Methods and apparatus to achieve a closure of a layered...

A - Human Necessities – 61 – B

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A61B 17/00 (2006.01) A61B 18/14 (2006.01) A61M 25/00 (2006.01) A61M 25/10 (2006.01)

Patent

CA 2599310

Methods for treating anatomic tissue defects such as a patent foramen ovale generally involve positioning a distal end of a catheter device at the site of the defect, exposing a housing and energy transmission member from the distal end of the catheter, engaging the housing with tissues at the site of the defect, applying suction or other approximating tool to the tissue via the housing to bring the tissue together, and applying energy to the tissue with the energy transmission member or to deliver a clip or fixation device to substantially close the defect. Apparatus generally include a catheter body, a housing extending from a distal end of the catheter body for engaging tissue at the site of the defect, and further adapted to house a fusing or fixation device such as an energy transmission member adjacent a distal end of the housing, or a clip or fixation delivery element.

L'invention concerne des méthodes pour traiter des défauts de tissu anatomique tels que la persistance du foramen ovale. Ces méthodes consistent généralement à placer l'extrémité distale d'un cathéter sur le site du défaut, à mettre à nu un boîtier et un élément transmetteur d'énergie de l'extrémité distale du cathéter, à solidariser le boîtier avec le tissu sur le site du défaut, à appliquer un outil d'aspiration ou de rapprochement sur le tissu via le boîtier pour rassembler le tissu, et à appliquer de l'énergie au tissu au moyen de l'élément transmetteur d'énergie ou à placer une agrafe ou un dispositif de fixation pour pratiquement fermer le défaut. L'invention concerne un appareil comportant en règle générale un corps de cathéter, un boîtier s'étendant à partir de l'extrémité distale du corps de cathéter pour la solidarisation du tissu sur le site du défaut et conçu pour loger un dispositif de fusion ou de fixation tel qu'un élément transmetteur d'énergie de manière adjacente à une extrémité distale du boîtier, ou bien une agrafe ou un élément de placement de fixation.

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