US20040176802A1 - Method and apparatus for suturing - Google Patents

Method and apparatus for suturing Download PDF

Info

Publication number
US20040176802A1
US20040176802A1 US10/807,396 US80739604A US2004176802A1 US 20040176802 A1 US20040176802 A1 US 20040176802A1 US 80739604 A US80739604 A US 80739604A US 2004176802 A1 US2004176802 A1 US 2004176802A1
Authority
US
United States
Prior art keywords
suture
sharpened tip
defined
suturing device
device
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.)
Abandoned
Application number
US10/807,396
Inventor
Jeffry Skiba
Jeffrey Baldwin
Laird Hatch
Gary Gartsman
Ran Oren
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.)
Orthopaedic Biosystems Ltd
Original Assignee
Orthopaedic Biosystems Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to US12999399P priority Critical
Priority to US09/550,975 priority patent/US6723107B1/en
Application filed by Orthopaedic Biosystems Ltd filed Critical Orthopaedic Biosystems Ltd
Priority to US10/807,396 priority patent/US20040176802A1/en
Publication of US20040176802A1 publication Critical patent/US20040176802A1/en
Application status is Abandoned legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B17/06109Big needles, either gripped by hand or connectable to a handle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06061Holders for needles or sutures, e.g. racks, stands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06009Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06019Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06042Means for attaching suture to needle located close to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06047Means for attaching suture to needle located at the middle of the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06076Needles, e.g. needle tip configurations helically or spirally coiled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0608J-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/061Needles, e.g. needle tip configurations hollow or tubular

Abstract

The present invention provides new and useful devices and techniques for use in suturing. These devices and techniques are particularly useful in laparoscopic, arthroscopic, and/or open surgical procedures. A method according to the present invention is characterized by releasably coupling a suture to a suture device, causing the tip of the suture device and a portion of the suture to penetrate a tissue, and releasing the suture from the suture device, so the suture may be drawn through the tissue for completion of a suturing procedure. One type of suturing device according to the invention is characterized by a handle with an elongated shaft with a sharpened tip configured to hold a suture at a selected point on the suture. Another type of device according to the principles of the invention is characterized by new and useful structures and techniques for loading the suture into the device. According to still another aspect of the present invention, different shaped suture tips are provided for the selection of the most effective tip shape for a given application. A suturing device according to the present invention may also be configured for use with a needle point swedged to a suture. Yet another type of suturing device according to the principles of present invention includes a tissue support structure disposed adjacent the sharpened tip, which may move relative to the sharpened tip to facilitate penetration of the tip through a tissue.

Description

    RELATED APPLICATION/CLAIM OF PRIORITY
  • This Application is related to and claims priority from Provisional Application Serial No. 60/129,993 entitled “Suture Leader for Shuttleless suturing”, filed Apr. 19, 1999.[0001]
  • FIELD OF INVENTION
  • The present invention relates to methods and apparatus for use in surgical suturing. [0002]
  • BACKGROUND OF INVENTION
  • Suture is often used bring two pieces of tissue together and hold the tissues as they heal. Needles allow a surgeon to pierce tissue and pull suture through that tissue. In many procedures, there is adequate space in the wound or incision to manipulate needles and needle holding instruments. The move by surgeons toward less invasive and minimally invasive surgeries has created the need for instruments to be designed to function in limited space and with longer reaches. Standard surgical instruments are being stretched and downsized to pass through tunnels in the tissue called cannulas or portals measuring as small as 5 millimeters in diameter and in a variety of lengths. There is a need for improved surgical instruments to manipulate and control sutures during surgical operations. [0003]
  • SUMMARY OF THE INVENTION
  • The present invention provides new and useful devices and techniques for use in suturing. These devices and techniques are particularly useful in laparoscopic, arthroscopic, and/or open surgical procedures. [0004]
  • One type of suturing device according to the invention is characterized by a handle with an elongated shaft with a sharpened tip configured to hold a suture at a selected point on the suture. Several different types of structures for holding the suture to the sharp tip are provided according to the principles of the invention. For example, one such structure comprises a tapered opening formed in the tip, and configured to enable a suture to be wedged and held in the opening. In another example, an elongated opening is provided, which may be curved, for holding the suture. In yet another example, a locking mechanism is provided, which has a locked position for holding the suture, an unlocked position for releasing the suture, and a partially locked position for controlled adjustment of the suture position relative to the tip. [0005]
  • Another type of device according to the principles of the invention is characterized by new and useful structures and techniques for loading the suture into the device. In one example of this aspect of the present invention, a suture may be side-loaded into the device. This provides numerous advantages, including eliminating the need to thread the suture, and allowing side-release of the suture. [0006]
  • According to still another aspect of the present invention, different shaped suture tips are provided for the selection of the most effective tip shape for a given application. In one example of this aspect of the present invention, each tip may be detached from the suturing device and replaced by another tip. In another example of this aspect of the present invention, the position of each tip is adjustable relative to the shaft of the suturing device for further refinement of the suturing device for a given application. [0007]
  • A suturing device according to the present invention may also be configured for use with a needle point swedged to a suture. [0008]
  • Yet another type of suturing device according to the principles of present invention includes a tissue support structure disposed adjacent the sharpened tip, which may move relative to the sharpened tip to facilitate penetration of the tip through a tissue. In one example of this aspect of the present invention, a suture is carried through the tissue by the tip as the tip penetrates the tissue. In another example of this aspect of the present invention, the tip engages the suture after penetration of the tissue, and draws the suture through the tissue as the tip is withdrawn from the tissue. [0009]
  • A method according to the present invention is characterized by releasably coupling a suture to a suture device, causing the tip of the suture device and a portion of the suture to penetrate a tissue, and releasing the suture from the suture device, so the suture may be drawn through the tissue for completion of a suturing procedure. [0010]
  • These and other features and techniques of the present invention will become further apparent from the following detailed description and the accompanying drawings.[0011]
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • A more complete understanding of the present invention may be derived by referring to the detailed description and claims when considered in connection with the following illustrative Figures, which may not be to scale. In the following Figures, like reference numbers refer to similar elements throughout the Figures. [0012]
  • FIG. 1 is a perspective view of a suturing device in accordance with the present invention; [0013]
  • FIG. 2 is a close-up perspective view of the sharpened tip at the distal end of the suturing device of FIG. 1; [0014]
  • FIGS. 3-5 illustrate the relative positions of a suture and a suturing device during coupling of a suture with the suturing device in accordance with the principles of the present invention; [0015]
  • FIGS. 6A-6B schematically illustrate the manner in which a suture is trapped and held by an opening in the sharpened tip of a suturing device in accordance with the principles of the present invention; [0016]
  • FIGS. 7-10 illustrate successive steps in applying a suture to tissue using a suturing device in accordance with the principles of the present invention; [0017]
  • FIGS. 11-17 schematically illustrate sharpened tips and different configurations for an opening for use in coupling a suture with the sharpened tip in accordance with the principles of the present invention; [0018]
  • FIG. 18-21 schematically illustrate a suturing device with a locking mechanism according to the principles of the present invention; [0019]
  • FIG. 22 schematically illustrates a sharpened tip with a combination of openings for use in coupling a suture with the sharpened tip in accordance with the principles of the present inventions; [0020]
  • FIGS. 23-29 schematically illustrate different configurations for a sharpened tip with an opening for coupling a suture with the sharpened tip in accordance with the principles of the present invention; [0021]
  • FIGS. 30-32 schematically illustrate different ways for coupling a needle with a swedged suture to a suturing device in accordance with the principles of the present invention; [0022]
  • FIG. 33 schematically illustrates another way for coupling a suture to a suturing device in accordance with the principles of the present invention; and [0023]
  • FIG. 34-36 illustrate a suture device in which a tissue support device is provided in accordance with the principles of the present invention. [0024]
  • DETAILED DESCRIPTION
  • As set forth above, the present invention provides several types of devices and techniques which are useful in suturing, for example in connection with laparoscopic, arthroscopic, and/or open surgical procedures. Examples of devices and techniques according to the principles of the present invention are described below in connection with particular embodiments, but it will be clear to those skilled in the art that aspects of the present invention found in one example may be practiced alone or in combination with (or even in lieu of) devices and techniques of the other examples. [0025]
  • One type of suturing device in accordance with the present invention is shown in FIG. 1. Suturing device [0026] 100 has a handle 102, a shaft 104 connected to the handle, and a tip 106 connected to the other (distal) end of the shaft. Typically, the handle 102 may be 4 to 6 inches long, and the shaft 104 may typically be from 1 to 24 inches, depending on the application. The shaft is typically 2 to 3 millimeters in diameter and formed of a rigid substance Tip 106 includes a sharpened point 108 and an eyelet (or opening) 110.
  • FIG. 2 shows a close-up view of tip [0027] 106. Tip 106 has a curved, hook-like shape for convenient delivery of a suture, as discussed further below. Eyelet 110 has an top portion 112 configured to be wider than a suture used in connection with the suturing device, and a narrowed bottom portion 114 for trapping the suture.
  • Referring now to FIGS. 3 through 6B, a method according to the present invention is shown. Suture [0028] 302 is threaded through eyelet 110 as shown in FIG. 3 and 4 until a selected length of suture (labeled “d”) is extended through suturing device 100 as shown in FIG. 4. Preferably, length d is about 2 inches. Once the selected point of suture is in eyelet 110, length d is drawn downward, as shown in FIG. 5, trapping the suture in eyelet 110. FIG. 6A shows the position of the suture in the wider top portion 112 of eyelet 110 prior to the drawing downward step. 6B shows the suture wedged into the narrowed bottom portion 114 of eyelet 110 after the downward drawing step of FIG. 5. The suture in FIG. 6B is thus trapped in the narrowed bottom portion 114 in accordance with one aspect of the invention.
  • FIGS. 7 through 10 show the use of the above described embodiment of the present invention in the repair of a gap [0029] 702 formed in tissue 704. As shown in FIGS. 7 and 8, suturing device 100 with suture 302 is partially inserted into a portion of tissue 704. Sharpened tip 106 of suturing device 100 penetrates tissue 704, thereby delivering suture 302 to the other side of tissue 704. A second tool 902 (FIG. 9) is used to assist in the release of suture 302 from eyelet 110, and to draw the short end of suture 302 the rest of the way through tissue 704 and fully disengage suture 302 from device 100 (See FIG. 10). Exhibit A shows color illustrations similar to FIGS. 7 through 10 and which may more clearly illustrate the contrast between the tool, the suture, and the tissue that is being sutured.
  • FIG. 11 shows a close-up of a tapered eyelet [0030] 110 of the type described in FIGS. 1 through 10, and further illustrating the orientation of the tapered eyelet 110 relative to the sharpened tip 106.
  • FIG. 12 shows a close-up of a sharpened tip [0031] 1202 with an alternative embodiment of an eyelet 1204 in accordance with the principles of the present invention. Eyelet 1202 has a tapered central portion 1206 which may trap a suture from either the top wider portion 1208 or the bottom wider portion 1210 of eyelet 1204. One advantage of this embodiment is that the device operator may disengage suture 302 from device 100 either by pulling the suture towards the wider top portion 1208 or the wider bottom portion 1210. It will be clear to one skilled in the art that this embodiment of the present invention provides added flexibility in the manner in which the suture can be released.
  • FIG. 13 shows a close-up of a sharpened tip [0032] 1302 with another alternative embodiment of an eyelet 1304 in accordance with the principles of the present invention. Eyelet 1304 is configured for side-loading of the suture into the eyelet. Eyelet 1304 is advantageous where the end of a suture is frayed, or it is otherwise difficult or time-consuming to pass lengthwise through an eyelet (as shown in FIGS. 3 and 4). The eyelet configuration shown in FIG. 13 allows for very easy loading, sliding, and release of the suture from the suturing device.
  • FIG. 14 shows another sharpened tip [0033] 1402 with still another embodiment of an eyelet 1404 with the feature of side-loading of a suture according to the principles of the present invention. The T-shaped configuration of eyelet 1404 substantially traps the suture in eyelet 1404 while allowing the suture to slide lengthwise through the eyelet.
  • FIG. 15 shows yet another sharpened tip [0034] 1502 with another configuration of an eyelet 1504 with side-loading capability according to the principles of the present invention. Eyelet 1504 is configured with a deep diagonal slot 1506 which substantially traps the suture while allowing the suture to slide lengthwise through the eyelet.
  • FIG. 16 shows yet another sharpened tip [0035] 1602 with another embodiment of an eyelet 1604 with side-loading capability according to the principles of the present invention. In FIG. 16, eyelet 1604 has a tapered configuration so that a suture may be side-loaded into a suturing device and then wedged into the tapered portion of the eyelet for improved trapping of the suture.
  • FIG. 17 shows yet another sharpened tip [0036] 1702 with another embodiment of an eyelet 1704 with a side-loading capability according to the principles of the present invention. In FIG. 17, eyelet 1704 has an elongated and curved configuration for substantially trapping a suture while allowing the suture to slide lengthwise through the eyelet. The elongated and curved configuration of the eyelet makes it very unlikely that a suture will be unintentionally released from the suturing device.
  • FIGS. 18 through 21 illustrate a suturing device with a locking mechanism for trapping a suture in an opening in a sharpened tip in accordance with the principles of present invention. As shown in FIG. 18, suturing device [0037] 1800 has a handle 1802 with locking mechanism button 1804, shaft 1806, and sharpened tip 1808.
  • FIG. 19 illustrates a close-up of sharpened tip [0038] 1808, having opening 1902 and locking element 1904. Locking element 1904 is controlled by the device operator with button 1804 (FIG. 18). Locking element 1804 may be selectively placed in (1) an open position for inserting a suture into an opening in the sharpened tip and for release of the suture from the opening in the sharpened tip; (2) at least one partially closed position for capturing the suture and for controlled adjustment of the suture relative to the tip; and (3) a locked position for trapping a suture in the opening in the sharpened tip at a selected point.
  • FIG. 20 further illustrates the use of the locking mechanism in accordance with the principles of the invention. FIG. 20 shows a schematic view of the sharpened tip [0039] 1808 with opening 1902. Sharpened tip 1808 has side-loading capability and locking element 1904, which can be selectively placed in any of the foregoing positions by movement of the locking element in the direction of arrow 2002. When a suture is first side-loaded, locking element 1904 is in the open position as shown in FIG. 20. As locking element 1904 is pushed forward and the side-opening 2004 is blocked-off, the suture is captured in the tip, but is not yet trapped in a particular position. In this state, the suture may slide lengthwise relative to sharpened tip 1808, but may not be removed from sharpened tip 1808 unless the full length of the the suture is drawn through opening 1902. As element 1904 is moved further forward, it engages the suture with a light amount of friction, giving the device operator the ability to control the lengthwise movement of the suture without damaging the suture. Finally as locking element 1904 is pushed fully forward, the suture becomes wedged in opening 1902, and fixed in a locked position. Release of the suture is achieved by moving the locking button to move the locking element away from the locked position.
  • In the embodiment of the present invention shown in FIG. 21, the locking element moves in the same manner as in FIG. 20, and the same locking principles apply, but no side-loading capability is provided. [0040]
  • Referring to FIG. 22, various combinations of eyelets may be formed on a sharpened tip in accordance with the principles of the present invention. For example, a round eyelet [0041] 2202 may be formed in addition to a deep diagonal slot 2204 on a device tip to allow selection of fully enclosing a suture (round eyelet) or side-loading of a suture with substantial trapping of the suture (deep diagonal slot) on the same tool. As another example, the eyelet with a tapered central portion as shown in FIG. 12 may also be combined with a side-loading feature. These and other combinations in accordance with the principles of the invention are intended to be included within the scope of the present invention.
  • FIGS. 23 through 29 show different sharpened tips for use in different applications of the present invention. The sharpened tip [0042] 2302 illustrated in FIG. 23 extends substantially straight and forward from the distal end of the device shaft. Alternatively, as shown in FIG. 24, a the sharpened tip 2402 may be angularly bent relative to the shaft in a selected direction, and angled to a side. As illustrated in FIG. 25, and sharpened tip 2502 may be further bent so that the distal portion of the tip generally points towards the proximal end of the shaft.
  • Referring now to FIG. 26, an alternative embodiment according the present invention is shown wherein a sharpened tip [0043] 2602 is curved at least partially about the distal end of the shaft.
  • In a further embodiment according to FIG. 27, a sharpened tip [0044] 2702 is formed with at least one spiral loop at the distal end of the shaft. In the illustrated example, the spiral shaped tip 2702 has about 1.5 loops. According to this embodiment of the present invention, with a suture held near the front of the spiral (see location of eyelet 2704), the suture may be passed through a tissue two or more times prior to releasing the stitch from a suturing device.
  • As shown in FIG. 28, a sharpened tip [0045] 28 may be configured to extend directly to one side of the distal end of the shaft.
  • Further, as shown in FIG. 29, a sharpened tip [0046] 2902 may be configured to extend at least partially forward from the. distal end of the shaft with a concave configuration.
  • Each of the above sharpened tip configurations may be selected for a particular application to allow a surgeon to pierce tissue in precisely the position chosen for the optimal re-approximation of tissue. Further, each of the above sharpened tip configurations may be combined with the other various aspects of the present invention to provide a wide selection of combinations to best pass suture through a substrate. For example, each of the above sharpened tip configurations may be combined with any of the eyelet configurations. Moreover, any of the eyelets could have side-loading capability and/or a locking mechanism. [0047]
  • In accordance with a further principle of the present invention, each tip may be configured for adjustability relative to the axis of the suturing device shaft, for providing further flexibility as to the orientation in which the suture may be applied to a gap in tissue. For example, the angle of the tip in FIG. 24 relative to the shaft may be adjusted at point in the direction of arrow [0048] 2404. Similarly, the looped tip in FIG. 27 may be rotated in the direction of arrow 2706. Each of the sharpened tips disclosed thus may be pivoted, rotated, or otherwise further adapted for improved application of the sharpened tip and the suture.
  • In accordance with a further principle of the present invention, various tips may be removed from the suturing device and replaced with an alternative tip or with a new, sharper tip. For example, referring to FIG. 24, the tip may be removed at point [0049] 2406 and replaced with the tip as shown in FIG. 25. Alternatively, the tip may be detached at other positions on the suturing device, such as by removing the shaft at point 116 (FIG. 1), and replacing it with a shaft carrying a differently shaped tip.
  • Referring now to FIGS. 30 through 32, further embodiments of the present invention configured for use with a needle point swedged to a suture are shown. As shown in FIG. 30, suture [0050] 3002 with needle tip 3004 may be side-loaded into a suturing device with a shaft 3006 with a curved distal end portion 3008. In accordance with this aspect of the invention, needle tip 3004 is sharpened and acts to penetrate and lead suture 3002 through a tissue. Once the tissue is punctured, the needle tip is grasped with a suture grasper (e.g. similar to second tool 902 in FIG. 9) and removed from the shaft in the direction of arrow 3010. The shaft is withdrawn and the suture is pulled through the tissue to complete the stitch. This embodiment also allows the simple replacement of sharp needles for tips that may have become dull. Further, tissue abrasion associated with pulling the short end of a suture through an opening already containing a length of suture is eliminated.
  • The shaft as in FIG. 30 may be modified as a cannula with the suture passing through a partial length of the device (FIG. 31) or the full length of the device (FIG. 32). These structures are advantageous in reducing or eliminating the amount of loose suture from the procedure area. Each of the devices in FIGS. 30 through 32 will preferably have a configuration for firmly holding the needle tip while it is piercing the tissue. [0051]
  • Referring to FIG. 33, alternatively, a suturing device [0052] 3300 may have a sharpened tip 3302, as in FIGS. 1 through 29, and be configured as a cannula with the suture passing through the full length of the device with a section 3304 protruding from the tip, in position for grasping as soon as the sharpened tip pierces a substrate. Section 3304 is located behind the first portion of the tip sharpened tip that pierces a tissue, so that the outwardly extending portion is carried through the tissue which has been pierced by the sharpened tip.
  • Referring now to FIG. 34, another embodiment of the invention including a tissue support structure [0053] 3402 disposed adjacent sharpened tip 3404 is shown (Exhibit B is a color illustration similar to FIG. 34, but also showing a suture). Tissue support structure 3402 is located on rotatable sheath 3406, which encases a shaft (shaft is not shown but is attached to handle 3408 and tip 3404). Rotatable sheath 3406 is preferably rotated by turning serrated handle 3410. Referring briefly to FIG. 35, a close-up view of the distal tip of a suturing device according to the principles of FIG. 34 is shown.
  • On occasion, the tissue to be sutured is difficult to pierce and requires pressure from behind to “push” the tissue against the sharpened tip. Use of tissue support structure [0054] 3402 is accomplished by positioning a portion of tissue to be sutured in between sharpened tip 3404 and tissue support structure 3402. The sharpened tip is rotated through the tissue while the tissue support rotates in an opposite direction, forcing the tissue against and to be pierced by the sharpened tip. The relative rotational motion between tissue support structure 3402 and sharpened tip 3404 provides the device operator with tactile feedback as to the amount of force being applied to a tissue.
  • In accordance with the principles of the present invention, tissue support structure [0055] 3402 and sharpened tip 3404 are suitably configured to approach and engage a portion of tissue from a broad range of angles or positions. Combination of the various sharpened tip configurations in accordance with the present invention and the adjustability of those tips with the tissue support structure provides an even broader range of options for engaging a tissue between a sharpened tip and tissue support structure 3402.
  • With continue reference to FIG. 35, a suture [0056] 302 is connected with the sharpened tip and passed through the tissue as the sharpened tip pierces the tissue. After piercing, the suture is grasped on the other side of the tissue, as described above, released from the sharpened tip, and then pulled through the tissue for further use in suturing.
  • Referring now to FIG. 36, an alternative configuration for drawing a suture through a tissue is disclosed (Exhibit C is a color illustration of the elements of FIG. 36). A suture [0057] 302 is connected with a sling 3602 in a tissue support device 3604. The sharpened tip pierces the tissue with the assistance of the tissue support device, and engages the suture as the sharpened tip is drawn back through the tissue and the suturing device is rotated open. In this way, if a suture is preferably applied from a side of a tissue inaccessible to the sharpened tip, the sharpened tip may be engaged from the opposite (and accessible) side of the tissue, and then made to draw the suture back through the tissue.
  • The present invention has been described above with reference to preferred embodiments. However, those skilled in the art having read this disclosure will recognize that changes and modifications may be made to the preferred embodiment without departing from the scope of the present invention. For example, the combination of the various opening configurations with the configurations of the sharpened tip is clearly contemplated by this disclosure. Similarly, the use of the various eyelets, tip configurations, and locking mechanisms with the different tissue support features is intended. These and other changes or modifications are intended to be included within the scope of the present invention, as expressed in the following claims. [0058]

Claims (55)

1. A suturing device comprising:
a handle;
an elongated shaft attached to said handle; and
a sharpened tip on said elongated shaft, said sharpened tip configured to trap a suture at a selected point.
2. A suturing device as defined in claim 1, wherein said sharpened tip includes an opening configured to trap a suture at a selected point.
3. A suturing device as defined in claim 2, wherein a least a portion of the opening is dimensioned to wedge and hold a suture in the selected position
4. A suturing device as defined in claim 3, wherein said opening comprises a central portion which has said tapered configuration.
5. A suturing device as defined in claim 2, wherein said opening comprises a tapered opening.
6. A suturing device as defined in claim 2, wherein said opening comprises an elongated opening.
7. A suturing device as defined in claim 6, wherein at least a portion of said elongated opening is curved.
8. A suturing device as defined in claim 1, wherein said sharpened tip includes an opening; and
a locking mechanism having at least a locked position and an unlocked position, said locking mechanism when in said locked position being configured to trap a suture in said opening.
9. A suturing device as defined in any of claims 2-8, wherein the suture comprises a length of material, and wherein said opening is configured to allow the suture to pass lengthwise through said opening.
10. A suturing device as defined in claim 9, wherein said opening is further configured to allow the suture to be side-loaded into said opening.
11. A suturing device as defined in claim 1, wherein said sharpened tip includes an opening into which a suture can be inserted, and wherein said opening is configured to allow the suture to be side loaded into said opening.
12. A suturing device as defined in claim 1, wherein said sharpened tip has a hooked configuration.
13. A suturing device as defined in claim 1, wherein said sharpened tip is angularly bent relative to said shaft in a selected direction.
14. A suturing device as defined in claim 1, wherein said sharpened tip is configured with at least one spiral loop at the distal end of the shaft.
15. A suturing device as defined in claim 1, wherein said sharpened tip is bent so the distal tip generally points towards the proximal end of the shaft.
16. A suturing device as defined in claim 1, wherein said sharpened tip is curved at least partially about the distal end of the shaft.
17. A suturing device as defined in claim 1, wherein said sharpened tip extends at an angle and to one side of the distal end.
18. A suturing device as defined in claim 1, wherein said sharpened tip extends at least partially forward from the distal end with a concave configuration.
19. A suturing device as defined in claim 1, wherein said sharpened tip extends substantially straight and forward from said distal end.
20. A suturing device as defined in claim 1, wherein said sharpened tip is selectively moveable relative to said shaft.
21. A suturing device as defined in claim 1, wherein said sharpened tip is selectively detachable from said shaft.
22. A suturing device comprising:
a handle;
an elongated shaft attached to said handle at a proximal end of said shaft; and
a detachable needle at a distal end of said elongated shaft, said needle having a suture attached thereto.
23. A suturing device as defined in claim 22, wherein said distal end has a hooked configuration.
24. A suturing device as defined in claim 22, wherein said distal end is angularly bent relative to said shaft in a selected direction.
25. A suturing device as defined in claim 22, wherein said distal end is configured with at least one spiral loop at the distal end of the shaft.
26. A suturing device as defined in claim 22, wherein said distal end is bent so the distal tip generally points towards the proximal end of the shaft.
27. A suturing device as defined in claim 22, wherein said distal end is curved at least partially about the distal end of the shaft.
28. A suturing device as defined in claim 22, wherein said distal end extends at an angle and to one side of the distal end.
29. A suturing device as defined in claim 22, wherein said distal end extends at least partially forward from the distal end with a concave configuration.
30. A suturing device as defined in claim 22, wherein said distal end extends substantially straight and forward from said distal end.
31. A suturing device as defined in claim 22, wherein said needle and suture are detachably affixed to said suturing device by threading the suture through a portion of said suturing device.
32. A suturing device as defined in claim 22, wherein said needle and suture are detachably affixed to said suturing device by threading the suture through at least the distal end and the shaft of said suturing device.
33. A suturing device as defined in claim 22, wherein said needle and suture are side-loaded into said suturing device.
34. A suturing device comprising:
a handle;
an elongated shaft attached to said handle at a proximal end of said shaft;
a sharpened tip at a distal end of said elongated shaft; and
a tissue support device disposed adjacent said sharpened tip, configured to move relative to said sharpened tip to facilitate penetration of said sharpened tip through a tissue.
35. A suturing device as defined in claim 34, wherein a suture is connected with said sharpened tip and moves with the sharpened tip as the sharpened tip penetrates through the tissue.
36. A suturing device as defined in claim 34, wherein a suture is connected with said tissue support device, and is located to be engaged by said sharpened tip as said sharpened tip is withdrawn from the tissue.
37. A method of delivering a suture comprising:
providing a suture device;
releasably coupling a suture with the distal end of said suture device;
penetrating a substrate with the distal end of said suture device such that said suture is partially passed through the substrate; and
releasing the suture from said suture device.
38. A method as defined in claim 37, wherein said step of releasably coupling a suture with the distal end of said suture device comprises releaseably trapping the suture in an opening at the distal end of said suture device.
39. A method as defined in claim 37, wherein the opening is configured to trap and hold a suture, and said step of releasably coupling comprises releasably trapping and holding the suture in the opening.
40. A method as defined in claim 37, wherein a locking mechanism associated with the opening has a locked position in which it releasably traps the suture in the opening, at least a portion of the suture being disposed in the opening, and said step of releasably coupling comprises placing said locking mechanism in its locked position.
41. A method as defined in any of claims 38 through 40, wherein said step of releasably coupling comprises the step of side-loading the suture into the opening.
42. A method as defined in claim 37, wherein the distal end of said suture device is selectively adjustable relative to the suture device.
43. A method as defined in claim 37, wherein the distal end of said suture device is selectively detachable from the suture device.
44. A method as defined in claim 43, wherein a differently shaped distal end may be attached to the distal end of said suture device.
45. A method as defined in claim 37, wherein a detachable needle is disposed at the distal end of the suture device, said needle having a suture attached thereto, and wherein said step of penetrating a substrate with the distal end of the suture comprises penetrating the substrate with said detachable needle.
46. A method as defined in claim 37, wherein a second penetrating step is performed through said substrate with said distal end of said suture device prior to said releasing step.
47. A method as defined in claim 37, wherein the distal end comprises a sharpened tip, a tissue support device is disposed adjacent the sharpened tip, and said step of penetrating a substrate comprises locating the tissue support device adjacent a selected portion of tissue and moving the sharpened tip relative to the tissue support device to facilitate penetration of the sharpened tip through the selected portion of tissue.
48. A method as defined in claim 47, wherein a suture is connected with the sharpened tip and moves with the sharpened tip as the sharpened tip penetrates through the tissue.
49. A method of delivering a suture comprising:
providing a suturing device having a sharpened tip configured to penetrate a tissue, a tissue support device disposed to be located adjacent a selected portion of tissue, and being moveable relative to the sharpened tip to facilitate penetration of the sharpened tip through the selected portion of tissue and to enable the sharpened tip to be withdrawn from the selected portion of tissue;
providing a suture disposed to be engaged by the sharpened tip as the sharpened tip is being withdrawn from the selected portion of tissue;
locating the tissue support device adjacent a selected portion of tissue and moving the sharpened tip relative to the tissue support device to pierce the selected portion of tissue, and engaging the suture with the sharpened tip as the sharpened tip is withdrawn from the selected portion of tissue; and
releasing the suture from the sharpened tip after the sharpened tip has been withdrawn from the selected portion of tissue.
50. A method as defined in claim 49, wherein the step of moving the sharpened tip relative to the tissue support device comprises rotating the tissue support device and the sharpened tip relative to each other so that the sharpened tip rotates towards the tissue support device as the sharpened tip pierces the tissue and rotates away from the tissue support device as the sharpened tip is withdrawn from the selected portion of tissue, and engaging the suture with the sharpened tip and drawing the suture through the selected portion of tissue as the sharpened tip rotates away from the tissue support device and is withdrawn from the selected portion of tissue.
51. A suturing device comprising:
a handle;
an elongated shaft attached to said handle;
a sharpened tip on said elongated shaft,
said sharpened tip being configured to engage a suture; and
a locking mechanism having at least a locked position and an unlocked position, said locking mechanism when in said locked position being configured to hold the suture in a selected position.
52. A suturing device as defined in claim 51, wherein said locking mechanism has at least one partially closed position for capturing the suture and for controlled adjustment of the suture relative to the sharpened tip.
53. A suturing device comprising:
a handle;
an elongated shaft attached to said handle;
a sharpened tip on said elongated shaft,
said sharpened tip having an opening configured to allow the suture to be side-loaded onto said device.
54. A suturing device as defined in claim 53, wherein said opening comprises a tapered opening.
55. A suturing device comprising:
a handle;
an elongated shaft attached to said handle;
a sharpened tip on said elongated shaft,
said sharpened tip having a piercing portion configured to pierce tissue during a suturing procedure; and
a suture coupled with said sharpened tip, said suture having a suture portion extending outward from said sharpened tip to permit said suture to be grasped and manipulated relative to said sharpened tip, said suture portion disposed to be carried by the sharpened tip through tissue which has been pierced by said piercing portion.
US10/807,396 1999-04-19 2004-03-24 Method and apparatus for suturing Abandoned US20040176802A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US12999399P true 1999-04-19 1999-04-19
US09/550,975 US6723107B1 (en) 1999-04-19 2000-04-18 Method and apparatus for suturing
US10/807,396 US20040176802A1 (en) 1999-04-19 2004-03-24 Method and apparatus for suturing

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/807,396 US20040176802A1 (en) 1999-04-19 2004-03-24 Method and apparatus for suturing

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/550,975 Division US6723107B1 (en) 1999-04-19 2000-04-18 Method and apparatus for suturing

Publications (1)

Publication Number Publication Date
US20040176802A1 true US20040176802A1 (en) 2004-09-09

Family

ID=32072727

Family Applications (2)

Application Number Title Priority Date Filing Date
US09/550,975 Active US6723107B1 (en) 1999-04-19 2000-04-18 Method and apparatus for suturing
US10/807,396 Abandoned US20040176802A1 (en) 1999-04-19 2004-03-24 Method and apparatus for suturing

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US09/550,975 Active US6723107B1 (en) 1999-04-19 2000-04-18 Method and apparatus for suturing

Country Status (1)

Country Link
US (2) US6723107B1 (en)

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010053916A1 (en) * 2000-06-05 2001-12-20 Rioux Robert F. Methods and devices for the treatment of urinary incontinence
US20070225735A1 (en) * 2006-03-21 2007-09-27 Stone Kevin T Method and apparatus for passing a suture
US20080139877A1 (en) * 2001-03-09 2008-06-12 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
DE202007015955U1 (en) * 2007-11-06 2009-03-19 Karl Storz Gmbh & Co. Kg Needle to pierce tissue and cartilage for atraumatic transport of a suture
US20090082788A1 (en) * 2007-09-25 2009-03-26 Elmaraghy Amr Suture management method and apparatus
US7594922B1 (en) 2005-04-07 2009-09-29 Medicine Lodge, Inc System and method for meniscal repair through a meniscal capsular tunnel
US20100036415A1 (en) * 2008-08-07 2010-02-11 Tyco Healthcare Group Lp Surgical needle with reduced contact area
US20100318139A1 (en) * 2009-06-16 2010-12-16 Marc Beauchamp Method and apparatus for arthroscopic rotator cuff repair using transosseous tunnels
US20110028995A1 (en) * 2009-07-28 2011-02-03 Edwards Lifesciences Corporation Surgical Puncture Cinch and Closure System
US20110106124A1 (en) * 2009-06-16 2011-05-05 Marc Beauchamp Method and apparatus for arthroscopic rotator cuff repair using transosseous tunnels
US20110270253A1 (en) * 2010-04-28 2011-11-03 Erik Dorf Cerclage Device
US20120095504A1 (en) * 2010-09-20 2012-04-19 Shanley John F Method for providing surgical access
US8177796B2 (en) 2009-03-23 2012-05-15 Linvatec Corporation Suture passing apparatus and method
US8292920B2 (en) 2005-11-10 2012-10-23 Tyco Healthcare Group Lp Sickle needle and method
US20140148826A1 (en) * 2012-11-28 2014-05-29 Pergolas, Llc Minimally invasive surgical kit
US9044267B2 (en) 2010-06-11 2015-06-02 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US9149261B2 (en) 2001-03-09 2015-10-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US9161778B2 (en) 2010-06-11 2015-10-20 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US9421544B2 (en) 2012-02-29 2016-08-23 Gary Chorng-Jyh Wang Three-dimensional digital microfluidic system
US9730687B2 (en) 2013-10-29 2017-08-15 Entourage Medical Technologies, Inc. System for providing surgical access

Families Citing this family (108)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8721663B2 (en) 1999-05-20 2014-05-13 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US6488689B1 (en) * 1999-05-20 2002-12-03 Aaron V. Kaplan Methods and apparatus for transpericardial left atrial appendage closure
US7615076B2 (en) 1999-10-20 2009-11-10 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7004970B2 (en) 1999-10-20 2006-02-28 Anulex Technologies, Inc. Methods and devices for spinal disc annulus reconstruction and repair
US7052516B2 (en) 1999-10-20 2006-05-30 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and deformable spinal disc annulus stent
US8128698B2 (en) 1999-10-20 2012-03-06 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7951201B2 (en) 1999-10-20 2011-05-31 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US8163022B2 (en) 2008-10-14 2012-04-24 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US8632590B2 (en) 1999-10-20 2014-01-21 Anulex Technologies, Inc. Apparatus and methods for the treatment of the intervertebral disc
US6592625B2 (en) 1999-10-20 2003-07-15 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and spinal disc annulus stent
US7935147B2 (en) 1999-10-20 2011-05-03 Anulex Technologies, Inc. Method and apparatus for enhanced delivery of treatment device to the intervertebral disc annulus
US6805695B2 (en) 2000-04-04 2004-10-19 Spinalabs, Llc Devices and methods for annular repair of intervertebral discs
US7842050B2 (en) * 2001-02-26 2010-11-30 Diduch David R Suture passing devices
US20050131393A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US7364541B2 (en) * 2001-03-09 2008-04-29 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8915927B2 (en) * 2001-03-09 2014-12-23 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US7112208B2 (en) * 2001-08-06 2006-09-26 Morris John K Compact suture punch with malleable needle
US20040249394A1 (en) * 2001-08-06 2004-12-09 Arthrex, Inc. Compact suture punch with malleable needle
US7101395B2 (en) * 2002-06-12 2006-09-05 Mitral Interventions, Inc. Method and apparatus for tissue connection
US7879046B2 (en) 2001-10-01 2011-02-01 Depuy Mitek, Inc. Suturing apparatus and method
EP2392265B2 (en) * 2001-10-01 2017-04-26 DePuy Mitek, Inc. Suturing apparatus
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US8641727B2 (en) 2002-06-13 2014-02-04 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US7758637B2 (en) * 2003-02-06 2010-07-20 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7588582B2 (en) * 2002-06-13 2009-09-15 Guided Delivery Systems Inc. Methods for remodeling cardiac tissue
US20050273138A1 (en) * 2003-12-19 2005-12-08 Guided Delivery Systems, Inc. Devices and methods for anchoring tissue
US20060122633A1 (en) 2002-06-13 2006-06-08 John To Methods and devices for termination
US7753858B2 (en) * 2002-06-13 2010-07-13 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US9949829B2 (en) 2002-06-13 2018-04-24 Ancora Heart, Inc. Delivery devices and methods for heart valve repair
US7883538B2 (en) * 2002-06-13 2011-02-08 Guided Delivery Systems Inc. Methods and devices for termination
US7666193B2 (en) * 2002-06-13 2010-02-23 Guided Delivery Sytems, Inc. Delivery devices and methods for heart valve repair
US20040243227A1 (en) * 2002-06-13 2004-12-02 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US8287555B2 (en) * 2003-02-06 2012-10-16 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US20050216078A1 (en) * 2002-06-13 2005-09-29 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US6986775B2 (en) * 2002-06-13 2006-01-17 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US20050107811A1 (en) * 2002-06-13 2005-05-19 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7150753B2 (en) * 2002-08-16 2006-12-19 Om Prakash Rehil Non-disposable trocar needle and handle
US8066718B2 (en) * 2003-03-18 2011-11-29 Depuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly
US8585714B2 (en) * 2003-03-18 2013-11-19 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US7534204B2 (en) * 2003-09-03 2009-05-19 Guided Delivery Systems, Inc. Cardiac visualization devices and methods
US7753922B2 (en) * 2003-09-04 2010-07-13 Guided Delivery Systems, Inc. Devices and methods for cardiac annulus stabilization and treatment
CA2557732C (en) * 2004-03-04 2016-08-16 Ran Oren Suture manipulating and cutting implement
WO2006007399A1 (en) 2004-06-16 2006-01-19 Smith & Nephew, Inc. Suture passing
US7883519B2 (en) * 2004-07-06 2011-02-08 Ran Oren Suture manipulating instrument particularly useful with endoscopes
NZ534215A (en) * 2004-07-20 2005-12-23 Enztec Ltd Improved surgical drill
DE602005010442D1 (en) * 2004-08-16 2008-11-27 Zimmer Spine Inc Spiral sewing device
WO2006023975A2 (en) * 2004-08-24 2006-03-02 Depuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US20060264976A1 (en) * 2005-05-23 2006-11-23 Terry Michael A System and method for improved suture insertion
US20080086147A1 (en) * 2006-10-05 2008-04-10 Knapp Thomas P Shape memory filament for suture management
US9072514B2 (en) 2006-10-05 2015-07-07 Thomas P. Knapp Shape memory filament for suture management
US20080294175A1 (en) * 2007-05-21 2008-11-27 Epitek, Inc. Left atrial appendage closure
EP2148623A1 (en) * 2007-05-21 2010-02-03 Epitek, Inc. Left atrial appendage closure
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US20090012538A1 (en) * 2007-07-03 2009-01-08 Justin Saliman Methods and devices for continuous suture passing
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US20100130990A1 (en) * 2007-07-03 2010-05-27 Saliman Justin D Methods of suturing and repairing tissue using a continuous suture passer device
US20110130773A1 (en) * 2007-07-03 2011-06-02 Saliman Justin D Methods for continuous suture passing
US8663253B2 (en) * 2007-07-03 2014-03-04 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
EP2042104B1 (en) * 2007-09-29 2011-10-26 Richard Wolf GmbH Surgical suturing instrument
US8821518B2 (en) * 2007-11-05 2014-09-02 Ceterix Orthopaedics, Inc. Suture passing instrument and method
US8603112B2 (en) * 2007-11-30 2013-12-10 Easylap Ltd. Suturing assembly and method
US8790367B2 (en) 2008-02-06 2014-07-29 Guided Delivery Systems Inc. Multi-window guide tunnel
EP2349019A4 (en) 2008-10-10 2016-06-15 Guided Delivery Systems Inc Termination devices and related methods
BRPI0919672A2 (en) 2008-10-10 2015-12-01 Guided Delivery Systems Inc tensioning devices cable and related methods.
MX339174B (en) * 2008-11-03 2016-05-12 Ethicon Llc Length of self-retaining suture and method and device for using the same.
US20100168769A1 (en) * 2008-12-30 2010-07-01 Richard S. Wilkenfeld Laparoscopic knot pushing device
US20100168770A1 (en) * 2008-12-30 2010-07-01 Richard S. Wilkenfeld Laparoscopic method for suturing in a body cavity
US20100198192A1 (en) 2009-01-20 2010-08-05 Eugene Serina Anchor deployment devices and related methods
US20100318106A1 (en) * 2009-05-18 2010-12-16 Rockford Orthopaedic Sports Medicine Services, Llc Suture loop isometer
EP2498688B1 (en) 2009-11-09 2016-03-23 Ceterix Orthopedics, Inc. Devices, systems and methods for meniscus repair
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US8652153B2 (en) 2010-01-11 2014-02-18 Anulex Technologies, Inc. Intervertebral disc annulus repair system and bone anchor delivery tool
US8162962B2 (en) 2010-02-24 2012-04-24 Miami Instruments Llc Knot setter
WO2012031204A2 (en) 2010-09-03 2012-03-08 Guided Delivery Systems Inc. Devices and methods for anchoring tissue
US10098631B2 (en) 2010-09-10 2018-10-16 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
EP2613712B1 (en) 2010-09-10 2018-04-04 Pivot Medical, Inc. Apparatus for passing suture through tissue
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US8465504B2 (en) 2011-01-25 2013-06-18 Isuturing, Llc Devices and methods for continuous surgical suturing
US9775602B2 (en) 2011-01-25 2017-10-03 Isuturing, Llc Devices and methods for continuous surgical suturing
US8556916B2 (en) 2011-02-14 2013-10-15 Smith & Nephew, Inc. Method and device for suture manipulation
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US8882834B2 (en) 2011-07-08 2014-11-11 Smith & Nephew, Inc. Soft tissue repair
US8951263B2 (en) 2011-07-08 2015-02-10 Smith & Nephew, Inc. Orthopedic suture passer and method
US9357997B2 (en) 2011-07-08 2016-06-07 Smith & Nephew, Inc. Suture passer and method
US8801727B2 (en) 2011-07-08 2014-08-12 Smith & Nephew, Inc. Orthopedic suture passer and method
US9662105B2 (en) 2011-07-08 2017-05-30 Smith & Nephew, Inc. Suture passer and method
US8888849B2 (en) 2011-07-08 2014-11-18 Smith & Nephew, Inc. Soft tissue repair
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US10136883B2 (en) 2011-11-16 2018-11-27 VentureMD Innovations, LLC Method of anchoring a suture
US9801624B2 (en) 2012-12-28 2017-10-31 Cook Medical Technologies Llc Surgical suture device and methods of using the same
EP2948068A4 (en) 2013-01-28 2016-09-28 Cartiva Inc Systems and methods for orthopedic repair
US9737294B2 (en) 2013-01-28 2017-08-22 Cartiva, Inc. Method and system for orthopedic repair
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US9492162B2 (en) 2013-12-16 2016-11-15 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices and methods
WO2015009419A1 (en) 2013-07-15 2015-01-22 Cook Medical Technologies Llc Suture passer and method of operating same
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
AU2016226023B2 (en) 2015-03-05 2018-09-06 Ancora Heart, Inc. Devices and methods of visualizing and determining depth of penetration in cardiac tissue
US9962174B2 (en) 2015-07-17 2018-05-08 Kator, Llc Transosseous method
US10258401B2 (en) 2015-07-17 2019-04-16 Kator, Llc Transosseous guide
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10143462B2 (en) 2015-08-04 2018-12-04 Kator, Llc Transosseous suture anchor method
US10080562B2 (en) 2015-08-06 2018-09-25 DePuy Synthes Products, Inc. Methods, systems, and devices for surgical suturing

Citations (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US592926A (en) * 1897-11-02 Needle
US818152A (en) * 1903-06-01 1906-04-17 Thomas A Edwards Needle, &c.
US919138A (en) * 1909-03-16 1909-04-20 Clarence A Drake Surgical needle.
US1055058A (en) * 1912-07-22 1913-03-04 James A Leighton Open-eye needle.
US1583271A (en) * 1925-01-14 1926-05-04 Biro Ladislaus Surgical instrument
US2247342A (en) * 1940-07-15 1941-06-24 Crompton & Knowles Loom Works Method of forming axminster loom needles
US2416117A (en) * 1945-04-04 1947-02-18 Orthwine Rudolf Needle
US2738790A (en) * 1954-08-12 1956-03-20 George P Pilling & Son Company Suturing instrument
US3469548A (en) * 1967-06-01 1969-09-30 Singer Co Needle for sewing or the like
US3645222A (en) * 1970-09-24 1972-02-29 Singer Co Self-threading sewing machine needle
US3737954A (en) * 1970-10-19 1973-06-12 C Tabler Connector for flexible belts
US3880167A (en) * 1974-01-28 1975-04-29 Charles W Hardwick Surgical needle apparatus
US3892240A (en) * 1974-03-21 1975-07-01 Charles Lanier Park Surgical needle apparatus
US4133339A (en) * 1975-07-11 1979-01-09 Floss Aid Corporation Needle with deformable eye
US4172458A (en) * 1977-11-07 1979-10-30 Pereyra Armand J Surgical ligature carrier
US4563961A (en) * 1983-05-21 1986-01-14 Jos. Zimmerman Tufting needle
US4890615A (en) * 1987-11-05 1990-01-02 Concept, Inc. Arthroscopic suturing instrument
US4957498A (en) * 1987-11-05 1990-09-18 Concept, Inc. Suturing instrument
US5015250A (en) * 1990-01-12 1991-05-14 Vance Products Incorporated Medical instrument for driving a suture needle
US5085661A (en) * 1990-10-29 1992-02-04 Gerald Moss Surgical fastener implantation device
US5149329A (en) * 1990-12-12 1992-09-22 Wayne State University Surgical suture carrier and method for urinary bladder neck suspension
US5152769A (en) * 1991-11-04 1992-10-06 Will Baber Apparatus for laparoscopic suturing with improved suture needle
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5234438A (en) * 1991-04-16 1993-08-10 Neal Semrad Process and device for creating new tunnels in tissue
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5391174A (en) * 1991-11-29 1995-02-21 Weston; Peter V. Endoscopic needle holders
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
US5437680A (en) * 1987-05-14 1995-08-01 Yoon; Inbae Suturing method, apparatus and system for use in endoscopic procedures
US5522820A (en) * 1993-01-15 1996-06-04 Arthrotech Method and apparatus for suturing tissue
US5562685A (en) * 1994-09-16 1996-10-08 General Surgical Innovations, Inc. Surgical instrument for placing suture or fasteners
US5571119A (en) * 1993-10-25 1996-11-05 Children's Medical Center Corporation Retractable suture needle with self-contained driver
US5817108A (en) * 1995-06-07 1998-10-06 Medtronic, Inc. Device and method for suturing wound
US5843099A (en) * 1997-01-16 1998-12-01 Bei Medical Systems, Inc. Single system ligature carrier and tissue clamp for sacrospinous colpopexy
US6006965A (en) * 1998-07-07 1999-12-28 Hamann; Andrew L. Sewing needle
US6074403A (en) * 1997-10-29 2000-06-13 Arthrex, Inc. Suture retriever

Family Cites Families (164)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US659422A (en) 1900-06-12 1900-10-09 George W Shidler Surgical instrument.
FR401199A (en) 1909-03-25 1909-08-20 Maurice Bauffre suture needles, hollow handle
US1635066A (en) 1927-02-08 1927-07-05 Walter A Wells Surgical instrument
US1815725A (en) 1930-02-03 1931-07-21 George P Pilling & Son Company Suture forceps
US2065659A (en) 1934-08-04 1936-12-29 Arthur V Cullen Fastening method and means
GB528550A (en) 1938-05-10 1940-10-31 Frances Richman Improvements in or relating to surgical suturing instruments
US2414882A (en) 1943-09-24 1947-01-28 Herschel Leiter H Fracture reduction apparatus
US2593622A (en) 1949-02-04 1952-04-22 Albert L Stanelle Screw holding screw driver
US2610631A (en) 1949-11-02 1952-09-16 David J Calicchio Ligator
US2737954A (en) 1954-02-12 1956-03-13 Gloria H Knapp Surgical stitching instrument with rotatable needle support
US2880728A (en) 1958-02-03 1959-04-07 Clyde S Rights Ligature inserter
US3036482A (en) 1960-09-02 1962-05-29 Kenworthy Kenneth Axial-impact type hand tool
US3470875A (en) 1966-10-06 1969-10-07 Alfred A Johnson Surgical clamping and suturing instrument
US3470834A (en) 1968-03-08 1969-10-07 Dennison Mfg Co Fastener attaching device
US3580256A (en) 1969-06-30 1971-05-25 Jack E Wilkinson Pre-tied suture and method of suturing
US3638653A (en) 1969-07-31 1972-02-01 H Lee Berry Suturing device
US3716058A (en) 1970-07-17 1973-02-13 Atlanta Res Inst Barbed suture
US3871379A (en) 1971-08-26 1975-03-18 Henry C N Clarke Laparoscopy instruments and method for suturing and ligation
US3840017A (en) 1971-10-29 1974-10-08 A Violante Surgical instrument
TR17343A (en) 1972-05-31 1975-03-24 Ethicon Inc It can be released in a controlled release suetu
US3980177A (en) 1973-10-26 1976-09-14 Johnson & Johnson Controlled release suture
US3842824A (en) 1973-03-19 1974-10-22 A Neufeld Notched surgical pin and breaking tool therefor
US3842840A (en) 1973-05-07 1974-10-22 E Schweizer Suture applicator
US3901244A (en) 1973-05-07 1975-08-26 Edward E Schweizer Suture cartridge
US3946740A (en) 1974-10-15 1976-03-30 Bassett John W Suturing device
DE2532242A1 (en) 1975-07-18 1977-02-10 Gerhard Seeh Suturing needle with thread feed and release - has sliding plunger in sealed needle shaft
US3990619A (en) 1975-11-12 1976-11-09 Dennison Manufacturing Company Fastener attachment needle
US4164225A (en) 1977-12-28 1979-08-14 Johnson & Lorenz, Inc. Surgical suturing instrument
US4161951A (en) 1978-04-27 1979-07-24 Scanlan International, Inc. Needle driver
US4235238A (en) 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
JPS5542626A (en) 1978-09-20 1980-03-26 Olympus Optical Co Blocking device of coelom inside tubular portion
US4224947A (en) 1979-02-05 1980-09-30 Mamoru Fukuda Suturing apparatus
US4476590A (en) 1980-03-27 1984-10-16 National Research Development Corporation Antimicrobial surgical implants
GB2084468B (en) 1980-09-25 1984-06-06 South African Inventions Surgical implant
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4384406A (en) 1981-03-05 1983-05-24 Cordis Corporation Combination suture cutter and remover
US4535768A (en) 1981-08-26 1985-08-20 South African Inventions Development Corporation Set of surgical instruments
SU1034728A1 (en) 1982-01-19 1983-08-15 Иркутский Государственный Медицинский Институт Surgical thread
US4724840A (en) 1982-02-03 1988-02-16 Ethicon, Inc. Surgical fastener applier with rotatable front housing and laterally extending curved needle for guiding a flexible pusher
US4448194A (en) 1982-02-03 1984-05-15 Ethicon, Inc. Full stroke compelling mechanism for surgical instrument with drum drive
US4621639A (en) 1982-02-03 1986-11-11 Ethicon, Inc Surgical instrument with hydraulic actuator
US4512344A (en) 1982-05-12 1985-04-23 Barber Forest C Arthroscopic surgery dissecting apparatus
US4493323A (en) 1982-12-13 1985-01-15 University Of Iowa Research Foundation Suturing device and method for using same
US4509516A (en) 1983-02-24 1985-04-09 Stryker Corporation Ligament tunneling instrument
US4590929A (en) 1983-05-03 1986-05-27 Klein Harvey A Tools for orthopaedic surgery and the like
US4741330A (en) 1983-05-19 1988-05-03 Hayhurst John O Method and apparatus for anchoring and manipulating cartilage
US4596249A (en) 1983-07-26 1986-06-24 Freda Vincent J Implement for setting sutures
US4580563A (en) 1983-10-24 1986-04-08 Gross R Michael Arthroscopic surgical instrument and method
US4602635A (en) 1983-11-14 1986-07-29 Mulhollan James S Remote surgical knot tier and method of use
US4621640A (en) 1984-01-09 1986-11-11 Mulhollan James S Mechanical needle carrier and method for its use
DE3413744C2 (en) 1984-04-12 1986-08-28 Richard Wolf Gmbh, 7134 Knittlingen, De
US4643178A (en) 1984-04-23 1987-02-17 Fabco Medical Products, Inc. Surgical wire and method for the use thereof
CN1006954B (en) 1985-03-11 1990-02-28 阿图尔·费希尔 Fastening elements for osteosynthesis
US4662068A (en) 1985-11-14 1987-05-05 Eli Polonsky Suture fusing and cutting apparatus
US4633869A (en) 1985-12-23 1987-01-06 Arthrex Arthroscopy Instruments, Inc. Tension retaining device for surgical procedures
US4779616A (en) 1986-02-04 1988-10-25 Johnson Lanny L Surgical suture-snagging method
FR2598311B1 (en) 1986-05-07 1988-09-09 Laboureau Jacques surgical instrument referred and installation for plasty (or prosthetic replacement) of the posterior cruciate ligament of the knee
US4723546A (en) 1986-06-17 1988-02-09 Zagorski Joseph B Apparatus for arthroscopic surgery
US4739751A (en) 1986-10-03 1988-04-26 Temple University Apparatus and method for reconstructive surgery
US4790312A (en) 1987-01-20 1988-12-13 Becton Dickinson Acutecare, Inc. Surgical knife
US5100418A (en) 1987-05-14 1992-03-31 Inbae Yoon Suture tie device system and applicator therefor
US4898156A (en) 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4899743A (en) 1987-12-15 1990-02-13 Mitek Surgical Products, Inc. Suture anchor installation tool
US4881537A (en) 1988-08-10 1989-11-21 Charles Henning Surgical instrument, and methods for forming a channel in a femoral condyle including reconstructing an anterior cruciate ligament
US5053047A (en) 1989-05-16 1991-10-01 Inbae Yoon Suture devices particularly useful in endoscopic surgery and methods of suturing
US4935027A (en) 1989-08-21 1990-06-19 Inbae Yoon Surgical suture instrument with remotely controllable suture material advancement
US4950285A (en) 1989-11-27 1990-08-21 Wilk Peter J Suture device
US5123913A (en) 1989-11-27 1992-06-23 Wilk Peter J Suture device
US5029573A (en) 1990-03-30 1991-07-09 Chow James C System for endoscopic surgery
US5037433A (en) 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5120318A (en) 1990-06-25 1992-06-09 Harinathareddy Nallapareddy Arthroscopy portal maker
CA2049103C (en) 1990-09-06 1996-10-01 Royce Lewis Implant assist apparatus
US5211650A (en) 1991-01-07 1993-05-18 Laparomed Corporation Dual function suturing device and method
US5259846A (en) 1991-01-07 1993-11-09 United States Surgical Corporation Loop threaded combined surgical needle-suture device
US5181919A (en) 1991-04-23 1993-01-26 Arieh Bergman Suture ligating device for use with an endoscope
US5269783A (en) 1991-05-13 1993-12-14 United States Surgical Corporation Device and method for repairing torn tissue
US5217471A (en) 1991-05-30 1993-06-08 Burkhart Stephen S Endoscopic suture knotting instrument
US5224955A (en) 1991-08-15 1993-07-06 American Cyanamid Company Surgical needle-suture combination and apparatus and method for attaching the same
US5281234A (en) 1991-10-30 1994-01-25 Wilk Peter J Laparoscopic surgical method and related instrument assembly
US5201744A (en) 1991-12-05 1993-04-13 Jones Mark W Method and device for suturing using a rod with a needle holder
US5391170A (en) 1991-12-13 1995-02-21 David A. McGuire Angled surgical screw driver and methods of arthroscopic ligament reconstruction
US5217486A (en) 1992-02-18 1993-06-08 Mitek Surgical Products, Inc. Suture anchor and installation tool
US5174087A (en) 1992-02-19 1992-12-29 Mitek Surgical Products, Inc. Suture anchor assembly packaging system
US5269786A (en) 1992-02-20 1993-12-14 Arthrex Inc. PCL oriented placement tibial guide method
US5171251A (en) 1992-03-02 1992-12-15 Ethicon, Inc. Surgical clip having hole therein and method of anchoring suture
US5178629A (en) 1992-03-03 1993-01-12 Ethicon, Inc. Method of forming a suture knot
US5250054A (en) 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
US5336231A (en) 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
US5383883A (en) 1992-06-07 1995-01-24 Wilk; Peter J. Method for ultrasonically applying a surgical device
US5281236A (en) 1992-06-23 1994-01-25 Boston Scientific Corporation Method and device for intracorporeal knot tying
US5254126A (en) 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5364408A (en) 1992-09-04 1994-11-15 Laurus Medical Corporation Endoscopic suture system
US5236438A (en) 1992-09-10 1993-08-17 Wilk Peter J Method and assembly for repairing liver laceration
US5266075A (en) 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
US5545170A (en) 1992-10-09 1996-08-13 Innovasive Devices, Inc. Surgical instrument
US5334198A (en) 1992-10-09 1994-08-02 Innovasive Devices, Inc. Surgical instrument
US5222508A (en) 1992-10-09 1993-06-29 Osvaldo Contarini Method for suturing punctures of the human body
US5562696A (en) 1992-11-12 1996-10-08 Cordis Innovasive Systems, Inc. Visualization trocar
US5282809A (en) 1992-11-16 1994-02-01 Ethicon, Inc. Endoscopic suturing device
US5441502A (en) 1993-02-17 1995-08-15 Mitek Surgical Products, Inc. System and method for re-attaching soft tissue to bone
US5520703A (en) 1993-06-07 1996-05-28 Essig; Mitchell N. Laparoscopic deschamp and associated suturing technique
US5632748A (en) 1993-06-14 1997-05-27 Linvatec Corporation Endosteal anchoring device for urging a ligament against a bone surface
US5372604A (en) 1993-06-18 1994-12-13 Linvatec Corporation Suture anchor for soft tissue fixation
US5327896A (en) 1993-06-30 1994-07-12 Arthrex, Inc. Suction downbiter
US5562687A (en) 1993-07-12 1996-10-08 Mitek Surgical Products, Inc. Surgical repair kit and its method of use
US5569269A (en) 1993-07-26 1996-10-29 Innovasive Devices, Inc. Surgical grasping and suturing device and method
US5496331A (en) 1993-07-28 1996-03-05 Terumo Kabushiki Kaisha Knot-forming instrument and method of forming knots
US5449367A (en) 1993-08-02 1995-09-12 Kadry; Othman Pre-tied knot for surgical use and method of using same
US5549613A (en) 1993-09-15 1996-08-27 Mitek Surgical Products, Inc. Modular surgical drill
US5749376A (en) 1993-10-18 1998-05-12 Wilk; Peter J. Medical treatment and waste disposal method
US5527322A (en) 1993-11-08 1996-06-18 Perclose, Inc. Device and method for suturing of internal puncture sites
US5549618A (en) 1994-01-18 1996-08-27 Coral Medical Knot tying method and apparatus
US5391173A (en) 1994-02-10 1995-02-21 Wilk; Peter J. Laparoscopic suturing technique and associated device
US5501688A (en) 1994-02-17 1996-03-26 Surgical Accessories, Inc. Surgical device for manipulating wire
US5466243A (en) 1994-02-17 1995-11-14 Arthrex, Inc. Method and apparatus for installing a suture anchor through a hollow cannulated grasper
US5690677A (en) 1994-02-17 1997-11-25 Arthrex, Inc. Method for installing a suture anchor through a cannulated tissue-shifting guide
US5456246A (en) 1994-02-23 1995-10-10 Arthrex, Inc. Fat pad retractor
US5464425A (en) 1994-02-23 1995-11-07 Orthopaedic Biosystems, Ltd. Medullary suture anchor
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5601571A (en) 1994-05-17 1997-02-11 Moss; Gerald Surgical fastener implantation device
US5452513A (en) 1994-06-29 1995-09-26 Eric Hulsman Suture cutter
US5520696A (en) 1994-09-27 1996-05-28 Mitek Surgical Products, Inc. Bone anchor installation tool
US5549636A (en) 1994-10-05 1996-08-27 Li Medical Technologies Inc. Surgical grasper with articulated fingers
US5571090A (en) 1994-10-07 1996-11-05 United States Surgical Corporation Vascular suturing apparatus
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5645552A (en) 1995-01-11 1997-07-08 United States Surgical Corporation Surgical apparatus for suturing body tissue
US5665096A (en) 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
US5643266A (en) 1995-06-05 1997-07-01 Li Medical Technologies, Inc. Method and apparatus for securing ligaments
US5814052A (en) 1995-06-29 1998-09-29 Nakao; Naomi L. Surgical cauterization snare with ligating suture
US5658299A (en) 1995-07-20 1997-08-19 Applied Medical Resources Surgical ligating device and method for using same
US5797927A (en) 1995-09-22 1998-08-25 Yoon; Inbae Combined tissue clamping and suturing instrument
US5681333A (en) 1995-11-08 1997-10-28 Arthrex, Inc. Method and apparatus for arthroscopic rotator cuff repair utilizing bone tunnels for suture attachment
US5827298A (en) 1995-11-17 1998-10-27 Innovasive Devices, Inc. Surgical fastening system and method for using the same
US5843084A (en) 1995-11-17 1998-12-01 Innovasive Devices, Inc. Surgical fastening system and method for using the same
US5662658A (en) 1996-01-19 1997-09-02 Mitek Surgical Products, Inc. Bone anchor inserter, method for loading same, method for holding and delivering a bone anchor, and method for inserting a bone anchor in a bone
US5697950A (en) 1996-02-07 1997-12-16 Linvatec Corporation Pre-loaded suture anchor
US5728135A (en) 1996-02-09 1998-03-17 Ethicon, Inc. Stiffened suture for use in a suturing device
US5693061A (en) 1996-02-23 1997-12-02 Pierce; Javin C. Knot puller instrument for use with surgical suture in tying surgical knots
US5868749A (en) 1996-04-05 1999-02-09 Reed; Thomas M. Fixation devices
US5752964A (en) 1996-04-16 1998-05-19 Mericle; Robert W. Surgical knot pusher with flattened spatulated tip
US5782862A (en) 1996-07-01 1998-07-21 Bonutti; Peter M. Suture anchor inserter assembly and method
US5951559A (en) 1996-07-25 1999-09-14 Arthrex, Inc. Method for installing a threaded suture anchor with a cannulated suture anchor drill guide
US5814054A (en) 1996-09-23 1998-09-29 Symbiosis Corporation Automatic needle-passer suturing instrument
US5800447A (en) 1997-01-03 1998-09-01 Mitek Surgical Products, Inc. Suture threader assembly, suture anchor assembly, and method for threading suture
US5928252A (en) 1997-01-21 1999-07-27 Regen Biologics, Inc. Device and method for driving a needle and meniscal repair
FR2758975B1 (en) 1997-02-05 1999-04-30 Ethnor Equipment for fixing of a muscle tendon to bone
US5918604A (en) 1997-02-12 1999-07-06 Arthrex, Inc. Method of loading tendons into the knee
US5897564A (en) 1997-04-08 1999-04-27 Ethicon Endo-Surgery, Inc. Endoscopic instrument assembly for fastening tissue
US5846254A (en) 1997-04-08 1998-12-08 Ethicon Endo-Surgery, Inc. Surgical instrument for forming a knot
US5904692A (en) 1997-04-14 1999-05-18 Mitek Surgical Products, Inc. Needle assembly and method for passing suture
US5908426A (en) 1997-04-24 1999-06-01 Pierce; Javin Suture needle manipulator
US5941439A (en) 1997-05-14 1999-08-24 Mitek Surgical Products, Inc. Applicator and method for deploying a surgical fastener in tissue
US5993466A (en) 1997-06-17 1999-11-30 Yoon; Inbae Suturing instrument with multiple rotatably mounted spreadable needle holders
US5897563A (en) 1997-10-08 1999-04-27 Ethicon Endo-Surgery, Inc. Method for using a needle holder to assist in suturing
US5944724A (en) 1997-10-30 1999-08-31 Mitek Surgical Products, Inc. Suture anchor insertion system
US6010513A (en) 1997-11-26 2000-01-04 Bionx Implants Oy Device for installing a tissue fastener
DE29722769U1 (en) 1997-12-23 1998-03-12 Fleega Basim A Dr A medical kit for laying surgical threads
US6045561A (en) 1998-06-23 2000-04-04 Orthopaedic Biosystems Ltd., Inc. Surgical knot manipulator
US6039753A (en) 1998-07-16 2000-03-21 Meislin; Robert Single unit surgical fastener and method
US6146387A (en) 1998-08-26 2000-11-14 Linvatec Corporation Cannulated tissue anchor system
US6099538A (en) 1999-02-02 2000-08-08 T.A.G. Medical Products Set of surgical tools and surgical method for connecting soft bone parts to one another or to connective tissue
US6071289A (en) 1999-03-15 2000-06-06 Ethicon Endo-Surgery, Inc. Surgical device for suturing tissue
US6096060A (en) 1999-05-20 2000-08-01 Linvatec Corporation Bioabsorbable threaded soft tissue anchor system

Patent Citations (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US592926A (en) * 1897-11-02 Needle
US818152A (en) * 1903-06-01 1906-04-17 Thomas A Edwards Needle, &c.
US919138A (en) * 1909-03-16 1909-04-20 Clarence A Drake Surgical needle.
US1055058A (en) * 1912-07-22 1913-03-04 James A Leighton Open-eye needle.
US1583271A (en) * 1925-01-14 1926-05-04 Biro Ladislaus Surgical instrument
US2247342A (en) * 1940-07-15 1941-06-24 Crompton & Knowles Loom Works Method of forming axminster loom needles
US2416117A (en) * 1945-04-04 1947-02-18 Orthwine Rudolf Needle
US2738790A (en) * 1954-08-12 1956-03-20 George P Pilling & Son Company Suturing instrument
US3469548A (en) * 1967-06-01 1969-09-30 Singer Co Needle for sewing or the like
US3645222A (en) * 1970-09-24 1972-02-29 Singer Co Self-threading sewing machine needle
US3737954A (en) * 1970-10-19 1973-06-12 C Tabler Connector for flexible belts
US3880167A (en) * 1974-01-28 1975-04-29 Charles W Hardwick Surgical needle apparatus
US3892240A (en) * 1974-03-21 1975-07-01 Charles Lanier Park Surgical needle apparatus
US4133339A (en) * 1975-07-11 1979-01-09 Floss Aid Corporation Needle with deformable eye
US4172458A (en) * 1977-11-07 1979-10-30 Pereyra Armand J Surgical ligature carrier
US4563961A (en) * 1983-05-21 1986-01-14 Jos. Zimmerman Tufting needle
US5437680A (en) * 1987-05-14 1995-08-01 Yoon; Inbae Suturing method, apparatus and system for use in endoscopic procedures
US4890615B1 (en) * 1987-11-05 1993-11-16 Linvatec Corporation Arthroscopic suturing instrument
US4957498A (en) * 1987-11-05 1990-09-18 Concept, Inc. Suturing instrument
US4923461A (en) * 1987-11-05 1990-05-08 Concept, Inc. Method of arthroscopic suturing of tissue
US4923461B2 (en) * 1987-11-05 1995-06-20 Linvatec Corp Method of arthroscopic suturing
US4890615A (en) * 1987-11-05 1990-01-02 Concept, Inc. Arthroscopic suturing instrument
US4923461B1 (en) * 1987-11-05 1994-10-18 Linvatec Corp Method of arthroscopic suturing of tissue
US5015250A (en) * 1990-01-12 1991-05-14 Vance Products Incorporated Medical instrument for driving a suture needle
US5085661A (en) * 1990-10-29 1992-02-04 Gerald Moss Surgical fastener implantation device
US5149329A (en) * 1990-12-12 1992-09-22 Wayne State University Surgical suture carrier and method for urinary bladder neck suspension
US5234438A (en) * 1991-04-16 1993-08-10 Neal Semrad Process and device for creating new tunnels in tissue
US5152769A (en) * 1991-11-04 1992-10-06 Will Baber Apparatus for laparoscopic suturing with improved suture needle
US5391174A (en) * 1991-11-29 1995-02-21 Weston; Peter V. Endoscopic needle holders
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5522820A (en) * 1993-01-15 1996-06-04 Arthrotech Method and apparatus for suturing tissue
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
US5571119A (en) * 1993-10-25 1996-11-05 Children's Medical Center Corporation Retractable suture needle with self-contained driver
US5562685A (en) * 1994-09-16 1996-10-08 General Surgical Innovations, Inc. Surgical instrument for placing suture or fasteners
US5709692A (en) * 1994-09-16 1998-01-20 General Surgical Innovations Surgical instrument for placing suture or fasteners
US6113610A (en) * 1995-06-07 2000-09-05 Medtronic, Inc. Device and method for suturing wound
US5817108A (en) * 1995-06-07 1998-10-06 Medtronic, Inc. Device and method for suturing wound
US5843099A (en) * 1997-01-16 1998-12-01 Bei Medical Systems, Inc. Single system ligature carrier and tissue clamp for sacrospinous colpopexy
US6074403A (en) * 1997-10-29 2000-06-13 Arthrex, Inc. Suture retriever
US6006965A (en) * 1998-07-07 1999-12-28 Hamann; Andrew L. Sewing needle

Cited By (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7927342B2 (en) 2000-06-05 2011-04-19 Boston Scientific Scimed, Inc. Methods and devices for the treatment of urinary incontinence
US20050085831A1 (en) * 2000-06-05 2005-04-21 Scimed Life Systems, Inc. Methods and devices for the treatment of urinary incontinence
US20010053916A1 (en) * 2000-06-05 2001-12-20 Rioux Robert F. Methods and devices for the treatment of urinary incontinence
US7527633B2 (en) * 2000-06-05 2009-05-05 Boston Scientific Scimed Inc. Methods and devices for the treatment of urinary incontinence
US9149261B2 (en) 2001-03-09 2015-10-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US20080139877A1 (en) * 2001-03-09 2008-06-12 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8602965B2 (en) 2001-03-09 2013-12-10 Boston Scientific Scimed, Inc. System, methods and devices relating to delivery of medical implants
US10117733B2 (en) 2001-03-09 2018-11-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US20100010497A1 (en) * 2005-04-07 2010-01-14 Medicinelodge, Inc. System and method for meniscal repair through a meniscal capsular tunnel
US7594922B1 (en) 2005-04-07 2009-09-29 Medicine Lodge, Inc System and method for meniscal repair through a meniscal capsular tunnel
US8292920B2 (en) 2005-11-10 2012-10-23 Tyco Healthcare Group Lp Sickle needle and method
US8057489B2 (en) 2006-03-21 2011-11-15 Biomet Sports Medicine, Llc Method and apparatus for passing a suture
US20090306684A1 (en) * 2006-03-21 2009-12-10 Biomet Sports Medicine, Llc Method and Apparatus for Passing a Suture
US20070225735A1 (en) * 2006-03-21 2007-09-27 Stone Kevin T Method and apparatus for passing a suture
US7572265B2 (en) 2006-03-21 2009-08-11 Biomet Sports Medicine, Llc Method and apparatus for passing a suture
US20090082788A1 (en) * 2007-09-25 2009-03-26 Elmaraghy Amr Suture management method and apparatus
DE202007015955U1 (en) * 2007-11-06 2009-03-19 Karl Storz Gmbh & Co. Kg Needle to pierce tissue and cartilage for atraumatic transport of a suture
US20100036415A1 (en) * 2008-08-07 2010-02-11 Tyco Healthcare Group Lp Surgical needle with reduced contact area
US8177796B2 (en) 2009-03-23 2012-05-15 Linvatec Corporation Suture passing apparatus and method
US20100318139A1 (en) * 2009-06-16 2010-12-16 Marc Beauchamp Method and apparatus for arthroscopic rotator cuff repair using transosseous tunnels
US20110106124A1 (en) * 2009-06-16 2011-05-05 Marc Beauchamp Method and apparatus for arthroscopic rotator cuff repair using transosseous tunnels
US20110028995A1 (en) * 2009-07-28 2011-02-03 Edwards Lifesciences Corporation Surgical Puncture Cinch and Closure System
US8500757B2 (en) 2009-07-28 2013-08-06 Edwards Lifesciences Corporation Surgical puncture cinch and closure system
WO2011017150A3 (en) * 2009-07-28 2011-06-16 Edwards Lifesciences Corporation Surgical puncture cinch and closure system
US8333767B2 (en) * 2010-04-28 2012-12-18 Erik Dorf Cerclage device
US20110270253A1 (en) * 2010-04-28 2011-11-03 Erik Dorf Cerclage Device
US9186176B2 (en) 2010-06-11 2015-11-17 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US9622774B2 (en) 2010-06-11 2017-04-18 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US9044267B2 (en) 2010-06-11 2015-06-02 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US9161778B2 (en) 2010-06-11 2015-10-20 Entourage Medical Technologies, Inc. System and method for transapical access and closure
US20120095504A1 (en) * 2010-09-20 2012-04-19 Shanley John F Method for providing surgical access
US9398910B2 (en) 2010-09-20 2016-07-26 Entourage Medical Technologies, Inc. Method for providing surgical access
US9782168B2 (en) 2010-09-20 2017-10-10 Entourage Medical Technologies, Inc. System for providing surgical access
US9579097B2 (en) 2010-09-20 2017-02-28 Entourage Medical Technologies, Inc. Method for tensioning a surgical closure
US9675338B2 (en) 2010-09-20 2017-06-13 Entourage Medical Technologies, Inc. System for providing surgical access
US9730690B2 (en) 2010-09-20 2017-08-15 Entourage Medical Technologies, Inc. Method for providing surgical access
US9421544B2 (en) 2012-02-29 2016-08-23 Gary Chorng-Jyh Wang Three-dimensional digital microfluidic system
US20140148826A1 (en) * 2012-11-28 2014-05-29 Pergolas, Llc Minimally invasive surgical kit
US9730687B2 (en) 2013-10-29 2017-08-15 Entourage Medical Technologies, Inc. System for providing surgical access
US9883857B2 (en) 2013-10-29 2018-02-06 Entourage Medical Technologies, Inc. System for providing surgical access

Also Published As

Publication number Publication date
US6723107B1 (en) 2004-04-20

Similar Documents

Publication Publication Date Title
JP4767505B2 (en) How to pass the suture in suture passer instrument and tissue
EP1317212B1 (en) Improved suturing apparatus
US5827299A (en) Insertable suture passing grasping probe and methodology for using same
US9775593B2 (en) Laparoscopic port site closure tool
EP1027866B1 (en) Surgical suturing apparatus loading mechanism
US5797927A (en) Combined tissue clamping and suturing instrument
US5957938A (en) Tissue everting needle
US9649107B2 (en) Needle for suturing instrument
US7608084B2 (en) Suturing instrument and method
EP1499245B1 (en) Tying knots
EP0664688B1 (en) Suture grasping device
EP1620143B1 (en) Expandable needle suture apparatus
CA2486550C (en) Suturing instruments
US6991636B2 (en) Nitinol loop suture passer
EP0705568B1 (en) Vascular suturing apparatus
US6719764B1 (en) Forward deploying suturing device and methods of use
US5674230A (en) Surgical suturing apparatus with locking mechanisms
US5662664A (en) Endoscopic suture system
US7922744B2 (en) Compact suture punch with malleable needle
AU702848B2 (en) Endoscopic needle with suture retriever
US5632752A (en) Surgical suturing device
US5059201A (en) Suture threading, stitching and wrapping device for use in open and closed surgical procedures
US5935149A (en) Suturing tissue
EP0697195B1 (en) Loading unit for surgical suturing apparatus
CN103221080B (en) Circular bone tunneling device

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION