Devices and related methods for securing a tissue fold
First Claim
1. A device for holding tissue clips, comprising:
- a clip holder configured to be coupled proximate a distal end of an elongated tube having a longitudinal axis;
a first male member of a first tissue clip removably arranged in the clip holder; and
a second male member of a second tissue clip removably arranged in the clip holder;
wherein the first and second male members in the clip holder are radially movable with respect to the longitudinal axis of the tube so as to permit simultaneous engagement of the first and second male members with corresponding first and second female members.
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Abstract
The present invention relates to devices and methods for creating and securing a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall. An aspect of the invention includes a two-piece tissue clip configured to be installed through an endoluminal device to secure a tissue fold. The clip includes a female member and a male member configured to engage one another to secure the tissue fold. Another aspect of the invention includes a clipping device comprising a tissue clip magazine. The magazine is configured to hold a plurality of tissue clips and install the plurality of tissue clips in a single actuation of the magazine. A method for using the clipping device together with the tissue clips of the present invention to create and secure a fold of tissue during an endoluminal procedure also is disclosed.
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Citations
52 Claims
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1. A device for holding tissue clips, comprising:
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a clip holder configured to be coupled proximate a distal end of an elongated tube having a longitudinal axis;
a first male member of a first tissue clip removably arranged in the clip holder; and
a second male member of a second tissue clip removably arranged in the clip holder;
wherein the first and second male members in the clip holder are radially movable with respect to the longitudinal axis of the tube so as to permit simultaneous engagement of the first and second male members with corresponding first and second female members. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A device for holding tissue clips, comprising:
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a clip holder configured to be coupled proximate a distal end of an elongated tube having a longitudinal axis;
a first female member of a first tissue clip removably arranged in the clip holder; and
a second female member of a second tissue clip removably arranged in the clip holder;
wherein the first and second female members in the clip holder are radially movable with respect to the longitudinal axis of the tube so as to permit simultaneous engagement of the first and second female members with corresponding first and second male members. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. A device to hold tissue clips for securing a tissue fold, each of the tissue clips comprising a first member and a second member, the device comprising:
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a clip holder configured to be coupled proximate a distal end of an elongated tube having a longitudinal axis; and
a first member of a first tissue clip removably arranged in the clip holder; and
a first member of a second tissue clip removably arranged in the clip holder;
wherein the first members in the clip holder are radially movable with respect to the longitudinal axis of the tube to permit simultaneous installation of the plurality of tissue clips to secure a tissue fold. - View Dependent Claims (26, 27, 28, 29, 30, 31)
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32. A method for securing a tissue fold during an endoluminal medical procedure, comprising:
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placing first and second tissue clips proximate a distal end of an elongated tube having a longitudinal axis and suitable for endoluminal insertion in a patient'"'"'s body, each of the first and second tissue clips including a male member and a female member, at least one of the male members and the female members being radially movable with respect to the longitudinal axis of the tube;
inserting the tube endoluminally;
positioning the first and second tissue clips adjacent the tissue fold; and
moving one of the male member and the female member of the first tissue clip and one of the male member and the female member of the second tissue clip radially with respect to the longitudinal axis of the tube so as to simultaneously install the first and second tissue clips to the tissue fold to secure the tissue fold by actuating an actuator at a proximal end of the tube. - View Dependent Claims (33, 34, 35, 36)
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37. A device for holding tissue clips, each of the tissue clips comprising a first member and a second member, the device comprising:
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a clip holder configured to be coupled proximate a distal end of an elongated tube having a longitudinal axis;
a first member of a first tissue clip removably arranged in the clip holder; and
a first member of a second tissue clip removably arranged in the clip holder;
wherein each of the first members moves radially towards the tube at different circumferential angles so as to permit simultaneous engagement of the first members with corresponding second members. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44, 45, 46, 47)
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48. A method for securing a tissue fold during an endoluminal medical procedure, comprising:
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placing first and second tissue clips proximate a distal end of an elongated tube having a longitudinal axis and suitable for endoluminal insertion in a patient'"'"'s body, each of the first and second tissue clips including a male member and a female member;
inserting the tube endoluminally;
positioning the first and second tissue clips adjacent the tissue fold; and
simultaneously moving one of the male member and the female member of the first tissue clip and one of the male member and the female member of the second tissue clip radially towards the corresponding other of the male member and the female member and to the tube at different circumferential angles so as to simultaneously install the first and second tissue clips to the tissue fold to secure the tissue fold by actuating an actuator at a proximal end of the tube. - View Dependent Claims (49, 50, 51, 52)
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Specification