APPARATUS FOR FASTENING TISSUE AND OCCLUDING TUBULAR BODY STRUCTURES

    公开(公告)号:US20210346027A9

    公开(公告)日:2021-11-11

    申请号:US16382944

    申请日:2019-04-12

    摘要: Apparatus and methods for occluding hollow body structures, such as blood vessels, and for attaching tissue layers together by providing implantable elements on opposite sides of the structure or tissue layers and drawing the implants together to occlude the body structure and/or bring the tissue layers together. The implants are deliverable in a low-profile configuration and self-expand to an enlarged configuration. The implantable elements are delivered by transfixing the body structure, then releasing the implants on opposite sides of the body structure and drawing the implants together to effect an occlusion or attachment. The implants are configured to apply oppositely directed forces to opposite surfaces of the tissue layers at alternate, circumferentially spaced locations and may constrain the tissue in a serpentine pattern or in a direct clamping pattern. The implants grip the tissue in a manner that defines a pressure zone about the transfixion aperture that prevents leakage from the aperture. The implants have a low profile in that they have a relatively short axial dimension relative to their deployed diameter.

    METHOD AND APPARATUS FOR OCCLUDING A BLOOD VESSEL AND/OR FOR OCCLUDING OTHER TUBULAR STRUCTURES AND/OR FOR CLOSING OPENINGS IN STRUCTURES AND/OR FOR SECURING AT LEAST TWO OBJECTS TOGETHER
    19.
    发明申请
    METHOD AND APPARATUS FOR OCCLUDING A BLOOD VESSEL AND/OR FOR OCCLUDING OTHER TUBULAR STRUCTURES AND/OR FOR CLOSING OPENINGS IN STRUCTURES AND/OR FOR SECURING AT LEAST TWO OBJECTS TOGETHER 审中-公开
    用于监测血管和/或用于阻止其他管状结构和/或关闭结构中的开口和/或用于保护至少两个对象的方法和装置

    公开(公告)号:US20140243857A1

    公开(公告)日:2014-08-28

    申请号:US14272304

    申请日:2014-05-07

    IPC分类号: A61B17/122 A61B17/128

    摘要: Apparatus for occluding a space between a first structure and a second structure, said apparatus comprising: an occluder, said occluder comprising a distal implant and a proximal implant, wherein: said distal implant comprises a body and a locking shaft mounted to said body, wherein said body of said distal implant comprises a plurality of legs which may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition against the first structure, and further wherein said locking shaft comprises a first locking element for selective connection to said proximal implant and a second locking element for selective connection to an inserter for deploying said occluder; and said proximal implant comprises a body having an opening, wherein said body of said proximal implant comprises a plurality of legs which may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition against the second structure, and further wherein said body of said proximal implant comprises a third locking element for selective connection to said first locking element of said distal implant; wherein said locking shaft of said distal implant is slidably receivable within said opening in said body of said proximal implant, and further wherein said first locking element of said distal implant and said third locking element of said proximal implant are selectively engagable with one another so as to hold said distal implant and said proximal implant in fixed position relative to one another.

    摘要翻译: 用于封闭第一结构和第二结构之间的空间的装置,所述装置包括:闭塞器,所述封堵器包括远侧植入物和近端植入物,其中:所述远端植入物包括主体和安装到所述主体的锁定轴,其中 所述远侧植入物的所述主体包括多个腿部,其可以采取(i)径向减小的构造以配置在管腔内,以及(ii)径向扩张构型,用于配置抵抗第一结构,并且其中 所述锁定轴包括用于选择性地连接到所述近端植入物的第一锁定元件和用于选择性地连接到用于展开所述封堵器的插入器的第二锁定元件; 并且所述近端植入物包括具有开口的主体,其中所述近端植入物的所述主体包括多个腿部,所述腿部可以采取(i)径向减小的构型以配置在管腔内,以及(ii)直径 - 扩展配置,用于处置第二结构,并且其中所述近端植入物的所述主体包括用于选择性地连接到所述远端植入物的所述第一锁定元件的第三锁定元件; 其中所述远端植入物的所述锁定轴可滑动地容纳在所述近端植入体的所述主体内的所述开口内,并且其中所述远端植入物的所述第一锁定元件和所述近端植入件的所述第三锁定元件可选择性地彼此接合, 以将所述远端植入物和所述近端植入物相对于彼此保持固定的位置。