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WO2000074579A3 - Procedes et appareil pour greffe medicale - Google Patents

Procedes et appareil pour greffe medicale Download PDF

Info

Publication number
WO2000074579A3
WO2000074579A3 PCT/US2000/015259 US0015259W WO0074579A3 WO 2000074579 A3 WO2000074579 A3 WO 2000074579A3 US 0015259 W US0015259 W US 0015259W WO 0074579 A3 WO0074579 A3 WO 0074579A3
Authority
WO
WIPO (PCT)
Prior art keywords
body conduit
tissue holding
holding structure
sharpened distal
opening
Prior art date
Application number
PCT/US2000/015259
Other languages
English (en)
Other versions
WO2000074579A2 (fr
Inventor
John Logan
Scott Thome
Alex Peterson
Todd A Berg
Original Assignee
St Jude Medical Cardiovascular
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 St Jude Medical Cardiovascular filed Critical St Jude Medical Cardiovascular
Priority to EP00938087A priority Critical patent/EP1187566A2/fr
Priority to AU53175/00A priority patent/AU5317500A/en
Publication of WO2000074579A2 publication Critical patent/WO2000074579A2/fr
Publication of WO2000074579A3 publication Critical patent/WO2000074579A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

Instrument permettant de faciliter la coupe d'une ouverture dans une paroi latérale d'un conduit corporel chez un patient. Une structure tubulaire possède un passage et possède une partie terminale distale affutée configurée pour couper une partie du conduit corporel afin d'y créer l'ouverture. Une structure de retenue des tissus est axialement mobile dans le passage situé à l'intérieur de la structure tubulaire. La structure de retenue des tissus comporte une partie de perçage destinée à permettre le passage de ladite structure dans le conduit corporel d'un côté entrée jusqu'à un côté sortie. La structure de retenue des tissus possède également un élément de retenue destiné à assurer la fixation de la partie du conduit corporel à la structure de retenue des tissus pendant le mouvement de la structure de retenue des tissus de manière à rapprocher le côté entrée du conduit corporel avec la partie distale affutée de la structure tubulaire pour permettre à la structure distale affutée de couper le conduit corporel. Ledit instrument possède également un connecteur destiné à attacher une nouvelle longueur de tube au conduit corporel au niveau de l'ouverture ménagée par coupe.
PCT/US2000/015259 1999-06-04 2000-06-02 Procedes et appareil pour greffe medicale WO2000074579A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP00938087A EP1187566A2 (fr) 1999-06-04 2000-06-02 Procedes et appareil pour greffe medicale
AU53175/00A AU5317500A (en) 1999-06-04 2000-06-02 Medical grafting apparatus and methods

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13776499P 1999-06-04 1999-06-04
US60/137,764 1999-06-04

Publications (2)

Publication Number Publication Date
WO2000074579A2 WO2000074579A2 (fr) 2000-12-14
WO2000074579A3 true WO2000074579A3 (fr) 2001-07-12

Family

ID=22478950

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/015259 WO2000074579A2 (fr) 1999-06-04 2000-06-02 Procedes et appareil pour greffe medicale

Country Status (3)

Country Link
EP (1) EP1187566A2 (fr)
AU (1) AU5317500A (fr)
WO (1) WO2000074579A2 (fr)

Cited By (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6893449B2 (en) 1999-05-18 2005-05-17 Cardica, Inc. Device for cutting and anastomosing tissue
US6962595B1 (en) 2002-01-22 2005-11-08 Cardica, Inc. Integrated anastomosis system
US6966917B1 (en) 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
US7004949B2 (en) 1998-08-12 2006-02-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7018388B2 (en) 1998-08-12 2006-03-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7018387B2 (en) 1998-10-22 2006-03-28 Innovative Interventional Technologies B.V. Mechanical anastomosis system for hollow structures
US7022127B2 (en) 1997-10-24 2006-04-04 Innovative Interventional Technologies Bv Mechanical anastomosis system for hollow structures
US7022131B1 (en) 1998-05-29 2006-04-04 By-Pass Inc. Methods and devices for vascular surgery
US7025773B2 (en) 1999-01-15 2006-04-11 Medtronic, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US7048751B2 (en) 2001-12-06 2006-05-23 Cardica, Inc. Implantable medical device such as an anastomosis device
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US7128749B1 (en) 1999-05-18 2006-10-31 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US7144405B2 (en) 1999-05-18 2006-12-05 Cardica, Inc. Tissue punch
US7223274B2 (en) 2002-01-23 2007-05-29 Cardica, Inc. Method of performing anastomosis
US7303569B2 (en) 2000-10-12 2007-12-04 Cardica, Inc. Implantable superelastic anastomosis device
US7335216B2 (en) 2002-01-22 2008-02-26 Cardica, Inc. Tool for creating an opening in tissue
US7431727B2 (en) 2000-04-29 2008-10-07 Medtronic, Inc. Magnetic components for use in forming anastomoses, creating ports in vessels and closing openings in tissue
US7578828B2 (en) 1999-01-15 2009-08-25 Medtronic, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US7585306B2 (en) 2003-12-24 2009-09-08 Maquet Cardiovascular Llc Anastomosis device, tools and methods of using
US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9345532B2 (en) 2011-05-13 2016-05-24 Broncus Medical Inc. Methods and devices for ablation of tissue
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1150610A1 (fr) 1999-01-15 2001-11-07 Ventrica Inc. Procedes et dispositifs pour former des anastomoses vasculaires
US7232449B2 (en) 2000-04-29 2007-06-19 Medtronic, Inc. Components, systems and methods for forming anastomoses using magnetism or other coupling means
US6802847B1 (en) 2000-04-29 2004-10-12 Ventrica, Inc. Devices and methods for forming magnetic anastomoses and ports in vessels
US7708712B2 (en) 2001-09-04 2010-05-04 Broncus Technologies, Inc. Methods and devices for maintaining patency of surgically created channels in a body organ
US6814743B2 (en) 2001-12-26 2004-11-09 Origin Medsystems, Inc. Temporary seal and method for facilitating anastomosis
US8790358B2 (en) 2003-03-28 2014-07-29 St. Jude Medical, Cardiology Division, Inc. Methods and apparatus for making anastomotic connections larger than the graft conduit
US8409167B2 (en) 2004-07-19 2013-04-02 Broncus Medical Inc Devices for delivering substances through an extra-anatomic opening created in an airway
WO2013078235A1 (fr) 2011-11-23 2013-05-30 Broncus Medical Inc Procédés et dispositifs pour le diagnostic, la surveillance ou le traitement d'affections médicales par une ouverture à travers une paroi des voies aériennes
US20160051261A1 (en) * 2013-04-29 2016-02-25 Regenerative Sciences, Llc Percutaneous Tendon-Muscle-Ligament Approximation Device
WO2019189079A1 (fr) 2018-03-29 2019-10-03 テルモ株式会社 Dispositif médical
CN117838029B (zh) * 2024-01-19 2024-08-13 中国人民解放军总医院第八医学中心 一种泌尿外科微创手术定位装置

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
US5690662A (en) * 1995-10-12 1997-11-25 The Trustees Of Columbia University In The City Of New York Device and method to create a smooth opening on a tubular structure such as an artery or a vein
US5695504A (en) * 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
DE19650204A1 (de) * 1996-12-04 1998-06-18 Aesculap Ag & Co Kg Chirurgische Stanze
US5827316A (en) * 1997-06-05 1998-10-27 Atrion Medical Products, Inc. Rotating aortic punch
US5893369A (en) * 1997-02-24 1999-04-13 Lemole; Gerald M. Procedure for bypassing an occlusion in a blood vessel
WO1999038454A2 (fr) * 1998-01-30 1999-08-05 St. Jude Medical Cardiovascular Group, Inc. Structures de type connecteur ou bouchon pour greffes medicales et leurs procedes d'obtention et d'installation
WO2000027311A1 (fr) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Connecteur medical de greffe et procedes de fabrication et de positionnement associes
WO2000027313A2 (fr) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Appareil medical d'anastomose

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5976178A (en) 1996-11-07 1999-11-02 Vascular Science Inc. Medical grafting methods

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
US5695504A (en) * 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5690662A (en) * 1995-10-12 1997-11-25 The Trustees Of Columbia University In The City Of New York Device and method to create a smooth opening on a tubular structure such as an artery or a vein
DE19650204A1 (de) * 1996-12-04 1998-06-18 Aesculap Ag & Co Kg Chirurgische Stanze
US5893369A (en) * 1997-02-24 1999-04-13 Lemole; Gerald M. Procedure for bypassing an occlusion in a blood vessel
US5827316A (en) * 1997-06-05 1998-10-27 Atrion Medical Products, Inc. Rotating aortic punch
WO1999038454A2 (fr) * 1998-01-30 1999-08-05 St. Jude Medical Cardiovascular Group, Inc. Structures de type connecteur ou bouchon pour greffes medicales et leurs procedes d'obtention et d'installation
WO2000027311A1 (fr) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Connecteur medical de greffe et procedes de fabrication et de positionnement associes
WO2000027313A2 (fr) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Appareil medical d'anastomose

Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7022127B2 (en) 1997-10-24 2006-04-04 Innovative Interventional Technologies Bv Mechanical anastomosis system for hollow structures
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
US7022131B1 (en) 1998-05-29 2006-04-04 By-Pass Inc. Methods and devices for vascular surgery
US7108702B2 (en) 1998-08-12 2006-09-19 Cardica, Inc. Anastomosis device having at least one frangible member
US7004949B2 (en) 1998-08-12 2006-02-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7018388B2 (en) 1998-08-12 2006-03-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7041110B2 (en) 1998-08-12 2006-05-09 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7018387B2 (en) 1998-10-22 2006-03-28 Innovative Interventional Technologies B.V. Mechanical anastomosis system for hollow structures
US7578828B2 (en) 1999-01-15 2009-08-25 Medtronic, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US7025773B2 (en) 1999-01-15 2006-04-11 Medtronic, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US7172608B2 (en) 1999-05-18 2007-02-06 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US7357807B2 (en) 1999-05-18 2008-04-15 Cardica, Inc. Integrated anastomosis tool with graft vessel attachment device and cutting device
US7611523B2 (en) 1999-05-18 2009-11-03 Cardica, Inc. Method for sutureless connection of vessels
US7128749B1 (en) 1999-05-18 2006-10-31 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US7144405B2 (en) 1999-05-18 2006-12-05 Cardica, Inc. Tissue punch
US6893449B2 (en) 1999-05-18 2005-05-17 Cardica, Inc. Device for cutting and anastomosing tissue
US7175637B2 (en) 1999-05-18 2007-02-13 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US7468066B2 (en) 1999-05-18 2008-12-23 Cardica, Inc. Trocar for use in deploying an anastomosis device and method of performing anastomosis
US7309343B2 (en) 1999-05-18 2007-12-18 Cardica, Inc. Method for cutting tissue
US7431727B2 (en) 2000-04-29 2008-10-07 Medtronic, Inc. Magnetic components for use in forming anastomoses, creating ports in vessels and closing openings in tissue
US7303569B2 (en) 2000-10-12 2007-12-04 Cardica, Inc. Implantable superelastic anastomosis device
US6966917B1 (en) 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US7048751B2 (en) 2001-12-06 2006-05-23 Cardica, Inc. Implantable medical device such as an anastomosis device
US6962595B1 (en) 2002-01-22 2005-11-08 Cardica, Inc. Integrated anastomosis system
US7455677B2 (en) 2002-01-22 2008-11-25 Cardica, Inc. Anastomosis device having a deployable section
US7335216B2 (en) 2002-01-22 2008-02-26 Cardica, Inc. Tool for creating an opening in tissue
US7223274B2 (en) 2002-01-23 2007-05-29 Cardica, Inc. Method of performing anastomosis
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue
US7585306B2 (en) 2003-12-24 2009-09-08 Maquet Cardiovascular Llc Anastomosis device, tools and methods of using
US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9345532B2 (en) 2011-05-13 2016-05-24 Broncus Medical Inc. Methods and devices for ablation of tissue
US9421070B2 (en) 2011-05-13 2016-08-23 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9486229B2 (en) 2011-05-13 2016-11-08 Broncus Medical Inc. Methods and devices for excision of tissue
US9993306B2 (en) 2011-05-13 2018-06-12 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

Also Published As

Publication number Publication date
WO2000074579A2 (fr) 2000-12-14
AU5317500A (en) 2000-12-28
EP1187566A2 (fr) 2002-03-20

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