US3665926A - Ligature and applicator therefor - Google Patents

Ligature and applicator therefor Download PDF

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Publication number
US3665926A
US3665926A US3665926DA US3665926A US 3665926 A US3665926 A US 3665926A US 3665926D A US3665926D A US 3665926DA US 3665926 A US3665926 A US 3665926A
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Prior art keywords
vessel
tape
loop
tubing
wire
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Expired - Lifetime
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Mary Alice Flores
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CR Bard Inc
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CR Bard Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot

Abstract

A vessel ligature constituted by a tape applied around a vessel by means of a hemostat adapted to pass under the vessel, engage the tape, and draw the engaged tape back below the vessel, the tape ends being then passed through an elongated wire loop and drawn with the loop into a plastic sleeve, the sleeve being slidable over the wire loop and along the tape toward the vessel to tighten the bight of the tape around the vessel, and the bight being maintained in vessel-closing position by means of a hemostat clamped on the plastic sleeve and/or tape at a distance from the vessel; and the method including said steps.

Description

United States Patent Flores 51 May 30, 1972 54] LIIGATURE AND APPLHCATOR OTHER PUBLICATIONS THEREFOR Plaut et al., A modification of Campbell s Noose, in Surgery, [72] Inventor: Mary Alice Flores, New Orleans, La. 6; 1 1,079- 1964- [73] Assignee: C. R. Bard, lnc., Glens Falls, NY. Primary Examiner-Channing L. Pace Filed: p 1970 Att0mey-W. Saxton Seward [21] Appl. No.: 26,488 ABSTRACT A vessel ligature constituted by a tape applied around a vessel by means of a hemostat adapted to pass under the vessel, en- [Si] (51 luff/734(6) g g the tape and draw the g g p back below the [5 1 i sel, the tape ends being then passed through an elongated wire [58] Fleld of Search ..l28/326, 327, 334, 346 loop and drawn with the loop into a plastic Sleeve the Sleeve being slidable over the wire loop and along the tape toward [56] References Cited the vessel to ti hten the bi ht of the ta e around the vessel,

2 g P and the bight being maintained in vessel-closing position by UNITED STATES PATENTS means of a hemostat clamped on the plastic sleeve and/or tape at a distance from the vessel; and the method including said 671,337 4/1901 Gibson 128/326 stelm 3,043,308 7/1962 Seltzer 128/346 3,476,1 14 1 1/1969 Shannon et a1. 128/346 5 Claims, 8 Drawing Figures Patented May 30, 1972 FIG 2 Sheets-Sheet 1 IN VENTOR.

-MARY A. FLORES nowwx ATTORNEYS Patented May 30, 1972 3,665,926

2 Sheets-Sheer. 2

INVENTOR.

Y MARY A. FLORES WWW ATTORNEYS LIGATURE AND APPLICATOR THEREFOR There are many surgical procedures in which closure of a vessel (e.g., vein or artery) for short or long periods of time is indicated, to arrest the flow to or from other organs or to or from specified portions of the vessel which are to be treated or observed. Metal clamps or the like are normally used to effect such closures, but metal clamps are heavy, hard, frequently in the way, and likely to damage the vessel or adjacent tissues.

It is an object of the present invention to provide a simple, light, non-metallic vessel closing element, and the means for applying it.

The device comprises three cooperating parts: an elongated wire loop with handle, a short plastictube through which the wire loop may be passed, and a suitable length of tape (e.g., braided umbilical tape) of a size such that its end portions can be drawn, doubled, through the tube by means of the loop. The wire loop may be provided with two pieces of plastic tube for use in effecting two spaced ligations of the same vessel.

A practical'embodiment of the invention and illustration of its method of use are shown in the accompanying drawings, wherein:

FIG. 1 represents an elevation of the entire device, on an enlarged scale, with tape inserted in the wire loop (only a small piece of the tape being shown) and with one piece of plastic tubing carried by the loop, the position of a second piece of tubing, when desired, being indicated in broken lines;

FIGS. 2 to 8 are detail, somewhat diagrammatic views showing successive steps in the practice of the method.

Referring to the drawings, the applicator is constituted by an elongated wire loop 1, the ends of the wire being securely fixed in a suitable metal or plastic handle 2. The wire may suitably have a diameter of 0.014 inch and a convenient length for the applicator is approximately 6 inches. The end 3 of the wire loop is preferably curved to provide an opening 4, the purpose of which will be evident. As shown, two pieces of soft and flexible plastic tubing 5,6 are threaded on the loop and the ends of a ligature 7, such as umbilical tape, extend through the opening 4, in the position which they assume at an early stage of the ligating operation, just before the tubing has been pushed over the doubled ends of the tape, as the first step toward tightening it around a vessel (V in FIGS. 2 to 8).

The openness of the loop end results from making it smoothly curved rather than bent and is designed to facilitate the insertion through the loop of strands of ligating material such as umbilical tape 7, when the applicator is in use as described below.

Referring to FIGS. 2 to 8, a vessel to be tied off at one or more points is shown at V. The vessel is freed sufficiently (e.g., by an arterial cut-down) to permit introduction beneath it of the end of a hemostat 8 or similar instrument (FIG. 2) which grips an end of the ligature (tape) 7 so that it may be drawn under the vessel. The ends of the tape are brought together (FIG. 3), held by the hemostat, and passed through the opening 4 in the wire loop (FIG. 4) where they remain as the hemostat is removed (FIG. 5). The piece of plastic tubing 5 is moved down past the end of the wire loop (FIG. 6) which draws the tape through the tubing, this movement being continued until the ends of the tape are free and can be disengaged from the wire loop (FIG. 7). The clamping of the vessel can then be effected by sliding the tubing along the tape until the small bight 9 in the latter is tightened around the vessel (also FIG. 7), the tubing then being held in position by clamping the tape and/or tubing at a point spaced from the vessel.

The sizes of the tape and of the tubing are coordinated to provide a loose engagement between them since the hemostat serves to hold them in vessel closing position. A tighter fit can be effected if the free ends of the tape are long enough to remain in the tubing when the vessel is closed, the wire loop being detached by cutting the tape, but this would tend to make removal more difiicult.

In FIG. 8 is shown the closing of the vessel at two spaced points, as frequently required, the second closure being effected by the use of a second tape 7' applied and secured as described above, using the second piece of tubing 6 and clampin it in place by means of a second hemostat 8.

To re ease the tie-offs, the hemostats (or the like) are removed, the tubing is retracted and the tape may be cut on one side or the other of the vessel permitting the end beneath the vessel to be withdrawn.

The only materials resting in contact with the vessel and adjacent parts of the patients body are the soft textile tape and the soft flexible pieces of plastic tubing, so that trauma and the danger of possible damage to delicate body parts are minimized. The applicator is so simple and inexpensive that it may be considered disposable, but its simplicity also adapts it for ready cleaning and sterilization if desired. At least the tape and plastic tubing would normally be discarded after use. The term tape is used herein to include flexible cord-like elements, whether braided, twisted, plied or monofilament. While the arrangement of a bent wire having both ends fixed in a handle is particularly convenient, a possible alternative could be a wire or the like, having a handle on one end and a suitably shaped loop on the other; such a device could be made from a single piece of plastic material. The term loop" is intended to include a hook of suitable shape, i.e., one over which the tubing can be passed without catching.

What is claimed is:

1. A vessel ligature or clamp applicator comprising an elongated wire element terminating at one end in an integral loop, a piece of plastic tubing shorter than said element and fitted thereon, said tubing being slidable past said loop onto a piece of tape having both its ends passed through said loop, the plastic tubing being further slidable along said tape and a handle fixed to the opposite end of said wire element.

2. A vessel ligature or clamp applicator according to claim 1 in which the elongated wire element is a wire doubled on itself adjacent its middle, and in which the handle is affixed to both ends of said wire.

3. A vessel ligature or clamp applicator according to claim 2 in which the wire loop is curved to form an opening through which the tape ends can readily be passed.

4. A vessel ligature and applicator assembly comprising an elongated wire element terminating at one end in an integral loop, a piece of plastic tubing shorter than said element and fitted thereon, said tubing being slidable past said loop, a handle fixed to the opposite end of said wire element, and a piece of tape having two ends adapted to be doubled on itself around a vessel to be ligated, the end portions being engaged in the loop and adapted to be drawn through the tubing by relative sliding movement of the tubing and the wire element and to be released from the loop when the tubing is slid therefrom.

5. A vessel ligature and applicator assembly according to claim 4 in which the plastic is of a soft composition and is adapted, by sliding along the double tape, to tighten the bight of the tape around the vessel with minimum danger of damage to the vessel.

Claims (5)

1. A vessel ligature or clamp applicator comprising an elongated wire element terminating at one end in an integral loop, a piece of plastic tubing shorter than said element and fitted thereon, said tubing being slidable past said loop onto a piece of tape having both its ends passed through said loop, the plastic tubing being further slidable along said tape and a handle fixed to the opposite end of said wire element.
2. A vessel ligature or clamp applicator according to claim 1 in which the elongated wire element is a wire doubled on itself adjacent its middle, and in which the handle is affixed to both ends of said wire.
3. A vessel ligature or clamp applicator according to claim 2 in which the wire loop is curved to form an opening through which the tape ends can readily be passed.
4. A vessel ligature and applicator assembly comprising an elongated wire element terminating at one end in an integral loop, a piece of plastic tubing shorter than said element and fitted thereon, said tubing being slidable past said loop, a handle fixed to the opposite end of said wire element, and a piece of tape having Two ends adapted to be doubled on itself around a vessel to be ligated, the end portions being engaged in the loop and adapted to be drawn through the tubing by relative sliding movement of the tubing and the wire element and to be released from the loop when the tubing is slid therefrom.
5. A vessel ligature and applicator assembly according to claim 4 in which the plastic is of a soft composition and is adapted, by sliding along the double tape, to tighten the bight of the tape around the vessel with minimum danger of damage to the vessel.
US3665926A 1970-04-08 1970-04-08 Ligature and applicator therefor Expired - Lifetime US3665926A (en)

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Cited By (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3786816A (en) * 1972-12-21 1974-01-22 Technibiotics Method and apparatus for occluding fluid flow through vessels
US3877434A (en) * 1974-02-11 1975-04-15 Sherwood Medical Ind Inc Vascular tourniquet
US3892241A (en) * 1973-04-09 1975-07-01 Harry H Leveen Disposable plastic blood vessel clamp
US3970075A (en) * 1974-09-30 1976-07-20 Sindelar Frank J Surgical retractor anchor apparatus
US4018229A (en) * 1974-09-13 1977-04-19 Olympus Optical Co., Ltd. Apparatus for ligation of affected part in coeloma
US4177813A (en) * 1978-01-09 1979-12-11 Med General, Inc. Vessel occluder
US4478219A (en) * 1982-03-24 1984-10-23 Manuel Dujovny Temporary microvascular occluder
DE3523733A1 (en) * 1984-07-17 1986-01-23 Williams clamp
US4600008A (en) * 1984-01-09 1986-07-15 Schmidt Richard G Instrument for removing foreign substances from the eye
US4917089A (en) * 1988-08-29 1990-04-17 Sideris Eleftherios B Buttoned device for the transvenous occlusion of intracardiac defects
US5143082A (en) * 1991-04-03 1992-09-01 Ethicon, Inc. Surgical device for enclosing an internal organ
US5144961A (en) * 1991-07-11 1992-09-08 Ethicon, Inc. Endoscopic ligating device
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
US5266075A (en) * 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
US5284485A (en) * 1992-09-16 1994-02-08 Ethicon, Inc. Endoscopic knotting device
US5300078A (en) * 1992-10-09 1994-04-05 Laparomed Corporation Device and method for applying large-diameter ligating loop
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5403331A (en) * 1993-03-12 1995-04-04 United States Surgical Corporation Looped suture ligating device containing a heat-shrinkable element
US5417699A (en) * 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5423836A (en) * 1993-09-22 1995-06-13 Pa Consulting Group Endoscopic knot tying tool and method
US5489288A (en) * 1992-10-09 1996-02-06 Advanced Surgical, Inc. Device and method for applying large-diameter ligating loop
US5490856A (en) * 1993-12-14 1996-02-13 Untied States Surgical Corporation Purse string stapler
US5527322A (en) * 1993-11-08 1996-06-18 Perclose, Inc. Device and method for suturing of internal puncture sites
WO1997000046A1 (en) 1995-06-15 1997-01-03 Perclose, Inc. Low profile intraluminal suturing device and method
US5611803A (en) * 1994-12-22 1997-03-18 Urohealth Systems, Inc. Tissue segmentation device
US5643273A (en) * 1995-02-17 1997-07-01 Clark; Ron ACL bone tunnel projection drill guide and method for its use
US5741281A (en) * 1992-11-17 1998-04-21 Smith & Nephew, Inc. Suture securing apparatus
US6010514A (en) * 1998-03-17 2000-01-04 Burney; Bryan T. Suturing assembly and method of use
US6036699A (en) * 1992-12-10 2000-03-14 Perclose, Inc. Device and method for suturing tissue
US6190396B1 (en) 1999-09-14 2001-02-20 Perclose, Inc. Device and method for deploying and organizing sutures for anastomotic and other attachments
US6319193B1 (en) 1998-06-05 2001-11-20 Sumitomo Bakelite Company Ltd Auxiliary device for pulsatile coronary artery bypass
US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US20030093093A1 (en) * 1999-03-04 2003-05-15 Modesitt D. Bruce Articulating suturing device and method
US20030153930A1 (en) * 2000-12-26 2003-08-14 Bernard De Canniere Clamping device for anatomical structure
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US20040097979A1 (en) * 2002-11-14 2004-05-20 Oleg Svanidze Aortic valve implantation device
US20040097978A1 (en) * 1999-03-04 2004-05-20 Modesitt D. Bruce Articulating suturing device and method
US20040154622A1 (en) * 2003-02-10 2004-08-12 Davis Billy B. Endotracheal tube and an apparatus, and method of making same, for securing an endotracheal tube
US20040210238A1 (en) * 2000-08-25 2004-10-21 Nobles Anthony A Suture cutter
US20050070923A1 (en) * 2003-09-26 2005-03-31 Mcintosh Scott A. Device and method for suturing intracardiac defects
US20050149065A1 (en) * 2003-12-19 2005-07-07 Modesitt D. B. Device and method for suturing of internal puncture sites
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
US7029481B1 (en) 2000-11-06 2006-04-18 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US20070010829A1 (en) * 2005-06-20 2007-01-11 Nobles Anthony A Method and apparatus for applying a knot to a suture
US7445626B2 (en) 1992-12-10 2008-11-04 Abbott Laboratories Device and method for suturing tissue
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
CN101480351B (en) 2009-02-06 2011-04-06 中国人民解放军第四军医大学 Recoverable vascular blocking device
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US20130267965A1 (en) * 2010-10-05 2013-10-10 Sapporo Medical University Ligator and ligation method
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
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US9131938B2 (en) 2007-03-29 2015-09-15 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9326764B2 (en) 2008-05-09 2016-05-03 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9398907B2 (en) 1999-07-02 2016-07-26 Quickpass, Inc. Suturing device
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US9649106B2 (en) 2011-04-15 2017-05-16 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US9706988B2 (en) 2012-05-11 2017-07-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US671337A (en) * 1900-12-06 1901-04-02 Llewellyn Gibson Ligating-forceps.
US3043308A (en) * 1960-04-22 1962-07-10 Edward I Seltzer Surgical clamp
US3476114A (en) * 1967-01-10 1969-11-04 Amp Inc Ligating implement

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US671337A (en) * 1900-12-06 1901-04-02 Llewellyn Gibson Ligating-forceps.
US3043308A (en) * 1960-04-22 1962-07-10 Edward I Seltzer Surgical clamp
US3476114A (en) * 1967-01-10 1969-11-04 Amp Inc Ligating implement

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Plaut et al., A modification of Campbell s Noose, in Surgery, 56: No. 6; 1,078 1,079. 1964. *

Cited By (125)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3786816A (en) * 1972-12-21 1974-01-22 Technibiotics Method and apparatus for occluding fluid flow through vessels
US3892241A (en) * 1973-04-09 1975-07-01 Harry H Leveen Disposable plastic blood vessel clamp
US3877434A (en) * 1974-02-11 1975-04-15 Sherwood Medical Ind Inc Vascular tourniquet
US4018229A (en) * 1974-09-13 1977-04-19 Olympus Optical Co., Ltd. Apparatus for ligation of affected part in coeloma
US3970075A (en) * 1974-09-30 1976-07-20 Sindelar Frank J Surgical retractor anchor apparatus
US4177813A (en) * 1978-01-09 1979-12-11 Med General, Inc. Vessel occluder
US4478219A (en) * 1982-03-24 1984-10-23 Manuel Dujovny Temporary microvascular occluder
US4600008A (en) * 1984-01-09 1986-07-15 Schmidt Richard G Instrument for removing foreign substances from the eye
DE3523733A1 (en) * 1984-07-17 1986-01-23 Williams clamp
JPS6137148A (en) * 1984-07-17 1986-02-22 Geibu Uiriamuzu Teimoshii Clamp
US4917089A (en) * 1988-08-29 1990-04-17 Sideris Eleftherios B Buttoned device for the transvenous occlusion of intracardiac defects
US5143082A (en) * 1991-04-03 1992-09-01 Ethicon, Inc. Surgical device for enclosing an internal organ
USRE35164E (en) * 1991-04-03 1996-03-05 Ethicon, Inc. Surgical device for enclosing an internal organ
US5144961A (en) * 1991-07-11 1992-09-08 Ethicon, Inc. Endoscopic ligating device
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
US5284485A (en) * 1992-09-16 1994-02-08 Ethicon, Inc. Endoscopic knotting device
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5266075A (en) * 1992-10-05 1993-11-30 Roy Clark Tendon threader for endosteal ligament mounting
US5300078A (en) * 1992-10-09 1994-04-05 Laparomed Corporation Device and method for applying large-diameter ligating loop
US5489288A (en) * 1992-10-09 1996-02-06 Advanced Surgical, Inc. Device and method for applying large-diameter ligating loop
US5741281A (en) * 1992-11-17 1998-04-21 Smith & Nephew, Inc. Suture securing apparatus
EP1236437A1 (en) 1992-12-10 2002-09-04 Abbott Laboratories Vascular puncture site suturing device
US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US5417699A (en) * 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US6036699A (en) * 1992-12-10 2000-03-14 Perclose, Inc. Device and method for suturing tissue
US5860991A (en) * 1992-12-10 1999-01-19 Perclose, Inc. Method for the percutaneous suturing of a vascular puncture site
US7445626B2 (en) 1992-12-10 2008-11-04 Abbott Laboratories Device and method for suturing tissue
US5613974A (en) * 1992-12-10 1997-03-25 Perclose, Inc. Apparatus and method for vascular closure
US5779719A (en) * 1992-12-10 1998-07-14 Perclose, Inc. Device and method for the percutaneous suturing of a vascular puncture site
US5403331A (en) * 1993-03-12 1995-04-04 United States Surgical Corporation Looped suture ligating device containing a heat-shrinkable element
US5423836A (en) * 1993-09-22 1995-06-13 Pa Consulting Group Endoscopic knot tying tool and method
US6206893B1 (en) 1993-11-08 2001-03-27 Perclose, Inc. Device and method for suturing of internal puncture sites
US5792152A (en) * 1993-11-08 1998-08-11 Perclose, Inc. Device and method for suturing of internal puncture sites
US5527322A (en) * 1993-11-08 1996-06-18 Perclose, Inc. Device and method for suturing of internal puncture sites
US6517553B2 (en) 1993-11-08 2003-02-11 Abbott Laboratories Device and method for suturing of internal puncture sites
US5490856A (en) * 1993-12-14 1996-02-13 Untied States Surgical Corporation Purse string stapler
US5611803A (en) * 1994-12-22 1997-03-18 Urohealth Systems, Inc. Tissue segmentation device
US5643273A (en) * 1995-02-17 1997-07-01 Clark; Ron ACL bone tunnel projection drill guide and method for its use
WO1997000046A1 (en) 1995-06-15 1997-01-03 Perclose, Inc. Low profile intraluminal suturing device and method
US5921994A (en) * 1995-06-15 1999-07-13 Perclose, Inc. Low profile intraluminal suturing device and method
US5902311A (en) * 1995-06-15 1999-05-11 Perclose, Inc. Low profile intraluminal suturing device and method
US6010514A (en) * 1998-03-17 2000-01-04 Burney; Bryan T. Suturing assembly and method of use
US6319193B1 (en) 1998-06-05 2001-11-20 Sumitomo Bakelite Company Ltd Auxiliary device for pulsatile coronary artery bypass
US9993237B2 (en) 1999-03-04 2018-06-12 Abbott Laboratories Articulating suturing device and method
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US20030093093A1 (en) * 1999-03-04 2003-05-15 Modesitt D. Bruce Articulating suturing device and method
US8663248B2 (en) 1999-03-04 2014-03-04 Abbott Laboratories Articulating suturing device and method
US7235087B2 (en) 1999-03-04 2007-06-26 Abbott Park Articulating suturing device and method
US8323298B2 (en) 1999-03-04 2012-12-04 Abbott Laboratories Articulating suturing device and method
US8172860B2 (en) 1999-03-04 2012-05-08 Abbott Laboratories Articulating suturing device and method
US20040097978A1 (en) * 1999-03-04 2004-05-20 Modesitt D. Bruce Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
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US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US7837696B2 (en) 1999-03-04 2010-11-23 Abbott Laboratories Articulating suturing device and method
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US9398907B2 (en) 1999-07-02 2016-07-26 Quickpass, Inc. Suturing device
US7048747B2 (en) 1999-09-14 2006-05-23 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6190396B1 (en) 1999-09-14 2001-02-20 Perclose, Inc. Device and method for deploying and organizing sutures for anastomotic and other attachments
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US7905892B2 (en) 2000-08-25 2011-03-15 Nobles Medical Technologies, Inc. Suture cutter
US20040210238A1 (en) * 2000-08-25 2004-10-21 Nobles Anthony A Suture cutter
US7029481B1 (en) 2000-11-06 2006-04-18 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US20060167476A1 (en) * 2000-11-06 2006-07-27 Perclose, Inc Systems, devices and methods for suturing patient tissue
US7377927B2 (en) 2000-11-06 2008-05-27 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US20030153930A1 (en) * 2000-12-26 2003-08-14 Bernard De Canniere Clamping device for anatomical structure
US7022126B2 (en) * 2000-12-26 2006-04-04 Cardio Life Research S.A. Clamping device for anatomical structure
US20040097979A1 (en) * 2002-11-14 2004-05-20 Oleg Svanidze Aortic valve implantation device
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US20110071472A1 (en) * 2002-12-31 2011-03-24 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US20040154622A1 (en) * 2003-02-10 2004-08-12 Davis Billy B. Endotracheal tube and an apparatus, and method of making same, for securing an endotracheal tube
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
US20050070923A1 (en) * 2003-09-26 2005-03-31 Mcintosh Scott A. Device and method for suturing intracardiac defects
US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US8257368B2 (en) 2003-09-26 2012-09-04 Abbott Laboratories Device for suturing intracardiac defects
US8361088B2 (en) 2003-09-26 2013-01-29 Abbott Laboratories Device and method for suturing intracardiac defects
US20050149065A1 (en) * 2003-12-19 2005-07-07 Modesitt D. B. Device and method for suturing of internal puncture sites
US7390328B2 (en) 2003-12-19 2008-06-24 Abbott Laboratories Device and method for suturing of internal puncture sites
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8597309B2 (en) 2003-12-23 2013-12-03 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8469975B2 (en) 2005-06-20 2013-06-25 Nobles Medical Technologies, Inc. Method and apparatus for applying a knot to a suture
US20070010829A1 (en) * 2005-06-20 2007-01-11 Nobles Anthony A Method and apparatus for applying a knot to a suture
US9642616B2 (en) 2005-06-20 2017-05-09 Nobles Medical Technologies, Inc. Method and apparatus for applying a knot to a suture
US8197497B2 (en) 2005-06-20 2012-06-12 Medtronic Vascular, Inc. Method and apparatus for applying a knot to a suture
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US8430893B2 (en) 2006-08-18 2013-04-30 Abbott Laboratories Articulating suturing device and method
US9131938B2 (en) 2007-03-29 2015-09-15 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US9326764B2 (en) 2008-05-09 2016-05-03 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
CN101480351B (en) 2009-02-06 2011-04-06 中国人民解放军第四军医大学 Recoverable vascular blocking device
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US20130267965A1 (en) * 2010-10-05 2013-10-10 Sapporo Medical University Ligator and ligation method
US9393020B2 (en) * 2010-10-05 2016-07-19 Sapporo Medical University Ligator and ligation method
US9649106B2 (en) 2011-04-15 2017-05-16 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9706988B2 (en) 2012-05-11 2017-07-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
CN104546039A (en) * 2014-12-19 2015-04-29 山东博达医疗用品有限公司 Endoscope loop line device for minimally invasive surgery

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