WO2008010738A8 - Patent foramen ovale occluder with suture based anchor - Google Patents
Patent foramen ovale occluder with suture based anchorInfo
- Publication number
- WO2008010738A8 WO2008010738A8 PCT/RS2007/000002 RS2007000002W WO2008010738A8 WO 2008010738 A8 WO2008010738 A8 WO 2008010738A8 RS 2007000002 W RS2007000002 W RS 2007000002W WO 2008010738 A8 WO2008010738 A8 WO 2008010738A8
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- pfo
- suture
- catheter
- occluder
- tying
- Prior art date
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
- A61B17/0057—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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
-
- 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
-
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0474—Knot pushers
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)
- Rheumatology (AREA)
- Cardiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
Devices and methods are provided for closing a flap- or tunnel like anatomical aperture such as patent foramen ovale (PFO). The system 1 includes a sponge occluder 2 with integrated suture length distally 5 and proximally 8 which are used for guiding, advancement, and securing the occluder to the atrial septal tissue 17. According to an exemplary method, an integrated adapter 6 is used for docking the system device onto the wire track which was created from the venous access through the puncture site 171 of the tissue adjacent the PFO via the PFO 170, and traversed back through the same exit/entry site utilizing conventional transseptal catheter- and snare technique. Pulling back the tracking wire, the docked distal suture 5 follows the tracking pathway in reverse direction creating a suture looping via the PFO and puncture site and out of the body. The loop of the looped knot 9, which is integrated into the proximal suture length 8, is placed over the exteriorized distal suture length 5 and the system is advanced until the sponge occluder is positioned onto the right atrial side of the PFO. The loop knot is tightened providing an 'adjustable' initial tying of the system to the tissue. Additional individual 'stopper knots' are made externally and delivered by pusher catheter. Tying the knots is achieved by catheter- based tourniquet technique. Alternatively, the tying of the two ends of the suture looping is performed using an individually transportable 'pledget loop knot unit'. Free ends of the knotted sutures are cut off with a catheter- based cutter. Procedure is guided by ultrasound and fluoroscopy.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/RS2007/000002 WO2008010738A2 (en) | 2007-01-24 | 2007-01-24 | Patent foramen ovale occluder with suture based anchor |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/RS2007/000002 WO2008010738A2 (en) | 2007-01-24 | 2007-01-24 | Patent foramen ovale occluder with suture based anchor |
Publications (3)
Publication Number | Publication Date |
---|---|
WO2008010738A2 WO2008010738A2 (en) | 2008-01-24 |
WO2008010738A8 true WO2008010738A8 (en) | 2008-02-28 |
WO2008010738A3 WO2008010738A3 (en) | 2009-04-30 |
Family
ID=38957219
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/RS2007/000002 WO2008010738A2 (en) | 2007-01-24 | 2007-01-24 | Patent foramen ovale occluder with suture based anchor |
Country Status (1)
Country | Link |
---|---|
WO (1) | WO2008010738A2 (en) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9119893B2 (en) | 2010-11-04 | 2015-09-01 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9173645B2 (en) | 2010-04-27 | 2015-11-03 | DePuy Synthes Products, Inc. | Anchor assembly including expandable anchor |
US9307978B2 (en) | 2010-11-04 | 2016-04-12 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9307977B2 (en) | 2010-11-04 | 2016-04-12 | Conmed Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US9597064B2 (en) | 2010-04-27 | 2017-03-21 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
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CN101495049B (en) | 2005-01-21 | 2010-12-15 | 梅约医学教育与研究基金会 | Thorascopic heart valve repair method and apparatus |
EP2219530B1 (en) | 2007-10-18 | 2013-06-19 | Neochord Inc. | A device for minimially invasive repair of a valve leaflet in a beating heart |
US8828053B2 (en) | 2009-07-24 | 2014-09-09 | Depuy Mitek, Llc | Methods and devices for repairing and anchoring damaged tissue |
US8814903B2 (en) | 2009-07-24 | 2014-08-26 | Depuy Mitek, Llc | Methods and devices for repairing meniscal tissue |
US9233213B2 (en) | 2009-10-16 | 2016-01-12 | Janssen Biotech, Inc. | Palm activated drug delivery device |
ES2680668T3 (en) | 2009-10-16 | 2018-09-10 | Janssen Biotech, Inc. | Drug delivery device activated with the palm of the hand |
US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
NZ604076A (en) | 2010-07-02 | 2014-05-30 | Sanofi Aventis Deutschland | Safety device for a pre-filled syringe and injection device |
WO2012141757A1 (en) | 2010-12-29 | 2012-10-18 | Neochord, Inc. | Exchangeable system for minimally invasive beating heart repair of heart valve leaflets |
AU2012261998B2 (en) | 2011-06-01 | 2017-03-02 | Neochord, Inc. | Minimally invasive repair of heart valve leaflets |
PL221910B1 (en) | 2011-09-15 | 2016-06-30 | Koper Michał Euromet Studio Reklamy | Light advertising element with LEDs imitating glowing neon |
US10765517B2 (en) | 2015-10-01 | 2020-09-08 | Neochord, Inc. | Ringless web for repair of heart valves |
US10213306B2 (en) | 2017-03-31 | 2019-02-26 | Neochord, Inc. | Minimally invasive heart valve repair in a beating heart |
CA3094990C (en) | 2018-03-23 | 2023-01-03 | Neochord, Inc. | Device for suture attachment for minimally invasive heart valve repair |
US11173030B2 (en) | 2018-05-09 | 2021-11-16 | Neochord, Inc. | Suture length adjustment for minimally invasive heart valve repair |
US11253360B2 (en) | 2018-05-09 | 2022-02-22 | Neochord, Inc. | Low profile tissue anchor for minimally invasive heart valve repair |
US10966709B2 (en) | 2018-09-07 | 2021-04-06 | Neochord, Inc. | Device for suture attachment for minimally invasive heart valve repair |
WO2020214818A1 (en) | 2019-04-16 | 2020-10-22 | Neochord, Inc. | Transverse helical cardiac anchor for minimally invasive heart valve repair |
WO2021121395A1 (en) * | 2019-12-18 | 2021-06-24 | 杭州诺茂医疗科技有限公司 | Occluder, occluding system, and knotting method for tightening element in occluder |
CN116212201B (en) * | 2023-02-17 | 2024-04-12 | 上海励楷科技有限公司 | Low-resistance conveying assembly and bracket conveying system |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
USRE34866E (en) * | 1987-02-17 | 1995-02-21 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US5282827A (en) * | 1991-11-08 | 1994-02-01 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5662681A (en) * | 1996-04-23 | 1997-09-02 | Kensey Nash Corporation | Self locking closure for sealing percutaneous punctures |
US8083768B2 (en) * | 2000-12-14 | 2011-12-27 | Ensure Medical, Inc. | Vascular plug having composite construction |
US6932833B1 (en) * | 2002-04-01 | 2005-08-23 | Bobby W. Presley | Method and barrier for limiting fluid movement through a tissue rent |
EP1596723A2 (en) * | 2003-02-04 | 2005-11-23 | ev3 Sunnyvale, Inc. | Patent foramen ovale closure system |
US7582104B2 (en) * | 2004-12-08 | 2009-09-01 | Cardia, Inc. | Daisy design for occlusion device |
-
2007
- 2007-01-24 WO PCT/RS2007/000002 patent/WO2008010738A2/en active Application Filing
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9173645B2 (en) | 2010-04-27 | 2015-11-03 | DePuy Synthes Products, Inc. | Anchor assembly including expandable anchor |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US9597064B2 (en) | 2010-04-27 | 2017-03-21 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
US9119893B2 (en) | 2010-11-04 | 2015-09-01 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9307978B2 (en) | 2010-11-04 | 2016-04-12 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9307977B2 (en) | 2010-11-04 | 2016-04-12 | Conmed Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone |
Also Published As
Publication number | Publication date |
---|---|
WO2008010738A3 (en) | 2009-04-30 |
WO2008010738A2 (en) | 2008-01-24 |
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