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Publication numberUS2959172 A
Publication typeGrant
Publication dateNov 8, 1960
Filing dateAug 27, 1957
Priority dateAug 27, 1957
Publication numberUS 2959172 A, US 2959172A, US-A-2959172, US2959172 A, US2959172A
InventorsJoseph E Held
Original AssigneeAmerican Cystoscope Makers Inc
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Self-threading suturing instrument
US 2959172 A
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Description  (OCR text may contain errors)

Nov. 8, 1960 J, E HELD SELF-THREADING SUTURING INSTRUMENT United States PatentY SELF-TI-IREADING SUTURING INSTRUMENT Joseph E. Held, New Rochelle, N.Y., assignor to Amercan Cystoscope Makers, Inc., New York, N.Y., acorporation of New York Filed Aug. 27, 1957, Ser. No. 680,465

11 Claims. (Cl. 128-340) struction and which facilitates and eases the work of the surgeon to an enhanced degree.

A more specic object of this invention is to provide such an instrument in which the working head may be freely rotated throughout 360 relative to the grip and which when positioned is completely operable and selfthreading when operated by the single hand by which it is grasped.

Patented Nov. 8

rifice the form of a sector gear or pinion which extends through a slot 24 into engagement with a portion 12a of operating rod 12 having annular lands and grooves forming a rack and extending rearwardly through the central longitudinal bore formed in housing portion 18. Operating rod 12, which is longitudinally reciprocable in housing 16 in response to rotation of trigger member 22 about its pivot pin 21, carries at its rearward end a disclike member having a greater diameter than the rod and adapted for sliding engagement with the inner wall surface of the enlarged end of housing 16. A cap member 26 threaded into the open rearward end of housing 16 serves as a retainer for the disc-like member 25 which in turn provides a shoulder or stop for the rearward end of operating spring 17. Spring 17 is normally maintained under compression and is further compressed when operating rod 12 is driven forward along cylindricalfmember 13 as trigger member 22 is rotated clockwise, as viewed in Figure 2.

j Cylindrical member 13 at its lrearward end is engirdled by a collar 27 which is fixed thereto and which is rotatably seated in the counter bore formed in housing por- Further objects as well as advantages of'the present Y invention will be apparent from the following description and the accompanying drawings in which Figure 1 is a top plan view of a self-threading suturing instrument constructed in 'accordance with the present invention;

Figure 2 is a side elevational view thereof partially in section;

Figure 3 is a sectional view of the needle end of the instrument showing the needle in its fully actuated p0- sition;

Figure 4 is a plan view, partially in section taken from the point of View of the line 4-4 of Figure 3 in the direction indicated; and

Figures 5 and 6 are cross-sectional views taken respectively through the lines 5-5 and 6 6 of Figure 2.

'Referring now to the drawings in detail, self-threading suturing instrument 10 comprises a grip portion 11 connected by means of an operating rod 12 and cylindrical tubular member 13 to a suturing needle 14 mounted at the distal end of the latter.

Grip portion 11 is in the form of a pistol grip having a handle or grip 15 extending at an oblique angle with respect to housing 16 to which it is joined. Member 15a, fixed to grip 15 intermediate the ends thereof functions as a stop or rest to properly position the hand of the user and prevents slipping of the hand laterally along the grip when the instrument is in use. The rearward or proximal portion of housing 16 is of somewhat enlarged diameter and houses operating spring 17 while a reduced diameter portion 18 thereof provides Aa y tion 18. -An annular groove 28, in which a retainer 29 is slidably seated, extends entirely about the radially outer surface of collar 27. Screw 30, extending through the wall of housing portion 18, is threaded into retainer 29 and together therewith prevents longitudinal displacement of collar 27 and tubular member 12 while permitting free rotationl thereof relative to the housing and grip. vThe external portion of collar 27 is conveniently formed as an enlarged diameter ring the surface 31 of which is knurled to facilitate manual rotation of member13.

Needle 14 is of arcuate configuration and has an elongated shank portion 35 provided with a longitudinali slot 36 which, adjacent to one end thereof, opens laterally through an opening 37. An aperture 38 is provided adjacent to the end of the shank in which a pivot pin extends as will be described.

Needle 14 is pivotally connected to the forward or distal end of tubular member 13 with its shank portion 35 extending through a longitudinal slot 39 formed in the forward end portion of operating rod 12. An operating pin 40 has a diameter such as to provide a running fit in slot 36, formed in the needle shank, and extends therethrough as well as across slot 39, being connected at its opposite ends to rod 12. A mounting block 41, connected to the underside (as viewed in Figure 3) of tubular member 13 has a vertical slot 42 formed therein which is in registration with a slot 43 formed'in tubular member 13. Slots 42 and 43 are also in registration with slot 39. An arm 44, hingedly mounted in a second slot 45, formed in block 41 transversely to and opening into sl-ot 42, carries a pin 46 which, with arm 44 in its closed position, as shown most clearly in Figure 5i extends through aperture 38 in needle 14 and across slot 42 to seat in the opposite side of mounting block 41, thereby providing the aforementioned pivot for the needle.

With the parts as thus far described, forward motion of operating rod 12 is transmitted, through operating pin 40, to needle 14 which is thereby caused to rotate clockwise as viewed in Figure 2 to the positionrshown in mounting post 4 9 which is threaded into operating'rd 12. An elongated threading member` 50 is pivotallycil nected at one end thereof to post 49 by means of pin 51 while its remaining end is left free. A H-shaped hinge member 52 is pivotally connected at one end thereof to tubular member 13 while its opposite end is pivotally connected, as indicated at 53, to threading member 50. The free, forward end of threading member 50 is bifurcated to provide a pair of spaced arms 50a and 50b, the free ends of which are arcuate so that they extend somewhat in the direction away from tubular member 13. A resilient clip member 54 is connected at one end thereof to the surface of threading arm 50 presented toward tubular member 13. The opposite or free end of clip member 54 is bifurcated to form a pair of spacedarms 54a and 54b each of which registers respectively with one of the arms 50a and 50b of the threading member. The free ends of the clip member arms 54a and 5412 are curved in the opposite direction than the corresponding ends of arms 50a and 50]? as most clearly shown in Figures 2 and 3 to provide a thread receiving notch 55 therebetween. Adjacent to its free end each of the clip member arms 54a and 54b carries a tab 56 which together serve to limit rearward movement of the thread when it is engaged in the thread receiving notch 55 as will be more fully pointed out.

A supply of thread 57 is carried on a bobbin 59 rotatably mounted in a housing 60. The thread is drawn from the bobbin through an opening 61 in housing 60 against the pressure of resilient clip 62 mounted on the housing 60. After the thread is seated in notch 55 the free end thereof is engaged behind a second clip 63 provided 0n housing 60 for that purpose.

As most clearly shown in Figures 2, 3 and 4, forward motion of operating rod 12, upon clockwise rotation of trigger 22, carries mounting post 49 and threading member 50 forward. At the same time H-shaped hinge member 52 pivots about its end which is connected to tubular member 13. The forward travel of the threading arm is such that hinge member 52 swings through and beyond the position in which it extends perpendicular to the axis of the operating rod 12. At the same time, forward motion of operating rod 12 causes rotation of needle 14 as has been pointed out. The relationship of the parts islsuch that the tip or working end of needle 14 enters the slot at the bifurcated ends of the threading member 50 and clip member 54 just before hinge member 52 reaches the position in which it is perpendicular to the axes of tubular member 13 and operating rod 12. As the forward motion of the operating rod continues the thread receiving notch S continues to move away from the needle so that the tip of the latter clears the thread 57 resting in notch 55. The final motion of the operating rod carries the threading arm sufficiently forward so that hinge member 52 on passing through its perpendicular position carries the threading member back vtowards needle 14 and the thread is seated in a notch 58 on the outer periphery of the needle.

Now, when trigger 22 is released, operating rod 12 travels rearwardly under the influence of expanding operating springs 17. Needle 14 is rotated counterclockwise to the position shown in Figure`2 and carries thread 57 with it. Simultaneously, the threading member 50 is shifted from its erected position as shown in Figure 3 to the position shown in Figure 2.

It will be readily appreciated that when the instrument is used for suturing that apart from inserting the thread into the notch 55 at the end of the threading member and clip it is only necessary for the surgeon to pass the point of the needle through the parts to be joined by the suture and then to pull and release trigger 22 to carry out the insertion of the thread at the site where the suture is to be made. The thread is then cut and tied. Thread 57 is withdrawn from bobbin 59 to a sucient extent to permit a fresh length of the thread to be engaged in the notch 55 in preparation for the formation of the next suture, vIn addition to lbeing self-threading and operable by the single hand in which it is grasped, sutures may be effected having any orientation around a full 360 while the surgeons hand which grasps the instrument rnay be maintained in its most efficient working position.

The terms and expressions which have been employed are used as terms of description and not of limitation, and there is no intention, in the use of such terms and expressions of excluding any equivalents of thek features shown and described or portions thereof, but it is recognized that various modications are possible within the scope of the invention claimed.

I claim:

1. A surgical suturing instrument, comprising an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent tosaid sharpened end portion, means supporting said needle for rotational motion along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading member having a portion thereof adapted to carry releasably a suture, said threading member being mounted for movement along a path which intersects the path traced by said end portion of said needle, means for simultaneously advancing said needle and said threading member along their respective paths and thereby bring said portion of said threading member into juxtaposition with said end p0rtion of said needle with the suture carried by said threading member in position to be engaged in said notch and for simultaneously withdrawing said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

2. A surgical suturing instrument, comprising an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion, means supporting said needle for rotational motion along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch, said threading means having a slot formed therein and being adapted to releasably carry a suture with the latter extending across said slot, said threading means being mounted for movement along a path which intersects the path traced by said end portion of said needle, means for simultaneously advancing said needle and said threading means along their respective paths and thereby bring said portion of said threading means into juxtaposition with said end portion of said needle with said needle extending in said slot and with said notch in position to engage said suture and for simultaneously withdrawing said needle and said threading means along their respective paths with the suture engaged in said notch and thereby carried by said needle.

3. A surgical suturing instrument, comprising a handle adapted to be manually grasped, elongated support means connecting to said handle, an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion, said needle being rotatably connected to said support means with said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading member having a portion thereof adapted to releasably carry a suture, said threading member being movably connected to said support means and movable along a path which intersects the path traced by said end portion of said needle, operating means connected to said needle and threading means and movable relative to said support means in one direction for simultaneously advancing said needle and said threading member along their respective paths and thereby bring said portion of said threading member into juxtaposition with said end portion of said needle with the suture carried by said threading member in position to be engaged in said notch, said operating means being adapted to simultaneously Withdraw said needle and said threading member along their respective paths with the suture engaged in said lnotch and thereby carried by said needle.

4. A surgical suturing instrument, comprising a handlev Iend portion and a notch formed in the surface lthereof adjacent to said sharpened end portion, said needle being rotatably connected to said support means for rotation 'about an axis perpendicular to said support means axis and with said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading member having a portion thereof adapted to releasably carry a suture, said threading member being movably connected to said support means and movable along a path which intersects the path traced by said end portion of said needle, operating means including an operating member rotatable with said support means and connected to said needle and threading means and movable relative to said support means in one direction for advancing said needle and said threading member along their respective paths and thereby bring said portion of said threading member into juxtaposition with said end portion of said needle with the suture carried by said threading member in position to be engaged in said notch, said operating means being adapted to withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

5. A surgical suturing instrument, comprising a handle adapted to be manually grasped, elongated support means rotatably connected to said handle for rotation about its longitudinal axis, an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion, said needle being rotatably connected to said support means for rotation about an axis perpendicular to said support means axis and with said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading member having a portion thereof adapted to releasably carry a suture, said threading member being movably connected to said support means and movable along a path which intersects the path traced by saidend portion of said needle, operating means including an operating member rotatable with said support means and connected to said needle and threading means and movable relative to said support means in lone direction forvsimultaneously advancing said needle and said threading member along their respective paths and thereby-bring said portion of said threading member into juxtaposition with said end portion of said needle with the suture carried by said threading member in position to'be engaged in said notch, said operating means being adapted to simultaneously withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

6. A surgical suturing instrument, comprising a handle adapted to be manually grasped, a tubular support member connected to said handle, an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion, said needle being rotatably connected to said support means for rotation about an axis perpendicular to said support means axis and with said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading member having a portion thereof adapted to releasably carry a suture, said threading member being movably connected to lsaid support member and movable along a path which intersects the path traced by said end portion of said needle, operating means including an operating member extending along said support` member and connected to said needle vand threading means, saidoperating member being ymovable relative to said supporting member in one direction foradvancing said needle and said threading member along their respective paths and thereby bring said portion of said threading member into juxtaposition with said end portion of said needle with the suture carried by said threading member in position to be engaged in said vnotch and said operating means being adapted to withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle. v

7. A surgical suturing instrument, comprising a handle adapted to be manually grasped, an elongated tubular support member rotatably connected to said handle for rotation about its longitudinal axis, an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion, said needle being rotatably connected to said support member for rotation about an axis perpendicular to said support member axis and with said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said'notch and including a threading arm having a portion thereof adapted to releasably carry a suture, said threading arm being movably connected to said support member and movable along a path which intersectstthe path traced by said end portion of said needle, operating means including an elongated operating member extending along said support member and connected to said needle and threading means, said operating member being rotatable with said support member and movable longi tudinally relative to said support member in one direction for advancing said needle and said threading arm along their respective paths and thereby bring said portion of said threading arm into juxtaposition with said end portion of said needle with the suture carried by said threading arm in position to be engaged in said notch, and said operating means being adapted to withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

8. A surgical suturing instrument, comprising a handle adapted to be manually grasped, an elongated tubular support member rotatably connected to said handle for rotation about its longitudinal axis, an arcuate needle having a sharpened end portion and a notch formed in the surface thereof adjacent to said sharpened end portion,- said needle being rotatably connected to said support member for rotation about an axis perpendicular to said support member axis and said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch and including a threading arm having a portion thereof adapted to releasably carry a suture, said threading arm being movably connected to said support member and movable along a path which intersects the path traced by said end portion of said needle, said needle having an elongated slot formed therein, operating means including an elongated operating member extending longitudinally within said support member, means connecting said operating member to said needle and said threading arm with said operating member movable along said slot, said operating member being rotatable with said support member and movable longitudinally relative to said support member in one direction for advancing said needle and said threading arm along their respective paths and thereby bring said portion of said threading arm into juxtaposition with said end portion of said needle with the suture carried by said threading arm in position to be engaged in said notch, and said operating means being adapted to withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

9. A surgical suturing instrument, comprising a handle adapted to be manually grasped, an elongated tubular support member connected to said handle, an arcuate needle having a sharpened end portion and a notch formed in the surface'thereof adjacent to said sharpened end portion, said needle being rotatably connected to said support member for movement along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch, said threading means having a slot formed therein and being adapted to releasably carry a suture with the latter extending across said slot, said threading means being movably connected to said support member and movable along a path which intersectstthe path traced by said end portion of said needle, said needle having an elongated slot formed therein, operating means extending along said support member and connected to said needle and said threading means with said operating means movable along said slot, said operating means being movable relative to said support member in one direction for advancing said needle and said threading Vmeans along their respective paths and thereby bring said portion of said threading means into juxtaposition with said end portion of said needle with said needle extending in the threading means slot and with said notch in position to engage said suture, and said operating means being adapted to Withdraw said needle and said threading member along their respective paths with the suture engaged in said notch and thereby carried by said needle.

10. A surgical suturing instrument, comprising a handle adapted to be manually grasped, an elongated tubular support member rotatably connected to said handle for rotation about its longitudinal axis, an arcuate needle having a sharpened end portion and a notch formed in `thesurface thereof adjacent tosaid sharpened end por tion, said needle being rotatably connected to said support member for rotation about an axis perpendicular to said support member axis and said end portion being movable along a predetermined path, threading means for automatically threading said needle by seating a suture in said notch, said threading means having a slot formed therein and being adapted to releasably carry a suture with the latter extending across said slot, said threading means being movably connected to said support member and movable along a path which intersects the path traced -by said end portion of said needle, said needle having an elongated slot formed therein, operating means extending longitudinally within said support member and connected to said needle and said threading member with said operating means movable along said slot, said operatingmeans being rotatable with said support member and movable longitudinally relative to said support member in one direction for advancing said needle and said threading means along their respective paths and thereby bring said portion of said threading means into juxtaposition with said end portion of said needle with said needle extending in the threading means slot and with said notch in positionl to engage said suture, and said operating means being adapted to withdraw said needle and said threading member along their-respective paths withthe suture engaged in said notch :and thereby carried by said needle.

11. A surgical suturing instrument, comprising 'a handle adapted to be manually grasped, an elongated tubular support member having a longitudinal slot formed therein adjacent to one end thereof and rotatably connected ad-A jacent to the other end thereof to said handle for rotation about its longitudinal axis, an arcuate needle havinga sharpened end portion and a notch formedin the sur-l face thereof adjacent to said sharpened end port-ion, said needle extending in said slot and being rotatably connected to said support member for rotation along said slot about an axis perpendicular to said support member axis with said end portion being movable alonga predetermined path, said support member having a second slot formed through one side thereof in registration with said elongated slot, an elongated operating member extending longitudinally within said support member and connected adjacent to one end thereof to said needle, an elongated threading arm bifurcated at one end thereof and pivotally connected adjacent to the other end thereof to said operating member through said second slot, a resilient bifurcated clip member connected to and carried by said threading arm and forming therewith a slot extending in alignment With said needle, said threading arm and clip member forming a suture receiving notch extending on opposite sides of said last mentioned slot, a hinge member pivotally connecting said threading arm intermediate the ends thereof to said support member, Y'the bifurcated portion of said threading arm being movable along a path which intersects the path traced by said end portion of said needle, said operating member being rotatable with said support member and movable longitudinally relative to said support member in one direction for advancing said needle and said threading arm along their respective paths and thereby bring said portion of said threading arm into juxtaposition With said end por-l tion of said needle with the suture carried by said thread- ,ing arm .in position to be engaged in said notch, resilient means normally urging said operating member in the direction to withdraw said needle and said threading member along their respective paths, and means connected to said handle for moving said operating member in said one direction.

References Cited in the file of this patent UNITED STATES PATENTS 1,635,066 'Wens July 5, 1927 2,286,578 Sauter Iunel6, 1942 2,704,526 kBenink et al Mar. 22, 1955

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1635066 *Feb 8, 1927Jul 5, 1927Wells Walter ASurgical instrument
US2286578 *Feb 11, 1942Jun 16, 1942Sauter Simon HSurgical instrument
US2704526 *Aug 21, 1952Mar 22, 1955 Needle threading device
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3085339 *Nov 25, 1960Apr 16, 1963Wolfe Deloit ROrthodontic pliers
US3130729 *May 15, 1961Apr 28, 1964Curtis Scott CompanySurgical needle threader
US3168097 *Jul 27, 1961Feb 2, 1965PorgesNeedle holder having a rotating clamp for surgical sutures
US4562839 *Jan 6, 1983Jan 7, 1986Blake Joseph W IiiSurgical instrument
US4890615 *Nov 5, 1987Jan 2, 1990Concept, Inc.Arthroscopic suturing instrument
US5059201 *Jan 22, 1991Oct 22, 1991Asnis Stanley ESuture threading, stitching and wrapping device for use in open and closed surgical procedures
US5292327 *Oct 8, 1992Mar 8, 1994Dodd Joseph TSurgical knot pusher
US5403328 *Feb 3, 1993Apr 4, 1995United States Surgical CorporationSurgical apparatus and method for suturing body tissue
US5417699 *Dec 10, 1992May 23, 1995Perclose IncorporatedDevice and method for the percutaneous suturing of a vascular puncture site
US5437681 *Jan 13, 1994Aug 1, 1995Suturtek Inc.Suturing instrument with thread management
US5470338 *Oct 8, 1993Nov 28, 1995United States Surgical CorporationInstrument for closing trocar puncture wounds
US5474568 *Nov 24, 1993Dec 12, 1995United States Surgical CorporationInstrument for closing trocar puncture wounds
US5499991 *Dec 19, 1994Mar 19, 1996Linvatec CorporationEndoscopic needle with suture retriever
US5527321 *Jul 14, 1993Jun 18, 1996United States Surgical CorporationInstrument for closing trocar puncture wounds
US5527322 *Nov 8, 1993Jun 18, 1996Perclose, Inc.Device and method for suturing of internal puncture sites
US5586986 *Feb 23, 1995Dec 24, 1996United States Surgical CorporationInstrument for closing trocar puncture wounds
US5613974 *Jun 1, 1994Mar 25, 1997Perclose, Inc.Suturing device
US5662663 *Feb 23, 1995Sep 2, 1997United States Surgical CorporationSurgical suture instrument
US5728112 *Sep 22, 1995Mar 17, 1998Yoon; InbaeCombined tissue clamping and suturing instrument
US5759188 *Nov 27, 1996Jun 2, 1998Yoon; InbaeSuturing instrument with rotatably mounted needle driver and catcher
US5779719 *Jun 14, 1994Jul 14, 1998Perclose, Inc.Device and method for the percutaneous suturing of a vascular puncture site
US5792152 *Apr 26, 1996Aug 11, 1998Perclose, Inc.Device and method for suturing of internal puncture sites
US5797927 *Sep 22, 1995Aug 25, 1998Yoon; InbaeCombined tissue clamping and suturing instrument
US5860991 *Aug 22, 1997Jan 19, 1999Perclose, Inc.Method for the percutaneous suturing of a vascular puncture site
US5860992 *Jan 31, 1996Jan 19, 1999Heartport, Inc.Endoscopic suturing devices and methods
US5902311 *Jun 15, 1995May 11, 1999Perclose, Inc.Low profile intraluminal suturing device and method
US5921994 *Oct 7, 1997Jul 13, 1999Perclose, Inc.Low profile intraluminal suturing device and method
US5954731 *Jul 29, 1997Sep 21, 1999Yoon; InbaeFor use in open and endoscopic procedures
US5954733 *Apr 22, 1998Sep 21, 1999Yoon; InbaeSuturing instrument with rotatably mounted needle driver and catcher
US5957937 *Aug 1, 1997Sep 28, 1999Yoon; InbaeSuturing instrument with spreadable needle holder mounted for arcuate movement
US5984932 *May 1, 1997Nov 16, 1999Yoon; InbaeSuturing instrument with one or more spreadable needle holders mounted for arcuate movement
US5993466 *Jun 17, 1997Nov 30, 1999Yoon; InbaeSuturing instrument with multiple rotatably mounted spreadable needle holders
US5993467 *Aug 1, 1997Nov 30, 1999Yoon; InbaeSuturing instrument with rotatably mounted spreadable needle holder
US6004332 *May 1, 1997Dec 21, 1999Yoon; InbaeSuturing instrument with multiple rotatably mounted offset needle holders and method of using the same
US6010514 *Mar 17, 1998Jan 4, 2000Burney; Bryan T.Suturing assembly and method of use
US6017358 *May 1, 1997Jan 25, 2000Inbae YoonSurgical instrument with multiple rotatably mounted offset end effectors
US6036699 *Mar 26, 1997Mar 14, 2000Perclose, Inc.Device and method for suturing tissue
US6080180 *May 1, 1997Jun 27, 2000Yoon; InbaeSurgical instrument with rotatably mounted offset end effector and method of using the same
US6126665 *Jul 23, 1997Oct 3, 2000Yoon; InbaeSurgical instrument with arcuately movable offset end effectors and method of using the same
US6143005 *May 1, 1997Nov 7, 2000Yoon; InbaeSuturing instrument with rotatably mounted offset needle holder and method of using the same
US6159224 *Apr 28, 1999Dec 12, 2000Yoon; InbaeMultiple needle suturing instrument and method
US6190396Sep 14, 1999Feb 20, 2001Perclose, Inc.Device and method for deploying and organizing sutures for anastomotic and other attachments
US6206893Apr 8, 1998Mar 27, 2001Perclose, Inc.Device and method for suturing of internal puncture sites
US6214028Aug 5, 1999Apr 10, 2001Inbae YoonSurgical instrument with multiple rotatably mounted offset end effectors and method of using the same
US6261307May 5, 2000Jul 17, 2001Inbae YoonMethod of using surgical instrument with rotatably mounted offset end effector
US6355050Jun 26, 1997Mar 12, 2002Abbott LaboratoriesDevice and method for suturing tissue
US6358258Sep 14, 1999Mar 19, 2002Abbott LaboratoriesDevice and method for performing end-to-side anastomosis
US6517553Jan 24, 2001Feb 11, 2003Abbott LaboratoriesDevice and method for suturing of internal puncture sites
US6558399Jun 30, 2000May 6, 2003Abbott LaboratoriesDevices and method for handling a plurality of suture elements during a suturing procedure
US6726705Jun 25, 2002Apr 27, 2004Incisive Surgical, Inc.Mechanical method and apparatus for bilateral tissue fastening
US6730102Nov 6, 2000May 4, 2004Abbott LaboratoriesSystems, devices and methods for deploying needles
US6964668May 20, 2002Nov 15, 2005Abbott LaboratoriesArticulating suturing device and method
US6984237May 22, 2002Jan 10, 2006Orthopaedic Biosystems Ltd., Inc.Suture passing surgical instrument
US7001400Aug 29, 2000Feb 21, 2006Abbott LaboratoriesArticulating suturing device and method
US7004951Oct 3, 2002Feb 28, 2006Gibbens Group LlcCycling suturing and knot-tying device
US7029481Nov 6, 2000Apr 18, 2006Abbott LaboratoriesSystems, devices and methods for suturing patient tissue
US7048747Nov 20, 2001May 23, 2006Abbott LaboratoriesDevice and method for performing end-to-side anastomosis
US7060078Nov 13, 2001Jun 13, 2006Indiana University Research And Technology CorporationApparatus and method for positive closure of an internal tissue membrane opening
US7112214Jun 25, 2003Sep 26, 2006Incisive Surgical, Inc.Dynamic bioabsorbable fastener for use in wound closure
US7235087Aug 29, 2003Jun 26, 2007Abbott ParkArticulating suturing device and method
US7377927Mar 27, 2006May 27, 2008Abbott LaboratoriesSystems, devices and methods for suturing patient tissue
US7390328Dec 19, 2003Jun 24, 2008Abbott LaboratoriesDevice and method for suturing of internal puncture sites
US7445626Dec 16, 2003Nov 4, 2008Abbott LaboratoriesDevice and method for suturing tissue
US7462188Sep 22, 2004Dec 9, 2008Abbott LaboratoriesDevice and method for suturing intracardiac defects
US7547315Dec 3, 2004Jun 16, 2009Incisive Surgical, Inc.Mechanical method and apparatus for tissue fastening
US7637918Aug 11, 2005Dec 29, 2009Zimmer Spine, Inc.Helical suturing device
US7670349Feb 20, 2007Mar 2, 2010Indiana University Research & Technology CorporationApparatus and method for positive closure of an internal tissue membrane opening
US7686200May 30, 2003Mar 30, 2010Incisive Surgical, Inc.Mechanical method and apparatus for bilateral tissue fastening
US7686821Jan 27, 2006Mar 30, 2010Indiana University Research & Technology CorporationApparatus and method for positive closure of an internal tissue membrane opening
US7803167Sep 27, 2005Sep 28, 2010Nobles Anthony AHandle for suturing apparatus
US7837696Dec 5, 2003Nov 23, 2010Abbott LaboratoriesArticulating suturing device and method
US7842047Feb 27, 2006Nov 30, 2010Abbott LaboratoriesArticulating suturing device and method
US7842048Aug 18, 2006Nov 30, 2010Abbott LaboratoriesArticulating suture device and method
US7842049Oct 25, 2006Nov 30, 2010Abbott LaboratoriesSystems for anchoring a medical device in a body lumen
US7846170Mar 20, 2007Dec 7, 2010Abbott LaboratoriesArticulating suturing device and method
US7850701Aug 2, 2004Dec 14, 2010Abbott LaboratoriesArticulating suturing device and method
US7883517Aug 8, 2005Feb 8, 2011Abbott LaboratoriesVascular suturing device
US7883519Nov 10, 2004Feb 8, 2011Ran OrenSuture manipulating instrument particularly useful with endoscopes
US7922739Mar 24, 2004Apr 12, 2011Downey Earl CSurgical instrument with trigger control
US7950559Jun 25, 2003May 31, 2011Incisive Surgical, Inc.Mechanical method and apparatus for bilateral tissue fastening
US8038688Nov 14, 2005Oct 18, 2011Abbott LaboratoriesArticulating suturing device and method
US8048092Dec 6, 2010Nov 1, 2011Abbott LaboratoriesArticulating suturing device and method
US8048108Feb 4, 2009Nov 1, 2011Abbott Vascular Inc.Vascular closure methods and apparatuses
US8057491Dec 13, 2010Nov 15, 2011Abbott LaboratoriesArticulating suturing device and method
US8066736Apr 1, 2005Nov 29, 2011Incisive Surgical, Inc.Dynamic bioabsorbable fastener for use in wound closure
US8074857Dec 23, 2004Dec 13, 2011Incisive Surgical, Inc.Method and apparatus for tissue fastening with single translating trigger operation
US8080004Oct 26, 2005Dec 20, 2011Earl DowneyLaparoscopic surgical instrument
US8083754Aug 8, 2005Dec 27, 2011Abbott LaboratoriesVascular suturing device with needle capture
US8100939Jul 17, 2006Jan 24, 2012Incisive Surgical, Inc.Mechanical method and apparatus for sequential tissue fastening
US8137364Sep 11, 2003Mar 20, 2012Abbott LaboratoriesArticulating suturing device and method
US8172860Dec 12, 2008May 8, 2012Abbott LaboratoriesArticulating suturing device and method
US8177796Mar 22, 2010May 15, 2012Linvatec CorporationSuture passing apparatus and method
US8202281Nov 29, 2010Jun 19, 2012Abbott LaboratoriesSystems for anchoring a medical device in a body lumen
US8211122Aug 9, 2007Jul 3, 2012Abbott LaboratoriesDevice for suturing intracardiac defects
US8252008Nov 29, 2010Aug 28, 2012Abbott LaboratoriesArticulating suturing device and method
US8257368Aug 9, 2007Sep 4, 2012Abbott LaboratoriesDevice for suturing intracardiac defects
US8267947Jul 21, 2006Sep 18, 2012Abbott LaboratoriesVascular suturing device
US8313498Feb 7, 2011Nov 20, 2012Abbott LaboratoriesVascular suturing device
US8323298Nov 19, 2010Dec 4, 2012Abbott LaboratoriesArticulating suturing device and method
US8361088Oct 23, 2008Jan 29, 2013Abbott LaboratoriesDevice and method for suturing intracardiac defects
US8419753Oct 7, 2008Apr 16, 2013Abbott LaboratoriesSuturing device with split arm and method of suturing tissue
US8430893Aug 23, 2012Apr 30, 2013Abbott LaboratoriesArticulating suturing device and method
US8465504Jan 25, 2011Jun 18, 2013Isuturing, LlcDevices and methods for continuous surgical suturing
US8469974Jul 7, 2010Jun 25, 2013Pivot Medical, Inc.Method and apparatus for treating a hip joint, including the provision and use of a novel suture passer
US8496676Sep 24, 2010Jul 30, 2013Nobles Medical Technologies, Inc.Handle for suturing apparatus
US8574244Dec 19, 2007Nov 5, 2013Abbott LaboratoriesSystem for closing a puncture in a vessel wall
US8597309Sep 13, 2012Dec 3, 2013Abbott LaboratoriesSuturing device with split arm and method of suturing tissue
US8663248Dec 12, 2008Mar 4, 2014Abbott LaboratoriesArticulating suturing device and method
US8663252Sep 1, 2010Mar 4, 2014Abbott Cardiovascular Systems, Inc.Suturing devices and methods
US8690898Jun 24, 2005Apr 8, 2014Smith & Nephew, Inc.Suture passing surgical instrument
EP0315371A2 *Oct 27, 1988May 10, 1989Linvatec CorporationA suturing instrument for use in arthroscopic surgery
EP0482881A1 *Oct 22, 1991Apr 29, 1992Ethicon Inc.Deep suturer
EP0567130A1 *Apr 22, 1993Oct 27, 1993United States Surgical CorporationSurgical suture instrument
EP1236437A1Dec 8, 1993Sep 4, 2002Abbott LaboratoriesVascular puncture site suturing device
EP1327419A2 *Oct 13, 1993Jul 16, 2003Advanced Research & Technology InstituteApparatus for closure of an internal tissue membrane opening
WO1991006247A1 *Nov 2, 1990May 16, 1991Stanley E AsnisSuture threading, stitching and wrapping device
WO1991016858A1 *May 7, 1991Nov 14, 1991Kensey Nash CorpPlug device with pulley for sealing punctures in tissue and methods of use
WO1997000046A1Jun 12, 1996Jan 3, 1997Perclose IncLow profile intraluminal suturing device and method
Classifications
U.S. Classification606/144, D24/145
International ClassificationA61B17/04
Cooperative ClassificationA61B17/0469, A61B2017/047, A61B17/0483
European ClassificationA61B17/04E