WO2013142487A1 - Cartouches de suture et procédé d'utilisation de celle-ci - Google Patents

Cartouches de suture et procédé d'utilisation de celle-ci Download PDF

Info

Publication number
WO2013142487A1
WO2013142487A1 PCT/US2013/032954 US2013032954W WO2013142487A1 WO 2013142487 A1 WO2013142487 A1 WO 2013142487A1 US 2013032954 W US2013032954 W US 2013032954W WO 2013142487 A1 WO2013142487 A1 WO 2013142487A1
Authority
WO
WIPO (PCT)
Prior art keywords
suture
spool
wall
cartridge
cartridge housing
Prior art date
Application number
PCT/US2013/032954
Other languages
English (en)
Inventor
Amro Kamel
Grant T. Hoffman
Robert M. Eells
Jeffry S. Melsheimer
Logan M. CAGE
Original Assignee
Cook Medical Technologies Llc
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 Cook Medical Technologies Llc filed Critical Cook Medical Technologies Llc
Publication of WO2013142487A1 publication Critical patent/WO2013142487A1/fr

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
    • A61B17/06114—Packages or dispensers for needles or sutures
    • A61B17/06119—Packages or dispensers for needles or sutures of cylindrical shape
    • A61B17/06123—Flat cylinders, e.g. including an inner reel
    • 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
    • A61B2017/00526—Methods of manufacturing
    • A61B2017/0053—Loading magazines or sutures into applying tools

Definitions

  • the present embodiments generally relate to medical devices for prolapse repair within a body and to methods of use thereof.
  • Prolapse is a medical term used to describe an organ that has fallen out of place from its usual position.
  • Pelvic organ pro lapse is a condition where the bladder and/or uterus literally fall down out of their anatomical positions due to weakening or deterioration of the tissue(s) that hold the organs in place. When this occurs, the unsupported organs fall on top of the anatomical structures directly below them.
  • the bladder lands onto the vaginal canal causing the vagina to invert and protrude outside of the body.
  • the uterus lands onto the anal canal likewise causing the rectum to invert and protrude outside of the body.
  • the breakdown in the tissue(s) supporting pelvic organs can be a result of child birth, surgery within the pelvic region and normal weakening of tissue due to old age.
  • a gynecological surgeon can reconstruct or fully replace the broken-down tissue by implanting a surgical repair-graft.
  • a graft When a graft is implanted, it must be fixated properly in order to reposition and keep the organ(s) in the natural anatomical position.
  • the most common fixation technique is to attach the graft to ligaments within the pelvic region.
  • Ligaments are very strong fibrous tissues that attach bones to other bones.
  • the most common ligaments used are the sacrospinous and uterosacral ligaments.
  • Fixation of the graft to the ligaments is achieved by tying with surgical suture.
  • Prolapse repair procedures are commonly performed as a minimally invasive procedure. For example, an incision isi the vaginal canal is made in order to gain access to the pelvic cavity so the graft can be implanted. Once in the pelvic cavity the surgeon first threads suture strands at different points along each ligament. Threading the ligaments can be highly challenging because of three primary factors. First, the ligaments are located deep inside the pelvic cavity and are difficult to reach. Second, the small incision restricts the amount of space the surgeon has to work and maneuver within, and lastly the procedure is performed blindly without the help of medical imaging.
  • suture device may come with suture packets consisting of a loose strand of suture with a piercing device at the end of the strand. The suture is loaded onto the suturing device by positioning the piercing device at the end of the device head. This device punctures the ligaments and threads the suture strand therethrough,
  • One aspect of the present invention provides a suture cartridge including a cartridge housing having a first end wall, a second end wall and a side wall extending between the first and second end wails.
  • the first end wail includes a hub extending into the interior of the cartridge housing from the first end wall. The axis of the hub ex tends through the center of a circular opening in the second end wall.
  • a spool is positioned in the cartridge housing between the first end wall and the second end wail and is supported for rotation about the hub by the hub and by the perimeter of the circular opening in the second end wall.
  • An external wail of the spool is posi tioned in the circular opening and includes a slit positioned at the perimeter of the external wail.
  • a spring is positioned on the hub between the first end wall and the spool and engages a first notch on the hub and a second notch on the spool.
  • a suture support assembly is positioned on an external surface of the side wall.
  • the suture support, assembly can include a first suture support element extending from the side wall of the cartridge housing adjacent to the first end wall of the cartridge housing and a second suture support element extending from the side wall of the cartridge housing adjacent to the second end wall of the cartridge housing.
  • the cartridge housing also includes a slot extending from a position on the side wall to the circular opening. In one embodiment, the slot extends from adjacent to the support assembly to the circular opening.
  • a suture having a first looped end and a second end attached to a needle is positioned within the suture cartridge.
  • the first looped end is supported by the suture support assembly, the suture extending from the first looped end, through the slot, around the spool, and exiting the cartridge housing thro ugh the slit in the external wall of the spool.
  • a number of retainers are positioned on the external wall of the spool so as to hold the needle against the external wail.
  • the suture cartridge is provided with a locking tab.
  • the locking tab includes a handle element positioned on an external surface of the side wall of the cartridge housing and a locking element attached to the handle element and extending through the side wall of the cartridge housing.
  • the handle element is movable between a first position where the locking element engages the perimeter of the spool and a second position where the locking element is positioned away from the perimeter of the spool.
  • the perimeter of the spool can include a plurality of gear teeth.
  • the suture cartridge includes a telescopic arm having a first end attached to the second end wail of the cartridge housing and extending to a second end positioned over the external wail of the spool,
  • the external wall includes a spiral groove extending from, a first stop near the extended axis of the hub to a second stop positioned radially away from the first stop and towards the perimeter of the circular opening.
  • the second end of the telescopic arm can include an engagement element, which is positioned in the spiral groove.
  • a hole in the external wall of the spool, of a greater depth than the groove, is positioned at either the first stop or the second stop.
  • the engagement element is sized and shaped to fit into the hole in the wall of the spool. Rotation of the spool is prevented when the engagement element is positioned in the hole.
  • Figure 1 is an illustration showing the components of one embodiment of a suture cartridge
  • Figures 2(a) and 2(b) are illustrations showing one embodiment of a suture cartridge.
  • Figures 3(a) and 3(b) are illustrations showing partial views of another embodiment of a suture cartridge.
  • the locking tab is positioned to allow rotation of a spool within the cartridge housing
  • the locking tab is positioned to prevent rotation of the spool.
  • Figures 4(a) and 4(b) are illustrations showing partial views of yet another embodiment of a suture cartridge
  • Figures 5(a) and 5(b) are illustrations showing the placement of one embodiment of a suture cartridge on a suture device.
  • Figure 5(a) illustrates the placement of the looped end of the suture onto the suture device.
  • Figure 5(b) is an enlarged illustration showing the placement of the looped end of the suture onto the suture device.
  • Figure 5(c) illustrates the placement of the suture cartridge on the device.
  • proximal and distal as used herein are intended to have a reference point relative to the operator of the suture device.
  • One aspect of the present invention provides a suture cartridge having a suture positioned around a spool contained within the cartridge housing, in certain embodiments, the suture cartridge includes a cartridge housing, a suture with a looped end and a needle attached to the other end, a suture spool, and a spring inside the spool that keeps the suture taut when the device is in use.
  • FIG. 1 illustrates the components of one embodiment of the suture cartridge.
  • Suture cartridge 100 includes a cartridge housing including first end wall 102, second end wall 104 and side wall 106 extending between the first and second end walls.
  • First end wall 102 includes hub 108 extending into the interior of the cartridge housing.
  • An axis of hub 108 extends through the center of circular opening 1 10 in second end wall 104.
  • Spool 1 12 is positioned within the cartridge housing between first end wall 102 and second end wall 104 and is supported for rotation on hub 108 by the hub and by perimeter 1 14 of circular opening 1 10 in second end wall 104, External wall 1 13 of spooi 1 12 is positioned in circular opening 1 10. Slit 132 in external wall 113 is positioned at the perimeter of externa! wall 1 13.
  • Spring 116 is positioned on hub 108 between first end wall 102 and spool 1 12 and engages a first notch 1 18 in hub 108 and a second notch (not illustrated) in the spool 1 12.
  • a suture support assembly is positioned on an external surface of side wall 106.
  • the suture support assembly includes first suture support element 120 extending from side wall 106 of the cartridge housing adjacent to first end wall 102 and second suture support element 121 extending from side wall 106 adjacent to second end wall 104.
  • Support element 120 and 121 are positioned side by side to allow for looped 130 of suture 126 to be held by these elements.
  • Such an embodiment is illustrated in Figures 1 and 2.
  • suture support assembly is also encompassed in the present embodiments.
  • the function of the suture support assembly is to hold looped end 130 of suture 128 and possibly assist in the loading of looped end 130 onto a suturing device. Any structure that provides one of both of these functions can be incorporated into the suture cartridge housing. In other embodiments, no suture support assembly is present on the suture cartridge housing.
  • the suture cartridge housing also includes slot 122, which extends from a position in slide wail 106 adjacent to the suture support assembly (if present) to the perimeter of circular opening 1 10.
  • Suture 128 is loaded into the suture cartridge 100 so that looped suture end 130 is positioned outside the cartridge housing with looped suture end 130 positioned on the suture support assembly (if present).
  • Suture 128 extends through slot 122 at side wail 106 into the cartridge and is looped around spool 3 12. Suture 128 then exits the cartridge through slit 132 in external wall 113 of spooi 1 12, Needle 126 is attached to the non-looped end of suture 128.
  • needle 126 is a standard surgical needle for use for threading suture through a graft material.
  • Figure 2 illustrates one embodiment of the suture cartridge with suture 128 loaded into the cartridge.
  • looped suture end 130 is positioned on suture support elements 120 and 121.
  • Suture 128 exits the cartridge at slit 132 in external wall 1 13 of spool 1 12.
  • a plurality of retainers 134 is present on external wall 1 13, These retainers are positioned to hold the needle 126 against external wall 1 13.
  • FIG. 3 illustrates another embodiment of a suture cartridge.
  • the suture cartridge includes locking tab 149.
  • Locking tab handle element 150 is positioned on an external surface of side wall 106 of the cartridge housing.
  • Locking element 152 is attached to handle element 150 and extends through side wall 106 into the cartridge. Handle element 150 is movable between a first position where locking element 152 engages a portion of the perimeter of spool 1 12 and a second position wherein locking element 152 is positioned away from the perimeter of spool 1 12. In certain embodiments, a plurality of gear teeth 152 is present on the perimeter of spool 1 12.
  • Locking tab 149 allows a clinician to control the removal of the suture from the cartridge. Once a required amount of suture is extracted, the clinician presses handle element 150 to engage locking element 152 with the perimeter of spool 1 12. By doing so, the clinician prevents further rotation of spool 1 12 and any pull back of the suture into the cartridge by spring 1 16.
  • Figures 4(a) and 4(b) illustrate yet. another embodiment of the suture cartridge.
  • Figure 4(a) illustrates a suture cartridge similar to the embodiment shown in Figures 2(a) and 2(b). However, this embodiment also includes telescopic arm. 206 ha ving a first end attached to second end wall 104 of the cartridge housing and extending to a second end positioned over external wall 1 13 of spool 1 12.
  • External wall 1 13 includes spiral groove 204 extending from first stop or end 220 positioned near the extended axis of the hub to second stop or end 224 positioned radially away from first stop 220 and towards the perimeter of circular opening 1 10.
  • the second end of telescopic arm 206 includes engagement element 222 which is sized and shaped to fit into spiral grove 204.
  • engagement element 222 is spring loaded, whereby engagement element 222 is pressed against a surface of groove 204,
  • Figures 4(a) and 4(b) also show hole 208 in external wall 113 of spool 1 12, positioned within spiral groove 204 at or near second stop 224.
  • Hole 208 is of a greater depth than the depth of spiral groove 204. in another embodiment, hole 208 is positioned at first stop 220 instead of at second stop 224.
  • engagement element 222 is positioned in spiral groove 204 at or near the end of spiral groove 204 not including hole 208. As the suture is withdrawn for the suture cartridge and spool 1 12 rotates, the configuration of spiral grove 204 is such that engagement element 222 moves along spiral grove 204 towards hole 208.
  • FIG. 5(a-c) show suturing device 500 and suture cartridge 100.
  • suture cartridge 100 is positioned at the distal end of suturing device 500 to illustrate the placement of looped end 130 of the suture onto suturing device 500.
  • the distal end of the device includes suture connector 512 and articulating arm 504 having suture grab 514 positioned at or near its extremity. The suture is loaded onto suturing device 500 by placing looped end 130 of the suture on suture connector 512.
  • Suture cartridge 100 is then connected to the handle 520 of suturing device 500.
  • suture cartridge includes attachment element 522 on the cartridge housing, for example, on the side wall of the cartridge housing. Attachment element 522 is sized and shaped to connect to handle 520 and to hold the suture cartridge on handle 520, thus freeing the operator from the need to continue to hold the cartridge.
  • Figure 5(c) shows suture cartridge 100 positioned on handle 520 of suture device 500. Looped end 130 of suture is connected to suture connector 512 and suture 128 extends from the suture connector to suture cartridge 100.
  • suture cartridge is loaded onto the suturing device, the device is ready for use in reconstructing or ftilly replacing the broken-down tissue by implanting a surgical repair graft.
  • the distal end of suturing device 500 is inserted into a body cavity of the patient, for example into the pelvic cavity, and is positioned at a ligament within the cavity such that the ligament is positioned between suture connector 512 and articulating arm 504.
  • the articulating arm is then activated fay trigger 502 on handle 520.
  • articulating arm 504 Activation of articulating arm 504 causes the arm and hence suture grab 514 to move towards suture connector 512 and to hold the ligament between suture connector 512 and articulating arm 504, Second trigger 503 is then activated to cause suture grab 514 to penetrate the ligament, and to connect to the looped end 130 of suture 128. Articulating arm 504 is then returned to its original position whereby the looped end of the suture is pulled through the ligament.
  • the suturing device is then withdrawn from the body cavity. As the device is withdrawn, suture 130 continues to be released from the suture cartridge and to be pulled through the ligament. When the suturing device is fully withdrawn from the body cavity, needle 126 is removed from retainers 334 on external wall 1 13. Suture 130 is then removed from the suture cartridge by moving the suture along slot 122. Needle 126 can then be used to attach suture 130 to a graft material. During this process, the locking mechanism (if present) may be activated to prevent the suture from being pulled back into the cartridge.

Abstract

Les présents modes de réalisation concernent généralement des dispositifs médicaux pour réparation de prolapsus à l'intérieur d'un corps et concernent aussi des procédés d'utilisation de ceux-ci. Un aspect concerne une cartouche de suture à des fins d'utilisation avec un dispositif de suture à des fins d'utilisation pour réparation de prolapsus. Un autre aspect concerne un procédé de réparation de prolapsus utilisant un tel dispositif.
PCT/US2013/032954 2012-03-22 2013-03-19 Cartouches de suture et procédé d'utilisation de celle-ci WO2013142487A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201261614053P 2012-03-22 2012-03-22
US61/614,053 2012-03-22

Publications (1)

Publication Number Publication Date
WO2013142487A1 true WO2013142487A1 (fr) 2013-09-26

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Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015187376A1 (fr) * 2014-06-06 2015-12-10 Ethicon Endo-Surgery, Inc. Élément d'entrainement d'aiguille circulaire
US9220496B2 (en) 2012-12-13 2015-12-29 Ethicon Endo-Surgery, Llc Packaging for surgical needle cartridge and suture
US9375212B2 (en) 2014-06-06 2016-06-28 Ethicon Endo-Surgery, Llc Circular needle applier with cleats
US9788830B2 (en) 2014-06-06 2017-10-17 Ethicon Llc Needle cartridge with cage
USD800306S1 (en) 2015-12-10 2017-10-17 Ethicon Llc Surgical suturing device
EP3119287A4 (fr) * 2014-03-15 2017-11-29 Anchor Orthopedics XT Inc. Appareil et procédés de chargement de suture
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
WO2019055433A1 (fr) * 2017-09-12 2019-03-21 Nobles Medical Technologies Ii, Inc. Dispositif de tension de suture
EP3431015A3 (fr) * 2017-06-29 2019-05-08 Medos International Sarl Cartouche de suture pour dispositif chirurgical de passage de suture
US10512458B2 (en) 2013-12-06 2019-12-24 Med-Venture Investments, Llc Suturing methods and apparatuses
US10610216B2 (en) 2011-04-15 2020-04-07 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
US10758223B2 (en) 2005-06-20 2020-09-01 Scarab Technology Services, Llc Method and apparatus for applying a knot to a suture
US10828022B2 (en) 2013-07-02 2020-11-10 Med-Venture Investments, Llc Suturing devices and methods for suturing an anatomic structure
US11051802B2 (en) 2012-05-11 2021-07-06 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US11051793B2 (en) 2013-03-15 2021-07-06 Anchor Orthopedics Xt Inc. Apparatus and methods for loading suture
US11166712B2 (en) 2008-05-09 2021-11-09 Scarab Technology Services, Llc Suturing devices and methods for suturing an anatomic valve
US11202624B2 (en) 2017-08-18 2021-12-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
US11395658B2 (en) 2014-07-11 2022-07-26 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US11839370B2 (en) 2017-06-19 2023-12-12 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
US11957331B2 (en) 2017-06-19 2024-04-16 Heartstitch, Inc. Suturing systems and methods for suturing body tissue

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US20080097483A1 (en) * 2006-05-02 2008-04-24 Ethicon Endo-Surgery, Inc. Suture management
US20110046642A1 (en) * 2009-08-21 2011-02-24 Coloplast A/S Suture assembly and system

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Publication number Priority date Publication date Assignee Title
US5578057A (en) * 1993-07-28 1996-11-26 Mitek Surgical Products, Inc. Anchoring device installation tool assembly and method
US20080097483A1 (en) * 2006-05-02 2008-04-24 Ethicon Endo-Surgery, Inc. Suture management
US20110046642A1 (en) * 2009-08-21 2011-02-24 Coloplast A/S Suture assembly and system

Cited By (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10758223B2 (en) 2005-06-20 2020-09-01 Scarab Technology Services, Llc Method and apparatus for applying a knot to a suture
US11744576B2 (en) 2005-06-20 2023-09-05 Scarab Technology Services, Llc Method and apparatus for applying a knot to a suture
US11166712B2 (en) 2008-05-09 2021-11-09 Scarab Technology Services, Llc Suturing devices and methods for suturing an anatomic valve
US10624629B2 (en) 2011-04-15 2020-04-21 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US10610216B2 (en) 2011-04-15 2020-04-07 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US11051802B2 (en) 2012-05-11 2021-07-06 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US9398905B2 (en) 2012-12-13 2016-07-26 Ethicon Endo-Surgery, Llc Circular needle applier with offset needle and carrier tracks
US9220496B2 (en) 2012-12-13 2015-12-29 Ethicon Endo-Surgery, Llc Packaging for surgical needle cartridge and suture
US9427227B2 (en) 2012-12-13 2016-08-30 Ethicon Endo-Surgery, Llc Suturing device with reusable shaft and disposable cartridge
US9986998B2 (en) 2012-12-13 2018-06-05 Ethicon Llc Cartridge interface for surgical suturing device
US9498207B2 (en) 2012-12-13 2016-11-22 Ethicon Endo-Surgery, Llc Cartridge interface for surgical suturing device
US10939909B2 (en) 2012-12-13 2021-03-09 Ethicon Llc Circular needle applier with articulating and rotating shaft
US9486209B2 (en) 2012-12-13 2016-11-08 Ethicon Endo-Surgery, Llc Transmission for driving circular needle
US9357998B2 (en) 2012-12-13 2016-06-07 Ethicon Endo-Surgery, Llc Circular needle applier with articulating and rotating shaft
EP3977942A1 (fr) * 2013-03-15 2022-04-06 Anchor Orthopedics XT Inc. Appareil de chargement de suture
US11051793B2 (en) 2013-03-15 2021-07-06 Anchor Orthopedics Xt Inc. Apparatus and methods for loading suture
US11219432B2 (en) 2013-03-15 2022-01-11 Anchor Orthopedics Xt Inc. Apparatus and methods for loading suture
US11617569B2 (en) 2013-03-15 2023-04-04 Anchor Orthopedics Xt Inc. Apparatus and methods for loading suture
US10828022B2 (en) 2013-07-02 2020-11-10 Med-Venture Investments, Llc Suturing devices and methods for suturing an anatomic structure
US11779324B2 (en) 2013-12-06 2023-10-10 Med-Venture Investments, Llc Suturing methods and apparatuses
US10512458B2 (en) 2013-12-06 2019-12-24 Med-Venture Investments, Llc Suturing methods and apparatuses
EP3119287A4 (fr) * 2014-03-15 2017-11-29 Anchor Orthopedics XT Inc. Appareil et procédés de chargement de suture
CN106535780A (zh) * 2014-06-06 2017-03-22 伊西康内外科有限责任公司 圆形针驱动器
US9788830B2 (en) 2014-06-06 2017-10-17 Ethicon Llc Needle cartridge with cage
US9375212B2 (en) 2014-06-06 2016-06-28 Ethicon Endo-Surgery, Llc Circular needle applier with cleats
US9474522B2 (en) 2014-06-06 2016-10-25 Ethicon Endo-Surgery, Llc Jawed receiver for needle cartridge
US9526495B2 (en) 2014-06-06 2016-12-27 Ethicon Endo-Surgery, Llc Articulation control for surgical instruments
WO2015187376A1 (fr) * 2014-06-06 2015-12-10 Ethicon Endo-Surgery, Inc. Élément d'entrainement d'aiguille circulaire
US10004490B2 (en) 2014-06-06 2018-06-26 Ethicon Llc Force limited needle driver
US11395658B2 (en) 2014-07-11 2022-07-26 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
USD800306S1 (en) 2015-12-10 2017-10-17 Ethicon Llc Surgical suturing device
USD861166S1 (en) 2015-12-10 2019-09-24 Ethicon Llc Surgical suturing device
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
US11839370B2 (en) 2017-06-19 2023-12-12 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
US11957331B2 (en) 2017-06-19 2024-04-16 Heartstitch, Inc. Suturing systems and methods for suturing body tissue
US10441272B2 (en) 2017-06-29 2019-10-15 Medos International Sarl Suture magazine for suture passing surgical device
EP3431015A3 (fr) * 2017-06-29 2019-05-08 Medos International Sarl Cartouche de suture pour dispositif chirurgical de passage de suture
US11202624B2 (en) 2017-08-18 2021-12-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
WO2019055433A1 (fr) * 2017-09-12 2019-03-21 Nobles Medical Technologies Ii, Inc. Dispositif de tension de suture

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