WO2003082076A2 - Patent foramen ovale (pfo) closure clips - Google Patents

Patent foramen ovale (pfo) closure clips Download PDF

Info

Publication number
WO2003082076A2
WO2003082076A2 PCT/US2003/009051 US0309051W WO03082076A2 WO 2003082076 A2 WO2003082076 A2 WO 2003082076A2 US 0309051 W US0309051 W US 0309051W WO 03082076 A2 WO03082076 A2 WO 03082076A2
Authority
WO
WIPO (PCT)
Prior art keywords
closure
septum
closure member
members
closure members
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.)
Ceased
Application number
PCT/US2003/009051
Other languages
English (en)
French (fr)
Other versions
WO2003082076A3 (en
Inventor
Todd A. Peavey
Sean T. Forde
Andrzej J. Chanduszko
David J. Callaghan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
NMT Medical Inc
Original Assignee
NMT Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by NMT Medical Inc filed Critical NMT Medical Inc
Priority to JP2003579625A priority Critical patent/JP2005521447A/ja
Priority to AU2003220502A priority patent/AU2003220502A1/en
Priority to EP03716812A priority patent/EP1487353A4/en
Priority to CA002480021A priority patent/CA2480021A1/en
Publication of WO2003082076A2 publication Critical patent/WO2003082076A2/en
Publication of WO2003082076A3 publication Critical patent/WO2003082076A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083—Clips, e.g. resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00592—Elastic or resilient implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect

Definitions

  • Figure 10 is a front elevational view of the PFO closure clip of Figure 9;
  • Figure 16 is a front elevational view of an eighth embodiment of a PFO closure clip according to the present invention.
  • Figure 17 is a front elevational view of a ninth embodiment of a PFO closure clip according to the present invention. Description of the Preferred Embodiments
  • the elongated central peak 40b of closure member 24b and the elongated peak 26b of closure member 22b concentrate the compressive force at the center of the defect in the left and right atria, respectively. Applying pressure to the center of the defect, rather than its ends, is considered to produce a more effective closure. Further, as noted above, the downwardly-pointing peak 26b of closure member 22b in the right atrium facilitates manipulation and recovery of the clip following its deployment.
  • the clip 18c may also be modified to ensure it remains vertically centered after being deployed across the PFO ( Figures 7a and 7b).
  • “Vertically centered” refers to the portion of the device along the length of the PFO. It may be important to ensure that the device maintains a position along the length (longitudinal) of the PFO.
  • the strands may be configured to limit the longitudinal motion of the device.
  • the shape of second closure member 24c may be modified to form upper and lower loops 45c and 47c.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
PCT/US2003/009051 2002-03-25 2003-03-25 Patent foramen ovale (pfo) closure clips Ceased WO2003082076A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2003579625A JP2005521447A (ja) 2002-03-25 2003-03-25 卵円孔開存（ｐｆｏ）の閉鎖クリップ
AU2003220502A AU2003220502A1 (en) 2002-03-25 2003-03-25 Patent foramen ovale (pfo) closure clips
EP03716812A EP1487353A4 (en) 2002-03-25 2003-03-25 FORAMEN OVAL PERSISTENT CLOSURE CLAMPS (PFO)
CA002480021A CA2480021A1 (en) 2002-03-25 2003-03-25 Patent foramen ovale (pfo) closure clips

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US36653402P 2002-03-25 2002-03-25
US60/366,534 2002-03-25

Publications (2)

Publication Number Publication Date
WO2003082076A2 true WO2003082076A2 (en) 2003-10-09
WO2003082076A3 WO2003082076A3 (en) 2003-12-04

Family

ID=28675264

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/009051 Ceased WO2003082076A2 (en) 2002-03-25 2003-03-25 Patent foramen ovale (pfo) closure clips

Country Status (6)

Country Link
US (1) US9241695B2 (https=)
EP (1) EP1487353A4 (https=)
JP (1) JP2005521447A (https=)
AU (1) AU2003220502A1 (https=)
CA (1) CA2480021A1 (https=)
WO (1) WO2003082076A2 (https=)

Cited By (38)

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WO2004087235A2 (en) 2003-03-27 2004-10-14 Cierra, Inc. Methods and apparatus for treatment of patent foramen ovale
JP2006230801A (ja) * 2005-02-25 2006-09-07 Terumo Corp 卵円孔開存治療用具および卵円孔開存治療用器具
JP2006230800A (ja) * 2005-02-25 2006-09-07 Terumo Corp 卵円孔開存治療用具および卵円孔開存治療用器具
US7165552B2 (en) 2003-03-27 2007-01-23 Cierra, Inc. Methods and apparatus for treatment of patent foramen ovale
US7186251B2 (en) 2003-03-27 2007-03-06 Cierra, Inc. Energy based devices and methods for treatment of patent foramen ovale
JP2007527272A (ja) * 2003-10-10 2007-09-27 コヒーレックス メディカル インコーポレイテッド 卵円孔開存（ｐｆｏ）閉鎖装置、送出装置、並びに関連する方法およびシステム
US7293562B2 (en) 2003-03-27 2007-11-13 Cierra, Inc. Energy based devices and methods for treatment of anatomic tissue defects
US7311701B2 (en) 2003-06-10 2007-12-25 Cierra, Inc. Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound
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
US7367975B2 (en) 2004-06-21 2008-05-06 Cierra, Inc. Energy based devices and methods for treatment of anatomic tissue defects
US7575586B2 (en) 1998-01-30 2009-08-18 St. Jude Medical Atg, Inc. Medical graft connector or plug structures, and methods of making and installing same
US7691128B2 (en) 2002-05-06 2010-04-06 St. Jude Medical, Cardiology Division, Inc. PFO closure devices and related methods of use
US7914527B2 (en) 2003-03-27 2011-03-29 Terumo Kabushiki Kaisha Energy based devices and methods for treatment of patent foramen ovale
US7972330B2 (en) 2003-03-27 2011-07-05 Terumo Kabushiki Kaisha Methods and apparatus for closing a layered tissue defect
US8021362B2 (en) 2003-03-27 2011-09-20 Terumo Kabushiki Kaisha Methods and apparatus for closing a layered tissue defect
US8109274B2 (en) 2005-04-11 2012-02-07 Terumo Kabushiki Kaisha Methods and electrode apparatus to achieve a closure of a layered tissue defect
US8114123B2 (en) 2003-09-19 2012-02-14 St. Jude Medical, Inc. Apparatus and methods for tissue gathering and securing
US8167894B2 (en) 2006-08-09 2012-05-01 Coherex Medical, Inc. Methods, systems and devices for reducing the size of an internal tissue opening
US8372112B2 (en) 2003-04-11 2013-02-12 St. Jude Medical, Cardiology Division, Inc. Closure devices, related delivery methods, and related methods of use
US8529597B2 (en) 2006-08-09 2013-09-10 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8568431B2 (en) 2004-03-03 2013-10-29 W.L. Gore & Associates, Inc. Delivery/recovery system for septal occluder
US8574264B2 (en) 2003-04-11 2013-11-05 St. Jude Medical, Cardiology Division, Inc. Method for retrieving a closure device
US8758403B2 (en) 2001-12-19 2014-06-24 W.L. Gore & Associates, Inc. PFO closure device with flexible thrombogenic joint and improved dislodgement resistance
US8920434B2 (en) 2005-03-02 2014-12-30 St. Jude Medical, Cardiology Division, Inc. Remote body tissue engaging methods and apparatus
US8979941B2 (en) 2006-08-09 2015-03-17 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US9149263B2 (en) 2003-07-14 2015-10-06 W. L. Gore & Associates, Inc. Tubular patent foramen ovale (PFO) closure device with catch system
US9326759B2 (en) 2003-07-14 2016-05-03 W.L. Gore & Associates, Inc. Tubular patent foramen ovale (PFO) closure device with catch system
US9375218B2 (en) 2006-05-03 2016-06-28 Datascope Corp. Systems and methods of tissue closure
US9474517B2 (en) 2008-03-07 2016-10-25 W. L. Gore & Associates, Inc. Heart occlusion devices
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US9808230B2 (en) 2014-06-06 2017-11-07 W. L. Gore & Associates, Inc. Sealing device and delivery system
US9861346B2 (en) 2003-07-14 2018-01-09 W. L. Gore & Associates, Inc. Patent foramen ovale (PFO) closure device with linearly elongating petals
US9949728B2 (en) 2007-04-05 2018-04-24 W.L. Gore & Associates, Inc. Septal closure device with centering mechanism
US10485545B2 (en) 2013-11-19 2019-11-26 Datascope Corp. Fastener applicator with interlock
US10792025B2 (en) 2009-06-22 2020-10-06 W. L. Gore & Associates, Inc. Sealing device and delivery system
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US10828019B2 (en) 2013-01-18 2020-11-10 W.L. Gore & Associates, Inc. Sealing device and delivery system
US11653928B2 (en) 2018-03-28 2023-05-23 Datascope Corp. Device for atrial appendage exclusion

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Publication number Publication date
EP1487353A4 (en) 2008-04-16
AU2003220502A8 (en) 2003-10-13
AU2003220502A1 (en) 2003-10-13
EP1487353A2 (en) 2004-12-22
CA2480021A1 (en) 2003-10-09
WO2003082076A3 (en) 2003-12-04
US9241695B2 (en) 2016-01-26
JP2005521447A (ja) 2005-07-21
US20030225421A1 (en) 2003-12-04

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