WO2010048945A3 - Chirurgisches fadenpositioniersystem zum verschliessen einer öffnung innerhalb einer gewebewand - Google Patents

Chirurgisches fadenpositioniersystem zum verschliessen einer öffnung innerhalb einer gewebewand Download PDF

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Publication number
WO2010048945A3
WO2010048945A3 PCT/DE2009/001532 DE2009001532W WO2010048945A3 WO 2010048945 A3 WO2010048945 A3 WO 2010048945A3 DE 2009001532 W DE2009001532 W DE 2009001532W WO 2010048945 A3 WO2010048945 A3 WO 2010048945A3
Authority
WO
WIPO (PCT)
Prior art keywords
shaft
needle
closing
positioning system
tissue wall
Prior art date
Application number
PCT/DE2009/001532
Other languages
English (en)
French (fr)
Other versions
WO2010048945A2 (de
Inventor
Norbert Lemke
Original Assignee
Medi-Globe Gmbh
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 Medi-Globe Gmbh filed Critical Medi-Globe Gmbh
Priority to EP09795306A priority Critical patent/EP2355710A2/de
Priority to US13/126,884 priority patent/US20110270282A1/en
Publication of WO2010048945A2 publication Critical patent/WO2010048945A2/de
Publication of WO2010048945A3 publication Critical patent/WO2010048945A3/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00862Material properties elastic or resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472Multiple-needled, e.g. double-needled, instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Beschrieben wird ein chirurgisches Fadenpositioniersystem zum Verschließen einer Öffnung innerhalb einer intrakorporalen Gewebewand mit einem länglich ausgebildeten Schaft (3), der einen distalen Schaftbereich (5, 5') aufweist, an dem ein zumindest teilweise aus einem elastomeren Material bestehendes Mittel (18) vorgesehen ist, das aus einer mit dem Schaft bündigen Position in eine den Schaft radial überragende Position reversibel überführbar ist, und einer am Schaft vorgesehenen Nadelführungseinheit, in der wenigstens eine längs des Schaftes beweglich angeordnete Nadel (8, 9) geführt ist, die aus einer zurückgezogenen Position in eine vorgeschobene distale Position reversibel überführbar ist, in der die Nadel das in der den Schaft radial überragenden Position befindliche Mittel durchsticht, wobei durch Rückführen der Nadel in die zurückgezogene Position ein durch das Mittel mitgeführter Faden (21) im Mittel verbleibt. Die Erfindung zeichnet sich dadurch aus, dass das Mittel über radial vom Schaft abspreizbare Schenkel (19, 20) verfügt, die mit einem Element (17) derart in Wirkverbindung treten, so dass die Schenkel aus der mit dem Schaft bündigen Position in die den Schaft radial überragende Position reversibel überführbar sind.
PCT/DE2009/001532 2008-10-29 2009-10-29 Chirurgisches fadenpositioniersystem zum verschliessen einer öffnung innerhalb einer gewebewand WO2010048945A2 (de)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP09795306A EP2355710A2 (de) 2008-10-29 2009-10-29 Chirurgisches fadenpositioniersystem zum verschliessen einer öffnung innerhalb einer gewebewand
US13/126,884 US20110270282A1 (en) 2008-10-29 2009-10-29 Surgical suture positioning system for closing an opening inside a tissue wall

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102008053809.4 2008-10-29
DE102008053809A DE102008053809A1 (de) 2008-10-29 2008-10-29 Chirurgisches Fadenpositioniersystem zum Verschließen einer Öffnung innerhalb einer Gewebewand

Publications (2)

Publication Number Publication Date
WO2010048945A2 WO2010048945A2 (de) 2010-05-06
WO2010048945A3 true WO2010048945A3 (de) 2010-07-15

Family

ID=42096290

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2009/001532 WO2010048945A2 (de) 2008-10-29 2009-10-29 Chirurgisches fadenpositioniersystem zum verschliessen einer öffnung innerhalb einer gewebewand

Country Status (4)

Country Link
US (1) US20110270282A1 (de)
EP (1) EP2355710A2 (de)
DE (1) DE102008053809A1 (de)
WO (1) WO2010048945A2 (de)

Families Citing this family (66)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US6461364B1 (en) 2000-01-05 2002-10-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
CA2421856A1 (en) 2000-09-08 2002-03-14 James E. Coleman Surgical staple
US6626918B1 (en) 2000-10-06 2003-09-30 Medical Technology Group Apparatus and methods for positioning a vascular sheath
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7211101B2 (en) 2000-12-07 2007-05-01 Abbott Vascular Devices Methods for manufacturing a clip and clip
US7905900B2 (en) 2003-01-30 2011-03-15 Integrated Vascular Systems, Inc. Clip applier and methods of use
US6623510B2 (en) 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
US6749621B2 (en) 2002-02-21 2004-06-15 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US7850709B2 (en) 2002-06-04 2010-12-14 Abbott Vascular Inc. Blood vessel closure clip and delivery device
US8821534B2 (en) 2010-12-06 2014-09-02 Integrated Vascular Systems, Inc. Clip applier having improved hemostasis and methods of use
US8202293B2 (en) 2003-01-30 2012-06-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8758398B2 (en) 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8398656B2 (en) 2003-01-30 2013-03-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US8545522B2 (en) * 2005-04-19 2013-10-01 Vladimir Shpaichler Device for wound suturing and hemostasis in the thoracic and the abdominal wall mainly in endoscopic operations
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
US8556930B2 (en) 2006-06-28 2013-10-15 Abbott Laboratories Vessel closure device
US20090157101A1 (en) 2007-12-17 2009-06-18 Abbott Laboratories Tissue closure system and methods of use
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US7841502B2 (en) 2007-12-18 2010-11-30 Abbott Laboratories Modular clip applier
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US9241696B2 (en) 2008-10-30 2016-01-26 Abbott Vascular Inc. Closure device
US8858594B2 (en) 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9414820B2 (en) 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US20100179589A1 (en) 2009-01-09 2010-07-15 Abbott Vascular Inc. Rapidly eroding anchor
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9089311B2 (en) 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US20100185234A1 (en) 2009-01-16 2010-07-22 Abbott Vascular Inc. Closure devices, systems, and methods
US20110054492A1 (en) 2009-08-26 2011-03-03 Abbott Laboratories Medical device for repairing a fistula
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US9370353B2 (en) * 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
WO2012158740A1 (en) * 2011-05-19 2012-11-22 St. Jude Medical Puerto Rico Llc Vascular closure device with a plug having a variable expansion rate and method for using the same
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
US9066717B2 (en) * 2012-05-18 2015-06-30 Coopersurgical, Inc. Suture passer guides and related kits and methods
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US8915933B2 (en) * 2012-11-02 2014-12-23 Medtronic Vascular, Inc. Suturing device having a retractable distal tip and method for sealing an opening in a blood vessel or other biological structure
US9271721B2 (en) * 2012-12-19 2016-03-01 Cook Medical Technologies Llc Port closure device
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
CA2902374A1 (en) * 2013-03-13 2014-10-02 Jeffery Argentine Suturing device and method for sealing an opening in a blood vessel or other biological structure
US9265488B2 (en) 2013-03-13 2016-02-23 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US9095319B2 (en) * 2013-03-13 2015-08-04 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US10426472B2 (en) 2013-08-02 2019-10-01 Covidien Lp Devices, systems, and methods for wound closure
US10070851B2 (en) 2013-08-02 2018-09-11 Covidien Lp Devices, systems, and methods for wound closure
WO2015047654A1 (en) * 2013-09-25 2015-04-02 Medtronic Vascular Inc. Suturing device for sealing an opening in a blood vessel or other biological structure
US10327761B2 (en) 2014-02-07 2019-06-25 Medeon Biodesign, Inc. Suture delivery device for suturing tissue
CA2938858C (en) 2014-02-07 2022-08-30 Medeon Biodesign, Inc. Suture delivery device for suturing tissue
US10188381B2 (en) 2015-11-20 2019-01-29 Dura Tap Llc Suture repair device
CN105640600B (zh) * 2016-03-28 2018-03-27 王鹏 腹腔镜术后戳卡孔缝合装置
MX2019001716A (es) * 2016-08-11 2019-09-13 Medeon Biodesign Inc Dispositivo de suministro de sutura para suturar tejido.
US10849615B2 (en) 2016-12-15 2020-12-01 Heartstitch, Inc. Balloon component for locating a suturing device
US9895146B1 (en) * 2017-09-25 2018-02-20 King Saud University Wound closure device
US11213288B2 (en) 2018-05-02 2022-01-04 Covidien Lp Port site closure instrument
US11234690B2 (en) 2018-05-02 2022-02-01 Covidien Lp Method and device for closing a port site incision
EP3569160A1 (de) * 2018-05-17 2019-11-20 Heartstitch, Inc. Ballonkomponente zur positionierung einer nahtvorrichtung
CN112168258A (zh) * 2020-10-30 2021-01-05 杭州中奥工业设计有限公司 大创口柔性皮肤牵拉系统
CN117503230A (zh) * 2022-07-28 2024-02-06 西拉格国际有限公司 组织闭合装置和组织闭合方法
CN117503229A (zh) * 2022-07-28 2024-02-06 西拉格国际有限公司 组织闭合装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5053046A (en) * 1988-08-22 1991-10-01 Woodrow W. Janese Dural sealing needle and method of use
WO1999012480A1 (en) * 1997-09-10 1999-03-18 Applied Medical Resources Corporation Suturing apparatus and method
US20040068273A1 (en) * 2002-10-02 2004-04-08 Ibionics Corporation Automatic laparoscopic incision closing apparatus
WO2007025302A2 (en) * 2005-08-26 2007-03-01 G-Surge Medical Solutions, Inc. Suturing apparatus and methods
US20080033459A1 (en) * 2006-08-03 2008-02-07 Surgsolutions, Llp Suturing apparatus for closing tissue defects

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5364408A (en) 1992-09-04 1994-11-15 Laurus Medical Corporation Endoscopic suture system
US5304184A (en) * 1992-10-19 1994-04-19 Indiana University Foundation Apparatus and method for positive closure of an internal tissue membrane opening
US5417699A (en) 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5374275A (en) * 1993-03-25 1994-12-20 Synvasive Technology, Inc. Surgical suturing device and method of use
US5391182A (en) * 1993-08-03 1995-02-21 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5496332A (en) * 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
US5700273A (en) 1995-07-14 1997-12-23 C.R. Bard, Inc. Wound closure apparatus and method
US6117144A (en) 1995-08-24 2000-09-12 Sutura, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US5855585A (en) 1996-06-11 1999-01-05 X-Site, L.L.C. Device and method for suturing blood vessels and the like
JP3467385B2 (ja) 1997-06-27 2003-11-17 矢崎総業株式会社 スライド嵌合型コネクタ
US6059800A (en) 1997-09-10 2000-05-09 Applied Medical Resources Corporation Suturing apparatus and method
US7666204B2 (en) * 1999-04-09 2010-02-23 Evalve, Inc. Multi-catheter steerable guiding system and methods of use
DE19942951C1 (de) 1999-09-08 2001-01-18 Gip Medizin Technik Gmbh Vorrichtung zum Hindurchführen wenigstens zweier Nähfäden durch eine Wandung, insbesondere einer Arterie eines Individuums, nahe des Randbereiches einer darin vorhandenen Öffnung

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5053046A (en) * 1988-08-22 1991-10-01 Woodrow W. Janese Dural sealing needle and method of use
WO1999012480A1 (en) * 1997-09-10 1999-03-18 Applied Medical Resources Corporation Suturing apparatus and method
US20040068273A1 (en) * 2002-10-02 2004-04-08 Ibionics Corporation Automatic laparoscopic incision closing apparatus
WO2007025302A2 (en) * 2005-08-26 2007-03-01 G-Surge Medical Solutions, Inc. Suturing apparatus and methods
US20080033459A1 (en) * 2006-08-03 2008-02-07 Surgsolutions, Llp Suturing apparatus for closing tissue defects

Also Published As

Publication number Publication date
EP2355710A2 (de) 2011-08-17
US20110270282A1 (en) 2011-11-03
WO2010048945A2 (de) 2010-05-06
DE102008053809A1 (de) 2010-05-12

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