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 ensemble

Info

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
Application number
CA2004874A
Other languages
English (en)
Other versions
CA2004874C (fr
Inventor
Joseph Bilweis
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Inc
Original Assignee
Ethicon 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 Ethicon Inc filed Critical Ethicon Inc
Publication of CA2004874A1 publication Critical patent/CA2004874A1/fr
Application granted granted Critical
Publication of CA2004874C publication Critical patent/CA2004874C/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction 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.
CA002004874A 1988-12-12 1989-12-07 Ensemble a ligaturer pour chirurgie endoscopique, ligature et instrument de manipulation de ligature pour cet ensemble Expired - Lifetime CA2004874C (fr)

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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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

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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