CA2671433A1 - Combination therapy hemostatic clip - Google Patents
Combination therapy hemostatic clip Download PDFInfo
- Publication number
- CA2671433A1 CA2671433A1 CA002671433A CA2671433A CA2671433A1 CA 2671433 A1 CA2671433 A1 CA 2671433A1 CA 002671433 A CA002671433 A CA 002671433A CA 2671433 A CA2671433 A CA 2671433A CA 2671433 A1 CA2671433 A1 CA 2671433A1
- Authority
- CA
- Canada
- Prior art keywords
- retainer
- lumen
- clip
- arms
- distal
- 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
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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- 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
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
- A61B2017/0053—Loading magazines or sutures into applying tools
-
- 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
- A61B2017/00893—Material properties pharmaceutically effective
-
- 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
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Abstract
A clip device (1612) for hemostasis includes a clip having a plurality of arms (1640, 1650) each having a proximal end and a distal end, wherein each of the arms are spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position. At least one lumen (1643, 1653) is disposed within a first of the plurality of arms and spans from the proximal end to the distal end of the first arm. At least one outlet bore is formed in the distal end of the first arm. In use, the distal ends of the plurality of arms are adapted to engage tissue in the closed position, and a sclerosing agent is adapted to be delivered to tissue via the lumen and an outlet bore formed in the first arm. Such technique facilitates treatment of the underlying bleeding using a combination of mechanical and sclerotherapy approaches.
Claims (23)
1. A clip device for use in endoscopic medical procedures comprising:
a clip having a plurality of arms each having a proximal end and a distal end, wherein the proximal end of each of the arms is joined to a first retainer and extends distally therefrom, wherein each of the arms are spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position;
at least one lumen disposed within at least a first of the plurality of arms, wherein the lumen spans from the proximal end to the distal end of the first arm; and at least one outlet bore formed in the distal end of the first arm, wherein the distal ends of the plurality of arms are adapted to engage tissue in the closed position, and wherein a sclerosing agent is adapted to be delivered to the tissue via the lumen and the outlet bore in the first arm.
a clip having a plurality of arms each having a proximal end and a distal end, wherein the proximal end of each of the arms is joined to a first retainer and extends distally therefrom, wherein each of the arms are spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position;
at least one lumen disposed within at least a first of the plurality of arms, wherein the lumen spans from the proximal end to the distal end of the first arm; and at least one outlet bore formed in the distal end of the first arm, wherein the distal ends of the plurality of arms are adapted to engage tissue in the closed position, and wherein a sclerosing agent is adapted to be delivered to the tissue via the lumen and the outlet bore in the first arm.
2. The clip device of claim 1 wherein each of the plurality of arms comprises at least one lumen formed therein that spans from the proximal end to the distal end of each respective arm.
3. The clip device of claim 1 wherein the distal ends of the plurality of arms are bent radially inward to facilitate grasping of the tissue.
4. The clip device of claim 1 wherein the distal ends of each of the plurality of arms are beveled to form a sharpened tip.
5. The clip device of claim 1 wherein the first retainer comprises a lumen formed therein, the lumen of the first retainer being in fluid communication with the lumen disposed within the first of the plurality of arms.
6. The clip device of claim 5 further comprising a second retainer adapted to be coupled to the first retainer, wherein the first retainer is configured to be coupled to the second retainer prior to deployment of the clip, and wherein the first retainer is configured to be disengaged from the second retainer after the clip is deployed.
7. The clip device of claim 6 wherein the second retainer comprises at least one lumen formed therein, wherein the lumen of the second retainer is adapted to be placed in fluid communication with the lumen of the first retainer when the second retainer is coupled to the first retainer.
8. The clip device of claim 7 wherein the second retainer comprises proximal and distal regions, wherein an outer diameter of the distal region is smaller than an outer diameter of the proximal region, and wherein the distal region is adapted to be disposed within the lumen of the first retainer.
9. The clip device of claim 8 further comprising:
internal threading disposed in the lumen of the first retainer; and external threading disposed on the distal region of the second retainer and configured to engage the internal threading, wherein rotation of the second retainer causes the external threading to disengage from the internal threading.
internal threading disposed in the lumen of the first retainer; and external threading disposed on the distal region of the second retainer and configured to engage the internal threading, wherein rotation of the second retainer causes the external threading to disengage from the internal threading.
10. A method for causing hemostasis, the method comprising the steps of delivering a clip comprising a plurality of arms each having a proximal end and a distal end, wherein at least one lumen is disposed within at least a first arm of the plurality of arms, wherein the lumen spans from the proximal end to the distal end of the first arm;
deploying the clip to cause the distal ends of each of the plurality of arms to engage tissue; and delivering a sclerosing agent to a tissue site via the lumen of the first arm and an outlet bore formed in the distal end of the first arm.
deploying the clip to cause the distal ends of each of the plurality of arms to engage tissue; and delivering a sclerosing agent to a tissue site via the lumen of the first arm and an outlet bore formed in the distal end of the first arm.
11. The method of claim 10 further comprising the step of providing each of the arms having a resilient material and shaped so that the distal ends tend to be spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position.
12. The method of claim 10 further comprising the step of providing a sharpened tip on the distal ends of the plurality of arms to facilitate engagement of the tissue.
13. The method of claim 10 further comprising:
providing a first retainer comprising a lumen formed therein, the lumen of the first retainer being in fluid communication with the lumen of the first arm of the plurality of arms;
and providing a second retainer adapted to be coupled to the first retainer, wherein the first retainer is configured to be coupled to the second retainer prior to deployment of the clip, and wherein the first retainer is configured to be disengaged from the second retainer after the clip is deployed.
providing a first retainer comprising a lumen formed therein, the lumen of the first retainer being in fluid communication with the lumen of the first arm of the plurality of arms;
and providing a second retainer adapted to be coupled to the first retainer, wherein the first retainer is configured to be coupled to the second retainer prior to deployment of the clip, and wherein the first retainer is configured to be disengaged from the second retainer after the clip is deployed.
14. The method of claim 13 wherein the second retainer comprises at least one lumen formed therein, the method further comprising placing the lumen of the second retainer in fluid communication with the lumen of the first retainer when the second retainer is coupled to the first retainer.
15. The method of claim 14 further comprising aspirating a remaining portion of the sclerosing agent from the lumen of the second retainer and the lumen of the first retainer, after the step of delivering the sclerosing agent to the tissue site and prior to the step of disengaging the first and second retainers.
16. The method of claim 14 further comprising:
providing internal threading disposed in the lumen of the first retainer, and further providing external threading disposed on a distal region of the second retainer and configured to engage the internal threading of the first retainer in a delivery state;
and rotating the second retainer to cause the external threading to disengage from the internal threading.
providing internal threading disposed in the lumen of the first retainer, and further providing external threading disposed on a distal region of the second retainer and configured to engage the internal threading of the first retainer in a delivery state;
and rotating the second retainer to cause the external threading to disengage from the internal threading.
17. A clip device for use in endoscopic medical procedures comprising:
a clip having a plurality of arms each having a proximal end and a distal end, wherein the proximal end of each of the arms is joined to a first retainer and extends distally therefrom;
a lumen disposed within at least a first of the plurality of arms, wherein the lumen spans from the proximal end to the distal end of the first arm; and a second retainer adapted to be coupled to the first retainer prior to deployment of the clip, wherein the second retainer is configured to be disengaged from the first retainer after the clip is deployed, wherein the first retainer and the second retainer each comprise a lumen formed therein, the lumens of the first and second retainers being in fluid communication with the lumen disposed within the first arm for delivering a sclerosing agent to a tissue site after the first arm engages the tissue site.
a clip having a plurality of arms each having a proximal end and a distal end, wherein the proximal end of each of the arms is joined to a first retainer and extends distally therefrom;
a lumen disposed within at least a first of the plurality of arms, wherein the lumen spans from the proximal end to the distal end of the first arm; and a second retainer adapted to be coupled to the first retainer prior to deployment of the clip, wherein the second retainer is configured to be disengaged from the first retainer after the clip is deployed, wherein the first retainer and the second retainer each comprise a lumen formed therein, the lumens of the first and second retainers being in fluid communication with the lumen disposed within the first arm for delivering a sclerosing agent to a tissue site after the first arm engages the tissue site.
18. The clip device of claim 17 wherein each of the arms are formed of a resilient material and shaped so that the distal ends tend to be spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position.
19. The clip device of claim 17 wherein each of the plurality of arms comprises a lumen formed therein that spans from the proximal end to the distal end of each respective arm.
20. The clip device of claim 17 wherein the distal ends of the plurality of arms are bent radially inward to facilitate grasping of the tissue site.
21. The clip device of claim 17 wherein the distal ends of each of the plurality of arms are beveled to form a sharpened tip.
22. The clip device of claim 17 wherein the second retainer comprises proximal and distal regions, wherein an outer diameter of the distal region is smaller than an outer diameter of the proximal region, wherein the distal region is adapted to be disposed within the lumen of the first retainer.
23. The clip device of claim 22 further comprising:
internal threading disposed in the lumen of the first retainer; and external threading disposed on the distal region of the second retainer and configured to engage the internal threading, wherein rotation of the second retainer causes the external threading to disengage from the internal threading.
internal threading disposed in the lumen of the first retainer; and external threading disposed on the distal region of the second retainer and configured to engage the internal threading, wherein rotation of the second retainer causes the external threading to disengage from the internal threading.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US87299406P | 2006-12-05 | 2006-12-05 | |
US60/872,994 | 2006-12-05 | ||
PCT/US2007/085698 WO2008070486A2 (en) | 2006-12-05 | 2007-11-28 | Combination therapy hemostatic clip |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2671433A1 true CA2671433A1 (en) | 2008-06-12 |
CA2671433C CA2671433C (en) | 2012-02-07 |
Family
ID=39361353
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2671433A Active CA2671433C (en) | 2006-12-05 | 2007-11-28 | Combination therapy hemostatic clip |
Country Status (6)
Country | Link |
---|---|
US (1) | US8152822B2 (en) |
EP (1) | EP2101653B1 (en) |
JP (1) | JP5244816B2 (en) |
AU (1) | AU2007329614B2 (en) |
CA (1) | CA2671433C (en) |
WO (1) | WO2008070486A2 (en) |
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-
2007
- 2007-11-28 CA CA2671433A patent/CA2671433C/en active Active
- 2007-11-28 EP EP07871600.8A patent/EP2101653B1/en active Active
- 2007-11-28 US US12/517,461 patent/US8152822B2/en active Active
- 2007-11-28 JP JP2009540388A patent/JP5244816B2/en active Active
- 2007-11-28 AU AU2007329614A patent/AU2007329614B2/en active Active
- 2007-11-28 WO PCT/US2007/085698 patent/WO2008070486A2/en active Application Filing
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JP2010511483A (en) | 2010-04-15 |
US8152822B2 (en) | 2012-04-10 |
WO2008070486A2 (en) | 2008-06-12 |
JP5244816B2 (en) | 2013-07-24 |
AU2007329614A1 (en) | 2008-06-12 |
EP2101653A2 (en) | 2009-09-23 |
AU2007329614B2 (en) | 2013-03-14 |
EP2101653B1 (en) | 2016-02-17 |
CA2671433C (en) | 2012-02-07 |
WO2008070486A3 (en) | 2008-07-31 |
US20100016873A1 (en) | 2010-01-21 |
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