CA2090505A1 - Endoscopic suture clip - Google Patents
Endoscopic suture clipInfo
- Publication number
- CA2090505A1 CA2090505A1 CA002090505A CA2090505A CA2090505A1 CA 2090505 A1 CA2090505 A1 CA 2090505A1 CA 002090505 A CA002090505 A CA 002090505A CA 2090505 A CA2090505 A CA 2090505A CA 2090505 A1 CA2090505 A1 CA 2090505A1
- Authority
- CA
- Canada
- Prior art keywords
- clip
- clamping
- leg member
- suture
- leg
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical 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
- A61B17/1285—Surgical 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
-
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- 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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
-
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S227/00—Elongated-member-driving apparatus
- Y10S227/901—Surgical clip appliers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Abstract
ABSTRACT
A method of clamping suture st? ?d by applying heat and compressive force to a polymeric surgical clip having first and second opposed leg members so as to clamp the suture strand between the opposed inner clamping surfaces of the first and second leg members; a surgical clip defined by first and second leg members, the first leg member having a hole therein; and a surgical device for clamping a clip about a suture, such device defined by a trigger-activated handle, clamping jaws with a heating element disposed on one of the clamping members of the clamping jaws, a shaft connecting the jaws to the handle, and means for activating the heating element and for delivering compressive force to the clamping jaws to close the clip about a suture.
A method of clamping suture st? ?d by applying heat and compressive force to a polymeric surgical clip having first and second opposed leg members so as to clamp the suture strand between the opposed inner clamping surfaces of the first and second leg members; a surgical clip defined by first and second leg members, the first leg member having a hole therein; and a surgical device for clamping a clip about a suture, such device defined by a trigger-activated handle, clamping jaws with a heating element disposed on one of the clamping members of the clamping jaws, a shaft connecting the jaws to the handle, and means for activating the heating element and for delivering compressive force to the clamping jaws to close the clip about a suture.
Description
2090~
ENDOSCOPIC SUTURE CLIP
~ACKGROUND OF THE INVENTION
This invention relates generally to a surgical clip. More particularly, it relates to such a clip suitably adapted to replace a suture knot during endoscopic surgery, as well as a method of applying such a clip to clamp a suture, and a device for accomplishing this method.
As medical and hospital costs continue to increase, surgeons are constantly striving to develop advanced surgical techniques. Advances in the surgical field are often related to the development of operative techniques which involve less invasive surgical procedures and reduce overall patient trauma. In this manner, the length of hospital stays can be significantly reduced, and therefore the hospital and medical costs can be reduced as well.
One of the truly great advances in recent years to reduce the invasiveness of surgical procedures is endoscopic surgery. Endoscopic surgery involves the use of an endoscope, which is an instrument permitting the visual inspection and magnification of any cavity of the body.
The endoscope is inserted through a cannula after puncture through the wall of the body cavity with a trocar, which is a sharp-pointed instrument. The surgeon can then perform diagnostic and therapeutic procedures at the surgical site with the aid of specialized instrumentation designed to fit through additional cannulas providing small diameter openings into the desired body cavity as may be required.
:
. .
.
ENDOSCOPIC SUTURE CLIP
~ACKGROUND OF THE INVENTION
This invention relates generally to a surgical clip. More particularly, it relates to such a clip suitably adapted to replace a suture knot during endoscopic surgery, as well as a method of applying such a clip to clamp a suture, and a device for accomplishing this method.
As medical and hospital costs continue to increase, surgeons are constantly striving to develop advanced surgical techniques. Advances in the surgical field are often related to the development of operative techniques which involve less invasive surgical procedures and reduce overall patient trauma. In this manner, the length of hospital stays can be significantly reduced, and therefore the hospital and medical costs can be reduced as well.
One of the truly great advances in recent years to reduce the invasiveness of surgical procedures is endoscopic surgery. Endoscopic surgery involves the use of an endoscope, which is an instrument permitting the visual inspection and magnification of any cavity of the body.
The endoscope is inserted through a cannula after puncture through the wall of the body cavity with a trocar, which is a sharp-pointed instrument. The surgeon can then perform diagnostic and therapeutic procedures at the surgical site with the aid of specialized instrumentation designed to fit through additional cannulas providing small diameter openings into the desired body cavity as may be required.
:
. .
.
2~90~5 An age-old procedure which surgeons are required to perform to repair or reconstruct traumatized bodily tissue is suturing. Fortunately, medical instruments have been recently designed to allow a surgeon to manipulate a suture, or suture and needle combination, through the small diameter opening of a cannula. However, the ability to tie an appropriately placed suture knot has become troublesome and problematical.
Therefore, in response to this problem, surgeons have sought alternatives to conventional knot-tying techniques which would be suitable during endoscopic surgery. Among these alternatives include the use of hemostatic clips, which are designed to ligate blood vessels and other tubular members, to replace suture knots. Such hemostatic clips are described, for example, in U.S. Patent Nos.
4,418,694 and 4,476,865. These clips can be readily applied with a clip applier which is designed to function through the small opening of a cannula. Unfortunately, the force required to displace these clips from the suture is inadequately low. As a result, hemostatic clips of the type shown in the art are unsuitable for general e~doscopic surgery needs.
More recently, attempts have been made specifically to replace tying suture knots. U.S. Patent 4,662,068 describes an apparatus which performs the multiple functions of fusing adjacent suture strands together as well as cutting the strands after the fusing operation is performed. Unfortunately, such a device is unable to transmit to the adjacent suture strands an adequate adhesive force to prevent the suture strands from disengaging. U.S. Patent 4,078,731 describes a suture clip which eliminates the need for tying suture knots.
.
2~9050~
The clip is configured in such a manner which allows the clip to be manipulated into a first position which defines a complete passageway around the suture being threaded through the clip. Once the clip is placed adjacent to desired bodily tissue, the clip is manipulated into a second position for clamping the suture. Although this clip can be designed to achieve adequate clamping force, unfortunately the overall design of the clip requires delicate fabrication which can lead to practical difficulties.
In view of the deficiencies of the prior art for creating a useful alternative to tying a suture knot, what is desired within the medical community is a clip and a method for applying the clip using endoscopic techniques which can successfully replace the suture knot. In addition it would be helpful if a suitable clip applier were developed which could be used in conjunction with such a clip and the method for applying the clip.
8RIEF DESCRIPTION OF THE D~AWINGS
The present invention will be described in greater detail in conjunction with the accompanying drawings wherein:
Figure 1 is a perspective view of the surgical clip of the present invention.
Figure 2 is a perspective view of the surgical clip and a ~jaccnt suture strands prior to clamping the suture strand~.
Figure 3 is a perspective view of the clip of Figure 2 after the clip is clamped about the suture strands.
~: " - ~ , 20~05~
Figure 4 is a side elevational view of a device that can be used for applying the clip.
Figure 5 is an enlarged detail view of a plurality of clips of this invention used in conjunction with a device for applying multiple clips.
Figure 6 is a perspective view which illustrates another embodiment for using the method of this invention with a conventional clip to attach adjacent suture strands.
SUMMARY OF THE INVENTION
In one aspect, the invention is a method of securely anchoring a strand of suture without tying a surgical knot. The method comprises the steps of a) providing a surgical clip composed of a polymeric material with first and second leg members joined at their proximal ends, each leg member having a clamping inner surface, said clamping inner surface being in opposition to the clamping inner surface of the other leg member; b) placing the strand of suture between the clamping inner surfaces of the first and second leg members; c) applying heat to at least a portion of the clip so as to soften the polymeric material from which the clip is composed; d) applying compressive force against the first and second leg members of the clip while the clip is in a softened state so as to clamp the strand of suture between the clamping inner surfaces of the first and second leg members; and e) removing the heat ~nd compressive force from the clip.
In another aspect, the invention is a surgical clip. The surgical clip comprises first and second leg members.
Each leg member has an outer grasping surface, a clamping . -. .. '~:
2~905~
inner surface, and an outer distal surface connecting the outer grasping to the clamping inner surface. The clamping inner surface of each leg member is in opposition to the clamping inner surface of the other leg member. In addition, the first leg member has a hole therein.
In a further aspect of the invention, the invention is a surgical device for clamping a surgical clip about a suture, in which the clip is composed of a polymeric material with first and second opposed leg members. The device comprises a) a handle having a base and an actuating trigger movably attached to the base, b) clamping jaws having first and second opposed clamping members configured to grasp the first and second opposed leg members of the clip, c) a heating element disposed on the first clamping member, d) a tubular shaft for connecting the handle to the clamping jaws, e) first means for activating the heating element such that when the clip is grasped in the clamping jaws and the heating element is activated, the polymeric material from which the clip is composed softens, and f) second means for delivering compressive force to the first and second opposed clamping members of the clamping jaws so as to close the first and second opposed leg members of the clip about the suture when the polymeric material from which the clip is composed is softened.
The method of this invention provides a unique way of using a simple clip design to securely anchor or fasten a strand of suture with an adequate clamping force and adhesive power to prevent the suture strand from disengaging. Surprisingly, the clamping and adhesive forces are adequate to eliminate the need for tying suture knots. Advantageously, the method of this invention is ETH-~31 ;
., , ; .
- - : -: ::;
. .-. : , :
209050~
used in conjunction with endoscopic surgery, and therefore represents a tremendous advance in the state of the medical art by eliminating the need for tying suture knots.
A surgical clip of the invention is simple in design, easy to fabricate, and can be used with a vast array of surgical devices for applying the clip. The device of this invention for applying the clip can be especially adapted for use during endoscopic procedures which re~uire the manipulation and placement of the clip within the body cavity through a trocar.
The invention as described herein can be utilized in any surgical procedure which re~uires suturing, and therefore requires the fastening or anchoring of a suture strand.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to Figure 1, there is shown a surgical clip 10 of the present invention. The surgical clip has a first leg member 11 and a second leg mem~er 12 which join together at their proximal ends at outer proximal surface 13. The first leg member has a clamping inner surface 14~
an outer grasping surface 16, and an outer distal surface 18 which facially connects the clamping inner surface to the outer ~raspin~ surface. Correspondingly, the second leg member has a clamping inner surface 15, an outer grasping surface 17, and an outer distal surface 19 which connects the outer grasping surface to the clamping inner surface. The clamping inner surface of the first leg member is a substantially flat surface, while the opposed clamping inner surface of the second leg member has a major surface 21 which is substantially flat and a ridge , ~. , :
: ,, :
-, 2090~
22 formed on this major surface. The ridge extendslongitudinally from the outer distal surface of the second leg member in a direction substantially parallel to the axis of the second leg member. The ridge facilitates the clamping force which is placed upon a suture strand when the strand is clamped within the clip.
The clip has a hole 20 extending therethrough for facilitating the application of heat internally to the clip to allow the material from which the clip is composed to achieve a softened state for clamping. Alternati~ely, the hole can be used to allow placement of the clip on the shaft of a clip applier, while heat is applied to another portion of the clip from a source located on the clamping jaws of the clip applier. The hole is advantageously disposed within the first leg member between the outer grasping surface and the clamping inner surface. The hole is desirably cylindrical for ease of fabrication, and extends completely through the first leg member from the outer distal surface 18 to the outer proximal surface 13.
For ease of manipulation of the clip when a heating element is inserted into the hole, the hole is advantageously disposed in a direction which is substantially parallel to the axis of the first leg member.
The surgical clip of this invention can be made of any polymeric material which is biocompatible with bodily tissue and bioabsorbable. The preferred bioabsorbable polymeric materials are homopolymers and copolymers of glycolide, lactide, para-dioxanone, trimethylene carbonate and ~ caprolactone. The preferred polymer material is derived from the polymerization of para-dioxanone, because :
, 2090~
of the low softening temperature of polymers derived from para-dioxanone.
The preferred means for fabricating the clip from bioabsorbable polymeric materials is to inject a suitable polymer melt into an appropriately designed mold at process conditions conventionally employed for such polymer systems. After the polymer melt cools in the mold, polvmer shaped in the proper configuration to meet the design criteria of the clip is released from the mold.
The molded clip can then be sterilized using conventional methods to render the clip suitable for surgical applications.
Referring now to Figures 2 and 3, there is shown the process by which the clip of this invention can be clamped about a strand of suture, thus eliminating the need to tie a surgical knot during surgery. A heating element 23 can be extended through the first leg member of the clip.
Once the heating element is extended through the clip, and the c~ip is ready to be softened, the suture strand which is desired to be clamped is placed between the clamping inner surfaces of the leg members of the clip. When the suture strand is properly positioned between the opposed inner surfaces, the heating element can be activated so that heat generated from the heating element raises the temperature of the polvmeric material from which the clip is composed until such temperature e~ceeds the softening temperature of the polymeric material. This temperature is most often achieved when the temperature of the polymer exceeds its glass transition temperature. When the proper softening temperature is reached, compressive force can be applied to the opposed leg members as shown by the direction of the arrows at Figure 3, so that the suture : : : . - , 209~5~
strand becomes securely clamped between the clamping inner surfaces of the leg members of the clip. When the clamping operation is completed, the heat and the compressive force can then be removed.
Advantageously, this method can be used to fasten or anchor not only one strand of suture but also two or more adjacent strands of suture. This can be accomplished because of the high pull force required to disengage the clamped strands due to the combination of clamping and adhesive action of the clip.
The method of the invention is advantageously carried out over a very short period of time, preferably within less than 10 seconds. This can be accomplished by applying a short burst of heat energy to the leg member, while simultaneously applying compressive force to the leg ,l members to clamp the suture within the inner surfaces of the clip. Although this would be the preferred means for carrying out the invention, it is certainly not a limiting factor in how the method of the invention can be carried out.
An alternative embodiment of the invention is illustrated at Figure 5. A shaft of a device for grasping a clip and applying compressive force is designed to carry a plurality of clips on the shaft for proper placement within the body. A heating element can be placed on the longitudinal shaft at its distal tip or alternatively, on the grasping member of the device. Heat is then applied to at least a portion of the most distally disposed clip on the shaft to soften the clip, and the softened clip is pushed distally from the shaft to fully engage the grasping member of the device. The grasping member of the - " . ~ :
: ; . : ., 2~9055~
device can then be activated to apply compressive force on the clip for clamping about a suture. In turn, the remaining clips would be pushed distally along the shaft for continuing application of multiple clips.
Figure 6 illustrates that it is unnecessary to utilize a clip having a hole extending through one of its leg members to practice the method of this invention. It is entirely possible to use a heating element which can be attached or contacted in some fashion to any clip having two opposed leg members, provided at least a portion of such a clip can be heated to a temperature above its softening temperature for subsequent application of compressive force on the leg members for clamping.
Figure 4 shows a surgical device 30 of this invention for clamping æurgical clip 10. The device as shown can be utilized with the alternative embodiment depicted in Figure 5 for the application of multiple clips. The device includes a trigger-activated handle 31 having a base 36 and an actuating trigger 37. The trigger can be squeezed against the base when the user applies force in the direction of the arrow as shown. After the application of such force, the trigger returns to its position shown in Figure 4. In addition to the handle, there is a longitudinal tubular shaft 30 which connects the handle to clamping jaws 32. The longitudinal shaft has a long neck which is suitably configured to be placed down a trocar sleeve during endoscopic surgery. The clamping jaws have first and second opposed clamping members, shown at 33 and 34 respectively, configured to grasp the first and second opposed leg members of a clip.
The first clamping leg member has a heating element 32 disposed thereon for applying heat to the most distally--~.
20~5~5 positioned clip. Alternatively, the heating element could be disposed at the distal end of the shaft, where it can extend through the hole of the most distally-positioned clip .
s To use the surgical instrument shown in Figure 4, the user would squeeze the trigger against the base of the handle to activate contact switch 38, which in turn would power a suitable power source 39. This power source may be a low voltage battery which also may be rechargeable. Once the battery is turned on, the heating element is activated and the clip is softened while grasped within the clamping jaws of the instrument. Simultaneously with this action, the squeezing of the trigger causes the shaft to rotate in the direction of the arrow as shown to allow the clamping jaws of the instrument to apply compressive force against the leg members of the clip for clamping the clip about a suture.
While this invention has been described in its most preferred embodiments, there are a vast array of additional embodiments which would fall within the scope of the claimed invention as defined by the appended claims, and such additional embodiments should not be 2S construed to fall outside the scope of the appended claims merely because they have not been specifically described herein.
.: . : . : . .: ., - : . . : - .
: : :
Therefore, in response to this problem, surgeons have sought alternatives to conventional knot-tying techniques which would be suitable during endoscopic surgery. Among these alternatives include the use of hemostatic clips, which are designed to ligate blood vessels and other tubular members, to replace suture knots. Such hemostatic clips are described, for example, in U.S. Patent Nos.
4,418,694 and 4,476,865. These clips can be readily applied with a clip applier which is designed to function through the small opening of a cannula. Unfortunately, the force required to displace these clips from the suture is inadequately low. As a result, hemostatic clips of the type shown in the art are unsuitable for general e~doscopic surgery needs.
More recently, attempts have been made specifically to replace tying suture knots. U.S. Patent 4,662,068 describes an apparatus which performs the multiple functions of fusing adjacent suture strands together as well as cutting the strands after the fusing operation is performed. Unfortunately, such a device is unable to transmit to the adjacent suture strands an adequate adhesive force to prevent the suture strands from disengaging. U.S. Patent 4,078,731 describes a suture clip which eliminates the need for tying suture knots.
.
2~9050~
The clip is configured in such a manner which allows the clip to be manipulated into a first position which defines a complete passageway around the suture being threaded through the clip. Once the clip is placed adjacent to desired bodily tissue, the clip is manipulated into a second position for clamping the suture. Although this clip can be designed to achieve adequate clamping force, unfortunately the overall design of the clip requires delicate fabrication which can lead to practical difficulties.
In view of the deficiencies of the prior art for creating a useful alternative to tying a suture knot, what is desired within the medical community is a clip and a method for applying the clip using endoscopic techniques which can successfully replace the suture knot. In addition it would be helpful if a suitable clip applier were developed which could be used in conjunction with such a clip and the method for applying the clip.
8RIEF DESCRIPTION OF THE D~AWINGS
The present invention will be described in greater detail in conjunction with the accompanying drawings wherein:
Figure 1 is a perspective view of the surgical clip of the present invention.
Figure 2 is a perspective view of the surgical clip and a ~jaccnt suture strands prior to clamping the suture strand~.
Figure 3 is a perspective view of the clip of Figure 2 after the clip is clamped about the suture strands.
~: " - ~ , 20~05~
Figure 4 is a side elevational view of a device that can be used for applying the clip.
Figure 5 is an enlarged detail view of a plurality of clips of this invention used in conjunction with a device for applying multiple clips.
Figure 6 is a perspective view which illustrates another embodiment for using the method of this invention with a conventional clip to attach adjacent suture strands.
SUMMARY OF THE INVENTION
In one aspect, the invention is a method of securely anchoring a strand of suture without tying a surgical knot. The method comprises the steps of a) providing a surgical clip composed of a polymeric material with first and second leg members joined at their proximal ends, each leg member having a clamping inner surface, said clamping inner surface being in opposition to the clamping inner surface of the other leg member; b) placing the strand of suture between the clamping inner surfaces of the first and second leg members; c) applying heat to at least a portion of the clip so as to soften the polymeric material from which the clip is composed; d) applying compressive force against the first and second leg members of the clip while the clip is in a softened state so as to clamp the strand of suture between the clamping inner surfaces of the first and second leg members; and e) removing the heat ~nd compressive force from the clip.
In another aspect, the invention is a surgical clip. The surgical clip comprises first and second leg members.
Each leg member has an outer grasping surface, a clamping . -. .. '~:
2~905~
inner surface, and an outer distal surface connecting the outer grasping to the clamping inner surface. The clamping inner surface of each leg member is in opposition to the clamping inner surface of the other leg member. In addition, the first leg member has a hole therein.
In a further aspect of the invention, the invention is a surgical device for clamping a surgical clip about a suture, in which the clip is composed of a polymeric material with first and second opposed leg members. The device comprises a) a handle having a base and an actuating trigger movably attached to the base, b) clamping jaws having first and second opposed clamping members configured to grasp the first and second opposed leg members of the clip, c) a heating element disposed on the first clamping member, d) a tubular shaft for connecting the handle to the clamping jaws, e) first means for activating the heating element such that when the clip is grasped in the clamping jaws and the heating element is activated, the polymeric material from which the clip is composed softens, and f) second means for delivering compressive force to the first and second opposed clamping members of the clamping jaws so as to close the first and second opposed leg members of the clip about the suture when the polymeric material from which the clip is composed is softened.
The method of this invention provides a unique way of using a simple clip design to securely anchor or fasten a strand of suture with an adequate clamping force and adhesive power to prevent the suture strand from disengaging. Surprisingly, the clamping and adhesive forces are adequate to eliminate the need for tying suture knots. Advantageously, the method of this invention is ETH-~31 ;
., , ; .
- - : -: ::;
. .-. : , :
209050~
used in conjunction with endoscopic surgery, and therefore represents a tremendous advance in the state of the medical art by eliminating the need for tying suture knots.
A surgical clip of the invention is simple in design, easy to fabricate, and can be used with a vast array of surgical devices for applying the clip. The device of this invention for applying the clip can be especially adapted for use during endoscopic procedures which re~uire the manipulation and placement of the clip within the body cavity through a trocar.
The invention as described herein can be utilized in any surgical procedure which re~uires suturing, and therefore requires the fastening or anchoring of a suture strand.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to Figure 1, there is shown a surgical clip 10 of the present invention. The surgical clip has a first leg member 11 and a second leg mem~er 12 which join together at their proximal ends at outer proximal surface 13. The first leg member has a clamping inner surface 14~
an outer grasping surface 16, and an outer distal surface 18 which facially connects the clamping inner surface to the outer ~raspin~ surface. Correspondingly, the second leg member has a clamping inner surface 15, an outer grasping surface 17, and an outer distal surface 19 which connects the outer grasping surface to the clamping inner surface. The clamping inner surface of the first leg member is a substantially flat surface, while the opposed clamping inner surface of the second leg member has a major surface 21 which is substantially flat and a ridge , ~. , :
: ,, :
-, 2090~
22 formed on this major surface. The ridge extendslongitudinally from the outer distal surface of the second leg member in a direction substantially parallel to the axis of the second leg member. The ridge facilitates the clamping force which is placed upon a suture strand when the strand is clamped within the clip.
The clip has a hole 20 extending therethrough for facilitating the application of heat internally to the clip to allow the material from which the clip is composed to achieve a softened state for clamping. Alternati~ely, the hole can be used to allow placement of the clip on the shaft of a clip applier, while heat is applied to another portion of the clip from a source located on the clamping jaws of the clip applier. The hole is advantageously disposed within the first leg member between the outer grasping surface and the clamping inner surface. The hole is desirably cylindrical for ease of fabrication, and extends completely through the first leg member from the outer distal surface 18 to the outer proximal surface 13.
For ease of manipulation of the clip when a heating element is inserted into the hole, the hole is advantageously disposed in a direction which is substantially parallel to the axis of the first leg member.
The surgical clip of this invention can be made of any polymeric material which is biocompatible with bodily tissue and bioabsorbable. The preferred bioabsorbable polymeric materials are homopolymers and copolymers of glycolide, lactide, para-dioxanone, trimethylene carbonate and ~ caprolactone. The preferred polymer material is derived from the polymerization of para-dioxanone, because :
, 2090~
of the low softening temperature of polymers derived from para-dioxanone.
The preferred means for fabricating the clip from bioabsorbable polymeric materials is to inject a suitable polymer melt into an appropriately designed mold at process conditions conventionally employed for such polymer systems. After the polymer melt cools in the mold, polvmer shaped in the proper configuration to meet the design criteria of the clip is released from the mold.
The molded clip can then be sterilized using conventional methods to render the clip suitable for surgical applications.
Referring now to Figures 2 and 3, there is shown the process by which the clip of this invention can be clamped about a strand of suture, thus eliminating the need to tie a surgical knot during surgery. A heating element 23 can be extended through the first leg member of the clip.
Once the heating element is extended through the clip, and the c~ip is ready to be softened, the suture strand which is desired to be clamped is placed between the clamping inner surfaces of the leg members of the clip. When the suture strand is properly positioned between the opposed inner surfaces, the heating element can be activated so that heat generated from the heating element raises the temperature of the polvmeric material from which the clip is composed until such temperature e~ceeds the softening temperature of the polymeric material. This temperature is most often achieved when the temperature of the polymer exceeds its glass transition temperature. When the proper softening temperature is reached, compressive force can be applied to the opposed leg members as shown by the direction of the arrows at Figure 3, so that the suture : : : . - , 209~5~
strand becomes securely clamped between the clamping inner surfaces of the leg members of the clip. When the clamping operation is completed, the heat and the compressive force can then be removed.
Advantageously, this method can be used to fasten or anchor not only one strand of suture but also two or more adjacent strands of suture. This can be accomplished because of the high pull force required to disengage the clamped strands due to the combination of clamping and adhesive action of the clip.
The method of the invention is advantageously carried out over a very short period of time, preferably within less than 10 seconds. This can be accomplished by applying a short burst of heat energy to the leg member, while simultaneously applying compressive force to the leg ,l members to clamp the suture within the inner surfaces of the clip. Although this would be the preferred means for carrying out the invention, it is certainly not a limiting factor in how the method of the invention can be carried out.
An alternative embodiment of the invention is illustrated at Figure 5. A shaft of a device for grasping a clip and applying compressive force is designed to carry a plurality of clips on the shaft for proper placement within the body. A heating element can be placed on the longitudinal shaft at its distal tip or alternatively, on the grasping member of the device. Heat is then applied to at least a portion of the most distally disposed clip on the shaft to soften the clip, and the softened clip is pushed distally from the shaft to fully engage the grasping member of the device. The grasping member of the - " . ~ :
: ; . : ., 2~9055~
device can then be activated to apply compressive force on the clip for clamping about a suture. In turn, the remaining clips would be pushed distally along the shaft for continuing application of multiple clips.
Figure 6 illustrates that it is unnecessary to utilize a clip having a hole extending through one of its leg members to practice the method of this invention. It is entirely possible to use a heating element which can be attached or contacted in some fashion to any clip having two opposed leg members, provided at least a portion of such a clip can be heated to a temperature above its softening temperature for subsequent application of compressive force on the leg members for clamping.
Figure 4 shows a surgical device 30 of this invention for clamping æurgical clip 10. The device as shown can be utilized with the alternative embodiment depicted in Figure 5 for the application of multiple clips. The device includes a trigger-activated handle 31 having a base 36 and an actuating trigger 37. The trigger can be squeezed against the base when the user applies force in the direction of the arrow as shown. After the application of such force, the trigger returns to its position shown in Figure 4. In addition to the handle, there is a longitudinal tubular shaft 30 which connects the handle to clamping jaws 32. The longitudinal shaft has a long neck which is suitably configured to be placed down a trocar sleeve during endoscopic surgery. The clamping jaws have first and second opposed clamping members, shown at 33 and 34 respectively, configured to grasp the first and second opposed leg members of a clip.
The first clamping leg member has a heating element 32 disposed thereon for applying heat to the most distally--~.
20~5~5 positioned clip. Alternatively, the heating element could be disposed at the distal end of the shaft, where it can extend through the hole of the most distally-positioned clip .
s To use the surgical instrument shown in Figure 4, the user would squeeze the trigger against the base of the handle to activate contact switch 38, which in turn would power a suitable power source 39. This power source may be a low voltage battery which also may be rechargeable. Once the battery is turned on, the heating element is activated and the clip is softened while grasped within the clamping jaws of the instrument. Simultaneously with this action, the squeezing of the trigger causes the shaft to rotate in the direction of the arrow as shown to allow the clamping jaws of the instrument to apply compressive force against the leg members of the clip for clamping the clip about a suture.
While this invention has been described in its most preferred embodiments, there are a vast array of additional embodiments which would fall within the scope of the claimed invention as defined by the appended claims, and such additional embodiments should not be 2S construed to fall outside the scope of the appended claims merely because they have not been specifically described herein.
.: . : . : . .: ., - : . . : - .
: : :
Claims (24)
1. A method of securely anchoring a strand of suture without tying a surgical knot, comprising the steps of:
a) providing a surgical clip composed of a polymeric material with first and second leg members joined at their proximal ends, each leg member having a clamping inner surface, said clamping inner surface being in opposition to the clamping inner surface of the other leg member;
b) placing said strand of suture between the clamping inner surfaces of said first and second leg members;
c) applying heat to at least a portion of said clip so as to soften said polymeric material from which said clip is composed;
d) applying compressive force against said first and second leg members of said clip while said clip is in a softened state so as to clamp said strand of suture between said clamping inner surfaces of said first and second leg members; and e) removing said heat and said compressive force from said clip.
a) providing a surgical clip composed of a polymeric material with first and second leg members joined at their proximal ends, each leg member having a clamping inner surface, said clamping inner surface being in opposition to the clamping inner surface of the other leg member;
b) placing said strand of suture between the clamping inner surfaces of said first and second leg members;
c) applying heat to at least a portion of said clip so as to soften said polymeric material from which said clip is composed;
d) applying compressive force against said first and second leg members of said clip while said clip is in a softened state so as to clamp said strand of suture between said clamping inner surfaces of said first and second leg members; and e) removing said heat and said compressive force from said clip.
2. The method of claim 1 wherein the steps of applying heat and compressive force are performed simultaneously.
3. The method of claim 1 wherein the clip has means for receiving the application of heat internally within said first leg member.
4. The method of claim 3 wherein the first leg member has a hole therein for receiving the application of heat internally.
5. The method of claim 4 wherein each leg member of said clip has an outer grasping surface and an outer distal surface, said outer distal surface connecting said outer grasping surface to said clamping inner surface.
6. The method of claim 5 wherein said hole is disposed between said outer grasping surface and said clamping inner surface of said first leg member.
7. The method of claim 6 wherein said first and second leg members are joined at their proximal ends by an outer proximal surface.
8. The method of claim 7 wherein said hole is a cylindrical hole extending from said outer distal surface to said outer proximal surface.
9. The method of claim 8 wherein said cylindrical hole is disposed in a direction substantially parallel to the axis of said first leg member.
10. The method of claim 9 wherein said clip is composed of a polymeric material which is bioabsorbable.
11. A surgical clip comprising first and second leg members, each leg member having an outer grasping surface, a clamping inner surface, and an outer distal surface connecting said outer grasping surface to said clamping inner surface, said clamping inner surface being in opposition to the clamping inner surface of the other leg member, said first leg member having a hole therein.
12. The clip of claim 11 wherein said first and secon leg members are joined together at their proximal ends by an outer proximal surface.
13. The clip of claim 12 wherein said hole is disposed between said outer grasping surface and said clamping inner surface of said first leg member.
14. The clip of claim 13 wherein said hole is a cylindrical hole extending from said outer distal surface to said outer proximal surface.
15. The clip of claim 14 wherein said cylindrical hole is disposed in a direction substantially parallel to the axis of said first leg member.
16. The clip of claim 15 wherein said clamping inner surface of said first leg member is a substantially flat surface.
17. The clip of claim 16 wherein said clamping inner surface of said second leg member has a major surface which is substantially a flat surface.
18. The clip of claim 17 wherein said major surface of said clamping inner surface of said second leg member has a ridge formed thereon.
19. The clip of claim 18 wherein said ridge extends from said outer distal surface in a direction substantially parallel to the axis of said second leg member.
20. The clip of claim 19 wherein said clip is composed of a polymeric material.
21. The clip of claim 20 wherein said polymeric material is bioabsorbable.
22. A surgical de ice for clamping a surgical clip about a suture, said clip composed of a polymeric material with first and second opposed leg members, said device comprising:
a) a handle having a base and an actuating trigger movably attached to said base, b) clamping jaws having first and second opposed clamping members configured to grasp said first and second opposed leg members of said clip, c) a heating element disposed on said first clamping member, d) a tubular shaft for connecting said handle to said clamping jaws, e) first means for activating said heating element such that when said clip is grasped in said clamping jaws and said heating element is activated, said polymeric material from which said clip is composed softens, f) second means for delivering compressive force to said first and second opposed clamping members of said clamping jaws so as to close said first and second opposed leg members of said clip about said suture when said polymeric material from which said clip is composed is softened.
a) a handle having a base and an actuating trigger movably attached to said base, b) clamping jaws having first and second opposed clamping members configured to grasp said first and second opposed leg members of said clip, c) a heating element disposed on said first clamping member, d) a tubular shaft for connecting said handle to said clamping jaws, e) first means for activating said heating element such that when said clip is grasped in said clamping jaws and said heating element is activated, said polymeric material from which said clip is composed softens, f) second means for delivering compressive force to said first and second opposed clamping members of said clamping jaws so as to close said first and second opposed leg members of said clip about said suture when said polymeric material from which said clip is composed is softened.
23. The clip of claim 22 wherein said base of said handle has a contact switch disposed on the surface thereof.
24. The clip of claim 23 wherein said first and second means are activated by squeezing said trigger of said handle so as to cause contact between said trigger and said contact switch thereby activating said switch.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/844,253 US5171251A (en) | 1992-03-02 | 1992-03-02 | Surgical clip having hole therein and method of anchoring suture |
US844,253 | 1992-03-02 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2090505A1 true CA2090505A1 (en) | 1993-09-03 |
Family
ID=25292228
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002090505A Abandoned CA2090505A1 (en) | 1992-03-02 | 1993-02-26 | Endoscopic suture clip |
Country Status (8)
Country | Link |
---|---|
US (2) | US5171251A (en) |
EP (1) | EP0559417B1 (en) |
JP (1) | JPH067361A (en) |
BR (1) | BR9300721A (en) |
CA (1) | CA2090505A1 (en) |
DE (1) | DE69318868T2 (en) |
ES (1) | ES2116405T3 (en) |
GR (1) | GR1002272B (en) |
Families Citing this family (414)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5437680A (en) * | 1987-05-14 | 1995-08-01 | Yoon; Inbae | Suturing method, apparatus and system for use in endoscopic procedures |
US5593425A (en) * | 1990-06-28 | 1997-01-14 | Peter M. Bonutti | Surgical devices assembled using heat bonable materials |
US6203565B1 (en) | 1990-06-28 | 2001-03-20 | Peter M. Bonutti | Surgical devices assembled using heat bondable materials |
US6464713B2 (en) * | 1990-06-28 | 2002-10-15 | Peter M. Bonutti | Body tissue fastening |
US7208013B1 (en) | 1990-06-28 | 2007-04-24 | Bonutti Ip, Llc | Composite surgical devices |
US5383880A (en) * | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5171251A (en) * | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
US5658300A (en) * | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5906625A (en) * | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
US5797931A (en) * | 1992-06-04 | 1998-08-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5383883A (en) * | 1992-06-07 | 1995-01-24 | Wilk; Peter J. | Method for ultrasonically applying a surgical device |
US5330442A (en) * | 1992-10-09 | 1994-07-19 | United States Surgical Corporation | Suture retaining clip |
US5282832A (en) * | 1992-10-09 | 1994-02-01 | United States Surgical Corporation | Suture clip |
US5693060A (en) * | 1992-11-17 | 1997-12-02 | Smith & Nephew, Inc. | Suture securing device and method |
EP0598219B1 (en) * | 1992-11-17 | 1997-12-17 | Smith & Nephew, Inc. | Suture securing device |
US20020095164A1 (en) | 1997-06-26 | 2002-07-18 | Andreas Bernard H. | Device and method for suturing tissue |
US5417699A (en) * | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US6355050B1 (en) | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
WO1994015535A1 (en) * | 1993-01-07 | 1994-07-21 | Hayhurst, John, O. | Clip for suture |
US5403331A (en) * | 1993-03-12 | 1995-04-04 | United States Surgical Corporation | Looped suture ligating device containing a heat-shrinkable element |
US5372604A (en) * | 1993-06-18 | 1994-12-13 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5503320A (en) * | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
US5470338A (en) * | 1993-10-08 | 1995-11-28 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5607436A (en) * | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5632752A (en) * | 1993-10-12 | 1997-05-27 | Urohealth Systems, Inc. | Surgical suturing device |
US5527322A (en) | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US5462558A (en) * | 1994-08-29 | 1995-10-31 | United States Surgical Corporation | Suture clip applier |
US5514159A (en) * | 1994-09-13 | 1996-05-07 | United States Surgical Corporation | Guillotine suture clip |
US5665109A (en) * | 1994-12-29 | 1997-09-09 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5643295A (en) | 1994-12-29 | 1997-07-01 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5624452A (en) * | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
DE19518796A1 (en) * | 1995-05-22 | 1996-11-28 | Hoechst Ag | Fluorophenyl-substituted alkenylcarboxylic acid guanidines, processes for their preparation, their use as medicaments or diagnostic agents and medicaments containing them |
US5902311A (en) | 1995-06-15 | 1999-05-11 | Perclose, Inc. | Low profile intraluminal suturing device and method |
US5653717A (en) * | 1995-08-28 | 1997-08-05 | Urohealth Systems, Inc. | Wound closure device |
US5693059A (en) * | 1995-09-15 | 1997-12-02 | Yoon; Inbae | Ligating instrument with multiple loop ligature supply and methods therefor |
US5704943A (en) * | 1995-09-25 | 1998-01-06 | Yoon; Inbae | Ligating instrument with multiple loop ligature supply and methods therefor |
US5810853A (en) * | 1996-01-16 | 1998-09-22 | Yoon; Inbae | Knotting element for use in suturing anatomical tissue and methods therefor |
US5792151A (en) * | 1996-01-24 | 1998-08-11 | The Ohio State University | Method and apparatus for ligating a blood vessel, tissue or other bodily duct |
US5713921A (en) * | 1996-03-29 | 1998-02-03 | Bonutti; Peter M. | Suture anchor |
US5769848A (en) * | 1996-05-14 | 1998-06-23 | Wattanasirichaigoon; Somkiat | Endoscopic instrument |
US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5766183A (en) * | 1996-10-21 | 1998-06-16 | Lasersurge, Inc. | Vascular hole closure |
US5948002A (en) * | 1996-11-15 | 1999-09-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
US5899921A (en) * | 1997-07-25 | 1999-05-04 | Innovasive Devices, Inc. | Connector device and method for surgically joining and securing flexible tissue repair members |
US6010525A (en) | 1997-08-01 | 2000-01-04 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6159234A (en) * | 1997-08-01 | 2000-12-12 | Peter M. Bonutti | Method and apparatus for securing a suture |
US20050216059A1 (en) * | 2002-09-05 | 2005-09-29 | Bonutti Peter M | Method and apparatus for securing a suture |
US6475230B1 (en) | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
US5921986A (en) * | 1998-02-06 | 1999-07-13 | Bonutti; Peter M. | Bone suture |
US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US6010514A (en) * | 1998-03-17 | 2000-01-04 | Burney; Bryan T. | Suturing assembly and method of use |
US6241740B1 (en) | 1998-04-09 | 2001-06-05 | Origin Medsystems, Inc. | System and method of use for ligating and cutting tissue |
US6174324B1 (en) * | 1998-07-13 | 2001-01-16 | Axya Medical, Inc. | Suture guide and fastener |
US6066160A (en) * | 1998-11-23 | 2000-05-23 | Quickie Llc | Passive knotless suture terminator for use in minimally invasive surgery and to facilitate standard tissue securing |
US6193732B1 (en) | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
US20040092964A1 (en) | 1999-03-04 | 2004-05-13 | Modesitt D. Bruce | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US7001400B1 (en) | 1999-03-04 | 2006-02-21 | Abbott Laboratories | Articulating suturing device and method |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US7235087B2 (en) | 1999-03-04 | 2007-06-26 | Abbott Park | Articulating suturing device and method |
US6488690B1 (en) | 1999-03-17 | 2002-12-03 | John K. Morris | Suture knot sealing instruments and methods of using the same |
US6723107B1 (en) | 1999-04-19 | 2004-04-20 | Orthopaedic Biosystems Ltd. | Method and apparatus for suturing |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
WO2001001868A1 (en) | 1999-07-02 | 2001-01-11 | Quickpass, Inc. | Suturing device |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6592609B1 (en) * | 1999-08-09 | 2003-07-15 | Bonutti 2003 Trust-A | Method and apparatus for securing tissue |
US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US6290711B1 (en) * | 1999-08-13 | 2001-09-18 | Innovasive Devices, Inc. | Connector device and method for surgically joining and securing flexible tissue repair members |
US6190396B1 (en) | 1999-09-14 | 2001-02-20 | Perclose, Inc. | Device and method for deploying and organizing sutures for anastomotic and other attachments |
US6358258B1 (en) | 1999-09-14 | 2002-03-19 | Abbott Laboratories | Device and method for performing end-to-side anastomosis |
US9579091B2 (en) | 2000-01-05 | 2017-02-28 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US6942674B2 (en) | 2000-01-05 | 2005-09-13 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a closure device |
US7842068B2 (en) | 2000-12-07 | 2010-11-30 | Integrated Vascular Systems, Inc. | Apparatus and methods for providing tactile feedback while delivering a closure device |
US6391048B1 (en) | 2000-01-05 | 2002-05-21 | Integrated Vascular Systems, Inc. | Integrated vascular device with puncture site closure component and sealant and methods of use |
US6461364B1 (en) | 2000-01-05 | 2002-10-08 | Integrated Vascular Systems, Inc. | Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use |
US6635073B2 (en) * | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
WO2001066018A1 (en) | 2000-03-03 | 2001-09-13 | C. R. Bard, Inc. | Endoscopic tissue apposition device with multiple suction ports |
US7993368B2 (en) | 2003-03-13 | 2011-08-09 | C.R. Bard, Inc. | Suture clips, delivery devices and methods |
US7329263B2 (en) * | 2000-03-13 | 2008-02-12 | Marctec, Llc | Method and device for securing body tissue |
US8932330B2 (en) | 2000-03-13 | 2015-01-13 | P Tech, Llc | Method and device for securing body tissue |
US9138222B2 (en) * | 2000-03-13 | 2015-09-22 | P Tech, Llc | Method and device for securing body tissue |
US7094251B2 (en) | 2002-08-27 | 2006-08-22 | Marctec, Llc. | Apparatus and method for securing a suture |
WO2001087165A1 (en) * | 2000-05-17 | 2001-11-22 | Axya Medical, Inc. | Suture welder |
US8105351B2 (en) | 2001-05-18 | 2012-01-31 | C.R. Bard, Inc. | Method of promoting tissue adhesion |
ES2435094T3 (en) | 2000-05-19 | 2013-12-18 | C.R. Bard, Inc. | Device and method of tissue capture and suturing |
US6558399B1 (en) | 2000-06-30 | 2003-05-06 | Abbott Laboratories | Devices and method for handling a plurality of suture elements during a suturing procedure |
US6443963B1 (en) | 2000-07-26 | 2002-09-03 | Orthopaedic Biosystems, Ltd. | Apparatus and method for repairing or reattaching soft tissue |
AU2001288435A1 (en) * | 2000-08-25 | 2002-03-04 | Sutura, Inc. | Suture cutter |
US6616686B2 (en) | 2000-09-08 | 2003-09-09 | James Coleman | Surgical staples and methods for stapling |
US20020082621A1 (en) | 2000-09-22 | 2002-06-27 | Schurr Marc O. | Methods and devices for folding and securing tissue |
US6626918B1 (en) | 2000-10-06 | 2003-09-30 | Medical Technology Group | Apparatus and methods for positioning a vascular sheath |
US6730102B1 (en) | 2000-11-06 | 2004-05-04 | Abbott Laboratories | Systems, devices and methods for deploying needles |
US7029481B1 (en) | 2000-11-06 | 2006-04-18 | Abbott Laboratories | Systems, devices and methods for suturing patient tissue |
US8690910B2 (en) | 2000-12-07 | 2014-04-08 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US7905900B2 (en) | 2003-01-30 | 2011-03-15 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US6623510B2 (en) | 2000-12-07 | 2003-09-23 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US7211101B2 (en) | 2000-12-07 | 2007-05-01 | Abbott Vascular Devices | Methods for manufacturing a clip and clip |
US7806904B2 (en) | 2000-12-07 | 2010-10-05 | Integrated Vascular Systems, Inc. | Closure device |
WO2002085218A2 (en) | 2001-04-20 | 2002-10-31 | Power Medical Interventions, Inc. | Bipolar or ultrasonic surgical device |
US6913579B2 (en) * | 2001-05-01 | 2005-07-05 | Surgrx, Inc. | Electrosurgical working end and method for obtaining tissue samples for biopsy |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
WO2003005911A1 (en) | 2001-07-09 | 2003-01-23 | Tyco Healthcare Group Lp | Right angle clip applier apparatus and method |
US6802843B2 (en) * | 2001-09-13 | 2004-10-12 | Csaba Truckai | Electrosurgical working end with resistive gradient electrodes |
US6773409B2 (en) | 2001-09-19 | 2004-08-10 | Surgrx Llc | Surgical system for applying ultrasonic energy to tissue |
US7070597B2 (en) * | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US20050267464A1 (en) * | 2001-10-18 | 2005-12-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6929644B2 (en) * | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7083619B2 (en) | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US20030216732A1 (en) * | 2002-05-20 | 2003-11-20 | Csaba Truckai | Medical instrument with thermochromic or piezochromic surface indicators |
US7311709B2 (en) * | 2001-10-22 | 2007-12-25 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7354440B2 (en) * | 2001-10-22 | 2008-04-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6926716B2 (en) * | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
ATE502583T1 (en) * | 2001-10-22 | 2011-04-15 | Interventional Therapies Llc | WOUND SEWING DEVICE |
US7011657B2 (en) | 2001-10-22 | 2006-03-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument and method of use |
US6905497B2 (en) * | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
US20030078601A1 (en) * | 2001-10-22 | 2003-04-24 | Oleg Shikhman | Crimping and cutting device |
US7041102B2 (en) * | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US7189233B2 (en) * | 2001-10-22 | 2007-03-13 | Surgrx, Inc. | Electrosurgical instrument |
US8075558B2 (en) | 2002-04-30 | 2011-12-13 | Surgrx, Inc. | Electrosurgical instrument and method |
US6719765B2 (en) * | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
US6974462B2 (en) | 2001-12-19 | 2005-12-13 | Boston Scientific Scimed, Inc. | Surgical anchor implantation device |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
CA2733138C (en) * | 2002-01-22 | 2012-10-09 | Csaba Truckai | Electrosurgical instrument and method of use |
US6749621B2 (en) | 2002-02-21 | 2004-06-15 | Integrated Vascular Systems, Inc. | Sheath apparatus and methods for delivering a closure device |
US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
US20030229368A1 (en) * | 2002-04-22 | 2003-12-11 | Viola Frank J. | Endoscopic surgical clip |
AU2003225110A1 (en) | 2002-04-22 | 2003-11-03 | Tyco Healthcare Group, Lp | Endoscopic surgical clip |
US6984237B2 (en) | 2002-05-22 | 2006-01-10 | Orthopaedic Biosystems Ltd., Inc. | Suture passing surgical instrument |
DE60325355D1 (en) | 2002-06-04 | 2009-01-29 | Abbott Vascular Inc | SURGICAL CLOSURE AND MOUNTING DEVICE FOR VASCULAR SEALING |
US7416556B2 (en) | 2002-06-06 | 2008-08-26 | Abbott Laboratories | Stop-cock suture clamping system |
US20030229377A1 (en) * | 2002-06-10 | 2003-12-11 | Thomas Tong | Tube and rod suture clamping system |
JP4464816B2 (en) | 2002-06-14 | 2010-05-19 | パワー メディカル インターベンションズ, エルエルシー | Surgical device |
US20040073256A1 (en) * | 2002-08-09 | 2004-04-15 | Kevin Marchitto | Activated surgical fasteners, devices therefor and uses thereof |
AU2003272288A1 (en) * | 2002-09-06 | 2004-03-29 | C.R. Bard, Inc. | Tissue capturing devices |
AU2003272289A1 (en) | 2002-09-06 | 2004-03-29 | C.R. Bard, Inc. | Integrated endoscope and accessory treatment device |
US7087054B2 (en) * | 2002-10-01 | 2006-08-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7108710B2 (en) * | 2002-11-26 | 2006-09-19 | Abbott Laboratories | Multi-element biased suture clip |
DE10259411A1 (en) * | 2002-12-19 | 2004-07-08 | Forschungszentrum Karlsruhe Gmbh | Medical clip and device for applying such a device |
US7160309B2 (en) | 2002-12-31 | 2007-01-09 | Laveille Kao Voss | Systems for anchoring a medical device in a body lumen |
US7857828B2 (en) | 2003-01-30 | 2010-12-28 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8398656B2 (en) | 2003-01-30 | 2013-03-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8905937B2 (en) | 2009-02-26 | 2014-12-09 | Integrated Vascular Systems, Inc. | Methods and apparatus for locating a surface of a body lumen |
US7169146B2 (en) * | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
US20040193213A1 (en) * | 2003-03-11 | 2004-09-30 | Ernest Aranyi | Clip applying apparatus with curved jaws, and clip |
WO2004080290A2 (en) | 2003-03-11 | 2004-09-23 | Tyco Healthcare Group, Lp | Clip applying apparatus with angled jaw |
US7497864B2 (en) | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
US8109968B2 (en) * | 2003-05-07 | 2012-02-07 | Anpa Medical, Inc. | Suture lock |
US7862584B2 (en) * | 2003-05-07 | 2011-01-04 | Anpa Medical, Inc. | Suture lock |
ES2705604T3 (en) | 2003-05-16 | 2019-03-26 | Bard Inc C R | Multi-point endoscopic suture system and single intubation |
US7462188B2 (en) | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US7309849B2 (en) | 2003-11-19 | 2007-12-18 | Surgrx, Inc. | Polymer compositions exhibiting a PTC property and methods of fabrication |
US7390328B2 (en) | 2003-12-19 | 2008-06-24 | Abbott Laboratories | Device and method for suturing of internal puncture sites |
US7449024B2 (en) | 2003-12-23 | 2008-11-11 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US7632269B2 (en) * | 2004-01-16 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with replaceable cartridge |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US20080039873A1 (en) * | 2004-03-09 | 2008-02-14 | Marctec, Llc. | Method and device for securing body tissue |
US7955331B2 (en) * | 2004-03-12 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument and method of use |
US7883462B2 (en) * | 2004-04-29 | 2011-02-08 | Genesee Biomedical, Inc. | Suture retainer attachment for use with a surgical retractor |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
WO2006007399A1 (en) | 2004-06-16 | 2006-01-19 | Smith & Nephew, Inc. | Suture passing |
CA2580931C (en) | 2004-09-23 | 2013-05-07 | Tyco Healthcare Group Lp | Clip applying apparatus and ligation clip |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
CA2809110A1 (en) | 2004-10-08 | 2006-04-20 | Tyco Healthcare Group Lp | Apparatus for applying surgical clips |
EP2774552B1 (en) | 2004-10-08 | 2019-01-02 | Covidien LP | Endoscopic surgical clip applier |
EP1802245B8 (en) | 2004-10-08 | 2016-09-28 | Ethicon Endo-Surgery, LLC | Ultrasonic surgical instrument |
US20060089646A1 (en) | 2004-10-26 | 2006-04-27 | Bonutti Peter M | Devices and methods for stabilizing tissue and implants |
US9463012B2 (en) * | 2004-10-26 | 2016-10-11 | P Tech, Llc | Apparatus for guiding and positioning an implant |
US9271766B2 (en) | 2004-10-26 | 2016-03-01 | P Tech, Llc | Devices and methods for stabilizing tissue and implants |
US9173647B2 (en) | 2004-10-26 | 2015-11-03 | P Tech, Llc | Tissue fixation system |
US20060184201A1 (en) | 2005-02-17 | 2006-08-17 | James Jervis E | Suture retainer with suture guide and method of using a suture retainer with a suture guide |
US9089323B2 (en) | 2005-02-22 | 2015-07-28 | P Tech, Llc | Device and method for securing body tissue |
US8603106B2 (en) * | 2005-05-20 | 2013-12-10 | Neotract, Inc. | Integrated handle assembly for anchor delivery system |
US9549739B2 (en) | 2005-05-20 | 2017-01-24 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US8668705B2 (en) | 2005-05-20 | 2014-03-11 | Neotract, Inc. | Latching anchor device |
US10195014B2 (en) | 2005-05-20 | 2019-02-05 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
US10925587B2 (en) | 2005-05-20 | 2021-02-23 | Neotract, Inc. | Anchor delivery system |
US7645286B2 (en) | 2005-05-20 | 2010-01-12 | Neotract, Inc. | Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures |
US8628542B2 (en) | 2005-05-20 | 2014-01-14 | Neotract, Inc. | Median lobe destruction apparatus and method |
US7758594B2 (en) | 2005-05-20 | 2010-07-20 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
EP1909655A2 (en) | 2005-06-20 | 2008-04-16 | Sutura, Inc. | Method and apparatus for applying a knot to a suture |
US8926633B2 (en) | 2005-06-24 | 2015-01-06 | Abbott Laboratories | Apparatus and method for delivering a closure element |
US8313497B2 (en) | 2005-07-01 | 2012-11-20 | Abbott Laboratories | Clip applier and methods of use |
US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8083754B2 (en) | 2005-08-08 | 2011-12-27 | Abbott Laboratories | Vascular suturing device with needle capture |
WO2007019016A1 (en) | 2005-08-08 | 2007-02-15 | Abbott Laboratories | Vascular suturing device |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US20070060895A1 (en) | 2005-08-24 | 2007-03-15 | Sibbitt Wilmer L Jr | Vascular closure methods and apparatuses |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US20070089433A1 (en) * | 2005-10-20 | 2007-04-26 | Smurfit-Stone Container Enterprises, Inc. | Methods and systems for monitoring a shelf life of a product stored within a container |
US8246642B2 (en) * | 2005-12-01 | 2012-08-21 | Ethicon Endo-Surgery, Inc. | Ultrasonic medical instrument and medical instrument connection assembly |
US20070167965A1 (en) * | 2006-01-05 | 2007-07-19 | Ethicon Endo-Surgery, Inc. | Ultrasonic medical instrument |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US20070173872A1 (en) * | 2006-01-23 | 2007-07-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument for cutting and coagulating patient tissue |
US8496657B2 (en) | 2006-02-07 | 2013-07-30 | P Tech, Llc. | Methods for utilizing vibratory energy to weld, stake and/or remove implants |
US7967820B2 (en) | 2006-02-07 | 2011-06-28 | P Tech, Llc. | Methods and devices for trauma welding |
US11278331B2 (en) | 2006-02-07 | 2022-03-22 | P Tech Llc | Method and devices for intracorporeal bonding of implants with thermal energy |
US11253296B2 (en) | 2006-02-07 | 2022-02-22 | P Tech, Llc | Methods and devices for intracorporeal bonding of implants with thermal energy |
US20070191712A1 (en) * | 2006-02-15 | 2007-08-16 | Ethicon Endo-Surgery, Inc. | Method for sealing a blood vessel, a medical system and a medical instrument |
US7854735B2 (en) * | 2006-02-16 | 2010-12-21 | Ethicon Endo-Surgery, Inc. | Energy-based medical treatment system and method |
USD625009S1 (en) | 2006-03-24 | 2010-10-05 | Tyco Healthcare Group Lp | Surgical clip applier |
USD629101S1 (en) | 2006-03-24 | 2010-12-14 | Tyco Healthcare Group Lp | Surgical clip applier |
US9005220B2 (en) | 2006-04-04 | 2015-04-14 | C.R. Bard, Inc. | Suturing devices and methods with energy emitting elements |
US11246638B2 (en) | 2006-05-03 | 2022-02-15 | P Tech, Llc | Methods and devices for utilizing bondable materials |
USD611144S1 (en) | 2006-06-28 | 2010-03-02 | Abbott Laboratories | Apparatus for delivering a closure element |
US10130359B2 (en) * | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
EP1913881B1 (en) | 2006-10-17 | 2014-06-11 | Covidien LP | Apparatus for applying surgical clips |
US8617185B2 (en) | 2007-02-13 | 2013-12-31 | P Tech, Llc. | Fixation device |
US8845658B2 (en) * | 2007-02-26 | 2014-09-30 | Boston Scientific Scimed, Inc. | Hemostatic clip and delivery system |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
EP3189796B1 (en) | 2007-03-26 | 2019-09-25 | Covidien LP | Endoscopic surgical clip applier |
JP5411125B2 (en) | 2007-03-29 | 2014-02-12 | ノーブルズ メディカル テクノロジーズ、インコーポレイテッド | Suture device and system for closing a patent foramen ovale |
WO2008124676A1 (en) * | 2007-04-06 | 2008-10-16 | Interventional Therapies | Suturing, crimping and cutting device |
JP5329526B2 (en) | 2007-04-11 | 2013-10-30 | コヴィディエン リミテッド パートナーシップ | Surgical clip applier |
US20100191261A1 (en) * | 2007-05-22 | 2010-07-29 | Sally Carter | Suture management port |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
CA2698329C (en) | 2007-09-21 | 2016-04-26 | Power Medical Interventions, Llc | Surgical device |
JP5425786B2 (en) | 2007-09-21 | 2014-02-26 | コヴィディエン リミテッド パートナーシップ | Surgical equipment |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US8893947B2 (en) | 2007-12-17 | 2014-11-25 | Abbott Laboratories | Clip applier and methods of use |
US7841502B2 (en) | 2007-12-18 | 2010-11-30 | Abbott Laboratories | Modular clip applier |
US9445820B2 (en) | 2007-12-31 | 2016-09-20 | Teleflex Medical Incorporated | Ligation clip with flexible clamping feature |
US20090299353A1 (en) * | 2008-04-11 | 2009-12-03 | Lumenis Ltd. | Tissue Treatment Device and Method |
EP2291125B1 (en) | 2008-05-09 | 2021-04-21 | Nobles Medical Technologies, Inc. | Suturing devices for suturing an anatomic valve |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8056565B2 (en) | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US8882785B2 (en) | 2008-09-29 | 2014-11-11 | Paul C. DiCesare | Endoscopic suturing device |
US20100121355A1 (en) | 2008-10-24 | 2010-05-13 | The Foundry, Llc | Methods and devices for suture anchor delivery |
US20100121375A1 (en) * | 2008-11-13 | 2010-05-13 | Pandya Rajiv D | Suture anchoring system and method |
US9486191B2 (en) | 2009-01-09 | 2016-11-08 | Abbott Vascular, Inc. | Closure devices |
US20100198019A1 (en) * | 2009-01-30 | 2010-08-05 | Tyco Healthcare Group Lp | Suture management apparatus for surgical portal apparatus including interlocking cap |
US20100198018A1 (en) * | 2009-01-30 | 2010-08-05 | Tyco Healthcare Group Lp | Suture management system for surgical portal apparatus including internal tubes |
US20100210912A1 (en) * | 2009-02-17 | 2010-08-19 | Tyco Healthcare Group Lp | Access port with suture management system including flapper with inserts |
US20100211084A1 (en) * | 2009-02-18 | 2010-08-19 | Tyco Healthcare Group Lp | Suture management system for surgical portal apparatus including numbered clips |
CA2753592A1 (en) * | 2009-02-24 | 2010-09-02 | P Tech, Llc | Methods and devices for utilizing bondable materials |
US20100249810A1 (en) * | 2009-03-24 | 2010-09-30 | Tyco Healthcare Group Lp | Suture management system for surgical portal apparatus including slotted ring |
EP2429411B1 (en) | 2009-05-12 | 2017-03-08 | The Foundry, LLC | Devices to treat diseased or injured musculoskeletal tissue |
EP2429409B1 (en) | 2009-05-12 | 2017-11-15 | The Foundry, LLC | Suture anchors with one-way cinching mechanisms |
EP2442730A4 (en) * | 2009-06-19 | 2016-02-24 | Interventional Therapies | Crimping and cutting device |
US8334635B2 (en) | 2009-06-24 | 2012-12-18 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US8956391B2 (en) * | 2009-10-29 | 2015-02-17 | Cook Medical Technologies Llc | External retention mechanics for suture anchor |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US8545486B2 (en) | 2009-12-15 | 2013-10-01 | Covidien Lp | Surgical clip applier |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
RU2485908C2 (en) * | 2010-12-07 | 2013-06-27 | Компания с ограниченной ответственностью Глобитек 2000 | Method of creating hemostasis with possibility of blood flow recovery in tubular elastic structures of organism and devices for its realisation |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
US8556916B2 (en) | 2011-02-14 | 2013-10-15 | Smith & Nephew, Inc. | Method and device for suture manipulation |
EP3644194B1 (en) | 2011-04-15 | 2022-12-07 | Heartstitch, Inc. | Suturing devices for suturing an anatomic valve |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US8968336B2 (en) | 2011-12-07 | 2015-03-03 | Edwards Lifesciences Corporation | Self-cinching surgical clips and delivery system |
US9173657B2 (en) | 2011-12-15 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9113866B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9017347B2 (en) | 2011-12-22 | 2015-04-28 | Edwards Lifesciences Corporation | Suture clip deployment devices |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9107655B2 (en) | 2012-02-16 | 2015-08-18 | Cook Medical Technologies Llc | External suture securement devices and methods |
US9084596B2 (en) * | 2012-02-27 | 2015-07-21 | Cook Medical Technologies Llc | Suture clamp and gastrointestinal suture anchor set device using same |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
US10292801B2 (en) | 2012-03-29 | 2019-05-21 | Neotract, Inc. | System for delivering anchors for treating incontinence |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
EP2852332B1 (en) | 2012-05-11 | 2019-06-26 | Heartstitch, Inc. | Suturing devices for suturing an anatomic structure |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US10130353B2 (en) | 2012-06-29 | 2018-11-20 | Neotract, Inc. | Flexible system for delivering an anchor |
US9498202B2 (en) | 2012-07-10 | 2016-11-22 | Edwards Lifesciences Corporation | Suture securement devices |
US10016193B2 (en) | 2013-11-18 | 2018-07-10 | Edwards Lifesciences Ag | Multiple-firing crimp device and methods for using and manufacturing same |
US9282972B1 (en) * | 2012-10-14 | 2016-03-15 | Innovative Urololy, Llc | Surgical clips with penetrating locking mechanism and non-slip clamping surfaces |
US9364209B2 (en) | 2012-12-21 | 2016-06-14 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device |
US9592047B2 (en) | 2012-12-21 | 2017-03-14 | Edwards Lifesciences Corporation | System for securing sutures |
US10076377B2 (en) | 2013-01-05 | 2018-09-18 | P Tech, Llc | Fixation systems and methods |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
JP6431534B2 (en) | 2013-07-02 | 2018-11-28 | メッド − ベンチャー インベストメンツ、エルエルシー | Suture device and method for suturing anatomic tissue |
JP6345775B2 (en) | 2013-07-11 | 2018-06-20 | エドワーズ ライフサイエンシーズ コーポレイションEdwards Lifesciences Corporation | Knotless suture fastener installation system |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
EP3079602B1 (en) | 2013-12-06 | 2020-01-22 | Med-venture Investments, LLC | Suturing apparatuses |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US10765420B2 (en) | 2014-04-24 | 2020-09-08 | Smith & Nephew, Inc. | Suture passer |
EP3151756B1 (en) | 2014-05-30 | 2019-08-28 | Edwards Lifesciences Corporation | Systems for securing sutures |
US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
US9936943B1 (en) | 2014-08-07 | 2018-04-10 | Nicholas MANCINI | Suture passing surgical device with atraumatic grasper preventing accidental perforations |
CN104173090A (en) * | 2014-09-11 | 2014-12-03 | 天津万和医疗器械有限公司 | Continuous-shot absorbable clips and clip applier with same |
US9788827B2 (en) | 2014-09-24 | 2017-10-17 | Ethicon, Inc. | Method and means to attach anchor suture onto mesh implants |
US10702278B2 (en) | 2014-12-02 | 2020-07-07 | Covidien Lp | Laparoscopic surgical ligation clip applier |
CA2970522C (en) | 2014-12-10 | 2020-05-12 | Edwards Lifesciences Ag | Multiple-firing securing device and methods for using and manufacturing same |
CN107106162B (en) * | 2014-12-24 | 2020-10-27 | 爱德华兹生命科学公司 | Suture clip deployment device |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
EP3244810B1 (en) | 2015-01-15 | 2020-03-18 | Covidien LP | Endoscopic reposable surgical clip applier |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10470759B2 (en) | 2015-03-16 | 2019-11-12 | Edwards Lifesciences Corporation | Suture securement devices |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
AU2015413639A1 (en) | 2015-11-03 | 2018-04-05 | Covidien Lp | Endoscopic surgical clip applier |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10702280B2 (en) | 2015-11-10 | 2020-07-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
CN108348255B (en) | 2015-11-10 | 2020-11-27 | 柯惠有限合伙公司 | Reusable endoscopic surgical clip applier |
JP6642955B2 (en) | 2016-01-11 | 2020-02-12 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscopes |
JP6634521B2 (en) | 2016-01-18 | 2020-01-22 | コヴィディエン リミテッド パートナーシップ | Endoscopic surgical clip applier |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2017180092A1 (en) | 2016-04-11 | 2017-10-19 | Nobles Medical Technologies Ii, Inc. | Suture spools for tissue suturing device |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
CA3032824C (en) | 2016-08-03 | 2021-04-27 | Teleflex Medical Incorporated | Surgical ligation clip |
US10806464B2 (en) | 2016-08-11 | 2020-10-20 | Covidien Lp | Endoscopic surgical clip applier and clip applying systems |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US11071553B2 (en) | 2016-08-25 | 2021-07-27 | Covidien Lp | Endoscopic surgical clip applier and clip applying systems |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10939905B2 (en) * | 2016-08-26 | 2021-03-09 | Edwards Lifesciences Corporation | Suture clips, deployment devices therefor, and methods of use |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2018081374A1 (en) | 2016-10-31 | 2018-05-03 | Smith & Nephew, Inc. | Suture passer and grasper instrument and method |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US10863980B2 (en) | 2016-12-28 | 2020-12-15 | Edwards Lifesciences Corporation | Suture fastener having spaced-apart layers |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
US10758244B2 (en) | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
US11116514B2 (en) | 2017-02-06 | 2021-09-14 | Covidien Lp | Surgical clip applier with user feedback feature |
US10660725B2 (en) | 2017-02-14 | 2020-05-26 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US11583291B2 (en) | 2017-02-23 | 2023-02-21 | Covidien Lp | Endoscopic surgical clip applier |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
JP7416624B2 (en) | 2017-03-21 | 2024-01-17 | テレフレックス メディカル インコーポレイテッド | surgical clips and clip appliers |
US11534177B2 (en) | 2017-03-21 | 2022-12-27 | Teleflex Medical Incorporated | Flexible stabilizing member for a clip applier |
JP7026127B2 (en) | 2017-03-21 | 2022-02-25 | テレフレックス メディカル インコーポレイテッド | Clip applier with stabilizer |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722235B2 (en) | 2017-05-11 | 2020-07-28 | Covidien Lp | Spring-release surgical clip |
EP4115818A3 (en) | 2017-06-19 | 2023-04-05 | Heartstitch, Inc. | Suturing systems and methods for suturing body tissue |
US11839370B2 (en) | 2017-06-19 | 2023-12-12 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
US10945740B2 (en) | 2017-06-22 | 2021-03-16 | Teleflex Medical Incorporated | Surgical clip |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10675112B2 (en) | 2017-08-07 | 2020-06-09 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US10786262B2 (en) | 2017-08-09 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10786263B2 (en) | 2017-08-15 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2019035095A1 (en) | 2017-08-18 | 2019-02-21 | Nobles Medical Technologies Ii, Inc. | Apparatus for applying a knot to a suture |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10758245B2 (en) | 2017-09-13 | 2020-09-01 | Covidien Lp | Clip counting mechanism for surgical clip applier |
US10653429B2 (en) | 2017-09-13 | 2020-05-19 | Covidien Lp | Endoscopic surgical clip applier |
US10835260B2 (en) | 2017-09-13 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10945734B2 (en) | 2017-11-03 | 2021-03-16 | Covidien Lp | Rotation knob assemblies and surgical instruments including the same |
US10932791B2 (en) | 2017-11-03 | 2021-03-02 | Covidien Lp | Reposable multi-fire surgical clip applier |
US11376015B2 (en) | 2017-11-03 | 2022-07-05 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US11116513B2 (en) | 2017-11-03 | 2021-09-14 | Covidien Lp | Modular surgical clip cartridge |
US10828036B2 (en) | 2017-11-03 | 2020-11-10 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
JP7174048B2 (en) | 2017-11-14 | 2022-11-17 | テレフレックス メディカル インコーポレイテッド | surgical clip |
US10722236B2 (en) | 2017-12-12 | 2020-07-28 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10743887B2 (en) | 2017-12-13 | 2020-08-18 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10959737B2 (en) | 2017-12-13 | 2021-03-30 | Covidien Lp | Reposable multi-fire surgical clip applier |
SG11202005766XA (en) | 2017-12-23 | 2020-07-29 | Neotract Inc | Expandable tissue engagement apparatus and method |
US11051827B2 (en) | 2018-01-16 | 2021-07-06 | Covidien Lp | Endoscopic surgical instrument and handle assemblies for use therewith |
US10993721B2 (en) | 2018-04-25 | 2021-05-04 | Covidien Lp | Surgical clip applier |
US10786273B2 (en) | 2018-07-13 | 2020-09-29 | Covidien Lp | Rotation knob assemblies for handle assemblies |
US11259887B2 (en) | 2018-08-10 | 2022-03-01 | Covidien Lp | Feedback mechanisms for handle assemblies |
US11219463B2 (en) | 2018-08-13 | 2022-01-11 | Covidien Lp | Bilateral spring for surgical instruments and surgical instruments including the same |
US11246601B2 (en) | 2018-08-13 | 2022-02-15 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11344316B2 (en) | 2018-08-13 | 2022-05-31 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11253267B2 (en) | 2018-08-13 | 2022-02-22 | Covidien Lp | Friction reduction mechanisms for handle assemblies |
US11051828B2 (en) | 2018-08-13 | 2021-07-06 | Covidien Lp | Rotation knob assemblies and surgical instruments including same |
US11278267B2 (en) | 2018-08-13 | 2022-03-22 | Covidien Lp | Latch assemblies and surgical instruments including the same |
US11033256B2 (en) | 2018-08-13 | 2021-06-15 | Covidien Lp | Linkage assembly for reusable surgical handle assemblies |
US11147566B2 (en) | 2018-10-01 | 2021-10-19 | Covidien Lp | Endoscopic surgical clip applier |
US11524398B2 (en) | 2019-03-19 | 2022-12-13 | Covidien Lp | Gear drive mechanisms for surgical instruments |
CN110495921A (en) * | 2019-09-24 | 2019-11-26 | 无锡东峰怡和科技发展有限公司 | A kind of suture clamping machine |
US11779340B2 (en) | 2020-01-02 | 2023-10-10 | Covidien Lp | Ligation clip loading device |
US11723669B2 (en) | 2020-01-08 | 2023-08-15 | Covidien Lp | Clip applier with clip cartridge interface |
CN117717383B (en) * | 2024-02-07 | 2024-04-16 | 哈尔滨医科大学 | Single-end suturing device of transnasal endoscope |
Family Cites Families (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1813902A (en) * | 1928-01-18 | 1931-07-14 | Liebel Flarsheim Co | Electrosurgical apparatus |
US1908201A (en) * | 1931-03-09 | 1933-05-09 | Morton G Welch | Bipolar tonsil forceps |
US3100489A (en) * | 1957-09-30 | 1963-08-13 | Medtronic Inc | Cautery device |
GB1035205A (en) * | 1962-11-30 | 1966-07-06 | Yeda Res & Dev | Improvements in the remote controlled propulsion of a body |
US3326217A (en) * | 1964-04-27 | 1967-06-20 | Kerr Harry Sydney | Hemostatic clamp |
US3856016A (en) * | 1972-11-03 | 1974-12-24 | H Davis | Method for mechanically applying an occlusion clip to an anatomical tubular structure |
US3874042A (en) * | 1973-01-22 | 1975-04-01 | Biospectrum Inc | Clamp for thin walled tubing |
DE2360298A1 (en) * | 1973-12-04 | 1975-06-05 | Wolf Gmbh Richard | Coagulation probe or forceps - has electric heater in head of throat, with heat-resistant, non-adherent plastics coating |
DE2402677A1 (en) * | 1974-01-21 | 1975-07-24 | Technibiotics | Surgical blood-vessel clamp - has elastic sleeve with hole to receive flexible ligature looped about blood vessel |
US4041952A (en) * | 1976-03-04 | 1977-08-16 | Valleylab, Inc. | Electrosurgical forceps |
US4418694A (en) * | 1979-06-18 | 1983-12-06 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
AU8679382A (en) * | 1981-08-10 | 1983-02-17 | Ethicon Inc. | Polyolefin surgical device |
US4476865A (en) * | 1982-02-12 | 1984-10-16 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
US4519392A (en) * | 1982-10-12 | 1985-05-28 | Lingua Robert W | Hemostasing muscle clips for needleless surgery |
US4662068A (en) * | 1985-11-14 | 1987-05-05 | Eli Polonsky | Suture fusing and cutting apparatus |
DE3629809A1 (en) * | 1986-09-02 | 1988-03-10 | Wolf Gmbh Richard | COAGULATION PLIERS |
US4936842A (en) * | 1987-05-08 | 1990-06-26 | Circon Corporation | Electrosurgical probe apparatus |
JP2561853B2 (en) * | 1988-01-28 | 1996-12-11 | 株式会社ジェイ・エム・エス | Shaped memory molded article and method of using the same |
US5059202A (en) * | 1988-10-27 | 1991-10-22 | The Montefiore Hospital Association Of Western Pennsylvania | Tendon approximator |
US5057118A (en) * | 1990-05-29 | 1991-10-15 | Applied Medical Technology, Inc. | Vessel occlusion device |
US5078731A (en) * | 1990-06-05 | 1992-01-07 | Hayhurst John O | Suture clip |
US5147357A (en) * | 1991-03-18 | 1992-09-15 | Rose Anthony T | Medical instrument |
US5217460A (en) * | 1991-03-22 | 1993-06-08 | Knoepfler Dennis J | Multiple purpose forceps |
US5174300A (en) * | 1991-04-04 | 1992-12-29 | Symbiosis Corporation | Endoscopic surgical instruments having rotatable end effectors |
US5160339A (en) * | 1991-06-18 | 1992-11-03 | Ethicon, Inc. | Endoscopic suture clip |
US5207691A (en) * | 1991-11-01 | 1993-05-04 | Medical Scientific, Inc. | Electrosurgical clip applicator |
US5171251A (en) * | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
-
1992
- 1992-03-02 US US07/844,253 patent/US5171251A/en not_active Expired - Lifetime
- 1992-08-05 US US07/926,099 patent/US5306280A/en not_active Expired - Lifetime
-
1993
- 1993-02-26 CA CA002090505A patent/CA2090505A1/en not_active Abandoned
- 1993-03-01 DE DE69318868T patent/DE69318868T2/en not_active Expired - Fee Related
- 1993-03-01 ES ES93301539T patent/ES2116405T3/en not_active Expired - Lifetime
- 1993-03-01 EP EP93301539A patent/EP0559417B1/en not_active Expired - Lifetime
- 1993-03-02 BR BR9300721A patent/BR9300721A/en not_active Application Discontinuation
- 1993-03-02 JP JP5064837A patent/JPH067361A/en active Pending
- 1993-03-02 GR GR930100077A patent/GR1002272B/en not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
JPH067361A (en) | 1994-01-18 |
BR9300721A (en) | 1993-09-08 |
EP0559417B1 (en) | 1998-06-03 |
ES2116405T3 (en) | 1998-07-16 |
GR1002272B (en) | 1996-04-29 |
GR930100077A (en) | 1993-11-30 |
US5171251A (en) | 1992-12-15 |
DE69318868D1 (en) | 1998-07-09 |
EP0559417A1 (en) | 1993-09-08 |
DE69318868T2 (en) | 1998-10-22 |
US5306280A (en) | 1994-04-26 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US5171251A (en) | Surgical clip having hole therein and method of anchoring suture | |
JP6549770B2 (en) | Surgical clips, cartridges and kits | |
AU653405B2 (en) | Endoscopic suture clip | |
US5480405A (en) | Anchor applier instrument for use in suturing tissue | |
US5409499A (en) | Biocompatible suture knot clip | |
US7947053B2 (en) | Suturing device and technique | |
AU694003B2 (en) | Methods and apparatus for suturing tissue | |
US5984933A (en) | Apparatus for suturing tissue | |
EP1168966B1 (en) | Suture welding device | |
US20040122451A1 (en) | Method and device for closing and fusing suture loops | |
JP2017533042A (en) | Clips and applicators for tissue closure | |
JPS59168848A (en) | Antiseptic surgical apparatus made of nonmetal having affinity to organism | |
JPH07299073A (en) | Apparatus and method for ensuring sature | |
WO2004014217A2 (en) | Activated surgical fasteners, devices therefor and uses thereof | |
WO1990014045A1 (en) | Suture devices particularly useful in endoscopic surgery | |
EP0634142B1 (en) | Biocompatible suture knot clip | |
EP0241774A2 (en) | Surgical closure device | |
US6331182B1 (en) | Medical twisting device and method for forming a surgical closure | |
US20070118152A1 (en) | Surgical suture passer | |
US20040015186A1 (en) | Meniscal repair device and method of use | |
EP0519703B1 (en) | Endoscopic suture clip | |
Gazayerli | The Gazayerli Knot-Tying Instrument* or Ligator for Use in Diverse Laparoscopic Surgical Procedures | |
AU714847B2 (en) | Apparatus for suturing tissue | |
US20050090839A1 (en) | Apparatus, system and method for the placement and controlled manipulation of threads like in ligatures |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZDE | Discontinued |