JP5957457B2 - 外科的アクセスを提供するためのシステム - Google Patents

外科的アクセスを提供するためのシステム Download PDF

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Publication number
JP5957457B2
JP5957457B2 JP2013530235A JP2013530235A JP5957457B2 JP 5957457 B2 JP5957457 B2 JP 5957457B2 JP 2013530235 A JP2013530235 A JP 2013530235A JP 2013530235 A JP2013530235 A JP 2013530235A JP 5957457 B2 JP5957457 B2 JP 5957457B2
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JP
Japan
Prior art keywords
helical
suture
item
anchor
distal
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 - Fee Related
Application number
JP2013530235A
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English (en)
Japanese (ja)
Other versions
JP2013537840A5 (enExample
JP2013537840A (ja
Inventor
シャンリー，　ジョン　エフ．
ジョン エフ． シャンリー，
スティーブン エイチ． ディアズ，
スティーブン エイチ． ディアズ，
アラン イー． シュルーザス，
アラン イー． シュルーザス，
フランク リトヴァック，
フランク リトヴァック，
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.)
Entourage Medical Technologies inc
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Entourage Medical Technologies inc
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Filing date
Publication date
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Publication of JP2013537840A publication Critical patent/JP2013537840A/ja
Publication of JP2013537840A5 publication Critical patent/JP2013537840A5/ja
Application granted granted Critical
Publication of JP5957457B2 publication Critical patent/JP5957457B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
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    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
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    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
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    • A61B90/08—Accessories or related features not otherwise provided for
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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    • A61B2017/00646—Type of implements
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    • A61B2017/0409—Instruments for applying suture anchors
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    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
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    • 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
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • A61B2017/0443—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws the shaft being resilient and having a coiled or helical shape in the released state
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    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • A—HUMAN NECESSITIES
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    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth
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    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
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    • A61B2090/0807—Indication means
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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    • A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • A61B2090/3735—Optical coherence tomography [OCT]

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
JP2013530235A 2010-09-20 2011-09-20 外科的アクセスを提供するためのシステム Expired - Fee Related JP5957457B2 (ja)

Applications Claiming Priority (17)

Application Number Priority Date Filing Date Title
US38465910P 2010-09-20 2010-09-20
US61/384,659 2010-09-20
US201161484175P 2011-05-09 2011-05-09
US61/484,175 2011-05-09
US13/214,092 US20120071921A1 (en) 2010-09-20 2011-08-19 System for providing surgical access
US13/214,095 2011-08-19
US13/214,088 US9782168B2 (en) 2010-09-20 2011-08-19 System for providing surgical access
US13/214,079 2011-08-19
US13/214,092 2011-08-19
US13/214,095 US20120071922A1 (en) 2010-09-20 2011-08-19 System for providing surgical access
US13/214,109 2011-08-19
US13/214,088 2011-08-19
US13/214,121 US20120089159A1 (en) 2010-09-20 2011-08-19 System for tensioning a surgical closure
US13/214,121 2011-08-19
US13/214,109 US8939936B2 (en) 2010-09-20 2011-08-19 System for providing surgical access
US13/214,079 US9675338B2 (en) 2010-09-20 2011-08-19 System for providing surgical access
PCT/US2011/052404 WO2012040233A2 (en) 2010-09-20 2011-09-20 System for providing surgical access

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2016000275A Division JP2016041385A (ja) 2010-09-20 2016-01-04 外科的アクセスを提供するためのシステム

Publications (3)

Publication Number Publication Date
JP2013537840A JP2013537840A (ja) 2013-10-07
JP2013537840A5 JP2013537840A5 (enExample) 2014-11-06
JP5957457B2 true JP5957457B2 (ja) 2016-07-27

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Application Number Title Priority Date Filing Date
JP2013530235A Expired - Fee Related JP5957457B2 (ja) 2010-09-20 2011-09-20 外科的アクセスを提供するためのシステム
JP2016000275A Withdrawn JP2016041385A (ja) 2010-09-20 2016-01-04 外科的アクセスを提供するためのシステム

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2016000275A Withdrawn JP2016041385A (ja) 2010-09-20 2016-01-04 外科的アクセスを提供するためのシステム

Country Status (7)

Country Link
US (18) US20120071922A1 (enExample)
EP (1) EP2618742A2 (enExample)
JP (2) JP5957457B2 (enExample)
CN (1) CN103298414A (enExample)
AU (2) AU2011305571A1 (enExample)
CA (1) CA2811887A1 (enExample)
WO (1) WO2012040233A2 (enExample)

Families Citing this family (114)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9138228B2 (en) 2004-08-11 2015-09-22 Emory University Vascular conduit device and system for implanting
US9402633B2 (en) 2006-03-13 2016-08-02 Pneumrx, Inc. Torque alleviating intra-airway lung volume reduction compressive implant structures
US9232959B2 (en) 2007-01-02 2016-01-12 Aquabeam, Llc Multi fluid tissue resection methods and devices
US12290277B2 (en) 2007-01-02 2025-05-06 Aquabeam, Llc Tissue resection with pressure sensing
US8814921B2 (en) 2008-03-06 2014-08-26 Aquabeam Llc Tissue ablation and cautery with optical energy carried in fluid stream
US7846123B2 (en) 2007-04-24 2010-12-07 Emory University Conduit device and system for implanting a conduit device in a tissue wall
JP5735928B2 (ja) 2009-03-14 2015-06-17 バソスティッチ， インコーポレイテッド 血管アクセスおよび閉鎖デバイス
US20120035654A1 (en) * 2009-03-14 2012-02-09 Vasostitch, Inc. Methods and systems for advancing and anchoring suture in tissue
US9682180B2 (en) * 2009-11-15 2017-06-20 Thoratec Corporation Attachment system, device and method
US20110118833A1 (en) * 2009-11-15 2011-05-19 Thoratec Corporation Attachment device and method
US20110118829A1 (en) * 2009-11-15 2011-05-19 Thoratec Corporation Attachment device and method
US9307980B2 (en) 2010-01-22 2016-04-12 4Tech Inc. Tricuspid valve repair using tension
AU2011265192B2 (en) 2010-06-11 2016-07-14 Entourage Medical Technologies, Inc. System and method for transapical access and closure
CN103118605B (zh) 2010-06-26 2016-07-27 瓦索斯蒂奇股份有限公司 用于经心尖进入和闭合的方法和装置
US20120071922A1 (en) 2010-09-20 2012-03-22 Shanley John F System for providing surgical access
CA2824936A1 (en) 2011-01-28 2012-08-02 Apica Cardiovascular Limited Systems for sealing a tissue wall puncture
WO2012106422A2 (en) 2011-02-01 2012-08-09 Georgia Tech Research Corporation Systems for implanting and using a conduit within a tissue wall
EP2677943B1 (en) 2011-02-25 2016-08-31 Thoratec Corporation Coupling system for connecting a conduit to biological tissue
WO2012158919A2 (en) 2011-05-18 2012-11-22 Thoratec Corporation Coring knife
WO2013027107A1 (en) * 2011-08-23 2013-02-28 Simcha Milo Device for creating temporary access and then closure
EP2567663A1 (en) * 2011-09-09 2013-03-13 Occlutech Holding AG A collapsible medical closing device, a method and a medical system for delivering an object
CN104203078B (zh) 2012-02-29 2018-04-20 普罗赛普特生物机器人公司 自动化图像引导的组织切除和处理
WO2013162741A1 (en) 2012-04-23 2013-10-31 Thoratec Corporation Engagement device and method for deployment of anastomotic clips
EP2674109A1 (en) * 2012-06-15 2013-12-18 Endo Tools Therapeutics S.A. Endoscopic surgical apparatus
CN102727267B (zh) * 2012-07-06 2014-03-12 东南大学 一种用于膝关节镜手术的半月板缝合针
WO2014068574A1 (en) * 2012-11-03 2014-05-08 Novogate Medical Ltd. Intercostal delivery system and methods thereof
US9730793B2 (en) * 2012-12-06 2017-08-15 Valtech Cardio, Ltd. Techniques for guide-wire based advancement of a tool
US10231867B2 (en) 2013-01-18 2019-03-19 Auris Health, Inc. Method, apparatus and system for a water jet
EP2948104B1 (en) 2013-01-25 2019-07-24 Apica Cardiovascular Limited Systems for percutaneous access, stabilization and closure of organs
US9610076B2 (en) 2013-02-15 2017-04-04 Cook Medical Technologies Llc Wound closure device
KR20150132130A (ko) * 2013-03-15 2015-11-25 늄알엑스, 인코퍼레이티드 토크 경감 기도내 폐 용적 감소 압축성 임플란트 구조체
EP2968717A4 (en) 2013-03-15 2017-02-22 Apk Advanced Medical Technologies, Inc. Devices, systems, and methods for implanting and using a connnector in a tissue wall
WO2014201165A1 (en) 2013-06-11 2014-12-18 Auris Surgical Robotics, Inc. System for robotic assisted cataract surgery
US10426661B2 (en) 2013-08-13 2019-10-01 Auris Health, Inc. Method and apparatus for laser assisted cataract surgery
US9301746B2 (en) 2013-10-11 2016-04-05 Abbott Cardiovascular Systems, Inc. Suture-based closure with hemostatic tract plug
CN105960208A (zh) * 2013-10-29 2016-09-21 随行医疗技术公司 用于提供外科手术介入的系统
KR101548646B1 (ko) * 2014-01-21 2015-09-01 가톨릭관동대학교산학협력단 트랜스-플랫폼 장치 및 그의 용도
US11246583B2 (en) * 2014-06-18 2022-02-15 Boston Scientific Scimed, Inc. Insertion devices, anchors, and methods for securing an implant
EP3174472A4 (en) * 2014-07-31 2018-02-28 Vasostitch, Inc. Systems and methods for helically advancing suture in tissue
WO2016018434A1 (en) * 2014-08-01 2016-02-04 Vadovations, Inc. Coring dilator for defining an aperture in a tissue wall
WO2016070025A1 (en) 2014-10-31 2016-05-06 Thoratec Corporation Apical connectors and instruments for use in a heart wall
EP3232941B1 (en) 2014-12-19 2023-11-08 Meacor, Inc. Surgical system
US20160287279A1 (en) 2015-04-01 2016-10-06 Auris Surgical Robotics, Inc. Microsurgical tool for robotic applications
CA2895713C (en) 2015-05-27 2017-12-19 Lewis Pearce BRANTHOVER Suture anchor management
US9993242B2 (en) 2015-05-28 2018-06-12 Wright Medical Technology, Inc. Suture anchor management
WO2017033113A1 (en) 2015-08-21 2017-03-02 Acerta Pharma B.V. Therapeutic combinations of a mek inhibitor and a btk inhibitor
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US10231793B2 (en) 2015-10-30 2019-03-19 Auris Health, Inc. Object removal through a percutaneous suction tube
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
US9610152B1 (en) * 2015-11-24 2017-04-04 Hsu-Wei Fang Kit for introducing a bladder into a body pocket
EP3397209A4 (en) * 2015-12-30 2019-11-27 Pipeline Medical Technologies, Inc. Mitral tethering
DE102016101937A1 (de) * 2016-02-04 2017-08-10 Doci Innovations GmbH Medizinisches Gerät
US9861410B2 (en) 2016-05-06 2018-01-09 Medos International Sarl Methods, devices, and systems for blood flow
US10595951B2 (en) * 2016-08-15 2020-03-24 Covidien Lp Force sensor for surgical devices
EP3518728B1 (en) 2016-09-30 2021-10-27 Ambu A/S An endoscope
US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US11696828B2 (en) 2016-12-30 2023-07-11 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
CN108934160B (zh) * 2017-03-28 2021-08-31 奥瑞斯健康公司 轴致动手柄
EP3603727B1 (en) * 2017-03-31 2023-10-04 Terumo Kabushiki Kaisha Guide wire, medical device
IT201700038786A1 (it) * 2017-04-07 2018-10-07 Mascia Brunelli S P A Dispositivo per la chiusura di un sito trocar
JP7138166B2 (ja) * 2017-06-09 2022-09-15 シグナム・サージカル・リミテッド 組織内の開口を閉じるためのインプラント
CN111818856A (zh) 2018-01-05 2020-10-23 米特瑞克斯公司 荷包缝合牵开器和使用方法
MX2020013241A (es) 2018-06-07 2021-02-22 Auris Health Inc Sistemas medicos roboticos con instrumentos de gran fuerza.
US11399905B2 (en) 2018-06-28 2022-08-02 Auris Health, Inc. Medical systems incorporating pulley sharing
US11571205B2 (en) 2018-07-16 2023-02-07 Cilag Gmbh International Surgical visualization feedback system
US10576248B2 (en) * 2018-07-23 2020-03-03 Crossbay Medical, Inc. Apparatus and method for everting catheter for uterine access for biopsy and cytology
US20200038089A1 (en) * 2018-07-31 2020-02-06 Ethicon, Inc. Tissue resection apparatus
WO2020036685A1 (en) 2018-08-15 2020-02-20 Auris Health, Inc. Medical instruments for tissue cauterization
CN112770689B (zh) 2018-09-26 2024-07-19 奥瑞斯健康公司 用于抽吸和冲洗的系统和器械
WO2020076447A1 (en) 2018-10-08 2020-04-16 Auris Health, Inc. Systems and instruments for tissue sealing
EP3870075B1 (en) 2018-12-20 2025-06-11 Auris Health, Inc. Shielding for wristed instruments
US12257013B2 (en) 2019-03-15 2025-03-25 Cilag Gmbh International Robotic surgical systems with mechanisms for scaling camera magnification according to proximity of surgical tool to tissue
EP3908201B1 (en) 2019-03-25 2024-04-24 Auris Health, Inc. Instruments for medical stapling
CN114206265A (zh) 2019-04-16 2022-03-18 尼奥绰德有限公司 用于微创心脏瓣膜修复的横向螺旋心脏锚固器
WO2020263827A1 (en) 2019-06-25 2020-12-30 Auris Health, Inc. Medical instruments including wrists with hybrid redirect surfaces
WO2020263629A1 (en) 2019-06-27 2020-12-30 Auris Health, Inc. Systems and methods for a medical clip applier
EP3989863A4 (en) 2019-06-28 2023-10-11 Auris Health, Inc. Medical instruments including wrists with hybrid redirect surfaces
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
EP4034350A1 (en) 2019-09-26 2022-08-03 Auris Health, Inc. Systems and methods for collision avoidance using object models
EP4034349A1 (en) 2019-09-26 2022-08-03 Auris Health, Inc. Systems and methods for collision detection and avoidance
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
US11737835B2 (en) 2019-10-29 2023-08-29 Auris Health, Inc. Braid-reinforced insulation sheath
CN114727850A (zh) 2019-11-21 2022-07-08 奥瑞斯健康公司 用于覆盖外科系统的系统和方法
WO2021113173A1 (en) * 2019-12-06 2021-06-10 Edwards Lifesciences Corporation Surgical suture tensioning and labeling
US11284963B2 (en) 2019-12-30 2022-03-29 Cilag Gmbh International Method of using imaging devices in surgery
US11832996B2 (en) 2019-12-30 2023-12-05 Cilag Gmbh International Analyzing surgical trends by a surgical system
US11896442B2 (en) 2019-12-30 2024-02-13 Cilag Gmbh International Surgical systems for proposing and corroborating organ portion removals
US12207881B2 (en) 2019-12-30 2025-01-28 Cilag Gmbh International Surgical systems correlating visualization data and powered surgical instrument data
US11776144B2 (en) 2019-12-30 2023-10-03 Cilag Gmbh International System and method for determining, adjusting, and managing resection margin about a subject tissue
US12053223B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Adaptive surgical system control according to surgical smoke particulate characteristics
US11759283B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Surgical systems for generating three dimensional constructs of anatomical organs and coupling identified anatomical structures thereto
US11648060B2 (en) 2019-12-30 2023-05-16 Cilag Gmbh International Surgical system for overlaying surgical instrument data onto a virtual three dimensional construct of an organ
US11744667B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Adaptive visualization by a surgical system
US12002571B2 (en) 2019-12-30 2024-06-04 Cilag Gmbh International Dynamic surgical visualization systems
US11219501B2 (en) 2019-12-30 2022-01-11 Cilag Gmbh International Visualization systems using structured light
US12453592B2 (en) 2019-12-30 2025-10-28 Cilag Gmbh International Adaptive surgical system control according to surgical smoke cloud characteristics
KR20220123269A (ko) 2019-12-31 2022-09-06 아우리스 헬스, 인코포레이티드 고급 바스켓 구동 모드
US11950872B2 (en) 2019-12-31 2024-04-09 Auris Health, Inc. Dynamic pulley system
JP7460200B2 (ja) 2020-01-16 2024-04-02 ネオコード インコーポレイテッド 低侵襲性心臓弁修復用のらせん状心臓アンカー
EP4125689A4 (en) 2020-03-30 2024-04-17 Auris Health, Inc. WORKSPACE OPTIMIZATION FOR ROBOTIC SURGERY
US11805998B2 (en) 2020-04-20 2023-11-07 Covidien Lp Devices and methods for obtaining adenomyosis and other biopsy samples
CA3182433A1 (en) 2020-06-17 2021-12-23 Cameron Paul Purcell Method and apparatus for mitral valve chord repair
WO2022003485A1 (en) 2020-06-29 2022-01-06 Auris Health, Inc. Systems and methods for detecting contact between a link and an external object
US11357586B2 (en) 2020-06-30 2022-06-14 Auris Health, Inc. Systems and methods for saturated robotic movement
EP4171428A4 (en) 2020-06-30 2024-10-30 Auris Health, Inc. ROBOTIC MEDICAL SYSTEM WITH COLLISION PROXIMITY INDICATORS
CN116723805A (zh) * 2020-08-17 2023-09-08 普拉纳胸科公司 取芯和截断设备、系统和方法
US12383246B2 (en) 2020-10-12 2025-08-12 Abbott Cardiovascular Systems, Inc. Vessel closure device with improved safety and tract hemostasis
US11883326B2 (en) 2020-11-03 2024-01-30 Johnson & Johnson Surgical Vision, Inc. Phacoemulsification probe stroke length maximization system
CN112674887B (zh) * 2020-11-27 2021-12-07 中国人民解放军总医院第五医学中心 一种用于放疗所引起黏膜反应的辅助清理装置
US20230309989A1 (en) * 2022-03-31 2023-10-05 Ethicon, Inc. Assembly and Method for Closing a Tissue Opening
US20240173028A1 (en) * 2022-11-30 2024-05-30 Thomas J. Murtha, III Surgical stacking needle

Family Cites Families (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US67545A (en) 1867-08-06 Samuel hodgins
US919138A (en) * 1909-03-16 1909-04-20 Clarence A Drake Surgical needle.
US1538271A (en) 1919-09-25 1925-05-19 Harrison W Conner Windshield for automobiles
US1583271A (en) * 1925-01-14 1926-05-04 Biro Ladislaus Surgical instrument
SU715082A1 (ru) 1977-01-24 1980-02-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
DE3413744C2 (de) 1984-04-12 1986-08-28 Richard Wolf Gmbh, 7134 Knittlingen Applikator zum Verknoten von Nähfäden
US5102421A (en) 1990-06-14 1992-04-07 Wm. E. Anpach, III Suture anchor and method of forming
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5141520A (en) 1991-10-29 1992-08-25 Marlowe Goble E Harpoon suture anchor
US5356424A (en) 1993-02-05 1994-10-18 American Cyanamid Co. Laparoscopic suturing device
US5797960A (en) 1993-02-22 1998-08-25 Stevens; John H. Method and apparatus for thoracoscopic intracardiac procedures
US5562687A (en) * 1993-07-12 1996-10-08 Mitek Surgical Products, Inc. Surgical repair kit and its method of use
US5462561A (en) 1993-08-05 1995-10-31 Voda; Jan K. Suture device
US5562685A (en) 1994-09-16 1996-10-08 General Surgical Innovations, Inc. Surgical instrument for placing suture or fasteners
US5534011A (en) 1994-10-27 1996-07-09 Vesica Medical, Inc. Method and apparatus for threading a suture anchor
US5665109A (en) 1994-12-29 1997-09-09 Yoon; Inbae Methods and apparatus for suturing tissue
US5709694A (en) 1995-03-22 1998-01-20 Human Factors Industrial Design, Inc. Endoscopic intracorporeal suture tying aid
US6117144A (en) 1995-08-24 2000-09-12 Sutura, Inc. Suturing device and method for sealing an opening in a blood vessel or other biological structure
US5782844A (en) 1996-03-05 1998-07-21 Inbae Yoon Suture spring device applicator
US5810851A (en) 1996-03-05 1998-09-22 Yoon; Inbae Suture spring device
US5820631A (en) * 1996-08-01 1998-10-13 Nr Medical, Inc. Device and method for suturing tissue adjacent to a blood vessel
US5868762A (en) 1997-09-25 1999-02-09 Sub-Q, Inc. Percutaneous hemostatic suturing device and method
US6015416A (en) 1998-02-26 2000-01-18 Ethicon Endo-Surgery, Inc. Surgical anastomosis instrument
US5947983A (en) * 1998-03-16 1999-09-07 Boston Scientific Corporation Tissue cutting and stitching device and method
US6447504B1 (en) 1998-07-02 2002-09-10 Biosense, Inc. System for treatment of heart tissue using viability map
US6136010A (en) 1999-03-04 2000-10-24 Perclose, Inc. Articulating suturing device and method
DE60045429D1 (de) 1999-04-09 2011-02-03 Evalve Inc Vorrichtung zur Herzklappenoperation
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US6231561B1 (en) 1999-09-20 2001-05-15 Appriva Medical, Inc. Method and apparatus for closing a body lumen
US6626917B1 (en) * 1999-10-26 2003-09-30 H. Randall Craig Helical suture instrument
US7296577B2 (en) 2000-01-31 2007-11-20 Edwards Lifescience Ag Transluminal mitral annuloplasty with active anchoring
US6663633B1 (en) 2000-10-25 2003-12-16 Pierson, Iii Raymond H. Helical orthopedic fixation and reduction device, insertion system, and associated methods
US20020161382A1 (en) 2001-03-29 2002-10-31 Neisz Johann J. Implant inserted without bone anchors
US6986776B2 (en) 2001-06-28 2006-01-17 Craig H Randall Suturing apparatus, method and system
US7104949B2 (en) * 2001-08-31 2006-09-12 Ams Research Corporation Surgical articles for placing an implant about a tubular tissue structure and methods
US20060106415A1 (en) 2004-11-12 2006-05-18 Shlomo Gabbay Apparatus to facilitate implantation
US6575971B2 (en) 2001-11-15 2003-06-10 Quantum Cor, Inc. Cardiac valve leaflet stapler device and methods thereof
US20050177180A1 (en) 2001-11-28 2005-08-11 Aptus Endosystems, Inc. Devices, systems, and methods for supporting tissue and/or structures within a hollow body organ
ES2254792T3 (es) 2002-03-14 2006-06-16 Jeffrey E. Yeung Anclaje de sutura y dispositivo de aproximacion.
US6951565B2 (en) 2002-04-24 2005-10-04 Linvatec Biomaterials Ltd. Device for inserting surgical implants
WO2003105667A2 (en) * 2002-06-12 2003-12-24 Mitral Interventions, Inc. Method and apparatus for tissue connection
EP1596723A2 (en) 2003-02-04 2005-11-23 ev3 Sunnyvale, Inc. Patent foramen ovale closure system
US8372112B2 (en) 2003-04-11 2013-02-12 St. Jude Medical, Cardiology Division, Inc. Closure devices, related delivery methods, and related methods of use
US7862584B2 (en) 2003-05-07 2011-01-04 Anpa Medical, Inc. Suture lock
US7125411B2 (en) 2003-11-14 2006-10-24 Guanche Carlos A Cannula delivery and support system
US20050187568A1 (en) 2004-02-20 2005-08-25 Klenk Alan R. Devices and methods for closing a patent foramen ovale with a coil-shaped closure device
US20050267524A1 (en) 2004-04-09 2005-12-01 Nmt Medical, Inc. Split ends closure device
US20060282081A1 (en) 2004-04-16 2006-12-14 Fanton Gary S Apparatus and method for securing tissue to bone with a suture
US8109965B2 (en) 2004-06-09 2012-02-07 Biomet Sports Medicine, LLP Method and apparatus for soft tissue fixation
DE602005010442D1 (de) 2004-08-16 2008-11-27 Zimmer Spine Inc Spiralförmige nähvorrichtung
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
GB0425296D0 (en) 2004-11-17 2004-12-15 Grampian Health Board Tissue anchor
SE0403070D0 (sv) 2004-12-16 2004-12-16 Radi Medical Systems Closure Device
AT501766A1 (de) 2005-01-25 2006-11-15 Ami Gmbh Einrichtung zur verwendung bei der behandlung eines hämorrhoidenprolaps
US9089323B2 (en) * 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US20060229675A1 (en) 2005-04-07 2006-10-12 Roberto Novoa Anchoring System for Valve Replacement
US20060282088A1 (en) 2005-06-08 2006-12-14 Ryan Timothy J Apparatus and methods for delivering sutures
WO2007009099A2 (en) 2005-07-14 2007-01-18 Idx Medical Ltd. Apparatus and methods for occluding a hollow anatomical structure
US7749247B2 (en) 2005-08-04 2010-07-06 St. Jude Medical Puerto Rico, Llc Tissue puncture closure device with coiled automatic tamping system
US8764820B2 (en) 2005-11-16 2014-07-01 Edwards Lifesciences Corporation Transapical heart valve delivery system and method
US20070118151A1 (en) 2005-11-21 2007-05-24 The Brigham And Women's Hospital, Inc. Percutaneous cardiac valve repair with adjustable artificial chordae
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
WO2007098212A2 (en) 2006-02-18 2007-08-30 Amir Belson Endoscopic suturing devices
US20070198057A1 (en) 2006-02-21 2007-08-23 Daniel Gelbart Method and device for closing holes in tissue
US7815652B2 (en) * 2006-03-21 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical fastener and instrument
EP2032044A2 (en) * 2006-05-25 2009-03-11 Mitralign, Inc. Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members
US8133258B2 (en) 2006-08-03 2012-03-13 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
WO2008042229A2 (en) 2006-09-28 2008-04-10 Nmt Medical, Inc. Implant-catheter attachment mechanism using snare and method of use
US20090062839A1 (en) * 2007-08-31 2009-03-05 Cook Incorporated Barbed stent vascular occlusion device
EP2209517A4 (en) 2007-10-05 2011-03-30 Maquet Cardiovascular Llc DEVICES AND METHODS FOR MINIMALLY INVASIVE SURGICAL PROCEDURES
EP2214564B1 (en) 2007-10-18 2017-02-01 St. Jude Medical, Cardiology Division, Inc. Implantable purse string suture tensioning device
EP2242527A4 (en) 2008-02-19 2011-07-13 Portaero Inc DEVICES AND METHODS FOR ADMINISTERING A THERAPEUTIC AGENT THROUGH PNEUMOSTOMY
WO2009117435A2 (en) 2008-03-17 2009-09-24 Northwestern University Devices and methods for percutaneous access, hemostasis, and closure
US8696689B2 (en) 2008-03-18 2014-04-15 Medtronic Ventor Technologies Ltd. Medical suturing device and method for use thereof
EP2285292A2 (en) * 2008-04-08 2011-02-23 Endopro Solutions L.L.C. Apparatus and method for gastric reduction
US7850667B2 (en) 2008-06-27 2010-12-14 Tyco Healthcare Group Lp Low profile instrument access device
US9943302B2 (en) 2008-08-12 2018-04-17 Covidien Lp Medical device for wound closure and method of use
US9271706B2 (en) 2008-08-12 2016-03-01 Covidien Lp Medical device for wound closure and method of use
JP5735928B2 (ja) * 2009-03-14 2015-06-17 バソスティッチ， インコーポレイテッド 血管アクセスおよび閉鎖デバイス
US20120035654A1 (en) 2009-03-14 2012-02-09 Vasostitch, Inc. Methods and systems for advancing and anchoring suture in tissue
CN102368963A (zh) 2009-04-06 2012-03-07 斯瑞克公司 用于闭塞装置输送系统的输送线丝
EP2429411B1 (en) 2009-05-12 2017-03-08 The Foundry, LLC Devices to treat diseased or injured musculoskeletal tissue
US8500757B2 (en) 2009-07-28 2013-08-06 Edwards Lifesciences Corporation Surgical puncture cinch and closure system
EP2467067A4 (en) 2009-08-18 2017-06-14 Rambam Health Corporation Surgical techniques and closure devices for direct cardiac catheterization
US20120197083A1 (en) 2009-10-01 2012-08-02 Gi Motions Ltd. Method and apparatus for endoscope advancement
WO2011039755A1 (en) 2009-10-01 2011-04-07 Virtual Ports Ltd. A system and method for forming a knot
JP4757340B2 (ja) 2009-10-30 2011-08-24 シャープ株式会社 照明装置、その照明装置を備える画像読取り装置、その画像読取り装置を備える画像形成装置
WO2011112721A1 (en) 2010-03-09 2011-09-15 University Of Louisville Research Foundation, Inc. Endoscopic closure device
BR112012027242A2 (pt) 2010-04-27 2017-07-18 Synthes Gmbh montagem de fixação incluindo uma âncora expansível
US9743919B2 (en) 2010-04-27 2017-08-29 DePuy Synthes Products, Inc. Stitch lock for attaching two or more structures
AU2011265192B2 (en) 2010-06-11 2016-07-14 Entourage Medical Technologies, Inc. System and method for transapical access and closure
CN103118605B (zh) * 2010-06-26 2016-07-27 瓦索斯蒂奇股份有限公司 用于经心尖进入和闭合的方法和装置
US20120071922A1 (en) 2010-09-20 2012-03-22 Shanley John F System for providing surgical access
US9226824B2 (en) * 2010-11-30 2016-01-05 Edwards Lifesciences Corporation Surgical stabilizer and closure system
US9833228B2 (en) 2012-01-24 2017-12-05 Cook Medical Technologies Llc Suture and anchor engagement methods and resulting devices

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US20170119373A1 (en) 2017-05-04
US20160345970A1 (en) 2016-12-01
US20120071922A1 (en) 2012-03-22
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US20160345964A1 (en) 2016-12-01
US20120071921A1 (en) 2012-03-22
US20120078270A1 (en) 2012-03-29
US20150100085A1 (en) 2015-04-09
AU2011305571A1 (en) 2013-04-18
US20120089159A1 (en) 2012-04-12
WO2012040233A3 (en) 2012-05-10
US20120071920A1 (en) 2012-03-22
CN103298414A (zh) 2013-09-11
US9579097B2 (en) 2017-02-28
US20120089181A1 (en) 2012-04-12
US20160074031A1 (en) 2016-03-17
US8939937B2 (en) 2015-01-27
US20120095504A1 (en) 2012-04-19
US20150100068A1 (en) 2015-04-09
US20120071719A1 (en) 2012-03-22
US9730690B2 (en) 2017-08-15
US20120095505A1 (en) 2012-04-19
US9398910B2 (en) 2016-07-26
EP2618742A2 (en) 2013-07-31
WO2012040233A2 (en) 2012-03-29
US8939936B2 (en) 2015-01-27
US9675338B2 (en) 2017-06-13
US9782168B2 (en) 2017-10-10
US20160074027A1 (en) 2016-03-17
CA2811887A1 (en) 2012-03-29
US20120095403A1 (en) 2012-04-19
US20120089092A1 (en) 2012-04-12
JP2013537840A (ja) 2013-10-07
JP2016041385A (ja) 2016-03-31

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