WO2002002017A1 - Devices and methods for handling a plurality of suture elements during a suturing procedure - Google Patents

Devices and methods for handling a plurality of suture elements during a suturing procedure Download PDF

Info

Publication number
WO2002002017A1
WO2002002017A1 PCT/US2001/020332 US0120332W WO0202017A1 WO 2002002017 A1 WO2002002017 A1 WO 2002002017A1 US 0120332 W US0120332 W US 0120332W WO 0202017 A1 WO0202017 A1 WO 0202017A1
Authority
WO
WIPO (PCT)
Prior art keywords
suture holder
suture
arm
support
mount
Prior art date
Application number
PCT/US2001/020332
Other languages
French (fr)
Inventor
Lewis Isbell
Jasper Jackson
Katherine Whitin
Original Assignee
Abbott Laboratories
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Abbott Laboratories filed Critical Abbott Laboratories
Priority to AU2001273001A priority Critical patent/AU2001273001A1/en
Publication of WO2002002017A1 publication Critical patent/WO2002002017A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06061—Holders for needles or sutures, e.g. racks, stands
    • 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
    • A61B17/0466—Suture bridges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures

Definitions

  • This invention relates to suturing a surgical site on a patient body.
  • the invention relates to a device for assisting in a suturing procedure, a system for use in a suturing procedure and a method of suturing a patient.
  • suture elements are typically located, or placed, at a surgical site on a patient body and opposed portions of the suture elements are then tied to form sutures, or stitches, at the surgical site so as to secure the patient tissue together.
  • suturing procedures have been performed by using suture carrying needles to locate one or more suture elements through tissue, pulling the suture elements through the tissue to bring the tissue together and then tying opposed portions of the suture elements together to secure the tissue together.
  • Multi-suture deployment devices have been proposed by means of which a plurality of suture elements can be located, or placed, at a surgical site on a patient body generally at the same time. It has been found that such multi-suturing devices can be used advantageously to perform a variety of surgical tasks, such as, for example, to form an anastomosis during a coronary artery bypass procedure, or the like.
  • the suture elements are held, or carried, on a suture holder of the multi-suture device.
  • the located suture elements then extend between the surgical site and the suture holder.
  • opposed portions of each suture element are then removed, or picked up, from the suture holder and tied together so as to secure the patient tissue together at the surgical site.
  • suture holders of such multi-suturing devices could be supported, or held, at a convenient location relative to the surgical site so as to inhibit the suture elements carried on the suture holders from becoming entangled after the suture elements have been located at the surgical site and while extending between the surgical site and the suture holder.
  • the suture holders could be supported, or held, at a position which is comfortable for a surgeon, or the like, performing the suturing procedure, so that the suture elements can be readily removed from the suture holders when it is desired to do so, such as, when it is desired to tie opposed portions of the suture elements together to secure the patient tissue together at the surgical site, for example.
  • a device for holding suture holders relative to a surgical site while a plurality of suture elements extend between the surgical site and the suture holder, so as to assist in the performance of a suturing procedure at the surgical site.
  • a device for assisting in a surgical procedure comprises a mount for releasably mounting the device on a support normally held in a stationary position relative to a patient.
  • the device further comprises a suture holder bracket connected to the mount, the suture holder bracket being arranged releasably to engage a suture holder, on which a plurality of suture elements are held, during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
  • the suture elements extending between the surgical site and the suture holder can be managed so as to assist in preventing the suture elements from becoming entangled.
  • the device can be mounted on a stationary support and the suture holder can be engaged with the device while the device is mounted on the support so that the suture holder can be held at a convenient location relative to the surgical site such that the suture elements extend from the surgical site in a manner comfortable to the surgeon.
  • a system for use in a suturing procedure comprises a suture holder for carrying a plurality of suture elements.
  • the system further comprises a device for assisting in the suturing procedure, the device comprising a mount, for releasably mounting the device on a support normally held in a stationary position relative to a patient, and a suture holder bracket connected to the mount.
  • the suture holder bracket is arranged releasably to engage the suture holder during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
  • the availability of the device can be ensured when a suturing procedure employing a suture holder carrying a plurality of suture elements is to be performed. Furthermore, it would then not be necessary to carry the device as a separate inventory item.
  • a method of suturing a patient comprises mounting a suture holder bracket on a support which is stationary relative to the patient.
  • the method further comprises attaching a suture holder, which carries a plurality of suture elements, to the suture holder bracket, whereby the suture elements on the suture holder are held stationary, or immobilized, relative to the patient.
  • the suture holder By attaching the suture holder to the suture holder bracket while the suture holder bracket is mounted on the support, the suture holder can be held stationary relative to the patient so as to inhibit the suture holder from being accidentally knocked around during the suturing procedure.
  • the suture holder By holding the suture holder stationary in this fashion, suture elements extending between the patient and the suture holder can be managed, and a risk of the suture elements becoming entangled can at least be reduced.
  • Fig. 1 shows a schematic three-dimensional view of a device, in accordance with the invention, for assisting in a suturing procedure
  • Fig. 2 shows a schematic three-dimensional view of a mount of the device shown in Fig. 1
  • Fig. 3 shows a schematic three-dimensional view of a suture holder bracket of the device shown in Fig. 1;
  • Fig. 4 shows a plan view of the suture holder bracket shown in Fig. 3;
  • Fig. 5 shows a three-dimensional view of a suture holder bracket of another device, in accordance with the invention, for assisting in a suturing procedure
  • Fig. 6 shows a schematic cross-sectional view of a part of an arm of the device shown in Fig. 1;
  • Fig. 7 shows a three-dimensional schematic view of a suture holder, on which a plurality of suture elements are held, or carried, being releasably engaged in the suture holder bracket of Figs. 3 and 4.
  • a device for assisting in a suturing procedure is generally indicated by reference numeral 10 in Fig. 1.
  • the device 10 comprises a mount, generally indicated by reference 12 for releasably mounting the device 10 on a support, in the form of a support rail 11, for example, normally held in a stationary position relative to a patient.
  • a support rail in the form of a support rail 11, for example, normally held in a stationary position relative to a patient.
  • the support rail can be attached to a stand, an operating table, a surgical instrument being used to perform a sternotomy, or the like, or any other appropriate support normally held stationary relative to a patient during the course of a surgical procedure.
  • the device 10 further comprises a suture holder bracket, generally indicated by reference numeral 14, connected to the mount 12.
  • the suture holder bracket 14 is connected to the mount 12 by means of an elongate arm 16.
  • the arm 16 is bendable to permit a position of the bracket 14 to be varied relative to the support 11 when the mount 12 is mounted on the support 11 during a surgical procedure.
  • the arm 16 typically comprises a plurality of arm elements 16.1 frictionally connected one to another with pivotal connections so that the arm elements 16.1 can be angularly displaced relative to one another about the pivotal connections such that the arm elements 16.1 are frictionally held in position by the pivotal connections after having been displaced relative to one another.
  • each arm element 16.1 comprises a socket formation 16.2 and an opposed ball formation 16.3.
  • the ball formation 16.3 of one element 16.1 is received in the socket formation 16.2 of an adjacent arm element 16.1 to define a pivotal connection between the arm elements.
  • the suture holder bracket 14 will now be described in greater detail. Referring to Fig. 7, the suture holder bracket 14 is arranged to engage a suture holder 40 defining a cross-sectionally circular outer surface 44.
  • the suture holder bracket 14 defines opposed jaw formations 14.1, 14.1 arranged releasably to engage, or clasp, the suture holder 40 between them.
  • the jaw formations 14.1, 14.1 are resilientiy biased into an engaging condition, so that the suture holder 40 can be engaged resilientiy between the jaw formations 14.1, 14.1.
  • the jaw formations 14.1, 14.1 are resilientiy displaced away from each other, as indicated by arrow 20, to enable the suture holder 40 to be positioned between the jaw formations 14.1, 14.1.
  • the suture holder 40 is resilientiy engaged between the jaw formations 14.1 , 14.1.
  • the jaw formations 14.1, 14.1 are resilientiy displaced away from one another by pinching opposed legs 14.2, 14.2, as indicated by arrows 22, which legs 14.2, 14.2 are operatively connected to the jaw formations 14.1, 14.1.
  • the jaw formations 14.1, 14.1 and the legs 14.2, 14.2 are connected together by means of a biasing element, or portion, 14.3.
  • the suture holder bracket 14 is typically of one piece construction. Conveniently, it can be integrally formed from an appropriate resilient material in a molding process. It can be formed from an appropriate synthetic plastics material, such as, for example, a polycarbonate, or the like.
  • Each jaw formation 14.1, 14.1 defines a cross-sectionally part-circular recess 14.4, 14.4 extending at a radius corresponding to a radius of the outer surface 44 of the suture holder 40 so that when the holder 40 is engaged by the bracket 14, opposed sides of its outer surface 44 are seated snugly in the recesses 14.4, 14.4.
  • the mount 12 is typically in the form of a clamping arrangement for clamping the device 10 to a support in the form of the support rail 11, or the like.
  • the mount 12 is arranged for clamping the device 10 to a support rail on a surgical instrument used to hold the chest of the patient open after a sternotomy when an operation such as a coronary artery bypass operation, or the like, is to be performed.
  • the mount 12 can be arranged to be mounted on a chest retractor, or the like.
  • the mount 12 comprises a body 12.1 which defines a channel 12.2, a vice member 12.3, and a screw-threaded shank 12.4.
  • the screw-threaded shank 12.4 extends through a wall 12.5 defined by the body 12.1 and into the channel 12.2.
  • the vice member 12.3 is carried on the screw-threaded shank 12.4 so that the clamp 12 can be clamped to the support rail 11 by rotating the shank 12.4, as indicated by arrow 13, so as to cause the vice member 12.3 to displace in the direction of arrow 15 so as to clamp the rail between the vice member 12.3 and an opposing wall 12.6.
  • FIG. 5 another suture holder bracket, which can be mounted on the device 10 instead of the bracket 14, is generally indicated by reference numeral 50.
  • the bracket 50 is similar to the bracket 14 save that each of its jaw formations 50.1, 50.1 defines two adjacent cross-sectionally part-circular recesses 50.4, 50.5 respectively.
  • the recesses 50.4, 50.5 have different radii. Accordingly, by means of the bracket 50, suture holders having cross-sectionally circular outer surfaces at two different diameters can selectively be engaged in either the recesses 50.4, 50.4 or the recesses 50.5, 50.5.
  • the bracket 50 further comprises stops 50.6, 50.6 to inhibit its legs 50.2, 50.2 from being displaced toward each other beyond a predetermined amount thereby to preserve the integrity of its biasing portion 50.3. It will be appreciated that the bracket 14 can be provided with stop formations similar to the stop formations 50.6, 50.6.
  • the device 10 is typically mounted on a support rail (not shown in Fig. 7) which is normally stationary relative to a patient. This is achieved by means of the mount, or clamp 12 vice-fashion.
  • the arm 16 can then be bent to position the bracket 14 at a convenient location relative to a patient.
  • the suture holder 40 can be positioned between the jaws 14.1, 14.1 so as to be held, or gripped, between the jaw formations 14.1, 14.1. In this fashion, the holder 40 can be held stationary relative to the support rail 11 and the patient.
  • the arm 16 can be bent while the holder is engaged by the bracket 14 so as to position the holder at a comfortable position for a surgeon, or assistant, or the like.
  • the mount can be in any appropriate form and need not be of vice-like construction.
  • the mount could be in the form of a resilient clamp, or the like.
  • the mount could have a vice member actuated by a spring loaded push button, ratchet like formation, hydraulic arrangement, a magnetic arrangement, or even by making use of an appropriate adhesive, or the like.
  • the mount could be arranged to mount the device to another support such as a table, or drapes, or the like.
  • the arm can be in any appropriate form and need not necessarily be bendable.
  • the arm could be in the form of a longitudinally rigid arm, or the like.
  • Other connections in a bendable arm can be used.
  • Such connections could be stiff enough to remain in position after displacement, or appropriate mechanisms can be used to retain the arm in position after having been bent, such as by using cable or wire mechanisms, or the like. Accordingly, the scope of the invention is defined by the appended claims with due regard to equivalents of the claimed elements or features.

Abstract

A device (10) for assisting in a suturing procedure is provided. The device (10) can advantageously be used to hold a suture holder (40) carrying a plurality of suture elements (42) during a suturing procedure. The device (10) comprises a mount (12) for releasably mounting the device (10) on a support (11) held in a stationary position relative to a patient and a suture holder bracket (14) connected to the mount (12), the suture holder bracket (14) being arranged releasably to engage the suture holder (40) during the suturing procedure so as to hold the suture holder (40) relative to the support (11) and the patient thereby to assist in the suturing procedure.

Description

DEVICES AND METHODS FOR HANDLING A PLURALITY OF SUTURE ELEMENTS DURING A SUTURING PROCEDURE
BACKGROUND OF THE INVENTION
This invention relates to suturing a surgical site on a patient body. In particular, the invention relates to a device for assisting in a suturing procedure, a system for use in a suturing procedure and a method of suturing a patient.
During many different surgical procedures it is required to join, or secure, patient tissue together. One way often employed by surgeons, or medical assistants, or the like, to secure patient tissue together, is by using suture elements in a suturing procedure. During such a suturing procedure, suture elements are typically located, or placed, at a surgical site on a patient body and opposed portions of the suture elements are then tied to form sutures, or stitches, at the surgical site so as to secure the patient tissue together. Traditionally, such suturing procedures have been performed by using suture carrying needles to locate one or more suture elements through tissue, pulling the suture elements through the tissue to bring the tissue together and then tying opposed portions of the suture elements together to secure the tissue together.
Multi-suture deployment devices have been proposed by means of which a plurality of suture elements can be located, or placed, at a surgical site on a patient body generally at the same time. It has been found that such multi-suturing devices can be used advantageously to perform a variety of surgical tasks, such as, for example, to form an anastomosis during a coronary artery bypass procedure, or the like. Typically, after such a multi-suture deployment device has been used to locate the suture elements, the suture elements are held, or carried, on a suture holder of the multi-suture device. The located suture elements then extend between the surgical site and the suture holder. Typically, to complete the suturing procedure, opposed portions of each suture element are then removed, or picked up, from the suture holder and tied together so as to secure the patient tissue together at the surgical site.
It has been found that managing the opposed portions of a plurality of suture elements after having been located on the patient body so as to extend between a surgical site and a suture holder can be rather tedious. In particular, if appropriate care is not taken, the opposed portions of the suture elements can become mixed up, or twisted, so' that identifying which portion of a suture element corresponds with which opposed portion of the same suture element can become a rather arduous task. Furthermore, if the suture holder is merely left dangling from the surgical site, the suture elements can very easily become entangled with other medical instruments, a surgeon or assistants person, or the like. Should the suture elements be located on a graft, or the like, during a coronary artery bypass operation, it could happen that the graft becomes damaged if the suture holder is accidentally snagged, or jerked, or the like. It would be advantageous if such suture holders of such multi-suturing devices could be supported, or held, at a convenient location relative to the surgical site so as to inhibit the suture elements carried on the suture holders from becoming entangled after the suture elements have been located at the surgical site and while extending between the surgical site and the suture holder. Furthermore, it would be advantageous if the suture holders could be supported, or held, at a position which is comfortable for a surgeon, or the like, performing the suturing procedure, so that the suture elements can be readily removed from the suture holders when it is desired to do so, such as, when it is desired to tie opposed portions of the suture elements together to secure the patient tissue together at the surgical site, for example. SUMMARY OF THE INVENTION
Accordingly, in accordance with the invention, there is provided a device for holding suture holders relative to a surgical site, while a plurality of suture elements extend between the surgical site and the suture holder, so as to assist in the performance of a suturing procedure at the surgical site.
In accordance with one aspect of the invention, there is provided a device for assisting in a surgical procedure. The device comprises a mount for releasably mounting the device on a support normally held in a stationary position relative to a patient. The device further comprises a suture holder bracket connected to the mount, the suture holder bracket being arranged releasably to engage a suture holder, on which a plurality of suture elements are held, during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
By providing such a device, the suture elements extending between the surgical site and the suture holder can be managed so as to assist in preventing the suture elements from becoming entangled. The device can be mounted on a stationary support and the suture holder can be engaged with the device while the device is mounted on the support so that the suture holder can be held at a convenient location relative to the surgical site such that the suture elements extend from the surgical site in a manner comfortable to the surgeon.
In accordance with another aspect of the invention, there is provided a system for use in a suturing procedure. The system comprises a suture holder for carrying a plurality of suture elements. The system further comprises a device for assisting in the suturing procedure, the device comprising a mount, for releasably mounting the device on a support normally held in a stationary position relative to a patient, and a suture holder bracket connected to the mount. The suture holder bracket is arranged releasably to engage the suture holder during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
By providing such a device together with the suture holder, the availability of the device can be ensured when a suturing procedure employing a suture holder carrying a plurality of suture elements is to be performed. Furthermore, it would then not be necessary to carry the device as a separate inventory item.
In accordance with yet another aspect of the invention, there is provided a method of suturing a patient. The method comprises mounting a suture holder bracket on a support which is stationary relative to the patient. The method further comprises attaching a suture holder, which carries a plurality of suture elements, to the suture holder bracket, whereby the suture elements on the suture holder are held stationary, or immobilized, relative to the patient.
By attaching the suture holder to the suture holder bracket while the suture holder bracket is mounted on the support, the suture holder can be held stationary relative to the patient so as to inhibit the suture holder from being accidentally knocked around during the suturing procedure. By holding the suture holder stationary in this fashion, suture elements extending between the patient and the suture holder can be managed, and a risk of the suture elements becoming entangled can at least be reduced.
BRIEF DESCRIPTION OF THE DRAWINGS
The invention will now be described, by way of example, with reference to the accompanying diagrammatic drawings, in which:
Fig. 1 shows a schematic three-dimensional view of a device, in accordance with the invention, for assisting in a suturing procedure; Fig. 2 shows a schematic three-dimensional view of a mount of the device shown in Fig. 1; Fig. 3 shows a schematic three-dimensional view of a suture holder bracket of the device shown in Fig. 1;
Fig. 4 shows a plan view of the suture holder bracket shown in Fig. 3;
Fig. 5 shows a three-dimensional view of a suture holder bracket of another device, in accordance with the invention, for assisting in a suturing procedure;
Fig. 6 shows a schematic cross-sectional view of a part of an arm of the device shown in Fig. 1; and
Fig. 7 shows a three-dimensional schematic view of a suture holder, on which a plurality of suture elements are held, or carried, being releasably engaged in the suture holder bracket of Figs. 3 and 4.
DESCRIPTION OF THE SPECIFIC EMBODIMENTS
A device for assisting in a suturing procedure, in accordance with the invention, is generally indicated by reference numeral 10 in Fig. 1.
The device 10 comprises a mount, generally indicated by reference 12 for releasably mounting the device 10 on a support, in the form of a support rail 11, for example, normally held in a stationary position relative to a patient. The support rail can be attached to a stand, an operating table, a surgical instrument being used to perform a sternotomy, or the like, or any other appropriate support normally held stationary relative to a patient during the course of a surgical procedure.
The device 10 further comprises a suture holder bracket, generally indicated by reference numeral 14, connected to the mount 12. The suture holder bracket 14 is connected to the mount 12 by means of an elongate arm 16.
The arm 16 is bendable to permit a position of the bracket 14 to be varied relative to the support 11 when the mount 12 is mounted on the support 11 during a surgical procedure. The arm 16 typically comprises a plurality of arm elements 16.1 frictionally connected one to another with pivotal connections so that the arm elements 16.1 can be angularly displaced relative to one another about the pivotal connections such that the arm elements 16.1 are frictionally held in position by the pivotal connections after having been displaced relative to one another. As can best be seen with reference to Fig. 6, each arm element 16.1 comprises a socket formation 16.2 and an opposed ball formation 16.3. The ball formation 16.3 of one element 16.1 is received in the socket formation 16.2 of an adjacent arm element 16.1 to define a pivotal connection between the arm elements. It will be appreciated that when the arm 16 is bent, the ball formations 16.3 pivot in the socket formations 16.2 and are frictionally held in position, so that the position of the bracket 14 relative to the mount 12 can be changed by bending the arm 16. Optionally, the arm 16 can be shrouded in a sheath, or the like, to inhibit the arm from being snagged by gloves, or the like, for example. The suture holder bracket 14 will now be described in greater detail. Referring to Fig. 7, the suture holder bracket 14 is arranged to engage a suture holder 40 defining a cross-sectionally circular outer surface 44.
As can best be seen with reference to Figs. 3 and 4 of the drawings, the suture holder bracket 14 defines opposed jaw formations 14.1, 14.1 arranged releasably to engage, or clasp, the suture holder 40 between them. The jaw formations 14.1, 14.1 are resilientiy biased into an engaging condition, so that the suture holder 40 can be engaged resilientiy between the jaw formations 14.1, 14.1. To locate the suture holder 40 in the suture holder bracket 14, the jaw formations 14.1, 14.1 are resilientiy displaced away from each other, as indicated by arrow 20, to enable the suture holder 40 to be positioned between the jaw formations 14.1, 14.1. When the jaw formations 14.1, 14.1 are then released, the suture holder 40 is resilientiy engaged between the jaw formations 14.1 , 14.1. The jaw formations 14.1, 14.1 are resilientiy displaced away from one another by pinching opposed legs 14.2, 14.2, as indicated by arrows 22, which legs 14.2, 14.2 are operatively connected to the jaw formations 14.1, 14.1. The jaw formations 14.1, 14.1 and the legs 14.2, 14.2 are connected together by means of a biasing element, or portion, 14.3. The suture holder bracket 14 is typically of one piece construction. Conveniently, it can be integrally formed from an appropriate resilient material in a molding process. It can be formed from an appropriate synthetic plastics material, such as, for example, a polycarbonate, or the like. Each jaw formation 14.1, 14.1 defines a cross-sectionally part-circular recess 14.4, 14.4 extending at a radius corresponding to a radius of the outer surface 44 of the suture holder 40 so that when the holder 40 is engaged by the bracket 14, opposed sides of its outer surface 44 are seated snugly in the recesses 14.4, 14.4.
Referring now to Fig. 2, the mount 12 will now be described in further detail. The mount 12 is typically in the form of a clamping arrangement for clamping the device 10 to a support in the form of the support rail 11, or the like. Advantageously, the mount 12 is arranged for clamping the device 10 to a support rail on a surgical instrument used to hold the chest of the patient open after a sternotomy when an operation such as a coronary artery bypass operation, or the like, is to be performed. Accordingly, the mount 12 can be arranged to be mounted on a chest retractor, or the like. The mount 12 comprises a body 12.1 which defines a channel 12.2, a vice member 12.3, and a screw-threaded shank 12.4. The screw-threaded shank 12.4 extends through a wall 12.5 defined by the body 12.1 and into the channel 12.2. The vice member 12.3 is carried on the screw-threaded shank 12.4 so that the clamp 12 can be clamped to the support rail 11 by rotating the shank 12.4, as indicated by arrow 13, so as to cause the vice member 12.3 to displace in the direction of arrow 15 so as to clamp the rail between the vice member 12.3 and an opposing wall 12.6.
Referring to Fig. 5, another suture holder bracket, which can be mounted on the device 10 instead of the bracket 14, is generally indicated by reference numeral 50. The bracket 50 is similar to the bracket 14 save that each of its jaw formations 50.1, 50.1 defines two adjacent cross-sectionally part-circular recesses 50.4, 50.5 respectively. The recesses 50.4, 50.5 have different radii. Accordingly, by means of the bracket 50, suture holders having cross-sectionally circular outer surfaces at two different diameters can selectively be engaged in either the recesses 50.4, 50.4 or the recesses 50.5, 50.5. The bracket 50 further comprises stops 50.6, 50.6 to inhibit its legs 50.2, 50.2 from being displaced toward each other beyond a predetermined amount thereby to preserve the integrity of its biasing portion 50.3. It will be appreciated that the bracket 14 can be provided with stop formations similar to the stop formations 50.6, 50.6.
In use, and as can best be seen with reference to Fig. 7, the device 10 is typically mounted on a support rail (not shown in Fig. 7) which is normally stationary relative to a patient. This is achieved by means of the mount, or clamp 12 vice-fashion. The arm 16 can then be bent to position the bracket 14 at a convenient location relative to a patient. After the suture holder 40 has been used to locate, or place, suture elements 42 at a surgical site on the patient, the suture holder 40 can be positioned between the jaws 14.1, 14.1 so as to be held, or gripped, between the jaw formations 14.1, 14.1. In this fashion, the holder 40 can be held stationary relative to the support rail 11 and the patient. To vary the position of the holder 40, the arm 16 can be bent while the holder is engaged by the bracket 14 so as to position the holder at a comfortable position for a surgeon, or assistant, or the like.
Although an embodiment of the invention has been described in detail above for purposes of clarity and understanding, it will be appreciated that the invention has been described with reference to the above embodiment by way of example only, and that modifications or changes can be made without detracting from the essence of the invention. For example, the mount can be in any appropriate form and need not be of vice-like construction. The mount could be in the form of a resilient clamp, or the like. The mount could have a vice member actuated by a spring loaded push button, ratchet like formation, hydraulic arrangement, a magnetic arrangement, or even by making use of an appropriate adhesive, or the like. The mount could be arranged to mount the device to another support such as a table, or drapes, or the like. The arm can be in any appropriate form and need not necessarily be bendable. The arm could be in the form of a longitudinally rigid arm, or the like. Instead of the ball and socket connections, other connections in a bendable arm can be used. Such connections could be stiff enough to remain in position after displacement, or appropriate mechanisms can be used to retain the arm in position after having been bent, such as by using cable or wire mechanisms, or the like. Accordingly, the scope of the invention is defined by the appended claims with due regard to equivalents of the claimed elements or features.

Claims

WHAT IS CLAIMED IS:
1. A device for assisting in a suturing procedure, the device comprising: a mount for releasably mounting the device on a support normally held in a stationary position relative to a patient; and a suture holder bracket connected to the mount, the suture holder bracket being arranged releasably to engage a suture holder, on which a plurality of suture elements are held, during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
2. The device of claim 1, wherein the suture holder bracket is connected to the mount by means of an elongate arm.
3. The device of claim 2, wherein the arm is bendable to permit a position of the bracket to be varied relative to the support while the mount is mounted on the support by bending the arm.
4. The device of claim 3, wherein the arm comprises a plurality of arm elements and pivotal connections frictionally connecting one arm element to another, the arm being bendable by displacing the arm elements relative to one another about the pivotal connections.
5. The device of claim A, wherein each arm element comprises a socket formation and an opposed ball formation, the ball formation of one arm element being received in the socket formation of another arm element.
6. The device of claim 1 , wherein the suture holder bracket defines opposed jaw formations arranged to engage the suture holder releasably between them.
7. The device of claim 6, wherein the jaw formations are resilientiy biased into an engaging condition to resilientiy engage the suture holder between them.
8. The device of claim 7, wherein the jaw formations are arranged to engage a suture holder defining a cross-sectionally circular outer surface, at least one of the jaw formations then defining a complementary cross-sectionally part- circular recess for snugly seating against the outer surface of the suture holder when engaged between the jaw formations.
9. The device of claim 1, wherein the mount comprises a clamp for clamping the device to a support in the form of a support rail.
10. The device of claim 9, wherein the clamp comprises a body defining opposed walls, a screw threaded shank extending through one of the walls and a vice member carried on the screw threaded shank so as to be selectively displaceable toward the other wall in response to rotation of the shank so that the clamp can be clamped to the support rail by positioning the support rail between the other wall and the vice member and rotating the shank to clamp the support rail between the vice member and the other wall.
11. A system for use in a suturing procedure, the system comprising: a suture holder for carrying a plurality of suture elements; and a device for assisting in the suturing procedure, the device comprising a mount, for releasably mounting the device on a support normally held in a stationary position relative to a patient, and a suture holder bracket connected to the mount, the suture holder bracket being arranged releasably to engage the suture holder during a suturing procedure so as to hold the suture holder relative to the support and the patient thereby to assist in the suturing procedure.
12. The system of claim 11 , wherein the suture holder bracket is connected to the mount by means of an elongate arm.
13. The system of claim 12, wherein the arm is bendable to permit a position of the bracket to be varied relative to the support while the mount is mounted on the support by bending the arm.
14. The system of claim 13, wherein the arm comprises a plurality of arm elements and pivotal connections frictionally connecting one arm element to another, the arm being bendable by displacing the arm elements relative to one another about the pivotal connections.
15. The system of claim 14, wherein each arm element comprises a socket formation and an opposed ball formation, the ball formation of one arm element being received in the socket formation of another arm element.
16. The system of claim 11 , wherein the suture holder bracket defines opposed jaw formations arranged to engage the suture holder releasably between them.
17. The system of claim 16, wherein the jaw formations are resilientiy biased into an engaging condition to resilientiy engage the suture holder between them.
18. The system of claim 17, wherein the jaw formations are arranged to engage a suture holder defining a cross-sectionally circular outer surface, at least one of the jaw formations then defining a complementary cross-sectionally part- circular recess for snugly seating against the outer surface of the suture holder when engaged between the jaw formations.
19. The system of claim 11 , wherein the mount comprises a clamp for clamping the device to a support in the form of a support rail.
20. The system of claim 19, wherein the clamp comprises a body defining opposed walls, a screw threaded shank extending through one of the walls and a vice member carried on the screw threaded shank so as to be selectively displaceable toward the other wall in response to rotation of the shank so that the clamp can be clamped to the support rail by positioning the support rail between the other wall and the vice member and rotating the shank to clamp the support rail between the vice member and the other wall.
21. A method of suturing a patient, the method comprising: mounting a suture holder bracket on a support which is stationary relative to the patient; and attaching a suture holder, which carries a plurality of suture elements, to the suture holder bracket, whereby the suture elements on the suture element holder are held stationary relative to the patient.
22. The method of claim 21 , wherein the suture holder bracket comprises cooperating jaw formations, attaching the suture holder to the suture holder bracket comprising causing the suture holder to be engaged between the jaw formations.
23. The method of claim 22, wherein the jaw formations are resilientiy displaceable away from each other, causing the suture holder to be engaged between the jaw formations comprising resilientiy displacing the jaw formations away from each other, positioning the suture holder between the jaw formations and permitting the jaw formations to displace resilientiy toward each other to engage the suture holder therebetween.
24. The method of claim 23, wherein the jaw formations are arranged to engage a suture holder defining a cross-sectionally circular outer surface, at least one of the jaw formations then defining a complementary cross-sectionally part-circular recess for snugly seating against the outer surface of the suture holder when engaged between the jaw formations, causing the suture holder to be engaged between the jaw formations comprising seating the outer surface of the suture holder in the recess.
25. The method of claim 21 , wherein mounting the suture holder bracket on the support comprises mounting a mount to which the suture holder bracket is connected on the support.
26. The method of claim 25, wherein mounting the mount on the support comprises manipulating the mount to cause the mount to be clamped on a support in the form of a support rail.
PCT/US2001/020332 2000-06-30 2001-06-26 Devices and methods for handling a plurality of suture elements during a suturing procedure WO2002002017A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2001273001A AU2001273001A1 (en) 2000-06-30 2001-06-26 Devices and methods for handling a plurality of suture elements during a suturing procedure

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/610,099 US6558399B1 (en) 2000-06-30 2000-06-30 Devices and method for handling a plurality of suture elements during a suturing procedure
US09/610,099 2000-06-30

Publications (1)

Publication Number Publication Date
WO2002002017A1 true WO2002002017A1 (en) 2002-01-10

Family

ID=24443638

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/020332 WO2002002017A1 (en) 2000-06-30 2001-06-26 Devices and methods for handling a plurality of suture elements during a suturing procedure

Country Status (3)

Country Link
US (1) US6558399B1 (en)
AU (1) AU2001273001A1 (en)
WO (1) WO2002002017A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9307982B2 (en) 2014-04-25 2016-04-12 Sharp Fluidics, Llc Systems and methods for increased operating room efficiency
US10478177B2 (en) 2015-10-29 2019-11-19 Sharp Fluidics Llc Systems and methods for increased operating room efficiency

Families Citing this family (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US6964668B2 (en) * 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US7235087B2 (en) 1999-03-04 2007-06-26 Abbott Park Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US7160309B2 (en) 2002-12-31 2007-01-09 Laveille Kao Voss Systems for anchoring a medical device in a body lumen
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
WO2005051206A1 (en) * 2003-11-21 2005-06-09 Vnus Medical Technologies, Inc. Method and apparatus for treating a carotid artery
US7449024B2 (en) 2003-12-23 2008-11-11 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US7883462B2 (en) * 2004-04-29 2011-02-08 Genesee Biomedical, Inc. Suture retainer attachment for use with a surgical retractor
WO2007019016A1 (en) 2005-08-08 2007-02-15 Abbott Laboratories Vascular suturing device
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
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US20070060895A1 (en) 2005-08-24 2007-03-15 Sibbitt Wilmer L Jr Vascular closure methods and apparatuses
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US9011467B2 (en) * 2008-08-13 2015-04-21 Silk Road Medical, Inc. Suture delivery device
WO2009012473A2 (en) 2007-07-18 2009-01-22 Silk Road Medical, Inc. Methods and systems for establishing retrograde carotid arterial blood flow
US8858490B2 (en) 2007-07-18 2014-10-14 Silk Road Medical, Inc. Systems and methods for treating a carotid artery
JP2011510796A (en) 2008-02-05 2011-04-07 シルク・ロード・メディカル・インコーポレイテッド Intervention catheter system and method
US8574245B2 (en) 2008-08-13 2013-11-05 Silk Road Medical, Inc. Suture delivery device
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US20150073440A1 (en) * 2011-12-21 2015-03-12 Empire Technology Development, Llc Suture collector
WO2013130827A1 (en) 2012-02-29 2013-09-06 Sparkle Power Inc. Three-dimensional digital microfluidic system
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
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US10159479B2 (en) 2012-08-09 2018-12-25 Silk Road Medical, Inc. Suture delivery device
US8915933B2 (en) 2012-11-02 2014-12-23 Medtronic Vascular, Inc. Suturing device having a retractable distal tip and method for sealing an opening in a blood vessel or other biological structure
US20140148826A1 (en) * 2012-11-28 2014-05-29 Pergolas, Llc Minimally invasive surgical kit
US10182801B2 (en) 2014-05-16 2019-01-22 Silk Road Medical, Inc. Vessel access and closure assist system and method
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4586614A (en) * 1983-08-22 1986-05-06 Ralph Ger Apparatus and method for organizing suture materials and monitoring suture needles
US5353974A (en) * 1993-06-07 1994-10-11 Cortale Maurizio Surgical needle system
US5385569A (en) * 1993-05-21 1995-01-31 Surgical Safety Products, Inc. Surgical suturing accessory
US5848714A (en) * 1996-12-23 1998-12-15 Deknatel Technology Corporation Suture rack
US5972030A (en) * 1993-02-22 1999-10-26 Heartport, Inc. Less-invasive devices and methods for treatment of cardiac valves

Family Cites Families (191)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US597165A (en) 1898-01-11 Thread package
US312408A (en) 1885-02-17 Surgical needle
US659422A (en) 1900-06-12 1900-10-09 George W Shidler Surgical instrument.
US2127903A (en) 1936-05-05 1938-08-23 Davis & Geck Inc Tube for surgical purposes and method of preparing and using the same
US2397823A (en) 1941-02-12 1946-04-02 Carl W Walter Forceps
US2588589A (en) 1950-12-14 1952-03-11 Tauber Joseph Surgeon's prethreaded needle holder
US2646045A (en) 1951-05-01 1953-07-21 Bruno S Priestley Mechanical suturing device
FR1059544A (en) 1952-04-21 1954-03-25 Alberti Improvements to sewing needles for manual work and to the machine
US2692599A (en) * 1953-11-02 1954-10-26 Raymond C Creelman Identifying holder for surgical ligatures
US2959172A (en) 1957-08-27 1960-11-08 American Cystoscope Makers Inc Self-threading suturing instrument
US3033156A (en) 1960-03-16 1962-05-08 Alberta L Verbish Suture rack
US3104666A (en) 1962-11-02 1963-09-24 Myron T Hale Surgical instrument for performing a tracheotomy
US3470875A (en) 1966-10-06 1969-10-07 Alfred A Johnson Surgical clamping and suturing instrument
US3653388A (en) 1969-12-04 1972-04-04 Battelle Development Corp Catheter insertion trocar
US3665926A (en) 1970-04-08 1972-05-30 Bard Inc C R Ligature and applicator therefor
US3776237A (en) 1972-05-11 1973-12-04 Tecna Corp Surgical tool and method of providing a surgical opening
DE2300840C3 (en) 1973-01-09 1975-08-28 Richard Wolf Gmbh, 7134 Knittlingen Device for preparing ligatures of the fallopian tubes
US3939820A (en) 1974-10-29 1976-02-24 Datascope Corporation Single-chamber, multi-section balloon for cardiac assistance
US3926194A (en) 1974-11-20 1975-12-16 Ethicon Inc Sutures with reduced diameter at suture tip
US4018228A (en) 1975-02-24 1977-04-19 Goosen Carl C Surgical punch apparatus
FR2298313A1 (en) 1975-06-23 1976-08-20 Usifroid LINEAR REDUCER FOR VALVULOPLASTY
US4109658A (en) 1977-02-04 1978-08-29 Hughes Joe L Needle holding device with pick-up means
US4185636A (en) * 1977-12-29 1980-01-29 Albert Einstein College Of Medicine Of Yeshiva University Suture organizer, prosthetic device holder, and related surgical procedures
US4135623A (en) 1978-01-20 1979-01-23 Ethicon, Inc. Package for armed sutures
US4168073A (en) 1978-03-01 1979-09-18 Owens-Illinois, Inc. Glass article handling chuck
US4161951A (en) 1978-04-27 1979-07-24 Scanlan International, Inc. Needle driver
US4182339A (en) 1978-05-17 1980-01-08 Hardy Thomas G Jr Anastomotic device and method
US4216776A (en) 1978-05-19 1980-08-12 Thoratec Laboratories Corporation Disposable aortic perforator
US4235177A (en) 1979-02-23 1980-11-25 Raymond C. Kelder Suturing device
JPS55151956A (en) 1979-05-17 1980-11-26 Janome Sewing Machine Co Ltd Sewing machine for medical treatment
SU820810A1 (en) 1979-06-18 1981-04-15 Киевский Медицинский Институт Им.Академика A.A.Богомольца Device for tightening ligature knots
US4317445A (en) 1980-03-31 1982-03-02 Baxter Travenol Laboratories, Inc. Catheter insertion unit with separate flashback indication for the cannula
US4412832A (en) 1981-04-30 1983-11-01 Baxter Travenol Laboratories, Inc. Peelable catheter introduction device
US4411654A (en) 1981-04-30 1983-10-25 Baxter Travenol Laboratories, Inc. Peelable catheter with securing ring and suture sleeve
SU993922A1 (en) 1981-07-20 1983-02-07 за вители Device for guiding ligature material
US4492229A (en) 1982-09-03 1985-01-08 Grunwald Ronald P Suture guide holder
US4493323A (en) 1982-12-13 1985-01-15 University Of Iowa Research Foundation Suturing device and method for using same
US4554543A (en) 1983-03-08 1985-11-19 The United States Of America As Represented By The Secretary Of The Air Force Glide slope indicator system
SU1093329A1 (en) 1983-04-07 1984-05-23 Калининский Государственный Медицинский Институт Suture appliance for soft tissue
US5669936A (en) 1983-12-09 1997-09-23 Endovascular Technologies, Inc. Endovascular grafting system and method for use therewith
SU1174036A1 (en) 1984-03-11 1985-08-23 Омский Государственный Ордена Трудового Красного Знамени Медицинский Институт Им.М.И.Калинина Instrument for placing sutures
JPS60234671A (en) 1984-05-09 1985-11-21 テルモ株式会社 Catheter inserter
US4651733A (en) 1984-06-06 1987-03-24 Mobin Uddin Kazi Blood vessel holding device and surgical method using same
IL73081A (en) 1984-09-26 1988-12-30 Istec Ind & Technologies Ltd Suturing implement particularly useful in surgical operations for the attachment of a prosthetic valve
US4596559A (en) 1984-11-02 1986-06-24 Fleischhacker John J Break-away handle for a catheter introducer set
US4587969A (en) 1985-01-28 1986-05-13 Rolando Gillis Support assembly for a blood vessel or like organ
US4738666A (en) 1985-06-11 1988-04-19 Genus Catheter Technologies, Inc. Variable diameter catheter
US5350395A (en) 1986-04-15 1994-09-27 Yock Paul G Angioplasty apparatus facilitating rapid exchanges
US4723549A (en) 1986-09-18 1988-02-09 Wholey Mark H Method and apparatus for dilating blood vessels
US4744364A (en) 1987-02-17 1988-05-17 Intravascular Surgical Instruments, Inc. Device for sealing percutaneous puncture in a vessel
US4852568A (en) 1987-02-17 1989-08-01 Kensey Nash Corporation Method and apparatus for sealing an opening in tissue of a living being
US4890612A (en) 1987-02-17 1990-01-02 Kensey Nash Corporation Device for sealing percutaneous puncture in a vessel
US5478353A (en) 1987-05-14 1995-12-26 Yoon; Inbae Suture tie device system and method for suturing anatomical tissue proximate an opening
US4803984A (en) 1987-07-06 1989-02-14 Montefiore Hospital Association Of Western Pennsylvania Method for performing small vessel anastomosis
SU1544383A1 (en) 1987-09-08 1990-02-23 С. А.Попов Method of forming stump of intestine
US4957498A (en) 1987-11-05 1990-09-18 Concept, Inc. Suturing instrument
US4926860A (en) 1988-02-05 1990-05-22 Flexmedics Corporation ARthroscopic instrumentation and method
DE4219724A1 (en) 1992-06-13 1993-12-16 Schering Ag Use of microcapsules as a contrast medium for color Doppler sonography
US4836205A (en) 1988-03-21 1989-06-06 Barrett Gene R Grasper-stitcher device for arthroscopic anterior cruciate ligament repair
US4911164A (en) 1988-04-26 1990-03-27 Roth Robert A Surgical tool and method of use
US5100419A (en) 1990-04-17 1992-03-31 Ehlers Robert L Device for removing diverticula in the colon
US4984581A (en) 1988-10-12 1991-01-15 Flexmedics Corporation Flexible guide having two-way shape memory alloy
US4929246A (en) 1988-10-27 1990-05-29 C. R. Bard, Inc. Method for closing and sealing an artery after removing a catheter
US4983168A (en) 1989-01-05 1991-01-08 Catheter Technology Corporation Medical layered peel away sheath and methods
US5192294A (en) 1989-05-02 1993-03-09 Blake Joseph W Iii Disposable vascular punch
SU1648400A1 (en) 1989-05-03 1991-05-15 Одесский Облздравотдел Device for applying ligature
US5078721A (en) 1989-06-16 1992-01-07 Mckeating John A Device for surgical ligation
US5009643A (en) 1989-08-09 1991-04-23 Richard Wolf Medical Instruments Corp. Self-retaining electrically insulative trocar sleeve and trocar
US4935027A (en) 1989-08-21 1990-06-19 Inbae Yoon Surgical suture instrument with remotely controllable suture material advancement
US5207703A (en) * 1989-10-20 1993-05-04 Jain Krishna M Suture organizer
US5059201A (en) 1989-11-03 1991-10-22 Asnis Stanley E Suture threading, stitching and wrapping device for use in open and closed surgical procedures
US5061274A (en) 1989-12-04 1991-10-29 Kensey Nash Corporation Plug device for sealing openings and method of use
CA2122041A1 (en) 1989-12-04 1993-04-29 Kenneth Kensey Plug device for sealing openings and method of use
US5002563A (en) 1990-02-22 1991-03-26 Raychem Corporation Sutures utilizing shape memory alloys
JPH03244445A (en) 1990-02-22 1991-10-31 Matsutani Seisakusho Co Ltd Medical suture needle
WO1991015155A1 (en) 1990-04-02 1991-10-17 Kanji Inoue Device for closing shunt opening by nonoperative method
US5021059A (en) 1990-05-07 1991-06-04 Kensey Nash Corporation Plug device with pulley for sealing punctures in tissue and methods of use
US5037433A (en) 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5395332A (en) 1990-08-28 1995-03-07 Scimed Life Systems, Inc. Intravascualr catheter with distal tip guide wire lumen
US5047039A (en) 1990-09-14 1991-09-10 Odis Lynn Avant Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy
US5080664A (en) 1990-09-18 1992-01-14 Jain Krishna M Device for holding a vein during vascular surgery
US5129913A (en) 1990-10-04 1992-07-14 Norbert Ruppert Surgical punch apparatus
US5611794A (en) 1990-10-11 1997-03-18 Lasersurge, Inc. Clamp for approximating tissue sections
FR2668698B1 (en) 1990-11-06 1997-06-06 Ethnor SURGICAL INSTRUMENT FORMING TROCART.
DK166600B1 (en) 1991-01-17 1993-06-21 Therkel Bisgaard TOOL USE TOUCH BY SUTURING IN DEEP OPERATING OPENINGS OR BODY SPACES
US5203864A (en) 1991-04-05 1993-04-20 Phillips Edward H Surgical fastener system
CA2202800A1 (en) 1991-04-11 1992-10-12 Alec A. Piplani Endovascular graft having bifurcation and apparatus and method for deploying the same
CA2065205C (en) 1991-04-11 2002-12-03 David T. Green Reduced mass absorbable surgical fastener and retainer
US5147373A (en) 1991-04-29 1992-09-15 Ferzli George S Laparoscopic instrument
US5295993A (en) 1991-04-30 1994-03-22 United States Surgical Corporation Safety trocar
US5160339A (en) 1991-06-18 1992-11-03 Ethicon, Inc. Endoscopic suture clip
US5109780A (en) 1991-07-15 1992-05-05 Slouf James W Embroidery tool
US5452733A (en) 1993-02-22 1995-09-26 Stanford Surgical Technologies, Inc. Methods for performing thoracoscopic coronary artery bypass
US5433700A (en) 1992-12-03 1995-07-18 Stanford Surgical Technologies, Inc. Method for intraluminally inducing cardioplegic arrest and catheter for use therein
US5458574A (en) 1994-03-16 1995-10-17 Heartport, Inc. System for performing a cardiac procedure
US5234443A (en) 1991-07-26 1993-08-10 The Regents Of The University Of California Endoscopic knot tying apparatus and methods
GR920100358A (en) 1991-08-23 1993-06-07 Ethicon Inc Surgical anastomosis stapling instrument.
US5219358A (en) 1991-08-29 1993-06-15 Ethicon, Inc. Shape memory effect surgical needles
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5222974A (en) 1991-11-08 1993-06-29 Kensey Nash Corporation Hemostatic puncture closure system and method of use
DE4137218C1 (en) 1991-11-13 1993-02-11 Heidmueller, Harald, 5000 Koeln, De
US5395349A (en) 1991-12-13 1995-03-07 Endovascular Technologies, Inc. Dual valve reinforced sheath and method
IL100721A (en) 1992-01-21 1996-12-05 Milo Simcha Punch for opening passages between two compartments
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5171251A (en) 1992-03-02 1992-12-15 Ethicon, Inc. Surgical clip having hole therein and method of anchoring suture
DE4303374A1 (en) 1992-03-12 1993-09-23 Wolf Gmbh Richard
DE9217932U1 (en) 1992-04-01 1993-06-03 Rema-Medizintechnik Gmbh, 7201 Duerbheim, De
US5411481A (en) 1992-04-08 1995-05-02 American Cyanamid Co. Surgical purse string suturing instrument and method
WO1993021844A1 (en) 1992-04-23 1993-11-11 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US5368601A (en) 1992-04-30 1994-11-29 Lasersurge, Inc. Trocar wound closure device
US5290284A (en) 1992-05-01 1994-03-01 Adair Edwin Lloyd Laparoscopic surgical ligation and electrosurgical coagulation and cutting device
US5336231A (en) 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
US5250053A (en) 1992-05-29 1993-10-05 Linvatec Corporation Suture shuttle device
US5258003A (en) 1992-06-01 1993-11-02 Conmed Corporation Method and apparatus for induction of pneumoperitoneum
US5254126A (en) 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch
US5413571A (en) 1992-07-16 1995-05-09 Sherwood Medical Company Device for sealing hemostatic incisions
US5292332A (en) 1992-07-27 1994-03-08 Lee Benjamin I Methods and device for percutanceous sealing of arterial puncture sites
US5364408A (en) 1992-09-04 1994-11-15 Laurus Medical Corporation Endoscopic suture system
US5540704A (en) 1992-09-04 1996-07-30 Laurus Medical Corporation Endoscopic suture system
US5713910A (en) 1992-09-04 1998-02-03 Laurus Medical Corporation Needle guidance system for endoscopic suture device
US6048351A (en) 1992-09-04 2000-04-11 Scimed Life Systems, Inc. Transvaginal suturing system
GB2270725B (en) 1992-09-07 1995-08-02 Bespak Plc Connecting apparatus for medical conduits
US5387227A (en) 1992-09-10 1995-02-07 Grice; O. Drew Method for use of a laparo-suture needle
US5342369A (en) 1992-09-11 1994-08-30 The Board Of Regents Of The University Of Washington System for repair of bankart lesions
US5354312A (en) 1992-09-18 1994-10-11 Ethicon, Inc. Endoscopic anvil grasping instrument
CA2106127A1 (en) 1992-09-23 1994-03-24 Peter W.J. Hinchliffe Instrument for closing trocar puncture wounds
US5306254A (en) 1992-10-01 1994-04-26 Kensey Nash Corporation Vessel position locating device and method of use
US5304184A (en) 1992-10-19 1994-04-19 Indiana University Foundation Apparatus and method for positive closure of an internal tissue membrane opening
US5250033A (en) 1992-10-28 1993-10-05 Interventional Thermodynamics, Inc. Peel-away introducer sheath having proximal fitting
US5304185A (en) 1992-11-04 1994-04-19 Unisurge, Inc. Needle holder
US5336230A (en) 1992-11-04 1994-08-09 Charles S. Taylor Endoscopic suture tying method
US6036699A (en) 1992-12-10 2000-03-14 Perclose, Inc. 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
US5480407A (en) 1992-12-17 1996-01-02 Wan; Shaw P. Suturing instrument with hemorrhaging control
EP0604789A1 (en) 1992-12-31 1994-07-06 K. Widmann Ag Surgical clamping element for making a purse string
US5292309A (en) 1993-01-22 1994-03-08 Schneider (Usa) Inc. Surgical depth measuring instrument and method
US5336229A (en) 1993-02-09 1994-08-09 Laparomed Corporation Dual ligating and dividing apparatus
US5425705A (en) 1993-02-22 1995-06-20 Stanford Surgical Technologies, Inc. Thoracoscopic devices and methods for arresting the heart
US5799661A (en) 1993-02-22 1998-09-01 Heartport, Inc. Devices and methods for port-access multivessel coronary artery bypass surgery
US5682906A (en) 1993-02-22 1997-11-04 Heartport, Inc. Methods of performing intracardiac procedures on an arrested heart
US5374275A (en) 1993-03-25 1994-12-20 Synvasive Technology, Inc. Surgical suturing device and method of use
US5613975A (en) 1993-04-28 1997-03-25 Christy; William J. Endoscopic suturing device and method
US5383896A (en) 1993-05-25 1995-01-24 Gershony; Gary Vascular sealing device
US5527321A (en) 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5507755A (en) 1993-08-03 1996-04-16 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5507758A (en) 1993-08-25 1996-04-16 Inlet Medical, Inc. Insertable suture grasping probe guide, and methodology for using same
US5591206A (en) 1993-09-30 1997-01-07 Moufarr+E,Gra E+Ee Ge; Richard Method and device for closing wounds
US5569271A (en) 1993-10-04 1996-10-29 Hoel; Steven B. Surgical instrument for suturing
US5470338A (en) 1993-10-08 1995-11-28 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5527322A (en) 1993-11-08 1996-06-18 Perclose, Inc. Device and method for suturing of internal puncture sites
US5397325A (en) 1993-11-09 1995-03-14 Badiaco, Inc. Laparoscopic suturing device
US5545180A (en) 1993-12-13 1996-08-13 Ethicon, Inc. Umbrella-shaped suture anchor device with actuating ring member
US5376096A (en) 1993-12-17 1994-12-27 Vance Products Inc. Medical instrument for driving a suture needle
US5549618A (en) 1994-01-18 1996-08-27 Coral Medical Knot tying method and apparatus
US5741280A (en) 1994-01-18 1998-04-21 Coral Medical Knot tying method and apparatus
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
CA2141911C (en) 1994-02-24 2002-04-23 Jude S. Sauer Surgical crimping device and method of use
US5431666A (en) 1994-02-24 1995-07-11 Lasersurge, Inc. Surgical suture instrument
US5562688A (en) 1994-03-25 1996-10-08 Riza; Erol D. Apparatus facilitating suturing in laparoscopic surgery
US5716369A (en) 1994-03-25 1998-02-10 Riza; Erol D. Apparatus facilitating suturing in laparoscopic surgery
JP3526609B2 (en) 1994-03-31 2004-05-17 テルモ株式会社 Suture instrument
US5476470A (en) 1994-04-15 1995-12-19 Fitzgibbons, Jr.; Robert J. Trocar site suturing device
US5545178A (en) 1994-04-29 1996-08-13 Kensey Nash Corporation System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating
US5540701A (en) 1994-05-20 1996-07-30 Hugh Sharkey Passive fixation anastomosis method and device
US5478309A (en) 1994-05-27 1995-12-26 William P. Sweezer, Jr. Catheter system and method for providing cardiopulmonary bypass pump support during heart surgery
US5573540A (en) 1994-07-18 1996-11-12 Yoon; Inbae Apparatus and method for suturing an opening in anatomical tissue
US5509902A (en) 1994-07-25 1996-04-23 Raulerson; J. Daniel Subcutaneous catheter stabilizing devices and methods for securing a catheter using the same
US5531700A (en) 1994-07-29 1996-07-02 Cardiovascular Imaging Systems, Inc. Convertible tip catheters and sheaths
US5545171A (en) 1994-09-22 1996-08-13 Vidamed, Inc. Anastomosis catheter
US5496332A (en) 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
US5554162A (en) 1994-12-02 1996-09-10 Delange; Gregory S. Method and device for surgically joining luminal structures
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5591179A (en) 1995-04-19 1997-01-07 Applied Medical Resources Corporation Anastomosis suturing device and method
US5562686A (en) 1995-04-19 1996-10-08 United States Surgical Corporation Apparaus and method for suturing body tissue
US5593421A (en) 1995-06-06 1997-01-14 Bauer; William Suture element delivery device and method
US5902311A (en) 1995-06-15 1999-05-11 Perclose, Inc. Low profile intraluminal suturing device and method
USD372310S (en) 1995-06-30 1996-07-30 Pilling Weck Incorporated Surgical punch
US5700273A (en) 1995-07-14 1997-12-23 C.R. Bard, Inc. Wound closure apparatus and method
US5846253A (en) 1995-07-14 1998-12-08 C. R. Bard, Inc. Wound closure apparatus and method
US6117144A (en) 1995-08-24 2000-09-12 Sutura, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US5860990A (en) 1995-08-24 1999-01-19 Nr Medical, Inc. Method and apparatus for suturing
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
US5741276A (en) 1996-03-28 1998-04-21 Innovative Surgical Instruments Apparatus for facilitating the performance of surgical procedures such as the placement of sutures, ligatures and the like
US5824010A (en) 1996-05-23 1998-10-20 Mcdonald; Garth R. Suture needle guide
US5820631A (en) 1996-08-01 1998-10-13 Nr Medical, Inc. Device and method for suturing tissue adjacent to a blood vessel
US5766183A (en) 1996-10-21 1998-06-16 Lasersurge, Inc. Vascular hole closure
US5759188A (en) 1996-11-27 1998-06-02 Yoon; Inbae Suturing instrument with rotatably mounted needle driver and catcher
US5766186A (en) 1996-12-03 1998-06-16 Simon Fraser University Suturing device
US5954732A (en) 1997-09-10 1999-09-21 Hart; Charles C. Suturing apparatus and method
US5951590A (en) 1998-06-09 1999-09-14 Goldfarb; Michael A. Soft tissue suture anchor

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4586614A (en) * 1983-08-22 1986-05-06 Ralph Ger Apparatus and method for organizing suture materials and monitoring suture needles
US5972030A (en) * 1993-02-22 1999-10-26 Heartport, Inc. Less-invasive devices and methods for treatment of cardiac valves
US5385569A (en) * 1993-05-21 1995-01-31 Surgical Safety Products, Inc. Surgical suturing accessory
US5353974A (en) * 1993-06-07 1994-10-11 Cortale Maurizio Surgical needle system
US5848714A (en) * 1996-12-23 1998-12-15 Deknatel Technology Corporation Suture rack

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11259797B2 (en) 2014-04-25 2022-03-01 Sharp Fluidics, Llc System and method for increased operating room efficiency
US10813635B2 (en) 2014-04-25 2020-10-27 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US9433408B2 (en) 2014-04-25 2016-09-06 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US9451949B2 (en) 2014-04-25 2016-09-27 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US11633181B2 (en) 2014-04-25 2023-04-25 Sharp Fluidics, Inc. System and method for increased operating room efficiency
US9936948B2 (en) 2014-04-25 2018-04-10 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US9320516B2 (en) 2014-04-25 2016-04-26 Sharp Fluidics, Llc Systems and methods for increased operating room efficiency
US10098632B2 (en) 2014-04-25 2018-10-16 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US9826975B2 (en) 2014-04-25 2017-11-28 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US9307982B2 (en) 2014-04-25 2016-04-12 Sharp Fluidics, Llc Systems and methods for increased operating room efficiency
US10478177B2 (en) 2015-10-29 2019-11-19 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US10987100B2 (en) 2015-10-29 2021-04-27 Sharp Fluidics, Llc Systems and methods for increased operating room efficiency
US10603033B2 (en) 2015-10-29 2020-03-31 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US11413037B2 (en) 2015-10-29 2022-08-16 Sharp Fluidics, Llc Needle receptacle for increased operating room efficiency
US10485534B2 (en) 2015-10-29 2019-11-26 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US11660087B2 (en) 2015-10-29 2023-05-30 Sharp Fluidics Inc. Needle receptacle for increased operating room efficiency

Also Published As

Publication number Publication date
US6558399B1 (en) 2003-05-06
AU2001273001A1 (en) 2002-01-14

Similar Documents

Publication Publication Date Title
WO2002002017A1 (en) Devices and methods for handling a plurality of suture elements during a suturing procedure
WO2002002016A1 (en) Surgical support clamp
US9370368B2 (en) Device for dispensing, looping and tying ligatures
US5733293A (en) Disposable loading unit for a vascular suturing instrument
RU2110965C1 (en) Apparatus for laparoscopic interventions
US20030004523A1 (en) Multi-needle holding device
JP2022179502A (en) Endoscopic suturing system having external instrument channel
JP4674114B2 (en) Medical device and treatment system for living tissue
JPWO2012101999A1 (en) Suture device
ATE89989T1 (en) AUTOMATIC DEVICE FOR SUTURES WITH ''BAG-STRIP'' STRUCTURE FOR SURGICAL PURPOSES.
EP2441397A3 (en) Suturing device
CN1094274A (en) Armarium and patient and old man care institution are with the clamping device of flexible pipe and other pipelines
JPH11216145A (en) Guide for surgical needle with suture
US20110152893A1 (en) Suture organizer
US8480690B2 (en) Suture organizer
US9693769B2 (en) Suture device
JP6737870B2 (en) Bidirectional suturing device for medical use and its operating method
US4681109A (en) Surgical instrumentation for blood vessels
US4574805A (en) Instrument for skin surgery and method for using same
JP2007296363A (en) Quick mounting implement for catheter
JP3375797B2 (en) Needle guide with medical thread
US20100268269A1 (en) Surgical Clamp
US20130267902A1 (en) Instrument Support Fixture
JP6711486B2 (en) Blood vessel sewing member and blood vessel sewing apparatus
US8656924B2 (en) Methods and devices for retaining surgical instruments and cables within sterile fields

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG US UZ VN YU ZA ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP