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Patent foramen ovale closure system

a technology of patent foramen and closure system, which is applied in the field of body lumens or cavities, can solve the problems of compromising the normal flow of blood and and reducing the efficiency of the patient's heart, so as to achieve the effect of improving the delivery and positioning system and reducing the risk of recurrent strok

Inactive Publication Date: 2010-09-16
EV3 ENDOVASCULAR
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

"The present invention provides a closure device for closing a patent foramen ovale that is minimally invasive and can be easily positioned and secured in place. The closure device has a generally elongate configuration and a clip configuration, and can be releasably engaged with a delivery device. The closure device can be self-expanding and may be positioned at the patent foramen ovale using a delivery catheter. The closure device is designed to securely close the patent foramen ovale and prevent complications such as blood clots."

Problems solved by technology

Embolic stroke is the nation's third leading killer for adults, and is a major cause of disability.
However, the risk of recurrent stroke is higher in patients whose strokes are caused by a patent foramen ovale.
Pharmacological therapies for stroke prevention such as oral or systemic administration of warfarin or the like have been inadequate due to serious side effects of the medications and lack of patient compliance in taking the medication.
Blood can flow directly between these two atria, compromising the normal flow of blood and efficiency of the patient's heart.
For example, with a patent foramen ovale, blood is shunted from the left atrium of the heart to the right, producing an over-load of the right heart.
The ill effects of these defects usually cause added strain on the heart with ultimate failure if not corrected.
Although these devices have been known to effectively close other septal defects, there are few closure devices which have been developed specifically for closing patent foramen ovale.
Although these devices have been effective in some cases, there is still much room for improvement.

Method used

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Examples

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##orn embodiments

[0165]Umbrella and Acorn Embodiments

[0166]Referring to FIGS. 33-34, alternate structures of a closure device in accordance with the present invention are illustrated. The closure device 600 comprises an occluding member 602 comprising a frame 604 and a barrier 606. In the illustrated embodiment the frame 604 comprises a plurality of radially outwardly extending spokes 608 each having a length within the range of from about 1 cm to 6 cm. The device has a proximal end 610 and a distal end 612 corresponding to a proximal hub 614 and a distal hub 616. A central hub 618 is also preferably provided between the proximal hub 614 and distal hub 616. The frame 604 and barrier 606 form a proximal segment 620 and a distal segment 622. The designation proximal or distal is not intended to indicate any particular anatomical orientation or deployment orientation within the deployment catheter. Proximal and distal segments 620, 622 are baskets which secure the septum primum 116 and septum secundum ...

first embodiment

[0184]With reference to FIGS. 47 and 48, alternative embodiments are shown. In these embodiments, the patent foramen ovale is simply held together by positioning a device 900, 950 to hold the septum primum 116 and septum secundum 118 together. In a first embodiment, the device 900 comprises a proximal end 906 and a distal end 908, having a proximal anchor 910 and a distal anchor 912. Alternatively, a device 950 comprises a proximal end 956 and a distal end 958. The device has a screw-like configuration and comprises a coiled wire or threaded screw 960. The proximal end 906, 956 is preferably positioned in the right atrium, while the distal end 908, 958 is positioned in the left atrium. The device 900, 950 includes a detachment zone 914, 964. The device may also be provided with a sleeve, as has been discussed with previous embodiments.

[0185]Preferably, the device 900, 950 is formed of a metal such as stainless steel, Nitinol, Elgiloy, or others which can be determined through routin...

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PUM

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Abstract

A patent foramen ovale closure device, method of delivering and a delivery system are provided. The device may include a closure device releasably connectable to an actuator. The device may include a proximal segment, an intermediate segment and a distal segment. When delivered, the proximal segment and intermediate segment form a first clip-shaped portion sized and configured to be positioned over a septum secundum of the patent foramen ovale, and the intermediate segment and distal segment form a second clip-shaped portion sized and configured to be positioned over a septum primum of the patent foramen ovale.

Description

CROSS-REFERENCE TO RELATED APPLICATION[0001]This application is a Continuation of co-pending U.S. patent application Ser. No. 10 / 771,845, filed on Feb. 4, 2004, which claims the benefit of U.S. Provisional Application No. 60 / 445,088, filed Feb. 4, 2003, the entirety of which is hereby incorporated by reference.BACKGROUND OF THE INVENTION[0002]1. Field of the Invention[0003]Embodiments of the present invention relate to methods and devices for closing a body lumen or cavity and, in particular, for closing a patent foramen ovale.[0004]2. Description of the Related Art[0005]Embolic stroke is the nation's third leading killer for adults, and is a major cause of disability. There are over 700,000 strokes per year in the United States alone. Of these, roughly 100,000 are hemorrhagic, and 600,000 are ischemic (either due to vessel narrowing or to embolism). About 50,000 of the ischemic strokes are believed to be caused by a patent foramen ovale. However, the risk of recurrent stroke is hig...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/08A61B17/00A61B17/064A61B17/12
CPCA61B17/00491A61B2017/0649A61B17/064A61B17/12113A61B17/12122A61B17/12172A61B17/1219A61B2017/00243A61B2017/00557A61B2017/00575A61B2017/00579A61B2017/00592A61B2017/00606A61B2017/00619A61B2017/00623A61B17/0057
Inventor FRAZIER, ANDREW G.C.KLENK, ALAN R.KHAIRKHAHAN, ALEXANDER K.ROUE, CHAD C.VAN DER BURG, ERIK J.
Owner EV3 ENDOVASCULAR
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