WO1993021834A3 - Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device - Google Patents

Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device Download PDF

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Publication number
WO1993021834A3
WO1993021834A3 PCT/US1993/003857 US9303857W WO9321834A3 WO 1993021834 A3 WO1993021834 A3 WO 1993021834A3 US 9303857 W US9303857 W US 9303857W WO 9321834 A3 WO9321834 A3 WO 9321834A3
Authority
WO
WIPO (PCT)
Prior art keywords
channel
suture
tissue
ligation
repair
Prior art date
Application number
PCT/US1993/003857
Other languages
French (fr)
Other versions
WO1993021834A2 (en
Inventor
Edwin L Adair
Original Assignee
Adair Edwin Lloyd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Adair Edwin Lloyd filed Critical Adair Edwin Lloyd
Priority to JP5519414A priority Critical patent/JPH07506276A/en
Priority to EP93910772A priority patent/EP0644741A1/en
Publication of WO1993021834A2 publication Critical patent/WO1993021834A2/en
Publication of WO1993021834A3 publication Critical patent/WO1993021834A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • 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
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/20—Vas deferens occluders; Fallopian occluders
    • A61F6/208—Implements for ligaturing
    • 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
    • A61B17/0467—Instruments for cutting sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—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
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1407—Loop
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A61F2210/0019—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A laparoscopic surgical ligation, repair, and electrosurgical coagulation and cutting device (10) has a central passageway (16) with first (26) and second (40) parallel channels on opposite sides thereof. A suture (18) extends through the central channel passageway (16) and has a loop (20) with a slip knot (22) on the distal end and a pull (24) on the proximal end. By pulling on the pull (24) the loop (20) can be drawn tightly about a tissue (50) to be ligated. An electrosurgical wire (28), connected (36) to a power source, slidably received in the first channel (26), has an electrically insulated body (30) extending through the first channel (26) with an exposed wire hook (32) formed at the distal end thereof for grasping the tissue (50) to pull it through the suture loop (20). A ligation assist device, such as a hypodermic needle (44) for providing anesthesia to the tissue (50) to be ligated or an optical fiber (46) for carrying laser energy for fulgurating the ligated tissue (50) is slidably received in the second channel (40). In one form, a nesting tube (74) is provided in one channel (26) to receive a suture needle (72) attached to a loopless suture (18) to easily suture to a body cavity wall (75). In another form, a tapered handle (12) frictionally receives a suture needle (72) attached to a looped (20) and slip knotted (22) suture (18) to repair a tear or rupture in a body part (89) by suturing through one or more laparoscopies without tying ligature knots inside the body cavity. In a third form, a curved carrying device (92) in one channel (40) and a ligation assist device (76) in the other channel (26) permits ligation of large vessels (99) attached to a body part (110) by fibrous tissue (108).
PCT/US1993/003857 1992-05-01 1993-04-20 Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device WO1993021834A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP5519414A JPH07506276A (en) 1992-05-01 1993-04-20 Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device
EP93910772A EP0644741A1 (en) 1992-05-01 1993-04-20 Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US87707692A 1992-05-01 1992-05-01
US877,076 1992-05-01
US979,931 1992-11-23
US07/979,931 US5336231A (en) 1992-05-01 1992-11-23 Parallel channel fixation, repair and ligation suture device

Publications (2)

Publication Number Publication Date
WO1993021834A2 WO1993021834A2 (en) 1993-11-11
WO1993021834A3 true WO1993021834A3 (en) 1994-01-06

Family

ID=27128428

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1993/003857 WO1993021834A2 (en) 1992-05-01 1993-04-20 Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device

Country Status (5)

Country Link
US (1) US5336231A (en)
EP (1) EP0644741A1 (en)
JP (1) JPH07506276A (en)
CA (1) CA2134662A1 (en)
WO (1) WO1993021834A2 (en)

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CA2134662A1 (en) 1993-11-11
WO1993021834A2 (en) 1993-11-11
JPH07506276A (en) 1995-07-13
EP0644741A1 (en) 1995-03-29
US5336231A (en) 1994-08-09

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