CA1325940C - Visceral anchor and method for visceral wall mobilization - Google Patents

Visceral anchor and method for visceral wall mobilization

Info

Publication number
CA1325940C
CA1325940C CA000537230A CA537230A CA1325940C CA 1325940 C CA1325940 C CA 1325940C CA 000537230 A CA000537230 A CA 000537230A CA 537230 A CA537230 A CA 537230A CA 1325940 C CA1325940 C CA 1325940C
Authority
CA
Canada
Prior art keywords
cross bar
anchor
visceral
suture
attached
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.)
Expired - Lifetime
Application number
CA000537230A
Other languages
French (fr)
Inventor
Constantin Cope
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.)
Cook Inc
Original Assignee
Cook 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
Application filed by Cook Inc filed Critical Cook Inc
Application granted granted Critical
Publication of CA1325940C publication Critical patent/CA1325940C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • 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
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448Additional elements on or within the anchor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0454Means 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
    • A61B2017/0464Suture 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

Abstract

Abstract of the Disclosure A visceral anchor and method for visceral wall mobilization is disclosed. The visceral anchor includes an elongated cross bar to which a suture is attached at a location substantially in the center of the cross bar.
The cross bar further includes a helical spring sheath which jackets a rigid rod, the sheath extending beyond the ends of the rod to form flexible ends. An alternative embodiment includes a second suture attached to one of the ends of the cross bar. The sutures are used for orienting the anchor during insertion into and removal from a hollow viscus. The method of visceral wall mobilization includes providing a tract through the skin into a hollow intra-abdominal viscus and inserting the anchor into the viscus lumen. The sutures extend through the tract and the unattached ends remain on the outside of the body.
The center suture is pulled to orient the anchor for mobilization of the visceral wall. The end suture is pulled to orient the anchor for removal.

Description

1~2~94~

VISCERAL ANCHOR AND METHOD OF VISCERAL WALL MOBILIZATION
- .
Background of the Invention ¦ Field of the Invention:
The present invention relates generally to the field of surgical methods and devices for establishing drains in 5 intra-abdomina~ viscera.
:
Description of the Related Art:
The insertion of a drain tube into the stomach, gall bladder and other intra-abdominal viscera carries an inherent risk of spillage of gastric juices, bile or 10 infected fluids into the peritoneal cavity if the viscus ~ becomes invaginated during tract dilation, or the wire 3 guide becomes coiled within the peritoneal cavity and the -~ drain cannot be reinserted. Therefore, one feature of this invention is to provide a visceral ancbor which 15 atraumatically mobilizes and internally tamponades the ~ wall of the stomach, bowel, gall bladder and/or -1 superficial abscesses against the abdominal or chest wall before inserting a larger retention loop or other drain.
j Several and various devices and methocls have been 20 proposed for the purpose of facilitating the insertion of ' drains in intra-abdominal viscera. A stomach catheter placement system is disclosed in U.S. Patent No.
. ~ .
... ~ .
~.

: ' ' 3,961,632, issued to Moossun on June 8, 1976. The Moossun - system provides mobilization of the stomach wall using a magnetic nasogastric intubation device. Once the stomach ~ wall is brought in proximity with the abdominal wall, a 3 5 Foley type catheter is inserted through the abdominal wall into the stomach. The stomach wall is retained by an ~-~
inflatable annulus on the catheter and an external locking disc. A method and apparatus for urinary drainage is disclosed in U.S. Patent 3,598,124, issued to Anderson on lo August 10, 1971. Anderson uses a Foley type catheter for retaining a drain in the bladder.
Several retractable mechanical devices.for ~-~ establishing, retaining, and removing percutaneous -~ transport tubes are known in the related art. Examples 15 include the devices disclosed in U.S. Patent No.
¦ 4,393,873, issued to Nawash on July 19, 1983; U.S. Patent No. 3,039,468, issued to Price on June 19, 1962; and U.S.
Patent No. 3,835,863, issued to Goldberg on September 17, 1974. In Nawash, inadvertent removal of a transport tube 20 placed in the stomach is retarded by a resilient tip that assume~ an outwardly bulged configuration upon the j dissolving of a retention binding. Price discloses a ~ trocar having retractable fingers. The fingers engage the j stomach wall and a slidable clamp engages outer hide or~¦ 25 skin in order to draw the stomach wall and the skin -' together around the cannula. The Goldberg device is a ~-j T-shaped drainage tube which is surgically implanted into , a duct. Because of the flexibility of the cross tube, the arms of the cross tube fold to a substantially parallel 30 position when the tube is withdrawn through the opening in ---, the duct.
The use of guide wire in surgical methods of inserting ~-~-~ catheters into vascular systems is described in U.S.
Patent No. 4,534,363, issued to Gold on April 26, 1984 35 The Gold patent discloses an improved coating for angiographic guide wire and a method of manufacturing the guide wire.
.. ~ -.

.~ :

3 132~940 As relates particularly to the present invention, there has not been provided heretofore a simple device and percutaneous method for atraumatically mobilizing and internally tamponading the wall of an intra-abdominal 5 5 viscus against the abdominal or chest wall. ;~

- , ' , 4 132~9~0 , Summary of the Invention One embodiment of the present invention is a method of visceral wall mobilization utilizing a visceral anchor.
The visceral anchor of this embodiment includes a biocompatible elongated cross bar and a flexible biocompatible suture attached at one of its ends near the center of the cross bar. A first step is providing a tract or passage from outside of the body through the skin !and viscus wall to the viscus lumen. A further step is inserting the visceral anchor through the tract and into 10 the viscus lumen. During insertion, the elongated cross `^
,bar is aligned along the longitudinal axis of the tract.
iThe suture is left extending through the tract with the unattached end remaining on the outside of the body. A
further step is pulling the suture until the cross bar is 15 aligned perpendicularly to the longitudinal axis of the `-tract and the cross bar engages the visceral wall.
Further pulling of the suture will mobilize the visceral wall. -~
Another embodiment of the present invention is a ~`
¦20 method of visceral wall mobilization utilizing a retrievable visceral anchor. The retrievable visceral anchor of this embodiment includes a biocompatible elongated cross bar, one flexible biocompatible suture -;1attached at one of its end near the center of the cross ~
25 bar, and a second flexible biocompatible suture attached -at one of its ends to one end of the cross bar. A first step of the method is providing a tract from outside of the body through the skin and YiSCUS wall to the viscus -'lumen. The tract has a longitudinal axis extending from ,JI30 outside the body to the viscus lumen. A further step is inserting the visceral anchor through the tract and into `the viscus lumen. During insertion, the cross bar is aligned along the longitudinal axis of the tract. The sutures are left extending through the tract with their . .
' . '.:

5 1325940 61211-867 ~;

unattached ends remaining on the outside of the body. Another step is pulling the suture attached to the center of the cross bar until the cross bar is aligned perpendicularly to the longitudinal axis of the tract and the cross bar engages the visceral wall.
Further pulling of the first suture will mobilize the visceral wall. Still another step is retrieving the viæceral anchor by slackening the first suture so that the anchor is released from engagement with the visceral wall. The suture attached to the end of the cross bar is then pulled until the cross bar is aligned along the longitudinal axis of the tract and pulled through the tract.
Another embodiment of the present invention is a visceral anchor for insertion into a viscus lumen through the wall of a hollow viscus. The visceral anchor of this embodiment -~
, includes a biocompatible elongated cross bar and a flexible 3 biocompatible suture attached at one of its ends near the center of the cross bar.
In accordance with the invention there is provided a visceral anchor comprising: a biocompatible elongated cross bar j 20 having opposite ends; and a first flexible biocompatible suture having a first attached end and a second unattached end, the first , attached end being attached to said cross bar at a location substantially in the center of said cross bar.
In accordance with another aspect of the invention there : is provided a retaining element adapted for insertion through a ~ ` ~: `:

5a 132~940 61211-867 percutaneous tract and eventual removal through the same percutaneous tract, comprising an elongated head, a primary flexible tension filament secured to said head, and a secondary :
extension filament secured to an end of said head, adapted to be pulled upon to withdraw said head end-wise upon release of tension - .
on said first tension element.
In accordance with yet another aspect of the invention there is provided a commercial package containing a visceral ~
anchor comprising a biocompatible elongated cross bar having ~. :
10 opposite ends; and a first flexible biocompatible suture having a -- :
first attached end and a second unattached end, the first attached end being attached to said cross bar at a location substantially in the center of said cross bar, together with instructions for inserting the anchor through a tract and pulling the suture to ~
position the cross bar perpendicular to the tract. .~`
Related objects and advantages of the present invention will be apparent from the following description. -:

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132594~

Brief Description of the Drawings ! FIG. 1 is an enlarged perspective view of a visceral anchor according to a typical embodiment of the present invention.
FIG. 2 is an enlarged fragmentary cross-sectional view 5 of the visceral anchor of FIG. 1.
FIG. 3 is a schematic representation of a step in one embodiment of the method of visceral wall mobilization of ~ the present invention.
!~, FIG. 4 is a schematic representation of a further step 10 of the method of FIG. 3, particularly showing the visceral j anchor after insertion into a hollow viscus.
FIG. 5 is a schematic representation according to the ~ method of FIG. 3, particularly showing the anchor J positioned in perpendicular relation to the longitudinal 15 axis of the tract and engaged with the visceral wall.
FIG. 6 is a schematic representation according to the method of FIG. 3, particularly showing the visceral wall retracted against the abdominal ~all, and a drain tube inserted into the viscus lumen.
FIG. 7 is a schematic representation according to one embodiment of an anchor removal step of the method of the present invention, particularly showing the visceral ~ anchor released from engagement with the visceral wall and 3 the end suture extending through a cannula.
2s FIG. 8 is a schematic representation according to the ---~, anchor removal step of FIG. 7, particularly showing the visceral anchor aligned along the longitudinal axis of the cannula prior to being removed with the cannula. ~
, FIG. 9 is a perspective view of an alternative ~--l 30 embodiment of the visceral anchor of the present invention.
FIG. 10 is a schematic representation of a step in an -' alternative embodiment of the method of visceral wall - mobilization of the present invention.
FIG. lOA is a view of the needle of FIG. 10 looking at ; 35 the needle at a 90 angle as compared to FIG. 10.

7 13259~0 ~ :~

Description of the Preferred Embodiment For the purposes of promoting an understanding of the ~
principles of the invention, reference will now be made to -the embodiment illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended, such alterations and further modifications in the illustrated device, and such ~-further applications of the principles of the invention as illustrated therein being contemplated as would normally occur to one skilled in the art to which the invention relates.
Referring now more particularly to FIG. 1, there is shown visceral anchor 10 according to a preferred embodiment of the present invention. In the embodiment shown in FIG. 1, the visceral ancbor 10 includes cross bar 11 and suture 12. The cross bar 11 is elongated and cylindrically shaped, and includes a center portion 15 interposed between the ends 13 and 14. The suture 12 includes an attached end 17 and an unattached end 18.
Attached end 17 is attached to cross bar 11 at a location substantially in the center thereof. The anchor 10 further includes a suture 20, having unattached end 21 and an attached end 22 attached to the end 13 of the cross bar 3 11. Sutures 12 and 20 are typically constructed of common 25 suture material. For example, in the preferred embodiment, 4-0 TEVDEK suture material is used.
; Preferably the sutures 12 and 20 are approximately 40 centimeters in length.
The internal construction of cross bar 11 is shown in FIG. 2. The center portion 15 of cross bar 11 includes a rigid rod 30 jacketed by a helical spring sheath 16. In -the preferred embodiment, sheath 16 is standard stainless steel surgical wire guide material having an approximate outside diamete~ of .87 millimeters. Rod 30 may be a * Trade-mark :
-stainless steel cannula or rod. In the preferredembodiment, rod 30 is approximately 10 millimeters in length. Sheath 16 extends beyond the ends of rod 30 to form flexible end portions 32 and 33. It is desirable to provide flexible end portions so that anchor 10 may atraumatically engage the internal walls of intra-abdominal viscera. In the embodiment shown in FIG.
2, sutures 12 and 20 extend into the hollow of sheath 16 and are interconnected around rod 30 at location 31. The -lo sutures 12 and 20 may constitute a single suture for ease of manufacture. -The ends 13 and 14 of cross bar 11 are rounded and extend beyond the ends of helical spring sheath 16. The ends 13 and 14 may be formed of any suitable biocompatible 15 material capable of bonding to the sheath 16. For example, epoxy or a bead of metal welded to sheath 16 may ~ be used. In the preferred embodiment, epoxy is provided ¦ to form and integrally bond ends 13 and 14 to sheath 16.
The attached end 22 of the suture 20 is encased within end 20 13 to fasten suture 20 to cross bar 11. The suture 20 is thus secured yet passes through the epoxy material to be ¦ secured also at location 31, as previously described.
The method of visceral wall mobilization utilizing the visceral anchor is illustrated in FIGS. 3 through 7.
j 25 Referring to FIG. 3, in the preferred embodiment of the method, a tract or passageway is established from outside ! of the body through the skin and viscus wall to the viscus ~-; lumen by a needle puncture. In the preferred embodiment, a 15 centimeter long 22 gauge needle 39, over which a 30 cannula or 16 gauge plastic sheath 40 is mounted, is used for puncture. Once the distended viscus lumen is localized with the protruding needle, the outer cannula or sheath is advanced over it, and the sheath left in place, defining the tract. With the sheatn in place, the needle 35 is removed. ~IG. 3 shows plastic sheath 40 defining the tract extending from outside the body through abdominal 9 132~9~0 ;~ ::

wall 41 and visceral wall 43, into viscus lumen 44 of viscus 42.
FIG. 4 shows a further step of the method wherein the , cross bar 11 is inserted through the tract defined by -~
~; 5 sheath 40 into viscus lumen 44. Cross bar 11 is aligned along the longitudinal axis of the tract during insertion, with sutures 12 and 20 trailing through sheath 40 with their unattached ends 18 and 21 remaining on the outside of the body. Cross bar 11 is pushed through sheath 40 lo with a .038 inch "J" tipped wire guide 45. FIG. 4 shows cross bar 11 within viscus lumen 44, after having been ^
.j - .
pushed through sheath 40 by the wire guide 45.
Next the suture 12 is pulled by grasping it with the sheath 40, causing the cross bar 11 to be positioned in 15 perpendicular relation to the longitudinal axis of the tract and causing the cross bar 11 to engage the internal wall of the hollow viscus. The pulling force is exerted on suture 12 in the general direction indicated by arrow ~ A. The sheath 40 is removed over the sutures 12 and 20, -'-i 20 providing the condition illustrated in FIG. 5. FIG. 5 ^~
j illustrates cross bar 11 aligned perpendicularly to needle j tract 48 and engaged with internal visceral wall 47. The -~ length of cross bar 11 is greater than the diameter of needle tract 48, and therefore cross bar 11 engages -~ 25 internal visceral wall 47. Further pull or traction is ~ exerted on the suture 12 until the visceral wall is moved into close approximation to the abdominal wall. With the ' visceral wall firmly retracted against the parietal wall, :
there is little chance of intraperitoneal leakage.
30 Tension on suture 12 is maintained by securing the suture , 12 to skin using a standard surgical needle.
The wire guide 45 is now be used to further dilate the needle tract 48 by pushing one or more increasingly larger dilators over the wire guide and into the viscus lumen.
35 Such dilators are commercially available and therefore have not be~n shown herein. Drain tube 50 may then be .' "
, 10 132~940 inserted with impunity to provide communication between viscus lumen 44 and the outside of the body. FIG. 6 illustrates inserted drain tube 50, while cross bar 11 retains visceral wall 43 against abdominal wall 41. The 5 loose suture 20 is taped to drain tube 50.
A few days later when the drain tract has been established, the visceral anchor 10 may no longer be -necessary and can be easily removed. Referring now more particularly to FIGS 7 and 8, the suture 12 is cut, thus 10 releasing the tension on the cross bar 11. A cannula 55 which may be, for example a 5 French cannula, is employed to remove visceral anchor 10. The cannula 55 is threaded over suture 20 as shown in FIG. 7 and inserted alongside -the drain tube 50 back into the viscus lumen 44. Once 15 distal end 56 of cannula 55 is inside viscus lumen 44, a gentle force in the general direction of arrow B may be applied on the suture 20. The cross bar 11 will realign it~elf along the longitudinal axis of cannula 55 as shown in FIG. 8 and can then be easily withdrawn along with 20 cannula 55. The end 13 of cross bar 11 is held in contact with distal end 56 of the cannula by tension on suture 20, thereby maintaining coaxial alignment during withdrawal of ~ csnnula 55 and cross bar 11. The suture 12 will trail the ; cross bar 11 as the cross bar and cannula are withdrawn.
While the invention has been illustrated and described ~ -in detail in the drawings and foregoing description, the same is to be considered as illustrative and not ~ restrictive in character, it being understood that only i the preferred embodiment has been shown and described and ' 30 that all changes and modifications that come within the ~ -spirit of the invention are desired to be protected.
For example, FIG. 9 shows an alternative embodiment of the visceral anchor 10' which is identical to the i embodiment of FIGS. 1 and 2 with the exception that the 35 suture 20 is not present. The single suture embodiment of `' FIG. 9 is used in an application where the anchor 10' is :
' '-.

1325~40 ::
11 .
:
not retrieved, unlike the above described retrievable anchor 10. Such a visceral anchor 10' is mounted near the distal end of the inserting distally slotted needle as shown in FIG. 10 and is placed during initial puncture.
5 In FIG. 10 the needle 100 has in its hollow interior the anchor 10' and a wire guide 101 which is used to push the anchor 10' out of the nPedle when penetration of the viscus is achieved. Correct needle position ia confirmed by injecting radiopaque dye or aspirating viscus fluid 10 through proximal needle slot 105 before ejecting anchor 10 . The length of the slot in the needle is slightly longer than the anchor so as to provide an "injection port" 102 from which the dye is ejected. The needle and wire guide are then withdrawn and the viscus is firmly ~-15 retracted against the abdominal wall as above described. ~

.: ' .,, .'., '..

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li ' ' ~' ~, , ;

.

Claims (9)

1. A visceral anchor comprising: a biocompatible elongated cross bar having opposite ends; and a first flexible biocompatible suture having a first attached end and a second unattached end, the first attached end being attached to said cross bar at a location substantially in the center of said cross bar.
2. The visceral anchor of claim 1 and further comprising:
a second flexible biocompatible suture having a third attached end and a fourth unattached end, the third attached end being attached to one of the opposite ends of said cross bar.
3. The visceral anchor of claim 1 in which: the opposite ends of said cross bar are flexible, there being interposed between the flexible ends a rigid center portion, the first attached end being attached to the center portion.
4. The visceral anchor of claim 3 and further comprising:
a second flexible biocompatible suture having a third attached end and a fourth unattached end, the third attached end being attached to one of the opposite ends of said cross bar.
5. The visceral anchor of claim 4 in which: said cross bar comprises a biocompatible rigid rod and a biocompatible helical spring sheath, the rod being jacketed by the sheath, the sheath extending beyond both ends of the rod to form said flexible ends.
6. The visceral anchor of claim 5 in which: the cross bar opposite ends include epoxy material at their outermost points, the epoxy being bonded to the helical spring sheath.
7. The visceral anchor of claim 6 in which: said first suture and said second suture are of unitary construction, the first attached end and third attached end being connected beneath the sheath.
8. A retaining element adapted for insertion through a percutaneous tract and eventual removal through the same percutaneous tract, comprising an elongated head, a primary flexible tension filament secured to said head, and a secondary extension filament secured to an end of said head, adapted to be pulled upon to withdraw said head end-wise upon release of tension on said first tension element.
9. A commercial package containing a visceral anchor comprising a biocompatible elongated cross bar having opposite ends; and a first flexible biocompatible suture having a first attached end and a second unattached end, the first attached end being attached to said cross bar at a location substantially in the center of said cross bar, together with instructions for inserting the anchor through a tract and pulling the suture to position the cross bar perpendicular to the tract.
CA000537230A 1986-05-19 1987-05-15 Visceral anchor and method for visceral wall mobilization Expired - Lifetime CA1325940C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US864,340 1977-12-27
US06/864,340 US5123914A (en) 1986-05-19 1986-05-19 Visceral anchor for visceral wall mobilization

Publications (1)

Publication Number Publication Date
CA1325940C true CA1325940C (en) 1994-01-11

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA000537230A Expired - Lifetime CA1325940C (en) 1986-05-19 1987-05-15 Visceral anchor and method for visceral wall mobilization

Country Status (10)

Country Link
US (1) US5123914A (en)
EP (1) EP0246836B1 (en)
JP (1) JPH067831B2 (en)
AT (1) ATE70425T1 (en)
AU (2) AU7314387A (en)
CA (1) CA1325940C (en)
DE (1) DE3775272D1 (en)
DK (1) DK169986B1 (en)
ES (1) ES2028075T3 (en)
GR (1) GR3003392T3 (en)

Families Citing this family (332)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4744364A (en) * 1987-02-17 1988-05-17 Intravascular Surgical Instruments, Inc. Device for sealing percutaneous puncture in a vessel
US5021059A (en) * 1990-05-07 1991-06-04 Kensey Nash Corporation Plug device with pulley for sealing punctures in tissue and methods of use
US5292332A (en) * 1992-07-27 1994-03-08 Lee Benjamin I Methods and device for percutanceous sealing of arterial puncture sites
DE69427901T2 (en) * 1993-01-07 2002-04-04 Medical Innovations Corp CATHETER SYSTEM FOR GASTROSTOMY
US5464426A (en) * 1993-05-14 1995-11-07 Bonutti; Peter M. Method of closing discontinuity in tissue
US5549630A (en) 1993-05-14 1996-08-27 Bonutti; Peter M. Method and apparatus for anchoring a suture
US5403348A (en) * 1993-05-14 1995-04-04 Bonutti; Peter M. Suture anchor
US5383896A (en) * 1993-05-25 1995-01-24 Gershony; Gary Vascular sealing device
US5868778A (en) * 1995-10-27 1999-02-09 Vascular Solutions, Inc. Vascular sealing apparatus and method
US6017359A (en) * 1993-05-25 2000-01-25 Vascular Solutions, Inc. Vascular sealing apparatus
FR2707862B1 (en) * 1993-07-21 1995-10-13 Nycomed Lab Sa System for temporarily closing an orifice in a perforated organ, such as in particular a vessel.
US5728122A (en) * 1994-01-18 1998-03-17 Datascope Investment Corp. Guide wire with releaseable barb anchor
US5464425A (en) * 1994-02-23 1995-11-07 Orthopaedic Biosystems, Ltd. Medullary suture anchor
JP3580903B2 (en) * 1994-09-26 2004-10-27 オリンパス株式会社 Lifting equipment
US5800445A (en) * 1995-10-20 1998-09-01 United States Surgical Corporation Tissue tagging device
CA2187975C (en) * 1995-10-20 2001-05-01 Lisa W. Heaton Surgical apparatus and method for marking tissue location
AU690862B2 (en) * 1995-12-04 1998-04-30 Target Therapeutics, Inc. Fibered micro vaso-occlusive devices
US5718717A (en) 1996-08-19 1998-02-17 Bonutti; Peter M. Suture anchor
US6984241B2 (en) * 1996-09-13 2006-01-10 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US7611521B2 (en) 1996-09-13 2009-11-03 Tendon Technology, Ltd. Apparatus and methods for tendon or ligament repair
US6045551A (en) 1998-02-06 2000-04-04 Bonutti; Peter M. Bone suture
FR2774580B1 (en) * 1998-02-06 2000-09-08 Laurent Fumex BONE ANCHORING SURGICAL DEVICE
US6258098B1 (en) * 1998-05-08 2001-07-10 William N. Taylor Stent placement and removal system
US6652569B1 (en) 1998-05-08 2003-11-25 Biu Biomedical Innovations (Urology) Inc. Stent placement and removal
DE19826360C1 (en) * 1998-06-12 2000-03-16 Fritz Gmbh Endoskopie & Dokume Fixation anchor for medical insert in bovine stomach has shell with slot to receive cords in inner rod
US6110183A (en) * 1998-12-22 2000-08-29 Cook Incorporated Suture anchor device
US6315789B1 (en) * 1999-02-08 2001-11-13 Andrew H. Cragg Medical device anchoring system and method
US7416554B2 (en) * 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US7618426B2 (en) 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US8574243B2 (en) 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US20040122456A1 (en) * 2002-12-11 2004-06-24 Saadat Vahid C. Methods and apparatus for gastric reduction
US6447516B1 (en) 1999-08-09 2002-09-10 Peter M. Bonutti Method of securing tissue
US6368343B1 (en) 2000-03-13 2002-04-09 Peter M. Bonutti Method of using ultrasonic vibration to secure body tissue
US7341595B2 (en) 1999-09-13 2008-03-11 Rex Medical, L.P Vascular hole closure device
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
US6635073B2 (en) 2000-05-03 2003-10-21 Peter M. Bonutti Method of securing body tissue
US7094251B2 (en) 2002-08-27 2006-08-22 Marctec, Llc. Apparatus and method for securing a suture
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US6520973B1 (en) * 2000-08-30 2003-02-18 Ethicon Endo-Surgery, Inc. Anastomosis device having an improved needle driver
US20060069429A1 (en) * 2001-04-24 2006-03-30 Spence Paul A Tissue fastening systems and methods utilizing magnetic guidance
US8202315B2 (en) 2001-04-24 2012-06-19 Mitralign, Inc. Catheter-based annuloplasty using ventricularly positioned catheter
US6619291B2 (en) * 2001-04-24 2003-09-16 Edwin J. Hlavka Method and apparatus for catheter-based annuloplasty
US6533802B2 (en) * 2001-05-16 2003-03-18 Smith & Nephew, Inc. Endobutton continuous loop for bone-tendon-bone
US6719765B2 (en) 2001-12-03 2004-04-13 Bonutti 2003 Trust-A Magnetic suturing system and method
EP1482841B1 (en) * 2002-03-14 2005-12-07 Yeung, Jeffery E. Suture anchor and approximating device
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US6699263B2 (en) 2002-04-05 2004-03-02 Cook Incorporated Sliding suture anchor
US7335221B2 (en) * 2002-04-12 2008-02-26 Ethicon, Inc. Suture anchoring and tensioning device and method for using same
AU2003247526A1 (en) * 2002-06-12 2003-12-31 Mitral Interventions, Inc. Method and apparatus for tissue connection
BR0315392A (en) * 2002-10-21 2005-08-23 Mitralign Inc Incrementing catheters and methods of performing annuloplasty
US8979923B2 (en) 2002-10-21 2015-03-17 Mitralign, Inc. Tissue fastening systems and methods utilizing magnetic guidance
US7942884B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US7497864B2 (en) 2003-04-30 2009-03-03 Marctec, Llc. Tissue fastener and methods for using same
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
CA2540653C (en) 2003-08-13 2012-09-18 Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Compressive device for percutaneous treatment of obesity
US7371244B2 (en) * 2003-08-25 2008-05-13 Ethicon, Inc. Deployment apparatus for suture anchoring device
US7341558B2 (en) * 2003-09-19 2008-03-11 Medcanica, Llc Pericardial retractor
US20050251189A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Multi-position tissue manipulation assembly
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7347863B2 (en) 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US8864822B2 (en) * 2003-12-23 2014-10-21 Mitralign, Inc. Devices and methods for introducing elements into tissue
US7431726B2 (en) * 2003-12-23 2008-10-07 Mitralign, Inc. Tissue fastening systems and methods utilizing magnetic guidance
US11272926B2 (en) * 2004-02-20 2022-03-15 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US7608092B1 (en) 2004-02-20 2009-10-27 Biomet Sports Medicince, LLC Method and apparatus for performing meniscus repair
JP4212494B2 (en) * 2004-03-02 2009-01-21 日本シャーウッド株式会社 Medical suture tool
US20080039873A1 (en) 2004-03-09 2008-02-14 Marctec, Llc. Method and device for securing body tissue
US7703459B2 (en) 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
US8057511B2 (en) * 2004-05-07 2011-11-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7390329B2 (en) 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
WO2005112786A2 (en) * 2004-05-14 2005-12-01 Ethicon Endo-Surgery, Inc. T-type suture anchoring devices and methods of using same
WO2005110241A1 (en) * 2004-05-14 2005-11-24 Ethicon Endo-Surgery, Inc. Devices for locking and/or cutting a suture
US7695493B2 (en) 2004-06-09 2010-04-13 Usgi Medical, Inc. System for optimizing anchoring force
US7678135B2 (en) 2004-06-09 2010-03-16 Usgi Medical, Inc. Compressible tissue anchor assemblies
US8206417B2 (en) 2004-06-09 2012-06-26 Usgi Medical Inc. Apparatus and methods for optimizing anchoring force
US7736379B2 (en) 2004-06-09 2010-06-15 Usgi Medical, Inc. Compressible tissue anchor assemblies
JP4669315B2 (en) * 2005-04-21 2011-04-13 日本シャーウッド株式会社 Organ fixture and organ fixture set
JP2006102255A (en) * 2004-10-06 2006-04-20 Nippon Sherwood Medical Industries Ltd Connecting structure of infusion line and connector with the connecting structure
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US20060089646A1 (en) 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and 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
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
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
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7601165B2 (en) 2006-09-29 2009-10-13 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable suture loop
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20060189993A1 (en) 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US20060184201A1 (en) * 2005-02-17 2006-08-17 James Jervis E Suture retainer with suture guide and method of using a suture retainer with a suture guide
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
JP4669316B2 (en) * 2005-04-25 2011-04-13 日本シャーウッド株式会社 Organ fixture set
JP4619855B2 (en) * 2005-04-27 2011-01-26 日本シャーウッド株式会社 Organ fixture and organ fixture set
US8333776B2 (en) 2005-05-20 2012-12-18 Neotract, Inc. Anchor delivery system
US9149266B2 (en) 2005-05-20 2015-10-06 Neotract, Inc. Deforming anchor device
US7896891B2 (en) * 2005-05-20 2011-03-01 Neotract, Inc. Apparatus and method for manipulating or retracting tissue and anatomical structure
US10195014B2 (en) 2005-05-20 2019-02-05 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
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
US8628542B2 (en) * 2005-05-20 2014-01-14 Neotract, Inc. Median lobe destruction apparatus and method
US9504461B2 (en) 2005-05-20 2016-11-29 Neotract, Inc. Anchor delivery system
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
US7758594B2 (en) 2005-05-20 2010-07-20 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
US7909836B2 (en) * 2005-05-20 2011-03-22 Neotract, Inc. Multi-actuating trigger anchor delivery system
US9549739B2 (en) 2005-05-20 2017-01-24 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions
US8157815B2 (en) * 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
US8668705B2 (en) * 2005-05-20 2014-03-11 Neotract, Inc. Latching anchor device
US8834492B2 (en) * 2005-05-20 2014-09-16 Neotract, Inc. Continuous indentation lateral lobe apparatus and method
US8529584B2 (en) * 2005-05-20 2013-09-10 Neotract, Inc. Median lobe band implant apparatus and method
US10925587B2 (en) 2005-05-20 2021-02-23 Neotract, Inc. Anchor delivery system
US8491606B2 (en) * 2005-05-20 2013-07-23 Neotract, Inc. Median lobe retraction apparatus and method
US9364212B2 (en) 2005-05-20 2016-06-14 Neotract, Inc. Suture anchoring devices and methods for use
US8425535B2 (en) 2005-05-20 2013-04-23 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8951285B2 (en) 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US7875056B2 (en) * 2005-07-22 2011-01-25 Anpa Medical, Inc. Wedge operated retainer device and methods
JP4488981B2 (en) * 2005-08-23 2010-06-23 日本シャーウッド株式会社 Extractor and medical suture tool set
US20070083235A1 (en) * 2005-10-11 2007-04-12 Jervis James E Helical retainer, tool for using the helical retainer, and methods
US7850712B2 (en) * 2005-11-15 2010-12-14 Ethicon Endo-Surgery, Inc. Self-shielding suture anchor
JP4614451B2 (en) * 2005-12-26 2011-01-19 日本シャーウッド株式会社 Medical suture tool
US8726909B2 (en) 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
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
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US11278331B2 (en) 2006-02-07 2022-03-22 P Tech Llc Method and devices for intracorporeal bonding of implants with thermal energy
US8496657B2 (en) 2006-02-07 2013-07-30 P Tech, Llc. Methods for utilizing vibratory energy to weld, stake and/or remove implants
US7967820B2 (en) 2006-02-07 2011-06-28 P Tech, Llc. Methods and devices for trauma welding
US11253296B2 (en) 2006-02-07 2022-02-22 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US8342183B2 (en) 2006-04-19 2013-01-01 Vibrynt, Inc. Devices and methods for treatment of obesity
US8187297B2 (en) * 2006-04-19 2012-05-29 Vibsynt, Inc. Devices and methods for treatment of obesity
US20090281498A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US7976554B2 (en) 2006-04-19 2011-07-12 Vibrynt, Inc. Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US8585733B2 (en) 2006-04-19 2013-11-19 Vibrynt, Inc Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US8070768B2 (en) 2006-04-19 2011-12-06 Vibrynt, 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
US8556925B2 (en) 2007-10-11 2013-10-15 Vibrynt, Inc. Devices and methods for treatment of obesity
EP2019629B1 (en) 2006-04-28 2012-02-22 Covidien AG Organopexy tool set
US8187300B2 (en) * 2006-04-28 2012-05-29 Tyco Healthcare Group Lp Organopexy tool and organopexy kit
US11246638B2 (en) 2006-05-03 2022-02-15 P Tech, Llc Methods and devices for utilizing bondable materials
US8876842B2 (en) * 2006-05-22 2014-11-04 Covidien Lp Meniscal repair device
JP5306184B2 (en) * 2006-05-22 2013-10-02 スカンジウス バイオメディカル, インコーポレイテッド Method and apparatus for meniscal repair
WO2007140309A2 (en) * 2006-05-25 2007-12-06 Mitralign, Inc. Lockers for surgical tensioning members and methods of using the same to secure surgical tensioning members
EP1862125B1 (en) * 2006-05-31 2011-08-03 Covidien AG Medical suturing tool with gripping device
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
JP4536698B2 (en) * 2006-10-05 2010-09-01 日本シャーウッド株式会社 Medical suture tool
US20080103441A1 (en) 2006-10-26 2008-05-01 Cook Incorporated Inside out t-fastener system
CA2671030C (en) 2006-11-30 2013-10-08 Wilson-Cook Medical, Inc. Visceral anchors for purse-string closure of perforations
US7850714B2 (en) * 2006-12-15 2010-12-14 Kimberly-Clark Worldwide, Inc. Segmented tissue-to-tissue anchoring device and method of using the same
EP2066272A2 (en) 2006-12-28 2009-06-10 Vibrynt, Inc. Devices and methods for treatment of obesity
WO2008091847A1 (en) 2007-01-24 2008-07-31 Dow Global Technologies Inc. Polymeric compositions, methods of making the same, and articles prepared from the same
US8617185B2 (en) 2007-02-13 2013-12-31 P Tech, Llc. Fixation device
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
JP4565576B2 (en) * 2007-02-20 2010-10-20 日本シャーウッド株式会社 Puncture needle assist tool
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US8911461B2 (en) * 2007-03-13 2014-12-16 Mitralign, Inc. Suture cutter and method of cutting suture
US11660190B2 (en) 2007-03-13 2023-05-30 Edwards Lifesciences Corporation Tissue anchors, systems and methods, and devices
US8845723B2 (en) * 2007-03-13 2014-09-30 Mitralign, Inc. Systems and methods for introducing elements into tissue
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
CA2688261C (en) * 2007-05-25 2013-04-30 Wilson-Cook Medical, Inc. Medical devices, systems and methods for closing perforations
US8740937B2 (en) 2007-05-31 2014-06-03 Cook Medical Technologies Llc Suture lock
US8758366B2 (en) 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8157816B2 (en) 2007-08-31 2012-04-17 Kimberly-Clark Worldwide, Inc. Gastropexy kit
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US7867253B2 (en) * 2007-08-31 2011-01-11 Kimberly-Clark Worldwide, Inc. Suture retention hub
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US20090062742A1 (en) 2007-08-31 2009-03-05 John Anthony Rotella Blunted Safety Needle
CA2700663C (en) * 2007-09-25 2015-07-07 Wilson-Cook Medical Inc. Medical devices, systems, and methods for using tissue anchors
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
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US20090143794A1 (en) * 2007-11-29 2009-06-04 Conlon Sean P Tissue resection device
WO2009082596A1 (en) * 2007-12-18 2009-07-02 Wilson-Cook Medical, Inc. Device and method for placement of tissue anchors
US8920463B2 (en) 2008-02-15 2014-12-30 Rex Medical, L.P. Vascular hole closure device
US20110029013A1 (en) 2008-02-15 2011-02-03 Mcguckin James F Vascular Hole Closure Device
US8070772B2 (en) 2008-02-15 2011-12-06 Rex Medical, L.P. Vascular hole closure device
US8920462B2 (en) 2008-02-15 2014-12-30 Rex Medical, L.P. Vascular hole closure device
US8491629B2 (en) 2008-02-15 2013-07-23 Rex Medical Vascular hole closure delivery device
US9226738B2 (en) 2008-02-15 2016-01-05 Rex Medical, L.P. Vascular hole closure delivery device
US9131939B1 (en) 2008-02-27 2015-09-15 Mitralign, Inc. Device for percutaneously delivering a cardiac implant through the application of direct actuation forces external to the body
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical 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
JP5185706B2 (en) * 2008-06-24 2013-04-17 日本コヴィディエン株式会社 Puncture needle assist tool
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
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
EP2345374B1 (en) * 2008-07-30 2020-05-20 Neotract, Inc. Anchor delivery system with replaceable cartridge
WO2010014825A1 (en) * 2008-07-30 2010-02-04 Neotract, Inc. Slotted anchor device
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
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 Instrument for excision of lymph nodes or attachment to tissue during transluminal 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
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
US20100069924A1 (en) * 2008-09-11 2010-03-18 Wilson-Cook Medical Inc. Methods for achieving serosa-to-serosa closure of a bodily opening using one or more tacking devices
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
CA2747172C (en) * 2008-12-05 2015-04-14 Vihar C. Surti Tissue anchors for purse-string closure of perforations
US8500760B2 (en) 2008-12-09 2013-08-06 Cook Medical Technologies Llc Retractable tacking device
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
WO2010080386A2 (en) 2008-12-19 2010-07-15 Wilson-Cook Medical Inc. Clip devices and methods of delivery and deployment
JP5386168B2 (en) * 2008-12-26 2014-01-15 松田医科工業株式会社 Body organ lifting device
US8114112B2 (en) * 2008-12-30 2012-02-14 Cook Medical Technologies Llc Stylet locking mechanism for medical delivery devices
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
EP2400899A4 (en) 2009-02-24 2015-03-18 P Tech Llc Methods and devices for utilizing bondable materials
WO2010115072A1 (en) 2009-04-03 2010-10-07 Wilson-Cook Medical, Inc. Tissue anchors and medical devices for rapid deployment of tissue anchors
CA2757494C (en) 2009-04-03 2013-11-12 Cook Medical Technologies Llc Medical devices, systems, and methods for rapid deployment and fixation of tissue anchors
JP2012527970A (en) 2009-05-28 2012-11-12 クック メディカル テクノロジーズ エルエルシー Hail-fastening device and hail-fastening device deployment method
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
CA2812775C (en) 2009-08-20 2015-09-29 Howmedica Osteonics Corp. Flexible acl instrumentation, kit and method
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US20110137256A1 (en) * 2009-12-07 2011-06-09 Upside Services, LLC Fixation catheter
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
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
US20110218387A1 (en) * 2010-03-05 2011-09-08 Neotract, Inc. Anchors for use in medical applications
JP5615112B2 (en) * 2010-09-21 2014-10-29 日本コヴィディエン株式会社 Organ fixing device and organ fixing device
US9307977B2 (en) 2010-11-04 2016-04-12 Conmed Corporation Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone
US9307978B2 (en) 2010-11-04 2016-04-12 Linvatec Corporation Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
WO2012109455A1 (en) 2011-02-09 2012-08-16 C.R.Bard, Inc. T-fastener suture delivery system
JP5981459B2 (en) 2011-02-16 2016-08-31 リンバテック・コーポレーション Method and apparatus for bonding an object to bone, including the provision and use of a novel suture assembly for securing the object to bone
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
US9314620B2 (en) 2011-02-28 2016-04-19 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
US9161749B2 (en) 2011-04-14 2015-10-20 Neotract, Inc. Method and apparatus for treating sexual dysfunction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9445803B2 (en) 2011-11-23 2016-09-20 Howmedica Osteonics Corp. Filamentary suture anchor
US9113866B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9173657B2 (en) 2011-12-15 2015-11-03 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
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
US9833228B2 (en) * 2012-01-24 2017-12-05 Cook Medical Technologies Llc Suture and anchor engagement methods and resulting devices
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US10292801B2 (en) 2012-03-29 2019-05-21 Neotract, Inc. System for delivering anchors for treating incontinence
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US10130353B2 (en) 2012-06-29 2018-11-20 Neotract, Inc. Flexible system for delivering an anchor
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US20140039552A1 (en) 2012-08-03 2014-02-06 Howmedica Osteonics Corp. Soft tissue fixation devices and methods
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US9402620B2 (en) 2013-03-04 2016-08-02 Howmedica Osteonics Corp. Knotless filamentary fixation devices, assemblies and systems and methods of assembly and use
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9788826B2 (en) 2013-03-11 2017-10-17 Howmedica Osteonics Corp. Filamentary fixation device and assembly and method of assembly, manufacture and use
US9463013B2 (en) 2013-03-13 2016-10-11 Stryker Corporation Adjustable continuous filament structure and method of manufacture and use
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10292694B2 (en) 2013-04-22 2019-05-21 Pivot Medical, Inc. Method and apparatus for attaching tissue to bone
US10070857B2 (en) 2013-08-31 2018-09-11 Mitralign, Inc. Devices and methods for locating and implanting tissue anchors at mitral valve commissure
US10610211B2 (en) 2013-12-12 2020-04-07 Howmedica Osteonics Corp. Filament engagement system and methods of use
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10098628B2 (en) 2014-07-22 2018-10-16 Cook Medical Technologies Llc Anchor deployment system, device, and method of treatment
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9986992B2 (en) 2014-10-28 2018-06-05 Stryker Corporation Suture anchor and associated methods of use
US10568616B2 (en) 2014-12-17 2020-02-25 Howmedica Osteonics Corp. Instruments and methods of soft tissue fixation
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9974534B2 (en) 2015-03-31 2018-05-22 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
CN107714117A (en) 2017-11-09 2018-02-23 中国医科大学附属盛京医院 A kind of recyclable puncture anchor
US20200383679A1 (en) 2017-11-27 2020-12-10 T.A.G. Medical Devices - Agriculture Cooperative Ltd. Multiple anchor delivery system and method
WO2019126718A1 (en) 2017-12-23 2019-06-27 Neotract, Inc. Expandable tissue engagement apparatus and method
USD902405S1 (en) 2018-02-22 2020-11-17 Stryker Corporation Self-punching bone anchor inserter
US11504105B2 (en) 2019-01-25 2022-11-22 Rex Medical L.P. Vascular hole closure device
CN111824597B (en) * 2020-07-15 2021-08-13 江苏泰科博曼医疗器械有限公司 Continuous refrigeration system for kidney transplant operation
CN114286646B (en) 2020-08-03 2024-03-08 泰利福生命科学有限公司 Handle and cassette system for medical intervention

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE867420C (en) * 1951-07-01 1953-02-16 Hermann Burckart Dipl Ing Sewing needle for sewing wounds, for upholstery and saddlery
US3521640A (en) * 1967-12-07 1970-07-28 Jane T Carey Surgical apparatus for use with a diseased lung or the like and related method
US3749086A (en) * 1972-07-24 1973-07-31 Medical Evaluation Devices & I Spring guide with flexible distal tip
US3835863A (en) * 1973-05-15 1974-09-17 Mpc Kurgi Sil T tube
US3961632A (en) * 1974-12-13 1976-06-08 Moossun Mohamed H Stomach intubation and catheter placement system
US4006747A (en) * 1975-04-23 1977-02-08 Ethicon, Inc. Surgical method
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4393873A (en) * 1980-03-10 1983-07-19 Nawash Michael S Gastrostomy and other percutaneous transport tubes
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

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AU7314387A (en) 1987-11-26
EP0246836B1 (en) 1991-12-18
JPS6323651A (en) 1988-01-30
US5123914A (en) 1992-06-23
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AU613702B2 (en) 1991-08-08
AU2955989A (en) 1989-05-18
EP0246836A2 (en) 1987-11-25
DK169986B1 (en) 1995-04-24
ATE70425T1 (en) 1992-01-15
ES2028075T3 (en) 1992-07-01
EP0246836A3 (en) 1988-06-01
DE3775272D1 (en) 1992-01-30
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JPH067831B2 (en) 1994-02-02
GR3003392T3 (en) 1993-02-17

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