WO2019057950A1 - MEDICAL OCCLUSION DEVICE - Google Patents

MEDICAL OCCLUSION DEVICE Download PDF

Info

Publication number
WO2019057950A1
WO2019057950A1 PCT/EP2018/075716 EP2018075716W WO2019057950A1 WO 2019057950 A1 WO2019057950 A1 WO 2019057950A1 EP 2018075716 W EP2018075716 W EP 2018075716W WO 2019057950 A1 WO2019057950 A1 WO 2019057950A1
Authority
WO
WIPO (PCT)
Prior art keywords
balloon
occluder
base element
occluder device
catheter
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/EP2018/075716
Other languages
English (en)
French (fr)
Inventor
Francesco Maisano
Andrea Guidotti
Idan Tobis
David Zarbatany
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.)
Zurich Universitaet Institut fuer Medizinische Virologie
Original Assignee
Zurich Universitaet Institut fuer Medizinische Virologie
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 Zurich Universitaet Institut fuer Medizinische Virologie filed Critical Zurich Universitaet Institut fuer Medizinische Virologie
Priority to CN201880061656.0A priority Critical patent/CN111212607B/zh
Priority to EP18773186.4A priority patent/EP3684270B1/en
Priority to JP2020516870A priority patent/JP2020534109A/ja
Priority to US16/649,777 priority patent/US11517319B2/en
Priority to EP19862977.6A priority patent/EP3852644B1/en
Priority to CN201980072797.7A priority patent/CN112955079B/zh
Priority to JP2021516654A priority patent/JP7503228B2/ja
Priority to PCT/US2019/024065 priority patent/WO2020060587A1/en
Publication of WO2019057950A1 publication Critical patent/WO2019057950A1/en
Anticipated expiration legal-status Critical
Priority to US17/207,074 priority patent/US12402885B2/en
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
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • 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
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or 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
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • 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
    • A61B2017/00597—Implements comprising a membrane
    • 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
    • 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
    • A61B2017/00619—Locking means for locking the implement in expanded state
    • 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
    • A61B2017/00623—Introducing or retrieving devices therefor
    • 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
    • A61B2017/00632—Occluding a cavity, i.e. closing a blind opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A61B2017/00783—Valvuloplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0069—Sealing means

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
PCT/EP2018/075716 2017-09-23 2018-09-23 MEDICAL OCCLUSION DEVICE Ceased WO2019057950A1 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
CN201880061656.0A CN111212607B (zh) 2017-09-23 2018-09-23 医用封堵器装置
EP18773186.4A EP3684270B1 (en) 2017-09-23 2018-09-23 Medical occluder device
JP2020516870A JP2020534109A (ja) 2017-09-23 2018-09-23 医療用閉鎖栓デバイス
US16/649,777 US11517319B2 (en) 2017-09-23 2018-09-23 Medical occluder device
CN201980072797.7A CN112955079B (zh) 2017-09-23 2019-03-26 医疗闭塞装置
EP19862977.6A EP3852644B1 (en) 2017-09-23 2019-03-26 Medical occlusion device
JP2021516654A JP7503228B2 (ja) 2017-09-23 2019-03-26 医療用閉鎖デバイス
PCT/US2019/024065 WO2020060587A1 (en) 2017-09-23 2019-03-26 Medical occlusion device
US17/207,074 US12402885B2 (en) 2017-09-23 2021-03-19 Medical occlusion device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP17192792.4A EP3459469A1 (en) 2017-09-23 2017-09-23 Medical occluder device
EP17192792.4 2017-09-23

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
PCT/EP2018/075716 Continuation-In-Part WO2019057950A1 (en) 2017-09-23 2018-09-23 MEDICAL OCCLUSION DEVICE
US16/649,777 Continuation-In-Part US11517319B2 (en) 2017-09-23 2018-09-23 Medical occluder device

Related Child Applications (4)

Application Number Title Priority Date Filing Date
PCT/EP2018/075716 Continuation-In-Part WO2019057950A1 (en) 2017-09-23 2018-09-23 MEDICAL OCCLUSION DEVICE
US16/649,777 A-371-Of-International US11517319B2 (en) 2017-09-23 2018-09-23 Medical occluder device
PCT/US2019/024065 Continuation-In-Part WO2020060587A1 (en) 2017-09-23 2019-03-26 Medical occlusion device
US17/207,074 Continuation-In-Part US12402885B2 (en) 2017-09-23 2021-03-19 Medical occlusion device

Publications (1)

Publication Number Publication Date
WO2019057950A1 true WO2019057950A1 (en) 2019-03-28

Family

ID=59955507

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/EP2018/075716 Ceased WO2019057950A1 (en) 2017-09-23 2018-09-23 MEDICAL OCCLUSION DEVICE
PCT/US2019/024065 Ceased WO2020060587A1 (en) 2017-09-23 2019-03-26 Medical occlusion device

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2019/024065 Ceased WO2020060587A1 (en) 2017-09-23 2019-03-26 Medical occlusion device

Country Status (5)

Country Link
US (1) US11517319B2 (https=)
EP (3) EP3459469A1 (https=)
JP (2) JP2020534109A (https=)
CN (2) CN111212607B (https=)
WO (2) WO2019057950A1 (https=)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021059273A2 (en) 2019-09-26 2021-04-01 Universitat Zurich Left atrial appendage occlusion devices
WO2021191833A1 (en) 2020-03-25 2021-09-30 Universitat Zurich Medical occluder delivery systems
WO2022051215A1 (en) * 2020-09-01 2022-03-10 Venacore Inc. Longitudinally compressible vascular occluder
JP2023546983A (ja) * 2020-11-06 2023-11-08 上海普実医療器械股▲フン▼有限公司 左心耳オクルーダー及びその使用方法

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12402885B2 (en) 2017-09-23 2025-09-02 Universität Zürich Medical occlusion device
EP3459469A1 (en) 2017-09-23 2019-03-27 Universität Zürich Medical occluder device
EP3815627B1 (en) * 2019-10-31 2022-03-16 Peter Osypka Stiftung Device for adapting an laa occluder after implantation
WO2021202597A1 (en) * 2020-04-02 2021-10-07 KA Medical, LLC Method for making braided medical devices
EP3912563B1 (en) * 2020-05-21 2025-08-27 St. Jude Medical, Cardiology Division, Inc. Biomaterial occluder delivery mechanism
CN111803780B (zh) * 2020-06-29 2022-02-11 中国人民解放军陆军军医大学第一附属医院 一种隧道式球囊
CN115462845A (zh) * 2021-06-10 2022-12-13 微创投资控股有限公司 室间隔穿孔用封堵器及治疗系统
CN115462844A (zh) * 2021-06-10 2022-12-13 微创投资控股有限公司 室间隔穿孔用封堵器及治疗系统
CN216603785U (zh) * 2021-09-24 2022-05-27 安徽通灵仿生科技有限公司 一种介入式临时左心辅助装置
CN119072276A (zh) * 2022-04-27 2024-12-03 波士顿科学医学有限公司 具有中心支撑件的左心耳闭合装置
CN115105142A (zh) * 2022-06-30 2022-09-27 宁波迪创医疗科技有限公司 一种左心耳填充器械
CN116473728A (zh) * 2023-05-06 2023-07-25 大连理工大学 可实现头端转向的经导管人体心脏主动脉瓣膜置换装置
US20250204925A1 (en) * 2023-12-20 2025-06-26 Boston Scientific Scimed, Inc. Gap sealing system and kit
CN117814958B (zh) * 2024-02-26 2024-06-18 杭州德晋医疗科技有限公司 房室瓣夹合装置
CN118750076B (zh) * 2024-07-01 2025-03-11 上海形状记忆合金材料有限公司 一种封堵器
CN120477850A (zh) * 2025-04-22 2025-08-15 中国医学科学院阜外医院 一种用于股动脉假性动脉瘤的封堵装置及其操作方法
CN120859591B (zh) * 2025-09-10 2026-03-13 山东威高集团医用高分子制品股份有限公司 一种多角度调节的支气管封堵器

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