US2131321A - Ligator - Google Patents

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US2131321A
US2131321A US168478A US16847837A US2131321A US 2131321 A US2131321 A US 2131321A US 168478 A US168478 A US 168478A US 16847837 A US16847837 A US 16847837A US 2131321 A US2131321 A US 2131321A
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Prior art keywords
ligature
shank
holder
ligator
loop
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US168478A
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Hart Wilber
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery

Definitions

  • My invention relates to surgical instruments and more particularly to improvements in socalled ligato-rs for use in tying off. blood vessels.
  • the primary object of the invention is the provision of an instrument of this character for placing a ligature and tying the same in deep narrow cavities in which it is difficult to place or manipulate a ligature with the fingers without tearing the wound.
  • Figure l is a view in front elevation of a. ligator embodying my invention
  • Figure 2 is a view in side elevation
  • Figure 3 is a fragmentary View in front elevation drawn to an enlarged scale of the loop-holding end of the ligator
  • Figure 4 is a view in transverse section taken on the line 4-4 of Figure 1 looking in the direction indicated by the arrows,
  • Figure 5 is a view in front elevation of the shank
  • Figure 6 is a view in end elevation of the loopholding end of the ligator
  • Figure 7 is a view in end elevation of the tensioning slide
  • Figure 8 is a fragmentary view looking at the inner side of one end of the loop holder.
  • my improved ligator comprises a rod-like shank or stem I of steel, having a hand-grip end 2 to which a thumbgrip in the form of the usual metal ring 3 is attached by means of a socket 4 on said ring fitting over said end of the shank, and a thumb-screw 5 threaded through said socket and end.
  • the shank I is flattened, as at 6, to form a key portion on said shank I terminating at said point in a stop shoulder I.
  • the shank is reduced in size, as at 8, to the opposite end thereof to lighten the weight and thereby facilitate manipulation of the instrument.
  • a tensioning slide, or carriage, 9 of suitable metal comprising a guide 'sleeve I fitting on said portion 6 and pair of manipulating ears I I, extending from opposite sides of the sleeve Ill, respectively, and apertured, as at l2, for the insertion of the'fingers of the operator therein.
  • a pair of resilient clips I3 extend forwardly from the front of the sleeve Ill on opposite sidesof the longitudinal center of the shank I for clamping a ligature to said sleeve ina manner to be described.
  • the holder I4 is provided with a pair of guideopenings I'I therein in the bend thereof and upon oppositesides of the shank I respectively.
  • ligature I8 is anchored at one end to the slide 9' by means of one of the described clips I3, it being understood that the slide 9 is positioned against the shoulder l.
  • the ligature I8 is then trained alongside the shank I and threaded through the holder I4 by way of the guide openings II on the same side of the shank as said clip I3. From said openings H the ligature I8 is led across the holder I4 outwardly and clamped between the pair of clamping members It on the opposite side of said holder and then looped across the free ends'of the holder I4 and clamped between the other pair of clamping members I6.
  • the ligature is wrapped loosely, atleast twice, around that portion thereof extending from the first mentioned aperture and then threaded through the other aperture I! and led alongside the shank I to the carriage 9 to which the free end of the ligature isclamped by the other clip I3;
  • the described disposition of the ligature I8 forms a loop in the holder I4 loosely tied and held in place by the clampingmembers I6 and openings I1 and arranged to be tied by tension exerted on the ends of the ligature.
  • the ligator may then be freed from the ligature in any suitable manner as by cutting the latter.
  • the ligator described in the foregoing is especially useful in ligating vessels in performing tonsillectomies and in deep abdominal and kidney incisions. By its use insertion of the fingers and hand into the incision, and particularly into the throat, is entirely obviated. Moreover by virtue of the described ligator, the ligature andpoint to be ligated can always be kept constantly in view thereby aiding in the careful handling of the tissues while ligating and thus reducing trauma.
  • a ligator for use with a ligature having a loop formed therein intermediate the ends thereof the invention holder, respectively, for clampingly engaging the loop of said ligature upon opposite sides thereof, and means on said slide for releasably securing the ends of the ligature thereto whereby tension may be exerted on said ligature ends by movement 'of said slide toward said ring, said means comprising a pair of resilient clips, and the holder having a pair of guide apertures in the bend thereof for the passage of the ends of the ligature therethrough.
  • a ligator for use with a ligature having a of and comprising a rod-like shank provided at one end thereof with a thumb-accommodating ring a slide splined on the shank for movement toward and from said ring and provided with finger-grip apertures therein, a bifurcated holder mounted on the other end of the shank with the ends thereof outwardly extending, means on the ends of said holder fordetachably and slidably securing the opposite sides of the loop to said ends, respectively, whereby said loop is adjustably suspended in said holder in opened condition, and means on the slide for releasably securing the.

Description

Sept. 27, 1938.
W. HART LIGATOR Filed Oct. 11, 1957 2 Sheets-Sheet 1 Inventor MZer //a W A tiorneys W. HART LIGATOR Sept. 27, 1938.
Filed Oct. 11, 1937 2 Sheets-Sheet 2 In venior %i%@/ Hal 7 A iiorneys Patented Sept. 27, 1938 UNITED STATES PATENT OFFICE LIGATOR Wilber Hart, Midwest, aw." Application October 11, 1937, Serial No. 168,478 3 Claims. (01.128 36) My invention relates to surgical instruments and more particularly to improvements in socalled ligato-rs for use in tying off. blood vessels.
The primary object of the invention is the provision of an instrument of this character for placing a ligature and tying the same in deep narrow cavities in which it is difficult to place or manipulate a ligature with the fingers without tearing the wound.
The invention also coniprehends other objects of a more or less subordinate nature all of which together with the exact nature of my imp-rovements will become apparent when the following description and claims are read with reference to the drawings accompanying and forming part of this specification.
In said drawings:
Figure l is a view in front elevation of a. ligator embodying my invention,
Figure 2 is a view in side elevation,
Figure 3 is a fragmentary View in front elevation drawn to an enlarged scale of the loop-holding end of the ligator,
Figure 4 is a view in transverse section taken on the line 4-4 of Figure 1 looking in the direction indicated by the arrows,
Figure 5 is a view in front elevation of the shank,
Figure 6 is a view in end elevation of the loopholding end of the ligator,
Figure 7 is a view in end elevation of the tensioning slide, and
Figure 8 is a fragmentary view looking at the inner side of one end of the loop holder.
Referring to the drawings by numerals, in the illustrated embodiment thereof my improved ligator comprises a rod-like shank or stem I of steel, having a hand-grip end 2 to which a thumbgrip in the form of the usual metal ring 3 is attached by means of a socket 4 on said ring fitting over said end of the shank, and a thumb-screw 5 threaded through said socket and end. From the ring 3 to a. point substantially midway of its ends the shank I is flattened, as at 6, to form a key portion on said shank I terminating at said point in a stop shoulder I. Preferably from the shoulder I the shank is reduced in size, as at 8, to the opposite end thereof to lighten the weight and thereby facilitate manipulation of the instrument. Slidably mounted on the portion 6 of the shank I is a tensioning slide, or carriage, 9 of suitable metal comprising a guide 'sleeve I fitting on said portion 6 and pair of manipulating ears I I, extending from opposite sides of the sleeve Ill, respectively, and apertured, as at l2, for the insertion of the'fingers of the operator therein. A pair of resilient clips I3 extend forwardly from the front of the sleeve Ill on opposite sidesof the longitudinal center of the shank I for clamping a ligature to said sleeve ina manner to be described.
Extending from the end of the shank I, opposite the hand-grip end 2, and disposed in the plane of said shank, is'a bifurcated loop holder I4,
of general horseshoe shape and bar-like structure,
provided with a stud I threaded into said endof the shank I and by means of which said holder is detachably secured to said shank with its free ends outwardly extending. Suitably secured to the free ends of the holder .I4 areopposed pairs of clamping members I6 extending inwardly from said ends adjacent the extremities thereof. The clamping members lfiare preferably formed of a semi-circular length of resilient wire attached at their ends to the holder "I4, the 'membersof each pair being arranged side-by-side for cooperating clamping'action. The holder I4 is provided with a pair of guideopenings I'I therein in the bend thereof and upon oppositesides of the shank I respectively. Y I
Referring to the use of the described ligator, the
ligature I8 is anchored at one end to the slide 9' by means of one of the described clips I3, it being understood that the slide 9 is positioned against the shoulder l. The ligature I8 is then trained alongside the shank I and threaded through the holder I4 by way of the guide openings II on the same side of the shank as said clip I3. From said openings H the ligature I8 is led across the holder I4 outwardly and clamped between the pair of clamping members It on the opposite side of said holder and then looped across the free ends'of the holder I4 and clamped between the other pair of clamping members I6. the last mentioned clamping members I6 the ligature is wrapped loosely, atleast twice, around that portion thereof extending from the first mentioned aperture and then threaded through the other aperture I! and led alongside the shank I to the carriage 9 to which the free end of the ligature isclamped by the other clip I3; As will be clear from an inspection of Figure 3 the described disposition of the ligature I8 forms a loop in the holder I4 loosely tied and held in place by the clampingmembers I6 and openings I1 and arranged to be tied by tension exerted on the ends of the ligature. With the ligature I8 thus arranged, the instrument is, manipulated to Fromlocate or place the loop of the ligature over the ceptible of modification Without departing front.
loop formed therein intermediate the ends thereends of the ligature sufficient to pull the loop tight around said vessel. The ligator may then be freed from the ligature in any suitable manner as by cutting the latter.
The ligator described in the foregoing is especially useful in ligating vessels in performing tonsillectomies and in deep abdominal and kidney incisions. By its use insertion of the fingers and hand into the incision, and particularly into the throat, is entirely obviated. Moreover by virtue of the described ligator, the ligature andpoint to be ligated can always be kept constantly in view thereby aiding in the careful handling of the tissues while ligating and thus reducing trauma.
It is thought that the foregoing will suffice to impart a clear understanding of without further explanation.
Manifestly the invention as .described is sus the inventive concept and right is herein reserved to all such modifications falling within' the scope of the subjoined claims. 'What I claim is:
1. A ligator for use with a ligature having a loop formed therein intermediate the ends thereof and comprising a rod-like shank provided'at one end thereof with a thumb-accommodating ring, a slide splined on said shank for movement toward'and from said ring and provided with finger-grip apertures therein,'a bifurcated holder mounted on the other end of sai'd'shank with the ends thereof outwardly extending, opposed pairs of resilient clamping members on the ends of said holder,respectively, for clampihgly engaging the loop of said ligature upon opposite sides thereof, and means on said slide for releasably securing the ends of the ligature thereto whereby tension may be exerted on said ligature ends by movement of said slide toward said ring;
2. A ligator for use with a ligature having a loop formed therein intermediate the ends thereof the invention holder, respectively, for clampingly engaging the loop of said ligature upon opposite sides thereof, and means on said slide for releasably securing the ends of the ligature thereto whereby tension may be exerted on said ligature ends by movement 'of said slide toward said ring, said means comprising a pair of resilient clips, and the holder having a pair of guide apertures in the bend thereof for the passage of the ends of the ligature therethrough.
3. A ligator for use with a ligature having a of and comprising a rod-like shank provided at one end thereof with a thumb-accommodating ring a slide splined on the shank for movement toward and from said ring and provided with finger-grip apertures therein, a bifurcated holder mounted on the other end of the shank with the ends thereof outwardly extending, means on the ends of said holder fordetachably and slidably securing the opposite sides of the loop to said ends, respectively, whereby said loop is adjustably suspended in said holder in opened condition, and means on the slide for releasably securing the. ends of the ligature thereto whereby tension may be exerted on said ligature end by movement of the slide toward the ring, said means comprising a pair of resilient clips, and the holder having a pair of guide apertures in the bend thereof=for the passage of the ends of the ligature therethrough.
WILBER HART.
US168478A 1937-10-11 1937-10-11 Ligator Expired - Lifetime US2131321A (en)

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Cited By (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2595086A (en) * 1948-11-30 1952-04-29 Henry B Larzelere Surgical instrument
US2610631A (en) * 1949-11-02 1952-09-16 David J Calicchio Ligator
US3834395A (en) * 1973-03-09 1974-09-10 M Santos Knot tying instruments
US5266075A (en) * 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
US5281238A (en) * 1991-11-22 1994-01-25 Chin Albert K Endoscopic ligation instrument
US5314433A (en) * 1990-04-25 1994-05-24 Mitek Surgical Products, Inc. Suture throw holder and rundown system
US5397326A (en) * 1993-04-15 1995-03-14 Mangum; William K. Knot pusher for videoendoscopic surgery
US5643273A (en) * 1995-02-17 1997-07-01 Clark; Ron ACL bone tunnel projection drill guide and method for its use
USD385627S (en) * 1996-01-16 1997-10-28 Inlet Medical, Inc. Medical instrument handle
US5746755A (en) * 1994-06-01 1998-05-05 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5797929A (en) * 1994-06-01 1998-08-25 Perclose, Inc. Apparatus and methods for advancing surgical knots
EP1010397A1 (en) * 1998-12-16 2000-06-21 AMI (Agency for medical innovations GmbH) Endoscopic instrument with suture loop
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US20070032798A1 (en) * 2005-08-08 2007-02-08 Pantages Anthony J Vascular suturing device with needle capture
US20070282354A1 (en) * 2003-09-26 2007-12-06 Abbott Laboratories Adevice for suturing intracardiac defects
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8668718B2 (en) 2009-06-04 2014-03-11 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8721663B2 (en) 1999-05-20 2014-05-13 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864780B2 (en) 2011-02-15 2014-10-21 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9033201B2 (en) 2011-02-15 2015-05-19 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US20150182729A1 (en) * 2012-06-25 2015-07-02 Emory University Catheter system for delivery of solutions
US9101460B2 (en) 2009-01-08 2015-08-11 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9113977B2 (en) 2011-02-15 2015-08-25 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9125650B2 (en) 2011-12-19 2015-09-08 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9198751B2 (en) 2011-02-15 2015-12-01 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
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US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US10123796B2 (en) 2014-11-04 2018-11-13 Rotation Medical, Inc. Medical implant delivery system and related methods
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US10258459B2 (en) 2014-05-09 2019-04-16 Rotation Medical, Inc. Medical implant delivery system and related methods
US10265156B2 (en) 2015-06-15 2019-04-23 Rotation Medical, Inc Tendon repair implant and method of implantation
US10314689B2 (en) 2015-12-31 2019-06-11 Rotation Medical, Inc. Medical implant delivery system and related methods
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms
US10758228B2 (en) 2015-11-03 2020-09-01 Rotation Medical, Inc. Fastener delivery system and related methods
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Cited By (145)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2595086A (en) * 1948-11-30 1952-04-29 Henry B Larzelere Surgical instrument
US2610631A (en) * 1949-11-02 1952-09-16 David J Calicchio Ligator
US3834395A (en) * 1973-03-09 1974-09-10 M Santos Knot tying instruments
US5314433A (en) * 1990-04-25 1994-05-24 Mitek Surgical Products, Inc. Suture throw holder and rundown system
US5281238A (en) * 1991-11-22 1994-01-25 Chin Albert K Endoscopic ligation instrument
US5266075A (en) * 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
US5397326A (en) * 1993-04-15 1995-03-14 Mangum; William K. Knot pusher for videoendoscopic surgery
US5746755A (en) * 1994-06-01 1998-05-05 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5797929A (en) * 1994-06-01 1998-08-25 Perclose, Inc. Apparatus and methods for advancing surgical knots
US6117145A (en) * 1994-06-01 2000-09-12 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5643273A (en) * 1995-02-17 1997-07-01 Clark; Ron ACL bone tunnel projection drill guide and method for its use
USD385627S (en) * 1996-01-16 1997-10-28 Inlet Medical, Inc. Medical instrument handle
EP1010397A1 (en) * 1998-12-16 2000-06-21 AMI (Agency for medical innovations GmbH) Endoscopic instrument with suture loop
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
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US8172860B2 (en) 1999-03-04 2012-05-08 Abbott Laboratories Articulating suturing device and method
US8974473B2 (en) 1999-05-20 2015-03-10 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US8721663B2 (en) 1999-05-20 2014-05-13 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US9724105B2 (en) 1999-05-20 2017-08-08 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8257368B2 (en) 2003-09-26 2012-09-04 Abbott Laboratories Device for suturing intracardiac defects
US8361088B2 (en) 2003-09-26 2013-01-29 Abbott Laboratories Device and method for suturing intracardiac defects
US20070282354A1 (en) * 2003-09-26 2007-12-06 Abbott Laboratories Adevice for suturing intracardiac defects
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US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US10413288B2 (en) 2003-12-23 2019-09-17 Abbott Laboratories Suturing device with split arm and method of suturing tissue
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US20070032798A1 (en) * 2005-08-08 2007-02-08 Pantages Anthony J Vascular suturing device with needle capture
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
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US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8430893B2 (en) 2006-08-18 2013-04-30 Abbott Laboratories Articulating suturing device and method
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
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