CA2460949A1 - Skin lesion exciser and skin-closure device therefor - Google Patents

Skin lesion exciser and skin-closure device therefor Download PDF

Info

Publication number
CA2460949A1
CA2460949A1 CA002460949A CA2460949A CA2460949A1 CA 2460949 A1 CA2460949 A1 CA 2460949A1 CA 002460949 A CA002460949 A CA 002460949A CA 2460949 A CA2460949 A CA 2460949A CA 2460949 A1 CA2460949 A1 CA 2460949A1
Authority
CA
Canada
Prior art keywords
skin
lesion
blade
excision
engagement portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002460949A
Other languages
French (fr)
Other versions
CA2460949C (en
Inventor
Michael Kenneth Banbury
Jillian Elizabeth Banbury
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cleveland Clinic Foundation
Original Assignee
The Cleveland Clinic Foundation
Michael Kenneth Banbury
Jillian Elizabeth Banbury
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by The Cleveland Clinic Foundation, Michael Kenneth Banbury, Jillian Elizabeth Banbury filed Critical The Cleveland Clinic Foundation
Publication of CA2460949A1 publication Critical patent/CA2460949A1/en
Application granted granted Critical
Publication of CA2460949C publication Critical patent/CA2460949C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B17/32093—Incision instruments for skin incisions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B17/3211—Surgical scalpels, knives; Accessories therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B2010/0208—Biopsy devices with actuators, e.g. with triggered spring mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00747—Dermatology
    • A61B2017/00761—Removing layer of skin tissue, e.g. wrinkles, scars or cancerous tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B2017/1225—Clamps or clips, e.g. for the umbilical cord for clipping and cutting in a single operation

Abstract

A skin lesion exciser including a moving blade, wherein excision of a skin lesion placed in proximity to the blade is effected by movement of the blade against the skin, a moving engagement portion, wherein the blade and the engagement portion have coincident movement, and a skin-closure device having an open condition prior to excision of the skin lesion, and a closed conditions in which the device holds the skin closed after excision of the skin lesion. The device is in engagement with the engagement portion during movement of the blade, and the device is moved from its open to its closed condition in response to movement of the engagement portion. The excision of the skin lesion and the closure of the skin are substantially simultaneous.
The present invention also provides a method for excising a skin lesion including: positioning a skin lesion above a moving blade; slicing the lesion from the skin with the blade; and substantially simultaneously with excision of the lesion, closing the skin beneath the moving blade. The present invention also provides a skin-closure device which may be used in conjunction with an inventive exciser.
CA 2460949 2001-10-01 2002-09-30 Skin lesion exciser and skin-closure device therefor Expired - Fee Related CA2460949C (en)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US32625401P 2001-10-01 2001-10-01
US60/326,254 2001-10-01
US33227601P 2001-11-14 2001-11-14
US60/332,276 2001-11-14
US35752002P 2002-02-15 2002-02-15
US60/357,520 2002-02-15
PCT/US2002/031037 WO2003028563A2 (en) 2001-10-01 2002-09-30 Skin lesion exciser and skin-closure device therefor

Publications (2)

Publication Number Publication Date
CA2460949A1 true CA2460949A1 (en) 2003-04-10
CA2460949C CA2460949C (en) 2008-12-16

Family

ID=27406448

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2460949 Expired - Fee Related CA2460949C (en) 2001-10-01 2002-09-30 Skin lesion exciser and skin-closure device therefor

Country Status (11)

Country Link
US (1) US7806907B2 (en)
EP (1) EP1434529B1 (en)
JP (1) JP4156514B2 (en)
AT (1) ATE443480T1 (en)
AU (1) AU2002327785B2 (en)
CA (1) CA2460949C (en)
DE (1) DE60233810D1 (en)
IL (1) IL160958A0 (en)
MX (1) MXPA04002966A (en)
WO (1) WO2003028563A2 (en)
ZA (1) ZA200402461B (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7513902B2 (en) * 2001-10-01 2009-04-07 The Cleveland Clinic Foundation Skin lesion exciser and skin-closure device therefor
DE60233810D1 (en) 2001-10-01 2009-11-05 Cleveland Clinic Foundation DEVICE FOR THE EXCISION OF SKIN LUNGSION AND SKIN CLOSURE DEVICE THEREFOR
US7799042B2 (en) 2004-05-13 2010-09-21 The Cleveland Clinic Foundation Skin lesion exciser and skin-closure device therefor
CN101415368A (en) * 2005-09-26 2009-04-22 皇家飞利浦电子股份有限公司 Substance sampling and/or substance delivery via skin
US20070232954A1 (en) * 2006-04-04 2007-10-04 Harris Jeffrey P Automated skin biopsy device
WO2012154791A1 (en) * 2011-05-10 2012-11-15 Le Minhhia Ngan Methods and apparatus for securing a medical clamp to a patient
US8556915B2 (en) * 2011-05-26 2013-10-15 Derm Instruments & Innovations Llc Skin removal instrument
AU2014302107A1 (en) 2013-06-28 2016-01-28 Bill Russell Alexander Catheter anchoring device and method
US9993230B2 (en) 2014-08-21 2018-06-12 Seton Healthcare Family Shave biopsy devices and related methods
CN105997193B (en) * 2016-07-27 2018-10-09 中国人民解放军第三军医大学第二附属医院 Medical spring forceps
WO2018119480A1 (en) * 2016-12-23 2018-06-28 Cedars-Sinai Medical Center Devices and methods for performing skin biopsies
JP6844842B2 (en) * 2017-03-08 2021-03-17 学校法人 芝浦工業大学 Medical forceps and medical forceps system
CN112137686B (en) * 2020-09-24 2021-09-10 青岛市城阳区人民医院 Scab removing device for burn department
CN114027939B (en) * 2021-11-22 2023-05-23 中国人民解放军空军军医大学 Wart body cutting device for dermatology

Family Cites Families (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US363538A (en) * 1887-05-24 Suegical
US2156351A (en) * 1938-08-08 1939-05-02 Paul Gertrude Child's feeding bowl
US2994321A (en) * 1958-02-26 1961-08-01 Mueller & Company V Punch
US3391690A (en) * 1965-04-05 1968-07-09 Armao Thomas Anthony Biopsy instrument including tissue heating or cooling means and method of use
US3373742A (en) * 1965-09-02 1968-03-19 United Carr Inc Bandage fastener and assembly
US3353531A (en) * 1965-10-22 1967-11-21 Armao Thomas Anthony Biopsy instrument with specimen lifting means
US3323208A (en) * 1965-11-08 1967-06-06 Jr James S Hurley Simultaneous clamping and cutting means
US3520306A (en) * 1967-11-08 1970-07-14 Johnson & Johnson Wound closure
SU314382A1 (en) * 1970-05-04 1973-08-28 Б. А. Смирнов, В. Л. Рынков, Н. Д. Лукичев , Э. И. Аксенова Всесоюзный научно исследовательский институт хирургической аппаратуры , инструментов
US3857140A (en) * 1973-02-28 1974-12-31 Rubricius J Detachable bandage clasp
US4399810A (en) * 1979-11-28 1983-08-23 Samuels Peter B Skin clip and applier
DE3111996A1 (en) 1981-03-26 1982-10-14 Lee, George S., 90021 Los Angeles, Calif. Skin clip and device for applying such a clip
US4465071A (en) * 1981-10-26 1984-08-14 Samuels Peter B Method of applying skin clips
DK103483A (en) * 1982-04-15 1983-10-16 Ethicon Inc SILICONE COATED SURGICAL PAPER
US4467805A (en) * 1982-08-25 1984-08-28 Mamoru Fukuda Skin closure stapling device for surgical procedures
US4682598A (en) * 1984-08-23 1987-07-28 Dan Beraha Vasectomy instrument
US4651753A (en) * 1984-10-12 1987-03-24 Jayco Pharmaceuticals Endoscopic multiple biopsy instrument
US5127915A (en) * 1984-10-29 1992-07-07 Mattson Philip D Surgical instrument for severing and clamping an umbilical cord
US4610251A (en) * 1985-04-19 1986-09-09 Kumar Sarbjeet S Surgical staple
US4671280A (en) * 1985-05-13 1987-06-09 Ethicon, Inc. Surgical fastening device and method for manufacture
US4754756A (en) * 1986-12-12 1988-07-05 Shelanski Morris V Dermatome
US4815468A (en) * 1987-01-09 1989-03-28 Annand David S Sutureless closure
CA1303934C (en) * 1987-11-03 1992-06-23 David T. Green Fascia clip
US4943295A (en) * 1988-07-13 1990-07-24 Hartlaub Thaddeus J Surgical cutting tool
IN177831B (en) * 1989-07-13 1997-02-22 Nat Res Dev
DE3941108C1 (en) * 1989-12-13 1991-06-27 Richard Wolf Gmbh, 7134 Knittlingen, De
US5213907A (en) * 1990-10-09 1993-05-25 Diamond Technologies Company Nickel-cobalt-boron-alloy deposited on a substrate
US5104394A (en) * 1990-11-05 1992-04-14 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator
US5133730A (en) * 1991-05-15 1992-07-28 International Technidyne Corporation Disposable-retractable finger stick device
US5190560A (en) * 1991-06-20 1993-03-02 Woods John B Instrument for ligation and castration
US5176703A (en) * 1991-10-30 1993-01-05 Peterson Meldon L Sutureless closure for a skin wound or incision
CA2088883A1 (en) * 1992-02-13 1993-08-14 David T. Green Endoscopic ligating instrument
US5209755A (en) * 1992-06-05 1993-05-11 Stella Abrahan Dermal exciser
US5258012A (en) * 1992-06-30 1993-11-02 Ethicon, Inc. Surgical fasteners
US5358510A (en) * 1993-01-26 1994-10-25 Ethicon, Inc. Two part surgical fastener
JP2630197B2 (en) 1993-04-28 1997-07-16 株式会社ニッショー Blood suction device
US5624451A (en) * 1993-10-18 1997-04-29 American Safety Razor Flexible blade for removing skin lesions
US5423857A (en) * 1993-11-02 1995-06-13 Ethicon, Inc. Three piece surgical staple
US5425741A (en) * 1993-12-17 1995-06-20 Autogenics Tissue cutting die
US5425740A (en) * 1994-05-17 1995-06-20 Hutchinson, Jr.; William B. Endoscopic hernia repair clip and method
AU2818895A (en) 1994-06-10 1996-01-05 University Of Massachusetts Medical Center Safety lock needle
US5628759A (en) * 1994-09-29 1997-05-13 American Safety Razor Company Flexible surgical razor
US5674234A (en) * 1994-09-29 1997-10-07 American Safety Razor Company Flexible surgical razor
US5555892A (en) * 1994-11-14 1996-09-17 Tipton; Clyde C. Biopsy shaver
US5620452A (en) * 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
US6015417A (en) * 1996-01-25 2000-01-18 Reynolds, Jr.; Walker Surgical fastener
US5842999A (en) * 1996-07-31 1998-12-01 C.R. Bard, Inc. Automated tissue sampling device
US5868763A (en) * 1996-09-16 1999-02-09 Guidant Corporation Means and methods for performing an anastomosis
US6811555B1 (en) * 1996-09-16 2004-11-02 Origin Medsystems, Inc. Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue
US5931847A (en) * 1997-01-09 1999-08-03 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved cutting edge
US5985217A (en) * 1997-07-17 1999-11-16 The Regents Of The University Of California Microfabricated instrument for tissue biopsy and analysis
US6146399A (en) * 1997-10-08 2000-11-14 Lee; Scott S. Tissue cutting clamp apparatus
US6106542A (en) * 1998-01-23 2000-08-22 Microsurgical Laboratories, Inc. Surgical forceps
WO2000056227A1 (en) 1999-03-19 2000-09-28 By-Pass, Inc. Advanced closure device
US6126615A (en) * 1998-07-10 2000-10-03 Allen; Michael E Sutureless guided skin biopsy system
US6758824B1 (en) * 2000-11-06 2004-07-06 Suros Surgical Systems, Inc. Biopsy apparatus
US7211101B2 (en) * 2000-12-07 2007-05-01 Abbott Vascular Devices Methods for manufacturing a clip and clip
US6623510B2 (en) * 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US6719777B2 (en) * 2000-12-07 2004-04-13 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
DE60233810D1 (en) 2001-10-01 2009-11-05 Cleveland Clinic Foundation DEVICE FOR THE EXCISION OF SKIN LUNGSION AND SKIN CLOSURE DEVICE THEREFOR

Also Published As

Publication number Publication date
CA2460949C (en) 2008-12-16
WO2003028563A2 (en) 2003-04-10
IL160958A0 (en) 2004-08-31
AU2002327785B2 (en) 2006-06-01
EP1434529B1 (en) 2009-09-23
WO2003028563A3 (en) 2003-08-07
JP4156514B2 (en) 2008-09-24
ZA200402461B (en) 2005-06-29
US7806907B2 (en) 2010-10-05
US20030078596A1 (en) 2003-04-24
DE60233810D1 (en) 2009-11-05
EP1434529A2 (en) 2004-07-07
MXPA04002966A (en) 2005-06-20
ATE443480T1 (en) 2009-10-15
JP2005504580A (en) 2005-02-17

Similar Documents

Publication Publication Date Title
CA2460949A1 (en) Skin lesion exciser and skin-closure device therefor
WO2003049783A3 (en) Device and methods for harvesting tissue samples of known geometry
WO2007149232A3 (en) Skin lesion exciser and skin-closure device therefor
WO2005018426A3 (en) Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease
WO2003097973A8 (en) Lid-positioning device
AU2003228769A1 (en) Device and method for ultrasonic tissue excision with tissue selectivity
AU5160500A (en) Apparatuses, methods and compositions for closing tissue puncture openings
ATE445365T1 (en) DEVICE FOR EXCISING SKIN LESIONS AND SKIN CLOSURE DEVICE THEREFOR
WO2004093661A8 (en) Methods and devices for cutting tissue
AU2001249967A1 (en) Composition and methods for tissue preservation
WO2005113374A3 (en) Device, system and method for in-vivo sampling
AU2002332537A1 (en) Method and apparatus for improving mitral valve function
BR9815197A (en) Catheter assembly and processes for overcoming and fracturing a vascular occlusion
WO2006017023A3 (en) Biological tissue closure device and method
HK1073773A1 (en) Composition, apparatus and method for skin rejuvenation
WO2005013831A3 (en) Device for transcutaneous biopsy of tissues
WO2002015795A3 (en) Suture cutter
AU2000264703A1 (en) Method and device for epilation by ultrasound
AU2002243683A1 (en) Method and device for marking skin during an ultrasound examination
WO2002080779A8 (en) Multiple loop tissue connector apparatus and methods
WO2004031723A3 (en) Method and apparatus for hemostasis and blood management
JP2005504580A5 (en)
AU2001271443A1 (en) Device and method for performing vascular anastomosis
WO2002028268A3 (en) Multiple clip applier apparatus and method
AU2001237939A1 (en) Methods for treating glaucoma

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20131001