US20060122638A1 - Anchoring screw device - Google Patents

Anchoring screw device Download PDF

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Publication number
US20060122638A1
US20060122638A1 US10/554,947 US55494703A US2006122638A1 US 20060122638 A1 US20060122638 A1 US 20060122638A1 US 55494703 A US55494703 A US 55494703A US 2006122638 A1 US2006122638 A1 US 2006122638A1
Authority
US
United States
Prior art keywords
screw
hollow
surgical
asd
windings
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
Application number
US10/554,947
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English (en)
Inventor
Erwin de Winter
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.)
Individual
Original Assignee
Individual
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.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=33315066&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20060122638(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of US20060122638A1 publication Critical patent/US20060122638A1/en
Priority to US12/556,114 priority Critical patent/US8795299B2/en
Priority to US14/161,907 priority patent/US20140188049A1/en
Abandoned legal-status Critical Current

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Classifications

    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • 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
    • A61B17/064—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, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • 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
    • A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • 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
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • 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
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
    • 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
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M2025/0286—Holding devices, e.g. on the body anchored in the skin by suture or other skin penetrating devices
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0208—Subcutaneous access sites for injecting or removing fluids
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/04—Access sites having pierceable self-sealing members
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Definitions

  • This invention relates to anchoring a SCREW-DEVICE onto a tube-like structure, for example a blood vessel, in such a way (1) that a needle or a catheter can be passed safely into the hollow structure and (2) that this needle or catheter can be positioned firmly in the vessel so that it cannot slip out or be displaced (i.e. be carried away by the fluid in the vessel).
  • the firm and stable fixation of a catheter into the wall of a hollow structure is essential since the catheter should under no circumstances fall out of the vessel or ‘wander off’ into the vessel.
  • some hollow structure are embedded in surrounding tissue which enables the catheter to stay in place. This is the case for example with the blood vessels in a limb. It is completely different in the thorax, skull, or abdomen, where hollow structure are surrounded by less connective tissue and a catheter can easy slip out or be displaced. To prevent this, the catheter has to be fixated by suturing it to the wall of the vessel, but this is difficult and time consuming.
  • the present invention the ASD, can easily be screwed onto the vessel-wall, where it gives a maximum stability and support for the catheter, which can then safely be inserted into the vessel.
  • Interventional fields include diagnostic procedures that involve the implantation of a catheter or needle; and therapeutic procedures that involve interventions (such as placing a catheter for medication) or that involve surgical operations, laparascopy, possibly in combination with endoscopic procedures.
  • the invention makes it possible to anchor a hollow structure, like a blood vessel, easily and quickly. More specifically, the ASD allows the physician dealing with medical intervention to make a stable and safe connection with a hollow structure in such a way that a catheter can be firmly positioned without any need for time consuming suturing.
  • the ASD takes the form of a hollow screw, with an ending that is not—as in the regular screw—a point, but one full spiral winding (360 degrees).
  • the end of the winding is sharp and round, i.e. it is non-cutting but it is capable of perforating the wall of the hollow tube-like structure in which it is screwed.
  • the sharp, round point is bent inwardly and downwardly in an angle of 10 to 20 degrees ( ⁇ ) (see FIG. 1 a ), Alternatively, this sharp, round, non-cutting point may bend downwardly in an angle of 90 degrees ( ⁇ ) (see FIG. 1 b ).
  • the end resembles a cork-screw, but the end is not situated in the middle of the final winding but on the periphery.
  • the ASD with removable head This device consists of two basic parts: first, the removable head with applicator (i.e. a long, thin shaft with a handle used to drill the head into the vessel wall) and second, a hollow ASD with a hollow screw of three windings, which remains in place (i.e. in the vessel wall).
  • the removable head with applicator i.e. a long, thin shaft with a handle used to drill the head into the vessel wall
  • a hollow ASD with a hollow screw of three windings which remains in place (i.e. in the vessel wall).
  • the removable head consists of two windings, and ends in the form of a corck-screw (see FIG. 3 a , 3 b ). This is, again, a round, sharp, non-cutting point.
  • the head forms one whole with the applicator.
  • the second part is the body of the ASD. It consists of three hollow windings attached to the head by means of internal, anti-clockwise windings (see FIG. 3 d ). Every winding is wider than the previous one, thus expanding the vessel wall.
  • the opening in the wall is made by the head in a non-occlusive way, i.e. the receptor vessel need not be temporarily occluded.
  • the diameter of ASD may vary from 1 millimeter to 2 centimetre, or even more.
  • the ASD is made of inox material, or titanium, or super-elastic materials such as nitinol, or synthetic materials, or even resorbable materials.
  • the material may vary from 0,1 mm to any desirable thickness.
  • the ASD is screwed one turn of 360 degrees into the receptor wall. This ensures a stable fixation on the wall. A needle or a catheter is then inserted through the ASD into the wall, and is fixed onto the ASD so that it cannot slip out of the vessel or ‘wander off’ into the vessel.
  • the SCREW-DEVICE can be manufactured commercially and be employed to anastomose two vessels of different or identical sizes. It can be used in all domains of vascular surgery, heart surgery, and neurosurgery.
  • FIG. 1 a ASD
  • FIG. 1 b ASD onto the wall
  • FIG. 2 ASD filled with thrombostatic or haemostatic material
  • FIG. 3 a ASD with removable head lateral view
  • FIG. 3 b ASD with removable head top view
  • FIG. 3 c ASD with removable head in situ view, position into the wall
  • FIG. 3 d ASD with removable head, view of the way in which the removable head is attached to the boy of the ASD
US10/554,947 2003-04-28 2003-07-07 Anchoring screw device Abandoned US20060122638A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US12/556,114 US8795299B2 (en) 2003-04-28 2009-09-09 Anchoring screw device
US14/161,907 US20140188049A1 (en) 2003-04-28 2014-01-23 Anchoring screw device

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
BE03/00074 2003-04-28
BE0300074 2003-04-28
PCT/BE2003/000120 WO2004096337A1 (fr) 2003-04-28 2003-07-07 Dispositif de vis d'ancrage

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/BE2003/000120 A-371-Of-International WO2004096337A1 (fr) 2003-04-28 2003-07-07 Dispositif de vis d'ancrage

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/556,114 Continuation US8795299B2 (en) 2003-04-28 2009-09-09 Anchoring screw device

Publications (1)

Publication Number Publication Date
US20060122638A1 true US20060122638A1 (en) 2006-06-08

Family

ID=33315066

Family Applications (6)

Application Number Title Priority Date Filing Date
US10/554,947 Abandoned US20060122638A1 (en) 2003-04-28 2003-07-07 Anchoring screw device
US10/554,986 Active 2024-09-27 US7749239B2 (en) 2003-04-28 2003-07-22 Screw-device for anastomosis
US11/262,290 Abandoned US20060253080A1 (en) 2003-04-28 2005-10-28 Anchoring screw device
US11/262,525 Abandoned US20060241659A1 (en) 2003-04-28 2005-10-28 Screw-device for anastomosis
US12/556,114 Active 2024-07-17 US8795299B2 (en) 2003-04-28 2009-09-09 Anchoring screw device
US14/161,907 Abandoned US20140188049A1 (en) 2003-04-28 2014-01-23 Anchoring screw device

Family Applications After (5)

Application Number Title Priority Date Filing Date
US10/554,986 Active 2024-09-27 US7749239B2 (en) 2003-04-28 2003-07-22 Screw-device for anastomosis
US11/262,290 Abandoned US20060253080A1 (en) 2003-04-28 2005-10-28 Anchoring screw device
US11/262,525 Abandoned US20060241659A1 (en) 2003-04-28 2005-10-28 Screw-device for anastomosis
US12/556,114 Active 2024-07-17 US8795299B2 (en) 2003-04-28 2009-09-09 Anchoring screw device
US14/161,907 Abandoned US20140188049A1 (en) 2003-04-28 2014-01-23 Anchoring screw device

Country Status (13)

Country Link
US (6) US20060122638A1 (fr)
EP (2) EP1628702B1 (fr)
JP (2) JP4560412B2 (fr)
CN (2) CN100506309C (fr)
AU (2) AU2003257278B2 (fr)
CA (2) CA2523871C (fr)
CY (2) CY1116549T1 (fr)
DK (2) DK1628702T3 (fr)
ES (2) ES2423514T3 (fr)
PT (2) PT1628702E (fr)
RU (2) RU2359715C2 (fr)
SI (2) SI1628702T1 (fr)
WO (2) WO2004096337A1 (fr)

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AU2003257278A2 (en) 2004-11-23
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US20060259050A1 (en) 2006-11-16
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US20060241659A1 (en) 2006-10-26
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JP2006515195A (ja) 2006-05-25
US20090326471A1 (en) 2009-12-31
CA2523871A1 (fr) 2004-11-11
EP1628582B1 (fr) 2015-01-28
US7749239B2 (en) 2010-07-06
CY1116549T1 (el) 2017-03-15
CA2523871C (fr) 2010-12-14
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US20140188049A1 (en) 2014-07-03
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