+

WO2008027366A3 - Dispositifs et méthodes pour la création et l'obturation d'ouvertures maîtrisées dans un tissu - Google Patents

Dispositifs et méthodes pour la création et l'obturation d'ouvertures maîtrisées dans un tissu Download PDF

Info

Publication number
WO2008027366A3
WO2008027366A3 PCT/US2007/018895 US2007018895W WO2008027366A3 WO 2008027366 A3 WO2008027366 A3 WO 2008027366A3 US 2007018895 W US2007018895 W US 2007018895W WO 2008027366 A3 WO2008027366 A3 WO 2008027366A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
creating
vessel
opening
arteriotomy
Prior art date
Application number
PCT/US2007/018895
Other languages
English (en)
Other versions
WO2008027366A2 (fr
Inventor
Jonathan Thomas
Elad Benjamin
Carla Pienknagura
Bauback Safa
Original Assignee
Vascular Prec
Jonathan Thomas
Elad Benjamin
Carla Pienknagura
Bauback Safa
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 Vascular Prec, Jonathan Thomas, Elad Benjamin, Carla Pienknagura, Bauback Safa filed Critical Vascular Prec
Publication of WO2008027366A2 publication Critical patent/WO2008027366A2/fr
Publication of WO2008027366A3 publication Critical patent/WO2008027366A3/fr

Links

Classifications

    • 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3203—Fluid jet cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • A61B2017/00637—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 sealing trocar wounds through abdominal wall
    • 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
    • A61B2017/00646—Type of implements
    • A61B2017/00659—Type of implements located only on one side of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0498—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for advancing a suture filament along a helical path through tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • 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
    • A61B2017/320052—Guides for cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • 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
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/064—Blood vessels with special features to facilitate anastomotic coupling

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)
  • 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)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

Selon l'invention, des dispositifs et des méthodes servant à créer et obturer des ouvertures formées et maîtrisées dans un tissu, tel que les parois d'un vaisseau sanguin ou des couches du fascia, utilisent un dispositif d'accès et d'obturation implantable ou un orifice d'accès, une ouverture délimitant un emplacement souhaité destiné à une ouverture dans le tissu. Un dispositif d'incision servant à créer une ouverture dans le tissu peut comporter un élément chauffant en forme d'arc ou de croissant, un fil coupant, un jet d'eau ou un bord coupant intégré à l'orifice d'accès. Cette invention a aussi pour objet une incision auto-obturante. Un dispositif d'obturation conçu pour fermer l'artériotomie ou une autre ouverture et permettre une hémostase peut comprendre un filet, un timbre, un anneau ou un fil qui est déployé à l'extérieur du vaisseau, ce qui se solde par le recouvrement du site d'artériotomie. Un autre dispositif d'obturation comprend un stent ou un mécanisme d'obturation tubulaire qui est inséré dans le site d'artériotomie et déployé au sein du vaisseau. Une ouverture latérale permet à une gaine d'intervention de pénétrer dans le vaisseau sanguin. Après l'intervention, le mécanisme d'obturation est amené à tourner dans le vaisseau, de manière que l'ouverture latérale n'est plus alignée avec l'artériotomie.
PCT/US2007/018895 2006-08-28 2007-08-28 Dispositifs et méthodes pour la création et l'obturation d'ouvertures maîtrisées dans un tissu WO2008027366A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US84050706P 2006-08-28 2006-08-28
US84051806P 2006-08-28 2006-08-28
US60/840,518 2006-08-28
US60/840,507 2006-08-28

Publications (2)

Publication Number Publication Date
WO2008027366A2 WO2008027366A2 (fr) 2008-03-06
WO2008027366A3 true WO2008027366A3 (fr) 2008-08-07

Family

ID=39136533

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/018895 WO2008027366A2 (fr) 2006-08-28 2007-08-28 Dispositifs et méthodes pour la création et l'obturation d'ouvertures maîtrisées dans un tissu

Country Status (1)

Country Link
WO (1) WO2008027366A2 (fr)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11690997B2 (en) 2018-04-06 2023-07-04 Puzzle Medical Devices Inc. Mammalian body conduit intralumenal device and lumen wall anchor assembly, components thereof and methods of implantation and explanation thereof
US11207172B2 (en) * 2019-01-08 2021-12-28 Covidien Lp Stent designs to cover catheter access site
US11065140B2 (en) * 2019-01-08 2021-07-20 Covidien Lp Rotatable stent delivery apparatus to cover access site
JP2022526673A (ja) 2019-03-26 2022-05-25 パズル メディカル デバイシズ インコーポレイテッド モジュール方式の哺乳類身体埋込型流体流作用装置及び関連する方法
WO2021234638A1 (fr) * 2020-05-20 2021-11-25 Puzzle Medical Devices Inc. Dispositif d'étanchéité implantable entièrement endovasculaire de corps de mammifère consécutif à une rupture de paroi de cavité
AU2023371536A1 (en) 2022-11-01 2025-05-01 Puzzle Medical Devices Inc. Implantable medical devices and related methods thereof

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5611798A (en) * 1995-03-02 1997-03-18 Eggers; Philip E. Resistively heated cutting and coagulating surgical instrument
US6216573B1 (en) * 1995-06-07 2001-04-17 Hydrocision, Inc. Fluid jet cutting system
US6302898B1 (en) * 1994-06-24 2001-10-16 Advanced Closure Systems, Inc. Devices for sealing punctures in body vessels
US6663622B1 (en) * 2000-02-11 2003-12-16 Iotek, Inc. Surgical devices and methods for use in tissue ablation procedures
US20040049221A1 (en) * 1998-05-29 2004-03-11 By-Pass, Inc. Method and apparatus for forming apertures in blood vessels
US20050131434A1 (en) * 2003-12-12 2005-06-16 Peyman Gholam A. Reciprocating instrument for separating a cornea to form a corneal flap
US20050267520A1 (en) * 2004-05-12 2005-12-01 Modesitt D B Access and closure device and method

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6302898B1 (en) * 1994-06-24 2001-10-16 Advanced Closure Systems, Inc. Devices for sealing punctures in body vessels
US5611798A (en) * 1995-03-02 1997-03-18 Eggers; Philip E. Resistively heated cutting and coagulating surgical instrument
US6216573B1 (en) * 1995-06-07 2001-04-17 Hydrocision, Inc. Fluid jet cutting system
US20040049221A1 (en) * 1998-05-29 2004-03-11 By-Pass, Inc. Method and apparatus for forming apertures in blood vessels
US6663622B1 (en) * 2000-02-11 2003-12-16 Iotek, Inc. Surgical devices and methods for use in tissue ablation procedures
US20050131434A1 (en) * 2003-12-12 2005-06-16 Peyman Gholam A. Reciprocating instrument for separating a cornea to form a corneal flap
US20050267520A1 (en) * 2004-05-12 2005-12-01 Modesitt D B Access and closure device and method

Also Published As

Publication number Publication date
WO2008027366A2 (fr) 2008-03-06

Similar Documents

Publication Publication Date Title
WO2008027366A3 (fr) Dispositifs et méthodes pour la création et l'obturation d'ouvertures maîtrisées dans un tissu
EP1694217B1 (fr) Dispositif de scellement vasculaire comprenant un bouchon de scellement a surface active importante
ES2939618T3 (es) Dispositivo para el cierre de la orejuela auricular izquierda
WO2006128017A3 (fr) Dispositifs et procedes destines a la formation et a la fermeture controlees d'ouvertures vasculaires
ATE489894T1 (de) Verschlussvorrichtung für ein offenes foramen ovale
DK1054704T3 (da) Katetersystem til behandling af karokklusion
WO2007047851A3 (fr) Procedes et systemes d'agrafage et de reparation par voie endovasculaire d'anomalies dans des lumieres ou des tissus
WO2006111955A3 (fr) Dispositif de suture de plaies et d'hemostase dans la paroi thoracique ou abdominale, principalement au cours d'operations endoscopiques
CA2751990A1 (fr) Dispositif d'acces comprenant un mecanisme de deploiement a memoire de forme
US8708979B2 (en) Implantable coupling device
WO2007035726A3 (fr) Appareil implantable d'obturation et procedes associes
WO2009067433A3 (fr) Guides d'instrument chirurgical anal
EP2950722A1 (fr) Dispositif de fermeture vasculaire avec lumière de retour sanguin pouvant être obstruée par une gaine
AU2010201604A1 (en) Wound closure system and method of use
WO2006020922A3 (fr) Prothese chirurgicale presentant des regions biodegradables et non biodegradables
WO2010088541A8 (fr) Orifices d'accès vasculaires sous-cutanés et systèmes et procédés apparentés
MX2007008531A (es) Obturador vascular que cuenta con una construccion compuesta.
WO2007002260A3 (fr) Greffe implantable servant a fermer une fistule
CA2494111A1 (fr) Prothese implantable
WO2009006482A9 (fr) Dispositifs et procédés de fermeture vasculaire et renforcement de l'hémostase
WO2006042241A3 (fr) Procedes et systeme d'acces a un site chirurgical
WO2007089364A3 (fr) Dispositifs et méthodes permettant d'obtenir une fermeture vasculaire par élution de médicaments
JP5975454B2 (ja) 血管穴閉鎖器具
KR101109675B1 (ko) 싱글 포트 수술용 트로카
JP6940083B2 (ja) バルーンチューブ器具

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 07837416

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase

Ref country code: DE

NENP Non-entry into the national phase

Ref country code: RU

32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: NOTING OF LOSS OF RIGHTS PURSUANT TO RULE 112(1) EPC, AS PER OUR COMMUNICATION DATED 11.05.09 (EPO FORM 1205A)

122 Ep: pct application non-entry in european phase

Ref document number: 07837416

Country of ref document: EP

Kind code of ref document: A2

点击 这是indexloc提供的php浏览器服务，不要输入任何密码和下载