WO2002094108A3 - A flexible device for transfixing and joining tissue - Google Patents

A flexible device for transfixing and joining tissue Download PDF

Info

Publication number
WO2002094108A3
WO2002094108A3 PCT/GB2002/002168 GB0202168W WO02094108A3 WO 2002094108 A3 WO2002094108 A3 WO 2002094108A3 GB 0202168 W GB0202168 W GB 0202168W WO 02094108 A3 WO02094108 A3 WO 02094108A3
Authority
WO
WIPO (PCT)
Prior art keywords
tag
needle
region
hollow region
transfixing
Prior art date
Application number
PCT/GB2002/002168
Other languages
French (fr)
Other versions
WO2002094108A2 (en
Inventor
Christopher Paul Swain
Charles Alexander Mosse
Original Assignee
Univ London
Queen Mary & Westfield College
Christopher Paul Swain
Charles Alexander Mosse
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 claimed from GB0112250A external-priority patent/GB0112250D0/en
Priority claimed from GB0112252A external-priority patent/GB0112252D0/en
Application filed by Univ London, Queen Mary & Westfield College, Christopher Paul Swain, Charles Alexander Mosse filed Critical Univ London
Priority to AU2002257915A priority Critical patent/AU2002257915B2/en
Priority to EP02727717A priority patent/EP1392179B1/en
Priority to JP2002590833A priority patent/JP4255288B2/en
Priority to DE60233789T priority patent/DE60233789D1/en
Priority to CA2447514A priority patent/CA2447514C/en
Priority to AT02727717T priority patent/ATE443476T1/en
Priority to US10/477,762 priority patent/US7879051B2/en
Publication of WO2002094108A2 publication Critical patent/WO2002094108A2/en
Publication of WO2002094108A3 publication Critical patent/WO2002094108A3/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
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/0482—Needle or suture guides
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • 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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06042—Means for attaching suture to needle located close to needle tip
    • 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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1103—Approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1081—Balloon catheters with special features or adapted for special applications having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/109—Balloon catheters with special features or adapted for special applications having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)
  • Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)

Abstract

A surgical device is provided for use in joining a first tissue layer forming a first hollow region and a second tissue layer forming a wall of a second hollow region, to produce an anastomosis. The device comprises a needle capable of passing from the first region to the second region by penetrating the tissue layers, a tag removably carried by the needle, the tag having a trailing portion, and means for separating the tag from the needle after the needle has penetrated both layers, to leave the tag in the second hollow region, but with the trailing portion extending into the first hollow region. Anastomosis forming articles are described which comprise a pair of components for compressing the tissue layers between them.
PCT/GB2002/002168 2001-05-18 2002-05-20 A flexible device for transfixing and joining tissue WO2002094108A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
AU2002257915A AU2002257915B2 (en) 2001-05-18 2002-05-20 A flexible device for transfixing and joining tissue
EP02727717A EP1392179B1 (en) 2001-05-18 2002-05-20 A flexible device for transfixing and joining tissue
JP2002590833A JP4255288B2 (en) 2001-05-18 2002-05-20 Flexible device for puncturing and joining tissue
DE60233789T DE60233789D1 (en) 2001-05-18 2002-05-20 FLEXIBLE DEVICE FOR THREADING AND COMBINING FABRICS
CA2447514A CA2447514C (en) 2001-05-18 2002-05-20 A flexible device for transfixing and joining tissue
AT02727717T ATE443476T1 (en) 2001-05-18 2002-05-20 FLEXIBLE DEVICE FOR PIERCING AND JOINING TISSUE
US10/477,762 US7879051B2 (en) 2001-05-18 2002-05-20 Flexible device for transfixing and joining tissue

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
GB0112250A GB0112250D0 (en) 2001-05-18 2001-05-18 A device for forming an anastomosis
GB0112252A GB0112252D0 (en) 2001-05-18 2001-05-18 A flexible device for transfixing and joining tissue
GB0112252.2 2001-05-18
GB0112250.6 2001-05-18

Publications (2)

Publication Number Publication Date
WO2002094108A2 WO2002094108A2 (en) 2002-11-28
WO2002094108A3 true WO2002094108A3 (en) 2003-03-13

Family

ID=26246097

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2002/002168 WO2002094108A2 (en) 2001-05-18 2002-05-20 A flexible device for transfixing and joining tissue

Country Status (8)

Country Link
US (1) US7879051B2 (en)
EP (1) EP1392179B1 (en)
JP (1) JP4255288B2 (en)
AT (1) ATE443476T1 (en)
AU (1) AU2002257915B2 (en)
CA (1) CA2447514C (en)
DE (1) DE60233789D1 (en)
WO (1) WO2002094108A2 (en)

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Also Published As

Publication number Publication date
JP4255288B2 (en) 2009-04-15
AU2002257915B2 (en) 2007-05-10
CA2447514A1 (en) 2002-11-28
EP1392179B1 (en) 2009-09-23
US7879051B2 (en) 2011-02-01
DE60233789D1 (en) 2009-11-05
ATE443476T1 (en) 2009-10-15
CA2447514C (en) 2010-07-06
EP1392179A2 (en) 2004-03-03
US20040186514A1 (en) 2004-09-23
WO2002094108A2 (en) 2002-11-28
JP2005508206A (en) 2005-03-31

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