US20120150201A1 - Vascular suturing device with needle capture - Google Patents
Vascular suturing device with needle capture Download PDFInfo
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- US20120150201A1 US20120150201A1 US13/333,411 US201113333411A US2012150201A1 US 20120150201 A1 US20120150201 A1 US 20120150201A1 US 201113333411 A US201113333411 A US 201113333411A US 2012150201 A1 US2012150201 A1 US 2012150201A1
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- needle
- receptacle
- distal
- channel
- capture element
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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- 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
- A61B17/0482—Needle or suture guides
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- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
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- 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
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00663—Type of implements the implement being a suture
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- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
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- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft 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
Definitions
- the present invention generally relates to surgical instruments and methods of suturing tissue.
- a number of diagnostic and treatment procedures are conducted intravascularly.
- a catheter is introduced into the vascular system at a convenient access location and is then guided to the target treatment site.
- the Seldinger Technique is one of the well-known early examples of this type of procedure which can include catheterization and angioplasty techniques. Procedures such as this require a vascular access.
- an introducer sheath with or without a guide wire is inserted through a puncture wound in a vessel such as the femoral artery at a location near the groin.
- a catheter and other instrumentation can then be inserted through the sheath and guided to the targeted treatment site. After the diagnostic and/or treatment procedure has been completed, the puncture wound must be closed.
- Closing the wound can be difficult because of the substantial bleeding that can occur through an open wound in the vascular vessel.
- One technique for hemostasis includes applying pressure near or upstream of the puncture site. This approach suffers from many deleterious effects, not the least of which are that it can be time consuming and extremely uncomfortable—even painful—for the patient because the pressure is applied directly on or adjacent to the traumatized site. Frequently anticoagulants are employed for the original diagnostic/treatment procedures. This delays clot formation during the procedure, and this effect lasts through the initial recovery period, lengthening the time during which pressure must be applied to the wound for up to twelve hours or more. During this initial recovery period, it is imperative that the patient remain still, further adding to the patient's discomfort.
- the puncture wound can be closed with sutures.
- This can be extremely difficult because the vascular vessel with the puncture lies underneath the patient's outer skin.
- Certain devices are inserted through the wound and initially deploy a needle to pierce the tissue in from outside the vascular vessel and continue on into a receptacle in the portion of the device located within the lumen of the vessel.
- the suturing device can be removed from the vessel (and the patient) by withdrawing the needles and suture material at the same time.
- the needles may not be fully captured within the depository or the needles can become dislodged upon removal of the device from the patient. This can be particularly prone to occur when the needles remain attached to the suture material.
- friction from drawing the suture material through tissue tends to pull the needles out of the depository.
- the dislodged needles catch on tissue. This can result in snagging and possibly tearing of the vascular tissue or the upper tissue layers depending upon when the needles become dislodged.
- the present invention relates to a suturing device and the use thereof.
- Various aspects of the invention are novel, nonobvious, and provide various advantages. While the actual nature of the invention covered herein can only be determined with reference to the claims appended hereto, certain forms and features, which are characteristic of the preferred embodiments disclosed herein, are described briefly as follows.
- the present invention provides a suturing device for suturing.
- the suturing device provides particular advantages, for suturing a wall portion of a vascular vessel.
- the device comprises: a proximal member including an elongate body with a channel sized to receive a needle therein; a distal member comprising a receptacle therein, where the distal member is configured to be inserted into a vascular vessel, and wherein the receptacle is sized to receive at least one needle therein; an intermediate member disposed between the proximal member and distal member, where the intermediate member defines a tissue receiving area and provides a first passageway from the channel to the tissue receiving area and second passageway from the receptacle in the distal member to the tissue receiving area.
- a needle capture element positioned in the receptacle of the distal member. The needle capture element is configured to secure a needle inserted into the receptacle.
- the present invention provides a method of suturing vascular tissue adjacent an opening in a vascular vessel.
- the method uses a suturing device which can be inserted through the opening in the vascular vessel.
- the device comprises: a proximal member with a needle channel formed therein; a distal member configured to be inserted into the lumen of the vascular vessel, where the distal member has a receptacle that includes a needle capture element and which is sized to receive at least one needle; and an intermediate member disposed between the proximal member and the distal member.
- the intermediate member defines a tissue receiving area and is configured to provide a linear needle pathway between the channel and the receptacle.
- a needle is advanced through or along the needle channel to pierce the vascular tissue drawing a portion of the length of suture material through the vascular tissue.
- the needle is further advanced so that a portion of the needle engages with the needle capture element in the receptacle.
- the needle capture element prevents and in adverting dislodging of the needle from the receptacle during the surgical procedure.
- the same needle capture element also allows the surgeon to remove the needle when and if desired.
- FIG. 1 is a cross-sectional view of one embodiment of a suturing device with a needle capture element in accordance with the present invention.
- FIG. 2 is an enlarged view in cross section of the distal member of the suturing device of FIG. 1 .
- FIG. 3 is an enlarged view in cross section of the distal member of the suturing device of FIG. 1 with a needle disposed within a receptacle in the distal member.
- FIG. 4 is an enlarged view in cross section of an intermediate member with needle engaging projections of an alternative suturing device in accordance with the present invention.
- FIG. 5 is an enlarged view in cross section of the distal member illustrated in FIG. 4 with a needle disposed in the receptacle.
- FIG. 6 is a perspective view of an alternative embodiment of a suturing device with a needle cartridge for use in accordance with the present invention.
- FIGS. 7-12 illustrate methods of use of the suturing device according to the present invention.
- FIG. 13 is a perspective view of one embodiment of a suture securing device for use in the present invention.
- FIG. 14 is a perspective view of an alterative embodiment of a suture securing device for use in the present invention.
- FIG. 1 shows a suturing device 110 for suturing vascular vessels in accordance with the present invention.
- Device 110 includes a proximal member 112 , a distal member 114 , and an intermediate member 116 located therebetween.
- Device 110 includes one or more needles 118 a, 118 b, 118 c . . . disposable within needle channel 124 of proximal member 112 .
- Each of needles 118 a, 118 b, 118 c . . . can include a length of suture material 120 a, 120 b, 120 c . . . secured to the proximal end of the needles .
- Needle pusher 126 can be used to advance the needles 118 a , 118 b, 118 c, . . . through channel 124 out through first opening 150 into a tissue receiving area 145 defined by intermediate member 116 .
- proximal member 112 and/or distal member 114 define a longitudinal axis and (either/both) is/are essentially linear about this axis.
- the intermediate member 116 can be configured to deviate from the lineality defined by either the proximal member (or the distal member).
- First opening 150 and second opening 152 in intermediate member can be axially aligned to permit needles 118 a, 118 b, 118 c . . . to travel in an essentially linear needle path that extends through tissue received within tissue receiving area 145 .
- suture material can be attached to the needle 118 a. The needle is then advanced in a distal direction through tissue.
- a second needle 118 b (and subsequent needles) can be similarly configured and manipulated to place sutures about tissue adjacent a puncture wound in a vascular vessel. The suture material(s) threaded through the vascular tissue can be drawn taut closing the puncture wound.
- a surgical knot or other suture securing device can complete the wound closure.
- proximal refers to a direction toward the surgeon and away from the patient or a location closer to the surgeon
- distal refers to a direction towards the patient and away from the surgeon or a location closer to the patient.
- Proximal member 112 is provided as an elongated portion and can exhibit a substantially cylindrical or oval radial cross section. Member 112 includes a first end of sufficient dimensions to be readily grasped by the surgeon to manipulate the device during the procedures. Proximal member 112 can also include a gripping portion 135 to facilitate handling during the surgical procedure. Needle channel 124 runs longitudinally along at least a portion of proximal member 112 . In one embodiment, channel 124 extends along the entire length of proximal member from a first end positioned proximal to the surgeon to a second end adjacent to intermediate member 116 . In this embodiment, one or more needle(s) 118 a , 118 b, 118 c, . . .
- channel 124 extends only partly through the proximal member 112 .
- Needle channel 124 can be centrally located along proximal member 112 .
- proximal member 112 includes a single needle channel 124 through which one, two, three, or more needles can be advanced. Alleviating multiple needle channels within the suturing device provides a more compact member, which can be particularly advantageous for subcutaneous procedures.
- Channel 124 is sized and dimensioned to allow one or more needles 118 a, 118 b, 118 c . . . to be advanceable therethrough and into vascular tissue around the puncture wound.
- channel 124 can be either partly or completely encased within the body of proximal member 112 .
- channel 124 is not encased within the body of proximal member 112 .
- channel 124 is provided as a slot formed into the surface of proximal member 112 .
- the slot is configured to retain one or more needles within the slot.
- the slot can be formed to have an opening at the exterior surface of proximal member that is narrower than the diameter of the needles (and optionally the pusher 126 ) while the internal portion or diameter of the slot can be dimensioned to permit facile movement of the needle therethrough.
- An exit opening is located at the distal end of channel 124 .
- Proximal member 112 includes a blood return line 125 that terminates in a fitting 127 , for example, a luer lock that can be mated to a syringe.
- line 125 can terminate in a valve or shunt to control and stop blood flow therethrough. It is preferable that blood line 125 allow visible observation of blood originating from inside the vascular vessel. This can facilitate proper placement of the device for suturing.
- distal member 114 is sized and/or configured to be received within a lumen of a patient's vascular vessel similar to distal member 114 .
- distal member 14 can be coated or impregnated with a lubricant, bioactive agent, such as an anticoagulant material, and the like.
- a lubricant such as an anticoagulant material, and the like.
- distal member 14 can be composed of a biocompatible polymeric material commonly used for catheters, such as silicone rubber, polyethylene, polyolefin, polyurethane, polytetrafluoroethylene, polyvinyl chloride and the like.
- Distal member 114 includes a receptacle 122 sized and configured to receive and retain at least one needle 118 a, and preferably two or more needles 118 b, 118 c . . .
- receptacle 122 is sized to retain one or more needles such that the proximal end of each of the needles does not extend beyond opening 152 .
- a needle catching element 123 located in receptacle 122 is provided to engage with at least a portion of needles 118 a, 118 b, 118 c . . .
- Element 123 can be configured as a plug of pierceable material.
- the material can be any biocompatible material pierceable with a surgical needle. Representative examples include materials such as silicone rubber, polyethylene, or polyurethane.
- the plug of material is composed of the same material as that used to form the distal member.
- the plug of material can be friction fit, adhesively bound, or mechanically retained inside receptacle 122 .
- the plug of material can include a molded flap extending from an interior wall portion of receptacle 122 .
- the needle catching element 123 can be integral with, or alternatively define, a bottom wall portion of receptacle 122 . Needle capture element 123 can completely close off or block receptacle 122 . In other forms, element 123 need not completely block receptacle 122 .
- distal member 14 can also include a lumen 139 extending at least partially therethrough.
- lumen 139 is separate from receptacle 122 .
- Lumen 139 can be provided to receive or follow a guide wire left in place after a particular diagnostic or treatment procedure. This can allow the facile insertion of distal member 114 into the patient's vascular vessel.
- lumen 139 exits through a side of distal member 114 at opening 140 to permit a guide wire (not shown) to extend out without interfering with the needles, needle path, or suture material.
- the guide wire can be removed after placement of the suture device or left in as desired or considered medically prudent by the surgeon.
- Intermediate member 116 is located between proximal member 112 and distal member 114 .
- Intermediate member 116 defines a tissue-receiving area 145 .
- intermediate member is configured to include an arcuate portion or a crooked section.
- the arcuate portion or crook can defines a concave interior surface 147 and a convex exterior surface 148 .
- Intermediate member 116 includes a first opening 150 providing access from the channel 124 to the tissue receiving area 145 and a second opening 152 from the receptacle 122 providing to the tissue receiving area 145 .
- first and second openings 150 and 152 are linearly or axially aligned.
- Intermediate member 116 can be composed of a biocompatible material that is substantially resistant to deformation and therefore can maintain the linearity between channel 124 and receptacle/chamber 122 and the respective first and second openings 150 and 152 .
- suitable materials include TEFLON, NYLON, polyamids, and the like.
- Intermediate member 116 also includes means and structure for reliable positioning of the device during surgery to facilitate closing the vascular puncture wound with sutures.
- Part of the positioning structure includes an opening 154 providing fluid communication to blood return line 125 in proximal member 112 .
- opening 154 is located on a portion of the convex surface 148 of the intermediate member 116 opposite the tissue receiving region 145 .
- opening 154 is also located in the interior of the lumen. This permits blood from the vessel to enter blood return line 125 , which can then be visibly observed by the surgeon. If blood is not observed in blood return line 125 , then the distal member may not have been inserted to a sufficient depth into the lumen of the vascular vessel.
- a ridge or stop 156 extends from the concave surface into the tissue receiving region. Stop 156 is configured to bear against vascular tissue adjacent the puncture wound. In a preferred embodiment, first opening 150 extends through a portion of stop 56 permitting needle 118 to pierce tissue adjacent thereto. Stop 156 is sized to bear against the vascular tissue and avert further insertion of the device 110 into the vascular vessel. When provided together, stop 156 and opening 150 with blood return line 125 cooperate to ensure accurate placement of the suturing device in the patient's vascular vessel. Ridge or stop 156 can also extend radially about the entire circumference of intermediate member 116 .
- FIG. 2 shows needle 118 a entering opening 152 in distal member 114 and traversing receptical 122 in response to distal movement of needle pusher 126 .
- FIG. 3 illustrates the capture of needle 118 a within receptacle 122 .
- Element 123 is positioned in receptacle 122 to engage with at least the distal tip 132 of needle 118 a .
- Preferably element 123 is positioned at a location or depth within receptacle 122 such that the proximal end 134 of a captured needle does not extend out of opening 152 of receptacle 122 to snag on any tissue or other structure as the suturing device is manipulated and eventually removed from the vascular vessel.
- FIGS. 4 and 5 illustrate partial views of an alternative embodiment of a suturing device 210 with a needle capture element 223 .
- the illustrated distal and intermediate members 214 and 216 are configured similarly to distal and intermediate members 114 and 116 .
- distal member 214 includes a receptacle 222 .
- Receptacle 222 is configured to receive one or more needles therein.
- Needle capture element 223 comprises at least one projection 229 and preferably at a second projection 231 each extending radially inwardly from an interior wall portion 233 . It will be understood that receptacle 222 can include a plurality of projections similarly configured as illustrated and/or described for projections 229 and 231 .
- the projections 229 and 231 are configured to engage and capture or retain one or more needles 218 within the interior of receptacle 222 .
- the projections 229 and 231 can frictionally engage the tips or sides of inserted needles to prevent their accidental dislodgement during surgical manipulation.
- projections 229 and 231 are configured as a plurality of paired leaves projecting from the interior wall portion 233 of receptacle 222 . It will be understand that in other embodiments, the leaves need not be paired; or, if paired, the leaves can be axially and/or radially offset from each other.
- projections 229 and 231 can be configured as protuberances, bumps, ridges, or threads extending from an internal wall portion of receptacle 222 to engage and retain one or needles 218 therein.
- one or more of needles 118 a, 118 b, and 118 c can include a recessed surface configured for engagement with at least one of the projections 229 and 231 .
- a needle can be configured with a barbed point or alternative with a tip similar to a tip as described in copending US Patent Application, filed on Aug. 8, 2005, (Attorney Docket No. 7323USO1, which is incorporated by reference herein.)
- a needle 218 with a length of suture material 220 is illustrated as captured within lumen 222 .
- a plurality of projections 229 and 231 frictionally engage with the sides of the inserted needle 218 .
- the projections 229 and 231 are angled in the distal direction from their point of connection to wall 233 of receptical 222 . This causes the frictional engagement resisting needle movement in a proximal direction to be greater than the frictional engagement resisting a needle movement in a distal direction. This engagement effectively prevents the inserted needle 218 from being dislodged by manipulation of suturing device 210 within the patient or upon withdrawing the suturing device from the vascular vessel.
- FIG. 6 is a perspective view of another embodiment of a suturing device 80 with a needle cartridge in accordance with the present invention.
- Device 80 includes a proximal member 81 , a distal member 82 , and an intermediate member 83 therebetween.
- Proximal member 81 includes a needle cartridge 84 slidably mounted in body 85 .
- Needle cartridge 84 can include a plurality of needle slots, for example, two, three, four, or more slots 86 a. 86 b , 86 c . . . , each for a separate needle.
- Each needle in needle cartridge 84 is individually advanceable through a central needle channel along a length of proximal member 81 .
- Needle cartridge 84 is slidably disposed within body 85 to axially align the selected needle slot 86 a . 86 b, 86 c . . . with a single needle channel 87 . If desired, needle cartridge 84 can be biased to automatically align the successive needle slots with the needle channel after the preceding needle has been advanced along the channel. Alternatively, suturing device 80 , body 85 , and/or cartridge 84 can include one or more of ratchetings, positive stops, or locks to individually align the desired needle slot with the channel. In other embodiments, needle cartridge 84 can be provided as a revolving barrel that can hold two, three, or more needles in respective needle slots radially disposed about the barrel. The barrel can be rotatably mounted on or about proximal member 81 . Distal member 82 and intermediate member 83 can be configured substantially as described above for members 114 and 116 , respectively.
- FIGS. 7 through 13 illustrate the use of suturing device 110 for closure of a puncture wound 96 in a vascular vessel 93 .
- a puncture wound in a vascular vessel can be sutured closed using the suturing device 110 .
- Suturing device 110 can be inserted distally into the vascular vessel. This can be accomplished with or without the use of a guide wire.
- suturing device can be threaded onto a guide wire 92 which extends from internal vessel lumen 94 through vessel 93 and a portion of the overlying tissue 95 to be exposed to the surgeon.
- opening 140 of lumen 139 can be threaded onto guide wire 92 which then extends out through opening 140 .
- distal member 114 can be gingerly threaded into the lumen 94 of vessel 93 .
- the distal member 114 of device 110 can be positioned within lumen 94 such that intermediate member 116 engages with a portion of the tissue surrounding puncture 96 .
- Distal member 114 is advanced in a distal direction until blood is observed in blood return line 125 .
- stop 156 abuts or bears against the external surface of the vascular vessel. This can be detected by the increased resistance to further advancement of the device in the distal direction. Both blood return line 125 and stop 156 can be used to ascertain that the device has been correctly positioned within the lumen 94 of the vascular vessel 93 to allow suturing of puncture 96 .
- observance of blood in needle channel 124 is an indication that device 110 has been inserted too far into the lumen 94 such that first opening 150 is exposed to the interior or blood side of vessel 93 . If desired, guide wire 92 can then be withdrawn from lumen 139 and out of vascular vessel 93 —if it is no longer needed for subsequent procedures.
- intermediate member 116 provides an essentially linear needle pathway between needle channel 124 , receptacle 122 , and the vascular tissue in the tissue receiving area 145 .
- needle 118 a when needle 118 a is advanced through channel 124 , it pierces the vascular tissue 93 at a first suture site 97 adjacent the puncture wound 96 .
- FIG. 8 illustrates suturing device 110 at a first suture position.
- Intermediate member 116 provides an essentially linear needle pathway between channel 124 and receptacle 122 .
- a first needle 118 a advancing through channel 124 using needle pusher 126 pierces vascular tissue in tissue receiving area 145 at the first suture site 97 .
- Needle 118 a trails a length of suture material 120 a pulling it through the vascular at suture site 97 adjacent wound 96 . From there, needle tip 132 is advanced into to receptacle 122 to engage needle capture element 123 .
- needle 118 a and optionally a portion of the suture material 120 are inserted into receptacle 122 where at least a portion of the needle 118 a engages with needle capture element 123 .
- Needle capture element 123 reliably retains needle 118 a within receptacle 122 during the rest of the suturing procedure or until the surgeon decides to withdraw the needle.
- suturing device 110 is rotated into a second suture position.
- Suture device 110 can be rotated approximately 180° so that in the second suture position, suture device 110 is positioned to operate on a second side of wound 96 diametrically opposite first suture site 97 .
- FIG. 10 illustrates suturing device 110 in the second suture position.
- a second needle 118 b can be advanced through or along receptacle 122 using the needle pusher 126 , either the same needle pusher or a second, different needle pusher.
- Needle 118 b exits first opening 150 to pierce vascular tissue received in the tissue receiving area 145 at a second suture site 100 .
- Continuing the advancement of needle 118 b through the needle path draws the attached suture material 120 b through second suture site 100 adjacent wound 96 .
- Thereafter at least a portion of needle 118 b is captured and retained by needle capture element 123 within receptacle 122 .
- suturing device 110 can again be repositioned to draw suture material through a third and any desired subsequent suturing sites.
- suture material 120 a and 120 b can be opposite ends of the same piece of suture material.
- suture material 120 a and 120 b can be two separate lengths of suture material.
- FIG. 11 illustrates device 110 being removed in a distal direction from vascular vessel 93 .
- suture device 110 is withdrawn in the distal direction, needles 118 a and 118 b remain embedded within the needle catching element 123 in receptacle 122 . Consequently, the attached lengths of suture material 120 a and 120 b are pulled in a distal direction through the vascular tissue at the first and second suture sites 97 and 100 , respectively and then out through the wound 96 .
- One implementation of the suturing device can be a common length of suture material 120 attached to the proximal ends of needles 118 a and 118 b. As illustrated in FIG.
- the resulting suture path extends from the proximal side of vessel 94 across the wound opening and through the first and second suture sites 97 and 100 into the lumen 94 .
- the suture material 120 then extends out through wound opening 96 back to the distal side of vessel 93 .
- FIG. 12 depicts wound closure.
- the free ends of the suture material 120 can be gathered and a suture knot tied.
- a knot pusher 115 can be used to close the wound and secure the suture material.
- the lengths of suture material can be gathered.
- the length of suture material can be separated from the needles. Pulling the lengths of suture material taut closes the wound in the vessel.
- a surgical knot can be tied securing the wound closure.
- a knot pusher for example, the knot pushers described in U.S. Pat. No. 5,304,184 issued to Hathaway et al., U.S. Pat. No.
- the suture material can be secured using a variety of knot replacement technologies such as that disclosed in U.S. patent application Ser. No. 10/164,606 (US Patent Publication No. 2003/0229377) and in Ser. No. 10/305,923 (US Patent Publication No. 2004/0102809) and depicted in FIGS. 13 and 14 .
- knot replacement technologies such as that disclosed in U.S. patent application Ser. No. 10/164,606 (US Patent Publication No. 2003/0229377) and in Ser. No. 10/305,923 (US Patent Publication No. 2004/0102809) and depicted in FIGS. 13 and 14 .
- Each of the above-noted references are incorporated by reference in their entirety.
- FIG. 13 is a perspective view a suturing securing device 102 for use in the present invention.
- Suture securing device 102 is described and illustrated in US Patent Publication No. 2004/0102809 which is incorporated herein by reference.
- device 102 can secure ends of one, two, three or more lengths of suture material. Two lengths of suture material 120 a and 120 b are illustrated with device 102 . The lengths of suture material are threaded into the flexible elements 105 a and 105 b which are then locked or fixed together securing the suture material therein.
- FIG. 14 is another embodiment of suture securing devices 106 a and 106 b for use in the present invention.
- Devices 106 a and 106 b are described in US Patent Publication No. 2003/0229377 which is incorporated herein by reference in its entirety.
- Devices 106 a and 106 b cooperate by separately clipping onto a selected length of suture material 104 a or 104 b which have previously pulled taut to close wound or complete the surgical procedure. The devices prevent the suture material from regressing back through the sutured tissue.
- the present invention provides a variety of means, devices and methods for closing wounds in tissue and is particularly but not exclusively suitable for vascular tissue. It will be understood that the present invention contemplates modifications as would occur to those skilled in the art without departing from the spirit of the present invention.
- the various structures, elements, and procedural steps or stages have been described with reference to specified embodiments and devices. Each of the individual or a combination of the structures, elements, and procedural steps or stages are contemplated to be combinable with each of the other embodiments and devices described herein and as such are contemplated to be within the scope of the present invention.
Abstract
A surgical device of suturing vascular vessels is described, as well as methods for suturing tissue employing the surgical device. The device includes at least one needle advanceable through tissue and into a needle capture element within a distal end of the surgical device to draw lengths of suture material which can then be used to close various puncture wounds, particularly in vascular tissue.
Description
- The present invention generally relates to surgical instruments and methods of suturing tissue.
- A number of diagnostic and treatment procedures are conducted intravascularly. Typically, a catheter is introduced into the vascular system at a convenient access location and is then guided to the target treatment site. The Seldinger Technique is one of the well-known early examples of this type of procedure which can include catheterization and angioplasty techniques. Procedures such as this require a vascular access. Typically an introducer sheath with or without a guide wire is inserted through a puncture wound in a vessel such as the femoral artery at a location near the groin. A catheter and other instrumentation can then be inserted through the sheath and guided to the targeted treatment site. After the diagnostic and/or treatment procedure has been completed, the puncture wound must be closed. Closing the wound can be difficult because of the substantial bleeding that can occur through an open wound in the vascular vessel. One technique for hemostasis includes applying pressure near or upstream of the puncture site. This approach suffers from many deleterious effects, not the least of which are that it can be time consuming and extremely uncomfortable—even painful—for the patient because the pressure is applied directly on or adjacent to the traumatized site. Frequently anticoagulants are employed for the original diagnostic/treatment procedures. This delays clot formation during the procedure, and this effect lasts through the initial recovery period, lengthening the time during which pressure must be applied to the wound for up to twelve hours or more. During this initial recovery period, it is imperative that the patient remain still, further adding to the patient's discomfort.
- Alternatively, the puncture wound can be closed with sutures. This can be extremely difficult because the vascular vessel with the puncture lies underneath the patient's outer skin. Some vascular vessels, notably the femoral artery, appear to be relatively large; however, in practice, even the largest arteries cannot be readily sutured. Therefore, devices have been developed to facilitate subcutaneous suturing of arteries and veins. These devices can extend through the outer tissue to the puncture wound in the vascular vessel. Needles are then deployed from the device to suture the tissue adjacent the puncture wound.
- Certain devices are inserted through the wound and initially deploy a needle to pierce the tissue in from outside the vascular vessel and continue on into a receptacle in the portion of the device located within the lumen of the vessel. The suturing device can be removed from the vessel (and the patient) by withdrawing the needles and suture material at the same time. However, under certain conditions the needles may not be fully captured within the depository or the needles can become dislodged upon removal of the device from the patient. This can be particularly prone to occur when the needles remain attached to the suture material. For example, as the device (with the suture attached to needles) is withdrawn, friction from drawing the suture material through tissue tends to pull the needles out of the depository. In any event, the dislodged needles catch on tissue. This can result in snagging and possibly tearing of the vascular tissue or the upper tissue layers depending upon when the needles become dislodged.
- In view of the above background, there remain needs for improved and/or alternative methods and devices for closing vascular opening or punctures. The present invention is addressed to these needs.
- The present invention relates to a suturing device and the use thereof. Various aspects of the invention are novel, nonobvious, and provide various advantages. While the actual nature of the invention covered herein can only be determined with reference to the claims appended hereto, certain forms and features, which are characteristic of the preferred embodiments disclosed herein, are described briefly as follows.
- In one form, the present invention provides a suturing device for suturing. The suturing device provides particular advantages, for suturing a wall portion of a vascular vessel. The device comprises: a proximal member including an elongate body with a channel sized to receive a needle therein; a distal member comprising a receptacle therein, where the distal member is configured to be inserted into a vascular vessel, and wherein the receptacle is sized to receive at least one needle therein; an intermediate member disposed between the proximal member and distal member, where the intermediate member defines a tissue receiving area and provides a first passageway from the channel to the tissue receiving area and second passageway from the receptacle in the distal member to the tissue receiving area. In preferred embodiments a needle capture element positioned in the receptacle of the distal member. The needle capture element is configured to secure a needle inserted into the receptacle.
- In another form, the present invention provides a method of suturing vascular tissue adjacent an opening in a vascular vessel. The method uses a suturing device which can be inserted through the opening in the vascular vessel. The device comprises: a proximal member with a needle channel formed therein; a distal member configured to be inserted into the lumen of the vascular vessel, where the distal member has a receptacle that includes a needle capture element and which is sized to receive at least one needle; and an intermediate member disposed between the proximal member and the distal member. The intermediate member defines a tissue receiving area and is configured to provide a linear needle pathway between the channel and the receptacle. A needle is advanced through or along the needle channel to pierce the vascular tissue drawing a portion of the length of suture material through the vascular tissue. The needle is further advanced so that a portion of the needle engages with the needle capture element in the receptacle. Preferable the needle capture element prevents and in adverting dislodging of the needle from the receptacle during the surgical procedure. However, the same needle capture element also allows the surgeon to remove the needle when and if desired.
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FIG. 1 is a cross-sectional view of one embodiment of a suturing device with a needle capture element in accordance with the present invention. -
FIG. 2 is an enlarged view in cross section of the distal member of the suturing device ofFIG. 1 . -
FIG. 3 is an enlarged view in cross section of the distal member of the suturing device ofFIG. 1 with a needle disposed within a receptacle in the distal member. -
FIG. 4 is an enlarged view in cross section of an intermediate member with needle engaging projections of an alternative suturing device in accordance with the present invention. -
FIG. 5 is an enlarged view in cross section of the distal member illustrated inFIG. 4 with a needle disposed in the receptacle. -
FIG. 6 is a perspective view of an alternative embodiment of a suturing device with a needle cartridge for use in accordance with the present invention. -
FIGS. 7-12 illustrate methods of use of the suturing device according to the present invention. -
FIG. 13 is a perspective view of one embodiment of a suture securing device for use in the present invention. -
FIG. 14 is a perspective view of an alterative embodiment of a suture securing device for use in the present invention. -
FIG. 1 shows a suturing device 110 for suturing vascular vessels in accordance with the present invention. Device 110 includes a proximal member 112, a distal member 114, and an intermediate member 116 located therebetween. Device 110 includes one or more needles 118 a, 118 b, 118 c . . . disposable withinneedle channel 124 of proximal member 112. - Each of needles 118 a, 118 b, 118 c . . . can include a length of suture material 120 a, 120 b, 120 c . . . secured to the proximal end of the needles . Needle pusher 126 can be used to advance the needles 118 a,118 b, 118 c, . . . through
channel 124 out throughfirst opening 150 into atissue receiving area 145 defined by intermediate member 116. Preferably, proximal member 112 and/or distal member 114 define a longitudinal axis and (either/both) is/are essentially linear about this axis. In one embodiment, the intermediate member 116 can be configured to deviate from the lineality defined by either the proximal member (or the distal member).First opening 150 andsecond opening 152 in intermediate member can be axially aligned to permit needles 118 a, 118 b, 118 c . . . to travel in an essentially linear needle path that extends through tissue received withintissue receiving area 145. In one form, suture material can be attached to the needle 118 a. The needle is then advanced in a distal direction through tissue. A second needle 118 b (and subsequent needles) can be similarly configured and manipulated to place sutures about tissue adjacent a puncture wound in a vascular vessel. The suture material(s) threaded through the vascular tissue can be drawn taut closing the puncture wound. A surgical knot or other suture securing device can complete the wound closure. - As used herein, the term “proximal” refers to a direction toward the surgeon and away from the patient or a location closer to the surgeon, while the term “distal” refers to a direction towards the patient and away from the surgeon or a location closer to the patient.
- Proximal member 112 is provided as an elongated portion and can exhibit a substantially cylindrical or oval radial cross section. Member 112 includes a first end of sufficient dimensions to be readily grasped by the surgeon to manipulate the device during the procedures. Proximal member 112 can also include a
gripping portion 135 to facilitate handling during the surgical procedure.Needle channel 124 runs longitudinally along at least a portion of proximal member 112. In one embodiment,channel 124 extends along the entire length of proximal member from a first end positioned proximal to the surgeon to a second end adjacent to intermediate member 116. In this embodiment, one or more needle(s) 118 a, 118 b, 118 c, . . . and a needle pusher 126 and grip 136 can be inserted into and retrieved fromchannel 124 at the first end. In other embodiments,channel 124 extends only partly through the proximal member 112.Needle channel 124 can be centrally located along proximal member 112. In preferred embodiments, proximal member 112 includes asingle needle channel 124 through which one, two, three, or more needles can be advanced. Alleviating multiple needle channels within the suturing device provides a more compact member, which can be particularly advantageous for subcutaneous procedures.Channel 124 is sized and dimensioned to allow one or more needles 118 a, 118 b, 118 c . . . to be advanceable therethrough and into vascular tissue around the puncture wound. Furthermore,channel 124 can be either partly or completely encased within the body of proximal member 112. However, in a preferred embodiment,channel 124 is not encased within the body of proximal member 112. Rather,channel 124 is provided as a slot formed into the surface of proximal member 112. Preferably the slot is configured to retain one or more needles within the slot. For example, the slot can be formed to have an opening at the exterior surface of proximal member that is narrower than the diameter of the needles (and optionally the pusher 126) while the internal portion or diameter of the slot can be dimensioned to permit facile movement of the needle therethrough. An exit opening is located at the distal end ofchannel 124. - Proximal member 112 includes a
blood return line 125 that terminates in a fitting 127, for example, a luer lock that can be mated to a syringe. Alternatively,line 125 can terminate in a valve or shunt to control and stop blood flow therethrough. It is preferable thatblood line 125 allow visible observation of blood originating from inside the vascular vessel. This can facilitate proper placement of the device for suturing. - Referring additionally to
FIGS. 2 and 3 , distal member 114 is sized and/or configured to be received within a lumen of a patient's vascular vessel similar to distal member 114. In additional embodiments, distal member 14 can be coated or impregnated with a lubricant, bioactive agent, such as an anticoagulant material, and the like. In certain embodiments, it is preferable that at least distal member 14 be formed of a flexible or elastomeric material that is biocompatible—particularly with blood. For example, distal member 14 can be composed of a biocompatible polymeric material commonly used for catheters, such as silicone rubber, polyethylene, polyolefin, polyurethane, polytetrafluoroethylene, polyvinyl chloride and the like. - Distal member 114 includes a receptacle 122 sized and configured to receive and retain at least one needle 118 a, and preferably two or more needles 118 b, 118 c . . . Preferably, receptacle 122 is sized to retain one or more needles such that the proximal end of each of the needles does not extend beyond
opening 152. - A needle catching element 123 located in receptacle 122 is provided to engage with at least a portion of needles 118 a, 118 b, 118 c . . . Element 123 can be configured as a plug of pierceable material. The material can be any biocompatible material pierceable with a surgical needle. Representative examples include materials such as silicone rubber, polyethylene, or polyurethane. In certain embodiments, the plug of material is composed of the same material as that used to form the distal member. The plug of material can be friction fit, adhesively bound, or mechanically retained inside receptacle 122. In other embodiments, the plug of material can include a molded flap extending from an interior wall portion of receptacle 122. In still other embodiments, the needle catching element 123 can be integral with, or alternatively define, a bottom wall portion of receptacle 122. Needle capture element 123 can completely close off or block receptacle 122. In other forms, element 123 need not completely block receptacle 122.
- Referring back to
FIG. 1 , distal member 14 can also include alumen 139 extending at least partially therethrough. Preferably,lumen 139 is separate from receptacle 122.Lumen 139 can be provided to receive or follow a guide wire left in place after a particular diagnostic or treatment procedure. This can allow the facile insertion of distal member 114 into the patient's vascular vessel. In a preferred embodiment,lumen 139 exits through a side of distal member 114 at opening 140 to permit a guide wire (not shown) to extend out without interfering with the needles, needle path, or suture material. The guide wire can be removed after placement of the suture device or left in as desired or considered medically prudent by the surgeon. - Intermediate member 116 is located between proximal member 112 and distal member 114. Intermediate member 116 defines a tissue-receiving
area 145. In the illustrated embodiment, intermediate member is configured to include an arcuate portion or a crooked section. The arcuate portion or crook can defines a concaveinterior surface 147 and a convexexterior surface 148. Intermediate member 116 includes afirst opening 150 providing access from thechannel 124 to thetissue receiving area 145 and asecond opening 152 from the receptacle 122 providing to thetissue receiving area 145. Preferably, first andsecond openings channel 124 and receptacle/chamber 122 and the respective first andsecond openings - Intermediate member 116 also includes means and structure for reliable positioning of the device during surgery to facilitate closing the vascular puncture wound with sutures. Part of the positioning structure includes an
opening 154 providing fluid communication toblood return line 125 in proximal member 112. In a preferred embodiment, opening 154 is located on a portion of theconvex surface 148 of the intermediate member 116 opposite thetissue receiving region 145. In use, with the distal member of the device suitably positioned within the lumen of a vascular vessel, opening 154 is also located in the interior of the lumen. This permits blood from the vessel to enterblood return line 125, which can then be visibly observed by the surgeon. If blood is not observed inblood return line 125, then the distal member may not have been inserted to a sufficient depth into the lumen of the vascular vessel. - Additionally, a ridge or stop 156 extends from the concave surface into the tissue receiving region. Stop 156 is configured to bear against vascular tissue adjacent the puncture wound. In a preferred embodiment,
first opening 150 extends through a portion of stop 56 permitting needle 118 to pierce tissue adjacent thereto. Stop 156 is sized to bear against the vascular tissue and avert further insertion of the device 110 into the vascular vessel. When provided together, stop 156 andopening 150 withblood return line 125 cooperate to ensure accurate placement of the suturing device in the patient's vascular vessel. Ridge or stop 156 can also extend radially about the entire circumference of intermediate member 116. -
FIG. 2 shows needle 118 a enteringopening 152 in distal member 114 and traversing receptical 122 in response to distal movement of needle pusher 126. -
FIG. 3 illustrates the capture of needle 118 a within receptacle 122. Element 123 is positioned in receptacle 122 to engage with at least thedistal tip 132 of needle 118 a. Preferably element 123 is positioned at a location or depth within receptacle 122 such that the proximal end 134 of a captured needle does not extend out of opening 152 of receptacle 122 to snag on any tissue or other structure as the suturing device is manipulated and eventually removed from the vascular vessel. -
FIGS. 4 and 5 illustrate partial views of an alternative embodiment of a suturing device 210 with a needle capture element 223. The illustrated distal and intermediate members 214 and 216 are configured similarly to distal and intermediate members 114 and 116. However, distal member 214 includes a receptacle 222. Receptacle 222 is configured to receive one or more needles therein. Needle capture element 223 comprises at least one projection 229 and preferably at a second projection 231 each extending radially inwardly from an interior wall portion 233. It will be understood that receptacle 222 can include a plurality of projections similarly configured as illustrated and/or described for projections 229 and 231. The projections 229 and 231 are configured to engage and capture or retain one or more needles 218 within the interior of receptacle 222. The projections 229 and 231 can frictionally engage the tips or sides of inserted needles to prevent their accidental dislodgement during surgical manipulation. In the illustrated embodiment, projections 229 and 231 are configured as a plurality of paired leaves projecting from the interior wall portion 233 of receptacle 222. It will be understand that in other embodiments, the leaves need not be paired; or, if paired, the leaves can be axially and/or radially offset from each other. In still other embodiments, projections 229 and 231 can be configured as protuberances, bumps, ridges, or threads extending from an internal wall portion of receptacle 222 to engage and retain one or needles 218 therein. Further, one or more of needles 118 a, 118 b, and 118 c can include a recessed surface configured for engagement with at least one of the projections 229 and 231. For example, a needle can be configured with a barbed point or alternative with a tip similar to a tip as described in copending US Patent Application, filed on Aug. 8, 2005, (Attorney Docket No. 7323USO1, which is incorporated by reference herein.) - Referring specifically to
FIG. 5 , a needle 218 with a length of suture material 220 is illustrated as captured within lumen 222. As can be observed in the illustration, a plurality of projections 229 and 231 frictionally engage with the sides of the inserted needle 218. Preferably, the projections 229 and 231 are angled in the distal direction from their point of connection to wall 233 of receptical 222. This causes the frictional engagement resisting needle movement in a proximal direction to be greater than the frictional engagement resisting a needle movement in a distal direction. This engagement effectively prevents the inserted needle 218 from being dislodged by manipulation of suturing device 210 within the patient or upon withdrawing the suturing device from the vascular vessel. -
FIG. 6 is a perspective view of another embodiment of asuturing device 80 with a needle cartridge in accordance with the present invention.Device 80 includes a proximal member 81, a distal member 82, and an intermediate member 83 therebetween. Proximal member 81 includes a needle cartridge 84 slidably mounted in body 85. Needle cartridge 84 can include a plurality of needle slots, for example, two, three, four, or more slots 86 a. 86 b, 86 c . . . , each for a separate needle. Each needle in needle cartridge 84 is individually advanceable through a central needle channel along a length of proximal member 81. Needle cartridge 84 is slidably disposed within body 85 to axially align the selected needle slot 86 a. 86 b, 86 c . . . with asingle needle channel 87. If desired, needle cartridge 84 can be biased to automatically align the successive needle slots with the needle channel after the preceding needle has been advanced along the channel. Alternatively, suturingdevice 80, body 85, and/or cartridge 84 can include one or more of ratchetings, positive stops, or locks to individually align the desired needle slot with the channel. In other embodiments, needle cartridge 84 can be provided as a revolving barrel that can hold two, three, or more needles in respective needle slots radially disposed about the barrel. The barrel can be rotatably mounted on or about proximal member 81. Distal member 82 and intermediate member 83 can be configured substantially as described above for members 114 and 116, respectively. -
FIGS. 7 through 13 , illustrate the use of suturing device 110 for closure of a puncture wound 96 in avascular vessel 93. A puncture wound in a vascular vessel can be sutured closed using the suturing device 110. Suturing device 110 can be inserted distally into the vascular vessel. This can be accomplished with or without the use of a guide wire. In a procedure where a guide wire has been previously used, suturing device can be threaded onto a guide wire 92 which extends frominternal vessel lumen 94 throughvessel 93 and a portion of theoverlying tissue 95 to be exposed to the surgeon. In that regard, opening 140 oflumen 139 can be threaded onto guide wire 92 which then extends out throughopening 140. Thus, the flexible portion of distal member 114 can be gingerly threaded into thelumen 94 ofvessel 93. The distal member 114 of device 110 can be positioned withinlumen 94 such that intermediate member 116 engages with a portion of thetissue surrounding puncture 96. Distal member 114 is advanced in a distal direction until blood is observed inblood return line 125. Additionally, when provided, stop 156 abuts or bears against the external surface of the vascular vessel. This can be detected by the increased resistance to further advancement of the device in the distal direction. Bothblood return line 125 and stop 156 can be used to ascertain that the device has been correctly positioned within thelumen 94 of thevascular vessel 93 to allow suturing ofpuncture 96. It should be noted that observance of blood inneedle channel 124 is an indication that device 110 has been inserted too far into thelumen 94 such thatfirst opening 150 is exposed to the interior or blood side ofvessel 93. If desired, guide wire 92 can then be withdrawn fromlumen 139 and out ofvascular vessel 93—if it is no longer needed for subsequent procedures. - After the distal member is positioned as desired, the vascular tissue adjacent the puncture wound is received within the
tissue receiving area 145. As noted above, intermediate member 116 provides an essentially linear needle pathway betweenneedle channel 124, receptacle 122, and the vascular tissue in thetissue receiving area 145. - Consequently, when needle 118 a is advanced through
channel 124, it pierces thevascular tissue 93 at afirst suture site 97 adjacent the puncture wound 96. -
FIG. 8 illustrates suturing device 110 at a first suture position. Intermediate member 116 provides an essentially linear needle pathway betweenchannel 124 and receptacle 122. A first needle 118 a advancing throughchannel 124 using needle pusher 126 pierces vascular tissue intissue receiving area 145 at thefirst suture site 97. Needle 118 a trails a length of suture material 120 a pulling it through the vascular atsuture site 97adjacent wound 96. From there,needle tip 132 is advanced into to receptacle 122 to engage needle capture element 123. Thereafter, needle 118 a and optionally a portion of the suture material 120 are inserted into receptacle 122 where at least a portion of the needle 118 a engages with needle capture element 123. Needle capture element 123 reliably retains needle 118 a within receptacle 122 during the rest of the suturing procedure or until the surgeon decides to withdraw the needle. - As shown in
FIG. 9 suturing device 110 is rotated into a second suture position. Suture device 110 can be rotated approximately 180° so that in the second suture position, suture device 110 is positioned to operate on a second side ofwound 96 diametrically oppositefirst suture site 97. -
FIG. 10 illustrates suturing device 110 in the second suture position. A second needle 118 b can be advanced through or along receptacle 122 using the needle pusher 126, either the same needle pusher or a second, different needle pusher. Needle 118 b exits first opening 150 to pierce vascular tissue received in thetissue receiving area 145 at a second suture site 100. Continuing the advancement of needle 118 b through the needle path draws the attached suture material 120 b through second suture site 100adjacent wound 96. Thereafter at least a portion of needle 118 b is captured and retained by needle capture element 123 within receptacle 122. If desired, suturing device 110 can again be repositioned to draw suture material through a third and any desired subsequent suturing sites. It will be understood that suture material 120 a and 120 b can be opposite ends of the same piece of suture material. Alternatively, suture material 120 a and 120 b can be two separate lengths of suture material. -
FIG. 11 illustrates device 110 being removed in a distal direction fromvascular vessel 93. As suture device 110 is withdrawn in the distal direction, needles 118 a and 118 b remain embedded within the needle catching element 123 in receptacle 122. Consequently, the attached lengths of suture material 120 a and 120 b are pulled in a distal direction through the vascular tissue at the first andsecond suture sites 97 and 100, respectively and then out through thewound 96. One implementation of the suturing device can be a common length of suture material 120 attached to the proximal ends of needles 118 a and 118 b. As illustrated inFIG. 12 , the resulting suture path extends from the proximal side ofvessel 94 across the wound opening and through the first andsecond suture sites 97 and 100 into thelumen 94. The suture material 120 then extends out through wound opening 96 back to the distal side ofvessel 93. -
FIG. 12 depicts wound closure. The free ends of the suture material 120 can be gathered and a suture knot tied. As with the other procedures described above, a knot pusher 115, knot boxes as described in WO 01/19258, and knot replacement technologies (seeFIGS. 13 and 14 ) can be used to close the wound and secure the suture material. The lengths of suture material can be gathered. The length of suture material can be separated from the needles. Pulling the lengths of suture material taut closes the wound in the vessel. A surgical knot can be tied securing the wound closure. A knot pusher, for example, the knot pushers described in U.S. Pat. No. 5,304,184 issued to Hathaway et al., U.S. Pat. No. 5,746,755 issued to Wood et al., and U.S. Pat. No. 6,132,439 issued to Kontos, can be used to advance the loosely tied knot to the exterior surface of the vascular vessel. In selected embodiments, the surgeon can then tie a suitable surgical knot using the respective lengths of suture material to close the puncture wound 96. - In other embodiments, the suture material can be secured using a variety of knot replacement technologies such as that disclosed in U.S. patent application Ser. No. 10/164,606 (US Patent Publication No. 2003/0229377) and in Ser. No. 10/305,923 (US Patent Publication No. 2004/0102809) and depicted in
FIGS. 13 and 14 . Each of the above-noted references are incorporated by reference in their entirety. -
FIG. 13 is a perspective view asuturing securing device 102 for use in the present invention. Suture securingdevice 102 is described and illustrated in US Patent Publication No. 2004/0102809 which is incorporated herein by reference. Inuse device 102 can secure ends of one, two, three or more lengths of suture material. Two lengths of suture material 120 a and 120 b are illustrated withdevice 102. The lengths of suture material are threaded into theflexible elements -
FIG. 14 is another embodiment ofsuture securing devices Devices Devices suture material - The present invention provides a variety of means, devices and methods for closing wounds in tissue and is particularly but not exclusively suitable for vascular tissue. It will be understood that the present invention contemplates modifications as would occur to those skilled in the art without departing from the spirit of the present invention. In addition, the various structures, elements, and procedural steps or stages have been described with reference to specified embodiments and devices. Each of the individual or a combination of the structures, elements, and procedural steps or stages are contemplated to be combinable with each of the other embodiments and devices described herein and as such are contemplated to be within the scope of the present invention.
- All publications, patents, and patent applications cited in this specification are herein incorporated by reference as if each individual publication, patent, or patent application was specifically and individually indicated to be incorporated by reference and set forth in its entirety herein. Further, any theory of operation, proof, or finding stated herein is meant to further enhance understanding of the present invention and is not intended to make the scope of the present invention dependent upon such theory, proof, or finding.
Claims (21)
1. A suturing device for suturing a wall portion of a vascular vessel, said device comprising:
a proximal member including an elongate body with a channel sized to receive a needle therein;
a distal member comprising a receptacle therein, said distal member configured to be inserted into a vascular vessel, and wherein the receptacle is sized to receive at least one needle therein;
an intermediate member disposed between the proximal member and distal member, said intermediate member defining a tissue receiving area and including a first passageway from the channel to the tissue receiving area and second passageway from the receptacle in the distal member to the tissue receiving area; and
a needle capture element positioned in the receptacle of the distal member configured to retain a needle inserted into the receptacle.
2. The device of claim 1 wherein the receptacle of the distal member is sized to receive two or more needles.
3. The device of claim 2 wherein the needle capture element is configured to secure each of the two or more needles inserted into the receptacle.
4. The device of claim 1 wherein the needle capture element comprises a plug of resilient material.
5. The device of claim 4 wherein resilient material is selected from the group consisting of: polyurethane, polyethylene, poly(tetrafluoroethylene), poly(vinyl chloride), polyolefin, and silicon rubber.
6. The device of claim 4 wherein the plug of resilient material defines an internal wall portion of the receptacle.
7. The device of claim 1 wherein the needle capture element comprises at least one projection extending from an internal wall of the receptacle.
8. The device of claim 10 wherein the projection is configured to bias a needle inserted into the receptacle against an internal wall surface of the receptacle.
9. The device of claim 1 wherein the needle capture element comprises one or more leaves.
10. The device of claim 1 wherein the needle capture element comprises a pair of leaves extending radially inward from an internal wall portion of the receptacle and in a distal direction.
11. The device of claim 1 wherein the needle capture element comprises at least one tab extending radially inwardly from a surface of the receptacle of the distal member to engage with a recessed engagement surface of the needle.
12. The device of claim 1 wherein the proximal member comprises a needle cartridge slidably mounted thereon.
13. The device of claim 13 wherein said needle cartridge comprises a two or more needle slots capable of being sequentially aligned with a single needle channel.
14. The device of claim 1 comprising a first needle and slidably disposed in the needle cartridge.
15. The device of claim 14 comprising a second needle attached to a second end of the length and slidably disposed in the needle cartridge.
16. The device of claim 15 comprising a needle pusher slidably disposed in the needle channel to sequentially advance the first and second needles along the needle channel.
17. The device of claim 15 wherein the first needle is attached to a first end of a length of suture material, and the second needle is attached to a second end of the length of suture material.
18. The device of claim 1 wherein the intermediate member is curved or angled to offset the first and second passageways from wall portion of the vascular vessel disposed in the tissue receiving area.
19. The device of claim 18 wherein the intermediate member is configured to provide a linear pathway for a needle from the first passageway through the tissue receiving area to the second passageway.
20-33. (canceled)
34. A suturing device for suturing a wall portion of a vascular vessel, said device comprising:
a proximal member having a needle channel and a first needle and a second needle therein, said first needle and said second needle carrying a length of suture material;
a distal member configured to be inserted into the lumen of the vascular vessel, the distal member having a receptacle comprising a needle capture element and being sized to receive said first needle and said second needle therein, the needle capture member including an interior wall portion and a first plurality of projections and a second plurality of projections, the first and second pluralities of projections extending at an angle away from the interior wall portion toward a distal end of the distal member, the first plurality of projections being longitudinally offset from the second plurality of projections;
an intermediate member disposed between the proximal member and distal member, said intermediate member defining a tissue receiving area and configured to provide a linear needle pathway between the needle channel and the receptacle; and
a needle capture element positioned in the receptacle of the distal member configured to retain a needle inserted into the receptacle.
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US11/199,496 US8083754B2 (en) | 2005-08-08 | 2005-08-08 | Vascular suturing device with needle capture |
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Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20080287967A1 (en) * | 1992-12-10 | 2008-11-20 | Abbott Laboratories | Device and Methods for Suturing Tissue |
US20090088779A1 (en) * | 1999-03-04 | 2009-04-02 | Abbott Laboratories | Articulating Suturing Device and Method |
US8323298B2 (en) | 1999-03-04 | 2012-12-04 | Abbott Laboratories | Articulating suturing device and method |
US8361088B2 (en) | 2003-09-26 | 2013-01-29 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US8430893B2 (en) | 2006-08-18 | 2013-04-30 | 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 |
US8597309B2 (en) | 2003-12-23 | 2013-12-03 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
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 |
US8998932B2 (en) | 2002-12-31 | 2015-04-07 | Abbott Laboratories | Systems for anchoring a medical device in a body lumen |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9592038B2 (en) | 2005-08-08 | 2017-03-14 | Abbott Laboratories | Vascular suturing device |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
Families Citing this family (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020095164A1 (en) * | 1997-06-26 | 2002-07-18 | Andreas Bernard H. | Device and method for suturing tissue |
US7235087B2 (en) | 1999-03-04 | 2007-06-26 | Abbott Park | Articulating suturing device and method |
US6964668B2 (en) * | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US20040092964A1 (en) * | 1999-03-04 | 2004-05-13 | Modesitt D. Bruce | Articulating suturing device and method |
ATE329531T1 (en) | 1999-07-02 | 2006-07-15 | Quickpass Inc | SURGICAL SEWING DEVICE |
ES2435094T3 (en) * | 2000-05-19 | 2013-12-18 | C.R. Bard, Inc. | Device and method of tissue capture and suturing |
US7029480B2 (en) * | 2001-01-24 | 2006-04-18 | Abott Laboratories | Device and method for suturing of internal puncture sites |
BRPI0410376B1 (en) | 2003-05-16 | 2016-06-14 | Bard Inc C R | endoscopic suture system and single intubation |
JP5186366B2 (en) | 2005-06-20 | 2013-04-17 | スーチュラ,インコーポレイテッド | Device for knotting sutures |
US20070032801A1 (en) * | 2005-08-08 | 2007-02-08 | Pantages Anthony J | Vascular suturing device |
US7883517B2 (en) * | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8246636B2 (en) | 2007-03-29 | 2012-08-21 | Nobles Medical Technologies, Inc. | Suturing devices and methods for closing a patent foramen ovale |
EP2291125B1 (en) | 2008-05-09 | 2021-04-21 | Nobles Medical Technologies, Inc. | Suturing devices for suturing an anatomic valve |
EP3113692A4 (en) | 2011-01-11 | 2018-03-14 | Amsel Medical Corporation | Method and apparatus for occluding a blood vessel and/or other tubular structures |
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 |
EP3597115A1 (en) | 2012-05-11 | 2020-01-22 | Heartstitch, Inc. | Suturing devices for suturing an anatomic structure |
US8915933B2 (en) | 2012-11-02 | 2014-12-23 | Medtronic Vascular, Inc. | Suturing device having a retractable distal tip and method for sealing an opening in a blood vessel or other biological structure |
US9216010B2 (en) | 2013-06-26 | 2015-12-22 | General Electric Company | System and method for aligning a biopsy collecting device |
EP3016598B1 (en) | 2013-07-02 | 2018-10-10 | Med-venture Investments, LLC | Suturing devices for suturing an anatomic structure |
US10434307B2 (en) * | 2013-10-15 | 2019-10-08 | Medtronic, Inc. | Methods and devices for subcutaneous lead implantation |
US10512458B2 (en) | 2013-12-06 | 2019-12-24 | Med-Venture Investments, Llc | Suturing methods and apparatuses |
US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
EP3442437B1 (en) | 2016-04-11 | 2020-11-11 | Nobles Medical Technologies II, Inc. | Tissue suturing device with suture spool |
EP3641663B1 (en) | 2017-06-19 | 2022-03-02 | Heartstitch, Inc. | Suturing systems and methods for suturing body tissue |
US11839370B2 (en) | 2017-06-19 | 2023-12-12 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
WO2019035095A1 (en) | 2017-08-18 | 2019-02-21 | Nobles Medical Technologies Ii, Inc. | Apparatus for applying a knot to a suture |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5474568A (en) * | 1993-10-08 | 1995-12-12 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5895404A (en) * | 1997-09-29 | 1999-04-20 | Ruiz; Carlos E. | Apparatus and methods for percutaneously forming a passageway between adjacent vessels or portions of a vessel |
US20030195529A1 (en) * | 2002-04-15 | 2003-10-16 | Shinichi Takamoto | Intracardiac suture device |
US20040181238A1 (en) * | 2003-03-14 | 2004-09-16 | David Zarbatany | Mitral valve repair system and method for use |
US20040210251A1 (en) * | 2003-04-17 | 2004-10-21 | Stavros Kontos | Surgical device |
Family Cites Families (509)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US597165A (en) | 1898-01-11 | Thread package | ||
US312408A (en) | 1885-02-17 | Surgical needle | ||
USRE22857E (en) | 1947-03-25 | Suturing instrument | ||
US659422A (en) | 1900-06-12 | 1900-10-09 | George W Shidler | Surgical instrument. |
US989231A (en) | 1908-06-05 | 1911-04-11 | Wilbur L Chamberlain | Insulator-support. |
US1574362A (en) | 1922-09-23 | 1926-02-23 | Isabel G Callahan | Hemostatic forceps |
US1625602A (en) | 1926-04-06 | 1927-04-19 | Harold G Gould | Surgical appliance |
US2012776A (en) | 1931-05-23 | 1935-08-27 | Roeder Hans Albert | Ligator |
US1940351A (en) | 1933-03-22 | 1933-12-19 | Dougald T Mckinnon | Surgical instrument |
US2127903A (en) | 1936-05-05 | 1938-08-23 | Davis & Geck Inc | Tube for surgical purposes and method of preparing and using the same |
US2108206A (en) | 1937-03-09 | 1938-02-15 | Lillian Pearl Mecker | Tenaculum |
US2131321A (en) | 1937-10-11 | 1938-09-27 | Hart Wilber | Ligator |
US2397823A (en) | 1941-02-12 | 1946-04-02 | Carl W Walter | Forceps |
US2371978A (en) | 1941-12-13 | 1945-03-20 | Roy G Perham | Clamp for retaining the edges of a wound in apposition |
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 |
US2588589A (en) | 1950-12-14 | 1952-03-11 | Tauber Joseph | Surgeon's prethreaded needle holder |
US2646045A (en) | 1951-05-01 | 1953-07-21 | Bruno S Priestley | Mechanical suturing device |
DE912619C (en) | 1952-03-22 | 1954-05-31 | Walter Hirsch | Device for producing and tightening a knot formed from loops of thread and comprising a body |
FR1059544A (en) | 1952-04-21 | 1954-03-25 | Alberti | Improvements to sewing needles for manual work and to the machine |
US2692599A (en) | 1953-11-02 | 1954-10-26 | Raymond C Creelman | Identifying holder for surgical ligatures |
US2941489A (en) | 1957-03-05 | 1960-06-21 | Fischbein Dave | Movable thread cutter for electric sewing machines |
US2959172A (en) | 1957-08-27 | 1960-11-08 | American Cystoscope Makers Inc | Self-threading suturing instrument |
US3033156A (en) | 1960-03-16 | 1962-05-08 | Alberta L Verbish | Suture rack |
US3413397A (en) | 1961-08-17 | 1968-11-26 | Eastman Kodak Co | Process for stretching polypropylene filaments |
US3104666A (en) | 1962-11-02 | 1963-09-24 | Myron T Hale | Surgical instrument for performing a tracheotomy |
US3359983A (en) | 1963-01-23 | 1967-12-26 | American Cyanamid Co | Synthetic surgical sutures |
US3197102A (en) | 1964-09-09 | 1965-07-27 | Bates Bernice | Thread support having a fixed cutter |
US3485234A (en) | 1966-04-13 | 1969-12-23 | Cordis Corp | Tubular products and method of making same |
US3587115A (en) | 1966-05-04 | 1971-06-28 | Donald P Shiley | Prosthetic sutureless heart valves and implant tools therefor |
US3422181A (en) | 1966-05-23 | 1969-01-14 | American Cyanamid Co | Method for heat setting of stretch oriented polyglycolic acid filament |
US3470875A (en) | 1966-10-06 | 1969-10-07 | Alfred A Johnson | Surgical clamping and suturing instrument |
US3630205A (en) | 1969-07-31 | 1971-12-28 | Ethicon Inc | Polypropylene monofilament sutures |
US3653388A (en) | 1969-12-04 | 1972-04-04 | Battelle Development Corp | Catheter insertion trocar |
US3665926A (en) | 1970-04-08 | 1972-05-30 | Bard Inc C R | Ligature and applicator therefor |
US3814104A (en) | 1971-07-05 | 1974-06-04 | W Irnich | Pacemaker-electrode |
US3840017A (en) | 1971-10-29 | 1974-10-08 | A Violante | Surgical instrument |
US3802438A (en) | 1972-03-31 | 1974-04-09 | Technibiotics | Surgical instrument |
US3776237A (en) | 1972-05-11 | 1973-12-04 | Tecna Corp | Surgical tool and method of providing a surgical opening |
US3985138A (en) | 1972-08-25 | 1976-10-12 | Jarvik Robert K | Preformed ligatures for bleeders and methods of applying such ligatures |
DE2300840C3 (en) | 1973-01-09 | 1975-08-28 | Richard Wolf Gmbh, 7134 Knittlingen | Device for preparing ligatures of the fallopian tubes |
US3874388A (en) | 1973-02-12 | 1975-04-01 | Ochsner Med Found Alton | Shunt defect closure system |
GB1413191A (en) | 1973-07-04 | 1975-11-12 | Vnii Khirurgicheskoi Apparatur | Device for the eversion of hollow organs and vascular stapling instrument incorporating same |
US3878848A (en) | 1973-12-27 | 1975-04-22 | Extracorporeal Med Spec | Surgical needle capturing device |
DE2513868C2 (en) | 1974-04-01 | 1982-11-04 | Olympus Optical Co., Ltd., Tokyo | Bipolar electrodiathermy forceps |
US3918455A (en) | 1974-04-29 | 1975-11-11 | Albany Int Corp | Combined surgical suture and needle |
US3939820A (en) | 1974-10-29 | 1976-02-24 | Datascope Corporation | Single-chamber, multi-section balloon for cardiac assistance |
US3926194A (en) | 1974-11-20 | 1975-12-16 | Ethicon Inc | Sutures with reduced diameter at suture tip |
US4018228A (en) | 1975-02-24 | 1977-04-19 | Goosen Carl C | Surgical punch apparatus |
FR2298313A1 (en) | 1975-06-23 | 1976-08-20 | Usifroid | LINEAR REDUCER FOR VALVULOPLASTY |
CA1101289A (en) | 1976-09-07 | 1981-05-19 | Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi T Ekhniki | Surgical apparatus for suturing soft tissues with lengths of suturing material with spicules |
US4128100A (en) | 1976-10-08 | 1978-12-05 | Wendorff Erwin R | Suture |
US4109658A (en) | 1977-02-04 | 1978-08-29 | Hughes Joe L | Needle holding device with pick-up means |
US4185636A (en) | 1977-12-29 | 1980-01-29 | Albert Einstein College Of Medicine Of Yeshiva University | Suture organizer, prosthetic device holder, and related surgical procedures |
US4135623A (en) | 1978-01-20 | 1979-01-23 | Ethicon, Inc. | Package for armed sutures |
US4168073A (en) | 1978-03-01 | 1979-09-18 | Owens-Illinois, Inc. | Glass article handling chuck |
US4161951A (en) | 1978-04-27 | 1979-07-24 | Scanlan International, Inc. | Needle driver |
US4235238A (en) | 1978-05-11 | 1980-11-25 | Olympus Optical Co., Ltd. | Apparatus for suturing coeliac tissues |
US4182339A (en) | 1978-05-17 | 1980-01-08 | Hardy Thomas G Jr | Anastomotic device and method |
US4216776A (en) | 1978-05-19 | 1980-08-12 | Thoratec Laboratories Corporation | Disposable aortic perforator |
US4235177A (en) | 1979-02-23 | 1980-11-25 | Raymond C. Kelder | Suturing device |
JPS55151956A (en) | 1979-05-17 | 1980-11-26 | Janome Sewing Machine Co Ltd | Sewing machine for medical treatment |
SU820810A1 (en) | 1979-06-18 | 1981-04-15 | Киевский Медицинский Институт Им.Академика A.A.Богомольца | Device for tightening ligature knots |
US4317445A (en) | 1980-03-31 | 1982-03-02 | Baxter Travenol Laboratories, Inc. | Catheter insertion unit with separate flashback indication for the cannula |
US4469101A (en) | 1980-10-23 | 1984-09-04 | Battelle Memorial Institute | Suture device |
US4412832A (en) | 1981-04-30 | 1983-11-01 | Baxter Travenol Laboratories, Inc. | Peelable catheter introduction device |
US4411654A (en) | 1981-04-30 | 1983-10-25 | Baxter Travenol Laboratories, Inc. | Peelable catheter with securing ring and suture sleeve |
SU993922A1 (en) | 1981-07-20 | 1983-02-07 | за вители | Device for guiding ligature material |
US4501276A (en) | 1982-07-16 | 1985-02-26 | Illinois Tool Works Inc. | Fetal electrode apparatus |
US4492229A (en) | 1982-09-03 | 1985-01-08 | Grunwald Ronald P | Suture guide holder |
US4493323A (en) | 1982-12-13 | 1985-01-15 | University Of Iowa Research Foundation | Suturing device and method for using same |
SU1093329A1 (en) | 1983-04-07 | 1984-05-23 | Калининский Государственный Медицинский Институт | Suture appliance for soft tissue |
US4586614A (en) | 1983-08-22 | 1986-05-06 | Ralph Ger | Apparatus and method for organizing suture materials and monitoring suture needles |
IL74460A (en) | 1983-09-02 | 1990-01-18 | Istec Ind & Technologies Ltd | Surgical implement particularly useful for suturing prosthetic valves |
EP0140557A3 (en) | 1983-09-12 | 1986-09-03 | Edward Lee Blackwood | Surgical instrument |
US5669936A (en) | 1983-12-09 | 1997-09-23 | Endovascular Technologies, Inc. | Endovascular grafting system and method for use therewith |
US4553543A (en) | 1984-03-05 | 1985-11-19 | Amarasinghe Disamodha C | Suturing assembly and method |
SU1174036A1 (en) | 1984-03-11 | 1985-08-23 | Омский Государственный Ордена Трудового Красного Знамени Медицинский Институт Им.М.И.Калинина | Instrument for placing sutures |
JPS60234671A (en) | 1984-05-09 | 1985-11-21 | テルモ株式会社 | Catheter inserter |
US4651733A (en) | 1984-06-06 | 1987-03-24 | Mobin Uddin Kazi | Blood vessel holding device and surgical method using same |
JPS6144825A (en) | 1984-08-09 | 1986-03-04 | Unitika Ltd | Hemostatic agent |
US4610248A (en) | 1984-09-18 | 1986-09-09 | University Of Medicine And Dentistry Of New Jersey | Surgical finger assembly |
IL73081A (en) | 1984-09-26 | 1988-12-30 | Istec Ind & Technologies Ltd | Suturing implement particularly useful in surgical operations for the attachment of a prosthetic valve |
US4596559A (en) | 1984-11-02 | 1986-06-24 | Fleischhacker John J | Break-away handle for a catheter introducer set |
US4587969A (en) | 1985-01-28 | 1986-05-13 | Rolando Gillis | Support assembly for a blood vessel or like organ |
US4738666A (en) | 1985-06-11 | 1988-04-19 | Genus Catheter Technologies, Inc. | Variable diameter catheter |
NL8501786A (en) | 1985-06-21 | 1987-01-16 | Drukker D & Zn Nv | METHOD FOR MANUFACTURING MICROSURGIC BONDING NEEDLES, AND MICROSURING BINDING NEEDLES OBTAINED |
US5350395A (en) | 1986-04-15 | 1994-09-27 | Yock Paul G | Angioplasty apparatus facilitating rapid exchanges |
DE3630210A1 (en) | 1986-09-04 | 1988-03-17 | Wisap Gmbh | INSTRUMENT HANDLE |
US4723549A (en) | 1986-09-18 | 1988-02-09 | Wholey Mark H | Method and apparatus for dilating blood vessels |
GB8628090D0 (en) | 1986-11-25 | 1986-12-31 | Ahmad R | Clipon surgical suture cutter |
US4748982A (en) | 1987-01-06 | 1988-06-07 | Advanced Cardiovascular Systems, Inc. | Reinforced balloon dilatation catheter with slitted exchange sleeve and method |
US4890612A (en) | 1987-02-17 | 1990-01-02 | Kensey Nash Corporation | Device for sealing percutaneous puncture in a vessel |
US4852568A (en) | 1987-02-17 | 1989-08-01 | Kensey Nash Corporation | Method and apparatus for sealing an opening in tissue of a living being |
US4744364A (en) | 1987-02-17 | 1988-05-17 | Intravascular Surgical Instruments, Inc. | Device for sealing percutaneous puncture in a vessel |
US5478353A (en) | 1987-05-14 | 1995-12-26 | Yoon; Inbae | Suture tie device system and method for suturing anatomical tissue proximate an opening |
US4782954A (en) | 1987-06-11 | 1988-11-08 | Reynolds Jack M | Mending kit |
US4803984A (en) | 1987-07-06 | 1989-02-14 | Montefiore Hospital Association Of Western Pennsylvania | Method for performing small vessel anastomosis |
SU1544383A1 (en) | 1987-09-08 | 1990-02-23 | С. А.Попов | Method of forming stump of intestine |
US4957498A (en) | 1987-11-05 | 1990-09-18 | Concept, Inc. | Suturing instrument |
US4845851A (en) | 1987-12-09 | 1989-07-11 | Milliken Research Corporation | Synthetic suture cutting device |
US4926860A (en) | 1988-02-05 | 1990-05-22 | Flexmedics Corporation | ARthroscopic instrumentation and method |
US4836205A (en) | 1988-03-21 | 1989-06-06 | Barrett Gene R | Grasper-stitcher device for arthroscopic anterior cruciate ligament repair |
US4911164A (en) | 1988-04-26 | 1990-03-27 | Roth Robert A | Surgical tool and method of use |
US5254105A (en) | 1988-05-26 | 1993-10-19 | Haaga John R | Sheath for wound closure caused by a medical tubular device |
US5330445A (en) | 1988-05-26 | 1994-07-19 | Haaga John R | Sheath for wound closure caused by a medical tubular device |
US5100419A (en) | 1990-04-17 | 1992-03-31 | Ehlers Robert L | Device for removing diverticula in the colon |
US4917089A (en) | 1988-08-29 | 1990-04-17 | Sideris Eleftherios B | Buttoned device for the transvenous occlusion of intracardiac defects |
US4984581A (en) | 1988-10-12 | 1991-01-15 | Flexmedics Corporation | Flexible guide having two-way shape memory alloy |
US4929246A (en) | 1988-10-27 | 1990-05-29 | C. R. Bard, Inc. | Method for closing and sealing an artery after removing a catheter |
US4983168A (en) | 1989-01-05 | 1991-01-08 | Catheter Technology Corporation | Medical layered peel away sheath and methods |
FR2641692A1 (en) | 1989-01-17 | 1990-07-20 | Nippon Zeon Co | Plug for closing an opening for a medical application, and device for the closure plug making use thereof |
US4966600A (en) | 1989-01-26 | 1990-10-30 | Songer Robert J | Surgical securance method |
US5192294A (en) | 1989-05-02 | 1993-03-09 | Blake Joseph W Iii | Disposable vascular punch |
SU1648400A1 (en) | 1989-05-03 | 1991-05-15 | Одесский Облздравотдел | Device for applying ligature |
US4981149A (en) | 1989-05-16 | 1991-01-01 | Inbae Yoon | Method for suturing with a bioabsorbable needle |
US5074874A (en) | 1989-05-16 | 1991-12-24 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
US5100422A (en) | 1989-05-26 | 1992-03-31 | Impra, Inc. | Blood vessel patch |
US5078721A (en) | 1989-06-16 | 1992-01-07 | Mckeating John A | Device for surgical ligation |
US5009643A (en) | 1989-08-09 | 1991-04-23 | Richard Wolf Medical Instruments Corp. | Self-retaining electrically insulative trocar sleeve and trocar |
US5904690A (en) | 1989-08-16 | 1999-05-18 | Medtronic, Inc. | Device or apparatus for manipulating matter |
US4935027A (en) | 1989-08-21 | 1990-06-19 | Inbae Yoon | Surgical suture instrument with remotely controllable suture material advancement |
US5207703A (en) | 1989-10-20 | 1993-05-04 | Jain Krishna M | Suture organizer |
US5059201A (en) | 1989-11-03 | 1991-10-22 | Asnis Stanley E | Suture threading, stitching and wrapping device for use in open and closed surgical procedures |
US5156788A (en) | 1989-11-14 | 1992-10-20 | United States Surgical Corporation | Method and apparatus for heat tipping sutures |
US4950285A (en) | 1989-11-27 | 1990-08-21 | Wilk Peter J | Suture device |
JP2528602B2 (en) | 1989-12-04 | 1996-08-28 | ケンゼー・ナッシュ・コーポレーション | Plug device for sealing the opening |
US5061274A (en) | 1989-12-04 | 1991-10-29 | Kensey Nash Corporation | Plug device for sealing openings and method of use |
JPH03244445A (en) | 1990-02-22 | 1991-10-31 | Matsutani Seisakusho Co Ltd | Medical suture needle |
US5002563A (en) | 1990-02-22 | 1991-03-26 | Raychem Corporation | Sutures utilizing shape memory alloys |
US5171259A (en) | 1990-04-02 | 1992-12-15 | Kanji Inoue | Device for nonoperatively occluding a defect |
US5163946A (en) | 1990-04-25 | 1992-11-17 | Mitek Surgical Products, Inc. | Suture rundown tool and cutter system |
US5021059A (en) | 1990-05-07 | 1991-06-04 | Kensey Nash Corporation | Plug device with pulley for sealing punctures in tissue and methods of use |
US5037433A (en) | 1990-05-17 | 1991-08-06 | Wilk Peter J | Endoscopic suturing device and related method and suture |
US5041129A (en) | 1990-07-02 | 1991-08-20 | Acufex Microsurgical, Inc. | Slotted suture anchor and method of anchoring a suture |
US5395332A (en) | 1990-08-28 | 1995-03-07 | Scimed Life Systems, Inc. | Intravascualr catheter with distal tip guide wire lumen |
US5368595A (en) | 1990-09-06 | 1994-11-29 | United States Surgical Corporation | Implant assist apparatus |
US5176691A (en) | 1990-09-11 | 1993-01-05 | Pierce Instruments, Inc. | Knot pusher |
US5047039A (en) | 1990-09-14 | 1991-09-10 | Odis Lynn Avant | Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy |
US5080664A (en) | 1990-09-18 | 1992-01-14 | Jain Krishna M | Device for holding a vein during vascular surgery |
US5053043A (en) | 1990-09-28 | 1991-10-01 | Vance Products Incorporated | Suture guide and method of placing sutures through a severed duct |
US5107158A (en) | 1990-10-01 | 1992-04-21 | Rockwell International Corporation | Diametral runout reducer for rotating shaft |
US5108421A (en) | 1990-10-01 | 1992-04-28 | Quinton Instrument Company | Insertion assembly and method of inserting a vessel plug into the body of a patient |
US5129913A (en) | 1990-10-04 | 1992-07-14 | Norbert Ruppert | Surgical punch apparatus |
US5611794A (en) | 1990-10-11 | 1997-03-18 | Lasersurge, Inc. | Clamp for approximating tissue sections |
FR2668698B1 (en) | 1990-11-06 | 1997-06-06 | Ethnor | SURGICAL INSTRUMENT FORMING TROCART. |
US5372146A (en) | 1990-11-06 | 1994-12-13 | Branch; Thomas P. | Method and apparatus for re-approximating tissue |
US5129882A (en) | 1990-12-27 | 1992-07-14 | Novoste Corporation | Wound clotting device and method of using same |
US5419765A (en) | 1990-12-27 | 1995-05-30 | Novoste Corporation | Wound treating device and method for treating wounds |
US5211650A (en) | 1991-01-07 | 1993-05-18 | Laparomed Corporation | Dual function suturing device and method |
US5129912B2 (en) | 1991-01-07 | 2000-01-11 | Urohealth Systems Inc | Device and method for applying suture |
US5259846A (en) | 1991-01-07 | 1993-11-09 | United States Surgical Corporation | Loop threaded combined surgical needle-suture device |
US5320629B1 (en) | 1991-01-07 | 2000-05-02 | Advanced Surgical Inc | Device and method for applying suture |
DK166600B1 (en) | 1991-01-17 | 1993-06-21 | Therkel Bisgaard | TOOL USE TOUCH BY SUTURING IN DEEP OPERATING OPENINGS OR BODY SPACES |
US5192287A (en) | 1991-04-05 | 1993-03-09 | American Cyanamid Company | Suture knot tying device |
US5203864A (en) | 1991-04-05 | 1993-04-20 | Phillips Edward H | Surgical fastener system |
US5405352A (en) | 1991-04-09 | 1995-04-11 | Weston; Peter V. | Suture knot, method for its formation and use, and knot forming apparatus |
CA2065634C (en) | 1991-04-11 | 1997-06-03 | Alec A. Piplani | Endovascular graft having bifurcation and apparatus and method for deploying the same |
CA2065205C (en) | 1991-04-11 | 2002-12-03 | David T. Green | Reduced mass absorbable surgical fastener and retainer |
US5147373A (en) | 1991-04-29 | 1992-09-15 | Ferzli George S | Laparoscopic instrument |
US5217470A (en) | 1991-04-29 | 1993-06-08 | Weston Peter V | Apparatuses and methods for formation and use of a slipknot as a surgical suture knot |
US5295993A (en) | 1991-04-30 | 1994-03-22 | United States Surgical Corporation | Safety trocar |
US5217471A (en) | 1991-05-30 | 1993-06-08 | Burkhart Stephen S | Endoscopic suture knotting instrument |
US5160339A (en) | 1991-06-18 | 1992-11-03 | Ethicon, Inc. | Endoscopic suture clip |
US5144961A (en) | 1991-07-11 | 1992-09-08 | Ethicon, Inc. | Endoscopic ligating device |
US5217485A (en) | 1991-07-12 | 1993-06-08 | United States Surgical Corporation | Polypropylene monofilament suture and process for its manufacture |
US5109780A (en) | 1991-07-15 | 1992-05-05 | Slouf James W | Embroidery tool |
US5433700A (en) | 1992-12-03 | 1995-07-18 | Stanford Surgical Technologies, Inc. | Method for intraluminally inducing cardioplegic arrest and catheter for use therein |
US5458574A (en) | 1994-03-16 | 1995-10-17 | Heartport, Inc. | System for performing a cardiac procedure |
US5452733A (en) | 1993-02-22 | 1995-09-26 | Stanford Surgical Technologies, Inc. | Methods for performing thoracoscopic coronary artery bypass |
US5234443A (en) | 1991-07-26 | 1993-08-10 | The Regents Of The University Of California | Endoscopic knot tying apparatus and methods |
GR920100358A (en) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Surgical anastomosis stapling instrument. |
US5219358A (en) | 1991-08-29 | 1993-06-15 | Ethicon, Inc. | Shape memory effect surgical needles |
WO1993006878A1 (en) | 1991-10-11 | 1993-04-15 | Boston Scientific Corporation | Catheter introducer sheath assembly |
US5169041A (en) | 1991-10-18 | 1992-12-08 | Deje E-Z Enterprises, Inc. | Portable sewing kit |
AU662357B2 (en) | 1991-10-18 | 1995-08-31 | Ethicon Inc. | Adhesion barrier applicator |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5290310A (en) | 1991-10-30 | 1994-03-01 | Howmedica, Inc. | Hemostatic implant introducer |
US5222974A (en) | 1991-11-08 | 1993-06-29 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5676689A (en) | 1991-11-08 | 1997-10-14 | Kensey Nash Corporation | Hemostatic puncture closure system including vessel location device and method of use |
DE4137218C1 (en) | 1991-11-13 | 1993-02-11 | Heidmueller, Harald, 5000 Koeln, De | |
US5201744A (en) | 1991-12-05 | 1993-04-13 | Jones Mark W | Method and device for suturing using a rod with a needle holder |
US5395349A (en) | 1991-12-13 | 1995-03-07 | Endovascular Technologies, Inc. | Dual valve reinforced sheath and method |
IL100721A (en) | 1992-01-21 | 1996-12-05 | Milo Simcha | Punch for opening passages between two compartments |
CA2128338C (en) | 1992-01-21 | 2004-10-12 | Gladwin S. Das | Septal defect closure device |
US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5237996A (en) | 1992-02-11 | 1993-08-24 | Waldman Lewis K | Endocardial electrical mapping catheter |
JP3011768B2 (en) | 1992-02-28 | 2000-02-21 | ボード オブ リージェンツ,ザ ユニバーシティ オブ テキサス システム | Photopolymerizable biodegradable hydrophilic gels as tissue contacting materials and controlled release carriers |
US5171251A (en) | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
US5178629A (en) | 1992-03-03 | 1993-01-12 | Ethicon, Inc. | Method of forming a suture knot |
DE4303374A1 (en) | 1992-03-12 | 1993-09-23 | Wolf Gmbh Richard | |
US5318578A (en) | 1992-03-17 | 1994-06-07 | Harrith M. Hasson | Apparatus for delivering a suture into a body cavity and method of using the apparatus |
DE4210724C1 (en) | 1992-04-01 | 1993-07-22 | Rema-Medizintechnik Gmbh, 7201 Duerbheim, De | Surgical instrument with expander in shaft portion - has expanding member mounting eccentrical on pinion meshing with central gear on shaft passing through stem |
DE9217932U1 (en) | 1992-04-01 | 1993-06-03 | Rema-Medizintechnik Gmbh, 7201 Duerbheim, De | |
US5425737A (en) | 1992-04-08 | 1995-06-20 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
US5411481A (en) | 1992-04-08 | 1995-05-02 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
CA2134071C (en) | 1992-04-23 | 1999-04-27 | Sew Wah Tay | Apparatus and method for sealing vascular punctures |
US5368601A (en) | 1992-04-30 | 1994-11-29 | Lasersurge, Inc. | Trocar wound closure device |
US5250054A (en) | 1992-05-01 | 1993-10-05 | Li Medical Technologies, Inc. | Intracorporeal knot tying apparatus and method |
US5290284A (en) | 1992-05-01 | 1994-03-01 | Adair Edwin Lloyd | Laparoscopic surgical ligation and electrosurgical coagulation and cutting device |
US5336231A (en) | 1992-05-01 | 1994-08-09 | Adair Edwin Lloyd | Parallel channel fixation, repair and ligation suture device |
US5250053A (en) | 1992-05-29 | 1993-10-05 | Linvatec Corporation | Suture shuttle device |
US5258003A (en) | 1992-06-01 | 1993-11-02 | Conmed Corporation | Method and apparatus for induction of pneumoperitoneum |
DE4220283C2 (en) | 1992-06-20 | 1994-05-19 | Singer Spezialnadelfab | Surgical needle-thread combination |
US5237985A (en) | 1992-06-22 | 1993-08-24 | Crystal Wind, Inc. | Uterine retractor |
US5281236A (en) | 1992-06-23 | 1994-01-25 | Boston Scientific Corporation | Method and device for intracorporeal knot tying |
US5254126A (en) | 1992-06-24 | 1993-10-19 | Ethicon, Inc. | Endoscopic suture punch |
CA2098896C (en) | 1992-06-30 | 2005-03-29 | H. Jonathan Tovey | Specimen retrieval pouch and method for use |
US5413571A (en) | 1992-07-16 | 1995-05-09 | Sherwood Medical Company | Device for sealing hemostatic incisions |
US5403330A (en) | 1992-07-17 | 1995-04-04 | Tuason; Leo B. | Suture knot pusher |
US5292332A (en) | 1992-07-27 | 1994-03-08 | Lee Benjamin I | Methods and device for percutanceous sealing of arterial puncture sites |
US5334199A (en) | 1992-08-17 | 1994-08-02 | Inbae Yoon | Ligating instrument and methods of ligating tissue in endoscopic operative procedures |
US5254113A (en) | 1992-08-31 | 1993-10-19 | Wilk Peter J | Anastomosis method |
US5540704A (en) | 1992-09-04 | 1996-07-30 | Laurus Medical Corporation | Endoscopic suture system |
US5364408A (en) | 1992-09-04 | 1994-11-15 | Laurus Medical Corporation | Endoscopic suture system |
US6048351A (en) | 1992-09-04 | 2000-04-11 | Scimed Life Systems, Inc. | Transvaginal suturing system |
US5713910A (en) | 1992-09-04 | 1998-02-03 | Laurus Medical Corporation | Needle guidance system for endoscopic suture device |
GB2270725B (en) | 1992-09-07 | 1995-08-02 | Bespak Plc | Connecting apparatus for medical conduits |
US5387227A (en) | 1992-09-10 | 1995-02-07 | Grice; O. Drew | Method for use of a laparo-suture needle |
US5342369A (en) | 1992-09-11 | 1994-08-30 | The Board Of Regents Of The University Of Washington | System for repair of bankart lesions |
US5624446A (en) | 1992-09-11 | 1997-04-29 | University Of Washington | System for repair of capsulo-labral separations |
US5284485A (en) | 1992-09-16 | 1994-02-08 | Ethicon, Inc. | Endoscopic knotting device |
US5234445A (en) | 1992-09-18 | 1993-08-10 | Ethicon, Inc. | Endoscopic suturing device |
US5354312A (en) | 1992-09-18 | 1994-10-11 | Ethicon, Inc. | Endoscopic anvil grasping instrument |
US5330491A (en) | 1992-09-18 | 1994-07-19 | Ethicon, Inc. | Endoscopic suturing device |
CA2106127A1 (en) | 1992-09-23 | 1994-03-24 | Peter W.J. Hinchliffe | Instrument for closing trocar puncture wounds |
US5281237A (en) | 1992-09-25 | 1994-01-25 | Gimpelson Richard J | Surgical stitching device and method of use |
US5312423A (en) | 1992-10-01 | 1994-05-17 | Advanced Surgical Intervention, Inc. | Apparatus and method for laparaoscopic ligation |
US5306254A (en) | 1992-10-01 | 1994-04-26 | Kensey Nash Corporation | Vessel position locating device and method of use |
US5292327A (en) | 1992-10-08 | 1994-03-08 | Dodd Joseph T | Surgical knot pusher |
US5383905A (en) | 1992-10-09 | 1995-01-24 | United States Surgical Corporation | Suture loop locking device |
US5304184A (en) | 1992-10-19 | 1994-04-19 | Indiana University Foundation | Apparatus and method for positive closure of an internal tissue membrane opening |
DE4235506A1 (en) | 1992-10-21 | 1994-04-28 | Bavaria Med Tech | Drug injection catheter |
US5250033A (en) | 1992-10-28 | 1993-10-05 | Interventional Thermodynamics, Inc. | Peel-away introducer sheath having proximal fitting |
US5336230A (en) | 1992-11-04 | 1994-08-09 | Charles S. Taylor | Endoscopic suture tying method |
US5304185A (en) | 1992-11-04 | 1994-04-19 | Unisurge, Inc. | Needle holder |
US5584842A (en) | 1992-12-02 | 1996-12-17 | Intramed Laboratories, Inc. | Valvulotome and method of using |
US20020095164A1 (en) | 1997-06-26 | 2002-07-18 | Andreas Bernard H. | Device and method for suturing tissue |
US6355050B1 (en) | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US5417699A (en) | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US6036699A (en) | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US5480407A (en) | 1992-12-17 | 1996-01-02 | Wan; Shaw P. | Suturing instrument with hemorrhaging control |
EP0604789A1 (en) | 1992-12-31 | 1994-07-06 | K. Widmann Ag | Surgical clamping element for making a purse string |
US5540703A (en) | 1993-01-06 | 1996-07-30 | Smith & Nephew Richards Inc. | Knotted cable attachment apparatus formed of braided polymeric fibers |
US5292309A (en) | 1993-01-22 | 1994-03-08 | Schneider (Usa) Inc. | Surgical depth measuring instrument and method |
US5336229A (en) | 1993-02-09 | 1994-08-09 | Laparomed Corporation | Dual ligating and dividing apparatus |
US5799661A (en) | 1993-02-22 | 1998-09-01 | Heartport, Inc. | Devices and methods for port-access multivessel coronary artery bypass surgery |
US5425705A (en) | 1993-02-22 | 1995-06-20 | Stanford Surgical Technologies, Inc. | Thoracoscopic devices and methods for arresting the heart |
US5972030A (en) | 1993-02-22 | 1999-10-26 | Heartport, Inc. | Less-invasive devices and methods for treatment of cardiac valves |
US5728151A (en) | 1993-02-22 | 1998-03-17 | Heartport, Inc. | Intercostal access devices for less-invasive cardiovascular surgery |
AU6405994A (en) | 1993-03-11 | 1994-09-26 | Wilson Greatbatch Ltd. | Laparoscopic surgical grasper |
US5403331A (en) | 1993-03-12 | 1995-04-04 | United States Surgical Corporation | Looped suture ligating device containing a heat-shrinkable element |
US5374275A (en) | 1993-03-25 | 1994-12-20 | Synvasive Technology, Inc. | Surgical suturing device and method of use |
US5397326A (en) | 1993-04-15 | 1995-03-14 | Mangum; William K. | Knot pusher for videoendoscopic surgery |
FR2704132B1 (en) | 1993-04-23 | 1995-07-13 | Ethnor | System for ligature and / or suture for endoscopic surgery. |
US5613975A (en) | 1993-04-28 | 1997-03-25 | Christy; William J. | Endoscopic suturing device and method |
US5464426A (en) | 1993-05-14 | 1995-11-07 | Bonutti; Peter M. | Method of closing discontinuity in tissue |
US5385569A (en) | 1993-05-21 | 1995-01-31 | Surgical Safety Products, Inc. | Surgical suturing accessory |
US5383896A (en) | 1993-05-25 | 1995-01-24 | Gershony; Gary | Vascular sealing device |
US5391176A (en) | 1993-06-02 | 1995-02-21 | General Surgical Innovations, Inc. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5353974A (en) | 1993-06-07 | 1994-10-11 | Cortale Maurizio | Surgical needle system |
US5527321A (en) | 1993-07-14 | 1996-06-18 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5454820A (en) | 1993-07-14 | 1995-10-03 | Ethicon, Inc. | Method of tying knots using a tube knot applicator |
US5478354A (en) | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
US5569269A (en) | 1993-07-26 | 1996-10-29 | Innovasive Devices, Inc. | Surgical grasping and suturing device and method |
US5507755A (en) | 1993-08-03 | 1996-04-16 | Origin Medsystems, Inc. | Apparatus and method for closing puncture wounds |
US5391182A (en) | 1993-08-03 | 1995-02-21 | Origin Medsystems, Inc. | Apparatus and method for closing puncture wounds |
US5462561A (en) | 1993-08-05 | 1995-10-31 | Voda; Jan K. | Suture device |
US5830125A (en) | 1993-08-12 | 1998-11-03 | Scribner-Browne Medical Design Incorporated | Catheter introducer with suture capability |
US5507758A (en) | 1993-08-25 | 1996-04-16 | Inlet Medical, Inc. | Insertable suture grasping probe guide, and methodology for using same |
US5591206A (en) | 1993-09-30 | 1997-01-07 | Moufarr+E,Gra E+Ee Ge; Richard | Method and device for closing wounds |
US5569271A (en) | 1993-10-04 | 1996-10-29 | Hoel; Steven B. | Surgical instrument for suturing |
US5462560A (en) | 1993-10-08 | 1995-10-31 | Tahoe Surgical Instruments | Double needle ligature device |
US5722981A (en) | 1993-10-08 | 1998-03-03 | Tahoe Surgical Instruments | Double needle ligature device |
US5470338A (en) | 1993-10-08 | 1995-11-28 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5536267A (en) | 1993-11-08 | 1996-07-16 | Zomed International | Multiple electrode ablation apparatus |
US5728143A (en) | 1995-08-15 | 1998-03-17 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5527322A (en) | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US6569159B1 (en) | 1993-11-08 | 2003-05-27 | Rita Medical Systems, Inc. | Cell necrosis apparatus |
US5397325A (en) | 1993-11-09 | 1995-03-14 | Badiaco, Inc. | Laparoscopic suturing device |
US5536273A (en) | 1993-12-09 | 1996-07-16 | Lehrer; Theodor | Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures |
US5609597A (en) | 1993-12-09 | 1997-03-11 | Lehrer; Theodor | Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures |
CA2176826C (en) | 1993-12-10 | 2000-09-26 | Nusayr Azam | Guiding catheter |
US5545180A (en) | 1993-12-13 | 1996-08-13 | Ethicon, Inc. | Umbrella-shaped suture anchor device with actuating ring member |
US5376096A (en) | 1993-12-17 | 1994-12-27 | Vance Products Inc. | Medical instrument for driving a suture needle |
US5492119A (en) | 1993-12-22 | 1996-02-20 | Heart Rhythm Technologies, Inc. | Catheter tip stabilizing apparatus |
US5549618A (en) | 1994-01-18 | 1996-08-27 | Coral Medical | Knot tying method and apparatus |
US5741280A (en) | 1994-01-18 | 1998-04-21 | Coral Medical | Knot tying method and apparatus |
US5431666A (en) | 1994-02-24 | 1995-07-11 | Lasersurge, Inc. | Surgical suture instrument |
US5520702A (en) | 1994-02-24 | 1996-05-28 | United States Surgical Corporation | Method and apparatus for applying a cinch member to the ends of a suture |
CA2141911C (en) | 1994-02-24 | 2002-04-23 | Jude S. Sauer | Surgical crimping device and method of use |
US5364407A (en) | 1994-03-21 | 1994-11-15 | Poll Wayne L | Laparoscopic suturing system |
US5562688A (en) | 1994-03-25 | 1996-10-08 | Riza; Erol D. | Apparatus facilitating suturing in laparoscopic surgery |
US5716369A (en) | 1994-03-25 | 1998-02-10 | Riza; Erol D. | Apparatus facilitating suturing in laparoscopic surgery |
WO1995026683A1 (en) | 1994-03-31 | 1995-10-12 | Boston Scientific Corporation | Vascular plug with vessel locator |
JP3526609B2 (en) | 1994-03-31 | 2004-05-17 | テルモ株式会社 | Suture instrument |
US5476470A (en) | 1994-04-15 | 1995-12-19 | Fitzgibbons, Jr.; Robert J. | Trocar site suturing device |
US5545178A (en) | 1994-04-29 | 1996-08-13 | Kensey Nash Corporation | System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating |
US5425740A (en) | 1994-05-17 | 1995-06-20 | Hutchinson, Jr.; William B. | Endoscopic hernia repair clip and method |
US5540701A (en) | 1994-05-20 | 1996-07-30 | Hugh Sharkey | Passive fixation anastomosis method and device |
US5607435A (en) | 1994-05-23 | 1997-03-04 | Memory Medical Systems, Inc. | Instrument for endoscopic-type procedures |
US5478309A (en) | 1994-05-27 | 1995-12-26 | William P. Sweezer, Jr. | Catheter system and method for providing cardiopulmonary bypass pump support during heart surgery |
DE4447657C2 (en) | 1994-05-28 | 1996-12-19 | Karlsruhe Forschzent | Thread for constructing surgical seam |
WO1995032671A1 (en) | 1994-06-01 | 1995-12-07 | Perclose, Inc. | Method and device for providing vascular hemostasis |
WO1995032669A1 (en) | 1994-06-01 | 1995-12-07 | Perclose, Inc. | Apparatus and method for advancing surgical knots |
US6009877A (en) | 1994-06-24 | 2000-01-04 | Edwards; Stuart D. | Method for treating a sphincter |
US6056744A (en) | 1994-06-24 | 2000-05-02 | Conway Stuart Medical, Inc. | Sphincter treatment apparatus |
US5725552A (en) | 1994-07-08 | 1998-03-10 | Aga Medical Corporation | Percutaneous catheter directed intravascular occlusion devices |
US5520655A (en) | 1994-07-15 | 1996-05-28 | Cordis Corporation | Catheter hemostasis valve |
US5573540A (en) | 1994-07-18 | 1996-11-12 | Yoon; Inbae | Apparatus and method for suturing an opening in anatomical tissue |
US5509902A (en) | 1994-07-25 | 1996-04-23 | Raulerson; J. Daniel | Subcutaneous catheter stabilizing devices and methods for securing a catheter using the same |
US5531700A (en) | 1994-07-29 | 1996-07-02 | Cardiovascular Imaging Systems, Inc. | Convertible tip catheters and sheaths |
US5549633A (en) | 1994-08-24 | 1996-08-27 | Kensey Nash Corporation | Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site |
US5545171A (en) | 1994-09-22 | 1996-08-13 | Vidamed, Inc. | Anastomosis catheter |
US5562684A (en) | 1994-10-11 | 1996-10-08 | Ethicon, Inc. | Surgical knot pusher device and improved method of forming knots |
US5496332A (en) | 1994-10-20 | 1996-03-05 | Cordis Corporation | Wound closure apparatus and method for its use |
US5554162A (en) | 1994-12-02 | 1996-09-10 | Delange; Gregory S. | Method and device for surgically joining luminal structures |
US5643295A (en) | 1994-12-29 | 1997-07-01 | Yoon; Inbae | Methods and apparatus for suturing tissue |
JP3798838B2 (en) | 1995-01-20 | 2006-07-19 | オリンパス株式会社 | Ligation device |
US5649959A (en) | 1995-02-10 | 1997-07-22 | Sherwood Medical Company | Assembly for sealing a puncture in a vessel |
US5964773A (en) | 1995-02-15 | 1999-10-12 | Automated Medical Products, Inc. | Laparascopic suturing device and suture needles |
US5904697A (en) | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5695504A (en) | 1995-02-24 | 1997-12-09 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5868740A (en) | 1995-03-24 | 1999-02-09 | Board Of Regents-Univ Of Nebraska | Method for volumetric tissue ablation |
US5591179A (en) | 1995-04-19 | 1997-01-07 | Applied Medical Resources Corporation | Anastomosis suturing device and method |
US5562686A (en) | 1995-04-19 | 1996-10-08 | United States Surgical Corporation | Apparaus and method for suturing body tissue |
FR2733413B1 (en) | 1995-04-27 | 1997-10-17 | Jbs Sa | CERVICAL CAGE DEVICE FOR PERFORMING INTERSOMATIC ARTHRODESIS |
US5755727A (en) | 1995-06-02 | 1998-05-26 | Cardiologics L.L.C. | Method device for locating and sealing a blood vessel |
US5593421A (en) | 1995-06-06 | 1997-01-14 | Bauer; William | Suture element delivery device and method |
US5902311A (en) | 1995-06-15 | 1999-05-11 | Perclose, Inc. | Low profile intraluminal suturing device and method |
USD372310S (en) | 1995-06-30 | 1996-07-30 | Pilling Weck Incorporated | Surgical punch |
US5700273A (en) | 1995-07-14 | 1997-12-23 | C.R. Bard, Inc. | Wound closure apparatus and method |
US5846253A (en) | 1995-07-14 | 1998-12-08 | C. R. Bard, Inc. | Wound closure apparatus and method |
US5951547A (en) | 1995-08-15 | 1999-09-14 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US5980517A (en) | 1995-08-15 | 1999-11-09 | Rita Medical Systems, Inc. | Cell necrosis apparatus |
US5672174A (en) | 1995-08-15 | 1997-09-30 | Rita Medical Systems, Inc. | Multiple antenna ablation apparatus and method |
US6562052B2 (en) | 1995-08-24 | 2003-05-13 | Sutura, Inc. | Suturing device and method |
AU6858896A (en) | 1995-08-24 | 1997-03-19 | Nobles-Lai Engineering, Inc. | Method and apparatus for suturing |
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 |
US5674231A (en) | 1995-10-20 | 1997-10-07 | United States Surgical Corporation | Apparatus and method for vascular hole closure |
US5707379A (en) | 1995-10-20 | 1998-01-13 | Coral Medical | Method and apparatus for intracorporeal suturing |
US5720574A (en) | 1995-11-02 | 1998-02-24 | Kristar Enterprises, Inc. | Contaminant absorbing drainage trough apparatus |
US5792151A (en) | 1996-01-24 | 1998-08-11 | The Ohio State University | Method and apparatus for ligating a blood vessel, tissue or other bodily duct |
US5693061A (en) | 1996-02-23 | 1997-12-02 | Pierce; Javin C. | Knot puller instrument for use with surgical suture in tying surgical knots |
JPH09259964A (en) | 1996-03-22 | 1997-10-03 | Kel Corp | Face contact connector |
US5741276A (en) | 1996-03-28 | 1998-04-21 | Innovative Surgical Instruments | Apparatus for facilitating the performance of surgical procedures such as the placement of sutures, ligatures and the like |
US5871502A (en) | 1996-04-08 | 1999-02-16 | Ethicon, Inc. | Process for manufacturing a polypropylene monofilament suture |
US5824010A (en) | 1996-05-23 | 1998-10-20 | Mcdonald; Garth R. | Suture needle guide |
US5855585A (en) | 1996-06-11 | 1999-01-05 | X-Site, L.L.C. | Device and method for suturing blood vessels and the like |
US6436109B1 (en) | 1996-06-11 | 2002-08-20 | X-Site, L.L.C. | Device and method for suturing blood vessels and the like |
US5728133A (en) | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5820631A (en) | 1996-08-01 | 1998-10-13 | Nr Medical, Inc. | Device and method for suturing tissue adjacent to a blood vessel |
WO1998007375A1 (en) | 1996-08-22 | 1998-02-26 | The Trustees Of Columbia University | Endovascular flexible stapling device |
US5766217A (en) | 1996-09-23 | 1998-06-16 | Christy; William J. | Surgical loop delivery device and method |
US6152936A (en) | 1996-09-23 | 2000-11-28 | Esd Medical, Llc | Surgical loop delivery device |
US5766183A (en) | 1996-10-21 | 1998-06-16 | Lasersurge, Inc. | Vascular hole closure |
US5957937A (en) | 1996-11-27 | 1999-09-28 | Yoon; Inbae | Suturing instrument with spreadable needle holder mounted for arcuate movement |
US5993466A (en) | 1997-06-17 | 1999-11-30 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted spreadable needle holders |
US5759188A (en) | 1996-11-27 | 1998-06-02 | Yoon; Inbae | Suturing instrument with rotatably mounted needle driver and catcher |
US5749890A (en) | 1996-12-03 | 1998-05-12 | Shaknovich; Alexander | Method and system for stent placement in ostial lesions |
US5766186A (en) | 1996-12-03 | 1998-06-16 | Simon Fraser University | Suturing device |
US5947999A (en) | 1996-12-03 | 1999-09-07 | Groiso; Jorge A. | Surgical clip and method |
US5848714A (en) | 1996-12-23 | 1998-12-15 | Deknatel Technology Corporation | Suture rack |
US5782861A (en) | 1996-12-23 | 1998-07-21 | Sub Q Inc. | Percutaneous hemostasis device |
US5824111A (en) | 1997-01-31 | 1998-10-20 | Prosthetic Design, Inc. | Method for fabricating a prosthetic limb socket |
US5957938A (en) | 1997-02-05 | 1999-09-28 | United States Surgical Corporation | Tissue everting needle |
US5861005A (en) | 1997-02-11 | 1999-01-19 | X-Site, L.L.C. | Arterial stapling device |
US5782860A (en) | 1997-02-11 | 1998-07-21 | Biointerventional Corporation | Closure device for percutaneous occlusion of puncture sites and tracts in the human body and method |
US5759189A (en) | 1997-02-25 | 1998-06-02 | Smith & Nephew Inc. | Knot pusher |
US5876411A (en) | 1997-03-11 | 1999-03-02 | X-Site L.L.C. | Device and method for locating and sealing a blood vessel |
US5728109A (en) | 1997-04-08 | 1998-03-17 | Ethicon Endo-Surgery, Inc. | Surgical knot and method for its formation |
US5871490A (en) | 1997-04-08 | 1999-02-16 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
US5897564A (en) | 1997-04-08 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Endoscopic instrument assembly for fastening tissue |
US5814069A (en) | 1997-04-08 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Load assist device for a suture cartridge |
US5897487A (en) | 1997-04-15 | 1999-04-27 | Asahi Kogaku Kogyo Kabushiki Kaisha | Front end hood for endoscope |
US5957936A (en) | 1997-05-01 | 1999-09-28 | Inbae Yoon | Instrument assemblies for performing anatomical tissue ligation |
US5810849A (en) | 1997-06-09 | 1998-09-22 | Cardiologics, L.L.C. | Device and method for suturing blood vessels and the like |
EP0895753A1 (en) | 1997-07-31 | 1999-02-10 | Academisch Ziekenhuis Utrecht | Temporary vascular seal for anastomosis |
US5954732A (en) | 1997-09-10 | 1999-09-21 | Hart; Charles C. | Suturing apparatus and method |
FR2768324B1 (en) | 1997-09-12 | 1999-12-10 | Jacques Seguin | SURGICAL INSTRUMENT FOR PERCUTANEOUSLY FIXING TWO AREAS OF SOFT TISSUE, NORMALLY MUTUALLY REMOTE, TO ONE ANOTHER |
US5964782A (en) | 1997-09-18 | 1999-10-12 | Scimed Life Systems, Inc. | Closure device and method |
US6139556A (en) | 1997-10-29 | 2000-10-31 | X-Site, L.L.C. | Device and method for suturing blood vessels and the like |
US5906631A (en) | 1997-12-05 | 1999-05-25 | Surface Genesis, Inc. | Method and device for sealing vascular puncture wounds |
US5976161A (en) | 1998-01-07 | 1999-11-02 | University Of New Mexico | Tissue everting apparatus and method |
US6352543B1 (en) | 2000-04-29 | 2002-03-05 | Ventrica, Inc. | Methods for forming anastomoses using magnetic force |
JP4157183B2 (en) | 1998-02-17 | 2008-09-24 | オリンパス株式会社 | Endoscopic treatment tool |
US6517498B1 (en) | 1998-03-03 | 2003-02-11 | Senorx, Inc. | Apparatus and method for tissue capture |
US6042601A (en) | 1998-03-18 | 2000-03-28 | United States Surgical Corporation | Apparatus for vascular hole closure |
JPH11299725A (en) | 1998-04-21 | 1999-11-02 | Olympus Optical Co Ltd | Hood for endoscope |
US5997555A (en) | 1998-05-01 | 1999-12-07 | X-Site, L.L.C. | Device and method for suturing blood vessels |
US5980539A (en) | 1998-05-06 | 1999-11-09 | X-Site L.L.C. | Device and method for suturing blood vessels and the like |
US6077279A (en) | 1998-05-08 | 2000-06-20 | X-Site L.L.C. | Device and method employing adhesive for sealing blood vessels and the like |
US7063711B1 (en) | 1998-05-29 | 2006-06-20 | By-Pass, Inc. | Vascular surgery |
US7060084B1 (en) | 1998-05-29 | 2006-06-13 | By-Pass, Inc. | Vascular closure device |
US5919207A (en) | 1998-06-02 | 1999-07-06 | Taheri; Syde A. | Percutaneous arterial closure with staples |
US5951590A (en) | 1998-06-09 | 1999-09-14 | Goldfarb; Michael A. | Soft tissue suture anchor |
US6048357A (en) | 1998-07-09 | 2000-04-11 | X-Site, L.L.C. | Anchoring device and method for sealing punctures in vessels |
US6165183A (en) | 1998-07-15 | 2000-12-26 | St. Jude Medical, Inc. | Mitral and tricuspid valve repair |
US7335220B2 (en) | 2004-11-05 | 2008-02-26 | Access Closure, Inc. | Apparatus and methods for sealing a vascular puncture |
US6703047B2 (en) | 2001-02-02 | 2004-03-09 | Incept Llc | Dehydrated hydrogel precursor-based, tissue adherent compositions and methods of use |
US6605294B2 (en) | 1998-08-14 | 2003-08-12 | Incept Llc | Methods of using in situ hydration of hydrogel articles for sealing or augmentation of tissue or vessels |
US6143004A (en) | 1998-08-18 | 2000-11-07 | Atrion Medical Products, Inc. | Suturing device |
US6397110B1 (en) | 1998-08-26 | 2002-05-28 | Advanced Bionics Corporation | Cochlear electrode system including detachable flexible positioner |
US6296657B1 (en) | 1998-10-07 | 2001-10-02 | Gregory G. Brucker | Vascular sealing device and method |
US6113612A (en) | 1998-11-06 | 2000-09-05 | St. Jude Medical Cardiovascular Group, Inc. | Medical anastomosis apparatus |
US20020188275A1 (en) | 1998-12-09 | 2002-12-12 | Mcguckin James F. | Multi Directional infusion needle |
US6126675A (en) | 1999-01-11 | 2000-10-03 | Ethicon, Inc. | Bioabsorbable device and method for sealing vascular punctures |
US6221084B1 (en) | 1999-01-15 | 2001-04-24 | Pare Surgical, Inc. | Knot tying apparatus having a notched thread cover and method for using same |
US6048354A (en) | 1999-02-01 | 2000-04-11 | Lawrence; Jeffrey M. | Sliding knife and needle assembly for making a portal for endoscopic or arthroscopic surgery |
US6132439A (en) | 1999-02-17 | 2000-10-17 | X-Site, L.L.C. | Knot pusher |
US6083242A (en) | 1999-02-17 | 2000-07-04 | Holobeam, Inc. | Surgical staples with deformation zones of non-uniform cross section |
US6248124B1 (en) | 1999-02-22 | 2001-06-19 | Tyco Healthcare Group | Arterial hole closure apparatus |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US7235087B2 (en) | 1999-03-04 | 2007-06-26 | Abbott Park | Articulating suturing device and method |
US20040092964A1 (en) | 1999-03-04 | 2004-05-13 | Modesitt D. Bruce | Articulating suturing device and method |
US7001400B1 (en) | 1999-03-04 | 2006-02-21 | Abbott Laboratories | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US6136010A (en) | 1999-03-04 | 2000-10-24 | Perclose, Inc. | Articulating suturing device and method |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US6165204A (en) | 1999-06-11 | 2000-12-26 | Scion International, Inc. | Shaped suture clip, appliance and method therefor |
US6206895B1 (en) | 1999-07-13 | 2001-03-27 | Scion Cardio-Vascular, Inc. | Suture with toggle and delivery system |
US6511489B2 (en) | 1999-08-03 | 2003-01-28 | Frederic P. Field | Surgical suturing instrument and method of use |
CA2381818C (en) | 1999-09-13 | 2009-08-04 | Rex Medical, L.P. | Vascular closure |
US6358258B1 (en) | 1999-09-14 | 2002-03-19 | Abbott Laboratories | Device and method for performing end-to-side anastomosis |
US6190396B1 (en) | 1999-09-14 | 2001-02-20 | Perclose, Inc. | Device and method for deploying and organizing sutures for anastomotic and other attachments |
US6641592B1 (en) | 1999-11-19 | 2003-11-04 | Lsi Solutions, Inc. | System for wound closure |
US6197042B1 (en) | 2000-01-05 | 2001-03-06 | Medical Technology Group, Inc. | Vascular sheath with puncture site closure apparatus and methods of use |
US6451031B1 (en) | 2000-03-21 | 2002-09-17 | X-Site, L.L.C. | Blood vessel suturing device with single guide-wire/needle receiving lumen |
US7361185B2 (en) | 2001-05-09 | 2008-04-22 | Canica Design, Inc. | Clinical and surgical system and method for moving and stretching plastic tissue |
JP4674975B2 (en) | 2000-05-26 | 2011-04-20 | オリンパス株式会社 | Endoscope hood |
US7534242B2 (en) | 2003-02-25 | 2009-05-19 | Artemis Medical, Inc. | Tissue separating catheter assembly and method |
EP1303218A1 (en) | 2000-06-14 | 2003-04-23 | Sterilis, Inc. | Suturing method and apparatus |
US6558399B1 (en) | 2000-06-30 | 2003-05-06 | Abbott Laboratories | Devices and method for handling a plurality of suture elements during a suturing procedure |
WO2002005865A2 (en) | 2000-07-14 | 2002-01-24 | Sub-Q, Inc. | Sheath-mounted arterial plug delivery device |
US6443963B1 (en) | 2000-07-26 | 2002-09-03 | Orthopaedic Biosystems, Ltd. | Apparatus and method for repairing or reattaching soft tissue |
US6428472B1 (en) | 2000-08-08 | 2002-08-06 | Kent Haas | Surgical retractor having a malleable support |
US6572629B2 (en) | 2000-08-17 | 2003-06-03 | Johns Hopkins University | Gastric reduction endoscopy |
US6767356B2 (en) | 2000-09-01 | 2004-07-27 | Angiolink Corporation | Advanced wound site management systems and methods |
JP2004511275A (en) | 2000-09-01 | 2004-04-15 | アンジオリンク・コーポレイション | Wound site management and wound closure devices |
US6551330B1 (en) | 2000-09-21 | 2003-04-22 | Opus Medical, Inc. | Linear suturing apparatus and methods |
US6716228B2 (en) | 2000-09-30 | 2004-04-06 | Yale University | Surgical access device |
US6776785B1 (en) | 2000-10-12 | 2004-08-17 | Cardica, Inc. | Implantable superelastic anastomosis device |
US7029481B1 (en) | 2000-11-06 | 2006-04-18 | Abbott Laboratories | Systems, devices and methods for suturing patient tissue |
US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
US6623510B2 (en) | 2000-12-07 | 2003-09-23 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US6890343B2 (en) | 2000-12-14 | 2005-05-10 | Ensure Medical, Inc. | Plug with detachable guidewire element and methods for use |
US6969397B2 (en) | 2000-12-14 | 2005-11-29 | Ensure Medical, Inc. | Guide wire element for positioning vascular closure devices and methods for use |
US6846319B2 (en) | 2000-12-14 | 2005-01-25 | Core Medical, Inc. | Devices for sealing openings through tissue and apparatus and methods for delivering them |
US6623509B2 (en) | 2000-12-14 | 2003-09-23 | Core Medical, Inc. | Apparatus and methods for sealing vascular punctures |
US6896692B2 (en) | 2000-12-14 | 2005-05-24 | Ensure Medical, Inc. | Plug with collet and apparatus and method for delivering such plugs |
US8083768B2 (en) | 2000-12-14 | 2011-12-27 | Ensure Medical, Inc. | Vascular plug having composite construction |
US6632237B2 (en) | 2001-01-11 | 2003-10-14 | Bio-Seal Tech, Inc. | Device and method for sealing a puncture in a blood vessel |
US7029480B2 (en) | 2001-01-24 | 2006-04-18 | Abott Laboratories | Device and method for suturing of internal puncture sites |
US6569185B2 (en) | 2001-02-15 | 2003-05-27 | Scimed Life Systems Inc | Continuous infusion technique for arterial sealing |
US6743195B2 (en) | 2001-03-14 | 2004-06-01 | Cardiodex | Balloon method and apparatus for vascular closure following arterial catheterization |
US20020177876A1 (en) | 2001-03-26 | 2002-11-28 | Tyco Healthcare Group Lp | Polyolefin sutures having improved processing and handling characteristics |
FR2824253B1 (en) | 2001-05-04 | 2005-02-18 | Francis Navarro | INTRUMENT FOR CLOSING BY SUTURE SUBCUTANEOUS AN ORIFICE REALIZED IN THE ABDOMINAL WALL OF A PATIENT |
US6743259B2 (en) | 2001-08-03 | 2004-06-01 | Core Medical, Inc. | Lung assist apparatus and methods for use |
US6745079B2 (en) | 2001-11-07 | 2004-06-01 | Medtronic, Inc. | Electrical tissue stimulation apparatus and method |
US20060167477A1 (en) | 2001-11-20 | 2006-07-27 | Arcia Rovil P | Device and method for performing end-to-side anastomosis |
US6746457B2 (en) | 2001-12-07 | 2004-06-08 | Abbott Laboratories | Snared suture trimmer |
US20040093027A1 (en) | 2002-03-04 | 2004-05-13 | Walter Fabisiak | Barbed tissue connector for sealing vascular puncture wounds |
DE10211360A1 (en) | 2002-03-14 | 2003-10-09 | Ethicon Gmbh | Implantate band and surgical needle system to support female urethra has distal end region of needle narrower than implantate band |
US7229458B2 (en) | 2002-04-19 | 2007-06-12 | Pelikan Technologies, Inc. | Method and apparatus for penetrating tissue |
US7232447B2 (en) | 2002-06-12 | 2007-06-19 | Boston Scientific Scimed, Inc. | Suturing instrument with deflectable head |
US20030233095A1 (en) | 2002-06-12 | 2003-12-18 | Urbanski Mark G. | Device and method for attaching soft tissue to bone |
US7731655B2 (en) | 2002-09-20 | 2010-06-08 | Id, Llc | Tissue retractor and method for using the retractor |
US7160309B2 (en) | 2002-12-31 | 2007-01-09 | Laveille Kao Voss | Systems for anchoring a medical device in a body lumen |
US7008442B2 (en) | 2003-01-20 | 2006-03-07 | Medtronic Vascular, Inc. | Vascular sealant delivery device and sheath introducer and method |
US8758398B2 (en) | 2006-09-08 | 2014-06-24 | Integrated Vascular Systems, Inc. | Apparatus and method for delivering a closure element |
JP4197965B2 (en) | 2003-01-31 | 2008-12-17 | オリンパス株式会社 | High frequency snare and medical equipment |
JP4094445B2 (en) | 2003-01-31 | 2008-06-04 | オリンパス株式会社 | Endoscopic mucosal resection tool |
WO2004082488A1 (en) | 2003-03-17 | 2004-09-30 | Sumitomo Bakelite Company Limited | Clip and clipping instrument for biological tissues |
US7850654B2 (en) | 2003-04-24 | 2010-12-14 | St. Jude Medical Puerto Rico B.V. | Device and method for positioning a closure device |
US20040225301A1 (en) | 2003-05-05 | 2004-11-11 | St. Jude Medical, Daig Division, Inc. | Loop closure apparatus and method |
US7331979B2 (en) | 2003-06-04 | 2008-02-19 | Access Closure, Inc. | Apparatus and methods for sealing a vascular puncture |
US9289195B2 (en) | 2003-06-04 | 2016-03-22 | Access Closure, Inc. | Auto-retraction apparatus and methods for sealing a vascular puncture |
JP4266743B2 (en) | 2003-08-08 | 2009-05-20 | オリンパス株式会社 | Endoscopic hood and endoscopic mucosal resection tool |
WO2005027753A1 (en) | 2003-09-19 | 2005-03-31 | St. Jude Medical, Inc. | Apparatus and methods for tissue gathering and securing |
US7462188B2 (en) | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US7931670B2 (en) | 2003-10-15 | 2011-04-26 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with automatic tamping |
US8852229B2 (en) | 2003-10-17 | 2014-10-07 | Cordis Corporation | Locator and closure device and method of use |
US7361183B2 (en) | 2003-10-17 | 2008-04-22 | Ensure Medical, Inc. | Locator and delivery device and method of use |
US8007514B2 (en) | 2003-10-17 | 2011-08-30 | St. Jude Medical Puerto Rico Llc | Automatic suture locking device |
US7326230B2 (en) | 2003-10-23 | 2008-02-05 | Sundaram Ravikumar | Vascular sealing device and method of use |
US7731726B2 (en) | 2003-12-03 | 2010-06-08 | St. Jude Medical Puerto Rico Llc | Suture based vascular closure apparatus and method incorporating a pre-tied knot |
US7390328B2 (en) | 2003-12-19 | 2008-06-24 | Abbott Laboratories | Device and method for suturing of internal puncture sites |
US7449024B2 (en) | 2003-12-23 | 2008-11-11 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US20050149117A1 (en) | 2003-12-24 | 2005-07-07 | Farhad Khosravi | Apparatus and methods for delivering sealing materials during a percutaneous procedure to facilitate hemostasis |
US20050245876A1 (en) | 2003-12-24 | 2005-11-03 | Accessclosure, Inc. | Apparatus and methods for facilitating access through a puncture including sealing compound therein |
US20070060950A1 (en) | 2003-12-24 | 2007-03-15 | Farhad Khosravi | Apparatus and methods for delivering sealing materials during a percutaneous procedure to facilitate hemostasis |
US8348971B2 (en) | 2004-08-27 | 2013-01-08 | Accessclosure, Inc. | Apparatus and methods for facilitating hemostasis within a vascular puncture |
US20060089635A1 (en) | 2004-10-22 | 2006-04-27 | Scimed Life Systems, Inc. | Methods and apparatus for focused bipolar tissue ablation using an insulated shaft |
US7524318B2 (en) | 2004-10-28 | 2009-04-28 | Boston Scientific Scimed, Inc. | Ablation probe with flared electrodes |
US8262693B2 (en) | 2004-11-05 | 2012-09-11 | Accessclosure, Inc. | Apparatus and methods for sealing a vascular puncture |
US7270672B1 (en) | 2005-02-11 | 2007-09-18 | Adam Joel Singer | Rod for transferring and tightening knotted suture into patient's body |
US8002742B2 (en) | 2005-04-22 | 2011-08-23 | Accessclosure, Inc. | Apparatus and methods for sealing a puncture in tissue |
US7806856B2 (en) | 2005-04-22 | 2010-10-05 | Accessclosure, Inc. | Apparatus and method for temporary hemostasis |
US8088144B2 (en) | 2005-05-04 | 2012-01-03 | Ensure Medical, Inc. | Locator and closure device and method of use |
US20070032801A1 (en) | 2005-08-08 | 2007-02-08 | Pantages Anthony J | Vascular suturing device |
WO2007019016A1 (en) | 2005-08-08 | 2007-02-15 | Abbott Laboratories | Vascular suturing device |
US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US20070060895A1 (en) | 2005-08-24 | 2007-03-15 | Sibbitt Wilmer L Jr | Vascular closure methods and apparatuses |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8758397B2 (en) | 2005-08-24 | 2014-06-24 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US7749249B2 (en) | 2006-02-21 | 2010-07-06 | Kardium Inc. | Method and device for closing holes in tissue |
AU2007247948B2 (en) | 2006-05-03 | 2013-05-16 | Indiana University Research & Technology Corporation | Methods and apparatuses for reshaping the esophagus and other body lumens |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
-
2005
- 2005-08-08 US US11/199,496 patent/US8083754B2/en active Active
-
2011
- 2011-12-21 US US13/333,411 patent/US20120150201A1/en not_active Abandoned
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5474568A (en) * | 1993-10-08 | 1995-12-12 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5895404A (en) * | 1997-09-29 | 1999-04-20 | Ruiz; Carlos E. | Apparatus and methods for percutaneously forming a passageway between adjacent vessels or portions of a vessel |
US20030195529A1 (en) * | 2002-04-15 | 2003-10-16 | Shinichi Takamoto | Intracardiac suture device |
US20040181238A1 (en) * | 2003-03-14 | 2004-09-16 | David Zarbatany | Mitral valve repair system and method for use |
US20040210251A1 (en) * | 2003-04-17 | 2004-10-21 | Stavros Kontos | Surgical device |
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