Apparatus and methods for occluding a hollow anatomical structure

Patent metadata

Field	Value
Publication number	US-10314585-B2
Application number	US-201514691824-A
Country	US
Kind code	B2
Filing date	Apr 21, 2015
Priority date	Jul 14, 2005
Publication date	Jun 11, 2019
Grant date	Jun 11, 2019

Abstract

A clamp having at least first and second elongate clamping portions adapted to be placed on opposite sides of the hollow anatomical structure. The first and second elongate clamping portions respectively include ends coupled together with respective resilient urging members configured to urge at least one of the first and second elongate clamping portions toward the other of the first and second elongate clamping portions from an open position into a clamping position to occlude the hollow anatomical structure. The clamp includes tissue ingrowth structure on the clamping portions.

First claim

What is claimed is:

1. A device for occluding a left atrial appendage of the heart, the device comprising:
first and second elongate clamping elements configured to be placed on opposite, outside surfaces of the left atrial appendage, and
first and second resilient urging members coupled with the first and second elongate clamping elements to form an assembly, the first and second resilient urging members configured to urge at least one of said first and second elongate clamping elements toward the other of said first and second elongate clamping elements from an open position into a clamping position to occlude the appendage, the first and second resilient urging members being generally C-shaped with respective legs of each generally C-shaped urging member overlapping the first and second elongate clamping elements,
the assembly configured to receive the appendage in the open position and occlude the hollow interior of the appendage in the clamping position,
wherein the first and second elongate clamping elements have tissue engaging surfaces for engaging the appendage in the clamping position and promoting tissue ingrowth.

2. The device of claim 1 , wherein each of the first and second resilient urging members includes a pair of receiving portions, and each of the elongate clamping elements includes a pair of projecting portions, each of the receiving portions receiving a projecting portion of one of the first or second elongate clamping elements.

3. The device of claim 2 , wherein the receiving portions and projecting portions are rounded.

4. The device of claim 1 , wherein said first and second resilient urging members normally spring bias at least one of said first and second elongate clamping portions toward the other of said first and second elongate clamping portions when said first and second elongate clamping portions are in the open position.

5. The device of claim 1 , wherein each of the first and second elongate clamping elements includes first and second ends, and the legs of the first generally C-shaped urging member overlap the first ends of the first and second elongate clamping elements and the legs of the second generally C-shaped urging member overlap the second ends of the first and second elongate clamping elements.

6. The device of claim 1 , wherein the first and second elongate clamping elements are formed of nonmetallic material.

7. The device of claim 1 , wherein the tissue engaging surfaces each comprise a surgical grade fabric.

8. A device for occluding a left atrial appendage of the heart, the device comprising:
first and second elongate clamping elements configured to be placed on opposite, outside surfaces of the left atrial appendage, and
first and second resilient urging members coupled with the first and second elongate clamping elements to form an assembly, the first and second resilient urging members configured to urge at least one of said first and second elongate clamping elements toward the other of said first and second elongate clamping elements from an open position into a clamping position to occlude the appendage, the first and second resilient urging members being generally C-shaped,
wherein each of the first and second elongate clamping elements includes first and second ends, and the legs of the first generally C-shaped urging member overlap the first ends of the first and second elongate clamping elements,
the assembly configured to receive the appendage in the open position and occlude the hollow interior of the appendage in the clamping position,
wherein the first and second elongate clamping elements have tissue engaging surfaces for engaging the appendage in the clamping position and promoting tissue ingrowth.

9. The device of claim 8 , wherein each of the first and second resilient urging members includes a pair of receiving portions, and each of the elongate clamping elements includes a pair of projecting portions, each of the receiving portions receiving a projecting portion of one of the first or second elongate clamping elements.

10. The device of claim 9 , wherein the receiving portions and projecting portions are rounded.

11. The device of claim 8 , wherein said first and second resilient urging members normally spring bias at least one of said first and second elongate clamping portions toward the other of said first and second elongate clamping portions when said first and second elongate clamping portions are in the open position.

12. The device of claim 8 , wherein the first and second elongate clamping elements are formed of nonmetallic material.

13. The device of claim 8 , wherein the tissue engaging surfaces each comprise a surgical grade fabric.

Assignees

• Idx Medical Ltd
• Cleveland Clinic Found

Inventors

• Williamson Iv Warren P
• Cosgrove Iii Delos M

Classifications

• A61B17/1285

  for minimally invasive surgery · CPC title

• A61B17/083 Primary

  Clips, e.g. resilient · CPC title

• A61B2017/00004

  (bio)absorbable, (bio)resorbable or resorptive · CPC title

• A61B17/10

  for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines · CPC title

• A61B17/1227

  Spring clips · CPC title