WO2018208294A1 - Dispositif de fermeture fasciale - Google Patents

Dispositif de fermeture fasciale Download PDF

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Publication number
WO2018208294A1
WO2018208294A1 PCT/US2017/031783 US2017031783W WO2018208294A1 WO 2018208294 A1 WO2018208294 A1 WO 2018208294A1 US 2017031783 W US2017031783 W US 2017031783W WO 2018208294 A1 WO2018208294 A1 WO 2018208294A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
guide
suture
suturing device
hole
Prior art date
Application number
PCT/US2017/031783
Other languages
English (en)
Inventor
Danny A. Sherwinter
Original Assignee
Brainchild Surgical Devices Llc
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 Brainchild Surgical Devices Llc filed Critical Brainchild Surgical Devices Llc
Priority to KR1020197036186A priority Critical patent/KR102416624B1/ko
Priority to PCT/US2017/031783 priority patent/WO2018208294A1/fr
Priority to EP17724260.9A priority patent/EP3621527A1/fr
Priority to KR1020227022383A priority patent/KR20220098813A/ko
Priority to US15/590,589 priority patent/US10448939B2/en
Publication of WO2018208294A1 publication Critical patent/WO2018208294A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B17/06109Big needles, either gripped by hand or connectable to a handle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3474Insufflating needles, e.g. Veress needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00929Material properties isolating electrical current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06042Means for attaching suture to needle located close to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs
    • 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Landscapes

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

Abstract

Des modes de réalisation de la présente invention comprennent des systèmes et des procédés de fermeture d'un trou ou d'un autre défaut, par exemple dans le contexte d'une intervention chirurgicale laparoscopique. Par exemple, un dispositif de suture et un procédé d'utilisation impliquent l'insertion du dispositif dans un trou, le positionnement d'un matériau autour du trou dans une encoche du dispositif, le passage d'une aiguille à travers une cavité dans le dispositif et le matériau positionné dans l'encoche, le passage d'une suture à travers l'oeil de l'aiguille, et le retrait de l'aiguille du matériau avec la suture. La suture peut être retirée et le processus peut être répété avec une autre extrémité de la suture à un autre emplacement à travers le matériau, autour du trou. Lorsque la suture est passée à travers le second point de pénétration, la suture peut maintenant s'étendre à la fois à l'intérieur et à l'extérieur du matériau en différents points autour du trou et peut être nouée, ce qui permet de fermer le trou.
PCT/US2017/031783 2014-10-01 2017-05-09 Dispositif de fermeture fasciale WO2018208294A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
KR1020197036186A KR102416624B1 (ko) 2017-05-09 2017-05-09 근막 폐쇄 장치
PCT/US2017/031783 WO2018208294A1 (fr) 2017-05-09 2017-05-09 Dispositif de fermeture fasciale
EP17724260.9A EP3621527A1 (fr) 2017-05-09 2017-05-09 Dispositif de fermeture fasciale
KR1020227022383A KR20220098813A (ko) 2017-05-09 2017-05-09 근막 폐쇄 장치
US15/590,589 US10448939B2 (en) 2014-10-01 2017-05-09 Fascial closure device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2017/031783 WO2018208294A1 (fr) 2017-05-09 2017-05-09 Dispositif de fermeture fasciale

Publications (1)

Publication Number Publication Date
WO2018208294A1 true WO2018208294A1 (fr) 2018-11-15

Family

ID=64104871

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2017/031783 WO2018208294A1 (fr) 2014-10-01 2017-05-09 Dispositif de fermeture fasciale

Country Status (3)

Country Link
EP (1) EP3621527A1 (fr)
KR (2) KR102416624B1 (fr)
WO (1) WO2018208294A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022254423A1 (fr) * 2021-06-04 2022-12-08 Rambam Medtech Ltd. Outils de guidage d'aiguille

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102533955B1 (ko) 2020-08-19 2023-05-17 인제대학교 산학협력단 의료용 근막 봉합기

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050149065A1 (en) * 2003-12-19 2005-07-07 Modesitt D. B. Device and method for suturing of internal puncture sites
US20050165416A1 (en) * 2004-01-28 2005-07-28 Ray Bojarski Suture loading
WO2007050941A1 (fr) * 2005-10-27 2007-05-03 Edwards Lifesciences Corporation Système, appareil, et procédé d’imagerie et de traitement de tissu
US20080045980A1 (en) * 2004-08-30 2008-02-21 Werner Schwarz Surgical Device for Guiding at Least Two Suture Threads Through the Edge Region of a Tissue Opening
US20160095589A1 (en) * 2014-10-01 2016-04-07 Danny Sherwinter Suturing Device and Method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050149065A1 (en) * 2003-12-19 2005-07-07 Modesitt D. B. Device and method for suturing of internal puncture sites
US20050165416A1 (en) * 2004-01-28 2005-07-28 Ray Bojarski Suture loading
US20080045980A1 (en) * 2004-08-30 2008-02-21 Werner Schwarz Surgical Device for Guiding at Least Two Suture Threads Through the Edge Region of a Tissue Opening
WO2007050941A1 (fr) * 2005-10-27 2007-05-03 Edwards Lifesciences Corporation Système, appareil, et procédé d’imagerie et de traitement de tissu
US20160095589A1 (en) * 2014-10-01 2016-04-07 Danny Sherwinter Suturing Device and Method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022254423A1 (fr) * 2021-06-04 2022-12-08 Rambam Medtech Ltd. Outils de guidage d'aiguille

Also Published As

Publication number Publication date
KR20200008132A (ko) 2020-01-23
KR20220098813A (ko) 2022-07-12
EP3621527A1 (fr) 2020-03-18
KR102416624B1 (ko) 2022-07-04

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