Source: http://www.google.es/patents/US8974473
Timestamp: 2017-11-18 04:53:27
Document Index: 649594233

Matched Legal Cases: ['art 82', 'Application No. 00957904', 'Application No. 00957904', 'Application No. 00957904', 'Application No. 00957904', 'Application No. 04794730', 'Application No. 08727155', 'art 2', 'Application No. 2006', 'Application No. 2006', 'art 91', 'application No. 2002', 'art 78', 'art 2', 'art 91', 'art 94', 'Application No. 00957904', 'art 86', 'art 92']

Patente US8974473 - Methods and apparatus for transpericardial left atrial appendage closure - Google Patentes
Methods and apparatus for closing a left atrial appendage are described. The methods rely on introducing a closure tool from a location beneath the rib cage, over an epicardial surface, and to the exterior of the left atrial appendage. The closure device may then be used to close the left atrial appendage,...http://www.google.es/patents/US8974473?utm_source=gb-gplus-sharePatente US8974473 - Methods and apparatus for transpericardial left atrial appendage closure
Número de publicación US8974473 B2
Número de solicitud US 11/944,522
También publicado como US6488689, US7226458, US7318829, US9724105, US20020049457, US20020099390, US20020103492, US20020111637, US20080125795, US20150157330
Número de publicación 11944522, 944522, US 8974473 B2, US 8974473B2, US-B2-8974473, US8974473 B2, US8974473B2
Citas de patentes (475), Otras citas (285), Citada por (2), Clasificaciones (17), Eventos legales (4)
US 8974473 B2
1. A system for closing a left atrial appendage of a heart, said system comprising:
a shaft having an elongated longitudinal body including a proximal end and a distal end, the shaft having at least one lumen therethrough, and wherein the shaft comprises a curve configured to be compatible with the curvature of the heart during epicardial advancement of the shaft toward the left atrial appendage;
a closing element, the closing element including;
a grasping tool configured with a retracted position when not in use and an extended position when in use, the retracted position being where the grasping tool is configured to be inside at least one lumen of the shaft, the extended position being where the grasping tool is configured to be axially and distally advanced from the proximal end of the shaft and outside at least one lumen of the shaft, the grasping tool including one member and another member, the members being movable toward and away from each other, where the grasping tool is configured to temporarily grasp the left atrial appendage when the members are moved toward each other, and
a closure loop configured with a retracted position when not in use and an extended position when in use, the retracted position being where the closure loop is configured to be within at least one lumen of the shaft, the extended position being where the closure loop is configured to be axially and distally advanced from the proximal end of the shaft and outside at least one lumen of the shaft, the closure loop being advanceable over, and distally past, a distal end of the grasping tool when the grasping tool is in the extended position and configured to advance around the left atrial appendage, and the closure loop is configured to be cinched to close the left atrial appendage; and
a handle fixedly attached to the proximal end of the shaft, the handle comprising a first control for manipulating the closure loop and a second control for manipulating the grasping tool, wherein the first and second controls comprise guides movable along an external surface of the handle.
2. The device of claim 1, wherein the shaft includes a plurality of lumens, the closing element is configured to extend through one of the lumens.
3. The device as in claim 1, wherein the shaft is configured to adjust its curvature.
4. The device as in claim 1, wherein the closure loop is configured to permanently close the left atrial appendage.
5. The device as in claim 1, wherein the grasping tool is only a two-member jaw-like construction, the members of the grasping tool being movable toward and away from each other, where the grasping tool is configured to temporarily grasp the left atrial appendage when the two members are moved toward each other.
6. A system for closing a left atrial appendage of a heart, said system comprising:
a shaft having an elongated longitudinal body including a proximal end and a distal end, the shaft having at least one lumen therethrough, and wherein the shaft comprises a curve configured to be compatible with the curvature of the heart during epicardial advancement of the shaft toward the left atrial appendage,
a grasping tool configured with a retracted position when not in use and an extended position when in use, the retracted position being where the grasping tool is configured to be inside at least one lumen of the shaft, the extended position being where the grasping tool is configured to be axially and distally advanced from the proximal end of the shaft and outside at least one lumen of the shaft, the grasping tool including one member and another member, the members being movable toward and away from each other, where the grasping tool is configured to temporarily grasp the left atrial appendage when the members are moved toward each other,
This application is a continuation of application Ser. No. 10/105,978, filed Mar. 25, 2002 now U.S. Pat. No. 7,318,829, which is a division of Ser. No. 10/007,364, filed Nov. 5, 2001 and issued as U.S. Pat. No. 7,226,458, which is a division of Ser. No. 09/315,601, filed May 20, 1999 and issued as U.S. Pat. No. 6,488,689.
FIGS. 3 and 3A are perspective views of an exemplary closure tool useful for performing the methods of the present invention.
FIGS. 6H-6J illustrate a modified closure device for introduction of a balloon expander.
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Clasificación de EE.UU. 606/139, 606/192, 606/205
Clasificación internacional A61B17/128, A61B17/10, A61M29/00, A61B17/12, A61B17/00, A61B17/32, A61B17/122
Clasificación cooperativa A61B17/12, A61B17/1285, A61B2017/00243, A61B2017/320048, A61B17/12013, A61B17/10, A61B17/122