최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
DataON 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Edison 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Kafe 바로가기국가/구분 | United States(US) Patent 등록 |
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국제특허분류(IPC7판) |
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출원번호 | US-0955863 (2010-11-29) |
등록번호 | US-8252008 (2012-08-28) |
발명자 / 주소 |
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출원인 / 주소 |
|
대리인 / 주소 |
|
인용정보 | 피인용 횟수 : 35 인용 특허 : 413 |
Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot of the device can be inserted through the penetration and actuated so that the foot extends along the lumena
Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot of the device can be inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot can carry suturing attachment cuffs with one end of the cuff adapted to receive a needle, while the other end receives suture. A portion of the foot and/or lumen of the shaft can receive a portion of the suture and can include friction reducing structure that aid with movement of the sutured during removal of the cuffs from within the penetration.
1. A system for suturing a blood vessel, the vessel having a vessel wall, the system comprising; a shaft suitable for insertion along the tissue tract and into the vessel through a puncture, shaft comprising at least one lumen including at least one helically formed friction reducing structure;a nee
1. A system for suturing a blood vessel, the vessel having a vessel wall, the system comprising; a shaft suitable for insertion along the tissue tract and into the vessel through a puncture, shaft comprising at least one lumen including at least one helically formed friction reducing structure;a needle having a proximal end and a distal end suitable for forming a needle path through the vessel wall, the needle having a recessed engagement surface adjacent the distal end;a first flexible filament disposed within the at least one lumen; anda first fitting attached to the first filament and releasably supported by a first foot mounted near a distal end of the shaft. 2. The system of claim 1, wherein the at least one friction reducing structure comprises at least one recessed portion in an interior surface of the lumen. 3. The system of claim 1, wherein the at least one friction reducing structure comprises at least one raised portion on an interior surface of the lumen. 4. The system of claim 1, wherein the at least one friction reducing structure comprises at least one recessed portion and at least one raised portion on an interior surface of the lumen, wherein the at least one recessed portion and the at least one raised portion are disposed on the interior surface of the lumen in an alternating fashion. 5. The system of claim 1, wherein the needle is flexible, and wherein the first fitting is releasably supported within a receptacle surface oriented to laterally deflect the advancing needle toward the fitting. 6. The system of claim 5, further comprising a slot disposed along the receptacle surface, wherein the first filament is releasably disposed in the slot, the slot configured to avoid engagement of the needle with the suture. 7. The system of claim 6, wherein the slot comprises at least one friction reducing structure. 8. The system of claim 1, further comprising a second fitting attached to a second flexible filament and releasably supported by a second foot mounted near the distal end of the shaft. 9. The system of claim 1, further comprising a suture bearing surface disposed near the distal end of the shaft. 10. A system for suturing a puncture of a blood vessel within a tissue tract, the vessel having a vessel wall and defining an axis, the system comprising: a shaft having a proximal handle and a distal end suitable for insertion along the tissue tract and into the vessel through the puncture, the distal end comprising at least one lumen with at least one friction reducing structure formed therein, the at least one friction reducing structure formed at an angular orientation relative to a longitudinal axis of the lumen;a foot mounted near the distal end of the shaft, the foot having a plurality of needle receptacles extendable laterally from the shaft;a flexible filament extending between the needle receptacles of the foot, at least a portion of the flexible filament being disposed within the at least one lumen;a plurality of needles advanceable distally and laterally from the shaft, through the vessel wall outside the puncture, and to the needle receptacles of the foot. 11. The system of claim 10, further comprising a plurality of fittings disposed adjacent the receptacles of the foot, the fittings securingly engaging the needles so that the needles, fittings, and at least a portion of the filament can be withdrawn through the vessel wall along at least one of the needle paths formed by the needles without threading the filament into the needles, the at least one friction reducing structure reducing the frictional contact between the filament and the lumen as the filament is withdrawn through the vessel wall. 12. The system of claim 10, wherein the foot comprises an elongate body defining an axis, the foot articulatable from a small profile configuration to a large profile configuration by actuating the proximal handle so that the foot slides axially and pivots laterally within the vessel. 13. The system of claim 10, wherein the foot includes at least one friction reducing structure. 14. The system of claim 10, wherein the foot includes at least one suture bearing surface. 15. The system of claim 10, the at least one friction reducing structure further comprises a plurality of recessed portions in an interior surface of the lumen or a plurality of raised portions on an interior surface of the lumen. 16. The system of claim 10, wherein the flexible filament is a suture. 17. The system of claim 10, wherein the suture is a monofilament suture. 18. A device for suturing an opening in a tissue, the device comprising: a shaft having a proximal end and a distal end and defining an axis therebetween, the shaft having a size and configuration suitable for insertion through the opening in the tissue;an elongate foot movably mounted to the shaft, the foot having a first end and a second end;an actuator extending along the shaft distally to the foot, movement of the actuator sliding the foot axially and pivoting the foot from a low profile configuration aligned along the shaft to a deployed configuration extending laterally from the shaft;a suture supported by the foot;a suture supporting structure having a lumen with at least one friction reducing portion, the at least one friction reducing portion comprising a plurality of raised portions disposed on an interior surface of the lumen, the plurality of raised portions being disposed uniformly or non-uniformly on the interior surface of the lumen, the suture supporting structure receiving at least a portion of the suture within the lumen; anda plurality of needles advanceable and extendable from the shaft through the tissue and to the ends of the deployed foot. 19. The device as recited in claim 18, wherein the suture supporting structure comprises a tubular structure disposed within the shaft. 20. The device of claim 18, wherein a first length of suture extends between a first fitting at the first end of the device to a second fitting at the second end of the device, and wherein a second length of suture extends from a third fitting at the first end of the device to a forth fitting at the second end of the device, and wherein each fitting securingly engages an associated needle to draw ends of the first and second length of suture through the vessel wall and form a plurality of loops across the puncture. 21. The device of claim 18, wherein the plurality of raised portions are helically formed on the interior surface of the lumen. 22. The device of claim 18, wherein the plurality of raised portions are formed at an angular orientation relative to a longitudinal axis of the lumen. 23. The device of claim 18, wherein the friction reducing structure further includes a plurality of recessed portions disposed in the interior surface of the lumen. 24. The device of claim 18, wherein the suture is a monofilament suture. 25. A device for suturing an opening in a tissue, the device comprising: a shaft having a proximal end and a distal end and defining an axis therebetween, the shaft having a size and configuration suitable for insertion through the opening in the tissue;an elongate foot movably mounted to the shaft;an actuator extending along the shaft distally to the foot, movement of the actuator sliding the foot axially and pivoting the foot from a low profile configuration aligned along the shaft to a deployed configuration extending laterally from the shaft;a suture supported by the foot;a suture supporting structure having a lumen with at least one friction reducing portion, the at least one friction reducing portion comprising a plurality of raised portions disposed on an interior surface of the lumen, the plurality of raised portions being disposed uniformly or non-uniformly on the interior surface of the lumen and being helically formed on the interior surface of the lumen, the suture supporting structure receiving at least a portion of the suture within the lumen; anda needle advanceable from the shaft through the tissue and to the deployed foot. 26. The device as recited in claim 25, wherein the suture supporting structure comprises a tubular structure disposed within the shaft. 27. The device of claim 25, wherein the foot has a first end and a second end, and wherein a plurality of needles are extendable from the shaft to the ends of the foot. 28. The device of claim 25, wherein a first length of suture extends between a first fitting at the first end of the device to a second fitting at the second end of the device, and wherein a second length of suture extends from a third fitting at the first end of the device to a forth fitting at the second end of the device, and wherein each fitting securingly engages an associated needle to draw ends of the first and second length of suture through the vessel wall and form a plurality of loops across the puncture. 29. The device of claim 25, wherein the friction reducing structure further includes a plurality of recessed portions disposed in the interior surface of the lumen. 30. The device of claim 25, wherein the suture is a monofilament suture. 31. A device for suturing an opening in a tissue, the device comprising: a shaft having a proximal end and a distal end and defining an axis therebetween, the shaft having a size and configuration suitable for insertion through the opening in the tissue;an elongate foot movably mounted to the shaft;an actuator extending along the shaft distally to the foot, movement of the actuator sliding the foot axially and pivoting the foot from a low profile configuration aligned along the shaft to a deployed configuration extending laterally from the shaft;a suture supported by the foot;a suture supporting structure having a lumen with at least one friction reducing portion, the at least one friction reducing portion comprising a plurality of raised portions disposed on an interior surface of the lumen, the plurality of raised portions being disposed uniformly or non-uniformly on the interior surface of the lumen and being formed at an angular orientation relative to a longitudinal axis of the lumen, the suture supporting structure receiving at least a portion of the suture within the lumen; anda needle advanceable from the shaft through the tissue and to the deployed foot. 32. The device as recited in claim 31, wherein the suture supporting structure comprises a tubular structure disposed within the shaft. 33. The device of claim 31, wherein the foot has a first end and a second end, and wherein a plurality of needles are extendable from the shaft to the ends of the foot. 34. The device of claim 31, wherein a first length of suture extends between a first fitting at the first end of the device to a second fitting at the second end of the device, and wherein a second length of suture extends from a third fitting at the first end of the device to a forth fitting at the second end of the device, and wherein each fitting securingly engages an associated needle to draw ends of the first and second length of suture through the vessel wall and form a plurality of loops across the puncture. 35. The device of claim 31, wherein the friction reducing structure further includes a plurality of recessed portions disposed in the interior surface of the lumen. 36. The device of claim 31, wherein the suture is a monofilament suture.
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