WO2005058239A3 - Appareil et procede pour former et fixer des plis de tissu gastro-intestinal - Google Patents

Appareil et procede pour former et fixer des plis de tissu gastro-intestinal Download PDF

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Publication number
WO2005058239A3
WO2005058239A3 PCT/US2004/041570 US2004041570W WO2005058239A3 WO 2005058239 A3 WO2005058239 A3 WO 2005058239A3 US 2004041570 W US2004041570 W US 2004041570W WO 2005058239 A3 WO2005058239 A3 WO 2005058239A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
contact point
methods
forming
fold
Prior art date
Application number
PCT/US2004/041570
Other languages
English (en)
Other versions
WO2005058239A2 (fr
Inventor
Vahid C Saadat
Kenneth J Michlitsch
Richard C Ewers
Chris Rothe
Rodney Brenneman
Cang C Lam
Eugene C Chen
Original Assignee
Usgi Medical Inc
Vahid C Saadat
Kenneth J Michlitsch
Richard C Ewers
Chris Rothe
Rodney Brenneman
Cang C Lam
Eugene C Chen
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
Priority claimed from US10/734,547 external-priority patent/US7744613B2/en
Application filed by Usgi Medical Inc, Vahid C Saadat, Kenneth J Michlitsch, Richard C Ewers, Chris Rothe, Rodney Brenneman, Cang C Lam, Eugene C Chen filed Critical Usgi Medical Inc
Priority to JP2006544058A priority Critical patent/JP2007513717A/ja
Priority to EP04813830A priority patent/EP1699366A4/fr
Publication of WO2005058239A2 publication Critical patent/WO2005058239A2/fr
Publication of WO2005058239A3 publication Critical patent/WO2005058239A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • 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
    • A61B2017/0406—Pledgets
    • 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
    • A61B2017/0409—Instruments for applying 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
    • 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
    • A61B2017/0417—T-fasteners
    • 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
    • A61B2017/0419—H-fasteners
    • 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
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • 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
    • 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
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06176—Sutures with protrusions, e.g. barbs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible

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)
  • Ophthalmology & Optometry (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne des procédés et un appareil pour former un pli de tissu gastro-intestinal, qui met en prise le tissu dans un premier point de contact du tissu et qui déplace le premier point de contact du tissu d'une position initialement distale (ou située sur la même ligne) par rapport à un deuxième point de contact du tissu, vers une position proximale du deuxième point de contact du tissu; un ensemble d'ancrage est tiré à travers le pli du tissu à proximité du deuxième point de contact du tissu. L'invention concerne des ensembles d'ancrage réglables ainsi que des systèmes d'amenée d'ancres, des guides à verrouillage de formes et des procédés pour réaliser des opérations endoluminales telles que la réduction gastrique, le traitement de la maladie de reflux gastro-oesophagien, la résection des lésions et le traitement des sites de saignement.
PCT/US2004/041570 2003-12-12 2004-12-10 Appareil et procede pour former et fixer des plis de tissu gastro-intestinal WO2005058239A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2006544058A JP2007513717A (ja) 2003-12-12 2004-12-10 胃腸組織の襞を形成および固定するための装置および方法
EP04813830A EP1699366A4 (fr) 2003-12-12 2004-12-10 Appareil et procede pour former et fixer des plis de tissu gastro-intestinal

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
US10/734,562 2003-12-12
US10/735,030 2003-12-12
US10/734,547 US7744613B2 (en) 1999-06-25 2003-12-12 Apparatus and methods for forming and securing gastrointestinal tissue folds
US10/734,562 US7955340B2 (en) 1999-06-25 2003-12-12 Apparatus and methods for forming and securing gastrointestinal tissue folds
US10/734,547 2003-12-12
US10/735,030 US8574243B2 (en) 1999-06-25 2003-12-12 Apparatus and methods for forming and securing gastrointestinal tissue folds
US10/992,306 US7704264B2 (en) 1999-06-25 2004-11-17 Apparatus and methods for forming and securing gastrointestinal tissue folds
US10/992,306 2004-11-17
US10/994,101 US20050075653A1 (en) 1999-06-25 2004-11-18 Apparatus and methods for forming and securing gastrointestinal tissue folds
US10/994,101 2004-11-18

Publications (2)

Publication Number Publication Date
WO2005058239A2 WO2005058239A2 (fr) 2005-06-30
WO2005058239A3 true WO2005058239A3 (fr) 2005-12-08

Family

ID=34705389

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/041570 WO2005058239A2 (fr) 2003-12-12 2004-12-10 Appareil et procede pour former et fixer des plis de tissu gastro-intestinal

Country Status (3)

Country Link
EP (1) EP1699366A4 (fr)
JP (1) JP2007513717A (fr)
WO (1) WO2005058239A2 (fr)

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US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US8939902B2 (en) 2004-11-17 2015-01-27 Ethicon Endo-Surgery, Inc. Remote tissue retraction device
US9138211B2 (en) 2010-01-20 2015-09-22 Micro Interventional Devices, Inc. Tissue repair implant and delivery device and method
US9186268B2 (en) 2003-10-14 2015-11-17 Ethicon Endo-Surgery, Inc. Single fold device for tissue fixation
US9259218B2 (en) 2005-07-05 2016-02-16 Mitralign, Inc. Tissue anchor and anchoring system
US9358111B2 (en) 2007-03-13 2016-06-07 Mitralign, Inc. Tissue anchors, systems and methods, and devices

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EP1713402B1 (fr) 2004-02-13 2018-07-04 Ethicon Endo-Surgery, Inc. Dispositif pour reduction du volume stomacal
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US11660190B2 (en) 2007-03-13 2023-05-30 Edwards Lifesciences Corporation Tissue anchors, systems and methods, and devices
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US10959840B2 (en) 2010-01-20 2021-03-30 Micro Interventional Devices, Inc. Systems and methods for affixing a prosthesis to tissue
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JP6180118B2 (ja) * 2013-01-22 2017-08-16 オリンパス株式会社 アクセスデバイスおよびアクセスシステム
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EP3324855B1 (fr) * 2015-07-23 2024-03-20 Cedars-Sinai Medical Center Dispositif pour fixer les feuillets de valve cardiaque
US10390814B2 (en) 2016-04-20 2019-08-27 Medos International Sarl Meniscal repair devices, systems, and methods
EP3573581B9 (fr) 2017-01-25 2023-12-13 Cedars-Sinai Medical Center Dispositif pour la fixation de feuillets valvulaires cardiaques
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Also Published As

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EP1699366A4 (fr) 2011-01-26
EP1699366A2 (fr) 2006-09-13
WO2005058239A2 (fr) 2005-06-30
JP2007513717A (ja) 2007-05-31

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