JP6633042B2 - ノットを進めるための装置および方法 - Google Patents
ノットを進めるための装置および方法 Download PDFInfo
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- JP6633042B2 JP6633042B2 JP2017206726A JP2017206726A JP6633042B2 JP 6633042 B2 JP6633042 B2 JP 6633042B2 JP 2017206726 A JP2017206726 A JP 2017206726A JP 2017206726 A JP2017206726 A JP 2017206726A JP 6633042 B2 JP6633042 B2 JP 6633042B2
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- Prior art keywords
- knot
- suture
- pusher
- distal head
- side grooves
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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
- A61B17/0469—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
- A61B17/0483—Hand-held instruments for holding sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
-
- 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
- A61B2017/00902—Material properties transparent or translucent
- A61B2017/00907—Material properties transparent or translucent for light
-
- 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
- A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip 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
- A61B17/0469—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
-
- 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
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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)
Description
Claims (7)
- 縫合糸の両リムがノットから延出する縫合糸で形成されたオーバーハンド・ノットを押圧するためのノットプッシャーであって、
遠位のノット押圧面で終端する頂壁および底壁を定義している遠位ヘッドと、
前記頂壁と底壁との間に定義されて、前記ノット押圧面の近傍から前記遠位ヘッドに沿って延びるサイド溝であって、その各々は、前記オーバーハンド・ノットの押圧を助けるために前記遠位ヘッドを進める際に縫合糸の両リムの一方を受容するように機能する、サイド溝と、
前記オーバーハンド・ノットを押圧するために前記遠位ヘッドを進める際に縫合糸リムの前記一方が当該ノットプッシャーから離脱することを防ぐように、前記サイド溝のうちの少なくとも1つに縫合糸リムを保持するための少なくとも1つの縫合糸保持要素と、
前記遠位ヘッドに連結されたシャフトと、
を含み、
前記遠位ヘッドは、ネック部を介して前記シャフトに連結されており、
前記少なくとも1つのサイド溝の縫合糸保持要素は、前記ネック部に結合された弾性スナップアームと一対の弾性スナップとを含み、前記弾性スナップアームは前記一対の弾性スナップを含み、該弾性スナップアームは、前記頂壁および底壁のうち一方の一部を形成しており、該一対の弾性スナップの各々は、前記サイド溝のうちの1つの一部を定義する、
ノットプッシャー。 - 前記シャフトに連結されたハンドルと、をさらに含む、請求項1に記載のノットプッシャー。
- 前記弾性スナップアームは、前記頂壁の一部を形成している、請求項1に記載のノットプッシャー。
- 前記弾性スナップアームは、前記底壁の一部を形成している、請求項1に記載のノットプッシャー。
- 前記弾性スナップアームは、スナップ嵌めを介してネック部に結合されている、請求項1に記載のノットプッシャー。
- 前記一対の弾性スナップの各々は、縫合糸の両リムのうちのそれぞれ一方を前記サイド溝のうちの対応する1つへ進入させることを助けるための、面取り面を含む、請求項1に記載のノットプッシャー。
- 前記一対の弾性スナップがその公称位置または閉位置から縫合糸リムが前記サイド溝内に受容される開位置まで撓むことが可能であり、前記公称位置または閉位置に戻ることで前記サイド溝に縫合糸リムを保持する弾性体である、請求項1に記載のノットプレッシャー。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361748796P | 2013-01-04 | 2013-01-04 | |
US61/748,796 | 2013-01-04 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015551239A Division JP6235611B2 (ja) | 2013-01-04 | 2014-01-02 | ノットを進めるための装置および方法 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019163767A Division JP6864724B2 (ja) | 2013-01-04 | 2019-09-09 | ノットを進めるための装置および方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018057870A JP2018057870A (ja) | 2018-04-12 |
JP6633042B2 true JP6633042B2 (ja) | 2020-01-22 |
Family
ID=51062184
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015551239A Active JP6235611B2 (ja) | 2013-01-04 | 2014-01-02 | ノットを進めるための装置および方法 |
JP2017206726A Active JP6633042B2 (ja) | 2013-01-04 | 2017-10-26 | ノットを進めるための装置および方法 |
JP2019163767A Active JP6864724B2 (ja) | 2013-01-04 | 2019-09-09 | ノットを進めるための装置および方法 |
Family Applications Before (1)
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JP2015551239A Active JP6235611B2 (ja) | 2013-01-04 | 2014-01-02 | ノットを進めるための装置および方法 |
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JP2019163767A Active JP6864724B2 (ja) | 2013-01-04 | 2019-09-09 | ノットを進めるための装置および方法 |
Country Status (5)
Country | Link |
---|---|
US (3) | US10849612B2 (ja) |
EP (2) | EP2941197B1 (ja) |
JP (3) | JP6235611B2 (ja) |
CA (3) | CA2897180C (ja) |
WO (1) | WO2014106822A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2020000915A (ja) * | 2013-01-04 | 2020-01-09 | アンカー オーソペディックス エックスティー インコーポレイテッドAnchor Orthopedics Xt Inc. | ノットを進めるための装置および方法 |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP6498209B2 (ja) * | 2014-01-02 | 2019-04-10 | アンカー オーソペディックス エックスティー インコーポレイテッドAnchor Orthopedics Xt Inc. | 結び目を前進させるデバイス及び方法 |
US9681864B1 (en) * | 2014-01-03 | 2017-06-20 | Harpoon Medical, Inc. | Method and apparatus for transapical procedures on a mitral valve |
USD827822S1 (en) * | 2017-02-24 | 2018-09-04 | Dura Tap Llc | Suturing device |
USD827821S1 (en) * | 2017-02-24 | 2018-09-04 | Dura Tap Llc | Suturing device |
USD815739S1 (en) * | 2017-02-24 | 2018-04-17 | Dura Tap Llc | Suturing device |
USD818585S1 (en) * | 2017-02-24 | 2018-05-22 | Dura Tap Llc | Suturing device |
CN109199468B (zh) * | 2018-06-08 | 2024-07-02 | 杭州德晋医疗科技有限公司 | 可调节的心脏瓣膜修复系统 |
USD828921S1 (en) * | 2017-08-09 | 2018-09-18 | Dura Tap Llc | Suturing device |
USD828555S1 (en) * | 2017-08-09 | 2018-09-11 | Dura Tap Llc | Suturing device |
USD828556S1 (en) * | 2017-08-17 | 2018-09-11 | Dura Tap Llc | Suturing device |
CA3076928A1 (en) | 2017-10-24 | 2019-05-02 | University Of Maryland, Baltimore | Method and apparatus for cardiac procedures |
US10772621B2 (en) * | 2018-02-02 | 2020-09-15 | Abbott Cardiovascular Systems, Inc. | Suture management devices, methods, and systems |
EP3804631A4 (en) * | 2018-06-08 | 2021-07-07 | Hangzhou Valgen Medtech Co., Ltd. | ADJUSTABLE HEART VALVE REPAIR SYSTEM |
EP3804632A4 (en) * | 2018-06-08 | 2021-07-14 | Hangzhou Valgen Medtech Co., Ltd. | ADJUSTABLE SEAM LOCKING DEVICE |
CN110575210A (zh) * | 2018-06-08 | 2019-12-17 | 杭州德晋医疗科技有限公司 | 可调节的缝合线锁结装置 |
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 |
CN111481343A (zh) * | 2020-06-04 | 2020-08-04 | 华中科技大学同济医学院附属协和医院 | 一种眶隔脂肪固定线结推动器及控制系统 |
CN113576568A (zh) * | 2021-07-26 | 2021-11-02 | 二零二零(北京)医疗科技有限公司 | 一种可视化推结器 |
US20230338019A1 (en) * | 2022-04-20 | 2023-10-26 | Arthrex, Inc. | Suture tensioner and methods of tensioning |
Family Cites Families (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2595086A (en) | 1948-11-30 | 1952-04-29 | Henry B Larzelere | Surgical instrument |
US4403797A (en) * | 1982-03-08 | 1983-09-13 | Ragland Jr Ewing | Fishing line knot tying tool |
US5320629B1 (en) * | 1991-01-07 | 2000-05-02 | Advanced Surgical Inc | Device and method for applying suture |
US5192287A (en) * | 1991-04-05 | 1993-03-09 | American Cyanamid Company | Suture knot tying device |
US5405352A (en) * | 1991-04-09 | 1995-04-11 | Weston; Peter V. | Suture knot, method for its formation and use, and knot forming apparatus |
JP2537727B2 (ja) * | 1992-01-23 | 1996-09-25 | 株式会社多田製作所 | 手術用患部糸結び具 |
US5403330A (en) * | 1992-07-17 | 1995-04-04 | Tuason; Leo B. | Suture knot pusher |
US6010515A (en) * | 1993-09-03 | 2000-01-04 | University College London | Device for use in tying knots |
WO1994008515A1 (en) * | 1992-10-09 | 1994-04-28 | Li Medical Technologies, Inc. | Suture throw rundown tool |
US5397326A (en) * | 1993-04-15 | 1995-03-14 | Mangum; William K. | Knot pusher for videoendoscopic surgery |
WO1995032671A1 (en) * | 1994-06-01 | 1995-12-07 | Perclose, Inc. | Method and device for providing vascular hemostasis |
US5601576A (en) * | 1994-08-10 | 1997-02-11 | Heartport Inc. | Surgical knot pusher and method of use |
US5653719A (en) * | 1995-09-25 | 1997-08-05 | Raiken; Steve | Knot pushing instrument for endoscopic surgery |
US5752964A (en) | 1996-04-16 | 1998-05-19 | Mericle; Robert W. | Surgical knot pusher with flattened spatulated tip |
US5860993A (en) * | 1996-09-25 | 1999-01-19 | Medworks Corp. | Suture cutter |
US5759189A (en) * | 1997-02-25 | 1998-06-02 | Smith & Nephew Inc. | Knot pusher |
US20020095165A1 (en) * | 1998-04-18 | 2002-07-18 | Kwan-Ho Chan | Apparatus and method for tying and tensioning knots |
US6132439A (en) | 1999-02-17 | 2000-10-17 | X-Site, L.L.C. | Knot pusher |
AU2001288435A1 (en) * | 2000-08-25 | 2002-03-04 | Sutura, Inc. | Suture cutter |
US6860890B2 (en) * | 2001-03-02 | 2005-03-01 | Edwards Lifesciences Corporation | Surgical knot pushing device and method of use |
DE10305584A1 (de) | 2002-02-04 | 2003-08-07 | Arthrex Inc | Knotenschieber und Fadengreifer |
US7981125B1 (en) | 2004-10-29 | 2011-07-19 | Endoscopic Technologies, Inc. | Surgical knot pusher and cutter |
US7857830B2 (en) * | 2006-02-03 | 2010-12-28 | Biomet Sports Medicine, Llc | Soft tissue repair and conduit device |
US7905904B2 (en) * | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
US20070219567A1 (en) * | 2006-03-15 | 2007-09-20 | Bayer Hanspeter R | Suture pushing apparatus |
US8828053B2 (en) * | 2009-07-24 | 2014-09-09 | Depuy Mitek, Llc | Methods and devices for repairing and anchoring damaged tissue |
CA2897180C (en) * | 2013-01-04 | 2022-10-04 | Anchor Orthopedics Xt Inc. | Devices and methods for advancing knots |
JP6498209B2 (ja) * | 2014-01-02 | 2019-04-10 | アンカー オーソペディックス エックスティー インコーポレイテッドAnchor Orthopedics Xt Inc. | 結び目を前進させるデバイス及び方法 |
-
2014
- 2014-01-02 CA CA2897180A patent/CA2897180C/en active Active
- 2014-01-02 EP EP14735152.2A patent/EP2941197B1/en active Active
- 2014-01-02 JP JP2015551239A patent/JP6235611B2/ja active Active
- 2014-01-02 US US14/759,217 patent/US10849612B2/en active Active
- 2014-01-02 EP EP20189426.8A patent/EP3760134A1/en not_active Withdrawn
- 2014-01-02 WO PCT/IB2014/058026 patent/WO2014106822A1/en active Application Filing
- 2014-07-09 CA CA2935477A patent/CA2935477C/en active Active
- 2014-07-09 CA CA3178191A patent/CA3178191A1/en active Pending
- 2014-07-09 US US15/108,974 patent/US11241226B2/en active Active
-
2017
- 2017-10-26 JP JP2017206726A patent/JP6633042B2/ja active Active
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2019
- 2019-09-09 JP JP2019163767A patent/JP6864724B2/ja active Active
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2021
- 2021-12-22 US US17/558,809 patent/US20220110628A1/en not_active Abandoned
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2020000915A (ja) * | 2013-01-04 | 2020-01-09 | アンカー オーソペディックス エックスティー インコーポレイテッドAnchor Orthopedics Xt Inc. | ノットを進めるための装置および方法 |
Also Published As
Publication number | Publication date |
---|---|
JP6235611B2 (ja) | 2017-11-22 |
CA2897180C (en) | 2022-10-04 |
CA2935477A1 (en) | 2015-07-09 |
CA2935477C (en) | 2022-11-01 |
CA3178191A1 (en) | 2015-07-09 |
US10849612B2 (en) | 2020-12-01 |
CA2897180A1 (en) | 2014-07-10 |
US20150335325A1 (en) | 2015-11-26 |
JP6864724B2 (ja) | 2021-04-28 |
EP3760134A1 (en) | 2021-01-06 |
EP2941197B1 (en) | 2020-08-05 |
US20220110628A1 (en) | 2022-04-14 |
JP2018057870A (ja) | 2018-04-12 |
US20160317144A1 (en) | 2016-11-03 |
US11241226B2 (en) | 2022-02-08 |
JP2020000915A (ja) | 2020-01-09 |
JP2016501695A (ja) | 2016-01-21 |
WO2014106822A1 (en) | 2014-07-10 |
EP2941197A1 (en) | 2015-11-11 |
EP2941197A4 (en) | 2016-09-07 |
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