Multiple-firing crimp device and methods for using and manufacturing same
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/04
A61B-017/00
A61B-090/30
출원번호
US-0543240
(2014-11-17)
등록번호
US-10016193
(2018-07-10)
발명자
/ 주소
Smith, Kevin W.
Mendez, Max Pierre
Palmer, Matthew A.
McBrayer, M. Sean
Bales, Jr., Thomas O.
Deville, Derek Dee
Cartledge, Richard
Kline, Korey
Rivera, Carlos
Nunez, George
출원인 / 주소
Edwards Lifesciences AG
대리인 / 주소
Mayback & Hoffman, P.A.
인용정보
피인용 횟수 :
0인용 특허 :
267
초록▼
A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The
A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.
대표청구항▼
1. A multiple-firing suture fixation system, comprising: a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture;a hollow shaft having a distal fixation location, an exterior surface, and an interior; the plurality of suture fixation clips s
1. A multiple-firing suture fixation system, comprising: a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture;a hollow shaft having a distal fixation location, an exterior surface, and an interior; the plurality of suture fixation clips stacked in the interior and configured to move along a longitudinal axis; the shaft defining a lateral opening proximal to the distal fixation location; the lateral opening communicating between the interior and an environment outside the exterior surface;an elongated device movement carriage within the interior of the shaft; the plurality of suture fixation clips movably mounted on the device movement carriage, the device movement carriage being configured to deliver one suture fixation clip to the distal fixation location by moving the one suture fixation clip longitudinally from a proximal position into the distal fixation location;a user-movable shuttle having a snare, the snare configured to laterally pass into the interior of the shaft through the lateral opening from the environment outside the exterior surface, the snare configured to pass through the internal opening of the one suture fixation clip when the one suture fixation clip is at the distal fixation location, and the snare configured to laterally pass out from the interior of the shaft through the lateral opening into the environment outside the exterior surface; andthe shuttle comprising a body defining a lumen surrounding the shaft, the shuttle configured to longitudinally translate on the shaft, the shuttle configured to move the snare from proximal of the one suture fixation clip through the one suture fixation clip to a position distal of the one suture fixation clip, wherein in the position distal of the one suture fixation clip the at least one suture is temporarily secured in the snare; the shuttle configured to pull a portion of the at least one suture temporarily secured in the snare proximally through the one suture fixation clip and out a side of the shaft through the lateral opening to present at least some of the portion of the at least one suture out from the lateral opening for access by a user. 2. The suture fixation system according to claim 1, which further comprises a fixing device with opposing surfaces contacting the one suture fixation clip, the fixing device having a control device that, when actuated, fixes the one suture fixation clip onto the at least one suture within the distal fixation location. 3. The suture fixation system according to claim 2, wherein after fixing the one suture fixation clip, the device movement carriage moves to a second proximal position such that the interior is open to the environment through the lateral opening. 4. The suture fixation system according to claim 3, wherein the proximal position is the same as the second proximal position. 5. The suture fixation system according to claim 3, wherein, the proximal position is different from the second proximal position. 6. The suture fixation system according to claim 3, wherein, during or after the device movement carriage is in the process of moving to the second proximal position without the one suture fixation clip, the device movement carriage moves a previously second of the plurality of suture fixation clips into a loading position to become a new one suture fixation clip. 7. The suture fixation system according to claim 1, which further comprises a cutting assembly having a cutting control device that, when actuated, cuts the portion of the at least one suture adjacent the one suture fixation clip. 8. The suture fixation system according to claim 1, wherein: the portion of the at least one suture temporarily secured in the snare is two free ends of a surgical suture;the portion of the at least one suture secured in the snare and being pulled proximally through the one suture fixation clip is the two free ends such that, at a given time, four lengths of the surgical suture are being pulled through the one suture fixation clip; andthe at least some of the portion of the at least one suture pulled out through the lateral opening for access by a user is the two free ends of the surgical suture. 9. The suture fixation system according to claim 1, wherein the internal opening of the suture fixation clip is a slot. 10. The suture fixation system according to claim 1, wherein the plurality of suture fixation clips are crimp sleeves having a hollow through bore. 11. The suture fixation system according to claim 1, wherein: the shaft has a distal end that acts as a distal cam driver; andthe device movement carriage comprises an exterior-threaded carriage, the exterior-threaded carriage is movably disposed inside the shaft along the longitudinal axis towards and away from the distal end of the shaft and the exterior-threaded carriage has a carriage distal end at which is disposed the one suture fixation clip. 12. The suture fixation system according to claim 11, wherein each of the plurality of suture fixation clips has an interior thread and is threaded on the exterior-threaded carriage at a spacing from one another such that rotation of the device movement carriage in a direction selectively carries the one suture fixation clip off the carriage distal end. 13. The suture fixation system according to claim 12, which further comprises: a hammer movably disposed inside the shaft adjacent the distal end of the shaft, the hammer having a cam surface operatively connected to the distal end of the shaft to move the hammer towards and away from the longitudinal axis of the shaft when the shaft is moved along the longitudinal axis;an anvil at least partially disposed inside the shaft adjacent the distal end of the shaft and opposite the hammer; andwherein the distal fixation location is between the hammer and the anvil. 14. The suture fixation system according to claim 13, wherein the snare has a loop shaped to extend through an interior of the carriage and pass through the internal opening of the one suture fixation clip. 15. The suture fixation system according to claim 13, which further comprises a cutting assembly having: a cutter within the shaft extending parallel to the longitudinal axis and shaped to cut the at least one suture adjacent the one suture fixation clip; anda cutter control device connecting the cutter to the shaft to have the cutter move and cut the at least one suture adjacent the one suture fixation clip when the shaft is at a distal position with respect to one of the hammer and the anvil. 16. The suture fixation system according to claim 1, wherein: the one suture fixation clip has a proximal end; andthe user-movable shuttle has a hollow snare guide, at least a distal portion of the snare is disposed in the snare guide, the snare guide is disposed external to the shaft and is configured to move distally through the lateral opening to a position adjacent the proximal end of the one suture fixation clip;the user-movable shuttle further comprising a snare extension device configured to move at least the distal portion of the snare distally through the snare guide, through the one suture fixation clip, and past the distal fixation location of the shaft to the position distal of the one suture fixation clip, the snare is configured to be retracted to pull at least the portion of the at least one suture through the one suture fixation clip and out the lateral opening. 17. The suture fixation system according to claim 16, wherein, when the snare guide is moved distally through the lateral opening, the snare guide moves up to the proximal end of the one suture fixation clip. 18. The suture fixation system according to claim 1, which further comprises a cutting assembly having a cutter within the shaft extending parallel to the longitudinal axis and shaped to cut the at least one suture adjacent the one suture fixation clip. 19. A multiple-firing suture fixation system, comprising: a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture;a hollow shaft having a distal fixation location, an exterior surface, and an interior; the plurality of suture fixation clips stacked in the interior and configured to move along a longitudinal axis; the shaft defining a lateral opening proximal to the distal fixation location; the lateral opening communicating between the interior and an environment outside the exterior surface;an elongated device movement carriage within the interior of the shaft; the plurality of suture fixation clips movably mounted on the device movement carriage, the device movement carriage being configured to deliver one suture fixation clip to the distal fixation location by moving the one suture fixation clip longitudinally from a proximal position into the distal fixation location, the one suture fixation clip having a proximal end;a user-movable shuttle having a snare; the snare configured to laterally pass into the interior of the shaft through the lateral opening from the environment outside the exterior surface, the snare configured to pass through the internal opening of the one suture fixation clip when the one suture fixation clip is at the distal fixation location, and the snare configured to laterally pass out from the interior of the shaft through the lateral opening into the environment outside the exterior surface;the shuttle comprising a body and a hollow snare guide, at least a distal portion of the snare being disposed in the snare guide, the snare guide being disposed external to the shaft and configured to move distally through the lateral opening to a position adjacent the proximal end of the one suture fixation clip; andthe body defining a lumen surrounding the shaft; the shuttle configured to longitudinally translate on the shaft, the shuttle configured to move the snare in a distal direction through the snare guide from proximal of the one suture fixation clip through the one suture fixation clip to a position distal of the one suture fixation clip, wherein in the position distal of the one suture fixation clip the at least one suture is temporarily secured in the snare; the shuttle configured to pull a portion of the at least one suture temporarily secured in the snare proximally through the one suture fixation clip and out a side of the shaft through the lateral opening to present at least some of the portion of the at least one suture out from the lateral opening for access by a user. 20. The suture fixation system according to claim 1, wherein the internal opening of the suture fixation clip is a lumen.
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Sauer Jude S. (Pittsford NY) Greenwald Roger J. (Holley NY) Tiberio Theodore J. (Hilton NY) Shaw Jeffrey M. (Livonia NY) Hammond John F. (Canadaigua NY), Apparatus and method for performing compressional anastomoses.
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Sanders Albert E. (7107 Brookside La. San Antonio TX 78209) Sanders James O. (530 Grandview Pl. Terrell Hills TX 78209), Bone clamp of shape memory material.
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.
Akopov Ernest (Moscow RUX) Astashov Vytchesalv F. (Moscow RUX) Tvorogov Nikolai (Moscow RUX) Udalov Sergei (Moscow RUX), Endoscopic surgical instrument and staples for applying purse string sutures.
Williamson ; IV Warren P. ; Christakis George T.,CAX ; Spence Paul ; Ward Thomas ; Allen Douglas P., Fastener delivery and deployment mechanism and method for placing the fastener in minimally invasive surgery.
Montreuil Albert H. (4365 A-2 Springcreek Dr. Dayton OH 45405) Montreuil Beverly A. (4365 A-2 Springcreek Dr. Dayton OH 45405), Fastener for disposable waste container liners.
Gardiner Barry N. ; McDonald Paul T. ; Phipps Richard D., Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery.
Emery Reginald John (13 Coneydale Welwyn Garden City ; Hertfordshire EN), Jamming cleat for releasably holding ropes cords, cables and similar elongate articles.
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.
Pianetti Francesco (Via Turati ; 22 20013 Magenta ITX), Metal clip with four points which converge in pairs, for the simultaneous suture of the cutaneous tissue and subcutaneou.
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.
Pietrzak William S. (1691 S. Meadow Dr. Warsaw IN 46580) Wiley Roy C. (73 S. C.R.325 E. Warsaw IN 46580) Ahlersmeyer David L. (2829 Tall Oak Trail Warsaw IN 46580), Method and apparatus for securing soft tissues, tendons and ligaments to bone.
Northrup ; III William F. ; Northrup Joanne B., Method and apparatus for sizing, stabilizing and/or reducing the circumference of an anatomical structure.
Baumgart Frank (Ratingen DEX) Bensmann Gunter (Essen DEX) Haasters Jorg (Essen DEX) Hartwig Jurgen (Essen DEX) Jorde Joachim (Essen DEX) Muller Manfred (Essen DEX) Schlegel Karl F. (Essen DEX), Method for implanting and subsequently removing mechanical connecting elements from living tissue.
Shipp John I. (Tullahoma TN) Crothall George (Santa Clara CA) Lathrop ; Jr. Robert L. (San Jose CA) Reichel Donald R. (Saratoga CA), Method of applying a surgical ligation clip.
Sterman Wesley D. ; Siegel Lawrence C. ; Curtis Patricia E. ; Stevens John H. ; MacHold Timothy R., Methods and systems for performing thoracoscopic coronary bypass and other procedures.
Sterman Wesley D. (San Francisco CA) Siegel Lawrence C. (Hillsborough CA) Curtis Patricia E. (Hillsborough CA) Stevens John H. (Palo Alto CA) Machold Timothy R. (Moss Beach CA), Methods for performing thoracoscopic coronary artery bypass.
Yoon Inbae (2101 Highland Ridge Dr. Phoenix MD 21131) Yoon Samuel C. (2101 Highland Ridge Dr. Phoenix MD 21131) Yoon Suzanne J. (2101 Highland Ridge Dr. Phoenix MD 21131), Methods of applying surgical chips and suture tie devices to bodily tissue during endoscopic procedures.
Benett William J. (Livermore CA) Krulevitch Peter A. (Los Altos CA) Lee Abraham P. (Walnut Creek CA) Northrup Milton A. (Berkeley CA) Folta James A. (Livermore CA), Miniature plastic gripper and fabrication method.
Sanders Albert E. (7107 Brookside La. San Antonio TX 78209) Sanders James O. (530 Grandview Pl. Terrell Hills TX 78209) More Robert B. (1811 Running Brook Austin TX 78723), Nitinol spinal instrumentation and method for surgically treating scoliosis.
Colvin Stephen ; Grossi Eugene ; Katz Allan ; Oddo Paul, Passive knotless suture terminator for use in minimally invasive surgery and to facilitate standard tissue securing.
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.
Mueller Peter R. (Lexington MA) Brown Alan S. (Longmeadow MA) Tolkoff Marc J. (Brookline MA) Crawford Frank B. (New Boston NH), Percutaneous fixation of hollow organs.
Ganguly Ashit K. (Upper Montclair NJ) Friary Richard J. (West Orange NJ) Schwerdt John H. (Lake Hiawatha NJ) Siegel Marvin I. (Woodbridge NJ) Smith Sidney R. (Ridgewood NJ) Seidl Vera A. (Wayne NJ) S, Polycyclic quinoline, naphthyridine and pyrazinopyridine derivatives.
Bendel Lee P. (Lebanon NJ) McJames William C. (Belle Mead NJ) McGregor Walter (Flemington NJ) Tannhauser Robert J. (Piscataway NJ), Shape memory effect surgical needles.
Peyser Mark S. (Easton CT) Cuny Douglas J. (Bethel CT) Strauss Douglas W. (Hamden CT) Reed Scott W. (Shelton CT) Rethy Csaba L. (Fairfield CT) Aranyi Ernie (Easton CT), Surgical clip applier.
Friedland Thomas W. (2132 Dellesta Dr. Bellingham WA 98226), Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip.
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.
Granger Richard N. (Huntington CT) Scirica Paul A. (Huntington CT) Gorecki Michael J. (Cromwell CT), Surgical incision members for endoscopic suturing apparatus.
Bedi James J. (Stockton NJ) Golden Donald M. (Cherry Hill NJ) Transue James A. (Somerville NJ), Surgical instrument actuator with non-collinear hydraulic pistons.
Jamiolkowski Dennis D. (Long Valley NJ) Huxel Shawn T. (Lakehurst NJ) Rosenman Daniel C. (San Mateo CA), Suture clip suitable for use on monofilament sutures.
Coffey William R. (7754 N. Whittier Pl. Indianapolis IN 46250) Coffey Arthur C. (5934 Crittenden Ave. Indianapolis IN 46220) Coffey Christopher D. (6020 Crestview Indianapolis IN 46202), Suture for use in endoscopic surgery.
Murillo, Michael; Bender, Chris P.; Hirotsuka, Mark Y.; Hendricksen, Michael J.; Saliman, Justin D.; McCutcheon, John G., Suture passer devices and methods.
Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Sienkiewicz Henry R. (Stamford CT) Toso Kenneth E. (Portchester NY) Kolesa Michael S. (Norwalk CT) Tovey H. Jonathan (Milford CT), Suture retaining clip.
Sauter Joseph A. (Austin TX) Poehlmann Jeffrey L. (Austin TX) Campbell Louis A. (Austin TX), Suture rings for heart valves and method of securing suture rings to heart valves.
Yoon InBae (2101 Highland Ridge Dr. Phoenix MD 21131) Yoon Samuel C. (2101 Highland Ridge Dr. Phoenix MD 21131) Yoon Suzanne J. (2101 Highland Ridge Dr. Phoenix MD 21131), Suture tie device system and applicator therefor.
Gwathmey Owen M. (The Meadow ; Box 96 Aylett VA 23009) Sloane ; Jr. Thomas E. (West Redding CT) Oddsen Robert R. (Centerport NY), Suturing assembly and method.
Kensey Kenneth (Chester Springs PA) Nash John E. (Downington PA) Evans Douglas (Devon PA), System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating.
Le Thu A. (Matawan NJ) Bruker Izi (Flemington NJ) Luscombe Brian H. (Warren NJ) Jamiolkowski Dennis D. (Long Valley NJ), Two-piece suture anchor with barbs.
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