WO2008045394A3 - Flexible endoscopic stitching devices - Google Patents

Flexible endoscopic stitching devices Download PDF

Info

Publication number
WO2008045394A3
WO2008045394A3 PCT/US2007/021506 US2007021506W WO2008045394A3 WO 2008045394 A3 WO2008045394 A3 WO 2008045394A3 US 2007021506 W US2007021506 W US 2007021506W WO 2008045394 A3 WO2008045394 A3 WO 2008045394A3
Authority
WO
WIPO (PCT)
Prior art keywords
endoscopic stitching
functions
pair
stitching devices
flexible endoscopic
Prior art date
Application number
PCT/US2007/021506
Other languages
French (fr)
Other versions
WO2008045394A2 (en
Inventor
Eric J Taylor
Peter Hathaway
Frank J Viola
Kenneth W Horton
Original Assignee
Tyco Healthcare
Eric J Taylor
Peter Hathaway
Frank J Viola
Kenneth W Horton
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tyco Healthcare, Eric J Taylor, Peter Hathaway, Frank J Viola, Kenneth W Horton filed Critical Tyco Healthcare
Priority to CN200780037410.1A priority Critical patent/CN101522119B/en
Priority to JP2009531488A priority patent/JP5340945B2/en
Priority to CA2664319A priority patent/CA2664319C/en
Priority to US12/442,619 priority patent/US8292905B2/en
Priority to EP07839357A priority patent/EP2083730A4/en
Priority to AU2007307032A priority patent/AU2007307032B2/en
Publication of WO2008045394A2 publication Critical patent/WO2008045394A2/en
Publication of WO2008045394A3 publication Critical patent/WO2008045394A3/en
Priority to US13/645,586 priority patent/US8747424B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062Needle manipulators
    • A61B17/0625Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06042Means for attaching suture to needle located close to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0609Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • A61B2017/2903Details of shaft characterized by features of the actuating rod transferring rotary motion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2943Toothed members, e.g. rack and pinion

Abstract

An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof.
PCT/US2007/021506 2006-10-05 2007-10-05 Flexible endoscopic stitching devices WO2008045394A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CN200780037410.1A CN101522119B (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
JP2009531488A JP5340945B2 (en) 2006-10-05 2007-10-05 Flexible endoscopic suturing device
CA2664319A CA2664319C (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
US12/442,619 US8292905B2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
EP07839357A EP2083730A4 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
AU2007307032A AU2007307032B2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
US13/645,586 US8747424B2 (en) 2006-10-05 2012-10-05 Flexible endoscopic stitching devices

Applications Claiming Priority (12)

Application Number Priority Date Filing Date Title
US84956206P 2006-10-05 2006-10-05
US84950806P 2006-10-05 2006-10-05
US84956106P 2006-10-05 2006-10-05
US60/849,562 2006-10-05
US60/849,508 2006-10-05
US60/849,561 2006-10-05
US92380407P 2007-04-16 2007-04-16
US60/923,804 2007-04-16
US92398007P 2007-04-17 2007-04-17
US60/923,980 2007-04-17
US95847407P 2007-07-06 2007-07-06
US60/958,474 2007-07-06

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US12/442,619 A-371-Of-International US8292905B2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
US13/645,586 Continuation US8747424B2 (en) 2006-10-05 2012-10-05 Flexible endoscopic stitching devices

Publications (2)

Publication Number Publication Date
WO2008045394A2 WO2008045394A2 (en) 2008-04-17
WO2008045394A3 true WO2008045394A3 (en) 2008-06-05

Family

ID=39283382

Family Applications (8)

Application Number Title Priority Date Filing Date
PCT/US2007/021466 WO2008045367A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021449 WO2008045355A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021447 WO2008045353A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021457 WO2008045361A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021506 WO2008045394A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021495 WO2008045385A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021412 WO2008045333A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021496 WO2008045386A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices

Family Applications Before (4)

Application Number Title Priority Date Filing Date
PCT/US2007/021466 WO2008045367A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021449 WO2008045355A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021447 WO2008045353A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021457 WO2008045361A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices

Family Applications After (3)

Application Number Title Priority Date Filing Date
PCT/US2007/021495 WO2008045385A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021412 WO2008045333A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices
PCT/US2007/021496 WO2008045386A2 (en) 2006-10-05 2007-10-05 Flexible endoscopic stitching devices

Country Status (7)

Country Link
US (16) US8177794B2 (en)
EP (7) EP2083728A4 (en)
JP (4) JP5481194B2 (en)
CN (1) CN102274056B (en)
AU (2) AU2007307024B2 (en)
CA (5) CA2664319C (en)
WO (8) WO2008045367A2 (en)

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US20130123815A1 (en) 2013-05-16
US8747424B2 (en) 2014-06-10
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