WO2003099136A1 - Suture passing surgical instrument - Google Patents
Suture passing surgical instrument Download PDFInfo
- Publication number
- WO2003099136A1 WO2003099136A1 PCT/US2003/015863 US0315863W WO03099136A1 WO 2003099136 A1 WO2003099136 A1 WO 2003099136A1 US 0315863 W US0315863 W US 0315863W WO 03099136 A1 WO03099136 A1 WO 03099136A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- suture
- surgical instrument
- grasper
- tissue
- needle
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- 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
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06095—Needles, e.g. needle tip configurations pliable
-
- 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
- A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
-
- 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
Definitions
- This invention relates to suture passing surgical instruments, and more particularly, to a surgical instrument and method for single-handedly passing suture through tissue.
- Suture is passed through tissue many ways including, for example, cannulated needles and instruments and needle passing instruments, which in general, require the use of multiple portal entry points in order to transfer the suture through tissue or require the use of additional instruments or devices to facilitate the passage of suture.
- cannulated needles and instruments and needle passing instruments which in general, require the use of multiple portal entry points in order to transfer the suture through tissue or require the use of additional instruments or devices to facilitate the passage of suture.
- U.S. Patent No. 5,935,149 it is known to place the suture at a desired site to be sutured by passing a needle attached to the suture from a first member of a suture passing forceps to a second member of the forceps.
- the suture is secured at the site by passing the needle through a suture receiving passage in an outer member of a suture securing device to position a portion of the suture therein and inserting an inner member of the suture securing device into the passage to secure the portion of the suture between the inner and outer members.
- the needle is passed through the passage by threading the needle through a suture threader disposed in the passage and pulling the threader from the passage.
- the suture threader has one end terminating in the needled suture and an opposite end terminating in a suture receiving loop.
- a surgical instrument in one general aspect of the invention, includes first and second members configured to receive tissue therebetween.
- the first member is adapted to receive suture
- the second member is coupled to the first member
- a grasper is coupled to the second member for engaging the suture received by the first member.
- Embodiments of this aspect of the invention may include one or more of the following features.
- the grasper is coupled to the second member for movement between a retracted position and a suture engaging position.
- the second member defines a slot for receiving suture from the first member, and the grasper is configured to trap suture within the slot.
- the first member is configured to move relative to the second member between an open position and a closed, tissue piercing position.
- the second member defines a passageway for receiving a portion of the first member.
- the second member defines a slot for receiving suture from the first member. The slot opens into the passageway.
- the first member includes a needle for piercing tissue.
- the needle defines an eyelet for receiving suture.
- the eyelet includes a hole.
- the eyelet includes two holes.
- the eyelet includes a cutout.
- the surgical instrument also includes a handle that controls movement of the first member.
- the handle includes an articulating handle and a stationary handle.
- the second member includes a passageway that receives a portion of the first member.
- the second member includes at least one suture slot that is disposed in a lengthwise side of the passageway. Also, the at least one suture slot opens to the passageway.
- the first member includes a jaw and a needle arm extending from a distal end of the surgical instrument.
- the needle arm is adapted to receive suture.
- the jaw defines a passageway that receives a portion of the needle arm.
- the second member defines a passageway that receives a second portion of the needle arm.
- the second member defines at least one suture slot that is disposed in a lengthwise side of the passageway and opens to the passageway. The suture grasper engages the suture and holds the suture in the at least one suture slot.
- the grasper is disposed on a portion of the second member.
- the grasper includes a hook.
- the grasper includes a wedge.
- the grasper includes a set of jaws.
- the grasper includes a U-shaped cup.
- the surgical instrument includes a trigger that controls the grasper.
- the trigger is a paddle.
- the trigger is a iever.
- the trigger is a button.
- the surgical instrument also includes a grasper guide that is disposed on a portion of the second member. The trigger moves the grasper distally under the grasper guide to engage the suture.
- a portion of the first member is serrated.
- a portion of the second member is serrated.
- a method of passing suture includes loading suture into a first member of a suture passing surgical instrument, stabilizing tissue between the first member and a second member of the surgical instrument, passing suture through tissue via the first member of the surgical instrument, holding the passed suture via a suture grasper of the surgical instrument, and removing the first member from the tissue.
- Embodiments of this aspect of the invention may include one or more of the following features.
- the surgical instrument is passed through a cannula.
- the method also includes removing the surgical instrument from the surgical site.
- Loading suture includes loading suture from a side of the surgical instrument.
- Loading suture further includes loading suture from the side of the surgical instrument on which the suture grasper is located.
- the method includes stabilizing tissue and passing suture through tissue simultaneously.
- the method includes passing suture multiple times. Passing suture multiple times includes loading suture into the first member of the suture passing surgical instrument, and passing suture through tissue via the first member of the suture passing instrument.
- Fig. 1 is a partial cross-sectional view of an exemplary suture passing surgical instrument.
- Fig. 2 is a partial cross-sectional view of a distal portion of the surgical instrument of Fig. 1 in which an articulating jaw is closed.
- Fig. 3A is a side view and Fig. 3B is a perspective view of a push/pull rod for the articulating jaw of the surgical instrument of Fig. 1.
- Fig. 3C is a top view of an elongated shaft of the surgical instrument of Fig. 1.
- Fig. 3D is a partial cross-sectional view of a proximal portion of the surgical instrument of Fig. 1.
- Fig. 4A is a top view of a distal portion of the surgical instrument of Fig. 1 showing a suture grasper capturing the suture
- Fig. 4B is a perspective view of the distal portion of the surgical instrument of Fig. 1 showing the eyelet of the needle in line with the suture slots of the passageway.
- Fig. 5A is an exemplary tip of a suture capture device of the suture grasper and Fig. 5B is an exemplary arm of the suture capture device of the suture grasper of the surgical instrument of Fig. 1.
- Fig. 6A is a partial cutaway top view of a trigger portion for the suture grasper shown in an open position
- Fig. 6B is a partial cutaway top view of the trigger portion for the suture grasper shown in a closed position.
- Figs. 7A-7H illustrate use of the surgical instrument of Fig. 1.
- FIGs. 8A-8H illustrate alternative configurations of a suture eyelet of a needle of the surgical instrument of Fig. 1.
- FIG. 9 shows a suture threaded through the suture eyelet of the needle of the surgical instrument of Fig. 1.
- Fig. 10 shows a suture attached to an exemplary soft tissue attachment device.
- Fig. 11 is a detailed side view of an articulating jaw of the surgical instrument of Fig. 1 showing serrations.
- Fig. 12 is a detailed side view of a tissue platform of the surgical instrument of Fig. 1 showing serrations.
- Fig. 13A is a side view of an alternate implementation of the suture grasper.
- Fig. 13B is a detailed view of the suture capture device of the suture grasper of Fig. 13A.
- Fig. 13C is a top view of an alternate implementation of the tissue platform provided with the suture grasper of Fig. 13A.
- Figs. 14A-14H are top views of alternative implementations of the suture capture device of the suture grasper.
- Fig. 5A is a side view of the alternative implementation of the trigger.
- Fig. 15B is an exploded view of the trigger and a locking mechanism of Fig. 15A.
- Fig. 15C is a side view of another alternative implementation of the trigger.
- Fig. 15D is a detailed view of a locking mechanism of the trigger of Fig.
- Figs. 16A-16E are top views of alternative implementations of push/pull rods of the suture grasper.
- Fig. 17A is a side view of an alternate implementation of the suture passing surgical instrument.
- Fig. 17B is a perspective view of the push-pull rod of the cross- sectional view of a proximal portion of the surgical instrument of Fig. 17A.
- Fig. 17C is a detailed cross-sectional view of a proximal portion of the surgical instrument of Fig. 17A.
- Fig. 17D is a perspective view of a needle arm of the surgical instrument of Fig. 17A.
- Fig. 17E is a partial cross-sectional view of a distal portion of the surgical instrument of Fig. 17A.
- Fig. 17F is a perspective view of a first jaw of the surgical instrument of Fig. 17A.
- Fig. 17G is a perspective view of a second jaw of the surgical instrument of Fig. 17A.
- Fig. 17H is a perspective view of the suture grasper push rod of the surgical instrument of Fig. 17A.
- Figs. 18A-18E illustrate use of the surgical instrument of Fig. 17.
- a single-handed suture passing surgical instrument 100 passes suture 101 through tissue and holds the passed suture such that the instrument can be rethreaded to pass suture through tissue multiple times.
- An operator actuates a handle 190 to close an articulating jaw 110 through which suture is threaded to pass the suture through tissue, and thereafter actuates a trigger portion 150 to advance a suture grasper 130 along a tissue platform 120 to engage the suture with the suture grasper 130.
- the jaw 110 is then opened and the instrument 100 removed with the suture remaining in the tissue and held by the suture grasper 130.
- the instrument 100 can be rethreaded and reinserted to the surgical site to pass suture multiple times, for instance, as with a Mason-Allen Stitch.
- Suture passing surgical instrument 100 includes an elongated shaft
- articulating jaw 110 Located at the distal end 105 are articulating jaw 110, tissue platform 120, and suture grasper 130.
- the articulating jaw 110 is pivotally attached to the tissue platform 120, and movement of the articulating jaw 110 is controlled by the handle 190.
- distal portion 105 is positioned such that when jaw 110 is closed, tissue is held between an upper surface of the articulating jaw 110 and a lower surface of the tissue platform 120.
- the handle 190 includes an articulating handle 191 and a stationary handle 192. As the articulating handle 191 is moved away from and towards the stationary handle 192, the articulating jaw 110 is opened and then closed, respectively.
- the articulating handle 191 is attached to a push/pull rod 128, which moves along a groove 140A in the elongated shaft 140.
- the rod 128 is attached to the articulating jaw 110 by a pivot hinge assembly 165, described further below.
- the suture grasper 130 is controlled by the trigger portion 150 and is located on the tissue platform 120. Tissue platform 120 is the distal portion of shaft 140. Generally, the suture grasper 130 is designed to advance forward and hold the suture.
- the trigger portion 150 includes a trigger mechanism 139 and a rod 138 (see Fig. 5B). The trigger mechanism 139 is attached to the rod 138, which runs along the elongated shaft 140, to control movement of the suture grasper 130.
- the articulating jaw 110 is attached at its proximal end 119 to the tissue platform 120 by the pivot hinge assembly 165.
- the pivot hinge assembly 165 includes two pins 166, 168 and a hinge connector 167.
- the hinge connector 167 is part of the jaw 110 and is attached to the tissue platform 120 by the pin 166 such that the articulating jaw 110 pivots about the pin 166 as the jaw 110 articulates.
- the rod 128 is attached to the hinge connector 167 by the pin 168 such that forward and backward motion of the rod 128 causes the jaw 110 to pivot about the pin 166.
- the push/pull rod 128 includes two tabs 128A,
- Rod 128B at its proximal end 129B.
- Rod 128 is an elongated square-shaped shaft. At its distal end 129A, rod 128 slopes away from its axis. Rod 128 includes this slope in order to articulate the jaw 110 in relation to the action of the handle 190.
- the rod 128 reciprocates within groove 140A in the instrument shaft 140 as the articulating handle 191 is moved away from and then towards the stationary handle 192 to open and close the articulating jaw 110.
- the instrument shaft 140 also includes a limiting groove 140B in which tab 128A is located.
- the axial movement of tab 128A in limiting groove 140B limits movement of the rod 128 in the axial direction because axial movement of tab 128A within the groove 140B is constrained by the proximal and distal sides of groove 140B.
- the articulating handle 191 defines a handle slot 140C in which tab 128B is located providing coupling between the rod 128 and the articulating handle 191 such that as the handle 191 is moved, the rod 128 moves to actuate jaw 110.
- the articulating jaw 110 includes a needle 115.
- the needle 115 is sickle-shaped with a sharp point 113 and is formed of hardened stainless steel or similar material.
- the needle 115 is formed integral to the articulating jaw 110 and extends from the articulating jaw 110 toward the tissue platform 120.
- Needle 115 includes a suture eyelet 111 disposed proximate to the tip 113 of the needle 115.
- the needle 115 is sized such that when the articulating jaw 110 is closed, the instrument can fit within a predetermined sized cannula. Thus, the length of the needle 115 varies with different sized cannulas.
- the tissue platform 120 has an U-shaped end 122C defining a passageway 122.
- the passageway 122 includes two suture slots 121X, 121Y.
- the suture slots 121X, 121Y are positioned such that when the needle passes through passageway 122, the needle eyelet
- 111 is aligned with the slots when the portion of the needle defining the eyelet is within the passageway 122 to consistently place the suture 101 that is threaded through the eyelet in the suture slots 121X, 121Y (see Fig. 4B).
- the suture rests in one of the suture slots 121X, 121Y after the needle 115 has passed through the tissue.
- the slots 121X, 121Y are provided in each of the lengthwise sides 122A, 122B of the passageway 122.
- the suture grasper 130 acts to move the suture away from the needle 115 and holds the suture, for example, in slot 121X against surface 121 A. Additionally, as the suture grasper 130 holds the suture against the wall 121a of the suture slot 121 , the suture grasper 130 also closes the opening in side 122A to capture the suture in the suture slot 121X, as explained in more detail below.
- the suture grasper 130 is located on the tissue platform 120 and is attached to rod 138.
- the suture grasper 130 includes a suture capture device 132 in the form of an arm 133 with an U- shaped tip 134.
- the suture grasper 130 is shown to one side of the passageway 122 (the left side as viewed in Fig. 4A). However, the suture grasper 130 can be located on either side, e.g., right or left, of the passageway 122.
- the suture is threaded through the eyelet 111 from the same side on which the suture grasper 130 is located.
- Rod 138 is formed as a pair of parallel rods 138A, 138B that terminate at their proximal end at a spring plate 137A.
- the suture grasper 130 is activated by the trigger portion 150 to capture and hold the suture.
- the arm 133 of the suture capture device 132 of the suture grasper 130 advances forward to hold the suture in the U- shaped tip 134 against the distal wall 121 A of suture slot 121X (Fig. 4A).
- the tissue platform 120 includes a grasper guide 170 under which the suture grasper 130 moves.
- the grasper guide 170 for example, is formed like a bridge such that as the suture grasper 130 moves forward to hold the suture in suture slot 121X, the suture grasper 130 follows a direct path towards the distal end 105 of the instrument 100.
- the tip 113 of the needle 115 on the articulating jaw 110 passes through the passageway 122 when the articulating jaw 110 is closed.
- the passageway 122 is slightly wider than the needle 115.
- the needle 115 pivots about pin 166 along an arc 110a (see Fig. 2).
- the needle 115 is shaped with an arch, which corresponds to the radius of the arc 110a.
- the arch of the needle 115 limits possible tearing of the tissue as the needle passes through the tissue.
- the trigger portion 150 for moving the suture grasper 130 includes the trigger mechanism 139, for example, shaped like a paddle, and the push/pull rod 138.
- the trigger mechanism 139 rotates about an axis X.
- the trigger mechanism 139 is attached to the push/pull rod 138 that ends in the U-shaped suture capture device 132.
- the trigger portion 50 also includes a rigid pin 139A that follows a J-shaped groove 139B in the trigger mechanism 139 and a spring 137.
- the suture grasper 130 In its resting position, the suture grasper 130 is in an open, locked position with pin 139A located in the hook side 139B1 of the J-shaped groove 139B, as shown in Fig. 6A.
- the trigger mechanism 139 is rotated counter-clockwise (looking from the proximal end 190 down the shaft 140) to move the pin 139A from the hook side 139B1 of the J- shaped groove 139B to the long side 139B2 of the J-groove 139B, as shown in Fig. 6B.
- the movement of the pin 139A within the groove 139B forces the push/pull rod 138 forward and the trigger mechanism 139 proximally and then distally against the spring 137.
- the forward movement of the suture grasper 130 is created as the spring 137 moves forward against a spring plate 137A and back against a spring brake or spring plate 137B.
- the trigger mechanism 139A is rotated clockwise, e.g., moved from the long side 139B2 of the J-shaped groove 139B back to the hook side 139B1 of the J-shaped groove 139B.
- an operator uses the suture passing surgical instrument as follows. As shown in Figs. 7A (top view) and 7B (side view), an operator opens the articulating jaw 110, i.e., articulating the jaw 110 away from tissue platform 120, by moving handle 190 and loads suture into the suture eyelet 111 of the needle 115. As shown in Fig. 7C (top view), the operator moves handle 190 to close articulating jaw 110 to hold the suture in the eyelet 111.
- Fig. 7D side view
- the operator passes the instrument 100 down a cannula to the surgical site.
- Fig. 7E side view
- the operator moves handle 190 to open articulating jaw 110 to place the needle 115 under the targeted tissue.
- Figs. 7F side view
- 7G top view
- the operator moves handle 190 to close articulated jaw 110 to capture the targeted tissue between the jaw 110 and the tissue platform 120.
- the needle 115 on the articulating jaw 110 pierces the tissue as the tissue is grasped between the tissue platform 120 and the articulating jaw 110, carrying the suture through the tissue.
- Figs. 7H (side view) and 71 (top view) the operator moves trigger portion 150 to advance suture grasper 130 forward to hold suture in the suture slot 121Y.
- Figs. 7J (side view) and 7K (top view) the suture passed through the tissue is trapped on the proximal side of the tissue.
- Figs. 7L (side view) and 7M (top view) the operator moves handle 190 to open articulating jaw 110 to release the tissue.
- the suture grasper 130 holds the suture against wall 121 A of suture slot 121X.
- the free end of the suture slides out of eyelet 111 of needle 115.
- Figs. 7N (side view) and 7O (top view) the free end 101 A of the suture 101 (the end that was threaded through the eyelet 111) remains above the tissue platform 120.
- the other end of the suture is located in suture slot 121X and passes through the tissue.
- the operator moves handle 190 to close jaw 110 to withdraw instrument 100 through the cannula (not shown).
- the instrument may be rethreaded and reinserted through the cannula to the surgical site in order to pass suture multiple times. For instance, where most tendon tissue are fibrous bundles, a repair that can be less prone to tearing along the fibrous bundle structure can be possible when the suture is secured perpendicular to the bundle cord with multiple passes of the suture. By passing suture through a different tissue bundle, the suture/tendon interface can be improved.
- the suture eyelet disposed proximate to the tip of the needle can have a variety of shapes and/or orientations.
- Fig. 8A shows a rounded hole 211 as the suture eyelet
- Fig. 8B shows an oval or oblong hole 311 as the suture eyelet.
- the suture eyelet can be a cutout in the side of the needle proximate to the tip.
- FIGS. 8D and 8E show cutouts 511, 611 that extend into the needle, toward the jaw 110.
- Fig. 8F shows a cutout 711 disposed below the tip 713 of the needle 715 that extends in both toward the tip 713 and toward the jaw 110.
- the eyelet can be located on the rounded side of the needle, as shown in Figs. 8G and 8H (e.g., cutouts 811, 911).
- the various positions and shapes of the suture eyelets affect a surgeon's ability to load/unload suture, to penetrate tissue, and to minimize procedure length.
- the suture may be threaded through the rounded hole or closed eyelet type of suture eyelets, as shown, for example, in Fig. 9.
- the closed eyelet type of suture needle penetrates tissue more easily and accurately.
- the double eyelet needle shown in Fig. 8C may be used to pass two sutures simultaneously to form a mattress stitch with one pass and hence, reduce surgical time.
- the cutout-type of suture eyelet the suture is easier to load/unload, but tissue is more difficult to penetrate.
- suture is loaded on the same side that the suture grasper is located.
- the various embodiments discussed can include "free" suture or suture attached to a soft tissue attachment device.
- the "free" suture suture not attached to an external device
- the suture eyelet 111 of the needle 115 The ability to use "free" suture with the suture passing surgical instrument provides a surgeon with the flexibility to use intricate weaving (suture) patterns without the demand of visualizing each suture transfer.
- suture is attached to a soft tissue attachment device, e.g., an anchor, prior to being threaded through the suture eyelet 111.
- the surface 117 of the horizontal portion of the articulating jaw 110 (the surface facing the tissue platform 120) includes serrations 124 (see also Fig. 2).
- the serrations 124 for example, are "V" shaped and provide an increased surface area against which to hold the tissue.
- the shape, number, and length of the serrations 124 can, for instance, vary.
- the serrations 124 can be, for example, grooves, ribs, or ridges.
- the surface 117 is smooth, i.e., without serrations, as shown in Figs. 8A-8H.
- the surface 127 of the tissue platform 120 (the surface that faces the articulating jaw 110) includes serrations 123 (see also Fig. 2).
- the serrations 123 of the tissue platform 120 are, for instance, V- shaped and provide a larger surface against which to hold the tissue after the needle 115 has penetrated the tissue.
- the shape, number and length of the serrations 123 can vary.
- the serrations 123 can be grooves, ribs, or ridges. A surgeon may want to move the tissue after it has been grabbed to ensure that the tissue will reach the attachment site. Or, if the detached tissue creates adhesions to other tissue surfaces, by pulling on the held tissue, the surgeon can determine if it is necessary to release or cut those adhesions free.
- an alternative implementation of the suture grasper 230 includes a suture capture device 232 having two opposing jaws
- the suture grasper 230 is moved forward by activation of a push-pull rod 238 by an alternative implementation of the trigger mechanism 339, a thumb push plate.
- the opposing jaws 233, 234 of the suture grasper 230 initially contact an expansion pin 280, which causes the jaws 233, 234 to open.
- the jaws 233, 234 of the suture capture device 232 include a plurality of grasping teeth 233a, 234a on their facing surfaces for holding the suture.
- the suture grasper 230 continues to move forward until the expansion pin 280 enters the expansion pin release slot 285, at which point the opposing jaws 233, 234 of the grasper 230 close on the suture.
- a grasper guide 270 provides directional guidance for the suture grasper 230 as the grasper moves forward along shaft 140 to capture the suture from the needle (not shown).
- the grasper guide 270 is a raised structure, e.g., a bridge, under which the suture grasper 230 moves.
- the expansion pin 280 is located between the grasper guide 270 and the tissue platform 120.
- a suture capture device include, for example, a hook or pick that advances forward or moves backward, pushes the suture away from the needle, and captures the suture.
- the hook may be a forward-moving hook 332, as shown in Fig.
- a backward-moving hook 432, 632 as shown in Figs. 14B and 14D
- a forward-moving wedge 532, 732 as shown in Figs. 14C and 14E
- a forward- or backward-moving hook 1032 as shown in Fig. 14H.
- the cup-shape of the suture capture device can have sides of different lengths (Fig. 14F) 832 or a flat base of the cup (Fig. 14G) 932. As illustrated, for example, in Figs. 14D-
- the suture capture device alternatives are shown located on the left side of the tissue platform.
- the suture capture device can be located on the right side of the tissue platform, for example, as in Figs. 14A-
- the trigger portion 250 includes a trigger mechanism 239, which is a hinged lever 239 attached to a push-pull rod 238 that ends in, e.g., one of the suture capture devices of Figs. 14A-14H.
- a locking mechanism 236, such as a spring or ratchet-type lock is used to hold the suture capture device, e.g., suture pick or hook, in a retracted position and to retain the suture capture device in a suture holding position.
- the lever 239 is pulled towards the handle 190 by the surgeon's finger. This action advances the push/pull rod 238 forward.
- the suture capture device then captures the suture from the needle and holds it in the suture slot.
- the locking mechanism acts to hold the suture capture device in its suture holding position.
- the lever 239 is actuated again to advance the push/pull rod 238 and release the suture.
- the trigger portion 350 includes a trigger mechanism 339 in the form of a button 339, and a push rod 338.
- the thumb-operated button 339 activates the push rod 338, which moves the suture grasper 130 in a forward direction to capture the suture with the suture capture device, e.g., suture capture device 232, after the articulating jaw 110 is closed and the suture needle 115 has penetrated the tissue.
- the button 339 is attached to the push rod 338 and the push rod 338 runs through a single or a series of rings 335 that direct the suture grasper 130 forward to grasp the suture.
- the articulating jaw 110 is then opened and removed from the tissue.
- a locking mechanism 336 for the suture grasper 130 is provided to secure the suture grasper 130 in position once the suture grasper 130 has been activated to hold the suture in the suture slot 121.
- the locking mechanism can be a spring type mechanism that holds the suture capture device in a retracted position and retains the suture capture device in a suture holding position.
- the locking mechanism includes a plurality of teeth 336A that mate with a latch 336B, for example, within ring 335 (see Fig. 15D) or on the instrument handle 190 (not shown), in order to lock the suture grasper 130 in place.
- button 339 is pushed away from the handle 190 to separate teeth 336A and latch 336B.
- FIGs. 16A-16E other implementations of the push/pull rod of the suture grasper include, for example, a dual split rod configuration 438 or a single rod configuration 538, 638, 738, 838.
- the rod can have locking teeth 736, 836, as shown, for example, in Figs. 16D and 16E.
- the rod is attached at its proximal end to a thumb-plate, for example, the button 339 of Fig. 15B or an articulating lever, for example, lever 239 of Fig. 15A.
- an alternate implementation of a suture passing surgical instrument 1700 includes an elongated shaft 1740 with a distal portion 1705 and a proximal portion 1745. At the proximal end of the elongated shaft, there is a handle 1790, a control arm 1712, and a trigger portion 1750. At the distal end, there is a set of jaws 1718, 1720, a suture grasper 1730, and a moveable needle arm 1710.
- the jaw 1718 is controlled by the handle 1790 and attached to the elongated shaft 1740 by a pivot hinge assembly 1765, as described above in relation to articulating jaw 110.
- the needle arm 1710 is attached to a push/pull rod 1713 and includes a needle 1715 at its distal end.
- the push/pull rod 1713 runs along the elongated shaft 1740 and is actuated by a lever 1712 attached to the handle
- the suture grasper 1730 is controlled by the trigger portion 1750 and disposed on jaw 1720, which is similar to the tissue platform 120 described above.
- the trigger portion 1750 includes a trigger mechanism 1739, e.g., a thumb-operated button, and a rod 1738.
- the thumb-operated button 1739 is attached to the rod 1738, which runs along the elongated shaft 1740 to control the movement of the suture grasper 1730, as described above.
- the trigger portion 1750 permits- the surgeon to control when the surgeon captures the suture from the needle 1715, after the needle 1715 and the suture have been passed through the tissue and are exposed above the jaw 1720. As described above, the surgeon activates the button 1739 with his thumb to move the suture grasper 1730 forward to grasp the suture.
- the trigger portion may have similar alternatives and variations as previously described.
- the push/pull rod 1728 includes two tabs 1728A, 1728B at its proximal end and moves along a groove 1740A of the instrument shaft 1740, as described above.
- the needle 1715 on the needle arm 1710 is shaped like a tapered rectangle that ends in a sharp tip 1713.
- the needle 1715 is formed of nitinol, hardened stainless steel, or similar materials.
- the needle 1715 is formed integral to the needle arm 1710 or separately and then rigidly attached (i.e., welded or mounted) to the needle arm 1710.
- the needle 1715 initially extends from the needle arm 1710, which is parallel to the pair of jaws 1718, 1720, and has a suture eyelet 1711 disposed therein. Needle arm 1710 is attached to push/pull rod 1712 at pivot 1710A. The suture eyelet 1711 is disposed proximate to the tip 1713 of the needle 1715. As described above, the suture eyelet 1711 can, for example, open to the front or side of the needle and have various alternative shapes.
- An operator moves the needle arm 1710 to articulate away from the set of jaws 1718, 1720 in order for suture to be threaded onto the needle 1715.
- a "free" suture (not attached to anything) or suture attached to a soft tissue attachment device, e.g., an anchor is threaded through the suture eyelet 1711 of the needle 1715.
- the ability to use "free" suture with the suture passing surgical instrument provides a surgeon with the flexibility to use intricate weaving (suture) patterns without the demand of visualizing each suture transfer.
- an operator moves lever 1712 to return the needle arm 1710 parallel to the set of jaws 1718, 1720. Movement of the push/pull rod 1712A distally causes the needle arm 1710 to move distally until tip 1713 of needle 1715 contacts deflector 1718A of jaw 1718. Contact with deflector 1718A by needle 1715 causes needle 1715 to pivot towards jaw 1720 about pivot 1715A such that needle 1715 passes through passageway 1722B of jaw 1718 and passageway 1722A of jaw 1720.
- the surface 1728 of the jaw 1720 (the surface that faces the jaw 1718) and the surface 1717 of the horizontal portion of the jaw 1718 (the surface facing the jaw 1720) can be smooth and/or serrated.
- the serrations 1723, 1724, respectively, can vary in shape, number, and length, as described above.
- the set of jaws 1718, 1720 (shown in these figures without grooves for clarity) includes passageways 1722A, 1722B through which the needle 1715 of the needle arm 1710 passes.
- Each passageway 1722A, 1722B is slightly wider than the needle 1715.
- the passageway 1722A of the jaw 1720 includes two suture slots or grooves 1721X, 1721Y in which the suture rests after the needle 1715 has passed through the tissue.
- the grooves 1721X, 1721Y in which the suture rests after the needle 1715 has passed through the tissue.
- the grooves 1721X, 1721Y in which the suture rests after the needle 1715 has passed through the tissue.
- the suture capture device 1732 moves the suture away from the needle 1715 and holds the suture for example in the suture slot 1721X against surface 1721 A as described above.
- Jaw 1718 includes passageway 1722B, which is defined by a central rectangular cutout.
- the Jaw 1718 can have similar grooves, as described above in relation to jaw 1720.
- Jaw 1720 includes a U-shaped end 1720A defining passageway 1722A.
- a grasper guide 1770 is located on the jaw 1720.
- suture grasper 1730 is disposed on jaw 1720 and has similar alternatives as those described above.
- an operator uses the suture passing surgical instrument 1700 of Fig. 17A as follows. From the position of instrument 170Q as shown in Fig. 18A, the operator moves lever 1712 to move moveable needle arm 1710 of the suture passing surgical instrument 1700 away from the set of jaws 1718, 1720 to load suture through eyelet 1711. Then, the operator moves lever 1712 to return needle arm 1710 parallel to the set of jaws 1718, 1720, as shown in Figs. 18B and 18D.
- the operator places instrument 1700 in the surgical site through a cannula (not shown) to the surgical site.
- the operator moves handle 1790 to articulate jaw 1718 of the set of jaws 1718, 1720 such that the jaws 1718, 1720 open and close to grasp tissue therebetween.
- the operator moves handle 1790 to open the set of jaws 1718, 1720 to release the tissue and then the operator moves handle 1790 to close the jaws 1718, 1720.
- the free end of the suture remains above the jaw 1720.
- the other end of the suture is located in the suture slot 1721X and through the tissue.
- the operator removes instrument 1700 from the surgical site.
- the instrument may be rethreaded and reinserted through the cannula to the surgical site in order to pass suture multiple times.
- the tissue platform may include one suture slot or the needle may pass through tissue to either side of the articulating jaw or set of jaws.
- the passageway may be offset to accommodate orientation of the needle or suture eyelet.
- the suture capture device may be or may include a latch or a cutout.
- the trigger portion may include a button or other mechanism to activate movement of the suture grasper.
- the needle may be formed separately from the jaw and then rigidly attached, e.g., welded or mounted to the jaw.
- the eyelet of the needle may open to the front of the needle or to the inside of the needle.
- the instrument can be used in many surgical environments, including, for example, open, mini-open, and endoscopic, and with visualization, limited visualization, or no visualization of the suture grasper.
- other devices for attaching tissue to bone or tissue to tissue will work with the device and can be carried into the operative site and attached or secured by the device.
- the type of material used i.e., material construction, braided or monofilament or combinations of construction and material type, synthetic, natural, permanent or reabsorbable, can vary, and a variety of material diameters are possible. Loose or highly mobile tissue can be translocated as desired by the surgeon. Also, the same suture strand can be passed through tissue multiple times and in various directions. Accordingly, other implementations are within the scope of the following claims.
Abstract
Description
Claims
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002483089A CA2483089A1 (en) | 2002-05-22 | 2003-05-19 | Suture passing surgical instrument |
EP03729034A EP1505910B1 (en) | 2002-05-22 | 2003-05-19 | Suture passing surgical instrument |
JP2004506664A JP4476119B2 (en) | 2002-05-22 | 2003-05-19 | Surgical instrument for passing sutures |
AT03729034T ATE452583T1 (en) | 2002-05-22 | 2003-05-19 | SURGICAL INSTRUMENT FOR PASSING A THREAD |
DE60330662T DE60330662D1 (en) | 2002-05-22 | 2003-05-19 | SURGICAL INSTRUMENT FOR PULLING A THREAD |
AU2003233597A AU2003233597B2 (en) | 2002-05-22 | 2003-05-19 | Suture passing surgical instrument |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US10/151,812 | 2002-05-22 | ||
US10/151,812 US6984237B2 (en) | 2002-05-22 | 2002-05-22 | Suture passing surgical instrument |
Publications (1)
Publication Number | Publication Date |
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WO2003099136A1 true WO2003099136A1 (en) | 2003-12-04 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/US2003/015863 WO2003099136A1 (en) | 2002-05-22 | 2003-05-19 | Suture passing surgical instrument |
Country Status (8)
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US (4) | US6984237B2 (en) |
EP (1) | EP1505910B1 (en) |
JP (1) | JP4476119B2 (en) |
AT (1) | ATE452583T1 (en) |
AU (1) | AU2003233597B2 (en) |
CA (1) | CA2483089A1 (en) |
DE (1) | DE60330662D1 (en) |
WO (1) | WO2003099136A1 (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008503263A (en) * | 2004-06-16 | 2008-02-07 | スミス アンド ネフュー インコーポレーテッド | Suture threader |
US9888915B2 (en) | 2011-02-14 | 2018-02-13 | Smith & Nephew, Inc. | Method and device for suture removal |
US10052098B2 (en) | 2002-05-22 | 2018-08-21 | Orthopaedic Biosystems Ltd., Inc. | Suture passing surgical instrument |
US10682133B2 (en) | 2016-10-31 | 2020-06-16 | Smith & Nephew, Inc. | Suture passer and grasper instrument and method |
US10765420B2 (en) | 2014-04-24 | 2020-09-08 | Smith & Nephew, Inc. | Suture passer |
Families Citing this family (171)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6533795B1 (en) | 2000-04-11 | 2003-03-18 | Opus Medical, Inc | Dual function suturing apparatus and method |
US6551330B1 (en) | 2000-09-21 | 2003-04-22 | Opus Medical, Inc. | Linear suturing apparatus and methods |
US7842050B2 (en) * | 2001-02-26 | 2010-11-30 | Diduch David R | Suture passing devices |
EP1243221B1 (en) * | 2001-03-23 | 2008-12-03 | Arthrex Inc | Instrument for passing a suture in arthroscopic tissue repair procedures |
US6605096B1 (en) * | 2001-07-20 | 2003-08-12 | Opus Medical Inc, | Percutaneous suturing apparatus and method |
US20040249394A1 (en) * | 2001-08-06 | 2004-12-09 | Arthrex, Inc. | Compact suture punch with malleable needle |
US7112208B2 (en) | 2001-08-06 | 2006-09-26 | Morris John K | Compact suture punch with malleable needle |
US7377926B2 (en) | 2001-10-01 | 2008-05-27 | Depuy Mitek, Inc. | Suturing apparatus and method |
US7879046B2 (en) * | 2001-10-01 | 2011-02-01 | Depuy Mitek, Inc. | Suturing apparatus and method |
US6770084B1 (en) * | 2002-06-26 | 2004-08-03 | Opus Medical, Inc. | Suture capture device |
US6936054B2 (en) | 2002-07-22 | 2005-08-30 | Boston Scientific Scimed, Inc. | Placing sutures |
US8409219B2 (en) | 2004-06-18 | 2013-04-02 | Medtronic, Inc. | Method and system for placement of electrical lead inside heart |
US8663245B2 (en) * | 2004-06-18 | 2014-03-04 | Medtronic, Inc. | Device for occlusion of a left atrial appendage |
US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US9017381B2 (en) | 2007-04-10 | 2015-04-28 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
US8303604B2 (en) | 2004-11-05 | 2012-11-06 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US7909851B2 (en) | 2006-02-03 | 2011-03-22 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US9801708B2 (en) | 2004-11-05 | 2017-10-31 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US7601165B2 (en) | 2006-09-29 | 2009-10-13 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable suture loop |
US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8088130B2 (en) | 2006-02-03 | 2012-01-03 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8840645B2 (en) | 2004-11-05 | 2014-09-23 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8998949B2 (en) * | 2004-11-09 | 2015-04-07 | Biomet Sports Medicine, Llc | Soft tissue conduit device |
EP1909655A2 (en) | 2005-06-20 | 2008-04-16 | Sutura, Inc. | Method and apparatus for applying a knot to a suture |
US20070156172A1 (en) * | 2006-01-03 | 2007-07-05 | Alfredo Alvarado | Multipurpose knot pusher |
US8652171B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue fixation |
US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US9149267B2 (en) | 2006-02-03 | 2015-10-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US9271713B2 (en) | 2006-02-03 | 2016-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for tensioning a suture |
US10517587B2 (en) | 2006-02-03 | 2019-12-31 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8652172B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Flexible anchors for tissue fixation |
US11259792B2 (en) | 2006-02-03 | 2022-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US8574235B2 (en) | 2006-02-03 | 2013-11-05 | Biomet Sports Medicine, Llc | Method for trochanteric reattachment |
US9078644B2 (en) | 2006-09-29 | 2015-07-14 | Biomet Sports Medicine, Llc | Fracture fixation device |
US11311287B2 (en) | 2006-02-03 | 2022-04-26 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US8771352B2 (en) | 2011-05-17 | 2014-07-08 | Biomet Sports Medicine, Llc | Method and apparatus for tibial fixation of an ACL graft |
US8506597B2 (en) | 2011-10-25 | 2013-08-13 | Biomet Sports Medicine, Llc | Method and apparatus for interosseous membrane reconstruction |
US8936621B2 (en) | 2006-02-03 | 2015-01-20 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
US9538998B2 (en) | 2006-02-03 | 2017-01-10 | Biomet Sports Medicine, Llc | Method and apparatus for fracture fixation |
US8597327B2 (en) | 2006-02-03 | 2013-12-03 | Biomet Manufacturing, Llc | Method and apparatus for sternal closure |
US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
US8968364B2 (en) * | 2006-02-03 | 2015-03-03 | Biomet Sports Medicine, Llc | Method and apparatus for fixation of an ACL graft |
US8251998B2 (en) | 2006-08-16 | 2012-08-28 | Biomet Sports Medicine, Llc | Chondral defect repair |
US7572265B2 (en) * | 2006-03-21 | 2009-08-11 | Biomet Sports Medicine, Llc | Method and apparatus for passing a suture |
EP2023824B1 (en) | 2006-05-22 | 2017-08-02 | Covidien LP | Apparatus for meniscal repair |
US8876842B2 (en) * | 2006-05-22 | 2014-11-04 | Covidien Lp | Meniscal repair device |
US20080051833A1 (en) * | 2006-08-25 | 2008-02-28 | Vincent Gramuglia | Suture passer and method of passing suture material |
US8500818B2 (en) | 2006-09-29 | 2013-08-06 | Biomet Manufacturing, Llc | Knee prosthesis assembly with ligament link |
US8672969B2 (en) | 2006-09-29 | 2014-03-18 | Biomet Sports Medicine, Llc | Fracture fixation device |
US9918826B2 (en) | 2006-09-29 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
US11259794B2 (en) | 2006-09-29 | 2022-03-01 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US8562629B2 (en) * | 2006-10-24 | 2013-10-22 | Arthrocare Corporation | Suture device having selective needle actuation and related method |
US20080140091A1 (en) * | 2006-12-12 | 2008-06-12 | Dedeyne Patrick G | Minimally invasive suture-based repair of soft tissue |
US20090192530A1 (en) | 2008-01-29 | 2009-07-30 | Insightra Medical, Inc. | Fortified mesh for tissue repair |
US8308725B2 (en) * | 2007-03-20 | 2012-11-13 | Minos Medical | Reverse sealing and dissection instrument |
US8292902B2 (en) * | 2007-06-25 | 2012-10-23 | Tornier, Inc. | Double row fixation system, medial row anchor placement system |
US20090012538A1 (en) * | 2007-07-03 | 2009-01-08 | Justin Saliman | Methods and devices for continuous suture passing |
US9211119B2 (en) | 2007-07-03 | 2015-12-15 | Ceterix Orthopaedics, Inc. | Suture passers and methods of passing suture |
US20100130990A1 (en) * | 2007-07-03 | 2010-05-27 | Saliman Justin D | Methods of suturing and repairing tissue using a continuous suture passer device |
US8500809B2 (en) | 2011-01-10 | 2013-08-06 | Ceterix Orthopaedics, Inc. | Implant and method for repair of the anterior cruciate ligament |
US8465505B2 (en) | 2011-05-06 | 2013-06-18 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
US10441273B2 (en) | 2007-07-03 | 2019-10-15 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
US9314234B2 (en) | 2007-07-03 | 2016-04-19 | Ceterix Orthopaedics, Inc. | Pre-tied surgical knots for use with suture passers |
US20110130773A1 (en) * | 2007-07-03 | 2011-06-02 | Saliman Justin D | Methods for continuous suture passing |
US8702731B2 (en) | 2007-07-03 | 2014-04-22 | Ceterix Orthopaedics, Inc. | Suturing and repairing tissue using in vivo suture loading |
US9861354B2 (en) | 2011-05-06 | 2018-01-09 | Ceterix Orthopaedics, Inc. | Meniscus repair |
US8911456B2 (en) | 2007-07-03 | 2014-12-16 | Ceterix Orthopaedics, Inc. | Methods and devices for preventing tissue bridging while suturing |
US8663253B2 (en) | 2007-07-03 | 2014-03-04 | Ceterix Orthopaedics, Inc. | Methods of meniscus repair |
EP2033583B1 (en) * | 2007-08-27 | 2013-03-13 | Arthrex, Inc. | In-line suture passer |
US20090082788A1 (en) * | 2007-09-25 | 2009-03-26 | Elmaraghy Amr | Suture management method and apparatus |
ATE530123T1 (en) * | 2007-09-29 | 2011-11-15 | Wolf Gmbh Richard | SURGICAL SUTURE INSTRUMENT |
EP2211725A4 (en) * | 2007-11-05 | 2015-04-01 | Ceterix Orthopedics Inc | Suture passing instrument and method |
US9439746B2 (en) * | 2007-12-13 | 2016-09-13 | Insightra Medical, Inc. | Methods and apparatus for treating ventral wall hernia |
US8940017B2 (en) | 2008-07-31 | 2015-01-27 | Insightra Medical, Inc. | Implant for hernia repair |
KR100923371B1 (en) * | 2008-03-04 | 2009-10-23 | 김선호 | suture-tying forceps |
WO2009135129A1 (en) * | 2008-05-02 | 2009-11-05 | Drexel University | Tissue joining device and instrument for enabling use of a tissue joining device |
US20100121355A1 (en) | 2008-10-24 | 2010-05-13 | The Foundry, Llc | Methods and devices for suture anchor delivery |
US8523817B2 (en) * | 2009-01-23 | 2013-09-03 | Reza S. Mohajer | Veress needle with illuminated guidance and suturing capability |
US20130324803A1 (en) * | 2009-01-23 | 2013-12-05 | Reza S. Mohajer | Veress needle with illuminated guidance and suturing capability |
US8147505B2 (en) * | 2009-03-23 | 2012-04-03 | Arthrocare Corporation | Surgical instrument for manipulating surgical suture and methods of use |
US8177796B2 (en) * | 2009-03-23 | 2012-05-15 | Linvatec Corporation | Suture passing apparatus and method |
EP2429411B1 (en) | 2009-05-12 | 2017-03-08 | The Foundry, LLC | Devices to treat diseased or injured musculoskeletal tissue |
WO2010132309A1 (en) | 2009-05-12 | 2010-11-18 | Foundry Newco Xi, Inc. | Knotless suture anchor and methods of use |
US8282656B2 (en) * | 2009-05-28 | 2012-10-09 | Karl Storz Gmbh & Co. Kg | Suture passing instrument |
US20100305710A1 (en) | 2009-05-28 | 2010-12-02 | Biomet Manufacturing Corp. | Knee Prosthesis |
US8876841B2 (en) * | 2009-07-20 | 2014-11-04 | Industrial Technology Research Institute | Spinal disc anulus repair method and apparatus |
US20110022064A1 (en) * | 2009-07-27 | 2011-01-27 | Tyco Healthcare Group Lp | Access apparatus including hinged suture traps |
US20110060350A1 (en) * | 2009-09-04 | 2011-03-10 | Cost Containment, Inc. | Suture passer device and suture needle |
US9011454B2 (en) | 2009-11-09 | 2015-04-21 | Ceterix Orthopaedics, Inc. | Suture passer with radiused upper jaw |
US11744575B2 (en) | 2009-11-09 | 2023-09-05 | Ceterix Orthopaedics, Inc. | Suture passer devices and methods |
EP2498688B1 (en) | 2009-11-09 | 2016-03-23 | Ceterix Orthopedics, Inc. | Devices, systems and methods for meniscus repair |
US9848868B2 (en) | 2011-01-10 | 2017-12-26 | Ceterix Orthopaedics, Inc. | Suture methods for forming locking loops stitches |
US9211118B2 (en) * | 2009-11-16 | 2015-12-15 | Arthrocare Corporation | Suture passer |
US8328061B2 (en) | 2010-02-02 | 2012-12-11 | Covidien Lp | Surgical instrument for joining tissue |
US8460322B2 (en) | 2010-03-31 | 2013-06-11 | Siesta Medical, Inc. | Suture passer systems and methods for tongue or other tissue suspension and compression |
US8679135B2 (en) | 2010-05-25 | 2014-03-25 | Biomet Sports Medicine, Llc | Method and apparatus for passing a suture |
US8709022B2 (en) | 2011-05-24 | 2014-04-29 | Biomet Sports Medicine, Llc | Method and apparatus for passing a suture |
US9913638B2 (en) | 2011-01-10 | 2018-03-13 | Ceterix Orthopaedics, Inc. | Transosteal anchoring methods for tissue repair |
US8864777B2 (en) | 2011-01-28 | 2014-10-21 | Anchor Orthopedics Xt Inc. | Methods for facilitating tissue puncture |
US9351723B2 (en) * | 2011-06-30 | 2016-05-31 | Astora Women's Health, Llc | Implants, tools, and methods for treatments of pelvic conditions |
US8882834B2 (en) | 2011-07-08 | 2014-11-11 | Smith & Nephew, Inc. | Soft tissue repair |
US9357997B2 (en) | 2011-07-08 | 2016-06-07 | Smith & Nephew, Inc. | Suture passer and method |
US8951263B2 (en) | 2011-07-08 | 2015-02-10 | Smith & Nephew, Inc. | Orthopedic suture passer and method |
US8888849B2 (en) | 2011-07-08 | 2014-11-18 | Smith & Nephew, Inc. | Soft tissue repair |
US8801727B2 (en) | 2011-07-08 | 2014-08-12 | Smith & Nephew, Inc. | Orthopedic suture passer and method |
US9662105B2 (en) | 2011-07-08 | 2017-05-30 | Smith & Nephew, Inc. | Suture passer and method |
CA2844771C (en) | 2011-08-14 | 2020-06-30 | SafePath Medical, Inc. | Apparatus and method for suturing tissue |
US10524778B2 (en) | 2011-09-28 | 2020-01-07 | Ceterix Orthopaedics | Suture passers adapted for use in constrained regions |
US10537321B2 (en) | 2014-04-08 | 2020-01-21 | Ceterix Orthopaedics, Inc. | Suture passers adapted for use in constrained regions |
US9492162B2 (en) | 2013-12-16 | 2016-11-15 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices and methods |
US9357991B2 (en) | 2011-11-03 | 2016-06-07 | Biomet Sports Medicine, Llc | Method and apparatus for stitching tendons |
US9078648B2 (en) | 2011-11-07 | 2015-07-14 | C.R. Bard, Inc. | Instruments for delivering transfascial sutures and methods of transfascial suturing |
US9039721B2 (en) | 2011-11-07 | 2015-05-26 | C.R. Bard, Inc. | Instruments for delivering transfascial sutures and methods of transfascial suturing |
US9357992B2 (en) | 2011-11-10 | 2016-06-07 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US9370350B2 (en) | 2011-11-10 | 2016-06-21 | Biomet Sports Medicine, Llc | Apparatus for coupling soft tissue to a bone |
US9381013B2 (en) | 2011-11-10 | 2016-07-05 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US20130123809A1 (en) | 2011-11-11 | 2013-05-16 | VentureMD Innovations, LLC | Transosseous attachment instruments |
US10136883B2 (en) | 2011-11-16 | 2018-11-27 | VentureMD Innovations, LLC | Method of anchoring a suture |
US10675014B2 (en) | 2011-11-16 | 2020-06-09 | Crossroads Extremity Systems, Llc | Knotless soft tissue attachment |
US10470756B2 (en) | 2011-11-16 | 2019-11-12 | VentureMD Innovations, LLC | Suture anchor and method |
US10548585B2 (en) | 2011-11-16 | 2020-02-04 | VentureMD Innovations, LLC | Soft tissue attachment |
US10265062B2 (en) | 2012-02-07 | 2019-04-23 | Arthrocare Corporation | Surgical instrument for manipulating and passing suture |
GB2514505B (en) * | 2012-02-07 | 2016-07-06 | Arthrocare Corp | Surgical instrument for manipulating and passing suture |
US9326765B2 (en) | 2012-02-22 | 2016-05-03 | SafePath Medical, Inc. | Suturing device having an internal suture dispensing mechanism |
WO2014039848A1 (en) | 2012-09-07 | 2014-03-13 | Siesta Medical, Inc. | Tether line systems and methods for tongue or other tissue suspension or compression |
US9271722B2 (en) | 2012-12-31 | 2016-03-01 | Medos International Sarl | Methods for passing multiple sutures through tissue |
US9687221B2 (en) | 2013-02-13 | 2017-06-27 | Venture MD Innovations, LLC | Method of anchoring a suture |
US9757119B2 (en) | 2013-03-08 | 2017-09-12 | Biomet Sports Medicine, Llc | Visual aid for identifying suture limbs arthroscopically |
US9918827B2 (en) | 2013-03-14 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
US10039563B2 (en) | 2013-03-15 | 2018-08-07 | Invictus Medical Innovations, Llc | Suturer |
US9554793B2 (en) | 2013-03-16 | 2017-01-31 | SafePath Medical, Inc. | Means and methods for suturing tissue |
US20150012016A1 (en) * | 2013-07-03 | 2015-01-08 | Biomet Manufacturing, Llc | Suture passer |
EP3031402B1 (en) | 2013-08-06 | 2019-09-04 | Olympus Corporation | Suture device |
US9247935B2 (en) | 2013-09-23 | 2016-02-02 | Ceterix Orthopaedics, Inc. | Arthroscopic knot pusher and suture cutter |
JP6469109B2 (en) | 2013-12-06 | 2019-02-13 | メッド − ベンチャー インベストメンツ、エルエルシー | Suture method and apparatus |
US10136886B2 (en) | 2013-12-20 | 2018-11-27 | Biomet Sports Medicine, Llc | Knotless soft tissue devices and techniques |
US9687225B2 (en) | 2013-12-20 | 2017-06-27 | Biomet Sports Medicine, Llc | Suture passer with tissue reinforcement positioner |
US20150250476A1 (en) | 2014-03-05 | 2015-09-10 | Siesta Medical, Inc. | Systems and methods for tissue suspension and compression |
EP3145421B1 (en) | 2014-05-17 | 2019-05-08 | Safepath Medical, Inc. | Systems for suturing tissue |
US9615822B2 (en) | 2014-05-30 | 2017-04-11 | Biomet Sports Medicine, Llc | Insertion tools and method for soft anchor |
US9700291B2 (en) | 2014-06-03 | 2017-07-11 | Biomet Sports Medicine, Llc | Capsule retractor |
US10039543B2 (en) | 2014-08-22 | 2018-08-07 | Biomet Sports Medicine, Llc | Non-sliding soft anchor |
US9955980B2 (en) | 2015-02-24 | 2018-05-01 | Biomet Sports Medicine, Llc | Anatomic soft tissue repair |
US9974534B2 (en) | 2015-03-31 | 2018-05-22 | Biomet Sports Medicine, Llc | Suture anchor with soft anchor of electrospun fibers |
US10820918B2 (en) | 2015-07-17 | 2020-11-03 | Crossroads Extremity Systems, Llc | Transosseous guide and method |
US9962174B2 (en) | 2015-07-17 | 2018-05-08 | Kator, Llc | Transosseous method |
US10154868B2 (en) | 2015-07-17 | 2018-12-18 | Kator, Llc | Transosseous method |
US10226245B2 (en) | 2015-07-21 | 2019-03-12 | Ceterix Orthopaedics, Inc. | Automatically reloading suture passer devices that prevent entanglement |
US10143462B2 (en) | 2015-08-04 | 2018-12-04 | Kator, Llc | Transosseous suture anchor method |
US10080562B2 (en) | 2015-08-06 | 2018-09-25 | DePuy Synthes Products, Inc. | Methods, systems, and devices for surgical suturing |
US10772620B2 (en) | 2015-08-20 | 2020-09-15 | Lsi Solutions, Inc. | Adjustable motion limiter for a minimally invasive surgical device |
US10405853B2 (en) | 2015-10-02 | 2019-09-10 | Ceterix Orthpaedics, Inc. | Knot tying accessory |
US11284885B2 (en) | 2016-02-05 | 2022-03-29 | Durastat Llc | Devices and methods for suture placement |
US9439647B1 (en) | 2016-03-02 | 2016-09-13 | Arthrogenx, LLC. | Suture passing instruments and methods |
US10945723B2 (en) | 2016-11-17 | 2021-03-16 | SafePath Medical, Inc. | Systems and methods for suturing tissue |
EP3641663B1 (en) | 2017-06-19 | 2022-03-02 | Heartstitch, Inc. | Suturing systems and methods for suturing body tissue |
WO2019051379A1 (en) | 2017-09-11 | 2019-03-14 | Heartstitch, Inc. | Methods and devices for papillary suturing |
CN111526801B (en) * | 2017-10-26 | 2023-12-26 | 约翰·雅克曼 | Dura mater repair device |
US20210007733A1 (en) * | 2018-03-23 | 2021-01-14 | Ege Universitesi | Single-impulse, semi-mobile and stoppered suturing device used in narrow and deep tissue planes surgery |
US11129609B2 (en) * | 2018-04-24 | 2021-09-28 | Covidien Lp | Devices, systems, and methods for providing surgical access and facilitating closure of surgical access openings |
US11497526B2 (en) * | 2018-11-13 | 2022-11-15 | T & J Enterprises, Llc | Cervical tenaculum device |
US10512483B1 (en) * | 2018-11-13 | 2019-12-24 | T & J Enterprises, Llc | Cervical tenaculum device |
US10849617B1 (en) | 2020-02-11 | 2020-12-01 | King Saud University | Piercing forceps |
KR102530993B1 (en) * | 2021-01-11 | 2023-05-10 | 공주대학교 산학협력단 | A medical suturing device |
WO2023038604A1 (en) | 2021-09-07 | 2023-03-16 | Soranus Arge Ve Danismanlik Hizmetleri Sanayi Ticaret Anonim Sirketi | Suturing device and methods of use thereof |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE245576C (en) * | ||||
US1815725A (en) * | 1930-02-03 | 1931-07-21 | George P Pilling & Son Company | Suture forceps |
US2213830A (en) * | 1938-12-10 | 1940-09-03 | Anastasi John Joseph | Suturing and ligating instrument |
EP0136262A2 (en) * | 1983-09-13 | 1985-04-03 | Fritz Gegauf Ag Bernina-Nähmaschinenfabrik | Surgical instrument, in particular hysterectome |
US5843099A (en) * | 1997-01-16 | 1998-12-01 | Bei Medical Systems, Inc. | Single system ligature carrier and tissue clamp for sacrospinous colpopexy |
US5935149A (en) | 1995-06-07 | 1999-08-10 | Smith & Nephew Inc. | Suturing tissue |
US20020065526A1 (en) * | 2000-11-28 | 2002-05-30 | Ran Oren | Suturing instrument and method |
Family Cites Families (568)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE245573C (en) | ||||
US421919A (en) * | 1890-02-25 | Surgical-needle holder | ||
US17272A (en) * | 1857-05-12 | Improvement in needles for sewing | ||
US349791A (en) | 1886-09-28 | Suture-instrument | ||
US373372A (en) | 1887-11-15 | Suture-needle and case | ||
US424518A (en) | 1890-04-01 | Needle-threader | ||
US652175A (en) | 1899-12-28 | 1900-06-19 | Arthur M Felson | Needle-threader. |
US659422A (en) | 1900-06-12 | 1900-10-09 | George W Shidler | Surgical instrument. |
US671337A (en) | 1900-12-06 | 1901-04-02 | Llewellyn Gibson | Ligating-forceps. |
US786000A (en) * | 1903-08-14 | 1905-03-28 | Murray R Botkin | Sewing-awl. |
US854147A (en) | 1906-04-20 | 1907-05-21 | Lewis G Carillon | Sewing-awl. |
US919138A (en) | 1909-03-16 | 1909-04-20 | Clarence A Drake | Surgical needle. |
US1009065A (en) | 1910-04-30 | 1911-11-21 | Florian Hahn | Sewing device for surgical operations. |
US1037864A (en) | 1911-04-20 | 1912-09-10 | John C Carlson | Surgical-needle holder. |
US1066317A (en) | 1912-09-25 | 1913-07-01 | Paul Pirnat | Sewing-awl. |
US1293565A (en) * | 1918-10-03 | 1919-02-04 | Harry Smit | Surgical instrument. |
DE321755C (en) | 1919-02-25 | 1920-06-14 | Alois Herkommer | Book facility for accounting operations, especially for payrolls |
US1449087A (en) * | 1921-12-05 | 1923-03-20 | Edwin P Bugbee | Suturing instrument |
US1464832A (en) | 1922-06-22 | 1923-08-14 | Thomas B Richardson | Stitching forceps |
US1641077A (en) | 1924-11-21 | 1927-08-30 | Fouquet Eugene | Binding and cutting pliers |
US1579379A (en) | 1925-07-06 | 1926-04-06 | Myer M Marbel | Surgical instrument |
US1656467A (en) * | 1926-09-01 | 1928-01-17 | Blake John Ammen | Surgical suturing instrument |
US1635066A (en) | 1927-02-08 | 1927-07-05 | Walter A Wells | Surgical instrument |
US1822330A (en) * | 1930-01-13 | 1931-09-08 | Ainslie George | Suturing instrument |
US1876792A (en) | 1930-06-30 | 1932-09-13 | Thompson Basil | Suturing device |
US1856721A (en) | 1931-02-07 | 1932-05-03 | Clemens B Nagelmann | Suturing and ligating instrument |
US1855546A (en) | 1931-04-28 | 1932-04-26 | Norman W File | Surgical appliance |
US1933024A (en) | 1931-10-06 | 1933-10-31 | Clemens B Nagelmann | Suturing and ligating instrument |
US2023807A (en) | 1933-03-13 | 1935-12-10 | Francis J Gruss | Surgical needle |
US2065659A (en) | 1934-08-04 | 1936-12-29 | Arthur V Cullen | Fastening method and means |
US2042403A (en) | 1935-02-27 | 1936-05-26 | Hrivnak Andrew | Needle threader |
US2212830A (en) | 1939-12-09 | 1940-08-27 | Bell Telephone Labor Inc | Relay |
US2348218A (en) | 1942-04-09 | 1944-05-09 | Singer Mfg Co | Surgical stitching instrument |
US2316297A (en) | 1943-01-15 | 1943-04-13 | Beverly A Southerland | Surgical instrument |
US2414882A (en) | 1943-09-24 | 1947-01-28 | Herschel Leiter H | Fracture reduction apparatus |
US2396180A (en) * | 1944-07-22 | 1946-03-05 | Singer Mfg Co | Suture protecting means for surgical stitching instruments |
US2414746A (en) * | 1944-07-29 | 1947-01-21 | Singer Mfg Co | Suture protecting and tensioning means for surgical stitching instruments |
US2411118A (en) | 1945-03-07 | 1946-11-12 | Carl J Schuster | Needle threading device |
US2434133A (en) * | 1945-10-20 | 1948-01-06 | Lester D Volk | Suturing device |
GB630693A (en) | 1946-10-04 | 1949-10-19 | Jacques Albert Monnier | A thread-feeding surgical needle |
US2593622A (en) | 1949-02-04 | 1952-04-22 | Albert L Stanelle | Screw holding screw driver |
US2577240A (en) | 1949-10-01 | 1951-12-04 | Robert L Findley | Suture hemostat |
US2610631A (en) | 1949-11-02 | 1952-09-16 | David J Calicchio | Ligator |
US2601564A (en) | 1950-07-08 | 1952-06-24 | David P Smith | Suturing device |
US2579192A (en) | 1950-08-15 | 1951-12-18 | George H Sciaroni | Suturing instrument |
US2646045A (en) | 1951-05-01 | 1953-07-21 | Bruno S Priestley | Mechanical suturing device |
US2611366A (en) | 1951-11-20 | 1952-09-23 | Bruce D Mull | Suture gun |
US2808055A (en) | 1953-06-25 | 1957-10-01 | Robert W Thayer | Surgical stitching instruments |
US2895478A (en) | 1954-03-18 | 1959-07-21 | Post Charles Russell | Suture-tying instrument |
US2738790A (en) * | 1954-08-12 | 1956-03-20 | George P Pilling & Son Company | Suturing instrument |
US2959172A (en) | 1957-08-27 | 1960-11-08 | American Cystoscope Makers Inc | Self-threading suturing instrument |
US2880728A (en) | 1958-02-03 | 1959-04-07 | Clyde S Rights | Ligature inserter |
US3073311A (en) * | 1958-11-07 | 1963-01-15 | Nat Res Dev | Sewing device |
US3013559A (en) | 1959-05-06 | 1961-12-19 | Wesley C Thomas | Instrument for closing flesh wounds |
US3036482A (en) | 1960-09-02 | 1962-05-29 | Kenworthy Kenneth | Axial-impact type hand tool |
US3090386A (en) | 1961-07-20 | 1963-05-21 | Curtis Scott Company | Surgical suturing instrument |
US3139089A (en) | 1961-11-16 | 1964-06-30 | George S Schwerin | Needle manipulating device |
US3349772A (en) | 1963-07-24 | 1967-10-31 | C V Heljestrand Ab | Needle holding instrument for applying continuous sutures |
US3417752A (en) | 1965-11-12 | 1968-12-24 | Byron C. Butler | Magnetic clamp closing device for use with surgical instruments |
US3393687A (en) | 1966-09-16 | 1968-07-23 | Homer O. Whitman | Dental floss applicator |
US3470875A (en) | 1966-10-06 | 1969-10-07 | Alfred A Johnson | Surgical clamping and suturing instrument |
US3372477A (en) * | 1966-12-15 | 1968-03-12 | Clemens B. Hoppe | Surgical suture extractor |
US3470834A (en) | 1968-03-08 | 1969-10-07 | Dennison Mfg Co | Fastener attaching device |
US3638653A (en) * | 1969-07-31 | 1972-02-01 | H Lee Berry | Suturing device |
US3716058A (en) * | 1970-07-17 | 1973-02-13 | Atlanta Res Inst | Barbed suture |
US3687138A (en) | 1970-08-17 | 1972-08-29 | Robert K Jarvik | Repeating ligature gun |
US3807407A (en) | 1971-06-07 | 1974-04-30 | E Schweizer | Suture applicator |
US3763860A (en) | 1971-08-26 | 1973-10-09 | H Clarke | Laparoscopy instruments and method for suturing and ligation |
US3871379A (en) * | 1971-08-26 | 1975-03-18 | Henry C N Clarke | Laparoscopy instruments and method for suturing and ligation |
US3840017A (en) | 1971-10-29 | 1974-10-08 | A Violante | Surgical instrument |
US3752516A (en) | 1971-12-07 | 1973-08-14 | P Mumma | Knot tying jig |
TR17343A (en) | 1972-05-31 | 1975-03-24 | Ethicon Inc | SUETUER THAT CAN BE RELEASED BY CONTROL |
US3985138A (en) | 1972-08-25 | 1976-10-12 | Jarvik Robert K | Preformed ligatures for bleeders and methods of applying such ligatures |
US3856018A (en) | 1973-02-26 | 1974-12-24 | P Perisse | Process for ligating sectioned blood vessels |
US3842824A (en) | 1973-03-19 | 1974-10-22 | A Neufeld | Notched surgical pin and breaking tool therefor |
US3901244A (en) | 1973-05-07 | 1975-08-26 | Edward E Schweizer | Suture cartridge |
US3842840A (en) | 1973-05-07 | 1974-10-22 | E Schweizer | Suture applicator |
US3980177A (en) | 1973-10-26 | 1976-09-14 | Johnson & Johnson | Controlled release suture |
US3946740A (en) * | 1974-10-15 | 1976-03-30 | Bassett John W | Suturing device |
GB1486351A (en) | 1975-06-06 | 1977-09-21 | Rocket Of London Ltd | Surgical clip applicator |
SU552077A2 (en) | 1975-07-15 | 1977-03-30 | Киевский Медицинский Ордена Трудового Красного Знамени Институт Им.Академика А.А.Богомольца | Tool for tightening ligature nodes |
US3990619A (en) | 1975-11-12 | 1976-11-09 | Dennison Manufacturing Company | Fastener attachment needle |
US4027608A (en) | 1976-02-20 | 1977-06-07 | Raymond Kelder | Suturing device |
US4109658A (en) | 1977-02-04 | 1978-08-29 | Hughes Joe L | Needle holding device with pick-up means |
US4169476A (en) | 1977-08-12 | 1979-10-02 | Wolf Medical Instruments Corporation | Applicator for surgical clip |
US4164225A (en) | 1977-12-28 | 1979-08-14 | Johnson & Lorenz, Inc. | Surgical suturing instrument |
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 |
JPS5542626A (en) | 1978-09-20 | 1980-03-26 | Olympus Optical Co | Blocking device of coelom inside tubular portion |
US4236470A (en) | 1979-01-17 | 1980-12-02 | Stenson Thomas K | Portable stitching device |
US4224947A (en) | 1979-02-05 | 1980-09-30 | Mamoru Fukuda | Suturing apparatus |
DE2933296A1 (en) | 1979-08-17 | 1981-02-26 | Karl Fischer | ELECTRIC COOKING PLATE |
US4414908A (en) | 1979-12-04 | 1983-11-15 | Janome Sewing Machine Co. Ltd. | Suturing machine for medical treatment |
US4463753A (en) | 1980-01-04 | 1984-08-07 | Gustilo Ramon B | Compression bone screw |
US4373530A (en) * | 1980-04-04 | 1983-02-15 | Lisa Ann Kilejian | Surgical stitching instrument |
US4345601A (en) | 1980-04-07 | 1982-08-24 | Mamoru Fukuda | Continuous suturing device |
JPS571332A (en) | 1980-06-06 | 1982-01-06 | Janome Sewing Machine Co Ltd | Catching of needle yarn loop of operation suturing device |
US4345600A (en) | 1980-08-04 | 1982-08-24 | Senco Products, Inc. | Purse-stringer |
US4312337A (en) * | 1980-09-08 | 1982-01-26 | Donohue Brian T | Cannula and drill guide apparatus |
GB2084468B (en) | 1980-09-25 | 1984-06-06 | South African Inventions | Surgical implant |
US4500024A (en) * | 1980-11-19 | 1985-02-19 | Ethicon, Inc. | Multiple clip applier |
US4384406A (en) | 1981-03-05 | 1983-05-24 | Cordis Corporation | Combination suture cutter and remover |
JPS57170239A (en) | 1981-04-13 | 1982-10-20 | Janome Sewing Machine Co Ltd | Holding of shuttle of suturing device for operation |
US4535768A (en) | 1981-08-26 | 1985-08-20 | South African Inventions Development Corporation | Set of surgical instruments |
US4423729A (en) * | 1981-10-02 | 1984-01-03 | Gray Robert C | Suture installation instrument |
US4448194A (en) | 1982-02-03 | 1984-05-15 | Ethicon, Inc. | Full stroke compelling mechanism for surgical instrument with drum drive |
US4724840A (en) * | 1982-02-03 | 1988-02-16 | Ethicon, Inc. | Surgical fastener applier with rotatable front housing and laterally extending curved needle for guiding a flexible pusher |
US4471781A (en) | 1982-02-03 | 1984-09-18 | Ethicon, Inc. | Surgical instrument with rotatable front housing and latch mechanism |
US4621639A (en) | 1982-02-03 | 1986-11-11 | Ethicon, Inc | Surgical instrument with hydraulic actuator |
US4512344A (en) | 1982-05-12 | 1985-04-23 | Barber Forest C | Arthroscopic surgery dissecting apparatus |
US5601557A (en) * | 1982-05-20 | 1997-02-11 | Hayhurst; John O. | Anchoring and manipulating tissue |
US4741330A (en) | 1983-05-19 | 1988-05-03 | Hayhurst John O | Method and apparatus for anchoring and manipulating cartilage |
US4539474A (en) | 1982-06-21 | 1985-09-03 | Hondadenshigiken Co., Ltd. | Optical switch for an automatic door |
US4553544A (en) | 1982-09-20 | 1985-11-19 | Janome Sewing Machine Co. Ltd. | Suturing instrument for surgical operation |
US4441497A (en) | 1982-10-21 | 1984-04-10 | Paudler Franklin T | Universal suture passer |
US4493323A (en) * | 1982-12-13 | 1985-01-15 | University Of Iowa Research Foundation | Suturing device and method for using same |
SE441643B (en) | 1983-02-08 | 1985-10-28 | Innova Ab | suturing instrument |
US4509516A (en) | 1983-02-24 | 1985-04-09 | Stryker Corporation | Ligament tunneling instrument |
IT1194556B (en) | 1983-03-11 | 1988-09-22 | Carlo Rebuffat | CURVED BRANCH ENTER SWITCH FOR THE AUTOMATIC EXECUTION OF TOBACCO BAG SUTURES ON CABLE VISCERS |
US4590929A (en) | 1983-05-03 | 1986-05-27 | Klein Harvey A | Tools for orthopaedic surgery and the like |
US4596249A (en) | 1983-07-26 | 1986-06-24 | Freda Vincent J | Implement for setting sutures |
EP0140557A3 (en) | 1983-09-12 | 1986-09-03 | Edward Lee Blackwood | Surgical instrument |
US4660559A (en) | 1983-09-19 | 1987-04-28 | Ethicon, Inc. | Sterile surgical needles with a hard sharp cutting edge and method for producing the same |
US4574805A (en) * | 1983-10-17 | 1986-03-11 | University Of Iowa Research Foundation | Instrument for skin surgery and method for using same |
US4580563A (en) | 1983-10-24 | 1986-04-08 | Gross R Michael | Arthroscopic surgical instrument and method |
US4602635A (en) | 1983-11-14 | 1986-07-29 | Mulhollan James S | Remote surgical knot tier and method of use |
US4621640A (en) | 1984-01-09 | 1986-11-11 | Mulhollan James S | Mechanical needle carrier and method for its use |
US4553543A (en) | 1984-03-05 | 1985-11-19 | Amarasinghe Disamodha C | Suturing assembly and method |
US4712545A (en) | 1984-04-05 | 1987-12-15 | Acufex Microsurgical, Inc. | Surgical instrument |
DE3413744C2 (en) * | 1984-04-12 | 1986-08-28 | Richard Wolf Gmbh, 7134 Knittlingen | Applicator for knotting sewing threads |
US4643178A (en) * | 1984-04-23 | 1987-02-17 | Fabco Medical Products, Inc. | Surgical wire and method for the use thereof |
GB8422863D0 (en) | 1984-09-11 | 1984-10-17 | Univ London | Sewing machine |
CN1006954B (en) * | 1985-03-11 | 1990-02-28 | 阿图尔·费希尔 | Fastening elements for osteosynthesis |
US4636121A (en) * | 1985-04-22 | 1987-01-13 | Miller Lillias S | Holding screw |
US4781190A (en) | 1985-06-18 | 1988-11-01 | Lee Wilson K C | Method of arthroscopic repair of a limb joint |
NL8501786A (en) | 1985-06-21 | 1987-01-16 | Drukker D & Zn Nv | METHOD FOR MANUFACTURING MICROSURGIC BONDING NEEDLES, AND MICROSURING BINDING NEEDLES OBTAINED |
US4662068A (en) | 1985-11-14 | 1987-05-05 | Eli Polonsky | Suture fusing and cutting apparatus |
US4633869A (en) * | 1985-12-23 | 1987-01-06 | Arthrex Arthroscopy Instruments, Inc. | Tension retaining device for surgical procedures |
US4779616A (en) | 1986-02-04 | 1988-10-25 | Johnson Lanny L | Surgical suture-snagging method |
FR2598311B1 (en) | 1986-05-07 | 1988-09-09 | Laboureau Jacques | SURGICAL INSTRUMENT FOR FOCUSING AND PLACING THE PLASTY (OR PROSTHETIC REPLACEMENT) OF THE LIGAMENT CROSS POSTERIOR KNEE |
US4884572A (en) | 1986-05-20 | 1989-12-05 | Concept, Inc. | Tack and applicator for treating torn bodily material in vivo |
US4895148A (en) * | 1986-05-20 | 1990-01-23 | Concept, Inc. | Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member |
US4723546A (en) * | 1986-06-17 | 1988-02-09 | Zagorski Joseph B | Apparatus for arthroscopic surgery |
JPH0542161Y2 (en) | 1986-07-08 | 1993-10-25 | ||
US4739751A (en) | 1986-10-03 | 1988-04-26 | Temple University | Apparatus and method for reconstructive surgery |
US5026350A (en) | 1986-10-09 | 1991-06-25 | Hakko Electric Machine Works Co., Ltd. | Set of double needles for injecting liquid medicine |
DE3680919D1 (en) | 1986-10-09 | 1991-09-19 | Hakko Electric Machine Works C | DOUBLE NEEDLE SET FOR INJECTING A LIQUID MEDICINE. |
US4790312A (en) | 1987-01-20 | 1988-12-13 | Becton Dickinson Acutecare, Inc. | Surgical knife |
US5100418A (en) * | 1987-05-14 | 1992-03-31 | Inbae Yoon | Suture tie device system and applicator therefor |
US4898156A (en) | 1987-05-18 | 1990-02-06 | Mitek Surgical Products, Inc. | Suture anchor |
US4890615B1 (en) | 1987-11-05 | 1993-11-16 | Linvatec Corporation | Arthroscopic suturing instrument |
US4957498A (en) | 1987-11-05 | 1990-09-18 | Concept, Inc. | Suturing instrument |
US4899743A (en) * | 1987-12-15 | 1990-02-13 | Mitek Surgical Products, Inc. | Suture anchor installation tool |
US4926860A (en) | 1988-02-05 | 1990-05-22 | Flexmedics Corporation | ARthroscopic instrumentation and method |
IT1216042B (en) | 1988-03-09 | 1990-02-22 | Carlo Rebuffat | AUTOMATIC TOOL FOR TOBACCO BAG SUTURES FOR SURGICAL USE. |
US4836205A (en) | 1988-03-21 | 1989-06-06 | Barrett Gene R | Grasper-stitcher device for arthroscopic anterior cruciate ligament repair |
US4881537A (en) | 1988-08-10 | 1989-11-21 | Charles Henning | Surgical instrument, and methods for forming a channel in a femoral condyle including reconstructing an anterior cruciate ligament |
US4955897A (en) | 1988-08-22 | 1990-09-11 | Ship Arthur G | Tissue forceps |
DE3831398A1 (en) | 1988-09-15 | 1990-03-29 | Mohammed Nasser Bashti | Surgical kit |
US4871289A (en) | 1988-11-25 | 1989-10-03 | Olympic Manufacturing Group, Inc. | Expansion fastener |
US4870957A (en) | 1988-12-27 | 1989-10-03 | Marlowe Goble E | Ligament anchor system |
US5013292A (en) | 1989-02-24 | 1991-05-07 | R. Laborie Medical Corporation | Surgical correction of female urinary stress incontinence and kit therefor |
US5222976A (en) | 1989-05-16 | 1993-06-29 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
US5053047A (en) | 1989-05-16 | 1991-10-01 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
US5002292A (en) * | 1989-06-12 | 1991-03-26 | Myers Roy A | Security device for shopping carts |
US5749879A (en) | 1989-08-16 | 1998-05-12 | 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 |
US4932961A (en) | 1989-09-15 | 1990-06-12 | Ethicon, Inc. | Surgical needle configuration with five-sided cross-section |
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 |
US4950285A (en) | 1989-11-27 | 1990-08-21 | Wilk Peter J | Suture device |
US5123913A (en) | 1989-11-27 | 1992-06-23 | Wilk Peter J | Suture device |
US5100415A (en) * | 1990-01-08 | 1992-03-31 | Hayhurst John O | Knotting instrument |
US4961741A (en) | 1990-01-08 | 1990-10-09 | Hayhurst John O | Suture knotting instrument |
US5015250A (en) | 1990-01-12 | 1991-05-14 | Vance Products Incorporated | Medical instrument for driving a suture needle |
US5002563A (en) * | 1990-02-22 | 1991-03-26 | Raychem Corporation | Sutures utilizing shape memory alloys |
US5029573A (en) | 1990-03-30 | 1991-07-09 | Chow James C | System for endoscopic surgery |
US5087263A (en) * | 1990-04-25 | 1992-02-11 | Mitek Surgical Products, Inc. | Suture throw holder and rundown system |
US5084058A (en) * | 1990-04-25 | 1992-01-28 | Mitek Surgical Products, Inc. | Suture rundown tool and cutter system |
US5133723A (en) | 1990-04-25 | 1992-07-28 | Mitek Surgical Products, Inc. | Suture rundown tool and cutter system |
US5163946A (en) | 1990-04-25 | 1992-11-17 | Mitek Surgical Products, Inc. | Suture rundown tool and cutter system |
US5037433A (en) | 1990-05-17 | 1991-08-06 | Wilk Peter J | Endoscopic suturing device and related method and suture |
US5120318A (en) | 1990-06-25 | 1992-06-09 | Harinathareddy Nallapareddy | Arthroscopy portal maker |
US5318577A (en) | 1990-06-26 | 1994-06-07 | Mitek Surgical Products, Inc. | Suture threading device |
US5593425A (en) | 1990-06-28 | 1997-01-14 | Peter M. Bonutti | Surgical devices assembled using heat bonable materials |
JPH0663052B2 (en) | 1990-06-29 | 1994-08-17 | 京セラ株式会社 | High toughness cermet tool |
US5037422A (en) | 1990-07-02 | 1991-08-06 | Acufex Microsurgical, Inc. | Bone anchor and method of anchoring a suture to a bone |
US5201741A (en) | 1990-07-24 | 1993-04-13 | Andrew Surgical, Inc. | Surgical snare with shape memory effect wire |
CA2049103C (en) * | 1990-09-06 | 1996-10-01 | Royce Lewis | Implant assist apparatus |
US5176691A (en) * | 1990-09-11 | 1993-01-05 | Pierce Instruments, Inc. | Knot pusher |
US5085661A (en) * | 1990-10-29 | 1992-02-04 | Gerald Moss | Surgical fastener implantation device |
US5149329A (en) | 1990-12-12 | 1992-09-22 | Wayne State University | Surgical suture carrier and method for urinary bladder neck suspension |
US5129912B2 (en) | 1991-01-07 | 2000-01-11 | Urohealth Systems Inc | Device and method for applying suture |
US5211650A (en) | 1991-01-07 | 1993-05-18 | Laparomed Corporation | Dual function suturing device and method |
US5259846A (en) | 1991-01-07 | 1993-11-09 | United States Surgical Corporation | Loop threaded combined surgical needle-suture device |
DK166600B1 (en) | 1991-01-17 | 1993-06-21 | Therkel Bisgaard | TOOL USE TOUCH BY SUTURING IN DEEP OPERATING OPENINGS OR BODY SPACES |
US5100421A (en) * | 1991-02-05 | 1992-03-31 | Cyprus Endosurgical Tools, Inc. | Christoudias curved needle suture assembly |
US5391170A (en) * | 1991-12-13 | 1995-02-21 | David A. McGuire | Angled surgical screw driver and methods of arthroscopic ligament reconstruction |
US5152790A (en) | 1991-03-21 | 1992-10-06 | American Cyanamid Company | Ligament reconstruction graft anchor apparatus |
US5257637A (en) | 1991-03-22 | 1993-11-02 | El Gazayerli Mohamed M | Method for suture knot placement and tying |
US5192287A (en) * | 1991-04-05 | 1993-03-09 | American Cyanamid Company | Suture knot tying device |
US5181919A (en) * | 1991-04-23 | 1993-01-26 | Arieh Bergman | Suture ligating device for use with an endoscope |
US5269783A (en) | 1991-05-13 | 1993-12-14 | United States Surgical Corporation | Device and method for repairing torn tissue |
US5217471A (en) | 1991-05-30 | 1993-06-08 | Burkhart Stephen S | Endoscopic suture knotting instrument |
EP0595892B1 (en) * | 1991-07-23 | 1995-12-20 | Forschungszentrum Karlsruhe GmbH | Surgical stitching instrument |
DE9109097U1 (en) | 1991-07-24 | 1991-09-19 | Klemm, Bernd, 7801 Umkirch, De | |
US5234443A (en) | 1991-07-26 | 1993-08-10 | The Regents Of The University Of California | Endoscopic knot tying apparatus and methods |
US5224955A (en) | 1991-08-15 | 1993-07-06 | American Cyanamid Company | Surgical needle-suture combination and apparatus and method for attaching the same |
JPH0542161A (en) | 1991-08-16 | 1993-02-23 | Olympus Optical Co Ltd | Ligation device |
DE4127812C2 (en) | 1991-08-22 | 1996-09-12 | Storz Karl Gmbh & Co | Needle holder |
FR2680803B1 (en) * | 1991-08-27 | 1993-12-17 | Crst | TUBULAR TEXTILE REINFORCEMENT FOR REINFORCING MATERIALS AND DEVICE FOR ITS MANUFACTURE. |
US5219358A (en) | 1991-08-29 | 1993-06-15 | Ethicon, Inc. | Shape memory effect surgical needles |
GB2287196B (en) | 1991-09-30 | 1995-11-15 | Philip Richardson | A surgical incision member for use in suturing |
DE9112301U1 (en) | 1991-10-02 | 1991-11-21 | Wisap Gesellschaft Fuer Wissenschaftlichen Apparatebau Mbh, 8029 Sauerlach, De | |
GB2260585A (en) | 1991-10-09 | 1993-04-21 | Avdel Systems Ltd | Self-plugging blind rivet |
US5242458A (en) | 1991-10-15 | 1993-09-07 | Ethicon, Inc. | Suture needle holder for endoscopic use |
US5366477A (en) | 1991-10-17 | 1994-11-22 | American Cyanamid Company | Actuating forces transmission link and assembly for use in surgical instruments |
US5281234A (en) * | 1991-10-30 | 1994-01-25 | Wilk Peter J | Laparoscopic surgical method and related instrument assembly |
US5152769A (en) | 1991-11-04 | 1992-10-06 | Will Baber | Apparatus for laparoscopic suturing with improved suture needle |
DE4137218C1 (en) | 1991-11-13 | 1993-02-11 | Heidmueller, Harald, 5000 Koeln, De | |
US5439467A (en) | 1991-12-03 | 1995-08-08 | Vesica Medical, Inc. | Suture passer |
US5201744A (en) | 1991-12-05 | 1993-04-13 | Jones Mark W | Method and device for suturing using a rod with a needle holder |
US5234444A (en) | 1991-12-06 | 1993-08-10 | Cyprus Endosurgical Tools, Inc. | Christoudias knot--transfer method and instrument |
US5433722A (en) | 1992-01-08 | 1995-07-18 | Sharpe Endosurgical Corporation | Ligature carrier for endoscopic use |
US5273024A (en) | 1992-01-22 | 1993-12-28 | Linvatec Corporation | Method and apparatus for performing endoscopic surgery |
US5217486A (en) | 1992-02-18 | 1993-06-08 | Mitek Surgical Products, Inc. | Suture anchor and installation tool |
US5174087A (en) | 1992-02-19 | 1992-12-29 | Mitek Surgical Products, Inc. | Suture anchor assembly packaging system |
US5261917A (en) | 1992-02-19 | 1993-11-16 | Hasson Harrith M | Suture tying forceps with a plurality of suture holders and method of tying a suture |
US5425733A (en) | 1992-02-19 | 1995-06-20 | Arthrex, Inc. | Interference screw with rounded back end and cannulated sheath for endosteal fixation of ligaments |
US5269786A (en) | 1992-02-20 | 1993-12-14 | Arthrex Inc. | PCL oriented placement tibial guide method |
US5201743A (en) | 1992-05-05 | 1993-04-13 | Habley Medical Technology Corp. | Axially extendable endoscopic surgical instrument |
US5281235A (en) * | 1992-02-21 | 1994-01-25 | Habley Medical Technology Corporation | Needle manipulator |
US5222977A (en) | 1992-02-21 | 1993-06-29 | Esser Rene D | Surgical needle with an adjustable eye |
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 |
DE9203041U1 (en) | 1992-03-07 | 1992-05-07 | Olympus Winter & Ibe Gmbh, 2000 Hamburg, De | |
US5403328A (en) | 1992-04-22 | 1995-04-04 | United States Surgical Corporation | Surgical apparatus and method for suturing body tissue |
US5222962A (en) | 1992-04-23 | 1993-06-29 | Burkhart Stephen S | Endoscopic surgical instrument for releasably grasping a curved needle |
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 |
US5188636A (en) * | 1992-05-07 | 1993-02-23 | Ethicon, Inc. | Purse string suture instrument |
US5364409A (en) | 1992-05-08 | 1994-11-15 | Ethicon, Inc. | Endoscopic needle holder |
US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
US5152764A (en) | 1992-05-18 | 1992-10-06 | Marlowe Goble E | Femoral tunnel entry drill guide |
US5250055A (en) | 1992-06-08 | 1993-10-05 | Orthopedic Systems Inc. | Method and apparatus for tying suture to bone |
CA2094111C (en) | 1992-06-15 | 1999-02-16 | Daniel R. Lee | Suture anchoring device and method |
US5254126A (en) | 1992-06-24 | 1993-10-19 | Ethicon, Inc. | Endoscopic suture punch |
US5368606A (en) | 1992-07-02 | 1994-11-29 | Marlow Surgical Technologies, Inc. | Endoscopic instrument system |
GB2268690A (en) | 1992-07-15 | 1994-01-19 | Lopez Francisco Garcia | Vaginal autosuture device |
US5312422A (en) | 1992-07-16 | 1994-05-17 | Linvatec Corporation | Endoscopic suturing needle |
US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
US5308353A (en) | 1992-08-31 | 1994-05-03 | Merrimac Industries, Inc. | Surgical suturing device |
US5364408A (en) | 1992-09-04 | 1994-11-15 | Laurus Medical Corporation | Endoscopic suture system |
US5578044A (en) | 1992-09-04 | 1996-11-26 | Laurus Medical Corporation | Endoscopic suture system |
US5387227A (en) * | 1992-09-10 | 1995-02-07 | Grice; O. Drew | Method for use of a laparo-suture needle |
US5318579A (en) | 1992-09-21 | 1994-06-07 | Chow James C Y | Arthroscopic knot tying device |
CA2106127A1 (en) | 1992-09-23 | 1994-03-24 | Peter W.J. Hinchliffe | Instrument for closing trocar puncture wounds |
US5266075A (en) | 1992-10-05 | 1993-11-30 | Roy Clark | Tendon threader for endosteal ligament mounting |
US5292327A (en) * | 1992-10-08 | 1994-03-08 | Dodd Joseph T | Surgical knot pusher |
US5222508A (en) | 1992-10-09 | 1993-06-29 | Osvaldo Contarini | Method for suturing punctures of the human body |
US5545170A (en) | 1992-10-09 | 1996-08-13 | Innovasive Devices, Inc. | Surgical instrument |
US5334198A (en) | 1992-10-09 | 1994-08-02 | Innovasive Devices, Inc. | Surgical instrument |
US5269791A (en) | 1992-10-09 | 1993-12-14 | Ilya Mayzels | Surgical knot pushing appliance |
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 |
DE4235602A1 (en) | 1992-10-22 | 1994-04-28 | Oktay Dr Med Sevinc | Laparoscopic suture preforming instrument - has two jaws, one forked and other having inclined hole to hold needle head and also having recess to accommodate needle |
US5304185A (en) | 1992-11-04 | 1994-04-19 | Unisurge, Inc. | Needle holder |
US5562696A (en) | 1992-11-12 | 1996-10-08 | Cordis Innovasive Systems, Inc. | Visualization trocar |
US5282809A (en) * | 1992-11-16 | 1994-02-01 | Ethicon, Inc. | Endoscopic suturing device |
US5423833A (en) | 1992-11-24 | 1995-06-13 | Ethicon Endo-Surgery | Surgical suturing instrument |
US5649939A (en) | 1992-12-08 | 1997-07-22 | Reddick; Eddie J. | Laparoscopic suture introducer |
US5443509A (en) | 1992-12-10 | 1995-08-22 | Linvatec Corporation | Interference bone-fixation screw with multiple interleaved threads |
US5417699A (en) | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US6355050B1 (en) * | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US5336239A (en) | 1993-01-15 | 1994-08-09 | Gimpelson Richard J | Surgical needle |
US5522820A (en) | 1993-01-15 | 1996-06-04 | Arthrotech | Method and apparatus for suturing tissue |
US5441502A (en) | 1993-02-17 | 1995-08-15 | Mitek Surgical Products, Inc. | System and method for re-attaching soft tissue to bone |
US5374275A (en) | 1993-03-25 | 1994-12-20 | Synvasive Technology, Inc. | Surgical suturing device and method of use |
US5417701A (en) | 1993-03-30 | 1995-05-23 | Holmed Corporation | Surgical instrument with magnetic needle holder |
FR2705620B1 (en) | 1993-04-19 | 1995-07-07 | Lohr Ind | Vehicle made up of a series of modules linked together by an articulated composite link. |
US5462562A (en) | 1993-05-17 | 1995-10-31 | Henry Ford Hospital | Suture passer and method of using |
US5520703A (en) | 1993-06-07 | 1996-05-28 | Essig; Mitchell N. | Laparoscopic deschamp and associated suturing technique |
US5505735A (en) | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
WO1994028801A1 (en) | 1993-06-11 | 1994-12-22 | Karl Storz Gmbh & Co. | Suturing device |
US5632748A (en) | 1993-06-14 | 1997-05-27 | Linvatec Corporation | Endosteal anchoring device for urging a ligament against a bone surface |
US5372604A (en) | 1993-06-18 | 1994-12-13 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5327896A (en) | 1993-06-30 | 1994-07-12 | Arthrex, Inc. | Suction downbiter |
US5562687A (en) | 1993-07-12 | 1996-10-08 | Mitek Surgical Products, Inc. | Surgical repair kit and its method of use |
US5527321A (en) | 1993-07-14 | 1996-06-18 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5865835A (en) | 1993-07-21 | 1999-02-02 | Lolagne; Fritz | Forceps |
US5569269A (en) | 1993-07-26 | 1996-10-29 | Innovasive Devices, Inc. | Surgical grasping and suturing device and method |
US5496331A (en) * | 1993-07-28 | 1996-03-05 | Terumo Kabushiki Kaisha | Knot-forming instrument and method of forming knots |
US5449367A (en) | 1993-08-02 | 1995-09-12 | Kadry; Othman | Pre-tied knot for surgical use and method of using same |
US5507755A (en) | 1993-08-03 | 1996-04-16 | Origin Medsystems, Inc. | Apparatus and method for closing puncture wounds |
CA2124651C (en) | 1993-08-20 | 2004-09-28 | David T. Green | Apparatus and method for applying and adjusting an anchoring device |
US5496335A (en) * | 1993-08-25 | 1996-03-05 | Inlet Medical, Inc. | Insertable suture passing grasping probe and methodology for using same |
US6383199B2 (en) | 1993-08-25 | 2002-05-07 | Inlet Medical, Inc. | Devices for investing within ligaments for retracting and reinforcing the same |
US5899911A (en) | 1993-08-25 | 1999-05-04 | Inlet Medical, Inc. | Method of using needle-point suture passer to retract and reinforce ligaments |
US5827299A (en) | 1993-08-25 | 1998-10-27 | Inlet Medical, Inc | Insertable suture passing grasping probe and methodology for using same |
US5549613A (en) | 1993-09-15 | 1996-08-27 | Mitek Surgical Products, Inc. | Modular surgical drill |
US5573008A (en) | 1993-10-29 | 1996-11-12 | Boston Scientific Corporation | Multiple biopsy sampling coring device |
CA2131141A1 (en) | 1993-09-24 | 1995-03-25 | James A. Boucher | Ligament graft protection apparatus and method |
US5556410A (en) | 1993-09-27 | 1996-09-17 | M3 Systems, Inc. | Surgical needle with stress-relocation means |
US5569301A (en) | 1993-10-08 | 1996-10-29 | United States Surgical Corporation | Surgical incision members for endoscopic suturing apparatus |
CA2133377C (en) * | 1993-10-08 | 2004-09-14 | H. Jonathan Tovey | Surgical suturing apparatus with loading mechanism |
US5674230A (en) * | 1993-10-08 | 1997-10-07 | United States Surgical Corporation | Surgical suturing apparatus with locking mechanisms |
US5439474A (en) | 1993-10-08 | 1995-08-08 | Li Medical Technologies, Inc. | Morcellator system |
US5478344A (en) | 1993-10-08 | 1995-12-26 | United States Surgical Corporation | Surgical suturing apparatus with loading mechanism |
US5470338A (en) | 1993-10-08 | 1995-11-28 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5584835A (en) | 1993-10-18 | 1996-12-17 | Greenfield; Jon B. | Soft tissue to bone fixation device and method |
USD368776S (en) | 1993-10-19 | 1996-04-09 | Toy Frederick K | Surgical instrument for suturing |
US5618290A (en) | 1993-10-19 | 1997-04-08 | W.L. Gore & Associates, Inc. | Endoscopic suture passer and method |
US5527322A (en) | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US5397325A (en) * | 1993-11-09 | 1995-03-14 | Badiaco, Inc. | Laparoscopic suturing device |
US5423837A (en) | 1993-12-14 | 1995-06-13 | Advanced Surgical, Inc. | Surgical knot pusher |
US5376096A (en) | 1993-12-17 | 1994-12-27 | Vance Products Inc. | Medical instrument for driving a suture needle |
US5549618A (en) | 1994-01-18 | 1996-08-27 | Coral Medical | Knot tying method and apparatus |
US5501692A (en) * | 1994-01-28 | 1996-03-26 | Riza; Erol D. | Laparoscopic suture snare |
US5391173A (en) | 1994-02-10 | 1995-02-21 | Wilk; Peter J. | Laparoscopic suturing technique and associated device |
US5466243A (en) | 1994-02-17 | 1995-11-14 | Arthrex, Inc. | Method and apparatus for installing a suture anchor through a hollow cannulated grasper |
US5501688A (en) * | 1994-02-17 | 1996-03-26 | Surgical Accessories, Inc. | Surgical device for manipulating wire |
US5690677A (en) | 1994-02-17 | 1997-11-25 | Arthrex, Inc. | Method for installing a suture anchor through a cannulated tissue-shifting guide |
US5456246A (en) | 1994-02-23 | 1995-10-10 | Arthrex, Inc. | Fat pad retractor |
US5464425A (en) | 1994-02-23 | 1995-11-07 | Orthopaedic Biosystems, Ltd. | Medullary suture anchor |
CA2141911C (en) * | 1994-02-24 | 2002-04-23 | Jude S. Sauer | Surgical crimping device and method of use |
CA2145723A1 (en) * | 1994-03-30 | 1995-10-01 | Steven W. Hamblin | Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft |
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 |
US5601571A (en) * | 1994-05-17 | 1997-02-11 | Moss; Gerald | Surgical fastener implantation device |
US5607435A (en) * | 1994-05-23 | 1997-03-04 | Memory Medical Systems, Inc. | Instrument for endoscopic-type procedures |
DE4447657C2 (en) | 1994-05-28 | 1996-12-19 | Karlsruhe Forschzent | Thread for constructing surgical seam |
US5452513A (en) | 1994-06-29 | 1995-09-26 | Eric Hulsman | Suture cutter |
DE4423881C1 (en) | 1994-07-07 | 1995-10-26 | Karlsruhe Forschzent | Surgical sewing device |
US5573542A (en) | 1994-08-17 | 1996-11-12 | Tahoe Surgical Instruments-Puerto Rico | Endoscopic suture placement tool |
US5478345A (en) | 1994-08-19 | 1995-12-26 | United States Surgical Corporation | Mechanism for endoscopic suturing device |
US5520696A (en) | 1994-09-27 | 1996-05-28 | Mitek Surgical Products, Inc. | Bone anchor installation tool |
US5549636A (en) | 1994-10-05 | 1996-08-27 | Li Medical Technologies Inc. | Surgical grasper with articulated fingers |
US5431678A (en) | 1994-10-06 | 1995-07-11 | Rogers; William D. | Protective surgical sewing needle |
US5938668A (en) | 1994-10-07 | 1999-08-17 | United States Surgical | Surgical suturing apparatus |
CA2157744C (en) * | 1994-10-07 | 2005-08-23 | Charles R. Sherts | Endoscopic vascular suturing apparatus |
US5571090A (en) | 1994-10-07 | 1996-11-05 | United States Surgical Corporation | Vascular suturing apparatus |
US5480406A (en) * | 1994-10-07 | 1996-01-02 | United States Surgical Corporation | Method of employing surgical suturing apparatus to tie knots |
GB2294980B (en) | 1994-10-17 | 1997-01-22 | Nsk Ltd | Rolling bearing and its manufacture |
US5499991A (en) * | 1994-12-19 | 1996-03-19 | Linvatec Corporation | Endoscopic needle with suture retriever |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5653716A (en) | 1994-12-29 | 1997-08-05 | Acufex Microsurgical, Inc. | Suture manipulating instrument with grasping members |
US5713908A (en) * | 1995-01-09 | 1998-02-03 | Jameel; Irfan Mufty | Laparascopic suturing instrument |
US5643292A (en) | 1995-01-10 | 1997-07-01 | Applied Medical Resources Corporation | Percutaneous suturing device |
US5645552A (en) | 1995-01-11 | 1997-07-08 | United States Surgical Corporation | Surgical apparatus for suturing body tissue |
US5964773A (en) | 1995-02-15 | 1999-10-12 | Automated Medical Products, Inc. | Laparascopic suturing device and suture needles |
US5569299A (en) | 1995-03-01 | 1996-10-29 | Symbiosis Corporation | Endoscopic urological biopsy forceps |
US5665096A (en) | 1995-03-07 | 1997-09-09 | Yoon; Inbae | Needle driving apparatus and methods of suturing tissue |
US5709694A (en) * | 1995-03-22 | 1998-01-20 | Human Factors Industrial Design, Inc. | Endoscopic intracorporeal suture tying aid |
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 |
US5591180A (en) * | 1995-04-19 | 1997-01-07 | United States Surgical Corporation | Surgical suturing apparatus |
US5630825A (en) | 1995-04-27 | 1997-05-20 | De La Torre; Roger A. | Magazine for loading a needle onto a stitching instrument and for loading a length of suture onto a suture dispensing instrument |
US5540705A (en) | 1995-05-19 | 1996-07-30 | Suturtek, Inc. | Suturing instrument with thread management |
US5643266A (en) | 1995-06-05 | 1997-07-01 | Li Medical Technologies, Inc. | Method and apparatus for securing ligaments |
US5662665A (en) | 1995-06-06 | 1997-09-02 | Ludwick; Jack Rydel | Suture needle holding surgical instrument |
ATE222076T1 (en) | 1995-06-07 | 2002-08-15 | Medtronic Inc | WOUND CLOSURE DEVICE |
US5730747A (en) * | 1995-06-07 | 1998-03-24 | Smith & Nephew, Inc. | Suture passing forceps |
US6129741A (en) | 1995-06-10 | 2000-10-10 | Forschungszentrum Karlsruhe Gmbh | Surgical suturing needle |
US5814052A (en) | 1995-06-29 | 1998-09-29 | Nakao; Naomi L. | Surgical cauterization snare with ligating suture |
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 |
US5658299A (en) | 1995-07-20 | 1997-08-19 | Applied Medical Resources | Surgical ligating device and method for using same |
US5632751A (en) | 1995-07-28 | 1997-05-27 | Piraka; Hadi A. | Surgical suturing device |
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 |
US5860990A (en) * | 1995-08-24 | 1999-01-19 | Nr Medical, Inc. | Method and apparatus for suturing |
US5667526A (en) | 1995-09-07 | 1997-09-16 | Levin; John M. | Tissue retaining clamp |
US5728112A (en) * | 1995-09-22 | 1998-03-17 | Yoon; Inbae | Combined tissue clamping and suturing instrument |
US5797927A (en) | 1995-09-22 | 1998-08-25 | Yoon; Inbae | Combined tissue clamping and suturing instrument |
US5707379A (en) * | 1995-10-20 | 1998-01-13 | Coral Medical | Method and apparatus for intracorporeal suturing |
US5681333A (en) | 1995-11-08 | 1997-10-28 | Arthrex, Inc. | Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment |
US5843084A (en) | 1995-11-17 | 1998-12-01 | Innovasive Devices, Inc. | Surgical fastening system and method for using the same |
US5827298A (en) | 1995-11-17 | 1998-10-27 | Innovasive Devices, Inc. | Surgical fastening system and method for using the same |
US5824009A (en) | 1995-12-06 | 1998-10-20 | Kabushiki Kaisha Matsutani Seisakusho | Guide instrument for a medical needle with thread |
US5817107A (en) | 1995-12-28 | 1998-10-06 | Schaller; Guenter | Grasping instrument with a guided-on, attachable modified knot pusher |
US5662658A (en) * | 1996-01-19 | 1997-09-02 | Mitek Surgical Products, Inc. | Bone anchor inserter, method for loading same, method for holding and delivering a bone anchor, and method for inserting a bone anchor in a bone |
US5693071A (en) | 1996-01-23 | 1997-12-02 | United States Surgical Corporation | Tapered surgical needles and surgical incision members |
US5860992A (en) * | 1996-01-31 | 1999-01-19 | Heartport, Inc. | Endoscopic suturing devices and methods |
US5697950A (en) | 1996-02-07 | 1997-12-16 | Linvatec Corporation | Pre-loaded suture anchor |
US5728135A (en) * | 1996-02-09 | 1998-03-17 | Ethicon, Inc. | Stiffened suture for use in a suturing device |
US5693061A (en) | 1996-02-23 | 1997-12-02 | Pierce; Javin C. | Knot puller instrument for use with surgical suture in tying surgical knots |
EP0792621A1 (en) | 1996-02-29 | 1997-09-03 | Munir Dr. Uwaydah | Cannulated clamp |
US5755728A (en) | 1996-03-07 | 1998-05-26 | Maki; Neil J. | Suture apparatus with loop end portions |
US5817111A (en) | 1996-03-28 | 1998-10-06 | Riza; Erol D. | Open loop suture snare |
US5868749A (en) | 1996-04-05 | 1999-02-09 | Reed; Thomas M. | Fixation devices |
US5752964A (en) | 1996-04-16 | 1998-05-19 | Mericle; Robert W. | Surgical knot pusher with flattened spatulated tip |
US5733293A (en) | 1996-05-08 | 1998-03-31 | United States Surgical Corporation | Disposable loading unit for a vascular suturing instrument |
US5746753A (en) | 1996-05-13 | 1998-05-05 | Boston Scientific Corporation | Needle grasping apparatus |
IL119151A0 (en) | 1996-06-10 | 1996-11-14 | Influence Med Tech Ltd | Surgical suture insertion device and method for treatment of urinary stress incontinence using fixation to bone |
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 |
US5925064A (en) | 1996-07-01 | 1999-07-20 | University Of Massachusetts | Fingertip-mounted minimally invasive surgical instruments and methods of use |
US5782862A (en) | 1996-07-01 | 1998-07-21 | Bonutti; Peter M. | Suture anchor inserter assembly and method |
US5951559A (en) | 1996-07-25 | 1999-09-14 | Arthrex, Inc. | Method for installing a threaded suture anchor with a cannulated suture anchor drill guide |
US5810848A (en) | 1996-08-21 | 1998-09-22 | Hayhurst; John O. | Suturing system |
US5814054A (en) | 1996-09-23 | 1998-09-29 | Symbiosis Corporation | Automatic needle-passer suturing instrument |
US5735862A (en) | 1996-09-23 | 1998-04-07 | Jennings; Erwin Reeves | Semi-automatic suturing and sewing device |
ES2511290T3 (en) | 1996-10-04 | 2014-10-22 | Covidien Lp | Tissue cutting instrument |
US5897572A (en) | 1996-10-11 | 1999-04-27 | Cornell Research Foundation, Inc. | Microsurgical suture needle |
US5766183A (en) | 1996-10-21 | 1998-06-16 | Lasersurge, Inc. | Vascular hole closure |
US5759188A (en) | 1996-11-27 | 1998-06-02 | Yoon; Inbae | Suturing instrument with rotatably mounted needle driver and catcher |
US5993467A (en) | 1996-11-27 | 1999-11-30 | Yoon; Inbae | Suturing instrument with rotatably mounted spreadable needle holder |
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 |
US6159224A (en) | 1996-11-27 | 2000-12-12 | Yoon; Inbae | Multiple needle suturing instrument and method |
US5984932A (en) | 1996-11-27 | 1999-11-16 | Yoon; Inbae | Suturing instrument with one or more spreadable needle holders mounted for arcuate movement |
US5766186A (en) | 1996-12-03 | 1998-06-16 | Simon Fraser University | Suturing device |
US5843100A (en) | 1996-12-20 | 1998-12-01 | Garfield Development Corporation | Suture needle grasping and manipulating device |
US5800447A (en) | 1997-01-03 | 1998-09-01 | Mitek Surgical Products, Inc. | Suture threader assembly, suture anchor assembly, and method for threading suture |
US6149658A (en) | 1997-01-09 | 2000-11-21 | Coalescent Surgical, Inc. | Sutured staple surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery |
US5879371A (en) | 1997-01-09 | 1999-03-09 | Elective Vascular Interventions, Inc. | Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery |
US6074401A (en) | 1997-01-09 | 2000-06-13 | Coalescent Surgical, Inc. | Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery |
US5928252A (en) | 1997-01-21 | 1999-07-27 | Regen Biologics, Inc. | Device and method for driving a needle and meniscal repair |
FR2758975B1 (en) | 1997-02-05 | 1999-04-30 | Ethnor | MATERIAL FOR FIXING A TENDON OF MUSCLE ON A BONE |
DE19704580C2 (en) | 1997-02-07 | 1999-04-01 | Storz Karl Gmbh & Co | Surgical thread cutter |
US5918604A (en) | 1997-02-12 | 1999-07-06 | Arthrex, Inc. | Method of loading tendons into the knee |
US5830220A (en) | 1997-03-13 | 1998-11-03 | Wan; Shaw P. | Suturing instrument |
US5776152A (en) | 1997-03-13 | 1998-07-07 | Sekons; David H. | Intracorporeal ligature device |
US5947982A (en) | 1997-04-02 | 1999-09-07 | Smith & Nephew, Inc. | Suture-passing forceps |
US5871490A (en) * | 1997-04-08 | 1999-02-16 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
US5814069A (en) | 1997-04-08 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Load assist device for a suture cartridge |
US5846254A (en) | 1997-04-08 | 1998-12-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
US5897564A (en) | 1997-04-08 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Endoscopic instrument assembly for fastening tissue |
US5904692A (en) | 1997-04-14 | 1999-05-18 | Mitek Surgical Products, Inc. | Needle assembly and method for passing suture |
US6126666A (en) | 1997-04-14 | 2000-10-03 | Forschungszcutrum Karlsruhe Gmbh | Device for inserting a surgical suture needle into an endoscopic suture apparatus |
US5908426A (en) | 1997-04-24 | 1999-06-01 | Pierce; Javin | Suture needle manipulator |
US5893878A (en) | 1997-04-24 | 1999-04-13 | Pierce; Javin | Micro traumatic tissue manipulator apparatus |
US6080180A (en) | 1997-05-01 | 2000-06-27 | Yoon; Inbae | Surgical instrument with rotatably mounted offset end effector and method of using the same |
US6017358A (en) * | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
US6126665A (en) | 1997-05-01 | 2000-10-03 | Yoon; Inbae | Surgical instrument with arcuately movable offset end effectors and method of using the same |
US6143005A (en) | 1997-05-01 | 2000-11-07 | Yoon; Inbae | Suturing instrument with rotatably mounted offset needle holder and method of using the same |
US6004332A (en) | 1997-05-01 | 1999-12-21 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted offset needle holders and method of using the same |
US5941439A (en) | 1997-05-14 | 1999-08-24 | Mitek Surgical Products, Inc. | Applicator and method for deploying a surgical fastener in tissue |
US5908428A (en) * | 1997-05-27 | 1999-06-01 | United States Surgical Corporation | Stitching devices for heart valve replacement surgery |
US5876412A (en) * | 1997-06-06 | 1999-03-02 | Piraka; Hadi A. | Surgical suturing device |
FR2764500B1 (en) * | 1997-06-16 | 1999-09-03 | Soprane Sa | APPLICATOR FOR THE PLACEMENT OF A SURGICAL NEEDLE |
US5895395A (en) * | 1997-07-17 | 1999-04-20 | Yeung; Teresa T. | Partial to full thickness suture device & method for endoscopic surgeries |
US5910148A (en) | 1997-08-06 | 1999-06-08 | Mitek Surgical Products, Inc. | Suture retrograder |
US6024750A (en) | 1997-08-14 | 2000-02-15 | United States Surgical | Ultrasonic curved blade |
US5833697A (en) | 1997-08-26 | 1998-11-10 | Ludwick; Jack R. | Suture needle holding surgical instrument |
AT408832B (en) * | 1997-09-09 | 2002-03-25 | Werner Ing Fuchs | SURGICAL SEWING PLIERS |
US5954732A (en) | 1997-09-10 | 1999-09-21 | Hart; Charles C. | Suturing apparatus and method |
US6059800A (en) | 1997-09-10 | 2000-05-09 | Applied Medical Resources Corporation | 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 |
US5895393A (en) | 1997-09-23 | 1999-04-20 | Pagedas; Anthony C. | Suture lock holder |
US5897563A (en) | 1997-10-08 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Method for using a needle holder to assist in suturing |
US5951587A (en) | 1997-10-09 | 1999-09-14 | Ethicon-Endo-Surgery, Inc. | Needle holder with suture filament grasping abilities |
US6068647A (en) | 1997-10-10 | 2000-05-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm tissue pad |
DE19747154C1 (en) | 1997-10-24 | 1999-03-04 | Karlsruhe Forschzent | Surgical needle insertion implement |
US6139556A (en) | 1997-10-29 | 2000-10-31 | X-Site, L.L.C. | Device and method for suturing blood vessels and the like |
US6517552B1 (en) * | 1997-10-29 | 2003-02-11 | Arthrex, Inc. | Suture retriever |
FR2770125B1 (en) | 1997-10-29 | 2005-02-25 | Arthrex Inc | SUTURE RECOVERY INSTRUMENT |
US5944724A (en) | 1997-10-30 | 1999-08-31 | Mitek Surgical Products, Inc. | Suture anchor insertion system |
US6010513A (en) * | 1997-11-26 | 2000-01-04 | Bionx Implants Oy | Device for installing a tissue fastener |
US5928268A (en) | 1997-12-18 | 1999-07-27 | Tyco Group S.A.R.L. | Curved surgical needles and method of making the same |
US5919199A (en) | 1998-01-14 | 1999-07-06 | Mers Kelly; William Charles | Suture device |
JPH11216145A (en) | 1998-02-04 | 1999-08-10 | Manii Kk | Guide for surgical needle with suture |
AU744956B2 (en) | 1998-03-20 | 2002-03-07 | Boston Scientific Limited | Endoscopic suture systems |
US5931844A (en) | 1998-03-31 | 1999-08-03 | Smith & Nephew, Inc. | Surgical drive tool |
US6086601A (en) | 1998-04-29 | 2000-07-11 | Yoon; Inbae | Instrument and method for suturing anatomical tissue and tying suture material |
US6117114A (en) | 1998-05-07 | 2000-09-12 | Paradis; Joseph R. | Swabbable needleless valve adaptations |
US6045561A (en) | 1998-06-23 | 2000-04-04 | Orthopaedic Biosystems Ltd., Inc. | Surgical knot manipulator |
IT1301986B1 (en) | 1998-07-31 | 2000-07-20 | Valerio Cigaina | LAPAROSCOPIC FORCEPS FOR SUTURE. |
US6143004A (en) | 1998-08-18 | 2000-11-07 | Atrion Medical Products, Inc. | Suturing device |
US6146387A (en) | 1998-08-26 | 2000-11-14 | Linvatec Corporation | Cannulated tissue anchor system |
US6332889B1 (en) | 1998-08-27 | 2001-12-25 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6200329B1 (en) * | 1998-08-31 | 2001-03-13 | Smith & Nephew, Inc. | Suture collet |
US6217592B1 (en) | 1998-10-06 | 2001-04-17 | Vincent Freda | Laproscopic instrument for suturing tissue |
US6099538A (en) | 1999-02-02 | 2000-08-08 | T.A.G. Medical Products | Set of surgical tools and surgical method for connecting soft bone parts to one another or to connective tissue |
US6136010A (en) | 1999-03-04 | 2000-10-24 | Perclose, Inc. | Articulating suturing device and method |
US6071289A (en) | 1999-03-15 | 2000-06-06 | Ethicon Endo-Surgery, Inc. | Surgical device for suturing tissue |
US6051006A (en) | 1999-04-12 | 2000-04-18 | Smith & Nephew, Inc. | Suture-passing forceps |
US6723107B1 (en) | 1999-04-19 | 2004-04-20 | Orthopaedic Biosystems Ltd. | Method and apparatus for suturing |
US6096060A (en) | 1999-05-20 | 2000-08-01 | Linvatec Corporation | Bioabsorbable threaded soft tissue anchor system |
IL130307A0 (en) * | 1999-06-04 | 2000-06-01 | Influence Med Tech Ltd | Bone suturing device |
US6599309B1 (en) | 1999-09-09 | 2003-07-29 | Tnco, Inc. | Pin-less surgical instrument |
US6358258B1 (en) * | 1999-09-14 | 2002-03-19 | Abbott Laboratories | Device and method for performing end-to-side anastomosis |
US6679895B1 (en) * | 1999-11-05 | 2004-01-20 | Onux Medical, Inc. | Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue |
US6623492B1 (en) | 2000-01-25 | 2003-09-23 | Smith & Nephew, Inc. | Tissue fastener |
US6616674B2 (en) | 2000-03-14 | 2003-09-09 | Arthrex, Inc. | Notched suture hook |
US6533795B1 (en) | 2000-04-11 | 2003-03-18 | Opus Medical, Inc | Dual function suturing apparatus and method |
AU2001253899B2 (en) | 2000-04-18 | 2005-08-18 | Orthopaedic Biosystems Ltd., Inc. | Method and apparatus for suturing |
FR2807934B1 (en) | 2000-04-21 | 2002-07-26 | Soprane Sa | IMPROVEMENTS FOR APPLICATOR ALLOWING THE SETTING UP IN THE OPERATING SITE OF SURGICAL NEEDLES |
JP3791893B2 (en) | 2000-04-27 | 2006-06-28 | オリンパス株式会社 | Surgical instrument |
US6475135B1 (en) | 2000-05-25 | 2002-11-05 | Urogyn Ltd. | Finger-guided suture device |
EP1303218A1 (en) | 2000-06-14 | 2003-04-23 | Sterilis, Inc. | Suturing method and apparatus |
US6485504B1 (en) | 2000-06-22 | 2002-11-26 | James A. Magovern | Hard or soft tissue closure |
US6536813B2 (en) | 2000-07-10 | 2003-03-25 | Asyst Technologies, Inc. | SMIF container latch mechanism |
US6921361B2 (en) * | 2000-07-24 | 2005-07-26 | Olympus Corporation | Endoscopic instrument for forming an artificial valve |
US6443963B1 (en) | 2000-07-26 | 2002-09-03 | Orthopaedic Biosystems, Ltd. | Apparatus and method for repairing or reattaching soft tissue |
EP1178445A1 (en) | 2000-07-31 | 2002-02-06 | Alcatel | Method for performing short-range wireless transactions between an hybrid wireless terminal and a service terminal |
US6551330B1 (en) | 2000-09-21 | 2003-04-22 | Opus Medical, Inc. | Linear suturing apparatus and methods |
US6599298B1 (en) | 2000-10-23 | 2003-07-29 | Vitalitec International, S.A. | Automatic surgical clip applier |
US7029480B2 (en) | 2001-01-24 | 2006-04-18 | Abott Laboratories | Device and method for suturing of internal puncture sites |
US6638283B2 (en) | 2001-01-26 | 2003-10-28 | Raymond Thal | Surgical suture passer |
US20020103494A1 (en) | 2001-01-31 | 2002-08-01 | Pacey John Allen | Percutaneous cannula delvery system for hernia patch |
US7842050B2 (en) * | 2001-02-26 | 2010-11-30 | Diduch David R | Suture passing devices |
US6454777B1 (en) | 2001-02-27 | 2002-09-24 | David T. Green | Apparatus and method for suturing a blood vessel |
EP1243221B1 (en) | 2001-03-23 | 2008-12-03 | Arthrex Inc | Instrument for passing a suture in arthroscopic tissue repair procedures |
US6595911B2 (en) | 2001-04-03 | 2003-07-22 | Lovuolo Michael | Method and device for anchor implantation and support of bodily structures |
JP4261814B2 (en) | 2001-04-04 | 2009-04-30 | オリンパス株式会社 | Tissue puncture system |
US6997932B2 (en) | 2001-05-21 | 2006-02-14 | Boston Scientific Scimed, Inc. | Suture passer |
US7615059B2 (en) * | 2001-05-30 | 2009-11-10 | Ams Research Corporation | Surgical suture passers and methods |
US6605096B1 (en) | 2001-07-20 | 2003-08-12 | Opus Medical Inc, | Percutaneous suturing apparatus and method |
US7112208B2 (en) | 2001-08-06 | 2006-09-26 | Morris John K | Compact suture punch with malleable needle |
US20040249394A1 (en) | 2001-08-06 | 2004-12-09 | Arthrex, Inc. | Compact suture punch with malleable needle |
US6719764B1 (en) | 2001-08-24 | 2004-04-13 | Scimed Life Systems, Inc. | Forward deploying suturing device and methods of use |
US7377926B2 (en) * | 2001-10-01 | 2008-05-27 | Depuy Mitek, Inc. | Suturing apparatus and method |
US7118583B2 (en) | 2001-10-23 | 2006-10-10 | Arthrex, Inc. | Meniscal suturing instrument and method |
US6893448B2 (en) | 2001-10-23 | 2005-05-17 | Arthrex, Inc. | Endoscopic capsular suture plication instrument and method |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
US6743241B2 (en) | 2002-03-01 | 2004-06-01 | Intellimed Surgical Solutions Llc | Laparoscopic port site fascial closure device |
US6921408B2 (en) | 2002-03-12 | 2005-07-26 | Lsi Solutions, Inc. | Apparatus for sewing tissue and method of use |
US7585305B2 (en) | 2002-05-15 | 2009-09-08 | Arthrex, Inc. | Suture passing instrument |
US6984237B2 (en) * | 2002-05-22 | 2006-01-10 | Orthopaedic Biosystems Ltd., Inc. | Suture passing surgical instrument |
EP1511429B1 (en) | 2002-06-12 | 2009-07-22 | Boston Scientific Limited | Suturing instruments |
US6770084B1 (en) | 2002-06-26 | 2004-08-03 | Opus Medical, Inc. | Suture capture device |
USD523554S1 (en) | 2002-09-25 | 2006-06-20 | Depuy Mitek, Inc. | Suture needle |
US20040073254A1 (en) | 2002-10-08 | 2004-04-15 | Jeffrey Wyman | Suture retriever with in-line actuating handle |
US20040127915A1 (en) | 2002-12-30 | 2004-07-01 | Fleenor Richard P. | Suture hoop system |
US8066718B2 (en) | 2003-03-18 | 2011-11-29 | Depuy Mitek, Inc. | Expandable needle suture apparatus and associated handle assembly |
US8585714B2 (en) | 2003-03-18 | 2013-11-19 | Depuy Mitek, Llc | Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system |
US7105000B2 (en) | 2003-03-25 | 2006-09-12 | Ethicon Endo-Surgery, Inc. | Surgical jaw assembly with increased mechanical advantage |
US7166116B2 (en) | 2003-06-23 | 2007-01-23 | Ethicon, Inc. | Tissue grasper/suture passer instrument |
US7699857B2 (en) | 2003-07-07 | 2010-04-20 | Andrew Kim | Hydrodynamic suture passer |
US20050240219A1 (en) | 2004-04-22 | 2005-10-27 | Henry Kahle | Peripheral vascular occlusion devices |
US20050251178A1 (en) | 2004-05-03 | 2005-11-10 | Tirabassi Michael V | Hooked rod delivery system for use in minimally invasive surgery |
DE602005010442D1 (en) | 2004-08-16 | 2008-11-27 | Zimmer Spine Inc | SPIRAL SEWING DEVICE |
EP1909655A2 (en) | 2005-06-20 | 2008-04-16 | Sutura, Inc. | Method and apparatus for applying a knot to a suture |
US20070016249A1 (en) | 2005-07-14 | 2007-01-18 | Reznik Alan M | Suture device |
US9271720B2 (en) | 2005-08-11 | 2016-03-01 | Biomet Sports Medicine, Llc | Steerable suture passing device |
JP4415103B2 (en) | 2005-08-12 | 2010-02-17 | 有限会社リバー精工 | Suture extractor for living body suturing device |
US20070118152A1 (en) | 2005-11-21 | 2007-05-24 | Page Thomas C | Surgical suture passer |
US20070156172A1 (en) | 2006-01-03 | 2007-07-05 | Alfredo Alvarado | Multipurpose knot pusher |
US8105355B2 (en) | 2006-05-18 | 2012-01-31 | C.R. Bard, Inc. | Suture lock fastening device |
US20080027468A1 (en) | 2006-07-27 | 2008-01-31 | Axya Medical Inc. | Suture needle, suture needle/suture assembly and suture passer device |
JP4536698B2 (en) | 2006-10-05 | 2010-09-01 | 日本シャーウッド株式会社 | Medical suture tool |
SG142199A1 (en) | 2006-11-06 | 2008-05-28 | Pang Ah San | Suturing device |
JP4584230B2 (en) | 2006-11-14 | 2010-11-17 | オリンパスメディカルシステムズ株式会社 | Clip device |
US20080154286A1 (en) | 2006-12-21 | 2008-06-26 | Ryan Abbott | Systems and Methods for Treating Septal Defects with Capture Devices and Other Devices |
WO2008130656A1 (en) | 2007-04-20 | 2008-10-30 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum of a hip joint |
US8808313B2 (en) | 2007-07-12 | 2014-08-19 | Linvatec Corporation | Suture passing and retrieval device |
EP2033583B1 (en) | 2007-08-27 | 2013-03-13 | Arthrex, Inc. | In-line suture passer |
US8888795B2 (en) | 2007-09-07 | 2014-11-18 | Boston Scientific Scimed, Inc. | Suture passer |
WO2009039513A1 (en) | 2007-09-20 | 2009-03-26 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum of a hip joint |
US20090082788A1 (en) | 2007-09-25 | 2009-03-26 | Elmaraghy Amr | Suture management method and apparatus |
US20090131956A1 (en) | 2007-11-08 | 2009-05-21 | Jonathan Dewey | Method and apparatus for passing suture through the labrum of a hip joint in order to secure the labrum to the acetabulum |
US8252021B2 (en) | 2007-11-16 | 2012-08-28 | Microline Surgical, Inc. | Fenestrated super atraumatic grasper apparatus |
US8409230B2 (en) | 2008-05-08 | 2013-04-02 | Pivot Medical, Inc. | Method and apparatus for performing arthroscopic microfracture surgery |
ES2439586T3 (en) | 2008-05-13 | 2014-01-23 | Smith & Nephew Orthopaedics Ag | Highly cross-linked oxidation resistant UHMWPE |
US20100042117A1 (en) | 2008-08-13 | 2010-02-18 | Kim Andrew C | Suture passer |
US20100198235A1 (en) | 2008-09-29 | 2010-08-05 | Javin Cedric Pierce | Surgical suture passer and method for passing suture |
BRPI0917035A2 (en) | 2008-12-04 | 2019-09-24 | Pivot Medical Inc | "telescope access cannula, telescope shutter, system, method for providing an access corridor from a first off-site location to a second on-site location" |
EP2408402B1 (en) | 2009-03-17 | 2020-05-06 | Stryker Corporation | Joint-spacing balloon catheter |
US9198664B2 (en) | 2009-04-01 | 2015-12-01 | Sentreheart, Inc. | Tissue ligation devices and controls therefor |
US8469974B2 (en) | 2009-07-15 | 2013-06-25 | Pivot Medical, Inc. | Method and apparatus for treating a hip joint, including the provision and use of a novel suture passer |
DE102010006201B4 (en) | 2010-01-29 | 2012-04-19 | Richard Wolf Gmbh | Medical gripping instrument |
US8460322B2 (en) | 2010-03-31 | 2013-06-11 | Siesta Medical, Inc. | Suture passer systems and methods for tongue or other tissue suspension and compression |
CN201930033U (en) | 2010-12-23 | 2011-08-17 | 徐生源 | Hitching and tying apparatus for suture |
US8556916B2 (en) | 2011-02-14 | 2013-10-15 | Smith & Nephew, Inc. | Method and device for suture manipulation |
US8591527B2 (en) | 2011-04-25 | 2013-11-26 | Smith & Nephew, Inc. | Suture passer with suture capturing articulating jaw at distal end for suturing in arthroscopic surgery |
US20130035700A1 (en) | 2011-08-04 | 2013-02-07 | Suture Ease, LLC | Dual insufflation and wound closure devices and methods |
US8945174B2 (en) | 2011-08-15 | 2015-02-03 | Intuitive Surgical Operations, Inc. | Medical instrument with flexible jaw mechanism |
GB2514505B (en) | 2012-02-07 | 2016-07-06 | Arthrocare Corp | Surgical instrument for manipulating and passing suture |
US9801624B2 (en) | 2012-12-28 | 2017-10-31 | Cook Medical Technologies Llc | Surgical suture device and methods of using the same |
-
2002
- 2002-05-22 US US10/151,812 patent/US6984237B2/en not_active Expired - Fee Related
-
2003
- 2003-05-19 CA CA002483089A patent/CA2483089A1/en not_active Abandoned
- 2003-05-19 AT AT03729034T patent/ATE452583T1/en not_active IP Right Cessation
- 2003-05-19 AU AU2003233597A patent/AU2003233597B2/en not_active Ceased
- 2003-05-19 WO PCT/US2003/015863 patent/WO2003099136A1/en active Application Filing
- 2003-05-19 DE DE60330662T patent/DE60330662D1/en not_active Expired - Lifetime
- 2003-05-19 EP EP03729034A patent/EP1505910B1/en not_active Expired - Lifetime
- 2003-05-19 JP JP2004506664A patent/JP4476119B2/en not_active Expired - Fee Related
-
2005
- 2005-06-24 US US11/165,163 patent/US8690898B2/en active Active
- 2005-08-08 US US11/198,367 patent/US20060020273A1/en not_active Abandoned
-
2014
- 2014-03-07 US US14/201,405 patent/US10052098B2/en not_active Expired - Fee Related
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE245576C (en) * | ||||
US1815725A (en) * | 1930-02-03 | 1931-07-21 | George P Pilling & Son Company | Suture forceps |
US2213830A (en) * | 1938-12-10 | 1940-09-03 | Anastasi John Joseph | Suturing and ligating instrument |
EP0136262A2 (en) * | 1983-09-13 | 1985-04-03 | Fritz Gegauf Ag Bernina-Nähmaschinenfabrik | Surgical instrument, in particular hysterectome |
US5935149A (en) | 1995-06-07 | 1999-08-10 | Smith & Nephew Inc. | Suturing tissue |
US5843099A (en) * | 1997-01-16 | 1998-12-01 | Bei Medical Systems, Inc. | Single system ligature carrier and tissue clamp for sacrospinous colpopexy |
US20020065526A1 (en) * | 2000-11-28 | 2002-05-30 | Ran Oren | Suturing instrument and method |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10052098B2 (en) | 2002-05-22 | 2018-08-21 | Orthopaedic Biosystems Ltd., Inc. | Suture passing surgical instrument |
JP2008503263A (en) * | 2004-06-16 | 2008-02-07 | スミス アンド ネフュー インコーポレーテッド | Suture threader |
US8986343B2 (en) | 2004-06-16 | 2015-03-24 | Smith & Nephew | Suture passing |
US9861355B2 (en) | 2004-06-16 | 2018-01-09 | Smith & Nephew, Inc. | Suture passing |
US9888915B2 (en) | 2011-02-14 | 2018-02-13 | Smith & Nephew, Inc. | Method and device for suture removal |
US10765420B2 (en) | 2014-04-24 | 2020-09-08 | Smith & Nephew, Inc. | Suture passer |
US10682133B2 (en) | 2016-10-31 | 2020-06-16 | Smith & Nephew, Inc. | Suture passer and grasper instrument and method |
Also Published As
Publication number | Publication date |
---|---|
AU2003233597B2 (en) | 2009-02-26 |
DE60330662D1 (en) | 2010-02-04 |
US20030220658A1 (en) | 2003-11-27 |
US8690898B2 (en) | 2014-04-08 |
US10052098B2 (en) | 2018-08-21 |
US20050234479A1 (en) | 2005-10-20 |
US20140371790A1 (en) | 2014-12-18 |
US6984237B2 (en) | 2006-01-10 |
EP1505910A1 (en) | 2005-02-16 |
CA2483089A1 (en) | 2003-12-04 |
JP4476119B2 (en) | 2010-06-09 |
US20060020273A1 (en) | 2006-01-26 |
ATE452583T1 (en) | 2010-01-15 |
JP2005525902A (en) | 2005-09-02 |
AU2003233597A1 (en) | 2003-12-12 |
EP1505910B1 (en) | 2009-12-23 |
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