CA2554224A1 - An endoluminal surgical delivery system - Google Patents

An endoluminal surgical delivery system Download PDF

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Publication number
CA2554224A1
CA2554224A1 CA002554224A CA2554224A CA2554224A1 CA 2554224 A1 CA2554224 A1 CA 2554224A1 CA 002554224 A CA002554224 A CA 002554224A CA 2554224 A CA2554224 A CA 2554224A CA 2554224 A1 CA2554224 A1 CA 2554224A1
Authority
CA
Canada
Prior art keywords
artery
conduit
delivery conduit
elongate element
staple
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
CA002554224A
Other languages
French (fr)
Other versions
CA2554224C (en
Inventor
Anthony Jones
Duncan Keeble
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.)
Anson Medical Ltd
Original Assignee
Anson Medical Limited
Anthony Jones
Duncan Keeble
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 Anson Medical Limited, Anthony Jones, Duncan Keeble filed Critical Anson Medical Limited
Publication of CA2554224A1 publication Critical patent/CA2554224A1/en
Application granted granted Critical
Publication of CA2554224C publication Critical patent/CA2554224C/en
Expired - Fee Related 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
    • 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
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • 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
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/12036—Type of occlusion partial occlusion
    • 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
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/1204—Type of occlusion temporary occlusion
    • 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
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • 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
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts

Abstract

A system (1) for delivering a staple (9) to the locus of an artery (2) comprises a delivery conduit (5) for inserting into the lumen of an artery through which conduit a staple can be delivered to the focus, and an elongate element (6) such as a catheter for a balloon (7) for translating axial advancement of the delivery conduit through the artery into movement of the distal end of the delivery conduit away from the longitudinal axis of the artery and towards the artery wall.

Claims (20)

1. A system for delivering a staple to a locus of an artery, comprising a delivery conduit for inserting into the lumen of an artery through which conduit a staple can be delivered to the locus, and means for translating axial advancement of the delivery conduit through the artery into movement of the distal end of the delivery conduit away from the longitudinal axis of the artery and towards the artery wall.
2. A system as claimed in claim 1, wherein said means for translating comprises an elongate element for inserting into said artery and means for coupling the elongate element and the delivery conduit in situ, the elongate element being stiffer than at least the distal end of the delivery conduit.
3. A system as claimed in claim 2, wherein the elongate element is a guide wire or a catheter threaded on a guide wire.
4. A system as claimed in claim 2 or 3, wherein the means for coupling comprises an integral link between the elongate element and the delivery conduit.
5. A system as claimed in claim 4, wherein the elongate element, the delivery conduit and the link are formed from the same material.
6. A system as claimed in claim 2 or 3, wherein the means for coupling comprises a tie for tying the elongate element and the delivery conduit together.
7. A system as claimed in claim 6, wherein the tie is in the form of a figure-of-eight lashing.
8. A system as claimed in claim 6 or 7, wherein the elongate element has apertures therein through which the tie is threaded.
9. A system as claimed in any of claims 6 to 8, wherein the tie is attached to the delivery conduit and/or the elongate element by means of adhesive, a crimp, a heat-shrink sleeve, or any combination thereof.
10. A system as claimed in any preceding claim, wherein the delivery conduit has an inner conduit through which a staple may be advanced to deliver it to the locus.
11. A system as claimed in any of claims 2 to 10, additionally comprising means for immobilising the elongate element in the lumen of the artery.
12. A system as claimed in claim 11, wherein the means for immobilising comprises an inflatable balloon.
13. A system as claimed in claim 12, wherein the elongate element is a catheter for the inflatable balloon mounted on a guide wire.
14. A system as claimed in claim 12 or 13, wherein the balloon is arranged so that, in use, inflation of the balloon assists movement of the distal end of the delivery conduit away from the longitudinal axis of the artery and towards the artery wall.
15. A system as claimed in any of claims 12 to 14, wherein the balloon is adapted so that, when inflated in situ, it does not fully occlude the lumen of the artery, but rather allows blood to flow past the balloon.
16. A system as claimed in any preceding claim, additionally comprising a sheath in which the other components of the system can be stored.
17. A method for delivering a staple to a locus of an artery, comprising carrying out the following the steps in any convenient order:
(i) loading a staple into a delivery conduit, (ii) inserting the conduit into the lumen of an artery, together with means for translating axial advancement of the delivery conduit through the artery into movement of the distal end of the delivery conduit away from the longitudinal axis of the artery and towards the artery wall, (iii) positioning the distal end of the conduit near the locus, (iv) advancing the conduit through the artery relative to said means for translating movement in order to move the distal end of the conduit away from the longitudinal axis of the artery and towards the artery wall, and (v) ejecting the staple from the conduit at the locus.
18. A method as claimed in claim 17, wherein the means for translating is as defined in any of claims 2 to 9.
19. A method as claimed in claim 17 or 18, wherein a means for immobilising as claimed in any of claims 11 to 15 is employed prior to ejection of the staple.
20. A method as claimed in any of claims 17 to 19, wherein the staple is ejected when the distal end of the conduit makes an angle from 45° to 90° with the longitudinal axis of the artery.
CA2554224A 2004-02-09 2005-02-09 An endoluminal surgical delivery system Expired - Fee Related CA2554224C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB0402796.7 2004-02-09
GBGB0402796.7A GB0402796D0 (en) 2004-02-09 2004-02-09 An endoluminal surgical delivery system
PCT/GB2005/000437 WO2005077280A1 (en) 2004-02-09 2005-02-09 An endoluminal surgical delivery system

Publications (2)

Publication Number Publication Date
CA2554224A1 true CA2554224A1 (en) 2005-08-25
CA2554224C CA2554224C (en) 2012-12-04

Family

ID=31985892

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2554224A Expired - Fee Related CA2554224C (en) 2004-02-09 2005-02-09 An endoluminal surgical delivery system

Country Status (13)

Country Link
US (1) US9265505B2 (en)
EP (1) EP1715794B1 (en)
JP (1) JP4850719B2 (en)
KR (1) KR101176154B1 (en)
CN (1) CN100579473C (en)
AU (1) AU2005211985B2 (en)
BR (1) BRPI0507513A (en)
CA (1) CA2554224C (en)
ES (1) ES2445617T3 (en)
GB (1) GB0402796D0 (en)
NZ (1) NZ548687A (en)
RU (1) RU2370224C2 (en)
WO (1) WO2005077280A1 (en)

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US7954688B2 (en) * 2008-08-22 2011-06-07 Medtronic, Inc. Endovascular stapling apparatus and methods of use
WO2011049261A1 (en) * 2009-10-23 2011-04-28 (주)세원메디텍 Balloon used to make a space within the human body
US8657844B2 (en) * 2010-05-14 2014-02-25 Bm Korea Co., Ltd Medical expanding apparatus
US20130066308A1 (en) * 2011-08-31 2013-03-14 Jaime Landman Ablation-based therapy for bladder pathologies
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WO2021053462A1 (en) * 2019-09-21 2021-03-25 Abhijit Chandra An external endoluminal fixator device

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Also Published As

Publication number Publication date
RU2370224C2 (en) 2009-10-20
RU2006128429A (en) 2008-03-20
CA2554224C (en) 2012-12-04
EP1715794A1 (en) 2006-11-02
AU2005211985A1 (en) 2005-08-25
ES2445617T3 (en) 2014-03-04
KR101176154B1 (en) 2012-08-22
CN1917819A (en) 2007-02-21
GB0402796D0 (en) 2004-03-10
BRPI0507513A (en) 2007-07-03
AU2005211985B2 (en) 2011-03-17
NZ548687A (en) 2010-05-28
JP4850719B2 (en) 2012-01-11
KR20070008581A (en) 2007-01-17
US9265505B2 (en) 2016-02-23
US20070162053A1 (en) 2007-07-12
JP2007521873A (en) 2007-08-09
WO2005077280A1 (en) 2005-08-25
CN100579473C (en) 2010-01-13
EP1715794B1 (en) 2013-11-13

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Effective date: 20140211