JP6749098B2 - 縫合糸デリバリシステム - Google Patents
縫合糸デリバリシステム Download PDFInfo
- Publication number
- JP6749098B2 JP6749098B2 JP2015544410A JP2015544410A JP6749098B2 JP 6749098 B2 JP6749098 B2 JP 6749098B2 JP 2015544410 A JP2015544410 A JP 2015544410A JP 2015544410 A JP2015544410 A JP 2015544410A JP 6749098 B2 JP6749098 B2 JP 6749098B2
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- JP
- Japan
- Prior art keywords
- guide
- anchor
- driver
- suture
- channel
- 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.)
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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
- 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
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- 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
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- 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
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- 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
- A61B17/0491—Sewing machines for surgery
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- 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
- A61B17/06166—Sutures
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B17/06061—Holders for needles or sutures, e.g. racks, stands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B17/06114—Packages or dispensers for needles or sutures
- A61B17/06119—Packages or dispensers for needles or sutures of cylindrical shape
- A61B17/06128—Elongate cylinders, i.e. tubes
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- A—HUMAN NECESSITIES
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- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
- A61B17/3496—Protecting sleeves or inner probes; Retractable tips
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- 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
- A61B2017/00637—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 for sealing trocar wounds through abdominal wall
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B2017/00646—Type of implements
- A61B2017/00663—Type of implements the implement being a suture
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00902—Material properties transparent or translucent
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B2017/0417—T-fasteners
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- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
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- 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0437—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
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- 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
- A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
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- 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
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- 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
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- 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
- A61B2017/0474—Knot pushers
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- 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
- A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
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- 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
- A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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- 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
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
- A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
- A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/688,005 US9855031B2 (en) | 2010-04-13 | 2012-11-28 | Suture delivery system |
| US13/688,005 | 2012-11-28 | ||
| PCT/EP2013/073989 WO2014082876A1 (en) | 2012-11-28 | 2013-11-15 | Suture delivery system |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2015535471A JP2015535471A (ja) | 2015-12-14 |
| JP2015535471A5 JP2015535471A5 (enExample) | 2017-01-05 |
| JP6749098B2 true JP6749098B2 (ja) | 2020-09-02 |
Family
ID=49639860
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2015544410A Active JP6749098B2 (ja) | 2012-11-28 | 2013-11-15 | 縫合糸デリバリシステム |
Country Status (5)
| Country | Link |
|---|---|
| US (3) | US9855031B2 (enExample) |
| EP (1) | EP2925236B1 (enExample) |
| JP (1) | JP6749098B2 (enExample) |
| AU (1) | AU2013351428A1 (enExample) |
| WO (1) | WO2014082876A1 (enExample) |
Families Citing this family (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2486497B (en) | 2010-12-17 | 2013-06-19 | Neosurgical Ltd | Laparoscopic trocar system |
| US9855031B2 (en) | 2010-04-13 | 2018-01-02 | Neosurgical Limited | Suture delivery system |
| US20150335320A1 (en) * | 2010-04-13 | 2015-11-26 | neoSurgical Ltd. | Suture delivery system |
| WO2014169215A2 (en) * | 2013-04-11 | 2014-10-16 | University Of Utah Research Foundation | Self-closing laparoscopic port |
| JP6402458B2 (ja) * | 2014-03-14 | 2018-10-10 | 住友ベークライト株式会社 | 臓器固定具および臓器固定装置 |
| US11006952B2 (en) | 2016-01-13 | 2021-05-18 | Sharp Fluidics, Llc | Fixation device delivery system |
| US12059148B2 (en) | 2017-06-05 | 2024-08-13 | Conmed Corporation | Suture system and related methods for connecting and creating suspension between at least two bodies |
| EP3801290A4 (en) * | 2018-06-11 | 2022-03-02 | University Of Louisville Research Foundation, Inc. | Trocar site closure clip |
| CN112638283B (zh) * | 2018-07-16 | 2024-02-27 | 乌巴特·奥贾克 | 缝合构件、缝合针和缝合装置 |
| DE202020000044U1 (de) * | 2020-01-02 | 2020-03-31 | Vusal Hajiyev | Anker zur Korrektur eines Mitralklappen-Segel ProlapsAnker mit zentralen Loch zur Befestigung, Ziehen vom Mitralklappen Segel |
| US11344295B2 (en) * | 2020-07-31 | 2022-05-31 | Medos International Sàrl | Minimally invasive systems and methods for approximating tissue with a suture |
| CN112842554A (zh) * | 2021-03-04 | 2021-05-28 | 江苏常生科技有限公司 | 一种肺小结节定位器 |
| WO2025034236A1 (en) * | 2023-08-08 | 2025-02-13 | 3R Life Sciences Corporation | Surgical suture holder |
Family Cites Families (109)
| Publication number | Priority date | Publication date | Assignee | Title |
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| NL137173C (enExample) | 1965-10-08 | 1900-01-01 | ||
| US5387196A (en) | 1992-05-19 | 1995-02-07 | United States Surgical Corporation | Cannula assembly having conductive cannula |
| US5443484A (en) | 1992-06-16 | 1995-08-22 | Loma Linda University Medical Center | Trocar and method for endoscopic surgery |
| US5507755A (en) * | 1993-08-03 | 1996-04-16 | Origin Medsystems, Inc. | Apparatus and method for closing puncture wounds |
| US5830125A (en) | 1993-08-12 | 1998-11-03 | Scribner-Browne Medical Design Incorporated | Catheter introducer with suture capability |
| US5827299A (en) | 1993-08-25 | 1998-10-27 | Inlet Medical, Inc | Insertable suture passing grasping probe and methodology for using same |
| US5527322A (en) * | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
| US5330437A (en) | 1993-11-12 | 1994-07-19 | Ethicon Endo-Surgery | Self sealing flexible elastomeric valve and trocar assembly for incorporating same |
| US5716369A (en) | 1994-03-25 | 1998-02-10 | Riza; Erol D. | Apparatus facilitating suturing in laparoscopic surgery |
| US5478345A (en) | 1994-08-19 | 1995-12-26 | United States Surgical Corporation | Mechanism for endoscopic suturing device |
| US5460170A (en) | 1994-08-23 | 1995-10-24 | Hammerslag; Julius G. | Adjustable surgical retractor |
| US5514133A (en) | 1994-08-26 | 1996-05-07 | Golub; Robert | Access device for endoscopic surgery |
| US5672168A (en) | 1994-10-07 | 1997-09-30 | De La Torre; Roger A. | Laparoscopic access port for surgical instruments or the hand |
| US5634937A (en) | 1995-05-19 | 1997-06-03 | General Surgical Innovations, Inc. | Skin seal with inflatable membrane |
| US5626614A (en) * | 1995-12-22 | 1997-05-06 | Applied Medical Resources Corporation | T-anchor suturing device and method for using same |
| US6488692B1 (en) | 1996-09-16 | 2002-12-03 | Origin Medsystems, Inc. | Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery |
| US5948002A (en) | 1996-11-15 | 1999-09-07 | Bonutti; Peter M. | Apparatus and method for use in positioning a suture anchor |
| US6440063B1 (en) | 1997-04-30 | 2002-08-27 | University Of Massachusetts | Surgical access port and laparoscopic surgical method |
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| AU731976B2 (en) | 1997-06-02 | 2001-04-12 | Jeannette M. D. Martello | Soft tissue securing anchor |
| US6059800A (en) | 1997-09-10 | 2000-05-09 | Applied Medical Resources Corporation | Suturing apparatus and method |
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| US6589167B1 (en) | 1997-10-08 | 2003-07-08 | Hakko Electric Machine Works Co., Ltd. | Valve and valved trocar jacket tube |
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| CN1192906C (zh) | 2000-06-09 | 2005-03-16 | 富士胶片株式会社 | 平版印刷印版支架及其生产方法 |
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2012
- 2012-11-28 US US13/688,005 patent/US9855031B2/en active Active
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2013
- 2013-11-15 AU AU2013351428A patent/AU2013351428A1/en not_active Abandoned
- 2013-11-15 WO PCT/EP2013/073989 patent/WO2014082876A1/en not_active Ceased
- 2013-11-15 EP EP13795203.2A patent/EP2925236B1/en active Active
- 2013-11-15 JP JP2015544410A patent/JP6749098B2/ja active Active
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|---|---|
| WO2014082876A1 (en) | 2014-06-05 |
| US20180132842A1 (en) | 2018-05-17 |
| JP2015535471A (ja) | 2015-12-14 |
| EP2925236B1 (en) | 2020-01-22 |
| US11103231B2 (en) | 2021-08-31 |
| EP2925236A1 (en) | 2015-10-07 |
| AU2013351428A1 (en) | 2015-07-16 |
| US9855031B2 (en) | 2018-01-02 |
| US20220015754A1 (en) | 2022-01-20 |
| US20130090670A1 (en) | 2013-04-11 |
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