CA2079259C - Suturing apparatus - Google Patents

Suturing apparatus

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Publication number
CA2079259C
CA2079259C CA002079259A CA2079259A CA2079259C CA 2079259 C CA2079259 C CA 2079259C CA 002079259 A CA002079259 A CA 002079259A CA 2079259 A CA2079259 A CA 2079259A CA 2079259 C CA2079259 C CA 2079259C
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CA
Canada
Prior art keywords
surgical
jaws
jaw
handle
securing
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.)
Expired - Lifetime
Application number
CA002079259A
Other languages
French (fr)
Other versions
CA2079259A1 (en
Inventor
Philip Richardson
Margaret Pamela Richardson
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Individual
Original Assignee
Individual
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Filing date
Publication date
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Publication of CA2079259A1 publication Critical patent/CA2079259A1/en
Application granted granted Critical
Publication of CA2079259C publication Critical patent/CA2079259C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • 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
    • A61B17/2804—Surgical forceps with two or more pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points

Abstract

Surgical suturing apparatus comprises upper and lower jaw elements selectively movable relative to one another between open and closed position. Each jaw element is provided with a respective recess arranged to receive a portion of an elongate incision member or length of surgical thread and securing means is provided arranged to selectively secure the surgical incision member or length of surgical thread in a respective recess. The jaw elements are typically provided at an end of an elongated positioning and operating arm making the device particularly useful for use in laparoscopic surgery.

Description

~ 7 ~ 2 5 9 Suturing Apparatus FIELD OF THE INVENTION
The present invention is concerned with surgical apparatus for sewing and suturing.
BACKGROUND OF THE INVENTION
A common surgical procedure for attaching materials together is sewing. In the case of surgical procedures a wound is closed by the manual application of a suture thread installed by means of a needle attached to the suture thread. Needle passage through tough tissue is often necessary and as such the needle must be rigid and sharply pointed. In the case of surgical suturing the needle is sometimes positioned and manouvered by the use of instruments to avoid direct handling of the needle. Even so the medical operative often experiences difficulty forcing the needle through tissue. This has limited the application of suturing to tissues which are readily accessible to the surgeon. The forceful use of a sharp needle sometimes results in needle stick injury to medical personnel. Needle stick injury has been cited as a probable cause for transmission of disease from medical personnel to patient and vice-versa. In particular, suturing or sewing of internal body tissue is extremely difficult in laparoscopic surgery, where suturing instruments must necessarily be operated remote from the tissue being sutured since the instrument must pass along a trocar into the body of the patient.
SUMMARY OF THE INVENTION
In accordance with an embodiment of the present invention there is provided a surgical apparatus comprising an elongated tubular portion having a distal portion and a proximal portion; first and second jaw elements, each of the jaw elements extending from the distal portion of the tubular portion, each of the jaw elements having a recess configured and dimensioned to receive a portion of an elongate surgical incision member; mechanically actuated securing means for securing the portion of the surgical incision member within the recess, 2 ~ 7 ~ 2 s 9 wherein the securing means engages the recess in each jaw element in a first position and is disengaged from the recess in a second position; and actuation means for relatively moving the first and second jaw elements, the actuation means positioned at the proximal portion of the tubular portion.
It is preferred that the upper and lower jaw elements are pivotally movable relative to one another, with advantageously one of the upper or lower jaw elements being pivotally connected to the remaining jaw element or a member to which the remaining jaw element is connected.
Typically, selective relative motion is preferably effected by means of exertion of force by an actuation member on one of the respective jaw elements. The force actuation member may exert alternately compressive and tensile forces on the respective jaw element in moving the jaw elements between the first and second positions, and may be actuated by means of mechanical linkage, hydraulic actuation, pneumatic actuation or electrical means (e.g.
actuation by means of solenoid).
Typically, where pivotal relative motion of the jaw elements is effected by exertion of a tensile/compressive force on one of the jaw elements, the respective jaw element is provided with an extended lever portion extending away from the pivotal connection to which the tensile force actuation member is connected.
It is preferred that the recesses (or channels) provided in respective upper and lower jaw elements are configured and shaped such that the surgical incision member or portion of stiffened surgical thread may be selectively removed from either recess (or channel) whilst a respective portion of the incision member or thread remains secured in the other respective recess (or channel).
Advantageously, the incision member or portion of stiffened surgical thread is arcuately curved in its longitudinal direction. Typically, the respective recesses (or channels) in upper and lower jaw elements are A

~ 7~259 correspondingly arcuately curved along their length.
It is preferred that the respective recesses (or channels) in the upper and lower jaw elements are arranged such that respective spaced portions of the elongate incision member or portion of surgical thread may be received in both recesses (or channels) simultaneous]y. Advantageously one of the recesses (or channels) provided in a respective jaw element, preferably the lower jaw element, is in the form of a hole or bore extending through the respective jaw. It is preferred that one of the recesses (or channels) provided in a respective jaw element is in the form of a slot extending substantially wholly through the respective jaw element. Advantageously the slot tapers from a mouth portion to an apex portion. The presence of the slot in one of the jaw elements enables the surgical thread to be removed from the respective jaw members whilst the incision member is still received in the other jaw element, when the jaw elements are orientated in the second position.
The securing means preferably includes a respective securing element selectively actuable to engage respective portions of the incision member or surgical thread or complementary engagement formations provided thereon such that respective portions of the incision member or thread are secured relative to the upper or lower jaw element. Advantageously the securing elements are actuable so as to individually and separately selectively engage the respective portions of the incision member or surgical thread. Actuation of the securing elements may be by means of mechanical linkage, hydraulic actuation, pneumatic actuation or by electrical actuation (e.g. actuation by means of a solenoid).
Typically, upper and lower jaw elements are provided at the distal end of an elongate positioning arm, the proximal end of which arm is preferably provided with control means for controlling the actuation of the jaw element motion and of the securing means.
Advantageously, the elongate positioning arm is substantially hollow ~ ~ 7 ~

such that mechanical linkages or hydraulic/pneumatic linkages may extend internally along the length of the arm from the control means at the proximal end of the arm to the jaw elements and securing means provided at the distal end of the arm.
Typically, the external dimensions of the elongate arm are such that the arm may be inserted and received in an elongate surgical trocar.
In accordance with another embodiment of the present invention there is provided a surgical apparatus comprising: an elongated tubular body portion; first and second jaw elements extending from the body portion and connected at a pivot point, at least one of the jaw elements being movable, eachof the jaw elements having a recess configured and dimensioned to receive a portion of an elongate surgical incision member, wherein each recess is in the form of a slot, each of the jaws further having a mechanically actuated securingmember engageable with each recess for securing the surgical incision member in each recess and mechanical means positioned at the proximal portion of the elongated tubular body portion for actuating the at least one movable jaw element and the securing member.
In accordance with a further embodiment of the present invention there is provided a surgical apparatus comprising: an elongated tubular body portion having a longitudinal axis; first and second jaw elements extending longitudinally from the body portion, at least one of the jaw elements being movable, each of the jaw elements having securing means for securing a portion of a surgical incision member and further having releasing means engageable with the securing means for releasing the portion of the surgical incision member secured by the securing means; and mechanical means positioned at the proximal portion of the elongated tubular body portion for actuating the at least one movable jaw element and the securing means.
A further embodiment of the present invention provides a surgical suturing apparatus comprising: an elongated tubular body portion having a - 3b -~ ~ 7 ~ ~ 5 ~

longitudinal axis; first and second jaw elements extending longitudinally from adistal portion of the body portion, and having receiving means for receiving a portion of a surgical incision member and securing means for securing a portion of the surgical incision member in each jaw element; means engageable with the jaw elements for moving the surgical incision member between the first and second jaw elements; and mechanically actuated control means positioned at a proximal portion of the elongated tubular body portion for controlling the moving means.
Yet another embodiment of the present invention provides a surgical apparatus which comprises a handle portion having two pivotably connected members; an elongated tubular portion having a longitudinal axis and extending from the handle portion; first and second jaws extending longitudinally from the tubular portion and operatively connected to the handle portion, at least one of the jaws being movable with respect to the other jaw upon actuationof the handle portion; and a surgical incision member transferable between the first and second jaws upon movement of the handle portion, wherein the surgical incision member is movable from a first position where it is retained by the first jaw and released by the second jaw and a second position wherein the surgical incision member is retained by the second jaw and released by the first jaw.
In accordance with a still further embodiment of the present invention there is provided a surgical apparatus which comprises a handle portion; an elongated tubular portion having a longitudinal axis and extending from the handle portion; first and second jaws extending longitudinally from thetubular portion and operatively connected to the handle portion, at least one ofthe jaws being movable with respect to the other jaw upon actuation of the handle portion; a surgical incision member transferable between the first and second jaws; and a mechanically actuable mechanism for retaining the incision member in one of the jaws when released from the other of the jaws.

3c - ~ ~) 7 9 2 5 9 In a further embodiment of the present invention there is provided a surgical apparatus comprising a handle portion having two pivotably connected members; an elongated tubular portion extending from the handle portion; first and second jaws extending distally longitudinally from the tubular portion and operatively connected to the handle portion, at least one of the jaws being movable with respect to the other jaw upon actuation of the handle portion; and a surgical incision member transferable between the first and second jaws, wherein the surgical incision member is movable from a first position where it is retained by the first jaw and released by the second jaw and a second position wherein the surgical incision member is retained by the second jaw and released by the first jaw.
A further embodiment of the invention provides a surgical suturing apparatus comprising an elongated tubular portion dimensioned for insertion through a trocar cannula, the elongated tubular portion having a proximal end portion and a distal end portion; first and second jaws extending from the distal end portion of the elongated tubular portion and being relatively movable with respect to one another from an open position to a closed position; a surgical needle positioned in the first jaw and transferable between the first and secondjaws; a handle mechanism positioned at the proximal end portion of the elongated tubular portion and operatively connected to at least one of the jaws;a securing mechanism cooperating with the surgical needle and movable between a first position to retain the needle in the first jaw and allow release from the second jaw and a second position to retain the needle in the second jaw and allow release from the first jaw, the securing mechanism being operatively connected to the handle mechanism; and wherein actuation of the handle mechanism closes the jaws and moves the securing member between the first and second positions.
A still further embodiment of the present invention provides a A

- 3d - ~ ~3 7 ~

surgical suturing apparatus comprising an elongated tubular body portion; a handle mechanism positioned at a proximal end portion of the elongated portion;
first and second jaws positioned at a distal end portion of the elongated body portion and relatively movable between an open and closed position, each of the jaws having a needle receiving recess formed therein; a securing mechanism movable with respect to the first and second jaws to alternately retain and allow release of a surgical needle in the respective needle receiving recess; wherein actuation of the handle mechanism effects relative movement of the jaws and effects movement of the securing mechanism.
The invention will now be further described in a specific embodiment, suitable for use in laparoscopic surgery, by way of example only.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a side elevation of surgical apparatus according to the invention;
Figure 2 is a detailed view of a part of the apparatus shown in Figure 1;
Figures 3 to 6 are views of the detailed part of the apparatus shown in Figure 2 in use; and Figure 7 is a detailed plan view of the part of the apparatus of Figure 1 shown in Figures 2 to 5.

A

CA 020792S9 1998-04-lS
DETA~ED DESCRIPTION OF THE PREFERRED EMBODlMENT
Referring to the dlawings~ and initiaUy to Figure 1 in particular, the surgical a~pdlalus generally de~ 'ed 1 is inten~led for use as a ;~ ulmg appa,~lus. The app~lus 1 comprises an f long~te hollow arm 2 divided into two arm portions 2a and 2b co-~-eclf;d to~l.~r at a pivotal con~e~t;on joint 23 such that arm positions 2a and 2b may pivot relative to one another. At one end ofthe arm 2 is a ~ u ;i~ &llA'~,e'~ 3 co~ ";~:~ an upper jaw n 4 integral with the arm portion 2a and a pivotal lower jaw 5 pivotally col-l-f~;lçd to the arm portion 2a. At the opposite end ofthe arm 2 is a handle 6 to be gripped by the user, and actuation trigger 10 for controlling the operation of the s~ ring ~1~ 3 as describe~ below.
Referring now to Figure 2, the suturing &.I,.nge...e~.~ 3 is shown in detail in with pivotal col-.-~ ;OI~ 8 b~tw~ll the lower jaw 5 and arm portion 2a dearly shown. A lever ~ - ~f ~ portion 5a ofthe lower jaw 5 extends away from the pivot point S and is col-l~ted at its end to one end of a s~a~l~tion cable 9. The act-lation cable 9 extends internally along the length ofthe arm 2 and is co~ ~led at its other end to the a~lation trigger 10. Movement of the aehlati~n cable 9 along the length of the arm 2 to~alds or away from the suturing an -a~e~-l 3 by means of m~niplllation ofthe actuatio~ trigger 10 will cause the lower jaw 5 to pivot about pivot point 8 and the jaws to move relative to one another tov~,ar~s an open position with jaws 4,5 splayed apart (as in Figure 3), or a closed position with jaws 4,5 relatively close together (as in Figure 1), re~ecl,./ely.
The lowerjaw 5 is provided with a bore 11 of circular cross-section ~Yten~ing lherdl.n)ugh from the upper surface of the jaw. In use, the incisor end 12 of an adapted surgical needle 13 may be snugly received in the bore 11. The upper jaw 4 is provided with a generally V shaped slot 14 ~ - ~el~ right the way through the upper jaw 4 (as is best shown in Figure 7). In use, the trailing end 15 of the adapted surgical needle (which is a1tachçd to ~ I J~ thread 16) may be received snugly in the apex 17 ofthe "~' shaped slot 14 with the incisor end 12 of the needle 13 ~ytçn~ing dowllw~dly from the upper jaw 4 and the suture thread 16 P- 1~l,.1il~g upwardly from the upper jaw 4. In the open position as shown in Figure 5, thread 16 may be removed from the slot 14 in the upper jaw 4 by moving the thread to relatively to~ s the mouth 18 ofthe "V" shaped slot 14 in the direction shown by arrow A

~ - 5 -in Figure 7.
A~exible resilient '~' shaped metal s~ r..~ ber 19 having se_~ing arms l9a and 19b which are cor,i,ll~d to move along defined guide ~ s (not shown) in the upper and lower jaws 4,5 is provided. The upper arm 19a of the sec~ u l-~e...l)~r 19 is c4n~ 1ffi to one end ofthe second stiffac1~ cable 20 which also extends along the length of the arm 2 to the act~l~tion trigger 10. Further ll,o~er,.~..l of the ~tu?tion trigger 10 once it has been moved to either open or close the jaws 4,5 causes the l~ispe~ e sec~ 8 arms 19a and 19b to slide along their defined guide cl~ in lt;~ecli.~e jaws 4,5 and inlel~e~,l the "V~' shaped slot 14 or bore 11 l~,specli-rely. Where a l~e.;li-~e portion ofthe adapted needle 13 is present in the bore 11 or slot 14, the respective arm 19b,19a will engage with that a r~pe~ e notch portion 25a,25b ofthe needle 13 and secure it in the slot or hole.As shown in the dlawings, due to the se~ action ofthe scc~ hf~r 19, when s~ , arm 19a i Ite~;ls slot 14 and ~ notch 25a in needle 13, the arm 19b is ~.itLd~a~ from bore 11, and vice versa. Thus at all times, the needle is posili~rely secured in either jaw 4 or jaw 5.
It should be noted at this point that whilst the device is described for use with an adapted needle, a suture thread with a suitably sli~elled end portion would serve nd~.J*lely, n~e~ g the nece~s;ly for a needle.
The thread 16 extends u~ Jly out ofthe slot 14 in the upper jaw 4, and then re-enters the hollow arm 2 through an aperture 21. The thread then extends internally along the length ofthe arm 2 where it is conl~ecled at the handle end ofthe device to a spool ( not shown).
In use, the apparatus is loaded with needle 13 ~ cl.ed to thread 16 by il selling the needle through slot 14 and with the tip 12 e~ .l.ng into bore 11. Upper seculiilg arm 19a is then ~~ ed ro,wa.dly by means of manipulation ofthe trigger 10 to intersect the slot 14 and engage in notch 25a in the upper portion 15 of the needle 13 and se.iulely hold the needle 13 in the slot 14 relative to the upper jaw 4. At this stage the condition of the appalalus is as shown in Figure 2 with the lower seCllring arm 19b retracted from the bore 11.
Next the trigger 10 is .. ~ p~ ed to push control cable 9 ro, wal ~ causing the lower jaw 5 to pivot about pivot .nerl~n;c~n 8 to the open position shown in Figure 3. It should be noted that the secu,lng arm l9a relllail s in engagem~nt with the upper portion 15 of the needle 13 and is thereby secured in slot 14. Body tissue to be sewn is then placed between jaws 4 and 5 as shown in Figure 3 with the needle tip 12 located above the tissue.
Sllbsequ~ntly~ as shown in Figure 4, the cable 9 is retracted causing jaws 4,5 to pivotally close, in so doing forcing the needle 13 through the tissue 24 such that the needle tip 12 is r~lo~ted in the bore 11. Once this stage has been effected, cable 20 is retracted causing the 'IJ ' shaped s~illg ~e~ er to slide and flex along its length with the lower arm l9b intersecting the bore 11 and ç~ing with notch 25b in the tip 12 of the needle 13, sec ~ring the needle relative to the lower jaw 5. The jaws 4,5 are then opened by f~lwald motion of cable 9 as previously dçs~ihe~ causing the needle 13 to be pulled clean through the tissue 24.
The next step as shown in Figure 5, is for the thread 16 to be removed from the slot 14 by moving the arm 2 in the direction of arrow B, causing the thread 16 to move relatively from the apex 17 ofthe slot 14 tuw~ds the mouth 18 in the direction of arrow A in Figure 7. As can be sen in Figure 5, once this stage is r~ched, the needle 13 is secured in the lower jaw 5 with needle 13 and thread 16 passing lLIuugll the tissue 24. The thread 16 is then pulled further through the tissue 24 and the jaws 4,5 s~1bse~ ntly closed as des.,l;bed previously, causing the upper needle portion 15 to re-engage in slot 14. The upper securing arm l9a is then re-~e~ in slot 14 (causing the lower se~iuling arm to be Cimlllt~n~ously ed from blind bore 11) se~ g the needle relative to the upper jaw 4 as shown in Figure 6. By this stage, a coInplete pass of the suture thread 16 through tissue 24 has been completed, and further passes may be made by repea~ the steps o~ ;n~ above and d~lil,ed in relation to Figures 2 to 6. To enable the suture thread local to the needle to re-engage slot 14, a portion of it is relatively s~ eA during m~nllf~ture~ typically by the application of a sli~el~ing agent e.g. epoxy resin. The slin'elled portion of the thread whilst being flexible enough to pass through the tissue would direct the thread to return to slot 14 thus en~hling the end 15 ofthe needle 13 to re-engage in slot 14.
The ap~alaluS described enables suturing to be e~;led easily and effir;~ntly~ with the meAic~l operative remote from the needle tip and tissue being sutured.

Claims (74)

1. Surgical apparatus comprising:
an elongated tubular portion having a distal portion and a proximal portion;
first and second jaw elements, each of said jaw elements extending from said distal portion of said tubular portion, each of said jaw elements having a recess configured and dimensioned to receive a portion of an elongate surgical incision member;
mechanically actuated securing means for securing the portion of the surgical incision member within said recess, wherein said securing means engages said recess in each said jaw element in a first position and is disengaged from said recess in a second position; and actuation means for relatively moving said first and second jaw elements, said actuation means positioned at the proximal portion of said tubular portion.
2. Surgical apparatus according to claim 1, wherein at least one of said jaw elements is pivotally movable relative to the other jaw element.
3. Surgical apparatus according to claim 1, further comprising an actuation member connected to said first and second jaw elements for moving said elements.
4. Surgical apparatus according to claim 1, further comprising an incision member, wherein said incision member is curved in its longitudinal direction, and said recesses in said first and second jaw elements are curved.
5. Surgical apparatus according to claim 1, wherein one of said recesses is in the form of a slot extending substantially through the respective jaw element.
6. Surgical apparatus according to claim 5, wherein said slot tapers from a mouth portion to an apex portion.
7. Surgical apparatus comprising:
an elongated tubular body portion;
first and second jaw elements extending from said body portion and connected at a pivot point, at least one of said jaw elements being movable, each of said jaw elements having a recess configured and dimensioned to receive a portion of an elongate surgical incision member, wherein each recess is in the form of a slot, each of said jaws further having a mechanically actuated securing member engageable with each said recess for securing the surgical incision member in each said recess and mechanical means positioned at the proximal portion of the elongated tubular body portion for actuating said at least one movable jaw element and said securing member.
8. Surgical apparatus according to claim 7, wherein the incision member is curved in its longitudinal direction, and said recesses in said first and second jaw elements are curved.
9. Surgical apparatus according to claim 7, wherein said slot tapers from a mouth portion to an apex portion.
10. Surgical apparatus according to claim 7, further comprising an elongate positioning arm having a distal end and a proximal end, said first and second jaw elements extending from said distal end and control means positioned at said proximal end for controlling said first and second jaw elements.
11. Surgical apparatus comprising:
an elongated tubular body portion having a longitudinal axis;
first and second jaw elements extending longitudinally from said body portion, at least one of said jaw elements being movable, each of said jaw elements having securing means for securing a portion of a surgical incision member and further having releasing means engageable with said securing means for releasing the portion of the surgical incision member secured by said securing means; and mechanical means positioned at the proximal portion of the elongated tubular body portion for actuating said at least one movable jaw element and said securing means.
12. Surgical apparatus according to claim 11, wherein said pivot point is asymmetrically disposed between said jaw elements.
13. Surgical apparatus according to claim 11, wherein said securing means separately secures said portion of said surgical incision member in each of said jaw elements.
14. Surgical apparatus according to claim 11, wherein said securing means comprises a U-shaped element.
15. Surgical apparatus according to claim 11, wherein said securing means comprises two arms.
16. Surgical apparatus according to claim 11, further comprising a surgical incision member, said surgical incision member including a needle.
17. Surgical apparatus according to claim 16, wherein said needle is curved.
18. Surgical apparatus according to claim 11, further comprising a surgical incision member, the surgical incision member including a suture.
19. Surgical apparatus according to claim 11, wherein only said first jaw element is movable relative to said second jaw element.
20. Surgical apparatus according to claim 19, further comprising control means positioned at a proximal end of said body portion for moving said first jaw element.
21. Surgical apparatus according to claim 20, further comprising at least one actuation cable connected between said control means and said jaw elements.
22. Surgical apparatus according to claim 20, wherein said control means comprises a pistol grip.
23. Surgical apparatus according to claim 20, wherein said body portion is rotatably attached to said control means.
24. Surgical suturing apparatus comprising:

an elongated tubular body portion having a longitudinal axis;
first and second jaw elements extending longitudinally from a distal portion of said body portion, and having receiving means for receiving a portion of a surgical incision member and securing means for securing a portion of the surgical incision member in each said jaw element;
means engageable with said jaw elements for moving the surgical incision member between said first and second jaw elements; and mechanically actuated control means positioned at a proximal portion of said elongated tubular body portion for controlling said moving means.
25. Surgical apparatus according to claim 24, wherein said receiving means comprises a recess in each said jaw element.
26. Surgical apparatus according to claim 24, wherein said surgical incision member is curved.
27. Surgical apparatus according to claim 26, wherein only said first jaw element is movable relative to said second jaw element.
28. Surgical apparatus according to claim 24, wherein said first and second jaw elements are positioned relative to each other around a pivot point which is asymmetrically disposed between said jaw elements.
29. Surgical apparatus according to claim 24, wherein said securing means comprises a U-shaped element.
30. Surgical apparatus according to claim 24, wherein said securing means comprises two arms.
31. Surgical apparatus according to claim 24, further comprising a handle assembly having a pivotable handle, wherein full closure of said pivotable handle automatically moves the surgical incision member between said first and second jaw elements.
32. Surgical apparatus comprising:
a handle portion having two pivotably connected members;
an elongated tubular portion having a longitudinal axis and extending from said handle portion;
first and second jaws extending longitudinally from said tubular portion and operatively connected to the handle portion, at least one of said jaws being movable with respect to said other jaw upon actuation of the handle portion; and a surgical incision member transferable between said first and second jaws upon movement of said handle portion, wherein said surgical incision member is movable from a first position where it is retained by said first jaw and released by said second jaw and a second position wherein said surgical incision member is retained by said second jaw and released by said first jaw.
33. Surgical apparatus according to claim 32, further including a mechanically actuated retaining member engageable with the surgical incision member for retaining said surgical incision member in its respective jaw.
34. Surgical apparatus according to claim 32, wherein said surgical incision member includes a needle attached to a suture.
35. Surgical apparatus according to claim 34, wherein at least a portion of said suture is housed inside said elongated tubular portion.
36. Surgical apparatus according to claim 34, wherein said needle is curved.
37. Surgical apparatus according to claim 32, wherein said jaws extend from a pivot point inside said tubular portion.
38. Surgical apparatus according to claim 32, wherein each jaw has a recess configured to receive said surgical incision member.
39. Surgical apparatus according to claim 32, wherein said retaining member is U-shaped.
40. Surgical apparatus according to claim 32, further comprising a longitudinally sliding mechanism positioned in the tubular portion, said sliding mechanism operatively connected to the handle portion for moving said first and second jaws.
41. Surgical apparatus according to claim 32, wherein said jaws are pivotably mounted at a proximal end to each other.
42. Surgical apparatus comprising:
a handle portion;
an elongated tubular portion having a longitudinal axis and extending from said handle portion;
first and second jaws extending longitudinally from said tubular portion and operatively connected to the handle portion, at least one of jaws being movable with respect to said other jaw upon actuation of said handle portion;
a surgical incision member transferable between said first and second jaws; and a mechanically actuable mechanism for retaining said incision member in one of the jaws when released from the other of said jaws.
43. Surgical apparatus according to claim 42, wherein said handle portion comprises at least one pivotal handle member.
44. Surgical apparatus according to claim 42, wherein said first and second jaws are pivotally mounted by a pivot pin.
45. Surgical apparatus according to claim 42, further comprising a suture connected to said surgical incision member, said suture extending through at least a portion of said elongated tubular portion.
46. Surgical apparatus according to claim 42, wherein said tubular portion has a longitudinal axis and said jaws extend from said tubular portion along an axis parallel to the longitudinal axis of said tubular portion.
47. Surgical apparatus according to claim 46, wherein said surgical incision member is retained in said first and second jaws in a position perpendicular to a longitudinal axis of each said respective jaw.
48. Surgical apparatus according to claim 42, further comprising a longitudinally sliding mechanism positioned in the tubular portion, said sliding mechanism operatively connected to the handle portion for moving said first and second jaws.
49. Surgical apparatus comprising:
a handle portion having two pivotably connected members;
an elongated tubular portion extending from said handle portion;
first and second jaws extending distally longitudinally from said tubular portion and operatively connected to the handle portion, at least one of said jaws being movable with respect to said other jaw upon actuation of the handle portion; and a surgical incision member transferable between said first and second jaws, wherein said surgical incision member is movable from a first position where it is retained by said first jaw and released by said second jaw and a second position wherein said surgical incision member is retained by said second jaw and released by said first jaw.
50. A surgical suturing apparatus comprising:
an elongated tubular portion dimensioned for insertion through a trocar cannula, the elongated tubular portion having a proximal end portion and a distal end portion;
first and second jaws extending from the distal end portion of the elongated tubular portion and being relatively movable with respect to one another from an open position to a closed position;
a surgical needle positioned in the first jaw and transferable between the first and second jaws;
a handle mechanism positioned at the proximal end portion of the elongated tubular portion and operatively connected to at least one of the jaws;
a securing mechanism cooperating with the surgical needle and movable between a first position to retain the needle in the first jaw and allow release from the second jaw and a second position to retain the needle in the second jaw and allow release from the first jaw, the securing mechanism being operatively connected to the handle mechanism; and wherein actuation of the handle mechanism closes the jaws and moves the securing member between the first and second positions.
51. A surgical suturing apparatus according to claim 50, wherein the elongated tubular portion is hollow and of substantially uniform outer diameter.
52. A surgical suturing apparatus according to claim 51, wherein the first and second jaws in the closed position together have an outer diameter substantially equal to the outer diameter of the tubular portion.
53. A surgical suturing apparatus according to claim 51, wherein the securing mechanism includes first and second elongated arms extending through the first and second jaws, respectively.
54, A surgical suturing apparatus according to claim 50, wherein the first and second jaws are pivotably connected at a pivot point at a proximal end portion thereof, the pivot point being at the distal end portion of the tubular portion.
55. A surgical suturing apparatus according to claim 54, wherein the securing mechanism includes first and second elongated arms extending through the first and second jaws, respectively.
56. A surgical suturing apparatus according to claim 55, wherein the handle mechanism includes a pivotable trigger member extending transversely of the tubular portion.
57. A surgical suturing apparatus according to claim 56, further comprising a connecting member connecting the first and second elongated arms to the pivotable trigger member.
58. A surgical suturing apparatus according to claim, 50, wherein the securing mechanism is connected at a proximal end to the handle portion and extends through the length of the elongated tubular portion through the first and second jaws.
59. A surgical suturing apparatus according to claim 58, wherein actuation of the handle mechanism initially closes the jaws and subsequently moves the securing mechanism.
60. A surgical suturing apparatus according to claim 50, wherein the handle mechanism includes a handle member which pivots with respect to the elongated tubular portion at the proximal end portion thereof, and the first and second jaws are relatively movable with respect to the elongated portion at the distal end portion thereof.
61. A surgical suturing apparatus according to claim 60, further comprising a connecting member extending through the elongated tubular portion operatively connecting a pivotable handle member of the handle mechanism with the first and second jaws.
62. A surgical suturing apparatus according to claim 61, wherein the securing mechanism extends from the handle mechanism through the elongated tubular portion and through the first and second jaws.
63. A surgical suturing apparatus according to claim 62, wherein the jaws are connected at a common point.
64. A surgical suturing apparatus according to claim 50, wherein a recess is formed in each of the jaws and is configured for receiving the needle, each recess being spaced proximally of a distalmost tip of the respective jaw.
65. A surgical suturing apparatus according to claim 50, wherein a recess is formed in each of the jaws, the recesses configured to receive the surgical needle and positioned opposite one another when the jaws are in the closed position.
66. A surgical suturing apparatus comprising:
an elongated tubular body portion;
a handle mechanism positioned at a proximal end portion of the elongated portion;
first and second jaws positioned at a distal end portion of the elongated body portion and relatively movable between an open and closed position, each of the jaws having a needle receiving recess formed therein;
a securing mechanism movable with respect to the first and second jaws to alternately retain and allow release of a surgical needle in the respective needle receiving recess;
wherein actuation of the handle mechanism effects relative movement of the jaws and effects movement of the securing mechanism.
67. A surgical suturing apparatus according to claim 66, wherein the securing mechanism comprises first and second arms extending through the first and second jaws, respectively.
68. A surgical suturing apparatus according to claim 67, wherein the handle mechanism extends transversely of the elongated body portion.
69. A surgical suturing apparatus according to claim 68, wherein each of the recesses are spaced proximally of a distalmost tip of the jaws.
70. A surgical suturing apparatus according to claim 66, wherein the securing mechanism is connected at a proximal end to the handle mechanism and extends through the length of the elongated tubular portion and through the first and second jaws.
71. A surgical suturing apparatus according to claim 70, wherein the jaws are connected at a common pivot point at the distal end portion of the elongated tubular portion.
72. A surgical suturing apparatus according to claim 71, further comprising a connecting member extending through the elongated tubular portion operatively connecting the jaws to the handle portion.
73. A surgical suturing apparatus according to claim 72, wherein actuation of the handle mechanism initially effects relative movement of the jaws and subsequently effects movement of the securing mechanism.
74. A surgical suturing apparatus according to claim 72, wherein the handle mechanism includes a pivotable handle extending transversely of the tubular portion and the connecting member is operatively connected to the pivotable handle.
CA002079259A 1991-09-30 1992-09-28 Suturing apparatus Expired - Lifetime CA2079259C (en)

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Application Number Priority Date Filing Date Title
GB9120871.0 1991-09-30
GB9120871A GB2260704B (en) 1991-09-30 1991-09-30 Suturing apparatus

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CA2079259C true CA2079259C (en) 1998-11-10

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JP (1) JP3389269B2 (en)
AU (1) AU658225B2 (en)
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DE (1) DE69230744T2 (en)
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Families Citing this family (343)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1994028801A1 (en) * 1993-06-11 1994-12-22 Karl Storz Gmbh & Co. Suturing device
US5462561A (en) * 1993-08-05 1995-10-31 Voda; Jan K. Suture device
CA2133377C (en) * 1993-10-08 2004-09-14 H. Jonathan Tovey Surgical suturing apparatus with loading mechanism
US5478344A (en) * 1993-10-08 1995-12-26 United States Surgical Corporation Surgical suturing apparatus with loading mechanism
US5674230A (en) * 1993-10-08 1997-10-07 United States Surgical Corporation Surgical suturing apparatus with locking mechanisms
US5397325A (en) * 1993-11-09 1995-03-14 Badiaco, Inc. Laparoscopic suturing device
DE4423881C1 (en) * 1994-07-07 1995-10-26 Karlsruhe Forschzent Surgical sewing device
US5478345A (en) 1994-08-19 1995-12-26 United States Surgical Corporation Mechanism for endoscopic suturing device
USD378131S (en) 1994-10-06 1997-02-18 United States Surgical Corporation Loading mechanism for a surgical suturing instrument
USD384413S (en) 1994-10-07 1997-09-30 United States Surgical Corporation Endoscopic suturing instrument
US5571090A (en) * 1994-10-07 1996-11-05 United States Surgical Corporation Vascular suturing apparatus
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
US5480406A (en) * 1994-10-07 1996-01-02 United States Surgical Corporation Method of employing surgical suturing apparatus to tie knots
US5645552A (en) * 1995-01-11 1997-07-08 United States Surgical Corporation Surgical apparatus for suturing body tissue
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
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5632751A (en) * 1995-07-28 1997-05-27 Piraka; Hadi A. Surgical suturing device
US5797927A (en) * 1995-09-22 1998-08-25 Yoon; Inbae Combined tissue clamping and suturing instrument
US5728112A (en) * 1995-09-22 1998-03-17 Yoon; Inbae Combined tissue clamping and suturing instrument
ES2250982T3 (en) * 1995-09-22 2006-04-16 United States Surgical Corporation VASCULAR SUTURE DEVICE.
US5707379A (en) * 1995-10-20 1998-01-13 Coral Medical Method and apparatus for intracorporeal suturing
US5824009A (en) * 1995-12-06 1998-10-20 Kabushiki Kaisha Matsutani Seisakusho Guide instrument for a medical needle with thread
US5860992A (en) * 1996-01-31 1999-01-19 Heartport, Inc. Endoscopic suturing devices and methods
US5733293A (en) * 1996-05-08 1998-03-31 United States Surgical Corporation Disposable loading unit for a vascular suturing instrument
US5735862A (en) * 1996-09-23 1998-04-07 Jennings; Erwin Reeves Semi-automatic suturing and sewing device
US5993466A (en) 1997-06-17 1999-11-30 Yoon; Inbae Suturing instrument with multiple rotatably mounted spreadable needle holders
US5957937A (en) * 1996-11-27 1999-09-28 Yoon; Inbae Suturing instrument with spreadable needle holder mounted for arcuate movement
US5984932A (en) * 1996-11-27 1999-11-16 Yoon; Inbae Suturing instrument with one or more spreadable needle holders mounted for arcuate movement
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
US6159224A (en) * 1996-11-27 2000-12-12 Yoon; Inbae Multiple needle suturing instrument and method
US5766186A (en) * 1996-12-03 1998-06-16 Simon Fraser University Suturing device
US6080180A (en) 1997-05-01 2000-06-27 Yoon; Inbae Surgical instrument with rotatably mounted offset end effector and method of using the same
US6126665A (en) * 1997-05-01 2000-10-03 Yoon; Inbae Surgical instrument with arcuately movable offset end effectors 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
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
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
US5954731A (en) 1997-07-29 1999-09-21 Yoon; Inbae Surgical instrument with multiple rotatably mounted spreadable end effectors
AT408832B (en) * 1997-09-09 2002-03-25 Werner Ing Fuchs SURGICAL SEWING PLIERS
US5897563A (en) * 1997-10-08 1999-04-27 Ethicon Endo-Surgery, Inc. Method for using a needle holder to assist in suturing
US6206894B1 (en) 1997-10-09 2001-03-27 Ethicon Endo-Surgery, Inc. Electrically powered needle holder to assist in suturing
WO2002080786A1 (en) 2001-04-06 2002-10-17 Sherwood Services Ag Electrosurgical instrument which reduces collateral damage to adjacent tissue
US6726686B2 (en) 1997-11-12 2004-04-27 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US7435249B2 (en) 1997-11-12 2008-10-14 Covidien Ag Electrosurgical instruments which reduces collateral damage to adjacent tissue
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
JPH11216145A (en) * 1998-02-04 1999-08-10 Manii Kk Guide for surgical needle with suture
US6086601A (en) * 1998-04-29 2000-07-11 Yoon; Inbae Instrument and method for suturing anatomical tissue and tying suture material
US6332889B1 (en) 1998-08-27 2001-12-25 Onux Medical, Inc. Surgical suturing instrument and method of use
US6786913B1 (en) 1999-02-01 2004-09-07 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
US7582087B2 (en) 1998-10-23 2009-09-01 Covidien Ag Vessel sealing instrument
US7267677B2 (en) 1998-10-23 2007-09-11 Sherwood Services Ag Vessel sealing instrument
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
US7118570B2 (en) 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealing forceps with disposable electrodes
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
AU6059200A (en) 1999-07-02 2001-01-22 Quickpass, Inc. Suturing device
US6511489B2 (en) * 1999-08-03 2003-01-28 Frederic P. Field Surgical suturing instrument and method of use
US6527785B2 (en) 1999-08-03 2003-03-04 Onux Medical, Inc. Surgical suturing instrument and method of use
US20030109875A1 (en) 1999-10-22 2003-06-12 Tetzlaff Philip M. Open vessel sealing forceps with disposable electrodes
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
US6663643B2 (en) 2000-03-27 2003-12-16 Onux Medical, Inc. Surgical suturing instrument and method of use
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
AU2002246923A1 (en) * 2000-10-20 2002-07-30 Onux Medical, Inc. Surgical suturing instrument and method of use
WO2002034122A2 (en) 2000-10-20 2002-05-02 Onux Medical, Inc. Surgical suturing instrument and method of use
US6511487B1 (en) * 2000-11-28 2003-01-28 T. A. G. Medical Products Ltd. Suturing instrument and method
US6770076B2 (en) 2001-02-12 2004-08-03 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US7473253B2 (en) 2001-04-06 2009-01-06 Covidien Ag Vessel sealer and divider with non-conductive stop members
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
US6547800B2 (en) 2001-06-06 2003-04-15 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device
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
US6719764B1 (en) 2001-08-24 2004-04-13 Scimed Life Systems, Inc. Forward deploying suturing device and methods of use
US7879046B2 (en) 2001-10-01 2011-02-01 Depuy Mitek, Inc. Suturing apparatus and method
ATE545370T1 (en) * 2001-10-01 2012-03-15 Depuy Mitek Inc SEWING APPARATUS
US6780198B1 (en) 2001-12-06 2004-08-24 Opus Medical, Inc. Bone anchor insertion device
US6855157B2 (en) 2002-02-04 2005-02-15 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
DE10204840A1 (en) * 2002-02-06 2003-08-14 Joachim Heinzl Method and device for remote-controlled sewing with a needle
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
US7041111B2 (en) * 2002-08-02 2006-05-09 Boston Scientific Scimed, Inc. Placing sutures
US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
US7276068B2 (en) 2002-10-04 2007-10-02 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7270664B2 (en) 2002-10-04 2007-09-18 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7799026B2 (en) 2002-11-14 2010-09-21 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
US7559940B2 (en) * 2002-12-18 2009-07-14 Smith & Nephew, Inc. Surgical biting punch
WO2004082495A1 (en) 2003-03-13 2004-09-30 Sherwood Services Ag Bipolar concentric electrode assembly for soft tissue fusion
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
US8714429B2 (en) * 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
US9597078B2 (en) 2003-04-29 2017-03-21 Covidien Lp Surgical stapling device with dissecting tip
EP1617778A2 (en) 2003-05-01 2006-01-25 Sherwood Services AG Electrosurgical instrument which reduces thermal damage to adjacent tissue
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
WO2004103156A2 (en) 2003-05-15 2004-12-02 Sherwood Services Ag Tissue sealer with non-conductive variable stop members and method of sealing tissue
US7857812B2 (en) 2003-06-13 2010-12-28 Covidien Ag Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism
USD956973S1 (en) 2003-06-13 2022-07-05 Covidien Ag Movable handle for endoscopic vessel sealer and divider
US7150749B2 (en) 2003-06-13 2006-12-19 Sherwood Services Ag Vessel sealer and divider having elongated knife stroke and safety cutting mechanism
US7156846B2 (en) 2003-06-13 2007-01-02 Sherwood Services Ag Vessel sealer and divider for use with small trocars and cannulas
EP2298181B1 (en) 2003-10-17 2017-04-12 Covidien LP Tilt anvil assembly for a surgical stapling device
US7682374B2 (en) 2003-10-21 2010-03-23 Arthrocare Corporation Knotless suture lock and bone anchor implant method
US9848938B2 (en) 2003-11-13 2017-12-26 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
US7367976B2 (en) 2003-11-17 2008-05-06 Sherwood Services Ag Bipolar forceps having monopolar extension
US7131970B2 (en) 2003-11-19 2006-11-07 Sherwood Services Ag Open vessel sealing instrument with cutting mechanism
US7811283B2 (en) 2003-11-19 2010-10-12 Covidien Ag Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety
US7500975B2 (en) 2003-11-19 2009-03-10 Covidien Ag Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument
US7442193B2 (en) 2003-11-20 2008-10-28 Covidien Ag Electrically conductive/insulative over-shoe for tissue fusion
US20080249543A1 (en) * 2003-11-27 2008-10-09 George Kaladelfos Ligature Carrier
CA2551838A1 (en) * 2004-01-23 2005-08-11 Ams Research Corporation Tissue fastening and cutting tool, and methods
US7780662B2 (en) 2004-03-02 2010-08-24 Covidien Ag Vessel sealing system using capacitive RF dielectric heating
US8444657B2 (en) * 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
JP4954874B2 (en) 2004-06-16 2012-06-20 スミス アンド ネフュー インコーポレーテッド Suture threader
US8123762B2 (en) 2004-08-19 2012-02-28 Boston Scientific Scimed, Inc. Suturing instrument
US7195631B2 (en) 2004-09-09 2007-03-27 Sherwood Services Ag Forceps with spring loaded end effector assembly
US7540872B2 (en) 2004-09-21 2009-06-02 Covidien Ag Articulating bipolar electrosurgical instrument
US7955332B2 (en) 2004-10-08 2011-06-07 Covidien Ag Mechanism for dividing tissue in a hemostat-style instrument
US7909823B2 (en) 2005-01-14 2011-03-22 Covidien Ag Open vessel sealing instrument
US7686804B2 (en) 2005-01-14 2010-03-30 Covidien Ag Vessel sealer and divider with rotating sealer and cutter
EP1859743B1 (en) 2005-03-17 2015-08-05 Olympus Corporation Suture instrument
US7789890B2 (en) * 2005-03-30 2010-09-07 Ethicon Endo-Surgery, Inc. Harness and balloon catheter assembly and method for use in anastomosis procedures
US7491202B2 (en) 2005-03-31 2009-02-17 Covidien Ag Electrosurgical forceps with slow closure sealing plates and method of sealing tissue
GB2441266B (en) 2005-06-01 2011-03-02 Arthrocare Corp Knotless suture anchoring device having deforming section to accommodate sutures of various diameters
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
US7722607B2 (en) 2005-09-30 2010-05-25 Covidien Ag In-line vessel sealer and divider
US7922953B2 (en) 2005-09-30 2011-04-12 Covidien Ag Method for manufacturing an end effector assembly
US7789878B2 (en) 2005-09-30 2010-09-07 Covidien Ag In-line vessel sealer and divider
US7879035B2 (en) 2005-09-30 2011-02-01 Covidien Ag Insulating boot for electrosurgical forceps
EP1769765B1 (en) 2005-09-30 2012-03-21 Covidien AG Insulating boot for electrosurgical forceps
CA2561034C (en) 2005-09-30 2014-12-09 Sherwood Services Ag Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue
US9078650B2 (en) * 2005-11-23 2015-07-14 Arthrex, Inc. Handle system for suture driving device
US7763038B2 (en) * 2005-12-09 2010-07-27 O'brien Todd Suture needle retention device
US8241282B2 (en) 2006-01-24 2012-08-14 Tyco Healthcare Group Lp Vessel sealing cutting assemblies
US8882766B2 (en) 2006-01-24 2014-11-11 Covidien Ag Method and system for controlling delivery of energy to divide tissue
US8298232B2 (en) 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
US8734443B2 (en) 2006-01-24 2014-05-27 Covidien Lp Vessel sealer and divider for large tissue structures
ES2350125T3 (en) * 2006-03-17 2011-01-18 T.A.G. Medical Products A Limited Partnership SURGICAL INSTRUMENT TO ADHER SOFT FABRIC TO A BONE.
US7572265B2 (en) * 2006-03-21 2009-08-11 Biomet Sports Medicine, Llc Method and apparatus for passing a suture
US10743862B1 (en) 2006-05-04 2020-08-18 Alfredo Alvarado Laparoscopic suturing device and methods of use
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US8133258B2 (en) 2006-08-03 2012-03-13 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US8597297B2 (en) 2006-08-29 2013-12-03 Covidien Ag Vessel sealing instrument with multiple electrode configurations
US8403196B2 (en) 2006-09-08 2013-03-26 Covidien Lp Dissection tip and introducer for surgical instrument
US8136711B2 (en) 2006-09-08 2012-03-20 Tyco Healthcare Group Lp Dissection tip and introducer for surgical instrument
US8070746B2 (en) 2006-10-03 2011-12-06 Tyco Healthcare Group Lp Radiofrequency fusion of cardiac tissue
EP2081481B1 (en) 2006-10-05 2015-03-11 Covidien LP Flexible endoscopic stitching devices
EP2083702B1 (en) 2006-10-05 2019-02-13 Covidien LP Axial stitching device
US8795325B2 (en) * 2006-10-05 2014-08-05 Covidien Lp Handle assembly for articulated endoscopic instruments
CN101522127B (en) 2006-10-06 2011-11-16 Tyco医疗健康集团 Endoscopic vessel sealer and divider having a flexible articulating shaft
US8475453B2 (en) 2006-10-06 2013-07-02 Covidien Lp Endoscopic vessel sealer and divider having a flexible articulating shaft
US8702729B2 (en) 2006-10-13 2014-04-22 Boston Scientific Scimed, Inc. Placing multiple sutures
US8562629B2 (en) 2006-10-24 2013-10-22 Arthrocare Corporation Suture device having selective needle actuation and related method
US8114128B2 (en) * 2006-11-01 2012-02-14 Depuy Mitek, Inc. Cannulated suture anchor
EP2083706B1 (en) 2006-11-07 2012-02-01 Boston Scientific Limited Delivering sutures
EP1938758B1 (en) * 2006-12-28 2018-08-29 Olympus Corporation Endoscopic treatment tool
USD649249S1 (en) 2007-02-15 2011-11-22 Tyco Healthcare Group Lp End effectors of an elongated dissecting and dividing instrument
JP5411125B2 (en) 2007-03-29 2014-02-12 ノーブルズ メディカル テクノロジーズ、インコーポレイテッド Suture device and system for closing a patent foramen ovale
US8267935B2 (en) 2007-04-04 2012-09-18 Tyco Healthcare Group Lp Electrosurgical instrument reducing current densities at an insulator conductor junction
US7722628B2 (en) * 2007-04-04 2010-05-25 Ethicon Endo-Surgery, Inc. Device for plicating and fastening gastric tissue
US7815653B2 (en) * 2007-04-04 2010-10-19 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US7799040B2 (en) 2007-04-04 2010-09-21 Ethicon Endo-Surgery, Inc. Device for plicating and fastening gastric tissue
US7803166B2 (en) * 2007-04-04 2010-09-28 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US7951159B2 (en) 2007-04-04 2011-05-31 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US8137381B2 (en) 2007-04-25 2012-03-20 Arthrocare Corporation Knotless suture anchor having discrete polymer components and related methods
US8821518B2 (en) 2007-11-05 2014-09-02 Ceterix Orthopaedics, Inc. Suture passing instrument and method
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US8663253B2 (en) 2007-07-03 2014-03-04 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US7963972B2 (en) 2007-09-12 2011-06-21 Arthrocare Corporation Implant and delivery system for soft tissue repair
US8702754B2 (en) * 2007-09-14 2014-04-22 Depuy Mitek, Llc Methods for anchoring suture to bone
US8882801B2 (en) * 2007-09-14 2014-11-11 Depuy Mitek, Llc Dual thread cannulated suture anchor
US8221416B2 (en) 2007-09-28 2012-07-17 Tyco Healthcare Group Lp Insulating boot for electrosurgical forceps with thermoplastic clevis
AU2008221509B2 (en) 2007-09-28 2013-10-10 Covidien Lp Dual durometer insulating boot for electrosurgical forceps
US8235993B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Insulating boot for electrosurgical forceps with exohinged structure
US9023043B2 (en) 2007-09-28 2015-05-05 Covidien Lp Insulating mechanically-interfaced boot and jaws for electrosurgical forceps
US8267936B2 (en) 2007-09-28 2012-09-18 Tyco Healthcare Group Lp Insulating mechanically-interfaced adhesive for electrosurgical forceps
US8251996B2 (en) 2007-09-28 2012-08-28 Tyco Healthcare Group Lp Insulating sheath for electrosurgical forceps
US8236025B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Silicone insulated electrosurgical forceps
US8235992B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Insulating boot with mechanical reinforcement for electrosurgical forceps
US8764748B2 (en) 2008-02-06 2014-07-01 Covidien Lp End effector assembly for electrosurgical device and method for making the same
US8623276B2 (en) 2008-02-15 2014-01-07 Covidien Lp Method and system for sterilizing an electrosurgical instrument
US8864776B2 (en) 2008-04-11 2014-10-21 Covidien Lp Deployment system for surgical suture
EP2291125B1 (en) 2008-05-09 2021-04-21 Nobles Medical Technologies, Inc. Suturing devices for suturing an anatomic valve
WO2009151815A1 (en) 2008-06-11 2009-12-17 Boston Scientific Scimed, Inc. Suturing instrument and method for uterine preservation
US20110040308A1 (en) 2008-06-13 2011-02-17 Ramiro Cabrera Endoscopic Stitching Devices
US8628545B2 (en) * 2008-06-13 2014-01-14 Covidien Lp Endoscopic stitching devices
US9029408B2 (en) 2008-06-16 2015-05-12 Gtx, Inc. Compounds for treatment of cancer
KR20170128623A (en) 2008-06-16 2017-11-22 유니버시티 오브 테네시 리서치 파운데이션 Compounds for the treatment of cancer
US11812951B2 (en) 2008-06-17 2023-11-14 Apollo Endosurgery Us, Inc. Endoscopic needle assembly
US8287556B2 (en) 2008-06-17 2012-10-16 Apollo Endosurgery, Inc. Endoscopic suturing system
US9198562B2 (en) 2008-06-17 2015-12-01 Apollo Endosurgery, Inc. Endoscopic needle assembly
US11083364B2 (en) 2008-06-17 2021-08-10 Apollo Endosurgery Us, Inc. Endoscopic tissue grasping systems and methods
US20090318873A1 (en) * 2008-06-24 2009-12-24 Cook Incorporated Medical malecot with magnets
US8834495B2 (en) 2008-06-30 2014-09-16 Arthrocare Corporation Independent suture tensioning and snaring apparatus
US8469956B2 (en) 2008-07-21 2013-06-25 Covidien Lp Variable resistor jaw
US8162973B2 (en) 2008-08-15 2012-04-24 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
US8257387B2 (en) 2008-08-15 2012-09-04 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
US9603652B2 (en) 2008-08-21 2017-03-28 Covidien Lp Electrosurgical instrument including a sensor
US8784417B2 (en) 2008-08-28 2014-07-22 Covidien Lp Tissue fusion jaw angle improvement
US8317787B2 (en) 2008-08-28 2012-11-27 Covidien Lp Tissue fusion jaw angle improvement
US8795274B2 (en) 2008-08-28 2014-08-05 Covidien Lp Tissue fusion jaw angle improvement
US8303582B2 (en) 2008-09-15 2012-11-06 Tyco Healthcare Group Lp Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique
US9375254B2 (en) 2008-09-25 2016-06-28 Covidien Lp Seal and separate algorithm
US8535312B2 (en) 2008-09-25 2013-09-17 Covidien Lp Apparatus, system and method for performing an electrosurgical procedure
US8968314B2 (en) 2008-09-25 2015-03-03 Covidien Lp Apparatus, system and method for performing an electrosurgical procedure
US8142473B2 (en) 2008-10-03 2012-03-27 Tyco Healthcare Group Lp Method of transferring rotational motion in an articulating surgical instrument
US8469957B2 (en) 2008-10-07 2013-06-25 Covidien Lp Apparatus, system, and method for performing an electrosurgical procedure
US8636761B2 (en) 2008-10-09 2014-01-28 Covidien Lp Apparatus, system, and method for performing an endoscopic electrosurgical procedure
US8016827B2 (en) 2008-10-09 2011-09-13 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8486107B2 (en) 2008-10-20 2013-07-16 Covidien Lp Method of sealing tissue using radiofrequency energy
US8197479B2 (en) 2008-12-10 2012-06-12 Tyco Healthcare Group Lp Vessel sealer and divider
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
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
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
USD708746S1 (en) 2009-06-10 2014-07-08 Covidien Lp Handle for surgical device
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
US20110060350A1 (en) * 2009-09-04 2011-03-10 Cost Containment, Inc. Suture passer device and suture needle
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
US8490713B2 (en) 2009-10-06 2013-07-23 Covidien Lp Handle assembly for endoscopic suturing device
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
WO2011057245A2 (en) 2009-11-09 2011-05-12 Suturepro Technologies, Inc. Devices, systems and methods for meniscus repair
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US9211118B2 (en) 2009-11-16 2015-12-15 Arthrocare Corporation Suture passer
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
WO2012096280A1 (en) * 2011-01-11 2012-07-19 オリンパスメディカルシステムズ株式会社 Suturing system and endoscopic system
US9113940B2 (en) 2011-01-14 2015-08-25 Covidien Lp Trigger lockout and kickback mechanism for surgical instruments
US8556916B2 (en) 2011-02-14 2013-10-15 Smith & Nephew, Inc. Method and device for suture manipulation
US8968340B2 (en) 2011-02-23 2015-03-03 Covidien Lp Single actuating jaw flexible endolumenal stitching device
CN110882021A (en) 2011-04-15 2020-03-17 心脏缝合有限公司 Suturing device and method for suturing an anatomical valve
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
US8801727B2 (en) 2011-07-08 2014-08-12 Smith & Nephew, Inc. Orthopedic suture passer and method
US8888849B2 (en) 2011-07-08 2014-11-18 Smith & Nephew, Inc. Soft tissue repair
US8882834B2 (en) 2011-07-08 2014-11-11 Smith & Nephew, Inc. Soft tissue repair
US8951263B2 (en) 2011-07-08 2015-02-10 Smith & Nephew, Inc. Orthopedic suture passer and method
US9357997B2 (en) 2011-07-08 2016-06-07 Smith & Nephew, Inc. Suture passer and method
US9662105B2 (en) 2011-07-08 2017-05-30 Smith & Nephew, Inc. Suture passer and method
WO2013025622A1 (en) 2011-08-14 2013-02-21 SafePath Medical, Inc. Apparatus and method for suturing tissue
CN103917171B (en) 2011-08-30 2017-05-17 梅隆医疗有限责任公司 A surgical suture apparatus
US9636101B2 (en) 2011-09-01 2017-05-02 Arthrocare Corporation Bone anchor having an integrated stress isolator
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics 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
US10537321B2 (en) 2014-04-08 2020-01-21 Ceterix Orthopaedics, Inc. Suture passers adapted for use in constrained regions
US20130123809A1 (en) 2011-11-11 2013-05-16 VentureMD Innovations, LLC Transosseous attachment instruments
US10548585B2 (en) 2011-11-16 2020-02-04 VentureMD Innovations, LLC Soft tissue attachment
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
US9131937B2 (en) 2011-11-16 2015-09-15 VentureMD Innovations, LLC Suture anchor
USD680220S1 (en) 2012-01-12 2013-04-16 Coviden IP Slider handle for laparoscopic device
US9364210B2 (en) 2012-01-27 2016-06-14 Arthrocare Corporation Biased wedge suture anchor and method for soft tissue repair
US9226742B2 (en) 2012-01-27 2016-01-05 Arthrocare Corporation Restricted wedge suture anchor and method for soft tissue repair
US9034014B2 (en) 2012-01-27 2015-05-19 Arthrocare Corporation Free floating wedge suture anchor for soft tissue repair
US9198649B2 (en) 2012-01-27 2015-12-01 Arthrocare Corporation Rotating locking member suture anchor and method for soft tissue repair
US9023083B2 (en) 2012-01-27 2015-05-05 Arthrocare Corporation Method for soft tissue repair with free floating suture locking member
EP2811927B1 (en) 2012-02-07 2017-05-10 MNR Device Corporation Apparatus for treating a bone fracture
US10265062B2 (en) 2012-02-07 2019-04-23 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US9351721B2 (en) 2012-02-16 2016-05-31 Coopersurgical, Inc. Suture passers and related methods
US9855028B2 (en) 2012-04-06 2018-01-02 Arthrocare Corporation Multi-suture knotless anchor for attaching tissue to bone and related method
EP3597115A1 (en) 2012-05-11 2020-01-22 Heartstitch, Inc. Suturing devices for suturing an anatomic structure
US9173655B2 (en) 2012-12-13 2015-11-03 Ethicon Endo-Surgery, Inc. Needle driver and pawl mechanism for circular needle applier
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US9125645B1 (en) 2013-03-11 2015-09-08 Ethicon Endo-Surgery, Inc. Reciprocating needle drive without cables
US9936951B2 (en) 2013-03-12 2018-04-10 Covidien Lp Interchangeable tip reload
US20150351749A1 (en) 2014-06-06 2015-12-10 Ethicon Endo-Surgery, Inc. Needle Cartridge with Moveable Cover
US9375212B2 (en) 2014-06-06 2016-06-28 Ethicon Endo-Surgery, Llc Circular needle applier with cleats
US10039563B2 (en) 2013-03-15 2018-08-07 Invictus Medical Innovations, Llc Suturer
USD771811S1 (en) 2013-03-15 2016-11-15 Ethicon Endo-Surgery, Llc Suture tray
EA032962B1 (en) 2013-07-02 2019-08-30 Мед-Венче Инвестментс, Ллс Suturing device for suturing an anatomic structure
WO2015017992A1 (en) 2013-08-07 2015-02-12 Covidien Lp Surgical forceps
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9936942B2 (en) 2013-09-26 2018-04-10 Surgimatix, Inc. Laparoscopic suture device with release mechanism
WO2015048465A1 (en) 2013-09-26 2015-04-02 Surgimatix, Inc. Laparoscopic suture device with autoloading and suture capture
US9675340B2 (en) 2013-11-20 2017-06-13 Covidien Lp Stitching device with long needle
WO2015085145A1 (en) 2013-12-06 2015-06-11 Med-Venture Investments, Llc Suturing methods and apparatuses
US9907550B2 (en) 2014-01-27 2018-03-06 Covidien Lp Stitching device with long needle delivery
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
US9629627B2 (en) 2014-01-28 2017-04-25 Coviden Lp Surgical apparatus
US9936952B2 (en) 2014-02-03 2018-04-10 Covidien Lp Introducer assembly for a surgical fastener applying apparatus
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US9468434B2 (en) 2014-06-03 2016-10-18 Covidien Lp Stitching end effector
US10004490B2 (en) 2014-06-06 2018-06-26 Ethicon Llc Force limited needle driver
USD745146S1 (en) 2014-06-06 2015-12-08 Ethicon Endo-Surgery, Inc. Surgical suturing device
US11246583B2 (en) 2014-06-18 2022-02-15 Boston Scientific Scimed, Inc. Insertion devices, anchors, and methods for securing an implant
EP3679867B1 (en) * 2014-07-01 2023-07-26 Boston Scientific Scimed, Inc. Hemostatic clip with needle passer
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US9636103B2 (en) 2014-08-28 2017-05-02 Covidien Lp Surgical suturing instrument
KR101621261B1 (en) 2014-10-15 2016-05-17 인제대학교 산학협력단 Automatic suture hook instrument with cutting function
WO2016147464A1 (en) 2015-03-18 2016-09-22 オリンパス株式会社 Suture device
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
US10092286B2 (en) 2015-05-27 2018-10-09 Covidien Lp Suturing loading unit
US10820918B2 (en) 2015-07-17 2020-11-03 Crossroads Extremity Systems, Llc Transosseous guide and method
US10258401B2 (en) 2015-07-17 2019-04-16 Kator, Llc Transosseous guide
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10194912B2 (en) * 2015-07-28 2019-02-05 Ethicon Llc Surgical staple cartridge with outer edge compression features
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
WO2017031712A1 (en) 2015-08-26 2017-03-02 Covidien Lp Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread
AU2016321317B2 (en) 2015-09-11 2020-12-24 Applied Medical Resources Corporation Laparoscopic suturing system
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
US10213250B2 (en) 2015-11-05 2019-02-26 Covidien Lp Deployment and safety mechanisms for surgical instruments
USD800306S1 (en) 2015-12-10 2017-10-17 Ethicon Llc Surgical suturing device
US9439647B1 (en) 2016-03-02 2016-09-13 Arthrogenx, LLC. Suture passing instruments and methods
EP3442437B1 (en) 2016-04-11 2020-11-11 Nobles Medical Technologies II, Inc. Tissue suturing device with suture spool
US20170325806A1 (en) * 2016-05-11 2017-11-16 Orthopedic Technology Innovations LLC Suturing Device
US10542970B2 (en) 2016-05-31 2020-01-28 Covidien Lp Endoscopic stitching device
US10729424B2 (en) * 2016-06-20 2020-08-04 Covidien Lp Loading fixture for use with endoscopic stitching device
US11141147B2 (en) 2016-08-10 2021-10-12 Apollo Endosurgery Us, Inc. Endoscopic suturing system having external instrument channel
US11051800B2 (en) 2016-08-10 2021-07-06 Apollo Endosurgery Us, Inc. Endoscopic suturing system having external instrument channel
EP3531931A1 (en) 2016-10-31 2019-09-04 Smith & Nephew, Inc Suture passer and grasper instrument and method
US10945723B2 (en) 2016-11-17 2021-03-16 SafePath Medical, Inc. Systems and methods for suturing tissue
USD865964S1 (en) 2017-01-05 2019-11-05 Ethicon Llc Handle for electrosurgical instrument
US10709439B2 (en) 2017-02-06 2020-07-14 Covidien Lp Endoscopic stitching device
US11166759B2 (en) 2017-05-16 2021-11-09 Covidien Lp Surgical forceps
US11839370B2 (en) 2017-06-19 2023-12-12 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
EP3668415B1 (en) 2017-08-18 2023-10-25 Nobles Medical Technologies II, Inc. Apparatus for applying a knot to a suture
US10905411B2 (en) 2017-11-03 2021-02-02 Covidien Lp Surgical suturing and grasping device
US10806441B2 (en) 2017-11-03 2020-10-20 Covidien Lp Endoscopic stitching device
US10881391B2 (en) 2017-11-03 2021-01-05 Covidien Lp Sealing pack assembly for use with endoscopic stitching device
US11058413B2 (en) 2017-12-15 2021-07-13 Covidien Lp Endoscopic stitching device
US10617410B2 (en) * 2018-01-04 2020-04-14 Durastat Llc Suturing device having needle capture capabilities
US11197665B2 (en) 2018-08-06 2021-12-14 Covidien Lp Needle reload device for use with endostitch device
US11219457B2 (en) 2018-10-11 2022-01-11 Covidien Lp Laparoscopic purse string suture device
USD895112S1 (en) 2018-11-15 2020-09-01 Ethicon Llc Laparoscopic bipolar electrosurgical device
CN110279445B (en) * 2019-07-08 2022-05-31 谢小波 Supplementary stitching instrument of tendon for surgery

Family Cites Families (51)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR337579A (en) * 1903-12-11 1904-04-15 Philippe Lepine New automatic forceps for deep sutures
US1037864A (en) * 1911-04-20 1912-09-10 John C Carlson Surgical-needle holder.
US1131163A (en) * 1913-06-30 1915-03-09 Edward W Saunders Surgical needle-holder.
US1293565A (en) * 1918-10-03 1919-02-04 Harry Smit Surgical instrument.
US1449087A (en) * 1921-12-05 1923-03-20 Edwin P Bugbee Suturing instrument
US1876792A (en) * 1930-06-30 1932-09-13 Thompson Basil Suturing device
US2213830A (en) * 1938-12-10 1940-09-03 Anastasi John Joseph Suturing and ligating instrument
US2880728A (en) * 1958-02-03 1959-04-07 Clyde S Rights Ligature inserter
US3090386A (en) * 1961-07-20 1963-05-21 Curtis Scott Company Surgical suturing instrument
US3349772A (en) * 1963-07-24 1967-10-31 C V Heljestrand Ab Needle holding instrument for applying continuous sutures
US3470875A (en) * 1966-10-06 1969-10-07 Alfred A Johnson Surgical clamping and suturing instrument
GB1249853A (en) * 1967-08-02 1971-10-13 Robert Reginald Taylor Implement for stitching or similar operations
US3807407A (en) * 1971-06-07 1974-04-30 E Schweizer Suture applicator
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
US4021396A (en) * 1973-12-12 1977-05-03 E. I. Du Pont De Nemours And Company Aqueous coating composition of an acrylic polymer having reactive sites and an epoxy resin
US3946740A (en) * 1974-10-15 1976-03-30 Bassett John W Suturing device
FR2323618A1 (en) * 1975-09-11 1977-04-08 Alsacienne Constr Meca IMPROVEMENT OF BINDING DEVICES FOR A TABLE OF WIRES OR RIBBONS
US4109658A (en) * 1977-02-04 1978-08-29 Hughes Joe L Needle holding device with pick-up means
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
US4236470A (en) * 1979-01-17 1980-12-02 Stenson Thomas K Portable stitching device
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
SU1103854A1 (en) * 1981-10-01 1984-07-23 Семипалатинский Государственный Медицинский Институт Method of suturing liver wounds and threading device
US4471781A (en) * 1982-02-03 1984-09-18 Ethicon, Inc. Surgical instrument with rotatable front housing and latch mechanism
US4491135A (en) * 1982-11-03 1985-01-01 Klein Harvey A Surgical needle holder
US4621640A (en) * 1984-01-09 1986-11-11 Mulhollan James S Mechanical needle carrier and method for its use
US4635638A (en) * 1984-02-07 1987-01-13 Galil Advanced Technologies Ltd. Power-driven gripping tool particularly useful as a suturing device
EP0205441A1 (en) * 1984-12-10 1986-12-30 FRANCA, Fernando E. Surgical needle
US4580567A (en) * 1985-06-03 1986-04-08 The United States Of America As Represented By The Secretary Of The Army Suture needle holder
US4957498A (en) * 1987-11-05 1990-09-18 Concept, Inc. Suturing instrument
US4890615B1 (en) * 1987-11-05 1993-11-16 Linvatec Corporation Arthroscopic suturing instrument
SU1505514A1 (en) * 1988-01-13 1989-09-07 Ивано-Франковский Государственный Медицинский Институт Instrument for applying staple sutures
US4935027A (en) * 1989-08-21 1990-06-19 Inbae Yoon Surgical suture instrument with remotely controllable suture material advancement
EP0413862B1 (en) * 1989-08-22 1994-11-30 Haruo Takase Surgical needle for plastic surgery or the like
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
SU1725847A1 (en) * 1990-04-05 1992-04-15 Московский медицинский стоматологический институт им.Н.А.Семашко Device for sewing tissues with a ligature
JP2545558Y2 (en) * 1990-10-23 1997-08-25 ジョンソン・エンド・ジョンソンメディカル株式会社 Deep suture instrument
US5100421A (en) * 1991-02-05 1992-03-31 Cyprus Endosurgical Tools, Inc. Christoudias curved needle suture assembly
US5181919A (en) * 1991-04-23 1993-01-26 Arieh Bergman Suture ligating device for use with an endoscope
US5171257A (en) * 1991-04-29 1992-12-15 Ferzli George S Laparoscopic instrument
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
DE4127812C2 (en) * 1991-08-22 1996-09-12 Storz Karl Gmbh & Co Needle holder
US5242458A (en) * 1991-10-15 1993-09-07 Ethicon, Inc. Suture needle holder for endoscopic use
US5207693A (en) * 1991-10-23 1993-05-04 Phillips Edward H Endoscopic suture dispensing tool
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
DE9203041U1 (en) * 1992-03-07 1992-05-07 Olympus Winter & Ibe Gmbh, 2000 Hamburg, De
US5254126A (en) * 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch

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EP0535906A3 (en) 1994-01-19
AU2606892A (en) 1993-04-01
CA2079259A1 (en) 1993-03-31
GB2287196B (en) 1995-11-15
GB2260704B (en) 1995-08-23
DE69230744D1 (en) 2000-04-13
GB9508371D0 (en) 1995-06-14
EP0535906A2 (en) 1993-04-07
US5454823A (en) 1995-10-03
US5690653A (en) 1997-11-25
JP3389269B2 (en) 2003-03-24
AU658225B2 (en) 1995-04-06
GB2260704A (en) 1993-04-28
GB2287196A (en) 1995-09-13
GB9120871D0 (en) 1991-11-13
JPH05237123A (en) 1993-09-17
DE69230744T2 (en) 2000-07-20
EP0535906B1 (en) 2000-03-08
ES2142815T3 (en) 2000-05-01

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