WO2000045710A1 - Ensemble cable de guidage et ensemble separateur pour intervention chirurgicale - Google Patents

Ensemble cable de guidage et ensemble separateur pour intervention chirurgicale Download PDF

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Publication number
WO2000045710A1
WO2000045710A1 PCT/US2000/003871 US0003871W WO0045710A1 WO 2000045710 A1 WO2000045710 A1 WO 2000045710A1 US 0003871 W US0003871 W US 0003871W WO 0045710 A1 WO0045710 A1 WO 0045710A1
Authority
WO
WIPO (PCT)
Prior art keywords
guide line
surgical
assembly
component
distal end
Prior art date
Application number
PCT/US2000/003871
Other languages
English (en)
Inventor
Hugh Trout, Iii
Howard Tanner
Original Assignee
Eva Corporation
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
Application filed by Eva Corporation filed Critical Eva Corporation
Priority to US09/936,202 priority Critical patent/US6855159B1/en
Priority to EP00911820A priority patent/EP1148822A4/fr
Priority to JP2000596836A priority patent/JP2002536044A/ja
Publication of WO2000045710A1 publication Critical patent/WO2000045710A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06057—Double-armed sutures, i.e. sutures having a needle attached to each end
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires

Definitions

  • the present invention relates generally to a surgical guide line assembly.
  • the present invention is directed to a surgical guide line assembly for use in remote controlled surgical procedures.
  • the present invention also related to a separator assembly for use in connection with the surgical guide line assembly to ensure that surgical components do not become entwined during a surgical procedure.
  • the present invention is directed to a surgical guide line assembly for use during a surgical procedure.
  • the surgical guide line assembly permits the manipulation of a surgical component within a vessel during a surgical procedure, such as for example an intravascular procedure.
  • the surgical guide line assembly includes a guide line component having a proximal end and a distal end, and at least one suture secured to the distal end of the guide line component.
  • the surgical guide line assembly may further include a surgical needle connected to each of the at least one suture.
  • the surgical guide line according to the present invention may further include a broad line assembly that is positioned around the distal end of the guide line component and a portion of the at least one suture.
  • the broad line assembly produces a flexible curved end portion of the guide line assembly.
  • the surgical guide line assembly may further include a control assembly connected to the guide line component. The control assembly permits manipulation of the guide line assembly within the vessel from a remote location.
  • the present invention is also directed to a surgical guide line assembly for use during a surgical procedure.
  • the surgical guide assembly permits the manipulation of a surgical component within a vessel during a surgical procedure, such as for example an intravascular procedure.
  • the surgical guide line assembly includes a guide line component having a proximal end and a distal end, and at least one suture secured to the distal end of the guide line component.
  • the surgical guide line assembly may further include a surgical needle connected to each of the at least one suture.
  • the at least one suture according to the present invention may be secured to the guide line component in one of several ways. It may be bonded directly to the component.
  • the at least one suture may be secured to the guide line component within a formed cavity in the distal end of the guide line component. Alternatively, the suture may be secured to the distal end of the guide line component within a central passageway in the component.
  • the guide line component may have a bent portion located adjacent the distal end.
  • the guide line component may have an articulated portion located adjacent the distal end.
  • the control assembly is capable of permitting manipulation of the articulated portion of the guide line component.
  • the present invention is also directed to a surgical separator assembly for use in separating at least two surgical components during a surgical procedure in a vessel.
  • the surgical separator assembly includes a separating assembly for receiving the at least two surgical components during the surgical procedure.
  • the surgical separator assembly further includes an advancing assembly for advancing the separating assembly within the vessel during the surgical procedure.
  • the advancing assembly may include a catheter.
  • the separating assembly may be rotatably connected to the advancing assembly.
  • the separator assembly further includes a control assembly for selectively locking the separating assembly to prevent rotation of the separating assembly.
  • the separating assembly may include at least two apertures therein. Each of the apertures is sized to receive at least a portion of a surgical component therein.
  • the present invention is also directed to a surgical system for use during a surgical procedure within a vessel.
  • the surgical system includes both the guide line assemblies described herein in combination with the surgical separator assembly.
  • Fig. 1 is a perspective view of a guide line assembly according to an embodiment of the present invention
  • Fig. 2 is a schematic view of the guide line assembly according to Fig. 1 secured to a repair graft
  • Fig. 3 is a schematic view of a guide line assembly according to another embodiment of the present invention secured to a repair graft
  • Fig. 4 is a cross section of the guide line component of Figs. 1-3 according to one embodiment of the present invention.
  • Fig. 5 is a cross section of the guide line component of Figs. 1-3 according to another embodiment of the present invention.
  • Fig. 6 is a cross section of the guide line component of Figs. 1-3 according to another embodiment of the present invention.
  • Fig. 7 is a cross section of the guide line component of Figs, 1-3 according to another embodiment of the present invention
  • Fig. 8 is a partial cross section of a guide line assembly according to another embodiment of the present invention
  • Fig. 9 is a perspective view of the guide line assembly according to the embodiment of Fig. 8;
  • Fig. 10 is a perspective view of a guide line assembly according to another embodiment of the present invention.
  • Fig. 11 is a perspective view of the end portion of the guide line component according to an embodiment of the present invention.
  • Fig. 12 is a perspective view of the end portion of the guide line component according to another embodiment of the present invention
  • Fig. 13 is a perspective view of the end portion of the guide line component according to another embodiment of the present invention
  • Fig. 14 is a perspective view of a guide line assembly according to another embodiment of the present invention
  • Fig. 15 is a perspective view of a guide line assembly according to another embodiment of the present invention
  • Fig. 16 is a perspective view of a guide line and suture separating assembly according tot he present invention
  • Fig. 17 is a cross section view of the head of the separating assembly of Fig. 16;
  • Fig. 18 is a schematic view of the separator assembly of Fig. 16 in accordance with the present invention used to position a graft assembly within a vessel.
  • the guide line assemblies may be radially positioned about the perimeter of the proximal lip of the repair graft assembly and extend caudad to the femoral incision and thereafter to a hand controller 2, shown in Fig. 2. It is also contemplated that the guide line assemblies may extend cephalad to the axillary or brachial incision.
  • the operation of the hand controller permits the manipulation of the at least one guide line assembly, which in turn adjusts the positioning of the repair graft assembly within the vessel during the surgical procedure.
  • Guide line assembly 10 includes a guideline component 11.
  • the guide line component 11 has a distal end which is located within the vessel during the surgical procedure and a proximal end which extends from within the vessel.
  • the guide line assembly 10 further includes at least one suture 12 connected to the guide line component 11. The at least one suture 12 is secured to one end of the guide line component 11.
  • the guide line component 11 has sufficient length such that it may extend from within the vessel caudad to the femoral incision and thereafter to a hand controller 2.
  • the guide line component 11 is preferably formed from nitonol. It, however, is contemplated that the guide line component 11 may be formed from a similar biocompatible material.
  • At least one suture 12 is secured to the guide line component 11.
  • the embodiment of the present invention illustrated in Figs. 1 and 2 includes a pair of sutures 12.
  • the present invention is not limited to a pair of sutures 12.
  • a single suture 12 may be used as shown in Fig. 3.
  • a plurality of sutures may extend from the distal end of the guide line component 11.
  • the sutures 12 are mechanically coupled to the distal end of the guide line component 11.
  • the at least one suture 12 may be bonded to the end of the guide line component 11, as shown for example in Fig. 1.
  • Other forms of coupling are considered to be well within the scope of the present invention.
  • FIG. 8 another coupling attachment is illustrated in the embodiment depicted in Fig. 8.
  • the at least one suture 12 is crimped to the end of the guide line component 11.
  • a formed cavity 14 is provided in the end portion of the guide line component 11.
  • the at least one suture 12 is inserted into the formed cavity 14 such that the at least one suture 12 is held firmly in place upon crimping of the end of the guide line component 11.
  • an insert 15 may be provided within the cavity 14.
  • the at least one suture 12 may be positioned around the insert 15 such that upon crimping of the end of the guide line component 11 the at least suture 12 is firmly secured to it.
  • Fig. 9 is a perspective view of the end of the guide line component 11 in the crimped position.
  • FIG. 10 illustrates another embodiment of the coupling attachment for the guide line component 11.
  • the at least one suture 12 is crimped within the hollow portion, shown in Figs. 4-7, of the guide line component 11.
  • no secondary drilling is required.
  • detailing of the transition between the guide line component 11 and the at least one suture 12 may be required to remove potential burrs as well as round the corners to prevent the unintentional separation of the guide line component 11 and the at least one suture 12. Furthermore, this detailing will prevent the guide line assembly 10 from becoming unintentionally caught within the vessel.
  • the guideline assembly 10 includes a surgical needle assembly 13 secured to one end of the suture 12.
  • the provision of the surgical needle assembly 13 facilitates the attachment of the guide line assembly 10 to a repair graft assembly 1, as shown for example in Figs. 2 and 3.
  • the guide line component 11 may be formed in one of several profiles, as depicted in Figs. 4-7.
  • Fig. 4 illustrates a guide line component 11 according to the present invention having a rectangular profile 111 having rounded corners. The rounded corners facilitate smooth movement of the guide line assembly 10 within the vessel.
  • Fig. 5 illustrates a profile for the guide line component 11 according to another embodiment of the present invention.
  • the guide line component 11 illustrated in Fig. 5 has an elongated or obround profile 112 having rounded ends. As discussed above in connection with the rounded corners, the rounded ends facilitate smooth movement of the guide line assembly 10 within the vessel. Additionally, the elongated profile 112 may have a solid construction. A hollow or tubular construction having a central aperture 1120, shown in phantom, is also considered to be well within the scope of the present invention.
  • Fig. 6 illustrates a profile for the guide line component 11 according to another embodiment of the present invention.
  • the guide line component 11 illustrated in Fig. 6 has an elliptical profile 113.
  • the elongated profile 113 may have a solid construction.
  • Ahollow or tubular construction having a central aperture 1130, shown in phantom, is also considered to be well within the scope of the present invention.
  • Fig. 7 illustrates a profile for the guide line component 11 according to yet another embodiment of the present invention.
  • the guide line component 11 illustrated in Fig. 7 has a circular profile 114.
  • the circular profile 114 may have a solid construction.
  • a hollow or tubular construction having a central aperture 1140, shown in phantom is also considered to be well within the scope of the present invention.
  • the distal end of the guide line component 11 may have a linear orientation, as shown in Fig. 11.
  • the distal end of the guide line component 11 may have a bent configuration 41, as shown in Fig. 12.
  • the distal end of the guide line component 11 may be articulated to facilitate manipulation of the guide line assembly 10 within the vessel for positioning a surgical component such as for example a repair graft assembly 2, as shown in Fig. 13.
  • the guide line component 11 includes an articulated segment 31 located adjacent the distal end.
  • the articulated segment 31 may be manually adjusted by the surgeon. It, however, is contemplated that the articulated segment 31 may be remotely adjusted using the hand controller 2 or other suitable manipulation assembly.
  • the operation of the guide line assembly 10 will now be described in connection with a repair graft assembly 2. It, however, is contemplated by the inventors of the present invention that the guide line assembly 10 may be used with other surgical components for use in other intravascular procedures.
  • the guide line assembly 10 is secured to the repair graft assembly 2. Specifically, the surgical needle 13 is inserted through the lip of the repair graft assembly 2. The surgical needle 13 is then looped around the suture 12 to secure the guide line assembly 10 to the repair graft assembly 2. The surgical needle 13 is then removed. The repair graft 2 can then be inserted and maneuvered within the vessel. The positioning of the repair graft 2 within the vessel can be adjusted using the hand controller 2.
  • Guide line assembly 20 includes a guide line component 21.
  • the guide line component 21 is fairly stiff.
  • the guide line component 21 has a distal end which is located within the vessel during the surgical procedure and a proximal end which extends from within the vessel.
  • the guide line assembly 20 is manipulated within the vessel adjacent the proximal end of the guide line component 21.
  • the guide line assembly 20 further includes at least one suture 22 connected to the guide line component 21. The at least one suture 22 is secured to one end of the guide line component 21.
  • the guide line component 21 has sufficient length such that it may- extend from within the vessel caudad to the femoral incision and thereafter to a hand controller as shown in Fig. 1 in connection with guide line assembly 10.
  • the guide line component 21 is preferably formed from nitonol. It, however, is contemplated that the guide line component 11 may be formed from a similar biocompatible material.
  • At least one suture 22 is secured to the guide line component 21.
  • the embodiment of the present invention illustrated in Fig. 14 includes a pair of sutures 22. The present invention, however, is not limited to a single suture 22. It is contemplated that more than one suture 22 may be used.
  • the suture 22 is mechanically coupled to the distal end of the guide line component 21.
  • the at least one suture 22 may be bonded and/or crimped to the end of the guide line component 21.
  • Other forms of coupling are considered to be well within the scope of the present invention.
  • the guide line assembly 20 according to embodiments of the present invention includes a surgical needle assembly 23 secured to one end of the suture 22. The provision of the surgical needle assembly 23 facilitates the attachment of the guide line assembly 10 to a repair graft assembly 20 or other suitable surgical component within the vessel.
  • the distal end of the guide line assembly 20 may be curved, as shown in Fig. 14.
  • a broad line assembly 24 surrounds the suture 22 adjacent the distal end of the guide line component 21.
  • the broad line assembly 24 permits the distal end of the guide line assembly 20 to retain its curved shape.
  • the broad line assembly 24 is preferably flexible. It is preferably formed from a spring type material.
  • the end of the guide line component 21 and the suture 22 may be coated and/or sheathed with a thin layer 25 of Gore-Tex® or other suitable material. The thin layer 25 prevents the curved end portion of the guide line assembly 20 from snagging when it is manipulated within the vessel and/or removed from the vessel.
  • a guide line assembly 50 according to another embodiment of the present invention is illustrated in Fig. 15.
  • the guide line assembly 50 includes a guide line component 51, which is fairly stiff.
  • the component 51 may be formed from a thin metal rod or needle.
  • the component 51 has a distal end that is located within the vessel during the surgical procedure and a proximal end that extends from within the vessel.
  • the guide line assembly 50 further includes at least one suture 52 secured to the distal end of the component 51.
  • a surgical needle assembly 53 is secured to one end of the suture 52.
  • the surgical needle assembly 53 may be straight or curved, as shown in Fig. 15. During a surgical procedure, it is possible that several guide line assemblies, described above, may be located within the vessel.
  • the separator assembly 60 includes a catheter assembly 61.
  • One end of the catheter assembly 61 includes a separating assembly 62 connected thereto.
  • the separating assembly 62 is capable of rotating about the axis of the catheter assembly 61.
  • the separating assembly 62 includes a plurality of opening 621 are sized to receive a guide line assembly or a suture therein.
  • An opposite end of the catheter assembly 61 includes a handle assembly 63. The handle assembly 63, when compressed, locks the separating assembly 62 in place such that it cannot rotate about the axis of the catheter assembly 61.
  • the separator assembly 60 The free ends of the suture and guide line assemblies are threaded through the openings 621 in the separating assembly 62.
  • the separator assembly 60 is advanced within the vessel along the sutures and guide line assemblies.
  • the free ends of the sutures and the guide line assemblies located outside the vessel are preferably held in place to prevent insertion into the vessel while the separator assembly 60 is advanced to its furthest most position within the vessel.
  • the separating assembly 62 freely rotates about the catheter assembly 61.
  • the handle assembly 63 is operated to lock the separating assembly 62 to prevent its rotation.
  • the separator assembly 60 may then be withdrawn from the vessel during which time the sutures and guide line assemblies may be straightened out and untangled. It is contemplated that the separator assembly 60 may be used in connection with any of the above described guide line assemblies. It is further contemplated that the separator assembly 60 may be used to separate sutures or a combination of sutures and guide line assemblies. It is further contemplated that the separator assembly 60 may be used in connection with any other surgical component that is capable of being entangled within a vessel during a surgical procedure.
  • the separator assembly 60 may be used to position and rotate a graft assembly 7 within the vessel, as shown in Fig. 18.
  • a single suture 5 may be fed through two openings 621 in the separating assembly 62 and loops 71 on the graft assembly 7.
  • the graft assembly 7 may be advanced into position within the vessel by inserting the separator assembly 60 into the vessel.
  • the separator assembly 60 As the separator assembly 60 is inserted, the graft assembly 7 and the separating assembly 62 will rotate freely about the axis of the catheter assembly 61.
  • the handle assembly 63 is operated to prevent rotation of separating assembly 62.
  • the catheter assembly 61 may then be rotated to position the graft assembly 7 in the desired location.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

Cette invention concerne un ensemble câble de guidage chirurgical (10) conçu pour être utilisé lors d'une intervention chirurgicale. Cet ensemble guide chirurgical (10) permet la manipulation d'un composant chirurgical à l'intérieur d'un vaisseau lors d'une intervention chirurgicale intravasculaire notamment. Cet ensemble câble de guidage chirurgical (10) comprend d'une part un composant câble de guidage (11) définissant une extrémité proximale et une extrémité distale et d'autre part au moins un fil de suture (12) fixé à l'extrémité distale du composant câble de guidage (11). La présente invention concerne également un ensemble séparateur chirurgical (60) conçu pour séparer au moins deux composants chirurgicaux lors d'une intervention chirurgicale à l'intérieur d'un vaisseau.
PCT/US2000/003871 1999-02-05 2000-02-04 Ensemble cable de guidage et ensemble separateur pour intervention chirurgicale WO2000045710A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US09/936,202 US6855159B1 (en) 1999-02-05 2000-02-04 Surgical guide line assembly and separator assembly for use during a surgical procedure
EP00911820A EP1148822A4 (fr) 1999-02-05 2000-02-04 Ensemble cable de guidage et ensemble separateur pour intervention chirurgicale
JP2000596836A JP2002536044A (ja) 1999-02-05 2000-02-04 外科手術手順中に使用するための外科手術ガイド・ライン・アセンブリおよびセパレータ・アセンブリ

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US11877999P 1999-02-05 1999-02-05
US60/118,779 1999-02-05
US13770299P 1999-06-07 1999-06-07
US60/137,702 1999-06-07

Publications (1)

Publication Number Publication Date
WO2000045710A1 true WO2000045710A1 (fr) 2000-08-10

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ID=26816735

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/003871 WO2000045710A1 (fr) 1999-02-05 2000-02-04 Ensemble cable de guidage et ensemble separateur pour intervention chirurgicale

Country Status (3)

Country Link
EP (1) EP1148822A4 (fr)
JP (1) JP2002536044A (fr)
WO (1) WO2000045710A1 (fr)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4702250A (en) * 1983-09-02 1987-10-27 Galil Advanced Technologies Ltd. Surgical implement particularly useful for suturing prosthetic valves
US5314463A (en) * 1991-11-18 1994-05-24 Medtronic, Inc. Bipolar nerve electrode
US5447512A (en) * 1992-06-23 1995-09-05 Boston Scientific Corporation Controller for intracorporeal knot tying apparatus
US5871489A (en) * 1996-01-24 1999-02-16 S.M.T. (Medical Technologies) Ltd Surgical implement particularly useful for implanting prosthetic heart valves, valve holder particularly useful therewith and surgical method including such implement
US5944750A (en) 1997-06-30 1999-08-31 Eva Corporation Method and apparatus for the surgical repair of aneurysms
US6217597B1 (en) 1998-07-24 2001-04-17 Eva Corporation Surgical cutting device and method of using the same

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5144961A (en) * 1991-07-11 1992-09-08 Ethicon, Inc. Endoscopic ligating device
US5242452A (en) * 1991-10-11 1993-09-07 Kanji Inoue Device for collapsing an appliance collapsible for insertion into human organs
US5250054A (en) * 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
US5417699A (en) * 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5618290A (en) * 1993-10-19 1997-04-08 W.L. Gore & Associates, Inc. Endoscopic suture passer and method
EP0668056A1 (fr) * 1994-02-22 1995-08-23 SMITH & NEPHEW DYONICS INC Sonde de suture
JP3580903B2 (ja) * 1994-09-26 2004-10-27 オリンパス株式会社 吊り上げ具

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4702250A (en) * 1983-09-02 1987-10-27 Galil Advanced Technologies Ltd. Surgical implement particularly useful for suturing prosthetic valves
US5314463A (en) * 1991-11-18 1994-05-24 Medtronic, Inc. Bipolar nerve electrode
US5447512A (en) * 1992-06-23 1995-09-05 Boston Scientific Corporation Controller for intracorporeal knot tying apparatus
US5871489A (en) * 1996-01-24 1999-02-16 S.M.T. (Medical Technologies) Ltd Surgical implement particularly useful for implanting prosthetic heart valves, valve holder particularly useful therewith and surgical method including such implement
US5944750A (en) 1997-06-30 1999-08-31 Eva Corporation Method and apparatus for the surgical repair of aneurysms
US6217597B1 (en) 1998-07-24 2001-04-17 Eva Corporation Surgical cutting device and method of using the same

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1148822A4 *

Also Published As

Publication number Publication date
EP1148822A1 (fr) 2001-10-31
EP1148822A4 (fr) 2008-04-09
JP2002536044A (ja) 2002-10-29

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