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1. WO2020117920 - ENDOSCOPIC TISSUE APPROXIMATION SYSTEM AND METHODS

Publication Number WO/2020/117920
Publication Date 11.06.2020
International Application No. PCT/US2019/064441
International Filing Date 04.12.2019
IPC
A61B 17/04 2006.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
03for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith
04for suturing wounds; Holders or packages for needles or suture materials
A61B 17/03 2006.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
03for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith
A61B 17/06 2006.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
03for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith
04for suturing wounds; Holders or packages for needles or suture materials
06Needles; Holders or packages for needles or suture materials
CPC
A61B 17/0401
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
04for suturing wounds; Holders or packages for needles or suture materials
0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
A61B 17/0469
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
04for suturing wounds; Holders or packages for needles or suture materials
0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
A61B 2017/00004
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
00004(bio)absorbable, (bio)resorbable, resorptive
A61B 2017/0437
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
04for suturing wounds; Holders or packages for needles or suture materials
0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
0427having anchoring barbs or pins extending outwardly from the anchor body
0437the barbs being resilient or spring-like
A61B 2017/0441
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
04for suturing wounds; Holders or packages for needles or suture materials
0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
044with a threaded shaft, e.g. screws
0441the shaft being a rigid coil or spiral
A61B 2017/0443
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
17Surgical instruments, devices or methods, e.g. tourniquets
04for suturing wounds; Holders or packages for needles or suture materials
0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
044with a threaded shaft, e.g. screws
0443the shaft being resilient and having a coiled or helical shape in the released state
Applicants
  • APOLLO ENDOSURGERY US, INC. [US]/[US]
Inventors
  • MITELBERG, Vladimir
  • NEUDECK, Thomas
  • GILKEY, Ryan
  • AHMAD, Naser
  • GANT, Andrew
  • JONES, Donald, K.
Agents
  • JONES, Donald, K.
  • SZYMCZA, Brian, E.
Priority Data
16/701,27603.12.2019US
62/775,54205.12.2018US
62/928,51631.10.2019US
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) ENDOSCOPIC TISSUE APPROXIMATION SYSTEM AND METHODS
(FR) SYSTÈME ET PROCÉDÉS D'APPROXIMATION DE TISSU ENDOSCOPIQUE
Abstract
(EN)
A deployment system includes a sheath, a torque able shaft having a handle positioned at its proximal end, a detachable helical first suture anchor positioned at the shafts distal end and an elongate suture fixedly coupled to the suture anchor. The deployment system can he positioned at a first tissue, and the shaft rotated to advance the helical first suture anchor into engagement with the first tissue. The shaft is detached from the first suture anchor thereby deploying it at the first tissue location. Then, the deployment system is removed from the patient, and a second suture anchor is coupled to the distal end of the shaft. The deployment system is re-inserted into the patient and the distal end of the system is moved adjacent a second tissue location, and the process is repeated for a second suture anchor at the second tissue location. A suture extends between the first and second fasteners, and tension is applied to the suture to draw the first and second tissues toward each other to reconfigure the tissue.
(FR)
L'invention concerne un système de déploiement comprenant une gaine, un arbre pouvant être couplé ayant une poignée positionnée à son extrémité proximale, un premier ancrage de suture hélicoïdal détachable positionné au niveau de l'extrémité distale de l'arbre et une suture allongée couplée de manière fixe à l'ancre de suture. Le système de déploiement peut être positionné au niveau d’un premier tissu, et l'arbre peut être amené à tourner pour faire avancer le premier ancrage de suture et le mettre en prise avec le premier tissu. L'arbre est détaché du premier ancrage de suture, ce qui le déploie au niveau du premier emplacement de tissu. Ensuite, le système de déploiement est retiré du patient, et un second ancrage de suture est couplé à l'extrémité distale de l'arbre. Le système de déploiement est ré-inséré dans le patient et l'extrémité distale du système est déplacée de manière adjacente à un second emplacement de tissu, et le procédé est répété pour un second ancrage de suture au niveau du second emplacement de tissu. Une suture s’étend entre la première et la seconde attache, et une tension est appliquée à la suture pour étirer le premier et le second tissus l’un vers l’autre afin de reconfigurer le tissu.
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