Medical clip with radial tines, system and method of using same

• US 8,518,060 B2
• Filed: 04/09/2009
• Issued: 08/27/2013
• Est. Priority Date: 04/09/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Jelich, Damian, House, Morgan, Douk, Nareak, Huynh, Rany
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US12/421,360
• Publication Number:
  US 20100262167A1
• Time in Patent Office: 1,601 Days
• Field of Search: 606/142, 606/143, 606/151, 606/157, 606/158, 606213-217, 606/219, 606/221, 606/139, 606/220, 24/31.1, 243/91, 243/94, 245/09, 245/10, 24548-550
• US Class Current: 606/151
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 2017/00579 Barbed implements
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00601 Implements entirely comprised between the two sides of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014

Abstract

Device, system and method for drawing together patient tissue. A central hub has an axis. Several tines are coupled to the central hub. Each of the tines has a tip and is resiliently biased to form a coil. Each tip points radially outward from the axis, with an approximately common angle between adjacent ones of the tines.

Claims

1. A system for drawing together patient tissue, comprising:

a medical clip including;

a central hub having a hub axis; and

a plurality of tines each having a tine axis, said plurality of tines coupled to said central hub;

wherein each individual one of said plurality of tines has a sharpened tip and is resiliently biased to form a coil with said tip pointing radially outward from said hub axis with an approximately common angle between adjacent ones of said plurality of tines;

wherein each coil of each individual one of said plurality of tines comprises at least one full revolution winding about a central axis orthogonal to said hub axis; and

a sheath comprising a lumen, said clip being configured to be drawn into said lumen;

wherein each of said plurality of tines may be flexed to be approximately linear when said clip is drawn into said sheath; and

wherein each tine axis of each of said plurality of tines is parallel to said hub axis when said clip is drawn into said sheath.

2. The system of claim 1 wherein each coil of each individual one of said plurality of tines comprises at least one-and-a-quarter revolutions.

3. The system of claim 1 wherein said plurality of tines are configured to pass through said patient tissue.

4. The system of claim 1 wherein said plurality of tines are configured to draw a first piece of said patient tissue together with a second piece of said patient tissue.

5. The system of claim 4 wherein at least one of said plurality of tines is adapted to pass through said first piece of said patient tissue and at least one other one of said plurality of tines is adapted to pass through said second piece of said patient tissue during a transition from being approximately linear to being coiled.

6. The system of claim 5 wherein said first piece of said patient tissue is drawn together with said second piece of said patient tissue when said plurality of tines are coiled.

7. The system of claim 1 wherein said tips point approximately orthogonal to said hub axis.

8. The system of claim 1 wherein said plurality of tines are comprised of nitinol.

9. A system for drawing together patient tissue, comprising:

a medical clip, comprising;

a central hub having a hub axis; and

a plurality of tines each having a tine axis, said plurality of tines coupled to said central hub;

wherein each individual one of said plurality of tines has a sharpened tip and is resiliently biased to form a coil with said tip pointing radially outward from said hub axis with an approximately common angle between adjacent ones of said plurality of tines; and

a delivery catheter, comprising;

a lumen containing said medical clip with each of said plurality of tines being flexed to be approximately linear by said delivery catheter;

wherein each tine axis of each of said plurality of tines is parallel to said hub axis when said clip is contained in said lumen; and

a deployment mechanism positioned within said lumen adapted to deploy said medical clip by pushing said medical clip out of an opening in said delivery catheter;

wherein each of said plurality of tines form into said coil when said medical clip is deployed from said delivery catheter; and

wherein each coil of each individual one of said plurality of tines comprises at least one full revolution winding about a central axis orthogonal to said hub axis.

10. The system of claim 9 wherein each coil of each individual one of said plurality of tines comprises at least one-and-a-quarter revolutions.

11. The system of claim 9 wherein said plurality of tines are configured to pass through said patient tissue.

12. The system of claim 9 wherein said plurality of tines are configured to draw a first piece of said patient tissue together with a second piece of said patient tissue.

13. The system of claim 12 wherein at least one of said plurality of tines is adapted to pass through said first piece of said patient tissue and at least one other one of said plurality of tines is adapted to pass through said second piece of said patient tissue during a transition from being approximately linear to forming said coil.

14. The system of claim 13 wherein said first piece of said patient tissue is drawn together with said second piece of said patient tissue when said plurality of tines form said coil.

15. The system of claim 9 wherein said tips point approximately orthogonal to said hub axis.

16. The system of claim 9 wherein said plurality of tines are comprised of nitinol.

17. A method for drawing together tissue of a patient using a medical clip having a central hub having a hub axis coupled to a plurality of tines each having a tine axis, each of said tines resiliently biased to form a coil with a tip pointing radially outward from said hub axis of said central hub with an approximately common angle between adjacent ones of said plurality of tines, comprising the steps of:

placing a delivery catheter having a lumen containing said medical clip between a first piece of said tissue and a second piece of said tissue, wherein said plurality of tines are straightened such that each tine axis of each of said plurality of tines is parallel to said hub axis while in said delivery catheter;

deploying said medical clip from said delivery catheter;

wherein at least one of said plurality of tines passes through said first piece of tissue and at least one other of said plurality of tines passes through said second piece of tissue; and

wherein said first piece of tissue and said second piece of tissue are drawn together when said plurality of tines form said coil; and

wherein each coil of each individual one of said plurality of tines comprises at least one full revolution winding about a central axis orthogonal to said hub axis.

18. A method for treating a patent foramen ovale using a medical clip having a central hub having a hub axis coupled to a plurality of tines each having a tine axis, each of said tines resiliently biased to form a coil with a tip pointing radially outward from a hub axis of said central hub with an approximately common angle between adjacent ones of said plurality of tines, comprising the steps of:

placing a delivery catheter having a lumen containing said medical clip between a first piece of tissue of said patent foramen ovale and a second piece of tissue of said patent foramen ovale, wherein said plurality of tines are straightened such that each tine axis of each of said plurality of tines is parallel to said hub axis while in said delivery catheter;

deploying said medical clip from said delivery catheter;

wherein at least one of said plurality of tines passes through said first piece of tissue of said patent foramen ovale and at least one other of said plurality of tines passes through said second piece of tissue of said patent foramen ovale; and

wherein said patent foramen ovale is reduced in size when said first piece of tissue of said patent foramen ovale and said second piece of tissue of said patent foramen ovale are drawn together when each of said plurality of tines form said coil; and

wherein each coil of each individual one of said plurality of tines comprises at least one full revolution winding about a central axis orthogonal to said hub axis.

19. A method as in claim 18 wherein said patent foramen ovale is substantially closed when each of said plurality of tines forms said coil.