CA2696576A1 - Device to open and close a bodily wall - Google Patents

Device to open and close a bodily wall Download PDF

Info

Publication number
CA2696576A1
CA2696576A1 CA2696576A CA2696576A CA2696576A1 CA 2696576 A1 CA2696576 A1 CA 2696576A1 CA 2696576 A CA2696576 A CA 2696576A CA 2696576 A CA2696576 A CA 2696576A CA 2696576 A1 CA2696576 A1 CA 2696576A1
Authority
CA
Canada
Prior art keywords
medical device
elongate medical
cutting tool
inner cannula
lumen
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.)
Granted
Application number
CA2696576A
Other languages
French (fr)
Other versions
CA2696576C (en
Inventor
Travis E. Dillon
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.)
Cook Medical Technologies LLC
Original Assignee
Wilson-Cook Medical Inc.
Travis E. Dillon
Cook Medical Technologies Llc
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 Wilson-Cook Medical Inc., Travis E. Dillon, Cook Medical Technologies Llc filed Critical Wilson-Cook Medical Inc.
Publication of CA2696576A1 publication Critical patent/CA2696576A1/en
Application granted granted Critical
Publication of CA2696576C publication Critical patent/CA2696576C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • 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
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61B17/3205—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
    • 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
    • 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
    • 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
    • A61B2017/00663—Type of implements the implement being a suture
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472—Multiple-needled, e.g. double-needled, instruments

Abstract

A medical device and method for performing translumenal procedures that reduces procedure time as well as' the number of instruments used is disclosed. An elongate medical device has both a cutting tool (22) and a suturing tool (24) disposed at a distal end of the elongate medical device. The suturing tool includes a plurality of needles (28) connected to one or more sutures (29). The elongate medical device is advanced through a bodily lumen to a position proximate the visceral wall (10). A perforation is formed in the visceral wall using the cutting tool. The elongate medical device and its suturing tool are advanced through the perforation and a plurality of needles are passed through the visceral wall around the periphery of the perforation. The plurality of needles are withdrawn through the bodily lumen and the perforation is ciosed using the suture.

Claims (16)

1. An elongate medical device for opening and closing a visceral wall, the medical device comprising:
an outer catheter defining a first lumen;
an inner cannula defining a second lumen, the inner cannula slidably disposed within the first lumen, the inner cannula having a distal end extending beyond a distal end of the outer catheter;
a needle deployment linkage having a plurality of needles connected to one or more sutures, the needle deployment linkage attached to the outer catheter and to the inner cannula, the needle deployment linkage operable between a delivery configuration and a deployed configuration for placing the needles through the visceral wall; and a cutting tool attached to the distal end of the inner cannula, the cutting tool defining a third lumen in communication with the second lumen of the inner cannula.
2. The elongate medical device of claim 1, further comprising a protective tip slidably disposed within the third lumen of the cutting tool, the protective tip being spring biased to project from a distal end of the cutting tool.
3. The elongate medical device of claim 2, wherein the protective tip is operable between an extended position projecting from the distal end of the cutting tool and a retracted position within the third lumen.
4. The elongate medical device of claim 3, wherein the cutting tool is an electrosurgical cutting tool, and wherein the protective tip has a first contact attached thereto, and wherein the inner cannula has a second contact attached thereto, the first and second contacts forming a switch, the switch opening and closing to deenergize and energize the electrosurgical cutting tool.
5. The elongate medical device of claim 4, wherein retracted position of the protective tip closes the switch to energize the electrosurgical cutting tool, and wherein the extended position of the protective tip opens the switch to deenergize the electrosurgical cutting tool.
6. The elongate medical device of claim 1, wherein the needle deployment linkage is attached to inner cannula at a position generally proximal to the cutting tool.
7. The elongate medical device of claim 1, wherein relative translation of the outer catheter and inner cannula operates the needle deployment linkage between the delivery configuration and the deployed configuration; and
8. The elongate medical device of claim 7, wherein the plurality of needles move radially outwardly between the delivery and deployed configurations
9. The elongate medical device of claim 7, wherein the needle deployment linkage includes a plurality of linkage sets, each linkage set having a first link pivotally connected to the outer catheter and a second link pivotally connected to the inner cannula, and wherein the first and second links rotate radially outwardly as the needle deployment linkage moves between the delivery and deployed configurations.
10. The elongate medical device of claim 9, wherein each linkage set further comprises a third link interconnecting the first and second links, the third link pivotally connected to both the first and second links.
11. The elongate medical device of claim 10, wherein the plurality of needles are connected to the third link of the plurality of linkage sets.
12. The elongate medical device of claim 11, wherein each third link defines a pocket sized to receive a needle, each pocket opening proximally and including a radially opening slot sized to receive the suture attached to the needle.
13 13. The elongate medical device of claim 7, further comprising a hub attached to the distal end of the outer catheter, the hub having a plurality of recesses sized and positioned to receive a portion of the plurality of needles in the delivery configuration.
14. The elongate medical device of claim 7, further comprising a base connected to the inner cannula, and wherein the cutting tool is attached to the base, and wherein the second link is pivotally attached to the base.
15. The elongate medical device of claim 7, further comprising an overtube having a lumen sized to receive the outer catheter.
16. Use of an elongate medical device comprised according to any one of claims 1-15, for opening and closing a visceral wall.
CA2696576A 2007-08-17 2008-08-13 Device to open and close a bodily wall Active CA2696576C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US95656907P 2007-08-17 2007-08-17
US60/956,569 2007-08-17
PCT/US2008/073082 WO2009026079A1 (en) 2007-08-17 2008-08-13 Device to open and close a bodily wall

Publications (2)

Publication Number Publication Date
CA2696576A1 true CA2696576A1 (en) 2009-02-26
CA2696576C CA2696576C (en) 2012-09-11

Family

ID=39929719

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2696576A Active CA2696576C (en) 2007-08-17 2008-08-13 Device to open and close a bodily wall

Country Status (6)

Country Link
US (1) US7879049B2 (en)
EP (1) EP2178446B1 (en)
JP (1) JP5297458B2 (en)
AU (1) AU2008289259B2 (en)
CA (1) CA2696576C (en)
WO (1) WO2009026079A1 (en)

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US20200337691A1 (en) * 2019-04-26 2020-10-29 Covidien Lp Port site incision closure device

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Also Published As

Publication number Publication date
JP5297458B2 (en) 2013-09-25
US7879049B2 (en) 2011-02-01
CA2696576C (en) 2012-09-11
AU2008289259A1 (en) 2009-02-26
WO2009026079A1 (en) 2009-02-26
JP2010536487A (en) 2010-12-02
EP2178446B1 (en) 2013-05-22
US20090054895A1 (en) 2009-02-26
AU2008289259B2 (en) 2013-04-04
EP2178446A1 (en) 2010-04-28

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