US3877434A - Vascular tourniquet - Google Patents

Vascular tourniquet Download PDF

Info

Publication number
US3877434A
US3877434A US441702A US44170274A US3877434A US 3877434 A US3877434 A US 3877434A US 441702 A US441702 A US 441702A US 44170274 A US44170274 A US 44170274A US 3877434 A US3877434 A US 3877434A
Authority
US
United States
Prior art keywords
sheath
plug
retractor
proximal end
tourniquet
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
US441702A
Inventor
Thomas B Ferguson
Norbert W Burlis
Fred E Satchell
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.)
Sherwood Medical Co
Original Assignee
Sherwood Medical Industries 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 Sherwood Medical Industries Inc filed Critical Sherwood Medical Industries Inc
Priority to US441702A priority Critical patent/US3877434A/en
Application granted granted Critical
Publication of US3877434A publication Critical patent/US3877434A/en
Assigned to SHERWOOD MEDICAL COMPANY reassignment SHERWOOD MEDICAL COMPANY MERGER (SEE DOCUMENT FOR DETAILS). Assignors: SHERWOOD MEDICAL INDUSTRIES INC. (INTO)
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • 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
    • A61B17/0485Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00349Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue

Definitions

  • ABSTRACT A vascular tourniquet or snare for use in a surgical procedure where it is desired to limit or restrict flow through a body vessel or to secure a tube within such vessel
  • the tourniquet or snare consists of an elongate sheath through which a rigid retractor extends. A tape or cord wrapped about the vessel is withdrawn through the sheath by the retractor and secured thereto by a plug inserted in the proximal end of the sheath.
  • This invention relates to a vascular tourniquet or snare, and more particularly to a disposable device of this nature which substantially reduces the clutter normally occurring in the surgical field during certain operative procedures.
  • a catheter or other medical tube into the lumen of a vein or artery for various purposes.
  • open heart surgery it is necessary to provide an artificial means whereby the breathing functions of the lungs and pumping functions of the heart can be assured during the period that the heart is open.
  • the heart and lungs must be bypassed by diverting the venous blood returning from the body to the right atrium into a heart-lung machine and pumping the blood oxygenated by the machine back into the aorta, either through one of its branches or through the aorta itself.
  • vena caval catheters are inserted into the superior and inferior vena cavae.
  • a purse-string suture or a cord shod may be used, the latter consisting of a rubber tube through which a length of umbilical tape is passed after encircling the vessel. Once the tape is passed through the tube, an external clamp such as hemostat is applied to the tube to secure the tape in position therein.
  • vascular tourniquet which substantially reduces clutter at the operative site; the provision of such a device which is easily manipulated for use but which securely holds a tube or catheter within a body vessel or restricts or prohibits flow through such vessel; and the provision of such a device which is characterized by low cost and may be disposed of after use with a single patient.
  • vascular tourniquet constructed in accordance with the present invention comprises an elongate tubular sheath having proximal and distal ends.
  • An elongate retractor extends through the lumen of the sheath and beyond both ends thereof, the retractor having a handle at its proximal end and a hook at its distal end.
  • a cord or other similar device is engaged by the hook after being positioned about a body vessel for drawing the ends of the cord through the lumen of the sheath and out its proximal end upon withdrawal of the retractor from the sheath lumen.
  • a plug is frictionally received within the proximal end of the sheath to secure the cord against movement with respect to the sheath by binding the cord between the sheath and the plug.
  • FIG. 1 is a longitudinal view, partly in section, of the vascular tourniquet of this invention with a body vessel;
  • FIG. 2 is a view similar to FIG. 1 but with the retractor of the tourniquet in a changed position;
  • FIG. 3 is a view similar to FIG. 1 but with the tourniquet in position of use;
  • FIG. 4 is a fragmentary view showing the distal end of the retractor of the tourniquet of FIG. 1;
  • FIG. 5 is a fragmentary view, partly in section, of an alternate embodiment of the invention.
  • FIG. 6 is a view similar to FIG. 5 but with the retractor shown partially withdrawn.
  • the present vascular tourniquet is indicated generally at 10. While the vascular tourniquet will be described for use in securing a catheter within a body vessel, such as vein or artery, it will be understood that the invention can also be used for constricting a vessel, such as a blood vessel, urinary tract duct, etc.
  • the vascular tourniquet 10 is shown to comprise an elongate tubular sheath 11 having a proximal end 12 and a distal end 14.
  • the sheath 11 tapers slightly substantially from its proximal to its distal ends although a cylindrical sheath may also be used.
  • the inner wall 15 of the sheath 11 defines a lumen 16 extending throughout the length of the sheath.
  • a relatively rigid elongate retractor 18 is telescopically received within the lumen 16 of the sheath 11, the retractor comprising an elongate rod 20 having an integral handle 22 at its proximal end and an integral hook 24 at its distal end.
  • the retractor handle 22 comprises a circular finger ring, and
  • the hook 24 as seen in greater detail in FIG. 4, comprises an open loop 25 having a proximally extending tip 27.
  • the tip 27 of the hook 24 defines an open eyelet or opening 28 for receiving a cord or tape.
  • a tubular collar 29 is secured within the lumen 16 of sheath 11 at its proximal end 12.
  • Collar 29 has a bore 30 and is secured to the inner wall 15 of the sheath by any suitable means, such as frictional engagement, a suitable adhesive or solvent bonding.
  • a plug 31 is connected to the proximal end of the collar 29 by an integral tether or strap 32 which is formed of sufficiently flexible material so that the plug may be readily inserted within the bore 30 of collar 29, as seen in FIG. 3.
  • the outer diameter of plug 31 and inner diameter of bore 30 are sized for tight frictional engagement of the plug within the bore.
  • a length of umbilical cord or tape 34 is looped about a body vessel 36 having a catheter or tube 38 therein. It should be understood, however, that any suitable ligating material may be used in lieu of umbilical cord to tape 34, for example, a suture type ligature or other sterile string or cord may be used depending upon the particular use of the tourniquet.
  • the cord 34 is looped about the vessel 36 at the desired location and the free ends of the cord 34 are grasped within the loop 25 of the hook 24, as illustrated in FIG. 1.
  • the sheath 11 is then held by the user and the retractor 18 is withdrawn through the lumen of the sheath by grasping the finger hook 22 and moving the retractor proximally relative to the sheath.
  • This procedure as illustrated in FIG. 2, draws the free ends of the cord 34 through the lumen of the sheath until the free ends extend beyond its proximal end 12.
  • the retractor 18 may then be discarded.
  • the free ends of the cord 34 that now extend beyond the proximal end 12 are grasped by one hand of the user while the sheath 11 is held by the other hand, and tension is applied to the cord 34 until the looped end of the cord exerts the desired degree of pressure about vessel 36.
  • the sheath is compressed to hold the free ends of the cord against slippage and the plug 31 is inserted within the bore 30 of collar 20 to securely bind the cord between the inner wall of the bore 30 and the outer surface of the plug 31, as shown in FIG. 3.
  • the vascular tourniquet may then be released and will securely retain the tension applied by the cord 34 about the vessel 36.
  • the plug 31 is merely removed from bore 30 and the sheath 1 l withdrawn proximally from the cord and vessel.
  • a tourniquet includes a tubular sheath 11' which is identical to sheath ll of FIG. 1, and a retractor 18' which is similar to retractor 18 except that the hook at the distal end of retractor 18 comprises a radially flexible loop or eyelet 40.
  • the loop 40 is continuous or closed so that the free ends of cord, such as cord 34', are threaded through the central opening in the loop, indicated at 42, to withdraw the cord ends through the lumen of sheath 11' upon withdrawal of the retractor 18.
  • the sheaths 11 and 11' are preferably made from a resiliently flexible plastic material so that they are somewhat flexible or compressible generally in the axial direction whereby the cord is resiliently urged axially by the resiliency of the sheath when the tourniquet is applied to a vessel. In this way, any forces tending to move the sheath angularly relative to the vessel during application and use of the tourniquet are at least partially absorbed by the sheath thereby tending to avoid excess forces on the vessel.
  • the sheath should, of course, be sufficiently rigid to avoid collapse when under the normal compressive forces encountered in use. Sheaths of polyvinyl chloride have provided good results.
  • the vascular tourniquet of the present invention may be readily made entirely from inexpensive synthetic plastic materials so as to be disposed of after a single use.
  • the sheath 11 may be extruded of polyvinyl chloride while the retractor rod may be injection molded of polypropylene.
  • the plug 31 and collar 29, together with tether strap 32, may be injection molded of polyvinyl chloride.
  • a vascular tourniquet comprising an elongate tu bular sheath having proximal and distal ends, an elongate retractor extending through the lumen of said sheath and beyond both ends thereof, said retractor having a handle at its proximal end and a hook at its distal end, a cord or the like adapted to be positioned about a body vessel and engaged by said hook for drawing the ends of the cord through the lumen of the sheath and out its proximal end upon withdrawal of said retractor from said lumen, and a plug axially insertable from the exterior of said sheath into the proximal end of said sheath to secure the cord against axial movement with respect to said sheath.
  • vascular tourniquet of claim 1 further comprising a tubular collar secured within the lumen of said sheath at its proximal end, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
  • vascular tourniquet of claim 4 further comprising a tubular collar secured within the lumen at the proximal end of said sheath, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
  • said hook comprises a flexible loop integrally carried at the distal end of said retractor, said loop normally having a transverse dimension greater than the diameter of said lumen but being capable of flexing to a smaller dimension to pass through said lumen upon withdrawal of said retractor.
  • vascular tourniquet of claim 7 further comprising a tubular collar secured within the lumen at the proximal end of said tube, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for receiving said cord and frictionally receiving said plug.
  • said hook comprises a loop at the distal end of said retractor, said loop defining an elongate eyelet open at its proximal end and tapering toward its distal end for receiving the cord in wedged frictional engagement and having a tip at the open proximal end of said eyelet which is radially inward relative to the periphery of the main portion of said retractor to prevent snagging of the hook on the distal end of said sheath.
  • the vascular tourniquet of claim 1 further including flexible plastic connection means connecting said plug to said sheath to allow axial insertion of said plug into the proximal end of said sheath to frictionally engage and hold said cord and to allow axial removal of said plug from the proximal end of said sheath.

Abstract

A vascular tourniquet or snare for use in a surgical procedure where it is desired to limit or restrict flow through a body vessel or to secure a tube within such vessel. The tourniquet or snare consists of an elongate sheath through which a rigid retractor extends. A tape or cord wrapped about the vessel is withdrawn through the sheath by the retractor and secured thereto by a plug inserted in the proximal end of the sheath.

Description

United States Patent Ferguson et al.
VASCULAR TOURNIQUET Inventors: Thomas B. Ferguson, Ladue;
Norbert W. Burlis, University City; Fred E. Satchell, Chesterfield, all of Mo.
Sherwood Medical Industries, Inc., St. Louis, Mo.
Filed: Feb. 11, 1974 Appl. No.: 441,702
Assignee:
US. Cl. 128/327; 128/346; 251/7 Int. Cl A61b 17/12 Field of Search 128/325, 326, 327, 349; 251/7 References Cited UNITED STATES PATENTS 4/1925 Braecklein 128/327 [451 Apr. 15, 1975 5/1972 Flores 128/326 1/1974 Wolvek 128/326 Primary ExaminerRichard A. Gaudet Assistant Examiner-Henry S. Layton Attorney, Agent, or Firm-Stanley N. Garber; William R. OMeara [57] ABSTRACT A vascular tourniquet or snare for use in a surgical procedure where it is desired to limit or restrict flow through a body vessel or to secure a tube within such vessel, The tourniquet or snare consists of an elongate sheath through which a rigid retractor extends. A tape or cord wrapped about the vessel is withdrawn through the sheath by the retractor and secured thereto by a plug inserted in the proximal end of the sheath.
12 Claims, 6 Drawing Figures VASCULAR TOURNIQUET BACKGROUND OF THE INVENTION This invention relates to a vascular tourniquet or snare, and more particularly to a disposable device of this nature which substantially reduces the clutter normally occurring in the surgical field during certain operative procedures.
During certain surgical procedures it is customary to insert a catheter or other medical tube into the lumen of a vein or artery for various purposes. For example, in open heart surgery it is necessary to provide an artificial means whereby the breathing functions of the lungs and pumping functions of the heart can be assured during the period that the heart is open. Thus, the heart and lungs must be bypassed by diverting the venous blood returning from the body to the right atrium into a heart-lung machine and pumping the blood oxygenated by the machine back into the aorta, either through one of its branches or through the aorta itself. For this purpose, vena caval catheters are inserted into the superior and inferior vena cavae. In the past, it has been common practice to prevent leakage of blood at the entry site by encircling the vessel with a snare, tourniquet or suture. For example, a purse-string" suture or a cord shod" may be used, the latter consisting of a rubber tube through which a length of umbilical tape is passed after encircling the vessel. Once the tape is passed through the tube, an external clamp such as hemostat is applied to the tube to secure the tape in position therein.
The use of such prior art clamping devices provide considerable clutter in the operative field principly due to the clamp used to secure the umbilical tape within the rubber tube. In certain operative procedures a relatively large number of such devices must be used, thereby unduly limiting the surgeons access to the operative site.
Examples of vascular tourniquets which have been designed to overcome these and other problems in the use of conventional devices are illustrated in US. Pat. Nos. 3,043,308 and 3,507,270. As will be readily observed, however, the devices illustrated by these patents are relatively expensive to manufacture, and lack the simplicity and ease of use which characterize the present invention.
SUMMARY OF THE INVENTION Accordingly, among the several objects of the present invention may be noted the provision of a vascular tourniquet which substantially reduces clutter at the operative site; the provision of such a device which is easily manipulated for use but which securely holds a tube or catheter within a body vessel or restricts or prohibits flow through such vessel; and the provision of such a device which is characterized by low cost and may be disposed of after use with a single patient.
In general, vascular tourniquet constructed in accordance with the present invention comprises an elongate tubular sheath having proximal and distal ends. An elongate retractor extends through the lumen of the sheath and beyond both ends thereof, the retractor having a handle at its proximal end and a hook at its distal end. A cord or other similar device is engaged by the hook after being positioned about a body vessel for drawing the ends of the cord through the lumen of the sheath and out its proximal end upon withdrawal of the retractor from the sheath lumen. A plug is frictionally received within the proximal end of the sheath to secure the cord against movement with respect to the sheath by binding the cord between the sheath and the plug.
These and other objects and features will be apparent hereinafter.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a longitudinal view, partly in section, of the vascular tourniquet of this invention with a body vessel;
FIG. 2 is a view similar to FIG. 1 but with the retractor of the tourniquet in a changed position;
FIG. 3 is a view similar to FIG. 1 but with the tourniquet in position of use;
FIG. 4 is a fragmentary view showing the distal end of the retractor of the tourniquet of FIG. 1;
FIG. 5 is a fragmentary view, partly in section, of an alternate embodiment of the invention; and
FIG. 6 is a view similar to FIG. 5 but with the retractor shown partially withdrawn.
Corresponding reference characters indicate corresponding parts throughout the several views of the drawings.
DESCRIPTION OF THE PREFERRED EMBODIMENTS Referring now to the drawings, and particularly to FIGS. 1-4, the present vascular tourniquet is indicated generally at 10. While the vascular tourniquet will be described for use in securing a catheter within a body vessel, such as vein or artery, it will be understood that the invention can also be used for constricting a vessel, such as a blood vessel, urinary tract duct, etc.
The vascular tourniquet 10 is shown to comprise an elongate tubular sheath 11 having a proximal end 12 and a distal end 14. The sheath 11, as illustrated, tapers slightly substantially from its proximal to its distal ends although a cylindrical sheath may also be used. The inner wall 15 of the sheath 11 defines a lumen 16 extending throughout the length of the sheath. A relatively rigid elongate retractor 18 is telescopically received within the lumen 16 of the sheath 11, the retractor comprising an elongate rod 20 having an integral handle 22 at its proximal end and an integral hook 24 at its distal end. As illustrated in the drawings, the retractor handle 22 comprises a circular finger ring, and
the hook 24, as seen in greater detail in FIG. 4, comprises an open loop 25 having a proximally extending tip 27. As will be described more fully hereinafter, the tip 27 of the hook 24 defines an open eyelet or opening 28 for receiving a cord or tape.
A tubular collar 29 is secured within the lumen 16 of sheath 11 at its proximal end 12. Collar 29 has a bore 30 and is secured to the inner wall 15 of the sheath by any suitable means, such as frictional engagement, a suitable adhesive or solvent bonding.
A plug 31 is connected to the proximal end of the collar 29 by an integral tether or strap 32 which is formed of sufficiently flexible material so that the plug may be readily inserted within the bore 30 of collar 29, as seen in FIG. 3. The outer diameter of plug 31 and inner diameter of bore 30 are sized for tight frictional engagement of the plug within the bore.
A length of umbilical cord or tape 34 is looped about a body vessel 36 having a catheter or tube 38 therein. It should be understood, however, that any suitable ligating material may be used in lieu of umbilical cord to tape 34, for example, a suture type ligature or other sterile string or cord may be used depending upon the particular use of the tourniquet.
To use the present vascular tourniquet, for example in an operative procedure wherein it is desired to secure the catheter 38 within body vessel 36, the cord 34 is looped about the vessel 36 at the desired location and the free ends of the cord 34 are grasped within the loop 25 of the hook 24, as illustrated in FIG. 1. The sheath 11 is then held by the user and the retractor 18 is withdrawn through the lumen of the sheath by grasping the finger hook 22 and moving the retractor proximally relative to the sheath. This procedure, as illustrated in FIG. 2, draws the free ends of the cord 34 through the lumen of the sheath until the free ends extend beyond its proximal end 12. The retractor 18 may then be discarded.
As will be noted, the tip 27 of the hook 24 has an upper portion which extends proximally and is inclined downwardly toward the axis of the retractor rod 20. The transverse dimension or height of the hook at the tip 27 is less than the diameter of the main cylindrical portion of the rod 20, so that the hook, with the cord ends therein, may easily pass through the lumen 16 and bore 30 of the sheath and collar without snagging. It will also be noted that the opening 28 tapers from the open proximal end thereof to its closed distal end to permit easy lateral insertion of the cord 34 into the opening 28 and to wedge the cord ends into tight frictional engagement with the hook 25. The right end of the loop 25, as viewed in FIG. 4, is generally tapered to provide easy insertion into the sheath 11. The loop has a maximum height or transverse dimension at a portion indicated at 39 which has a height substantially equal to the diameter of the main portion of member 20 and which serves as a quide for the hook when moving in the sheath.
The free ends of the cord 34 that now extend beyond the proximal end 12 are grasped by one hand of the user while the sheath 11 is held by the other hand, and tension is applied to the cord 34 until the looped end of the cord exerts the desired degree of pressure about vessel 36. When this is obtained, the sheath is compressed to hold the free ends of the cord against slippage and the plug 31 is inserted within the bore 30 of collar 20 to securely bind the cord between the inner wall of the bore 30 and the outer surface of the plug 31, as shown in FIG. 3. The vascular tourniquet may then be released and will securely retain the tension applied by the cord 34 about the vessel 36. To remove the tourniquet, the plug 31 is merely removed from bore 30 and the sheath 1 l withdrawn proximally from the cord and vessel.
As illustrated in the modified embodiment of FIGS. and 6, a tourniquet includes a tubular sheath 11' which is identical to sheath ll of FIG. 1, and a retractor 18' which is similar to retractor 18 except that the hook at the distal end of retractor 18 comprises a radially flexible loop or eyelet 40. As shown, the loop 40 is continuous or closed so that the free ends of cord, such as cord 34', are threaded through the central opening in the loop, indicated at 42, to withdraw the cord ends through the lumen of sheath 11' upon withdrawal of the retractor 18. As is apparent from FIG. 5, the free unrestrained dimension of the loop 40 is greater than the inner diameter of the lumen of sheath 11', but as the retractor is withdrawn through the sheath 11, the loop 40 is caused to flex radially inwardly to assume a transverse dimension permitting passage thereof through the lumen with the cord frictionally held thereby, as is apparent from FIG. 6.
The sheaths 11 and 11' are preferably made from a resiliently flexible plastic material so that they are somewhat flexible or compressible generally in the axial direction whereby the cord is resiliently urged axially by the resiliency of the sheath when the tourniquet is applied to a vessel. In this way, any forces tending to move the sheath angularly relative to the vessel during application and use of the tourniquet are at least partially absorbed by the sheath thereby tending to avoid excess forces on the vessel. The sheath should, of course, be sufficiently rigid to avoid collapse when under the normal compressive forces encountered in use. Sheaths of polyvinyl chloride have provided good results.
The vascular tourniquet of the present invention may be readily made entirely from inexpensive synthetic plastic materials so as to be disposed of after a single use. For example, the sheath 11 may be extruded of polyvinyl chloride while the retractor rod may be injection molded of polypropylene. The plug 31 and collar 29, together with tether strap 32, may be injection molded of polyvinyl chloride.
In view of the above, it will be seen that the several objects of the invention are achieved and other advantageous results obtained.
As various changes could be made in the above constructions without departing from the scope of the invention, it is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative and not in a limiting sense.
We claim:
I. A vascular tourniquet comprising an elongate tu bular sheath having proximal and distal ends, an elongate retractor extending through the lumen of said sheath and beyond both ends thereof, said retractor having a handle at its proximal end and a hook at its distal end, a cord or the like adapted to be positioned about a body vessel and engaged by said hook for drawing the ends of the cord through the lumen of the sheath and out its proximal end upon withdrawal of said retractor from said lumen, and a plug axially insertable from the exterior of said sheath into the proximal end of said sheath to secure the cord against axial movement with respect to said sheath.
2. The vascular tourniquet of claim 1 further comprising a tubular collar secured within the lumen of said sheath at its proximal end, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
3 The vascular tourniquet of claim 2 further comprising an integral strap securing said plug to said collar.
4. The vascular tourniquet of claim 1 wherein said hook comprises a proximally directed open loop having a tip portion inclined toward the axis of said retractor.
5. The vascular tourniquet of claim 4 wherein said handle is a finger ring.
6. The vascular tourniquet of claim 4 further comprising a tubular collar secured within the lumen at the proximal end of said sheath, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
7. The vascular tourniquet of claim 1 wherein said hook comprises a flexible loop integrally carried at the distal end of said retractor, said loop normally having a transverse dimension greater than the diameter of said lumen but being capable of flexing to a smaller dimension to pass through said lumen upon withdrawal of said retractor.
8. The vascular tourniquet of claim 7 further comprising a tubular collar secured within the lumen at the proximal end of said tube, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for receiving said cord and frictionally receiving said plug.
9. The vascular tourniquet of claim 1 wherein said hook comprises a loop at the distal end of said retractor, said loop defining an elongate eyelet open at its proximal end and tapering toward its distal end for receiving the cord in wedged frictional engagement and having a tip at the open proximal end of said eyelet which is radially inward relative to the periphery of the main portion of said retractor to prevent snagging of the hook on the distal end of said sheath.
10. The vascular tourniquet of claim 9 wherein said loop is an integral part of said retractor and has a portion spaced distally of said tip which is substantially equal to the diameter of the main portion of said retractor.
11. The vascular tourniquet of claim 1 further including flexible plastic connection means connecting said plug to said sheath to allow axial insertion of said plug into the proximal end of said sheath to frictionally engage and hold said cord and to allow axial removal of said plug from the proximal end of said sheath.
12. The vascular tourniquet of claim 11 wherein said plug is of plastic material.

Claims (12)

1. A vascular tourniquet comprising an elongate tubular sheath having proximal and distal ends, an elongate retractor extending through the lumen of said sheath and beyond both ends thereof, said retractor having a handle at its proximal end and a hook at its distal end, a cord or the like adapted to be positioned about a body vessel and engaged by said hook for drawing the ends of the cord through the lumen of the sheath and out its proximal end upon withdrawal of said retractor from said lumen, and a plug axially insertable from the exterior of said sheath into the proximal end of said sheath to secure the cord against axial movement with respect to said sheath.
2. The vascular tourniquet of claim 1 further comprising a tubular collar secured within the lumen of said sheath at its proximal end, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
3. The vascular tourniquet of claim 2 further comprising an integral strap securing said plug to said collar.
4. The vascular tourniquet of claim 1 wherein said hook comprises a proximally directed open loop having a tip portion inclined toward the axis of said retractor.
5. The vascular tourniquet of claim 4 wherein said handle is a finger ring.
6. The vascular tourniquet of claim 4 further comprising a tubular collar secured within the lumen at the proximal end of said sheath, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for frictionally receiving the same.
7. The vascular tourniquet of claim 1 wherein said hook comprises a flexible loop integrally carried at the distal end of said retractor, said loop normally having a transverse dimension greater than the diameter of said lumen but being capable of flexing to a smaller dimension to pass through said lumen upon withdrawal of said retractor.
8. The vascular tourniquet of claim 7 further comprising a tubular collar secured within the lumen at the proximal end of said tube, and an integral strap securing said plug to said collar, said collar having a bore with an inner diameter generally corresponding to the outer diameter of said plug for receiving said cord and frictionally receiving said plug.
9. The vascular tourniquet of claim 1 wherein said hook comprises a loop at the distal end of said retractor, said loop defining an elongate eyelet open at its proximal end and tapering toward its distal end for receiving the cord in wedged frictional engagement and having a tip at the open proximal end of said eyelet which is radially inward relative to the periphery of the main portion of said retractor to prevent snagging of the hook on the distal end of said sheath.
10. The vascular tourniquet of claim 9 wherein said loop is an integral part of said retractor and has a portion spaced distally of said tip which is substantially equal to the diameter of the main portion of said retractor.
11. The vascular toUrniquet of claim 1 further including flexible plastic connection means connecting said plug to said sheath to allow axial insertion of said plug into the proximal end of said sheath to frictionally engage and hold said cord and to allow axial removal of said plug from the proximal end of said sheath.
12. The vascular tourniquet of claim 11 wherein said plug is of plastic material.
US441702A 1974-02-11 1974-02-11 Vascular tourniquet Expired - Lifetime US3877434A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US441702A US3877434A (en) 1974-02-11 1974-02-11 Vascular tourniquet

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US441702A US3877434A (en) 1974-02-11 1974-02-11 Vascular tourniquet

Publications (1)

Publication Number Publication Date
US3877434A true US3877434A (en) 1975-04-15

Family

ID=23753950

Family Applications (1)

Application Number Title Priority Date Filing Date
US441702A Expired - Lifetime US3877434A (en) 1974-02-11 1974-02-11 Vascular tourniquet

Country Status (1)

Country Link
US (1) US3877434A (en)

Cited By (131)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3995619A (en) * 1975-10-14 1976-12-07 Glatzer Stephen G Combination subcutaneous suture remover, biopsy sampler and syringe
US4177813A (en) * 1978-01-09 1979-12-11 Med General, Inc. Vessel occluder
US4478219A (en) * 1982-03-24 1984-10-23 Manuel Dujovny Temporary microvascular occluder
US4535770A (en) * 1983-11-02 1985-08-20 Lemole Gerald M Cardiovascular tourniquet
DE3523733A1 (en) * 1984-07-17 1986-01-23 Timothy Gabe London Williams CLAMP
US4592347A (en) * 1983-10-11 1986-06-03 Mahruki Nimetullah M T Retraction device
US4617933A (en) * 1980-02-19 1986-10-21 Hasson Harrith M Laparoscope cannula with improved suture receiving means
US4796626A (en) * 1987-04-15 1989-01-10 Dlp Inc. Tourniquet tube
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
US5250054A (en) * 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
WO1993021834A2 (en) * 1992-05-01 1993-11-11 Adair Edwin Lloyd Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5282825A (en) * 1993-06-02 1994-02-01 Muck Kin C Surgical ligaturing and animal restraining device
US5284485A (en) * 1992-09-16 1994-02-08 Ethicon, Inc. Endoscopic knotting device
US5290284A (en) * 1992-05-01 1994-03-01 Adair Edwin Lloyd Laparoscopic surgical ligation and electrosurgical coagulation and cutting device
US5304183A (en) * 1992-03-23 1994-04-19 Laparomed Corporation Tethered clamp retractor
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5342374A (en) * 1992-12-17 1994-08-30 Wan Shaw P Suture guiding device and method of use
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5387227A (en) * 1992-09-10 1995-02-07 Grice; O. Drew Method for use of a laparo-suture needle
US5415666A (en) * 1992-03-23 1995-05-16 Advanced Surgical, Inc. Tethered clamp retractor
EP0664688A1 (en) * 1993-07-26 1995-08-02 Innovasive Devices, Inc. Suture grasping device
US5449366A (en) * 1992-05-01 1995-09-12 Li Medical Technologies, Inc. Laparoscopic needle holder
US5480407A (en) * 1992-12-17 1996-01-02 Wan; Shaw P. Suturing instrument with hemorrhaging control
US5490856A (en) * 1993-12-14 1996-02-13 Untied States Surgical Corporation Purse string stapler
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever
US5501692A (en) * 1994-01-28 1996-03-26 Riza; Erol D. Laparoscopic suture snare
US5534011A (en) * 1994-10-27 1996-07-09 Vesica Medical, Inc. Method and apparatus for threading a suture anchor
EP0737083A1 (en) * 1993-12-27 1996-10-16 Heartport, Inc. Thoracoscopic devices and methods for arresting the heart
US5569274A (en) * 1993-02-22 1996-10-29 Heartport, Inc. Endoscopic vascular clamping system and method
US5569269A (en) * 1993-07-26 1996-10-29 Innovasive Devices, Inc. Surgical grasping and suturing device and method
EP0740925A1 (en) * 1991-12-03 1996-11-06 Vesica Medical, Inc. Suture passer
US5591163A (en) * 1995-06-14 1997-01-07 Incont, Inc. Apparatus and method for laparoscopic urethropexy
US5618307A (en) * 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5643292A (en) * 1995-01-10 1997-07-01 Applied Medical Resources Corporation Percutaneous suturing device
US5643288A (en) * 1995-06-14 1997-07-01 Incont, Inc. Apparatus and method for laparoscopic urethropexy
US5649939A (en) * 1992-12-08 1997-07-22 Reddick; Eddie J. Laparoscopic suture introducer
US5662654A (en) * 1995-06-14 1997-09-02 Incont, Inc. Bone anchor, insertion tool and surgical kit employing same
US5697931A (en) * 1995-06-14 1997-12-16 Incont, Inc. Apparatus and method for laparoscopic urethopexy
US5720754A (en) * 1989-08-16 1998-02-24 Medtronic, Inc. Device or apparatus for manipulating matter
US5741281A (en) * 1992-11-17 1998-04-21 Smith & Nephew, Inc. Suture securing apparatus
US5749879A (en) * 1989-08-16 1998-05-12 Medtronic, Inc. Device or apparatus for manipulating matter
US5792149A (en) * 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US5817111A (en) * 1996-03-28 1998-10-06 Riza; Erol D. Open loop suture snare
US5836314A (en) * 1991-12-03 1998-11-17 Boston Scientific Technology, Inc. Surgical treatment of stress urinary incontinence
US5904692A (en) * 1997-04-14 1999-05-18 Mitek Surgical Products, Inc. Needle assembly and method for passing suture
US5921918A (en) * 1996-03-26 1999-07-13 Riza; Erol D. Surgical retractor
EP0916310A3 (en) * 1995-06-14 1999-08-04 Incont, Inc. Suture retrieval tool
US6042583A (en) * 1995-06-14 2000-03-28 Medworks Corporation Bone anchor-insertion tool and surgical method employing same
US6258106B1 (en) * 1998-09-18 2001-07-10 Genzyme Corporation Surgical knot pusher and method of use
US20020151910A1 (en) * 2001-03-09 2002-10-17 Gellman Barry N. System for implanting an implant and method thereof
US20030009177A1 (en) * 1989-08-16 2003-01-09 Middleman Lee M. Method of manipulating matter in a mammalian body
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US20040087970A1 (en) * 2001-03-09 2004-05-06 Chu Michael S.H. Systems, methods and devices relating to delivery of medical implants
US20040254598A1 (en) * 2003-06-16 2004-12-16 Schumacher Brian S. Suture cutter
US20050033365A1 (en) * 2003-07-10 2005-02-10 Olivier Courage Cannulated instrument with curved shaft for passing suture through tissue
US20050085831A1 (en) * 2000-06-05 2005-04-21 Scimed Life Systems, Inc. Methods and devices for the treatment of urinary incontinence
US20050131393A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US20050131392A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US20050131391A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US6936052B2 (en) 2001-03-09 2005-08-30 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US20060009791A1 (en) * 2004-07-06 2006-01-12 Ran Oren Suture manipulating instrument particularly useful with endoscopes
EP1620143A2 (en) * 2003-03-18 2006-02-01 DePuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly
US20060069399A1 (en) * 2003-03-18 2006-03-30 Thomas Weisel Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US20070078430A1 (en) * 2005-09-15 2007-04-05 Adams Mark L Method for positioning a catheter guide element in a patient and kit for use in said method
US20070213630A1 (en) * 2006-03-07 2007-09-13 Beckman Andrew T Device for minimally invasive internal tissue removal
US20070213755A1 (en) * 2006-03-07 2007-09-13 Beckman Andrew T Device for minimally invasive internal tissue removal
US20070213587A1 (en) * 2004-04-30 2007-09-13 Moon Hwa-Sook Endo-Loop For Endoscope Surgery
JP2007252923A (en) * 2006-03-23 2007-10-04 Ethicon Endo Surgery Inc Suture tensioning device
US20070239064A1 (en) * 2006-03-29 2007-10-11 Cicenas Chris W Device for minimally invasive internal tissue removal
US20080077136A1 (en) * 2006-09-25 2008-03-27 Stryker Spine Rod inserter and rod with reduced diameter end
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
WO2008081474A1 (en) * 2006-12-29 2008-07-10 Ashok Kumar Jayant A device for dispensing, looping and tying ligatures
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US20090018554A1 (en) * 2007-07-12 2009-01-15 Marc Thorne Suture passing and retrieval device
US20090082790A1 (en) * 2006-04-18 2009-03-26 Sujay Shad Sternal closure device
US20090176189A1 (en) * 2006-08-21 2009-07-09 Redent-Nova Ltd. Method and system for extraction of broken objects from enclosed spaces
US20100249498A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Endoscopic Apparatus for Manipulating Tissue
US20110040153A1 (en) * 2009-08-13 2011-02-17 Tyco Healthcare Group Lp Deployable jaws retraction device
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US20120035623A1 (en) * 2009-01-12 2012-02-09 Celso Bagaoisan Apparatus and methods for tissue closure
US8133242B1 (en) 2007-04-27 2012-03-13 Q-Tech Medical Incorporated Image-guided extraluminal occlusion
US8197497B2 (en) 2005-06-20 2012-06-12 Medtronic Vascular, Inc. Method and apparatus for applying a knot to a suture
US8211121B1 (en) 2010-03-06 2012-07-03 Q-Tech Medical Incorporated Methods and apparatus for image-guided extraluminal occlusion using clamping jaws
US20130178865A1 (en) * 2012-01-06 2013-07-11 Jai Singh Insert and insert system for a laparoscopic instrument
US20130231701A1 (en) * 2012-03-02 2013-09-05 Abbott Cardiovascular Systems, Inc. Suture securing systems, devices and methods
US20130267965A1 (en) * 2010-10-05 2013-10-10 Sapporo Medical University Ligator and ligation method
US8602965B2 (en) 2001-03-09 2013-12-10 Boston Scientific Scimed, Inc. System, methods and devices relating to delivery of medical implants
US20140277038A1 (en) * 2013-03-15 2014-09-18 Kyphon Sarl Retractable device to dissect and evacuate ligamentum flavum in lumber spinal stenosis
US9055932B2 (en) 2011-08-26 2015-06-16 Abbott Cardiovascular Systems, Inc. Suture fastener combination device
US9131938B2 (en) 2007-03-29 2015-09-15 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US9149265B2 (en) 2011-02-26 2015-10-06 Abbott Cardiovascular Systems, Inc. Hinged tissue support device
US9241706B2 (en) 2003-09-15 2016-01-26 Abbott Laboratories Suture locking device and methods
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9326764B2 (en) 2008-05-09 2016-05-03 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
US20160135984A1 (en) * 2010-06-29 2016-05-19 Artventive Medical Group, Inc. Reversible occlusion device
US9398907B2 (en) 1999-07-02 2016-07-26 Quickpass, Inc. Suturing device
US9649106B2 (en) 2011-04-15 2017-05-16 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US9706988B2 (en) 2012-05-11 2017-07-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US9724096B2 (en) 2014-03-29 2017-08-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9782163B2 (en) 2012-01-04 2017-10-10 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US9931114B2 (en) 2010-09-10 2018-04-03 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US9936953B2 (en) 2014-03-29 2018-04-10 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9936941B2 (en) 2012-02-07 2018-04-10 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US10004513B2 (en) 2013-02-05 2018-06-26 Artventive Medical Group, Inc. Bodily lumen occlusion
US10098631B2 (en) 2010-09-10 2018-10-16 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
CN108652711A (en) * 2017-04-01 2018-10-16 江苏风和医疗器材股份有限公司 Puncture core assembly and its puncture outfit with suture function
US10143460B2 (en) 2013-01-17 2018-12-04 Abbott Cardiovascular Systems, Inc. Access device for accessing tissue
US10149968B2 (en) 2013-06-14 2018-12-11 Artventive Medical Group, Inc. Catheter-assisted tumor treatment
WO2019003051A3 (en) * 2017-06-29 2019-03-21 Ethicon Llc Trocar with oblique needle insertion port and perpendicular seal latch
US10278707B2 (en) 2013-12-17 2019-05-07 Standard Bariatrics, Inc. Resection line guide for a medical procedure and method of using same
US10285837B1 (en) 2015-09-16 2019-05-14 Standard Bariatrics, Inc. Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy
US10405850B2 (en) 2010-09-10 2019-09-10 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US10441290B2 (en) 2013-06-14 2019-10-15 Artventive Medical Group, Inc. Implantable luminal devices
US10470911B2 (en) 2014-09-05 2019-11-12 Standard Bariatrics, Inc. Sleeve gastrectomy calibration tube and method of using same
US10512458B2 (en) 2013-12-06 2019-12-24 Med-Venture Investments, Llc Suturing methods and apparatuses
US10548597B2 (en) 2017-08-14 2020-02-04 Standard Bariatrics, Inc. Surgical stapling devices and methods of using same
US10631853B2 (en) 2017-10-06 2020-04-28 Lsi Solutions, Inc. Suture securing tube and assembly thereof
US10639068B2 (en) 2017-06-29 2020-05-05 Ethicon Llc Trocar with oblique needle insertion port and perpendicular seal latch
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
US10813644B2 (en) 2016-04-01 2020-10-27 Artventive Medical Group, Inc. Occlusive implant and delivery system
US10828022B2 (en) 2013-07-02 2020-11-10 Med-Venture Investments, Llc Suturing devices and methods for suturing an anatomic structure
WO2021014745A1 (en) 2019-07-22 2021-01-28 フォースエンジニアリング株式会社 Ligator
US11173060B2 (en) 2019-11-04 2021-11-16 Standard Bariatrics, Inc. Systems and methods of performing surgery using Laplace's law tension retraction during surgery
US11202624B2 (en) 2017-08-18 2021-12-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
US11395658B2 (en) 2014-07-11 2022-07-26 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US11439383B2 (en) 2019-08-20 2022-09-13 Abbott Cardiovascular Systems, Inc. Self locking suture and self locking suture mediated closure device
US11452574B1 (en) 2021-03-23 2022-09-27 Standard Bariatrics, Inc. Systems and methods for preventing tissue migration in surgical staplers
US11839370B2 (en) 2017-06-19 2023-12-12 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
US11918205B2 (en) 2022-07-06 2024-03-05 Abbott Cardiovascular Systems, Inc. Self locking suture and self locking suture mediated closure device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1532299A (en) * 1923-05-01 1925-04-07 Marguerite A Braecklein Surgical device
US3665926A (en) * 1970-04-08 1972-05-30 Bard Inc C R Ligature and applicator therefor
US3786816A (en) * 1972-12-21 1974-01-22 Technibiotics Method and apparatus for occluding fluid flow through vessels

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1532299A (en) * 1923-05-01 1925-04-07 Marguerite A Braecklein Surgical device
US3665926A (en) * 1970-04-08 1972-05-30 Bard Inc C R Ligature and applicator therefor
US3786816A (en) * 1972-12-21 1974-01-22 Technibiotics Method and apparatus for occluding fluid flow through vessels

Cited By (254)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3995619A (en) * 1975-10-14 1976-12-07 Glatzer Stephen G Combination subcutaneous suture remover, biopsy sampler and syringe
US4177813A (en) * 1978-01-09 1979-12-11 Med General, Inc. Vessel occluder
US4617933A (en) * 1980-02-19 1986-10-21 Hasson Harrith M Laparoscope cannula with improved suture receiving means
US4478219A (en) * 1982-03-24 1984-10-23 Manuel Dujovny Temporary microvascular occluder
US4592347A (en) * 1983-10-11 1986-06-03 Mahruki Nimetullah M T Retraction device
US4535770A (en) * 1983-11-02 1985-08-20 Lemole Gerald M Cardiovascular tourniquet
DE3523733A1 (en) * 1984-07-17 1986-01-23 Timothy Gabe London Williams CLAMP
FR2567746A1 (en) * 1984-07-17 1986-01-24 Williams Timothy OCCLUSION INSTRUMENT, IN PARTICULAR FOR MEDICAL USE
JPS6137148A (en) * 1984-07-17 1986-02-22 テイモシー ゲイブ ウイリアムズ Clamp
US4796626A (en) * 1987-04-15 1989-01-10 Dlp Inc. Tourniquet tube
US5749879A (en) * 1989-08-16 1998-05-12 Medtronic, Inc. Device or apparatus for manipulating matter
US6986774B2 (en) 1989-08-16 2006-01-17 Medtronic, Inc. Method of manipulating matter in a mammalian body
US7722626B2 (en) 1989-08-16 2010-05-25 Medtronic, Inc. Method of manipulating matter in a mammalian body
US5720754A (en) * 1989-08-16 1998-02-24 Medtronic, Inc. Device or apparatus for manipulating matter
US20060052799A1 (en) * 1989-08-16 2006-03-09 Medtronic Vascular, Inc. Method of manipulating matter in a mammalian body
US20030009177A1 (en) * 1989-08-16 2003-01-09 Middleman Lee M. Method of manipulating matter in a mammalian body
EP1277442A3 (en) * 1990-10-09 2004-03-10 Medtronic, Inc. Device or apparatus for manipulating matter
EP1484077A3 (en) * 1990-10-09 2005-01-05 Medtronic, Inc. Device or apparatus for manipulating matter
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
EP0740925A1 (en) * 1991-12-03 1996-11-06 Vesica Medical, Inc. Suture passer
US5860425A (en) * 1991-12-03 1999-01-19 Boston Scientific Technology, Inc. Bladder neck suspension procedure
US5836314A (en) * 1991-12-03 1998-11-17 Boston Scientific Technology, Inc. Surgical treatment of stress urinary incontinence
US5304183A (en) * 1992-03-23 1994-04-19 Laparomed Corporation Tethered clamp retractor
US5415666A (en) * 1992-03-23 1995-05-16 Advanced Surgical, Inc. Tethered clamp retractor
US5250054A (en) * 1992-05-01 1993-10-05 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
WO1993021834A3 (en) * 1992-05-01 1994-01-06 Adair Edwin Lloyd Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device
WO1993021834A2 (en) * 1992-05-01 1993-11-11 Adair Edwin Lloyd Laparoscopic surgical ligation, repair and electrosurgical coagulation and cutting device
WO1993021831A1 (en) * 1992-05-01 1993-11-11 Li Medical Technologies, Inc. Intracorporeal knot tying apparatus and method
US5290284A (en) * 1992-05-01 1994-03-01 Adair Edwin Lloyd Laparoscopic surgical ligation and electrosurgical coagulation and cutting device
US5449366A (en) * 1992-05-01 1995-09-12 Li Medical Technologies, Inc. Laparoscopic needle holder
US5336231A (en) * 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
US5474565A (en) * 1992-07-16 1995-12-12 Linvatec Corporation Endoscopic suturing needle
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5387227A (en) * 1992-09-10 1995-02-07 Grice; O. Drew Method for use of a laparo-suture needle
US5676675A (en) * 1992-09-10 1997-10-14 Grice; O. Drew Laparo-suture needle and method for use thereof
EP0588606A1 (en) * 1992-09-16 1994-03-23 Ethicon, Inc. Endoscopic knotting device
US5284485A (en) * 1992-09-16 1994-02-08 Ethicon, Inc. Endoscopic knotting device
US5281237A (en) * 1992-09-25 1994-01-25 Gimpelson Richard J Surgical stitching device and method of use
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5741281A (en) * 1992-11-17 1998-04-21 Smith & Nephew, Inc. Suture securing apparatus
US5649939A (en) * 1992-12-08 1997-07-22 Reddick; Eddie J. Laparoscopic suture introducer
US5342374A (en) * 1992-12-17 1994-08-30 Wan Shaw P Suture guiding device and method of use
US5480407A (en) * 1992-12-17 1996-01-02 Wan; Shaw P. Suturing instrument with hemorrhaging control
US5569274A (en) * 1993-02-22 1996-10-29 Heartport, Inc. Endoscopic vascular clamping system and method
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5282825A (en) * 1993-06-02 1994-02-01 Muck Kin C Surgical ligaturing and animal restraining device
EP0664688A4 (en) * 1993-07-26 1996-03-13 Innovasive Devices Inc Suture grasping device.
US20070185505A1 (en) * 1993-07-26 2007-08-09 Depuy Mitek, Inc. Suture grasping device
EP0664688A1 (en) * 1993-07-26 1995-08-02 Innovasive Devices, Inc. Suture grasping device
US20040097976A1 (en) * 1993-07-26 2004-05-20 Hart Rickey D. Suture grasping device
US8328824B2 (en) 1993-07-26 2012-12-11 Depuy Mitek, Inc. Suture grasping device
US5569269A (en) * 1993-07-26 1996-10-29 Innovasive Devices, Inc. Surgical grasping and suturing device and method
US7169156B2 (en) 1993-07-26 2007-01-30 Innovasive Devices, Inc. Suture grasping device
US5490856A (en) * 1993-12-14 1996-02-13 Untied States Surgical Corporation Purse string stapler
EP0737083A1 (en) * 1993-12-27 1996-10-16 Heartport, Inc. Thoracoscopic devices and methods for arresting the heart
EP0737083A4 (en) * 1993-12-27 1997-12-29 Heartport Inc Thoracoscopic devices and methods for arresting the heart
US5501692A (en) * 1994-01-28 1996-03-26 Riza; Erol D. Laparoscopic suture snare
US5534011A (en) * 1994-10-27 1996-07-09 Vesica Medical, Inc. Method and apparatus for threading a suture anchor
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever
US5643292A (en) * 1995-01-10 1997-07-01 Applied Medical Resources Corporation Percutaneous suturing device
US5618307A (en) * 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5591163A (en) * 1995-06-14 1997-01-07 Incont, Inc. Apparatus and method for laparoscopic urethropexy
US5697931A (en) * 1995-06-14 1997-12-16 Incont, Inc. Apparatus and method for laparoscopic urethopexy
US6042583A (en) * 1995-06-14 2000-03-28 Medworks Corporation Bone anchor-insertion tool and surgical method employing same
US5643288A (en) * 1995-06-14 1997-07-01 Incont, Inc. Apparatus and method for laparoscopic urethropexy
EP0916310A3 (en) * 1995-06-14 1999-08-04 Incont, Inc. Suture retrieval tool
US5662654A (en) * 1995-06-14 1997-09-02 Incont, Inc. Bone anchor, insertion tool and surgical kit employing same
US5921918A (en) * 1996-03-26 1999-07-13 Riza; Erol D. Surgical retractor
US5817111A (en) * 1996-03-28 1998-10-06 Riza; Erol D. Open loop suture snare
US5792149A (en) * 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US5904692A (en) * 1997-04-14 1999-05-18 Mitek Surgical Products, Inc. Needle assembly and method for passing suture
US6258106B1 (en) * 1998-09-18 2001-07-10 Genzyme Corporation Surgical knot pusher and method of use
US9398907B2 (en) 1999-07-02 2016-07-26 Quickpass, Inc. Suturing device
US10194902B2 (en) 1999-07-02 2019-02-05 Quickpass, Inc. Suturing device
US7927342B2 (en) 2000-06-05 2011-04-19 Boston Scientific Scimed, Inc. Methods and devices for the treatment of urinary incontinence
US7527633B2 (en) 2000-06-05 2009-05-05 Boston Scientific Scimed Inc. Methods and devices for the treatment of urinary incontinence
US20090209994A1 (en) * 2000-06-05 2009-08-20 Boston Scientific Scimed, Inc. Methods and devices for the treatment of urinary incontinence
US20110213388A1 (en) * 2000-06-05 2011-09-01 Boston Scientific Scimed, Inc. Methods and devices for the treatment of urinary incontinence
US20050085831A1 (en) * 2000-06-05 2005-04-21 Scimed Life Systems, Inc. Methods and devices for the treatment of urinary incontinence
US8858575B2 (en) 2000-06-05 2014-10-14 Boston Scientific Scimed, Inc. Methods and devices for the treatment of urinary incontinence
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US6991597B2 (en) 2001-03-09 2006-01-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US20050131393A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US20020151910A1 (en) * 2001-03-09 2002-10-17 Gellman Barry N. System for implanting an implant and method thereof
US20040087970A1 (en) * 2001-03-09 2004-05-06 Chu Michael S.H. Systems, methods and devices relating to delivery of medical implants
US7235043B2 (en) 2001-03-09 2007-06-26 Boston Scientific Scimed Inc. System for implanting an implant and method thereof
US8915927B2 (en) 2001-03-09 2014-12-23 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8602965B2 (en) 2001-03-09 2013-12-10 Boston Scientific Scimed, Inc. System, methods and devices relating to delivery of medical implants
US8162816B2 (en) 2001-03-09 2012-04-24 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8617048B2 (en) 2001-03-09 2013-12-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US9149261B2 (en) * 2001-03-09 2015-10-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US7025772B2 (en) 2001-03-09 2006-04-11 Scimed Life Systems, Inc. System for implanting an implant and method thereof
US20050131392A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US20050131391A1 (en) * 2001-03-09 2005-06-16 Scimed Life Systems, Inc. Systems, methods and devices relating to delivery of medical implants
US6936052B2 (en) 2001-03-09 2005-08-30 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US10117733B2 (en) 2001-03-09 2018-11-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US7364541B2 (en) 2001-03-09 2008-04-29 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US8632453B2 (en) 2002-12-17 2014-01-21 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US8066718B2 (en) 2003-03-18 2011-11-29 Depuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly
US8758368B2 (en) 2003-03-18 2014-06-24 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly
EP1620143A4 (en) * 2003-03-18 2008-03-26 Depuy Mitek Inc Expandable needle suture apparatus and associated handle assembly
US10555731B2 (en) 2003-03-18 2020-02-11 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly
US8585714B2 (en) 2003-03-18 2013-11-19 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US10743861B2 (en) 2003-03-18 2020-08-18 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US20060069399A1 (en) * 2003-03-18 2006-03-30 Thomas Weisel Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
EP1620143A2 (en) * 2003-03-18 2006-02-01 DePuy Mitek, Inc. Expandable needle suture apparatus and associated handle assembly
US9801622B2 (en) 2003-03-18 2017-10-31 Depuy Mitek, Llc Expandable needle suture apparatus and associated handle assembly with rotational suture manipulation system
US20040254598A1 (en) * 2003-06-16 2004-12-16 Schumacher Brian S. Suture cutter
US9364214B2 (en) * 2003-07-10 2016-06-14 Arthrex, Inc. Cannulated instrument with curved shaft for passing suture through tissue
US20050033365A1 (en) * 2003-07-10 2005-02-10 Olivier Courage Cannulated instrument with curved shaft for passing suture through tissue
US7824326B2 (en) 2003-07-31 2010-11-02 Boston Scientific Scimed, Inc. Bioabsorbable casing for surgical sling assembly
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US9241706B2 (en) 2003-09-15 2016-01-26 Abbott Laboratories Suture locking device and methods
US20070213587A1 (en) * 2004-04-30 2007-09-13 Moon Hwa-Sook Endo-Loop For Endoscope Surgery
US7883519B2 (en) 2004-07-06 2011-02-08 Ran Oren Suture manipulating instrument particularly useful with endoscopes
US20060009791A1 (en) * 2004-07-06 2006-01-12 Ran Oren Suture manipulating instrument particularly useful with endoscopes
US9642616B2 (en) 2005-06-20 2017-05-09 Nobles Medical Technologies, Inc. Method and apparatus for applying a knot to a suture
US10758223B2 (en) 2005-06-20 2020-09-01 Scarab Technology Services, Llc Method and apparatus for applying a knot to a suture
US11744576B2 (en) 2005-06-20 2023-09-05 Scarab Technology Services, Llc Method and apparatus for applying a knot to a suture
US8197497B2 (en) 2005-06-20 2012-06-12 Medtronic Vascular, Inc. Method and apparatus for applying a knot to a suture
US8469975B2 (en) 2005-06-20 2013-06-25 Nobles Medical Technologies, Inc. Method and apparatus for applying a knot to a suture
US8172801B2 (en) * 2005-09-15 2012-05-08 Boston Scientific Scimed, Inc. Method for positioning a catheter guide element in a patient and kit for use in said method
US20070078430A1 (en) * 2005-09-15 2007-04-05 Adams Mark L Method for positioning a catheter guide element in a patient and kit for use in said method
US7670299B2 (en) 2006-03-07 2010-03-02 Ethincon Endo-Surgery, Inc. Device for minimally invasive internal tissue removal
US20070213755A1 (en) * 2006-03-07 2007-09-13 Beckman Andrew T Device for minimally invasive internal tissue removal
US20070213630A1 (en) * 2006-03-07 2007-09-13 Beckman Andrew T Device for minimally invasive internal tissue removal
US7806834B2 (en) 2006-03-07 2010-10-05 Devicor Medical Products, Inc. Device for minimally invasive internal tissue removal
AU2007201206B2 (en) * 2006-03-23 2013-02-14 Ethicon Endo-Surgery, Inc. Suture tensioning device
US8758405B2 (en) 2006-03-23 2014-06-24 Ethicon Endo-Surgery, Inc Suture tensioning device
JP2007252923A (en) * 2006-03-23 2007-10-04 Ethicon Endo Surgery Inc Suture tensioning device
EP1844715A3 (en) * 2006-03-23 2007-10-24 Ethicon Endo-Surgery, Inc. Suture tensioning device
EP1844715A2 (en) * 2006-03-23 2007-10-17 Ethicon Endo-Surgery, Inc. Suture tensioning device
US20070239064A1 (en) * 2006-03-29 2007-10-11 Cicenas Chris W Device for minimally invasive internal tissue removal
US7465278B2 (en) 2006-03-29 2008-12-16 Ethicon Endo-Surgery, Inc. Device for minimally invasive internal tissue removal
US20090082790A1 (en) * 2006-04-18 2009-03-26 Sujay Shad Sternal closure device
US20090176189A1 (en) * 2006-08-21 2009-07-09 Redent-Nova Ltd. Method and system for extraction of broken objects from enclosed spaces
US10194948B2 (en) 2006-09-25 2019-02-05 Stryker European Holdings I, Llc Rod inserter and rod with reduced diameter end
US8771318B2 (en) 2006-09-25 2014-07-08 Stryker Spine Rod inserter and rod with reduced diameter end
US20100145389A1 (en) * 2006-09-25 2010-06-10 Stryker Spine Rod inserter and rod with reduced diameter end
US11134990B2 (en) 2006-09-25 2021-10-05 Stryker European Operations Holdings Llc Rod inserter and rod with reduced diameter end
US20080077136A1 (en) * 2006-09-25 2008-03-27 Stryker Spine Rod inserter and rod with reduced diameter end
US7686809B2 (en) * 2006-09-25 2010-03-30 Stryker Spine Rod inserter and rod with reduced diameter end
WO2008081474A1 (en) * 2006-12-29 2008-07-10 Ashok Kumar Jayant A device for dispensing, looping and tying ligatures
US20100318105A1 (en) * 2006-12-29 2010-12-16 Ashok Kumar Jayant A Device for Dispensing, Looping and Tying Ligatures
US9370368B2 (en) 2006-12-29 2016-06-21 Ashok Kumar Jayant Device for dispensing, looping and tying ligatures
US9131938B2 (en) 2007-03-29 2015-09-15 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US11197661B2 (en) 2007-03-29 2021-12-14 Scarab Technology Services, Llc Device for applying a knot to a suture
US10182802B2 (en) 2007-03-29 2019-01-22 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US8133242B1 (en) 2007-04-27 2012-03-13 Q-Tech Medical Incorporated Image-guided extraluminal occlusion
US20090018554A1 (en) * 2007-07-12 2009-01-15 Marc Thorne Suture passing and retrieval device
US8808313B2 (en) 2007-07-12 2014-08-19 Linvatec Corporation Suture passing and retrieval device
US11166712B2 (en) 2008-05-09 2021-11-09 Scarab Technology Services, Llc Suturing devices and methods for suturing an anatomic valve
US9326764B2 (en) 2008-05-09 2016-05-03 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
US10285687B2 (en) 2008-05-09 2019-05-14 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
US11666324B2 (en) 2009-01-12 2023-06-06 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US9636105B2 (en) 2009-01-12 2017-05-02 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US10485533B2 (en) 2009-01-12 2019-11-26 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US8926639B2 (en) * 2009-01-12 2015-01-06 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US20120035623A1 (en) * 2009-01-12 2012-02-09 Celso Bagaoisan Apparatus and methods for tissue closure
US20100249498A1 (en) * 2009-03-24 2010-09-30 Tyco Healthcare Group Lp Endoscopic Apparatus for Manipulating Tissue
US20110040153A1 (en) * 2009-08-13 2011-02-17 Tyco Healthcare Group Lp Deployable jaws retraction device
US8403837B2 (en) 2009-08-13 2013-03-26 Covidien Lp Deployable jaws retraction device
US8211121B1 (en) 2010-03-06 2012-07-03 Q-Tech Medical Incorporated Methods and apparatus for image-guided extraluminal occlusion using clamping jaws
US20160135984A1 (en) * 2010-06-29 2016-05-19 Artventive Medical Group, Inc. Reversible occlusion device
US10828023B2 (en) 2010-09-10 2020-11-10 Stryker Corporation Method and apparatus for passing suture through tissue
US11259795B2 (en) 2010-09-10 2022-03-01 Stryker Corporation Method and apparatus for passing suture through tissue
US10405850B2 (en) 2010-09-10 2019-09-10 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US9931114B2 (en) 2010-09-10 2018-04-03 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US11207063B2 (en) 2010-09-10 2021-12-28 Stryker Corporation Method and apparatus for passing suture through tissue
US11793507B2 (en) 2010-09-10 2023-10-24 Stryker Corporation Method and apparatus for passing suture through tissue
US10098631B2 (en) 2010-09-10 2018-10-16 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US10123794B2 (en) 2010-09-10 2018-11-13 Pivot Medical, Inc. Method and apparatus for passing suture through tissue
US9393020B2 (en) * 2010-10-05 2016-07-19 Sapporo Medical University Ligator and ligation method
US20130267965A1 (en) * 2010-10-05 2013-10-10 Sapporo Medical University Ligator and ligation method
US9468431B2 (en) 2011-02-26 2016-10-18 Abbott Cardiovascular Systems, Inc. Hinged tissue support device
US9955960B2 (en) 2011-02-26 2018-05-01 Abbott Cardiovascular Systems, Inc. Hinged tissue support device
US9149265B2 (en) 2011-02-26 2015-10-06 Abbott Cardiovascular Systems, Inc. Hinged tissue support device
US9649106B2 (en) 2011-04-15 2017-05-16 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US10624629B2 (en) 2011-04-15 2020-04-21 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US10610216B2 (en) 2011-04-15 2020-04-07 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US9055932B2 (en) 2011-08-26 2015-06-16 Abbott Cardiovascular Systems, Inc. Suture fastener combination device
US10695051B2 (en) 2012-01-04 2020-06-30 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US9782163B2 (en) 2012-01-04 2017-10-10 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US9289194B2 (en) * 2012-01-06 2016-03-22 Jai Singh Insert and insert system for a laparoscopic instrument
US20130178865A1 (en) * 2012-01-06 2013-07-11 Jai Singh Insert and insert system for a laparoscopic instrument
US9936941B2 (en) 2012-02-07 2018-04-10 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US9138214B2 (en) * 2012-03-02 2015-09-22 Abbott Cardiovascular Systems, Inc. Suture securing systems, devices and methods
US20130231701A1 (en) * 2012-03-02 2013-09-05 Abbott Cardiovascular Systems, Inc. Suture securing systems, devices and methods
US10441302B2 (en) 2012-04-17 2019-10-15 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US11633203B2 (en) 2012-04-17 2023-04-25 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9706988B2 (en) 2012-05-11 2017-07-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US10420545B2 (en) 2012-05-11 2019-09-24 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US11051802B2 (en) 2012-05-11 2021-07-06 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US10143460B2 (en) 2013-01-17 2018-12-04 Abbott Cardiovascular Systems, Inc. Access device for accessing tissue
US10004513B2 (en) 2013-02-05 2018-06-26 Artventive Medical Group, Inc. Bodily lumen occlusion
US20140277038A1 (en) * 2013-03-15 2014-09-18 Kyphon Sarl Retractable device to dissect and evacuate ligamentum flavum in lumber spinal stenosis
US10117665B2 (en) 2013-03-15 2018-11-06 Medtronic Holding Company Sàrl Retractable device to dissect and evacuate ligamentum flavum in lumbar spinal stenosis
US9402648B2 (en) * 2013-03-15 2016-08-02 Kyphon SÀRL Retractable device to dissect and evacuate ligamentum flavum in lumbar spinal stenosis
US10441290B2 (en) 2013-06-14 2019-10-15 Artventive Medical Group, Inc. Implantable luminal devices
US10149968B2 (en) 2013-06-14 2018-12-11 Artventive Medical Group, Inc. Catheter-assisted tumor treatment
US10828022B2 (en) 2013-07-02 2020-11-10 Med-Venture Investments, Llc Suturing devices and methods for suturing an anatomic structure
US11779324B2 (en) 2013-12-06 2023-10-10 Med-Venture Investments, Llc Suturing methods and apparatuses
US10512458B2 (en) 2013-12-06 2019-12-24 Med-Venture Investments, Llc Suturing methods and apparatuses
US10987108B2 (en) 2013-12-17 2021-04-27 Standard Bariatrics, Inc. Resection line guide for a medical procedure and method of using same
US10278707B2 (en) 2013-12-17 2019-05-07 Standard Bariatrics, Inc. Resection line guide for a medical procedure and method of using same
US11911044B2 (en) 2013-12-17 2024-02-27 Standard Bariatrics, Inc. Resection line guide for a medical procedure and method of using same
US11096686B2 (en) 2014-03-29 2021-08-24 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10441283B1 (en) 2014-03-29 2019-10-15 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10278699B2 (en) 2014-03-29 2019-05-07 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10624638B2 (en) 2014-03-29 2020-04-21 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11812962B2 (en) 2014-03-29 2023-11-14 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10542986B2 (en) 2014-03-29 2020-01-28 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9724096B2 (en) 2014-03-29 2017-08-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9936953B2 (en) 2014-03-29 2018-04-10 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11717295B2 (en) 2014-03-29 2023-08-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11633184B2 (en) 2014-03-29 2023-04-25 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11510672B2 (en) 2014-03-29 2022-11-29 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10405860B2 (en) 2014-03-29 2019-09-10 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US10231734B2 (en) 2014-03-29 2019-03-19 Standard Bariatrics, Inc. Compression mechanism for surgical stapling devices
US11395658B2 (en) 2014-07-11 2022-07-26 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US10470911B2 (en) 2014-09-05 2019-11-12 Standard Bariatrics, Inc. Sleeve gastrectomy calibration tube and method of using same
US11324620B2 (en) 2015-09-16 2022-05-10 Standard Bariatrics, Inc. Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy
US10285837B1 (en) 2015-09-16 2019-05-14 Standard Bariatrics, Inc. Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy
US10813644B2 (en) 2016-04-01 2020-10-27 Artventive Medical Group, Inc. Occlusive implant and delivery system
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
CN108652711A (en) * 2017-04-01 2018-10-16 江苏风和医疗器材股份有限公司 Puncture core assembly and its puncture outfit with suture function
US11839370B2 (en) 2017-06-19 2023-12-12 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
WO2019003051A3 (en) * 2017-06-29 2019-03-21 Ethicon Llc Trocar with oblique needle insertion port and perpendicular seal latch
EP3928724A1 (en) * 2017-06-29 2021-12-29 Ethicon LLC Trocar with oblique needle insertion port and perpendicular seal latch
US10939937B2 (en) 2017-06-29 2021-03-09 Ethicon Llc Trocar with oblique needle insertion port and perpendicular seal latch
US10639068B2 (en) 2017-06-29 2020-05-05 Ethicon Llc Trocar with oblique needle insertion port and perpendicular seal latch
US10849623B2 (en) 2017-08-14 2020-12-01 Standard Bariatrics, Inc. Buttress systems and methods for surgical stapling devices and end effectors
US10912562B2 (en) 2017-08-14 2021-02-09 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11911033B2 (en) 2017-08-14 2024-02-27 Standard Bariatrics, Inc. Stapling systems and methods for surgical devices and end effectors
US11559305B2 (en) 2017-08-14 2023-01-24 Standard Bariatrics, Inc. Stapling systems and methods for surgical devices and end effectors
US10548597B2 (en) 2017-08-14 2020-02-04 Standard Bariatrics, Inc. Surgical stapling devices and methods of using same
US11871927B2 (en) 2017-08-14 2024-01-16 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11197672B2 (en) 2017-08-14 2021-12-14 Standard Bariatrics, Inc. Buttress systems and methods for surgical stapling devices and end effectors
US10687814B2 (en) 2017-08-14 2020-06-23 Standard Bariatrics, Inc. Stapling systems and methods for surgical devices and end effectors
US10966721B2 (en) 2017-08-14 2021-04-06 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US11202624B2 (en) 2017-08-18 2021-12-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
US10631853B2 (en) 2017-10-06 2020-04-28 Lsi Solutions, Inc. Suture securing tube and assembly thereof
WO2021014745A1 (en) 2019-07-22 2021-01-28 フォースエンジニアリング株式会社 Ligator
US11389166B2 (en) 2019-07-22 2022-07-19 Force Engineering Co., Ltd. Ligation device
US11439383B2 (en) 2019-08-20 2022-09-13 Abbott Cardiovascular Systems, Inc. Self locking suture and self locking suture mediated closure device
US11173060B2 (en) 2019-11-04 2021-11-16 Standard Bariatrics, Inc. Systems and methods of performing surgery using Laplace's law tension retraction during surgery
US11602449B2 (en) 2019-11-04 2023-03-14 Standard Bariatrics, Inc. Systems and methods of performing surgery using Laplace's law tension retraction during surgery
US11925385B2 (en) 2021-02-01 2024-03-12 Cilag Gmbh International Trocar with oblique needle insertion port and perpendicular seal latch
US11452574B1 (en) 2021-03-23 2022-09-27 Standard Bariatrics, Inc. Systems and methods for preventing tissue migration in surgical staplers
US11918205B2 (en) 2022-07-06 2024-03-05 Abbott Cardiovascular Systems, Inc. Self locking suture and self locking suture mediated closure device

Similar Documents

Publication Publication Date Title
US3877434A (en) Vascular tourniquet
US3910280A (en) Body member tourniquet
US5281238A (en) Endoscopic ligation instrument
US5735819A (en) Tear-apart member for positioning a grommet carried thereon
US4418693A (en) Vein and tubing passer surgical instrument
US5599311A (en) Subcutaneous catheter stabilizing devices
US3845772A (en) Retention suture device and method
JP3164532B2 (en) Suture device and method for blood vessels and the like
US6110185A (en) Cannula having integral suture tourniquet
US4168708A (en) Blood vessel occlusion means suitable for use in anastomosis
US5080664A (en) Device for holding a vein during vascular surgery
US7147649B2 (en) Temporary vascular filters
JP5586464B2 (en) Tunnel manufacturing apparatus and assembly including the tunnel manufacturing apparatus
US6562048B1 (en) Deformable conduits and methods for shunting bodily fluid during surgery
JP2001517472A (en) Percutaneous hemostatic suturing device and method
JPH09512732A (en) METHODS AND DEVICES FOR CATHETERY ACCESS
EP0513198A1 (en) Catheter with foraminous anchor.
EP0441863A1 (en) External guide wire.
US5911728A (en) Cannula purse string suture clamping device
US8974493B2 (en) Method and apparatus for sealing access
US5868764A (en) Perfusion and occlusion device and method
GB2103936A (en) Catheter guide
US6238404B1 (en) Multipurpose medical device
US6482184B1 (en) Attachable catheter
CN219353836U (en) Surgical guide wire fixer

Legal Events

Date Code Title Description
AS Assignment

Owner name: SHERWOOD MEDICAL COMPANY

Free format text: MERGER;ASSIGNOR:SHERWOOD MEDICAL INDUSTRIES INC. (INTO);REEL/FRAME:004123/0634

Effective date: 19820412