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Method and apparatus for patching a tissue opening

Assignee: Boston Scientific Scimed Inc
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Filing: 1999-11-22
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Granted: 2002-07-16
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Expires: 2019-11-22
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Abstract

Abstract Disclosed is a closure catheter, for patching a tissue opening such as an atrial septal defect, patent foreman ovale, or the left atrial appendage of the heart. The closure catheter carries a deployable patch and a plurality of tissue anchors, which may be deployed to secure the patch to surrounding tissue. Methods are also disclosed.

Inventors

  • 👤 Andrew G. C. Frazier
  • 👤 Michael D. Lesh
  • 👤 Chad C. Roue
  • 👤 Erik J. van der Burg

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 16:00
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/0057; A61B17/00234; A61B17/04; A61B17/0401; A61B17/064; A61B17/0644; A61B17/12; A61B17/12022; A61B17/12099; A61B17/12122; A61B2017/00238; A61B2017/00243; A61B2017/00292; A61B2017/00575; A61B2017/00579; A61B2017/00632; A61B2017/00646; A61B2017/00668; A61B2017/0409; A61B2017/0412; A61B2017/0414; A61B2017/0417; A61B2017/042; A61B2017/0427; A61B2017/0437; A61B2017/0445; A61B2017/0446; A61B2017/0454; A61B2017/0458; A61B2017/0464; A61B17/0469; A61B2017/0472; A61B2017/0477; A61B2017/048; A61B17/0487; A61B2017/0488; A61B2017/0645; A61B2017/0647; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2427; A61F2/2478; A61F2/2487; Y; Y10; Y10S; Y10S606/00; Y10S606/907

Claims Analysis

Total Claims: 28
Claim 1
Independent Claim 73 words
A method of patching an atrial septal defect, comprising the steps of: providing a catheter having an elongate, flexible body with a proximal end and a distal end, a patch and at least two anchors removably carried by the distal end; advancing the distal end to a position near the atrial septal defect; positioning the patch across the defect; and deploying the anchors from the catheter to secure the patch across the defect.
Claim 2
Independent Claim 73 words
A method of patching an atrial septal defect, comprising the steps of: providing a catheter having an elongate, flexible body with a proximal end and a distal end, a patch and at least two anchors removably carried by the distal end; advancing the distal end to a position near the atrial septal defect; positioning the patch across the defect; and deploying the anchors from the catheter to secure the patch across the defect.
Claim 3
Dependent Claim 41 words
A method of patching an atrial septal defect as in claim 1 , wherein the positioning step comprises enlarging the cross section of the patch from a reduced profile for advancing the catheter to an enlarged profile for patching the defect.
Claim 4
Dependent Claim 39 words
A method of patching an atrial septal defect as in claim 1 , wherein the positioning step comprises inclining at least one patch support from an axial orientation to an inclined orientation to position the patch across the defect.
Claim 5
Dependent Claim 39 words
A method of patching an atrial septal defect as in claim 3 , wherein the positioning step comprises inclining at least three patch supports from an axial orientation to an inclined orientation to position the patch across the defect.
Claim 6
Dependent Claim 40 words
A method of patching an atrial septal defect as in claim 3 , wherein the deploying the anchors step comprises advancing the anchors distally through the patch and into tissue adjacent the defect to secure the patch across the defect.
Claim 7
Independent Claim 72 words
A method of closing an opening in a subcutaneous tissue plane, comprising the steps of: providing a catheter having a longitudinal axis, a patch and at least one anchor thereon; advancing the catheter to the opening; positioning the patch across the opening such that the patch is approximately parallel to the tissue plane and transverse to the longitudinal axis; and advancing the anchor into tissue to secure the patch across the opening.
Claim 8
Independent Claim 72 words
A method of closing an opening in a subcutaneous tissue plane, comprising the steps of: providing a catheter having a longitudinal axis, a patch and at least one anchor thereon; advancing the catheter to the opening; positioning the patch across the opening such that the patch is approximately parallel to the tissue plane and transverse to the longitudinal axis; and advancing the anchor into tissue to secure the patch across the opening.
Claim 9
Dependent Claim 33 words
A method of closing an opening in a subcutaneous tissue plane as in claim 6 , wherein the advancing the anchor step comprises advancing the anchor through the patch and into the tissue.
Claim 10
Dependent Claim 38 words
A method of closing an opening in a subcutaneous tissue plane as in claim 6 , wherein the advancing the anchor step comprises advancing at least three anchors into the tissue to secure the patch across the opening.
Claim 11
Dependent Claim 24 words
A method of closing an opening in a subcutaneous tissue plane as in claim 6 , wherein the opening is a naturally occurring opening.
Claim 12
Dependent Claim 24 words
A method of closing an opening in a subcutaneous tissue plane as in claim 9 , wherein the opening is an atrial septal defect.
Claim 13
Dependent Claim 24 words
A method of closing an opening in a subcutaneous tissue plane as in claim 6 , wherein the opening is a surgically created opening.
Claim 14
Dependent Claim 39 words
A method of closing an opening in a subcutaneous tissue plane as in claim 6 , further comprising the step of unfolding the patch from a reduced configuration to an enlarged configuration prior to the advancing the anchor step.
Claim 15
Dependent Claim 52 words
A deployment catheter for deploying a patch across a tissue aperture, comprising: an elongate body, having a proximal end and a distal end; at least one patch support for removably carrying a patch; and at least one anchor support hingeably connected to the patch support for removably carrying at least one anchor.
Claim 16
Dependent Claim 52 words
A deployment catheter for deploying a patch across a tissue aperture, comprising: an elongate body, having a proximal end and a distal end; at least one patch support for removably carrying a patch; and at least one anchor support hingeably connected to the patch support for removably carrying at least one anchor.
Claim 17
Dependent Claim 31 words
A deployment catheter as in claim 13 , wherein the anchor support is movable between an axial orientation and an inclined orientation with respect to a longitudinal axis of the body.
Claim 18
Dependent Claim 19 words
A deployment catheter as in claim 14 , wherein the anchor support is hingably connected to the patch support.
Claim 19
Dependent Claim 20 words
A deployment catheter as in claim 15 , comprising at least four anchor supports and at least four patch supports.
Claim 20
Dependent Claim 40 words
A deployment catheter as in claim 14 , further comprising a control on the proximal end of the body, wherein the anchor support is movable from the axial orientation to the inclined orientation in response to manipulation of the control.
Claim 21
Dependent Claim 106 words
A patch deployment catheter for deploying a patch across an opening, comprising: an elongate body, having a proximal end and a distal end; at least two supports on the catheter, movable between an axial orientation and an inclined orientation, each support comprising a proximal section, a distal section, and a hinge in between; and a control on the catheter for moving the hinge radially outwardly from a first position for introducing the catheter to a site in the body to a second position for deploying the patch at the site; wherein the supports are in the axial orientation when the hinge is in the first position.
Claim 22
Dependent Claim 106 words
A patch deployment catheter for deploying a patch across an opening, comprising: an elongate body, having a proximal end and a distal end; at least two supports on the catheter, movable between an axial orientation and an inclined orientation, each support comprising a proximal section, a distal section, and a hinge in between; and a control on the catheter for moving the hinge radially outwardly from a first position for introducing the catheter to a site in the body to a second position for deploying the patch at the site; wherein the supports are in the axial orientation when the hinge is in the first position.
Claim 23
Dependent Claim 14 words
A patch deployment catheter as in claim 18 , wherein the body is flexible.
Claim 24
Dependent Claim 24 words
A patch deployment catheter as in claim 18 , further comprising at least one tissue anchor carried by the proximal section of each support.
Claim 25
Dependent Claim 23 words
A patch deployment catheter as in claim 18 , further comprising at least one patch carried by the distal section of each support.
Claim 26
Dependent Claim 17 words
A patch deployment catheter as in claim 21 , comprising a tissue ingrowth surface on the patch.
Claim 27
Dependent Claim 27 words
A patch deployment catheter as in claim 20 , wherein the proximal section comprises a tube and the tissue anchor is removably carried inside of the tube.
Claim 28
Dependent Claim 39 words
A patch deployment catheter as in claim 23 , further comprising a deployment actuator extending throughout the length of the catheter, and the tissue anchor is advanced distally out of tube in response to axial movement of the actuator.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2005-07-15 2006-01-14 2006-07-16 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2009-07-15 2010-01-14 2010-07-16 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2013-07-15 2014-01-14 2014-07-16 $7700.00 Window Closed / Lapsed

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