WO2002024106A3 - Apparatus for implanting devices in atrial appendages - Google Patents

Apparatus for implanting devices in atrial appendages Download PDF

Info

Publication number
WO2002024106A3
WO2002024106A3 PCT/US2001/029690 US0129690W WO0224106A3 WO 2002024106 A3 WO2002024106 A3 WO 2002024106A3 US 0129690 W US0129690 W US 0129690W WO 0224106 A3 WO0224106 A3 WO 0224106A3
Authority
WO
WIPO (PCT)
Prior art keywords
atrial
passageway
tubes
atrial appendage
positioning guide
Prior art date
Application number
PCT/US2001/029690
Other languages
French (fr)
Other versions
WO2002024106A2 (en
WO2002024106A9 (en
Inventor
Thomas E Borillo
Gregg S Sutton
Original Assignee
Atritech Inc
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 Atritech Inc filed Critical Atritech Inc
Priority to JP2002528146A priority Critical patent/JP2004508879A/en
Priority to EP01971302A priority patent/EP1318766A2/en
Priority to AU2001291201A priority patent/AU2001291201A1/en
Priority to IL15501501A priority patent/IL155015A0/en
Priority to CA002423360A priority patent/CA2423360A1/en
Publication of WO2002024106A2 publication Critical patent/WO2002024106A2/en
Publication of WO2002024106A3 publication Critical patent/WO2002024106A3/en
Publication of WO2002024106A9 publication Critical patent/WO2002024106A9/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00592Elastic or resilient implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00615Implements with an occluder on one side of the opening and holding means therefor on the other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00575Implements 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
    • A61B2017/00632Occluding a cavity, i.e. closing a blind opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484Anchoring means, e.g. spreading-out umbrella-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488Fixation to inner organ or inner body tissue

Abstract

The invention provides a delivery system for placing devices in atrial appendages. The system includes a catheterization apparatus having a tubular structure with one or more nested tubes, wires, and shafts. The tubes establish a passageway for moving a device through a body's vasculature and heart into an atrial appendage. An expandagle positioning guide is disposed on the distal end of a tube passing through the apparatus. The positioning guide is expanded in situ to engage atrial wall surfaces proximate to the atrial appendage for mechanical stabilizes the device delivery passageway. A shaft passing through the tubes transports the device through the passageway to the atrial appendage.
PCT/US2001/029690 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages WO2002024106A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2002528146A JP2004508879A (en) 2000-09-21 2001-09-21 Apparatus for implanting a device in the atrial appendage
EP01971302A EP1318766A2 (en) 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages
AU2001291201A AU2001291201A1 (en) 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages
IL15501501A IL155015A0 (en) 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages
CA002423360A CA2423360A1 (en) 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US23411100P 2000-09-21 2000-09-21
US60/234,111 2000-09-21

Publications (3)

Publication Number Publication Date
WO2002024106A2 WO2002024106A2 (en) 2002-03-28
WO2002024106A3 true WO2002024106A3 (en) 2003-02-06
WO2002024106A9 WO2002024106A9 (en) 2003-11-13

Family

ID=22879971

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/029690 WO2002024106A2 (en) 2000-09-21 2001-09-21 Apparatus for implanting devices in atrial appendages

Country Status (8)

Country Link
US (1) US7169164B2 (en)
EP (1) EP1318766A2 (en)
JP (1) JP2004508879A (en)
CN (1) CN1462181A (en)
AU (1) AU2001291201A1 (en)
CA (1) CA2423360A1 (en)
IL (1) IL155015A0 (en)
WO (1) WO2002024106A2 (en)

Cited By (6)

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US8568447B2 (en) 2004-05-06 2013-10-29 W.L. Gore & Associates, Inc. Delivery systems and methods for PFO closure device with two anchors
US8870913B2 (en) 2006-03-31 2014-10-28 W.L. Gore & Associates, Inc. Catch system with locking cap for patent foramen ovale (PFO) occluder
US9028527B2 (en) 2002-06-05 2015-05-12 W.L. Gore & Associates, Inc. Patent foramen ovale (PFO) closure device with radial and circumferential support
US9084603B2 (en) 2005-12-22 2015-07-21 W.L. Gore & Associates, Inc. Catch members for occluder devices
US9138562B2 (en) 2007-04-18 2015-09-22 W.L. Gore & Associates, Inc. Flexible catheter system
US9326759B2 (en) 2003-07-14 2016-05-03 W.L. Gore & Associates, Inc. Tubular patent foramen ovale (PFO) closure device with catch system

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CN1462181A (en) 2003-12-17
US7169164B2 (en) 2007-01-30
EP1318766A2 (en) 2003-06-18
US20020035374A1 (en) 2002-03-21
IL155015A0 (en) 2003-10-31
AU2001291201A1 (en) 2002-04-02
CA2423360A1 (en) 2002-03-28
JP2004508879A (en) 2004-03-25
WO2002024106A2 (en) 2002-03-28
WO2002024106A9 (en) 2003-11-13

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