DE912619C - Device for producing and tightening a knot formed from loops of thread and comprising a body - Google Patents
Device for producing and tightening a knot formed from loops of thread and comprising a bodyInfo
- Publication number
- DE912619C DE912619C DEH11899A DEH0011899A DE912619C DE 912619 C DE912619 C DE 912619C DE H11899 A DEH11899 A DE H11899A DE H0011899 A DEH0011899 A DE H0011899A DE 912619 C DE912619 C DE 912619C
- Authority
- DE
- Germany
- Prior art keywords
- thread
- loop
- holder
- guide
- knot
- 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.)
- Expired
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
- 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
- A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
Description
Vorrichtung zum Herstellen und Anziehen eines aus Fadenschlingen gebildeten, einen Körper umfassenden Knotens Die Erfindung betrifft eine Vorrichtung zum Herstellen und Anziehen eines aus Fadenschlingen gebildeten, einen Körper umfassenden Knotens, vorzugsweise zum Nähen von Wunden und zum Abbinden von Adern od. dgl.Device for the production and tightening of a thread loops, A node comprising a body The invention relates to an apparatus for manufacturing and tightening a knot formed from loops of thread and encompassing a body, preferably for sewing wounds and for tying off veins or the like.
Es ist bekanntlich sehr schwierig, einen Körper mit einer Fadenschlinge zu umschließen und dabei auf den Körper eine bleibende Spannung auszuüben. Die Aufgabe ist um so schwieriger lösbar, je unzugänglicher die Abbindstelle ist. Gelegentlich ist die Abbindstelle sogar unsichtbar. In diesem Falle kann man im Augenblick des Verknotens keine Kontrolle dahingehend ausüben, ob der Knoten richtig sitzt und ob die den zu verknotenden Körper umgebende Hauptschlinge unter Spannung steht. Fast unmöglich ist es jedoch, den Hauptfadenschlingen einer ganzen, von Hand herzustellenden Naht dieselbe Spannung zu verleihen. It is well known that it is very difficult to loop a body with a thread to enclose and thereby exert permanent tension on the body. The task is the more difficult to solve, the more inaccessible the setting point. Occasionally the setting point is even invisible. In this case, at the moment of Do not exercise any control over whether the knot is properly seated or not whether the main loop surrounding the body to be tied is under tension. However, it is almost impossible to make the main thread loop of a whole, hand-made thread To give the same tension to the seam.
In allen diesen Fällen ist der einfach aufgebaute und deshalb leicht steril zu haltende Erfindungsgegenstand mit Vorteil anwendbar. Er besteht aus einem Schlingenhalter, der entlang einer Halterführung verstellbar ist, wobei der Schlingenhalter einen Anker zum Anlenken von einem der Fadenenden und eine Führung für eine Fadenschlinge als Hilfe zum Einfädeln des zweiten Fadenendes in diese Fadenschlinge aufweist, während die Halterführung mit einem Widerlager für die Fadenschlingen versehen ist. Mit Hilfe dieser Vorrichtung kann ein Knoten vorbereitet und angezogen werden, ohne daß der Körper angefaßt werden muß. In all of these cases it is simply structured and therefore light Subject of the invention which is to be kept sterile can advantageously be used. It consists of one Loop holder that is adjustable along a holder guide, the loop holder an anchor for the articulation of one of the thread ends and a guide for a thread loop as an aid to threading the second thread end into this thread loop, while the holder guide is provided with an abutment for the thread loops. With the help of this device, a knot can be prepared and tightened without that the body must be handled.
Soll andererseits anschließend der Körper von dem freien Ende des Fadens zwecks Bildung der Hauptfadenschlinge umfaßt werden, so kann die Vorrichtung beiseite gelegt werden. Zum Anziehen des Knotens schließlich wird die Fingerauflage der Vorrichtung so verstellt, daß sich der Abstand zwischen ihr und dem den Knoten anhaltenden Widerlager vergrößert. Der die Vorrichtung benutzende Chirurg ist also während des Verknotens nicht auf sein Fingerspitzengefühl angewesen, sondern hat über diesen Arbeitsgang eine genaue optische Kontrolle. On the other hand, the body should then be removed from the free end of the Thread are included for the purpose of forming the main thread loop, so the device be put aside. Finally, the finger rest is used to tighten the knot the device so adjusts the distance between her and the abutment holding the knot enlarged. The one using the device The surgeon does not have to rely on his instinct during the tying process, but has a precise visual control over this operation.
Zweckmäßig ist es, die mit einer Handstütze versehene Halterführung im Querschnitt rohrförmig, z. B. It is useful to use the holder guide, which is provided with a hand rest tubular in cross section, e.g. B.
U-förmig, zu machen, wobei die Schenkel und der diese verbindende Steg das Lager für den stabförmigen, eine Fingerauflage tragenden Schlingenhalter sind. Ferner ist vorgesehen, zwischen die Handstütze und die Fingerauflage eine gegen einen Ausfederungsanschlag vorgespannte Druckfeder einzubauen.U-shaped, to make, with the legs and the one connecting them Bridge the bearing for the rod-shaped loop holder with a finger rest are. It is also provided between the hand rest and the finger rest a to install a compression spring preloaded against a rebound stop.
Der Schlingenhalter kann in weiterer Ausgestaltung der Erfindung an seinem führungsseitigen Ende in eine Zunge auslaufen, die ein quer zur Verstellachse des Schlingenhalters verlaufendes Loch aufweist und der Länge nach vom Loch in Richtung zu der an der Stirnseite der Zunge angeordneten Rille durchschlitzt ist. The loop holder can in a further embodiment of the invention run out at its guide-side end in a tongue, which is a transverse to the adjustment axis of the loop holder extending hole and lengthwise from the hole in the direction to the groove arranged on the end face of the tongue is slit.
Die Rille führt die Fadenschlinge, durch die das zweite Ende des Fadens hindurchgeführt werden muß, wåhrend des Bildens der den Körper umfassenden Hauptschlinge.The groove leads the thread loop through which the second end of the thread must be passed through while forming the main loop encompassing the body.
Eine besonders wichtige Aufgabe hat das nach der Erfindung an der Vorrichtung angebrachte Spannglied, das die Spannung im Fadenende beim Anziehen des Knotens differenziert, und zwar so, daß die Spannung zwischen dem Spannglied und dem Widerlager kleiner ist als die Spannung zwischen dem Spannglied und dem Anker. Das Spannglied kann der Einfachheit halber aus auf der Halterführung stehenden und als Auflager für das Fadenende dienenden Stiften bestehen. According to the invention, the has a particularly important task Device attached tendon that the tension in the thread end when tightening of the knot differentiated in such a way that the tension between the tendon and the abutment is less than the tension between the tendon and the Anchor. For the sake of simplicity, the tensioning element can stand on the holder guide and there are pins serving as supports for the thread end.
Diese Einrichtung bewirkt, daß der Faden unter allen Umständen außerhalb des Bereiches des Knotens reißt, wenn, was ein Vorteil des Erfindungsgegenstandes ist, die Vorrichtung durch Zerreißen des sie mit dem Körper verbindenden Fadenendes von dem Körper getrennt wird. Es sind also mit Sicherheit beide Enden des Knotens immer so lang, daß ein selbsttätiges Aufgehen des Knotens infolge von zu kurzen Fadenenden unmöglich ist. Schließlich gewährleistet die Vorrichtung, daß der Knoten immer fest sitzt; der Faden reißt immer beim Ausüben eines bestimmten, sich auch in den Knoten hinein fortpflanzenden Zuges an der Fingerauflage.This device causes the thread to be outside under all circumstances the area of the knot tears, if what an advantage of the subject invention the device by tearing the thread end connecting it to the body is separated from the body. So it's definitely both ends of the knot always so long that the knot opens automatically as a result of too short Thread ends is impossible. Finally, the device ensures that the knot always tight; the thread always breaks when exercising a certain one, too into the knot propagating pull on the finger rest.
In der Zeichnung ist ein Ausführungsbeispiel dargestellt. An exemplary embodiment is shown in the drawing.
Abb. I zeigt eine Vorderansicht der Vorrichtung, Abb. 2 die Seitenansicht des den Knoten spannenden Teiles der Vorrichtung, Abb. 3 die Vorrichtung dieses Teiles im Zustand des Bildens der Hauptfadenschlinge und die Abb. 4 bis 7 den Werdegang des Knotens; Abb. 8 zeigt den Querschnitt gemäß Abb. 3, Linie X-X, und Abb. g den Längsschnitt gemäß Abb. 8, Linie y An der im Querschnitt U-förmigen Halterführung I ist die Handstütze 2 befestigt. Die Schenkel und der sie verbindende Steg der Halterführung sowie der Schild Ia, das Widerlager Ib und die Fingerauflage 3a fassen den stabförmigen Schlingenhalter 3 so, daß er nur in Richtung der Pfeile A und B innerhalb der Halterführung verstellbar ist. Die Druckfeder 4 legt den Schlingenhalter 3 über den Ausfederungsanschlag 3' an den Schild Ia an, wenn die Finger die Fingerauflage 3a freigeben. Fig. I shows a front view of the device, Fig. 2 shows the side view of the part of the device tensioning the knot, Fig. 3 the device of this Part in the state of forming the main thread loop and Figs. 4 to 7 show the development of the knot; Fig. 8 shows the cross section according to Fig. 3, line X-X, and Fig. G the Longitudinal section according to Fig. 8, line y on the holder guide, which is U-shaped in cross-section I the hand rest 2 is attached. The legs and the web connecting them Hold the holder guide and the shield Ia, the abutment Ib and the finger rest 3a the rod-shaped loop holder 3 so that it is only in the direction of arrows A and B is adjustable within the holder guide. The compression spring 4 places the loop holder 3 via the rebound stop 3 'to the shield Ia when the fingers touch the finger rest 3a release.
Der Schlingenhalter 3 endet in die Zunge 3b, die mit dem Loch 3 versehen ist. Die Stirnfläche der Zunge 3b weist eine die Fadenschlinge F aufnehmende Rille 3a auf. Ein Schlitz 3 e von der Breite des Durchmessers des Fadens durchschlitzt das stirnfiächenseitige Ende der Zunge 3b Stifte 1 auf dem Schild Ia bilden das Spannglied, das die Spannung in dem Fadenende zwischen dem Anker 3g und dem Widerlager Ib differenziert. The loop holder 3 ends in the tongue 3b, which is provided with the hole 3 is. The end face of the tongue 3b has a groove F receiving the thread loop 3a on. A slot 3 e slits through the width of the diameter of the thread the front end of the tongue 3b pins 1 on the shield Ia form that Tensioning element, the tension in the thread end between the anchor 3g and the abutment Ib differentiated.
Der hakenförmige Bügel Ie (vgl. Abb. 3, 8 und 9) dient als Niederhalter für den Faden und verhindert, daß der Faden aus dem Schlitz des Wideilagers Ib herausspringen kann. The hook-shaped bracket Ie (see. Fig. 3, 8 and 9) serves as a hold-down device for the thread and prevents the thread from jumping out of the slot of the Wideilager Ib can.
Verfahren zum Herstellen eines Knotens mit Hilfe der Vorrichtung bei einem chirurgischen Eingriff Die Schlinge E wird in den Anker 39 eingeführt und daraufhin der Faden an den Stiften 1 e vorbei unter den Bügel I e (vgl. Abb. 8 und 9) gelegt und durch den etwa bis in die Höhe des Schildes Ia hindurchführenden und fadendurchmesserbreiten Schlitz des Widerlagers 1 hindurchgezogen. Dann wird der Faden in die Rille 3d gelegt und über der Zunge 3 eine Schlinge gebildet (vgl. Abb. 4), welche durch Zug in Richtung des Pfeiles J zu dem Teilknoten G leicht zusammengezogen wird. Dabei entsteht auch die Fadenschlinge F (vgl.Method for making a knot with the aid of the device at a surgical procedure The loop E is inserted into the anchor 39 and then the thread past the pins 1 e under the bracket I e (see. Fig. 8 and 9) and through the leading up to the level of the shield Ia and Thread diameter-wide slot of the abutment 1 pulled through. Then the The thread is placed in the groove 3d and a loop is formed over the tongue 3 (see Fig. 4), which are slightly contracted by pulling in the direction of arrow J to the partial node G. will. This also creates the thread loop F (cf.
Abb. 5). Daraufhin umfaßt man mit der Nadel N am freien Fadenende M den Körper K, der abgebunden werden soll, und führt die Nadel N unter Bildung der Hauptschlinge H in Richtung des Pfeiles W (vgl.Fig. 5). Then you grasp with the needle N at the free end of the thread M the body K to be tied off and guides the needle N to form the main loop H in the direction of arrow W (cf.
Abb. 6) durch die Fadenschlinge F und durch das Loch 3e 3" hindurch (vgl. Abb. 3) und zieht die Schlinge H eng an (vgl. Abb. 7).Fig. 6) through the thread loop F and through the hole 3e 3 " (see Fig. 3) and pulls the loop H tightly (see Fig. 7).
Nun kommt die Vorrichtung in der Weise zur Wirkung, daß die Fingerauflage 3 unter gleichzeitigem Loslassen des freien Fadenendes M in Richtung des Pfeiles A verstellt wird. Dabei gibt die Zunge 3b die Fadenschlinge F frei. Die Fadenschlinge F wird nach oben gezogen und der Teilknoten (; vom Widerlager 1b darübergestreift. Dieser Vorgang, bei welchem sich die Hauptschlinge H um den Körper A noch mehr verengt, bildet die Verschlingung Z (vgl. Abb. 7) für den endgültigen Knoten, der durch weiteren Zug an der Fingerauflage in Richtung A stramm angezogen wird, bis bei endgültigem Kraftschluß zwischen dem Wörper K, der Hauptschlinge H und der Verschlingung Z schließlich der Faden reißt (Trennstelle T). Now the device comes into effect in such a way that the finger rest 3 while releasing the free thread end M in the direction of the arrow A is adjusted. The tongue 3b releases the thread loop F here. The thread loop F is pulled up and the partial node (; slipped over it from the abutment 1b. This process, in which the main loop H around the body A narrows even more, forms the loop Z (see Fig. 7) for the final knot, which is followed by further Pull on the finger rest in direction A is tightened until at final Finally, there is a frictional connection between the body K, the main loop H and the loop Z the thread breaks (cutting point T).
Die Bremswirkung der Stifte Ie, um welche der Faden gelegt ist, bewirkt, daß die Zugkraft im Faden zwischen dem oberen Stift I G und der SchlingeE größer ist als zwischen dem unteren Stift 1 und der Verschlingung X. Der Faden reißt deshalb nie unmittelbar im bzw. neben dem Knoten, sondern an der Trennstelle T, die sich praktisch nur wenige Millimeter vom Knoten entfernt oberhalb des Stiftes 10 befindet. Das Trennen des Fadens durch Abreißen ist neben dem Vorteil der einfachen Handhabung deshalb sehr wichtig, weil es die Kontrolle darstellt, daß Kraftschluß in der Verschlingung Z vorhanden ist und dieser mit Sicherheit gut sitzt. Das zweite (freie) Ende M des Fadens wird mit der Schere abgeschnitten (Trennstellev Der Chirurg hält also, wenn er mit der Nadel N die Hauptschlinge H um den Körper K legt, die Nadel N mit einer Zange; er darf nun die Nadel nicht loslassen, da er sie dann möglicherweise nur schlecht wieder ausfindig machen könnte. Der Chirurg muß deshalb die Nadel mit einer zweiten Zange fassen und vollends aus dem Körper herausziehen. Dann kann die Vorrichtung beiseite gelegt werden. Der Chirurg kann dann in an sich bekannter Weise die Schlinge machen oder aber die Vorrichtung an Stelle einer zweiten Zange verwenden, wobei die Nadel in das Loch 3c eingeführt wird. The braking effect of the pins Ie, around which the thread is placed, causes that the tensile force in the thread between the upper pin I G and the loop E is greater is than between the lower pin 1 and the loop X. The thread therefore breaks never directly in or next to the node, but at the separation point T, which is practically just a few millimeters from the knot above the pin 10. Separating the thread by tearing it off has the advantage of being easy to use This is very important because it is the control that frictional connection in the loop Z is present and it is sure to fit well. The second (free) end M of the The thread is cut with scissors (cutting point v The surgeon So if he puts the main loop H around the body K with the needle N, the Needle N with pliers; he must now not let go of the needle, as he may then hard to find again. The surgeon must therefore take the needle with him grasp with a second pair of pliers and pull it completely out of the body. Then the Device to be set aside. The surgeon can then in a manner known per se make the loop or use the device instead of a second pair of pliers, the needle is inserted into the hole 3c.
Durch Zug an der Fingerauflage 3a in Richtung A wird die Nadel N zwischen der Zunge 3 des Schlingenhalters und der Halterführung festgeklemmt.By pulling the finger rest 3a in direction A, the needle N is between the tongue 3 of the loop holder and the holder guide clamped.
Der Steg der Halterführung I ist deshalb um den Ansatz Id bis an das Loch 3 verlängert worden (vgl. The web of the holder guide I is therefore around the approach Id up to hole 3 has been lengthened (cf.
Abb. I bis 3), damit bei diesem Festklemmen die Fingerauflage 3 keinen großen Verstellhub in Richtung A ausführen muß.Fig. I to 3), so that the finger rest 3 does not have any must perform a large adjustment stroke in direction A.
Claims (6)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DEH11899A DE912619C (en) | 1952-03-22 | 1952-03-22 | Device for producing and tightening a knot formed from loops of thread and comprising a body |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DEH11899A DE912619C (en) | 1952-03-22 | 1952-03-22 | Device for producing and tightening a knot formed from loops of thread and comprising a body |
Publications (1)
Publication Number | Publication Date |
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DE912619C true DE912619C (en) | 1954-05-31 |
Family
ID=7146843
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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DEH11899A Expired DE912619C (en) | 1952-03-22 | 1952-03-22 | Device for producing and tightening a knot formed from loops of thread and comprising a body |
Country Status (1)
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DE (1) | DE912619C (en) |
Cited By (42)
Publication number | Priority date | Publication date | Assignee | Title |
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US5192287A (en) * | 1991-04-05 | 1993-03-09 | American Cyanamid Company | Suture knot tying device |
EP0559429A1 (en) * | 1992-03-03 | 1993-09-08 | Ethicon, Inc. | Suture-needle combination |
US5336229A (en) * | 1993-02-09 | 1994-08-09 | Laparomed Corporation | Dual ligating and dividing apparatus |
US5391176A (en) * | 1993-06-02 | 1995-02-21 | General Surgical Innovations, Inc. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5417702A (en) * | 1992-08-28 | 1995-05-23 | Ethicon, Inc. | Surgical cutting device |
US5439470A (en) * | 1992-10-09 | 1995-08-08 | Li Medical Technologies, Inc. | Suture throw rundown tool |
US5527323A (en) * | 1993-06-02 | 1996-06-18 | General Surgical Innovations, Inc. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5676675A (en) * | 1992-09-10 | 1997-10-14 | Grice; O. Drew | Laparo-suture needle and method for use thereof |
US5681331A (en) * | 1993-06-02 | 1997-10-28 | De La Torre; Roger A. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5728109A (en) * | 1997-04-08 | 1998-03-17 | Ethicon Endo-Surgery, Inc. | Surgical knot and method for its formation |
US5749898A (en) * | 1997-04-08 | 1998-05-12 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
US5814069A (en) * | 1997-04-08 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Load assist device for a suture cartridge |
EP0870471A1 (en) | 1997-04-08 | 1998-10-14 | Ethicon Endo-Surgery, Inc. | Partially tied surgical knot |
US5846254A (en) * | 1997-04-08 | 1998-12-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
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US5897564A (en) * | 1997-04-08 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Endoscopic instrument assembly for fastening tissue |
WO2003051204A1 (en) * | 2001-12-15 | 2003-06-26 | Aesculap Ag & Co. Kg | Surgical device for pushing a thread loop together |
US7670361B2 (en) | 2001-06-15 | 2010-03-02 | Aesculap Ag | Implant for fixing bone plates |
US7837696B2 (en) | 1999-03-04 | 2010-11-23 | Abbott Laboratories | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US7842049B2 (en) | 2002-12-31 | 2010-11-30 | Abbott Laboratories | Systems for anchoring a medical device in a body lumen |
US7842047B2 (en) | 1999-03-04 | 2010-11-30 | Abbott Laboratories | Articulating suturing device and method |
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US8267947B2 (en) | 2005-08-08 | 2012-09-18 | Abbott Laboratories | Vascular suturing device |
US8403929B2 (en) | 2004-08-04 | 2013-03-26 | Aesculap Ag | Implant for securing neighboring bone plates |
US8419753B2 (en) | 2003-12-23 | 2013-04-16 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US8535314B2 (en) | 1999-10-30 | 2013-09-17 | Aesculap Ag | Surgical connecting element for fixing adjacently arranged bone plates |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
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 |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
WO2019083894A1 (en) * | 2017-10-24 | 2019-05-02 | University Of Maryland, Baltimore | Method and apparatus for cardiac procedures |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
-
1952
- 1952-03-22 DE DEH11899A patent/DE912619C/en not_active Expired
Cited By (83)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5192287A (en) * | 1991-04-05 | 1993-03-09 | American Cyanamid Company | Suture knot tying device |
EP0559429A1 (en) * | 1992-03-03 | 1993-09-08 | Ethicon, Inc. | Suture-needle combination |
US5417702A (en) * | 1992-08-28 | 1995-05-23 | Ethicon, Inc. | Surgical cutting device |
US5676675A (en) * | 1992-09-10 | 1997-10-14 | Grice; O. Drew | Laparo-suture needle and method for use thereof |
US5439470A (en) * | 1992-10-09 | 1995-08-08 | Li Medical Technologies, Inc. | Suture throw rundown tool |
US5336229A (en) * | 1993-02-09 | 1994-08-09 | Laparomed Corporation | Dual ligating and dividing apparatus |
US5391176A (en) * | 1993-06-02 | 1995-02-21 | General Surgical Innovations, Inc. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5527323A (en) * | 1993-06-02 | 1996-06-18 | General Surgical Innovations, Inc. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5681331A (en) * | 1993-06-02 | 1997-10-28 | De La Torre; Roger A. | Surgical instrument for tying a knot in a length of suture at a remote location |
US5749898A (en) * | 1997-04-08 | 1998-05-12 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
US5728109A (en) * | 1997-04-08 | 1998-03-17 | Ethicon Endo-Surgery, Inc. | Surgical knot and method for its formation |
US5814069A (en) * | 1997-04-08 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Load assist device for a suture cartridge |
EP0870470A1 (en) | 1997-04-08 | 1998-10-14 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
EP0870471A1 (en) | 1997-04-08 | 1998-10-14 | Ethicon Endo-Surgery, Inc. | Partially tied surgical knot |
EP0870469A1 (en) * | 1997-04-08 | 1998-10-14 | Ethicon Endo-Surgery, Inc. | Surgical knot and method for its formation |
US5846254A (en) * | 1997-04-08 | 1998-12-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
US5871490A (en) * | 1997-04-08 | 1999-02-16 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
US5893592A (en) * | 1997-04-08 | 1999-04-13 | Ethicon Endo-Surgery, Inc. | Partially tied surgical knot |
US5897564A (en) * | 1997-04-08 | 1999-04-27 | Ethicon Endo-Surgery, Inc. | Endoscopic instrument assembly for fastening tissue |
AU726290B2 (en) * | 1997-04-08 | 2000-11-02 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
EP0887045A1 (en) | 1997-06-25 | 1998-12-30 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
EP0930048A2 (en) | 1997-10-09 | 1999-07-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument for forming a knot |
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US9301747B2 (en) | 1999-03-04 | 2016-04-05 | Abbott Laboratories | Articulating suturing device and method |
US8057491B2 (en) | 1999-03-04 | 2011-11-15 | Abbott Laboratories | Articulating suturing device and method |
US8535314B2 (en) | 1999-10-30 | 2013-09-17 | Aesculap Ag | Surgical connecting element for fixing adjacently arranged bone plates |
US8048130B2 (en) | 2001-06-15 | 2011-11-01 | Aesculap Ag | Implant for fixing bone plates |
US7670361B2 (en) | 2001-06-15 | 2010-03-02 | Aesculap Ag | Implant for fixing bone plates |
US7160310B2 (en) | 2001-12-15 | 2007-01-09 | Aesculap Ag & Co. Kg | Surgical device for pushing together a thread loop |
WO2003051204A1 (en) * | 2001-12-15 | 2003-06-26 | Aesculap Ag & Co. Kg | Surgical device for pushing a thread loop together |
US9889276B2 (en) | 2002-12-31 | 2018-02-13 | Abbott Laboratories | Systems for anchoring a medical device in a body lumen |
US8202281B2 (en) | 2002-12-31 | 2012-06-19 | Abbott Laboratories | Systems for anchoring a medical device in a body lumen |
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US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
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US9375211B2 (en) | 2003-12-23 | 2016-06-28 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
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US8986352B2 (en) | 2004-08-04 | 2015-03-24 | Aesculap Ag | Implant for securing neighboring bone plates |
US8403929B2 (en) | 2004-08-04 | 2013-03-26 | Aesculap Ag | Implant for securing neighboring bone plates |
US8267947B2 (en) | 2005-08-08 | 2012-09-18 | Abbott Laboratories | Vascular suturing device |
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US8083754B2 (en) | 2005-08-08 | 2011-12-27 | Abbott Laboratories | Vascular suturing device with needle capture |
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US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US8252008B2 (en) | 2006-08-18 | 2012-08-28 | Abbott Laboratories | Articulating suturing device and method |
US8430893B2 (en) | 2006-08-18 | 2013-04-30 | Abbott Laboratories | Articulating suturing device and method |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
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 |
US10463353B2 (en) | 2010-09-01 | 2019-11-05 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US11154293B2 (en) | 2012-04-10 | 2021-10-26 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US10980531B2 (en) | 2012-05-31 | 2021-04-20 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US10111653B2 (en) | 2012-05-31 | 2018-10-30 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US11839351B2 (en) | 2012-05-31 | 2023-12-12 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
WO2019083894A1 (en) * | 2017-10-24 | 2019-05-02 | University Of Maryland, Baltimore | Method and apparatus for cardiac procedures |
CN111372525A (en) * | 2017-10-24 | 2020-07-03 | 马里兰大学巴尔的摩分校 | Method and apparatus for cardiac procedures |
US11065120B2 (en) | 2017-10-24 | 2021-07-20 | University Of Maryland, Baltimore | Method and apparatus for cardiac procedures |
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US11833048B2 (en) | 2017-10-24 | 2023-12-05 | Harpoon Medical, Inc. | Method and apparatus for cardiac procedures |
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