07-18 | George Swope MUNDAY | Apparatus for closing a surgical site |
US20230270423A1 (en) * | 2022-02-25 | 2023-08-31 | Catheter Precision, Inc. | Surgical vessel closing pressure device |
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AU3683995A (en) * | 1994-09-28 | 1996-04-19 | Innovasive Devices, Inc. | Suture tensioning device |
US5891159A (en) * | 1997-05-02 | 1999-04-06 | Cardiothoratic Systems, Inc. | Automatic purse string suture device |
US6159234A (en) * | 1997-08-01 | 2000-12-12 | Peter M. Bonutti | Method and apparatus for securing a suture |
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JP4223719B2 (ja) * | 1999-10-18 | 2009-02-12 | テンドン テクノロジー、リミテッド | 腱または靱帯修復の装置および方法 |
JP3073964U (ja) | 2000-06-09 | 2000-12-15 | 松田医科株式会社 | 医療用糸仮固定器具 |
US7335221B2 (en) * | 2002-04-12 | 2008-02-26 | Ethicon, Inc. | Suture anchoring and tensioning device and method for using same |
FR2843291B1 (fr) * | 2002-08-06 | 2005-06-03 | Univ Aix Marseille Ii | Dispositif semi-automatique de realisation de suture a l'aide de fil chirurgical |
US7297150B2 (en) * | 2002-08-29 | 2007-11-20 | Mitralsolutions, Inc. | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
US8758372B2 (en) * | 2002-08-29 | 2014-06-24 | St. Jude Medical, Cardiology Division, Inc. | Implantable devices for controlling the size and shape of an anatomical structure or lumen |
JP5222552B2 (ja) * | 2004-04-30 | 2013-06-26 | ミトラル・ソリューションズ・インコーポレイテッド | 心臓弁機能の調節のための方法及びデバイス |
US20060106405A1 (en) * | 2004-11-16 | 2006-05-18 | Fann James I | Systems and methods for delivering fastener to opposed tissue structures |
US8864823B2 (en) * | 2005-03-25 | 2014-10-21 | StJude Medical, Cardiology Division, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
WO2006105084A2 (en) * | 2005-03-25 | 2006-10-05 | Mitralsolutions, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
US7875056B2 (en) * | 2005-07-22 | 2011-01-25 | Anpa Medical, Inc. | Wedge operated retainer device and methods |
WO2007109285A2 (en) * | 2006-03-20 | 2007-09-27 | Merit Medical Systems, Inc. | Torque device for a medical guidewire |
JP5443169B2 (ja) * | 2007-01-03 | 2014-03-19 | ミトラル・ソリューションズ・インコーポレイテッド | 解剖学的構造又は内腔のサイズ及び形状を制御するための移植可能な装置 |
US9427215B2 (en) * | 2007-02-05 | 2016-08-30 | St. Jude Medical, Cardiology Division, Inc. | Minimally invasive system for delivering and securing an annular implant |
BRPI0916696A2 (pt) * | 2008-07-29 | 2015-11-17 | St Jude Medical Cardiology Div | método e sistema para ajuste a longo prazo de um dispositivo de implante |
JP2012515625A (ja) * | 2009-01-22 | 2012-07-12 | セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド | 移植可能な装置の長期的な調整のための磁気的ドッキングシステムおよび方法 |
BRPI1007070A2 (pt) * | 2009-01-22 | 2016-02-10 | St Jude Medical Cardiology Div | sistema de dispositivo implantável. |
AU2010210404A1 (en) * | 2009-02-09 | 2011-08-25 | St. Jude Medical, Cardiology Division, Inc. | Inflatable minimally invasive system for delivering and securing an annular implant |
-
2008
- 2008-10-20 JP JP2010530180A patent/JP5524069B2/ja not_active Expired - Fee Related
- 2008-10-20 AU AU2008311802A patent/AU2008311802B2/en not_active Ceased
- 2008-10-20 US US12/738,742 patent/US8529589B2/en not_active Expired - Fee Related
- 2008-10-20 EP EP08840265.6A patent/EP2214564B1/en not_active Not-in-force
- 2008-10-20 WO PCT/US2008/080522 patent/WO2009052509A1/en active Application Filing
- 2008-10-22 BR BRPI0817816 patent/BRPI0817816A2/pt not_active IP Right Cessation
-
2010
- 2010-04-30 CR CR11404A patent/CR11404A/es not_active Application Discontinuation
-
2013
- 2013-06-21 JP JP2013130295A patent/JP2013215603A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
US20100305609A1 (en) | 2010-12-02 |
JP2013215603A (ja) | 2013-10-24 |
EP2214564B1 (en) | 2017-02-01 |
JP2011500226A (ja) | 2011-01-06 |
WO2009052509A1 (en) | 2009-04-23 |
US8529589B2 (en) | 2013-09-10 |
AU2008311802B2 (en) | 2014-01-23 |
EP2214564A1 (en) | 2010-08-11 |
BRPI0817816A2 (pt) | 2015-03-31 |
CR11404A (es) | 2010-12-15 |
EP2214564A4 (en) | 2015-06-17 |
AU2008311802A1 (en) | 2009-04-23 |
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