JP6270847B2 - 縫合装置 - Google Patents
縫合装置 Download PDFInfo
- Publication number
- JP6270847B2 JP6270847B2 JP2015529196A JP2015529196A JP6270847B2 JP 6270847 B2 JP6270847 B2 JP 6270847B2 JP 2015529196 A JP2015529196 A JP 2015529196A JP 2015529196 A JP2015529196 A JP 2015529196A JP 6270847 B2 JP6270847 B2 JP 6270847B2
- Authority
- JP
- Japan
- Prior art keywords
- suture
- suture anchor
- suturing device
- tissue region
- jaw
- 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
Links
- 230000000149 penetrating effect Effects 0.000 claims description 5
- 230000001154 acute effect Effects 0.000 claims description 3
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims description 3
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims 1
- 238000010168 coupling process Methods 0.000 claims 1
- 238000005859 coupling reaction Methods 0.000 claims 1
- 241000270722 Crocodylidae Species 0.000 description 34
- LNNWVNGFPYWNQE-GMIGKAJZSA-N desomorphine Chemical compound C1C2=CC=C(O)C3=C2[C@]24CCN(C)[C@H]1[C@@H]2CCC[C@@H]4O3 LNNWVNGFPYWNQE-GMIGKAJZSA-N 0.000 description 34
- 238000000034 method Methods 0.000 description 18
- 238000002324 minimally invasive surgery Methods 0.000 description 13
- 210000000056 organ Anatomy 0.000 description 9
- 230000007480 spreading Effects 0.000 description 8
- 238000003892 spreading Methods 0.000 description 8
- 238000004873 anchoring Methods 0.000 description 7
- 238000003384 imaging method Methods 0.000 description 4
- 239000011324 bead Substances 0.000 description 3
- 239000013013 elastic material Substances 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 210000002159 anterior chamber Anatomy 0.000 description 2
- 229920001935 styrene-ethylene-butadiene-styrene Polymers 0.000 description 2
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000012285 ultrasound imaging Methods 0.000 description 1
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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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
- A61B17/0469—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
- 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
- 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
- A61B17/06—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
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- 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
- A61B17/0401—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
- 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
- A61B17/0401—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
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
-
- 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
- A61B17/0401—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
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06095—Needles, e.g. needle tip configurations pliable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261696186P | 2012-09-02 | 2012-09-02 | |
| US61/696,186 | 2012-09-02 | ||
| PCT/IB2013/058231 WO2014033692A2 (en) | 2012-09-02 | 2013-09-02 | Suturing device |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2015526234A JP2015526234A (ja) | 2015-09-10 |
| JP2015526234A5 JP2015526234A5 (enExample) | 2016-11-04 |
| JP6270847B2 true JP6270847B2 (ja) | 2018-01-31 |
Family
ID=49304041
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2015529196A Expired - Fee Related JP6270847B2 (ja) | 2012-09-02 | 2013-09-02 | 縫合装置 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20150257751A1 (enExample) |
| EP (1) | EP2890306A2 (enExample) |
| JP (1) | JP6270847B2 (enExample) |
| CN (1) | CN104955405A (enExample) |
| WO (1) | WO2014033692A2 (enExample) |
Families Citing this family (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8998947B2 (en) | 2010-09-10 | 2015-04-07 | Medina Medical, Inc. | Devices and methods for the treatment of vascular defects |
| EP3110339A1 (en) | 2014-02-28 | 2017-01-04 | Saturix Ltd. | Devices and methods for closing openings in body tissue |
| CN106794014B (zh) * | 2014-06-15 | 2019-11-12 | 安奇拉医疗有限公司 | 缝合组织的设备和方法 |
| US10667802B2 (en) * | 2015-06-05 | 2020-06-02 | Boston Scientific Scimed, Inc. | Devices and methods for joining tissue |
| CN106333719B (zh) * | 2015-07-07 | 2020-06-26 | 爱彼医疗有限公司 | 用于缝合的设备和方法 |
| US10390814B2 (en) | 2016-04-20 | 2019-08-27 | Medos International Sarl | Meniscal repair devices, systems, and methods |
| WO2018087769A1 (en) * | 2016-11-13 | 2018-05-17 | Anchora Medical Ltd. | Minimally-invasive tissue suturing device |
| US10245020B2 (en) * | 2017-03-13 | 2019-04-02 | Medos International Sarl | Methods and systems for knotless suture anchoring |
| US10898181B2 (en) | 2017-03-17 | 2021-01-26 | Cypris Medical, Inc. | Suturing system |
| WO2018228735A1 (en) | 2017-06-15 | 2018-12-20 | Endo Tools Therapeutics S.A. | Device for supporting an endoscopic tool |
| US10675036B2 (en) | 2017-08-22 | 2020-06-09 | Covidien Lp | Devices, systems, and methods for the treatment of vascular defects |
| US20200383679A1 (en) * | 2017-11-27 | 2020-12-10 | T.A.G. Medical Devices - Agriculture Cooperative Ltd. | Multiple anchor delivery system and method |
| US10660637B2 (en) | 2018-04-06 | 2020-05-26 | Cypris Medical, Inc. | Suturing system |
| US11033261B2 (en) | 2018-05-31 | 2021-06-15 | Cypris Medical, Inc. | Suture system |
| IL261719A (en) | 2018-09-12 | 2018-10-31 | Epic M D Ltd | Device for tissue suturing |
| CN111388043A (zh) | 2018-12-17 | 2020-07-10 | 柯惠有限合伙公司 | 闭塞装置 |
| WO2020134060A1 (zh) * | 2018-12-26 | 2020-07-02 | 杭州德晋医疗科技有限公司 | 具有锁紧反馈的锁紧装置及心脏瓣膜修复系统 |
| CN111358509B (zh) * | 2018-12-26 | 2024-07-02 | 杭州德晋医疗科技有限公司 | 具有锁紧反馈的锁紧装置及心脏瓣膜修复系统 |
| US12137899B2 (en) | 2020-05-11 | 2024-11-12 | Cypris Medical, Inc. | Multiple suture placement system |
| US11931041B2 (en) | 2020-05-12 | 2024-03-19 | Covidien Lp | Devices, systems, and methods for the treatment of vascular defects |
Family Cites Families (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4164225A (en) * | 1977-12-28 | 1979-08-14 | Johnson & Lorenz, Inc. | Surgical suturing instrument |
| CA2133377C (en) * | 1993-10-08 | 2004-09-14 | H. Jonathan Tovey | Surgical suturing apparatus with loading mechanism |
| US5730747A (en) * | 1995-06-07 | 1998-03-24 | Smith & Nephew, Inc. | Suture passing forceps |
| US6245081B1 (en) * | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
| US7112208B2 (en) * | 2001-08-06 | 2006-09-26 | Morris John K | Compact suture punch with malleable needle |
| JP4373146B2 (ja) * | 2002-07-11 | 2009-11-25 | オリンパス株式会社 | 内視鏡用縫合装置 |
| US7166116B2 (en) * | 2003-06-23 | 2007-01-23 | Ethicon, Inc. | Tissue grasper/suture passer instrument |
| US8425535B2 (en) * | 2005-05-20 | 2013-04-23 | Neotract, Inc. | Multi-actuating trigger anchor delivery system |
| US9271720B2 (en) * | 2005-08-11 | 2016-03-01 | Biomet Sports Medicine, Llc | Steerable suture passing device |
| EP2042104B1 (de) * | 2007-09-29 | 2011-10-26 | Richard Wolf GmbH | Chirurgisches Nahtinstrument |
| US20100113873A1 (en) * | 2008-11-06 | 2010-05-06 | Takayuki Suzuki | Suturing device and suturing system |
| EP2429411B1 (en) * | 2009-05-12 | 2017-03-08 | The Foundry, LLC | Devices to treat diseased or injured musculoskeletal tissue |
| US20110245846A1 (en) * | 2010-02-24 | 2011-10-06 | Usgi Medical, Inc. | Endoscopic tissue anchor deployment devices and methods |
| US8968339B2 (en) * | 2010-12-10 | 2015-03-03 | Covidien Lp | Suturing device with deployable needle |
-
2013
- 2013-09-02 EP EP13773409.1A patent/EP2890306A2/en not_active Withdrawn
- 2013-09-02 WO PCT/IB2013/058231 patent/WO2014033692A2/en not_active Ceased
- 2013-09-02 CN CN201380057077.6A patent/CN104955405A/zh active Pending
- 2013-09-02 US US14/423,500 patent/US20150257751A1/en not_active Abandoned
- 2013-09-02 JP JP2015529196A patent/JP6270847B2/ja not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| CN104955405A (zh) | 2015-09-30 |
| JP2015526234A (ja) | 2015-09-10 |
| EP2890306A2 (en) | 2015-07-08 |
| WO2014033692A2 (en) | 2014-03-06 |
| WO2014033692A3 (en) | 2014-06-12 |
| US20150257751A1 (en) | 2015-09-17 |
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