CA2165590A1 - Endoscopic needle with suture retriever - Google Patents
Endoscopic needle with suture retrieverInfo
- Publication number
- CA2165590A1 CA2165590A1 CA002165590A CA2165590A CA2165590A1 CA 2165590 A1 CA2165590 A1 CA 2165590A1 CA 002165590 A CA002165590 A CA 002165590A CA 2165590 A CA2165590 A CA 2165590A CA 2165590 A1 CA2165590 A1 CA 2165590A1
- Authority
- CA
- Canada
- Prior art keywords
- suture
- support member
- distal
- housing
- elongated
- 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.)
- Abandoned
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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0483—Hand-held instruments for holding sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
Abstract
A suture retriever and method for manipulating suture during endoscopic surgical procedures. The suture retriever has an elongated housing provided with a needle tip and a lateral opening situated near the tip. A suture engaging hook is extendable through the lateral opening and away from the axis of the housing in order to snare a suture. The hook is situated at the distal end of an elongated flexible support which is pre-formed in order to enable the hook to be laterally displaced from the axis of the needle tip when the support is moved distally relative to the lateral opening. When a suture is engaged by the hook, the latter is retracted proximally in order to place and hold the suture adjacent the lateral opening.
Description
ENDOSCOPIC NEEDLE WITH SUTURE RETRIEVER
BACKGROUND OF THE INVENTION
FIELD OF THE lNv~l.,lON
This invention relates to devices and methods for endoscopically manipulating sutures during surgical procedures.
More particularly, this invention relates to devices and methods for endoscopically suturing tissue.
DESCRIPTION OF THE PRIOR ART
Endoscopic suturing techniques and instruments have been developed in order to facilitate the suturing of tissue during endoscopic surgical procedures. The term "endoscopy"
encompasses arthroscopy, laparoscopy, hysteroscopy, etc. and endoscopic surgery involves the performance of surgical procedures within a patient's body through small openings as opposed to conventional open surgery through large incisions.
Access to a surgical work site within a patient's body is normally provided through one or more portals formed directly in the patient's body or through one or more cannulas inserted into the patient's body through small incisions. A chosen surgical procedure is carried out by a surgeon through the use of elongated instruments inserted through these cannulas and it often becomes necessary to suture selected tissue at the surgical work site.
Since the work site is only accessible through a small portal or cannula and since it is very difficult to tie sutures within the body, various devices and techniques have been developed to enable the surgeon to tie sutures endoscopically.
For example, some procedures enable the surgeon to pass suture material through selected tissue, form a surgical knot extra-corporeally and then move the knot with a knot pusher through the portal or cannula into position adjacent the desired tissue to be sutured. Some instruments used to pass the suture incorporate a hollow needle provided with some means to guide suture through the tissue pierced by the needle.
The procedure typically used to tie sutures endoscopic-ally involves retrieving the end of the suture after it has been passed through the tissue site to be sutured. The retrieved suture end can then be manipulated with the other suture end to tie a knot. The retrieval of suture is sometimes accomplished by simply grasping it with regular forceps or other graspers or specific suture retrieval forceps having a suture capturing aperture formed at the distal tip when the forceps jaws are closed. Some suture retrievers are simply loops which extend from the tip of an elongated tube and which can be closed upon a suture passed through the loop. U.S. Patent 5,250,054 (Li) discloses a suture retriever in the form of a knot tying device having an elongated inner rod slidably situated within an elongated outer sleeve. The distal end of the inner rod is provided with a pre-formed bend and the tip has a crochet-type hook to retrieve suture. These devices, however, require a separate needle to suture tissue. Therefore, to facilitate the process the needle and grasper are sometimes combined in one instrument. For example, a known prior art elongated needle/
grasper which facilitates endoscopic suturing is described in U.S. Patent 5,312,432 (Trott) entitled "Endoscopic Suturing Needle", assigned to the assignee hereof and incorporated herein by reference. This endoscopic suturing needle comprises an elongated tubular housing having a needle at the distal tip and a trigger mechanism to advance and retract the needle relative to the housing. The needle is pointed and flat and has a recess provided at a predetermined distance proximal to the needle tip.
When the needle is fully retracted relative to the housing, the recess provides an opening to capture suture material therein.
This allows the needle to either push or pull suture through selected tissue. Repeated manipulation of the suture can thus create the desired surgical stitch.
Another type of suturing needle is disclosed in U.S.
Patent 5,222,977 (Esser) in which the needle tip is stationary and a movable slide is provided to open and close a suture receiving recess spaced a predetermined distance from the needle tip. A similar mechanism is shown in German Patent No. 2532242 which discloses a cylindrical needle having a reciprocating internal slide member to open and close a recess spaced from the needle tip.
Another known suture retrieval instrument comprises a curved hollow tube having a distally extending suture snare. The device, known as the Ideal Suture Grasper marketed by Innovasive Devices, Inc., lOOB South Street, Hopkinton, MA 01748, requires two components to capture suture and is only able to retrieve -suture that is in line with the distal tip.
The means by which a strand of suture material can be grasped or retrieved with the prior art devices is limited because all of the known suture needle/retrieval devices have suture snaring means which are situated on or in line with the needle body. Consequently, the device must be manipulated close enough to the suture to guide the suture into a suture receiving recess so the recess can be closed to retain the suture to enable its manipulation. In an endoscopic procedure it is often difficult to manipulate the suturing needle close enough to the suture to accomplish this. Accordingly, it is an object of this invention to provide an endoscopic suturing needle which enables a surgeon to retrieve a suture spaced some distance laterally from the needle, without having to reposition the needle so as to place the suture in the recess or grasping structure.
It is also an object of this invention to produce an endoscopic suturing needle in which the suture snaring structure can be automatically deployed away from the axis of the needle tip in order to increase the volume of space within which the suture may be present and still be grasped.
It is also an object of this invention to provide a suture retriever for endoscopically retrieving suture material without the necessity of guiding the retriever as close to the suture as required by prior art devices.
It is another object of this invention to provide a suture retriever having an extended lateral reach in order to retrieve suture within a larger area than prior art devices.
It is still another object of this invention to provide ~1 655~0 a simplified endoscopic needle and suture retriever combination having an extended lateral reach in order to retrieve suture within a larger area than prior art devices.
8~MMARY OF THE lNv~ ION
These and other objects of the invention are achieved by the preferred embodiment disclosed herein which is a suture retriever comprising a handle having an elongated outer tube extending from the handle, the tube having an opening in its wall adjacent the distal end and facing in a direction perpendicular to said axis. An elongated rigid inner support member is slidably situated within the tube and is movable between a closed, retracted position, in which the member is at the proximal-most end of its range of motion, and an open, extended position in which the member is at the distal-most end of its range of motion. A pre-formed, elongated flexible support member is attached to the distal end of the elongated rigid inner support member. The flexible support member is constrained to conform to the shape of the elongated outer tube when the rigid support member is at its proximal-most position and is able to conform to its predetermined shape when the rigid support member is at its distal-most position. A single, suture-engaging distal tip in the form of a hook is attached to the flexible support member and is automatically positioned and laterally displaced from the opening in the tube at increasingly greater lateral distances from the axis as the inner support member is moved distally.
-The invention is also embodied in the method of endoscopically retrieving suture comprising the various steps of using the aforementioned suture retriever. The steps comprise providing an elongated housing having a needle tip and a suture snare longitudinally and radially extendable from the housing when the suture snare is deployed. The steps further comprise piercing the tissue to be sutured with the needle tip in order to place it in proximity to a suture to be retrieved. The suture snare is then deployed from the housing and manipulated to engage a suture with a hook on the suture snare. The suture snare is then retracted towards the housing to trap the suture between the snare and the housing and the endoscopic needle is then removed from the tissue to pass the retrieved suture through the tissue.
The method may additionally comprise the step of rotating the housing about its axis after the suture snare has been deployed in order to sweep the snare through a volume of space to thereby capture a suture extending through this volume.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a side elevational view of an endoscopic suturing needle constructed in accordance with the principles of this invention showing the suture retriever in an open position.
Figure 2 is a view of Figure 1 showing the suture retriever in a closed position.
Figure 3 is an exploded view of the distal tip of the endoscopic suturing needle of Figure 1 in an open position showing a strand of suture adjacent the suture retriever.
~1 65590 Figure 4 is an exploded view of the distal tip of the endoscopic suturing needle showing the suture retriever engaged with a strand of suture in the closed position.
Figure 5 is a view of the distal tip of an alternate embodiment of the endoscopic needle in the open position.
Figure 6 is a view of Figure 5 in the closed position.
Figures 7 and 8 are side elevation views of another alternate embodiment of the invention in open and closed positions, respectively.
Figure 9 is a side elevation view of another alternate embodiment of the invention.
Figures 10, 11, 12 and 13 are diagrammatic drawings of one method of using the endoscopic suturing needle shown in Figure 1.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to Figures 1 and 2, there is shown an endoscopic suturing needle 10 constructed in accordance with the principles of this invention. Needle 10 comprises a handle 12 having an elongated tubular housing 14 extending from one end thereof. Housing 14 terminates in a distal end 16 which, in the preferred embodiment, is provided with a needle tip 18. Housing 14 is also provided with a side-facing or lateral opening 20 adjacent distal end 16, proximal to needle tip 18. Opening 20 essentially serves as a suture receiving recess as well as an access aperture. Needle 10 also comprises a suture snaring assembly 30 comprising a thumb actuated trigger 32, a suture ~l 65590 engaging distal tip or hook 34, a pre-formed hook support 36 and an elongated, rigid support member 38 (best seen in Figure 3) extending between trigger 32 and pre-formed support 36.
As best seen in Figures 3 and 4, suture engaging hook 34 is, because of the particular shape of suture hook support 36, movable longitudinally and laterally relative to opening 20 in order to engage suture 40. Suture hook support 36 is flexible and pre-formed with a concave curved side 37 facing away from axis 42 in order to have a predetermined bend when it is deployed by being extended distally relative to opening 20 in order to present hook 34 at a predetermined lateral distance D away from the axis 42 of endoscopic suturing needle 10. The support 36 is flexible enough to be constrained to conform to the shape of housing 14 when it is retracted to nest hook 34 in or adjacent to opening 20. In the preferred embodiment, the pre-formed hook support 36 is attached to the distal end of a rigid elongated support shaft 38 joining it to trigger 32. Alternatively, hook support 36 may be an integral extension of support shaft 38 if suitable materials are utilized (for example, the entire length of hook 36 and shaft 38 could be made of nitinol). Elongated support shaft 38 need only be sufficiently rigid to be able to move flexible support 36 longitudinally within a predetermined range sufficient to either retract it to the closed position shown in Figure 4 or extend it to the open position shown in Figure 3. The extent of the lateral displacement D of hook 34 relative to axis 42 is dependent upon the degree of the bend to which hook support 36 is pre-formed. The extent of the lateral displacement may range anywhere from an insignificant amount --~l 655qo in the event that hook support 36 is not pre-formed with any bend at all and is in effect a straight extension of a straight longitudinal support shaft (not shown) -- to a greater than 90 bend in support 36 which would begin to face hook 34 away from axis 42 (not shown). In the preferred embodiment, the extent of preformation of hook support 36 is such that the bend of hook 34 faces axis 42 and is able to snare any suture within a target area T bounded by tip 16, hook support 36 and an imaginary line joining hook 34 to needle tip 18. It will be understood that, as needle 10 is rotated about axis 42, this target area sweeps through a 360 circle to create a significant, conical volume of space about the distal end of needle 10 within which suture 40 may be retrieved.
Referring now to Figures 5 and 6, an alternate embodiment 100 of the invention is shown in which the suture engaging distal tip attached to the end of pre-formed support 136 is shaped into a slightly curved end 134 rather than a distinct hook. In this embodiment, opening 120 is formed in a manner which is complementary to tip 134 in order to create a suture enclosing space 122 when support 136 is retracted.
As shown in Figures 7 and 8, an alternate embodiment of the invention is shown in the form of endoscopic suturing needle 200 having a curved distal end 216. The axis 242 of the tip of distal end 216 is aligned in a chosen direction at a predetermined angle relative to the axis of the handle. When a side-facing opening (similar to opening 20 of Figure 1) is placed proximal to the tip of the curved distal end, the pre-formed hook 234 extends relative to the axis of the distal end and operates 2l 65590 similarly to the straight embodiment of needle 10. As shown in Figures 7 and 8, endoscopic needle 200 is in all other respects similar to endoscopic needle 10 although the relative orientation of components at the distal end is different. It will be understood that the distal end of the needle may be formed in a variety of shapes (corkscrew, "U-turn", etc.).
As shown in Figure 9, an alternate embodiment 300 of the invention may be made by replacing hook 34 and support 36 with a hinged support jaw 336. The distal end of jaw 336 is curved into a hook 334 which encloses a suture receiving recess 320 similar to opening 20 in function. It will be understood that jaw 336, hinged around pivot point P, is movable in a conventional manner from the handle of the instrument (not shown) and, when open, forms a target area between the distal tip of the open jaw and the body of the needle.
Referring to Figures 10 through 13, a method of using the endoscopic suturing needle of Figure 1 is described. While the various steps of the method are not specifically shown as being endoscopic in the sense that neither a body cavity nor a cannula is shown, it will be understood that the steps facilitate endoscopic suturing although the device and the method may be also used during open procedures. It will also be understood that the procedure is carried out under endoscopic visualization via a camera (not shown). As shown in Figure 10, the tissue 19 to be sutured and through which suture is to be passed is pierced with needle 18 in order to place it in proximity to a portion 40 of suture on the side of the tissue where the suture is already situated. It will be understood by those skilled in the art that suture 40 may be situated in such a position for a variety of reasons: either the suture may have been passed through a cannula (not shown), it may have been previously placed partially as shown by a previous step of using needle 10 or a variety of other reasons. Once the needle is punctured through tissue 19 and in proximity to the suture as seen through an endoscopic camera, the needle may then be rotated about its axis as shown in Figure 11 in order to enable suture 40 to be trapped in the target area between hook 34 and distal end 16. Once the suture is within the target area, the trigger 32 (Figure 1) is proximally retracted in order to engage hook 34 on suture 40 and nest it (i.e. retain it either firmly or loosely) within opening 20 as shown in Figure 12. Once the suture is so secured, needle 10 may be pulled proximally through the tissue as shown in Figure 13. From this point, either end 4Oa or 4Ob of suture 40 may be pulled through the tissue to enable the ends to be tied together in a conventional manner or needle 10 may be passed through the tissue in a different location to create a mattress stitch (not shown).
While the preceding method has been described with the suture already in position on the other side of the tissue, it will be understood that the suture may be retained firmly or loosely within opening 20 prior to the needle being passed through the tissue (not shown). The suture may then be released and the needle may be withdrawn and repositioned through another portion of the tissue in order to retrieve the suture.
It will be understood that numerous other modifications and improvements may be made to the preferred embodiment of the invention disclosed herein without departing from the spirit and scope thereof.
BACKGROUND OF THE INVENTION
FIELD OF THE lNv~l.,lON
This invention relates to devices and methods for endoscopically manipulating sutures during surgical procedures.
More particularly, this invention relates to devices and methods for endoscopically suturing tissue.
DESCRIPTION OF THE PRIOR ART
Endoscopic suturing techniques and instruments have been developed in order to facilitate the suturing of tissue during endoscopic surgical procedures. The term "endoscopy"
encompasses arthroscopy, laparoscopy, hysteroscopy, etc. and endoscopic surgery involves the performance of surgical procedures within a patient's body through small openings as opposed to conventional open surgery through large incisions.
Access to a surgical work site within a patient's body is normally provided through one or more portals formed directly in the patient's body or through one or more cannulas inserted into the patient's body through small incisions. A chosen surgical procedure is carried out by a surgeon through the use of elongated instruments inserted through these cannulas and it often becomes necessary to suture selected tissue at the surgical work site.
Since the work site is only accessible through a small portal or cannula and since it is very difficult to tie sutures within the body, various devices and techniques have been developed to enable the surgeon to tie sutures endoscopically.
For example, some procedures enable the surgeon to pass suture material through selected tissue, form a surgical knot extra-corporeally and then move the knot with a knot pusher through the portal or cannula into position adjacent the desired tissue to be sutured. Some instruments used to pass the suture incorporate a hollow needle provided with some means to guide suture through the tissue pierced by the needle.
The procedure typically used to tie sutures endoscopic-ally involves retrieving the end of the suture after it has been passed through the tissue site to be sutured. The retrieved suture end can then be manipulated with the other suture end to tie a knot. The retrieval of suture is sometimes accomplished by simply grasping it with regular forceps or other graspers or specific suture retrieval forceps having a suture capturing aperture formed at the distal tip when the forceps jaws are closed. Some suture retrievers are simply loops which extend from the tip of an elongated tube and which can be closed upon a suture passed through the loop. U.S. Patent 5,250,054 (Li) discloses a suture retriever in the form of a knot tying device having an elongated inner rod slidably situated within an elongated outer sleeve. The distal end of the inner rod is provided with a pre-formed bend and the tip has a crochet-type hook to retrieve suture. These devices, however, require a separate needle to suture tissue. Therefore, to facilitate the process the needle and grasper are sometimes combined in one instrument. For example, a known prior art elongated needle/
grasper which facilitates endoscopic suturing is described in U.S. Patent 5,312,432 (Trott) entitled "Endoscopic Suturing Needle", assigned to the assignee hereof and incorporated herein by reference. This endoscopic suturing needle comprises an elongated tubular housing having a needle at the distal tip and a trigger mechanism to advance and retract the needle relative to the housing. The needle is pointed and flat and has a recess provided at a predetermined distance proximal to the needle tip.
When the needle is fully retracted relative to the housing, the recess provides an opening to capture suture material therein.
This allows the needle to either push or pull suture through selected tissue. Repeated manipulation of the suture can thus create the desired surgical stitch.
Another type of suturing needle is disclosed in U.S.
Patent 5,222,977 (Esser) in which the needle tip is stationary and a movable slide is provided to open and close a suture receiving recess spaced a predetermined distance from the needle tip. A similar mechanism is shown in German Patent No. 2532242 which discloses a cylindrical needle having a reciprocating internal slide member to open and close a recess spaced from the needle tip.
Another known suture retrieval instrument comprises a curved hollow tube having a distally extending suture snare. The device, known as the Ideal Suture Grasper marketed by Innovasive Devices, Inc., lOOB South Street, Hopkinton, MA 01748, requires two components to capture suture and is only able to retrieve -suture that is in line with the distal tip.
The means by which a strand of suture material can be grasped or retrieved with the prior art devices is limited because all of the known suture needle/retrieval devices have suture snaring means which are situated on or in line with the needle body. Consequently, the device must be manipulated close enough to the suture to guide the suture into a suture receiving recess so the recess can be closed to retain the suture to enable its manipulation. In an endoscopic procedure it is often difficult to manipulate the suturing needle close enough to the suture to accomplish this. Accordingly, it is an object of this invention to provide an endoscopic suturing needle which enables a surgeon to retrieve a suture spaced some distance laterally from the needle, without having to reposition the needle so as to place the suture in the recess or grasping structure.
It is also an object of this invention to produce an endoscopic suturing needle in which the suture snaring structure can be automatically deployed away from the axis of the needle tip in order to increase the volume of space within which the suture may be present and still be grasped.
It is also an object of this invention to provide a suture retriever for endoscopically retrieving suture material without the necessity of guiding the retriever as close to the suture as required by prior art devices.
It is another object of this invention to provide a suture retriever having an extended lateral reach in order to retrieve suture within a larger area than prior art devices.
It is still another object of this invention to provide ~1 655~0 a simplified endoscopic needle and suture retriever combination having an extended lateral reach in order to retrieve suture within a larger area than prior art devices.
8~MMARY OF THE lNv~ ION
These and other objects of the invention are achieved by the preferred embodiment disclosed herein which is a suture retriever comprising a handle having an elongated outer tube extending from the handle, the tube having an opening in its wall adjacent the distal end and facing in a direction perpendicular to said axis. An elongated rigid inner support member is slidably situated within the tube and is movable between a closed, retracted position, in which the member is at the proximal-most end of its range of motion, and an open, extended position in which the member is at the distal-most end of its range of motion. A pre-formed, elongated flexible support member is attached to the distal end of the elongated rigid inner support member. The flexible support member is constrained to conform to the shape of the elongated outer tube when the rigid support member is at its proximal-most position and is able to conform to its predetermined shape when the rigid support member is at its distal-most position. A single, suture-engaging distal tip in the form of a hook is attached to the flexible support member and is automatically positioned and laterally displaced from the opening in the tube at increasingly greater lateral distances from the axis as the inner support member is moved distally.
-The invention is also embodied in the method of endoscopically retrieving suture comprising the various steps of using the aforementioned suture retriever. The steps comprise providing an elongated housing having a needle tip and a suture snare longitudinally and radially extendable from the housing when the suture snare is deployed. The steps further comprise piercing the tissue to be sutured with the needle tip in order to place it in proximity to a suture to be retrieved. The suture snare is then deployed from the housing and manipulated to engage a suture with a hook on the suture snare. The suture snare is then retracted towards the housing to trap the suture between the snare and the housing and the endoscopic needle is then removed from the tissue to pass the retrieved suture through the tissue.
The method may additionally comprise the step of rotating the housing about its axis after the suture snare has been deployed in order to sweep the snare through a volume of space to thereby capture a suture extending through this volume.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a side elevational view of an endoscopic suturing needle constructed in accordance with the principles of this invention showing the suture retriever in an open position.
Figure 2 is a view of Figure 1 showing the suture retriever in a closed position.
Figure 3 is an exploded view of the distal tip of the endoscopic suturing needle of Figure 1 in an open position showing a strand of suture adjacent the suture retriever.
~1 65590 Figure 4 is an exploded view of the distal tip of the endoscopic suturing needle showing the suture retriever engaged with a strand of suture in the closed position.
Figure 5 is a view of the distal tip of an alternate embodiment of the endoscopic needle in the open position.
Figure 6 is a view of Figure 5 in the closed position.
Figures 7 and 8 are side elevation views of another alternate embodiment of the invention in open and closed positions, respectively.
Figure 9 is a side elevation view of another alternate embodiment of the invention.
Figures 10, 11, 12 and 13 are diagrammatic drawings of one method of using the endoscopic suturing needle shown in Figure 1.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to Figures 1 and 2, there is shown an endoscopic suturing needle 10 constructed in accordance with the principles of this invention. Needle 10 comprises a handle 12 having an elongated tubular housing 14 extending from one end thereof. Housing 14 terminates in a distal end 16 which, in the preferred embodiment, is provided with a needle tip 18. Housing 14 is also provided with a side-facing or lateral opening 20 adjacent distal end 16, proximal to needle tip 18. Opening 20 essentially serves as a suture receiving recess as well as an access aperture. Needle 10 also comprises a suture snaring assembly 30 comprising a thumb actuated trigger 32, a suture ~l 65590 engaging distal tip or hook 34, a pre-formed hook support 36 and an elongated, rigid support member 38 (best seen in Figure 3) extending between trigger 32 and pre-formed support 36.
As best seen in Figures 3 and 4, suture engaging hook 34 is, because of the particular shape of suture hook support 36, movable longitudinally and laterally relative to opening 20 in order to engage suture 40. Suture hook support 36 is flexible and pre-formed with a concave curved side 37 facing away from axis 42 in order to have a predetermined bend when it is deployed by being extended distally relative to opening 20 in order to present hook 34 at a predetermined lateral distance D away from the axis 42 of endoscopic suturing needle 10. The support 36 is flexible enough to be constrained to conform to the shape of housing 14 when it is retracted to nest hook 34 in or adjacent to opening 20. In the preferred embodiment, the pre-formed hook support 36 is attached to the distal end of a rigid elongated support shaft 38 joining it to trigger 32. Alternatively, hook support 36 may be an integral extension of support shaft 38 if suitable materials are utilized (for example, the entire length of hook 36 and shaft 38 could be made of nitinol). Elongated support shaft 38 need only be sufficiently rigid to be able to move flexible support 36 longitudinally within a predetermined range sufficient to either retract it to the closed position shown in Figure 4 or extend it to the open position shown in Figure 3. The extent of the lateral displacement D of hook 34 relative to axis 42 is dependent upon the degree of the bend to which hook support 36 is pre-formed. The extent of the lateral displacement may range anywhere from an insignificant amount --~l 655qo in the event that hook support 36 is not pre-formed with any bend at all and is in effect a straight extension of a straight longitudinal support shaft (not shown) -- to a greater than 90 bend in support 36 which would begin to face hook 34 away from axis 42 (not shown). In the preferred embodiment, the extent of preformation of hook support 36 is such that the bend of hook 34 faces axis 42 and is able to snare any suture within a target area T bounded by tip 16, hook support 36 and an imaginary line joining hook 34 to needle tip 18. It will be understood that, as needle 10 is rotated about axis 42, this target area sweeps through a 360 circle to create a significant, conical volume of space about the distal end of needle 10 within which suture 40 may be retrieved.
Referring now to Figures 5 and 6, an alternate embodiment 100 of the invention is shown in which the suture engaging distal tip attached to the end of pre-formed support 136 is shaped into a slightly curved end 134 rather than a distinct hook. In this embodiment, opening 120 is formed in a manner which is complementary to tip 134 in order to create a suture enclosing space 122 when support 136 is retracted.
As shown in Figures 7 and 8, an alternate embodiment of the invention is shown in the form of endoscopic suturing needle 200 having a curved distal end 216. The axis 242 of the tip of distal end 216 is aligned in a chosen direction at a predetermined angle relative to the axis of the handle. When a side-facing opening (similar to opening 20 of Figure 1) is placed proximal to the tip of the curved distal end, the pre-formed hook 234 extends relative to the axis of the distal end and operates 2l 65590 similarly to the straight embodiment of needle 10. As shown in Figures 7 and 8, endoscopic needle 200 is in all other respects similar to endoscopic needle 10 although the relative orientation of components at the distal end is different. It will be understood that the distal end of the needle may be formed in a variety of shapes (corkscrew, "U-turn", etc.).
As shown in Figure 9, an alternate embodiment 300 of the invention may be made by replacing hook 34 and support 36 with a hinged support jaw 336. The distal end of jaw 336 is curved into a hook 334 which encloses a suture receiving recess 320 similar to opening 20 in function. It will be understood that jaw 336, hinged around pivot point P, is movable in a conventional manner from the handle of the instrument (not shown) and, when open, forms a target area between the distal tip of the open jaw and the body of the needle.
Referring to Figures 10 through 13, a method of using the endoscopic suturing needle of Figure 1 is described. While the various steps of the method are not specifically shown as being endoscopic in the sense that neither a body cavity nor a cannula is shown, it will be understood that the steps facilitate endoscopic suturing although the device and the method may be also used during open procedures. It will also be understood that the procedure is carried out under endoscopic visualization via a camera (not shown). As shown in Figure 10, the tissue 19 to be sutured and through which suture is to be passed is pierced with needle 18 in order to place it in proximity to a portion 40 of suture on the side of the tissue where the suture is already situated. It will be understood by those skilled in the art that suture 40 may be situated in such a position for a variety of reasons: either the suture may have been passed through a cannula (not shown), it may have been previously placed partially as shown by a previous step of using needle 10 or a variety of other reasons. Once the needle is punctured through tissue 19 and in proximity to the suture as seen through an endoscopic camera, the needle may then be rotated about its axis as shown in Figure 11 in order to enable suture 40 to be trapped in the target area between hook 34 and distal end 16. Once the suture is within the target area, the trigger 32 (Figure 1) is proximally retracted in order to engage hook 34 on suture 40 and nest it (i.e. retain it either firmly or loosely) within opening 20 as shown in Figure 12. Once the suture is so secured, needle 10 may be pulled proximally through the tissue as shown in Figure 13. From this point, either end 4Oa or 4Ob of suture 40 may be pulled through the tissue to enable the ends to be tied together in a conventional manner or needle 10 may be passed through the tissue in a different location to create a mattress stitch (not shown).
While the preceding method has been described with the suture already in position on the other side of the tissue, it will be understood that the suture may be retained firmly or loosely within opening 20 prior to the needle being passed through the tissue (not shown). The suture may then be released and the needle may be withdrawn and repositioned through another portion of the tissue in order to retrieve the suture.
It will be understood that numerous other modifications and improvements may be made to the preferred embodiment of the invention disclosed herein without departing from the spirit and scope thereof.
Claims (9)
1. A suture retriever comprising:
a handle;
an elongated outer tube attached to and extending from said handle, said tube having a distal end with an axis aligned in a predetermined direction relative to said handle and an opening in the wall of said tube adjacent said distal end and facing in a direction perpendicular to said axis;
an elongated rigid inner support member slidably situated within said outer tube;
means for moving said elongated inner support member between a closed, retracted position in which said elongated inner support member is at the proximal-most end of its range of motion, and an open, extended position in which said elongated inner support member is at the distal-most end of its range of motion; and a suture capturing member comprising:
a single, elongated flexible support member having a distal end and a proximal end, said flexible support member attached to the distal end of said elongated rigid inner support member and extendable through said opening, said flexible support member being pre-formed in a predetermined shape which enables it to be constrained to conform to the shape of said elongated outer tube when said rigid support member is at its proximal-most position and which enables it to conform to said predetermined shape when said rigid support member is at its distal-most position; and a curved suture-engaging distal tip attached to the distal end of said flexible support member, said suture-engaging distal tip curved towards said axis whereby said suture-engaging distal tip is automatically positioned and laterally spaced from said opening at increasingly greater lateral distances from said axis as said inner support member is moved distally.
a handle;
an elongated outer tube attached to and extending from said handle, said tube having a distal end with an axis aligned in a predetermined direction relative to said handle and an opening in the wall of said tube adjacent said distal end and facing in a direction perpendicular to said axis;
an elongated rigid inner support member slidably situated within said outer tube;
means for moving said elongated inner support member between a closed, retracted position in which said elongated inner support member is at the proximal-most end of its range of motion, and an open, extended position in which said elongated inner support member is at the distal-most end of its range of motion; and a suture capturing member comprising:
a single, elongated flexible support member having a distal end and a proximal end, said flexible support member attached to the distal end of said elongated rigid inner support member and extendable through said opening, said flexible support member being pre-formed in a predetermined shape which enables it to be constrained to conform to the shape of said elongated outer tube when said rigid support member is at its proximal-most position and which enables it to conform to said predetermined shape when said rigid support member is at its distal-most position; and a curved suture-engaging distal tip attached to the distal end of said flexible support member, said suture-engaging distal tip curved towards said axis whereby said suture-engaging distal tip is automatically positioned and laterally spaced from said opening at increasingly greater lateral distances from said axis as said inner support member is moved distally.
2. A suture retriever according to claim 1 wherein said suture-engaging distal tip is formed into a hook.
3. A suture retriever according to claim 1 wherein said predetermined shape is such as to position said suture-engaging distal tip at a point distal to and laterally spaced from said opening when said rigid support member is at its distal-most position.
4. A suture retriever comprising:
a handle;
an elongated, hollow housing extending from said handle, said housing provided with a needle tip at its distal end, said housing having an axis and a suture receiving recess facing away from said axis and proximal to said distal end;
suture snare means movably mounted relative to and extendable away from said suture receiving recess for engaging suture for selectively retaining suture against said suture receiving recess when said suture snare means is moved toward said housing.
a handle;
an elongated, hollow housing extending from said handle, said housing provided with a needle tip at its distal end, said housing having an axis and a suture receiving recess facing away from said axis and proximal to said distal end;
suture snare means movably mounted relative to and extendable away from said suture receiving recess for engaging suture for selectively retaining suture against said suture receiving recess when said suture snare means is moved toward said housing.
5. A suture retriever according to claim 4 wherein said suture snare means comprises a pivotably movable hook member.
6. The suture retriever of claim 4 wherein said suture snare means is longitudinally movable proximally and distally with respect to said housing and further comprises a distal hook.
7. The suture retriever of claim 6 wherein s a i d suture snare means further comprises a flexible support having a distal hooked portion, whereupon when said suture snare means is moved proximally toward a retracted position, said suture receiving recess is adjacent said hooked portion for retention of a suture therebetween.
8. A method of endoscopically retrieving suture comprising the steps of:
providing an elongated housing having a needle tip and a suture snare longitudinally and radially extendable relative to said needle tip when deployed;
piercing tissue to be sutured with said needle tip to place it in proximity to a suture to be retrieved;
deploying said suture snare from a housing;
engaging a suture with a hook formed on said suture snare;
retracting said suture snare towards said housing;
trapping said suture between said suture snare and said housing; and removing said needle tip from said tissue to pass said retrieved suture through said tissue.
providing an elongated housing having a needle tip and a suture snare longitudinally and radially extendable relative to said needle tip when deployed;
piercing tissue to be sutured with said needle tip to place it in proximity to a suture to be retrieved;
deploying said suture snare from a housing;
engaging a suture with a hook formed on said suture snare;
retracting said suture snare towards said housing;
trapping said suture between said suture snare and said housing; and removing said needle tip from said tissue to pass said retrieved suture through said tissue.
9. A method according to claim 8 further comprising the step of rotating said housing about its axis after said suture snare has been deployed in order to sweep said suture snare through a predetermined volume of ambient space surrounding said axis to thereby capture a suture extending through said volume.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/358,421 US5499991A (en) | 1994-12-19 | 1994-12-19 | Endoscopic needle with suture retriever |
| US08/358,421 | 1994-12-19 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2165590A1 true CA2165590A1 (en) | 1996-06-20 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002165590A Abandoned CA2165590A1 (en) | 1994-12-19 | 1995-12-19 | Endoscopic needle with suture retriever |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US5499991A (en) |
| EP (1) | EP0717957B1 (en) |
| JP (1) | JPH08215200A (en) |
| AU (1) | AU702848B2 (en) |
| CA (1) | CA2165590A1 (en) |
| DE (1) | DE69515111T2 (en) |
Families Citing this family (291)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5860978A (en) * | 1990-09-25 | 1999-01-19 | Innovasive Devices, Inc. | Methods and apparatus for preventing migration of sutures through transosseous tunnels |
| US5716368A (en) * | 1993-06-02 | 1998-02-10 | General Surgical Innovations, Inc. | Knotmaker with curved elongate member used in tying a ligature |
| US6629984B1 (en) * | 1998-07-07 | 2003-10-07 | Kwan-Ho Chan | Surgical repair kit and its method of use |
| US5709694A (en) * | 1995-03-22 | 1998-01-20 | Human Factors Industrial Design, Inc. | Endoscopic intracorporeal suture tying aid |
| US6117144A (en) | 1995-08-24 | 2000-09-12 | Sutura, Inc. | Suturing device and method for sealing an opening in a blood vessel or other biological structure |
| US6562052B2 (en) | 1995-08-24 | 2003-05-13 | Sutura, Inc. | Suturing device and method |
| WO1997016121A1 (en) * | 1995-10-31 | 1997-05-09 | Karl Christopher Texler | Surgical instruments |
| US5988171A (en) * | 1997-06-26 | 1999-11-23 | Influence Medical Technologies, Ltd. | Methods and devices for the treatment of airway obstruction, sleep apnea and snoring |
| US5895395A (en) * | 1997-07-17 | 1999-04-20 | Yeung; Teresa T. | Partial to full thickness suture device & method for endoscopic surgeries |
| US5910148A (en) * | 1997-08-06 | 1999-06-08 | Mitek Surgical Products, Inc. | Suture retrograder |
| US5817112A (en) * | 1997-09-22 | 1998-10-06 | Surgical Inventions & Innovations, Inc | Christoudias fascial closure device |
| FR2770125B1 (en) * | 1997-10-29 | 2005-02-25 | Arthrex Inc | SUTURE RECOVERY INSTRUMENT |
| US6517552B1 (en) | 1997-10-29 | 2003-02-11 | Arthrex, Inc. | Suture retriever |
| US6156056A (en) | 1998-01-09 | 2000-12-05 | Ethicon, Inc. | Suture buttress |
| WO1999063893A1 (en) * | 1998-06-08 | 1999-12-16 | Biolectron, Inc. | Method and apparatus for deploying a memory working tip member |
| US6378526B1 (en) | 1998-08-03 | 2002-04-30 | Insite Vision, Incorporated | Methods of ophthalmic administration |
| US6309374B1 (en) | 1998-08-03 | 2001-10-30 | Insite Vision Incorporated | Injection apparatus and method of using same |
| US6626899B2 (en) | 1999-06-25 | 2003-09-30 | Nidus Medical, Llc | Apparatus and methods for treating tissue |
| US7955340B2 (en) * | 1999-06-25 | 2011-06-07 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
| US7416554B2 (en) | 2002-12-11 | 2008-08-26 | Usgi Medical Inc | Apparatus and methods for forming and securing gastrointestinal tissue folds |
| US7637905B2 (en) * | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
| US7618426B2 (en) * | 2002-12-11 | 2009-11-17 | Usgi Medical, Inc. | Apparatus and methods for forming gastrointestinal tissue approximations |
| US7601161B1 (en) * | 1999-07-02 | 2009-10-13 | Quick Pass, Inc. | Suturing device |
| US6524317B1 (en) * | 1999-12-30 | 2003-02-25 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| JP2001198131A (en) * | 2000-01-18 | 2001-07-24 | Matsuda Ika Kk | Suture for operation having ring |
| US6533795B1 (en) | 2000-04-11 | 2003-03-18 | Opus Medical, Inc | Dual function suturing apparatus and method |
| EP1289429B1 (en) * | 2000-06-05 | 2006-03-15 | Boston Scientific Limited | devices for the treatment of urinary incontinence |
| US6911034B2 (en) * | 2000-06-14 | 2005-06-28 | Sterilis, Inc. | Suturing method and apparatus |
| US6585730B1 (en) * | 2000-08-30 | 2003-07-01 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| US6551330B1 (en) | 2000-09-21 | 2003-04-22 | Opus Medical, Inc. | Linear suturing apparatus and methods |
| US20040006379A1 (en) * | 2000-10-06 | 2004-01-08 | Expanding Concepts, L.L.C. | Epidural thermal posterior annuloplasty |
| US6770076B2 (en) | 2001-02-12 | 2004-08-03 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| US7083638B2 (en) * | 2001-02-12 | 2006-08-01 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| US6884249B2 (en) * | 2001-02-16 | 2005-04-26 | Depuy Mitek, Inc. | Surgical knot pusher and method of use |
| US8915927B2 (en) * | 2001-03-09 | 2014-12-23 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to delivery of medical implants |
| US7364541B2 (en) * | 2001-03-09 | 2008-04-29 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to delivery of medical implants |
| EP1365679B1 (en) * | 2001-03-09 | 2007-11-14 | Boston Scientific Limited | Medical slings |
| DE60239188D1 (en) * | 2001-03-09 | 2011-03-31 | Boston Scient Ltd | SYSTEM FOR INSERTING A SLING |
| US9149261B2 (en) * | 2001-03-09 | 2015-10-06 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to delivery of medical implants |
| US20050131393A1 (en) * | 2001-03-09 | 2005-06-16 | Scimed Life Systems, Inc. | Systems, methods and devices relating to delivery of medical implants |
| US8033983B2 (en) * | 2001-03-09 | 2011-10-11 | Boston Scientific Scimed, Inc. | Medical implant |
| US6547800B2 (en) * | 2001-06-06 | 2003-04-15 | Opus Medical, Inc. | Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device |
| US6605096B1 (en) * | 2001-07-20 | 2003-08-12 | Opus Medical Inc, | Percutaneous suturing apparatus and method |
| CA2462558C (en) * | 2001-10-01 | 2009-06-16 | Surgical Solutions, Llc. | Suturing apparatus and method |
| US6916328B2 (en) * | 2001-11-15 | 2005-07-12 | Expanding Concepts, L.L.C | Percutaneous cellulite removal system |
| US6780198B1 (en) * | 2001-12-06 | 2004-08-24 | Opus Medical, Inc. | Bone anchor insertion device |
| US6855157B2 (en) | 2002-02-04 | 2005-02-15 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| US20030163143A1 (en) * | 2002-02-26 | 2003-08-28 | Akio Wakabayashi | Apparatus and method for suturing in restricted space |
| US8177790B2 (en) * | 2002-04-20 | 2012-05-15 | Friedhelm Brassel | Medical retriever |
| US6984237B2 (en) * | 2002-05-22 | 2006-01-10 | Orthopaedic Biosystems Ltd., Inc. | Suture passing surgical instrument |
| US7274876B2 (en) * | 2002-06-06 | 2007-09-25 | At&T Corp. | Integrated electrical/optical hybrid communication system with revertive hitless switch |
| US6770084B1 (en) | 2002-06-26 | 2004-08-03 | Opus Medical, Inc. | Suture capture device |
| CA2705609C (en) | 2002-08-14 | 2016-10-25 | Boston Scientific Limited | Systems, methods and devices relating to delivery of medical implants |
| US20040087978A1 (en) * | 2002-08-27 | 2004-05-06 | Velez Juan Manuel | Surgical fascia closure instrument, guide and method |
| US20050021055A1 (en) * | 2002-08-27 | 2005-01-27 | Souhail Toubia | Surgical closure instrument and methods |
| US7090690B2 (en) * | 2002-11-19 | 2006-08-15 | Arthrocare Corporation | Devices and methods for repairing soft tissue |
| US7942898B2 (en) | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Delivery systems and methods for gastric reduction |
| US7942884B2 (en) | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Methods for reduction of a gastric lumen |
| AU2003259834A1 (en) | 2002-12-17 | 2004-07-29 | Boston Scientific Limited | Spacer for sling delivery system |
| US20040127915A1 (en) * | 2002-12-30 | 2004-07-01 | Fleenor Richard P. | Suture hoop system |
| US6893222B2 (en) * | 2003-02-10 | 2005-05-17 | United Technologies Corporation | Turbine balancing |
| US7491212B2 (en) | 2003-02-19 | 2009-02-17 | Smith & Nephew, Inc. | Transmitting an actuating force along a curved instrument |
| CN100403993C (en) * | 2003-02-26 | 2008-07-23 | 铃木裕 | Medical instrument |
| US20060069398A1 (en) * | 2003-02-26 | 2006-03-30 | Yutaka Suzuki | Medical instrument |
| US8585714B2 (en) | 2003-03-18 | 2013-11-19 | Depuy Mitek, Llc | Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system |
| US8066718B2 (en) | 2003-03-18 | 2011-11-29 | Depuy Mitek, Inc. | Expandable needle suture apparatus and associated handle assembly |
| US9364214B2 (en) * | 2003-07-10 | 2016-06-14 | Arthrex, Inc. | Cannulated instrument with curved shaft for passing suture through tissue |
| US7361138B2 (en) | 2003-07-31 | 2008-04-22 | Scimed Life Systems, Inc. | Bioabsorbable casing for surgical sling assembly |
| US8308765B2 (en) * | 2004-05-07 | 2012-11-13 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
| US8216252B2 (en) | 2004-05-07 | 2012-07-10 | Usgi Medical, Inc. | Tissue manipulation and securement system |
| US7682374B2 (en) * | 2003-10-21 | 2010-03-23 | Arthrocare Corporation | Knotless suture lock and bone anchor implant method |
| US7056286B2 (en) | 2003-11-12 | 2006-06-06 | Adrian Ravenscroft | Medical device anchor and delivery system |
| EP1706168B1 (en) * | 2003-11-12 | 2013-11-06 | Nitinol Devices and Components, Inc. | Medical device anchor and delivery system |
| US20050251189A1 (en) | 2004-05-07 | 2005-11-10 | Usgi Medical Inc. | Multi-position tissue manipulation assembly |
| US7361180B2 (en) | 2004-05-07 | 2008-04-22 | Usgi Medical, Inc. | Apparatus for manipulating and securing tissue |
| US7347863B2 (en) * | 2004-05-07 | 2008-03-25 | Usgi Medical, Inc. | Apparatus and methods for manipulating and securing tissue |
| JP4212494B2 (en) * | 2004-03-02 | 2009-01-21 | 日本シャーウッド株式会社 | Medical suture tool |
| US7976539B2 (en) | 2004-03-05 | 2011-07-12 | Hansen Medical, Inc. | System and method for denaturing and fixing collagenous tissue |
| US7703459B2 (en) * | 2004-03-09 | 2010-04-27 | Usgi Medical, Inc. | Apparatus and methods for mapping out endoluminal gastrointestinal surgery |
| US20050203488A1 (en) * | 2004-03-09 | 2005-09-15 | Usgi Medical Inc. | Apparatus and methods for mapping out endoluminal gastrointestinal surgery |
| US20050251176A1 (en) * | 2004-05-07 | 2005-11-10 | Usgi Medical Inc. | System for treating gastroesophageal reflux disease |
| US8444657B2 (en) | 2004-05-07 | 2013-05-21 | Usgi Medical, Inc. | Apparatus and methods for rapid deployment of tissue anchors |
| US20050251208A1 (en) * | 2004-05-07 | 2005-11-10 | Usgi Medical Inc. | Linear anchors for anchoring to tissue |
| US8257394B2 (en) * | 2004-05-07 | 2012-09-04 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
| US7390329B2 (en) * | 2004-05-07 | 2008-06-24 | Usgi Medical, Inc. | Methods for grasping and cinching tissue anchors |
| US20050250986A1 (en) * | 2004-05-07 | 2005-11-10 | Usgi Medical Inc. | Removable apparatus and methods for manipulating and securing tissue |
| US20060135971A1 (en) * | 2004-05-07 | 2006-06-22 | Usgi Medical Inc. | System for treating gastroesophageal reflux disease |
| US7918869B2 (en) | 2004-05-07 | 2011-04-05 | Usgi Medical, Inc. | Methods and apparatus for performing endoluminal gastroplasty |
| US7736374B2 (en) * | 2004-05-07 | 2010-06-15 | Usgi Medical, Inc. | Tissue manipulation and securement system |
| US7842046B1 (en) * | 2004-05-26 | 2010-11-30 | Granit Medical Innovations, Llc | Endoscopic sewing device and associated method |
| US7678135B2 (en) | 2004-06-09 | 2010-03-16 | Usgi Medical, Inc. | Compressible tissue anchor assemblies |
| US7736379B2 (en) * | 2004-06-09 | 2010-06-15 | Usgi Medical, Inc. | Compressible tissue anchor assemblies |
| US8206417B2 (en) * | 2004-06-09 | 2012-06-26 | Usgi Medical Inc. | Apparatus and methods for optimizing anchoring force |
| US7695493B2 (en) * | 2004-06-09 | 2010-04-13 | Usgi Medical, Inc. | System for optimizing anchoring force |
| JP4954874B2 (en) | 2004-06-16 | 2012-06-20 | スミス アンド ネフュー インコーポレーテッド | Suture threader |
| US7883519B2 (en) | 2004-07-06 | 2011-02-08 | Ran Oren | Suture manipulating instrument particularly useful with endoscopes |
| US20060020276A1 (en) * | 2004-07-23 | 2006-01-26 | Usgi Medical Inc. | Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds |
| US20060020274A1 (en) * | 2004-07-23 | 2006-01-26 | Usgi Medical Inc. | Manipulatable grasping needle |
| EP1778096B1 (en) * | 2004-08-16 | 2008-10-15 | Zimmer Spine, Inc. | Helical suturing device |
| EP3326543B1 (en) * | 2004-08-24 | 2019-07-24 | DePuy Mitek, LLC | Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system |
| JP4786662B2 (en) * | 2004-09-27 | 2011-10-05 | スーチュラ，インコーポレイテッド | Suture device handle |
| US20090326578A1 (en) * | 2004-09-30 | 2009-12-31 | Usgi Medical, Inc. | Interlocking tissue anchor apparatus and methods |
| JP2006102255A (en) * | 2004-10-06 | 2006-04-20 | Nippon Sherwood Medical Industries Ltd | Connecting structure of infusion line and connector with the connecting structure |
| JP4669315B2 (en) * | 2005-04-21 | 2011-04-13 | 日本シャーウッド株式会社 | Organ fixture and organ fixture set |
| ES2288342B1 (en) * | 2005-02-02 | 2008-11-01 | Stryker Iberia, S.L | DEVICE FOR THE SUTURE OF THE MENISCO. |
| US8298291B2 (en) * | 2005-05-26 | 2012-10-30 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
| US9585651B2 (en) | 2005-05-26 | 2017-03-07 | Usgi Medical, Inc. | Methods and apparatus for securing and deploying tissue anchors |
| DE202006020328U1 (en) * | 2005-06-01 | 2008-05-21 | Arthrocare Corp., Sunnyvale | Knot-free thread-anchoring device with deformation section to accommodate threads of different diameters |
| CN101242785B (en) | 2005-06-20 | 2010-11-03 | 苏图诺有限公司 | Apparatus for applying a knot to a suture |
| DE102005036753A1 (en) * | 2005-08-04 | 2007-02-08 | Mieczyslaw Pukacz | Devices and method for sterilization of pet, comprise shorter incisions and hook for thread and uterus holder |
| EP1909703A4 (en) * | 2005-08-04 | 2011-01-12 | Bard Inc C R | Pelvic implant systems and methods |
| CA2617317A1 (en) * | 2005-08-04 | 2007-02-15 | C.R. Bard, Inc. | Systems for introducing implants |
| JP4488981B2 (en) * | 2005-08-23 | 2010-06-23 | 日本シャーウッド株式会社 | Extractor and medical suture tool set |
| US8172801B2 (en) * | 2005-09-15 | 2012-05-08 | Boston Scientific Scimed, Inc. | Method for positioning a catheter guide element in a patient and kit for use in said method |
| ES2470338T3 (en) | 2005-11-14 | 2014-06-23 | C.R. Bard, Inc. | Sling anchor system |
| US7632308B2 (en) * | 2005-11-23 | 2009-12-15 | Didier Loulmet | Methods, devices, and kits for treating mitral valve prolapse |
| JP4614451B2 (en) * | 2005-12-26 | 2011-01-19 | 日本シャーウッド株式会社 | Medical suture tool |
| AU2006332514B2 (en) * | 2005-12-28 | 2013-01-17 | C.R. Bard, Inc. | Apparatus and method for introducing implants |
| US8726909B2 (en) | 2006-01-27 | 2014-05-20 | Usgi Medical, Inc. | Methods and apparatus for revision of obesity procedures |
| US20070198035A1 (en) * | 2006-02-17 | 2007-08-23 | Threlkeld Judson E | Method and surgical instrument operable for percutaneous ligation of a vein or vessel |
| US7615061B2 (en) * | 2006-02-28 | 2009-11-10 | Arthrocare Corporation | Bone anchor suture-loading system, method and apparatus |
| CA2652512C (en) * | 2006-05-22 | 2016-04-05 | Scandius Biomedical, Inc. | Method and apparatus for meniscal repair |
| US8876842B2 (en) * | 2006-05-22 | 2014-11-04 | Covidien Lp | Meniscal repair device |
| ATE518484T1 (en) * | 2006-05-31 | 2011-08-15 | Covidien Ag | MEDICAL SUTURE INSTRUMENT WITH GRIPPER DEVICE |
| US8870916B2 (en) | 2006-07-07 | 2014-10-28 | USGI Medical, Inc | Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use |
| US8133258B2 (en) | 2006-08-03 | 2012-03-13 | Arthrocare Corporation | Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device |
| US8480559B2 (en) | 2006-09-13 | 2013-07-09 | C. R. Bard, Inc. | Urethral support system |
| US8974367B2 (en) | 2006-10-03 | 2015-03-10 | Boston Scientific Scimed, Inc. | Coaxial device for delivering an implant to a patient's pelvic region |
| US9072514B2 (en) * | 2006-10-05 | 2015-07-07 | Thomas P. Knapp | Shape memory filament for suture management |
| US20080086147A1 (en) * | 2006-10-05 | 2008-04-10 | Knapp Thomas P | Shape memory filament for suture management |
| JP4536698B2 (en) * | 2006-10-05 | 2010-09-01 | 日本シャーウッド株式会社 | Medical suture tool |
| US8562629B2 (en) * | 2006-10-24 | 2013-10-22 | Arthrocare Corporation | Suture device having selective needle actuation and related method |
| JP4565576B2 (en) | 2007-02-20 | 2010-10-20 | 日本シャーウッド株式会社 | Puncture needle assist tool |
| WO2008121738A2 (en) | 2007-03-29 | 2008-10-09 | Sutura, Inc. | Suturing devices and methods for closing a patent foramen ovale |
| US8137381B2 (en) * | 2007-04-25 | 2012-03-20 | Arthrocare Corporation | Knotless suture anchor having discrete polymer components and related methods |
| PL2160214T3 (en) | 2007-06-08 | 2019-06-28 | Medeon Biodesign, Inc. | Devices for removal of debris from the objective lens of an endoscope |
| US10307041B2 (en) | 2007-06-08 | 2019-06-04 | Medeon Biodesign, Inc. | Lens cover modification |
| US10441273B2 (en) | 2007-07-03 | 2019-10-15 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
| US9211119B2 (en) | 2007-07-03 | 2015-12-15 | Ceterix Orthopaedics, Inc. | Suture passers and methods of passing suture |
| US8911456B2 (en) | 2007-07-03 | 2014-12-16 | Ceterix Orthopaedics, Inc. | Methods and devices for preventing tissue bridging while suturing |
| US8465505B2 (en) | 2011-05-06 | 2013-06-18 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
| US9314234B2 (en) | 2007-07-03 | 2016-04-19 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
| US8702731B2 (en) | 2007-07-03 | 2014-04-22 | Ceterix Orthopaedics, Inc. | Suturing and repairing tissue using in vivo suture loading |
| US20090012538A1 (en) * | 2007-07-03 | 2009-01-08 | Justin Saliman | Methods and devices for continuous suture passing |
| US9861354B2 (en) | 2011-05-06 | 2018-01-09 | Ceterix Orthopaedics, Inc. | Meniscus repair |
| US8500809B2 (en) | 2011-01-10 | 2013-08-06 | Ceterix Orthopaedics, Inc. | Implant and method for repair of the anterior cruciate ligament |
| US8663253B2 (en) | 2007-07-03 | 2014-03-04 | Ceterix Orthopaedics, Inc. | Methods of meniscus repair |
| US7963972B2 (en) * | 2007-09-12 | 2011-06-21 | Arthrocare Corporation | Implant and delivery system for soft tissue repair |
| US20110029000A1 (en) * | 2007-10-26 | 2011-02-03 | Blue Surgical Ltd. | In vivo suture assemblies |
| WO2009061504A1 (en) * | 2007-11-05 | 2009-05-14 | Revolutionary Surgical Device, Llc | Suture passing instrument and method |
| US8206280B2 (en) | 2007-11-13 | 2012-06-26 | C. R. Bard, Inc. | Adjustable tissue support member |
| US8771296B2 (en) * | 2008-05-09 | 2014-07-08 | Nobles Medical Technologies Inc. | Suturing devices and methods for suturing an anatomic valve |
| US9011489B2 (en) * | 2008-05-14 | 2015-04-21 | Boston Scientific Scimed, Inc. | Surgical composite barbed suture |
| JP5185706B2 (en) * | 2008-06-24 | 2013-04-17 | 日本コヴィディエン株式会社 | Puncture needle assist tool |
| US8828029B2 (en) * | 2008-06-30 | 2014-09-09 | Arthrocare Corporation | Independent suture tensioning and snaring apparatus |
| DE202008011769U1 (en) * | 2008-09-04 | 2008-11-06 | Karl Storz Gmbh & Co. Kg | Suture catcher for surgical sutures |
| US8551123B2 (en) * | 2008-11-13 | 2013-10-08 | Rajiv D. Pandya | Device for the intraosteal seizing of sutures |
| US8449573B2 (en) * | 2008-12-05 | 2013-05-28 | Boston Scientific Scimed, Inc. | Insertion device and method for delivery of a mesh carrier |
| US20110011917A1 (en) * | 2008-12-31 | 2011-01-20 | Hansen Medical, Inc. | Methods, devices, and kits for treating valve prolapse |
| CN102316810B (en) | 2009-02-17 | 2014-07-30 | 戴皮米泰克有限公司 | Side-loaded medical implement particularly useful in arthroscopic surgery |
| WO2010095131A1 (en) | 2009-02-17 | 2010-08-26 | Ran Oren | Medical implement for manipulating sutures particularly useful in arthroscopic surgery |
| US8147505B2 (en) * | 2009-03-23 | 2012-04-03 | Arthrocare Corporation | Surgical instrument for manipulating surgical suture and methods of use |
| US8177796B2 (en) * | 2009-03-23 | 2012-05-15 | Linvatec Corporation | Suture passing apparatus and method |
| CN101862211B (en) * | 2009-04-14 | 2012-07-25 | 上海交通大学医学院附属第九人民医院 | Temporal-mandibular joint disc suturing fixation apparatus |
| US8968334B2 (en) * | 2009-04-17 | 2015-03-03 | Boston Scientific Scimed, Inc. | Apparatus for delivering and anchoring implantable medical devices |
| WO2010124129A1 (en) * | 2009-04-22 | 2010-10-28 | Pare Surgical, Inc. | Endoscopic tissue grasping apparatus and method |
| CA2767713C (en) | 2009-07-15 | 2019-10-22 | Pivot Medical, Inc. | Method and apparatus for treating a hip joint, including the provision and use of a novel suture passer |
| US9198655B2 (en) | 2009-07-15 | 2015-12-01 | Pivot Medical, Inc. | Method and apparatus for treating a hip joint, including the provision and use of a novel suture passer |
| US10238379B2 (en) | 2009-07-17 | 2019-03-26 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
| US9179905B2 (en) | 2009-07-17 | 2015-11-10 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
| US11246585B2 (en) | 2009-07-17 | 2022-02-15 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
| US9149268B2 (en) | 2009-07-17 | 2015-10-06 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
| US10136884B2 (en) | 2009-07-17 | 2018-11-27 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath |
| US10426456B2 (en) | 2009-07-17 | 2019-10-01 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
| US9101355B2 (en) | 2009-07-17 | 2015-08-11 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
| US10058319B2 (en) | 2009-07-17 | 2018-08-28 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element |
| US11197663B2 (en) | 2009-07-17 | 2021-12-14 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
| US9649211B2 (en) | 2009-11-04 | 2017-05-16 | Confluent Medical Technologies, Inc. | Alternating circumferential bridge stent design and methods for use thereof |
| EP2496189A4 (en) | 2009-11-04 | 2016-05-11 | Nitinol Devices And Components Inc | Alternating circumferential bridge stent design and methods for use thereof |
| US9848868B2 (en) | 2011-01-10 | 2017-12-26 | Ceterix Orthopaedics, Inc. | Suture methods for forming locking loops stitches |
| US11744575B2 (en) | 2009-11-09 | 2023-09-05 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
| JP5719374B2 (en) | 2009-11-09 | 2015-05-20 | セテリックス オーソピーディクス インコーポレイテッド | Device, system, and method for repairing a meniscus |
| US9011454B2 (en) | 2009-11-09 | 2015-04-21 | Ceterix Orthopaedics, Inc. | Suture passer with radiused upper jaw |
| US9211118B2 (en) * | 2009-11-16 | 2015-12-15 | Arthrocare Corporation | Suture passer |
| WO2012007941A2 (en) | 2010-07-11 | 2012-01-19 | Mininvasive Ltd. | Circular bone tunneling device |
| AU2011298986B2 (en) | 2010-09-10 | 2015-05-28 | Stryker Corporation | Method and apparatus for passing suture through tissue |
| US10098631B2 (en) | 2010-09-10 | 2018-10-16 | Pivot Medical, Inc. | Method and apparatus for passing suture through tissue |
| WO2015066620A1 (en) | 2010-09-10 | 2015-05-07 | Pivot Medical, Inc. | Method and apparatus for passing suture through tissue |
| US9913638B2 (en) | 2011-01-10 | 2018-03-13 | Ceterix Orthopaedics, Inc. | Transosteal anchoring methods for tissue repair |
| US8465504B2 (en) | 2011-01-25 | 2013-06-18 | Isuturing, Llc | Devices and methods for continuous surgical suturing |
| US9775602B2 (en) | 2011-01-25 | 2017-10-03 | Isuturing, Llc | Devices and methods for continuous surgical suturing |
| WO2012106398A1 (en) | 2011-02-01 | 2012-08-09 | St. Jude Medical, Inc. | Apparatus and method for heart valve repair |
| US8556916B2 (en) | 2011-02-14 | 2013-10-15 | Smith & Nephew, Inc. | Method and device for suture manipulation |
| US20120221045A1 (en) * | 2011-02-25 | 2012-08-30 | Yu-Chung Chang | Needle unit |
| CN103889345B (en) | 2011-04-15 | 2016-10-19 | 心脏缝合有限公司 | For sewing up stitching devices and the method for anatomy lobe |
| US9357997B2 (en) | 2011-07-08 | 2016-06-07 | Smith & Nephew, Inc. | Suture passer and method |
| US8951263B2 (en) | 2011-07-08 | 2015-02-10 | Smith & Nephew, Inc. | Orthopedic suture passer and method |
| US8801727B2 (en) | 2011-07-08 | 2014-08-12 | Smith & Nephew, Inc. | Orthopedic suture passer and method |
| US8882834B2 (en) | 2011-07-08 | 2014-11-11 | Smith & Nephew, Inc. | Soft tissue repair |
| US8888849B2 (en) | 2011-07-08 | 2014-11-18 | Smith & Nephew, Inc. | Soft tissue repair |
| US9662105B2 (en) | 2011-07-08 | 2017-05-30 | Smith & Nephew, Inc. | Suture passer and method |
| AU2012298197B2 (en) | 2011-08-24 | 2016-12-01 | Mininvasive Ltd. | Arthroscopic surgical device |
| US9820754B2 (en) | 2011-08-24 | 2017-11-21 | Mininvasive Ltd. | Circular bone tunneling device employing a stabilizing element |
| US9636101B2 (en) | 2011-09-01 | 2017-05-02 | Arthrocare Corporation | Bone anchor having an integrated stress isolator |
| US10524778B2 (en) | 2011-09-28 | 2020-01-07 | Ceterix Orthopaedics | Suture passers adapted for use in constrained regions |
| US9039721B2 (en) | 2011-11-07 | 2015-05-26 | C.R. Bard, Inc. | Instruments for delivering transfascial sutures and methods of transfascial suturing |
| US10231740B2 (en) | 2012-01-08 | 2019-03-19 | Mininvasive Ltd. | Arthroscopic surgical device |
| US9610082B2 (en) | 2012-01-25 | 2017-04-04 | St. Jude Medical, Inc. | Apparatus and method for heart valve repair |
| WO2013112797A2 (en) | 2012-01-25 | 2013-08-01 | St. Jude Medical, Inc. | Apparatus and method for heart valve repair |
| EP2806936A1 (en) * | 2012-01-26 | 2014-12-03 | Cook Medical Technologies LLC | Catheter for positioning a wire guide |
| US9198649B2 (en) | 2012-01-27 | 2015-12-01 | Arthrocare Corporation | Rotating locking member suture anchor and method for soft tissue repair |
| US9226742B2 (en) | 2012-01-27 | 2016-01-05 | Arthrocare Corporation | Restricted wedge suture anchor and method for soft tissue repair |
| US9023083B2 (en) | 2012-01-27 | 2015-05-05 | Arthrocare Corporation | Method for soft tissue repair with free floating suture locking member |
| US9034014B2 (en) | 2012-01-27 | 2015-05-19 | Arthrocare Corporation | Free floating wedge suture anchor for soft tissue repair |
| US9364210B2 (en) | 2012-01-27 | 2016-06-14 | Arthrocare Corporation | Biased wedge suture anchor and method for soft tissue repair |
| ES2631652T3 (en) | 2012-02-02 | 2017-09-01 | St. Jude Medical, Cardiology Division, Inc. | Device for repairing a heart valve |
| US9936941B2 (en) * | 2012-02-07 | 2018-04-10 | Arthrocare Corporation | Surgical instrument for manipulating and passing suture |
| US10265062B2 (en) | 2012-02-07 | 2019-04-23 | Arthrocare Corporation | Surgical instrument for manipulating and passing suture |
| WO2013122690A1 (en) | 2012-02-16 | 2013-08-22 | Coopersurgical, Inc. | Suture passers |
| US9855028B2 (en) | 2012-04-06 | 2018-01-02 | Arthrocare Corporation | Multi-suture knotless anchor for attaching tissue to bone and related method |
| US9265514B2 (en) | 2012-04-17 | 2016-02-23 | Miteas Ltd. | Manipulator for grasping tissue |
| EP2852332B1 (en) | 2012-05-11 | 2019-06-26 | Heartstitch, Inc. | Suturing devices for suturing an anatomic structure |
| US10016193B2 (en) * | 2013-11-18 | 2018-07-10 | Edwards Lifesciences Ag | Multiple-firing crimp device and methods for using and manufacturing same |
| US10105219B2 (en) | 2012-08-02 | 2018-10-23 | St. Jude Medical, Cardiology Division, Inc. | Mitral valve leaflet clip |
| US9662205B2 (en) | 2012-08-02 | 2017-05-30 | St. Jude Medical, Cardiology Division, Inc. | Apparatus and method for heart valve repair |
| EP2730233B1 (en) | 2012-11-07 | 2016-12-21 | Arthrex, Inc. | Suture snare with retractable sleeve |
| US9089322B2 (en) * | 2012-12-31 | 2015-07-28 | Depuy Mitek, Llc | Suture passer with expelling mechanism |
| US9642706B2 (en) * | 2013-03-11 | 2017-05-09 | St. Jude Medical, Llc | Apparatus and method for heart valve repair |
| CA2906862A1 (en) * | 2013-03-15 | 2014-09-18 | Alpha Scientific Corporation | Surgical suturing device with transverse engagement |
| US9402648B2 (en) | 2013-03-15 | 2016-08-02 | Kyphon SÀRL | Retractable device to dissect and evacuate ligamentum flavum in lumbar spinal stenosis |
| EP2976022B1 (en) * | 2013-03-18 | 2020-08-19 | Mininvasive Ltd. | Arthroscopic surgical device |
| US10292694B2 (en) | 2013-04-22 | 2019-05-21 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone |
| EA039866B1 (en) | 2013-07-02 | 2022-03-22 | Мед-Венче Инвестментс, Ллс | Suturing device and method for suturing an anatomic structure |
| CN105377151B (en) * | 2013-07-15 | 2017-12-19 | 库克医学技术有限责任公司 | Suture threading-in device and its operating method |
| WO2015009840A1 (en) * | 2013-07-16 | 2015-01-22 | Suture Ease, Inc. | Suture apparatus, system and method |
| US11284878B2 (en) * | 2013-08-22 | 2022-03-29 | Anchor Orthopedics Xt Inc. | Suture cutter |
| US9247935B2 (en) | 2013-09-23 | 2016-02-02 | Ceterix Orthopaedics, Inc. | Arthroscopic knot pusher and suture cutter |
| US10485532B2 (en) * | 2013-09-30 | 2019-11-26 | Biomet Manufacturing, Llc | Suture passer device including a blunt tip and a sharp tip |
| JP6469109B2 (en) | 2013-12-06 | 2019-02-13 | メッド − ベンチャー インベストメンツ、エルエルシー | Suture method and apparatus |
| KR101502074B1 (en) * | 2013-12-09 | 2015-03-11 | 주식회사 씨앤지 | A cannula for skin wrinkling plastic surgery and the fabrication method |
| AU2014362199B2 (en) | 2013-12-12 | 2019-07-11 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
| WO2015095133A1 (en) | 2013-12-16 | 2015-06-25 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices having pre-tied knots and methods |
| EP2929841B1 (en) | 2014-04-08 | 2017-11-15 | Ceterix Orthopaedics, Inc. | Suture passers adapted for use in constrained regions |
| KR101600567B1 (en) * | 2014-04-18 | 2016-03-07 | (주)리젠바이오참 | Medical round needle for imbedding |
| CN106456155A (en) * | 2014-04-24 | 2017-02-22 | 史密夫和内修有限公司 | Suture passer |
| WO2015179465A1 (en) * | 2014-05-22 | 2015-11-26 | Tensor Surgical, Inc. | Method and apparatus for passing suture through tissue |
| KR101569780B1 (en) * | 2014-05-30 | 2015-11-16 | 동국대학교 산학협력단 | Wire knot delivery device |
| US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
| US9936943B1 (en) | 2014-08-07 | 2018-04-10 | Nicholas MANCINI | Suture passing surgical device with atraumatic grasper preventing accidental perforations |
| AU2015313815A1 (en) | 2014-09-09 | 2017-04-06 | Mininvasive Ltd. | Padded transosseous suture |
| US9861356B2 (en) | 2014-10-01 | 2018-01-09 | Brainchild Surgical Devices Llc | Suturing device and method |
| EP3229703A4 (en) | 2014-12-10 | 2018-09-05 | Edwards Lifesciences AG | Multiple-firing securing device and methods for using and manufacturing same |
| WO2016103900A1 (en) * | 2014-12-25 | 2016-06-30 | オリンパス株式会社 | Medical instrument and medical system |
| CN106999199B (en) * | 2014-12-25 | 2020-04-21 | 奥林巴斯株式会社 | Medical instrument |
| US11020107B2 (en) | 2015-03-09 | 2021-06-01 | T.A.G. Medical Devices—Agriculture Cooperative Ltd. | Suture capturing device for use in arthroscopic procedures |
| KR101571291B1 (en) * | 2015-04-09 | 2015-11-24 | 21세기메디칼 주식회사 | Bio-puncture needle and manufacturing method thereof |
| US10226245B2 (en) | 2015-07-21 | 2019-03-12 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices that prevent entanglement |
| US10080562B2 (en) | 2015-08-06 | 2018-09-25 | DePuy Synthes Products, Inc. | Methods, systems, and devices for surgical suturing |
| EP3352687A4 (en) | 2015-09-24 | 2019-10-16 | Mininvasive Ltd. | Arthroscopic surgical device |
| US10405853B2 (en) | 2015-10-02 | 2019-09-10 | Ceterix Orthpaedics, Inc. | Knot tying accessory |
| US10835234B2 (en) | 2015-12-31 | 2020-11-17 | Mininvasive Ltd. | Arthroscopic surgical device |
| EP3419531B1 (en) * | 2016-02-26 | 2024-04-03 | AtriCure, Inc. | Devices for left atrial appendage closure |
| EP3442437B1 (en) | 2016-04-11 | 2020-11-11 | Nobles Medical Technologies II, Inc. | Tissue suturing device with suture spool |
| KR101666179B1 (en) | 2016-04-25 | 2016-10-13 | (주)투엘바이오 | Fabrication apparatus and method for medicine yarn insertind device |
| USD804025S1 (en) | 2016-06-20 | 2017-11-28 | Karl Storz Gmbh & Co. Kg | Suture retriever |
| USD804026S1 (en) | 2016-06-20 | 2017-11-28 | Karl Storz Gmbh & Co. Kg | Suture retriever |
| USD804027S1 (en) | 2016-06-20 | 2017-11-28 | Karl Storz Gmbh & Co. Kg | Suture retriever |
| USD804028S1 (en) | 2016-06-20 | 2017-11-28 | Karl Storz Gmbh & Co. Kg | Suture retriever |
| JP6905532B2 (en) * | 2016-08-23 | 2021-07-21 | 株式会社カネカ | Medical bidirectional suturing device |
| KR102177668B1 (en) | 2016-09-05 | 2020-11-12 | (주)투엘바이오 | Fabrication apparatus and method for medicine yarn insertind device |
| WO2018081374A1 (en) | 2016-10-31 | 2018-05-03 | Smith & Nephew, Inc. | Suture passer and grasper instrument and method |
| US11839370B2 (en) | 2017-06-19 | 2023-12-12 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
| WO2019005102A1 (en) | 2017-06-30 | 2019-01-03 | Wright Medical Technology, Inc. | Soft tissue repair instruments and techniques |
| WO2019035095A1 (en) | 2017-08-18 | 2019-02-21 | Nobles Medical Technologies Ii, Inc. | Apparatus for applying a knot to a suture |
| WO2019118835A1 (en) * | 2017-12-14 | 2019-06-20 | Conmed Corporation | Suture passer device |
| RU183870U1 (en) * | 2018-03-26 | 2018-10-05 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Курский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Surgical taperkat needle |
| RU183871U1 (en) * | 2018-03-29 | 2018-10-05 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Курский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Surgical taperkat needle straight |
| JP7056324B2 (en) * | 2018-03-30 | 2022-04-19 | 日本ゼオン株式会社 | Medical suture device |
| WO2019213275A1 (en) | 2018-05-04 | 2019-11-07 | Arch Day Design, Llc | Suture passing device |
| US11583269B2 (en) | 2018-05-04 | 2023-02-21 | Arch Day Design, Llc | Suture passing device |
| US11278274B2 (en) | 2018-05-04 | 2022-03-22 | Arch Day Design, Llc | Suture passing device |
| WO2019231777A1 (en) * | 2018-05-29 | 2019-12-05 | Smith & Nephew, Inc. | Suture passer with locking actuator |
| CN109846522A (en) * | 2018-09-28 | 2019-06-07 | 桐庐优视医疗器械有限公司 | A kind of cable type ligation suture down-lead device |
| US10667805B1 (en) | 2019-05-17 | 2020-06-02 | Composite Surgical, LLC | Steerable suture retriever |
| US11246586B2 (en) | 2019-08-20 | 2022-02-15 | Arch Day Design, Llc | Instrument to manipulate and pass suture |
| US20210338225A1 (en) | 2020-04-29 | 2021-11-04 | DePuy Synthes Products, Inc. | Knotless anchor insertion |
| US11154295B1 (en) * | 2020-05-14 | 2021-10-26 | Composite Surgical, LLC | Steerable suture retriever |
| US10973512B1 (en) | 2020-05-14 | 2021-04-13 | Composite Surgical, LLC | Steerable suture retriever |
| CN116648197A (en) * | 2020-10-23 | 2023-08-25 | 想象内窥镜公司 | Endoscopic suture fastener |
| BR102021003388A2 (en) * | 2021-02-23 | 2022-09-06 | José Leonardo Rocha De Faria | MENISCUS SUTURE DEVICE |
| USD1019945S1 (en) | 2021-12-30 | 2024-03-26 | Medos International Sarl | Suture anchor insertion device |
Family Cites Families (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US292195A (en) * | 1884-01-22 | Shoe-maker s sewing-needle | ||
| US1545682A (en) * | 1924-03-17 | 1925-07-14 | Ole A Nelson | Surgeon's forceps |
| US1583271A (en) * | 1925-01-14 | 1926-05-04 | Biro Ladislaus | Surgical instrument |
| US2738790A (en) * | 1954-08-12 | 1956-03-20 | George P Pilling & Son Company | Suturing instrument |
| US2959172A (en) * | 1957-08-27 | 1960-11-08 | American Cystoscope Makers Inc | Self-threading suturing instrument |
| US3877434A (en) * | 1974-02-11 | 1975-04-15 | Sherwood Medical Ind Inc | Vascular tourniquet |
| DE2532242A1 (en) * | 1975-07-18 | 1977-02-10 | Gerhard Seeh | Suturing needle with thread feed and release - has sliding plunger in sealed needle shaft |
| SE417274B (en) * | 1980-04-09 | 1981-03-09 | Mats Akerlund | PROBLEM FOR RETIRING WITHDRAWALS |
| US4517965A (en) * | 1983-06-27 | 1985-05-21 | Ellison Arthur E | Tissue retractor |
| EP0148304B1 (en) * | 1984-01-12 | 1987-09-30 | Storz, Karl, Dr.med. h.c. | Operating instrument with an ultrasonic drill probe |
| DE3413744C2 (en) * | 1984-04-12 | 1986-08-28 | Richard Wolf Gmbh, 7134 Knittlingen | Applicator for knotting sewing threads |
| US4781190A (en) * | 1985-06-18 | 1988-11-01 | Lee Wilson K C | Method of arthroscopic repair of a limb joint |
| US4779616A (en) * | 1986-02-04 | 1988-10-25 | Johnson Lanny L | Surgical suture-snagging method |
| US4836205A (en) * | 1988-03-21 | 1989-06-06 | Barrett Gene R | Grasper-stitcher device for arthroscopic anterior cruciate ligament repair |
| US5015250A (en) * | 1990-01-12 | 1991-05-14 | Vance Products Incorporated | Medical instrument for driving a suture needle |
| US5031634A (en) * | 1990-01-19 | 1991-07-16 | Beth Israel Hospital Assoc., Inc. | Adjustable biopsy needle-guide device |
| US5201741A (en) * | 1990-07-24 | 1993-04-13 | Andrew Surgical, Inc. | Surgical snare with shape memory effect wire |
| US5149329A (en) * | 1990-12-12 | 1992-09-22 | Wayne State University | Surgical suture carrier and method for urinary bladder neck suspension |
| US5176700A (en) * | 1991-01-22 | 1993-01-05 | Pod, Inc. | Laparoscopic sponger-dissector forceps |
| US5181919A (en) * | 1991-04-23 | 1993-01-26 | Arieh Bergman | Suture ligating device for use with an endoscope |
| US5261917A (en) * | 1992-02-19 | 1993-11-16 | Hasson Harrith M | Suture tying forceps with a plurality of suture holders and method of tying a suture |
| US5222977A (en) * | 1992-02-21 | 1993-06-29 | Esser Rene D | Surgical needle with an adjustable eye |
| US5250054A (en) * | 1992-05-01 | 1993-10-05 | Li Medical Technologies, Inc. | Intracorporeal knot tying apparatus and method |
| US5312432A (en) | 1992-05-01 | 1994-05-17 | Vance Products Inc. | Percutaneously insertable, needle-sized tissue retractor and system |
| US5250055A (en) * | 1992-06-08 | 1993-10-05 | Orthopedic Systems Inc. | Method and apparatus for tying suture to bone |
| US5312422A (en) * | 1992-07-16 | 1994-05-17 | Linvatec Corporation | Endoscopic suturing needle |
| US5222508A (en) * | 1992-10-09 | 1993-06-29 | Osvaldo Contarini | Method for suturing punctures of the human body |
-
1994
- 1994-12-19 US US08/358,421 patent/US5499991A/en not_active Expired - Lifetime
-
1995
- 1995-11-27 AU AU39073/95A patent/AU702848B2/en not_active Expired
- 1995-12-18 EP EP95203539A patent/EP0717957B1/en not_active Expired - Lifetime
- 1995-12-18 DE DE69515111T patent/DE69515111T2/en not_active Expired - Lifetime
- 1995-12-19 CA CA002165590A patent/CA2165590A1/en not_active Abandoned
- 1995-12-19 JP JP7330309A patent/JPH08215200A/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| DE69515111D1 (en) | 2000-03-23 |
| AU702848B2 (en) | 1999-03-04 |
| DE69515111T2 (en) | 2000-10-12 |
| EP0717957B1 (en) | 2000-02-16 |
| EP0717957A1 (en) | 1996-06-26 |
| AU3907395A (en) | 1996-06-27 |
| JPH08215200A (en) | 1996-08-27 |
| US5499991A (en) | 1996-03-19 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued | ||
| FZDE | Discontinued |
Effective date: 20031219 |