Surgical suturing instrument and method of use
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/04
A61B-017/295
A61B-017/28
출원번호
US-0051322
(2002-01-18)
발명자
/ 주소
Field,Frederic P.
Doyle,Mark
LePlage, Jr.,Albert A.
Frangolis,Todd W.
출원인 / 주소
DVL Acquisitions Sub, Inc.
대리인 / 주소
Wolf Greenfield &
인용정보
피인용 횟수 :
87인용 특허 :
220
초록▼
A device is disclosed for passing a flexible elongated element through a portion of a subject. In an embodiment, the device includes structure for retaining said flexible elongated element; and advancement structure for longitudinally advancing the flexible elongated element from a proximal end of t
A device is disclosed for passing a flexible elongated element through a portion of a subject. In an embodiment, the device includes structure for retaining said flexible elongated element; and advancement structure for longitudinally advancing the flexible elongated element from a proximal end of the device toward a distal end of the device with sufficient force to pass the flexible elongated element through the portion of the subject. The advancement structure includes at least one drive wheel for contacting the flexible elongated element, and further wherein the at least one drive wheel contains a peripheral groove therein for receiving the flexible elongated element so as to provide increased contact area between the at least one drive wheel and the flexible elongated element.
대표청구항▼
What is claimed is: 1. A surgical device for passing a flexible elongated element through tissue of a subject, the device comprising: a flexible elongated element; an elongate shaft with a proximal end, a distal end with an opening, and a passageway adapted to deliver the elongated element toward t
What is claimed is: 1. A surgical device for passing a flexible elongated element through tissue of a subject, the device comprising: a flexible elongated element; an elongate shaft with a proximal end, a distal end with an opening, and a passageway adapted to deliver the elongated element toward the distal end and out of the opening; an advancement mechanism located adjacent the distal end of the elongated shaft and adapted to move the flexible elongated element in the passageway, the advancement mechanism having a first surface to engage a first lateral portion of the flexible elongated element such that movement of the first surface moves the flexible elongated element out of the opening with force sufficient to puncture the tissue; a compartment to store a length of the flexible elongated element in a coil in the surgical device; and a cutter adapted to cut the flexible elongated element near the distal end of the elongate shaft. 2. The surgical device of claim 1, wherein the surgical device is suitable for use in a closed surgical operation. 3. The surgical device of claim 2, further comprising: a second surface opposed to the first surface, the second surface adapted to engage a second lateral portion of the flexible elongated element such that movement of at least one of the first and second surfaces moves the flexible elongated element toward the distal end with force sufficient to penetrate the tissue. 4. The surgical device of claim 3, wherein the first surface has a first groove oriented to receive the first lateral portion of the flexible elongated element. 5. The surgical device of claim 4, wherein the second surface has a second groove oriented to receive the second lateral portion of the flexible elongated element. 6. The surgical device of claim 1, wherein the first surface has a first groove oriented to receive the first lateral portion of the flexible elongated element. 7. The surgical device of claim 1, further comprising: a guide tube disposed within the elongate shaft, the guide tube forming at least a portion of the passageway and constructed and arranged to closely support the flexible elongated element when moving toward the distal end. 8. The surgical device of claim 1, further comprising: a pair of operable jaws disposed at the distal end of the elongate shaft. 9. The surgical device of claim 1, wherein the passageway includes a curved portion adapted to impart curvature to the flexible elongated element passing through the passageway. 10. The surgical device of claim 1, wherein the flexible elongated element is used to form suture secured to tissue. 11. The surgical device of claim 1, wherein the first surface comprises a first belt surface of a first belt. 12. The surgical device of claim 11, wherein the first surface comprises an adhesive to engage the first lateral portion of the flexible elongated element. 13. The surgical device of claim 12, further comprising: a separator adapted to separate the flexible elongated element from the first surface. 14. The surgical device of claim 11, further comprising: a second belt surface of a second belt, the second belt surface opposed to the first belt surface and oriented along a second lateral portion of the flexible elongated element and adapted to engage the second lateral portion such that movement of the first and second belt surfaces moves the flexible elongated element in the passageway with force sufficient to penetrate the tissue. 15. The surgical device of claim 14, wherein at least one of the first or second belt surfaces includes a groove adapted to engage either the first or second lateral portions of the flexible elongated element. 16. The surgical device of claim 11, wherein the first belt comprises a tube with a lengthwise endless slit. 17. The surgical device of claim 16, further comprising: a separator adapted to separate the flexible elongated element from the tube through the slit. 18. The surgical device of claim 1, wherein the advancement mechanism comprises a sleeve and a substantially cylindrical rod with an outer surface having a spiral groove, the rod adapted rotate within the sleeve to move the flexible elongated element in the passageway. 19. A surgical device for passing a flexible elongated element through tissue of a subject, the device comprising: an elongate shaft with a proximal end, a distal end, and a passageway adapted to deliver the elongated element toward the distal end; an advancement mechanism located adjacent the distal end of the elongated shaft and adapted to move the flexible elongated element in the passageway, the advancement mechanism having a first surface adapted to engage a first lateral portion of the flexible elongated element such that movement of the first surface moves the flexible elongated element in the passageway; and a cutter adapted to cut the flexible elongated element. 20. The surgical device of claim 19, wherein the surgical device is suitable for use in a closed surgical operation. 21. The surgical device of claim 20, further comprising: a second surface opposed to the first surface, the second surface adapted to engage a second lateral portion of the flexible elongated element such that movement of at least one of the first and second surfaces moves the flexible elongated element toward the distal end. 22. The surgical device of claim 21, wherein the first surface has a first groove oriented to receive the first lateral portion of the flexible elongated element. 23. The surgical device of claim 22, wherein the second surface has a second groove oriented to receive the second lateral portion of the flexible elongated element. 24. The surgical device of claim 19, wherein the first surface has a first groove oriented to receive the first lateral portion of the flexible elongated element. 25. The surgical device of claim 24, wherein the first surface has a second groove of a size different than the first groove. 26. The surgical device of claim 19, wherein the flexible elongated element is used to form suture secured to tissue. 27. The surgical device of claim 19, further comprising: a guide tube disposed within the elongate shaft, the guide tube forming at least a portion of the passageway and constructed and arranged to closely support the flexible elongated element when moving toward the distal end. 28. The surgical device of claim 19, further comprising: a compartment to store a length of the flexible elongated element provided to the advancement mechanism. 29. The surgical device of claim 28, wherein the compartment is adapted to store the length in a coil. 30. The surgical device of claim 19, further comprising: a pair of operable jaws disposed at the distal end of the elongate shaft. 31. The surgical device of claim 19, wherein the passageway includes a curved portion adapted to impart curvature to the flexible elongated element passing through the passageway. 32. The surgical device of claim 19, wherein the first surface comprises a first belt surface of a first belt. 33. The surgical device of claim 32, further comprising: a second belt surface of a second belt, the second belt surface opposed to the first belt surface and oriented along a second lateral portion of the flexible elongated element and adapted to engage the second lateral portion such that movement of the first and second belt surfaces moves the flexible elongated element in the passageway with force sufficient to penetrate the tissue. 34. The surgical device of claim 33, wherein at least one of the first or second belt surfaces includes a groove adapted to engage either the first or second lateral portions of the flexible elongated element. 35. The surgical device of claim 32, wherein the first surface comprises an adhesive to engage the first lateral portion of the flexible elongated element. 36. The surgical device of claim 35, further comprising: a separator adapted to separate the flexible elongated element from the first surface. 37. The surgical device of claim 32, wherein the first belt comprises a tube with a lengthwise endless slit. 38. The surgical device of claim 37, further comprising: a separator adapted to separate the flexible elongated element from the tube through the slit. 39. The surgical device of claim 19, wherein the advancement mechanism comprises a sleeve and a substantially cylindrical rod with an outer surface having a spiral groove, the rod adapted rotate within the sleeve to move the flexible elongated element in the passageway. 40. A surgical device for passing a flexible elongated element through tissue of a subject, the device comprising: a flexible elongated element; an elongate shaft with a proximal end, a distal end with an opening, and a passageway adapted to deliver the elongated element toward the distal end and out of the opening; an advancement mechanism located adjacent the distal end of the elongated shaft and adapted to move the flexible elongated element in the passageway, the advancement mechanism having a first surface to engage a first lateral portion of the flexible elongated element such that movement of the first surface moves the flexible elongated element out of the opening with force sufficient to puncture the tissue; a compartment to store a length of flexible elongated element in a coil in the surgical device; and a pair of operable jaws disposed at the distal end of the elongated shaft.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (220)
Knoepfler Dennis J. (1383 Whitaker La. Amelia OH 45101), Adjustable angle medical forceps.
Green David T. (Westport CT) Young Wayne (Brewster NY) DeFonzo Stephan A. (Bridgeport CT) Pennatto Samson (Danbury CT), Apparatus and method for applying surgical staples to attach an object to body tissue.
Gregory E. Sancoff ; Frederic P. Field, Apparatus and method for approximating and closing the walls of a hole or puncture in a physiological shell structure.
Williamson Warren P. (Loveland OH) Burnett Steven (W. Chester OH) Smith Jack E. (Dayton OH) Fogelberg Mark (Loveland OH) Allen E. David (Okeana OH), Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor.
Stein Jeffrey A. ; Allen William J. ; Markus Richard L. ; Bachman Alan B. ; Bryan Deborah M. ; Holsten Henry E. ; DeFonzo Stephen A. ; Savage Robert C., Coil fastener applier.
Ninan Champil A. (453 Morningside Dr. Fayetteville NC 28101) Ninan Abraham C. (453 Morningside Dr. Fayetteville NC 28101), Computer localization in pressure profile.
Smith Kevin W. (Miami) Slater Charles R. (Fort Lauderdale) Murphy Gregory J. (Sunrise) Bales Thomas O. (Coral Gables) Box John W. (Miami) Scarfone Frank A. (Boca Raton FL), Disposable laparoscopic surgical instruments.
Rothfuss Robert G. (Bellevue KY) Bilotti Federico (Madeira OH) Chow Hector (Cincinnati OH) Hueil J. Charles (Loveland OH) Sambi Narinderjit S. (Batavia OH), Disposable linear surgical stapler.
Ginn Richard S. ; Taylor Charles S. ; Hooven Michael D., Electrosurgical device for harvesting a vessel especially the internal mammary artery for coronary artery bypass grafti.
Marlow Scott C. (Chesterland OH) Petruschke Haans K. (Kirtland OH) Coon Donald B. (Chesterland OH) Nelson John T. (Kirtland OH), Endoscopic instrument system.
Smith Jack E. (Dayton OH) Bedi James J. (Cincinnati OH) Sierocuk Thomas J. (Blue Ash OH) Graves ; Jr. Thomas H. (Milford OH), Endoscopic surgical instrument with pivotable and rotatable staple cartridge.
Bales Thomas O. (Coral Gables FL) Murphy Gregory J. (Sunrise FL) Scarfone Frank A. (Boca Raton FL) Slater Charles R. (Fort Lauderdale FL) Smith Kevin W. (Miami FL), Endoscopic surgical instruments having rotatable end effectors.
Buzerak John E. (Poughquag NY) Bedard Robert J. (Southbury CT) Prasad Janniah S. (Norwalk CT) Putnam Charles L. (Fairfield CT) Miller Lester (Danbury CT) Becker Steven I. (Bergen NJ) Coleman James (R, Laparoscopic suturing device.
Leroy Jol (Boulevard Lamendin 62160 Bully les Mines FRX) Catteau Gilles (1 Rue Charles Chamberland 28630 Barjouville FRX), Ligature and/or suture system for endoscopic surgery.
Olson Todd (Loveland OH) Meiser Dan (Oxford OH) Steed Gary (Cleves OH) Huffman Eric (Loveland OH) Otten Matthew (Cincinnati OH) VanOverloop Ronald (West Chester OH) Powell Darrel (Cincinnati OH) Knod, Linear stapling mechanism with cutting means.
Alli Alim ; Milliman Keith L. ; Mastri Dominick L. ; Viola Frank J. ; Alesi ; Jr. Thomas W. ; Geiste Robert J. ; Wilson Jonathan E., Lockout mechanism for a surgical stapler.
Savage Robert C. (Stratford CT) Kasarauskas Paul M. (Stamford CT) Zuzick ; Jr. Joseph F. (Naugatuck CT) Blewett Jeffrey J. (Plantsville CT), Lockout mechanism for surgical apparatus.
Sauer Jude S. (Pittsford NY) Rapp Louis N. (Dansville NY) Tiberio Thomas A. (Rochester NY), Method and apparatus for applying a cinch member to the ends of a suture.
Scheller Gregg D. (Chesterfield MO) Gampp ; Jr. Kurt W. (Ellisville MO) Auld Michael D. (Ballwin MO), Microsurgical instrument having dexterous handle with interchangeable instrument heads.
Yoon InBae (2101 Highlands Ridge Dr. Phoenix MD 21131), Multifunctional instrument with interchangeable operating units for performing endoscopic procedures.
Bolanos Henry (9 Tonetta Cir. East Norwalk CT 06855) Blewett Jeffrey J. (86 Parkview Dr. Plantsville CT 06479) Van Leeuwen Timothy O. (36 Flax Hill Rd. Bloomfield CT 06804), Non-invasive treatment of gastroesophageal reflux disease.
Mueller Peter R. (Lexington MA) Brown Alan S. (Boston MA) Tolkoff Marc J. (Brookline MA) Crawford Frank B. (New Boston NH), Percutaneous fixation of hollow organs.
Kensey Kenneth (Chester Springs PA) Nash John (Downingtown PA) Evans Douglas (King of Prussia PA), Plug device with pulley for sealing punctures in tissue and methods of use.
Murray Michael A. (Bellevue KY) Love John F. (Cincinnati OH) Hughett James D. (Cincinnati OH) Stephens Randy R. (Fairfield OH) Schwemberger Richard F. (Cincinnati OH), Rotating head skin stapler.
Green David T. (Westport CT) Palmer Mitchell J. (New Milford CT) Milliman Keith L. (Norwalk CT) Savage Robert C. (Stratford CT) McClure Richard C. (Monroe CT) Heaton Lisa W. (Norwalk CT), Surgical apparatus.
Bolduc Lee (Mountain View CA) Kramer Thomas A. (San Carlos CA) Hodges Brian A. (Foster City CA) McCoy Tim (San Carlos CA) Lunsford John (San Carlos CA), Surgical helical fastener with applicator.
Genyk Stepan N. (Ivano-Frankovsk SUX) Krysa Vasily M. (Ivano-Frankovsk SUX) Zraiko Mikhail V. (Ivano-Frankovsk SUX) Vovk Ljubomir G. (Ivano-Frankovsk SUX) Pyatiletov Ivan I. (Kiev SUX), Surgical instrument for applying staples.
Berggren Anders (Bergdalsgatan 6 582 45 Linkping SEX) Rohman Hakan (Vitsippestigen 4 590 20 Mantorp SEX) strup Leif (Onkel Adamsgatan 10 582 35 Linkping SEX), Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements f.
Kapitanov Nikolai N. (ulitsa Levchenko ; 3 ; kv. 9 Moscow SUX), Surgical instrument for stitching up soft tissues with lengths of spiked suture material.
Clark George A. (East Windsor NJ) Burwell Malcolm C. (Princeton NJ) Gola John A. (Bordentown NJ) Robinson Christopher (Lawrenceville NJ) Snyder Fred E. (Princeton Junction NJ), Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft.
Hamblin Steven W. ; Witt David A. ; Sierocuk Thomas J. ; Nicola Kirk M. ; Otten Matthew R. ; Berky Craig B., Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft.
Tovey H. Jonathan (Milford CT) Stone Corbett W. (Newtown CT) Zlock Stephen W. (Hawthorne NY) Nicholas David A. (Trumbull CT) Scirica Paul A. (Huntington CT) Richardson Philip (Maes-y-coed ; Meidrim ;, Surgical suturing apparatus with locking mechanisms.
Bergman Arieh (439 S. LaPeer Ave. Beverly Hills CA 90211) Freedy Amos (16943 Encino Hills Dr. Encino CA 91436) Vermesh Michael (18142 Sandringham Ct. Northridge CA 91326), Suture ligating device for use with an endoscope.
Hasson Harrith M. (2043 N. Sedgwick Chicago IL 60614) Rotman Carlos A. (1799 Shore Acres Lake Bluff IL 60044), Suture tying forceps with a plurality of suture holders and method of tying a suture.
McCrory Jennifer ; Luscher Patrik,CHX ; Kamath Kalpana ; Sahatjian Ronald, System for implanting a cross-linked polysaccharide fiber and methods of forming and inserting the fiber.
Gourlay Stuart J. (Pinole CA) Buelna Terry (Rancho Santa Margarita CA) Noda Wayne A. (Mission Viejo CA) Lubock Paul (Laguna Niguel CA), Tethered clamp retractor.
Slater Charles R. (Fort Lauderdale FL) Bales ; Jr. Thomas O. (Coral Gables FL), Thumb-activated actuating member for imparting reciprocal motion to push rod of a disposable laparoscopic surgical instr.
Williamson ; IV Warren P. ; Spence Paul A. ; Keller George A. ; Robinson Cecil R. ; Ward Thomas J., Wire fasteners for use in minimally invasive surgery and apparatus and methods for handling those fasteners.
Weisenburgh, II, William B.; Hess, Christopher J.; Nobis, Rudolph H.; Griffith, David B.; Trusty, Robert M., Apparatus and methods for cleaning the lens of an endoscope.
Griffith, David B.; Conlon, Sean P.; Weisenburgh, II, William B.; Hess, Christopher J.; Carroll, II, Kempton K., Apparatus for introducing a steerable camera assembly into a patient.
Griffith, David B.; Conlon, Sean P.; Weisenburgh, II, William B.; Hess, Christopher J.; Carroll, II, Kempton K., Apparatus for introducing an object into a patient.
Newell, Matthew B.; Rathi, Pankaj; George, Robert M.; Dreissigacker, Marlo; Brooks, III, Narvel M.; Uemura, Shuji; Bender, Theodore M.; Makower, Joshua; Johnson, Dane A.; Shiu, Brian K.; Acosta, Pablo G.; Limon, Timothy A.; Huss, Beverly; Lee, Crystine M., Devices, tools and methods for performing minimally invasive abdominal surgical procedures.
Newell, Matthew B.; Rathi, Pankaj; George, Robert M.; Dreissigacker, Marlo; Brooks, III, Narvel M.; Uemura, Shuji; Bender, Theodore M.; Makower, Joshua; Johnson, Dane A.; Shiu, Brian K.; Acosta, Pablo G.; Limon, Timothy A.; Huss, Beverly; Lee, Crystine M., Devices, tools and methods for performing minimally invasive abdominal surgical procedures.
Newell, Matthew B.; Rathi, Pankaj; George, Robert M.; Dreissigacker, Marlo; Brooks, III, Narvel M.; Uemura, Shuji; Bender, Theodore M.; Makower, Joshua; Johnson, Dane A.; Shiu, Brian K.; Acosta, Pablo G.; Limon, Timothy A.; Huss, Beverly; Lee, Crystine M., Devices, tools and methods for performing minimally invasive abdominal surgical procedures.
Vakharia, Omar J.; Bally, Kurt R.; Zwolinski, Andrew M.; Bakos, Gregory J.; Holcomb, Matthew D.; Long, Gary L.; Woodard, Steven P.; Mantri, Surag S., Electrical ablation surgical instruments.
Bender, Theodore M.; Makower, Joshua; Shui, Brian K.; Acosta, Pablo G.; George, Robert M.; Serventi, Lisa; Orbeta, Ed; Early, Scott; Bright, Earl A.; Limon, Timothy A., Methods, instruments and devices for extragastic reduction of stomach volume.
Bender, Theodore M.; Makower, Joshua; Shiu, Brian K.; Acosta, Pablo G.; George, Robert M.; Serventi, Lisa; Orbeta, Ed; Early, Scott; Bright, II, Earl A.; Limon, Timothy A., Methods, instruments and devices for extragastric reduction of stomach volume.
Bender, Theodore M.; Makower, Joshua; Shiu, Brian K.; Acosta, Pablo G.; George, Robert M.; Serventi, Lisa; Orbeta, Ed; Early, Scott; Bright, II, Earl A.; Limon, Timothy A., Methods, instruments and devices for extragastric reduction of stomach volume.
Trusty, Robert M.; Bakos, Gregory J.; Spivey, James T.; Vakharia, Omar J.; Birnkrant, Dashiell A.; Elliott, Jr., John J., Selectively positionable camera for surgical guide tube assembly.
Akyuz, Ephraim; Fauth, Andrew R.; Fritz, Joseph A.; Glad, Jason; Justin, Daniel; Lorang, Douglas M.; Summitt, Matthew C.; Sinnott, M. Mary; Triplett, Daniel J., Suture passing apparatus and method.
Roorda, Wouter E.; Mehl, Douglas H.; Garcia, Rizza A.; Reynolds, Timothy C.; Merrill, Dinorah V.; Ma, Dawn; Milazzo, David J.; Fortson, Aaron M., Systems, methods, and devices for closing holes in body lumens.
Roorda, Wouter E.; Mehl, Douglas H.; Garcia, Rizza; Reynolds, Timothy C.; Merrill, Dinorah; Ma, Dawn; Milazzo, David J.; Fortson, Aaron M., Systems, methods, and devices for closing holes in body lumens.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.