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WO2008010738A3 - Patent foramen ovale occluder with suture based anchor - Google Patents

Patent foramen ovale occluder with suture based anchor Download PDF

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Publication number
WO2008010738A3
WO2008010738A3 PCT/RS2007/000002 RS2007000002W WO2008010738A3 WO 2008010738 A3 WO2008010738 A3 WO 2008010738A3 RS 2007000002 W RS2007000002 W RS 2007000002W WO 2008010738 A3 WO2008010738 A3 WO 2008010738A3
Authority
WO
WIPO (PCT)
Prior art keywords
pfo
suture
catheter
occluder
tying
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/RS2007/000002
Other languages
French (fr)
Other versions
WO2008010738A8 (en
WO2008010738A2 (en
Inventor
Uros Babic
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to PCT/RS2007/000002 priority Critical patent/WO2008010738A2/en
Publication of WO2008010738A2 publication Critical patent/WO2008010738A2/en
Publication of WO2008010738A8 publication Critical patent/WO2008010738A8/en
Publication of WO2008010738A3 publication Critical patent/WO2008010738A3/en
Anticipated expiration legal-status Critical
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
    • A61B17/0057—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
    • A61B17/04—Surgical instruments, devices or methods 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
    • 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
    • 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
    • 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Rheumatology (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.
PCT/RS2007/000002 2007-01-24 2007-01-24 Patent foramen ovale occluder with suture based anchor Ceased WO2008010738A2 (en)

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 WO2008010738A8 (en) 2008-02-28
WO2008010738A3 true WO2008010738A3 (en) 2009-04-30

Family

ID=38957219

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/RS2007/000002 Ceased 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)

Families Citing this family (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1845861B1 (en) 2005-01-21 2011-06-22 Mayo Foundation for Medical Education and Research Thorascopic heart valve repair apparatus
JP5357167B2 (en) 2007-10-18 2013-12-04 ネオコード インコーポレイテッド Instrument for repairing pulsating leaflets in the heart with minimal invasiveness
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
EA023390B1 (en) 2009-10-16 2016-05-31 Янссен Байотек, Инк. Palm activated drug delivery device
BR112012027242A2 (en) 2010-04-27 2017-07-18 Synthes Gmbh mounting bracket including an expandable anchor
US9451938B2 (en) 2010-04-27 2016-09-27 DePuy Synthes Products, Inc. Insertion instrument for anchor assembly
US9743919B2 (en) 2010-04-27 2017-08-29 DePuy Synthes Products, Inc. Stitch lock for attaching two or more structures
US9597064B2 (en) 2010-04-27 2017-03-21 DePuy Synthes Products, Inc. Methods for approximating a tissue defect using an anchor assembly
DK2588173T3 (en) 2010-07-02 2016-01-18 Sanofi Aventis Deutschland Safety device for a full spraying and injection device
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
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
US9044221B2 (en) 2010-12-29 2015-06-02 Neochord, Inc. Exchangeable system for minimally invasive beating heart repair of heart valve leaflets
KR102126423B1 (en) 2011-02-16 2020-06-24 린바텍 코포레이션 Method and apparatus for securing an object to bone
EP2713894B1 (en) 2011-06-01 2021-01-20 NeoChord, Inc. System for 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
USD731051S1 (en) 2013-03-15 2015-06-02 Janssen Biotech, Inc. Drug delivery device
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
JP7083549B2 (en) 2018-03-23 2022-06-13 ネオコード インコーポレイテッド Suture attachment device 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
CN113194854A (en) 2018-09-07 2021-07-30 尼奥绰德有限公司 Suture attachment device for minimally invasive heart valve repair
AU2019349682B2 (en) * 2018-09-24 2025-10-30 University Of Maryland Medical System Corporation Apparatus and method for septal punch
CN114206265A (en) 2019-04-16 2022-03-18 尼奥绰德有限公司 Transverse spiral cardiac anchor for minimally invasive cardiac 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
WO2021146757A2 (en) 2020-01-16 2021-07-22 Neochord, Inc. Helical cardiac anchors for minimally invasive heart valve repair
CN113827285B (en) * 2021-09-15 2025-06-24 宁波迪创医疗科技有限公司 Closure devices for tissue defects
CN116236246B (en) * 2022-12-30 2025-11-18 先健科技(深圳)有限公司 Sutures and suture systems
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

Citations (7)

* Cited by examiner, † Cited by third party
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
US5662681A (en) * 1996-04-23 1997-09-02 Kensey Nash Corporation Self locking closure for sealing percutaneous punctures
US6179863B1 (en) * 1991-11-08 2001-01-30 Kensey Nash Corporation Hemostatic puncture closure system and method of use
WO2003084389A2 (en) * 2002-04-01 2003-10-16 Innavais Technologies, Inc. Method and barrier for limiting fluid movement through a tissue rent
US20040220596A1 (en) * 2003-02-04 2004-11-04 Frazier Andrew G.C. Patent foramen ovale closure system
US20060122646A1 (en) * 2004-12-08 2006-06-08 Cardia, Inc. Daisy design for occlusion device
WO2006078578A2 (en) * 2005-01-19 2006-07-27 Ensure Medical, Inc. Vascular plug having composite construction

Patent Citations (7)

* Cited by examiner, † Cited by third party
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
US6179863B1 (en) * 1991-11-08 2001-01-30 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
WO2003084389A2 (en) * 2002-04-01 2003-10-16 Innavais Technologies, Inc. Method and barrier for limiting fluid movement through a tissue rent
US20040220596A1 (en) * 2003-02-04 2004-11-04 Frazier Andrew G.C. Patent foramen ovale closure system
US20060122646A1 (en) * 2004-12-08 2006-06-08 Cardia, Inc. Daisy design for occlusion device
WO2006078578A2 (en) * 2005-01-19 2006-07-27 Ensure Medical, Inc. Vascular plug having composite construction

Also Published As

Publication number Publication date
WO2008010738A8 (en) 2008-02-28
WO2008010738A2 (en) 2008-01-24

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