JP6270847B2 - 縫合装置 - Google Patents
縫合装置 Download PDFInfo
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- 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
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- 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
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- 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
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- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
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- 238000005452 bending Methods 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
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- 238000010438 heat treatment Methods 0.000 description 1
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- 238000005304 joining Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
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- 229920001296 polysiloxane Polymers 0.000 description 1
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Classifications
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- 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
-
- 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
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- 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, e.g. tourniquets
- A61B2017/00831—Material properties
-
- 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
- A61B2017/0409—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, 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
- A61B2017/0414—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, 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
- A61B2017/0417—T-fasteners
-
- 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
- A61B2017/0445—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, 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
- A61B2017/0454—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, 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
- A61B2017/0464—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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- 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, e.g. tourniquets
- 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)
Description
縫合アンカーと縫合アンカーに取り付けられた縫合糸の一部は、その組織層と略平行をなす長軸部によって、組織層から引き抜く際には比較的大きな抵抗を示す。
Claims (22)
- 縫合糸を組織領域に固定する縫合装置であって、
第1の細長い顎部と、第2の細長い顎部と、当該第1の細長い顎部内の管と、当該管内部の柔軟性のある針と、を備え、
前記第1の細長い顎部は、第1の長軸と、前記第1の長軸に対して第1の傾斜角で傾斜する第1の把持面と、を有し、
前記第2の細長い顎部は、第2の長軸と、前記第2の長軸に対して第2の傾斜角で傾斜する第2の把持面と、を有し、
前記第1の細長い顎部内の管は、前記第1の長軸に沿って延びる略直線状の直線部と、当該直線部から前記第1の把持面に向かって延びる曲線部とを有するよう構成され、
前記針は、前記直線部に沿って延在するよう構成され、
前記管は、複数の縫合アンカーを前記縫合糸に沿ってスライドできるよう収容し、且つ前記複数の縫合アンカーのうちのリード縫合アンカーを運搬し、当該リード縫合アンカーを前記組織領域に対する進入角が略垂直となるよう配向して、前記縫合糸の一部を前記組織領域に固定するのに適した構成とされ、
前記曲線部は、前記リード縫合アンカーを前記第1の細長い顎部から取り出し、前記組織領域に通して、前記縫合糸を前記組織領域に固定するのに適した構成とされる、縫合装置。 - 前記縫合糸を前記縫合アンカーへ供給する縫合糸送りを備える、請求項1に記載の縫合装置。
- 前記縫合糸送りは、前記縫合糸を所望する張力に維持するよう調整可能である、請求項2に記載の縫合装置。
- 前記第2の細長い顎部が、前記第2の把持面に前記組織領域を貫通した縫合アンカーを受ける凹部を有する、請求項1〜3の何れかに記載の縫合装置。
- 前記第2の細長い顎部が、前記組織を通過した縫合アンカーが前記組織から当該組織を通過した方向に引き抜かれるのを防ぐよう動作する一方向縫合アンカー留めを備える、請求項4に記載の縫合装置。
- 前記柔軟性のある針は、前記管内において前後に往復するよう制御可能とされ、前記縫合アンカーを前記第1の把持面の開口を介して前記第1の細長い顎部から1つずつ運ぶよう構成される、請求項1〜請求項5の何れかに記載の縫合装置。
- 前記第2の細長い顎部は、前記第1の細長い顎部及び前記第2の細長い顎部が閉じられた際に、その第2の把持面が前記柔軟性のある針に対する受け部材として作用して前記組織領域を介した前記第1の細長い顎部からの力を受けるよう構成される、請求項1〜請求項6の何れかに記載の縫合装置。
- 前記第1の把持面に面する前記曲線部の一領域において、前記曲線部の接線が前記第1把持面に対して略垂直である、請求項1〜7の何れかに記載の縫合装置。
- 前記曲線部が約2.5mmよりも大きい最小曲率半径を有する、請求項1〜8の何れかに記載の縫合装置。
- 前記曲線部が約4.5mmよりも大きい最小曲率半径を有する、請求項1〜9の何れかに記載の縫合装置。
- 前記管の断面の最大寸法が0.8mm以上である、請求項1〜10の何れかに記載の縫合装置。
- 前記管の断面の最大寸法が2.5mm以下である、請求項1〜11の何れかに記載の縫合装置。
- 前記針が円形断面を有し、当該断面の直径は約0.6mm以下である、請求項1〜12の何れかに記載の縫合装置。
- 前記管に収容される複数の縫合アンカーをさらに備え、各縫合アンカーが、前記柔軟性のある針を通す管腔を有する細長い本体部を有する、請求項1〜13の何れかに記載の縫合装置。
- 前記細長い本体部が、テーパ状の前端部を有する、請求項14に記載の縫合装置。
- 前記細長い本体部は、円筒形であり、外径が約1.5mm以下である、請求項14に記載の縫合装置。
- 前記組織領域に対する進入角が前記第2の把持面に対して約90度である、請求項1〜請求項16の何れかに記載の縫合装置。
- 前記柔軟性のある針は、ステンレス鋼又はニチノールから形成され、組織を穿刺するのに適した尖った先端部を有する、請求項1〜17の何れかに記載の縫合装置。
- 前記柔軟性のある針は、進展した後、前記リード縫合アンカー及び前記組織領域から退避することで、前記組織領域の下側面に前記リード縫合アンカーを残し、次の縫合アンカーを結合させるよう構成される、請求項1〜18の何れかに記載の縫合装置。
- 前記縫合糸をピンと張ることで力を与えトルクを発生させて、前記リード縫合アンカーを回転させ前記組織領域の下面と平行になるよう押し付けるよう構成される、請求項1〜19の何れかに記載の縫合装置。
- 前記第2の傾斜角が前記第1の傾斜角と略同一である、請求項1〜20の何れかに記載の縫合装置。
- 前記第2の傾斜角が鋭角である、請求項1〜21の何れかに記載の縫合装置。
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 (ja) | 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 (ja) |
EP (1) | EP2890306A2 (ja) |
JP (1) | JP6270847B2 (ja) |
CN (1) | CN104955405A (ja) |
WO (1) | WO2014033692A2 (ja) |
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US8998947B2 (en) | 2010-09-10 | 2015-04-07 | Medina Medical, Inc. | Devices and methods for the treatment of vascular defects |
US20170071591A1 (en) | 2014-02-28 | 2017-03-16 | Saturix Ltd. | Devices and methods for closing openings in body tissue |
WO2015193881A1 (en) * | 2014-06-15 | 2015-12-23 | Anchora Medical Ltd. | Apparatus and method for suturing a tissue |
US10667802B2 (en) * | 2015-06-05 | 2020-06-02 | Boston Scientific Scimed, Inc. | Devices and methods for joining tissue |
US11344296B2 (en) * | 2015-07-07 | 2022-05-31 | Epic M.D Ltd | Device and method for suturing |
US10299782B2 (en) * | 2016-04-20 | 2019-05-28 | Medos International Sarl | Meniscal repair devices, systems, and methods |
CN110461247B (zh) | 2016-11-13 | 2024-02-20 | 安奇拉医疗有限公司 | 微创组织缝合装置 |
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 |
EP3638130B1 (en) | 2017-06-15 | 2021-07-28 | 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 |
WO2020131976A2 (en) | 2018-12-17 | 2020-06-25 | Covidien Lp | Devices, systems, and methods for the treatment of vascular defects |
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 |
EP3903687A4 (en) * | 2018-12-26 | 2022-02-23 | Hangzhou Valgen Medtech Co., Ltd. | LOCKING DEVICE WITH LOCKING FEEDBACK FUNCTION AND HEART VALVE REPAIR SYSTEM |
US11931041B2 (en) | 2020-05-12 | 2024-03-19 | Covidien Lp | Devices, systems, and methods for the treatment of vascular defects |
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CA2133377C (en) * | 1993-10-08 | 2004-09-14 | H. Jonathan Tovey | Surgical suturing apparatus with loading mechanism |
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US6245081B1 (en) * | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
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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 |
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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 |
US20100292731A1 (en) * | 2009-05-12 | 2010-11-18 | Foundry Newco Xl, Inc. | Methods and 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 JP JP2015529196A patent/JP6270847B2/ja not_active Expired - Fee Related
- 2013-09-02 WO PCT/IB2013/058231 patent/WO2014033692A2/en active Application Filing
- 2013-09-02 US US14/423,500 patent/US20150257751A1/en not_active Abandoned
- 2013-09-02 CN CN201380057077.6A patent/CN104955405A/zh active Pending
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CN104955405A (zh) | 2015-09-30 |
JP2015526234A (ja) | 2015-09-10 |
WO2014033692A3 (en) | 2014-06-12 |
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EP2890306A2 (en) | 2015-07-08 |
WO2014033692A2 (en) | 2014-03-06 |
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