US20070112385A1 - Expandable suture anchor - Google Patents

Expandable suture anchor Download PDF

Info

Publication number
US20070112385A1
US20070112385A1 US11274358 US27435805A US2007112385A1 US 20070112385 A1 US20070112385 A1 US 20070112385A1 US 11274358 US11274358 US 11274358 US 27435805 A US27435805 A US 27435805A US 2007112385 A1 US2007112385 A1 US 2007112385A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
suture
configuration
suture anchor
body
anchor
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
US11274358
Inventor
Sean Conlon
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
Ethicon Endo-Surgery Inc
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

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
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406Pledgets
    • 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
    • A61B2017/0412Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
    • 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
    • A61B2017/0427Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • 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
    • A61B2017/0427Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0435Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
    • 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
    • A61B2017/0427Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0437Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
    • 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
    • A61B2017/0438Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • 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
    • A61B17/06Needles ; 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin

Abstract

An expandable suture anchor is provided for use with an applicator. The suture anchor has a body formed from a biocompatible spring material such that the suture anchor has a first configuration when positioned within the applicator and a second configuration after deployment from the applicator, wherein the second configuration has a geometric shape that is broader in at least one plane than the first configuration.

Description

    BACKGROUND
  • The present application relates to surgical fasteners and instruments for approximating and fastening tissue and, more particularly, to suture anchors and associated instruments for endoscopically attaching sutures to tissue.
  • The working channel of a flexible endoscope typically has a diameter in the range of about 2.5 to about 4 millimeters. Current staplers and suturing devices cannot be easily redesigned to work through such small openings. In addition, performing procedures by way of the working channel does not easily permit using two instruments positioned at different angles with respect to the wound site in order to “pass and catch” a needle and apply sutures.
  • Various clips, suture fasteners and anchors have been developed such that physicians (e.g., gastroenterologists) may endoscopically close perforations in the gastrointestinal tract resulting from, for example, ulcers or polypectomy. One type of suture anchor is known as a “T-tag ”fastener. The T-tag is a small metallic pin with a suture attached at the middle. The physician may load the T-tag into the end of a cannulated needle of an applicator that may be inserted through the working channel of a flexible endoscope. The physician may push the needle into the tissue near the perforation and implant the T-tag into the tissue with the attached suture trailing through the working channel and out the proximal end of the endoscope. After two or more T-tags are attached to the tissue near the wound in this manner, the physician may pull the sutures to appose the tissue around the wound. The physician may then fasten the sutures together by applying a plurality of alternating, right and left overhand knots using a knot pushing device or by applying a knotting element or other type of fastener through the working channel of the endoscope.
  • In order for T-tags to resist pull-out from the tissue when the attached suture is tensioned, the T-tag should rotate after ejection from the cannulated needle to be approximately perpendicular to the attached suture. An issue typically associated with anchors such as the T-tag is that if the anchor is implanted within tissue layers, rather than through tissue layers such that the anchor cannot reorient as described, it is possible for the T-tag to be easily pulled from the hole created by the penetrating needle.
  • Another issue typically associated with current suture anchors such as the T-tag is the occasional situation in which the anchor comes out of the distal end of the cannulated needle while the applicator is manipulated into the endoscope and towards the wound site.
  • An issue typically associated with current suture anchor applicators is the risk that nearby organs may be accidentally injured by the needle of the applicator. The physician normally cannot see anatomical structures on the distal side of the tissue layers when the needle is being pushed through the tissue layers. Therefore, there is a risk that adjacent organs may be accidentally injured by the penetrating needle.
  • In addition to addressing the above issues, it may be desirable to provide an improved suture anchor that is magnetic resonance imaging (MRI) compatible. For example, the anchor may be formed from a non-ferrous material.
  • Accordingly, there is a need for an improved suture anchor that may be securely retained in a suture anchor applicator until deployment into the tissue near a wound. In addition, there is a need for a suture anchor with improved resistance to pull-out from tissue, whether implanted within tissue layers or through tissue layers. Furthermore, there is a need for an improved suture anchor and suture anchor applicator that helps to prevent accidental injury to nearby anatomical structures during deployment of the anchor into tissue near a wound site. Finally, there is a need for an improved suture anchor that may be formed from a non-ferrous material in order to be MRI compatible.
  • SUMMARY
  • In one embodiment, an expandable suture anchor is provided for use with an applicator. The suture anchor includes a body formed from a biocompatible spring material such that the suture anchor has a first configuration when positioned within the applicator and a second configuration when deployed from the applicator, wherein the second configuration has a geometric shape that is broader in at least one plane than the first configuration.
  • In another embodiment, an expandable suture anchor for use with an applicator includes a body formed from a nickel-titanium memory material such that the suture anchor has a first configuration when positioned within the applicator and a second configuration after deployment from the applicator. The second configuration has a geometric shape that is broader in at least one plane than the first configuration. The body has an approximately cylindrical shape defining a longitudinal axis when in the first configuration and includes at least one leg that is springably deformable such that a portion of the leg extends further in an outwardly direction from the axis in the second configuration than in the first configuration. The suture anchor also includes a surgical suture threaded through an aperture of the body and retainably attached to the body by a knot in the suture or a ferrule crimped onto the suture to the body, wherein the suture extends from approximately the middle of the body when in the second configuration.
  • In another embodiment, an expandable suture anchor for use with an applicator includes a body formed from a planar sheet of a nickel-titanium memory material that is configurable into a roll such that the suture anchor has a first configuration when positioned within the applicator and a second configuration after deployment from the applicator, wherein the second configuration has a geometric shape that is broader in at least one plane than the first configuration. The suture anchor also has a surgical suture threaded through an aperture of the body and retainably connected to the body by a knot in the suture or a ferrule crimped onto the suture, wherein the suture extends from approximately the middle of the body when in the second configuration.
  • Other aspects and embodiments of the expandable suture anchor will become apparent from the following description, the accompanying drawings and the appended claims.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a drawing of a flexible, endoscopic portion of a gastroscope inserted into the upper gastrointestinal tract of a patient;
  • FIG. 2 is a drawing of the distal portion of a suture anchor applicator extending from the distal end of the gastroscope while a first suture anchor is deployed into the stomach wall near a wound;
  • FIG. 3 is a drawing of the applicator of FIG. 2 while a second suture anchor is deployed into the stomach wall on the opposing side of the wound;
  • FIG. 4 is a drawing of the applicator of FIG. 2 while a pair of sutures of the first and second suture anchors are drawn together to appose the tissue on each side of the wound;
  • FIG. 5 is a drawing of the pair of sutures of FIG. 4 fastened together with a knotting element, thereby holding the tissue in apposition;
  • FIG. 6 is a longitudinal sectional view of the distal portion of a first embodiment of a suture anchor applicator, shown while a suture anchor is in a loaded position;
  • FIG. 7 is a longitudinal sectional view of the applicator shown in FIG. 6, shown after the suture anchor has been deployed;
  • FIG. 8 is a perspective view of a first aspect of a suture anchor while in an unconstrained configuration;
  • FIG. 9 is a drawing of the suture anchor of FIG. 8 after placement through the tissue layers;
  • FIG. 10 is a perspective view of a second aspect of a suture anchor while in an unconstrained configuration;
  • FIG. 11 is a drawing of the suture anchor of FIG. 10 after placement within the tissue layers;
  • FIG. 12 is a perspective view of a third aspect of a suture anchor while in an unconstrained configuration;
  • FIG. 13 is a drawing of the suture anchor of FIG. 12 after placement within the tissue layers;
  • FIG. 14 is a perspective view of a fourth aspect of a suture anchor while in a constrained configuration;
  • FIG. 15 is a drawing of the suture anchor of FIG. 14 after placement through the tissue layers;
  • FIG. 16 is an perspective view of a fifth aspect of a suture anchor while in an unconstrained configuration;
  • FIG. 17 is a longitudinal sectional view of the suture anchor of FIG. 16;
  • FIG. 18A is a perspective view of a second embodiment of a suture anchor applicator, including a sectional view of a handle;
  • FIG. 18B is a perspective view of the distal portion of the applicator shown in FIG. 18A, including a tissue stop shown in an expanded configuration;
  • FIG. 19 is a longitudinal sectional view of the distal end of the applicator shown in FIG. 18, showing the suture anchor of FIG. 16 in a loaded position and the tissue stop in a collapsed configuration;
  • FIG. 20 is a longitudinal sectional view of the distal end of the applicator shown in FIG. 18, showing the suture anchor of FIG. 16 in a loaded position and the tissue stop in an expanded configuration;
  • FIG. 21 is a perspective view of the distal portion of a third embodiment of a suture anchor applicator, including a second aspect of a tissue stop shown in a collapsed configuration;
  • FIG. 22 is a perspective view of the distal portion of the applicator shown in FIG. 21, showing the tissue stop in an expanded configuration;
  • FIGS. 23, 24, 25, 26, 27 and 28 illustrate a method of attaching a suture anchor to the tissue of a patient, showing the distal portion of the applicator and the suture anchor of FIG. 21, wherein FIG. 23 shows positioning the distal end of the applicator containing the suture anchor near the tissue, FIG. 24 shows pushing the suture anchor against the tissue, FIG. 25 shows piercing the needle tip of the suture anchor into the tissue, FIG. 26 shows penetrating the suture anchor and the distal end of the applicator through the tissue to a predetermined maximal penetration depth, FIG. 27 shows deploying the suture anchor, and FIG. 28 shows withdrawing the applicator from the tissue such that the suture anchor is attached to the tissue; and
  • FIG. 29 is a perspective view of the distal portion of a fourth embodiment of a suture anchor applicator.
  • DETAILED DESCRIPTION
  • FIG. 1 illustrates a flexible endoscopic portion 16 of a gastroscope 14 inserted into the upper gastrointestinal tract of a patient. FIGS. 2, 3, 4 and 5 illustrate a procedure for repairing a wound such as a gastric bleeding ulcer in the stomach wall of the patient via the working channel of gastroscope 14. As shown in FIG. 2, the physician (e.g., gastroenterologist) inserts a suture anchor applicator 18 through gastroscope 14 and penetrates a cannulated needle 19 through the stomach wall near the diseased area or wound. Needle 19 contains at least one suture anchor such that, as shown in FIG. 3, the physician may deploy a first suture anchor 20 attached to a first suture 24 to one side of the wound and a second suture anchor 22 attached to a second suture 26 to the opposite side of the wound. First and second suture anchors 20, 22 may be conventional “T-tag” fasteners or any of the suture anchor embodiments described herein or their equivalents. The free ends of first and second sutures 24, 26 may extend through the proximal end of gastroscope 14 such that, as shown in FIG. 4, the physician may draw the first and second sutures 24, 26 together to appose the tissue around the wound. The physician may then fasten the first and second sutures 24, 26 together by, for example, applying a plurality of alternating, right and left overhand knots using a knot pushing device (not shown) or by applying a knotting element 28 or other type of fastener, as shown in FIG. 5, by way of the working channel of gastroscope 14. Excess suture may be trimmed near the knot using an endoscopic cutting instrument.
  • When using conventional T-tag fasteners with the technique shown in FIGS. 2-5, there are necessary conditions for the T-tag fasteners to become securely attached to the tissue. For example, it is important that the T-tag fastener reorient with respect to the suture as previously described such that the T-tag may not be easily pulled through the tissue. If the T-tag is positioned within the tissue rather than completely through the tissue into a body cavity, the T-tag still must reorient to some degree such that the suture is securely attached to the tissue.
  • Although the size of the cannulated needle 19 shown in FIG. 2 may vary, it may have an inner diameter of less than one millimeter. Consequently, suture anchor 22 must be very small to be loaded inside of needle 19, yet once deployed into tissue, must be sufficiently broad to resist pull-out from tissue such that considerable tension may be applied to the sutures to draw together the tissue. Therefore, it would be desirable for suture anchor 22 to expand once deployed from the applicator and/or to include features to help secure anchor 22 to the tissue. In addition, it would be desirable for suture anchor 22 to remain securely in the loaded position within applicator 18 prior to deployment into tissue to avoid the time-consuming steps of withdrawing, reloading and reinserting the applicator.
  • Recently, a number of medical devices have been developed that provide an auxiliary passageway along the outside of the endoscope. One example of a medical apparatus that provides an auxiliary endoscopic passageway may be found in U.S. patent application Ser. No. 10/440,957 (published as U.S. Pat. Pub. No. 2004/0230095), filed May 12, 2003, and assigned to Ethicon Endo-Surgery, Inc. The auxiliary passageway may be used, perhaps in combination with the working channel of the endoscope, for several purposes, such as to insert a suture anchor applicator for access to an internal wound site. It should be understood, therefore, that descriptions herein referring to the working channel of the endoscope also include using such an auxiliary passageway.
  • FIGS. 6 and 7 are longitudinal sectional views of the distal portion of a first embodiment of a suture anchor applicator 30, which may be used in the same manner as described for applicator 18 of FIGS. 2 and 3. In FIG. 6, a first aspect of a suture anchor 52 is shown in a loaded position in applicator 30. In FIG. 7, suture anchor 52 is shown deployed from applicator 30. Applicator 30 may have a shaft .31 that includes an inner tube 40 and an outer tube 42. In a first aspect of applicator 30, shaft 31 may be adapted for insertion into the working channel of a flexible endoscope, including a gastroscope and a colonoscope, by being flexible and having an outer diameter approximately in the range of 2 to 3.8 millimeters and a length of approximately one and a half meters. In a second aspect of applicator 30, shaft 31 may be adapted for percutaneous or laparoscopic applications and be relatively rigid and straight, and may have a length approximately in the range of 20-30 centimeters.
  • Outer tube 42 may be formed from an extruded polymer, a helically wound metallic wire or from other materials well-known in the art. Inner tube 40 may be formed from 19 gage stainless steel hypodermic tubing, for example, having an outer diameter of approximately 0.043 inches (1.09 millimeters) and a wall thickness of approximately 0.003 inches (0.076 millimeters). The distal end of inner tube 40 may be ground to form a cannulated needle 32 having a distal, penetrating tip 34. Alternatively, inner tube 40 may be formed from an alternate type of metallic or polymeric tube and attached to cannulated needle 32, such as by welding, crimping, gluing or other conventional method.
  • Penetrating tip 34 may be ground to have a “bi-angular” configuration as shown in FIG. 6. To facilitate placement of the suture anchor into the body, the outer surface of needle 32 may be textured, coated or otherwise processed to enhance the ultrasonic reflectivity of needle 32 such that the physician may view needle 32 from outside of the patient's body using, for example, a handheld ultrasonic imaging device.
  • Inner tube 40 and needle 32 may include a channel 36 extending along a longitudinal axis 50 between the proximal and distal ends of applicator 30. At least one suture anchor 46 having a suture 48 attached thereto may be loaded in channel 36. An actuating element 38 may extend through channel 36 of applicator 30 for ejecting suture anchor 52 out of needle 32, as shown in FIG. 7.
  • Outer tube 31 may be moved between an extended position for shielding tip 34 of needle 32 (FIG. 6) and a retracted position for exposing tip 34 of needle 32 (FIG. 7). Shaft 31 may be inserted into the working channel or auxiliary passageway of the endoscope with suture 48 trailing in the diametral clearance between shaft 31 and the inside of the working channel or passageway, such that the free end of suture 48 may extend out of the proximal end of the channel or passageway.
  • Expandable Suture Anchor
  • Numerous aspects of an expandable suture anchor are described herein. In general, the expandable suture anchor may be used for attaching a suture to any one of numerous soft tissues, including the wall of the gastrointestinal tract. The anchor may include a suture attached thereto and a body that is constrainable to a first configuration for deployment into the tissue and that is expandable when unconstrained to a second configuration for resisting pull-out from the tissue.
  • FIG. 8 is a perspective view of the first aspect of the suture anchor 52 shown with applicator 30 in FIG. 6. FIG. 9 shows anchor 52 after placement through tissue layers such as the stomach wall. Anchor 52 may include a body 56 having a bifurcated portion 58 along an anchor axis 64 and forming a pair of legs 60. Bifurcated portion 58 may include an angled portion 59 that splays away from axis 64. Angled portion 59 has a length indicated by “L1” that may vary, for example, between approximately one eighth and one quarter of the overall length of anchor 52. Anchor 52 may have a first configuration when constrained in the loaded position in needle 32 (see FIG. 6) and a second configuration when unconstrained as shown in FIG. 8. Anchor 52 may have a relatively short, angled portion 59 as depicted in FIG. 8 to help retain anchor 52 securely inside of needle 32 until deployment of anchor 52 into tissue. Anchor 52 may be positioned inside of channel 36 of needle 32 such that legs 60 bear against the inside of channel 36, causing body 56 to bow as shown in FIG. 6.
  • Anchor 52 may be formed from a biocompatible, spring material such as a stainless steel, a titanium alloy, a nickel-titanium memory metal (Nitinol), a polymer, or an absorbable polymer. Spring material shall be referred to herein as a material such that, a suture anchor formed from the spring material is biased to springably change from the first to the second configuration when not constrained.
  • Suture 54 and all the sutures described herein may be a surgical suture formed from convention surgical suture materials including, for example, cat gut, polypropylene, polyester and stainless steel. The suture size may be any one of the commonly used sizes for surgical procedures, including 2/0, 3/0 and 4/0 sutures.
  • As shown in FIG. 8, anchor 52 may include a bore 66. A suture 54 may be attached to anchor 52 by passing suture 54 through bore 66 and tying a knot 62 that is larger than bore 66. Alternately, a ferrule 47 (see FIG. 7) may be crimped onto suture 54. It is also possible to crimp or stake body 56 onto suture 54 at the end opposite of legs 60. Suture 54 may also be glued or mechanically attached to anchor 52, or by any one of numerous other conventional methods.
  • Suture 54 may extend from the middle portion of anchor 52 such that when suture 54 is drawn tightly after placement of anchor 52 through layers of tissue, anchor 52 reorients such that axis 64 is approximately perpendicular to suture 54 extending from the wound site, thereby providing a high resistance to pull-out from the tissue. If anchor 52 is positioned within tissue rather than in a body cavity, legs 60 also function to dig into the tissue when a tensile force is applied to suture 54, thereby helping anchor 52 reorient within the tissue such that suture 54 is securely attached to the tissue. The lengths L1 of legs 60 and the angles formed by legs 60 relative to axis 64 may be selected such that tissue retention forces are asymmetric when a tensile force is applied to suture 54, thereby helping anchor 52 to reorient within the tissue and increase the pull-out resistance.
  • In one aspect, the diameter of anchor 52 may be approximately 0.50 to 0.85 millimeters, or small enough to slide easily, for example, into a 19 gage, cannulated needle. The overall length of anchor 52 may be, but is not limited to, approximately five to 10 millimeters.
  • FIG. 10 is a perspective view of a second aspect of a suture anchor 68. FIG. 11 shows anchor 68 after placement in the tissue layers. Anchor 68 has a first configuration when constrained in the loaded position inside of needle 32 of applicator 30 (FIG. 6) and a second configuration when unconstrained, as shown in FIGS. 10 and 11. The second configuration is broader in at least one plane than the first configuration. Anchor 68 may have at least one leg 80 splayed at an angle or extending outwardly relative to a longitudinal axis 84. As shown in FIG. 10, anchor 68 may include a body 74 having a bifurcated portion 76 forming a pair of legs 80. Anchor 68 may also have a plurality of legs. For example, anchor 68 may have a large plurality of very slender legs formed from stiff filaments and joined together in a “broom-like” fashion. In the latter situation, the plurality of legs may provide a scaffold for tissue ingrowth, which is beneficial for further securing anchor 68 to the tissue.
  • Anchor 68 is similar to anchor 52 of FIG. 8, except that an angled portion 82 of anchor 68 is longer, as indicated by “L2”, than angled portion 59 of anchor 52. Length L2 may be, for example, approximately one quarter to one half of the overall length of anchor 68. Anchor 68 may be formed from the same biocompatible, spring materials as described for anchor 52. A suture 70 may be attached to anchor 68 by a knot 72, a crimped ferrule, glue or any one of numerous other conventional methods.
  • Anchor 68 provides a high pull-out resistance from tissue when deployed either through tissue layers or within tissue layers. In the former, anchor 68 may orient itself to be approximately perpendicular to suture 70. In the latter, legs 80 of anchor 68 act like barbs and may dig into surrounding tissue. In addition, the spring-back of legs 80 helps to hold anchor 68 securely inside of needle 32 of applicator 30 (FIG. 6).
  • FIG. 12 shows a third aspect of a suture anchor 86 in an unconstrained, second configuration. FIG. 13 shows anchor 86 also in the second configuration, after placement within stomach wall 12. Anchor 86 has a constrained, first configuration when in the loaded position in needle 32 of applicator 30 (FIG. 6). Anchor 86 is a new adaptation of a surgical clip concept disclosed in U.S. Pat. No. 6,447,524, which is titled “Fastener for Hernia Mesh Fixation,” issued to Knodel et al. on Sep. 10, 2002 and assigned to Ethicon Endo-Surgery, Inc. Anchor 86 may be formed from a titanium-nickel memory metal (Nitinol), a stainless steel, a titanium alloy, or any one of a number of spring materials. Anchor 86 may include a body 88 having a bifurcation 92 to form a pair of legs 90 that splay or extend outwardly from an anchor axis 100. A suture 96 may be retained in a hole 94 in body 88 by a knot 98. When in the loaded position inside of needle 32 of applicator 30 (FIG. 6), legs 90 may extend in the distal direction. Like anchor 68 of FIG. 10, anchor 86 may provide a high pull-out resistance from tissue when placed both through and within tissue layers.
  • FIG. 14 illustrates a fourth aspect of a suture anchor 102 while in a first configuration, such as when constrained in a loaded position in needle 32 of applicator 30 (FIG. 6). FIG. 15 shows anchor 102 placed through stomach wall 12, unconstrained and in a second configuration. Anchor 102 has a body 108 that may be formed from a spring material such as stainless steel, titanium alloy, a polymer or a memory metal (Nitinol) into a thin sheet, flat or plate that may be rolled into the approximately cylindrical shape of the first configuration. When unconstrained in the second configuration, anchor 102 may have a relatively large planar surface area as compared to the projected area of anchor 102 while in the first configuration, thereby providing a very high pull-out resistance from tissue when placed through tissue layers as shown in FIG. 15. Body 108 may have a rectangular shape with side dimensions of approximately 5 to 10 millimeters, although body 108 may have any one of many other geometric shapes. Body 108 may be sufficiently thick to attach securely to suture 104 and to resist excessive deformation during normal tensioning of suture 104. Body 108 may be formed from a sheet of Nitinol, for example, that has a thickness of about 0.05 to 0.2 millimeters.
  • Anchor 102 may include a suture 104 retained through a hole (hidden) by a knot 106. Alternately, suture 104 may be attached to anchor 102 by gluing, crimping or any one of a number of well known methods.
  • Self-Shielding Suture Anchor
  • As already described, a physician may fully penetrate the needle of a suture anchor applicator through tissue layers of an organ in order to deploy the suture anchor on the distal side of the tissue layers. The physician normally cannot see anatomical structures on the distal side of the tissue layers through the endoscope and therefore may accidentally injure nearby organs with the penetrating needle. A fifth aspect of a suture anchor 110, a “self-shielding” suture anchor, is provided to help prevent such accidental injury.
  • FIG. 16 is a perspective view and FIG. 17 is a longitudinal sectional view of anchor 110, which includes a body 112 having a penetrating tip 114, a shielding element 116 and a spring element 118. Shielding element 116 may be retained in body 112 and may have a blunt end 120 that is movable between a shielding position that is distal to penetrating tip 114 and a retracted position that is proximal to penetrating tip 114. FIGS. 16 and 17 show shielding element 116 in the shielding position. Spring element 118 (FIG. 17) may be operatively associated with penetrating element 114 and shielding element 116, such that spring element 118 may apply a predetermined spring force to bias shielding element 116 to the shielding position. Shielding element 116 can move to the retracted position when blunt end 120 is pushed against tissue with a force greater than the spring force, such that penetrating tip 114 can penetrate tissue. Once penetrating tip 114 has penetrated through the tissue, blunt end 120 can immediately extend to the shielding position to help prevent accidental injury to nearby anatomical structures.
  • Still referring to FIGS. 16 and 17, body 112 may be formed into a tubular shape from a stainless steel, titanium alloy, or other biocompatible metal. The outside diameter of body 112 may be approximately in the range of 0.5 to 0.85 millimeters and the length may be approximately in the range of 10 to 15 millimeters. Spring element 118 may be a metallic coil compression spring that inserts easily into body 112 or spring element 118 may be formed from any one of numerous other biocompatible materials that can provide a spring force to bias shielding element 116 to be in the shielding position. Shielding element 116 may have a cylindrical, bullet shape that slides easily in body 112 and may be formed from a biocompatible metal or polymer. Body 112 of anchor 110 may include a slot 122 extending longitudinally from penetrating tip 114 to approximately halfway between tip 114 and a trailing end 130 of body 112. A suture 128 may pass through slot 122, a passage 124 of shielding element 116 and the coils of spring element 118, and may be attached to trailing end 126 by a knot 130 or by any one of numerous other suitable methods including gluing, crimping and staking. This attachment method of suture 128 also may function to retain shielding element 116 and spring element 118 inside of body 112.
  • Since anchor 110 includes a penetrating tip 114, it is not necessary for the applicator of anchor 110 to also include a needle with a penetrating tip. For example, needle 32 of applicator 30 in FIG. 6 may be replaced with a short tube attached to inner tube 40, or inner tube 40 may merely be lengthened and adapted for retaining anchor 110 in a loaded position. Applicator 30 of FIG. 6 may be further modified for use with anchor 110 by eliminating outer tube 42, which has a primary finction of shielding the penetrating tip of the needle.
  • Anchor 110 is an exemplary embodiment of a self-shielding anchor. Those skilled in the art will appreciate that numerous other embodiments are possible, including a self-shielding anchor that is unitarily formed from a biocompatible material by an injection molding process.
  • All of the suture anchor aspects described herein and their equivalents, may be subjected to a secondary manufacturing process such as tumbling, bead blasting or electropolishing to remove sharp burrs or edges that may injure tissue or inhibit proper deployment into tissue. In addition, all of the suture anchor aspects may be coated with a second material in order to provide desirable properties that may facilitate the deployment of the anchor and/or improve the surgical outcome. For example, the suture anchor may be coated with a lubricious coating, a polymeric coating, a drug-releasing coating, an anti-bacterial coating or a colored coating to facilitate identification.
  • Suture Anchor Applicator
  • FIG. 18A is a perspective view of a second embodiment of a suture anchor applicator (also referred to as a medical instrument), generally designated 200, that is adapted to help prevent injury to nearby anatomical structures while deploying a suture anchor. FIG. 18B is a perspective view of the distal portion of applicator 200, shown with suture anchor 110 of FIG. 16. Applicator 200 may include an elongated shaft 204 attached to a handle 202. Applicator 200 may be similar to applicator 30 of FIG. 6. However, applicator 200 may also include a tissue stop 206 near the distal end of shaft 204. Tissue stop 206 can function to control the penetration depth of the distal end of the instrument into tissue to help prevent accidental injury to tissue/organs on the distal, “blind” side of the tissue being intentionally penetrated. Tissue stop 206 may also provide a visual indication of the needle penetration depth, as viewed through the endoscope. Applicator 200 is described next as it may be adapted for use with suture anchor 110 of FIG. 16, although applicator 200 may also be adapted for use with many types of suture anchors, including any of the suture anchor aspects described herein and their equivalents.
  • As may be seen in FIG. 18A, handle 202 may include a first actuator 208, a second actuator 210 and a third actuator 212. A physician may operate first actuator 208 to set the distance between the distal end of applicator 200 and tissue stop 206, thereby helping to control the penetration depth of the distal end into tissue. A physician may operate second actuator 210 to change tissue stop 206 between a collapsed and an expanded configuration. A physician may operate third actuator 212 to deploy suture anchor 110 into tissue, thereby attaching suture 128 to the tissue.
  • FIG. 18B shows tissue stop 206 in the expanded configuration. FIGS. 19 and 20 are longitudinal sectional views of the distal portion of applicator 200. FIG. 19 shows tissue stop 206 in the collapsed configuration and FIG. 20 shows tissue stop 206 in the expanded configuration. The distal and proximal ends of shaft 204 define a longitudinal axis 240. Axis 240 may be curvilinear if shaft 204 is adapted for use with a flexible endoscope. Shaft 204 may include an inner tube 228 having a channel 229 extending therethrough and slidably retaining an actuating element 226. The proximal end of inner tube 228 may be attached to handle 202. The proximal end of actuating element 110 may be operatively connected to third actuator 212 of handle 202. The distal end of actuating element 226 may be operatively engaged with anchor 110, which is shown positioned inside channel 229 in a loaded position and partially extending from a tapered distal end 230 of inner tube 228. Suture 128 may be draped alongside shaft 204 for insertion into the working channel of a flexible endoscope. When a physician operates third actuator 212, actuating element 226 may forcibly eject suture anchor 110 from inner tube 226.
  • An intermediate tube 222 may be movably and coaxially retained over inner tube 228. The distal end of intermediate tube 222 may include a radial flange 224. The proximal end of intermediate tube 222 may be operatively engaged to first actuator 208. The physician may operate first actuator 208 to move intermediate tube 222 between an extended position, in which flange 224 is distal to penetrating tip 114 of anchor 110, and a retracted position, in which flange 224 is proximal to tapered end 230 of inner tube 228. First actuator 208 may be provided with calibrations or a visual indicator such that the physician may position and hold intermediate tube 222 in any longitudinal position between the extended and retracted positions and know the maximum penetration depth of inner tube 228.
  • Still referring to FIGS. 19 and 20, an outer tube 214 (also referred to as a force element) may be movably and coaxially retained over intermediate tube 222. The proximal end of outer tube 214 may be operatively connected to second actuator 210. The distal end of outer tube 214 may be attached or unitarily formed with a proximal stop ring 220 of tissue stop 206, which may also be coaxially retained on intermediate tube 222.
  • Tissue stop 206 may be formed such as by injection molding from a biocompatible polymer or metal. Tissue stop 206 may include at least one arm 216 that is approximately parallel to the longitudinal axis 240 when tissue stop 206 is in the collapsed configuration for easy passage through the working channel of an endoscope. Arm 216 may extend outwardly from longitudinal axis 240 when tissue stop 206 is in the expanded configuration, such that only the portion of applicator 200 distal to tissue stop 206 may penetrate tissue. As shown in FIG. 18B, tissue stop 206 may have four arms 216 positioned around axis 240. The distal end of each arm may be attached to a distal stop ring 218 and the proximal end of each arm may be attached to the proximal stop ring 220. Distal stop ring 218 may be fixed to intermediate tube 222 and proximal stop ring 220 may be slidably retained on intermediate tube 222 between flange 224 and outer tube 214. When the physician moves second actuator 210 in the distal direction, outer tube 214 can force tissue stop 206 against flange 224 and cause arms 216 to buckle as shown in FIG. 24 into the expanded configuration. The physician may move second actuator 210 proximally to change tissue stop 206 back to the collapsed configuration in order to remove applicator 200 from the endoscope.
  • It would also be possible for proximal stop ring 220 to be fixed to intermediate tube 222 and distal stop ring 218 to be slidably retained on intermediate tube 222. Instead of outer tube 214, another type of force element, such as a wire (not shown) may be connected to distal ring 218 and extended through channel 229 to handle 200. The proximal end of the wire force element could be connected to second actuator 210. The physician could then move second actuator 210 in the proximal direction to change tissue stop 206 from the collapsed to the expanded configuration.
  • The longitudinal position of flange 224 may set a distance “D2” (FIG. 24) between tissue stop 206 and tapered distal end 230. Penetrating tip 114 of anchor 110 may extend a distance “D1” distal to tapered distal tip 230. A maximum penetration depth of tip 114, therefore, is approximately equal to D1+D2, which may be visually indicated by calibrations (not shown) on first actuator 208.
  • An alternate embodiment of applicator 200 may include a tissue stop that is formed from a spring material such that the tissue stop is in the expanded configuration when unconstrained. In such an alternate embodiment, the tissue stop may be attached to the distal end of an intermediate tube that the physician may move to any longitudinal position between an extended and a retracted position. An outer sheath may be provided on the shaft of the applicator such that the physician may move the sheath distally to slide over and collapse the tissue stop and may move the sheath proximally to uncover the tissue stop and allow it to expand. Calibrations may be provided on the actuator such that the physician can know the maximal penetration depth of the tip.
  • FIG. 21 is a perspective view of the distal portion of a third embodiment of a suture anchor applicator, generally designated 300, and showing anchor 110 (FIG. 16) having suture 128 in a loaded position in the distal end of an inner tube 322 of a shaft 304. Applicator 300 may include a tissue stop 306 that is shown in a collapsed configuration in FIG. 21 and in an expanded configuration in FIG. 22. Tissue stop 306 may have a pair of arms 316 that may be unitarily formed with a polymeric sheath 314 covering inner tube 322. Arms 316 may be formed to be in the expanded configuration when unconstrained, such that it is necessary for the user to collapse arms 316 as the distal end of applicator 300 is inserted into the proximal opening of the working channel or auxiliary passageway of the endoscope. When tissue stop 306 emerges from the distal opening of the working channel of the endoscope, arms 316 automatically spring outwardly, at least partially. When the physician advances applicator 300 in the distal direction such that tissue stop 306 bears against the tissue being penetrated by anchor 110 and inner tube 322, arms 316 further expand (if not already fully expanded) to the expanded configuration, thereby setting a maximum penetration depth of anchor 110 and inner tube 322 into the tissue. Withdrawal of applicator 300 through the working channel of the endoscope forces tissue stop 306 back into the collapsed configuration. Therefore, an outer sheath, such as sheath 214 of applicator 200 shown in FIG. 18B, is not required for applicator 300 in FIG. 21 to change tissue stop 306 between the collapsed and expanded configurations.
  • FIGS. 23-28 illustrate applicator 300 of FIG. 21 being used to attach anchor 110 to the tissue of a patient. For clarity, the endoscope used to provide access and visualization to the tissue is not shown, but it should be understood that the distal end of the endoscope may also be near and directed towards the tissue to be penetrated by anchor 110.
  • In FIG. 23, the distal end of applicator 300 containing anchor 110 is positioned near the tissue layers (e.g., stomach wall). Tissue stop 306 is shown in the collapsed configuration, as it would be when positioned inside of the working channel of the endoscope. FIG. 24 shows shielding element 116 partially retracted and penetrating tip 114 of anchor 110 beginning to pierce into the tissue as the user slowly pushes on the proximal end of applicator 300. FIG. 25 shows shielding element 116 fully retracted into anchor 110 as penetrating tip 114 penetrates the tissue layers. FIG. 26 shows anchor 110 and the distal end of inner tube 322 penetrated through the tissue layers and entering the body cavity distal to the penetrated tissue layers. Tissue stop 306 is shown as it is pushed against the tissue layers and in the fully expanded configuration, thereby limiting the maximal penetration depth of anchor 110 and inner tube 322. Suture 128 is shown trailing proximally through the tissue opening created by penetrating tip 114. FIG. 27 shows anchor 110 deployed into the body cavity distal to the penetrated tissue layers and reorienting to resist pull-out from the tissue layers when a tensile force is applied to suture 128. FIG. 28 shows anchor 110 being drawn against the distal side of the penetrated tissue layers as a tensile force is lightly applied to suture 128. FIG. 28 also shows applicator 300 withdrawn from the tissue and into the working channel, thereby forcing tissue stop 306 to change to the collapsed configuration for removal from the endoscope.
  • A method of endoscopically attaching a suture anchor to the tissue of a patient may include the following: A suture anchor applicator wherein the applicator includes a tissue stop movable between a collapsed and an expanded configuration and the applicator contains a suture anchor in a loaded position. The endoscopic portion of an endoscope is positioned in the patient to provide access and visualization of a wound in the tissue. While the tissue stop is in the collapsed configuration, the shaft of the applicator is introduced into the working channel of the endoscope. The distal end of the applicator is positioned near the tissue and the tissue stop is changed to the expanded configuration. The applicator is advanced distally such that the anchor and the distal end of the applicator penetrates into the tissue to approximately a maximal penetration depth as determined by the location of the tissue stop on the shaft of the applicator. The applicator is remotely actuated to deploy the suture anchor into the tissue, thereby attaching the suture anchor to the tissue with the suture attached thereto and extending through the penetrated tissue and the work channel. The applicator is withdrawn proximally through the working channel and removed from the endoscope.
  • FIG. 29 is a perspective view of the distal portion of a fourth embodiment of a suture anchor applicator, generally designated 400, and also referred to as a medical instrument. Applicator 400 may include a tissue stop 406 (shown in an expanded configuration) having a pair of arms 408 that may be unitarily formed with a polymeric sheath 402 covering an inner tube 410. A sharp, penetrating tip 412 may be ground onto the distal end of inner tube 410 such that applicator 400 may be used with any of the suture anchors described herein. Arms 408 may be formed to be in the expanded configuration when unconstrained such that it is necessary for the user to collapse arms 408 as the distal end of applicator 400 is inserted into the proximal opening of the working channel of the endoscope. When tissue stop 406 emerges from the distal opening of the working channel of the endoscope, arms 408 automatically spring outwardly, at least partially. When the physician advances applicator 400 in the distal direction such that a distal end 414 of tissue stop 406 bears against the tissue being penetrated by inner tube 410, arms 408 may further expand (if not already fully expanded) to the expanded configuration, thereby setting a maximum penetration depth of inner tube 410 into the tissue. Withdrawal of applicator 400 through the working channel of the endoscope forces tissue stop 406 back into the collapsed configuration.
  • The proximal end of sheath 402 may be operatively connected to a control on a handle (not shown) such that the longitudinal position of sheath 402 relative to inner tube 410 may be adjustable by the user. Using this control, distal end 414 may be extended to a position distal to penetrating tip 412 while the distal end of applicator 400 is advanced to the wound site and retracted to a position proximal to tip 412 when it is desired to penetrate tissue. Calibrations and/or a visual indicator may be provided on the handle to indicate the position of distal end 414 such that the user may know the approximate penetration depth of inner tube 410 into the tissue.
  • Although various aspects of expandable suture anchors, self-shielding suture anchors, suture anchor applicators and methods have been shown and described, it should be understood that modifications may occur to those skilled in the art.

Claims (20)

  1. 1. An expandable suture anchor for use with an applicator, the suture anchor comprising a body formed from a biocompatible spring material such that the suture anchor has a first configuration when positioned within the applicator and a second configuration when deployed from the applicator, wherein the second configuration has a geometric shape that is broader in at least one plane than the first configuration.
  2. 2. The expandable suture anchor of claim 1, wherein the body has an approximately cylindrical shape defining a longitudinal axis when in the first configuration.
  3. 3. The expandable suture anchor of claim 2, wherein the body includes at least one leg that is springably deformable such that a portion of the leg extends further in an outwardly direction from the axis in the second configuration than in the first configuration.
  4. 4. The expandable suture anchor of claim 3, wherein the body is formed from a tubular material.
  5. 5. The expandable suture anchor of claim 2, wherein the body has a planar shape in the second configuration.
  6. 6. The expandable suture anchor of claim 5, wherein the body comprises a sheet that is configurable into a roll.
  7. 7. The expandable suture anchor of claim 5, wherein the planar shape is approximately a square shape.
  8. 8. The expandable suture anchor of claim 1, wherein the spring material includes at least one of a stainless steel, a titanium-nickel memory metal, a titanium alloy, a polymer, a cellulose material, a fabric and an absorbable polymer.
  9. 9. The expandable suture anchor of claim 1, further comprising a surgical suture connected to the body, wherein the suture extends from approximately the middle of the body when in the second configuration.
  10. 10. The expandable suture anchor of claim 9, wherein the suture is threaded through an aperture of the body and is retainably attached to the body by a knot in the suture or a ferrule crimped onto the suture.
  11. 11. The expandable suture anchor of claim 9, wherein the suture is fixedly attached to the body by gluing, welding, insert molding, deforming the body tightly onto the suture or a mechanical attachment.
  12. 12. The expandable suture anchor of claim 9, wherein the suture is formed from a conventional surgical suture.
  13. 13. The expandable suture anchor of claim 9, wherein the suture is approximately 20-200 centimeters long.
  14. 14. The expandable suture anchor of claim 1, wherein at least a portion of the suture anchor is coated with at least one of a lubricating coating, a polymeric coating, an anti-bacterial coating, a drug-releasing coating and a colored coating.
  15. 15. The expandable suture anchor of claim 1, wherein the body is formed to be normally in the expanded configuration such that the body is constrained in the first configuration when loaded within the applicator.
  16. 16. An expandable suture anchor for use with an applicator, the suture anchor comprising:
    a body formed from a nickel-titanium memory material such that the suture anchor has a first configuration when positioned within the applicator and a second configuration after deployment from the applicator, wherein the second configuration has a geometric shape that is broader in at least one plane than the first configuration, and wherein the body has an approximately cylindrical shape defining a longitudinal axis when in the first configuration, and wherein the body includes at least one leg that is springably deformable such that a portion of the leg extends further in an outwardly direction from the axis in the second configuration than in the first configuration; and
    a surgical suture threaded through an aperture of the body and retainably attached to the body by a knot in the suture or a ferrule crimped onto the suture to the body, wherein the suture extends from approximately the middle of the body when in the second configuration.
  17. 17. The expandable suture anchor of claim 16, wherein the suture is formed from a conventional surgical suture.
  18. 18. The expandable suture anchor of claim 17, wherein the suture is approximately 20-200 centimeters long.
  19. 19. The expandable suture anchor of claim 16, wherein at least a portion of the suture anchor is coated with at least one of a lubricating coating, a polymeric coating, an anti-bacterial coating, a drug-releasing coating and a colored coating.
  20. 20. The expandable suture anchor of claim 16, wherein the body is formed to be normally in the expanded configuration such that the body is constrained in the first configuration when loaded within the applicator.
US11274358 2005-11-15 2005-11-15 Expandable suture anchor Abandoned US20070112385A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US11274358 US20070112385A1 (en) 2005-11-15 2005-11-15 Expandable suture anchor
US11274352 US7850712B2 (en) 2005-11-15 2005-11-15 Self-shielding suture anchor
US11274354 US7815659B2 (en) 2005-11-15 2005-11-15 Suture anchor applicator

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US11274358 US20070112385A1 (en) 2005-11-15 2005-11-15 Expandable suture anchor
US11274352 US7850712B2 (en) 2005-11-15 2005-11-15 Self-shielding suture anchor
US11274354 US7815659B2 (en) 2005-11-15 2005-11-15 Suture anchor applicator
PCT/US2006/044064 WO2007059068A1 (en) 2005-11-15 2006-11-14 Expandable suture anchor
JP2008541259A JP2009515650A (en) 2005-11-15 2006-11-14 Expandable suture anchor
EP20060827780 EP1948033A1 (en) 2005-11-15 2006-11-14 Expandable suture anchor

Publications (1)

Publication Number Publication Date
US20070112385A1 true true US20070112385A1 (en) 2007-05-17

Family

ID=37793944

Family Applications (3)

Application Number Title Priority Date Filing Date
US11274354 Active US7815659B2 (en) 2005-11-15 2005-11-15 Suture anchor applicator
US11274358 Abandoned US20070112385A1 (en) 2005-11-15 2005-11-15 Expandable suture anchor
US11274352 Active US7850712B2 (en) 2005-11-15 2005-11-15 Self-shielding suture anchor

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US11274354 Active US7815659B2 (en) 2005-11-15 2005-11-15 Suture anchor applicator

Family Applications After (1)

Application Number Title Priority Date Filing Date
US11274352 Active US7850712B2 (en) 2005-11-15 2005-11-15 Self-shielding suture anchor

Country Status (4)

Country Link
US (3) US7815659B2 (en)
EP (1) EP1948033A1 (en)
JP (1) JP2009515650A (en)
WO (1) WO2007059068A1 (en)

Cited By (163)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060265042A1 (en) * 2005-05-20 2006-11-23 Exploramed Nc2, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20070049929A1 (en) * 2005-05-20 2007-03-01 Catanese Joseph Iii Apparatus and method for manipulating or retracting tissue and anatomical structure
US20070112383A1 (en) * 2005-11-15 2007-05-17 Conlon Sean P Self-shielding suture anchor
US20070142846A1 (en) * 2005-05-20 2007-06-21 Neotract, Inc. Integrated handle assembly for anchor delivery system
US20070250103A1 (en) * 2006-04-19 2007-10-25 Joshua Makower Devices and methods for treatment of obesity
US20070250020A1 (en) * 2006-04-19 2007-10-25 Steven Kim Devices and methods for treatment of obesity
US20080033458A1 (en) * 2005-05-20 2008-02-07 Neotract, Inc. Multi-actuating trigger anchor delivery system
US20080039893A1 (en) * 2005-05-20 2008-02-14 Neotract, Inc. Multi-actuating trigger anchor delivery system
US20080051823A1 (en) * 2006-04-19 2008-02-28 Joshua Makower Devices and methods for treatment of obesity
US20090012555A1 (en) * 2006-04-19 2009-01-08 Joshua Makower Devices and methods for treatment of obesity
EP2016910A2 (en) 2007-07-18 2009-01-21 Ethicon Endo-Surgery, Inc. Hybrid endoscopic/laparoscopic device for forming serosa to serosa plications in a gastric cavity
EP2016909A2 (en) 2007-07-18 2009-01-21 Ethicon Endo-Surgery, Inc. Device for insufflating the interior of a gastric cavity of a patient
US20090024148A1 (en) * 2007-07-18 2009-01-22 Zeiner Mark S Method for forming plications of the gastric cavity
US20090088797A1 (en) * 2007-09-28 2009-04-02 Ethicon, Inc. Surgical anchor device
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
WO2009076190A1 (en) * 2007-12-05 2009-06-18 Indiana University Research & Technology Corporation Methods and apparatuses for delivering anchoring devices into body passage walls
US20090192439A1 (en) * 2005-05-20 2009-07-30 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US20090234295A1 (en) * 2008-03-14 2009-09-17 Merit Medical Systems, Inc. Suture Securement Apparatus
US20090287227A1 (en) * 2006-04-19 2009-11-19 Newell Matthew B Minimally invasive ,methods for implanting obesity treatment devices
US20090326561A1 (en) * 2008-06-27 2009-12-31 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US20100010448A1 (en) * 2008-07-09 2010-01-14 Cook Incorporated Anchor assembly
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20100069930A1 (en) * 2008-09-16 2010-03-18 VentralFix, Inc. Method and apparatus for minimally invasive delivery, tensioned deployment and fixation of secondary material prosthetic devices in patient body tissue, including hernia repair within the patient's herniation site
US20100076462A1 (en) * 2008-09-25 2010-03-25 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying suture anchors
US20100076488A1 (en) * 2008-09-25 2010-03-25 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying multiple suture anchors
US20100106166A1 (en) * 2008-10-29 2010-04-29 Ethicon Endo-Surgery, Inc. Methods and devices for applying mulitple suture anchors
US7758598B2 (en) 2006-05-19 2010-07-20 Ethicon Endo-Surgery, Inc. Combination knotting element and suture anchor applicator
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US20110022085A1 (en) * 2009-07-22 2011-01-27 Wisconsin Alumni Research Foundation Biologically active sutures for regenerative medicine
WO2011064772A1 (en) * 2009-11-27 2011-06-03 Hairstetics Ltd. Hair implant anchors and systems and methods for use thereof
US7976554B2 (en) 2006-04-19 2011-07-12 Vibrynt, Inc. Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US20110218568A1 (en) * 2009-01-09 2011-09-08 Voss Laveille K Vessel closure devices, systems, and methods
US20110238089A1 (en) * 2007-12-17 2011-09-29 Abbott Laboratories Tissue closure system and methods of use
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
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
US8216254B2 (en) 2005-05-20 2012-07-10 Neotract, Inc. Anchor delivery system with replaceable cartridge
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US20120226308A1 (en) * 2010-12-30 2012-09-06 Vivasure Medical Limited Surgical closure systems and methods
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8303591B1 (en) 2008-03-18 2012-11-06 Dallen Medical, Inc. Load shaping for dynamic tensioning mechanisms and methods
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8333776B2 (en) 2005-05-20 2012-12-18 Neotract, Inc. Anchor delivery system
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8342183B2 (en) 2006-04-19 2013-01-01 Vibrynt, Inc. Devices and methods for treatment of obesity
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8382775B1 (en) 2012-01-08 2013-02-26 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US8394113B2 (en) 2005-05-20 2013-03-12 Neotract, Inc. Coiled anchor device
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8414599B1 (en) 2007-12-31 2013-04-09 Dallen Medical, Inc. Dynamic suture tensioning device and methods
US8425535B2 (en) 2005-05-20 2013-04-23 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8454655B2 (en) 2002-03-14 2013-06-04 Neotract, Inc. Method for anchoring suture and approximating tissue
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
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
US8491606B2 (en) 2005-05-20 2013-07-23 Neotract, Inc. Median lobe retraction apparatus and method
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8529584B2 (en) 2005-05-20 2013-09-10 Neotract, Inc. Median lobe band implant apparatus and method
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8556925B2 (en) 2007-10-11 2013-10-15 Vibrynt, Inc. Devices and methods for treatment of obesity
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579932B2 (en) 2002-02-21 2013-11-12 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US8579901B1 (en) 2009-06-17 2013-11-12 Dallen Medical, Inc. Suture band buckle and methods
US20130303856A1 (en) * 2010-10-29 2013-11-14 Vectec S.A. Single Use, Disposable, Tissue Suspender Device
US8585836B2 (en) 2002-12-31 2013-11-19 Integrated Vascular Systems, Inc. Methods for manufacturing a clip and clip
US8585733B2 (en) 2006-04-19 2013-11-19 Vibrynt, Inc Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
US8603106B2 (en) 2005-05-20 2013-12-10 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US20130345747A1 (en) * 2012-06-20 2013-12-26 Arthrex, Inc. Biological suture anchor with suture eyelet
US8628542B2 (en) 2005-05-20 2014-01-14 Neotract, Inc. Median lobe destruction apparatus and method
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8657852B2 (en) 2008-10-30 2014-02-25 Abbott Vascular Inc. Closure device
US8668705B2 (en) 2005-05-20 2014-03-11 Neotract, Inc. Latching anchor device
US8668696B2 (en) 2009-08-20 2014-03-11 Dallen Medical, Inc. Low friction buckle tightening systems and methods
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8715297B1 (en) 2009-07-14 2014-05-06 Dallen Medical, Inc. Flat suture banding system and methods
US8728119B2 (en) 2001-06-07 2014-05-20 Abbott Vascular Inc. Surgical staple
US8758366B2 (en) 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8758396B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US8758398B2 (en) 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
US8764798B2 (en) 2011-10-03 2014-07-01 Smith & Nephew, Inc. Knotless suture anchor
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8784447B2 (en) 2000-09-08 2014-07-22 Abbott Vascular Inc. Surgical stapler
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
US8820602B2 (en) 2007-12-18 2014-09-02 Abbott Laboratories Modular clip applier
US8821534B2 (en) 2010-12-06 2014-09-02 Integrated Vascular Systems, Inc. Clip applier having improved hemostasis and methods of use
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8834492B2 (en) 2005-05-20 2014-09-16 Neotract, Inc. Continuous indentation lateral lobe apparatus and method
US8858594B2 (en) 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8926656B2 (en) 2003-01-30 2015-01-06 Integated Vascular Systems, Inc. Clip applier and methods of use
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
US8956388B2 (en) 2000-01-05 2015-02-17 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant
US8974456B2 (en) 2011-05-19 2015-03-10 Dallen Medical, Inc. Hybrid medical device implant with migration management
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9005198B2 (en) 2010-01-29 2015-04-14 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
US9034001B2 (en) 2005-05-20 2015-05-19 Neotract, Inc. Slotted anchor device
WO2015077421A1 (en) * 2013-11-20 2015-05-28 The Regents Of The University Of California System and method for depositing a hook at a target within a soft tissue
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
US9050068B2 (en) 2005-07-01 2015-06-09 Abbott Laboratories Clip applier and methods of use
US20150173738A1 (en) * 2013-12-23 2015-06-25 Arthrex, Inc. Surgical fixation device with antibacterial substance
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9089311B2 (en) 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US9089674B2 (en) 2000-10-06 2015-07-28 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US9149266B2 (en) 2005-05-20 2015-10-06 Neotract, Inc. Deforming anchor device
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
US9161749B2 (en) 2011-04-14 2015-10-20 Neotract, Inc. Method and apparatus for treating sexual dysfunction
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
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
US9271707B2 (en) 2003-01-30 2016-03-01 Integrated Vascular Systems, Inc. Clip applier and methods of use
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US9295469B2 (en) 2002-06-04 2016-03-29 Abbott Vascular Inc. Blood vessel closure clip and delivery device
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9314230B2 (en) 2009-01-09 2016-04-19 Abbott Vascular Inc. Closure device with rapidly eroding anchor
US9314362B2 (en) 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US9320522B2 (en) 2000-12-07 2016-04-26 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9364212B2 (en) 2005-05-20 2016-06-14 Neotract, Inc. Suture anchoring devices and methods for use
US9398914B2 (en) 2003-01-30 2016-07-26 Integrated Vascular Systems, Inc. Methods of use of a clip applier
US9414824B2 (en) 2009-01-16 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US9414820B2 (en) 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US20160242761A1 (en) * 2014-06-15 2016-08-25 Anchora Medical Ltd. Apparatus and method for suturing a tissue
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US20160296765A1 (en) * 2012-01-12 2016-10-13 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9480565B2 (en) * 2015-02-02 2016-11-01 On-X Life Technologies, Inc. Rapid deployment artificial chordae tendinae system
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9504461B2 (en) 2005-05-20 2016-11-29 Neotract, Inc. Anchor delivery system
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9549739B2 (en) 2005-05-20 2017-01-24 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US9572558B2 (en) 2012-02-29 2017-02-21 Vivasure Medical Limited Devices and methods for delivering implants for percutaneous perforation closure
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US9585647B2 (en) 2009-08-26 2017-03-07 Abbott Laboratories Medical device for repairing a fistula
US9610070B2 (en) 2007-06-15 2017-04-04 Vivasure Medical Limited Closure device
US9770574B2 (en) 2014-10-22 2017-09-26 Merit Medical Systems, Inc. Torque device and securement mechanism
US9850013B2 (en) 2013-03-15 2017-12-26 Vivasure Medical Limited Loading devices and methods for percutaneous perforation closure systems
US9962144B2 (en) 2006-06-28 2018-05-08 Abbott Laboratories Vessel closure device
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features

Families Citing this family (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69931018D1 (en) 1998-12-30 2006-06-01 Ethicon Inc Thread belay device
US20060122633A1 (en) 2002-06-13 2006-06-08 John To Methods and devices for termination
US9949829B2 (en) 2002-06-13 2018-04-24 Ancora Heart, Inc. Delivery devices and methods for heart valve repair
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc 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
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic 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
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9408599B2 (en) 2006-02-03 2016-08-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8303604B2 (en) * 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
EP1858396A4 (en) 2004-12-08 2015-11-25 Inc Xlumena Method and apparatus for performing needle guided interventions
DE602006013946D1 (en) 2005-02-08 2010-06-10 Koninkl Philips Electronics Nv System for percutaneous glossoplastik
US8777967B2 (en) * 2005-06-09 2014-07-15 Xlumena, Inc. Methods and devices for anchoring to tissue
US8784437B2 (en) * 2005-06-09 2014-07-22 Xlumena, Inc. Methods and devices for endosonography-guided fundoplexy
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
WO2007124772A1 (en) * 2006-04-28 2007-11-08 Covidien Ag Organopexy tool and organopexy kit
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
WO2008045376A3 (en) 2006-10-05 2008-07-17 Tyco Healthcare Axial stitching device
WO2008045353A3 (en) 2006-10-05 2008-06-26 Tyco Healthcare Flexible endoscopic stitching devices
US7674275B2 (en) 2006-10-05 2010-03-09 Ethicon Endo-Surgery, Inc. Suture anchor
US8551139B2 (en) * 2006-11-30 2013-10-08 Cook Medical Technologies Llc Visceral anchors for purse-string closure of perforations
EP1938758B1 (en) * 2006-12-28 2018-08-29 Olympus Corporation Endoscopic treatment tool
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
WO2009012250A1 (en) * 2007-07-17 2009-01-22 Wilson-Cook Medical Inc. Rivet introduction system
US8858576B2 (en) * 2007-09-10 2014-10-14 Olympus Medical Systems Corp. Tissue fastening tool, stent, applicator for placing the same, and tissue fastening method through natural orifice
US20090143815A1 (en) * 2007-11-30 2009-06-04 Boston Scientific Scimed, Inc. Apparatus and Method for Sealing a Vessel Puncture Opening
US8864776B2 (en) 2008-04-11 2014-10-21 Covidien Lp Deployment system for surgical suture
US8454632B2 (en) 2008-05-12 2013-06-04 Xlumena, Inc. Tissue anchor for securing tissue layers
US8628545B2 (en) 2008-06-13 2014-01-14 Covidien Lp Endoscopic stitching devices
USD708746S1 (en) 2009-06-10 2014-07-08 Covidien Lp Handle for surgical device
JP2012500098A (en) 2008-08-19 2012-01-05 ウィルソン−クック・メディカル・インコーポレーテッドWilson−Cook Medical Incorporated Instrument for anchor wearing the lymph nodes to resected or tissue during translumenal treatment
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
US8795298B2 (en) * 2008-10-10 2014-08-05 Guided Delivery Systems Inc. Tether tensioning devices and related methods
EP2349019A4 (en) * 2008-10-10 2016-06-15 Guided Delivery Systems Inc Termination devices and related methods
US8377095B2 (en) 2008-12-05 2013-02-19 Cook Medical Technologies, LLC Tissue anchors for purse-string closure of perforations
EP2373230B1 (en) 2008-12-09 2012-11-28 Cook Medical Technologies LLC Retractable tacking device
CA2747233C (en) 2008-12-19 2014-08-12 John A. Karpiel Clip devices and methods of delivery and deployment
JP5317680B2 (en) * 2008-12-24 2013-10-16 Hoya株式会社 Endoscopic suturing instrument
EP2413810B1 (en) 2009-04-03 2014-07-02 Cook Medical Technologies LLC Tissue anchors and medical devices for rapid deployment of tissue anchors
WO2010115113A1 (en) 2009-04-03 2010-10-07 Wilson-Cook Medical, Inc. Medical devices, systems, and methods for rapid deployment and fixation of tissue anchors
US8968334B2 (en) * 2009-04-17 2015-03-03 Boston Scientific Scimed, Inc. Apparatus for delivering and anchoring implantable medical devices
US20100268029A1 (en) * 2009-04-21 2010-10-21 Xlumena, Inc. Methods and apparatus for advancing a device from one body lumen to another
US9364259B2 (en) 2009-04-21 2016-06-14 Xlumena, Inc. System and method for delivering expanding trocar through a sheath
EP2434960A1 (en) 2009-05-28 2012-04-04 Cook Medical Technologies LLC Tacking device and methods of deployment
US8357193B2 (en) 2009-05-29 2013-01-22 Xlumena, Inc. Apparatus and method for deploying stent across adjacent tissue layers
US8790369B2 (en) * 2009-07-24 2014-07-29 Depuy Mitek, Llc Apparatus and method for repairing tissue
US8490713B2 (en) 2009-10-06 2013-07-23 Covidien Lp Handle assembly for endoscopic suturing device
US20110112434A1 (en) * 2009-11-06 2011-05-12 Ethicon Endo-Surgery, Inc. Kits and procedures for natural orifice translumenal endoscopic surgery
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
US20110218191A1 (en) * 2010-03-03 2011-09-08 Boehringer Ingelheim Vetmedica Gmbh Use of meloxicam for the long term-treatment of kidney disorders in cats
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
US20120143225A1 (en) * 2010-07-06 2012-06-07 Pavilion Medical Innovations Endoscopic fascial closure devices and methods for using same
EP2433571A3 (en) 2010-09-23 2013-08-28 Tornier, Inc. System for bone anchor inserter depth indication
US20120130417A1 (en) * 2010-10-25 2012-05-24 Keke Lepulu Apparatus and method for penetrating and enlarging adjacent tissue layers
US8968340B2 (en) 2011-02-23 2015-03-03 Covidien Lp Single actuating jaw flexible endolumenal stitching device
WO2012116376A1 (en) 2011-02-25 2012-08-30 Thoratec Corporation Coupling system, applicator tool, attachment ring and method for connecting a conduit to biological tissue
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
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
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9924938B2 (en) 2011-11-07 2018-03-27 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
US20130158348A1 (en) * 2011-12-14 2013-06-20 Ethicon Endo-Surgery, Inc. Introducer for an internal magnetic camera
WO2013162741A1 (en) 2012-04-23 2013-10-31 Thoratec Corporation Engagement device and method for deployment of anastomotic clips
EP2854654A4 (en) 2012-05-17 2016-03-16 Xlumena Inc Methods and devices for access across adjacent tissue layers
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
JP2016513505A (en) * 2013-03-14 2016-05-16 ニューラヴィ・リミテッド Clot retrieval device for removing an obstruction clot from a blood vessel
WO2014145053A1 (en) * 2013-03-15 2014-09-18 Thoratec Corporation Anastomotic device and method
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9468434B2 (en) 2014-06-03 2016-10-18 Covidien Lp Stitching end effector
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

Citations (92)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US62329A (en) * 1867-02-26 Op lisb on
US2069878A (en) * 1935-05-07 1937-02-09 Dennison Mfg Co Attaching means
US3890970A (en) * 1974-01-21 1975-06-24 Robert L Gullen Retention cannula or catheter and applicator
US4006747A (en) * 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
US4022191A (en) * 1976-06-04 1977-05-10 Khosrow Jamshidi Biopsy needle guard and guide
US4275717A (en) * 1979-07-27 1981-06-30 Zimmer Usa, Inc. Intramedullary fixation device for fractured tubular bones
US4393872A (en) * 1980-05-27 1983-07-19 Eder Instrument Co., Inc. Aspirating surgical forceps
US4741330A (en) * 1983-05-19 1988-05-03 Hayhurst John O Method and apparatus for anchoring and manipulating cartilage
US4851005A (en) * 1980-09-25 1989-07-25 South African Invention Development Corporation Surgical implant
US4901721A (en) * 1988-08-02 1990-02-20 Hakki Samir I Suturing device
US5080543A (en) * 1990-01-08 1992-01-14 Engineered Construction Components (America) Inc. Fastening sleeves and fastening systems employing same
US5080663A (en) * 1990-09-26 1992-01-14 Univerity College London Sewing device
US5081997A (en) * 1989-03-09 1992-01-21 Vance Products Incorporated Echogenic devices, material and method
US5084050A (en) * 1984-12-14 1992-01-28 Klaus Draenert Implant for bone reinforcement and for anchoring bone screws, implants and implant parts
US5104382A (en) * 1991-01-15 1992-04-14 Ethicon, Inc. Trocar
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US5197971A (en) * 1990-03-02 1993-03-30 Bonutti Peter M Arthroscopic retractor and method of using the same
US5217486A (en) * 1992-02-18 1993-06-08 Mitek Surgical Products, Inc. Suture anchor and installation tool
US5282832A (en) * 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5312435A (en) * 1993-05-17 1994-05-17 Kensey Nash Corporation Fail predictable, reinforced anchor for hemostatic puncture closure
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
US5486197A (en) * 1994-03-24 1996-01-23 Ethicon, Inc. Two-piece suture anchor with barbs
US5514159A (en) * 1994-09-13 1996-05-07 United States Surgical Corporation Guillotine suture clip
US5527342A (en) * 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
US5591206A (en) * 1993-09-30 1997-01-07 Moufarr+E,Gra E+Ee Ge; Richard Method and device for closing wounds
US5593422A (en) * 1989-05-29 1997-01-14 Muijs Van De Moer; Wouter M. Occlusion assembly for sealing openings in blood vessels and a method for sealing openings in blood vessels
US5601557A (en) * 1982-05-20 1997-02-11 Hayhurst; John O. Anchoring and manipulating tissue
US5626614A (en) * 1995-12-22 1997-05-06 Applied Medical Resources Corporation T-anchor suturing device and method for using same
US5630824A (en) * 1994-06-01 1997-05-20 Innovasive Devices, Inc. Suture attachment device
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5645589A (en) * 1994-08-22 1997-07-08 Li Medical Technologies, Inc. Anchor and method for securement into a bore
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5707395A (en) * 1997-01-16 1998-01-13 Li Medical Technologies, Inc. Surgical fastener and method and apparatus for ligament repair
US5728114A (en) * 1994-08-24 1998-03-17 Kensey Nash Corporation Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site
US5728136A (en) * 1995-06-06 1998-03-17 Thal; Raymond Knotless suture anchor assembly
US5733306A (en) * 1993-05-14 1998-03-31 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5755730A (en) * 1994-03-23 1998-05-26 University College London Device for use in cutting threads
US5782864A (en) * 1997-04-03 1998-07-21 Mitek Surgical Products, Inc. Knotless suture system and method
US5891168A (en) * 1997-01-31 1999-04-06 Thal; Raymond Process for attaching tissue to bone using a captured-loop knotless suture anchor assembly
US5893856A (en) * 1996-06-12 1999-04-13 Mitek Surgical Products, Inc. Apparatus and method for binding a first layer of material to a second layer of material
US5899921A (en) * 1997-07-25 1999-05-04 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members
US5904696A (en) * 1994-01-13 1999-05-18 Ethicon, Inc. Spiral surgical tack
US6036694A (en) * 1998-08-03 2000-03-14 Innovasive Devices, Inc. Self-tensioning soft tissue fixation device and method
US6066146A (en) * 1998-06-24 2000-05-23 Carroll; Brendan J. Laparascopic incision closure device
US6068648A (en) * 1998-01-26 2000-05-30 Orthodyne, Inc. Tissue anchoring system and method
US6086608A (en) * 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
US6214031B1 (en) * 1996-08-05 2001-04-10 Arthrex, Inc. Corkscrew suture anchor
US6245080B1 (en) * 1999-07-13 2001-06-12 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US20010010008A1 (en) * 1996-11-08 2001-07-26 Gellman Barry N. Protective sheath for transvaginal anchor implantation device
US6338738B1 (en) * 1999-08-31 2002-01-15 Edwards Lifesciences Corp. Device and method for stabilizing cardiac tissue
US6387114B2 (en) * 2000-04-28 2002-05-14 Scimed Life Systems, Inc. Gastrointestinal compression clips
US20020059938A1 (en) * 2000-02-18 2002-05-23 Fogarty Thomas J. Device for accurately marking tissue
US20020077631A1 (en) * 1996-09-13 2002-06-20 Lubbers Lawrence M. Apparatus and methods for tendon or ligament repair
US20020082622A1 (en) * 2000-11-24 2002-06-27 Kane David Lee Collapsed deployable soft tissue anchor for repairing soft tissue to bone
US6506190B1 (en) * 1998-05-21 2003-01-14 Christopher J. Walshe Tissue anchor system
US20030018358A1 (en) * 1999-06-25 2003-01-23 Vahid Saadat Apparatus and methods for treating tissue
US20030023268A1 (en) * 2000-10-18 2003-01-30 Lizardi Jose E. Suture anchor system and method of use
US6524328B2 (en) * 2001-04-12 2003-02-25 Scion International, Inc. Suture lock, lock applicator and method therefor
US6527794B1 (en) * 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6561969B2 (en) * 1999-09-20 2003-05-13 Ev3 Inc. Method of reducing the volume of the heart
US20030093117A1 (en) * 1999-06-25 2003-05-15 Vahid Saadat Implantable artificial partition and methods of use
US20030097150A1 (en) * 2001-11-21 2003-05-22 Medicinelodge, Inc. Suture anchor
US6569167B1 (en) * 1998-11-04 2003-05-27 Walter P. Bobechko Method, apparatus and assembly for terminating bleeding from a bone
US6575987B2 (en) * 1997-02-13 2003-06-10 Scimed Life Systems, Inc. Quick connect bone suture fastener
US6575984B2 (en) * 1992-11-13 2003-06-10 Ams Research Corporation Medical sling procedures and anchor insertion methods and devices
US20030109900A1 (en) * 2000-09-15 2003-06-12 Jonathan Martinek Knotless tissue anchor
US6689153B1 (en) * 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US6692516B2 (en) * 2000-11-28 2004-02-17 Linvatec Corporation Knotless suture anchor and method for knotlessly securing tissue
US6699263B2 (en) * 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US20040049194A1 (en) * 2000-06-27 2004-03-11 Smith & Nephew, A Massachusetts Corporation Surgical procedures and instruments
US20040049211A1 (en) * 2002-06-12 2004-03-11 Mitral Interventions, Inc. Method and apparatus for tissue connection
US6730110B1 (en) * 1999-01-08 2004-05-04 Ams Research Corporation Tack device
US6730112B2 (en) * 1999-07-13 2004-05-04 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US20040093023A1 (en) * 1999-10-21 2004-05-13 Allen William J. Minimally invasive mitral valve repair method and apparatus
US20040092969A1 (en) * 2002-09-26 2004-05-13 Kumar Sarbjeet S. Device and method for surgical repair of abdominal wall hernias
US20040098050A1 (en) * 2002-11-19 2004-05-20 Opus Medical, Inc. Devices and methods for repairing soft tissue
US6749620B2 (en) * 1993-09-20 2004-06-15 Edwin C. Bartlett Apparatus and method for anchoring sutures
US20040116949A1 (en) * 2002-12-11 2004-06-17 Ewers Richard C. Apparatus and methods for forming gastrointestinal tissue approximations
US20040122473A1 (en) * 2002-12-11 2004-06-24 Ewers Richard C. Delivery systems and methods for gastric reduction
US20040122456A1 (en) * 2002-12-11 2004-06-24 Saadat Vahid C. Methods and apparatus for gastric reduction
US6846313B1 (en) * 1998-11-03 2005-01-25 Codman & Shurtleff, Inc. One-piece biocompatible absorbable rivet and pin for use in surgical procedures
US20050033319A1 (en) * 2003-05-16 2005-02-10 Gambale Richard A. Single intubation, multi-stitch endoscopic suturing system
US6860895B1 (en) * 1999-06-18 2005-03-01 Radi Medical Systems Ab Tool, a sealing device, a system and a method for closing a wound
US20050055052A1 (en) * 2003-09-10 2005-03-10 Linvatec Corporation Knotless suture anchor
US20050075654A1 (en) * 2003-10-06 2005-04-07 Brian Kelleher Methods and devices for soft tissue securement
US20050113851A1 (en) * 2002-05-17 2005-05-26 Swain Christopher P. Device for transfixing and joining tissue
US20050143762A1 (en) * 2003-09-15 2005-06-30 Paraschac Joseph F. Suture locking device and methods
US20060030884A1 (en) * 2002-03-14 2006-02-09 Yeung Jeffrey E Suture anchor and approximating device
US7390329B2 (en) * 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US7651509B2 (en) * 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair

Family Cites Families (115)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1153450A (en) 1914-09-03 1915-09-14 Schuyler Renwick Schaff Guy-anchor.
US3215027A (en) * 1962-02-08 1965-11-02 Henry J Modrey Fastener with spring biased wedges
US3470834A (en) 1968-03-08 1969-10-07 Dennison Mfg Co Fastener attaching device
US3692029A (en) 1971-05-03 1972-09-19 Edwin Lloyd Adair Retention catheter and suprapubic shunt
US3990619A (en) 1975-11-12 1976-11-09 Dennison Manufacturing Company Fastener attachment needle
US4235238A (en) 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4790304A (en) 1984-01-20 1988-12-13 Lior Rosenberg Self-locking pin device particularly useful for internally fixing bone fractures
US4616650A (en) * 1984-07-27 1986-10-14 United States Surgical Corporation Apparatus for applying surgical clips
US4669473A (en) 1985-09-06 1987-06-02 Acufex Microsurgical, Inc. Surgical fastener
US4705040A (en) 1985-11-18 1987-11-10 Medi-Tech, Incorporated Percutaneous fixation of hollow organs
US4898156A (en) 1987-05-18 1990-02-06 Mitek Surgical Products, Inc. Suture anchor
US4869259A (en) 1988-05-17 1989-09-26 Vance Products Incorporated Echogenically enhanced surgical instrument and method for production thereof
US5053046A (en) 1988-08-22 1991-10-01 Woodrow W. Janese Dural sealing needle and method of use
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5037422A (en) 1990-07-02 1991-08-06 Acufex Microsurgical, Inc. Bone anchor and method of anchoring a suture to a bone
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5258015A (en) 1991-05-03 1993-11-02 American Cyanamid Company Locking filament caps
US5439467A (en) 1991-12-03 1995-08-08 Vesica Medical, Inc. Suture passer
US5330432A (en) * 1991-12-06 1994-07-19 Inbae Yoon Retractable safety penetrating instrument
GB9218754D0 (en) 1992-09-04 1992-10-21 Univ London Device for use in securing a thread
US5520700A (en) 1992-11-13 1996-05-28 Technion Research & Development Foundation, Ltd. Stapler device particularly useful in medical suturing
US5403348A (en) 1993-05-14 1995-04-04 Bonutti; Peter M. Suture anchor
CA2125733A1 (en) 1993-06-15 1994-12-16 William J. Zwaskis Biocompatible suture knot clip
US5370662A (en) * 1993-06-23 1994-12-06 Kevin R. Stone Suture anchor assembly
CA2124651C (en) 1993-08-20 2004-09-28 David T. Green Apparatus and method for applying and adjusting an anchoring device
USRE36289E (en) 1993-12-13 1999-08-31 Ethicon, Inc. Umbrella shaped suture anchor device with actuating ring member
US5464425A (en) 1994-02-23 1995-11-07 Orthopaedic Biosystems, Ltd. Medullary suture anchor
GB9405790D0 (en) 1994-03-23 1994-05-11 Univ London Sewing device
US5470337A (en) * 1994-05-17 1995-11-28 Moss; Gerald Surgical fastener
US5582616A (en) 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
US5681351A (en) 1994-10-21 1997-10-28 Ethicon, Inc. Suture clip suitable for use on monofilament sutures
US5814071A (en) 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5667509A (en) * 1995-03-02 1997-09-16 Westin; Craig D. Retractable shield apparatus and method for a bone drill
US5643253A (en) 1995-06-06 1997-07-01 Rare Earth Medical, Inc. Phototherapy apparatus with integral stopper device
US5662683A (en) 1995-08-22 1997-09-02 Ortho Helix Limited Open helical organic tissue anchor and method of facilitating healing
US5800445A (en) 1995-10-20 1998-09-01 United States Surgical Corporation Tissue tagging device
US5957953A (en) 1996-02-16 1999-09-28 Smith & Nephew, Inc. Expandable suture anchor
US5725521A (en) * 1996-03-29 1998-03-10 Eclipse Surgical Technologies, Inc. Depth stop apparatus and method for laser-assisted transmyocardial revascularization and other surgical applications
US5948000A (en) 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
CA2217406C (en) 1996-10-04 2006-05-30 United States Surgical Corporation Suture anchor installation system with disposable loading unit
US6053935A (en) * 1996-11-08 2000-04-25 Boston Scientific Corporation Transvaginal anchor implantation device
CA2224366C (en) 1996-12-11 2006-10-31 Ethicon, Inc. Meniscal repair device
US5935129A (en) 1997-03-07 1999-08-10 Innovasive Devices, Inc. Methods and apparatus for anchoring objects to bone
US5988171A (en) * 1997-06-26 1999-11-23 Influence Medical Technologies, Ltd. Methods and devices for the treatment of airway obstruction, sleep apnea and snoring
US5868762A (en) * 1997-09-25 1999-02-09 Sub-Q, Inc. Percutaneous hemostatic suturing device and method
US6264677B1 (en) * 1997-10-15 2001-07-24 Applied Biological Concepts, Inc. Wedge screw suture anchor
US6149669A (en) 1997-10-30 2000-11-21 Li Medical Technologies, Inc. Surgical fastener assembly method of use
US5954747A (en) 1997-11-20 1999-09-21 Clark; Ron Meniscus repair anchor system
US6045551A (en) 1998-02-06 2000-04-04 Bonutti; Peter M. Bone suture
US6146406A (en) 1998-02-12 2000-11-14 Smith & Nephew, Inc. Bone anchor
US5931844A (en) 1998-03-31 1999-08-03 Smith & Nephew, Inc. Surgical drive tool
US6332885B1 (en) 1998-05-07 2001-12-25 Pasquale Martella Synthesis device for orthopaedia and traumatology
US6613070B2 (en) * 1998-08-04 2003-09-02 Baxter International Inc. System and method for sealing vascular penetrations with hemostatic gels
US6306163B1 (en) * 1998-08-04 2001-10-23 Advanced Cardiovascular Systems, Inc. Assembly for collecting emboli and method of use
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US6370110B1 (en) 1998-09-16 2002-04-09 At&T Corp Back-up restoration technique for SONET/SHD rings
US7491232B2 (en) 1998-09-18 2009-02-17 Aptus Endosystems, Inc. Catheter-based fastener implantation apparatus and methods with implantation force resolution
US6126670A (en) 1998-12-16 2000-10-03 Medtronic, Inc. Cordless surgical handpiece with disposable battery; and method
US6436099B1 (en) 1999-04-23 2002-08-20 Sdgi Holdings, Inc. Adjustable spinal tether
US7846180B2 (en) 1999-06-22 2010-12-07 Ethicon Endo-Surgery, Inc. Tissue fixation devices and methods of fixing tissue
US6663639B1 (en) 1999-06-22 2003-12-16 Ndo Surgical, Inc. Methods and devices for tissue reconfiguration
US6494888B1 (en) 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
JP2007513717A (en) * 2003-12-12 2007-05-31 ユーエスジーアイ メディカル インコーポレイテッド Apparatus and method for forming and fixing the folds of gastrointestinal tissue
US7744613B2 (en) 1999-06-25 2010-06-29 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
ES2435094T3 (en) 2000-05-19 2013-12-18 C.R. Bard, Inc. Device and method for capturing and suture tissue
EP1134517B1 (en) * 2000-03-15 2017-07-26 Denso Corporation Ejector cycle system with critical refrigerant pressure
EP1294290B1 (en) 2000-05-10 2005-07-27 Canica Design Inc. System for moving and stretching plastic tissue
US7144414B2 (en) 2000-06-27 2006-12-05 Smith & Nephew, Inc. Surgical procedures and instruments
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
US6447524B1 (en) 2000-10-19 2002-09-10 Ethicon Endo-Surgery, Inc. Fastener for hernia mesh fixation
FR2817142B1 (en) * 2000-11-24 2003-05-16 Sofradim Production retaining clip prosthetic and transcutaneous insertion device
US6500184B1 (en) 2001-01-31 2002-12-31 Yung C. Chan Suturing apparatus and method of suturing
US7083638B2 (en) 2001-02-12 2006-08-01 Arthrocare Corporation Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US6770076B2 (en) 2001-02-12 2004-08-03 Opus Medical, Inc. Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device
US20020161382A1 (en) 2001-03-29 2002-10-31 Neisz Johann J. Implant inserted without bone anchors
JP4255288B2 (en) 2001-05-18 2009-04-15 ユーシーエル、バイオメディカ、パブリック、リミテッド、カンパニーUcl Biomedica Plc Flexible device for puncture joining tissue
US7115136B2 (en) * 2001-06-20 2006-10-03 Park Medical Llc Anastomotic device
US6652562B2 (en) 2001-12-28 2003-11-25 Ethicon, Inc. Suture anchoring and tensioning device
US7150750B2 (en) 2002-01-10 2006-12-19 Boston Scientific Scimed, Inc. Method and device for endoscopic suturing
EP1471835A4 (en) 2002-01-14 2008-03-19 Nmt Medical Inc Patent foramen ovale (pfo) closure method and device
US20030163143A1 (en) 2002-02-26 2003-08-28 Akio Wakabayashi Apparatus and method for suturing in restricted space
JP4414669B2 (en) * 2002-04-12 2010-02-10 オリンパス株式会社 Endoscopic incision instrument
US7416554B2 (en) 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US20040138707A1 (en) 2003-01-14 2004-07-15 Greenhalgh E. Skott Anchor removable from a substrate
WO2004082538A2 (en) 2003-03-18 2004-09-30 St. Jude Medical, Inc. Body tissue remodeling apparatus
US7862584B2 (en) 2003-05-07 2011-01-04 Anpa Medical, Inc. Suture lock
US7431694B2 (en) 2003-05-16 2008-10-07 Ethicon Endo-Surgery, Inc. Method of guiding medical devices
JP4166632B2 (en) 2003-06-06 2008-10-15 オリンパス株式会社 Suturing device
US7341558B2 (en) * 2003-09-19 2008-03-11 Medcanica, Llc Pericardial retractor
EP1713402B1 (en) 2004-02-13 2018-07-04 Ethicon Endo-Surgery, Inc. Device for reducing stomach volume
US7632287B2 (en) 2004-02-20 2009-12-15 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US20050228415A1 (en) 2004-03-23 2005-10-13 Michael Gertner Methods and devices for percutaneous, non-laparoscopic treatment of obesity
US7833238B2 (en) 2004-04-19 2010-11-16 Granit Medical Innovations, Llc Endoscopic anchoring device and associated method
US8308765B2 (en) 2004-05-07 2012-11-13 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US8057511B2 (en) 2004-05-07 2011-11-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20050251208A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Linear anchors for anchoring to tissue
US20050251159A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Methods and apparatus for grasping and cinching tissue anchors
US7347863B2 (en) 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US7601159B2 (en) 2004-05-07 2009-10-13 Usgi Medical, Inc. Interlocking tissue anchor apparatus and methods
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20050251189A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Multi-position tissue manipulation assembly
US20050251205A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Apparatus and methods for positioning and securing anchors
US20050250988A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Removable apparatus for manipulating and securing tissue within a treatment space
US7621925B2 (en) 2004-05-07 2009-11-24 Usgi Medical, Inc. Needle assembly for tissue manipulation
US20050250984A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Multiple removable apparatus and methods for manipulating and securing tissue
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US20050250987A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Removable apparatus and methods for manipulating and securing tissue
JP4674114B2 (en) 2004-05-20 2011-04-20 オリンパス株式会社 Treatment system for medical devices and biological tissue
JP4746348B2 (en) 2004-05-20 2011-08-10 オリンパス株式会社 Therapeutic treatment device
JP4727295B2 (en) 2004-05-20 2011-07-20 オリンパス株式会社 Treatment system for medical devices and biological tissue
US7815661B2 (en) 2005-01-25 2010-10-19 Tyco Healthcare Group, Lp Method and apparatus for implanting an occlusive structure
US8882787B2 (en) * 2005-03-02 2014-11-11 St. Jude Medical, Cardiology Division, Inc. Tissue anchor apparatus
US7846179B2 (en) 2005-09-01 2010-12-07 Ovalis, Inc. Suture-based systems and methods for treating septal defects
US7815659B2 (en) 2005-11-15 2010-10-19 Ethicon Endo-Surgery, Inc. Suture anchor applicator

Patent Citations (99)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US62329A (en) * 1867-02-26 Op lisb on
US2069878A (en) * 1935-05-07 1937-02-09 Dennison Mfg Co Attaching means
US3890970A (en) * 1974-01-21 1975-06-24 Robert L Gullen Retention cannula or catheter and applicator
US4006747A (en) * 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
US4022191A (en) * 1976-06-04 1977-05-10 Khosrow Jamshidi Biopsy needle guard and guide
US4275717A (en) * 1979-07-27 1981-06-30 Zimmer Usa, Inc. Intramedullary fixation device for fractured tubular bones
US4393872A (en) * 1980-05-27 1983-07-19 Eder Instrument Co., Inc. Aspirating surgical forceps
US4851005A (en) * 1980-09-25 1989-07-25 South African Invention Development Corporation Surgical implant
US5601557A (en) * 1982-05-20 1997-02-11 Hayhurst; John O. Anchoring and manipulating tissue
US5647874A (en) * 1982-05-20 1997-07-15 John O. Hayhurst Anchoring and manipulating tissue
US4741330A (en) * 1983-05-19 1988-05-03 Hayhurst John O Method and apparatus for anchoring and manipulating cartilage
US5084050A (en) * 1984-12-14 1992-01-28 Klaus Draenert Implant for bone reinforcement and for anchoring bone screws, implants and implant parts
US5123914A (en) * 1986-05-19 1992-06-23 Cook Incorporated Visceral anchor for visceral wall mobilization
US4901721A (en) * 1988-08-02 1990-02-20 Hakki Samir I Suturing device
US5081997A (en) * 1989-03-09 1992-01-21 Vance Products Incorporated Echogenic devices, material and method
US5916236A (en) * 1989-05-29 1999-06-29 Kensey Nash Corporation Occlusion assembly for sealing openings in blood vessels and a method for sealing openings in blood vessels
US5593422A (en) * 1989-05-29 1997-01-14 Muijs Van De Moer; Wouter M. Occlusion assembly for sealing openings in blood vessels and a method for sealing openings in blood vessels
US5080543A (en) * 1990-01-08 1992-01-14 Engineered Construction Components (America) Inc. Fastening sleeves and fastening systems employing same
US5197971A (en) * 1990-03-02 1993-03-30 Bonutti Peter M Arthroscopic retractor and method of using the same
US5080663A (en) * 1990-09-26 1992-01-14 Univerity College London Sewing device
US5104382A (en) * 1991-01-15 1992-04-14 Ethicon, Inc. Trocar
US5480403A (en) * 1991-03-22 1996-01-02 United States Surgical Corporation Suture anchoring device and method
US5217486A (en) * 1992-02-18 1993-06-08 Mitek Surgical Products, Inc. Suture anchor and installation tool
US5282832A (en) * 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5383905A (en) * 1992-10-09 1995-01-24 United States Surgical Corporation Suture loop locking device
US6575998B2 (en) * 1992-11-13 2003-06-10 Ams Research Corporation Medical sling procedures and anchor insertion methods and devices
US6575984B2 (en) * 1992-11-13 2003-06-10 Ams Research Corporation Medical sling procedures and anchor insertion methods and devices
US5733306A (en) * 1993-05-14 1998-03-31 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5312435A (en) * 1993-05-17 1994-05-17 Kensey Nash Corporation Fail predictable, reinforced anchor for hemostatic puncture closure
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
US6749620B2 (en) * 1993-09-20 2004-06-15 Edwin C. Bartlett Apparatus and method for anchoring sutures
US5591206A (en) * 1993-09-30 1997-01-07 Moufarr+E,Gra E+Ee Ge; Richard Method and device for closing wounds
US5527342A (en) * 1993-12-14 1996-06-18 Pietrzak; William S. Method and apparatus for securing soft tissues, tendons and ligaments to bone
US6036701A (en) * 1994-01-13 2000-03-14 Ethicon, Inc. Spiral surgical tack
US5904696A (en) * 1994-01-13 1999-05-18 Ethicon, Inc. Spiral surgical tack
US5755730A (en) * 1994-03-23 1998-05-26 University College London Device for use in cutting threads
US5486197A (en) * 1994-03-24 1996-01-23 Ethicon, Inc. Two-piece suture anchor with barbs
US5630824A (en) * 1994-06-01 1997-05-20 Innovasive Devices, Inc. Suture attachment device
US5645589A (en) * 1994-08-22 1997-07-08 Li Medical Technologies, Inc. Anchor and method for securement into a bore
US5728114A (en) * 1994-08-24 1998-03-17 Kensey Nash Corporation Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site
US5514159A (en) * 1994-09-13 1996-05-07 United States Surgical Corporation Guillotine suture clip
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5728136A (en) * 1995-06-06 1998-03-17 Thal; Raymond Knotless suture anchor assembly
US5626614A (en) * 1995-12-22 1997-05-06 Applied Medical Resources Corporation T-anchor suturing device and method for using same
US6086608A (en) * 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
US5893856A (en) * 1996-06-12 1999-04-13 Mitek Surgical Products, Inc. Apparatus and method for binding a first layer of material to a second layer of material
US6214031B1 (en) * 1996-08-05 2001-04-10 Arthrex, Inc. Corkscrew suture anchor
US20020077631A1 (en) * 1996-09-13 2002-06-20 Lubbers Lawrence M. Apparatus and methods for tendon or ligament repair
US20010010008A1 (en) * 1996-11-08 2001-07-26 Gellman Barry N. Protective sheath for transvaginal anchor implantation device
US5707395A (en) * 1997-01-16 1998-01-13 Li Medical Technologies, Inc. Surgical fastener and method and apparatus for ligament repair
US5891168A (en) * 1997-01-31 1999-04-06 Thal; Raymond Process for attaching tissue to bone using a captured-loop knotless suture anchor assembly
US6575987B2 (en) * 1997-02-13 2003-06-10 Scimed Life Systems, Inc. Quick connect bone suture fastener
US5782864A (en) * 1997-04-03 1998-07-21 Mitek Surgical Products, Inc. Knotless suture system and method
US5899921A (en) * 1997-07-25 1999-05-04 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members
US5902321A (en) * 1997-07-25 1999-05-11 Innovasive Devices, Inc. Device and method for delivering a connector for surgically joining and securing flexible tissue repair members
US6068648A (en) * 1998-01-26 2000-05-30 Orthodyne, Inc. Tissue anchoring system and method
US6506190B1 (en) * 1998-05-21 2003-01-14 Christopher J. Walshe Tissue anchor system
US6066146A (en) * 1998-06-24 2000-05-23 Carroll; Brendan J. Laparascopic incision closure device
US6036694A (en) * 1998-08-03 2000-03-14 Innovasive Devices, Inc. Self-tensioning soft tissue fixation device and method
US6846313B1 (en) * 1998-11-03 2005-01-25 Codman & Shurtleff, Inc. One-piece biocompatible absorbable rivet and pin for use in surgical procedures
US6569167B1 (en) * 1998-11-04 2003-05-27 Walter P. Bobechko Method, apparatus and assembly for terminating bleeding from a bone
US6730110B1 (en) * 1999-01-08 2004-05-04 Ams Research Corporation Tack device
US6689153B1 (en) * 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US6860895B1 (en) * 1999-06-18 2005-03-01 Radi Medical Systems Ab Tool, a sealing device, a system and a method for closing a wound
US20030093117A1 (en) * 1999-06-25 2003-05-15 Vahid Saadat Implantable artificial partition and methods of use
US20030018358A1 (en) * 1999-06-25 2003-01-23 Vahid Saadat Apparatus and methods for treating tissue
US6730112B2 (en) * 1999-07-13 2004-05-04 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US6245080B1 (en) * 1999-07-13 2001-06-12 Scion Cardio-Vascular, Inc. Suture with toggle and delivery system
US6527794B1 (en) * 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6338738B1 (en) * 1999-08-31 2002-01-15 Edwards Lifesciences Corp. Device and method for stabilizing cardiac tissue
US6746472B2 (en) * 1999-09-20 2004-06-08 Ev3 Sunnyvale, Inc. Endoluminal anchor
US6712804B2 (en) * 1999-09-20 2004-03-30 Ev3 Sunnyvale, Inc. Method of closing an opening in a wall of the heart
US6561969B2 (en) * 1999-09-20 2003-05-13 Ev3 Inc. Method of reducing the volume of the heart
US20040093023A1 (en) * 1999-10-21 2004-05-13 Allen William J. Minimally invasive mitral valve repair method and apparatus
US7651509B2 (en) * 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US20020059938A1 (en) * 2000-02-18 2002-05-23 Fogarty Thomas J. Device for accurately marking tissue
US6387114B2 (en) * 2000-04-28 2002-05-14 Scimed Life Systems, Inc. Gastrointestinal compression clips
US20040049194A1 (en) * 2000-06-27 2004-03-11 Smith & Nephew, A Massachusetts Corporation Surgical procedures and instruments
US20030109900A1 (en) * 2000-09-15 2003-06-12 Jonathan Martinek Knotless tissue anchor
US20030023268A1 (en) * 2000-10-18 2003-01-30 Lizardi Jose E. Suture anchor system and method of use
US20020082622A1 (en) * 2000-11-24 2002-06-27 Kane David Lee Collapsed deployable soft tissue anchor for repairing soft tissue to bone
US6692516B2 (en) * 2000-11-28 2004-02-17 Linvatec Corporation Knotless suture anchor and method for knotlessly securing tissue
US6524328B2 (en) * 2001-04-12 2003-02-25 Scion International, Inc. Suture lock, lock applicator and method therefor
US20030097150A1 (en) * 2001-11-21 2003-05-22 Medicinelodge, Inc. Suture anchor
US20060030884A1 (en) * 2002-03-14 2006-02-09 Yeung Jeffrey E Suture anchor and approximating device
US6699263B2 (en) * 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US20050113851A1 (en) * 2002-05-17 2005-05-26 Swain Christopher P. Device for transfixing and joining tissue
US20040049211A1 (en) * 2002-06-12 2004-03-11 Mitral Interventions, Inc. Method and apparatus for tissue connection
US20040092969A1 (en) * 2002-09-26 2004-05-13 Kumar Sarbjeet S. Device and method for surgical repair of abdominal wall hernias
US20040098050A1 (en) * 2002-11-19 2004-05-20 Opus Medical, Inc. Devices and methods for repairing soft tissue
US20040122473A1 (en) * 2002-12-11 2004-06-24 Ewers Richard C. Delivery systems and methods for gastric reduction
US20040116949A1 (en) * 2002-12-11 2004-06-17 Ewers Richard C. Apparatus and methods for forming gastrointestinal tissue approximations
US20040122456A1 (en) * 2002-12-11 2004-06-24 Saadat Vahid C. Methods and apparatus for gastric reduction
US20050033319A1 (en) * 2003-05-16 2005-02-10 Gambale Richard A. Single intubation, multi-stitch endoscopic suturing system
US20050055052A1 (en) * 2003-09-10 2005-03-10 Linvatec Corporation Knotless suture anchor
US20050143762A1 (en) * 2003-09-15 2005-06-30 Paraschac Joseph F. Suture locking device and methods
US20050075654A1 (en) * 2003-10-06 2005-04-07 Brian Kelleher Methods and devices for soft tissue securement
US7390329B2 (en) * 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors

Cited By (259)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
US9050087B2 (en) 2000-01-05 2015-06-09 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US8758396B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US8956388B2 (en) 2000-01-05 2015-02-17 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant
US9060769B2 (en) 2000-09-08 2015-06-23 Abbott Vascular Inc. Surgical stapler
US8784447B2 (en) 2000-09-08 2014-07-22 Abbott Vascular Inc. Surgical stapler
US9402625B2 (en) 2000-09-08 2016-08-02 Abbott Vascular Inc. Surgical stapler
US9089674B2 (en) 2000-10-06 2015-07-28 Integrated Vascular Systems, Inc. Apparatus and methods for positioning a vascular sheath
US9554786B2 (en) 2000-12-07 2017-01-31 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US9320522B2 (en) 2000-12-07 2016-04-26 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US9585646B2 (en) 2000-12-07 2017-03-07 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8728119B2 (en) 2001-06-07 2014-05-20 Abbott Vascular Inc. Surgical staple
US8579932B2 (en) 2002-02-21 2013-11-12 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US9498196B2 (en) 2002-02-21 2016-11-22 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US8454655B2 (en) 2002-03-14 2013-06-04 Neotract, Inc. Method for anchoring suture and approximating tissue
US8777992B2 (en) 2002-03-14 2014-07-15 Neotract, Inc. Methods for anchoring suture and approximating tissue
US9980728B2 (en) 2002-06-04 2018-05-29 Abbott Vascular Inc Blood vessel closure clip and delivery device
US9295469B2 (en) 2002-06-04 2016-03-29 Abbott Vascular Inc. Blood vessel closure clip and delivery device
US8585836B2 (en) 2002-12-31 2013-11-19 Integrated Vascular Systems, Inc. Methods for manufacturing a clip and clip
US9398914B2 (en) 2003-01-30 2016-07-26 Integrated Vascular Systems, Inc. Methods of use of a clip applier
US8926656B2 (en) 2003-01-30 2015-01-06 Integated Vascular Systems, Inc. Clip applier and methods of use
US9271707B2 (en) 2003-01-30 2016-03-01 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
US8940001B2 (en) 2005-05-20 2015-01-27 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US8663243B2 (en) 2005-05-20 2014-03-04 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
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
US7645286B2 (en) 2005-05-20 2010-01-12 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20090192439A1 (en) * 2005-05-20 2009-07-30 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US9034001B2 (en) 2005-05-20 2015-05-19 Neotract, Inc. Slotted anchor device
US20080039874A1 (en) * 2005-05-20 2008-02-14 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20080039893A1 (en) * 2005-05-20 2008-02-14 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8425535B2 (en) 2005-05-20 2013-04-23 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8715298B2 (en) 2005-05-20 2014-05-06 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US20080033458A1 (en) * 2005-05-20 2008-02-07 Neotract, Inc. Multi-actuating trigger anchor delivery system
US7758594B2 (en) 2005-05-20 2010-07-20 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US20080033456A1 (en) * 2005-05-20 2008-02-07 Neotract, Inc. Integrated handle assembly for anchor delivery system
US20080033232A1 (en) * 2005-05-20 2008-02-07 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US7780682B2 (en) 2005-05-20 2010-08-24 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US7815655B2 (en) 2005-05-20 2010-10-19 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US8900252B2 (en) 2005-05-20 2014-12-02 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8715239B2 (en) 2005-05-20 2014-05-06 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US20080021484A1 (en) * 2005-05-20 2008-01-24 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US7896891B2 (en) 2005-05-20 2011-03-01 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US7905889B2 (en) 2005-05-20 2011-03-15 Neotract, Inc. Integrated handle assembly for anchor delivery system
US7909836B2 (en) 2005-05-20 2011-03-22 Neotract, Inc. Multi-actuating trigger anchor delivery system
US7766923B2 (en) 2005-05-20 2010-08-03 Neotract, Inc. Integrated handle assembly for anchor delivery system
US7951158B2 (en) 2005-05-20 2011-05-31 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20070276412A1 (en) * 2005-05-20 2007-11-29 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8394113B2 (en) 2005-05-20 2013-03-12 Neotract, Inc. Coiled anchor device
US8603106B2 (en) 2005-05-20 2013-12-10 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8007503B2 (en) 2005-05-20 2011-08-30 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US9549739B2 (en) 2005-05-20 2017-01-24 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8834492B2 (en) 2005-05-20 2014-09-16 Neotract, Inc. Continuous indentation lateral lobe apparatus and method
US8668705B2 (en) 2005-05-20 2014-03-11 Neotract, Inc. Latching anchor device
US8394110B2 (en) 2005-05-20 2013-03-12 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US8043309B2 (en) 2005-05-20 2011-10-25 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US20070142846A1 (en) * 2005-05-20 2007-06-21 Neotract, Inc. Integrated handle assembly for anchor delivery system
US9149266B2 (en) 2005-05-20 2015-10-06 Neotract, Inc. Deforming anchor device
US8343187B2 (en) 2005-05-20 2013-01-01 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8936609B2 (en) 2005-05-20 2015-01-20 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US9504461B2 (en) 2005-05-20 2016-11-29 Neotract, Inc. Anchor delivery system
US7914542B2 (en) 2005-05-20 2011-03-29 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8157815B2 (en) 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
US9486203B2 (en) 2005-05-20 2016-11-08 Neotract, Inc. Latching anchor device
US9402711B2 (en) 2005-05-20 2016-08-02 Neotract, Inc. Median lobe band implant apparatus and method
US8333776B2 (en) 2005-05-20 2012-12-18 Neotract, Inc. Anchor delivery system
US20080033488A1 (en) * 2005-05-20 2008-02-07 Neotract, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US8211118B2 (en) 2005-05-20 2012-07-03 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US8529584B2 (en) 2005-05-20 2013-09-10 Neotract, Inc. Median lobe band implant apparatus and method
US8939996B2 (en) 2005-05-20 2015-01-27 Neotract, Inc. Anchor delivery System
US20070049929A1 (en) * 2005-05-20 2007-03-01 Catanese Joseph Iii Apparatus and method for manipulating or retracting tissue and anatomical structure
US9364212B2 (en) 2005-05-20 2016-06-14 Neotract, Inc. Suture anchoring devices and methods for use
US8734468B2 (en) 2005-05-20 2014-05-27 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
US9320511B2 (en) 2005-05-20 2016-04-26 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8216254B2 (en) 2005-05-20 2012-07-10 Neotract, Inc. Anchor delivery system with replaceable cartridge
US20060265042A1 (en) * 2005-05-20 2006-11-23 Exploramed Nc2, Inc. Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures
US8628542B2 (en) 2005-05-20 2014-01-14 Neotract, Inc. Median lobe destruction apparatus and method
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US10085753B2 (en) 2005-07-01 2018-10-02 Abbott Laboratories Clip applier and methods of use
US9050068B2 (en) 2005-07-01 2015-06-09 Abbott Laboratories Clip applier and methods of use
US20070112383A1 (en) * 2005-11-15 2007-05-17 Conlon Sean P Self-shielding suture anchor
US7850712B2 (en) 2005-11-15 2010-12-14 Ethicon Endo-Surgery, Inc. Self-shielding suture anchor
US8360069B2 (en) 2006-04-19 2013-01-29 Vibrynt, Inc. Devices and methods for treatment of obesity
US8070768B2 (en) 2006-04-19 2011-12-06 Vibrynt, Inc. Devices and methods for treatment of obesity
US8353925B2 (en) 2006-04-19 2013-01-15 Vibrynt, Inc. Devices and methods for treatment of obesity
US8356605B2 (en) 2006-04-19 2013-01-22 Vibrynt, Inc. Devices and methods for treatment of obesity
US20080051823A1 (en) * 2006-04-19 2008-02-28 Joshua Makower Devices and methods for treatment of obesity
US8001974B2 (en) 2006-04-19 2011-08-23 Vibrynt, Inc. Devices and methods for treatment of obesity
US8342183B2 (en) 2006-04-19 2013-01-01 Vibrynt, Inc. Devices and methods for treatment of obesity
US20070250020A1 (en) * 2006-04-19 2007-10-25 Steven Kim 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
US8187297B2 (en) 2006-04-19 2012-05-29 Vibsynt, Inc. Devices and methods for treatment of obesity
US8398668B2 (en) 2006-04-19 2013-03-19 Vibrynt, Inc. Devices and methods for treatment of obesity
US20090012555A1 (en) * 2006-04-19 2009-01-08 Joshua Makower Devices and methods for treatment of obesity
US8460321B2 (en) 2006-04-19 2013-06-11 Vibrynt, Inc. Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US20090036910A1 (en) * 2006-04-19 2009-02-05 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
US20070250103A1 (en) * 2006-04-19 2007-10-25 Joshua Makower Devices and methods for treatment of obesity
US20090012547A1 (en) * 2006-04-19 2009-01-08 Joshua Makower 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
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
US7758598B2 (en) 2006-05-19 2010-07-20 Ethicon Endo-Surgery, Inc. Combination knotting element and suture anchor applicator
US9962144B2 (en) 2006-06-28 2018-05-08 Abbott Laboratories Vessel closure device
US8758398B2 (en) 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
US8449538B2 (en) 2007-02-15 2013-05-28 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US7655004B2 (en) 2007-02-15 2010-02-02 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
US8425505B2 (en) 2007-02-15 2013-04-23 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
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US9610070B2 (en) 2007-06-15 2017-04-04 Vivasure Medical Limited Closure device
US8758366B2 (en) 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
EP2016909A2 (en) 2007-07-18 2009-01-21 Ethicon Endo-Surgery, Inc. Device for insufflating the interior of a gastric cavity of a patient
EP2016910A2 (en) 2007-07-18 2009-01-21 Ethicon Endo-Surgery, Inc. Hybrid endoscopic/laparoscopic device for forming serosa to serosa plications in a gastric cavity
US20090024148A1 (en) * 2007-07-18 2009-01-22 Zeiner Mark S Method for forming plications of the gastric cavity
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US20090088797A1 (en) * 2007-09-28 2009-04-02 Ethicon, Inc. Surgical anchor device
US8771314B2 (en) * 2007-09-28 2014-07-08 Ethicon, Inc. Surgical anchor device
US8556925B2 (en) 2007-10-11 2013-10-15 Vibrynt, Inc. Devices and methods for treatment of obesity
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
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
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
WO2009076190A1 (en) * 2007-12-05 2009-06-18 Indiana University Research & Technology Corporation Methods and apparatuses for delivering anchoring devices into body passage walls
US9526487B2 (en) 2007-12-05 2016-12-27 Indiana University Research & Technology Corporation Methods and apparatuses for delivering anchoring devices into body passage walls
US20090204147A1 (en) * 2007-12-05 2009-08-13 Rahmani Emad Y Methods and apparatuses for delivering achoring devices into body passage walls
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US8672953B2 (en) 2007-12-17 2014-03-18 Abbott Laboratories Tissue closure system and methods of use
US20110238089A1 (en) * 2007-12-17 2011-09-29 Abbott Laboratories Tissue closure system and methods of use
US8820602B2 (en) 2007-12-18 2014-09-02 Abbott Laboratories Modular clip applier
US8414599B1 (en) 2007-12-31 2013-04-09 Dallen Medical, Inc. Dynamic suture tensioning device and methods
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US9039682B2 (en) * 2008-03-14 2015-05-26 Merit Medical Systems, Inc. Suture securement apparatus
US20090234295A1 (en) * 2008-03-14 2009-09-17 Merit Medical Systems, Inc. Suture Securement Apparatus
US8790344B1 (en) 2008-03-18 2014-07-29 Dallen Medical, Inc. Load shaping for dynamic tensioning mechanisms and methods
US8303591B1 (en) 2008-03-18 2012-11-06 Dallen Medical, Inc. Load shaping for dynamic tensioning mechanisms and methods
US8613755B1 (en) * 2008-03-18 2013-12-24 Dallen Medical, Inc. Knotless dynamic suture tensioning device and methods
US9844365B1 (en) 2008-03-18 2017-12-19 Zimmer, Inc. Knotless dynamic suture tensioning device and methods
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical 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
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
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
US20090326561A1 (en) * 2008-06-27 2009-12-31 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US20100010448A1 (en) * 2008-07-09 2010-01-14 Cook Incorporated Anchor assembly
US8556858B2 (en) 2008-07-09 2013-10-15 Cook Medical Technologies Llc Anchor assembly
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
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
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
US20100069930A1 (en) * 2008-09-16 2010-03-18 VentralFix, Inc. Method and apparatus for minimally invasive delivery, tensioned deployment and fixation of secondary material prosthetic devices in patient body tissue, including hernia repair within the patient's herniation site
US20100076462A1 (en) * 2008-09-25 2010-03-25 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying suture anchors
US8480686B2 (en) 2008-09-25 2013-07-09 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying suture anchors
US9089320B2 (en) 2008-09-25 2015-07-28 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying multiple suture anchors
US20100076488A1 (en) * 2008-09-25 2010-03-25 Ethicon Endo-Surgery, Inc. Methods and devices for delivering and applying multiple suture anchors
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
WO2010053708A1 (en) 2008-10-29 2010-05-14 Ethicon Endo-Surgery, Inc. Methods and devices for applying multiple suture anchors
US20100106166A1 (en) * 2008-10-29 2010-04-29 Ethicon Endo-Surgery, Inc. Methods and devices for applying mulitple suture anchors
US8262675B2 (en) 2008-10-29 2012-09-11 Ethicon Endo-Surgery, Inc. Methods and devices for applying multiple suture anchors
US8657852B2 (en) 2008-10-30 2014-02-25 Abbott Vascular Inc. Closure device
US9241696B2 (en) 2008-10-30 2016-01-26 Abbott Vascular Inc. Closure device
US9220526B2 (en) 2008-11-25 2015-12-29 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
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8858594B2 (en) 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US9314230B2 (en) 2009-01-09 2016-04-19 Abbott Vascular Inc. Closure device with rapidly eroding anchor
US9414820B2 (en) 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9089311B2 (en) 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US20110218568A1 (en) * 2009-01-09 2011-09-08 Voss Laveille K Vessel closure devices, systems, and methods
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9011431B2 (en) 2009-01-12 2015-04-21 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US10004558B2 (en) 2009-01-12 2018-06-26 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US9414824B2 (en) 2009-01-16 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8579901B1 (en) 2009-06-17 2013-11-12 Dallen Medical, Inc. Suture band buckle and methods
US8715297B1 (en) 2009-07-14 2014-05-06 Dallen Medical, Inc. Flat suture banding system and methods
US9636109B2 (en) * 2009-07-22 2017-05-02 Wisconsin Alumni Research Foundation Biologically active sutures for regenerative medicine
US20110022085A1 (en) * 2009-07-22 2011-01-27 Wisconsin Alumni Research Foundation Biologically active sutures for regenerative medicine
US8668696B2 (en) 2009-08-20 2014-03-11 Dallen Medical, Inc. Low friction buckle tightening systems and methods
US9585647B2 (en) 2009-08-26 2017-03-07 Abbott Laboratories Medical device for repairing a fistula
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
KR101623231B1 (en) 2009-11-27 2016-05-20 헤어스테틱스 엘티디. Hair implant anchors and systems and methods for use thereof
US9492196B2 (en) 2009-11-27 2016-11-15 Hairstetics, Ltd. Hair implant anchors and systems and methods for use thereof
EP2503945A4 (en) * 2009-11-27 2014-06-11 Hairstetics Ltd Hair implant anchors and systems and methods for use thereof
CN102665579B (en) * 2009-11-27 2015-07-08 海尔斯特提斯有限公司 Hair implant anchors and systems and methods for use thereof
EP2503945A1 (en) * 2009-11-27 2012-10-03 Hairstetics Ltd. Hair implant anchors and systems and methods for use thereof
CN102665579A (en) * 2009-11-27 2012-09-12 海尔斯特提斯有限公司 Hair implant anchors and systems and methods for use thereof
WO2011064772A1 (en) * 2009-11-27 2011-06-03 Hairstetics Ltd. Hair implant anchors and systems and methods for use thereof
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8506564B2 (en) 2009-12-18 2013-08-13 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
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US20130303856A1 (en) * 2010-10-29 2013-11-14 Vectec S.A. Single Use, Disposable, Tissue Suspender Device
US9737289B2 (en) * 2010-10-29 2017-08-22 Vectec S.A. Single use, disposable, tissue suspender device
US8821534B2 (en) 2010-12-06 2014-09-02 Integrated Vascular Systems, Inc. Clip applier having improved hemostasis and methods of use
US20120226308A1 (en) * 2010-12-30 2012-09-06 Vivasure Medical Limited Surgical closure systems and methods
US20160051239A1 (en) * 2010-12-30 2016-02-25 Vivasure Medical Limited Surgical closure systems and methods
US9060751B2 (en) * 2010-12-30 2015-06-23 Vivasure Medical Limited Surgical closure systems and methods
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
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
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
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
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
US9161749B2 (en) 2011-04-14 2015-10-20 Neotract, Inc. Method and apparatus for treating sexual dysfunction
US8974456B2 (en) 2011-05-19 2015-03-10 Dallen Medical, Inc. Hybrid medical device implant with migration management
US8764798B2 (en) 2011-10-03 2014-07-01 Smith & Nephew, Inc. Knotless suture anchor
US8986347B2 (en) 2011-10-03 2015-03-24 Smith & Nephew, Inc. Knotless suture anchor
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
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
US9155528B2 (en) 2012-01-08 2015-10-13 Vibrynt, Inc. Methods, instruments and devices for extragastic reduction of stomach volume
US20160296765A1 (en) * 2012-01-12 2016-10-13 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US9943706B2 (en) * 2012-01-12 2018-04-17 Surgical Radiation Products, Llc Targeting implant for external beam radiation
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9572558B2 (en) 2012-02-29 2017-02-21 Vivasure Medical Limited Devices and methods for delivering implants for percutaneous perforation closure
US9737286B2 (en) 2012-02-29 2017-08-22 Vivasure Medical Limited Implants and methods for percutaneous perforation closure
US9662099B2 (en) 2012-02-29 2017-05-30 Vivasure Medical Limited Percutaneous perforation closure systems, devices, and methods
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US20130345747A1 (en) * 2012-06-20 2013-12-26 Arthrex, Inc. Biological suture anchor with suture eyelet
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9788888B2 (en) 2012-07-03 2017-10-17 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
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9850013B2 (en) 2013-03-15 2017-12-26 Vivasure Medical Limited Loading devices and methods for percutaneous perforation closure systems
WO2015077421A1 (en) * 2013-11-20 2015-05-28 The Regents Of The University Of California System and method for depositing a hook at a target within a soft tissue
US20150173738A1 (en) * 2013-12-23 2015-06-25 Arthrex, Inc. Surgical fixation device with antibacterial substance
US20160242761A1 (en) * 2014-06-15 2016-08-25 Anchora Medical Ltd. Apparatus and method for suturing a tissue
US9795375B2 (en) * 2014-06-15 2017-10-24 Anchora Medical Ltd. Apparatus and method for suturing a tissue
US9770574B2 (en) 2014-10-22 2017-09-26 Merit Medical Systems, Inc. Torque device and securement mechanism
US9480565B2 (en) * 2015-02-02 2016-11-01 On-X Life Technologies, Inc. Rapid deployment artificial chordae tendinae system

Also Published As

Publication number Publication date Type
EP1948033A1 (en) 2008-07-30 application
WO2007059068A1 (en) 2007-05-24 application
JP2009515650A (en) 2009-04-16 application
US7815659B2 (en) 2010-10-19 grant
US7850712B2 (en) 2010-12-14 grant
US20070112383A1 (en) 2007-05-17 application
US20070112384A1 (en) 2007-05-17 application

Similar Documents

Publication Publication Date Title
US5741279A (en) Endoscopic suture system
US7347863B2 (en) Apparatus and methods for manipulating and securing tissue
US5997555A (en) Device and method for suturing blood vessels
US7150750B2 (en) Method and device for endoscopic suturing
US7621925B2 (en) Needle assembly for tissue manipulation
US5282809A (en) Endoscopic suturing device
US6991636B2 (en) Nitinol loop suture passer
US7674275B2 (en) Suture anchor
US6024747A (en) Device and method for suturing blood vessels and the like
US20070027476A1 (en) System and method for all-inside suture fixation for implant attachment and soft tissue repair
US20040167546A1 (en) Methods for reduction of a gastric lumen
US20090030434A1 (en) Surgical Fasteners and Devices for Surgical Fasteners
US20050288689A1 (en) Applicator and method for deploying a surgical fastener
US20070049967A1 (en) Vascular closure methods and apparatuses
US5782864A (en) Knotless suture system and method
US20080275431A1 (en) Anchor Assembly and Method of Use
EP1568326A1 (en) Methods and devices for repairing tissue
US6641592B1 (en) System for wound closure
US20040122473A1 (en) Delivery systems and methods for gastric reduction
US8540735B2 (en) Endoscopic suture cinch system
US20070049968A1 (en) Vascular opening edge eversion methods and apparatuses
US20080161850A1 (en) Suture anchoring system
US20020065524A1 (en) Vascular bypass grafting instrument and method
US6966916B2 (en) Device and method for surgical repair of abdominal wall hernias
US6679895B1 (en) Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue

Legal Events

Date Code Title Description
AS Assignment

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

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:CONLON, SEAN P.;REEL/FRAME:017189/0747

Effective date: 20060215