WO2009089101A3 - Medical systems and devices for endoscopically suturing perforations - Google Patents

Medical systems and devices for endoscopically suturing perforations Download PDF

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Publication number
WO2009089101A3
WO2009089101A3 PCT/US2009/030030 US2009030030W WO2009089101A3 WO 2009089101 A3 WO2009089101 A3 WO 2009089101A3 US 2009030030 W US2009030030 W US 2009030030W WO 2009089101 A3 WO2009089101 A3 WO 2009089101A3
Authority
WO
WIPO (PCT)
Prior art keywords
devices
needle
medical systems
systems
endoscopically
Prior art date
Application number
PCT/US2009/030030
Other languages
French (fr)
Other versions
WO2009089101A2 (en
Inventor
Vihar C. Surti
Tyler Evans Mclawhorn
Travis Benton Johnson
Original Assignee
Wilson-Cook Medical, Inc.
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 Wilson-Cook Medical, Inc. filed Critical Wilson-Cook Medical, Inc.
Priority to CA2711300A priority Critical patent/CA2711300A1/en
Priority to JP2010541574A priority patent/JP5421927B2/en
Priority to AU2009204417A priority patent/AU2009204417B2/en
Priority to EP09700321A priority patent/EP2230987B1/en
Publication of WO2009089101A2 publication Critical patent/WO2009089101A2/en
Publication of WO2009089101A3 publication Critical patent/WO2009089101A3/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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0609—Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument

Abstract

Medical systems and devices are disclosed for passing a needle and suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical system generally includes an endoscope (22), an endcap (26), a needle (28), a suture (36), and first and second grip systems (30,32) configured for relative translation to selectively pass the needle between the first and second grip systems.
PCT/US2009/030030 2008-01-03 2009-01-02 Medical systems, devices and methods for endoscopically suturing perforations WO2009089101A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA2711300A CA2711300A1 (en) 2008-01-03 2009-01-02 Medical systems, devices and methods for endoscopically suturing perforations
JP2010541574A JP5421927B2 (en) 2008-01-03 2009-01-02 Medical device, instrument and method for suturing a hole using an endoscope
AU2009204417A AU2009204417B2 (en) 2008-01-03 2009-01-02 Medical systems and devices for endoscopically suturing perforations
EP09700321A EP2230987B1 (en) 2008-01-03 2009-01-02 Medical systems for endoscopically suturing perforations

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US1878608P 2008-01-03 2008-01-03
US61/018,786 2008-01-03

Publications (2)

Publication Number Publication Date
WO2009089101A2 WO2009089101A2 (en) 2009-07-16
WO2009089101A3 true WO2009089101A3 (en) 2009-10-22

Family

ID=40802201

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/030030 WO2009089101A2 (en) 2008-01-03 2009-01-02 Medical systems, devices and methods for endoscopically suturing perforations

Country Status (6)

Country Link
US (1) US8876701B2 (en)
EP (1) EP2230987B1 (en)
JP (1) JP5421927B2 (en)
AU (1) AU2009204417B2 (en)
CA (1) CA2711300A1 (en)
WO (1) WO2009089101A2 (en)

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