CA2181469A1 - Appareil et procede de nouage de noeud - Google Patents

Appareil et procede de nouage de noeud

Info

Publication number
CA2181469A1
CA2181469A1 CA002181469A CA2181469A CA2181469A1 CA 2181469 A1 CA2181469 A1 CA 2181469A1 CA 002181469 A CA002181469 A CA 002181469A CA 2181469 A CA2181469 A CA 2181469A CA 2181469 A1 CA2181469 A1 CA 2181469A1
Authority
CA
Canada
Prior art keywords
knot
carrier
distal end
spool
tube
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.)
Abandoned
Application number
CA002181469A
Other languages
English (en)
Inventor
Richard P. Fleenor
Daniel P. Bryce
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.)
Coral Medical
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2181469A1 publication Critical patent/CA2181469A1/fr
Abandoned legal-status Critical Current

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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • 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
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • 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
    • A61B2017/0474—Knot pushers
    • 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
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • 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
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • 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
    • A61B2017/0479—Packages or dispensers for MIS suturing instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)

Abstract

Procédé et appareil utilisés pour placer et nouer un noeud tel qu'un noeud de laparoscopie. Un ensemble poussoir (20) pour noeud comprenant un tuyau externe (22) et un tuyau interne est positionné et un ensemble piston (80) est poussé dans l'ensemble poussoir pour noeud. L'ensemble piston comprend un porte-noeud (120) qui supporte un noeud (142) au moins partiellement formé présentant une extrémité libre. Cette extrémité libre est placée autour de l'objet à attacher et à serrer avec un clamp. Le noeud est détaché du porte-noeud et l'extrémité libre est tirée vers l'arrière dans le noeud partiellement fait pour terminer et serrer le noeud. Ledit noeud est serré et placé à l'aide de l'ensemble poussoir pour noeud et l'extrémité libre est coupée lorsqu'on la place dans des fentes alignées (34, 70) situées sur les tuyaux externe et interne, et lorsqu'on fait tourner le tuyau interne par rapport au tuyau externe pour désaligner les fentes.
CA002181469A 1994-01-18 1995-01-18 Appareil et procede de nouage de noeud Abandoned CA2181469A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US18260994A 1994-01-18 1994-01-18
US08/182,609 1994-01-18
PCT/US1996/014886 WO1998011825A1 (fr) 1994-01-18 1996-09-17 Procede et appareil de nouage de noeuds

Publications (1)

Publication Number Publication Date
CA2181469A1 true CA2181469A1 (fr) 1995-07-20

Family

ID=26791252

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002181469A Abandoned CA2181469A1 (fr) 1994-01-18 1995-01-18 Appareil et procede de nouage de noeud

Country Status (4)

Country Link
EP (1) EP0740529A4 (fr)
JP (1) JP3585239B2 (fr)
CA (1) CA2181469A1 (fr)
WO (2) WO1995019139A1 (fr)

Families Citing this family (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5741280A (en) * 1994-01-18 1998-04-21 Coral Medical Knot tying method and apparatus
US5601576A (en) * 1994-08-10 1997-02-11 Heartport Inc. Surgical knot pusher and method of use
US6221084B1 (en) 1999-01-15 2001-04-24 Pare Surgical, Inc. Knot tying apparatus having a notched thread cover and method for using same
US6554845B1 (en) * 2000-09-15 2003-04-29 PARÉ Surgical, Inc. Suturing apparatus and method
US6860890B2 (en) 2001-03-02 2005-03-01 Edwards Lifesciences Corporation Surgical knot pushing device and method of use
AU2006211174B2 (en) * 2005-01-27 2012-05-31 Cook Medical Technologies Llc Endoscopic cutting device
DE102006010682A1 (de) * 2006-03-08 2007-09-13 Karl Storz Gmbh & Co. Kg Medizinischer Knotenschieber
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
SG174985A1 (en) * 2009-04-03 2011-11-28 Univ Leland Stanford Junior Surgical device and method
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US8821543B2 (en) 2010-12-23 2014-09-02 Depuy Mitek, Llc Adjustable anchor systems and methods
US9345468B2 (en) 2010-11-23 2016-05-24 Medos International Sárl Surgical filament snare assemblies
US8814905B2 (en) 2010-11-23 2014-08-26 Depuy Mitek, Llc Surgical filament snare assemblies
WO2012088496A2 (fr) 2010-12-23 2012-06-28 Depuy Mitek, Inc. Systèmes et procédés d'ancrage ajustable
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics Suture passers adapted for use in constrained regions
US8790370B2 (en) 2012-03-30 2014-07-29 Depuy Mitek, Llc Surgical filament assemblies
US9060763B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
US9345567B2 (en) 2012-05-07 2016-05-24 Medos International Sàrl Systems, devices, and methods for securing tissue using snare assemblies and soft anchors
US9060764B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
US8894684B2 (en) 2012-05-07 2014-11-25 Medos International Sàrl Systems, devices, and methods for securing tissue using a suture having one or more protrusions
US9763655B2 (en) 2012-09-20 2017-09-19 Medos International Sarl Systems, devices, and methods for securing tissue using hard anchors
US9271716B2 (en) 2012-12-27 2016-03-01 Medos International Sàrl Surgical constructs and methods for securing tissue
US9737293B2 (en) 2013-03-15 2017-08-22 Medos International Sàrl Surgical constructs with collapsing suture loop and methods for securing tissue
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
CN104939875B (zh) 2013-12-16 2019-07-26 赛特里克斯整形公司 自动再加载缝线穿引器装置和方法
JP6595197B2 (ja) 2014-04-08 2019-10-23 セテリックス オーソピーディクス インコーポレイテッド 狭い領域内で使用されるようになった縫合糸パッサ
CN103989493B (zh) * 2014-06-11 2017-04-19 上海中山医疗科技发展公司 微创手术快速深部打结器
US9993243B2 (en) 2014-09-09 2018-06-12 Edwards Lifesciences Corporation Finger-mounted surgical instruments and methods of use
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
HK1210569A2 (en) * 2015-12-17 2016-04-22 太津治有限公司 Surgical device
DE102017207404A1 (de) * 2016-05-03 2017-11-09 Ceterix Orthopaedics, Inc. Arthroskopischer Knotenschieber und Fadenschneider
CN107320144B (zh) * 2017-07-28 2023-06-13 广西壮族自治区人民医院 直线荷包缝合切割闭合器

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4038988A (en) * 1975-12-31 1977-08-02 Pierre Perisse Surgical apparatus
FR2671183B1 (fr) * 1990-12-31 1994-05-20 Gaz De France Procede et appareil pour analyser l'etat de protection contre la corrosion d'un ouvrage sous protection cathodique.
US5211650A (en) * 1991-01-07 1993-05-18 Laparomed Corporation Dual function suturing device and method
US5144961A (en) * 1991-07-11 1992-09-08 Ethicon, Inc. Endoscopic ligating device
US5312423A (en) * 1992-10-01 1994-05-17 Advanced Surgical Intervention, Inc. Apparatus and method for laparaoscopic ligation
US5454820A (en) * 1993-07-14 1995-10-03 Ethicon, Inc. Method of tying knots using a tube knot applicator

Also Published As

Publication number Publication date
WO1995019139A1 (fr) 1995-07-20
JP3585239B2 (ja) 2004-11-04
EP0740529A4 (fr) 1997-05-14
WO1998011825A1 (fr) 1998-03-26
EP0740529A1 (fr) 1996-11-06
JPH09511412A (ja) 1997-11-18

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Legal Events

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