WO1993013714A2 - A surgical device - Google Patents
A surgical device Download PDFInfo
- Publication number
- WO1993013714A2 WO1993013714A2 PCT/IE1993/000001 IE9300001W WO9313714A2 WO 1993013714 A2 WO1993013714 A2 WO 1993013714A2 IE 9300001 W IE9300001 W IE 9300001W WO 9313714 A2 WO9313714 A2 WO 9313714A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- instrument
- carrier
- suturing
- holder
- needle
- Prior art date
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
-
- 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
- A61B17/06004—Means for attaching suture to needle
-
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
Definitions
- This invention relates to a surgical device for use in minimal access and endoscopic surgery, and in particular to a suturing device for intracavitary suturing such as is carried out in minimal access surgery or endoscopic surgery.
- Minimal access and endoscopic surgery is now widely used for a number of operations as it is less painful, less disabling and more cosmetic for the patient than conventional open surgical techniques.
- small incisions are made for the introduction of ports which pass through the patient's skin into the body cavity within which surgery is to be carried ou .
- the ports are typically cannulas of 5-10 mm diameter through which surgical instruments are passed.
- a needle with suturing material attached is grasped in a forceps and led through a port into the body cavity. Within the cavity the needle is then gripped by a second forceps (inserted through a separate port) for suturing. It is necessary to grip the needle with the second forceps in a suitable orientation which facilitates suturing the internal tissues. As the needle is relatively small it is easily dropped when transferring it to the second forceps and may be difficult to locate and pick up again.
- the needle can turn out of position and it may be necessary to manipulate the needle between the two forceps for some time to correctly position the needle on the second forceps for presentation to the tissues for suturing. In carrying out this necessary manipulation of the needle within the body cavity there is an increased risk of damaging viscera adjacent the tissues to be sutured. Further, the suture material within the body cavity can become entangled or even knotted as the needle is manipulated within the cavity by the forceps.
- a further object of the invention is to provide a suturing device which facilitates the introduction of suture material into a body cavity and its presentation in a proper orientation for fine suturing.
- suture material as used in this patent specification includes suture thread, staples or any other device or materials used for anastamosing or ligating tissues.
- a surgical device for placement and operation of an instrument within a body cavity, comprising an elongate carrier having a body penetrating head at one end for penetrating through a body wall of a patient into the body cavity, the carrier having means for carriage of an instrument through an opening created by the penetrating head, and means for movement of the instrument relative to the carrier between a retracted stored position and an extended in-use position.
- a surgical device for placement and operation of an instrument within a body cavity, comprising an elongate carrier having a body penetrating head at one end for penetrating through a body wall of a patient into the body cavity, and an instrument carried by the carrier for passage through an opening created by the penetrating head and movable relative to the carrier between a retracted stored position and an extended in-use position.
- the device according to the invention allows the accurate placement of an instrument within a body cavity relatively quickly and easily and in a desired orientation for operation of the instrument within the cavity.
- the device is a suturing device for placement and operation of a suturing instrument within a body cavity, comprising an elongate carrier having a body penetrating head at one end for penetrating through a body wall of a patient into the body cavity, the carrier having means for carriage of a suturing instrument through an opening created by the penetrating head, and means for movement of the suturing instrument relative to the carrier between a retracted stored position and an extended in-use position.
- the suturing device of the invention allows the suturing of tissues within a body cavity in a relatively simple, quick and accurate manner.
- the device facilities the introduction of suturing material into the body cavity and its presentation in a proper orientation for fine suturing.
- the surgeon advantageously has good control as the suturing instrument can be controlled by manipulating the device from outside the patients body.
- a further advantage is that a separate cannula is not required for insertion of the device into the body cavity.
- the outer diameter of the carrier can be sized such that entry holes made by the carrier in the body wall will be small enough such that they do not require stitching when the carrier is removed.
- the carrier has a bore in the head for reception of the instrument which is movable between a retracted stored position housed within the carrier bore and an extended position extending outwardly of the bore.
- the instrument is conveniently protected on the carrier during the insertion of the carrier through the body wall and can be readily easily presented for use once within the body cavity.
- the instrument is detachably securable to the carrier.
- the holder has a hand grip at one end which projects outwardly of a rear end of the carrier. Thus it can be readily easily gripped for movement within the bore.
- the holder has a free end opposite the hand grip with means to support a suturing needle, a suture feed passage extending through the holder between the free end and the hand grip.
- the instrument is releasably engageable with the holder.
- the instrument and holder are releasably engageable by means of complementary interengagable formations on the instrument and the holder.
- the formations comprise a male spigot part and a complementary female socket part, one part formed on the instrument and the other part formed on the holder.
- a socket is formed at the free end of the holder for reception of a rear end of a suturing needle which is a push fit into engagement with the socket.
- a locking means is provided for locking the instrument on the carrier.
- the locking means is operable to lock the instrument in a fully extended position.
- the holder can be firmly held on the carrier for accurate and precise manipulation of the needle for suturing.
- the locking means comprises complementary releasably interengagable formations on the holder and the carrier.
- the locking means is a Luer lock having a male part and a complementary female part, one part being provided on the holder and the other part on the carrier.
- the carrier has stop means engagable with the instrument to define a fully extended position for the instrument.
- the stop means is a stop land within the bore engagable by the holder when the instrument is in a fully extended position.
- a hand grip is provided on an exterior of the carrier at a rear end of the carrier remote from the head to facilitate manipulation of the carrier.
- the instrument is a suturing instrument.
- the suturing instrument may be a suturing needle with a length of suture material attached there.
- the instrument is a surgical stapler.
- the invention provides a method for the placement and operation of an instrument within a body cavity during minimal access or endoscopic surgery using a surgical device as previously described, comprising mounting the instrument in a stored position, inserting the carrier through a body wall of the patient into the body cavity, moving the instrument into an extended in-use position projecting outwardly of the head of the carrier, and operating the instrument within the body cavity by external manipulation.
- the invention provides a method for suturing tissues within a body cavity in minimal access or endoscopic surgery using a suturing device as previously described, comprising mounting a suturing instrument in a stored position, inserting the head of the carrier through a body wall of the patient into the body cavity, moving the suturing instrument into an extended in-use position projecting outwardly of the head of the carrier, and suturing tissues within the body cavity by external manipulation of the suturing instrument.
- the suturing instrument is a needle with a length of suture material attached thereto, and the suturing is carried out by passing the needle through the tissues to be joined within the body cavity, gripping a free end of the needle with an instrument introduced to the cavity through a separate port, detaching the needle from the carrier, pulling the suture material through the tissues with the needle, grasping the other end of the suture material and tying the suture material.
- the invention provides an intracavitary suturing instrument comprising an elongate suture thread applicator having a pointed head and means for holding suture thread.
- the applicator is a needle having an elongate body terminating in the pointed head.
- the needle body has a suture thread receiving slot.
- the slot may extend between the head and an opposite rear end of the body.
- the slot is generally U-shaped. In another embodiment the slot is tubular.
- the applicator is of two-part construction, comprising a needle detachably mounted on an associated holder.
- the holder is tubular for free passage of suture material to the needle which is mounted at an end of the holder.
- Fig. 1 is an elevational view of a suturing device according to the invention
- Fig. 2 is a view similar to Fig. 1 showing a suturing instrument portion of the device in an extended working position?
- Fig. 3 is a sectional view taking along the line III- III of Fig. 1;
- Fig. 4 shows a needle and thread of the suturing instrument
- Fig. 5 is an elevational view of a needle holder portion of the device
- Fig. 6 is an elevational view showing the needle mounted on the needle holder
- Fig. 7 is an enlarged sectional elevational view of the needle and needle holder assembly of Fig. 6;
- Fig. 8 is an elevational view of a carrier portion of the device on which the needle and needle holder assembly of Fig. 6 is mounted;
- Figs. 9 and 10 are diagrammatic illustrations of the instrument in use for suturing tissues within a body cavity;
- Fig. 11 is an elevational view of a suturing needle according to another embodiment of the invention.
- Fig. 12 is a diagrammatic illustration of a body cavity within which are located tissues which are to be sutured;
- Fig. 15 to 17 are elevational views of suturing needles according to other embodiments of the invention.
- Fig. 18 is a sectional view of another suturing needle according to a further embodiment of the invention.
- Fig. 19 is a elevational view a suturing instrument according to another embodiment of the invention.
- Fig. 20 is a diagrammatic illustration of a body cavity similar to that shown in Fig. 14 showing suturing of the tissues with the suturing instrument of Fig. 19;
- Fig. 21 is another suturing instrument according to the invention.
- a suturing device according to the invention indicated generally by the reference numeral 1.
- the device 1 is of three-part construction having a suturing needle 2 mounted at one end of a tubular holder 3 which in turn is housed within an associate tubular carrier 4.
- the carrier 4 has a pointed body penetrating head 5 at one end and a handle 6 at its other end.
- a bore 7 passes through the carrier 4 between the handle 6 and the head 5 having an outlet opening 8 adjacent across the head 5.
- the holder 3 is slidably mounted within the bore 7 and is moveable between a retracted position (Fig 1) in which the needle 2 is housed within the carrier 4 and an extended position (Fig 2) in which the needle 2 extends outwardly through the opening 8 in the head 5 of the carrier 4 for suturing.
- Fig 4 shows the needle 2 with a suture 16 attached.
- the needle holder 3 is shown and comprises an elongate hollow metal tube 20 with a free end 21 for carrying the needle 2 and hand grips 22 at its other end.
- Fig. 6 shows the needle 2 mounted at the free end 21 of the tube 20 of the holder 3 with the suture 16 passing/a s ⁇ ure feed passage 23 passing through the the tube 20 and handle 21.
- the mounting of the needle 2 on the holder 3 is shown more clearly in Fig. 7.
- a spigot " 30 at a rear end of the needle 2 is a push fit into a socket 31 formed at the free end 21 of the tube 20.
- Fig. 8 shows the carrier 4 which comprises an elongate metal tube 25 with a free end.forming the head 5 curved to match the needle shape and a plastic handle 15 at its other end.
- the tube 25 should be at least 14 gauge as it must be firm for penetration of the body wall of a patient. - li ⁇
- the bore 7 of the carrier 4 is stepped, having a narrowed portion 35 within the tube 25 and a widened portion 36 within the handle 6.
- the tube 20 of the holder 3 is a snug sliding fit within a narrowed portion 35 of the bore 7 and the hand grip 22 of the holder 3 is a smooth sliding fit within an widened portion 36 of the bore 29.
- An annular shoulder 37 forming a transition between the two bore portions 35, 36 forms a stop against which an inner end 38 of the handle 21 of the holder 3 engages when the needle 2 is in the extended position shown in Fig. 2.
- Figs. 9 and 10 show the device 1 in use extending through a body wall 9 (typically comprising skin, fat and muscle) of a patient into a body cavity 10 within which are located tissues 11, 12 which are to be sutured.
- a body wall 9 typically comprising skin, fat and muscle
- the carrier 4 can be inserted through the body wall 9 of a patient into the body cavity 10. Then by sliding the holder 3 within the carrier 4 into the extended position (Fig. 10) the needle 2 is extended out of the carrier 4 and can be used to transfix tissues 11, 12 within the body cavity 10.
- the needle can be manoeuvred from outside the patents body by manipulating the handle 6 of the carrier 4. Once through the tissues 11, 12 the needle 2 is grasped by a forceps introduced through a separate port and removed from the holder 3 and pulled out the separate port (not shown) which also extends into the cavity 10. The carrier 4 is then withdrawn and the free end of the suture 16 carried by the needle 2 is grasped and pulled out the same port for an extra- corporeal tie.
- the suturing device has a number of advantages.
- a separate cannula is not required for insertion of the suturing device.
- the carrier is made such that the tube of the carrier has an outer diameter of approximately 3 mm then there will be no need to sew up the entry holes made by the device when it is inserted into the body cavity as these are small enough to heal themselves. This is particularly important where a large number of sutures have to be inserted in the tissues.
- the device also allows very fine manipulation and good control of the needle within the body cavity. The needle can be presented accurately to the tissues and firmly held until the tissues are transfixed and then the needle is easily detached from the holder. Further, the device is easy to position, the surgeon can position the device outside the body and then penetrate the body wall into the cavity at an ideal angle for the required suturing.
- needle shapes can be used including straight and curved and the head of the carrier will be provided in a corresponding shape.
- Various different ways of mounting the needle on the holder are possible. It is also envisaged other types of instruments, such as staplers, forceps, octicfibres and the like may be mounted on a carrier for introduction to the body cavity in similar fashion to the suturing instrument.
- a suturing needle according to another embodiment of the invention indicated generally by the reference numeral 50.
- the needle 50 has a thin elongate body 52 terminating in a pointed head 53.
- an eye 54 for attachment of suture thread 55.
- Fig. 12 there is diagrammatically illustrated portion of a body cavity 10 within which there are tissues 11, 12 to be sutured.
- the tissues 11, 12 are located behind layers of muscle 14, fat 15 and skin 16 which form a body wall of the patient
- the needle 50 is threaded with suture thread 55 and inserted through the layers of skin 16, fat 15 and muscle 14 into the cavity 10 as shown in Fig. 13.
- the tissues 11, 12 are transfixed by the needle 50 and the suture thread 55 drawn through the tissues 11, 12.
- the needle 50 is withdrawn and the ends of the suture thread 55 are then available for knot tying.
- FIG. 15 there is illustrated another needle 60 having an elongate body 61 with a head 62 and means for attachment of suture thread 63 at the head 62.
- Use of the needle 60 is similar to that described previously for the needle of Figs. 11 to 14.
- Fig. 16 shows another alternative construction of needle 65 having an elongate body 66 with a pointed head 67.
- Means for attachment of suture thread 68 is provided at a rear end 69 of the body 66.
- use of the needle 65 is similar to that described previously for the needle of Figs. 11 to 14.
- Fig. 17 shows another needle 70 having a tubular body 71.
- a needle 72 is provided at one end of the body 71 and suture thread 73 is delivered through the body 71 to the needle 72.
- suture thread 73 is delivered through the body 71 to the needle 72.
- use of the needle 70 is similar to that for the needle of Figs. 11 to 14.
- Fig. 18 is a sectional view of a needle 75 similar to that shown in Fig. 17.
- the needle 75 has a body 76 with a U-shaped slot 77 extending along at least a portion of the body 76 with a side entry opening 78 for suture thread 79.
- Fig. 19 there is illustrated another suturing instrument indicated generally by the reference numeral 80.
- the instrument 80 is of two-part construction comprising a needle 81 detachably mounted on an associated elongate tubular holder 82. Suture thread 84 can be passed through the body 82 for attachment at a rear end 85 of the needle 81.
- Fig. 20 shows a body cavity similar to that shown in Fig.
- the needle 80 is inserted through the skin 16, fat
- the tissues 11, 12 are transfixed by the needle 81 and then the holder 82 is detached from the needle 81 and removed from the cavity 10.
- the needle 81 can then be manipulated within the cavity 10 for continuous of pursestring suturing of the tissues 11, 12 by an intracavitary technique.
- FIG. 21 there is illustrated another suturing instrument 90 largely similar to the suturing instrument of Fig. 19.
- the suturing instrument 90 has a tubular holder 91 with a needle 92 mounted at one end of the holder 91.
- Suture thread 93 is fed through the holder 91 to a head 94 of the needle 92.
- Use of the device 90 is similar to that described previously for the device of Fig. 19.
- the various needles described above are for simplicity illustrated as straight needles.
- the needles may be any other suitable shape - such as curved or angled.
- a Luer lock is provided within the handle 6 of the device 100.
- the Luer lock comprises a male part formed by an inner end of the hand grip 22 of the holder 3 having thread projections 102 for complementary interengagement with a female threaded portion 103 at an inner end of the widened portion 36 of the bore 7.
- the Luer lock can be engaged when the needle is in the extended position to firmly lock the holder 3 on the carrier 4.
- the instruments according to the invention will facilitate suturing inside any cavity. They allow a suture to be inserted through the skin, into the cavity. It can then be manipulated from without the cavity, allowing precise placement of the suture in the tissues. The suture can then be tied by an intracavitary or extracavitary technique and cut, or alternatively, a continuous or pursestring suture commenced. They are particularly useful in performing herniorrhaphy, to anastomose hollow viscera such as in a bowel resection, to control haemorrhage, and to suture the stomach wrap in a fundoplication for hiatus hernia.
- the devices are easy to use and facilitate speed and precision. It will be appreciated that hand manipulation outside of the cavity enhances the ease of the surgical procedures. Avoiding the need for introducing extra endoscopic ports, or manipulation of sutures/needles within the abdomen will speed up the technique of suturing. Further the devices facilitate more accurate and precise suturing within cavities, thus reducing the risk of damage to adjacent viscera.
- the invention is not limited to the embodiments hereinbefore described which may be varied in construction and detail.
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IE920037 | 1992-01-07 | ||
IE920037 | 1992-01-07 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO1993013714A2 true WO1993013714A2 (en) | 1993-07-22 |
WO1993013714A3 WO1993013714A3 (en) | 1993-09-30 |
Family
ID=11039521
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IE1993/000001 WO1993013714A2 (en) | 1992-01-07 | 1993-01-07 | A surgical device |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU3170693A (en) |
WO (1) | WO1993013714A2 (en) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5439469A (en) * | 1993-11-05 | 1995-08-08 | Advanced Surgical, Inc. | Wound closure device |
US5549629A (en) * | 1994-03-10 | 1996-08-27 | Thomas; Stacy I. | Apparatus for covering a surgical needle to protect the user |
US5591179A (en) * | 1995-04-19 | 1997-01-07 | Applied Medical Resources Corporation | Anastomosis suturing device and method |
EP0788770A1 (en) * | 1996-02-09 | 1997-08-13 | Ethicon, Inc. | A stiffened suture for use in a suturing device |
US5741299A (en) * | 1997-03-05 | 1998-04-21 | Rudt; Louis L. | Puncture-proof suture needle assembly |
EP1093758A1 (en) * | 1999-10-22 | 2001-04-25 | Kaladelfos, George | Suture insertion device for the treatment of urinary stress incontinence |
FR2807934A1 (en) * | 2000-04-21 | 2001-10-26 | Soprane Sa | Surgical needle applicator has sleeve to receive needle in pre-set orientation during positioning |
FR2832051A1 (en) * | 2001-11-14 | 2003-05-16 | Pierre Dubernard | SURGICAL THREAD FOR HOLLOW MEMBER |
US6605097B1 (en) * | 2000-10-18 | 2003-08-12 | Jorn Lehe | Apparatus and method for treating female urinary incontinence |
WO2024051861A1 (en) * | 2022-11-04 | 2024-03-14 | 北京博辉瑞进生物科技有限公司 | Anastomosis reinforcement patch and surgical apparatus |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3995619A (en) * | 1975-10-14 | 1976-12-07 | Glatzer Stephen G | Combination subcutaneous suture remover, biopsy sampler and syringe |
US4235238A (en) * | 1978-05-11 | 1980-11-25 | Olympus Optical Co., Ltd. | Apparatus for suturing coeliac tissues |
GB2157180A (en) * | 1984-04-12 | 1985-10-23 | Wolf Gmbh Richard | Applicator for tying stitching threads |
FR2573647A1 (en) * | 1984-11-28 | 1986-05-30 | Catier Philippe | Device for repairing a meniscus by endoscopy alone |
US4932962A (en) * | 1989-05-16 | 1990-06-12 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
DE9112301U1 (en) * | 1991-10-02 | 1991-11-21 | Wisap Gesellschaft Fuer Wissenschaftlichen Apparatebau Mbh, 8029 Sauerlach, De | |
DE9203451U1 (en) * | 1992-03-14 | 1992-08-13 | Storz, Karl, Dr.Med.H.C., 7200 Tuttlingen, De |
-
1993
- 1993-01-07 WO PCT/IE1993/000001 patent/WO1993013714A2/en active Application Filing
- 1993-01-07 AU AU31706/93A patent/AU3170693A/en not_active Abandoned
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3995619A (en) * | 1975-10-14 | 1976-12-07 | Glatzer Stephen G | Combination subcutaneous suture remover, biopsy sampler and syringe |
US4235238A (en) * | 1978-05-11 | 1980-11-25 | Olympus Optical Co., Ltd. | Apparatus for suturing coeliac tissues |
GB2157180A (en) * | 1984-04-12 | 1985-10-23 | Wolf Gmbh Richard | Applicator for tying stitching threads |
FR2573647A1 (en) * | 1984-11-28 | 1986-05-30 | Catier Philippe | Device for repairing a meniscus by endoscopy alone |
US4932962A (en) * | 1989-05-16 | 1990-06-12 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
DE9112301U1 (en) * | 1991-10-02 | 1991-11-21 | Wisap Gesellschaft Fuer Wissenschaftlichen Apparatebau Mbh, 8029 Sauerlach, De | |
DE9203451U1 (en) * | 1992-03-14 | 1992-08-13 | Storz, Karl, Dr.Med.H.C., 7200 Tuttlingen, De |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5439469A (en) * | 1993-11-05 | 1995-08-08 | Advanced Surgical, Inc. | Wound closure device |
US5549629A (en) * | 1994-03-10 | 1996-08-27 | Thomas; Stacy I. | Apparatus for covering a surgical needle to protect the user |
US5591179A (en) * | 1995-04-19 | 1997-01-07 | Applied Medical Resources Corporation | Anastomosis suturing device and method |
EP0788770A1 (en) * | 1996-02-09 | 1997-08-13 | Ethicon, Inc. | A stiffened suture for use in a suturing device |
US5728135A (en) * | 1996-02-09 | 1998-03-17 | Ethicon, Inc. | Stiffened suture for use in a suturing device |
US5741299A (en) * | 1997-03-05 | 1998-04-21 | Rudt; Louis L. | Puncture-proof suture needle assembly |
EP1093758A1 (en) * | 1999-10-22 | 2001-04-25 | Kaladelfos, George | Suture insertion device for the treatment of urinary stress incontinence |
FR2807934A1 (en) * | 2000-04-21 | 2001-10-26 | Soprane Sa | Surgical needle applicator has sleeve to receive needle in pre-set orientation during positioning |
WO2001080747A1 (en) * | 2000-04-21 | 2001-11-01 | Soprane Sa | Manipulator for fixing a surgical needle |
US6605097B1 (en) * | 2000-10-18 | 2003-08-12 | Jorn Lehe | Apparatus and method for treating female urinary incontinence |
FR2832051A1 (en) * | 2001-11-14 | 2003-05-16 | Pierre Dubernard | SURGICAL THREAD FOR HOLLOW MEMBER |
WO2003041592A1 (en) * | 2001-11-14 | 2003-05-22 | Pierre Dubernard | Surgical suture guide |
WO2024051861A1 (en) * | 2022-11-04 | 2024-03-14 | 北京博辉瑞进生物科技有限公司 | Anastomosis reinforcement patch and surgical apparatus |
Also Published As
Publication number | Publication date |
---|---|
WO1993013714A3 (en) | 1993-09-30 |
AU3170693A (en) | 1993-08-03 |
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