US20070179509A1 - Medical Suturing Device - Google Patents

Medical Suturing Device Download PDF

Info

Publication number
US20070179509A1
US20070179509A1 US11/613,937 US61393706A US2007179509A1 US 20070179509 A1 US20070179509 A1 US 20070179509A1 US 61393706 A US61393706 A US 61393706A US 2007179509 A1 US2007179509 A1 US 2007179509A1
Authority
US
United States
Prior art keywords
retrieval
distal tip
needle
hollow tube
puncture needle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/613,937
Other languages
English (en)
Inventor
Katsumi Nagata
Ichiro Kitani
Shigeaki Funamura
Yoshihiro Wada
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Nippon Covidien Ltd
Tyco Healthcare Group LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nippon Covidien Ltd, Tyco Healthcare Group LP filed Critical Nippon Covidien Ltd
Assigned to NIPPON SHERWOOD MEDICAL INDUSTRIES, LTD. reassignment NIPPON SHERWOOD MEDICAL INDUSTRIES, LTD. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: FUNAMURA, SHIGEAKI, NAGATA, KATSUKI, KITANI, ICHIRO, WADA, YOSHIHIRO
Assigned to TYCO HEALTHCARE GROUP LP reassignment TYCO HEALTHCARE GROUP LP ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: NIPPON SHERWOOD MEDICAL INDUSTRIES LTD.
Publication of US20070179509A1 publication Critical patent/US20070179509A1/en
Assigned to TYCO HEALTHCARE GROUP LP reassignment TYCO HEALTHCARE GROUP LP NUNC PRO TUNC ASSIGNMENT (SEE DOCUMENT FOR DETAILS). Assignors: NIPPON SHERWOOD MEDICAL INDUSTRIES LTD.
Priority to US12/826,114 priority Critical patent/US8672955B2/en
Assigned to COVIDIEN LP reassignment COVIDIEN LP CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: TYCO HEALTHCARE GROUP LP
Abandoned legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle

Definitions

  • the present invention generally relates to a medical suturing device for suturing a suture site in a patient's body.
  • a medical suturing device has been used to anchor by suturing a suture site in a patient's body, particularly a suture site comprising the skin and internal organs.
  • fluid food and drinks such as fluid food and nutrients
  • a gastrostomy tube for those persons whose ability to ingest food from the mouth by their own strength has been reduced due to old age or illness; such a gastrostomy tube is attached by forming a hole in the patient's abdominal wall.
  • the abdominal wall and stomach wall must be anchored using a medical suturing device in order to properly attach the gastrostomy tube, as shown for example in Japanese Kokai Patent Application No. Hei 5[1993] 161655 (JP5161655).
  • This medical suturing device is provided with two puncturing needles disposed in parallel while maintaining a gap, and when used for suturing, first the two puncturing needles are led to simultaneously puncture the patient's suture site. Then a suture is passed through one of the puncturing needles, while an internal needle, the distal tip of which is connected to a loop member structured from wire, is passed through the other puncturing needle, and the internal needle is drawn out of the puncturing needle in a condition where the loop member has grasped the suture. The two puncturing needles are then drawn out of the patient, and both ends of the suture projecting from the patient's body are tied together, thus accomplishing the suture.
  • the distal tip of the puncturing needle through which the internal needle is inserted faces the side of the distal tip aperture formed in a bend, and by this means, when the internal needle is pressed within the puncturing needle, the loop member is extended laterally and projected outward, such that it can grasp the suture.
  • the size of the loop body has to be increased to match this interval. In this case, it becomes impossible to form a loop body of sufficient size unless a wide space is occupied within the organ. This results in the problem of the impossibility of reliable engagement of the loop body and the suture.
  • a medical suturing device generally comprises a retrieval puncturing needle having a retrieval through-hole extending from a proximal end to a distal tip.
  • a retrieval member that can be inserted through said retrieval through-hole of said retrieval puncturing needle has an annular engagement member which is elastically deformable into a straight shape and a rod member that is connected to said annular engagement member.
  • An insertion puncture needle having a through-hole extending from a proximal end to a distal tip is disposed substantially parallel to said retrieval puncturing needle, maintaining a predetermined interval therebetween.
  • a hollow tube that can be inserted within the through-hole of said insertion puncture needle comprises a distal tip portion having an arc shaped region elastically deformable into a straight shape.
  • the suturing device also includes a suture that can be inserted into the aforementioned hollow tube.
  • FIG. 1 is an oblique view showing the medical suturing device of an embodiment of the present invention
  • FIG. 2 is an oblique view showing the condition wherein the suture of the medical suturing device shown in FIG. 1 is engaged by the annular engagement member;
  • FIG. 3 is a cross section shown the condition wherein the medical suturing device is inserted into the abdomen of a patient;
  • FIG. 4 is a cross sectional enlargement of the part of the medical suturing device of FIG. 3 that punctures the abdomen;
  • FIG. 5 is a cross section (a) showing a condition where the annular engagement member and hollow tube are projecting from the apex of the medical suturing device; a side view (b), showing the annular engagement member; and a side view (c) showing the hollow tube;
  • FIG. 6 is a cross section showing an enlargement of the section of the annular engagement member and hollow tube of FIG. 5 ;
  • FIG. 7 is a cross section showing the condition where the suture projecting from the hollow tube enters within the annular engagement member
  • FIG. 8 is a cross sectional enlargement of the part of the suture projecting from the hollow tube and the annular engagement member of FIG. 7 ;
  • FIG. 9 is a side view showing a condition from the side of the part of the suture projecting from the hollow tube and the annular engagement member of FIG. 7 ;
  • FIG. 10 is a cross section showing a condition where the suture is engaged by the annular engagement member
  • FIG. 11 is a cross section showing an enlargement of the part where the suture is engaged by the annular engagement member in FIG. 10 ;
  • FIG. 12 is a cross section showing a condition where the medical suturing device is being removed from the abdomen
  • FIG. 13 is a cross section showing a condition where both ends of the suture have been cut.
  • FIG. 14 is a cross section showing a condition where the suture is completed.
  • FIGS. 1 and 2 shows a medical suturing device 10 that pertains to the same working mode.
  • the medical suturing device 10 is structured from a lower supporter 12 and upper supporter 11 that structure the invented supporter, a pair of puncturing needles comprising insertion puncture needle 13 and retrieval puncturing needle 14 that can be removably attached to upper supporter 11 and lower supporter 12 , a retrieval member 15 that can be inserted through retrieval puncturing needle 14 , a hollow tube 16 within insertion puncture needle 13 , and suture 17 that can be inserted through hollow tube 16 .
  • the upper supporter 11 and lower supporter 12 are respectively molded objects of resin materials, the upper supporter 11 is formed in a roughly square plate shape with corners cut away to form curved surfaces, and the lower supporter 12 is formed in a roughly rectangular plate shape with corners cut away to form curved surfaces.
  • the circular support holes 11 a and 11 b have been formed so as to sit astride the central point of upper supporter 11 at a fixed distance, and circular support holes 12 a and 12 b have been formed in both sides of lower supporter 12 along the longitudinal axis, maintaining the same interval as support holes 11 a and 11 b.
  • the insertion puncture needle 13 is structured as a tubular body of stainless steel, having a through-hole 13 a (see FIG. 4 ) and a gripper 18 made of resin attached to a proximal end (upper end).
  • the gripper 18 is formed as a cylinder for which the upper side has a major diameter and the lower side has a minor diameter, within which is formed a guide hole 18 a that connects with through-hole 13 a.
  • the guide hole 18 a is formed with a minor diameter on the lower part and a major diameter on the upper part along the peripheral surface of gripper 18 , thus facilitating insertion of hollow tube 16 within through-hole 13 a of insertion puncture needle 13 from the top of gripper 18 .
  • a distal tip (lower tip) of insertion puncture needle 13 is cut at a diagonal having a fixed angle with respect to the axis, and is formed so that a distal tip aperture 13 b is visible from the side.
  • the through-hole extends from guide hole 18 a of gripper 18 through to the distal tip aperture 13 b.
  • the insertion puncture needle 13 is introduced through and supported by support hole 11 a of upper supporter 11 and support hole 12 a of lower supporter 12 in a condition where distal tip aperture 13 b faces the direction of the central parts [i.e., the central axes] of upper supporter 11 and lower supporter 12 .
  • the upper supporter 11 supports the vicinity of the proximal end of insertion puncture needle 13
  • lower supporter 12 maintains an interval with upper supporter 11 and supports a section of insertion puncture needle 13 slightly lower than the proximal end.
  • the attachment position of insertion puncture needle 13 in lower supporter 12 may be appropriately set according to the desired amount of projection of the lower part of insertion puncture needle 13 from lower supporter 12 .
  • the retrieval puncturing needle 14 is structured as a cylinder of stainless steel, within which is formed a through-hole 14 a, and to a proximal end of which is attached gripper 19 made of resin.
  • the gripper 19 is formed as a cylinder for which the upper side has a major diameter and the lower side has a minor diameter, within which is formed an introduction hole 19 a.
  • a distal tip of retrieval puncturing needle 14 is cut in a diagonal direction so as to form a fixed angle facing the axial orientation, such that a distal tip aperture 14 b is visible from the side.
  • the retrieval puncturing needle 14 is introduced through and supported by support hole 11 b of upper supporter 11 and support hole 12 b of lower supporter 12 in a condition where distal tip aperture 14 b faces the direction of the central parts [i.e., the central axes] of upper supporter 11 and lower supporter 12 .
  • the upper supporter 11 supports the vicinity of the proximal end of retrieval puncturing needle 14
  • lower supporter 12 maintains an interval with upper supporter 11 and supports a section of retrieval puncturing needle 14 slightly lower than the distal tip.
  • the attachment position of retrieval puncturing needle 14 in lower supporter 12 may be appropriately set according to the desired amount of projection of the lower part of retrieval puncturing needle 14 from lower supporter 12 .
  • the retrieval puncturing needle 14 is disposed so as to be substantially parallel to insertion puncture needle 13 .
  • the retrieval member 15 is structured with a rod member 15 a that is structured as a rod body of stainless steel, an annular engagement member 15 c comprising a thin stainless steel wire anchored to a distal tip of rod member 15 a by means of anchoring member 15 b, and cylindrical grip 15 d anchored to a proximal end of rod member 15 a.
  • retrieval member 15 is introduced into introduction hole 19 a of gripper 19 from the side of annular engagement member 15 c, and by causing rod member 15 a to move up and down within through-hole 14 a of retrieval puncturing needle 14 , the annular engagement member 15 c is caused to emerge and retract from distal tip aperture 14 b.
  • grip 15 d is structured by a molded article of resin material, and mark 15 e, comprising a line that extends on its circumference extending axially over a predetermined portion, is displayed.
  • the mark 15 e is furnished on the periphery of grip 15 d on a portion disposed along a line that is orthogonal to the hole portion of annular engagement member 15 c.
  • the hollow tube 16 is structured with an elastic member comprising soft resin, with a molded thickness that permits insertion into insertion puncture needle 13 through through-hole 13 a, and with the length set longer than insertion puncture needle 13 .
  • the distal tip 16 a of hollow tube 16 is formed bent into an arc, but straightens to a straight line when introduced into through-hole 13 a of insertion puncture needle 13 .
  • the parts other than distal tip 16 a of hollow tube 16 are formed in a straight line, and a part on the proximal end periphery that corresponds to the arc shaped interior side of distal tip 16 a displays mark 16 b comprising a line that extends axially.
  • retrieval member 15 is attached to retrieval puncturing needle 14 , and hollow tube 16 is established within insertion puncture needle 13 , mark 15 e of grip 15 d and mark 16 b of hollow tube 16 are put in opposition, and the distal tip of hollow tube 16 projects from distal tip aperture 13 b of insertion puncture needle 13 facing annular engagement member 15 c projecting from distal tip aperture 14 b of retrieval puncturing needle 14 .
  • the suture 17 is structured by a thin thread comprising a resin material with a thickness allowing its passage through hollow tube 16 .
  • FIG. 3 as well as FIGS. 5, 7 , 10 , and 12 used in the following explanation, are drawings that schematically show medical suturing device 10 , and the sizes and detailed forms, for example, differ from the medical suturing device 10 shown in FIG. 1 and FIG. 2 .
  • insertion puncture needle 13 and retrieval puncturing needle 14 are inserted until lower supporter 12 comes in contact with the skin surface of abdominal wall A, such that distal tip apertures 13 b and 14 b are positioned on the inside of stomach wall B.
  • mark 15 e of grip 15 d faces insertion puncture needle 13 , and in this condition grip 15 d is pushed down, and rod member 15 a is pushed into through-hole 14 a of retrieval puncturing needle 14 .
  • annular engagement member 15 c is fed out to the exterior of retrieval puncturing needle 14 from distal tip aperture 14 b, and the annular shape is restored. As shown in FIG. 5 , it assumes a shape extending straight downward.
  • the hollow tube 16 together with the suture is introduced from guide hole 18 a of gripper 18 into through-hole 13 a of insertion puncture needle 13 .
  • distal tip 16 a of hollow tube 16 is deformed into a straight line and progresses downward through through-hole 13 a, until it extends outward from distal tip aperture 13 b as shown in FIG. 6 .
  • mark 16 b of hollow tube 16 is faced toward mark 15 e of grip 15 d.
  • distal tip 16 a of hollow tube 16 is returned to its original arc shape, and faces toward the inside of annular engagement member 15 c.
  • the distal tip of suture 17 advances into annular engagement member 15 c as shown in FIGS. 7-9 .
  • suture 17 when medical suturing device 10 is drawn out of the patient's body, suture 17 , as shown in FIG. 12 , connects stomach wall B to abdominal wall A while both ends are drawn out of the patient's body. Then, as shown in FIG. 13 , the two ends of suture 17 that project outside the body are cut to form a predetermined length. The 2 cut ends of suture 17 are then knotted to form the sutured condition of FIG. 14 , thus completing the process.
  • the medical suturing device 10 permits the deformation of annular engagement member 15 c of retrieval member 15 , so when retrieval member 15 is inserted inside retrieval puncturing needle 14 starting from annular engagement member 15 c, the annular engagement member 15 c assumes a straight shape and is moved within through-hole 14 a, and assumes an annular shape when it is projected from distal tip aperture 14 b of retrieval puncturing needle 14 .
  • the distal tip 16 a of hollow tube 16 is formed with an arc shaped curved part that is able to deform into a straight line.
  • distal tip 16 a of hollow tube 16 assumes a straight shape and is moved within through-hole 13 a, and bends into an arc shape when thrust out of distal tip aperture 13 b of insertion puncture needle 13 .
  • the mark 15 e is provided on grip 15 d of retrieval member 15
  • mark 16 b is provided on the periphery of the proximal end of hollow tube 16 .
  • the annular shape of annular engagement member 15 c projecting from distal tip aperture 14 b of retrieval puncturing needle 14 faces insertion puncture needle 13
  • distal tip 16 a of hollow tube 16 projecting from distal tip aperture 13 b of insertion puncture needle 13 extends toward annular engagement member 15 c.
  • suture 17 is thrust outward from insertion puncture needle 13 in a condition of having been guided by hollow tube 16 bent into an arc shape and facing toward annular engagement member 15 c, so the needle tips of insertion puncture needle 13 and retrieval puncturing needle 14 can face straight downward and can be given a tapered shape.
  • the needle resistance of insertion puncture needle 13 and retrieval puncturing needle 14 is reduced, making it possible for insertion puncture needle 13 and retrieval puncturing needle 14 to easily puncture the patient's body.
  • the insertion puncture needle 13 and retrieval puncturing needle 14 are attached to a support device comprising upper supporter 11 and lower supporter 12 , which enables disposal of insertion puncture needle 13 and retrieval puncturing needle 14 in a suitable positional relationship, and simplification of the operation of insertion into the patient's body.
  • the insertion puncture needle 13 and retrieval puncturing needle 14 are removably attachable to the support device, which makes it possible to use medical suturing device 10 many times while replacing one or the other needle according to conditions.
  • the upper supporter 11 and lower supporter 12 can also be used as a gripping area to be held by the hand, which facilitates the operation of medical suturing device 10 .
  • the medical suturing device pertaining to the present invention is not limited to the working mode described above, but can be implemented with suitable changes.
  • the distal tip 16 a of hollow tube 16 was formed into a bent section with an arc shape, while the other portions were formed in a straight shape, but it is also possible for hollow tube 16 to be entirely formed in an arc shape.
  • distal tip 16 a is extended toward annular engagement member 15 c.
  • grip 15 d was furnished with mark 15 e as a position determining means, so as to determine the position of retrieval member 15 , but other means besides a mark are possible as a position determining means.
  • hollow tube 16 was furnished with mark 16 b as a position determining means, so as to determine the position of hollow tube 16 , but other means besides a mark are possible as a position determining means.
  • the distal tip of suture 17 introduced into hollow tube 16 may be reliably engaged in annular engagement member 15 c.
  • a position determining means to fix the attachment positions of retrieval puncturing needle 14 and insertion puncture needle 13 with regard to the support device comprising upper supporter 11 and lower supporter 12 ; in this case a mark or guide section may be used as the position determining means.
  • a mark or guide section may be used as the position determining means.
  • the shape of the needle tips for insertion puncture needle 13 and retrieval puncturing needle 14 is not limited to a shape where a tubular body is cut diagonally; rather, the distal tips may be furnished with approximately conical needle tips that gradually get narrower. It is also possible to suitably change the shape or materials, for example, of any part that structures the medical suturing device 10 . Also, the medical suturing device 10 pertaining to the present invention is not limited to suturing abdominal wall A and stomach wall B, but may be used to suture any site within the body.
  • At least one of the illustrated embodiments offers a medical suturing device that reduces puncture resistance and lessens the patient's pain, and that creates a reliable and proper suture.
  • the structural characteristics of the medical suturing device pertaining to at least one embodiment of the present invention are that it is furnished with a retrieval puncturing needle, in which a through-hole for retrieval is formed from the proximal end to the distal tip; a retrieval member that can be inserted through the retrieval through-hole of the retrieval puncturing needle, and that is furnished with an annular engagement member that has the elastic property of being deformable into a straight shape when caused to extend, and with a rod member that is connected to the annular engagement member; an insertion puncture needle in which a through-hole is formed from the proximal end to the distal tip, and that is disposed approximately parallel to the retrieval puncturing needle, maintaining a predetermined interval therebetween; a hollow tube that can be inserted within the through-hole of the insertion puncture needle, and for which at least the distal tip portion is formed with an arc shaped bent region having an elastic property of being deformable into a straight shape; and suture that can be inserted into the hollow tube.
  • the embodiment of the medical suturing device that has this structure provides that the annular engagement member of the retrieval member be elastic, so that it both deforms into a straight shape when it is extended, and returns to an annular shape when the extending force is removed. Therefore, when the retrieval member is inserted into the retrieval through-hole of the retrieval puncturing needle from the annular engagement member side, the annular engagement member assumes a straight shape and is moved within the retrieval through-hole, and then resumes its annular shape when it is projected from the distal tip of the retrieval puncturing needle, extending approximately straight downward. Also, the hollow tube is formed such that at least the distal tip portion is bent into an arc shape having elasticity to deform into a straight line.
  • the distal tip portion of the hollow tube forms a straight shape and is moved within the through-hole, and when it is thrust out of the distal tip of the insertion puncturing needle it is bent into an arc shape. Accordingly, in a condition where the orientation of the distal tip of the hollow tube thrusting from the distal tip of the insertion puncture needle is adjusted so as to face the interior of the ring shape of the annular engagement member that is thrusting downward from the distal tip of the retrieval puncturing needle, it is possible, by passing a suture within the hollow tube, to extend the suture tip into the ring shape of the annular engagement member.
  • the operation in this case is first for the retrieval puncturing needle and insertion puncture needle to be held with a predetermined space between then and puncture the suture site from the surface of the patient's skin. Then the distal tip portion of the retrieval member is passed through the inside of the retrieval through-hole of the retrieval puncturing needle, and the annular engagement member that is structured on its apex is projected outside (i.e., inside the suture site).
  • the distal tip portion of the hollow tube is passed through the inside of the through-hole of the insertion puncture needle, its apex is compelled to face the annular engagement member and is then bent, and in this condition it is thrust outward, and the distal tip portion of the suture is passed through the hollow tube.
  • the retrieval member in a condition where the distal tip of the suture is within the annular engagement member, is pulled toward the proximal end side of the retrieval puncturing needle, thus causing the suture to become engaged in the annular engagement member.
  • the hollow tube is withdrawn from the insertion puncture needle, and the retrieval puncturing needle and insertion puncture needle are withdrawn from the patient's suture site.
  • the suture site and the patient's skin layer can be anchored by knotting both ends of the suture positioned outside the patient's body.
  • the annular engagement member of the retrieval member is formed into an annular shape when it is thrust below the distal tip of the retrieval member, while the suture, in the condition of having been guided by the hollow tube, is thrust out of the insertion puncture needle while being bent toward the annular engagement member.
  • the distal tip apertures of both the retrieval puncturing needle and insertion puncture needle to be formed into sharp needle tips facing downward.
  • the puncture resistance of the retrieval puncturing needle and of the insertion puncture needle is reduced, it is possible for both puncturing needles to easily puncture the patient's suture site, and it is also possible to lessen the pain inflicted on the patient. This also allows reliable engagement of the suture in the annular engagement member.
  • the entire hollow tube can be formed into an arc shape, or only the distal tip portion can be formed into an arc shape.
  • Another structural characteristic of one embodiment of the medical suturing device is the furnishing of a position determining means such that when the retrieval member is introduced from its linearly extended annular engagement member side into the proximal end portion of the retrieval through-hole of the retrieval puncturing needle, the annular shape formed when the annular engagement member projects outwardly from the distal tip aperture of the retrieval puncturing needle is faced toward the insertion puncture needle.
  • the position determining means may be, for example, structured by putting a mark on a fixed portion on the periphery of the proximal end of the rod member of the retrieval member, and by furnishing a guide member such that when the retrieval member is inserted into the retrieval puncturing needle, the rod member is facing a predetermined direction.
  • Another structural characteristic of one embodiment of the medical suturing device is the furnishing of a position determining means such that when the hollow tube is inserted into the proximal end of the through-hole of the insertion puncture needle, and the distal tip portion projects outward from the distal tip aperture of the insertion puncture needle, the distal tip portion of the hollow tube will bend to extend toward the distal tip side of the retrieval puncturing needle.
  • the position determining means may be structured by attaching a mark in a predetermined portion on the periphery of the proximal end of the hollow tube, thus providing a guide member so that when the hollow tube is inserted into the insertion puncture needle, the hollow tube will face a predetermined direction.
  • the distal tip of the hollow tube can be compelled to face the annular engagement member that is thrust outward from the retrieval puncturing needle, and thus the distal tip of the suture inserted into the hollow tube may more reliably engage in the annular engagement member.
  • the retrieval puncturing needle and the insertion puncture needle are disposed in an approximately parallel fashion by their freely removable attachment to a support device.
  • the retrieval puncturing needle and insertion puncture needle can be disposed in a proper positional relationship, thus making the operation of puncturing and insertion into the patient's suture site easier.
  • the retrieval puncturing needle and insertion puncture needle are removably attached to the support device, which makes it possible to use a medical suturing device many times while replacing one or the other needle according to conditions.
  • the support device can also be used as a gripping area to be held by the hand, which eliminates the need for the special provision of a grip on the retrieval puncturing needle and the insertion puncture needle.
  • This allows attachment of the retrieval puncturing needle and the insertion puncture needle to the support device so as to always be in a fixed positional relationship, which enables a better suturing operation.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US11/613,937 2005-12-26 2006-12-20 Medical Suturing Device Abandoned US20070179509A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US12/826,114 US8672955B2 (en) 2005-12-26 2010-06-29 Medical suturing device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2005371754 2005-12-26
JP2005371754A JP4614451B2 (ja) 2005-12-26 2005-12-26 医療用縫合具

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/826,114 Continuation US8672955B2 (en) 2005-12-26 2010-06-29 Medical suturing device

Publications (1)

Publication Number Publication Date
US20070179509A1 true US20070179509A1 (en) 2007-08-02

Family

ID=37846240

Family Applications (2)

Application Number Title Priority Date Filing Date
US11/613,937 Abandoned US20070179509A1 (en) 2005-12-26 2006-12-20 Medical Suturing Device
US12/826,114 Active 2027-01-29 US8672955B2 (en) 2005-12-26 2010-06-29 Medical suturing device

Family Applications After (1)

Application Number Title Priority Date Filing Date
US12/826,114 Active 2027-01-29 US8672955B2 (en) 2005-12-26 2010-06-29 Medical suturing device

Country Status (6)

Country Link
US (2) US20070179509A1 (fr)
JP (1) JP4614451B2 (fr)
BR (1) BRPI0605379A (fr)
CA (1) CA2572055A1 (fr)
MX (1) MX2007000184A (fr)
WO (1) WO2007073931A1 (fr)

Cited By (77)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070060930A1 (en) * 2005-09-14 2007-03-15 Rhaphis Medical, Inc. Suturing device, system and method
US20070129714A1 (en) * 2005-05-20 2007-06-07 Echo Healthcare Llc Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (FAT)
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US20080091219A1 (en) * 2006-05-22 2008-04-17 Peter Marshall Method and apparatus for meniscal repair
US20080154254A1 (en) * 2006-12-21 2008-06-26 Myoscience, Inc. Dermal and Transdermal Cryogenic Microprobe Systems and Methods
US20080183164A1 (en) * 2005-05-20 2008-07-31 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US20080200910A1 (en) * 2007-02-16 2008-08-21 Myoscience, Inc. Replaceable and/or Easily Removable Needle Systems for Dermal and Transdermal Cryogenic Remodeling
US20080200931A1 (en) * 2007-02-20 2008-08-21 Tyco Healthcare Group Lp Auxiliary device for a puncture needle
US20080228204A1 (en) * 2007-03-15 2008-09-18 Rhaphis Medical, Inc. Limited Access Suturing Devices, System, and Methods
US20080249544A1 (en) * 2007-04-04 2008-10-09 Brand Marc I Medical Device for Applying Purse String Sutures
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles
US20080269781A1 (en) * 2005-04-21 2008-10-30 Tyco Healthcare Group Lp Surgical Fastener, Surgical Fastener Kit and Removing Tool
US20090143790A1 (en) * 2007-11-30 2009-06-04 Ygal Zucker Suturing assembly and method
US20090163939A1 (en) * 2004-10-06 2009-06-25 Hitoshi Mabuchi Organ fixing equipment
US20090216251A1 (en) * 2007-07-26 2009-08-27 Levine David E Surgical suturing device, method and tools used therewith
US20090318939A1 (en) * 2008-06-24 2009-12-24 Tyco Healthcare Group Lp Puncturing needle assisting tool
US20100130991A1 (en) * 2007-07-26 2010-05-27 Levine Marshall S Surgical suturing device, method and tools used therewith
US20100152772A1 (en) * 2005-04-29 2010-06-17 Gerard Brett Interventional medical closure device
US20100185218A1 (en) * 2009-01-16 2010-07-22 Rhaphis Medical, Inc. Surgical Suturing Latch
US20100228271A1 (en) * 2006-05-22 2010-09-09 Peter Marshall Meniscal repair device
US20100305586A1 (en) * 2005-12-26 2010-12-02 Tyco Healthcare Group Lp Medical Suturing Device
US8460322B2 (en) 2010-03-31 2013-06-11 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US20130165955A1 (en) * 2011-12-23 2013-06-27 Pavilion Medical Innovations Endoscopic fascial closure systems and methods for using same
US8535339B2 (en) * 2011-12-18 2013-09-17 Via Surgical Ltd. Apparatus and method for suturing
US20130310854A1 (en) * 2008-10-21 2013-11-21 Cayenne Medical, Inc. Meniscal repair systems and methods
US20140276975A1 (en) * 2013-03-13 2014-09-18 Medtronic Vascular, Inc. Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure
US20150100084A1 (en) * 2013-10-08 2015-04-09 Boston Scientific Scimed, Inc. Devices and methods for suturing
US9017318B2 (en) 2012-01-20 2015-04-28 Myoscience, Inc. Cryogenic probe system and method
US20150150553A1 (en) * 2012-06-18 2015-06-04 Covidien Lp Medical suturing instrument
US9060751B2 (en) 2010-12-30 2015-06-23 Vivasure Medical Limited Surgical closure systems and methods
US9066712B2 (en) 2008-12-22 2015-06-30 Myoscience, Inc. Integrated cryosurgical system with refrigerant and electrical power source
US9101346B2 (en) 2007-11-14 2015-08-11 Myoscience, Inc. Pain management using cryogenic remodeling
US9155584B2 (en) 2012-01-13 2015-10-13 Myoscience, Inc. Cryogenic probe filtration system
CN105163674A (zh) * 2013-03-13 2015-12-16 美敦力瓦斯科尔勒公司 用于密封血管或其它生物结构中的开口的缝合装置和方法
US9241753B2 (en) 2012-01-13 2016-01-26 Myoscience, Inc. Skin protection for subdermal cryogenic remodeling for cosmetic and other treatments
US9265488B2 (en) 2013-03-13 2016-02-23 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US9295512B2 (en) 2013-03-15 2016-03-29 Myoscience, Inc. Methods and devices for pain management
US9314290B2 (en) 2012-01-13 2016-04-19 Myoscience, Inc. Cryogenic needle with freeze zone regulation
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9572558B2 (en) 2012-02-29 2017-02-21 Vivasure Medical Limited Devices and methods for delivering implants for percutaneous perforation closure
WO2017051404A1 (fr) * 2015-09-24 2017-03-30 Mininvasive Ltd. Dispositif chirurgical arthroscopique
US9610070B2 (en) 2007-06-15 2017-04-04 Vivasure Medical Limited Closure device
US9610112B2 (en) 2013-03-15 2017-04-04 Myoscience, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
US9668800B2 (en) 2013-03-15 2017-06-06 Myoscience, Inc. Methods and systems for treatment of spasticity
US9693767B1 (en) * 2011-07-15 2017-07-04 David Foreman Suture passer instruments and methods for their use
US9763659B2 (en) 2011-08-24 2017-09-19 Mininvasive Ltd. Arthroscopic surgical device
US9770248B2 (en) 2010-07-11 2017-09-26 Mininvasive Ltd. Circular bone tunneling device
US9820754B2 (en) 2011-08-24 2017-11-21 Mininvasive Ltd. Circular bone tunneling device employing a stabilizing element
US9850013B2 (en) 2013-03-15 2017-12-26 Vivasure Medical Limited Loading devices and methods for percutaneous perforation closure systems
US9888913B2 (en) 2012-05-31 2018-02-13 Via Surgical Ltd. Variable depth surgical fixation
US9993245B2 (en) 2013-03-11 2018-06-12 Via Surgical Ltd. Surgical tacker with quantity indicator
CN108652690A (zh) * 2018-07-13 2018-10-16 上海捍宇医疗科技有限公司 一种心尖闭合装置
US10117648B2 (en) 2015-04-23 2018-11-06 Via Surgical Ltd. Surgical fastener delivery and locking mechanism
US10130409B2 (en) 2013-11-05 2018-11-20 Myoscience, Inc. Secure cryosurgical treatment system
US10206672B2 (en) 2013-03-18 2019-02-19 Mininvasive Ltd. Arthroscopic surgical device
US10206668B2 (en) 2014-12-15 2019-02-19 Vivasure Medical Limited Implantable sealable member with mesh layer
US10231740B2 (en) 2012-01-08 2019-03-19 Mininvasive Ltd. Arthroscopic surgical device
US10245021B2 (en) * 2013-10-08 2019-04-02 Applied Medical Technology, Inc Magnetic U-stitch device
US10299786B2 (en) 2013-03-15 2019-05-28 Alpha Scientific Corporation Surgical suturing device with transverse engagement
CN110279446A (zh) * 2019-07-31 2019-09-27 王朝晖 缝合线穿引装置
US10433826B2 (en) 2014-12-15 2019-10-08 Vivasure Medical Limited Closure apparatus with flexible sealable member and flexible support member
US10792029B2 (en) 2014-09-09 2020-10-06 Mininvasive Ltd. Padded transosseous suture
US10835234B2 (en) 2015-12-31 2020-11-17 Mininvasive Ltd. Arthroscopic surgical device
US10888366B2 (en) 2013-03-15 2021-01-12 Pacira Cryotech, Inc. Cryogenic blunt dissection methods and devices
CN112690844A (zh) * 2021-02-05 2021-04-23 江苏泰应生物科技有限公司 深部软组织缝合器
US11039831B2 (en) 2014-03-05 2021-06-22 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US11134998B2 (en) 2017-11-15 2021-10-05 Pacira Cryotech, Inc. Integrated cold therapy and electrical stimulation systems for locating and treating nerves and associated methods
US20220031302A1 (en) * 2020-07-31 2022-02-03 Medos International Sàrl Minimally invasive systems and methods for approximating tissue with a suture
US11311280B2 (en) 2015-12-15 2022-04-26 Vivasure Medical Limited Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution
US11311327B2 (en) 2016-05-13 2022-04-26 Pacira Cryotech, Inc. Methods and systems for locating and treating nerves with cold therapy
US11337690B2 (en) 2011-06-08 2022-05-24 Boss Instruments, Ltd., Inc. Offset jaw suturing device, system, and methods
US11357486B2 (en) 2009-12-30 2022-06-14 Vivasure Medical Limited Closure system and uses thereof
CN118806358A (zh) * 2024-08-30 2024-10-22 无忧跳动医疗科技(深圳)有限公司 一种缝线控制装置以及缝合器系统
US12465355B2 (en) 2019-09-28 2025-11-11 Tas Medical, Inc. Systems, devices and methods for tissue fixation and approximating tissue defects
US12594068B2 (en) 2020-01-26 2026-04-07 Tas Medical Inc. Medical systems, devices and methods adapted for tissue fixation and approximating tissue defects

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2013204680B2 (en) * 2009-04-02 2016-02-04 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US9138207B2 (en) 2009-05-19 2015-09-22 Teleflex Medical Incorporated Methods and devices for laparoscopic surgery
EP2525720A1 (fr) * 2010-01-20 2012-11-28 EON Surgical Ltd. Système et procédé de déploiement d'une unité allongée dans une cavité corporelle
US8721539B2 (en) 2010-01-20 2014-05-13 EON Surgical Ltd. Rapid laparoscopy exchange system and method of use thereof
FR2962026B1 (fr) * 2010-07-02 2013-04-26 Tornier Inc Systeme pour passer une suture
JP5816287B2 (ja) * 2010-09-19 2015-11-18 イーオン サージカル リミテッド マイクロ腹腔鏡デバイス及びその配置
JP5749563B2 (ja) * 2011-05-17 2015-07-15 日本コヴィディエン株式会社 医療用縫合具
EP2775936B1 (fr) * 2011-11-09 2016-12-28 Easylap Ltd. Ensemble de suture comprenant un espaceur
US10251639B1 (en) * 2015-11-20 2019-04-09 Ronald Yamada Meniscus repair system
US10624631B1 (en) 2017-11-13 2020-04-21 Simon B. Rayhanabad Surgical suture and method of suturing
CN118236105A (zh) * 2022-12-23 2024-06-25 丰凯利医疗器械(上海)有限公司 血管缝合装置以及血管缝合方法

Citations (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2012776A (en) * 1931-05-23 1935-08-27 Roeder Hans Albert Ligator
US4935027A (en) * 1989-08-21 1990-06-19 Inbae Yoon Surgical suture instrument with remotely controllable suture material advancement
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5330488A (en) * 1993-03-23 1994-07-19 Goldrath Milton H Verres needle suturing kit
US5336231A (en) * 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5391182A (en) * 1993-08-03 1995-02-21 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5462560A (en) * 1993-10-08 1995-10-31 Tahoe Surgical Instruments Double needle ligature device
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever
US5531699A (en) * 1994-09-19 1996-07-02 Abbott Laboratories Spring-loaded reciprocable stylet holder
US5562684A (en) * 1994-10-11 1996-10-08 Ethicon, Inc. Surgical knot pusher device and improved method of forming knots
US5653716A (en) * 1994-12-29 1997-08-05 Acufex Microsurgical, Inc. Suture manipulating instrument with grasping members
US5665096A (en) * 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
US5681333A (en) * 1995-11-08 1997-10-28 Arthrex, Inc. Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US5722981A (en) * 1993-10-08 1998-03-03 Tahoe Surgical Instruments Double needle ligature device
US5741276A (en) * 1996-03-28 1998-04-21 Innovative Surgical Instruments Apparatus for facilitating the performance of surgical procedures such as the placement of sutures, ligatures and the like
US5782845A (en) * 1996-07-31 1998-07-21 Shewchuk; Dwight Trocar site suturing device
US5895395A (en) * 1997-07-17 1999-04-20 Yeung; Teresa T. Partial to full thickness suture device & method for endoscopic surgeries
US5897563A (en) * 1997-10-08 1999-04-27 Ethicon Endo-Surgery, Inc. Method for using a needle holder to assist in suturing
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US6022360A (en) * 1997-08-06 2000-02-08 Ethicon, Inc. Suture retrograder
US6066146A (en) * 1998-06-24 2000-05-23 Carroll; Brendan J. Laparascopic incision closure device
US6110183A (en) * 1998-12-22 2000-08-29 Cook Incorporated Suture anchor device
US6113610A (en) * 1995-06-07 2000-09-05 Medtronic, Inc. Device and method for suturing wound
USRE36974E (en) * 1993-05-14 2000-11-28 Bonutti; Peter M. Suture anchor
US6156056A (en) * 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
US6451024B1 (en) * 1995-06-14 2002-09-17 Dexterity Surgical, Inc. Surgical method for treating urinary incontinence, and apparatus for use in same
US6500184B1 (en) * 2001-01-31 2002-12-31 Yung C. Chan Suturing apparatus and method of suturing
US6524317B1 (en) * 1999-12-30 2003-02-25 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6638286B1 (en) * 2000-11-16 2003-10-28 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US20040039442A1 (en) * 1999-04-09 2004-02-26 Evalve, Inc. Methods and apparatus for cardiac valve repair
US6699263B2 (en) * 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US20040122473A1 (en) * 2002-12-11 2004-06-24 Ewers Richard C. Delivery systems and methods for gastric reduction
US20040249395A1 (en) * 2003-06-06 2004-12-09 Olympus Corporation Suturing instrument
US20060069398A1 (en) * 2003-02-26 2006-03-30 Yutaka Suzuki Medical instrument
US7090690B2 (en) * 2002-11-19 2006-08-15 Arthrocare Corporation Devices and methods for repairing soft tissue
US20070023305A1 (en) * 2005-07-26 2007-02-01 Medtronic, Inc. Surgical needle driver
US20070118153A1 (en) * 2005-08-23 2007-05-24 Sherwood Services Ag Extraction device and medical suturing device set
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US7320693B2 (en) * 2003-08-21 2008-01-22 Pollak Stanley B Methods and instruments for closing laparoscopic trocar puncture wounds
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles

Family Cites Families (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2900265A1 (de) 1979-01-04 1980-07-17 Fritz Dr Sammer Schlinge aus fadenfoermigem werkstoff
JPH0246326Y2 (fr) 1985-06-13 1990-12-06
US5052396A (en) 1987-04-24 1991-10-01 Victor J. Wedel Needle guide for ultrasound transducers
US5251873B1 (en) 1992-06-04 1995-05-02 Vernay Laboratories Medical coupling site.
US4775121A (en) 1987-07-20 1988-10-04 Carty James F Cable clamp
US5100387A (en) 1990-07-02 1992-03-31 Ng Raymond C Disposable universal needle guide apparatus (for amniocentesis)
FR2668698B1 (fr) 1990-11-06 1997-06-06 Ethnor Instrument chirurgical formant trocart.
JPH0624533B2 (ja) 1990-12-29 1994-04-06 昌貴 鮒田 医療用器具
US5226892A (en) 1991-08-23 1993-07-13 Boswell Thomas A Surgical tubing clamp
JPH05161655A (ja) 1991-12-19 1993-06-29 Olympus Optical Co Ltd 臓器腹壁固定具
JP2597439Y2 (ja) 1992-11-26 1999-07-05 株式会社三菱化学ビーシーエル 創離開防止用当て具
US5363539A (en) 1993-02-08 1994-11-15 Illinois Tool Works Inc. Flexible tube clip
US5336229A (en) 1993-02-09 1994-08-09 Laparomed Corporation Dual ligating and dividing apparatus
US5501691A (en) * 1993-03-23 1996-03-26 Goldrath; Milton H. Verres needle suturing device
US5993434A (en) 1993-04-01 1999-11-30 Genetronics, Inc. Method of treatment using electroporation mediated delivery of drugs and genes
US5569269A (en) 1993-07-26 1996-10-29 Innovasive Devices, Inc. Surgical grasping and suturing device and method
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
US5389082A (en) 1994-03-14 1995-02-14 Baugues; Mary C. Intravenous line separator system
JP3375730B2 (ja) 1994-06-07 2003-02-10 マニー株式会社 医療用糸通し具
US5938668A (en) * 1994-10-07 1999-08-17 United States Surgical Surgical suturing apparatus
US5643295A (en) 1994-12-29 1997-07-01 Yoon; Inbae Methods and apparatus for suturing tissue
US5817111A (en) 1996-03-28 1998-10-06 Riza; Erol D. Open loop suture snare
US5795335A (en) 1997-02-26 1998-08-18 Zinreich; Eva S. Intravenous tube restraint and cover device
US5728109A (en) 1997-04-08 1998-03-17 Ethicon Endo-Surgery, Inc. Surgical knot and method for its formation
US6113611A (en) 1998-05-28 2000-09-05 Advanced Vascular Technologies, Llc Surgical fastener and delivery system
US6036700A (en) 1998-07-14 2000-03-14 Ethicon Endo-Surgery, Inc. Surgical anastomosis instrument
US6113068A (en) 1998-10-05 2000-09-05 Rymed Technologies Swabbable needleless injection port system having low reflux
US7525165B2 (en) * 2000-04-17 2009-04-28 Semiconductor Energy Laboratory Co., Ltd. Light emitting device and manufacturing method thereof
US7842050B2 (en) 2001-02-26 2010-11-30 Diduch David R Suture passing devices
JP4493258B2 (ja) 2001-04-04 2010-06-30 オリンパス株式会社 組織穿刺装置
US20030004523A1 (en) 2001-07-02 2003-01-02 Cornell Research Foundation, Inc. Multi-needle holding device
JP4394446B2 (ja) * 2001-11-07 2010-01-06 日本電気株式会社 電界発光体の製造方法および電界発光体、電界発光表示装置
JP4499327B2 (ja) * 2001-12-06 2010-07-07 松崎 浩巳 拡径器具および手術器具セット
JP3331215B1 (ja) 2002-02-04 2002-10-07 治郎 蟹江 生体用縫合具
EP1521551A1 (fr) 2002-07-10 2005-04-13 Canica Design Inc. Systeme et procede pour deplacer et etirer un tissu plastique
JP4443162B2 (ja) 2002-10-03 2010-03-31 株式会社トップ 継ぎ手装置
US8066718B2 (en) 2003-03-18 2011-11-29 Depuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly
US7731726B2 (en) 2003-12-03 2010-06-08 St. Jude Medical Puerto Rico Llc Suture based vascular closure apparatus and method incorporating a pre-tied knot
JP4641733B2 (ja) 2004-03-24 2011-03-02 住友ベークライト株式会社 穿刺針誘導ガイド
JP4115963B2 (ja) 2004-05-12 2008-07-09 ポップリベット・ファスナー株式会社 パイプ等のクランプ装置
US20050288689A1 (en) * 2004-06-25 2005-12-29 Kammerer Gene W Applicator and method for deploying a surgical fastener
JP2006025934A (ja) 2004-07-13 2006-02-02 Jms Co Ltd 生体用縫合具
JP2006025932A (ja) 2004-07-13 2006-02-02 Jms Co Ltd 生体用縫合具及び生体用縫合方法
JP2006025933A (ja) 2004-07-13 2006-02-02 Jms Co Ltd 生体用縫合具
JP2006102255A (ja) 2004-10-06 2006-04-20 Nippon Sherwood Medical Industries Ltd 輸液ラインの接続構造及びその接続構造を備えたコネクター
JP4669315B2 (ja) 2005-04-21 2011-04-13 日本シャーウッド株式会社 臓器固定具および臓器固定具セット
JP4733970B2 (ja) 2004-11-29 2011-07-27 大王製紙株式会社 紙おむつやナプキン等の衛生用品を収納するための包装袋
JP4823533B2 (ja) 2005-02-04 2011-11-24 オリンパス株式会社 医療用縫合結紮具及び医療用縫合結紮装置
WO2007018520A1 (fr) 2005-07-28 2007-02-15 Samimi M D Darius Dispositif porteur de ligature rétropubienne de vessie
JP4458031B2 (ja) * 2005-11-30 2010-04-28 株式会社ジェイ・エム・エス 生体用縫合具
JP4614451B2 (ja) 2005-12-26 2011-01-19 日本シャーウッド株式会社 医療用縫合具
JP5306184B2 (ja) * 2006-05-22 2013-10-02 スカンジウス バイオメディカル， インコーポレイテッド 半月板修復のための方法および装置
JP4565576B2 (ja) 2007-02-20 2010-10-20 日本シャーウッド株式会社 穿刺針補助具
CN101677817B (zh) * 2007-03-15 2011-09-28 雷菲斯医药公司 用于不同针的可替换尖端缝合装置和系统
JP5185706B2 (ja) 2008-06-24 2013-04-17 日本コヴィディエン株式会社 穿刺針補助具

Patent Citations (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2012776A (en) * 1931-05-23 1935-08-27 Roeder Hans Albert Ligator
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US4935027A (en) * 1989-08-21 1990-06-19 Inbae Yoon Surgical suture instrument with remotely controllable suture material advancement
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5336231A (en) * 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5330488A (en) * 1993-03-23 1994-07-19 Goldrath Milton H Verres needle suturing kit
USRE36974E (en) * 1993-05-14 2000-11-28 Bonutti; Peter M. Suture anchor
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5391182A (en) * 1993-08-03 1995-02-21 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5722981A (en) * 1993-10-08 1998-03-03 Tahoe Surgical Instruments Double needle ligature device
US5462560A (en) * 1993-10-08 1995-10-31 Tahoe Surgical Instruments Double needle ligature device
US5531699A (en) * 1994-09-19 1996-07-02 Abbott Laboratories Spring-loaded reciprocable stylet holder
US5562684A (en) * 1994-10-11 1996-10-08 Ethicon, Inc. Surgical knot pusher device and improved method of forming knots
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever
US5653716A (en) * 1994-12-29 1997-08-05 Acufex Microsurgical, Inc. Suture manipulating instrument with grasping members
US5665096A (en) * 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
US6113610A (en) * 1995-06-07 2000-09-05 Medtronic, Inc. Device and method for suturing wound
US6451024B1 (en) * 1995-06-14 2002-09-17 Dexterity Surgical, Inc. Surgical method for treating urinary incontinence, and apparatus for use in same
US5681333A (en) * 1995-11-08 1997-10-28 Arthrex, Inc. Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US5741276A (en) * 1996-03-28 1998-04-21 Innovative Surgical Instruments Apparatus for facilitating the performance of surgical procedures such as the placement of sutures, ligatures and the like
US5782845A (en) * 1996-07-31 1998-07-21 Shewchuk; Dwight Trocar site suturing device
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US5895395A (en) * 1997-07-17 1999-04-20 Yeung; Teresa T. Partial to full thickness suture device & method for endoscopic surgeries
US6022360A (en) * 1997-08-06 2000-02-08 Ethicon, Inc. Suture retrograder
US5897563A (en) * 1997-10-08 1999-04-27 Ethicon Endo-Surgery, Inc. Method for using a needle holder to assist in suturing
US6156056A (en) * 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
US6066146A (en) * 1998-06-24 2000-05-23 Carroll; Brendan J. Laparascopic incision closure device
US6110183A (en) * 1998-12-22 2000-08-29 Cook Incorporated Suture anchor device
US20040039442A1 (en) * 1999-04-09 2004-02-26 Evalve, Inc. Methods and apparatus for cardiac valve repair
US6524317B1 (en) * 1999-12-30 2003-02-25 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6638286B1 (en) * 2000-11-16 2003-10-28 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US6500184B1 (en) * 2001-01-31 2002-12-31 Yung C. Chan Suturing apparatus and method of suturing
US6699263B2 (en) * 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US7090690B2 (en) * 2002-11-19 2006-08-15 Arthrocare Corporation Devices and methods for repairing soft tissue
US20040122473A1 (en) * 2002-12-11 2004-06-24 Ewers Richard C. Delivery systems and methods for gastric reduction
US20060069398A1 (en) * 2003-02-26 2006-03-30 Yutaka Suzuki Medical instrument
US20040249395A1 (en) * 2003-06-06 2004-12-09 Olympus Corporation Suturing instrument
US7320693B2 (en) * 2003-08-21 2008-01-22 Pollak Stanley B Methods and instruments for closing laparoscopic trocar puncture wounds
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US20070023305A1 (en) * 2005-07-26 2007-02-01 Medtronic, Inc. Surgical needle driver
US20070118153A1 (en) * 2005-08-23 2007-05-24 Sherwood Services Ag Extraction device and medical suturing device set
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles

Cited By (181)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US7625386B2 (en) 2004-03-02 2009-12-01 Covidien Ag Medical suturing tool
US8663278B2 (en) 2004-10-06 2014-03-04 Covidien Lp Organ fixing equipment
US20090163939A1 (en) * 2004-10-06 2009-06-25 Hitoshi Mabuchi Organ fixing equipment
US20080269781A1 (en) * 2005-04-21 2008-10-30 Tyco Healthcare Group Lp Surgical Fastener, Surgical Fastener Kit and Removing Tool
US20100152772A1 (en) * 2005-04-29 2010-06-17 Gerard Brett Interventional medical closure device
US9072498B2 (en) 2005-05-20 2015-07-07 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US20080183164A1 (en) * 2005-05-20 2008-07-31 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US9345526B2 (en) 2005-05-20 2016-05-24 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US7713266B2 (en) 2005-05-20 2010-05-11 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US11350979B2 (en) 2005-05-20 2022-06-07 Pacira Cryotech, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US7850683B2 (en) 2005-05-20 2010-12-14 Myoscience, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US10363080B2 (en) 2005-05-20 2019-07-30 Pacira Cryotech, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US11963706B2 (en) 2005-05-20 2024-04-23 Pacira Cryotech, Inc. Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (fat)
US20070129714A1 (en) * 2005-05-20 2007-06-07 Echo Healthcare Llc Subdermal cryogenic remodeling of muscles, nerves, connective tissue, and/or adipose tissue (FAT)
US9993244B2 (en) 2005-09-14 2018-06-12 Boss Instruments, Ltd., Inc. Suturing device, system and method
US20100268257A1 (en) * 2005-09-14 2010-10-21 Rhaphis Medical, Inc. Suturing device, system, and method
US20070060931A1 (en) * 2005-09-14 2007-03-15 Rhaphis Medical, Inc. Suturing Device, System, and Method
US7588583B2 (en) 2005-09-14 2009-09-15 Rhaphis Medical, Inc. Suturing device, system and method
US8603113B2 (en) 2005-09-14 2013-12-10 Suturenetics, Inc. Suturing device, system, and method
US9986995B2 (en) 2005-09-14 2018-06-05 Boss Instruments, Ltd., Inc. Replaceable tip suturing devices, system, and methods for use with differing needles
US20070060930A1 (en) * 2005-09-14 2007-03-15 Rhaphis Medical, Inc. Suturing device, system and method
US8317805B2 (en) 2005-09-14 2012-11-27 Suturenetics, Inc. Suturing device, system, and method
US8252007B2 (en) 2005-09-14 2012-08-28 Suturenetics, Inc. Suturing device, system, and method
US7998149B2 (en) 2005-09-14 2011-08-16 Suturenetics, Inc. Suturing device, system, and method
US8672955B2 (en) 2005-12-26 2014-03-18 Covidien Lp Medical suturing device
US20100305586A1 (en) * 2005-12-26 2010-12-02 Tyco Healthcare Group Lp Medical Suturing Device
US20100121353A1 (en) * 2006-05-22 2010-05-13 Scandius Biomedical, Inc. Method and apparatus for meniscal repair
US8926638B2 (en) 2006-05-22 2015-01-06 Covidien Lp Method and apparatus for meniscal repair
US20100228271A1 (en) * 2006-05-22 2010-09-09 Peter Marshall Meniscal repair device
US8876842B2 (en) 2006-05-22 2014-11-04 Covidien Lp Meniscal repair device
US20080091219A1 (en) * 2006-05-22 2008-04-17 Peter Marshall Method and apparatus for meniscal repair
US20110046646A1 (en) * 2006-05-22 2011-02-24 Scandius Biomedical, Inc. Method and apparatus for meniscal repair
US7918868B2 (en) 2006-05-22 2011-04-05 Scandius Biomendical, Inc. Method and apparatus for meniscal repair
US8267948B2 (en) 2006-05-22 2012-09-18 Tyco Healthcare Group Lp Method and apparatus for meniscal repair
US20100249808A1 (en) * 2006-05-31 2010-09-30 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles
US8876840B2 (en) 2006-10-05 2014-11-04 Covidien Lp Medical suturing tool with multiple puncture needles
US10939947B2 (en) 2006-12-21 2021-03-09 Pacira Cryotech, Inc. Dermal and transdermal cryogenic microprobe systems
US12514628B2 (en) 2006-12-21 2026-01-06 Pacira Cryotech, Inc. Dermal and transdermal cryogenic microprobe systems
US9254162B2 (en) 2006-12-21 2016-02-09 Myoscience, Inc. Dermal and transdermal cryogenic microprobe systems
US20080154254A1 (en) * 2006-12-21 2008-06-26 Myoscience, Inc. Dermal and Transdermal Cryogenic Microprobe Systems and Methods
US9113855B2 (en) 2007-02-16 2015-08-25 Myoscience, Inc. Replaceable and/or easily removable needle systems for dermal and transdermal cryogenic remodeling
US8409185B2 (en) 2007-02-16 2013-04-02 Myoscience, Inc. Replaceable and/or easily removable needle systems for dermal and transdermal cryogenic remodeling
US20080200910A1 (en) * 2007-02-16 2008-08-21 Myoscience, Inc. Replaceable and/or Easily Removable Needle Systems for Dermal and Transdermal Cryogenic Remodeling
US8500758B2 (en) 2007-02-20 2013-08-06 Covidien Lp Auxiliary device for a puncture needle
US20080200931A1 (en) * 2007-02-20 2008-08-21 Tyco Healthcare Group Lp Auxiliary device for a puncture needle
US20080228204A1 (en) * 2007-03-15 2008-09-18 Rhaphis Medical, Inc. Limited Access Suturing Devices, System, and Methods
US8617187B2 (en) 2007-03-15 2013-12-31 Suturenetics, Inc. Replaceable tip suturing devices, system, and methods for use with differing needles
US8257371B2 (en) 2007-03-15 2012-09-04 Suturenetics, Inc. Limited access suturing devices, system, and methods
US20080243147A1 (en) * 2007-03-15 2008-10-02 Rhaphis Medical, Inc. Replaceable Tip Suturing Devices, System, and Methods for Use with Differing Needles
US20080249544A1 (en) * 2007-04-04 2008-10-09 Brand Marc I Medical Device for Applying Purse String Sutures
US7981124B2 (en) * 2007-04-04 2011-07-19 Misder, Llc Medical device for applying purse string sutures
US9610070B2 (en) 2007-06-15 2017-04-04 Vivasure Medical Limited Closure device
US9226748B2 (en) 2007-07-26 2016-01-05 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US20100130991A1 (en) * 2007-07-26 2010-05-27 Levine Marshall S Surgical suturing device, method and tools used therewith
US9622741B2 (en) 2007-07-26 2017-04-18 Alpha Scientific Corporation Surgical suturing device and tools used therewith
US10064617B2 (en) 2007-07-26 2018-09-04 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US20090216251A1 (en) * 2007-07-26 2009-08-27 Levine David E Surgical suturing device, method and tools used therewith
US12178746B2 (en) 2007-11-14 2024-12-31 Pacira Cryotech, Inc. Pain management using cryogenic remodeling
US11672694B2 (en) 2007-11-14 2023-06-13 Pacira Cryotech, Inc. Pain management using cryogenic remodeling
US10864112B2 (en) 2007-11-14 2020-12-15 Pacira Cryotech, Inc. Pain management using cryogenic remodeling
US10869779B2 (en) 2007-11-14 2020-12-22 Pacira Cryotech, Inc. Pain management using cryogenic remodeling
US9101346B2 (en) 2007-11-14 2015-08-11 Myoscience, Inc. Pain management using cryogenic remodeling
US9907693B2 (en) 2007-11-14 2018-03-06 Myoscience, Inc. Pain management using cryogenic remodeling
US20090143790A1 (en) * 2007-11-30 2009-06-04 Ygal Zucker Suturing assembly and method
US8603112B2 (en) * 2007-11-30 2013-12-10 Easylap Ltd. Suturing assembly and method
EP2138108A1 (fr) * 2008-06-24 2009-12-30 Tyco Healthcare Group LP Outil d'assistance pour aiguille de perforation
US20090318939A1 (en) * 2008-06-24 2009-12-24 Tyco Healthcare Group Lp Puncturing needle assisting tool
US8968343B2 (en) 2008-06-24 2015-03-03 Covidien Lp Puncturing needle assisting tool
US20130310854A1 (en) * 2008-10-21 2013-11-21 Cayenne Medical, Inc. Meniscal repair systems and methods
US9066712B2 (en) 2008-12-22 2015-06-30 Myoscience, Inc. Integrated cryosurgical system with refrigerant and electrical power source
US20100185218A1 (en) * 2009-01-16 2010-07-22 Rhaphis Medical, Inc. Surgical Suturing Latch
US8419754B2 (en) 2009-01-16 2013-04-16 Suturenetics, Inc. Surgical suturing latch
US11357486B2 (en) 2009-12-30 2022-06-14 Vivasure Medical Limited Closure system and uses thereof
US12274427B2 (en) 2009-12-30 2025-04-15 Vivasure Medical Limited Closure system and uses thereof
US10966710B2 (en) 2010-03-31 2021-04-06 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US9386981B2 (en) 2010-03-31 2016-07-12 Siesta Medical, Inc. Suture passer systems and methods for palate suspension and compression
US10182810B2 (en) 2010-03-31 2019-01-22 Siesta Medical, Inc. Methods for hyoid suspension
US11672528B2 (en) 2010-03-31 2023-06-13 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US8460322B2 (en) 2010-03-31 2013-06-11 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US12201291B2 (en) 2010-03-31 2025-01-21 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US9770248B2 (en) 2010-07-11 2017-09-26 Mininvasive Ltd. Circular bone tunneling device
US9060751B2 (en) 2010-12-30 2015-06-23 Vivasure Medical Limited Surgical closure systems and methods
US11337690B2 (en) 2011-06-08 2022-05-24 Boss Instruments, Ltd., Inc. Offset jaw suturing device, system, and methods
US11439387B2 (en) 2011-06-08 2022-09-13 Boss Instruments, Ltd., Inc. Offset jaw suturing device, system, and methods
US9693767B1 (en) * 2011-07-15 2017-07-04 David Foreman Suture passer instruments and methods for their use
US9763659B2 (en) 2011-08-24 2017-09-19 Mininvasive Ltd. Arthroscopic surgical device
US9820754B2 (en) 2011-08-24 2017-11-21 Mininvasive Ltd. Circular bone tunneling device employing a stabilizing element
US10912554B2 (en) 2011-08-24 2021-02-09 Mininvasive Ltd. Arthroscopic surgical device
US10194920B2 (en) 2011-08-24 2019-02-05 Minivasive Ltd. Circular bone tunneling device employing a stabilizing element
US10111655B2 (en) 2011-08-24 2018-10-30 Mininvasive Ltd. Arthroscopic surgical device
US10751043B2 (en) 2011-12-18 2020-08-25 Via Surgical Ltd Apparatus and method for suturing
US9782162B2 (en) 2011-12-18 2017-10-10 Via Surgical Ltd. Apparatus and method for suturing
US8535339B2 (en) * 2011-12-18 2013-09-17 Via Surgical Ltd. Apparatus and method for suturing
US9055940B2 (en) * 2011-12-23 2015-06-16 Pavilion Medical Innovations, Llc Endoscopic fascial closure systems and methods for using same
US20130165955A1 (en) * 2011-12-23 2013-06-27 Pavilion Medical Innovations Endoscopic fascial closure systems and methods for using same
US9498209B2 (en) 2011-12-23 2016-11-22 Pavilion Medical Innovations, Llc Endoscopic fascial closure devices and methods for using same
US10231740B2 (en) 2012-01-08 2019-03-19 Mininvasive Ltd. Arthroscopic surgical device
US10188444B2 (en) 2012-01-13 2019-01-29 Myoscience, Inc. Skin protection for subdermal cryogenic remodeling for cosmetic and other treatments
US9314290B2 (en) 2012-01-13 2016-04-19 Myoscience, Inc. Cryogenic needle with freeze zone regulation
US11857239B2 (en) 2012-01-13 2024-01-02 Pacira Cryotech, Inc. Cryogenic needle with freeze zone regulation
US9155584B2 (en) 2012-01-13 2015-10-13 Myoscience, Inc. Cryogenic probe filtration system
US9241753B2 (en) 2012-01-13 2016-01-26 Myoscience, Inc. Skin protection for subdermal cryogenic remodeling for cosmetic and other treatments
US10213244B2 (en) 2012-01-13 2019-02-26 Myoscience, Inc. Cryogenic needle with freeze zone regulation
US9017318B2 (en) 2012-01-20 2015-04-28 Myoscience, Inc. Cryogenic probe system and method
US11957328B2 (en) 2012-02-29 2024-04-16 Vivasure Medical Limited Implants and methods for percutaneous perforation closure
US10966698B2 (en) 2012-02-29 2021-04-06 Vivasure Medical Limited Implants and methods for percutaneous perforation closure
US9737286B2 (en) 2012-02-29 2017-08-22 Vivasure Medical Limited Implants and methods for percutaneous perforation closure
US9572558B2 (en) 2012-02-29 2017-02-21 Vivasure Medical Limited Devices and methods for delivering implants for percutaneous perforation closure
US9662099B2 (en) 2012-02-29 2017-05-30 Vivasure Medical Limited Percutaneous perforation closure systems, devices, and methods
US10980625B2 (en) 2012-05-31 2021-04-20 Via Surgical Ltd Variable depth surgical fixation
US9888913B2 (en) 2012-05-31 2018-02-13 Via Surgical Ltd. Variable depth surgical fixation
US20150150553A1 (en) * 2012-06-18 2015-06-04 Covidien Lp Medical suturing instrument
US9877715B2 (en) * 2012-06-18 2018-01-30 Covidien Ag Medical suturing instrument
US10631852B2 (en) 2012-06-18 2020-04-28 Covidien Ag Medical suturing instrument
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US11064991B2 (en) 2012-09-07 2021-07-20 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9993245B2 (en) 2013-03-11 2018-06-12 Via Surgical Ltd. Surgical tacker with quantity indicator
US9271708B2 (en) 2013-03-13 2016-03-01 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US20140276975A1 (en) * 2013-03-13 2014-09-18 Medtronic Vascular, Inc. Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure
CN105163674A (zh) * 2013-03-13 2015-12-16 美敦力瓦斯科尔勒公司 用于密封血管或其它生物结构中的开口的缝合装置和方法
US9095319B2 (en) * 2013-03-13 2015-08-04 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US9265488B2 (en) 2013-03-13 2016-02-23 Medtronic Vascular, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
US10251737B2 (en) 2013-03-13 2019-04-09 Alpha Scientific Corporation Structural support incorporating multiple strands
US9295512B2 (en) 2013-03-15 2016-03-29 Myoscience, Inc. Methods and devices for pain management
US10016229B2 (en) 2013-03-15 2018-07-10 Myoscience, Inc. Methods and systems for treatment of occipital neuralgia
US12458530B2 (en) 2013-03-15 2025-11-04 Pacira Cryotech, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
US9668800B2 (en) 2013-03-15 2017-06-06 Myoscience, Inc. Methods and systems for treatment of spasticity
US11253393B2 (en) 2013-03-15 2022-02-22 Pacira Cryotech, Inc. Methods, systems, and devices for treating neuromas, fibromas, nerve entrapment, and/or pain associated therewith
US10888366B2 (en) 2013-03-15 2021-01-12 Pacira Cryotech, Inc. Cryogenic blunt dissection methods and devices
US10299786B2 (en) 2013-03-15 2019-05-28 Alpha Scientific Corporation Surgical suturing device with transverse engagement
US9610112B2 (en) 2013-03-15 2017-04-04 Myoscience, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
US11865038B2 (en) 2013-03-15 2024-01-09 Pacira Cryotech, Inc. Methods, systems, and devices for treating nerve spasticity
US9850013B2 (en) 2013-03-15 2017-12-26 Vivasure Medical Limited Loading devices and methods for percutaneous perforation closure systems
US10314739B2 (en) 2013-03-15 2019-06-11 Myoscience, Inc. Methods and devices for pain management
US10085789B2 (en) 2013-03-15 2018-10-02 Myoscience, Inc. Methods and systems for treatment of occipital neuralgia
US11642241B2 (en) 2013-03-15 2023-05-09 Pacira Cryotech, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
US10596030B2 (en) 2013-03-15 2020-03-24 Pacira Cryotech, Inc. Cryogenic enhancement of joint function, alleviation of joint stiffness and/or alleviation of pain associated with osteoarthritis
US10085881B2 (en) 2013-03-15 2018-10-02 Myoscience, Inc. Methods, systems, and devices for treating neuromas, fibromas, nerve entrapment, and/or pain associated therewith
US11134999B2 (en) 2013-03-15 2021-10-05 Pacira Cryotech, Inc. Methods and systems for treatment of occipital neuralgia
US12521161B2 (en) 2013-03-15 2026-01-13 Pacira Cryotech, Inc. Cryogenic blunt dissection methods and devices
US10206672B2 (en) 2013-03-18 2019-02-19 Mininvasive Ltd. Arthroscopic surgical device
US20150100084A1 (en) * 2013-10-08 2015-04-09 Boston Scientific Scimed, Inc. Devices and methods for suturing
US10245021B2 (en) * 2013-10-08 2019-04-02 Applied Medical Technology, Inc Magnetic U-stitch device
US12471977B2 (en) 2013-11-05 2025-11-18 Pacira Cryotech, Inc. Secure cryosurgical treatment system
US10864033B2 (en) 2013-11-05 2020-12-15 Pacira Cryotech, Inc. Secure cryosurgical treatment system
US11690661B2 (en) 2013-11-05 2023-07-04 Pacira Cryotech, Inc. Secure cryosurgical treatment system
US10130409B2 (en) 2013-11-05 2018-11-20 Myoscience, Inc. Secure cryosurgical treatment system
US11642123B2 (en) 2014-03-05 2023-05-09 Siesta Medical, Inc. Systems and methods for tissue suspension and compression
US11974738B2 (en) 2014-03-05 2024-05-07 Siesta Medical, Inc. Systems and methods for tissue suspension and compression
US11039831B2 (en) 2014-03-05 2021-06-22 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US10792029B2 (en) 2014-09-09 2020-10-06 Mininvasive Ltd. Padded transosseous suture
US11478235B2 (en) 2014-12-15 2022-10-25 Vivasure Medical Limited Closure apparatus with flexible sealable member and flexible support member
US12082798B2 (en) 2014-12-15 2024-09-10 Vivasure Medical Limited Closure apparatus with flexible sealable member and flexible support member
US10433826B2 (en) 2014-12-15 2019-10-08 Vivasure Medical Limited Closure apparatus with flexible sealable member and flexible support member
US11141142B2 (en) 2014-12-15 2021-10-12 Vivasure Medical Limited Implantable sealable member with mesh layer
US10206668B2 (en) 2014-12-15 2019-02-19 Vivasure Medical Limited Implantable sealable member with mesh layer
US10117648B2 (en) 2015-04-23 2018-11-06 Via Surgical Ltd. Surgical fastener delivery and locking mechanism
US10945726B2 (en) 2015-04-23 2021-03-16 Via Surgical Ltd Surgical fastener delivery and locking mechanism
WO2017051404A1 (fr) * 2015-09-24 2017-03-30 Mininvasive Ltd. Dispositif chirurgical arthroscopique
US10849613B2 (en) 2015-09-24 2020-12-01 Mininvasive Ltd. Arthroscopic surgical device
US12364469B2 (en) 2015-12-15 2025-07-22 Vivasure Medical Limited Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution
US11992198B2 (en) 2015-12-15 2024-05-28 Vivasure Medical Limited Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution
US11311280B2 (en) 2015-12-15 2022-04-26 Vivasure Medical Limited Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution
US10835234B2 (en) 2015-12-31 2020-11-17 Mininvasive Ltd. Arthroscopic surgical device
US12076069B2 (en) 2016-05-13 2024-09-03 Pacira Cryotech, Inc. Methods and systems for locating and treating nerves with cold therapy
US11311327B2 (en) 2016-05-13 2022-04-26 Pacira Cryotech, Inc. Methods and systems for locating and treating nerves with cold therapy
US11134998B2 (en) 2017-11-15 2021-10-05 Pacira Cryotech, Inc. Integrated cold therapy and electrical stimulation systems for locating and treating nerves and associated methods
US12167881B2 (en) 2017-11-15 2024-12-17 Pacira Cryotech, Inc. Integrated cold therapy and electrical stimulation systems for locating and treating nerves and associated methods
CN108652690A (zh) * 2018-07-13 2018-10-16 上海捍宇医疗科技有限公司 一种心尖闭合装置
CN110279446A (zh) * 2019-07-31 2019-09-27 王朝晖 缝合线穿引装置
US12465355B2 (en) 2019-09-28 2025-11-11 Tas Medical, Inc. Systems, devices and methods for tissue fixation and approximating tissue defects
US12594068B2 (en) 2020-01-26 2026-04-07 Tas Medical Inc. Medical systems, devices and methods adapted for tissue fixation and approximating tissue defects
US11911022B2 (en) 2020-07-31 2024-02-27 Medos International Sarl Minimally-invasive systems and methods for approximating tissue with a suture
US11344295B2 (en) * 2020-07-31 2022-05-31 Medos International Sàrl Minimally invasive systems and methods for approximating tissue with a suture
US20220031302A1 (en) * 2020-07-31 2022-02-03 Medos International Sàrl Minimally invasive systems and methods for approximating tissue with a suture
CN112690844A (zh) * 2021-02-05 2021-04-23 江苏泰应生物科技有限公司 深部软组织缝合器
CN118806358A (zh) * 2024-08-30 2024-10-22 无忧跳动医疗科技(深圳)有限公司 一种缝线控制装置以及缝合器系统

Also Published As

Publication number Publication date
WO2007073931A1 (fr) 2007-07-05
US20100305586A1 (en) 2010-12-02
MX2007000184A (es) 2008-11-26
JP2007167500A (ja) 2007-07-05
CA2572055A1 (fr) 2007-06-26
BRPI0605379A (pt) 2007-10-16
JP4614451B2 (ja) 2011-01-19
US8672955B2 (en) 2014-03-18

Similar Documents

Publication Publication Date Title
US8672955B2 (en) Medical suturing device
US8382770B2 (en) Method for implanting a percutaneous endoscopic gastrostomy/jejunostomy tube in a patient and access needle for use in said method
JP4669315B2 (ja) 臓器固定具および臓器固定具セット
EP1598017B1 (fr) Instrument medical
US20180168567A1 (en) Knotless suture, and kit containing same
US20100249808A1 (en) Medical Suturing Tool with Gripping Device
JP5298023B2 (ja) 医療用器具
US20070118153A1 (en) Extraction device and medical suturing device set
JPH0624533B2 (ja) 医療用器具
US20110071474A1 (en) Organ Fixture and Gastric Fistula Catheter Set
AU2005291430A1 (en) Organ fixing equipment and organ fixing equipment set
US8734470B2 (en) Surgical apparatus
US8187300B2 (en) Organopexy tool and organopexy kit
JP5386168B2 (ja) 体内臓器吊り上げ用具
JP4364857B2 (ja) 医療用器具
CN100403993C (zh) 医疗装置
WO2012149533A1 (fr) Dispositif de piqûre
JP2007319593A (ja) 医療用縫合具
JP4500282B2 (ja) 生体用縫合具
JP2025122310A (ja) 生体用縫合装置
JP2007252408A (ja) 生体用縫合具
HK1108817A1 (en) Marked suture

Legal Events

Date Code Title Description
AS Assignment

Owner name: NIPPON SHERWOOD MEDICAL INDUSTRIES, LTD., JAPAN

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:NAGATA, KATSUKI;KITANI, ICHIRO;FUNAMURA, SHIGEAKI;AND OTHERS;REEL/FRAME:019154/0206;SIGNING DATES FROM 20070328 TO 20070403

AS Assignment

Owner name: TYCO HEALTHCARE GROUP LP, MASSACHUSETTS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:NIPPON SHERWOOD MEDICAL INDUSTRIES LTD.;REEL/FRAME:019156/0029

Effective date: 20070326

AS Assignment

Owner name: TYCO HEALTHCARE GROUP LP, MASSACHUSETTS

Free format text: NUNC PRO TUNC ASSIGNMENT;ASSIGNOR:NIPPON SHERWOOD MEDICAL INDUSTRIES LTD.;REEL/FRAME:019877/0879

Effective date: 20070919

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION

AS Assignment

Owner name: COVIDIEN LP, MASSACHUSETTS

Free format text: CHANGE OF NAME;ASSIGNOR:TYCO HEALTHCARE GROUP LP;REEL/FRAME:031611/0860

Effective date: 20120928