WO2008121278A3 - Devices, systems, and methods for closing the left atrial appendage - Google Patents

Devices, systems, and methods for closing the left atrial appendage Download PDF

Info

Publication number
WO2008121278A3
WO2008121278A3 PCT/US2008/003938 US2008003938W WO2008121278A3 WO 2008121278 A3 WO2008121278 A3 WO 2008121278A3 US 2008003938 W US2008003938 W US 2008003938W WO 2008121278 A3 WO2008121278 A3 WO 2008121278A3
Authority
WO
WIPO (PCT)
Prior art keywords
left atrial
atrial appendage
closing
methods
closure device
Prior art date
Application number
PCT/US2008/003938
Other languages
French (fr)
Other versions
WO2008121278A2 (en
Inventor
Gary H Miller
Russell A Seiber
Gregory W Fung
Original Assignee
Sentreheart Inc
Gary H Miller
Russell A Seiber
Gregory W Fung
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
Priority to SI200830936T priority Critical patent/SI2142107T1/en
Priority to DK08727155.7T priority patent/DK2142107T3/en
Priority to AU2008233242A priority patent/AU2008233242B2/en
Priority to ES08727155T priority patent/ES2402124T3/en
Priority to CA2682398A priority patent/CA2682398C/en
Priority to EP15153029.2A priority patent/EP2929842B1/en
Priority to PL08727155T priority patent/PL2142107T3/en
Priority to BRPI0808618A priority patent/BRPI0808618B8/en
Application filed by Sentreheart Inc, Gary H Miller, Russell A Seiber, Gregory W Fung filed Critical Sentreheart Inc
Priority to EP08727155A priority patent/EP2142107B8/en
Priority to EP19179162.3A priority patent/EP3603539B1/en
Priority to JP2010500967A priority patent/JP5383649B2/en
Publication of WO2008121278A2 publication Critical patent/WO2008121278A2/en
Publication of WO2008121278A3 publication Critical patent/WO2008121278A3/en
Priority to HK10106161.8A priority patent/HK1139297A1/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
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot 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
    • A61B17/0467—Instruments for cutting sutures
    • 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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61B2017/00575—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, 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
    • A61B2017/00575—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
    • A61B2017/00623—Introducing or retrieving devices therefor
    • 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
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • 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
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • 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
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Abstract

Described here are devices, systems and methods for closing the left atrial appendage (114). Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device (200). In general, these methods include advancing a first guide (1300) having a first alignment member (1304) into the left atrial appendage, advancing a second guide (1302), having a second alignment member (1306), into the pericardial space (116), aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body (202) having a proximal end and a distal end, and a closure element (204) at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture therethrough.
PCT/US2008/003938 2007-03-30 2008-03-25 Devices, systems, and methods for closing the left atrial appendage WO2008121278A2 (en)

Priority Applications (12)

Application Number Priority Date Filing Date Title
PL08727155T PL2142107T3 (en) 2007-03-30 2008-03-25 Devices and systems for closing the left atrial appendage
AU2008233242A AU2008233242B2 (en) 2007-03-30 2008-03-25 Devices, systems, and methods for closing the left atrial appendage
ES08727155T ES2402124T3 (en) 2007-03-30 2008-03-25 Devices and systems to close the left atrial appendage
CA2682398A CA2682398C (en) 2007-03-30 2008-03-25 Devices, systems, and methods for closing the left atrial appendage
EP15153029.2A EP2929842B1 (en) 2007-03-30 2008-03-25 Devices and sytems for closing the left atrial appendage
SI200830936T SI2142107T1 (en) 2007-03-30 2008-03-25 Devices and systems for closing the left atrial appendage
BRPI0808618A BRPI0808618B8 (en) 2007-03-30 2008-03-25 devices and systems for closing the left atrial appendage
DK08727155.7T DK2142107T3 (en) 2007-03-30 2008-03-25 Devices and systems for closing the left ventricular pendant
EP08727155A EP2142107B8 (en) 2007-03-30 2008-03-25 Devices and systems for closing the left atrial appendage
EP19179162.3A EP3603539B1 (en) 2007-03-30 2008-03-25 Devices and systems for closing the left atrial appendage
JP2010500967A JP5383649B2 (en) 2007-03-30 2008-03-25 Apparatus, system and method for closing the left atrial appendage
HK10106161.8A HK1139297A1 (en) 2007-03-30 2010-06-22 Devices and systems for closing the left atrial appendage

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US92100207P 2007-03-30 2007-03-30
US60/921,002 2007-03-30

Publications (2)

Publication Number Publication Date
WO2008121278A2 WO2008121278A2 (en) 2008-10-09
WO2008121278A3 true WO2008121278A3 (en) 2009-04-16

Family

ID=39575585

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/003938 WO2008121278A2 (en) 2007-03-30 2008-03-25 Devices, systems, and methods for closing the left atrial appendage

Country Status (13)

Country Link
US (6) US8771297B2 (en)
EP (4) EP2142107B8 (en)
JP (3) JP5383649B2 (en)
AU (1) AU2008233242B2 (en)
BR (1) BRPI0808618B8 (en)
CA (1) CA2682398C (en)
DK (2) DK2142107T3 (en)
ES (3) ES2732846T3 (en)
HK (3) HK1139297A1 (en)
PL (2) PL2574287T3 (en)
PT (2) PT2574287E (en)
SI (1) SI2142107T1 (en)
WO (1) WO2008121278A2 (en)

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