JP7353549B2 - 縫合クリップ - Google Patents
縫合クリップ Download PDFInfo
- Publication number
- JP7353549B2 JP7353549B2 JP2020560318A JP2020560318A JP7353549B2 JP 7353549 B2 JP7353549 B2 JP 7353549B2 JP 2020560318 A JP2020560318 A JP 2020560318A JP 2020560318 A JP2020560318 A JP 2020560318A JP 7353549 B2 JP7353549 B2 JP 7353549B2
- Authority
- JP
- Japan
- Prior art keywords
- suture clip
- configuration
- suture
- arm
- anchor
- 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.)
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Links
- 210000005248 left atrial appendage Anatomy 0.000 claims description 108
- 238000006243 chemical reaction Methods 0.000 claims description 8
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- 229910001000 nickel titanium Inorganic materials 0.000 description 10
- 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 10
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- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
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- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 1
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- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
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- PJVWKTKQMONHTI-UHFFFAOYSA-N warfarin Chemical compound OC=1C2=CC=CC=C2OC(=O)C=1C(CC(=O)C)C1=CC=CC=C1 PJVWKTKQMONHTI-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
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- 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
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- 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
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- 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
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
-
- 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
- A61B2017/00584—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
- 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
- A61B2017/00623—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
- 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
- A61B2017/00632—Occluding a cavity, i.e. closing a blind opening
-
- 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
- A61B2017/0641—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
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862662266P | 2018-04-25 | 2018-04-25 | |
| US62/662,266 | 2018-04-25 | ||
| PCT/IL2019/050461 WO2019207585A1 (en) | 2018-04-25 | 2019-04-24 | Suturing clip |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2021521998A JP2021521998A (ja) | 2021-08-30 |
| JP2021521998A5 JP2021521998A5 (enExample) | 2022-04-27 |
| JP7353549B2 true JP7353549B2 (ja) | 2023-10-02 |
Family
ID=66542478
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2020560318A Active JP7353549B2 (ja) | 2018-04-25 | 2019-04-24 | 縫合クリップ |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US12396712B2 (enExample) |
| EP (1) | EP3784149A1 (enExample) |
| JP (1) | JP7353549B2 (enExample) |
| CN (1) | CN112165911B (enExample) |
| AU (1) | AU2019259934B2 (enExample) |
| CA (1) | CA3097677A1 (enExample) |
| WO (1) | WO2019207585A1 (enExample) |
Families Citing this family (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019207585A1 (en) | 2018-04-25 | 2019-10-31 | Endomatic Ltd. | Suturing clip |
| EP3883483A1 (en) | 2019-03-25 | 2021-09-29 | Laminar, Inc. | Devices and systems for treating the left atrial appendage |
| US11832828B2 (en) | 2019-05-24 | 2023-12-05 | Medtronic, Inc. | Left atrial appendage occlusion device |
| CA3143659C (en) * | 2019-06-05 | 2023-03-07 | Maine Medical Center | Gastrocutaneous closure device |
| CN115243626B (zh) * | 2019-10-24 | 2025-05-23 | 维伦德·K·夏尔马 | 左心耳闭合装置和方法 |
| WO2021178635A1 (en) * | 2020-03-05 | 2021-09-10 | Apollo Endosurgery Us, Inc. | Surgical fastener deployment system |
| WO2021194964A1 (en) | 2020-03-24 | 2021-09-30 | Laminar, Inc. | Devices, systems, and methods for occluding cavities within the body |
| US20220022854A1 (en) * | 2020-07-07 | 2022-01-27 | Laminar, Inc. | Devices, systems, and methods for treating the left atrial appendage |
| EP4208101A4 (en) * | 2020-09-03 | 2024-08-28 | Ritz, Joseph Paul | ORTHOPEDIC TORSION-GENERATED COMPRESSION IMPLANTS AND METHODS OF USE THEREOF |
| JP7426364B2 (ja) | 2020-10-16 | 2024-02-01 | オリンパスメディカルシステムズ株式会社 | クリップ装置 |
| US11589875B1 (en) | 2021-08-25 | 2023-02-28 | GastroLogic LLC | Endoscopic clip apparatus and methods |
| US20250032123A1 (en) * | 2021-12-07 | 2025-01-30 | Endomatic Ltd. | Anchors for a collapsing implant |
| KR20240125064A (ko) | 2022-06-10 | 2024-08-19 | 보스턴 사이언티픽 메디칼 디바이스 리미티드 | 호환 메커니즘을 갖는 재위치 가능한 오버 더 스코프 클립 |
| US12471928B2 (en) * | 2022-07-06 | 2025-11-18 | Boston Scientific Medical Device Limited | Repositionable over-the-scope clip with cancer seeding prevention in full tissue resection |
| US20240382206A1 (en) * | 2023-05-15 | 2024-11-21 | Conformal Medical, Inc. | Surgical left atrial appendage closure devices and methods for delivery |
| WO2025064999A1 (en) * | 2023-09-21 | 2025-03-27 | Graham Kevin A | Left atrial appendage device retrieval processes and systems |
| EP4659685A1 (en) * | 2024-06-07 | 2025-12-10 | Koninklijke Philips N.V. | Implantable clip between therapeutic implant and native tissue for preventing blood leakage with heart and associated devices, systems, and methods |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003509175A (ja) | 1999-09-20 | 2003-03-11 | アプリヴァ メディカル、 インク． | 体の菅腔を閉鎖する方法と装置 |
| JP2003512128A (ja) | 1999-10-27 | 2003-04-02 | アトリテック インコーポレイテッド | 左心耳の心門を覆うためのバリアデバイス |
| US20030220667A1 (en) | 1998-11-06 | 2003-11-27 | Van Der Burg Erik J. | Method of containing embolic material in the left atrial appendage |
| US20070156123A1 (en) | 2005-12-09 | 2007-07-05 | Hansen Medical, Inc | Robotic catheter system and methods |
| JP2009504326A (ja) | 2005-08-19 | 2009-02-05 | ボストン サイエンティフィック リミティド | 閉鎖装置 |
| US20140018831A1 (en) | 2007-01-23 | 2014-01-16 | Ghassan S. Kassab | Atrial appendage occlusion systems and methods of using the same |
| US20170340329A1 (en) | 2016-05-26 | 2017-11-30 | Mitralign, Inc. | Method and System for Closing Left Atrial Appendage |
Family Cites Families (23)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040087985A1 (en) | 1999-03-19 | 2004-05-06 | Amir Loshakove | Graft and connector delivery |
| AU7373700A (en) * | 1999-09-13 | 2001-04-17 | Rex Medical, Lp | Vascular closure |
| EP1512383B1 (en) * | 2000-06-26 | 2013-02-20 | Rex Medical, L.P. | A vascular system for valve leaflet apposition |
| US7232445B2 (en) * | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
| JP4827304B2 (ja) * | 2001-03-14 | 2011-11-30 | オリンパス株式会社 | 生体組織のクリップ装置 |
| CA2488688A1 (en) * | 2002-06-04 | 2003-12-11 | Christy Cummins | Blood vessel closure clip and delivery device |
| 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 |
| US20070198057A1 (en) * | 2006-02-21 | 2007-08-23 | Daniel Gelbart | Method and device for closing holes in tissue |
| WO2012003317A1 (en) * | 2010-07-02 | 2012-01-05 | Alex Javois | Left atrial appendage occlusion device |
| JP2013542771A (ja) * | 2010-10-04 | 2013-11-28 | ザ・ジョンズ・ホプキンス・ユニバーシティー | 管腔内穿孔の閉鎖のための方法およびデバイス |
| WO2012106602A2 (en) * | 2011-02-04 | 2012-08-09 | Annest Lon Sutherland | A device and method for temporaty or permanent suspension of an implantable scaffolding containing an orifice for placement of a prosthetic or bio-prosthetic valve |
| WO2012126477A1 (en) | 2011-03-22 | 2012-09-27 | Herlev Hospital | Fastening device, related tools and methods |
| EP3175797B1 (en) * | 2011-09-30 | 2020-02-12 | Bioventrix, Inc. | Trans-catheter ventricular reconstruction structures and systems for treatment of congestive heart failure and other conditions |
| WO2013067662A1 (zh) * | 2011-11-11 | 2013-05-16 | Zhu Jian | 一种夹持或结扎装置 |
| US9168122B2 (en) * | 2012-04-26 | 2015-10-27 | Rex Medical, L.P. | Vascular device and method for valve leaflet apposition |
| CN104000627B (zh) * | 2013-02-26 | 2017-04-12 | 米特拉利根公司 | 组织锚及锚固系统 |
| EP3003221B1 (en) | 2013-06-06 | 2019-09-04 | David Alon | Heart valve repair and replacement |
| KR20170056666A (ko) * | 2014-09-17 | 2017-05-23 | 메타랙티브 메디컬, 인크. | 팽창 가능한 바디 디바이스 및 이용 방법 |
| WO2017019525A1 (en) | 2015-07-24 | 2017-02-02 | The Johns Hopkins University | Method and device for tissue acquisition or closure |
| CN113558821B (zh) * | 2016-10-11 | 2024-08-23 | 沃卡尔医药有限公司 | 通过导管输送植入物的装置和方法 |
| CN107550529A (zh) * | 2017-09-29 | 2018-01-09 | 陕西洁伦医药生物有限公司 | 一种腹壁缝合器 |
| WO2019207585A1 (en) | 2018-04-25 | 2019-10-31 | Endomatic Ltd. | Suturing clip |
| US20250032123A1 (en) | 2021-12-07 | 2025-01-30 | Endomatic Ltd. | Anchors for a collapsing implant |
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2019
- 2019-04-24 WO PCT/IL2019/050461 patent/WO2019207585A1/en not_active Ceased
- 2019-04-24 US US17/050,444 patent/US12396712B2/en active Active
- 2019-04-24 JP JP2020560318A patent/JP7353549B2/ja active Active
- 2019-04-24 AU AU2019259934A patent/AU2019259934B2/en active Active
- 2019-04-24 CA CA3097677A patent/CA3097677A1/en active Pending
- 2019-04-24 CN CN201980034857.6A patent/CN112165911B/zh active Active
- 2019-04-24 EP EP19724257.1A patent/EP3784149A1/en active Pending
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Also Published As
| Publication number | Publication date |
|---|---|
| CA3097677A1 (en) | 2019-10-31 |
| EP3784149A1 (en) | 2021-03-03 |
| US20210137507A1 (en) | 2021-05-13 |
| JP2021521998A (ja) | 2021-08-30 |
| US12396712B2 (en) | 2025-08-26 |
| CN112165911B (zh) | 2024-12-31 |
| AU2019259934B2 (en) | 2025-04-24 |
| AU2019259934A1 (en) | 2020-12-17 |
| CN112165911A (zh) | 2021-01-01 |
| WO2019207585A1 (en) | 2019-10-31 |
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