CA2004874A1 - Ensemble a ligaturer pour chirurgie endoscopique, ligature et instrument de manipulation de ligature pour cet ensemble - Google Patents
Ensemble a ligaturer pour chirurgie endoscopique, ligature et instrument de manipulation de ligature pour cet ensembleInfo
- Publication number
- CA2004874A1 CA2004874A1 CA2004874A CA2004874A CA2004874A1 CA 2004874 A1 CA2004874 A1 CA 2004874A1 CA 2004874 A CA2004874 A CA 2004874A CA 2004874 A CA2004874 A CA 2004874A CA 2004874 A1 CA2004874 A1 CA 2004874A1
- Authority
- CA
- Canada
- Prior art keywords
- ligature
- trocar
- thread
- wire
- threading
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
Cet ensemble à ligaturer comporte un trocart (20) et un élément monobloc (10) constitué d'un corps (11), emboîtable à l'extrémité de ce trocart, et d'un fil (14) attenant à ce corps et formant lien, le corps comportant un canal d'enfilage (16) recevant l'extrémité libre (15) du fil à
l'une de ses extrémités et débouchant à l'intérieur du trocart à l'autre de ses extrémités, le fil et le canal étant pourvus de moyens de serrage, tels que des régions crantées coopérantes (17,18) formées sur la surface extérieure du fil et sur la surface intérieure du canal d'enfilage, retenant le fil en place une fois celui-ci au moins partiellement introduit dans le canal.
Cet ensemble peut également comporter des moyens, insérables dans le trocart, de saisie et de tirage de l'extrémité libre du fil passée dans le canal d'enfilage et débouchant hors de celui-ci dans le trocart, de manière à
réaliser le rétrécissement de la ligature par tirage de cette extrémité libre, et/ou des moyens, également insérables dans le trocart, de sectionnement de l'extrémité
libre du fil après tirage de celle-ci.
l'une de ses extrémités et débouchant à l'intérieur du trocart à l'autre de ses extrémités, le fil et le canal étant pourvus de moyens de serrage, tels que des régions crantées coopérantes (17,18) formées sur la surface extérieure du fil et sur la surface intérieure du canal d'enfilage, retenant le fil en place une fois celui-ci au moins partiellement introduit dans le canal.
Cet ensemble peut également comporter des moyens, insérables dans le trocart, de saisie et de tirage de l'extrémité libre du fil passée dans le canal d'enfilage et débouchant hors de celui-ci dans le trocart, de manière à
réaliser le rétrécissement de la ligature par tirage de cette extrémité libre, et/ou des moyens, également insérables dans le trocart, de sectionnement de l'extrémité
libre du fil après tirage de celle-ci.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR8816311A FR2640131B1 (fr) | 1988-12-12 | 1988-12-12 | Ensemble a ligaturer pour chirurgie endoscopique, ligature et instrument de manipulation de ligature pour cet ensemble |
FR8816311 | 1988-12-12 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2004874A1 true CA2004874A1 (fr) | 1990-06-12 |
CA2004874C CA2004874C (fr) | 1999-11-09 |
Family
ID=9372829
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002004874A Expired - Lifetime CA2004874C (fr) | 1988-12-12 | 1989-12-07 | Ensemble a ligaturer pour chirurgie endoscopique, ligature et instrument de manipulation de ligature pour cet ensemble |
Country Status (10)
Country | Link |
---|---|
US (1) | US5196022A (fr) |
EP (1) | EP0399025A1 (fr) |
JP (1) | JP2922638B2 (fr) |
AR (1) | AR243758A1 (fr) |
AU (3) | AU630142B2 (fr) |
BR (1) | BR8907244A (fr) |
CA (1) | CA2004874C (fr) |
FR (1) | FR2640131B1 (fr) |
WO (1) | WO1990006725A1 (fr) |
ZA (1) | ZA899485B (fr) |
Families Citing this family (88)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5123913A (en) * | 1989-11-27 | 1992-06-23 | Wilk Peter J | Suture device |
AU8452391A (en) * | 1990-09-20 | 1992-03-26 | Ethicon Inc. | Polymeric endoscopic ligature |
DE4133800C1 (fr) * | 1991-10-12 | 1993-01-21 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
US5318578A (en) * | 1992-03-17 | 1994-06-07 | Harrith M. Hasson | Apparatus for delivering a suture into a body cavity and method of using the apparatus |
US5334199A (en) * | 1992-08-17 | 1994-08-02 | Inbae Yoon | Ligating instrument and methods of ligating tissue in endoscopic operative procedures |
DE4228909C2 (de) * | 1992-08-28 | 1994-06-09 | Ethicon Gmbh | Endoskopisches Instrument zur Applizierung von Ligaturbindern und Ligaturbinder |
DE4228910C1 (en) * | 1992-08-28 | 1993-06-24 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | Cutting device for surgical instrument - involves end piece of object to be cut being drawn into instrument as far as thickened part of object which then locates in vicinity of instrument head |
US5356412A (en) * | 1992-10-09 | 1994-10-18 | United States Surgical Corporation | Sternum buckle with rotational engagement and method of closure |
ES2111689T3 (es) * | 1992-11-17 | 1998-03-16 | Smith & Nephew Inc | Dispositivo de bloqueo para la inmovilizacion de un hilo de sutura. |
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 |
DE4325969C1 (de) * | 1993-08-03 | 1994-09-08 | Aesculap Ag | Umfahrungsinstrument |
US5405354A (en) * | 1993-08-06 | 1995-04-11 | Vance Products Inc. | Suture driver |
US5658298A (en) * | 1993-11-09 | 1997-08-19 | Inamed Development Company | Laparoscopic tool |
DE4340821C1 (de) * | 1993-12-01 | 1995-03-23 | Univ Ludwigs Albert | Chirurgisches Instrument zum Abklemmen eines Gefäßes oder dergleichen |
US5462542A (en) * | 1994-01-24 | 1995-10-31 | United States Surgical Corporation | Sternum buckle with serrated strap |
DE4418766C2 (de) * | 1994-05-28 | 1996-11-07 | Karlsruhe Forschzent | Chirurgischer Faden zum Anlegen einer chirurgischen Naht |
DE4419792C1 (de) * | 1994-06-06 | 1996-02-01 | Alfons Prof Dr Med Hofstetter | Endoskop |
US5549633A (en) * | 1994-08-24 | 1996-08-27 | Kensey Nash Corporation | Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site |
CA2156027C (fr) * | 1994-10-04 | 2006-07-18 | Keith Ratcliff | Ecarteur chirurgical |
US5658299A (en) * | 1995-07-20 | 1997-08-19 | Applied Medical Resources | Surgical ligating device and method for using same |
US5693059A (en) * | 1995-09-15 | 1997-12-02 | Yoon; Inbae | Ligating instrument with multiple loop ligature supply and methods therefor |
US5704943A (en) * | 1995-09-25 | 1998-01-06 | Yoon; Inbae | Ligating instrument with multiple loop ligature supply and methods therefor |
US6090063A (en) * | 1995-12-01 | 2000-07-18 | C. R. Bard, Inc. | Device, system and method for implantation of filaments and particles in the body |
US5860992A (en) * | 1996-01-31 | 1999-01-19 | Heartport, Inc. | Endoscopic suturing devices and methods |
DE19628909C2 (de) * | 1996-07-18 | 1999-11-18 | Ruesch Willy Ag | Verschluß |
US5879371A (en) * | 1997-01-09 | 1999-03-09 | Elective Vascular Interventions, Inc. | Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery |
US5957936A (en) * | 1997-05-01 | 1999-09-28 | Inbae Yoon | Instrument assemblies for performing anatomical tissue ligation |
US5908429A (en) * | 1997-05-01 | 1999-06-01 | Yoon; Inbae | Methods of anatomical tissue ligation |
US5921993A (en) * | 1997-05-01 | 1999-07-13 | Yoon; Inbae | Methods of endoscopic tubal ligation |
US6613059B2 (en) * | 1999-03-01 | 2003-09-02 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6641593B1 (en) | 1998-06-03 | 2003-11-04 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6514265B2 (en) | 1999-03-01 | 2003-02-04 | Coalescent Surgical, Inc. | Tissue connector apparatus with cable release |
US6945980B2 (en) | 1998-06-03 | 2005-09-20 | Medtronic, Inc. | Multiple loop tissue connector apparatus and methods |
US6607541B1 (en) * | 1998-06-03 | 2003-08-19 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6221084B1 (en) | 1999-01-15 | 2001-04-24 | Pare Surgical, Inc. | Knot tying apparatus having a notched thread cover and method for using same |
US8118822B2 (en) | 1999-03-01 | 2012-02-21 | Medtronic, Inc. | Bridge clip tissue connector apparatus and methods |
US6695859B1 (en) * | 1999-04-05 | 2004-02-24 | Coalescent Surgical, Inc. | Apparatus and methods for anastomosis |
US8529583B1 (en) | 1999-09-03 | 2013-09-10 | Medtronic, Inc. | Surgical clip removal apparatus |
US6926730B1 (en) * | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6551332B1 (en) | 2000-03-31 | 2003-04-22 | Coalescent Surgical, Inc. | Multiple bias surgical fastener |
EP1296597A1 (fr) * | 2000-07-06 | 2003-04-02 | Inzign Pte Ltd. | Systeme d'occlusion du cordon ombilical |
DE10054251B4 (de) * | 2000-11-02 | 2006-06-01 | Lucas Varity Gmbh | Steuerventilgehäuse für einen Unterdruck-Bremskraftverstärker |
US20060293701A1 (en) * | 2001-05-02 | 2006-12-28 | Medtronic, Inc. | Self-closing surgical clip for tissue |
JP2003204966A (ja) * | 2002-01-16 | 2003-07-22 | Olympus Optical Co Ltd | 医療用結紮装置 |
US20030153936A1 (en) * | 2002-02-11 | 2003-08-14 | Rizk El-Galley | Tourniquet instrument |
US20030199974A1 (en) * | 2002-04-18 | 2003-10-23 | Coalescent Surgical, Inc. | Annuloplasty 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 |
US20040116943A1 (en) * | 2002-12-13 | 2004-06-17 | Brandt C. Phillip | Method and apparatus for endoscopically ligating an elongate tissue structure at multiple sites |
US20050075659A1 (en) * | 2003-03-30 | 2005-04-07 | Fidel Realyvasquez | Apparatus and methods for minimally invasive valve surgery |
US7182769B2 (en) * | 2003-07-25 | 2007-02-27 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
US20050043749A1 (en) * | 2003-08-22 | 2005-02-24 | Coalescent Surgical, 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 |
US20060229675A1 (en) * | 2005-04-07 | 2006-10-12 | Roberto Novoa | Anchoring System for Valve Replacement |
US20070156174A1 (en) * | 2006-01-03 | 2007-07-05 | Arthrotek, Inc. | Method and apparatus for repairing a meniscus |
ITTO20060933A1 (it) * | 2006-12-29 | 2008-06-30 | Vassoney Pierfrancesco | Dispositivo per sutura chirurgica autobloccante senza nodo |
WO2008086287A2 (fr) * | 2007-01-05 | 2008-07-17 | Medtronic, Inc. | Systèmes et procédés d'anastomose |
US8512362B2 (en) * | 2007-11-05 | 2013-08-20 | Usgi Medical Inc. | Endoscopic ligation |
US8177836B2 (en) * | 2008-03-10 | 2012-05-15 | Medtronic, Inc. | Apparatus and methods for minimally invasive valve repair |
US20090259251A1 (en) * | 2008-04-11 | 2009-10-15 | Cohen Matthew D | Loop suture |
US11812951B2 (en) | 2008-06-17 | 2023-11-14 | Apollo Endosurgery Us, Inc. | Endoscopic needle assembly |
ES2734905T3 (es) * | 2008-06-17 | 2019-12-12 | Apollo Endosurgery Inc | Sistema de sutura endoscópica |
US11083364B2 (en) | 2008-06-17 | 2021-08-10 | Apollo Endosurgery Us, Inc. | Endoscopic tissue grasping systems and methods |
US9867610B2 (en) * | 2008-06-17 | 2018-01-16 | Apollo Endosurgery Us, Inc. | Endoscopic suturing system with retained end cap |
US8518060B2 (en) | 2009-04-09 | 2013-08-27 | Medtronic, Inc. | Medical clip with radial 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 |
US8540735B2 (en) | 2010-12-16 | 2013-09-24 | Apollo Endosurgery, Inc. | Endoscopic suture cinch system |
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 |
US9498202B2 (en) | 2012-07-10 | 2016-11-22 | Edwards Lifesciences Corporation | Suture securement devices |
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 |
US9486201B2 (en) | 2012-09-27 | 2016-11-08 | Depuy Mitek, Llc | Directionally specific bone anchors and method |
US9592047B2 (en) | 2012-12-21 | 2017-03-14 | Edwards Lifesciences Corporation | System for securing sutures |
US10448946B2 (en) | 2013-03-12 | 2019-10-22 | Apollo Endosurgery Us, Inc. | Endoscopic suture cinch |
US9788831B2 (en) | 2013-03-12 | 2017-10-17 | Apollo Endosurgery Us, Inc. | Endoscopic suture cinch system with replaceable cinch |
US10786244B2 (en) | 2014-05-30 | 2020-09-29 | Edwards Lifesciences Corporation | Systems for securing sutures |
JP6661188B2 (ja) * | 2014-08-14 | 2020-03-11 | 学校法人金沢工業大学 | 縫合装置 |
CA3076132C (fr) | 2014-12-10 | 2022-08-02 | Edwards Lifesciences Ag | Dispositif de fixation a declenchement multiple et ses procedes d'utilisation et de fabrication |
EP3236863B1 (fr) | 2014-12-24 | 2021-09-15 | Edwards Lifesciences Corporation | Dispositifs de déploiement d'agrafes de suture |
US10470759B2 (en) | 2015-03-16 | 2019-11-12 | Edwards Lifesciences Corporation | Suture securement devices |
CN105054987B (zh) * | 2015-08-17 | 2017-05-10 | 宁波菲特医疗器械有限公司 | 脐带扎束装置 |
US11141147B2 (en) | 2016-08-10 | 2021-10-12 | Apollo Endosurgery Us, Inc. | Endoscopic suturing system having external instrument channel |
US11051800B2 (en) | 2016-08-10 | 2021-07-06 | Apollo Endosurgery Us, Inc. | Endoscopic suturing system having external instrument channel |
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 |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3123077A (en) * | 1964-03-03 | Surgical suture | ||
US877476A (en) * | 1904-04-16 | 1908-01-28 | Robert B Bach | Needle. |
US3799169A (en) * | 1972-05-11 | 1974-03-26 | Ethicon Inc | Lateral release suture |
JPS5315191Y2 (fr) * | 1975-11-17 | 1978-04-21 | ||
IL67773A (en) * | 1983-01-28 | 1985-02-28 | Antebi E | Tie for tying live tissue and an instrument for performing said tying operation |
DE3504202A1 (de) * | 1984-02-07 | 1985-08-29 | Michael M. Dr. 2000 Wedel Schikorski | Unterbindungsmaterial zum unterbinden von roehrenfoermigen organen im menschlichen oder tierischen koerper bei operativen eingriffen |
FR2600880B1 (fr) * | 1986-07-03 | 1988-10-21 | Espel Louis | Dispositif et accessoires pour la realisation de points de suture. |
JPH0755222B2 (ja) * | 1986-12-12 | 1995-06-14 | オリンパス光学工業株式会社 | 処置具 |
US4735194C1 (en) * | 1987-01-13 | 2001-05-08 | Dept Of Veterans Affairs The U | Flexile endoscopic ligating instrument |
WO1988006022A1 (fr) * | 1987-02-20 | 1988-08-25 | Farrell Edward M | Attaches chirurgicales |
US5100418A (en) * | 1987-05-14 | 1992-03-31 | Inbae Yoon | Suture tie device system and applicator therefor |
-
1988
- 1988-12-12 FR FR8816311A patent/FR2640131B1/fr not_active Expired - Lifetime
-
1989
- 1989-12-07 CA CA002004874A patent/CA2004874C/fr not_active Expired - Lifetime
- 1989-12-11 AU AU48074/90A patent/AU630142B2/en not_active Expired
- 1989-12-11 EP EP90900221A patent/EP0399025A1/fr not_active Withdrawn
- 1989-12-11 WO PCT/FR1989/000641 patent/WO1990006725A1/fr not_active Application Discontinuation
- 1989-12-11 BR BR898907244A patent/BR8907244A/pt not_active IP Right Cessation
- 1989-12-11 JP JP2501073A patent/JP2922638B2/ja not_active Expired - Lifetime
- 1989-12-12 AR AR89315651A patent/AR243758A1/es active
- 1989-12-12 ZA ZA899485A patent/ZA899485B/xx unknown
-
1990
- 1990-07-26 US US07/548,943 patent/US5196022A/en not_active Expired - Lifetime
-
1991
- 1991-09-03 AU AU83573/91A patent/AU635153B2/en not_active Expired
- 1991-09-03 AU AU83574/91A patent/AU635154B2/en not_active Expired
Also Published As
Publication number | Publication date |
---|---|
JP2922638B2 (ja) | 1999-07-26 |
CA2004874C (fr) | 1999-11-09 |
JPH03503251A (ja) | 1991-07-25 |
AU8357491A (en) | 1991-10-31 |
FR2640131B1 (fr) | 1991-03-29 |
AU8357391A (en) | 1991-10-31 |
AU4807490A (en) | 1990-07-10 |
AU635153B2 (en) | 1993-03-11 |
AU630142B2 (en) | 1992-10-22 |
BR8907244A (pt) | 1991-03-12 |
WO1990006725A1 (fr) | 1990-06-28 |
AU635154B2 (en) | 1993-03-11 |
US5196022A (en) | 1993-03-23 |
ZA899485B (en) | 1991-08-28 |
EP0399025A1 (fr) | 1990-11-28 |
FR2640131A1 (fr) | 1990-06-15 |
AR243758A1 (es) | 1993-09-30 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKEX | Expiry |