WO1999047050A3 - Endoscopic suture systems - Google Patents

Endoscopic suture systems Download PDF

Info

Publication number
WO1999047050A3
WO1999047050A3 PCT/US1999/006085 US9906085W WO9947050A3 WO 1999047050 A3 WO1999047050 A3 WO 1999047050A3 US 9906085 W US9906085 W US 9906085W WO 9947050 A3 WO9947050 A3 WO 9947050A3
Authority
WO
WIPO (PCT)
Prior art keywords
endoscopic suture
surgical instrument
suture systems
needle
deployment mechanism
Prior art date
Application number
PCT/US1999/006085
Other languages
French (fr)
Other versions
WO1999047050A2 (en
Inventor
Juergen A Kortenbach
Ghaleb Sater
Michael Sean Mcbrayer
Barry N Gellman
Original Assignee
Scimed Life Systems Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Priority to DE69930104T priority Critical patent/DE69930104T2/en
Priority to CA002323540A priority patent/CA2323540C/en
Priority to EP99913990A priority patent/EP1067872B1/en
Priority to JP2000536294A priority patent/JP4125870B2/en
Priority to AU31942/99A priority patent/AU744956B2/en
Publication of WO1999047050A2 publication Critical patent/WO1999047050A2/en
Publication of WO1999047050A3 publication Critical patent/WO1999047050A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—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
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • 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
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00946—Material properties malleable
    • 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
    • A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S261/00—Gas and liquid contact apparatus
    • Y10S261/11—Cooling towers

Abstract

A surgical instrument for applying sutures to tissue includes a needle deployment mechanism (127) and a catch mechanism (127). In some embodiments, the needle deployment mechanism (127) employs a linear path. Alternatively, it can employ a curved needle. The surgical instrument may include a rotatable head (124), a bend (122), and/or a malleable elongated body member formable into various shapes.
PCT/US1999/006085 1998-03-20 1999-03-19 Endoscopic suture systems WO1999047050A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
DE69930104T DE69930104T2 (en) 1998-03-20 1999-03-19 ENDOSCOPIC SEWING SYSTEM
CA002323540A CA2323540C (en) 1998-03-20 1999-03-19 Endoscopic suture systems
EP99913990A EP1067872B1 (en) 1998-03-20 1999-03-19 Endoscopic suture system
JP2000536294A JP4125870B2 (en) 1998-03-20 1999-03-19 Endoscopic suture system
AU31942/99A AU744956B2 (en) 1998-03-20 1999-03-19 Endoscopic suture systems

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US7891698P 1998-03-20 1998-03-20
US60/078,916 1998-03-20

Publications (2)

Publication Number Publication Date
WO1999047050A2 WO1999047050A2 (en) 1999-09-23
WO1999047050A3 true WO1999047050A3 (en) 1999-12-29

Family

ID=22146997

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/006085 WO1999047050A2 (en) 1998-03-20 1999-03-19 Endoscopic suture systems

Country Status (7)

Country Link
US (7) US6096051A (en)
EP (2) EP1067872B1 (en)
JP (2) JP4125870B2 (en)
AU (1) AU744956B2 (en)
CA (4) CA2323540C (en)
DE (2) DE69938942D1 (en)
WO (1) WO1999047050A2 (en)

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US9125645B1 (en) 2013-03-11 2015-09-08 Ethicon Endo-Surgery, Inc. Reciprocating needle drive without cables
US9220496B2 (en) 2012-12-13 2015-12-29 Ethicon Endo-Surgery, Llc Packaging for surgical needle cartridge and suture
US9445807B2 (en) 2001-06-14 2016-09-20 Endoevolution, Llc Needle for suturing instrument
US9451948B2 (en) 2004-09-20 2016-09-27 Endoevolution, Llc Apparatus and method for minimally invasive suturing
US9474522B2 (en) 2014-06-06 2016-10-25 Ethicon Endo-Surgery, Llc Jawed receiver for needle cartridge
US9504464B2 (en) 2002-06-12 2016-11-29 Boston Scientific Scimed, Inc. Suturing instrument with deflectable head

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US6551329B1 (en) 2003-04-22
US7048749B2 (en) 2006-05-23
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CA2598252A1 (en) 1999-09-13
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US9585652B2 (en) 2017-03-07
CA2323540A1 (en) 1999-09-13
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JP4671439B2 (en) 2011-04-20
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US6454778B2 (en) 2002-09-24
US20130211428A1 (en) 2013-08-15
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US9095334B2 (en) 2015-08-04
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CA2529951A1 (en) 1999-09-13
CA2598252C (en) 2010-10-26
US8382774B2 (en) 2013-02-26
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US6096051A (en) 2000-08-01
CA2479429A1 (en) 1999-09-13
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US20010049537A1 (en) 2001-12-06
US20060178681A1 (en) 2006-08-10
US20120046672A1 (en) 2012-02-23
AU3194299A (en) 1999-10-11
US20040002720A1 (en) 2004-01-01

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