CN103536328A - Rapid tissue perforation suture instrument - Google Patents

Rapid tissue perforation suture instrument Download PDF

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Publication number
CN103536328A
CN103536328A CN201310524901.6A CN201310524901A CN103536328A CN 103536328 A CN103536328 A CN 103536328A CN 201310524901 A CN201310524901 A CN 201310524901A CN 103536328 A CN103536328 A CN 103536328A
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CN
China
Prior art keywords
hemostatic
hemostatic clamp
release
bracing wire
perforation
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Granted
Application number
CN201310524901.6A
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Chinese (zh)
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CN103536328B (en
Inventor
王东
李兆申
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Individual
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Individual
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Priority to CN201310524901.6A priority Critical patent/CN103536328B/en
Priority to PCT/CN2013/001598 priority patent/WO2015061931A1/en
Publication of CN103536328A publication Critical patent/CN103536328A/en
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Publication of CN103536328B publication Critical patent/CN103536328B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0466Suture bridges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00269Type of minimally invasive operation endoscopic mucosal resection EMR
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue

Abstract

The invention discloses a rapid tissue perforation suture instrument. The rapid tissue perforation suture instrument comprises a pulling thread, at least two hemostatic clips and a releaser; the hemostatic clips can be released in turn through the releaser; in the two adjacent hemostatic clips, the head end of one of the hemostatic clips is separately connected with the tail end of the other hemostatic clip; the tail end of the bottom level of hemostatic clip is flexibly connected with the head end of the releaser separately; the hemostatic clips are provided with hemostatic clip assemblies; one end of the pulling thread is fixedly connected with the top level of hemostatic clip; the other end of the pulling thread sequentially penetrates the other hemostatic clips from front to back and the pulling thread can move relative to the hemostatic clips. According to the rapid tissue perforation suture instrument, perforated portions can be rapidly sutured under the condition of digestive endoscopy and accordingly medical accidents can be avoided.

Description

Repeating type tissue perforation stiching instrument
Technical field
The present invention relates to a kind of repeating type tissue perforation stiching instrument, belong to medical instruments field, be mainly used in the stitching of digestive endoscopy undertissue perforation.
Background technology
At present, at digestive endoscopy, while particularly doing operation on digestive tract under soft scope, especially do mucosa and peel off while performing the operation, be easy to cause tissue perforation, as gastric perforation, intestinal perforation, once bore a hole, under scope, remedy very difficult, can cause very large risk to patient, do not have at present a kind of apparatus can treat very fast perforation, existing hemostatic clamp only can be tackled less hemorrhage wound surface, so the suturing skill of boring a hole under scope is a present difficult problem anxious to be resolved.
Summary of the invention
Technical problem to be solved by this invention is the defect that overcomes prior art, and a kind of repeating type tissue perforation stiching instrument is provided, and it can realize the stitching to site of perforation fast under digestive endoscopy, thereby avoids occurring the phenomenon of malpractice.
In order to solve the problems of the technologies described above, the first technical scheme of the present invention is: a kind of repeating type tissue perforation stiching instrument, and it comprises bracing wire, at least two hemostatic clamps and the release that can discharge successively hemostatic clamp; Wherein, in two adjacent hemostatic clamps, the head end of one of them hemostatic clamp is connected detachably with the tail end of another hemostatic clamp; The tail end of the hemostatic clamp of final stage is flexibly connected mutually with the head end of release detachably, on hemostatic clamp, all there is hemostatic clamp chip module, one end of described bracing wire is fixedly connected with the hemostatic clamp of prime, and the other end can move relative to it through other hemostatic clamps and bracing wire from front to back successively.
Further provide a kind of bracing wire can be on all the other hemostatic clamps through and structure movably, described on remaining hemostatic clamp of hemostatic clamp of prime, all have through wires hole, the other end of described bracing wire passes the through wires hole of hemostatic clamp from front to back successively.
The length that further defines bracing wire is used to facilitate in operation, and the other end of described bracing wire is from front to back successively through the afterbody that extends to release after other hemostatic clamps.
A kind of structure of release is further provided, described release comprises overcoat, handle, movable lever release and flexible handle, movable lever release can axially movably be inserted in overcoat, described flexible handle is arranged on the tail end of movable lever release, and described handle is arranged on the tail end of overcoat.
In order to solve the problems of the technologies described above, the second technical scheme of the present invention is: a kind of repeating type tissue perforation stiching instrument, and it comprises at least two bracing wires, at least two hemostatic clamps and the release that can discharge successively hemostatic clamp; Wherein, in two adjacent hemostatic clamps, the head end of one of them hemostatic clamp is connected detachably with the tail end of another hemostatic clamp; The tail end of the hemostatic clamp of final stage is flexibly connected mutually with the head end of release detachably, all has hemostatic clamp chip module on hemostatic clamp, the corresponding hemostatic clamp of every described bracing wire, and one end of bracing wire is fixedly connected with corresponding hemostatic clamp.
Further, the other end of described bracing wire extends to the afterbody of release.
Further, described release comprises overcoat, handle, movable lever release and flexible handle, and movable lever release can axially movably be inserted in overcoat, and described flexible handle is arranged on the tail end of movable lever release, and described handle is arranged on the tail end of overcoat.
Adopted after technique scheme, under digestive endoscopy, find and organize perforation place, make the hemostatic clamp laminating perforation organization edge of prime, and make its grip tissue, then the hemostatic clamp of prime is separated from release, then according to the method, make other hemostatic clamps be fitted in perforation and organize other edges, and make its grip tissue, then these hemostatic clamps are separated from release, until all hemostatic clamps on release after all grip tissue discharges, tension bracing wire, hemostatic clamp is closed up, tighten up perforation tissue, certainly the first technical scheme also can be by filling a clamping block along bracing wire, clamping block is fixed near edge and the bracing wire of the hemostatic clamp of final stage, by clamping block, hemostatic clamp is closed up and tightened up, the second technical scheme can be after all hemostatic clamps clamp, in all bracing wires, be set with a clamping block, by clamping block, hemostatic clamp is closed up and tightened up, this just can realize fast the stitching to site of perforation under digestive endoscopy, make to organize wound to close up and reach the object of operative treatment, thereby avoid occurring the phenomenon of malpractice.
Accompanying drawing explanation
Fig. 1 is the structural representation of the first structure of repeating type tissue perforation stiching instrument of the present invention;
Fig. 2 is the A portion enlarged drawing of Fig. 1;
One of flow chart that Fig. 3 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;
One of flow chart that Fig. 4 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;
One of flow chart that Fig. 5 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;
One of flow chart that Fig. 6 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;
One of flow chart that Fig. 7 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;
Fig. 8 is the structural representation of the second structure of repeating type tissue perforation stiching instrument of the present invention.
Wherein, 5 is tissue, and 6 for organizing wound.
The specific embodiment
For content of the present invention is more easily expressly understood, according to specific embodiment also by reference to the accompanying drawings, the present invention is further detailed explanation below.
Embodiment mono-
As shown in Figure 1, 2, a kind of repeating type tissue perforation stiching instrument, it comprises bracing wire 1, two hemostatic clamps 2 and the release 3 that can discharge successively hemostatic clamp 2; Wherein, the head end of second hemostatic clamp 2 is connected detachably with the tail end of first hemostatic clamp 2; The tail end of second hemostatic clamp 2 is flexibly connected mutually with the head end of release 3 detachably, on two hemostatic clamps 2, all there is hemostatic clamp chip module 2-1, one end of bracing wire 1 and first hemostatic clamp 2 are fixedly connected, and the other end can move relative to it through second hemostatic clamp 2 and bracing wire 1.
As shown in Figure 2, on second hemostatic clamp 2, have through wires hole 2-2, the other end of bracing wire 1 is through the through wires hole 2-2 of hemostatic clamp 2, bracing wire 1 can be through also removable on second hemostatic clamp 2 like this, facilitate this stiching instrument to move to the opposite side of perforation tissue, certainly, the length of bracing wire 1 can extend to the afterbody of release 3, to facilitate in operation, operates.
Certainly, the quantity of hemostatic clamp 2 is not limited to this, and when the quantity of hemostatic clamp 2 is when more than three, the other end of bracing wire 1 successively through the through wires hole 2-2 of other hemostatic clamps 2, also can extend to the afterbody of release 3 or extend to handle 3-2 place and all can from front to back.
As shown in Figure 1, release 3 comprises overcoat 3-1, handle 3-2, movable lever release 3-3 and flexible handle 3-4, movable lever release 3-3 can axially movably be inserted in overcoat 3-1, and flexible handle 3-4 is arranged on the tail end of movable lever release 3-3, and handle 3-2 is arranged on the tail end of overcoat 3-1.
As shown in Fig. 3 ~ 7, the sewing method of the repeating type tissue of the present embodiment perforation stiching instrument is as follows:
1, under digestive endoscopy, find perforation place, make first hemostatic clamp 2 be fitted in perforation organization edge, make its grip tissue, then that first hemostatic clamp 2 is separated from release 3.
2, the 2 laminating perforation of second hemostatic clamp are organized to opposite side edge, make its grip tissue, then that second hemostatic clamp 2 is separated from release 3.
3,1 one of bracing wires can be stretched out outside human body by endoscopic forceps channel hole, then strain bracing wire 1, slowly first hemostatic clamp 2 and second hemostatic clamp 2 are closed up, again along 1 time clamping block 4 of bracing wire, clamping block 4 is fixing near edge and the bracing wire 1 of hemostatic clamp 2, cuts off bracing wire 1, and the perforation of so large opening is organized substantially and closed up, operation risk just reduces greatly, next just with conventional Hemostasis, just can handle well.
Clamping block 4 can be bracing wire 1 outside cover clamping block 4 with the fixed form of bracing wire 1, then with pliers, applies external force and tightens up fixingly, and can be also that the mode that adopts male-female sleeve to mesh stuck bracing wire 1 realizes, implementation can be multiple, is not limited to this.
Embodiment bis-
As shown in Figure 8, a kind of repeating type tissue perforation stiching instrument, it comprises at least two bracing wires 1, at least two hemostatic clamps 2 and the release 3 that can discharge successively hemostatic clamp 2; Wherein, in two adjacent hemostatic clamps 2, the head end of one of them hemostatic clamp 2 is connected detachably with the tail end of another hemostatic clamp 2; The tail end of the hemostatic clamp 2 of final stage is flexibly connected mutually with the head end of release 3 detachably, all has hemostatic clamp chip module 2-1 on hemostatic clamp 2, the every corresponding hemostatic clamp 2 of bracing wire 1, and one end of bracing wire 1 is fixedly connected with corresponding hemostatic clamp 2.
The other end of bracing wire 1 extends to the afterbody of release 3.
Bracing wire 1 in Fig. 8 is two, and hemostatic clamp 2 is also two, but the quantity of bracing wire 2 and hemostatic clamp 2 is not limited to the quantity of embodiment bis-.
As shown in Figure 8, release 3 comprises overcoat 3-1, handle 3-2, movable lever release 3-3 and flexible handle 3-4, movable lever release 3-3 can axially movably be inserted in overcoat 3-1, and flexible handle 3-4 is arranged on the tail end of movable lever release 3-3, and handle 3-2 is arranged on the tail end of overcoat 3-1.
The sewing method of the repeating type tissue perforation stiching instrument of the present embodiment is as follows:
1, under digestive endoscopy, find perforation place, make first hemostatic clamp 2 be fitted in perforation organization edge, make its grip tissue, then that first hemostatic clamp 2 is separated from release 3.
2, the 2 laminating perforation of second hemostatic clamp are organized to opposite side edge, make its grip tissue, then that second hemostatic clamp 2 is separated from release 3.
3,1 one of the bracing wires of first hemostatic clamp 2 and second hemostatic clamp 2 can be stretched out outside human body by endoscopic forceps channel hole, then strain two bracing wires 1, slowly first hemostatic clamp 2 and second hemostatic clamp 2 are closed up, again along 1 time clamping block 4 of two bracing wires, clamping block 4 is fixing near edge and the bracing wire 1 of hemostatic clamp 2, cuts off bracing wire 1, and the perforation of so large opening is organized substantially and closed up, operation risk just reduces greatly, next just with conventional Hemostasis, just can handle well.
Clamping block 4 can be bracing wire 1 outside cover clamping block 4 with the fixed form of bracing wire 1, then with pliers, applies external force and tightens up fixingly, and can be also that the mode that adopts male-female sleeve to mesh stuck bracing wire 1 realizes, implementation can be multiple, is not limited to this.
Above-described specific embodiment; technical problem, technical scheme and beneficial effect that the present invention is solved further describe; institute is understood that; the foregoing is only specific embodiments of the invention; be not limited to the present invention; within the spirit and principles in the present invention all, any modification of making, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.

Claims (7)

1. a repeating type tissue perforation stiching instrument, is characterized in that: it comprises bracing wire (1), at least two hemostatic clamps (2) and the release (3) that can discharge successively hemostatic clamp (2); Wherein, in adjacent two hemostatic clamps (2), the head end of one of them hemostatic clamp (2) is connected detachably with the tail end of another hemostatic clamp (2); The tail end of the hemostatic clamp (2) of final stage is flexibly connected mutually with the head end of release (3) detachably, on hemostatic clamp (2), all there is hemostatic clamp chip module (2-1), one end of described bracing wire (1) is fixedly connected with the hemostatic clamp (2) of prime, and the other end can move relative to it through other hemostatic clamps (2) and bracing wire (1) from front to back successively.
2. repeating type tissue according to claim 1 perforation stiching instrument, it is characterized in that: described except the hemostatic clamp (2) of prime, on remaining hemostatic clamp (2), all have through wires hole (2-2), the other end of described bracing wire (1) is from front to back successively through the through wires hole (2-2) of hemostatic clamp (2).
3. repeating type tissue perforation stiching instrument according to claim 1 and 2, is characterized in that: the other end of described bracing wire (1) is from front to back successively through the afterbody that extends to release (3) after other hemostatic clamps (2).
4. repeating type tissue according to claim 1 perforation stiching instrument, it is characterized in that: described release (3) comprises overcoat (3-1), handle (3-2), movable lever release (3-3) and flexible handle (3-4), movable lever release (3-3) can axially movably be inserted in overcoat (3-1), described flexible handle (3-4) is arranged on the tail end of movable lever release (3-3), and described handle (3-2) is arranged on the tail end of overcoat (3-1).
5. a repeating type tissue perforation stiching instrument, is characterized in that: it comprises at least two bracing wires (1), at least two hemostatic clamps (2) and the release (3) that can discharge successively hemostatic clamp (2); Wherein, in adjacent two hemostatic clamps (2), the head end of one of them hemostatic clamp (2) is connected detachably with the tail end of another hemostatic clamp (2); The tail end of the hemostatic clamp (2) of final stage is flexibly connected mutually with the head end of release (3) detachably, on hemostatic clamp (2), all there is hemostatic clamp chip module (2-1), the corresponding hemostatic clamp (2) of described every bracing wire (1), and one end of bracing wire (1) is fixedly connected with corresponding hemostatic clamp (2).
6. repeating type tissue perforation stiching instrument according to claim 5, is characterized in that: the other end of described bracing wire (1) extends to the afterbody of release (3).
7. repeating type tissue according to claim 5 perforation stiching instrument, it is characterized in that: described release (3) comprises overcoat (3-1), handle (3-2), movable lever release (3-3) and flexible handle (3-4), movable lever release (3-3) can axially movably be inserted in overcoat (3-1), described flexible handle (3-4) is arranged on the tail end of movable lever release (3-3), and described handle (3-2) is arranged on the tail end of overcoat (3-1).
CN201310524901.6A 2013-10-31 2013-10-31 Rapid tissue perforation suture instrument Active CN103536328B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201310524901.6A CN103536328B (en) 2013-10-31 2013-10-31 Rapid tissue perforation suture instrument
PCT/CN2013/001598 WO2015061931A1 (en) 2013-10-31 2013-12-19 Repeating type tissue puncture stitching instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201310524901.6A CN103536328B (en) 2013-10-31 2013-10-31 Rapid tissue perforation suture instrument

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CN103536328A true CN103536328A (en) 2014-01-29
CN103536328B CN103536328B (en) 2016-04-06

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003059173A1 (en) * 2002-01-10 2003-07-24 Scimed Life Systems, Inc. Device for endoscopic suturing
US20090275962A1 (en) * 2008-05-01 2009-11-05 Zeiner Mark S Tissue apposition method and device involving sheets with integrated tensioning system
CN103068325A (en) * 2010-08-10 2013-04-24 库克医学技术有限责任公司 Clip devices and methods of delivery and deployment
CN103371860A (en) * 2012-04-26 2013-10-30 常州乐奥医疗科技有限公司 Auxiliary suturing device for endoscope
CN203555802U (en) * 2013-10-31 2014-04-23 王东 Repeating type tissue perforation suture instrument

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4059656B2 (en) * 2001-03-07 2008-03-12 オリンパス株式会社 Biological tissue clip device
US20070142838A1 (en) * 2005-12-19 2007-06-21 Christopher Jordan Surgical suture staple and attachment device for securing a soft tissue to a bone
JP4584230B2 (en) * 2006-11-14 2010-11-17 オリンパスメディカルシステムズ株式会社 Clip device
CN102727276B (en) * 2012-07-05 2014-04-23 安瑞医疗器械(杭州)有限公司 Tissue hemostasis clamping device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003059173A1 (en) * 2002-01-10 2003-07-24 Scimed Life Systems, Inc. Device for endoscopic suturing
US20090275962A1 (en) * 2008-05-01 2009-11-05 Zeiner Mark S Tissue apposition method and device involving sheets with integrated tensioning system
CN103068325A (en) * 2010-08-10 2013-04-24 库克医学技术有限责任公司 Clip devices and methods of delivery and deployment
CN103371860A (en) * 2012-04-26 2013-10-30 常州乐奥医疗科技有限公司 Auxiliary suturing device for endoscope
CN203555802U (en) * 2013-10-31 2014-04-23 王东 Repeating type tissue perforation suture instrument

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CN103536328B (en) 2016-04-06
WO2015061931A1 (en) 2015-05-07

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