WO2008027366A3 - Devices and methods for creating and closing controlled openings in tissue - Google Patents

Devices and methods for creating and closing controlled openings in tissue Download PDF

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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
French (fr)
Other versions
WO2008027366A2 (en
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/en
Publication of WO2008027366A3 publication Critical patent/WO2008027366A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0498—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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, e.g. tourniquets
    • 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

Abstract

Devices and methods for creating and closing controlled, shaped openings in tissue, such as blood vessel walls or fascia layers, utilize an implantable access and closure device, or access port, with an aperture that demarcates a desired location for the opening in the tissue. Incision means for creating an opening through the tissue may include a crescent or arc-shaped heating element; a cutting wire; a water jet; or a cutting edge that is integrated into the access port. A self-sealing incision is also described. Closure means to seal the arteriotomy or other opening and provide hemostasis may include a net, patch, ring or wire that is deployed externally to the vessel, covering the arteriotomy site. Another closure means comprises a stent, or tube-like closure mechanism that is inserted through the arteriotomy site and deployed within the vessel. A side opening allows a procedure sheath to enter the blood vessel. After the procedure, the closure mechanism is rotated within the vessel so that the side opening is no longer aligned with the arteriotomy.
PCT/US2007/018895 2006-08-28 2007-08-28 Devices and methods for creating and closing controlled openings in tissue WO2008027366A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US84051806P 2006-08-28 2006-08-28
US84050706P 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 (en) 2008-03-06
WO2008027366A3 true WO2008027366A3 (en) 2008-08-07

Family

ID=39136533

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/018895 WO2008027366A2 (en) 2006-08-28 2007-08-28 Devices and methods for creating and closing controlled openings in tissue

Country Status (1)

Country Link
WO (1) WO2008027366A2 (en)

Families Citing this family (3)

* 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
WO2021234638A1 (en) * 2020-05-20 2021-11-25 Puzzle Medical Devices Inc. Implantable fully endovascular mammalian body succedent cavity wall breach sealing device

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 (en) 2008-03-06

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