JP7395627B2 - 縫合糸送達デバイス - Google Patents
縫合糸送達デバイス Download PDFInfo
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- 238000003780 insertion Methods 0.000 description 9
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- 230000007246 mechanism Effects 0.000 description 8
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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
- A61B17/0057—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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06061—Holders for needles or sutures, e.g. racks, stands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/0065—Type of implements the implement being an adhesive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—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, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Description
本出願は、発明の名称「Suture Delivery Device」の、2015年2月24日に出願した米国仮特許出願第62/120,022号に対して優先権を主張する。上記出願日に対する優先権を主張し、上記仮出願に記載された全ての記載を援用する。
別の実施形態では、ガイドワイヤ33は、ガイドワイヤ上に取り付けられた少なくとも1つの拡張可能なシール要素43を含む。図11A~図11Cに示される拡張可能な要素43は、例えば処置シースと縫合糸送達デバイス5の交換時、および処置シースの取り外し時に、血管アクセス部位の止血を維持するために、内部血管壁に対して拡張することができる。代わりに、縫合糸送達デバイスが縫合糸を組織内に適切に配置しなかった場合、止血を維持するためにガイドワイヤを使用することができ、上記デバイスを別の血管閉鎖デバイスに交換する必要がある。第2の血管の閉鎖デバイスは、別の縫合糸送達デバイスであっても、または別のタイプの血管閉鎖デバイスのであってもよい。シール要素を有するこのガイドワイヤは、処置シースが配置される前またはシース取り外し後の処置の最後のどちらかに縫合糸が配置される場合、血管閉鎖デバイスを交換するために使用してもよい。
7 … 送達シャフト
9 … 近位ハンドル(ハウジング)
11 … 可動式駆動ハンドル
12 … シャフト
13 … 駆動レバー(駆動要素)
14 … 近位端
15 … 縫合糸捕捉ロッド
16 … 遠位端
17 … 血管壁位置決め装置
18 … 近位ハウジング
19 … 縫合糸
20 … 針駆動ハンドル
21 … 遠位先端部
23 … 遠位ポート
29 … 可撓性フィラメント(可撓性リンク)
31 … ガイドワイヤルーメン
33 … ガイドワイヤ
34 … 出口ポート
35 … 導管
37 … 溝
39 … 伸縮性アーム
41 … シース
43 … シール要素
45 … インジケータルーメン
47 … アンカー
53 … 自動閉鎖材料
55 … 押し要素
57 … 止血材料
73 … 縫合糸導入器ハウジング
75、77 … 縫合糸留めアーム
79 … 貫通機構
80 … 縫合糸捕捉組立体
81 … 縫合糸留め
82 … キー溝
83 … アーム駆動組立体
85 … 駆動ロッド
87 … 開口部
89 … 針
91 … 針開口部
92 … 縫合糸ループ端部
93 … 環状凹部
94 … スリット
95 … 傾斜端
96 … 貫通遠位先端部
97 … 溝
129 … 閉塞要素
Claims (13)
- 動脈切開部を通って動脈中に挿入されるサイズおよび形状の遠位先端部を有する本体;
該本体内に保持された少なくとも1つの縫合要素;
少なくとも1本の縫合糸捕捉ロッド;
該遠位先端部に位置するガイドワイヤルーメン;および
該ガイドワイヤルーメン内に配置されるガイドワイヤ
を含み、
少なくとも1本の縫合糸捕捉ロッドは少なくとも1つの縫合要素に連動し、少なくとも1つの縫合要素が血管壁から伸び、少なくとも1つの縫合要素を血管壁に貫通させた後、該少なくとも1つの縫合要素が対向部分間の結び目を画定するように少なくとも1つの縫合要素を該血管壁に貫通させるように配列され、
該ガイドワイヤルーメンが、遠位先端部の最遠位端に第1の開口部、並びに遠位先端部の側面に位置し、更に最遠位端および使用中に血管に対して位置決めする血管壁位置決め装置との間に位置する第2の開口部を形成し、
該第2の開口部が、ガイドワイヤルーメンとデバイスの完全に外側の位置との間に通路を形成し、
該ガイドワイヤが、第1の開口部および第2の開口部の両方を通って、遠位先端部から遠位先端部の外側に直接出て、
該遠位先端部が、遠位先端部の最遠位端に先細りになった外側表面を形成し、
該第2の開口部が、先細りになった外側表面の近位に位置し、
該遠位先端部は、遠位先端部が動脈内を進む間、遠位先端部を前記ガイドワイヤの湾曲に適合させることが可能であるほど可撓性を有する、血管壁の開口部を閉鎖するためのデバイス。 - 前記本体が第2の開口部を通って前記ルーメンの中への前記ガイドワイヤの通過を可能にし、ガイドワイヤをガイドワイヤルーメン内に配置する際に第2の開口部外への血流を防止する、前記ガイドワイヤルーメン内に位置する弁を更に含む、請求項1記載のデバイス。
- 前記遠位先端部が、直線軸に沿って延びる、請求項1記載のデバイス。
- 前記遠位先端部の可撓性が最遠位端に向かう動きおよび遠位先端部の動きを増大しながら、前記遠位先端部の可撓性が遠位先端部の長さにわたって変化する、請求項3記載のデバイス。
- 前記遠位先端部が約3cmの長さを有し、デバイスの挿入可能な部分が約4~5cmの長さを有し、該挿入可能な部分が動脈切開部を通って挿入されるように構成されているデバイスの一部分である、請求項1記載のデバイス。
- 前記遠位先端部が約5~7cmの長さを有する、請求項1記載のデバイス。
- 前記少なくとも1つの縫合要素が、前記血管壁位置決め装置の内外に伸びる、請求項1記載のデバイス。
- 前記少なくとも1つの縫合要素が、前記血管壁位置決め装置の少なくとも1つの外側端の内外に伸びる、請求項1記載のデバイス。
- ガイドワイヤルーメン全体が、前記遠位先端部を通ってのみ伸びる、請求項1記載のデバイス。
- 前記ガイドワイヤルーメンのどの部分も、前記血管壁位置決め装置の近位には配置されていない、請求項1記載のデバイス。
- 前記遠位先端部が、前記ガイドワイヤの可撓性より高い可撓性を有する、請求項3記載のデバイス。
- 前記ガイドワイヤが、前記遠位先端部の剛性より高い剛性を有する、請求項3記載のデバイス。
- 前記遠位先端部は、遠位先端部の最遠位端に先細りになった外側表面を形成する円錐部分と、該先細りになった外側表面の近位の円筒部分とを含み、前記第2の開口部は、円筒部分に配置される、請求項1記載のデバイス。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562120022P | 2015-02-24 | 2015-02-24 | |
US62/120,022 | 2015-02-24 | ||
JP2017562954A JP7020920B2 (ja) | 2015-02-24 | 2016-02-22 | 縫合糸送達デバイス |
PCT/US2016/018898 WO2016137875A1 (en) | 2015-02-24 | 2016-02-22 | Suture delivery device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017562954A Division JP7020920B2 (ja) | 2015-02-24 | 2016-02-22 | 縫合糸送達デバイス |
Publications (2)
Publication Number | Publication Date |
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JP2022078034A JP2022078034A (ja) | 2022-05-24 |
JP7395627B2 true JP7395627B2 (ja) | 2023-12-11 |
Family
ID=56689685
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2017562954A Active JP7020920B2 (ja) | 2015-02-24 | 2016-02-22 | 縫合糸送達デバイス |
JP2022015506A Active JP7395627B2 (ja) | 2015-02-24 | 2022-02-03 | 縫合糸送達デバイス |
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JP2017562954A Active JP7020920B2 (ja) | 2015-02-24 | 2016-02-22 | 縫合糸送達デバイス |
Country Status (4)
Country | Link |
---|---|
US (1) | US20160242764A1 (ja) |
JP (2) | JP7020920B2 (ja) |
CA (1) | CA2977072A1 (ja) |
WO (1) | WO2016137875A1 (ja) |
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WO2016137875A1 (en) | 2016-09-01 |
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