US20060004410A1 - Suture locking and cutting devices and methods - Google Patents

Suture locking and cutting devices and methods Download PDF

Info

Publication number
US20060004410A1
US20060004410A1 US11/127,955 US12795505A US2006004410A1 US 20060004410 A1 US20060004410 A1 US 20060004410A1 US 12795505 A US12795505 A US 12795505A US 2006004410 A1 US2006004410 A1 US 2006004410A1
Authority
US
United States
Prior art keywords
suture
endcap
body portion
medical device
locking
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
US11/127,955
Inventor
Rudolph Nobis
Omar Vakharia
John Faux
Christopher Swain
Charles Mosse
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.)
Ethicon Endo Surgery Inc
Original Assignee
Nobis Rudolph H
Vakharia Omar J
Faux John A
Swain Christopher P
Mosse Charles A
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 US57111704P priority Critical
Priority to US57111904P priority
Priority to US57100004P priority
Application filed by Nobis Rudolph H, Vakharia Omar J, Faux John A, Swain Christopher P, Mosse Charles A filed Critical Nobis Rudolph H
Priority to US11/127,955 priority patent/US20060004410A1/en
Publication of US20060004410A1 publication Critical patent/US20060004410A1/en
Assigned to ETHICON ENDO-SURGERY, INC. reassignment ETHICON ENDO-SURGERY, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: FAUX, JOHN A., SWAIN, CHRISTOPHER PAUL, NOBIS, RUDOLPH H., VAKHARIA, OMAR J., MOSSE, CHARLES ALEXANDER
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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/0467Instruments for cutting sutures
    • 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
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/06166Sutures
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417T-fasteners
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0445Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448Additional elements on or within the anchor
    • A61B2017/045Additional elements on or within the anchor snug fit within the anchor
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448Additional elements on or within the anchor
    • A61B2017/0451Cams or wedges holding the suture by friction
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0454Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • 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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • 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
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488Instruments for applying suture clamps, clips or locks
    • 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
    • A61B2017/0496Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • 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
    • A61B2017/06052Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle

Abstract

Suture holding devices and methods are disclosed, including devices and methods useful in performing a transoral surgical procedure, such as a posterior gastropexy procedure. A device is disclosed which can be used by a physician in a medical procedure to automatically lock and cut a suture in one motion and without the need for additional cutting instrumentation, rather than perform separate locking and cutting actions.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • This application claims priority to and incorporates by reference the following applications: U.S. Provisional Application 60/571,117 filed May 14, 2004; U.S. provisional Application 60/571,119 filed May 14, 2004; and U.S. Provisional Application 60/571,000 filed May 14, 2004.
  • FIELD OF THE INVENTION
  • This invention relates to endoscopic suturing devices and methods, including devices and methods which may pass through or be employed in connection with the working channel of various endoscopic and ultrasound devices.
  • BACKGROUND
  • Application of sutures in the gastrointestinal tract is required for several different types of medical procedures, for example, for transoral endoscopic valvuloplasty for gastroesophageal reflux disease (GERD), gastroplasty, fundoplication, anterior gastropexy, posterior gastropexy, suturing esophageal perforations, or closure of the esophageal side of the tracheo-esophageal fistula. Traditionally, these procedures are performed by physicians, such as gastroenterologists or surgeons, either by laparoscopy or open surgical techniques. Such procedures are invasive, as laparoscopy requires that small access incision(s) be made in the body of the patient, through which a laparoscope and other surgical enabling tools are provided, while open surgical techniques are traditionally invasive and can have complications and cause long patient recovery periods.
  • The solution to these problems is to perform these medical procedures through the gastroesophageal tract via the mouth or other naturally occurring orifice. Already available flexible endoscopes, commonly called gastroscopes, can be provided through the gastroesophageal tract and enable illumination and visualization of tissue along the gastroesophageal tract on a video display for diagnostic purposes. These flexible endoscopes also provide an instrumentation means for applying sutures in tissue, such as in the wall of the stomach. What is needed are improved methods of providing a totally transoral surgical procedure, such as a posterior gastropexy procedure, and thereby avoid more invasive laparoscopic procedures.
  • New endoscopic suturing methods performed through the gastroesophageal tract as an alternative to the invasive laparoscopic method of, for example, a posterior gastropexy procedure, are currently being developed. For example, suturing methods under the control of endoscopic ultrasound (EUS) are being evaluated. EUS is a procedure that combines endoscopy and ultrasound. In particular, a Mar. 14, 2003 publication authored by Fritscher-Ravens, Mosse, Mukherjee, Yazaki, Park, Mills, and Swain, entitled, “Transgastric gastropexy and hiatal hernia repair for GERD under EUS control: a porcine model,” (American Society for Gastrointestinal Endoscopy) describes how endoluminal operations for gastroesophageal reflux are currently limited by the inability of the surgeon to visualize and manipulate structures outside the wall of the gut. The publication describes a way to define the EUS anatomy of structures outside the gut that influence reflux, to place stitches in the median arcuate ligament, to perform posterior gastropexy, and to test the feasibility of crural repair, under EUS control, in pigs. More specifically, by using a linear-array EUS, the median arcuate ligament and part of the right crus were identified and punctured with a needle, which served as a carrier for a tag and suture. These were anchored into the muscle. An endoscopic sewing device was used, which allowed stitches to be placed through a 2.8-mm accessory channel to any predetermined depth.
  • The publication also describes new methods of knot tying and suture cutting through the 2.8-mm channel of the EUS. More specifically, stitches were placed through the gastric wall into the median arcuate ligament, and one stitch was placed just beyond the wall of the lower esophageal sphincter. The stitches were tied together and locked against the gastric wall, and the surplus length of suture material was then cut and removed. While this publication describes a suitable transgastric gastropexy and hiatal hernia repair procedure, further improvements in methodology and equipment to perform such procedures would be beneficial. For example, the publication describes a process for locking and cutting the suture from inside the stomach. However, the suture requires that a separate suture cutting step, along with its associated cutting instrumentation, be available via the working channel of the endoscope. This may result in multiple passes of instrumentation back and forth through the working channel of the endoscope. What is needed is a way to both lock and cut a suture automatically with a single device and thereby simplify the medical procedure, such as a posterior gastropexy procedure.
  • Additionally, the locking mechanism described in the publication is too large to pass through the working channel of an endoscope and, thus, it must be inserted into the patient separately from the endoscope, which again adds complexity to the medical procedure. What is needed are suture locking and cutting mechanisms that are small enough to pass through the working channel of various endoscopic and ultrasound devices (typical working channel diameter is 2.8-3.4 mm).
  • SUMMARY OF THE INVENTION
  • Applicants recognize the desirability of providing improved methods of performing a totally transoral surgical procedure, such as a posterior gastropexy procedure, and thereby avoid more-invasive laparoscopic procedures. Applicants also recognize the desirability of providing a single mechanism for automatically locking and cutting a suture and thereby simplifying medical procedures, such as, but not limited to, a posterior gastropexy procedure; and the desirability of providing suture locking and cutting mechanisms that are small enough to pass through the working channel of various endoscopic and ultrasound devices.
  • Certain embodiments of the present invention are directed to providing improved methods of performing a totally transoral surgical procedure, such as a posterior gastropexy procedure, and thereby avoiding more-invasive laparoscopic procedures. One embodiment of the present invention provides a device and method that allows a physician in a medical procedure to automatically lock and cut a suture in one motion and without the need for additional cutting instrumentation, rather than perform separate locking and cutting actions.
  • In one embodiment of the invention, a suture lock assembly in combination with a lock actuating device is provided. The lock comprises an extension spring arranged between two endcaps, wherein one or more sutures are locked within the coils thereof. Extending the extension spring allows for one or more sutures to be threaded therethrough and, by relaxing the extension spring, provides a clamping action upon the sutures and a torturous path within the coils. The lock actuating device provides a cutting mechanism. Furthermore, both the suture lock assembly, in combination with a lock actuating device, are suitably small enough to pass through the working channel of various endoscopic and ultrasound devices.
  • In another embodiment of the invention, a suture lock assembly is provided that forms a hollow body, within which a clamp device is engaged and through which one or more sutures is threaded. Depending upon the slidable position of the clamp device within the body, the suture within the clamp device is engaged to clamp the suture permanently. The suture lock assembly of this embodiment is likewise suitably small enough to pass through the working channel of various endoscopic and ultrasound devices.
  • The various embodiments of the invention can be employed with various types of suture, including without limitation monofilament suture and braided suture.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • While the novel features of the invention are set forth with particularity in the appended claims, the invention, in all its embodiments, may be more fully understood with reference to the following description and accompanying drawings.
  • FIG. 1A illustrates a perspective view of a suture lock assembly in accordance with a first embodiment of the invention;
  • FIG. 1B illustrates a cross-sectional view of the suture lock assembly in accordance with a first embodiment of the invention;
  • FIG. 2 illustrates a side view of an exemplary lock actuating device according to the first embodiment;
  • FIGS. 3A and 3B illustrate a side view and a top view, respectively, of the distal end of the lock actuating device with the suture lock assembly of the first embodiment engaged therein in the default state;
  • FIGS. 4A and 4B illustrate a side view and a top view, respectively, of the distal end of the lock actuating device with the suture lock assembly of the first embodiment engaged therein in the lock state;
  • FIGS. 5A and 5B illustrate a side view and a top view, respectively, of the distal end of the lock actuating device with the suture lock assembly of the first embodiment engaged therein in the cut state;
  • FIG. 6 illustrates a side view of the suture lock assembly of the first embodiment engaged therein in the release state;
  • FIG. 7 illustrates a flow diagram of an example method of using the suture lock assembly of the first embodiment in combination with the lock actuating system;
  • FIG. 8 illustrates a perspective view of a suture lock assembly in accordance with a second embodiment of the invention.
  • FIG. 9 illustrates a cross-sectional view of the suture lock assembly of the second embodiment in the unlocked state.
  • FIG. 10 illustrates a cross-sectional view of the suture lock assembly of the second embodiment in the locked state.
  • FIGS. 11A and 11B illustrate cross section views of an alternative locking device with a one-way flap inside a tubular segment, in a loading state, and a locked state, respectively.
  • FIGS. 12A and 12B show a cross section view of alternative one-piece clip in a default state, and a cross section view of the one-piece clip in a locked state, respectively.
  • DETAILED DESCRIPTION OF THE INVENTION
  • FIG. 1A illustrates a perspective view of a suture lock assembly 100 in accordance with a first embodiment of the invention. Suture lock assembly 100 includes an extension spring 112 arranged between a distal endcap 114 and a proximal endcap 116.
  • Extension spring 112 is formed of any nontoxic, noncorrosive metal, such as stainless steel, and distal endcap 114 and proximal endcap 116 are formed of, for example, molded plastic or stainless steel. Also shown in FIG. 1 is a suture 118 threaded first through a hole 120 in distal endcap 114 and then through multiple coils of extension spring 112, wherein suture 118 is clamped because of the pressure of the coils and the tortuous path within the coils. Suture lock assembly 100 is not limited to a single suture 118 installed therein; a plurality of sutures 118 may be engaged within a single suture lock assembly 100.
  • FIG. 1B illustrates a cross-sectional view of suture lock assembly 100 taken along line AA of FIG. 1A. This view shows that proximal endcap 116 further includes a hollow channel 121 that runs through its center. Furthermore, hole 120 in distal endcap 114 is angled from the center of an outer end of distal endcap 114 toward the sidewall of distal endcap 114, which thereby allows suture 118 to exit distal endcap 114 external to extension spring 112. Distal endcap 114 and proximal endcap 116 may be insert-molded onto extension spring 112 or use other methods or procedures of providing a smooth, trauma free extension of spring coils.
  • In operation, suture 118 is threaded first through hole 120 in distal endcap 114; extension spring 112 is then extended and suture 118 is threaded through multiple coils of extension spring 112; extension spring 112 is then relaxed, which thereby applies a tortuous path in addition to a clamping or locking action upon suture 118 between the coils thereof. The overall diameter of suture lock assembly 100 is suitably small enough to allow it to pass through the working channel of various endoscopic and ultrasound devices, which is typically between 2.8 and 3.4 mm in diameter. See Table 1 for example dimensions of suture lock assembly 100.
    TABLE 1
    Example dimensions of suture lock assembly 100
    Example Dimension
    Suture lock assembly 100 overall length 0.70 in
    Extension spring 112 outside diameter 0.060 in
    Extension spring 112 inside diameter 0.040 in
    Distal endcap 114 outside diameter 0.07 in
    Distal endcap 114 length 0.15 in
    Proximal endcap 116 outside diameter 0.07 in
    Proximal endcap 116 length 0.125 in
    Hollow channel 121 diameter 0.04 in
    Hole 120 diameter 0.04 in
    Hole 120 angle 45 degrees
  • FIG. 2 illustrates a side view of a lock actuating device 200, which is exemplary only and representative of any suitable actuating device for use with suture lock assembly 100. In this example, lock actuating device 200 includes a body 210 that has a knob 212 arranged at its proximal end for grasping by the user. Mechanically coupled to body 210 is a retract handle 214, which has a retract handle body 216 and a retention handle 218 that is slidably arranged within retract handle body 216. Furthermore, a compression spring 220 is mechanically coupled between a spring retainer 222, which is coupled to knob 212, and the proximal end of retract handle body 216. Mechanically coupled to the distal end of retract handle body 216 is a hollow retractable sleeve 224, within which is first arranged a hollow retention sleeve 225, which has a retention jaw 226 at its distal end. Furthermore, arranged within retention sleeve 225 is an actuating shaft 228. FIG. 2 also shows that arranged within the distal end of retractable sleeve 224 is a first slot 230 that is aligned opposite a second slot 232. Also, arranged within the distal end of retention sleeve 225 is a hole 234 that is aligned opposite a slot 236.
  • Actuating shaft 228 of a fixed length is mechanically coupled at one end to the distal end of spring retainer 222 while passing through spring retainer 222. Actuating shaft 228 passes through a hollow channel within retract handle body 216, then passes through the hollow channel of retention jaw 226 within retractable sleeve 224. The tip of actuating shaft 228 extends through an opening at the distal end of retention jaw 226 within retractable sleeve 224. Using retract handle 214 and retention handle 218, retractable sleeve 224 and retention sleeve 225 are slidable along the length of actuating shaft 228. As a result, the relative axial position of retractable sleeve 224, retention jaw 226, and actuating shaft 228 may vary one to another under user control. Lock actuating device 200 may include well-known mechanical methods and elements (not shown) for holding retractable sleeve 224 and retention jaw 226 at various positional states.
  • The operation of suture lock assembly 100 in combination with lock actuating device 200 for automatically locking and cutting a suture includes a sequential transition from a default state (i.e., undeployed state) to a lock state, a cut state and, finally, a release state (i.e., deployed state), as described in reference to FIGS. 3A, 3B, 4A, 4B, 5A, 5B, 6, and 7. Additionally, FIGS. 3A, 3B, 4A, 4B, 5A, 5B, and 6 show suture lock assembly 100 in use and, therefore, it includes suture 118, which runs through the center of suture lock assembly 100 and approximates a first tissue 122 and a second tissue 124. Suture 118 is anchored to second tissue 124 with a T-tag 126, which is a well-known medical device for anchoring a suture into body tissue.
  • FIGS. 3A and 3B illustrate a side view and a top view, respectively, of the distal end of lock actuating device 200 with suture lock assembly 100 engaged therein in the default state, which is described as follows.
  • Default state: In the default or undeployed state, extension spring 112 is extended suitably to allow suture 118 to slide freely through its coils. This is accomplished by the physician's passing actuating shaft 228 through hollow channel 121 of proximal endcap 116, then through the center of extension spring 112, until the tip of actuating shaft 228 abuts the inner surface of distal endcap 114. By using retention handle 218, which is attached to the proximal end of retention sleeve 225, the physician extends retention jaw 226 to allow it to grip proximal endcap 116 and then pull proximal endcap 116 into the tip of retractable sleeve 224, as shown in FIGS. 3A and 3B, which thereby extends extension spring 112, relative to the tip of actuating shaft 228. The distance between the tip of actuating shaft 228 and the tip of retractable sleeve 224 is predetermined to suitably extend extension spring 112. Additionally, suture 118 is threaded first through hole 120 in distal endcap 114, then within the extended coils of extension spring 112 is wrapped multiple times around actuating shaft 228, through first slot 230 of retractable sleeve 224, through hole 234 of retention sleeve 225, passes around actuating shaft 228, through slot 236 of retention sleeve 225 and, finally, through second slot 232 of retractable sleeve 224.
  • FIGS. 4A and 4B illustrate a side view and a top view, respectively, of the distal end of lock actuating device 200 with suture lock assembly 100 engaged therein in the lock state, which is described as follows.
  • Lock state: In the lock state, extension spring 112 is relaxed, which allows its coils to clamp against suture 118 and thereby prevent suture 118 from sliding freely between the coils of extension spring 112. By using retention handle 218, which is attached to the proximal end of retention sleeve 225, the physician extends retention jaw 226 while gripping proximal endcap 116 in a direction toward distal endcap 114 and while maintaining the relative distance between the tip of actuating shaft 228 and the tip of retractable sleeve 224, as set in the default state. Although the relative position of hole 234 and slot 236 to first slot 230 and second slot 232, respectively, is changed, suture 118 is intact and passing freely through first slot 230 of retractable sleeve 224, through hole 234 of retention sleeve 225, passes around actuating shaft 228, through slot 236 of retention sleeve 225, and through second slot 232 of retractable sleeve 224, as shown in FIGS. 4A and 4B.
  • FIGS. 5A and 5B illustrate a side view and a top view, respectively, of the distal end of lock actuating device 200 with suture lock assembly 100 engaged therein in the cut state, which is described as follows.
  • Cut state: In the cut state, the relative distance between the tip of actuating shaft 228 and the tip of retention jaw 226 is maintained, as set in the lock state. By using retract handle 214, which is attached to the proximal end of retractable sleeve 224, the physician retracts tip of retractable sleeve 224 in a direction away from the tip of retention jaw 226, which causes the position of hole 234 and slot 236 within retention sleeve 225 to change, relative to first slot 230 and second slot 232, respectively, such that suture 118 within hole 234 is cut as hole 234 passes underneath the edge of first slot 230, which has a ground edge suitable for cutting suture 118.
  • FIG. 6 illustrates a side view of suture lock assembly 100 in the release state, which is described as follows.
  • Release state: In the release state, the physician manipulates the grasp of retention jaw 226 and proximal endcap 116 is released, which allows all instrumentation, such as lock actuating device 200 and the endoscope, as well as the surplus length of suture 118, to be removed. Extension spring 112 remains relaxed and, thus, the locking action upon suture 118 is maintained indefinitely within the patient.
  • In an alternative embodiment, rather than wrapping the suture 118 multiple times around shaft 228 within the extended coils of spring 112, the suture 118 can be manually threaded through or otherwise positioned between the extended coils, such as in a serpentine fashion, so that the coils hold the suture when the coils are permitted to close together. Such manual positioning of the suture through the coils may be employed if the shaft 228 is not employed or is otherwise not positioned within the spring 112 when the suture is positioned with respect to the coils of spring 112.
  • FIG. 7 illustrates a flow diagram of an example method 700 of using suture lock assembly 100 in combination with lock actuating device 200 in accordance with the invention. More specifically, method 700 provides an example of a posterior gastropexy procedure that uses suture lock assembly 100 of the present invention. The use of suture lock assembly 100 is not limited to a posterior gastropexy procedure; suture lock assembly 100 may be used in any of various, similar medical procedures. Furthermore, method 700 is not limited to a single suture 118 installed within suture lock assembly 100; a plurality of sutures 118 may be engaged within a single suture lock assembly 100.
  • At step 710, a physician passes an EUS endoscope through a patient's mouth and esophagus and into the stomach. Example EUS endoscopes include endoscope model GF-UC160P-AT8 manufactured by Olympus Europe (Hamburg, Germany) and endoscope model EG-3630U manufactured by Pentax Medical Company (Orangeburg, N.Y.). The working channel of the EUS endoscope is preloaded with a standard EUS needle, such as is manufactured by Wilson-Cook (Winston-Salem, N.C.), that serves as a carrier for a tag and suture, such as T-tag 126 and suture 118. Suture 118 may run either through the needle or outside the needle, but still inside the working channel of the EUS endoscope.
  • At step 712, under the guidance of the EUS endoscope, the physician locates and identifies structures outside the stomach wall and selects a fixation point, such as the median arcuate ligament.
  • At step 714, under the guidance of the EUS endoscope, the physician pushes the EUS needle, which is carrying T-tag 126 and suture 118, through the stomach wall, which is represented by first tissue 122 in FIGS. 3A, 3B, 4A, 4B, 5A, 5B, and 6.
  • At step 716, under the guidance of the EUS endoscope, the physician deploys and affixes T-tag 126, with suture 118 attached thereto, to the fixation point, such as to the median arcuate ligament, which is represented by second tissue 124 in FIGS. 3A, 3B, 4A, 4B, 5A, 5B, and 6.
  • At step 718, the physician withdraws the EUS endoscope and associated instrumentation from the patient, but leaves a length of suture 118 still threaded through the patient's gastroesophageal tract and anchored to second tissue 124 (e.g., median arcuate ligament). The length of suture 118 extends out of the patient's mouth and is accessible to the physician.
  • At step 720, the physician threads the length of suture 118 that is extending out of the patient's mouth into the distal end and out of the proximal end of the working channel of a standard endoscope that has a standard vision system (i.e., not an EUS endoscope).
  • At step 722, while holding tension on suture 118, the physician passes the endoscope through the patient's mouth and esophagus and into the stomach. A length of suture 118 is left extending out of the proximal end of the working channel of the endoscope and is accessible to the physician.
  • At step 724, the physician loads suture lock assembly 100 into the distal end of lock actuating device 200 and sets suture lock assembly 100 into the default state, as described in reference to FIGS. 3A and 3B.
  • At step 726, with suture lock assembly 100 in the default state and loaded into lock actuating device 200, the physician first threads the length of suture 118 that is extending out of the proximal end of the endoscope through hole 120 in distal endcap 114, then within the extended coils of extension spring 112 is wrapped multiple times around actuating shaft 228, then threaded through hole 234 of retention sleeve 225, then threaded through first slot 230 of retractable sleeve 224, then threaded through second slot 236 of retention sleeve 225 and, finally, threaded through second slot 232 of retractable sleeve 224, as shown in FIGS. 3A and 3B.
  • At step 728, while holding tension on suture 118, which is extending out of second slot 232 of retractable sleeve 224, the physician passes the suture lock assembly 100 and retractable sleeve 224 of lock actuating device 200 through the working channel of the endoscope and into the patient's stomach. Suture lock assembly 100 is sliding freely along suture 118 in the default state, until distal endcap 114 is firmly abutted against the inside of the stomach wall, which is represented by first tissue 122 in FIGS. 3A, 3B, 4A, 4B, 5A, 5B, and 6.
  • At step 730, having determined that the desired geometry change between the stomach and the median arcuate ligament (represented by first tissue 122 and second tissue 124) is achieved and while continuing to hold tension on suture 118, the physician sets suture lock assembly 100 into the lock state by using retention handle 218, as described in reference to FIGS. 4A and 4B, which causes the coils of extension spring 112 to relax and create a torturous path and, thus, clamp against suture 118, as shown in FIGS. 4A and 4B.
  • At step 732, having secured suture lock assembly 100 against first tissue 122 with suture 118, the physician sets suture lock assembly 100 into the cut state by using retract handle 214, as described in reference to Figures SA and 5B, which causes suture 118 to be cut as hole 234 passes underneath the edge of first slot 230, which has a geometry suitable for cutting suture 118, as shown in FIGS. 5A and 5B.
  • At step 734, having secured suture lock assembly 100 against first tissue 122 and having cut suture 118, the physician releases retention jaw 226 from proximal endcap 116 of suture lock assembly 100, which allows all instrumentation, such as lock actuating device 200 and the endoscope, and the surplus length of suture 118, to be withdrawn from the patient, while suture 118 remains firmly clamped, as shown in FIG. 6. Method 700 ends.
  • FIG. 8 illustrates a perspective view of a suture lock assembly 800 in accordance with a second embodiment of the invention. Suture lock assembly 800 includes a cylindrical-shaped lock body 810 that further includes a plurality of suture channels 812 that run therethrough, and which have an associated plurality of locking holes 814 arranged on the outer surface of lock body 810. Suture lock assembly 800 further includes a lock sleeve 816 that further includes a cavity 818 (shown in FIGS. 9 and 10) within which lock body 810 is inserted. Lock body 810 further includes a first groove 824 and a second groove 826, which are detents formed around the outer perimeter of lock body 810. Lock sleeve 816 further includes a first locking ring 820 and a second locking ring 822, which are raised regions protruding from the inside perimeter of cavity 818 that are sized to lock within the detents formed by first groove 824 and second groove 826 of lock body 810.
  • Also shown in FIG. 8 is suture 118, which is anchored to second tissue 124 with T-tag 126 passes through first tissue 122 and into one of the suture channels 812, and exits lock body 810 via one of associated locking holes 814. Only a small portion of the distal end of lock body 810 is inserted into cavity 818, such that locking holes 814 are not within cavity 818 of lock sleeve 816. Lock body 810 and lock sleeve 816 are formed of, for example, molded plastic or stainless steel.
  • FIG. 9 illustrates a cross-sectional view of a suture lock assembly 800 and shows suture 118 passing through one of the suture channels 812 and existing lock body 810. FIGS. 8 and 9 are representative of suture lock assembly 800 in the default, unlocked state wherein one or more sutures 118 may be threaded freely through lock body 810. In the default or unlocked state first locking ring 820 of lock sleeve 816 is engaged within second groove 826 of lock body 810, as shown in FIGS. 8 and 9.
  • FIG. 10 illustrates a cross-sectional view of a suture lock assembly 800 in a locked state wherein or more sutures 118 is threaded through lock body 810 and locked therein. More specifically, in the lock state, lock sleeve 816 is pushed over the entire length of lock body 810, such that suture 118 is clamped between the outer surface of lock body 810 and the wall of cavity 818 of lock sleeve 816, after which any surplus suture 118 material is cut, which leaves suture lock assembly 800 secured against first tissue 122. In order to achieve the locked state enough force is applied to lock sleeve 816 against lock body 810 such that first locking ring 820 of lock sleeve 816 disengages from within second groove 826 of lock body 810. In doing so, lock sleeve 816 slides upon lock body 810 until first locking ring 820 and second locking ring 822 are engaged within first groove 824 and second groove 826, respectively, of lock body 810, as shown in FIG. 10. The mechanical features of suture lock assembly 800 for coupling lock sleeve 816 to lock body 810 are exemplary only and are not limited to first locking ring 820, second locking ring 822, first groove 824, and second groove 826. Any well-known coupling method that allows a default and lock state by sliding lock sleeve 816 upon lock body 810 may be used.
  • The overall diameter of suture lock assembly 800 is suitably small enough to allow it to pass through the working channel of various endoscopic and ultrasound devices, which is typically between 2.8 and 3.4 mm in diameter. See Table 2 for example dimensions of suture lock assembly 800.
    TABLE 2
    Example dimensions of suture lock assembly 800
    Example Dimension
    Lock body 810 length  0.35 in
    Lock body 810 outside diameter  0.07 in
    Suture channels 812 diameter 0.015 in
    Lock sleeve 816 length  0.38 in
    Lock sleeve 816 inside diameter  0.07 in
    Suture lock assembly 800 overall length  0.39 in
    when locked
  • The method of using suture lock assembly 800, in combination with suture 118, T-tag 126, first tissue 122, and second tissue 124, is generally the same as described in FIG. 7, in reference to suture lock assembly 100, in that it is fed down the working channel of an endoscope and into, for example, a patient's stomach, in much the same manner. However, suture lock assembly 800 requires no special actuating device; instead, it may be pushed through the working channel of an endoscope with, for example, the tip of a standard catheter. Additionally, its use differs from suture lock assembly 100, in that suture lock assembly 800 requires separate instrumentation for cutting the one or more sutures 118 engaged therein.
  • FIGS. 11A and 11B illustrate an alternative locking device similar in function to those previously mentioned. The locking device of FIGS. 11A and 11B are designed to lock onto suture 118, when used in conjunction with the endoscope. The locking device of FIGS. 11A and 11B may be placed on suture 118 attached to T-tag 126, that has been placed through first tissue 122 and second tissue 124 using the previously-described technique.
  • This embodiment comprises a tubular sleeve 1100, a flap 1105, and a detent 1120. Tubular sleeve 1100 may have an outer diameter of about 2.6 mm and an inner diameter of about 1 mm, and may be injection molded from a suitable polymer, such as polycarbonate, as a single piece or as separate pieces which are then fused together to form a unitary structure. In a resting state, flap 1105 is biased toward contact with detent 1120. Therefore, to load suture 118 into tubular segment 1100, an introducer 1130 may be used to create space between flap 1105 and detent 1120 as shown in FIG. 11A. Introducer 1130 may be placed into tubular segment 1100 by pushing from a distal end 1122 of tubular segment 1100, so that flap is moved away from detent 1120. Suture may be placed through a central lumen 1135 of introducer 1130, so that ultimately suture 118 is positioned within tubular segment 1100. Introducer 1130 is then removed by pulling it out of tubular segment 1100 from a proximal end 1133, so that introducer 1130 is not trapped between tubular segment 1100 and second tissue 124.
  • After introducer 1130 is removed, tubular segment 110 may be pushed along suture 118 toward second tissue 124 with a pusher 1140 especially designed for that purpose, as shown in FIG. 11B. Tension on suture 118 acts to pull flap 1105 partially away from detent 1120 during advancement. When distal end 1122 of tubular segment 1100 reaches second tissue 124, pusher 1140 is withdrawn and flap 1105 traps suture 118 against detent 1120 so that tubular segment 1100 is held securely in place.
  • FIGS. 12A and 12B show another alternative concept for locking onto suture 118. FIG. 12A shows a perspective view of a clip 1200 comprising a first gripping surface 1210, a second gripping surface 1220, an opening 1230, and a clasp 1240. In a default state, clip 1200 is open as shown in FIG. 12A, so that suture 118 can pass freely through opening 1230. Clip 1200 may be placed on suture 118 attached to T-tag 126, that has been placed through first tissue 122 and second tissue 124 using the previously-described technique. Clip 1200 may be placed onto suture 118 so that clasp 1280 is directed toward second tissue 124 and opening 1230 is directed toward the user. Clip 1200 may be pushed down suture 118 using a long flexible tube, such as an endoscope.
  • To lock clip 1200 onto suture 118, a horn 1270 including a tapered surface 1272 may be used to apply force at a proximal end of clip 1200, so that first gripping surface 1210 mates with second gripping surface 1220 to securely hold onto suture 118, while clasp 1280 holds clip 1200 closed. Clip 1200 may be made from any suitable polymer material, such as nylon. Clip 1200 may be injection molded as a unitary piece with a “living hinge” that biases the part to an open position in which a first gripping surface 1210 is held away from second gripping surface 1220 in a default open state or assembled from multiple pieces.
  • While the present invention has been illustrated by description of various embodiments, it is not the intention of the applicants to restrict or limit the spirit and scope of the appended claims to such detail. Numerous other variations, changes, and substitutions will occur to those skilled in the art without departing from the scope of the invention. Moreover, the structure of each element associated with the present invention can be alternatively described as a means for providing the function performed by the element. It will be understood that the foregoing description is provided by way of example, and that other modifications may occur to those skilled in the art without departing from the scope and spirit of the appended Claims.

Claims (16)

1. A medical device for locking onto suture comprising:
a first endcap, wherein said first endcap includes a hole bored at an oblique angle to a central axis;
a second endcap; and
an extension spring extending from said first endcap to said second endcap.
2. The medical device of claim 1 wherein first endcap and said second endcap have an outer diameter of no more than about 0.07 inch.
3. The medical device of claim 1 wherein said hole has a diameter of about 0.04 inch, and is bored at an angle of about 45 degrees to the central axis.
4. A medical device for locking onto suture comprising:
an endcap; and
an extension spring associated with said endcap, wherein said spring coils are biased in a compressed state; and
a length of suture held by said spring.
5. The medical device of claim 4 wherein said endcap has an outer diameter of no more than about 0.07 inch.
6. The medical device of claim 4 wherein the suture is monofilament.
7. The medical device of claim 4 wherein the suture is braided.
8. A medical device comprising:
a first endcap, wherein said endcap includes a hole bored at an oblique angle to the central axis of said endcap;
a second endcap;
a spring disposed intermediate the first and second endcaps; and
a suture extending through said hole in said first endcap.
9. A method of holding suture comprising the steps of:
providing a first member having a suture receiving hole;
providing a second member associated with the first member, the second member comprising a plurality of coils;
providing a length of suture;
threading a suture through said hole in said first member;
spreading the coils of said second member; and
holding the suture with coils of the second member.
10. The method of claim 7 further comprising the step of:
spreading the coils apart to loosen tension in said suture.
11. A medical device for locking onto suture comprising:
a body portion, wherein said body portion includes at least one suture channel;
a lock sleeve positioned over an outer surface of said body portion;
wherein said lock sleeve has an inner surface that closely matches the outer surface of said body portion; and
a means for locking said body portion within said lock sleeve.
12. The medical device of claim 11, wherein said locking means comprises a groove in said body portion and a ring projection in said locking sleeve.
13. The medical device of claim 11, wherein there is a clearance of about 0.001 inch or less between the outer surface of said body portion and the inner surface of said locking sleeve.
14. A method of using a medical device to lock onto suture comprising the steps:
providing a device comprising a body portion, wherein said body portion includes at least one suture channel; a lock sleeve positioned over an outer surface of said body portion, wherein said lock sleeve has an inner surface that closely matches the outer surface of said body portion; and a means for locking said body portion within said lock sleeve;
threading a suture through said suture channel;
pushing said locking sleeve over said body portion to trap said suture in a tortuous path; and
locking said locking sleeve to said body portion.
15. A medical device for locking onto suture comprising:
a tubular sleeve including an inner channel;
a flap disposed within said inner channel of said tubular sleeve; and
a detent, wherein said detent is positioned within said inner channel such that said flap is biased to press against said detent.
16. A medical device for locking onto suture comprising:
A first gripping surface including a plurality of projections;
a second gripping surface, wherein said second grip surface is not in contact with said first grip surface in a default state; and
a clasp, wherein said clasp holds said first gripping surface against said second gripping surface in a locked state.
US11/127,955 2004-05-14 2005-05-12 Suture locking and cutting devices and methods Abandoned US20060004410A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US57111704P true 2004-05-14 2004-05-14
US57111904P true 2004-05-14 2004-05-14
US57100004P true 2004-05-14 2004-05-14
US11/127,955 US20060004410A1 (en) 2004-05-14 2005-05-12 Suture locking and cutting devices and methods

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/127,955 US20060004410A1 (en) 2004-05-14 2005-05-12 Suture locking and cutting devices and methods

Publications (1)

Publication Number Publication Date
US20060004410A1 true US20060004410A1 (en) 2006-01-05

Family

ID=35428803

Family Applications (3)

Application Number Title Priority Date Filing Date
US11/127,955 Abandoned US20060004410A1 (en) 2004-05-14 2005-05-12 Suture locking and cutting devices and methods
US11/127,515 Active 2029-07-01 US7785348B2 (en) 2004-05-14 2005-05-12 Devices and methods of locking and cutting a suture in a medical procedure
US11/127,513 Active 2029-03-13 US8388653B2 (en) 2004-05-14 2005-05-12 T-type suture anchoring devices and methods of using same

Family Applications After (2)

Application Number Title Priority Date Filing Date
US11/127,515 Active 2029-07-01 US7785348B2 (en) 2004-05-14 2005-05-12 Devices and methods of locking and cutting a suture in a medical procedure
US11/127,513 Active 2029-03-13 US8388653B2 (en) 2004-05-14 2005-05-12 T-type suture anchoring devices and methods of using same

Country Status (2)

Country Link
US (3) US20060004410A1 (en)
WO (3) WO2005112785A2 (en)

Cited By (181)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030195562A1 (en) * 2002-04-12 2003-10-16 Ethicon, Inc. Suture anchoring and tensioning device and method for using same
US20050273060A1 (en) * 2004-06-03 2005-12-08 Mayo Foundation For Medical Education And Research Obesity treatment and device
US20060064118A1 (en) * 2000-08-11 2006-03-23 Kimblad Per O Device and a method for treatment of atrioventricular regurgitation
US20060184200A1 (en) * 2005-02-17 2006-08-17 Jervis James E Suture retainer with multiple circumferentially spaced attachment points and suture retention method
US20060282085A1 (en) * 2004-11-09 2006-12-14 Arthrotek, Inc. Soft tissue conduit device
US20060287657A1 (en) * 2002-09-03 2006-12-21 Bachman Alan B Single catheter mitral valve repair device and method for use
US20070010857A1 (en) * 2005-07-05 2007-01-11 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US20070083235A1 (en) * 2005-10-11 2007-04-12 Jervis James E Helical retainer, tool for using the helical retainer, and methods
WO2007089431A1 (en) * 2006-01-31 2007-08-09 Edwards Lifesciences Corporation System, apparatus, and method for fastening tissue
US20070276437A1 (en) * 2006-05-25 2007-11-29 Mitralign, Inc. Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members
US20080132932A1 (en) * 2006-08-16 2008-06-05 Biomet Sports Medicine, Inc. Chondral Defect Repair
US20080200911A1 (en) * 2007-02-15 2008-08-21 Long Gary L Electrical ablation apparatus, system, and method
US20080200912A1 (en) * 2007-02-15 2008-08-21 Long Gary L Electroporation ablation apparatus, system, and method
US20080200755A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Method and device for retrieving suture tags
US20080200933A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US20080221619A1 (en) * 2007-03-08 2008-09-11 Spivey James T Surgical suture anchors and deployment device
US20080228198A1 (en) * 2007-03-13 2008-09-18 Mitralign, Inc. Suture cutter and method of cutting suture
US20080255613A1 (en) * 2007-04-10 2008-10-16 Biomet Sports Medicine, Inc. Adjustable knotless loops
US20080269783A1 (en) * 2007-04-27 2008-10-30 Griffith David B Curved needle suturing tool
US20080281356A1 (en) * 2007-05-08 2008-11-13 Mark Chau Suture-fastening clip
US20080294001A1 (en) * 2007-05-25 2008-11-27 Wilson-Cook Medical Inc. Medical devices, systems and methods for closing perforations
US20080300629A1 (en) * 2007-05-31 2008-12-04 Wilson-Cook Medical Inc. Suture lock
US20080312689A1 (en) * 2004-11-05 2008-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling sof tissue to a bone
US20090062792A1 (en) * 2007-08-31 2009-03-05 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090062795A1 (en) * 2007-08-31 2009-03-05 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090062788A1 (en) * 2007-08-31 2009-03-05 Long Gary L Electrical ablation surgical instruments
US20090082786A1 (en) * 2007-09-25 2009-03-26 Wilson-Cook Medical Inc. Medical devices, systems, and methods for using tissue anchors
US20090112063A1 (en) * 2007-10-31 2009-04-30 Bakos Gregory J Endoscopic overtubes
US20090131933A1 (en) * 2007-11-21 2009-05-21 Ghabrial Ragae M Bipolar forceps
US20090131932A1 (en) * 2007-11-21 2009-05-21 Vakharia Omar J Bipolar forceps having a cutting element
US20090131751A1 (en) * 2007-11-20 2009-05-21 Spivey James T Anal surgical instrument guides
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
US20090157099A1 (en) * 2007-12-18 2009-06-18 Wilson-Cook Medical, Inc. Device and method for placement of tissue anchors
US20090216251A1 (en) * 2007-07-26 2009-08-27 Levine David E Surgical suturing device, method and tools used therewith
US20090227828A1 (en) * 2008-03-10 2009-09-10 Ethicon Endo-Surgery, Inc. Anastomotic device
US20090270912A1 (en) * 2008-04-23 2009-10-29 Wilson-Cook Medical Inc. Tacking device
US20090287236A1 (en) * 2008-05-16 2009-11-19 Ethicon Endo-Surgery, Inc. Endoscopic rotary access needle
US20090287045A1 (en) * 2008-05-15 2009-11-19 Vladimir Mitelberg Access Systems and Methods of Intra-Abdominal Surgery
US20090299362A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Electrical ablation device
US20090299409A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US20090299143A1 (en) * 2008-05-30 2009-12-03 Conlon Sean P Actuating and articulating surgical device
US20090299385A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Surgical fastening device
US20090299135A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US20090306658A1 (en) * 2008-06-05 2009-12-10 Ethicon Endo-Surgery, Inc. Manually articulating devices
US20090306711A1 (en) * 2006-02-03 2009-12-10 Biomet Sports Medicine, Llc Method for Tissue Fixation
US20090318938A1 (en) * 2008-06-18 2009-12-24 Tyco Healthcare Group Lp Spring-Type Suture Securing Device
US20090318961A1 (en) * 2006-02-03 2009-12-24 Biomet Sports Medicine,Llc Method and Apparatus for Coupling Soft Tissue to a Bone
US20090326561A1 (en) * 2008-06-27 2009-12-31 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US20100010299A1 (en) * 2008-07-14 2010-01-14 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US20100010303A1 (en) * 2008-07-09 2010-01-14 Ethicon Endo-Surgery, Inc. Inflatable access device
US20100049208A1 (en) * 2008-08-19 2010-02-25 Wilson-Cook Medical Inc. Apparatus and methods for removing lymph nodes or anchoring into tissue during a translumenal procedure
US20100049190A1 (en) * 2008-08-25 2010-02-25 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100056861A1 (en) * 2008-08-29 2010-03-04 Ethicon Endo-Surgery, Inc. Articulating end cap
US20100063538A1 (en) * 2008-09-09 2010-03-11 Ethicon Endo-Surgery, Inc. Surgical grasping device
US20100069955A1 (en) * 2008-09-11 2010-03-18 Wilson-Cook Medical Inc. Methods for facilitating closure of a bodily opening using one or more tacking devices
US20100070028A1 (en) * 2008-09-12 2010-03-18 Mitralign, Inc. Tissue plication device and method for its use
US20100081877A1 (en) * 2008-10-01 2010-04-01 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US20100087857A1 (en) * 2004-11-05 2010-04-08 Stone Kevin T Soft Tissue Repair Device and Method
US20100131005A1 (en) * 2008-11-25 2010-05-27 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US20100145384A1 (en) * 2006-09-29 2010-06-10 Biomet Sport Medicine, Llc Method for Implanting Soft Tissue
US20100145385A1 (en) * 2008-12-05 2010-06-10 Wilson-Cook Medical, Inc. Tissue anchors for purse-string closure of perforations
US20100145362A1 (en) * 2008-12-09 2010-06-10 Wilson-Cook Medical Inc. Apparatus and methods for controlled release of tacking devices
US20100152539A1 (en) * 2008-12-17 2010-06-17 Ethicon Endo-Surgery, Inc. Positionable imaging medical devices
US20100160931A1 (en) * 2008-12-19 2010-06-24 Wilson-Cook Medical Inc. Variable thickness tacking devices and methods of delivery and deployment
US20100160935A1 (en) * 2008-12-19 2010-06-24 Wilson-Cook Medical Inc. Clip devices and methods of delivery and deployment
US20100179530A1 (en) * 2009-01-12 2010-07-15 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100179510A1 (en) * 2009-01-12 2010-07-15 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US20100191267A1 (en) * 2009-01-26 2010-07-29 Ethicon Endo-Surgery, Inc. Rotary needle for natural orifice translumenal endoscopic surgery
US20100191050A1 (en) * 2009-01-23 2010-07-29 Ethicon Endo-Surgery, Inc. Variable length accessory for guiding a flexible endoscopic tool
US20100211075A1 (en) * 2006-09-29 2010-08-19 Biomet Sports Medicine, Llc Fracture Fixation Device
US20100256679A1 (en) * 2009-04-03 2010-10-07 Wilson-Cook Medical Inc. Medical devices, systems and methods for rapid deployment and fixation of tissue anchors
US20100292792A1 (en) * 2006-09-29 2010-11-18 Biomet Sports Medicine, Llc Prosthetic Ligament System for Knee Joint
US20100298642A1 (en) * 2009-05-19 2010-11-25 Ethicon Endo-Surgery, Inc. Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery
US20100305698A1 (en) * 2009-05-28 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis Assembly With Ligament Link
US20100305591A1 (en) * 2009-05-28 2010-12-02 Wilson-Cook Medical Inc. Tacking device and methods of deployment
US20100305709A1 (en) * 2006-09-29 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis Assembly With Ligament Link
US20110087284A1 (en) * 2006-02-03 2011-04-14 Biomet Sports Medicine, Llc Soft Tissue Repair and Conduit Device
US20110098704A1 (en) * 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20110098694A1 (en) * 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Methods and instruments for treating cardiac tissue through a natural orifice
US20110115891A1 (en) * 2009-11-13 2011-05-19 Ethicon Endo-Surgery, Inc. Energy delivery apparatus, system, and method for deployable medical electronic devices
US20110152859A1 (en) * 2009-12-18 2011-06-23 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US20110152610A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Intralumenal accessory tip for endoscopic sheath arrangements
US20110152878A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system
US20110160767A1 (en) * 2006-02-03 2011-06-30 Biomet Sports Medicine, Llc Soft Tissue Repair Device and Associated Methods
US20110160514A1 (en) * 2009-12-31 2011-06-30 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20110160768A1 (en) * 2006-02-03 2011-06-30 Biomet Sports Medicine, Llc Soft Tissue Repair Device and Associated Methods
US20110185560A1 (en) * 2008-08-18 2011-08-04 Qioptiq Photonics Gmbh & Co. Kg Method for producing an objective
US20110190764A1 (en) * 2010-01-29 2011-08-04 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US20110213416A1 (en) * 2006-09-29 2011-09-01 Biomet Sports Medicine, Llc Adjustable Knotless Loops
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8105355B2 (en) 2006-05-18 2012-01-31 C.R. Bard, Inc. Suture lock fastening device
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US8226666B2 (en) 2003-03-14 2012-07-24 Edwards Lifesciences Corporation Mitral valve repair system and method for use
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US20130123842A1 (en) * 2011-11-16 2013-05-16 VentureMD Innovations, LLC Suture anchor
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8500760B2 (en) 2008-12-09 2013-08-06 Cook Medical Technologies Llc Retractable tacking device
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US20130211431A1 (en) * 2005-05-20 2013-08-15 Neotract, Inc. Coiled anchor device
US20130238024A1 (en) * 2012-03-10 2013-09-12 Cook Medical Technologies Llc Suture retention devices and associated products and methods
US8551139B2 (en) 2006-11-30 2013-10-08 Cook Medical Technologies Llc Visceral anchors for purse-string closure of perforations
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US8647368B2 (en) 2009-04-03 2014-02-11 Cook Medical Technologies Llc Tissue anchors and medical devices for rapid deployment of tissue anchors
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US9078645B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9078652B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Side-entry knotless suture anchoring clamps and deployment tools
US9113867B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113879B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9119614B2 (en) 2012-02-16 2015-09-01 Cook Medical Technologies Llc Suture retention device
US9131939B1 (en) 2008-02-27 2015-09-15 Mitralign, Inc. Device for percutaneously delivering a cardiac implant through the application of direct actuation forces external to the body
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9358111B2 (en) 2007-03-13 2016-06-07 Mitralign, Inc. Tissue anchors, systems and methods, and devices
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9468527B2 (en) 2013-06-12 2016-10-18 Edwards Lifesciences Corporation Cardiac implant with integrated suture fasteners
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9622741B2 (en) 2007-07-26 2017-04-18 Alpha Scientific Corporation Surgical suturing device and tools used therewith
US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
WO2018127907A1 (en) * 2017-01-03 2018-07-12 Talisman Ran Surgical thread for plastic surgery
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US10105132B2 (en) 2005-05-20 2018-10-23 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US10111743B2 (en) * 2016-07-21 2018-10-30 Southwest Research Institute Wrapping clip for securing a flexible line to another object
US10123896B2 (en) 2014-03-06 2018-11-13 Mayo Foundation For Medical Education And Research Apparatus and methods of inducing weight loss using blood flow control
US10130353B2 (en) 2012-06-29 2018-11-20 Neotract, Inc. Flexible system for delivering an anchor
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10143461B2 (en) 2005-05-20 2018-12-04 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US10195014B2 (en) 2005-05-20 2019-02-05 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US10251637B2 (en) 2015-10-06 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods

Families Citing this family (88)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE60207893T2 (en) 2002-03-14 2006-08-17 Yeung, Jeffrey E., San Jose Suture anchors and adaptation device
US9060844B2 (en) * 2002-11-01 2015-06-23 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
EP1750595A4 (en) 2004-05-07 2008-10-22 Valentx Inc Devices and methods for attaching an endolumenal gastrointestinal implant
US20090149871A9 (en) * 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
US7794447B2 (en) * 2002-11-01 2010-09-14 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US7837669B2 (en) * 2002-11-01 2010-11-23 Valentx, Inc. Devices and methods for endolumenal gastrointestinal bypass
US7037344B2 (en) * 2002-11-01 2006-05-02 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
US20060015125A1 (en) * 2004-05-07 2006-01-19 Paul Swain Devices and methods for gastric surgery
EP1773207A2 (en) 2004-06-02 2007-04-18 KFx Medical Corporation System and method for attaching soft tissue to bone
US8062334B2 (en) 2004-06-02 2011-11-22 Kfx Medical Corporation Suture anchor
US8128640B2 (en) 2005-02-07 2012-03-06 Ivy Sports Medicine LLC System and method for all-inside suture fixation for implant attachment and soft tissue repair
EP3097865A3 (en) * 2005-02-07 2017-02-15 Ivy Sports Medicine, LLC. System for all-inside suture fixation for implant attachment and soft tissue repair
DE102005015687A1 (en) * 2005-04-06 2006-10-12 Karl Storz Gmbh & Co. Kg Device for feeding surgical suture material to a needle
EP2344048B1 (en) 2008-07-30 2016-09-07 Neotract, Inc. Slotted anchor device
US8834492B2 (en) 2005-05-20 2014-09-16 Neotract, Inc. Continuous indentation lateral lobe apparatus and method
US9364212B2 (en) 2005-05-20 2016-06-14 Neotract, Inc. Suture anchoring devices and methods for use
US7896891B2 (en) 2005-05-20 2011-03-01 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US8157815B2 (en) * 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8603106B2 (en) 2005-05-20 2013-12-10 Neotract, Inc. Integrated handle assembly for anchor delivery system
US9149266B2 (en) * 2005-05-20 2015-10-06 Neotract, Inc. Deforming anchor device
US8668705B2 (en) 2005-05-20 2014-03-11 Neotract, Inc. Latching anchor device
US8529584B2 (en) 2005-05-20 2013-09-10 Neotract, Inc. Median lobe band implant apparatus and method
US8628542B2 (en) 2005-05-20 2014-01-14 Neotract, Inc. Median lobe destruction apparatus and method
US8945152B2 (en) * 2005-05-20 2015-02-03 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8491606B2 (en) 2005-05-20 2013-07-23 Neotract, Inc. Median lobe retraction apparatus and method
US8333776B2 (en) 2005-05-20 2012-12-18 Neotract, Inc. Anchor delivery system
US9504461B2 (en) 2005-05-20 2016-11-29 Neotract, Inc. Anchor delivery system
US8425535B2 (en) 2005-05-20 2013-04-23 Neotract, Inc. Multi-actuating trigger anchor delivery system
US7909836B2 (en) * 2005-05-20 2011-03-22 Neotract, Inc. Multi-actuating trigger anchor delivery system
US9549739B2 (en) 2005-05-20 2017-01-24 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US20090281386A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US8187297B2 (en) * 2006-04-19 2012-05-29 Vibsynt, Inc. Devices and methods for treatment of obesity
US8585733B2 (en) 2006-04-19 2013-11-19 Vibrynt, Inc Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US20090281376A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US8342183B2 (en) 2006-04-19 2013-01-01 Vibrynt, Inc. Devices and methods for treatment of obesity
US20110172767A1 (en) * 2006-04-19 2011-07-14 Pankaj Rathi Minimally invasive, direct delivery methods for implanting obesity treatment devices
US8070768B2 (en) * 2006-04-19 2011-12-06 Vibrynt, Inc. Devices and methods for treatment of obesity
EP2066272A2 (en) * 2006-12-28 2009-06-10 Vibrynt, Inc. Devices and methods for treatment of obesity
US20090287227A1 (en) * 2006-04-19 2009-11-19 Newell Matthew B Minimally invasive ,methods for implanting obesity treatment devices
US8398668B2 (en) * 2006-04-19 2013-03-19 Vibrynt, Inc. Devices and methods for treatment of obesity
US7976554B2 (en) * 2006-04-19 2011-07-12 Vibrynt, Inc. Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US7881797B2 (en) * 2006-04-25 2011-02-01 Valentx, Inc. Methods and devices for gastrointestinal stimulation
US20070270908A1 (en) * 2006-05-19 2007-11-22 Stokes Michael J Suture locking method
US7674275B2 (en) * 2006-10-05 2010-03-09 Ethicon Endo-Surgery, Inc. Suture anchor
US20080161850A1 (en) * 2006-12-28 2008-07-03 William Bruce Weisenburgh Suture anchoring system
WO2008154450A1 (en) * 2007-06-08 2008-12-18 Valentx, Inc. Methods and devices for intragastric support of functional or prosthetic gastrointestinal devices
US20090012544A1 (en) * 2007-06-08 2009-01-08 Valen Tx, Inc. Gastrointestinal bypass sleeve as an adjunct to bariatric surgery
MX2009013568A (en) * 2007-06-11 2010-04-21 Valentx Inc Endoscopic delivery devices and methods.
US8758366B2 (en) 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8034063B2 (en) * 2007-07-13 2011-10-11 Xlumena, Inc. Methods and systems for treating hiatal hernias
EP2016909A2 (en) 2007-07-18 2009-01-21 Ethicon Endo-Surgery, Inc. Device for insufflating the interior of a gastric cavity of a patient
US8556925B2 (en) * 2007-10-11 2013-10-15 Vibrynt, Inc. Devices and methods for treatment of obesity
US9039682B2 (en) * 2008-03-14 2015-05-26 Merit Medical Systems, Inc. Suture securement apparatus
US20090281559A1 (en) * 2008-05-06 2009-11-12 Ethicon Endo-Surgery, Inc. Anastomosis patch
AU2009246137B2 (en) 2008-05-15 2013-10-10 Cook Medical Technologies Llc Systems, devices and methods for accessing a bodily opening
US20120271327A1 (en) 2008-06-17 2012-10-25 Stephen West Endoscopic Tissue Grasping Systems and Methods
US9867610B2 (en) 2008-06-17 2018-01-16 Apollo Endosurgery Us, Inc. Endoscopic suturing system with retained end cap
US8287556B2 (en) 2008-06-17 2012-10-16 Apollo Endosurgery, Inc. Endoscopic suturing system
EP2339970B1 (en) 2008-07-30 2018-11-14 Neotract, Inc. Anchor delivery system with replaceable cartridge
US9089320B2 (en) * 2008-09-25 2015-07-28 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying multiple suture anchors
US8480686B2 (en) * 2008-09-25 2013-07-09 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying suture anchors
US8262675B2 (en) * 2008-10-29 2012-09-11 Ethicon Endo-Surgery, Inc. Methods and devices for applying multiple suture anchors
AU2009316233B2 (en) * 2008-11-13 2015-07-16 Aesthetic Devices Pty Limited Suture device
US8430826B2 (en) 2009-03-04 2013-04-30 Covidien Lp Specimen retrieval apparatus
WO2010129506A2 (en) * 2009-05-04 2010-11-11 Aegis Medical Innovations Inc. Suture locks and suture lock systems
US20110087067A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal retractor systems
US20110087249A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal Tissue Anchors
EP2525725A4 (en) * 2010-01-20 2015-10-07 New Hope Ventures Lp Tissue repair implant and delivery device and method
US10058314B2 (en) 2010-01-20 2018-08-28 Micro Interventional Devices, Inc. Tissue closure device and method
US9980708B2 (en) 2010-01-20 2018-05-29 Micro Interventional Devices, Inc. Tissue closure device and method
CA2991641A1 (en) 2010-04-29 2011-11-03 Vinay Badhwar Automatic suturing apparatus and methods of use
US9439643B2 (en) 2010-06-09 2016-09-13 C.R. Bard, Inc. Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing
US8540735B2 (en) 2010-12-16 2013-09-24 Apollo Endosurgery, Inc. Endoscopic suture cinch system
US9161749B2 (en) 2011-04-14 2015-10-20 Neotract, Inc. Method and apparatus for treating sexual dysfunction
WO2013062933A1 (en) 2011-10-24 2013-05-02 C.R. Bard, Inc. Instruments for delivering transfascial sutures, transfascial suture assemblies and methods of transfascial suturing
US9078648B2 (en) 2011-11-07 2015-07-14 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US9039721B2 (en) 2011-11-07 2015-05-26 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US9924938B2 (en) 2011-11-07 2018-03-27 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US9314362B2 (en) 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US8382775B1 (en) 2012-01-08 2013-02-26 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US9451960B2 (en) 2012-05-31 2016-09-27 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9050168B2 (en) 2012-05-31 2015-06-09 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9681975B2 (en) 2012-05-31 2017-06-20 Valentx, Inc. Devices and methods for gastrointestinal bypass
WO2014164955A2 (en) 2013-03-12 2014-10-09 Apollo Endosurgery, Inc. Endoscopic suture cinch system with replaceable cinch
US9757264B2 (en) 2013-03-13 2017-09-12 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9936940B2 (en) 2013-06-07 2018-04-10 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9717491B2 (en) 2014-03-10 2017-08-01 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9770574B2 (en) 2014-10-22 2017-09-26 Merit Medical Systems, Inc. Torque device and securement mechanism

Citations (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4094045A (en) * 1976-04-30 1978-06-13 Stevenson Curtis A Coupling device and method
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4846193A (en) * 1987-09-21 1989-07-11 Advanced Cardiovascular Systems, Inc. Extendable guide wire for vascular procedures
US4946467A (en) * 1988-03-14 1990-08-07 Gunze Limited Surgical suture
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US5179962A (en) * 1991-06-20 1993-01-19 Possis Medical, Inc. Cardiac lead with retractible fixators
US5304194A (en) * 1991-10-02 1994-04-19 Target Therapeutics Vasoocclusion coil with attached fibrous element(s)
US5370661A (en) * 1990-11-06 1994-12-06 Branch; Thomas P. Method and apparatus for re-approximating tissue
US5382259A (en) * 1992-10-26 1995-01-17 Target Therapeutics, Inc. Vasoocclusion coil with attached tubular woven or braided fibrous covering
US5409499A (en) * 1993-06-18 1995-04-25 Ethicon, Inc. Biocompatible suture knot clip
US5562689A (en) * 1993-08-20 1996-10-08 United States Surgical Corporation Apparatus and method for applying and adjusting an anchoring device
US5690667A (en) * 1996-09-26 1997-11-25 Target Therapeutics Vasoocclusion coil having a polymer tip
US5782776A (en) * 1994-05-11 1998-07-21 Schneider A.G. Guidewire attachment assembly
US5810853A (en) * 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
US5899921A (en) * 1997-07-25 1999-05-04 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members
US5902231A (en) * 1996-03-22 1999-05-11 Sdgi Holdings, Inc. Devices and methods for percutaneous surgery
US5911728A (en) * 1997-11-18 1999-06-15 Cardiothoracic Systems, Inc. Cannula purse string suture clamping device
US5984933A (en) * 1994-12-29 1999-11-16 Yoon; Inbae Apparatus for suturing tissue
US6200329B1 (en) * 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US20030158581A1 (en) * 2001-04-12 2003-08-21 Scion International, Inc. Suture lock, lock applicator and method therefor
US20030191497A1 (en) * 2002-04-05 2003-10-09 Cook Incorporated Sliding suture anchor
US6773436B2 (en) * 2001-09-28 2004-08-10 Depuy Mitek, Inc. Absorbable bone anchor
US7335221B2 (en) * 2002-04-12 2008-02-26 Ethicon, Inc. Suture anchoring and tensioning device and method for using same

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3125095A (en) * 1964-03-17 Flexible stainless steel sutures
US3323208A (en) * 1965-11-08 1967-06-06 Jr James S Hurley Simultaneous clamping and cutting means
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
EP0520177B1 (en) * 1991-05-24 1995-12-13 Synthes AG, Chur Resorbable tendon and bone augmentation device
FR2682867A1 (en) 1991-10-29 1993-04-30 Nouaille Jean Marc Method and device for locking a wire cóoeliochirurgie.
US5417700A (en) * 1992-03-30 1995-05-23 Thomas D. Egan Automatic suturing and ligating device
US5373840A (en) * 1992-10-02 1994-12-20 Knighton; David R. Endoscope and method for vein removal
CA2141911C (en) * 1994-02-24 2002-04-23 Jude S. Sauer Surgical crimping device and method of use
US5643295A (en) 1994-12-29 1997-07-01 Yoon; Inbae Methods and apparatus for suturing tissue
US5584840A (en) * 1995-09-05 1996-12-17 Ramsey; James E. Umbilical cord cutting and clamping device
US6126677A (en) * 1996-05-20 2000-10-03 Noknots Group Inc. Suture fastener and instrument
US5954747A (en) * 1997-11-20 1999-09-21 Clark; Ron Meniscus repair anchor system
US6068648A (en) * 1998-01-26 2000-05-30 Orthodyne, Inc. Tissue anchoring system and method
US6352503B1 (en) * 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
US6648903B1 (en) * 1998-09-08 2003-11-18 Pierson, Iii Raymond H. Medical tensioning system
US6045571A (en) * 1999-04-14 2000-04-04 Ethicon, Inc. Multifilament surgical cord
US6596014B2 (en) * 1999-07-13 2003-07-22 Scion Cardio-Vascular, Inc. Suture with toggle and method of manufacture therefor
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
ES2532327T3 (en) 2000-03-03 2015-03-26 C. R. Bard, Inc. Clip suture
US6652561B1 (en) * 2000-10-13 2003-11-25 Opus Medical, Inc Method and apparatus for attaching connective tissues to bone using a perforated suture anchoring device
US6776784B2 (en) * 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use

Patent Citations (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4094045A (en) * 1976-04-30 1978-06-13 Stevenson Curtis A Coupling device and method
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US4846193A (en) * 1987-09-21 1989-07-11 Advanced Cardiovascular Systems, Inc. Extendable guide wire for vascular procedures
US4946467A (en) * 1988-03-14 1990-08-07 Gunze Limited Surgical suture
US5370661A (en) * 1990-11-06 1994-12-06 Branch; Thomas P. Method and apparatus for re-approximating tissue
US5179962A (en) * 1991-06-20 1993-01-19 Possis Medical, Inc. Cardiac lead with retractible fixators
US5304194A (en) * 1991-10-02 1994-04-19 Target Therapeutics Vasoocclusion coil with attached fibrous element(s)
US5382259A (en) * 1992-10-26 1995-01-17 Target Therapeutics, Inc. Vasoocclusion coil with attached tubular woven or braided fibrous covering
US5409499A (en) * 1993-06-18 1995-04-25 Ethicon, Inc. Biocompatible suture knot clip
US5562689A (en) * 1993-08-20 1996-10-08 United States Surgical Corporation Apparatus and method for applying and adjusting an anchoring device
US5782776A (en) * 1994-05-11 1998-07-21 Schneider A.G. Guidewire attachment assembly
US5984933A (en) * 1994-12-29 1999-11-16 Yoon; Inbae Apparatus for suturing tissue
US5810853A (en) * 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
US5902231A (en) * 1996-03-22 1999-05-11 Sdgi Holdings, Inc. Devices and methods for percutaneous surgery
US5690667A (en) * 1996-09-26 1997-11-25 Target Therapeutics Vasoocclusion coil having a polymer tip
US5899921A (en) * 1997-07-25 1999-05-04 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members
US5911728A (en) * 1997-11-18 1999-06-15 Cardiothoracic Systems, Inc. Cannula purse string suture clamping device
US6200329B1 (en) * 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US20030158581A1 (en) * 2001-04-12 2003-08-21 Scion International, Inc. Suture lock, lock applicator and method therefor
US6773436B2 (en) * 2001-09-28 2004-08-10 Depuy Mitek, Inc. Absorbable bone anchor
US20030191497A1 (en) * 2002-04-05 2003-10-09 Cook Incorporated Sliding suture anchor
US7335221B2 (en) * 2002-04-12 2008-02-26 Ethicon, Inc. Suture anchoring and tensioning device and method for using same

Cited By (330)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9999419B2 (en) 2000-05-01 2018-06-19 Edwards Lifesciences Corporation Single catheter heart repair device and method for use
US9314242B2 (en) 2000-05-01 2016-04-19 Edwards Lifesciences Corporation Single catheter heart repair device and method for use
US8062313B2 (en) 2000-08-11 2011-11-22 Edwards Lifesciences Corporation Device and a method for treatment of atrioventricular regurgitation
US20060064118A1 (en) * 2000-08-11 2006-03-23 Kimblad Per O Device and a method for treatment of atrioventricular regurgitation
US20030195562A1 (en) * 2002-04-12 2003-10-16 Ethicon, Inc. Suture anchoring and tensioning device and method for using same
US7335221B2 (en) * 2002-04-12 2008-02-26 Ethicon, Inc. Suture anchoring and tensioning device and method for using same
US7887552B2 (en) 2002-09-03 2011-02-15 Edwards Lifesciences Corporation Single catheter mitral valve repair device and method for use
US20060287657A1 (en) * 2002-09-03 2006-12-21 Bachman Alan B Single catheter mitral valve repair device and method for use
US8777991B2 (en) 2003-03-14 2014-07-15 David Zarbatany Mitral valve repair system and method for use
US8226666B2 (en) 2003-03-14 2012-07-24 Edwards Lifesciences Corporation Mitral valve repair system and method for use
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US8911393B2 (en) 2004-06-03 2014-12-16 Mayo Foundation For Medical Education And Research Obesity treatment and device
US20050273060A1 (en) * 2004-06-03 2005-12-08 Mayo Foundation For Medical Education And Research Obesity treatment and device
US8372158B2 (en) 2004-06-03 2013-02-12 Enteromedics, Inc. Obesity treatment and device
US7803195B2 (en) 2004-06-03 2010-09-28 Mayo Foundation For Medical Education And Research Obesity treatment and device
US20110009980A1 (en) * 2004-06-03 2011-01-13 Mayo Foundation For Medical Education And Research Obesity treatment and device
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20100087857A1 (en) * 2004-11-05 2010-04-08 Stone Kevin T Soft Tissue Repair Device and Method
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US20080312689A1 (en) * 2004-11-05 2008-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling sof tissue to a bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20060282085A1 (en) * 2004-11-09 2006-12-14 Arthrotek, Inc. Soft tissue conduit device
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8062333B2 (en) 2005-02-17 2011-11-22 Anpa Medical, Inc. Suture retainer with multiple circumferentially spaced attachment points and suture retention method
US20060184200A1 (en) * 2005-02-17 2006-08-17 Jervis James E Suture retainer with multiple circumferentially spaced attachment points and suture retention method
US10105132B2 (en) 2005-05-20 2018-10-23 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US10195014B2 (en) 2005-05-20 2019-02-05 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8888799B2 (en) * 2005-05-20 2014-11-18 Neotract, Inc. Coiled anchor device
US10143461B2 (en) 2005-05-20 2018-12-04 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20130211431A1 (en) * 2005-05-20 2013-08-15 Neotract, Inc. Coiled anchor device
US9259218B2 (en) 2005-07-05 2016-02-16 Mitralign, Inc. Tissue anchor and anchoring system
US8951286B2 (en) 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor and anchoring system
US9814454B2 (en) 2005-07-05 2017-11-14 Mitralign, Inc. Tissue anchor and anchoring system
US20070010857A1 (en) * 2005-07-05 2007-01-11 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US20090076547A1 (en) * 2005-07-05 2009-03-19 Mitralign, Inc. Tissue anchor and anchoring system
US8951285B2 (en) 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US20070083235A1 (en) * 2005-10-11 2007-04-12 Jervis James E Helical retainer, tool for using the helical retainer, and methods
WO2007089431A1 (en) * 2006-01-31 2007-08-09 Edwards Lifesciences Corporation System, apparatus, and method for fastening tissue
US7628797B2 (en) 2006-01-31 2009-12-08 Edwards Lifesciences Corporation System, apparatus, and method for fastening tissue
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US20090306711A1 (en) * 2006-02-03 2009-12-10 Biomet Sports Medicine, Llc Method for Tissue Fixation
US10154837B2 (en) * 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20090318961A1 (en) * 2006-02-03 2009-12-24 Biomet Sports Medicine,Llc Method and Apparatus for Coupling Soft Tissue to a Bone
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US10098629B2 (en) 2006-02-03 2018-10-16 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20160106414A1 (en) * 2006-02-03 2016-04-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8771316B2 (en) 2006-02-03 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8273106B2 (en) * 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US20110160768A1 (en) * 2006-02-03 2011-06-30 Biomet Sports Medicine, Llc Soft Tissue Repair Device and Associated Methods
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8632569B2 (en) 2006-02-03 2014-01-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US20110087284A1 (en) * 2006-02-03 2011-04-14 Biomet Sports Medicine, Llc Soft Tissue Repair and Conduit Device
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20110160767A1 (en) * 2006-02-03 2011-06-30 Biomet Sports Medicine, Llc Soft Tissue Repair Device and Associated Methods
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8425555B2 (en) 2006-05-18 2013-04-23 C.R. Bard, Inc. Suture lock fastening device
US8105355B2 (en) 2006-05-18 2012-01-31 C.R. Bard, Inc. Suture lock fastening device
US20070276437A1 (en) * 2006-05-25 2007-11-29 Mitralign, Inc. Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members
US8777956B2 (en) 2006-08-16 2014-07-15 Biomet Sports Medicine, Llc Chondral defect repair
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US20080132932A1 (en) * 2006-08-16 2008-06-05 Biomet Sports Medicine, Inc. Chondral Defect Repair
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US20100305709A1 (en) * 2006-09-29 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis Assembly With Ligament Link
US20100292792A1 (en) * 2006-09-29 2010-11-18 Biomet Sports Medicine, Llc Prosthetic Ligament System for Knee Joint
US20110213416A1 (en) * 2006-09-29 2011-09-01 Biomet Sports Medicine, Llc Adjustable Knotless Loops
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US20100145384A1 (en) * 2006-09-29 2010-06-10 Biomet Sport Medicine, Llc Method for Implanting Soft Tissue
US20100211075A1 (en) * 2006-09-29 2010-08-19 Biomet Sports Medicine, Llc Fracture Fixation Device
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8231654B2 (en) 2006-09-29 2012-07-31 Biomet Sports Medicine, Llc Adjustable knotless loops
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8551139B2 (en) 2006-11-30 2013-10-08 Cook Medical Technologies Llc Visceral anchors for purse-string closure of perforations
US8425505B2 (en) 2007-02-15 2013-04-23 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8449538B2 (en) 2007-02-15 2013-05-28 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20080200755A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Method and device for retrieving suture tags
US20080200912A1 (en) * 2007-02-15 2008-08-21 Long Gary L Electroporation ablation apparatus, system, and method
US20080200933A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US20080200911A1 (en) * 2007-02-15 2008-08-21 Long Gary L Electrical ablation apparatus, system, and method
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20100130975A1 (en) * 2007-02-15 2010-05-27 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8029504B2 (en) 2007-02-15 2011-10-04 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US9375268B2 (en) 2007-02-15 2016-06-28 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20100087813A1 (en) * 2007-02-15 2010-04-08 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US20080221619A1 (en) * 2007-03-08 2008-09-11 Spivey James T Surgical suture anchors and deployment device
US8911461B2 (en) * 2007-03-13 2014-12-16 Mitralign, Inc. Suture cutter and method of cutting suture
US20080228198A1 (en) * 2007-03-13 2008-09-18 Mitralign, Inc. Suture cutter and method of cutting suture
US9750608B2 (en) 2007-03-13 2017-09-05 Mitralign, Inc. Systems and methods for introducing elements into tissue
US9358111B2 (en) 2007-03-13 2016-06-07 Mitralign, Inc. Tissue anchors, systems and methods, and devices
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US20080255613A1 (en) * 2007-04-10 2008-10-16 Biomet Sports Medicine, Inc. Adjustable knotless loops
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US20080269783A1 (en) * 2007-04-27 2008-10-30 Griffith David B Curved needle suturing tool
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US20080281356A1 (en) * 2007-05-08 2008-11-13 Mark Chau Suture-fastening clip
US8753373B2 (en) 2007-05-08 2014-06-17 Edwards Lifesciences Corporation Suture-fastening clip
US20080294001A1 (en) * 2007-05-25 2008-11-27 Wilson-Cook Medical Inc. Medical devices, systems and methods for closing perforations
US9155532B2 (en) 2007-05-25 2015-10-13 Cook Medical Technologies Llc Medical devices, systems and methods for closing perforations
US20080300629A1 (en) * 2007-05-31 2008-12-04 Wilson-Cook Medical Inc. Suture lock
US8740937B2 (en) 2007-05-31 2014-06-03 Cook Medical Technologies Llc Suture lock
US20090216251A1 (en) * 2007-07-26 2009-08-27 Levine David E Surgical suturing device, method and tools used therewith
US10064617B2 (en) 2007-07-26 2018-09-04 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US9226748B2 (en) 2007-07-26 2016-01-05 Alpha Scientific Corporation Surgical suturing device, method and tools used therewith
US9622741B2 (en) 2007-07-26 2017-04-18 Alpha Scientific Corporation Surgical suturing device and tools used therewith
US20090062788A1 (en) * 2007-08-31 2009-03-05 Long Gary L Electrical ablation surgical instruments
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090062792A1 (en) * 2007-08-31 2009-03-05 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090062795A1 (en) * 2007-08-31 2009-03-05 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090082786A1 (en) * 2007-09-25 2009-03-26 Wilson-Cook Medical Inc. Medical devices, systems, and methods for using tissue anchors
US9339265B2 (en) 2007-09-25 2016-05-17 Cook Medical Technologies Llc Medical devices, systems, and methods for using tissue anchors
US20090112063A1 (en) * 2007-10-31 2009-04-30 Bakos Gregory J Endoscopic overtubes
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
US20090131751A1 (en) * 2007-11-20 2009-05-21 Spivey James T Anal surgical instrument guides
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US20090131932A1 (en) * 2007-11-21 2009-05-21 Vakharia Omar J Bipolar forceps having a cutting element
US20090131933A1 (en) * 2007-11-21 2009-05-21 Ghabrial Ragae M Bipolar forceps
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
US20090157099A1 (en) * 2007-12-18 2009-06-18 Wilson-Cook Medical, Inc. Device and method for placement of tissue anchors
US9131939B1 (en) 2008-02-27 2015-09-15 Mitralign, Inc. Device for percutaneously delivering a cardiac implant through the application of direct actuation forces external to the body
US20090227828A1 (en) * 2008-03-10 2009-09-10 Ethicon Endo-Surgery, Inc. Anastomotic device
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US20090270912A1 (en) * 2008-04-23 2009-10-29 Wilson-Cook Medical Inc. Tacking device
US9848763B2 (en) 2008-05-15 2017-12-26 Apollo Endosurgery Us, Inc. Access systems and methods of intra-abdominal surgery
US20090287045A1 (en) * 2008-05-15 2009-11-19 Vladimir Mitelberg Access Systems and Methods of Intra-Abdominal Surgery
US20090287236A1 (en) * 2008-05-16 2009-11-19 Ethicon Endo-Surgery, Inc. Endoscopic rotary access needle
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US20090299385A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Surgical fastening device
US20090299362A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Electrical ablation device
US20090299143A1 (en) * 2008-05-30 2009-12-03 Conlon Sean P Actuating and articulating surgical device
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US20090299135A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US20090299409A1 (en) * 2008-05-30 2009-12-03 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US20090306658A1 (en) * 2008-06-05 2009-12-10 Ethicon Endo-Surgery, Inc. Manually articulating devices
US20090318938A1 (en) * 2008-06-18 2009-12-24 Tyco Healthcare Group Lp Spring-Type Suture Securing Device
US8579921B2 (en) * 2008-06-18 2013-11-12 Covidien Lp Spring-type suture securing device
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US20090326561A1 (en) * 2008-06-27 2009-12-31 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US20100010303A1 (en) * 2008-07-09 2010-01-14 Ethicon Endo-Surgery, Inc. Inflatable access device
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US10105141B2 (en) 2008-07-14 2018-10-23 Ethicon Endo-Surgery, Inc. Tissue apposition clip application methods
US20100010299A1 (en) * 2008-07-14 2010-01-14 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US20110185560A1 (en) * 2008-08-18 2011-08-04 Qioptiq Photonics Gmbh & Co. Kg Method for producing an objective
US20100049208A1 (en) * 2008-08-19 2010-02-25 Wilson-Cook Medical Inc. Apparatus and methods for removing lymph nodes or anchoring into tissue during a translumenal procedure
US8900250B2 (en) 2008-08-19 2014-12-02 Cook Medical Technologies, LLC Apparatus and methods for removing lymph nodes or anchoring into tissue during a translumenal procedure
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100049190A1 (en) * 2008-08-25 2010-02-25 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100056861A1 (en) * 2008-08-29 2010-03-04 Ethicon Endo-Surgery, Inc. Articulating end cap
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US20100063538A1 (en) * 2008-09-09 2010-03-11 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8192461B2 (en) 2008-09-11 2012-06-05 Cook Medical Technologies Llc Methods for facilitating closure of a bodily opening using one or more tacking devices
US20100069955A1 (en) * 2008-09-11 2010-03-18 Wilson-Cook Medical Inc. Methods for facilitating closure of a bodily opening using one or more tacking devices
US20100070028A1 (en) * 2008-09-12 2010-03-18 Mitralign, Inc. Tissue plication device and method for its use
US8945211B2 (en) 2008-09-12 2015-02-03 Mitralign, Inc. Tissue plication device and method for its use
US20100081877A1 (en) * 2008-10-01 2010-04-01 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US9220526B2 (en) 2008-11-25 2015-12-29 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US20100131005A1 (en) * 2008-11-25 2010-05-27 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US20100145385A1 (en) * 2008-12-05 2010-06-10 Wilson-Cook Medical, Inc. Tissue anchors for purse-string closure of perforations
US8377095B2 (en) 2008-12-05 2013-02-19 Cook Medical Technologies, LLC Tissue anchors for purse-string closure of perforations
US8500760B2 (en) 2008-12-09 2013-08-06 Cook Medical Technologies Llc Retractable tacking device
US20100145362A1 (en) * 2008-12-09 2010-06-10 Wilson-Cook Medical Inc. Apparatus and methods for controlled release of tacking devices
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US20100152539A1 (en) * 2008-12-17 2010-06-17 Ethicon Endo-Surgery, Inc. Positionable imaging medical devices
US20100160935A1 (en) * 2008-12-19 2010-06-24 Wilson-Cook Medical Inc. Clip devices and methods of delivery and deployment
US20100160931A1 (en) * 2008-12-19 2010-06-24 Wilson-Cook Medical Inc. Variable thickness tacking devices and methods of delivery and deployment
US8491610B2 (en) 2008-12-19 2013-07-23 Cook Medical Technologies Llc Clip devices and methods of delivery and deployment
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US9011431B2 (en) 2009-01-12 2015-04-21 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100179530A1 (en) * 2009-01-12 2010-07-15 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100179510A1 (en) * 2009-01-12 2010-07-15 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US10004558B2 (en) 2009-01-12 2018-06-26 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20100191050A1 (en) * 2009-01-23 2010-07-29 Ethicon Endo-Surgery, Inc. Variable length accessory for guiding a flexible endoscopic tool
US20100191267A1 (en) * 2009-01-26 2010-07-29 Ethicon Endo-Surgery, Inc. Rotary needle for natural orifice translumenal endoscopic surgery
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8647368B2 (en) 2009-04-03 2014-02-11 Cook Medical Technologies Llc Tissue anchors and medical devices for rapid deployment of tissue anchors
US8382776B2 (en) 2009-04-03 2013-02-26 Cook Medical Technologies Llc Medical devices, systems and methods for rapid deployment and fixation of tissue anchors
US20100256679A1 (en) * 2009-04-03 2010-10-07 Wilson-Cook Medical Inc. Medical devices, systems and methods for rapid deployment and fixation of tissue anchors
US20100298642A1 (en) * 2009-05-19 2010-11-25 Ethicon Endo-Surgery, Inc. Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery
US20100305698A1 (en) * 2009-05-28 2010-12-02 Biomet Manufacturing Corp. Knee Prosthesis Assembly With Ligament Link
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
US20100305591A1 (en) * 2009-05-28 2010-12-02 Wilson-Cook Medical Inc. Tacking device and methods of deployment
US10149767B2 (en) 2009-05-28 2018-12-11 Biomet Manufacturing, Llc Method of implanting knee prosthesis assembly with ligament link
US9345476B2 (en) 2009-05-28 2016-05-24 Cook Medical Technologies Llc Tacking device and methods of deployment
US20110098704A1 (en) * 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20110098694A1 (en) * 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Methods and instruments for treating cardiac tissue through a natural orifice
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US20110115891A1 (en) * 2009-11-13 2011-05-19 Ethicon Endo-Surgery, Inc. Energy delivery apparatus, system, and method for deployable medical electronic devices
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US20110152878A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US20110152610A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Intralumenal accessory tip for endoscopic sheath arrangements
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US20110152859A1 (en) * 2009-12-18 2011-06-23 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US10098691B2 (en) 2009-12-18 2018-10-16 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US20110160514A1 (en) * 2009-12-31 2011-06-30 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US20110190764A1 (en) * 2010-01-29 2011-08-04 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9883910B2 (en) 2011-03-17 2018-02-06 Eticon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9782165B2 (en) 2011-11-11 2017-10-10 VentureMD Innovations, LLC Transosseous attachment
US10194898B2 (en) 2011-11-16 2019-02-05 VentureMD Innovations, LLC Suture anchor
US9131937B2 (en) * 2011-11-16 2015-09-15 VentureMD Innovations, LLC Suture anchor
US20130123842A1 (en) * 2011-11-16 2013-05-16 VentureMD Innovations, LLC Suture anchor
US10136883B2 (en) 2011-11-16 2018-11-27 VentureMD Innovations, LLC Method of anchoring a suture
US9113866B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9119615B2 (en) 2011-12-15 2015-09-01 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9173657B2 (en) 2011-12-15 2015-11-03 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113867B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113868B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113879B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9078652B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Side-entry knotless suture anchoring clamps and deployment tools
US9936947B2 (en) 2011-12-19 2018-04-10 Edwards Lifesciences Corporation Systems for deploying knotless suture anchoring clamps
US9078645B2 (en) 2011-12-19 2015-07-14 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US9119614B2 (en) 2012-02-16 2015-09-01 Cook Medical Technologies Llc Suture retention device
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US8945181B2 (en) * 2012-03-10 2015-02-03 Cook Medical Technologies Llc Suture retention devices and associated products and methods
US20130238024A1 (en) * 2012-03-10 2013-09-12 Cook Medical Technologies Llc Suture retention devices and associated products and methods
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9980716B2 (en) 2012-03-21 2018-05-29 Ethicon Llc Methods and devices for creating tissue plications
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US10206709B2 (en) 2012-05-14 2019-02-19 Ethicon Llc Apparatus for introducing an object into a patient
US10130353B2 (en) 2012-06-29 2018-11-20 Neotract, Inc. Flexible system for delivering an anchor
US9788888B2 (en) 2012-07-03 2017-10-17 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9788885B2 (en) 2012-08-15 2017-10-17 Ethicon Endo-Surgery, Inc. Electrosurgical system energy source
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9687221B2 (en) 2013-02-13 2017-06-27 Venture MD Innovations, LLC Method of anchoring a suture
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9636110B2 (en) 2013-03-13 2017-05-02 Alpha Scientific Corporation Structural support incorporating multiple strands
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9468527B2 (en) 2013-06-12 2016-10-18 Edwards Lifesciences Corporation Cardiac implant with integrated suture fasteners
US9968451B2 (en) 2013-06-12 2018-05-15 Edwards Lifesciences Corporation Cardiac implant with integrated suture fasteners
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10123896B2 (en) 2014-03-06 2018-11-13 Mayo Foundation For Medical Education And Research Apparatus and methods of inducing weight loss using blood flow control
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10251637B2 (en) 2015-10-06 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10111743B2 (en) * 2016-07-21 2018-10-30 Southwest Research Institute Wrapping clip for securing a flexible line to another object
WO2018127907A1 (en) * 2017-01-03 2018-07-12 Talisman Ran Surgical thread for plastic surgery
US10251737B2 (en) 2017-03-21 2019-04-09 Alpha Scientific Corporation Structural support incorporating multiple strands

Also Published As

Publication number Publication date
WO2005112784A2 (en) 2005-12-01
WO2005112785A2 (en) 2005-12-01
WO2005112786A2 (en) 2005-12-01
US20050277957A1 (en) 2005-12-15
WO2005112786A3 (en) 2008-01-10
US20060025819A1 (en) 2006-02-02
US8388653B2 (en) 2013-03-05
US7785348B2 (en) 2010-08-31
WO2005112785A3 (en) 2008-02-07
WO2005112784A3 (en) 2007-12-06

Similar Documents

Publication Publication Date Title
US7320693B2 (en) Methods and instruments for closing laparoscopic trocar puncture wounds
US7601159B2 (en) Interlocking tissue anchor apparatus and methods
US6988985B2 (en) Tissue piercing device for an endoscope
US7232447B2 (en) Suturing instrument with deflectable head
CN1822794B (en) Single intubation, multi-stitch endoscopic suturing system
US9451938B2 (en) Insertion instrument for anchor assembly
JP5912131B2 (en) Endoscopic suture cinch system
US7905904B2 (en) Soft tissue repair device and associated methods
JP4008106B2 (en) Suture cartridge assembly for a surgical knot
US8105342B2 (en) Apparatus for ligating/suturing living tissues and system for resecting/suturing living tissues
US7585305B2 (en) Suture passing instrument
US7879051B2 (en) Flexible device for transfixing and joining tissue
EP1331886B1 (en) Closure device for tissue repair
US8343175B2 (en) Apparatus and methods for forming and securing gastrointestinal tissue folds
CN104394778B (en) Based knotless suture repair
AU2004272045B2 (en) Articulating suturing device and method
US5211650A (en) Dual function suturing device and method
US7063715B2 (en) Endoscopic suture apparatus
US6770084B1 (en) Suture capture device
CA2589944C (en) Combination knotting element and suture anchor applicator
US5403329A (en) Instrument for closing trocar puncture wounds
EP0674875B1 (en) Endoscopic suture system
JP4480936B2 (en) System for tissue puncture
US8663250B2 (en) Suturing instrument with dual needles and method of passing suture
AU2005244677B2 (en) Suture device

Legal Events

Date Code Title Description
AS Assignment

Owner name: ETHICON ENDO-SURGERY, INC., OHIO

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:NOBIS, RUDOLPH H.;VAKHARIA, OMAR J.;FAUX, JOHN A.;AND OTHERS;REEL/FRAME:021099/0516;SIGNING DATES FROM 20080109 TO 20080207