US3753438A - Suture clip - Google Patents

Suture clip Download PDF

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Publication number
US3753438A
US3753438A US00247422A US3753438DA US3753438A US 3753438 A US3753438 A US 3753438A US 00247422 A US00247422 A US 00247422A US 3753438D A US3753438D A US 3753438DA US 3753438 A US3753438 A US 3753438A
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clip
thread
clips
notch
wound
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US00247422A
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E Wood
P Samuels
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Assigned to WHITLEY, MICHAEL reassignment WHITLEY, MICHAEL ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D.
Assigned to COX, EMILY reassignment COX, EMILY ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D.
Assigned to WHITLEY, DENISE reassignment WHITLEY, DENISE ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D.
Assigned to WHITLEY, RANDY reassignment WHITLEY, RANDY ASSIGNS A ONE-TWELFTH INTEREST 1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D
Assigned to ZELLWEGER, HEDI reassignment ZELLWEGER, HEDI ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D
Assigned to STEINBRENNER, HILDE reassignment STEINBRENNER, HILDE ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D.
Assigned to WHITLEY, MILLIE reassignment WHITLEY, MILLIE ASSIGNS A ONE-TWELFTH INTEREST (1/12) Assignors: LEE, ADA, SUCCESSOR TRUSTEE OF THE ESTATE OF ERNEST C. WOOD, DEC'D.
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0454Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488Instruments for applying suture clamps, clips or locks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/049Instruments for removing suture clamps, clips or locks

Definitions

  • this application discloses a flat clip to be applied to each end of a thread drawn by a needle through the edges of the wound until the clip lies flat against the surface of the skin.
  • the application also discloses a tool carrying a cartridge holding a supply of clips for securing the clips on the thread and severing it.
  • a tool for removing the clips from the thread so that the sutures'may be removed when the wound has healed.
  • This invention relates to surgical devices. More specifically, it relates to devices useful for the suturing of skin wounds.
  • the conventional method of closing skin wounds consists of sewing the edges of the wound together with thread. Threads are placed and tied separately along the wound and are termed interrupted sutures.” Alternatively, wounds may be closed by a continuous thread anchored by tying the thread at either end of the wound. Very frequently wounds sutured in accordance with these techniques tend to have the edges inverted so that when healed a noticeable scar may remain. Also, it is not uncommon that the healing may be uneven to such an extent as to delay complete healing and to further aggravate the scarring situation.
  • novel clips secured to the free end of a thread which is then drawn through the edges of the wound until the clip contacts the surface of the skin at one edge, permitting the edges of the wound to be drawn together, at which time another clip may be applied to the thread to secure the thread in the wound.
  • a novel clip formed as a flat member out of a material with sufficient resiliency and strength so that it can be clamped about a suturing thread.
  • FIG. 1 is a plan view of an applicator tool embodying the invention and suitable for carrying out the inventive method
  • FIG. 2 is a plan view of a cartridge holding a supply of clips in accordance with the invention
  • FIG. 3 is an end view of the cartridge of FIG. 2;
  • FIG. 4a is a plan view of a clip in accordance with the invention shown prior to its assembly on a thread;
  • FIG. 4b is a view of a clip in accordance with the invention showing the position assumed upon its assembly on a thread
  • FIG. 5a is a diagrammatic illustration showing the use of a thread on which a clip has been secured in suturing a wound
  • FIG. 5b is a diagrammatic figure similar to FIG. 5a in which several sutures have been completed using the method and apparatus of the invention
  • FIG. 6 is an illustration of a tool suitable for removing clips from a thread in accordance with the invention.
  • This invention is practiced by applying a flat clip to the end of a thread and passing the thread through the skin, using a surgical needle, until the clip lies flat against the surface of the skin at one edge of the wound.
  • FIG. 5a where a clip 2 has been clamped to a thread 4 and the thread, in turn, threaded through a suitable surgical needle 6.
  • the thread 4 has been drawn through the surface of the skin at one edge 8 of a wound and the clip 2 lies flat against that surface of the skin.
  • the needle 6 is then used to penetrate the surface of the other edge 10 of the wound from the underside and emerge from the upper side of that edge. At that point another clip 2 is applied to the thread 4 and the thread is then severed.
  • an applicator tool is constructed to apply two clips simultaneously to the thread and to sever the thread between the two clips. In this manner, the emerging end of the thread is clipped and the suture secured, and at the same time the thread is provided with a clip at its free end to commence the next suturing operation.
  • This sequence of operations is repeated to the extent necessary to close the wound, as may be seen in FIG. 5b wherein several sutures of the interrupted variety have been applied, each suture consisting of a pair of clips 2 and a thread 4.
  • each suturing operation the thread is pulled sufficiently tight to bring the edges of the wound together and to evert them slightly. If desired, a continuous suture could be applied with a clip at each end.
  • the clip applicator tool illustrated in FIGS. 1 through 3 may be used.
  • the clip applicator comprises a body portion 14 on which the remaining elements of the applicator are mounted for use. These elements comprise a pair of handle portions 16 and 18 pivoted at points 20 and 22, respectively, on the forward end of the body portion. Passing through the body portion is a channel guide 24 which is provided at its rearward end with a spring clip 26 which is normally urged upward from the bottom of the channel guide 24 to hold a cartridge 28 in the channel guide.
  • the cartridge 28 extends through the body portion and has a front end 30 which terminates in a pair of V-shaped openings 32 adjacent the confronting ends 34 and 36 of a pair of jaws 38 and 40, respectively, which are pivoted on the body portion at the points 42 and 44, respectively.
  • a pair of outwardly bowed leaf springs 43 and 45 urge the jaws 38 and 40 outwardly from the body portion 14.
  • the handle 16 has secured to its undersurface a leaf spring 46 which slides at its inner end on the surface of the channel guide 24 to normally urge the handle 16 in an outward direction.
  • a similar leaf spring 48 is secured to the handle 18 for the same purpose.
  • the handles 16 and 18 are provided with enlarged portions 47 and 49, respectively, which bear on the jaws 38 and 40 and function as camming surfaces to cause inward movement of the jaws when the handles are forced inwardly.
  • a pair of stops 50 and 52 may be provided on the body portion, engaging with the handles 16 and 18, respectively, to limit their outward movement.
  • the cartridge 28 is illustrated in greater detail in FIGS. 2 and 3. As illustrated, it takes the form of an elongated rectangular member provided witha pair of slots 54 and 56 extending along its length into which clips to be applied to a thread may be stored and from which they may be fed for compression by the jaws 38 and 40 as required.
  • a means to force the clips forward in the slots 54 and 56 is constituted by a slide 58 having a handle portion 60 extending through an elongated opening 62 extending over a major portion of the length of the cartridge 28.
  • a notch 64 is formed in the end of the cartridge 28 to permit passage of a threadsevering means in a manner to be described in greater detail hereinafter.
  • a spring feed could be provided.
  • the thread-severing means is constituted by an arm 66 pivoted coaxially with the jaw 40 at 44 but capable of independent movement and carrying at its free end a cutting edge 67 and a projection 68 which acts to maintain a thread in position to be cut. Extending from the arm 66 through an opening in the jaw 40 is a projection 70 engageable with the pivoted handle 16.
  • the operation of the applicator tool 14 in conjunction with the cartridge 28 is as follows. After the cartridge 28 is caused to be filled with an appropriate number of clips in the slots 56 and 54, the cartridge is inserted into the channel guide 24 until its forward motion is stopped by virtue of its contact with the confronting surfaces 34 and 36 of the jaws 38 and 40. It is retained in this position by the engagement of the spring clip 26 with its rear end. In order to feed clips to a position to be applied to a thread, the slide 58 is moved forward by applying pressure to the handle 60 so as to feed clips forward to a position between the jaws. As may be seen in FIG. 1, the forward movement of the slide 58 is permitted by the provision of a slotted opening 66 in the body portion 14. The forward motion of the clips is limited by their engagement in cut-out portions 71 formed in the confronting surfaces 34 and 36 of the jaws 38 and 40.
  • each clip 2 is formed as a thin, flat member having notch 72 formed at its lower end and a pair of spreadapart legs 74 and 76 forming a wider notch 78 at its upper end.
  • the clips When inserted into the slots 54 and 56, the clips nest within each other, i.e., the narrow part of a clip with the notch 72 rests within the wider notch 78 of each adjacent clip.
  • the outer surfaces 82 and 84 extending from the end of the wide notch are substantially parallel to each other to engage and be aligned by the straight sides of the slots 54 and 56 when the clips are placed in the cartridge 28.
  • the clips when the clips are moved forward in the cartridge 28 by the action of the slide 58, they are positioned in the cut-out portions 71 with the notch 78 exposed between the confronting portions 34 and 36 of the jaws 38 and 40. With the clips so positioned, a thread is laid between the confronting portions in the notches 78 of the clips.
  • the handles 16 and 18 are then squeezed together about their pivots 20 and 22. By virtue of their engagement with the forward ends of the jaws 38 and 40 these jaws are caused to rotate inwardly about their pivots 42 and 44 moving the confronting ends 34 and 36 together.
  • the pressure caused by the inward motion of the confronting ends 34 and 36 causes the legs 74 and 76 of the clips to be moved toward each other securing or clamping the clip about the thread in what was the notch 78.
  • the dimensions are such that the legs 74 and 76 move into substantial contact with each other and are securely fastened to the thread leaving a small notch 80 in the upper end of the clip, as may be seen in FIG. 4b.
  • Further compression of the handles 16 and 18 causes the inner side of the handle 16 to bear against the projection on the arm 66 so that it continues to move inwardly, whereby the severing edge 68 on the end of that arm cuts the thread in between the two clips.
  • the clipped ends of the thread are now ready for use in the practice of the method described above.
  • the clipped thread which has been severed from a longer piece may be discarded and the first suturing operation begun using the clipped thread remaining.
  • the applicator tool may again be used by first feeding forward another pair of clips to a position between the confronting ends 34 and 36, then using the applicator tool in the manner described above. This results in a clip being applied to the emerging end of the thread, such aclip being designated by reference numeral 12 in FIG. 5b, and a clip has been secured to the free end of the thread so that another suturing operation may be commenced.
  • the invention provides a removing tool or opener illustrated in FIG. 6.
  • This is constituted by a pair of pivoted handles 86 and 88 which are provided at their free ends with a pair of pointed projections 90 and 92, respectively. These projections may be engaged in the notches 72 and of a clip and the handles brought together to force the projections into those notches and spread apart or open the clip to remove it from the thread.
  • the suturing thread may be withdrawn in the usual manner.
  • a clip for holding thread in position on sutured wounds comprising: a thin flat member having a first end; a second end constituted by a pair of spaced apart legs forming a relatively wide notch; the outer sides of each of said spaced apart legs having a first surface extending from the outer ends of said legs spaced from said first end to a point intermediate the length of said legs, said first surfaces of each leg being substantially parallel to each other whereby said clips may be aligned in an elongated clip holder having straight parallel sides and having a second surface continuing from the termination of said first surface, said second surfaces converging toward each other to form said first end, whereby said first end is relatively narrow with respect to said second end so that the first end of one clip can be positioned within a clip holder, the relatively wide notch of a second clip for storage purposes; and a relatively narrow notch formed in said first end to facilitate the bending toward each other of said spaced apart legs.
  • a clip as set forth in claim 1 in which said spaced apart legs are shaped at their outer ends to form a relatively narrow notch when they are bent toward each other to provide a narrow notch at each end of the clip for engagement by elements of a clip removing tool.

Abstract

In order to promote even healing and minimize scarring, this application discloses a flat clip to be applied to each end of a thread drawn by a needle through the edges of the wound until the clip lies flat against the surface of the skin. The application also discloses a tool carrying a cartridge holding a supply of clips for securing the clips on the thread and severing it. In addition, there is shown a tool for removing the clips from the thread so that the sutures may be removed when the wound has healed.

Description

United States Patent Wood et a1. Aug. 21, 1973 1 SUTURE CLIP 3,006,344 10/1961 Vogelfanger 128/334 x 3,175,556 3/1965 Wood et a1. 128/346 x Inventors: Ernest 12 I h -i 3,541,591 11/1970 I-Ioegerman 128/335 Los Angeles, 90039; Peter B, samuels, 53 3 Balboa Blvd" Encino, FOREIGN PATENTS OR APPLICATIONS both of Calif. 913 16 494,960 6/1919 France 128/335 Primary Examiner-Donald L. Truluck Attorney-McDougaIl, Hersh & Scott 5 7 ABSTRACT In order to promote even healing and minimize scarring, this application discloses a flat clip to be applied to each end of a thread drawn by a needle through the edges of the wound until the clip lies flat against the surface of the skin. The application also discloses a tool carrying a cartridge holding a supply of clips for securing the clips on the thread and severing it. In addition, there is shown a tool for removing the clips from the thread so that the sutures'may be removed when the wound has healed.
2 Claims, 8 Drawing Figures SUTURE CLIP This application is a continuation of our co-pending application, Ser. No. 817,496 filed Apr. 18, 1969, now abandoned.
This invention relates to surgical devices. More specifically, it relates to devices useful for the suturing of skin wounds.
The conventional method of closing skin wounds consists of sewing the edges of the wound together with thread. Threads are placed and tied separately along the wound and are termed interrupted sutures." Alternatively, wounds may be closed by a continuous thread anchored by tying the thread at either end of the wound. Very frequently wounds sutured in accordance with these techniques tend to have the edges inverted so that when healed a noticeable scar may remain. Also, it is not uncommon that the healing may be uneven to such an extent as to delay complete healing and to further aggravate the scarring situation.
It is an object of this invention to provide a novel apparatus for suturing skin wounds which promote even healing.
It is still a further object of this invention to provide a novel apparatus for suturing skin wounds which eliminates any encircling thread over the wound, thus eliminating the possibility of a cross-hatched scar.
These and other objects are achieved by novel clips secured to the free end of a thread which is then drawn through the edges of the wound until the clip contacts the surface of the skin at one edge, permitting the edges of the wound to be drawn together, at which time another clip may be applied to the thread to secure the thread in the wound.
In an important aspect of the invention there is provided a novel clip formed as a flat member out of a material with sufficient resiliency and strength so that it can be clamped about a suturing thread.
BRIEF DESCRIPTION OF THE DRAWINGS These and other objects and advantages of this invention will hereinafter appear and for purposes of illustration, but not of limitation, an embodimentof the invention is shown in the accompanying drawings in which:
FIG. 1 is a plan view of an applicator tool embodying the invention and suitable for carrying out the inventive method;
FIG. 2 is a plan view of a cartridge holding a supply of clips in accordance with the invention;
FIG. 3 is an end view of the cartridge of FIG. 2;
FIG. 4a is a plan view of a clip in accordance with the invention shown prior to its assembly on a thread;
FIG. 4b is a view of a clip in accordance with the invention showing the position assumed upon its assembly on a thread;
FIG. 5a is a diagrammatic illustration showing the use of a thread on which a clip has been secured in suturing a wound;
FIG. 5b is a diagrammatic figure similar to FIG. 5a in which several sutures have been completed using the method and apparatus of the invention;
FIG. 6 is an illustration of a tool suitable for removing clips from a thread in accordance with the invention.
DETAILED DESCRIPTION This invention is practiced by applying a flat clip to the end of a thread and passing the thread through the skin, using a surgical needle, until the clip lies flat against the surface of the skin at one edge of the wound. This is illustrated in FIG. 5a where a clip 2 has been clamped to a thread 4 and the thread, in turn, threaded through a suitable surgical needle 6. The thread 4 has been drawn through the surface of the skin at one edge 8 of a wound and the clip 2 lies flat against that surface of the skin. The needle 6 is then used to penetrate the surface of the other edge 10 of the wound from the underside and emerge from the upper side of that edge. At that point another clip 2 is applied to the thread 4 and the thread is then severed. In order to facilitate the suturing, an applicator tool is constructed to apply two clips simultaneously to the thread and to sever the thread between the two clips. In this manner, the emerging end of the thread is clipped and the suture secured, and at the same time the thread is provided with a clip at its free end to commence the next suturing operation. This sequence of operations is repeated to the extent necessary to close the wound, as may be seen in FIG. 5b wherein several sutures of the interrupted variety have been applied, each suture consisting of a pair of clips 2 and a thread 4. During each suturing operation the thread is pulled sufficiently tight to bring the edges of the wound together and to evert them slightly. If desired, a continuous suture could be applied with a clip at each end.
It has been found that in addition to fixing the thread in place the clips spread the pull exerted at the skin edge by the thread over the entire surface of the clip and thus spread the pressure at the point of engagement of the clip with the skin over the entire clip, thus relieving the pressure from a restricted area. It has also been found that the clips tend to assume a position parallel to each other, thus contributing to the eversion of the skin edge. By resisting the natural tendency of the skin edge to turn inward, even healing is promoted and scarring is minimized. .Another advantage of this method results from the tendency of the clips to immobilize the skin beneath them, that is, they, in effect, splint the skin edge and prevent its movement. This splinting effect" also helps to minimize scarring of the wound by allowing healing to proceed with the wound immobilized.
Since the practice of this method eliminates threads overlying the wound, there is no cross-hatched scar as is seen in wounds sutured by the prior art methods. In addition, the absence of a circular suture relieves the wound of any circumferential compression.
In order to practice the invention, the clip applicator tool illustrated in FIGS. 1 through 3 may be used. As seen in FIG. 1, the clip applicator comprises a body portion 14 on which the remaining elements of the applicator are mounted for use. These elements comprise a pair of handle portions 16 and 18 pivoted at points 20 and 22, respectively, on the forward end of the body portion. Passing through the body portion is a channel guide 24 which is provided at its rearward end with a spring clip 26 which is normally urged upward from the bottom of the channel guide 24 to hold a cartridge 28 in the channel guide. The cartridge 28 extends through the body portion and has a front end 30 which terminates in a pair of V-shaped openings 32 adjacent the confronting ends 34 and 36 of a pair of jaws 38 and 40, respectively, which are pivoted on the body portion at the points 42 and 44, respectively. A pair of outwardly bowed leaf springs 43 and 45 urge the jaws 38 and 40 outwardly from the body portion 14. The handle 16 has secured to its undersurface a leaf spring 46 which slides at its inner end on the surface of the channel guide 24 to normally urge the handle 16 in an outward direction. A similar leaf spring 48 is secured to the handle 18 for the same purpose. The handles 16 and 18 are provided with enlarged portions 47 and 49, respectively, which bear on the jaws 38 and 40 and function as camming surfaces to cause inward movement of the jaws when the handles are forced inwardly. A pair of stops 50 and 52 may be provided on the body portion, engaging with the handles 16 and 18, respectively, to limit their outward movement.
The cartridge 28 is illustrated in greater detail in FIGS. 2 and 3. As illustrated, it takes the form of an elongated rectangular member provided witha pair of slots 54 and 56 extending along its length into which clips to be applied to a thread may be stored and from which they may be fed for compression by the jaws 38 and 40 as required. A means to force the clips forward in the slots 54 and 56 is constituted by a slide 58 having a handle portion 60 extending through an elongated opening 62 extending over a major portion of the length of the cartridge 28. A notch 64 is formed in the end of the cartridge 28 to permit passage of a threadsevering means in a manner to be described in greater detail hereinafter. Instead of using a handle to urge the slide forward, a spring feed could be provided.
The thread-severing means is constituted by an arm 66 pivoted coaxially with the jaw 40 at 44 but capable of independent movement and carrying at its free end a cutting edge 67 and a projection 68 which acts to maintain a thread in position to be cut. Extending from the arm 66 through an opening in the jaw 40 is a projection 70 engageable with the pivoted handle 16.
The operation of the applicator tool 14 in conjunction with the cartridge 28 is as follows. After the cartridge 28 is caused to be filled with an appropriate number of clips in the slots 56 and 54, the cartridge is inserted into the channel guide 24 until its forward motion is stopped by virtue of its contact with the confronting surfaces 34 and 36 of the jaws 38 and 40. It is retained in this position by the engagement of the spring clip 26 with its rear end. In order to feed clips to a position to be applied to a thread, the slide 58 is moved forward by applying pressure to the handle 60 so as to feed clips forward to a position between the jaws. As may be seen in FIG. 1, the forward movement of the slide 58 is permitted by the provision of a slotted opening 66 in the body portion 14. The forward motion of the clips is limited by their engagement in cut-out portions 71 formed in the confronting surfaces 34 and 36 of the jaws 38 and 40.
Referring to FIGS. 3a and 31), it may be seen that each clip 2 is formed as a thin, flat member having notch 72 formed at its lower end and a pair of spreadapart legs 74 and 76 forming a wider notch 78 at its upper end. When inserted into the slots 54 and 56, the clips nest within each other, i.e., the narrow part of a clip with the notch 72 rests within the wider notch 78 of each adjacent clip. As may best be seen in FIGS. 2 and 4a, the outer surfaces 82 and 84 extending from the end of the wide notch are substantially parallel to each other to engage and be aligned by the straight sides of the slots 54 and 56 when the clips are placed in the cartridge 28. Thus, when the clips are moved forward in the cartridge 28 by the action of the slide 58, they are positioned in the cut-out portions 71 with the notch 78 exposed between the confronting portions 34 and 36 of the jaws 38 and 40. With the clips so positioned, a thread is laid between the confronting portions in the notches 78 of the clips. The handles 16 and 18 are then squeezed together about their pivots 20 and 22. By virtue of their engagement with the forward ends of the jaws 38 and 40 these jaws are caused to rotate inwardly about their pivots 42 and 44 moving the confronting ends 34 and 36 together.
The pressure caused by the inward motion of the confronting ends 34 and 36 causes the legs 74 and 76 of the clips to be moved toward each other securing or clamping the clip about the thread in what was the notch 78. The dimensions are such that the legs 74 and 76 move into substantial contact with each other and are securely fastened to the thread leaving a small notch 80 in the upper end of the clip, as may be seen in FIG. 4b. Further compression of the handles 16 and 18 causes the inner side of the handle 16 to bear against the projection on the arm 66 so that it continues to move inwardly, whereby the severing edge 68 on the end of that arm cuts the thread in between the two clips. When the thread has been severed there results an arrangement where two clips have been applied, one to each end of the severed thread. In practice, it has been found desirable to dimension the-clips and the applicator tool 14 so as to apply them to the thread approximately one centimeter apart.
The clipped ends of the thread are now ready for use in the practice of the method described above. The clipped thread which has been severed from a longer piece may be discarded and the first suturing operation begun using the clipped thread remaining. In the execution of the suturing operation after the thread has been drawn through both edges of the wound and the wound drawn together, the applicator tool may again be used by first feeding forward another pair of clips to a position between the confronting ends 34 and 36, then using the applicator tool in the manner described above. This results in a clip being applied to the emerging end of the thread, such aclip being designated by reference numeral 12 in FIG. 5b, and a clip has been secured to the free end of the thread so that another suturing operation may be commenced.
After the wound has healed and it is desired to remove the sutures, the invention provides a removing tool or opener illustrated in FIG. 6. This is constituted by a pair of pivoted handles 86 and 88 which are provided at their free ends with a pair of pointed projections 90 and 92, respectively. These projections may be engaged in the notches 72 and of a clip and the handles brought together to force the projections into those notches and spread apart or open the clip to remove it from the thread. When the clips on each side of the wound are removed, the suturing thread may be withdrawn in the usual manner.
It is to be understood that changes may be made in the details of construction, arrangement, and operation without departing from the spirit of the invention, especially as defined in the following claims.
What we claim and desire to secure by Letters Patent of the United States is:
l. A clip for holding thread in position on sutured wounds comprising: a thin flat member having a first end; a second end constituted by a pair of spaced apart legs forming a relatively wide notch; the outer sides of each of said spaced apart legs having a first surface extending from the outer ends of said legs spaced from said first end to a point intermediate the length of said legs, said first surfaces of each leg being substantially parallel to each other whereby said clips may be aligned in an elongated clip holder having straight parallel sides and having a second surface continuing from the termination of said first surface, said second surfaces converging toward each other to form said first end, whereby said first end is relatively narrow with respect to said second end so that the first end of one clip can be positioned within a clip holder, the relatively wide notch of a second clip for storage purposes; and a relatively narrow notch formed in said first end to facilitate the bending toward each other of said spaced apart legs.
2. A clip as set forth in claim 1 in which said spaced apart legs are shaped at their outer ends to form a relatively narrow notch when they are bent toward each other to provide a narrow notch at each end of the clip for engagement by elements of a clip removing tool.
I i i i

Claims (2)

1. A clip for holding thread in position on sutured wounds comprising: a thin flat member having a first end; a second end constituted by a pair of spaced apart legs forming a relatively wide notch; the outer sides of each of said spaced apart legs having a first surface extending from the outer ends of said legs spaced from said first end to a point intermediate the length of said legs, said first surfaces of each leg being substantially parallel to each other whereby said clips may be aligned in an elongated clip holder having straight parallel sides and having a second surface continuing from the termination of said first surface, said second surfaces converging toward each other to form said first end, whereby said first end is relatively narrow with respect to said second end so that the first end of one clip can be positioned within a clip holder, the relatively wide notch of a second clip for storage purposes; and a relatively narrow notch formed in said first end to facilitate the bending toward each other of said spaced apart legs.
2. A clip as set forth in claim 1 in which said spaced apart legs are shaped at their outer ends to form a relatively narrow notch when they are bent toward each other to provide a narrow notch at each end of the clip for engagement by elements of a clip removing tool.
US00247422A 1972-04-25 1972-04-25 Suture clip Expired - Lifetime US3753438A (en)

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Cited By (136)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3910281A (en) * 1973-10-09 1975-10-07 Bio Medicus Inc Suture anchor
EP0087942A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Multiple ligating clip applier with rocking escapement
EP0087938A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with in-line cartridge and interruptable biased feeder
EP0087937A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with circular clip magazine
EP0087941A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Ligating clip with flanged base
EP0087939A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with serpentine spring clip feeder
EP0087940A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Ligating clip and applier instrument therefor with clip engaging escapement
EP0180820A2 (en) * 1984-11-08 1986-05-14 American Cyanamid Company Surgical closure element
US4602632A (en) * 1983-12-14 1986-07-29 Richard Jorgensen Bio absorbable metal hemostatic clip
US4787387A (en) * 1984-11-08 1988-11-29 American Cyanamid Company Surgical closure element
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
US5160339A (en) * 1991-06-18 1992-11-03 Ethicon, Inc. Endoscopic suture clip
US5282832A (en) * 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5330442A (en) * 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
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
US5520702A (en) * 1994-02-24 1996-05-28 United States Surgical Corporation Method and apparatus for applying a cinch member to the ends of a suture
WO1996020647A1 (en) * 1994-12-29 1996-07-11 Inbae Yoon Methods and apparatus for suturing tissue
US5591178A (en) * 1992-10-09 1997-01-07 United States Surgical Corporation Surgical clip applier
US5643295A (en) * 1994-12-29 1997-07-01 Yoon; Inbae Methods and apparatus for suturing tissue
US5669917A (en) * 1994-02-24 1997-09-23 Lasersurge, Inc. Surgical crimping device and method of use
US5700270A (en) * 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
WO1997049341A1 (en) * 1996-06-27 1997-12-31 Gabriele Valenti Suture block for surgical sutures
US5713912A (en) * 1995-08-30 1998-02-03 Stress Management, Inc. Ligating clip having ramp-shaped vessel clamping members and tool for applying same
US5720756A (en) * 1992-10-09 1998-02-24 United States Surgical Corporation Surgical clip applier
US5725538A (en) * 1992-10-09 1998-03-10 United States Surgical Corporation Surgical clip applier
US5728114A (en) * 1994-08-24 1998-03-17 Kensey Nash Corporation Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site
US5810853A (en) * 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
US5868761A (en) * 1992-10-09 1999-02-09 United States Surgical Corporation Surgical clip applier
US5868759A (en) * 1997-10-10 1999-02-09 United States Surgical Corporation Surgical clip applier
US5919208A (en) * 1996-06-27 1999-07-06 Valenti; Gabriele Suture block for surgical sutures
US5951590A (en) * 1998-06-09 1999-09-14 Goldfarb; Michael A. Soft tissue suture anchor
US6099553A (en) * 1998-05-21 2000-08-08 Applied Medical Resources Corporation Suture clinch
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US6596014B2 (en) * 1999-07-13 2003-07-22 Scion Cardio-Vascular, Inc. Suture with toggle and method of manufacture therefor
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US20030183072A1 (en) * 2000-11-02 2003-10-02 Lopez Carlos Erviti Vacuum brake booster
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US20030229361A1 (en) * 2002-06-06 2003-12-11 Jasper Jackson Stop-cock suture clamping system
US20030229377A1 (en) * 2002-06-10 2003-12-11 Thomas Tong Tube and rod suture clamping system
US20040102809A1 (en) * 2002-11-26 2004-05-27 Anderson Steven C. Multi-element biased suture clip
US20050038459A1 (en) * 1999-08-30 2005-02-17 Hart Charles C. Surgical clip
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US20050251207A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Apparatus and methods for positioning and securing anchors
US20060229675A1 (en) * 2005-04-07 2006-10-12 Roberto Novoa Anchoring System for Valve Replacement
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
US7347863B2 (en) 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7390329B2 (en) 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US7416554B2 (en) 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US7571729B2 (en) 2004-03-09 2009-08-11 Usgi Medical, Inc. Apparatus and methods for performing mucosectomy
US7601159B2 (en) 2004-05-07 2009-10-13 Usgi Medical, Inc. Interlocking tissue anchor apparatus and methods
US7611521B2 (en) 1996-09-13 2009-11-03 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7618426B2 (en) 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
USD611144S1 (en) 2006-06-28 2010-03-02 Abbott Laboratories Apparatus for delivering a closure element
US7678135B2 (en) 2004-06-09 2010-03-16 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7695493B2 (en) 2004-06-09 2010-04-13 Usgi Medical, Inc. System for optimizing anchoring force
US7704264B2 (en) 1999-06-25 2010-04-27 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7708759B2 (en) 1996-09-13 2010-05-04 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US20100121375A1 (en) * 2008-11-13 2010-05-13 Pandya Rajiv D Suture anchoring system and method
US7736379B2 (en) 2004-06-09 2010-06-15 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US20100191261A1 (en) * 2007-05-22 2010-07-29 Sally Carter Suture management port
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
US20100249810A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Suture management system for surgical portal apparatus including slotted ring
US7806904B2 (en) 2000-12-07 2010-10-05 Integrated Vascular Systems, Inc. Closure device
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US7819895B2 (en) 2000-01-05 2010-10-26 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US7828817B2 (en) 2000-01-05 2010-11-09 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
US7841502B2 (en) 2007-12-18 2010-11-30 Abbott Laboratories Modular clip applier
US7850797B2 (en) 2002-12-31 2010-12-14 Integrated Vascular Systems, Inc. Methods for manufacturing a clip and clip
US7850709B2 (en) 2002-06-04 2010-12-14 Abbott Vascular Inc. Blood vessel closure clip and delivery device
US7857828B2 (en) 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7867249B2 (en) 2003-01-30 2011-01-11 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7879071B2 (en) 2000-12-07 2011-02-01 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7887563B2 (en) 2001-06-07 2011-02-15 Abbott Vascular Inc. Surgical staple
US7918845B2 (en) 2003-01-15 2011-04-05 Usgi Medical, Inc. Endoluminal tool deployment system
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US7931669B2 (en) 2000-01-05 2011-04-26 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US7942884B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US7976556B2 (en) 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8007512B2 (en) 2002-02-21 2011-08-30 Integrated Vascular Systems, Inc. Plunger apparatus and methods for delivering a closure device
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8206417B2 (en) 2004-06-09 2012-06-26 Usgi Medical Inc. Apparatus and methods for optimizing anchoring force
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US20120330356A1 (en) * 2009-12-01 2012-12-27 Rosenberg Paul H Suture clip stapler for soft tissue closure
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8726909B2 (en) 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8784447B2 (en) 2000-09-08 2014-07-22 Abbott Vascular Inc. Surgical stapler
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories 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
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
US9078645B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US9078652B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Side-entry knotless suture anchoring clamps and deployment tools
US9089674B2 (en) 2000-10-06 2015-07-28 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
US9504571B2 (en) 2012-06-07 2016-11-29 Edwards Lifesciences Corporation Systems for implanting annuloplasty rings with microanchors
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US9592048B2 (en) 2013-07-11 2017-03-14 Edwards Lifesciences Corporation Knotless suture fastener installation system
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US10188383B2 (en) 2013-07-09 2019-01-29 Edwards Lifesciences Corporation Suture clip deployment devices
US10470759B2 (en) 2015-03-16 2019-11-12 Edwards Lifesciences Corporation Suture securement devices
US10624630B2 (en) 2012-07-10 2020-04-21 Edwards Lifesciences Ag Multiple-firing securing device and methods for using and manufacturing same
US10786244B2 (en) 2014-05-30 2020-09-29 Edwards Lifesciences Corporation Systems for securing sutures
US10863980B2 (en) 2016-12-28 2020-12-15 Edwards Lifesciences Corporation Suture fastener having spaced-apart layers
US10939905B2 (en) 2016-08-26 2021-03-09 Edwards Lifesciences Corporation Suture clips, deployment devices therefor, and methods of use
US11439378B2 (en) 2009-01-09 2022-09-13 Abbott Cardiovascular Systems, Inc. Closure devices and methods
US11589856B2 (en) 2003-01-30 2023-02-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
US11672518B2 (en) 2012-12-21 2023-06-13 Abbott Cardiovascular Systems, Inc. Articulating suturing device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US462270A (en) * 1891-11-03 Naughey
FR494960A (en) * 1918-01-26 1919-09-25 Albert Frouin Device for removing knots in surgical sutures and avoiding direct pulling of the suture on the skin
US2199025A (en) * 1936-06-08 1940-04-30 Carl E Conn Means and method of closing surgical incisions
US3006344A (en) * 1959-02-24 1961-10-31 Isaac J Vogelfanger Surgical ligator and cutter
US3175556A (en) * 1960-07-26 1965-03-30 Peter B Samuel Dissector-obstructor apparatus
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US462270A (en) * 1891-11-03 Naughey
FR494960A (en) * 1918-01-26 1919-09-25 Albert Frouin Device for removing knots in surgical sutures and avoiding direct pulling of the suture on the skin
US2199025A (en) * 1936-06-08 1940-04-30 Carl E Conn Means and method of closing surgical incisions
US3006344A (en) * 1959-02-24 1961-10-31 Isaac J Vogelfanger Surgical ligator and cutter
US3175556A (en) * 1960-07-26 1965-03-30 Peter B Samuel Dissector-obstructor apparatus
US3541591A (en) * 1968-04-26 1970-11-17 Henry J Hoegerman Method and apparatus for closing wounds

Cited By (244)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3910281A (en) * 1973-10-09 1975-10-07 Bio Medicus Inc Suture anchor
EP0087937A3 (en) * 1982-02-26 1984-02-01 Ethicon Inc. Surgical clip applier with circular clip magazine
EP0087939A3 (en) * 1982-02-26 1984-02-08 Ethicon Inc. Surgical clip applier with serpentine spring clip feeder
EP0087938A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with in-line cartridge and interruptable biased feeder
EP0087941A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Ligating clip with flanged base
EP0087939A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with serpentine spring clip feeder
EP0087940A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Ligating clip and applier instrument therefor with clip engaging escapement
EP0087940A3 (en) * 1982-02-26 1984-02-01 Ethicon Inc. Ligating clip and applier instrument therefor with clip engaging escapement
EP0087937A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Surgical clip applier with circular clip magazine
EP0087942A3 (en) * 1982-02-26 1984-02-08 Ethicon Inc. Multiple ligating clip applier with rocking escapement
EP0087942A2 (en) * 1982-02-26 1983-09-07 Ethicon, Inc. Multiple ligating clip applier with rocking escapement
EP0087941A3 (en) * 1982-02-26 1984-02-15 Ethicon Inc. Ligating clip with flanged base
EP0087938A3 (en) * 1982-02-26 1984-02-22 Ethicon Inc. Surgical clip applier with in-line cartridge and interruptable biased feeder
US4448193A (en) * 1982-02-26 1984-05-15 Ethicon, Inc. Surgical clip applier with circular clip magazine
US4823794A (en) * 1982-07-12 1989-04-25 Pierce William S Surgical pledget
US4602632A (en) * 1983-12-14 1986-07-29 Richard Jorgensen Bio absorbable metal hemostatic clip
EP0180820A2 (en) * 1984-11-08 1986-05-14 American Cyanamid Company Surgical closure element
EP0180820A3 (en) * 1984-11-08 1986-08-13 American Cyanamid Company Surgical closure element
US4787387A (en) * 1984-11-08 1988-11-29 American Cyanamid Company Surgical closure element
AU588001B2 (en) * 1984-11-08 1989-09-07 Sherwood Services Ag Surgical stapler
US5160339A (en) * 1991-06-18 1992-11-03 Ethicon, Inc. Endoscopic suture clip
US5720756A (en) * 1992-10-09 1998-02-24 United States Surgical Corporation Surgical clip applier
US5330442A (en) * 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
US5376101A (en) * 1992-10-09 1994-12-27 The United States Surgical Corporation Suture retaining clip
US5282832A (en) * 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5868761A (en) * 1992-10-09 1999-02-09 United States Surgical Corporation Surgical clip applier
US5779718A (en) * 1992-10-09 1998-07-14 United States Surgical Corporation Method of anastomosing a vessel using a surgical clip applier
US5591178A (en) * 1992-10-09 1997-01-07 United States Surgical Corporation Surgical clip applier
US5725537A (en) * 1992-10-09 1998-03-10 United States Surgical Corporation Method of performing a vessel anastomosis using a surgical clip applier
US5725538A (en) * 1992-10-09 1998-03-10 United States Surgical Corporation Surgical clip applier
US5520702A (en) * 1994-02-24 1996-05-28 United States Surgical Corporation Method and apparatus for applying a cinch member to the ends of a suture
US5669917A (en) * 1994-02-24 1997-09-23 Lasersurge, Inc. Surgical crimping device and method of use
US5728114A (en) * 1994-08-24 1998-03-17 Kensey Nash Corporation Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site
US5645553A (en) * 1994-08-29 1997-07-08 United States Surgical Corporation Suture clip applier
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
US5984933A (en) * 1994-12-29 1999-11-16 Yoon; Inbae Apparatus for suturing tissue
US5643295A (en) * 1994-12-29 1997-07-01 Yoon; Inbae Methods and apparatus for suturing tissue
WO1996020647A1 (en) * 1994-12-29 1996-07-11 Inbae Yoon Methods and apparatus for suturing tissue
US5713912A (en) * 1995-08-30 1998-02-03 Stress Management, Inc. Ligating clip having ramp-shaped vessel clamping members and tool for applying same
US5700270A (en) * 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5938667A (en) * 1995-10-20 1999-08-17 United States Surgical Corporation Surgical clip applier
US5810853A (en) * 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
WO1997049341A1 (en) * 1996-06-27 1997-12-31 Gabriele Valenti Suture block for surgical sutures
US5919208A (en) * 1996-06-27 1999-07-06 Valenti; Gabriele Suture block for surgical sutures
US7611521B2 (en) 1996-09-13 2009-11-03 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7708759B2 (en) 1996-09-13 2010-05-04 Tendon Technology, Ltd. Apparatus and methods for securing tendons or ligaments to bone
US5868759A (en) * 1997-10-10 1999-02-09 United States Surgical Corporation Surgical clip applier
US6099553A (en) * 1998-05-21 2000-08-08 Applied Medical Resources Corporation Suture clinch
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US20070027461A1 (en) * 1998-06-03 2007-02-01 Barry Gardiner Tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US5951590A (en) * 1998-06-09 1999-09-14 Goldfarb; Michael A. Soft tissue suture anchor
US6074409A (en) * 1998-06-09 2000-06-13 Dynamic Surgical Inventions Llc Soft tissue suture anchor
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US6960221B2 (en) 1999-03-01 2005-11-01 Medtronic, Inc. Tissue connector apparatus with cable release
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US20030093118A1 (en) * 1999-03-01 2003-05-15 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US7744613B2 (en) 1999-06-25 2010-06-29 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7955340B2 (en) 1999-06-25 2011-06-07 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8343175B2 (en) 1999-06-25 2013-01-01 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8574243B2 (en) 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7704264B2 (en) 1999-06-25 2010-04-27 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US6596014B2 (en) * 1999-07-13 2003-07-22 Scion Cardio-Vascular, Inc. Suture with toggle and method of manufacture therefor
US7326233B2 (en) * 1999-08-30 2008-02-05 Applied Medical Resources Corporation Surgical clip
US20080091236A1 (en) * 1999-08-30 2008-04-17 Applied Medical Resources Corporation Surgical clip
US7867254B2 (en) * 1999-08-30 2011-01-11 Applied Medical Resources Corporation Surgical clip
US20050038459A1 (en) * 1999-08-30 2005-02-17 Hart Charles C. Surgical clip
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US7901428B2 (en) 2000-01-05 2011-03-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US7828817B2 (en) 2000-01-05 2010-11-09 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
US7819895B2 (en) 2000-01-05 2010-10-26 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US9050087B2 (en) 2000-01-05 2015-06-09 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US8956388B2 (en) 2000-01-05 2015-02-17 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant
US7931669B2 (en) 2000-01-05 2011-04-26 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US8758396B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US8353092B2 (en) 2000-03-31 2013-01-15 Medtronic, Inc. Multiple bias surgical fastener
US8784447B2 (en) 2000-09-08 2014-07-22 Abbott Vascular Inc. Surgical stapler
US9402625B2 (en) 2000-09-08 2016-08-02 Abbott Vascular Inc. Surgical stapler
US9060769B2 (en) 2000-09-08 2015-06-23 Abbott Vascular Inc. Surgical stapler
US9089674B2 (en) 2000-10-06 2015-07-28 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US7914544B2 (en) 2000-10-10 2011-03-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US20030183072A1 (en) * 2000-11-02 2003-10-02 Lopez Carlos Erviti Vacuum brake booster
US8486092B2 (en) 2000-12-07 2013-07-16 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7842068B2 (en) 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US8128644B2 (en) 2000-12-07 2012-03-06 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7887555B2 (en) 2000-12-07 2011-02-15 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7879071B2 (en) 2000-12-07 2011-02-01 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7806904B2 (en) 2000-12-07 2010-10-05 Integrated Vascular Systems, Inc. Closure device
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8236026B2 (en) 2000-12-07 2012-08-07 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8486108B2 (en) 2000-12-07 2013-07-16 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8603136B2 (en) 2000-12-07 2013-12-10 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US7887563B2 (en) 2001-06-07 2011-02-15 Abbott Vascular Inc. Surgical staple
US8579932B2 (en) 2002-02-21 2013-11-12 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US8007512B2 (en) 2002-02-21 2011-08-30 Integrated Vascular Systems, Inc. Plunger apparatus and methods for delivering a closure device
US7850709B2 (en) 2002-06-04 2010-12-14 Abbott Vascular Inc. Blood vessel closure clip and delivery device
US20030229361A1 (en) * 2002-06-06 2003-12-11 Jasper Jackson Stop-cock suture clamping system
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
US7976556B2 (en) 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US20100324598A1 (en) * 2002-11-26 2010-12-23 Abbott Laboratories Multi element biased suture clip
US20040102809A1 (en) * 2002-11-26 2004-05-27 Anderson Steven C. Multi-element biased suture clip
US7108710B2 (en) 2002-11-26 2006-09-19 Abbott Laboratories Multi-element biased suture clip
US20060265012A1 (en) * 2002-11-26 2006-11-23 Abbott Laboratories Multi-Element Biased Suture Clip
US8460339B2 (en) 2002-11-26 2013-06-11 Abbott Laboratories Multi element biased suture clip
US7942884B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US8216260B2 (en) 2002-12-11 2012-07-10 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8066719B2 (en) 2002-12-11 2011-11-29 Ewers Richard C Apparatus and methods for forming gastrointestinal tissue approximations
US7618426B2 (en) 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
US8262676B2 (en) 2002-12-11 2012-09-11 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
US7416554B2 (en) 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US7854810B2 (en) 2002-12-31 2010-12-21 Integrated Vascular Systems, Inc. Methods for manufacturing a clip and clip
US7850797B2 (en) 2002-12-31 2010-12-14 Integrated Vascular Systems, Inc. Methods for manufacturing a clip and clip
US7918845B2 (en) 2003-01-15 2011-04-05 Usgi Medical, Inc. Endoluminal tool deployment system
US11589856B2 (en) 2003-01-30 2023-02-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7905900B2 (en) 2003-01-30 2011-03-15 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7867249B2 (en) 2003-01-30 2011-01-11 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7857828B2 (en) 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US10045871B2 (en) 2003-12-12 2018-08-14 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US9510817B2 (en) 2003-12-12 2016-12-06 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7703459B2 (en) 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US7571729B2 (en) 2004-03-09 2009-08-11 Usgi Medical, Inc. Apparatus and methods for performing mucosectomy
US11045341B2 (en) 2004-05-07 2021-06-29 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7347863B2 (en) 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US8216253B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US8236009B2 (en) 2004-05-07 2012-08-07 Usgi Medical, Inc. Needle assembly for tissue manipulation
US8828027B2 (en) 2004-05-07 2014-09-09 U.S.G.I. Medical, Inc. Tissue manipulation and securement system
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US8308765B2 (en) 2004-05-07 2012-11-13 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20050251207A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Apparatus and methods for positioning and securing anchors
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US8057511B2 (en) 2004-05-07 2011-11-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7736378B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7601159B2 (en) 2004-05-07 2009-10-13 Usgi Medical, Inc. Interlocking tissue anchor apparatus and methods
US8926634B2 (en) 2004-05-07 2015-01-06 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US7390329B2 (en) 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
US7621925B2 (en) 2004-05-07 2009-11-24 Usgi Medical, Inc. Needle assembly for tissue manipulation
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
US7736379B2 (en) 2004-06-09 2010-06-15 Usgi Medical, Inc. Compressible tissue anchor assemblies
US8206417B2 (en) 2004-06-09 2012-06-26 Usgi Medical Inc. Apparatus and methods for optimizing anchoring force
US8382800B2 (en) 2004-06-09 2013-02-26 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7678135B2 (en) 2004-06-09 2010-03-16 Usgi Medical, Inc. Compressible tissue anchor assemblies
US8740940B2 (en) 2004-06-09 2014-06-03 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7695493B2 (en) 2004-06-09 2010-04-13 Usgi Medical, Inc. System for optimizing anchoring force
US20060229675A1 (en) * 2005-04-07 2006-10-12 Roberto Novoa Anchoring System for Valve Replacement
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
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
US11344304B2 (en) 2005-07-01 2022-05-31 Abbott Laboratories Clip applier and methods of use
US8726909B2 (en) 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
USD611144S1 (en) 2006-06-28 2010-03-02 Abbott Laboratories Apparatus for delivering a closure element
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US20100191261A1 (en) * 2007-05-22 2010-07-29 Sally Carter Suture management port
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
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US20100121375A1 (en) * 2008-11-13 2010-05-13 Pandya Rajiv D Suture anchoring system and method
US11439378B2 (en) 2009-01-09 2022-09-13 Abbott Cardiovascular Systems, Inc. Closure devices and methods
US20100198018A1 (en) * 2009-01-30 2010-08-05 Tyco Healthcare Group Lp Suture management system for surgical portal apparatus including internal tubes
US20100198019A1 (en) * 2009-01-30 2010-08-05 Tyco Healthcare Group Lp Suture management apparatus for surgical portal apparatus including interlocking cap
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
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US20100249810A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Suture management system for surgical portal apparatus including slotted ring
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same
US20120330356A1 (en) * 2009-12-01 2012-12-27 Rosenberg Paul H Suture clip stapler for soft tissue closure
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US11707280B2 (en) 2011-12-07 2023-07-25 Edwards Lifesciences Corporation Methods of deploying self-cinching surgical clips
US11090053B2 (en) 2011-12-07 2021-08-17 Edwards Lifesciences Corporation Methods of deploying self-cinching surgical clips
US9668739B2 (en) 2011-12-07 2017-06-06 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US10245037B2 (en) 2011-12-07 2019-04-02 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US11576667B2 (en) 2011-12-19 2023-02-14 Edwards Lifesciences Corporation Methods of securing a cardiac implant using knotless suture clamps
US9078645B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US9078652B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Side-entry knotless suture anchoring clamps and deployment tools
US10631854B2 (en) 2011-12-19 2020-04-28 Edwards Lifesciences Corporation Methods of securing a cardiac implant using knotless suture clamps
US9936947B2 (en) 2011-12-19 2018-04-10 Edwards Lifesciences Corporation Systems for deploying knotless suture anchoring clamps
US9414837B2 (en) 2011-12-22 2016-08-16 Edwards Lifesciences Corporation Suture clip deployment devices
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
US10314573B2 (en) 2011-12-22 2019-06-11 Edwards Lifesciences Corporation Suture clip deployment devices
US9549730B2 (en) 2011-12-22 2017-01-24 Edwards Lifesciences Corporation Suture clip deployment devices
US11185321B2 (en) 2011-12-22 2021-11-30 Edwards Lifesciences Corporation Suture clip deployment devices
US10441302B2 (en) 2012-04-17 2019-10-15 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US11633203B2 (en) 2012-04-17 2023-04-25 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9504571B2 (en) 2012-06-07 2016-11-29 Edwards Lifesciences Corporation Systems for implanting annuloplasty rings with microanchors
US10517727B2 (en) 2012-06-07 2019-12-31 Edwards Lifesciences Corporation Systems for implanting annuloplasty rings with microanchors
US10624630B2 (en) 2012-07-10 2020-04-21 Edwards Lifesciences Ag Multiple-firing securing device and methods for using and manufacturing same
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
USRE47209E1 (en) 2012-07-10 2019-01-22 Edwards Lifesciences Corporation Suture securement devices
US11382616B2 (en) 2012-12-21 2022-07-12 Edwards Lifesciences Corporation Systems for securing sutures
US10441275B2 (en) 2012-12-21 2019-10-15 Edwards Lifesciences Corporation Systems for securing sutures
US11672518B2 (en) 2012-12-21 2023-06-13 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9592047B2 (en) 2012-12-21 2017-03-14 Edwards Lifesciences Corporation System for securing sutures
US10188383B2 (en) 2013-07-09 2019-01-29 Edwards Lifesciences Corporation Suture clip deployment devices
US11553908B2 (en) 2013-07-11 2023-01-17 Edwards Lifesciences Corporation Knotless suture fastener installation system
US9592048B2 (en) 2013-07-11 2017-03-14 Edwards Lifesciences Corporation Knotless suture fastener installation system
US10426458B2 (en) 2013-07-11 2019-10-01 Edwards Lifesciences Corporation Knotless suture fastener installation system
US10327758B2 (en) 2013-11-18 2019-06-25 Edwards Lifesciences Ag Multiple-firing suture fixation device and methods for using and manufacturing same
US11471150B2 (en) 2013-11-18 2022-10-18 Edwards Lifesciences Ag Multiple-firing suture fixation device and methods for using and manufacturing same
US10327759B2 (en) 2013-11-18 2019-06-25 Edwards Lifesciences Ag Multiple-firing suture fixation device and methods for using and manufacturing same
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US11395650B2 (en) 2014-05-30 2022-07-26 Edwards Life Sciences Corporation Systems for securing sutures
US10786244B2 (en) 2014-05-30 2020-09-29 Edwards Lifesciences Corporation Systems for securing sutures
US11172924B2 (en) 2014-12-10 2021-11-16 Edwards Lifesciences Ag Multiple-firing suture fixation device and methods for using and manufacturing same
US10966711B2 (en) 2014-12-24 2021-04-06 Edwards Lifesciences Corporation Suture clip deployment devices
US11690613B2 (en) 2014-12-24 2023-07-04 Edwards Lifesciences Corporation Suture clip deployment device
US10470759B2 (en) 2015-03-16 2019-11-12 Edwards Lifesciences Corporation Suture securement devices
US11759200B2 (en) 2015-03-16 2023-09-19 Edwards Lifesciences Corporation Suture securement devices
US10939905B2 (en) 2016-08-26 2021-03-09 Edwards Lifesciences Corporation Suture clips, deployment devices therefor, and methods of use
US10863980B2 (en) 2016-12-28 2020-12-15 Edwards Lifesciences Corporation Suture fastener having spaced-apart layers

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