HK1110191A1 - 縫合鎖定裝置 - Google Patents

縫合鎖定裝置

Info

Publication number
HK1110191A1
HK1110191A1 HK08101045.5A HK08101045A HK1110191A1 HK 1110191 A1 HK1110191 A1 HK 1110191A1 HK 08101045 A HK08101045 A HK 08101045A HK 1110191 A1 HK1110191 A1 HK 1110191A1
Authority
HK
Hong Kong
Prior art keywords
locking device
suture locking
suture
locking
Prior art date
Application number
HK08101045.5A
Other languages
English (en)
Inventor
Michael J Stokes
Sean P Conlon
Matthew D Holcomb
Original Assignee
Ethicon Endo Surgery 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 Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of HK1110191A1 publication Critical patent/HK1110191A1/zh

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
    • A61B17/0487—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
    • A61B17/0469—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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture 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
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
HK08101045.5A 2006-05-19 2008-01-25 縫合鎖定裝置 HK1110191A1 (zh)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/437,440 US20070270907A1 (en) 2006-05-19 2006-05-19 Suture locking device

Publications (1)

Publication Number Publication Date
HK1110191A1 true HK1110191A1 (zh) 2008-07-11

Family

ID=38476009

Family Applications (1)

Application Number Title Priority Date Filing Date
HK08101045.5A HK1110191A1 (zh) 2006-05-19 2008-01-25 縫合鎖定裝置

Country Status (9)

Country Link
US (1) US20070270907A1 (zh)
EP (1) EP1857055B1 (zh)
JP (1) JP5122181B2 (zh)
CN (1) CN101073507B (zh)
AU (1) AU2007202244B2 (zh)
BR (1) BRPI0704501B8 (zh)
CA (1) CA2589571C (zh)
HK (1) HK1110191A1 (zh)
MX (1) MX2007006073A (zh)

Families Citing this family (111)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8632590B2 (en) 1999-10-20 2014-01-21 Anulex Technologies, Inc. Apparatus and methods for the treatment of the intervertebral disc
US7615076B2 (en) 1999-10-20 2009-11-10 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US8128698B2 (en) 1999-10-20 2012-03-06 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7004970B2 (en) 1999-10-20 2006-02-28 Anulex Technologies, Inc. Methods and devices for spinal disc annulus reconstruction and repair
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US20090024144A1 (en) 2007-07-18 2009-01-22 Zeiner Mark S Hybrid endoscopic/laparoscopic device for forming serosa to serosa plications in a gastric cavity
JP2009082692A (ja) 2007-07-18 2009-04-23 Ethicon Endo Surgery Inc 患者の胃腔内部にガスを注入するための装置
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US8162978B2 (en) * 2008-03-25 2012-04-24 Linvatec Corporation Non-metallic knotless suture anchor
US8409252B2 (en) * 2008-03-25 2013-04-02 Linvatec Corporation Knotless suture anchor
US8317806B2 (en) * 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8709040B2 (en) 2008-06-26 2014-04-29 Vitasynergies, Llc Suture anchor, guide for locating a hole in a bone, and suture anchor delivery tool
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8163022B2 (en) 2008-10-14 2012-04-24 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8317827B2 (en) * 2009-01-07 2012-11-27 Ethicon Endo-Surgery, Inc. Suturing devices and methods
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US10426456B2 (en) 2009-07-17 2019-10-01 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US11197663B2 (en) 2009-07-17 2021-12-14 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10136884B2 (en) 2009-07-17 2018-11-27 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath
US9149268B2 (en) 2009-07-17 2015-10-06 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US9179905B2 (en) 2009-07-17 2015-11-10 Pivot Medical, Inc. Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system
US10238379B2 (en) 2009-07-17 2019-03-26 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US11246585B2 (en) 2009-07-17 2022-02-15 Stryker Puerto Rico Limited Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
US10058319B2 (en) 2009-07-17 2018-08-28 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8652153B2 (en) 2010-01-11 2014-02-18 Anulex Technologies, Inc. Intervertebral disc annulus repair system and bone anchor delivery tool
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8469998B2 (en) 2010-08-30 2013-06-25 Depuy Mitek, Llc Knotless suture anchor
US8435264B2 (en) * 2010-08-30 2013-05-07 Depuy Mitek, Llc Knotless suture anchor and driver
US8460340B2 (en) 2010-08-30 2013-06-11 Depuy Mitek, Llc Knotless suture anchor
US8540735B2 (en) * 2010-12-16 2013-09-24 Apollo Endosurgery, Inc. Endoscopic suture cinch system
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US20120232567A1 (en) * 2011-03-10 2012-09-13 Boston Scientific Scimed, Inc. Flexible suturing instrument
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
JP2014529307A (ja) 2011-06-29 2014-11-06 ピボット・メディカル，インコーポレーテッド 新規な縫合糸アンカーシステムの提供および使用を含む、関節唇を寛骨臼に再縫着するための方法および装置
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9078645B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US9078652B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Side-entry knotless suture anchoring clamps and deployment tools
US9017347B2 (en) 2011-12-22 2015-04-28 Edwards Lifesciences Corporation Suture clip deployment devices
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9498202B2 (en) 2012-07-10 2016-11-22 Edwards Lifesciences Corporation Suture securement devices
US10016193B2 (en) 2013-11-18 2018-07-10 Edwards Lifesciences Ag Multiple-firing crimp device and methods for using and manufacturing same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9737294B2 (en) 2013-01-28 2017-08-22 Cartiva, Inc. Method and system for orthopedic repair
US10179012B2 (en) 2013-01-28 2019-01-15 Cartiva, Inc. Systems and methods for orthopedic repair
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
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
US10292694B2 (en) 2013-04-22 2019-05-21 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone
US9936940B2 (en) * 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9468527B2 (en) 2013-06-12 2016-10-18 Edwards Lifesciences Corporation Cardiac implant with integrated suture fasteners
US10188383B2 (en) 2013-07-09 2019-01-29 Edwards Lifesciences Corporation Suture clip deployment devices
WO2015006739A1 (en) 2013-07-11 2015-01-15 Edwards Lifesciences Corporation Knotless suture fastener installation system
EP3079604B8 (en) 2013-12-12 2022-09-07 Stryker Puerto Rico, LLC Apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system
KR101574768B1 (ko) * 2014-02-17 2015-12-04 동국대학교 산학협력단 의료 시술용 와이어 고정장치
WO2015183749A1 (en) 2014-05-30 2015-12-03 Edwards Lifesciences Corporation Systems for securing sutures
US10085735B2 (en) * 2014-10-29 2018-10-02 Smith & Nephew, Inc. Modular tissue repair kit and devices and method related thereto
CN108135593B (zh) 2014-12-10 2020-12-11 爱德华兹生命科学股份公司 多次发射固定装置及其使用和制造方法
US10470759B2 (en) 2015-03-16 2019-11-12 Edwards Lifesciences Corporation Suture securement devices
CN104706391B (zh) * 2015-03-26 2017-06-20 诺琅医疗科技（上海）有限公司 一种可以切割缝合线的垫片锁紧导管
GB2547915B (en) * 2016-03-02 2018-05-23 Cook Medical Technologies Llc Medical Filament delivery apparatus
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
WO2018189902A1 (ja) 2017-04-14 2018-10-18 オリンパス株式会社 糸固定具
WO2018189903A1 (ja) 2017-04-14 2018-10-18 オリンパス株式会社 糸固定具
CA3065223C (en) * 2017-06-19 2024-05-07 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
CN112294376B (zh) * 2019-08-29 2021-12-28 杭州德晋医疗科技有限公司 一种用于锁紧缝线的锁钉及介入式远程缝线锁结装置
CN112426188B (zh) * 2020-11-20 2021-09-17 中国人民解放军陆军军医大学第一附属医院 一种医用剪刀

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5584835A (en) * 1993-10-18 1996-12-17 Greenfield; Jon B. Soft tissue to bone fixation device and method
JP2605606B2 (ja) * 1993-12-06 1997-04-30 日本電気株式会社 列車無線通信システム
US5545178A (en) * 1994-04-29 1996-08-13 Kensey Nash Corporation System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating
US6086608A (en) * 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
JP2001502190A (ja) * 1996-02-22 2001-02-20 スミス アンド ネフュー インコーポレーテッド 縫合糸コレット
US5902321A (en) * 1997-07-25 1999-05-11 Innovasive Devices, Inc. Device and method for delivering a connector for surgically joining and securing flexible tissue repair members
US5871504A (en) * 1997-10-21 1999-02-16 Eaton; Katulle Koco Anchor assembly and method for securing ligaments to bone
US6200329B1 (en) * 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US7993368B2 (en) * 2003-03-13 2011-08-09 C.R. Bard, Inc. Suture clips, delivery devices and methods
US6524328B2 (en) * 2001-04-12 2003-02-25 Scion International, Inc. Suture lock, lock applicator and method therefor
US7189238B2 (en) * 2002-09-25 2007-03-13 Linvatec Corporation Soft tissue anchor
US7255675B2 (en) * 2004-03-23 2007-08-14 Michael Gertner Devices and methods to treat a patient

Also Published As

Publication number Publication date
JP5122181B2 (ja) 2013-01-16
MX2007006073A (es) 2009-01-09
EP1857055B1 (en) 2016-04-06
CA2589571A1 (en) 2007-11-19
CA2589571C (en) 2016-08-16
BRPI0704501A (pt) 2008-04-22
BRPI0704501B8 (pt) 2021-06-22
EP1857055A3 (en) 2010-03-24
EP1857055A2 (en) 2007-11-21
CN101073507A (zh) 2007-11-21
CN101073507B (zh) 2011-06-15
BRPI0704501B1 (pt) 2018-11-27
US20070270907A1 (en) 2007-11-22
AU2007202244A1 (en) 2007-12-06
JP2007313316A (ja) 2007-12-06
AU2007202244B2 (en) 2012-07-26

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Legal Events

Date Code Title Description
PC Patent ceased (i.e. patent has lapsed due to the failure to pay the renewal fee)

Effective date: 20200524