US20110029013A1 - Vascular Hole Closure Device - Google Patents
Vascular Hole Closure Device Download PDFInfo
- Publication number
- US20110029013A1 US20110029013A1 US12/854,988 US85498810A US2011029013A1 US 20110029013 A1 US20110029013 A1 US 20110029013A1 US 85498810 A US85498810 A US 85498810A US 2011029013 A1 US2011029013 A1 US 2011029013A1
- Authority
- US
- United States
- Prior art keywords
- covering member
- retainer
- suture
- opening
- vessel
- 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
Links
- 230000002792 vascular Effects 0.000 title description 5
- 239000012530 fluid Substances 0.000 claims abstract description 5
- 238000000034 method Methods 0.000 claims description 15
- 239000000463 material Substances 0.000 claims description 12
- 238000013459 approach Methods 0.000 description 6
- 230000014759 maintenance of location Effects 0.000 description 6
- 230000017531 blood circulation Effects 0.000 description 5
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 210000001105 femoral artery Anatomy 0.000 description 4
- 230000000903 blocking effect Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 102000008186 Collagen Human genes 0.000 description 2
- 108010035532 Collagen Proteins 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 239000011324 bead Substances 0.000 description 2
- 229920001436 collagen Polymers 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 238000000465 moulding Methods 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 230000001112 coagulating effect Effects 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000013152 interventional procedure Methods 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- JJTUDXZGHPGLLC-UHFFFAOYSA-N lactide Chemical compound CC1OC(=O)C(C)OC1=O JJTUDXZGHPGLLC-UHFFFAOYSA-N 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000009740 moulding (composite fabrication) Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 229920001692 polycarbonate urethane Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 239000003356 suture material Substances 0.000 description 1
- 238000007631 vascular surgery Methods 0.000 description 1
Images
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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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 or resorptive
-
- 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
- A61B2017/00575—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
- A61B2017/00615—Implements with an occluder on one side of the opening and holding means therefor on the other
-
- 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
- A61B2017/00659—Type of implements located only on one side 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
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0404—Buttons
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0456—Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0459—Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied
Definitions
- This application relates to a vascular device and more particularly to a device for closing openings in vessel walls.
- catheters are inserted through an incision in the skin and underlying tissue to access the femoral artery in the patient's leg.
- the catheter is then inserted through the access opening made in the wall of the femoral artery and guided through the artery to the desired site to perform surgical procedures such as angioplasty or plaque removal.
- the access hole must be closed. This is quite difficult not only because of the high blood flow from the artery, but also because there are many layers of tissue that must be penetrated to reach the femoral artery.
- a clamp is attached to the operating table and the patient's leg.
- the clamp applies pressure to the vessel opening.
- the patient however, must still be monitored to ensure the blood is coagulating, requiring additional time of the hospital staff and increasing the cost of the procedure.
- suturing devices have been developed.
- One such suturing device sold by Abbott, advances needles adjacent the vessel wall opening and pulls suture material outwardly through the wall adjacent the opening. The surgeon then ties a knot in the suture, closing the opening.
- One difficulty with the procedure involves the number of steps required by the surgeon to deploy the needles, capture the suture, withdraw the suture, and tie the knot and secure the suture.
- the surgeon cannot easily visualize the suture because of the depth of the femoral artery (relative to the skin) and essentially ties the suture knot blindly or blindly slips a pre-tied knot into position.
- U.S. Pat. No. 4,744,364 discloses another approach for sealing a vessel puncture in the form of a device having an expandable closure member with a filament for pulling it against the vessel wall.
- the closure member is held in place by a strip of tape placed on the skin to hold the filament in place.
- the closure device is still subject to movement which can cause leakage through the puncture.
- the suture becomes loose, the closure member is not retained and can flow downstream in the vessel.
- a potential pathway for infection is created.
- the closure device in U.S. Pat. No. 5,545,178 includes a resorbable collagen foam plug located within the puncture tract.
- coagulation typically takes up to twenty minutes and blood can leak in between the plug and tissue tract, manual pressure must be applied to the puncture for a period of time, until the collagen plug expands within the tract.
- the present invention overcomes the disadvantages and deficiencies of the prior art.
- the present invention provides a device for closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall.
- the device comprises a covering member positionable inside the vessel against the internal opening of the aperture and having a dimension to prevent egress of fluid through the aperture and having a first opening.
- a first retainer is positionable external of the vessel.
- a flexible connecting member operatively connects the covering member and the first retainer and advances the retainer toward the covering member.
- the first opening of the covering member is configured to restrict movement of the connecting member.
- the connecting member comprises a first suture and the first retainer is attached to the first suture whereby pulling of the first suture moves the first retainer toward the covering member.
- the device may further comprise a second retainer movable toward the covering member by pulling a second suture attached to the second retainer.
- the covering member can have a second opening configured to restrict movement of the second suture.
- the first and second retainers are spherical.
- the first and second retainers and the first and second sutures are composed of a resorbable material.
- the retainers are positioned in a substantially side by side relationship in a placement position and are positioned in a stacked relationship in a delivery position.
- the opening has a dimension to frictionally engage the connecting member. In another embodiment, the opening includes a plurality of teeth to retain the connecting member.
- the covering member is preferably pivotable between a longitudinal orientation for delivery and a transverse position for placement
- the device may include a third opening for unrestricted movement of the first suture and fourth opening for unrestricted movement of the second suture.
- the present disclosure provides a method of closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall.
- the method comprises the steps of:
- the step of advancing the first retainer comprises the step of moving a suture attached to the first retainer through an opening in the covering member having a diameter substantially the same as the outer diameter of the suture.
- the method preferably includes the steps of inserting a second retainer external of the vessel and advancing the second retainer toward the covering member by pulling a second suture connected to the second retainer.
- the step of advancing the first retainer comprises the step of moving a first suture attached to the first retainer through an opening having a plurality of teeth engagable with the outer surface of the suture. In another embodiment, the step of advancing the first retainer comprises the step of moving a first suture attached to the first retainer between bumps on the covering member.
- FIG. 1 is a perspective view of a first embodiment of the closure device of the present invention
- FIG. 2 is a side perspective view of the covering (blocking) member of the closure device of FIG. 1 shown within a delivery sheath;
- FIG. 3 is a side perspective view illustrating the covering member of FIG. 2 deployed from the delivery sheath;
- FIG. 4 is a side view illustrating one of the spherical retainers of the closure device deployed from the sheath (the vessel wall shown in cross-section);
- FIG. 5 illustrates both spherical retainers deployed from the sheath
- FIG. 6 illustrates the sutures pulled to move the spherical retainers toward the covering member for positioning in a side by side relationship against the outer surface of the vessel wall;
- FIG. 7 is a perspective view illustrating the retainers in the placement position
- FIG. 8 is a perspective view of the covering member and sutures of an alternate embodiment of the closure device of the present invention showing the sutures attached to the covering member via a looped suture;
- FIG. 9 is a perspective view illustrating an alternate orientation of the retainers in the placement position
- FIG. 10 is a perspective view of another alternate embodiment of the closure device of the present invention.
- FIGS. 11-13C illustrate schematically the steps of insertion of the closure device of FIG. 10 (the delivery sheath not shown for clarity) wherein:
- FIG. 11 illustrates the covering member distal of the retainer tube and the retainers inside the retainer tube
- FIG. 12 illustrates the retainers advanced from the retainer tube
- FIG. 13A illustrates the first retainer being advanced towards the covering member
- FIG. 13B illustrates the first retainer further advanced toward the covering member
- FIG. 13C illustrates the second retainer advanced toward the covering member
- FIG. 14 is a perspective of yet another alternate embodiment of the closure device of the present invention.
- FIG. 15 is a cross-sectional view taken along lines 15 - 15 of FIG. 14 ;
- FIG. 16 is a bottom view of the covering member of FIG. 14 ;
- FIG. 17 is a top view of a portion of the covering member of FIG. 14 with the suture removed for clarity;
- FIG. 18 is a cross-sectional view taken along lines 18 - 18 of FIG. 17 ;
- FIG. 19 is a perspective view of yet another alternate embodiment of the closure device of the present invention.
- FIG. 20 is an exploded view of the spherical retainers and sutures of FIG. 19 ;
- FIG. 21 is a cross-sectional view taken along lines 21 - 21 of FIG. 19 ;
- FIG. 22 is a cross-sectional view of a region of a covering member of an alternate embodiment of the present invention.
- FIG. 23 is a close up view of the area of detail designated in FIG. 22 ;
- FIG. 24 is a perspective view of another alternate embodiment of the closure device shown with the covering member plug separated from the covering member;
- FIG. 25 is a perspective view of the assembled closure member of FIG. 24 ;
- FIG. 26 is a top view of a region of the covering member of an alternative embodiment
- FIG. 27 is a bottom view of a region of the covering member of another alternative embodiment
- FIG. 28 is a perspective view of an alternate embodiment of the closure device of the present invention.
- FIG. 29 is a side view of the closure device of FIG. 28 ;
- FIG. 30 is a bottom view of the closure device of FIG. 28 ;
- FIG. 31 is a cross-sectional view of the covering member of the closure device of FIG. 28 ;
- FIG. 32 is a cross-sectional view illustrating attachment of the retainer and suture
- FIG. 33 is a cross-sectional view illustrating an alternate attachment of the retainer and suture
- FIG. 34 is a cross-sectional view illustrating another alternate attachment of the retainer and suture.
- FIG. 35 is a perspective view of another alternate embodiment of the closure device of the present invention utilizing the retainer/suture attachment of FIG. 34 .
- FIG. 1 is a perspective view of a first embodiment of the vascular hole (aperture) closure device of the present invention.
- the device is intended to close an aperture in the vessel wall, typically formed after removal of a catheter previously inserted through the vessel wall into the vessel lumen for performing angioplasty or other interventional procedures.
- the aperture extends through the patient's skin and underlying tissue, through the external wall of the vessel, through the wall of the vessel, and through the internal wall of the vessel to communicate with the internal lumen of the vessel.
- the closure device of the present invention has an intravascular component to block blood flow and an extravascular component to retain the intravascular component.
- the closure device includes a covering member or patch positioned within the vessel against the internal wall of the vessel to block blood flow and two retainers positioned external of the vessel wall to retain the covering member in its blocking position.
- Each retainer is preferably spherical in configuration and is fixedly attached to a suture such that pulling of the suture advances the attached retainer toward the covering member to ultimately position the retainers in a side by side relationship either against or adjacent the external surface of the vessel wall.
- Hole (aperture) closure device 10 has a covering (blocking) member or patch 40 and first and second retainers 20 , 22 .
- First and second retainers 20 , 22 are preferably in the form of a sphere or ball.
- the covering member 40 is dimensioned and configured for positioning inside the vessel on the internal side of the vessel aperture against the internal wall of the vessel; the retainers 20 , 22 are configured to be positioned outside the vessel wall adjacent or contiguous the external side of the vessel aperture.
- Covering member 40 preferably elongated in configuration as shown, is retained in a delivery sheath in a longitudinal position for delivery to the vessel, and then pivots to a transverse position within the vessel lumen (substantially perpendicular to an axis extending through the aperture) for orientation to cover (patch) the vessel aperture on the internal side.
- This movement is illustrated in FIGS. 37A-37D of U.S. Pat. No. 7,662,161, the entire contents of which are incorporated herein by reference (hereinafter the '161 patent).
- a comparison of FIGS. 2 and 5 also shows pivoting of the covering member.
- the spherical retainers are preferably held in the delivery tube in a stacked relationship (see e.g. FIG. 11 ), with retainer 22 ( 222 ) atop retainer 20 ( 220 ) (or vice versa).
- the elongated covering member 40 functions to cover (patch) the internal opening in the vessel wall to prevent the egress of blood.
- the covering member 40 is preferably somewhat oval shaped with elongated substantially parallel side walls 42 a , 42 b and end walls 44 a , 44 b connecting the side walls 42 a , 42 b .
- Other shapes of the covering member are also contemplated.
- the end walls 44 a , 44 b can have substantially straight wall portions, or curved wall portions.
- Covering member preferably has a thicker region 43 in the central region than the first and second end regions 45 , 47 . Other dimensions are also contemplated.
- the longitudinal axis of covering member 40 defines a lengthwise dimension and transverse axes define a shorter widthwise dimensions.
- the widthwise dimension of the covering member 40 is preferably, for a 6Fr device, in the range of about 2.5 mm to about 3.5 mm, and more preferably about 3.3 mm. Other dimensions are also contemplated.
- the width preferably is at least substantially equal to the dimension of the internal opening in the vessel wall to effectively cover the opening.
- the covering member 40 has a length in the range of about 7.5 mm to about 9 mm (in a 6 French system), and preferably about 8 mm.
- the covering member could be provided with an enlarged width region as illustrated in the embodiment of FIG. 1 of the '161 patent.
- the covering member could also be configured asymmetrically so that the enlarged region is off-centered to accommodate widening of the aperture as the member is pulled at an angle.
- the covering member could also be configured in a paddle shaped with a narrowed region adjacent a wider region as in FIGS. 9B-9E of the '161 patent.
- Other covering member configurations including those disclosed in the '161 patent could be utilized with the retainers of this present application.
- the elongated covering member can be composed of materials such as polycarbonate or polyurethane. Preferably it is composed of resorbable materials such as lactide/glycolide copolymers that after a period of time resorb in the body. If composed of resorbable material, the covering member could optionally have regions of varying resorbability. Varying degrees of resorbability can be achieved for example by utilizing different materials having differing resorbable characteristics or by varying the mass of the covering member (increased mass increases resorbtion time).
- Spherical retainers 20 and 22 are preferably composed of resorbable material.
- the diameter of each retainer 20 , 22 is about 0.090 inches to about 0.095 inches, although other dimensions are contemplated. Although shown as spheres, other rounded shapes are also contemplated.
- the retainers could alternatively be made of non-absorbable polymeric or metallic material.
- each retainer 20 , 22 is fixedly secured to a respective flexible connecting member such as suture 30 , 32 .
- Sutures 30 , 32 are preferably made of polymeric material and are preferably resorbable, composed of a material such as polydioxanome. It is also contemplated that alternatively a metallic material could be utilized.
- the sutures, retainers and covering member can be made of the same or different resorbable material, and/or have the same or different resorption times.
- suture 30 has a free end 30 a and an opposite end 30 b secured to retainer 20 by molding, gluing, forming a knot, or other methods.
- suture 32 has a free end 32 a and an opposite end 32 b secured to retainer 22 in any of the foregoing manners.
- the suture is shown in the embodiment of FIG. 1 looped through the covering member. Other methods of attachment are also contemplated.
- sutures 150 , 152 are attached to covering member 140 by a loop of suture 160 . Loop 160 extends upwardly (proximally) from the covering member 140 and the sutures 150 , 152 are looped through suture loop 160 .
- Suture 160 can be attached to the covering member 140 by various methods such as insert molding or by tying a knot in the suture under the covering member.
- sutures 180 , 182 are insert molded to a plug 190 .
- the covering member 192 has a recess 194 to receive the plug 190 .
- the plug 190 is wedged within the recess 194 , creating a tight frictional fit.
- the plug 190 is preferably flush with the distal surface 195 of covering member 192 .
- Spherical retainers are designated by reference numerals 187 , 188 , are preferably identical to retainers 20 , 22 , and illustrated in the advanced position closer to proximal surface 197 of covering member 192 .
- each suture is pulled proximally (in a direction of the arrow of FIG. 4 , thereby moving the respective retainer in the opposite direction closer to the aperture A and vessel wall W.
- a sufficient retention force is maintained, i.e. a proximal pulling force on the covering member 40 to pull it slightly proximally against the vessel wall.
- the retainers 20 , 22 therefore help to prevent the covering member 40 from separating from the vessel wall (e.g. moving in the direction toward the opposing vessel wall) which could create an unwanted gap between the covering member 40 and the vessel opening to allow blood flow.
- the extent to which the retainers 20 , 22 move toward the wall will depend on the tissue thickness.
- the closure device can adjust for different tissue thicknesses and apply a constant retention force regardless of tissue thickness.
- the retainers of the other embodiments disclosed herein function in a similar manner.
- the delivery instrument for inserting the closure device extends through an opening in the skin, through the tissue tract to the vessel, through an external opening in the vessel wall, through the aperture in the vessel wall, and through an internal opening on the internal side of the vessel wall into the vessel lumen.
- the covering member 40 in FIG. 2 is outside retainer tube 50 and, within delivery sheath 60 in a tilted (pivoted) position.
- the covering member 40 emerges from the sheath 60 and moves from a tilted position, more aligned or in preferred embodiments substantially aligned with the longitudinal axis of the sheath, to a transverse position within the vessel (see FIG. 3 ).
- the retainers 20 , 22 remain within tube 50 .
- the covering member 40 can be ejected by a pusher (not shown) contacting the side or top wall.
- the retainers/covering members of the other embodiments disclosed herein can be delivered in a similar manner as that of retainers 20 , 22 and covering member 40 .
- covering member 40 is pulled proximally to abut the internal opening on the internal side of the vessel W to cover (patch) the opening and the sutures extend through the opening A in the vessel wall.
- the first retainer 20 is shown ejected from the delivery sheath 60 in FIG. 4 either by advancing the retainer, retracting the sheath after a counterforce is applied by engagement of the covering member with the vessel wall, or relative movement of both.
- the second retainer 22 is still within tube 50 .
- the second retainer 22 is then deployed in a similar manner as retainer 20 and is shown outside sheath 60 in FIG. 5 . Note that in the delivery position, the retainers 20 and 22 are preferably in a stacked relationship (such as in FIG. 11 ) to minimize the transverse dimension of the delivery system.
- sutures 30 and 32 are pulled proximally from their free ends 30 a , 32 a in the direction of arrows B of FIG. 6 , thereby advancing the retainers 20 , 22 distally in the direction of arrows C toward the vessel wall V and covering member 40 .
- the retainers 20 , 22 can be moved to a position contiguous to the vessel wall, or depending on tissue thickness, may be adjacent the wall with some tissue interposed between the retainers and vessel wall.
- the retainers 20 , 22 in this position apply a proximal force on the elongated covering member 40 to limit movement of the covering member into the vessel.
- the retainers in this placement position are preferably in a substantially side by side relationship as shown in FIG. 7 .
- the retainers 20 and 22 are alongside in a transverse orientation with respect to covering member 40 . That is, they are positioned along the width of the covering member 40 .
- the retainers in the placement position can be in a lengthwise orientation (substantially parallel to the longitudinal axis of the covering member) as shown in FIG. 9 where corresponding components to FIG. 7 (e.g. retainers 20 ′, 22 ′, sutures 30 ′, 32 ′, covering member 40 ′) have prime designations.
- the retainers could also be in other side by side arrangements at angles to the longitudinal axis. Alternatively, the retainers can be partially stacked in the placement position.
- FIG. 10 illustrates an alternate embodiment of the closure device, designated by reference numeral 200 .
- Closure device is substantially identical to closure device of FIG. 1 except for the knot at the end of the suture to retain the suture. More specifically, suture 232 has a free end 232 a and a knotted end 232 b with a knot 236 to retain spherical retainer 222 . Similarly, suture 240 has a free end 240 a and a knotted end 240 b with a knot 246 to retain spherical retainer 220 . The sutures are held in frictional engagement with a bore extending through the respective retainer 220 , 222 .
- Covering member 290 is substantially identical to covering member 40 of FIG.
- FIGS. 11-13C illustrate schematically a delivery system which can be utilized for placement of the closure devices described herein and shows schematically the device of FIG. 10 by way of example.
- the delivery device includes a retainer tube 350 which is positioned within a delivery sheath (not shown).
- Retainer tube 350 has a distal opening 352 communicating with lumen 354 providing for passage of the retainers 220 , 222 of closure device 200 .
- a pusher tube 360 which is preferably solid except for two small lumens (not shown) dimensioned to receive a respective suture 240 , 232 .
- the retainer tube 350 with the retainers of the closure device contained within is placed in a delivery sheath (not shown).
- the retainers 220 , 222 are contained within the lumen 352 and the covering member 290 is positioned outside the retainer tube 350 , and held in a longitudinal position by the walls of the delivery sheath.
- the covering member 290 is advanced from the delivery sheath into the vessel lumen by advancing the pusher tube 360 against the second retainer 222 in the direction of the arrow of FIG. 11 . Since in the delivery position the second retainer 222 abuts the first retainer 220 which abuts the covering member 290 , advancement of the pusher tube 360 advances the covering member 290 from the delivery sheath.
- the pusher tube 360 is moved further distally to advance the retainers 220 , 222 from the retainer tube 350 as shown in FIG. 12 .
- the first retainer 220 is advanced toward the covering member as shown in FIGS. 13A , 13 B by pulling the suture 240 from its proximal end in the direction of the arrow.
- the second suture 232 is pulled proximally in the direction of the arrow of FIG. 13C to advance the second retainer 222 toward the covering member 290 .
- the sutures can then be severed leaving the retainers 220 , 222 and covering member 290 in place. It should be appreciated that these schematic views of FIGS. 11-13C omit the surrounding tissue and vessel portions for clarity.
- the covering member 290 is positioned inside the vessel lumen and the spherical retainers 220 , 222 are positioned outside the vessel lumen.
- FIGS. 14-18 illustrate an alternate embodiment of the closure device having a configuration to restrict movement of the connecting member, e.g. the suture, which connects the retainer to the covering member.
- the connecting member e.g. the suture
- the closure device 400 of FIG. 14 is similar to the device 200 of FIG. 10 except the covering member 490 has a first pair of holes 494 a , 494 b and a second pair of holes 496 a , 496 b .
- the first pair of holes 494 a , 494 b receive suture 440 and the second pair of holes 496 a , 496 b receive suture 430 .
- Holes 494 a , 496 a have a smaller diameter than holes 494 b , 496 b .
- the larger hole 494 b is dimensioned to receive suture 440 for free unrestricted movement of the suture 440 therethrough and therefore easier application of spherical retainer 420 .
- the larger hole 496 b is dimensioned to receive suture 430 for free unrestricted movement of the suture 430 therethrough and therefore for easier application (movement) of spherical retainer 422 .
- Smaller hole 496 a is dimensioned to frictionally engage suture 430 so that tension is applied to the suture 430 . It is dimensioned so that the suture 430 can be pulled through the hole 496 a if sufficient force is applied by pulling on free end 430 a , but if such predetermined force is not applied, the suture will remain frictionally engaged within the wall of the opening 496 a and not move.
- Suture 440 operates in a similar manner, with smaller opening 494 a dimensioned to frictionally engage and resist movement of the suture 440 to retain spherical retainer 420 .
- FIGS. 15-18 show how the suture is looped through the respective opening.
- a plurality of internal teeth can be provided to enhance the retention of the suture within the smaller diameter hole. This is shown for example in FIGS. 22 and 23 wherein hole 496 a ′ has a plurality of teeth 497 formed on the interior wall of the smaller opening. Engagement of the suture 430 ′ by the teeth 497 retains the suture 430 and spherical retainer. Note that the teeth 497 can be formed to angle inwardly so the suture 430 can be moved in only one direction, i.e. proximally so the retainer is advanced toward the covering member. Similar teeth can be provided in the other small hole for retaining the other suture and retainer.
- the opening 522 in covering member 520 has a triangular wedge shape region 523 .
- the region 523 has a reduced size opening, narrowing to a diameter less than an outer diameter of the suture 530 extending therethrough.
- the clinician can move the suture 530 into the narrow (reduced diameter) region 523 when desired to apply a gripping force on the suture 530 to retain the suture in place.
- Opening 524 is dimensioned larger than the outer diameter of the suture 530 to allow free unrestricted movement therethrough. Only one of the pair of openings is shown in the portion of the covering member 520 illustrated in FIG. 26 , it being understood that a second similar pair of openings for the second suture can be provided.
- the closure device can be identical to closure device 200 of FIG. 10 or other devices disclosed herein.
- the retention of the suture is enhanced by inwardly directed bumps 560 a , 560 b , 560 c and 560 d on the underside of the covering member 570 . That is, the suture (not shown) extending through large and small openings 570 , 572 , respectively, is gripped by the bumps 560 a , 560 b as the distance between opposing bumps is slightly less than the diameter of the suture. Sufficient tension (e.g. pulling force by the clinician), overrides the frictional force of the bumps 560 on the suture.
- a suture (not shown) extending through large and small openings 574 , 576 is frictionally restrained by bumps 560 c , 560 d .
- the sutures connect retainers to the covering member 550 and are configured to be pulled to advance the retainers to the covering member in the manner described above with respect to the other embodiments.
- the bumps 560 can be utilized as a supplement to the small opening frictional engagement as is the embodiment of FIG. 14 or alternatively as the sole retention feature with two pairs of larger openings in the covering member.
- FIGS. 19-21 illustrate an alternate embodiment of the closure device, designated generally by reference numeral 600 , having a suture 610 extending transversely and joining spherical retainers 620 and 622 .
- a knot 610 a , 610 b is formed on each end of the suture 610 to retain the retainers 620 , 622 .
- Connecting suture 630 has a looped proximal end 632 through which suture 610 extends. This loop 632 is tightened to secure suture 610 . Both ends 631 , 632 of the looped suture 630 extend though first opening 641 in covering member 640 .
- End 632 terminates in knot 633 to connect suture 630 to covering member 640 (due to its diameter larger than opening 641 ).
- the other end 637 loops through covering member 640 , exiting through opening 642 in suture portion 635 .
- Openings 642 , 641 can be large and small openings functioning similar to the large and small openings of the embodiment of FIG. 14 . That is, the openings can be configured to provide for free movement and tighter frictional engagement as in the embodiment of FIG. 14 .
- FIGS. 28-31 illustrate an alternate embodiment of the closure device, designated generally by reference numeral 700 .
- Device 700 is similar to device 400 except for the way the suture and retainer are attached and the suture openings in the covering member. More specifically, closure device 700 has a first suture 730 and a second suture 740 .
- Retainer 722 preferably spherical in configuration, is connected to suture 730 and retainer 720 , preferably spherical, is connected to suture 740 .
- Covering member 790 has a first pair of holes 794 a , 794 b and a second pair of holes 796 a , 796 b .
- the first pair of holes 794 a , 794 b receive suture 740 and the second pair of holes 796 a , 796 b receive suture 730 .
- Holes 794 a , 796 a have a smaller diameter than holes 794 b , 796 b .
- the larger hole 794 b is dimensioned to receive suture 740 for free unrestricted movement of the suture 740 therethrough and therefore easier application of spherical retainer 720 .
- the larger hole 796 b is dimensioned to receive suture 730 for free unrestricted movement of the suture 730 therethrough and therefore for easier application (movement) of spherical retainer 722 .
- Smaller hole 796 a is dimensioned to frictionally engage suture 730 so that tension is applied to the suture 730 . It is dimensioned so that the suture 730 can be pulled through the hole 796 a if sufficient force is applied by pulling on free end 730 a , but if such predetermined force is not applied, the suture will remain frictionally engaged within the wall of the opening 796 a and not move. As shown in the cross-sectional view of FIG. 31 , the hole 796 a has an inwardly angled wall 797 transitioning into a reduced diameter region 798 and an outwardly angled wall 799 transitioning back to a larger diameter.
- the angled walls 797 , 799 facilitate movement of the suture 730 when tension is applied, with the reduced diameter region 798 frictionally securing the suture.
- Hole 794 a has a similar configuration as hole 796 a and thus contains similar angled walls. In this manner, when the user ceases pulling on free end 730 a , the suture 730 and thus the spherical retaining ball 722 will remain in position.
- Suture 740 operates in a similar manner, with smaller opening 794 a dimensioned to frictionally engage and resist movement of the suture 740 to retain spherical retainer 720 .
- FIG. 32 illustrates one method of attachment of the suture to a spherical retainer.
- Spherical retainer 720 has a through hole 721 extending therethrough.
- Hole 721 has a first portion 721 a having a first diameter and a second portion 721 b having a second larger diameter.
- a crimp or a bead 743 is attached to the suture 740 , creating a diameter larger than the diameter of portion 721 a .
- the wall of the through hole 721 forms a shoulder 723 to block movement of the spherical retainer 720 .
- the end 741 of the suture is substantially flush with the spherical retainer 720 .
- the crimp or bead is of substantial transverse dimension to frictionally engage the second portion 721 b . Consequently, this frictional engagement prevents the retainer 720 from sliding in the direction away from the covering member 790 while the shoulder 723 prevents the retainer 720 from sliding in the direction toward the covering member 790 .
- the retainer 722 and suture 730 preferably have the same structure and engagement/retention as retainer 722 and suture 740 .
- the suture 740 ′ has a knot 747 formed at its end.
- the shoulder 723 ′ provides a stop for movement of retainer 720 ′ away from covering member 790 ′, as the diameter of portion 721 a ′ of opening 721 is less than the transverse dimension of the knot 747 .
- the knot 747 is of sufficient transverse dimension to frictionally engage the second portion 721 b ′ to prevent the retainer 720 ′ from sliding in the direction away from the covering member 790 .
- a suture 834 forming a loop 835 has a knot 837 at one end.
- This suture knot 837 frictionally engages portion 821 b of the hole 821 formed in the retainer 820 .
- a reduced diameter hole portion 821 a forms a shoulder 823 to block movement of the knot 837 .
- the looped end 835 of suture 834 receives suture 830 . Consequently, tension applied to the ends 830 a of suture 830 pull the loop 835 upwardly (as viewed in the orientation of the FIG. 35 ) away from the covering member 890 to advance spherical retainer member 822 toward the covering member 890 .
- a second suture 854 identical to suture 834 has a loop to receive suture 840 in the same manner as suture 830 .
- Suture 854 and 840 are identical to sutures 834 and 830 , respectively, except that they function to secure and move spherical retainer member 820 . Consequently, when the ends 840 a of suture 840 are pulled proximally, the suture 854 , attached within an opening in the retainer 820 in the identical manner as suture 834 , pulls the retainer 820 toward the covering member 890 .
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)
- Cardiology (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Priority Applications (30)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/854,988 US20110029013A1 (en) | 2008-02-15 | 2010-08-12 | Vascular Hole Closure Device |
AU2010214638A AU2010214638B2 (en) | 2009-09-11 | 2010-08-24 | Vascular hole closure device |
CA2714250A CA2714250C (fr) | 2009-09-11 | 2010-09-07 | Dispositif d'obturation d'orifice vasculaire |
ES10175821T ES2699473T3 (es) | 2009-09-11 | 2010-09-08 | Dispositivo de cierre de orificio vascular |
EP10175821.7A EP2294986B1 (fr) | 2009-09-11 | 2010-09-08 | Dispositif de fermeture d'orifice vasculaire |
JP2010203129A JP5975454B2 (ja) | 2009-09-11 | 2010-09-10 | 血管穴閉鎖器具 |
US13/085,592 US8920462B2 (en) | 2008-02-15 | 2011-04-13 | Vascular hole closure device |
US13/085,594 US8920463B2 (en) | 2008-02-15 | 2011-04-13 | Vascular hole closure device |
CA2737628A CA2737628C (fr) | 2008-02-15 | 2011-04-19 | Dispositif d'obturation de trou vasculaire |
EP11164544.6A EP2384704B1 (fr) | 2008-02-15 | 2011-05-03 | Dispositif de fermeture d'orifice vasculaire |
US13/274,402 US8491629B2 (en) | 2008-02-15 | 2011-10-17 | Vascular hole closure delivery device |
US13/437,146 US9226738B2 (en) | 2008-02-15 | 2012-04-02 | Vascular hole closure delivery device |
US13/673,995 US9463005B2 (en) | 2008-02-15 | 2012-11-10 | Vascular hole closure device |
US13/935,881 US9295458B2 (en) | 2008-02-15 | 2013-07-05 | Vascular hole closure delivery device |
US13/935,894 US9339261B2 (en) | 2008-02-15 | 2013-07-05 | Vascular hole closure delivery device |
US14/569,668 US9782155B2 (en) | 2008-02-15 | 2014-12-13 | Vascular hole closure device |
US14/569,670 US9943300B2 (en) | 2008-02-15 | 2014-12-13 | Vascular hole closure device |
US14/678,941 US10098621B2 (en) | 2008-02-15 | 2015-04-04 | Vascular hole closure delivery device |
US14/883,714 US10004486B2 (en) | 2008-02-15 | 2015-10-15 | Vascular hole closure delivery device |
US14/929,201 US10108646B2 (en) | 2008-02-15 | 2015-10-30 | Vascular hole closure delivery device |
US15/095,047 US10390808B2 (en) | 2008-02-15 | 2016-04-09 | Vascular hole closure device |
US15/130,996 US10342524B2 (en) | 2008-02-15 | 2016-04-17 | Vascular hole closure device |
US15/283,421 US11064986B2 (en) | 2008-02-15 | 2016-10-02 | Vascular hole closure device |
US15/706,660 US20180000471A1 (en) | 2008-02-15 | 2017-09-15 | Vascular hole closure device |
US16/010,487 US11020104B2 (en) | 2008-02-15 | 2018-06-17 | Vascular hole closure delivery device |
US16/138,802 US11369354B2 (en) | 2008-02-15 | 2018-09-21 | Vascular hole closure delivery device |
US16/147,282 US11123059B2 (en) | 2008-02-15 | 2018-09-28 | Vascular hole closure delivery device |
US17/326,451 US20210290219A1 (en) | 2008-02-15 | 2021-05-21 | Vascular hole closure delivery device |
US17/372,451 US20210330307A1 (en) | 2008-02-15 | 2021-07-10 | Vascular hole closure device |
US17/837,191 US20220370054A1 (en) | 2008-02-15 | 2022-06-10 | Vascular hole closure delivery device |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US6607208P | 2008-02-15 | 2008-02-15 | |
US12/358,411 US8070772B2 (en) | 2008-02-15 | 2009-01-23 | Vascular hole closure device |
US24155509P | 2009-09-11 | 2009-09-11 | |
US12/854,988 US20110029013A1 (en) | 2008-02-15 | 2010-08-12 | Vascular Hole Closure Device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/358,411 Continuation-In-Part US8070772B2 (en) | 2008-02-15 | 2009-01-23 | Vascular hole closure device |
Related Child Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/085,594 Continuation-In-Part US8920463B2 (en) | 2008-02-15 | 2011-04-13 | Vascular hole closure device |
US13/085,592 Continuation-In-Part US8920462B2 (en) | 2008-02-15 | 2011-04-13 | Vascular hole closure device |
US13/274,402 Continuation-In-Part US8491629B2 (en) | 2008-02-15 | 2011-10-17 | Vascular hole closure delivery device |
US13/673,995 Continuation US9463005B2 (en) | 2008-02-15 | 2012-11-10 | Vascular hole closure device |
Publications (1)
Publication Number | Publication Date |
---|---|
US20110029013A1 true US20110029013A1 (en) | 2011-02-03 |
Family
ID=43334604
Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/854,988 Abandoned US20110029013A1 (en) | 2008-02-15 | 2010-08-12 | Vascular Hole Closure Device |
US13/673,995 Active 2030-08-19 US9463005B2 (en) | 2008-02-15 | 2012-11-10 | Vascular hole closure device |
US15/095,047 Active 2030-07-13 US10390808B2 (en) | 2008-02-15 | 2016-04-09 | Vascular hole closure device |
US15/130,996 Active - Reinstated 2030-02-15 US10342524B2 (en) | 2008-02-15 | 2016-04-17 | Vascular hole closure device |
US15/283,421 Active 2030-02-11 US11064986B2 (en) | 2008-02-15 | 2016-10-02 | Vascular hole closure device |
US17/372,451 Pending US20210330307A1 (en) | 2008-02-15 | 2021-07-10 | Vascular hole closure device |
Family Applications After (5)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/673,995 Active 2030-08-19 US9463005B2 (en) | 2008-02-15 | 2012-11-10 | Vascular hole closure device |
US15/095,047 Active 2030-07-13 US10390808B2 (en) | 2008-02-15 | 2016-04-09 | Vascular hole closure device |
US15/130,996 Active - Reinstated 2030-02-15 US10342524B2 (en) | 2008-02-15 | 2016-04-17 | Vascular hole closure device |
US15/283,421 Active 2030-02-11 US11064986B2 (en) | 2008-02-15 | 2016-10-02 | Vascular hole closure device |
US17/372,451 Pending US20210330307A1 (en) | 2008-02-15 | 2021-07-10 | Vascular hole closure device |
Country Status (6)
Country | Link |
---|---|
US (6) | US20110029013A1 (fr) |
EP (1) | EP2294986B1 (fr) |
JP (1) | JP5975454B2 (fr) |
AU (1) | AU2010214638B2 (fr) |
CA (1) | CA2714250C (fr) |
ES (1) | ES2699473T3 (fr) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2449972A1 (fr) | 2010-11-03 | 2012-05-09 | Rex Medical, L.P. | Dispositif de fourniture de fermeture d'orifice vasculaire |
US20150209018A1 (en) * | 2008-02-15 | 2015-07-30 | Rex Medical, L.P. | Vascular hole closure delivery device |
US20160113755A1 (en) * | 2014-10-22 | 2016-04-28 | Xiros Limited | Elongate guide element for an implant |
US10342524B2 (en) | 2008-02-15 | 2019-07-09 | Rex Medical, L.P. | Vascular hole closure device |
US10390807B2 (en) | 2008-02-15 | 2019-08-27 | Rex Medical, L.P. | Vascular hole closure device |
US20220125423A1 (en) * | 2015-11-19 | 2022-04-28 | Medacta International S.A. | Suturing device, in particular for suturing lacerations of the meniscus |
US11504105B2 (en) | 2019-01-25 | 2022-11-22 | Rex Medical L.P. | Vascular hole closure device |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7662161B2 (en) | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
US8920463B2 (en) * | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US8920462B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
AU2012202202B2 (en) * | 2011-07-20 | 2017-05-11 | Rex Medical, L.P. | Vascular hole closure delivery device |
Citations (107)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2398220A (en) * | 1944-11-28 | 1946-04-09 | Rawlplug Company Inc | Toggle lock |
US3874388A (en) * | 1973-02-12 | 1975-04-01 | Ochsner Med Found Alton | Shunt defect closure system |
US3937217A (en) * | 1973-03-19 | 1976-02-10 | Outokumpu Oy | Intrauterine contraceptive device |
US4007743A (en) * | 1975-10-20 | 1977-02-15 | American Hospital Supply Corporation | Opening mechanism for umbrella-like intravascular shunt defect closure device |
US4286497A (en) * | 1979-06-18 | 1981-09-01 | Shamah Alfred A | Ratchet-securable toggle retainer |
US4317445A (en) * | 1980-03-31 | 1982-03-02 | Baxter Travenol Laboratories, Inc. | Catheter insertion unit with separate flashback indication for the cannula |
US4505274A (en) * | 1980-10-17 | 1985-03-19 | Propper Manufacturing Co., Inc. | Suture clip |
US4512338A (en) * | 1983-01-25 | 1985-04-23 | Balko Alexander B | Process for restoring patency to body vessels |
US4638803A (en) * | 1982-09-30 | 1987-01-27 | Rand Robert W | Medical apparatus for inducing scar tissue formation in a body |
US4705040A (en) * | 1985-11-18 | 1987-11-10 | Medi-Tech, Incorporated | Percutaneous fixation of hollow organs |
US4796612A (en) * | 1986-08-06 | 1989-01-10 | Reese Hewitt W | Bone clamp and method |
US4890612A (en) * | 1987-02-17 | 1990-01-02 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US4917089A (en) * | 1988-08-29 | 1990-04-17 | Sideris Eleftherios B | Buttoned device for the transvenous occlusion of intracardiac defects |
US5009663A (en) * | 1990-03-22 | 1991-04-23 | Brava Patient Och Invent Ab | Method for performing a surgical closure of a skin incision or wound and means for carrying out the method |
US5021059A (en) * | 1990-05-07 | 1991-06-04 | Kensey Nash Corporation | Plug device with pulley for sealing punctures in tissue and methods of use |
US5108421A (en) * | 1990-10-01 | 1992-04-28 | Quinton Instrument Company | Insertion assembly and method of inserting a vessel plug into the body of a patient |
US5108420A (en) * | 1991-02-01 | 1992-04-28 | Temple University | Aperture occlusion device |
US5192302A (en) * | 1989-12-04 | 1993-03-09 | Kensey Nash Corporation | Plug devices for sealing punctures and methods of use |
US5192301A (en) * | 1989-01-17 | 1993-03-09 | Nippon Zeon Co., Ltd. | Closing plug of a defect for medical use and a closing plug device utilizing it |
US5192300A (en) * | 1990-10-01 | 1993-03-09 | Quinton Instrument Company | Insertion assembly and method of inserting a vessel plug into the body of a patient |
US5269809A (en) * | 1990-07-02 | 1993-12-14 | American Cyanamid Company | Locking mechanism for use with a slotted suture anchor |
US5279572A (en) * | 1991-12-03 | 1994-01-18 | Yasuo Hokama | Indwelling intravenous needle with two blood-backflow passage routes |
US5282827A (en) * | 1991-11-08 | 1994-02-01 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5292332A (en) * | 1992-07-27 | 1994-03-08 | Lee Benjamin I | Methods and device for percutanceous sealing of arterial puncture sites |
US5306254A (en) * | 1992-10-01 | 1994-04-26 | Kensey Nash Corporation | Vessel position locating device and method of use |
US5385554A (en) * | 1993-03-17 | 1995-01-31 | Becton, Dickinson And Company | Catheter introducer with notched needle |
US5391183A (en) * | 1990-09-21 | 1995-02-21 | Datascope Investment Corp | Device and method sealing puncture wounds |
USRE34866E (en) * | 1987-02-17 | 1995-02-21 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US5409444A (en) * | 1992-03-04 | 1995-04-25 | Kensey Nash Corporation | Method and apparatus to reduce injury to the vascular system |
US5486195A (en) * | 1993-07-26 | 1996-01-23 | Myers; Gene | Method and apparatus for arteriotomy closure |
US5507754A (en) * | 1993-08-20 | 1996-04-16 | United States Surgical Corporation | Apparatus and method for applying and adjusting an anchoring device |
US5593422A (en) * | 1989-05-29 | 1997-01-14 | Muijs Van De Moer; Wouter M. | Occlusion assembly for sealing openings in blood vessels and a method for sealing openings in blood vessels |
US5610461A (en) * | 1994-02-14 | 1997-03-11 | Emerson Electric Co. | Motor endshields |
US5620461A (en) * | 1989-05-29 | 1997-04-15 | Muijs Van De Moer; Wouter M. | Sealing device |
US5700277A (en) * | 1993-06-04 | 1997-12-23 | Kensey Nash Corporation | Hemostatic vessel puncture closure with filament lock |
US5709707A (en) * | 1995-10-30 | 1998-01-20 | Children's Medical Center Corporation | Self-centering umbrella-type septal closure device |
US5728132A (en) * | 1996-04-08 | 1998-03-17 | Tricardia, L.L.C. | Self-sealing vascular access device |
US5728133A (en) * | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5735875A (en) * | 1990-06-28 | 1998-04-07 | Peter M. Bonutti | Surgical devices assembled using heat bondable materials |
US5741297A (en) * | 1996-08-28 | 1998-04-21 | Simon; Morris | Daisy occluder and method for septal defect repair |
US5861003A (en) * | 1996-10-23 | 1999-01-19 | The Cleveland Clinic Foundation | Apparatus and method for occluding a defect or aperture within body surface |
US5893856A (en) * | 1996-06-12 | 1999-04-13 | Mitek Surgical Products, Inc. | Apparatus and method for binding a first layer of material to a second layer of material |
US6010517A (en) * | 1996-04-10 | 2000-01-04 | Baccaro; Jorge Alberto | Device for occluding abnormal vessel communications |
US6015417A (en) * | 1996-01-25 | 2000-01-18 | Reynolds, Jr.; Walker | Surgical fastener |
US6024756A (en) * | 1996-03-22 | 2000-02-15 | Scimed Life Systems, Inc. | Method of reversibly closing a septal defect |
US6033427A (en) * | 1998-01-07 | 2000-03-07 | Lee; Benjamin I. | Method and device for percutaneous sealing of internal puncture sites |
US6045551A (en) * | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US6048357A (en) * | 1998-07-09 | 2000-04-11 | X-Site, L.L.C. | Anchoring device and method for sealing punctures in vessels |
US6048358A (en) * | 1998-07-13 | 2000-04-11 | Barak; Shlomo | Method and apparatus for hemostasis following arterial catheterization |
US6110207A (en) * | 1996-04-23 | 2000-08-29 | Aesculap Ag & Co. Kg | Implant for securing a tendon replacement member |
US6171329B1 (en) * | 1994-12-19 | 2001-01-09 | Gore Enterprise Holdings, Inc. | Self-expanding defect closure device and method of making and using |
US6171320B1 (en) * | 1996-12-25 | 2001-01-09 | Niti Alloys Technologies Ltd. | Surgical clip |
US6174322B1 (en) * | 1997-08-08 | 2001-01-16 | Cardia, Inc. | Occlusion device for the closure of a physical anomaly such as a vascular aperture or an aperture in a septum |
US6197042B1 (en) * | 2000-01-05 | 2001-03-06 | Medical Technology Group, Inc. | Vascular sheath with puncture site closure apparatus and methods of use |
US6206907B1 (en) * | 1999-05-07 | 2001-03-27 | Cardia, Inc. | Occlusion device with stranded wire support arms |
US6206893B1 (en) * | 1993-11-08 | 2001-03-27 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US6293961B2 (en) * | 1998-12-30 | 2001-09-25 | Ethicon, Inc. | Suture locking device |
US6334865B1 (en) * | 1998-08-04 | 2002-01-01 | Fusion Medical Technologies, Inc. | Percutaneous tissue track closure assembly and method |
US6336914B1 (en) * | 2000-01-13 | 2002-01-08 | Gillespie, Iii Richard D. | Releasable interlock assembly having axial and rotational engagement |
US6342064B1 (en) * | 1998-12-22 | 2002-01-29 | Nipro Corporation | Closure device for transcatheter operation and catheter assembly therefor |
US6346117B1 (en) * | 2000-03-02 | 2002-02-12 | Prodesco, Inc. | Bag for use in the intravascular treatment of saccular aneurysms |
US6348053B1 (en) * | 1996-11-12 | 2002-02-19 | Triage Medical, Inc. | Bone fixation device |
US6350274B1 (en) * | 1992-05-11 | 2002-02-26 | Regen Biologics, Inc. | Soft tissue closure systems |
US6350270B1 (en) * | 2000-01-24 | 2002-02-26 | Scimed Life Systems, Inc. | Aneurysm liner |
US6355052B1 (en) * | 1996-02-09 | 2002-03-12 | Pfm Produkte Fur Die Medizin Aktiengesellschaft | Device for closure of body defect openings |
US6368343B1 (en) * | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US6491714B1 (en) * | 1996-05-03 | 2002-12-10 | William F. Bennett | Surgical tissue repair and attachment apparatus and method |
US20030009180A1 (en) * | 1999-09-13 | 2003-01-09 | Hinchliffe Peter W.J. | Vascular hole closure device |
US6508828B1 (en) * | 2000-11-03 | 2003-01-21 | Radi Medical Systems Ab | Sealing device and wound closure device |
US20030055451A1 (en) * | 2001-09-20 | 2003-03-20 | Jones Donald K. | Stent aneurysm embolization method and device |
US6537299B1 (en) * | 1999-04-05 | 2003-03-25 | Ethicon, Inc. | Intravascular hemostasis device and method |
US20030130694A1 (en) * | 1999-12-02 | 2003-07-10 | Ray Bojarski | Soft tissue attachment and repair |
US6635073B2 (en) * | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US20040002764A1 (en) * | 2002-06-27 | 2004-01-01 | Raymedica, Inc. | Self-transitioning spinal disc anulus occlusion device and method of use |
US6676685B2 (en) * | 1999-02-22 | 2004-01-13 | Tyco Healthcare Group Lp | Arterial hole closure apparatus |
US20040010287A1 (en) * | 1999-08-09 | 2004-01-15 | Bonutti Peter M. | Method and apparatus for securing tissue |
US6682489B2 (en) * | 2001-01-12 | 2004-01-27 | Radi Medical Systems Ab | Technique to confirm correct positioning of arterial wall sealing device |
US6699163B2 (en) * | 2001-10-17 | 2004-03-02 | James Gallagher | Stretching center |
US6699263B2 (en) * | 2002-04-05 | 2004-03-02 | Cook Incorporated | Sliding suture anchor |
US6712837B2 (en) * | 2001-05-03 | 2004-03-30 | Radi Medical Systems Ab | Guiding tool for wound closure element |
US6712836B1 (en) * | 1999-05-13 | 2004-03-30 | St. Jude Medical Atg, Inc. | Apparatus and methods for closing septal defects and occluding blood flow |
US20040133238A1 (en) * | 1999-06-22 | 2004-07-08 | Cerier Jeffrey C. | Tissue fixation devices and methods of fixing tissue |
US6846316B2 (en) * | 1999-12-10 | 2005-01-25 | Scimed Life Systems, Inc. | Systems and methods for detaching a covering from an implantable medical device |
US20050033326A1 (en) * | 1999-09-13 | 2005-02-10 | Briganti Richard T. | Vascular hole closure device |
US6855153B2 (en) * | 2001-05-01 | 2005-02-15 | Vahid Saadat | Embolic balloon |
US6860895B1 (en) * | 1999-06-18 | 2005-03-01 | Radi Medical Systems Ab | Tool, a sealing device, a system and a method for closing a wound |
US6863680B2 (en) * | 2001-11-08 | 2005-03-08 | Sub-Q, Inc. | System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure |
US20050065547A1 (en) * | 2003-09-18 | 2005-03-24 | Cardia, Inc. | ASD closure device with self centering arm network |
US20050070957A1 (en) * | 2002-03-01 | 2005-03-31 | Das Gladwin S. | Vascular occlusion device |
US6984219B2 (en) * | 1999-09-23 | 2006-01-10 | Mark Ashby | Depth and puncture control for blood vessel hemostasis system |
US7008442B2 (en) * | 2003-01-20 | 2006-03-07 | Medtronic Vascular, Inc. | Vascular sealant delivery device and sheath introducer and method |
US7008440B2 (en) * | 2001-11-08 | 2006-03-07 | Sub-Q, Inc. | System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure |
US20060069408A1 (en) * | 2004-09-29 | 2006-03-30 | Terumo Kabushiki Kaisha | Device for treating a patent foramen ovale |
US20060212073A1 (en) * | 1997-08-01 | 2006-09-21 | Bonutti Peter M | Method and apparatus for securing a suture |
US20060217765A1 (en) * | 1997-08-01 | 2006-09-28 | Bonutti Peter M | Method for implanting a flowable fastener |
US20070010851A1 (en) * | 2003-07-14 | 2007-01-11 | Chanduszko Andrzej J | Tubular patent foramen ovale (PFO) closure device with catch system |
US20070010857A1 (en) * | 2005-07-05 | 2007-01-11 | Mitralign, Inc. | Tissue anchor, anchoring system and methods of using the same |
US7169168B2 (en) * | 1989-05-29 | 2007-01-30 | Kensey Nash Corporation | Sealing device |
US7175648B2 (en) * | 2003-11-18 | 2007-02-13 | Granit Medical Innovations, Llc | Deep endoscopic staple and stapler |
US20070073322A1 (en) * | 2005-09-28 | 2007-03-29 | Olympus Medical Systems Corp. | Suturing method for penetrating hole |
US20070156175A1 (en) * | 2005-12-29 | 2007-07-05 | Weadock Kevin S | Device for attaching, relocating and reinforcing tissue and methods of using same |
US20070244518A1 (en) * | 2003-07-14 | 2007-10-18 | Nmt Medical, Inc. | Patent foramen ovale (PFO) closure device with linearly elongating petals |
US7316706B2 (en) * | 2003-06-20 | 2008-01-08 | Medtronic Vascular, Inc. | Tensioning device, system, and method for treating mitral valve regurgitation |
US20080071310A1 (en) * | 2006-09-12 | 2008-03-20 | Hoffman Grant T | Medical device and a method for sealing a puncture or an opening |
US7488340B2 (en) * | 2003-06-02 | 2009-02-10 | Vascular Solutions, Inc. | Vascular access closure system |
US7662160B2 (en) * | 2004-01-28 | 2010-02-16 | Smith & Nephew, Inc. | Suture loading |
US7666199B2 (en) * | 2006-05-01 | 2010-02-23 | Boston Scientific Scimed, Inc. | Device and method for temporary vessel occlusion |
Family Cites Families (315)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2024871A (en) | 1935-06-13 | 1935-12-17 | Edwin R Parsons | Toggle bolt and sleeve |
US2413142A (en) | 1945-06-11 | 1946-12-24 | Edwin M Jones | Suturing assembly and method |
US3467089A (en) | 1967-02-14 | 1969-09-16 | Hollister Inc | Intrauterine contraceptive device (iud) |
CH477873A (fr) | 1967-07-14 | 1969-09-15 | Apamed Anst | Dispositif intra-utérin de contraception |
US3454004A (en) | 1967-08-18 | 1969-07-08 | Holland Rantos Co Inc | Intrauterine contraceptive device |
US3527223A (en) | 1967-09-01 | 1970-09-08 | Melvin Shein | Ear stud and hollow piercer for insertion thereof |
US3675648A (en) | 1970-08-05 | 1972-07-11 | Alza Corp | Intrauterine contraceptive device |
US3842827A (en) | 1972-04-04 | 1974-10-22 | E Jacobs | Endocervical contraceptive device |
US3913573A (en) | 1972-10-02 | 1975-10-21 | Morton Gutnick | Intrauterine contraceptive devices with plural parallel leg segments |
US3842826A (en) | 1972-10-25 | 1974-10-22 | Hollister Inc | Intrauterine contraceptive device and inserter therefor |
JPS5320957Y2 (fr) | 1973-11-14 | 1978-06-01 | ||
US3976079A (en) | 1974-08-01 | 1976-08-24 | Samuels Peter B | Securing devices for sutures |
US4031569A (en) | 1976-03-15 | 1977-06-28 | Jacob H John | Nasal septum plug |
US4117838A (en) | 1976-09-02 | 1978-10-03 | Hasson Harrith M | Intrauterine contraceptive device |
US4485816A (en) | 1981-06-25 | 1984-12-04 | Alchemia | Shape-memory surgical staple apparatus and method for use in surgical suturing |
US5417691A (en) * | 1982-05-20 | 1995-05-23 | Hayhurst; John O. | Apparatus and method for manipulating and anchoring tissue |
US4676245A (en) | 1983-02-09 | 1987-06-30 | Mamoru Fukuda | Interlocking surgical staple assembly |
US4532926A (en) | 1983-06-20 | 1985-08-06 | Ethicon, Inc. | Two-piece tissue fastener with ratchet leg staple and sealable latching receiver |
US4665906A (en) | 1983-10-14 | 1987-05-19 | Raychem Corporation | Medical devices incorporating sim alloy elements |
US4615514A (en) | 1985-01-29 | 1986-10-07 | Hamlin Jerry J | Holding apparatus and method for securely positioning members to be joined by welding or the like |
US4610671A (en) | 1985-03-28 | 1986-09-09 | Luther Medical Products, Inc. | Assembly of stylet and catheter |
US5123914A (en) | 1986-05-19 | 1992-06-23 | Cook Incorporated | Visceral anchor for visceral wall mobilization |
US4744364A (en) | 1987-02-17 | 1988-05-17 | Intravascular Surgical Instruments, Inc. | Device for sealing percutaneous puncture in a vessel |
US5478353A (en) | 1987-05-14 | 1995-12-26 | Yoon; Inbae | Suture tie device system and method for suturing anatomical tissue proximate an opening |
US4836204A (en) | 1987-07-06 | 1989-06-06 | Landymore Roderick W | Method for effecting closure of a perforation in the septum of the heart |
US5047047A (en) | 1988-10-26 | 1991-09-10 | Inbae Yoon | Wound closing device |
US4924866A (en) | 1988-10-26 | 1990-05-15 | Inbae Yoon | Wound-closing device |
CA1323176C (fr) * | 1988-11-25 | 1993-10-19 | Carl H. Baker | Dispositif de reterue de cable |
US4971068A (en) | 1989-07-07 | 1990-11-20 | Bio-Plexus, Inc. | Blood vessel locating needle assembly with thermochromic indicator |
US5749879A (en) | 1989-08-16 | 1998-05-12 | Medtronic, Inc. | Device or apparatus for manipulating matter |
US5129906A (en) | 1989-09-08 | 1992-07-14 | Linvatec Corporation | Bioabsorbable tack for joining bodily tissue and in vivo method and apparatus for deploying same |
US5123913A (en) | 1989-11-27 | 1992-06-23 | Wilk Peter J | Suture device |
US5061274A (en) | 1989-12-04 | 1991-10-29 | Kensey Nash Corporation | Plug device for sealing openings and method of use |
DE69102515T2 (de) | 1990-04-02 | 1994-10-20 | Kanji Inoue | Vorrichtung zum verschliessen einer nebenschlussöffnung mittels eines nichtoperativen verfahrens. |
GB9020379D0 (en) | 1990-09-18 | 1990-10-31 | Femcare Ltd | Suture apparatus |
US5372146A (en) | 1990-11-06 | 1994-12-13 | Branch; Thomas P. | Method and apparatus for re-approximating tissue |
US5171252A (en) | 1991-02-05 | 1992-12-15 | Friedland Thomas W | Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip |
CA2078530A1 (fr) | 1991-09-23 | 1993-03-24 | Jay Erlebacher | Dispositif d'occlusion en cas de ponction percutanee arterielle et instrument permettant son insertion |
US5350400A (en) | 1991-10-30 | 1994-09-27 | American Cyanamid Company | Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple |
EP0545091B1 (fr) | 1991-11-05 | 1999-07-07 | The Children's Medical Center Corporation | Dispositif d'occlusion, destiné à la réparation des défauts du coeur et des vaisseaux sanguins |
US5411520A (en) | 1991-11-08 | 1995-05-02 | Kensey Nash Corporation | Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use |
US5222974A (en) | 1991-11-08 | 1993-06-29 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5676689A (en) | 1991-11-08 | 1997-10-14 | Kensey Nash Corporation | Hemostatic puncture closure system including vessel location device and method of use |
US6056768A (en) | 1992-01-07 | 2000-05-02 | Cates; Christopher U. | Blood vessel sealing system |
CA2128338C (fr) | 1992-01-21 | 2004-10-12 | Gladwin S. Das | Obturateur de perforations du septum interventriculaire |
US5236440A (en) | 1992-04-14 | 1993-08-17 | American Cyanamid Company | Surgical fastener |
US6063085A (en) | 1992-04-23 | 2000-05-16 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
US5413571A (en) | 1992-07-16 | 1995-05-09 | Sherwood Medical Company | Device for sealing hemostatic incisions |
US5443481A (en) | 1992-07-27 | 1995-08-22 | Lee; Benjamin I. | Methods and device for percutaneous sealing of arterial puncture sites |
US5318040A (en) | 1992-08-27 | 1994-06-07 | Kensey Nash Corporation | Instruments and methods for performing medical procedures via small percutaneous incisions or punctures without using a trocar |
US5643317A (en) | 1992-11-25 | 1997-07-01 | William Cook Europe S.A. | Closure prosthesis for transcatheter placement |
US5334210A (en) | 1993-04-09 | 1994-08-02 | Cook Incorporated | Vascular occlusion assembly |
US5312435A (en) | 1993-05-17 | 1994-05-17 | Kensey Nash Corporation | Fail predictable, reinforced anchor for hemostatic puncture closure |
US5462561A (en) | 1993-08-05 | 1995-10-31 | Voda; Jan K. | Suture device |
CA2124651C (fr) | 1993-08-20 | 2004-09-28 | David T. Green | Appareil et methode pour mettre en place et ajuster un dispositif d'ancrage de structures internes |
NL9301526A (nl) | 1993-09-03 | 1995-04-03 | Cordis Europ | Inrichting voor hemostase behandeling na catheter-ingreep. |
FR2710254B1 (fr) | 1993-09-21 | 1995-10-27 | Mai Christian | Agrafe d'ostéosynthèse multi-branches à compression dynamique autorétentive. |
US5400785A (en) | 1994-02-03 | 1995-03-28 | Boston Scientific Corp. | Acoustic window and septum for imaging catheters |
US5391173A (en) * | 1994-02-10 | 1995-02-21 | Wilk; Peter J. | Laparoscopic suturing technique and associated device |
US5545178A (en) | 1994-04-29 | 1996-08-13 | Kensey Nash Corporation | System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating |
US5531759A (en) | 1994-04-29 | 1996-07-02 | Kensey Nash Corporation | System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating |
US5630824A (en) | 1994-06-01 | 1997-05-20 | Innovasive Devices, Inc. | Suture attachment device |
US5433727A (en) | 1994-08-16 | 1995-07-18 | Sideris; Eleftherios B. | Centering buttoned device for the occlusion of large defects for occluding |
US5549633A (en) | 1994-08-24 | 1996-08-27 | Kensey Nash Corporation | Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site |
US5879366A (en) | 1996-12-20 | 1999-03-09 | W.L. Gore & Associates, Inc. | Self-expanding defect closure device and method of making and using |
US5665109A (en) | 1994-12-29 | 1997-09-09 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5702421A (en) | 1995-01-11 | 1997-12-30 | Schneidt; Bernhard | Closure device for closing a vascular opening, such as patent ductus arteriosus |
US5634936A (en) | 1995-02-06 | 1997-06-03 | Scimed Life Systems, Inc. | Device for closing a septal defect |
US5649959A (en) | 1995-02-10 | 1997-07-22 | Sherwood Medical Company | Assembly for sealing a puncture in a vessel |
US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US6117161A (en) | 1995-06-06 | 2000-09-12 | Li Medical Tecnologies, Inc. | Fastener and fastening method, particularly for fastening sutures to bone |
US5569306A (en) | 1995-06-06 | 1996-10-29 | Thal; Raymond | Knotless suture anchor assembly |
US5595559A (en) * | 1995-07-24 | 1997-01-21 | Viel; Joseph E. | Muscle stretching apparatus and method |
US5810846A (en) | 1995-08-03 | 1998-09-22 | United States Surgical Corporation | Vascular hole closure |
AU3410095A (en) | 1995-08-24 | 1997-03-19 | Inbae Yoon | Suture tie device system and method for suturing anatomical tissue proximate an opening |
US6071300A (en) | 1995-09-15 | 2000-06-06 | Sub-Q Inc. | Apparatus and method for percutaneous sealing of blood vessel punctures |
US5704943A (en) | 1995-09-25 | 1998-01-06 | Yoon; Inbae | Ligating instrument with multiple loop ligature supply and methods therefor |
US5674231A (en) | 1995-10-20 | 1997-10-07 | United States Surgical Corporation | Apparatus and method for vascular hole closure |
US5725556A (en) * | 1995-12-15 | 1998-03-10 | M & R Medical, Inc. | Suture locking apparatus |
US5735877A (en) * | 1996-02-28 | 1998-04-07 | Pagedas; Anthony C. | Self locking suture lock |
US5596791A (en) * | 1996-03-29 | 1997-01-28 | Parsons; Llewellyn B. | Rope clamp |
US5662681A (en) | 1996-04-23 | 1997-09-02 | Kensey Nash Corporation | Self locking closure for sealing percutaneous punctures |
US5690674A (en) | 1996-07-02 | 1997-11-25 | Cordis Corporation | Wound closure with plug |
RU2108070C1 (ru) | 1996-07-09 | 1998-04-10 | Борис Петрович Кручинин | Микрохирургическое крепежное устройство (варианты) и манипуляционный толкатель для его установки |
DE19628909C2 (de) | 1996-07-18 | 1999-11-18 | Ruesch Willy Ag | Verschluß |
ATE375758T1 (de) | 1996-08-06 | 2007-11-15 | St Jude Med Puerto Rico Bv | Einführungsvorrichtung zum einführen eines hemostatischen verschlusses in einen einschnitt |
US5810884A (en) | 1996-09-09 | 1998-09-22 | Beth Israel Deaconess Medical Center | Apparatus and method for closing a vascular perforation after percutaneous puncture of a blood vessel in a living subject |
US5948002A (en) | 1996-11-15 | 1999-09-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
US5782600A (en) | 1996-12-23 | 1998-07-21 | Walsh; Michael D. | System and method for moving shelf units |
US5782861A (en) | 1996-12-23 | 1998-07-21 | Sub Q Inc. | Percutaneous hemostasis device |
US5769894A (en) | 1997-02-05 | 1998-06-23 | Smith & Nephew, Inc. | Graft attachment device and method of attachment |
WO1998034547A1 (fr) | 1997-02-07 | 1998-08-13 | Radi Medical Systems Ab | Element hemostatique gonflable |
US5782860A (en) | 1997-02-11 | 1998-07-21 | Biointerventional Corporation | Closure device for percutaneous occlusion of puncture sites and tracts in the human body and method |
US6409739B1 (en) | 1997-05-19 | 2002-06-25 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to side anastomosis |
SE9701935D0 (sv) | 1997-05-23 | 1997-05-23 | Radi Medical Systems | Medical device |
US6015428A (en) * | 1997-06-03 | 2000-01-18 | Anthony C. Pagedas | Integrally formed suture and suture lock |
US6001110A (en) | 1997-06-20 | 1999-12-14 | Boston Scientific Corporation | Hemostatic clips |
US5957940A (en) | 1997-06-30 | 1999-09-28 | Eva Corporation | Fasteners for use in the surgical repair of aneurysms |
GB9715241D0 (en) | 1997-07-18 | 1997-09-24 | Jeffree Martin A | Device for treating aneurysms |
US6010525A (en) | 1997-08-01 | 2000-01-04 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6159234A (en) | 1997-08-01 | 2000-12-12 | Peter M. Bonutti | Method and apparatus for securing a suture |
ATE339919T1 (de) | 1997-08-04 | 2006-10-15 | Boston Scient Ltd | Okklussionssystem zum ausbessern eines aneurysmas |
US5916235A (en) | 1997-08-13 | 1999-06-29 | The Regents Of The University Of California | Apparatus and method for the use of detachable coils in vascular aneurysms and body cavities |
US5964782A (en) | 1997-09-18 | 1999-10-12 | Scimed Life Systems, Inc. | Closure device and method |
US6063106A (en) | 1997-09-19 | 2000-05-16 | Gibson; William Frits Stewart | Surgical spacer |
US5984949A (en) | 1997-10-06 | 1999-11-16 | Levin; John M. | Tissue hooks and tools for applying same |
US5989268A (en) | 1997-10-28 | 1999-11-23 | Boston Scientific Corporation | Endoscopic hemostatic clipping device |
US6414664B1 (en) | 1997-11-13 | 2002-07-02 | Honeywell Inc. | Method of and apparatus for controlling contrast of liquid crystal displays while receiving large dynamic range video |
US5976174A (en) | 1997-12-15 | 1999-11-02 | Ruiz; Carlos E. | Medical hole closure device and methods of use |
ATE320229T1 (de) | 1998-01-30 | 2006-04-15 | St Jude Medical Atg Inc | Medizinischer transplantatverbinder oder stopfen sowie verfahren zu ihrer herstellung |
US7625352B1 (en) | 1998-05-01 | 2009-12-01 | Sub-Q, Inc. | Depth and puncture control for system for hemostasis of blood vessel |
US6113611A (en) | 1998-05-28 | 2000-09-05 | Advanced Vascular Technologies, Llc | Surgical fastener and delivery system |
US5919207A (en) | 1998-06-02 | 1999-07-06 | Taheri; Syde A. | Percutaneous arterial closure with staples |
US5910155A (en) | 1998-06-05 | 1999-06-08 | United States Surgical Corporation | Vascular wound closure system |
US6139564A (en) | 1998-06-16 | 2000-10-31 | Target Therapeutics Inc. | Minimally occlusive flow disruptor stent for bridging aneurysm necks |
US6648903B1 (en) | 1998-09-08 | 2003-11-18 | Pierson, Iii Raymond H. | Medical tensioning system |
US6183496B1 (en) | 1998-11-02 | 2001-02-06 | Datascope Investment Corp. | Collapsible hemostatic plug |
US6066160A (en) * | 1998-11-23 | 2000-05-23 | Quickie Llc | Passive knotless suture terminator for use in minimally invasive surgery and to facilitate standard tissue securing |
US6080183A (en) | 1998-11-24 | 2000-06-27 | Embol-X, Inc. | Sutureless vessel plug and methods of use |
US6024755A (en) | 1998-12-11 | 2000-02-15 | Embol-X, Inc. | Suture-free clamp and sealing port and methods of use |
US6126675A (en) | 1999-01-11 | 2000-10-03 | Ethicon, Inc. | Bioabsorbable device and method for sealing vascular punctures |
US6120524A (en) | 1999-02-16 | 2000-09-19 | Taheri; Syde A. | Device for closing an arterial puncture and method |
US6136010A (en) | 1999-03-04 | 2000-10-24 | Perclose, Inc. | Articulating suturing device and method |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US6228096B1 (en) | 1999-03-31 | 2001-05-08 | Sam R. Marchand | Instrument and method for manipulating an operating member coupled to suture material while maintaining tension on the suture material |
US7226467B2 (en) | 1999-04-09 | 2007-06-05 | Evalve, Inc. | Fixation device delivery catheter, systems and methods of use |
US8216256B2 (en) | 1999-04-09 | 2012-07-10 | Evalve, Inc. | Detachment mechanism for implantable fixation devices |
AU5160500A (en) | 1999-05-28 | 2000-12-18 | Cohesion Technologies, Inc. | Apparatuses, methods and compositions for closing tissue puncture openings |
US6766186B1 (en) | 1999-06-16 | 2004-07-20 | C. R. Bard, Inc. | Post biospy tissue marker and method of use |
US7744613B2 (en) | 1999-06-25 | 2010-06-29 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US6398796B2 (en) | 1999-07-13 | 2002-06-04 | Scion Cardio-Vascular, Inc. | Suture with toggle and delivery system |
KR100430981B1 (ko) | 1999-08-10 | 2004-05-14 | 제이에프이 엔지니어링 가부시키가이샤 | 디프 드로잉성이 우수한 냉연강판의 제조방법 |
US6251122B1 (en) | 1999-09-02 | 2001-06-26 | Scimed Life Systems, Inc. | Intravascular filter retrieval device and method |
WO2001019256A1 (fr) | 1999-09-13 | 2001-03-22 | Rex Medical, Lp | Obturation vasculaire |
US7267679B2 (en) | 1999-09-13 | 2007-09-11 | Rex Medical, L.P | Vascular hole closure device |
US7942888B2 (en) | 1999-09-13 | 2011-05-17 | Rex Medical, L.P. | Vascular hole closure device |
US6231561B1 (en) | 1999-09-20 | 2001-05-15 | Appriva Medical, Inc. | Method and apparatus for closing a body lumen |
WO2001021247A1 (fr) | 1999-09-20 | 2001-03-29 | Appriva Medical, Inc. | Technique et dispositif pour fermeture d'une lumiere anatomique |
US6477748B2 (en) * | 1999-10-01 | 2002-11-12 | Karl T. Steiner | Cord lock and adjustable securing device |
US6626930B1 (en) | 1999-10-21 | 2003-09-30 | Edwards Lifesciences Corporation | Minimally invasive mitral valve repair method and apparatus |
US6462169B1 (en) * | 1999-11-30 | 2002-10-08 | Poly-Med, Inc. | Amorphous polymeric polyaxial initiators and compliant crystalline copolymers therefrom |
KR100349743B1 (ko) | 1999-12-30 | 2002-08-22 | 현대자동차주식회사 | 도난방지용 트렁크 라이센스의 이중 잠금 구조 |
US6391048B1 (en) | 2000-01-05 | 2002-05-21 | Integrated Vascular Systems, Inc. | Integrated vascular device with puncture site closure component and sealant and methods of use |
US20010010005A1 (en) | 2000-01-24 | 2001-07-26 | Kammerer Gene W. | Meniscal repair device |
US6547806B1 (en) | 2000-02-04 | 2003-04-15 | Ni Ding | Vascular sealing device and method of use |
US6391037B1 (en) | 2000-03-02 | 2002-05-21 | Prodesco, Inc. | Bag for use in the intravascular treatment of saccular aneurysms |
US9138222B2 (en) | 2000-03-13 | 2015-09-22 | P Tech, Llc | Method and device for securing body tissue |
US6712830B2 (en) * | 2000-03-15 | 2004-03-30 | Esplin Medical Inventions, L.L.C. | Soft tissue anchor |
US6786915B2 (en) | 2000-04-19 | 2004-09-07 | Radi Medical Systems Ab | Reinforced absorbable medical sealing device |
JP3844661B2 (ja) | 2000-04-19 | 2006-11-15 | ラディ・メディカル・システムズ・アクチェボラーグ | 動脈内塞栓子 |
US7361185B2 (en) * | 2001-05-09 | 2008-04-22 | Canica Design, Inc. | Clinical and surgical system and method for moving and stretching plastic tissue |
US7153323B1 (en) | 2000-06-30 | 2006-12-26 | Boston Scientific Scimed, Inc. | Aneurysm liner with multi-segment extender |
US6451030B2 (en) | 2000-06-30 | 2002-09-17 | Li Medical Technologies, Inc. | Rotor blade anchor and tool for installing same particularlly for arthroscopic installation |
AU2001273401A1 (en) | 2000-07-14 | 2002-01-30 | Sub-Q Inc. | Sheath-mounted arterial plug delivery device |
US6440152B1 (en) | 2000-07-28 | 2002-08-27 | Microvena Corporation | Defect occluder release assembly and method |
US6936058B2 (en) | 2000-10-18 | 2005-08-30 | Nmt Medical, Inc. | Over-the-wire interlock attachment/detachment mechanism |
US6447524B1 (en) | 2000-10-19 | 2002-09-10 | Ethicon Endo-Surgery, Inc. | Fastener for hernia mesh fixation |
US6626937B1 (en) | 2000-11-14 | 2003-09-30 | Advanced Cardiovascular Systems, Inc. | Austenitic nitinol medical devices |
US20020082622A1 (en) | 2000-11-24 | 2002-06-27 | Kane David Lee | Collapsed deployable soft tissue anchor for repairing soft tissue to bone |
US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
US6846319B2 (en) | 2000-12-14 | 2005-01-25 | Core Medical, Inc. | Devices for sealing openings through tissue and apparatus and methods for delivering them |
US6623509B2 (en) | 2000-12-14 | 2003-09-23 | Core Medical, Inc. | Apparatus and methods for sealing vascular punctures |
US7285097B2 (en) | 2001-01-12 | 2007-10-23 | Radi Medical System Ab | Technique to confirm correct positioning with respect to arterial wall |
US6500184B1 (en) | 2001-01-31 | 2002-12-31 | Yung C. Chan | Suturing apparatus and method of suturing |
US6569185B2 (en) | 2001-02-15 | 2003-05-27 | Scimed Life Systems Inc | Continuous infusion technique for arterial sealing |
US6401309B1 (en) * | 2001-02-22 | 2002-06-11 | Formosa Saint Jose Corp. | Fastening hook for elastic rope |
US7048748B1 (en) | 2001-03-21 | 2006-05-23 | Uestuener Emin Tuncay | Automatic surgical suturing instrument and method |
US7025776B1 (en) | 2001-04-24 | 2006-04-11 | Advanced Catheter Engineering, Inc. | Arteriotomy closure devices and techniques |
US20020173803A1 (en) | 2001-05-01 | 2002-11-21 | Stephen Ainsworth | Self-closing surgical clip for tissue |
ATE272359T1 (de) | 2001-05-09 | 2004-08-15 | Radi Medical Systems | Vorrichtung zum abdichten einer arteriellen perforation |
US6533802B2 (en) | 2001-05-16 | 2003-03-18 | Smith & Nephew, Inc. | Endobutton continuous loop for bone-tendon-bone |
US7338514B2 (en) * | 2001-06-01 | 2008-03-04 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods and tools, and related methods of use |
CA2448900C (fr) | 2001-06-08 | 2011-05-17 | Morris Innovative Research, Inc. | Procede et appareil d'obturation d'ouvertures |
JP4159805B2 (ja) | 2001-06-15 | 2008-10-01 | ラディ・メディカル・システムズ・アクチェボラーグ | 閉鎖方法用の突き押し機構 |
US7288105B2 (en) | 2001-08-01 | 2007-10-30 | Ev3 Endovascular, Inc. | Tissue opening occluder |
US7235091B2 (en) | 2002-06-20 | 2007-06-26 | Brian Thornes | Apparatus and method for fixation of ankle syndesmosis |
US6702835B2 (en) | 2001-09-07 | 2004-03-09 | Core Medical, Inc. | Needle apparatus for closing septal defects and methods for using such apparatus |
US20070129755A1 (en) | 2005-12-05 | 2007-06-07 | Ovalis, Inc. | Clip-based systems and methods for treating septal defects |
DE60138757D1 (de) | 2001-09-20 | 2009-07-02 | Radi Medical Systems | Einstellbare Druckvorrichtung für die Arterie radialis |
US7892247B2 (en) | 2001-10-03 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting vessels |
US20030105487A1 (en) | 2001-11-30 | 2003-06-05 | Benz Philip David | Hemostatic compression pad |
US20070198038A1 (en) | 2001-12-03 | 2007-08-23 | Cohen Adam L | Microdevices for Tissue Approximation and Retention, Methods for Using, and Methods for Making |
US6827727B2 (en) | 2001-12-18 | 2004-12-07 | Radi Medical Systems Ab | Method and device for applying external pressure in combination with coagulant treatment of puncture wounds |
US7318833B2 (en) | 2001-12-19 | 2008-01-15 | Nmt Medical, Inc. | PFO closure device with flexible thrombogenic joint and improved dislodgement resistance |
US7867250B2 (en) | 2001-12-19 | 2011-01-11 | Nmt Medical, Inc. | Septal occluder and associated methods |
US7695488B2 (en) | 2002-03-27 | 2010-04-13 | Boston Scientific Scimed, Inc. | Expandable body cavity liner device |
JP4350646B2 (ja) | 2002-05-08 | 2009-10-21 | ラディ・メディカル・システムズ・アクチェボラーグ | 分解できる医療用シーリング装置 |
US8308758B2 (en) | 2002-06-12 | 2012-11-13 | Radi Medical Systems Ab | Closure device |
US8088143B2 (en) | 2002-06-12 | 2012-01-03 | Radi Medical Systems Ab | Closure device |
US6939363B2 (en) | 2002-06-12 | 2005-09-06 | Radi Medical Systems Ab | Closure device |
JP4544991B2 (ja) | 2002-06-14 | 2010-09-15 | ローマ リンダ ユニヴァーシティ メディカル センター | 血管の創傷をふさぐ装置および方法 |
US6972027B2 (en) | 2002-06-26 | 2005-12-06 | Stryker Endoscopy | Soft tissue repair system |
ATE428351T1 (de) | 2002-07-31 | 2009-05-15 | Abbott Lab Vascular Entpr Ltd | Einrichtung zur abschliessung von chirurgischen punktionen |
JP2005534387A (ja) | 2002-08-01 | 2005-11-17 | アボット ラボラトリーズ バスキュラー エンタープライゼズ リミテッド | 血管の穿刺孔をシールするための装置 |
US20040039413A1 (en) | 2002-08-21 | 2004-02-26 | Radi Medical Systems Ab | Radial artery compression system |
ATE428360T1 (de) | 2002-09-05 | 2009-05-15 | Radi Medical Devices Ab | Führung für eine medizinische vorrichtung |
US7135032B2 (en) | 2002-09-06 | 2006-11-14 | Radi Medical Systems Ab | Femoral compression device with support |
US8398675B2 (en) | 2002-10-25 | 2013-03-19 | Radi Medical Systems Ab | Absorbable medical sealing device with retaining assembly having at least two loops |
US7090690B2 (en) | 2002-11-19 | 2006-08-15 | Arthrocare Corporation | Devices and methods for repairing soft tissue |
US7329270B2 (en) | 2002-12-19 | 2008-02-12 | Radi Medical Systems Ab | Femoral compression device |
US8382793B2 (en) | 2003-01-14 | 2013-02-26 | Radi Medical Systems Ab | Introducer sheath |
US7094209B2 (en) | 2003-01-14 | 2006-08-22 | Radi Medical Systems Ab | Method for introducer replacement |
EP1440656A3 (fr) | 2003-01-14 | 2004-10-06 | Radi Medical Systems Ab | Dispositif pour l'indication visuelle d'une pression sanguine |
US20040143294A1 (en) | 2003-01-22 | 2004-07-22 | Cardia, Inc. | Septal stabilization device |
US6960224B2 (en) | 2003-01-22 | 2005-11-01 | Cardia, Inc. | Laminated sheets for use in a fully retrievable occlusion device |
US7618435B2 (en) | 2003-03-04 | 2009-11-17 | Nmt Medical, Inc. | Magnetic attachment systems |
US7637921B2 (en) | 2003-03-04 | 2009-12-29 | Radi Medical Systems Ab | Femoral compression device with progressive pressure device |
US20040176800A1 (en) | 2003-03-07 | 2004-09-09 | Paraschac Joseph Francis | Barbed closure device |
JP3964818B2 (ja) | 2003-04-01 | 2007-08-22 | 株式会社東芝 | 磁気ランダムアクセスメモリ |
DE60335217D1 (de) | 2003-04-16 | 2011-01-13 | Tyco Healthcare | Vorrichtung zur Anastomose nach radikaler Prostatektomie mit einem Anker zum Halten eines Körpergefässes und mit einsetzbaren Nähfäden |
US8109968B2 (en) * | 2003-05-07 | 2012-02-07 | Anpa Medical, Inc. | Suture lock |
US7862584B2 (en) * | 2003-05-07 | 2011-01-04 | Anpa Medical, Inc. | Suture lock |
US7150757B2 (en) | 2003-06-11 | 2006-12-19 | Fallin T Wade | Adjustable line locks and methods |
US7594923B2 (en) | 2003-06-11 | 2009-09-29 | Medicine Lodge, Inc | Line lock suture attachment systems and methods |
DK1638624T3 (da) | 2003-06-19 | 2014-02-03 | Vascular Therapies Llc | Vaskulær lukkeindretning |
JP4499719B2 (ja) | 2003-07-03 | 2010-07-07 | ラディ・メディカル・システムズ・アクチェボラーグ | 傷縫合および封止用具 |
US8308765B2 (en) | 2004-05-07 | 2012-11-13 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
WO2005034763A1 (fr) | 2003-09-11 | 2005-04-21 | Nmt Medical, Inc. | Dispositifs, systemes et methodes permettant de suturer un tissu |
US20050075666A1 (en) | 2003-10-03 | 2005-04-07 | Maas Corey S. | Soft tissue suspension device |
US20050075654A1 (en) | 2003-10-06 | 2005-04-07 | Brian Kelleher | Methods and devices for soft tissue securement |
US20050192627A1 (en) | 2003-10-10 | 2005-09-01 | Whisenant Brian K. | Patent foramen ovale closure devices, delivery apparatus and related methods and systems |
WO2005034738A2 (fr) | 2003-10-10 | 2005-04-21 | Proximare, Inc. | Dispositifs de fermeture de foramen ovale persistant (pfo), appareil de transport et procedes et systemes correspondants |
US8337522B2 (en) | 2003-10-15 | 2012-12-25 | St. Jude Medical Puerto Rico Llc | Vascular sealing device with locking hub |
US7931670B2 (en) | 2003-10-15 | 2011-04-26 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with automatic tamping |
US8007514B2 (en) | 2003-10-17 | 2011-08-30 | St. Jude Medical Puerto Rico Llc | Automatic suture locking device |
US7361183B2 (en) | 2003-10-17 | 2008-04-22 | Ensure Medical, Inc. | Locator and delivery device and method of use |
US7326230B2 (en) | 2003-10-23 | 2008-02-05 | Sundaram Ravikumar | Vascular sealing device and method of use |
US20050096696A1 (en) | 2003-11-04 | 2005-05-05 | Forsberg Andrew T. | Arteriotomy closure device with anti-roll anchor |
US20050096697A1 (en) | 2003-11-04 | 2005-05-05 | Forsberg Andrew T. | Vascular insertion sheath with stiffened tip |
US7597705B2 (en) | 2003-12-03 | 2009-10-06 | St. Jude Medical Puerto Rico Llc | Vascular puncture seal anchor nest |
US7621937B2 (en) | 2003-12-03 | 2009-11-24 | St. Jude Medical Puerto Rico LC | Vascular sealing device with high surface area sealing plug |
US20050177182A1 (en) | 2003-12-04 | 2005-08-11 | Van Der Burg Erik J. | System and method for delivering a left atrial appendage containment device |
US8267959B2 (en) | 2003-12-19 | 2012-09-18 | Radi Medical Systems Ab | Technique for securing a suture |
US7717929B2 (en) | 2003-12-19 | 2010-05-18 | Radi Medical Systems Ab | Technique for securing a suture |
WO2005063133A1 (fr) | 2003-12-26 | 2005-07-14 | Terumo Kabushiki Kaisha | Suture de tissus et dispositif de suture de tissus |
US7946976B2 (en) * | 2004-03-23 | 2011-05-24 | Michael Gertner | Methods and devices for the surgical creation of satiety and biofeedback pathways |
US20050267524A1 (en) | 2004-04-09 | 2005-12-01 | Nmt Medical, Inc. | Split ends closure device |
US20050245932A1 (en) * | 2004-04-16 | 2005-11-03 | Fanton Gary S | Apparatus and methods for securing tissue to bone |
US8257394B2 (en) * | 2004-05-07 | 2012-09-04 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US7704268B2 (en) | 2004-05-07 | 2010-04-27 | Nmt Medical, Inc. | Closure device with hinges |
DE102004022590A1 (de) | 2004-05-07 | 2005-12-01 | Feussner, Hubertus, Prof.Dr.med. | Blindniet zur Adaption von biologischem Gewebe und Vorrichtung zum Setzen des selbigen, insbesondere durch den Instrumentenkanal eines Endoskops |
US20050283193A1 (en) | 2004-06-18 | 2005-12-22 | Radi Medical Systems Ab | Introducer guide |
US7582105B2 (en) | 2004-06-30 | 2009-09-01 | Silhouette Lift Societad Limitada | Suture for wound closure, tissue approximation, tissue support, suspension and/or fixation |
US7468068B2 (en) | 2004-06-30 | 2008-12-23 | Alwin Kolster | Suture for wound closure, tissue approximation, tissue support, suspension and/or fixation |
US8348971B2 (en) | 2004-08-27 | 2013-01-08 | Accessclosure, Inc. | Apparatus and methods for facilitating hemostasis within a vascular puncture |
US7658751B2 (en) | 2006-09-29 | 2010-02-09 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US8105352B2 (en) | 2004-12-16 | 2012-01-31 | Radi Medical Systems Ab | Medical sealing device |
SE0403070D0 (sv) * | 2004-12-16 | 2004-12-16 | Radi Medical Systems | Closure Device |
JP4366306B2 (ja) | 2004-12-17 | 2009-11-18 | テルモ株式会社 | 生体内組織閉鎖具および生体内組織閉鎖装置 |
US20080114395A1 (en) | 2005-01-14 | 2008-05-15 | Radi Medical Systems Ab | Closure Device |
US7704229B2 (en) | 2005-02-03 | 2010-04-27 | Medtronic Minimed, Inc. | Insertion device |
JP4823533B2 (ja) | 2005-02-04 | 2011-11-24 | オリンパス株式会社 | 医療用縫合結紮具及び医療用縫合結紮装置 |
US8882787B2 (en) | 2005-03-02 | 2014-11-11 | St. Jude Medical, Cardiology Division, Inc. | Tissue anchor apparatus |
US7931671B2 (en) | 2005-03-11 | 2011-04-26 | Radi Medical Systems Ab | Medical sealing device |
US20060217760A1 (en) | 2005-03-17 | 2006-09-28 | Widomski David R | Multi-strand septal occluder |
US7713283B2 (en) | 2005-04-11 | 2010-05-11 | St. Jude Medical Puerto Rico, Llc | Tissue puncture closure device with magazine fed tamping system |
US7618438B2 (en) | 2005-05-17 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with disengagable automatic tamping system |
US7758594B2 (en) | 2005-05-20 | 2010-07-20 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US8252005B2 (en) | 2005-06-30 | 2012-08-28 | Edwards Lifesciences Corporation | System, apparatus, and method for fastening tissue |
US20070032824A1 (en) | 2005-08-04 | 2007-02-08 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with track plug |
US8062309B2 (en) | 2005-08-19 | 2011-11-22 | Boston Scientific Scimed, Inc. | Defect occlusion apparatus, system, and method |
US20070088388A1 (en) | 2005-09-19 | 2007-04-19 | Opolski Steven W | Delivery device for implant with dual attachment sites |
US7775988B2 (en) | 2005-09-30 | 2010-08-17 | Radi Medical Systems Ab | Method for determining the blood flow in a coronary artery |
US7632308B2 (en) | 2005-11-23 | 2009-12-15 | Didier Loulmet | Methods, devices, and kits for treating mitral valve prolapse |
US20070135826A1 (en) | 2005-12-01 | 2007-06-14 | Steve Zaver | Method and apparatus for delivering an implant without bias to a left atrial appendage |
US20070149987A1 (en) | 2005-12-22 | 2007-06-28 | Ethicon, Inc. | Vessel wound closure device |
US8317822B2 (en) | 2005-12-22 | 2012-11-27 | Ethicon, Inc. | Systems and methods for closing a vessel wound |
US8267942B2 (en) | 2005-12-23 | 2012-09-18 | Ethicon, Inc. | Systems and methods for closing a vessel wound |
US9427216B2 (en) | 2005-12-23 | 2016-08-30 | CARDINAL HEALTH SWITZERLAND 515 GmbH | Systems and methods for closing a vessel wound |
US7625392B2 (en) | 2006-02-03 | 2009-12-01 | James Coleman | Wound closure devices and methods |
US20090036919A1 (en) | 2006-03-22 | 2009-02-05 | Radi Medical Systems Ab | Closure device |
US20070225756A1 (en) | 2006-03-22 | 2007-09-27 | Radi Medical Systems Ab | Closure device and insertion assembly |
US20090030450A1 (en) | 2006-03-22 | 2009-01-29 | Radi Medical Systems Ab | Closure device |
US20090036920A1 (en) | 2006-03-22 | 2009-02-05 | Radi Medical Systems Ab | Closure device |
US20070239208A1 (en) | 2006-04-05 | 2007-10-11 | Crawford Bruce S | Surgical implantation device and method |
WO2007124772A1 (fr) | 2006-04-28 | 2007-11-08 | Covidien Ag | Instrument organopexique et kit organopexique |
US20070276437A1 (en) * | 2006-05-25 | 2007-11-29 | Mitralign, Inc. | Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members |
US20080065156A1 (en) | 2006-09-08 | 2008-03-13 | Hauser David L | Expandable clip for tissue repair |
WO2008094468A2 (fr) | 2007-01-26 | 2008-08-07 | Endotronix, Inc. | Dispositif d'obstruction vasculaire à capteur |
US8080034B2 (en) | 2007-03-29 | 2011-12-20 | St. Jude Medical, Inc. | Vascular hemostasis device and deployment apparatus |
US7938846B2 (en) | 2007-06-22 | 2011-05-10 | Radi Medical Systems Ab | Femoral compression device |
US8366741B2 (en) | 2007-09-13 | 2013-02-05 | Cardia, Inc. | Occlusion device with centering arm |
US8858591B2 (en) | 2007-10-31 | 2014-10-14 | Radi Medical Systems Ab | Method and device for sealing a puncture hole in a bodily organ |
US8652166B2 (en) | 2007-11-30 | 2014-02-18 | Radi Medical Systems Ab | Insertion tool for a medical closure device |
US8070772B2 (en) * | 2008-02-15 | 2011-12-06 | Rex Medical, L.P. | Vascular hole closure device |
US8491629B2 (en) | 2008-02-15 | 2013-07-23 | Rex Medical | Vascular hole closure delivery device |
US20110029013A1 (en) | 2008-02-15 | 2011-02-03 | Mcguckin James F | Vascular Hole Closure Device |
JP5290717B2 (ja) | 2008-02-21 | 2013-09-18 | テルモ株式会社 | 生体内組織閉鎖装置 |
US20090216267A1 (en) | 2008-02-26 | 2009-08-27 | Boston Scientific Scimed, Inc. | Closure device with rapidly dissolving anchor |
US20090234377A1 (en) | 2008-03-14 | 2009-09-17 | Radi Medical Systems Ab | Medical closure device |
US9101340B2 (en) | 2008-03-31 | 2015-08-11 | St. Jude Medical Coordination Center Bvba | Insertion tool for a closure device |
US8016857B2 (en) | 2008-04-18 | 2011-09-13 | Medtronic Vascular, Inc. | Vascular puncture closure |
US8118832B1 (en) | 2008-06-16 | 2012-02-21 | Morris Innovative, Inc. | Method and apparatus for sealing access |
US8197446B2 (en) | 2008-06-25 | 2012-06-12 | Tyco Healthcare Group Lp | Access cannula with hinge restrictor |
US8449170B1 (en) | 2008-08-26 | 2013-05-28 | Webb Tech Group,LLC | Dry particulate aerator for small diameter applications |
US8480686B2 (en) | 2008-09-25 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Methods and devices for delivering and applying suture anchors |
US8398676B2 (en) | 2008-10-30 | 2013-03-19 | Abbott Vascular Inc. | Closure device |
US8029534B2 (en) | 2009-03-16 | 2011-10-04 | Cook Medical Technologies Llc | Closure device with string retractable umbrella |
US9028466B2 (en) | 2009-06-08 | 2015-05-12 | St. Jude Medical Coordination Center Bvba | Adapter for use in connecting to a first percutaneous introducer |
US9486192B2 (en) | 2009-07-28 | 2016-11-08 | St. Jude Medical Puerto Rico Llc | Vascular closure device with automatic suture cutter |
US8647365B2 (en) | 2009-08-14 | 2014-02-11 | St. Jude Medical Puerto Rico Llc | Carrier tube for vascular closure device and methods |
EP2480142B1 (fr) | 2009-09-22 | 2017-06-07 | Synthes GmbH | Système de réparation de tissu mou fondé sur une suture d'ancre à multiples points de suture |
US20110082495A1 (en) | 2009-10-02 | 2011-04-07 | Ruiz Carlos E | Apparatus And Methods For Excluding The Left Atrial Appendage |
US8469944B2 (en) | 2009-11-03 | 2013-06-25 | Radi Medical Systems Ab | Introducer access assembly |
WO2011100547A2 (fr) | 2010-02-11 | 2011-08-18 | Boston Scientific Scimed, Inc. | Dispositifs et procédés automatiques de déploiement de fermeture vasculaire |
US8685059B2 (en) | 2010-06-08 | 2014-04-01 | Essential Medical Llc | Self-locking closure device for percutaneously sealing punctures |
US8906042B2 (en) | 2010-07-29 | 2014-12-09 | Covidien Lp | Wound closure device including mesh barrier |
US10485524B2 (en) | 2011-10-25 | 2019-11-26 | Essential Medical, Inc. | Instrument and methods for surgically closing percutaneous punctures |
US9572558B2 (en) | 2012-02-29 | 2017-02-21 | Vivasure Medical Limited | Devices and methods for delivering implants for percutaneous perforation closure |
US9757104B2 (en) | 2012-07-19 | 2017-09-12 | Essential Medical, Inc. | Multi-lumen tamper tube |
US9468429B2 (en) | 2012-08-21 | 2016-10-18 | St. Jude Medical Puerto Rico Llc | Sealing mechanism for closure devices |
US9943298B2 (en) | 2012-10-19 | 2018-04-17 | Cook Medical Technologies Llc | Vascular closure with shape memory characteristic |
US9850013B2 (en) | 2013-03-15 | 2017-12-26 | Vivasure Medical Limited | Loading devices and methods for percutaneous perforation closure systems |
-
2010
- 2010-08-12 US US12/854,988 patent/US20110029013A1/en not_active Abandoned
- 2010-08-24 AU AU2010214638A patent/AU2010214638B2/en not_active Ceased
- 2010-09-07 CA CA2714250A patent/CA2714250C/fr active Active
- 2010-09-08 EP EP10175821.7A patent/EP2294986B1/fr active Active
- 2010-09-08 ES ES10175821T patent/ES2699473T3/es active Active
- 2010-09-10 JP JP2010203129A patent/JP5975454B2/ja not_active Expired - Fee Related
-
2012
- 2012-11-10 US US13/673,995 patent/US9463005B2/en active Active
-
2016
- 2016-04-09 US US15/095,047 patent/US10390808B2/en active Active
- 2016-04-17 US US15/130,996 patent/US10342524B2/en active Active - Reinstated
- 2016-10-02 US US15/283,421 patent/US11064986B2/en active Active
-
2021
- 2021-07-10 US US17/372,451 patent/US20210330307A1/en active Pending
Patent Citations (117)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2398220A (en) * | 1944-11-28 | 1946-04-09 | Rawlplug Company Inc | Toggle lock |
US3874388A (en) * | 1973-02-12 | 1975-04-01 | Ochsner Med Found Alton | Shunt defect closure system |
US3937217A (en) * | 1973-03-19 | 1976-02-10 | Outokumpu Oy | Intrauterine contraceptive device |
US4007743A (en) * | 1975-10-20 | 1977-02-15 | American Hospital Supply Corporation | Opening mechanism for umbrella-like intravascular shunt defect closure device |
US4286497A (en) * | 1979-06-18 | 1981-09-01 | Shamah Alfred A | Ratchet-securable toggle retainer |
US4317445A (en) * | 1980-03-31 | 1982-03-02 | Baxter Travenol Laboratories, Inc. | Catheter insertion unit with separate flashback indication for the cannula |
US4505274A (en) * | 1980-10-17 | 1985-03-19 | Propper Manufacturing Co., Inc. | Suture clip |
US4638803A (en) * | 1982-09-30 | 1987-01-27 | Rand Robert W | Medical apparatus for inducing scar tissue formation in a body |
US4512338A (en) * | 1983-01-25 | 1985-04-23 | Balko Alexander B | Process for restoring patency to body vessels |
US4705040A (en) * | 1985-11-18 | 1987-11-10 | Medi-Tech, Incorporated | Percutaneous fixation of hollow organs |
US4796612A (en) * | 1986-08-06 | 1989-01-10 | Reese Hewitt W | Bone clamp and method |
USRE34866E (en) * | 1987-02-17 | 1995-02-21 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US4890612A (en) * | 1987-02-17 | 1990-01-02 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US4917089A (en) * | 1988-08-29 | 1990-04-17 | Sideris Eleftherios B | Buttoned device for the transvenous occlusion of intracardiac defects |
US5192301A (en) * | 1989-01-17 | 1993-03-09 | Nippon Zeon Co., Ltd. | Closing plug of a defect for medical use and a closing plug device utilizing it |
US5620461A (en) * | 1989-05-29 | 1997-04-15 | Muijs Van De Moer; Wouter M. | Sealing device |
US7169168B2 (en) * | 1989-05-29 | 2007-01-30 | Kensey Nash Corporation | Sealing device |
US5593422A (en) * | 1989-05-29 | 1997-01-14 | Muijs Van De Moer; Wouter M. | Occlusion assembly for sealing openings in blood vessels and a method for sealing openings in blood vessels |
US5192302A (en) * | 1989-12-04 | 1993-03-09 | Kensey Nash Corporation | Plug devices for sealing punctures and methods of use |
US5009663A (en) * | 1990-03-22 | 1991-04-23 | Brava Patient Och Invent Ab | Method for performing a surgical closure of a skin incision or wound and means for carrying out the method |
US5021059A (en) * | 1990-05-07 | 1991-06-04 | Kensey Nash Corporation | Plug device with pulley for sealing punctures in tissue and methods of use |
US5735875A (en) * | 1990-06-28 | 1998-04-07 | Peter M. Bonutti | Surgical devices assembled using heat bondable materials |
US5269809A (en) * | 1990-07-02 | 1993-12-14 | American Cyanamid Company | Locking mechanism for use with a slotted suture anchor |
US5741223A (en) * | 1990-09-21 | 1998-04-21 | Datascope Investment Corp. | Device and method for sealing puncture wounds |
US5725498A (en) * | 1990-09-21 | 1998-03-10 | Datascope Investment Corp. | Device and method for sealing puncture wounds |
US5591204A (en) * | 1990-09-21 | 1997-01-07 | Datascope Investment Corp. | Device and method for sealing puncture wounds |
US5391183A (en) * | 1990-09-21 | 1995-02-21 | Datascope Investment Corp | Device and method sealing puncture wounds |
US5108421A (en) * | 1990-10-01 | 1992-04-28 | Quinton Instrument Company | Insertion assembly and method of inserting a vessel plug into the body of a patient |
US5192300A (en) * | 1990-10-01 | 1993-03-09 | Quinton Instrument Company | Insertion assembly and method of inserting a vessel plug into the body of a patient |
US5108420A (en) * | 1991-02-01 | 1992-04-28 | Temple University | Aperture occlusion device |
US6179863B1 (en) * | 1991-11-08 | 2001-01-30 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5707393A (en) * | 1991-11-08 | 1998-01-13 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5282827A (en) * | 1991-11-08 | 1994-02-01 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5279572A (en) * | 1991-12-03 | 1994-01-18 | Yasuo Hokama | Indwelling intravenous needle with two blood-backflow passage routes |
US5409444A (en) * | 1992-03-04 | 1995-04-25 | Kensey Nash Corporation | Method and apparatus to reduce injury to the vascular system |
US6350274B1 (en) * | 1992-05-11 | 2002-02-26 | Regen Biologics, Inc. | Soft tissue closure systems |
US5292332A (en) * | 1992-07-27 | 1994-03-08 | Lee Benjamin I | Methods and device for percutanceous sealing of arterial puncture sites |
US5306254A (en) * | 1992-10-01 | 1994-04-26 | Kensey Nash Corporation | Vessel position locating device and method of use |
US5385554A (en) * | 1993-03-17 | 1995-01-31 | Becton, Dickinson And Company | Catheter introducer with notched needle |
US5700277A (en) * | 1993-06-04 | 1997-12-23 | Kensey Nash Corporation | Hemostatic vessel puncture closure with filament lock |
US5486195A (en) * | 1993-07-26 | 1996-01-23 | Myers; Gene | Method and apparatus for arteriotomy closure |
US5507754A (en) * | 1993-08-20 | 1996-04-16 | United States Surgical Corporation | Apparatus and method for applying and adjusting an anchoring device |
US6206893B1 (en) * | 1993-11-08 | 2001-03-27 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US5610461A (en) * | 1994-02-14 | 1997-03-11 | Emerson Electric Co. | Motor endshields |
US6171329B1 (en) * | 1994-12-19 | 2001-01-09 | Gore Enterprise Holdings, Inc. | Self-expanding defect closure device and method of making and using |
US5709707A (en) * | 1995-10-30 | 1998-01-20 | Children's Medical Center Corporation | Self-centering umbrella-type septal closure device |
US6015417A (en) * | 1996-01-25 | 2000-01-18 | Reynolds, Jr.; Walker | Surgical fastener |
US6355052B1 (en) * | 1996-02-09 | 2002-03-12 | Pfm Produkte Fur Die Medizin Aktiengesellschaft | Device for closure of body defect openings |
US6024756A (en) * | 1996-03-22 | 2000-02-15 | Scimed Life Systems, Inc. | Method of reversibly closing a septal defect |
US5728132A (en) * | 1996-04-08 | 1998-03-17 | Tricardia, L.L.C. | Self-sealing vascular access device |
US6010517A (en) * | 1996-04-10 | 2000-01-04 | Baccaro; Jorge Alberto | Device for occluding abnormal vessel communications |
US6110207A (en) * | 1996-04-23 | 2000-08-29 | Aesculap Ag & Co. Kg | Implant for securing a tendon replacement member |
US6491714B1 (en) * | 1996-05-03 | 2002-12-10 | William F. Bennett | Surgical tissue repair and attachment apparatus and method |
US5893856A (en) * | 1996-06-12 | 1999-04-13 | Mitek Surgical Products, Inc. | Apparatus and method for binding a first layer of material to a second layer of material |
US5728133A (en) * | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5741297A (en) * | 1996-08-28 | 1998-04-21 | Simon; Morris | Daisy occluder and method for septal defect repair |
US5861003A (en) * | 1996-10-23 | 1999-01-19 | The Cleveland Clinic Foundation | Apparatus and method for occluding a defect or aperture within body surface |
US6348053B1 (en) * | 1996-11-12 | 2002-02-19 | Triage Medical, Inc. | Bone fixation device |
US6171320B1 (en) * | 1996-12-25 | 2001-01-09 | Niti Alloys Technologies Ltd. | Surgical clip |
US20060212073A1 (en) * | 1997-08-01 | 2006-09-21 | Bonutti Peter M | Method and apparatus for securing a suture |
US20060217765A1 (en) * | 1997-08-01 | 2006-09-28 | Bonutti Peter M | Method for implanting a flowable fastener |
US6174322B1 (en) * | 1997-08-08 | 2001-01-16 | Cardia, Inc. | Occlusion device for the closure of a physical anomaly such as a vascular aperture or an aperture in a septum |
US6033427A (en) * | 1998-01-07 | 2000-03-07 | Lee; Benjamin I. | Method and device for percutaneous sealing of internal puncture sites |
US6997940B2 (en) * | 1998-02-06 | 2006-02-14 | Bonutti Ip, Llc | Bone suture assembly |
US6045551A (en) * | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US6048357A (en) * | 1998-07-09 | 2000-04-11 | X-Site, L.L.C. | Anchoring device and method for sealing punctures in vessels |
US6048358A (en) * | 1998-07-13 | 2000-04-11 | Barak; Shlomo | Method and apparatus for hemostasis following arterial catheterization |
US6334865B1 (en) * | 1998-08-04 | 2002-01-01 | Fusion Medical Technologies, Inc. | Percutaneous tissue track closure assembly and method |
US6342064B1 (en) * | 1998-12-22 | 2002-01-29 | Nipro Corporation | Closure device for transcatheter operation and catheter assembly therefor |
US6293961B2 (en) * | 1998-12-30 | 2001-09-25 | Ethicon, Inc. | Suture locking device |
US6676685B2 (en) * | 1999-02-22 | 2004-01-13 | Tyco Healthcare Group Lp | Arterial hole closure apparatus |
US6537299B1 (en) * | 1999-04-05 | 2003-03-25 | Ethicon, Inc. | Intravascular hemostasis device and method |
US6206907B1 (en) * | 1999-05-07 | 2001-03-27 | Cardia, Inc. | Occlusion device with stranded wire support arms |
US6712836B1 (en) * | 1999-05-13 | 2004-03-30 | St. Jude Medical Atg, Inc. | Apparatus and methods for closing septal defects and occluding blood flow |
US6860895B1 (en) * | 1999-06-18 | 2005-03-01 | Radi Medical Systems Ab | Tool, a sealing device, a system and a method for closing a wound |
US7846180B2 (en) * | 1999-06-22 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Tissue fixation devices and methods of fixing tissue |
US20040133238A1 (en) * | 1999-06-22 | 2004-07-08 | Cerier Jeffrey C. | Tissue fixation devices and methods of fixing tissue |
US20040010287A1 (en) * | 1999-08-09 | 2004-01-15 | Bonutti Peter M. | Method and apparatus for securing tissue |
US20050033326A1 (en) * | 1999-09-13 | 2005-02-10 | Briganti Richard T. | Vascular hole closure device |
US7662161B2 (en) * | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
US7341595B2 (en) * | 1999-09-13 | 2008-03-11 | Rex Medical, L.P | Vascular hole closure device |
US20030009180A1 (en) * | 1999-09-13 | 2003-01-09 | Hinchliffe Peter W.J. | Vascular hole closure device |
US6984219B2 (en) * | 1999-09-23 | 2006-01-10 | Mark Ashby | Depth and puncture control for blood vessel hemostasis system |
US20030130694A1 (en) * | 1999-12-02 | 2003-07-10 | Ray Bojarski | Soft tissue attachment and repair |
US6846316B2 (en) * | 1999-12-10 | 2005-01-25 | Scimed Life Systems, Inc. | Systems and methods for detaching a covering from an implantable medical device |
US6197042B1 (en) * | 2000-01-05 | 2001-03-06 | Medical Technology Group, Inc. | Vascular sheath with puncture site closure apparatus and methods of use |
US6336914B1 (en) * | 2000-01-13 | 2002-01-08 | Gillespie, Iii Richard D. | Releasable interlock assembly having axial and rotational engagement |
US6350270B1 (en) * | 2000-01-24 | 2002-02-26 | Scimed Life Systems, Inc. | Aneurysm liner |
US6346117B1 (en) * | 2000-03-02 | 2002-02-12 | Prodesco, Inc. | Bag for use in the intravascular treatment of saccular aneurysms |
US6368343B1 (en) * | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US20060167495A1 (en) * | 2000-03-13 | 2006-07-27 | Bonutti Peter M | Method of using ultrasonic vibration to secure body tissue |
US6635073B2 (en) * | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US6508828B1 (en) * | 2000-11-03 | 2003-01-21 | Radi Medical Systems Ab | Sealing device and wound closure device |
US6682489B2 (en) * | 2001-01-12 | 2004-01-27 | Radi Medical Systems Ab | Technique to confirm correct positioning of arterial wall sealing device |
US6855153B2 (en) * | 2001-05-01 | 2005-02-15 | Vahid Saadat | Embolic balloon |
US6712837B2 (en) * | 2001-05-03 | 2004-03-30 | Radi Medical Systems Ab | Guiding tool for wound closure element |
US20030055451A1 (en) * | 2001-09-20 | 2003-03-20 | Jones Donald K. | Stent aneurysm embolization method and device |
US6699163B2 (en) * | 2001-10-17 | 2004-03-02 | James Gallagher | Stretching center |
US7008440B2 (en) * | 2001-11-08 | 2006-03-07 | Sub-Q, Inc. | System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure |
US6863680B2 (en) * | 2001-11-08 | 2005-03-08 | Sub-Q, Inc. | System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure |
US20050070957A1 (en) * | 2002-03-01 | 2005-03-31 | Das Gladwin S. | Vascular occlusion device |
US6699263B2 (en) * | 2002-04-05 | 2004-03-02 | Cook Incorporated | Sliding suture anchor |
US20040002764A1 (en) * | 2002-06-27 | 2004-01-01 | Raymedica, Inc. | Self-transitioning spinal disc anulus occlusion device and method of use |
US7008442B2 (en) * | 2003-01-20 | 2006-03-07 | Medtronic Vascular, Inc. | Vascular sealant delivery device and sheath introducer and method |
US7488340B2 (en) * | 2003-06-02 | 2009-02-10 | Vascular Solutions, Inc. | Vascular access closure system |
US7316706B2 (en) * | 2003-06-20 | 2008-01-08 | Medtronic Vascular, Inc. | Tensioning device, system, and method for treating mitral valve regurgitation |
US20070244518A1 (en) * | 2003-07-14 | 2007-10-18 | Nmt Medical, Inc. | Patent foramen ovale (PFO) closure device with linearly elongating petals |
US20070010851A1 (en) * | 2003-07-14 | 2007-01-11 | Chanduszko Andrzej J | Tubular patent foramen ovale (PFO) closure device with catch system |
US20050065547A1 (en) * | 2003-09-18 | 2005-03-24 | Cardia, Inc. | ASD closure device with self centering arm network |
US7175648B2 (en) * | 2003-11-18 | 2007-02-13 | Granit Medical Innovations, Llc | Deep endoscopic staple and stapler |
US7662160B2 (en) * | 2004-01-28 | 2010-02-16 | Smith & Nephew, Inc. | Suture loading |
US20060069408A1 (en) * | 2004-09-29 | 2006-03-30 | Terumo Kabushiki Kaisha | Device for treating a patent foramen ovale |
US20070010857A1 (en) * | 2005-07-05 | 2007-01-11 | Mitralign, Inc. | Tissue anchor, anchoring system and methods of using the same |
US20070073322A1 (en) * | 2005-09-28 | 2007-03-29 | Olympus Medical Systems Corp. | Suturing method for penetrating hole |
US20070156175A1 (en) * | 2005-12-29 | 2007-07-05 | Weadock Kevin S | Device for attaching, relocating and reinforcing tissue and methods of using same |
US7666199B2 (en) * | 2006-05-01 | 2010-02-23 | Boston Scientific Scimed, Inc. | Device and method for temporary vessel occlusion |
US20080071310A1 (en) * | 2006-09-12 | 2008-03-20 | Hoffman Grant T | Medical device and a method for sealing a puncture or an opening |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11123059B2 (en) | 2008-02-15 | 2021-09-21 | Rex Medical, L.P. | Vascular hole closure delivery device |
US20150209018A1 (en) * | 2008-02-15 | 2015-07-30 | Rex Medical, L.P. | Vascular hole closure delivery device |
US11369354B2 (en) | 2008-02-15 | 2022-06-28 | Rex Medical L.P. | Vascular hole closure delivery device |
US10098621B2 (en) * | 2008-02-15 | 2018-10-16 | Rex Medical, Lp. | Vascular hole closure delivery device |
US10342524B2 (en) | 2008-02-15 | 2019-07-09 | Rex Medical, L.P. | Vascular hole closure device |
US10390808B2 (en) | 2008-02-15 | 2019-08-27 | Rex Medical, L.P | Vascular hole closure device |
US10390807B2 (en) | 2008-02-15 | 2019-08-27 | Rex Medical, L.P. | Vascular hole closure device |
US11020104B2 (en) | 2008-02-15 | 2021-06-01 | Rex Medical L.P. | Vascular hole closure delivery device |
US11064986B2 (en) | 2008-02-15 | 2021-07-20 | Rex Medical, L.P. | Vascular hole closure device |
JP2012096035A (ja) * | 2010-11-03 | 2012-05-24 | Rex Medical Lp | 血管穴閉鎖体送出デバイス |
EP2449972A1 (fr) | 2010-11-03 | 2012-05-09 | Rex Medical, L.P. | Dispositif de fourniture de fermeture d'orifice vasculaire |
US10426595B2 (en) * | 2014-10-22 | 2019-10-01 | Xiros Limited | Elongate guide element for an implant |
US20160113755A1 (en) * | 2014-10-22 | 2016-04-28 | Xiros Limited | Elongate guide element for an implant |
US20220125423A1 (en) * | 2015-11-19 | 2022-04-28 | Medacta International S.A. | Suturing device, in particular for suturing lacerations of the meniscus |
US11812942B2 (en) * | 2015-11-19 | 2023-11-14 | Medacta International Sa | Suturing device, in particular for suturing lacerations of the meniscus |
US11504105B2 (en) | 2019-01-25 | 2022-11-22 | Rex Medical L.P. | Vascular hole closure device |
Also Published As
Publication number | Publication date |
---|---|
ES2699473T3 (es) | 2019-02-11 |
US20130066364A1 (en) | 2013-03-14 |
US20210330307A1 (en) | 2021-10-28 |
US20160228111A1 (en) | 2016-08-11 |
US11064986B2 (en) | 2021-07-20 |
US9463005B2 (en) | 2016-10-11 |
EP2294986B1 (fr) | 2018-10-24 |
US20170020497A1 (en) | 2017-01-26 |
EP2294986A3 (fr) | 2017-04-19 |
US10390808B2 (en) | 2019-08-27 |
AU2010214638B2 (en) | 2015-09-24 |
AU2010214638A1 (en) | 2011-03-31 |
EP2294986A2 (fr) | 2011-03-16 |
JP2011056263A (ja) | 2011-03-24 |
US10342524B2 (en) | 2019-07-09 |
US20160220237A1 (en) | 2016-08-04 |
CA2714250A1 (fr) | 2011-03-11 |
JP5975454B2 (ja) | 2016-08-23 |
CA2714250C (fr) | 2020-07-14 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20210330307A1 (en) | Vascular hole closure device | |
US10390807B2 (en) | Vascular hole closure device | |
US11123059B2 (en) | Vascular hole closure delivery device | |
US9782155B2 (en) | Vascular hole closure device | |
US9943300B2 (en) | Vascular hole closure device | |
US20230053963A1 (en) | Vascular hole closure device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: REX MEDICAL, LP, PENNSYLVANIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:MCGUCKIN, JAMES F.;LEEDLE, JOHN D.;TARMIN, JAMES S.;AND OTHERS;SIGNING DATES FROM 20100820 TO 20100831;REEL/FRAME:025171/0509 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |