| Entries |
| Document | Title | Date |
|---|
| 20080200931 | AUXILIARY DEVICE FOR A PUNCTURE NEEDLE - An auxiliary device for a puncture needle allowing an easier manipulation of puncture needles as well as being capable of improving the suture stability. The auxiliary device for a puncture needle comprises a plate-shaped auxiliary device main body on the surface of which parallel guide grooves were formed, and a plate-shaped rotating-sliding contact part rotatably attached to one of the edge parts of the auxiliary device main body. Moreover, a stabilization plate was provided at the lower end part of the auxiliary device main body. And, a window part for confirming an insertion-puncture needle-outer needle and a pullout-puncture needle were provided at the lower part side portion of the auxiliary device main body. Moreover, a projecting edge part was formed at the upper end part of the auxiliary device main body, and an opening side width of a portion located at the projecting edge part of the guide grooves was made wider than the width of the other portion of the guide grooves. | 08-21-2008 |
| 20080208218 | Suture tool - A suture tool is provided in which the fixing member includes: a base portion which has a thin and longitudinal plate shape and which has a through-hole through which the suture thread passes; and a pair of bent pieces of which ends are opposed to each other by bending both ends of the base portion toward the center thereof. Thick plate portions which are thick in an insertion direction of the suture thread and which interpose the suture thread therebetween are disposed at the ends of the pair of bent pieces, respectively. | 08-28-2008 |
| 20080208219 | Endoscopic treatment instrument - An endoscopic treatment instrument is provided which includes: a flexible sheath; a wire disposed inside the sheath so as to advance and retreat; a restriction member which restricts a movement of the wire in the sheath to a proximal side; an operating portion connected to a proximal end of the sheath; a wire operating portion which is connected to a proximal end of the wire and disposed to advance and retreat relative to the operating portion; a resilient member which has a first end and a second end and of which the first end is connected to the wire operating portion to expand and contract between the second end; a movable member which is connected to the second end so as to be movable relative to the operating portion; and a control member which is disposed in the movable member and which switches the movable member between a movable state and a fixed state relative to the operating portion. | 08-28-2008 |
| 20080208220 | Suture instrument - A suture instrument according to the present invention includes a suture tool having an anchor anchored to a biological tissue, a suture thread drawn out of the anchor, and a stopper disposed on the suture thread; a hollow puncture needle, which can house the anchor thereinside, having a hard needle portion formed with an opening at the distal end thereof; a pusher which is disposed to advance and retreat in the puncture needle and a proximal side of which extends to a proximal side with its distal end being in contact with the anchor; and an outer sheath which houses the puncture needle so as to advance and retreat, in which an engaging portion, which is detachably engaged with the suture thread which is drawn in a state where the anchor is housed in the puncture needle, is disposed in the puncture needle or in the pusher. | 08-28-2008 |
| 20080215069 | Endoscopic tissue apposition device with multiple suction ports - The present invention relates to an improved endoscopic tissue apposition device having multiple suction ports. The invention permits multiple folds of tissue to be captured in the suction ports with a single positioning of the device and attached together by a tissue securement mechanism such as a suture, staple or other form of tissue bonding. The improvement reduces the number of intubations required during an endoscopic procedure to suture tissue or join areas of tissue together. The suction ports may be arranged in a variety of configurations on the apposition device to best suit the desired resulting tissue orientation. The inventive tissue apposition device may also incorporate tissue abrasion means to activate the healing process on surfaces of tissue areas that are to be joined by operation of the device to promote a more secure attachment by permanent tissue bonding. | 09-04-2008 |
| 20080221593 | APPARATUS AND METHOD FOR THE LIGATION OF TISSUE - A novel catheter-based system which ligates the left atrial appendage (LAA) on the outside of the heart, preferably using a combination of catheters and/or instruments, e.g., a guide catheter positioned inside the left atrial appendage which may assist in locating the left atrial appendage and/or assist in the optimal placement of a ligature on the outside of the appendage, and a ligating catheter and/or instrument outside the heart in the pericardial space to set a ligating element at the neck of the left atrial appendage. | 09-11-2008 |
| 20080228203 | SYSTEM AND METHOD FOR TRANSLUMENAL CLOSURE IN NATURAL ORIFICE SURGERY - To close a translumenal hole made in the stomach (or colon, etc.) pursuant to natural orifice surgical treatment of tissue in the peritoneal cavity, one or more guides are engaged with the hole, and the guides can be pulled to purse together tissue on opposite sides of the hole. A closure device is then advanced along the guides over the pursed tissue to adhere the tissue together using heat, staples, sutures, etc. | 09-18-2008 |
| 20080243146 | LOCATING AND OCCLUDING VESSELS - A medical device for blood vessel detection and occlusion includes an elongated member, a sensor, and an occluder. The elongated member includes a distal portion configured and dimensioned for accessing anatomical regions. The distal portion includes a recessed area. The sensor of the device can sense a blood vessel disposed in or near the recessed area. The occluder is operatively associated with the distal portion, and it is configured for at least partially stopping the flow of blood through the blood vessel disposed within the recessed area. | 10-02-2008 |
| 20080243147 | Replaceable Tip Suturing Devices, System, and Methods for Use with Differing Needles - Medical suturing devices, systems, and methods will be useful for endoscopic or open surgeries, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft. Portions of the devices may be disposable, replaceable, and/or reusable, with different needle-grasping jaws and/or different elongate extension bodies having different configurations optionally being selectably coupleably to an articulatable handle and housing so as to allow the user to configure the device for a particular procedure. | 10-02-2008 |
| 20080243148 | SUTURE INSTRUMENT - A suture instrument that is inserted into a body and ejects an elongated anchor to be engaged to tissue, consisting of: an elongated member that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; a needle that is provided at the remote end of the elongated member, has at the distal end a sharp tip that is capable of puncturing tissue, is capable of housing a plurality of the anchors inside, and is provided with a side hole through which the anchors are capable of passing; a pusher whose remote end abuts the anchor that is housed in the needle and is disposed in a manner to be capable of moving in the axial direction of the elongated member; and a push-out control portion that is provided in the needle or the pusher and changes the movement direction of the anchor that has been moved to a formation position of the side hole by the pusher from the length-wise direction of the needle to a direction heading toward the side hole. | 10-02-2008 |
| 20080249543 | Ligature Carrier - A ligament carrier and suturing device ( | 10-09-2008 |
| 20080249544 | Medical Device for Applying Purse String Sutures - A surgical instrument for applying purse string sutures to tissue is provided that includes two circular discs that each have notches within a perimeter of the disc for receiving tissue and through which a suture wire may pass. The device also includes push plates for advancing the suture wires through the notches of the two circular discs and into portions of the tissue. Suture is placed within each push plate and is connected to ends of the suture wires. Suction is applied to the circular discs through a shaft to draw the tissue into the respective notches of the circular discs so that the suture wires may be advanced through the tissue and the sutures can then be pulled through the tissue to create two purse-string sutures. | 10-09-2008 |
| 20080249545 | SUTURING, CRIMPING AND CUTTING DEVICE - A percutaneous surgical device is provided, which comprises a combination wound suturing and crimping and cutting device. In one exemplary embodiment a crimping and cutting device portion nests within a suturing device portion. The combined device may locate a vessel wound and pass suture through the vessel walls surrounding the wound. Then, the crimping and cutting portion may detach, the suturing portion may be removed, and the crimping and cutting portion may be located to the wound site to apply a fastener (e.g., a ferrule). | 10-09-2008 |
| 20080255590 | Apparatus and method for minimally invasive suturing - An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes an elongated barrel having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the elongated barrel; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the elongated barrel, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the elongated barrel to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle. | 10-16-2008 |
| 20080262516 | ENDOSCOPIC TISSUE APPOSITION DEVICE WITH MULTIPLE SUCTION PORTS - The present invention relates to an improved endoscopic tissue apposition device having multiple suction ports. The invention permits multiple folds of tissue to be captured in the suction ports with a single positioning of the device and attached together by a tissue securement mechanism such as a suture, staple or other form of tissue bonding. The improvement reduces the number of intubations required during an endoscopic procedure to suture tissue or join areas of tissue together. The suction ports may be arranged in a variety of configurations on the apposition device to best suit the desired resulting tissue orientation. The inventive tissue apposition device may also incorporate tissue abrasion means to activate the healing process on surfaces of tissue areas that are to be joined by operation of the device to promote a more secure attachment by permanent tissue bonding. | 10-23-2008 |
| 20080269782 | Surgical suturing apparatus - A surgical suturing apparatus is described. The suturing apparatus has a needle having at least one pointed end, a channel for releasably receiving the needle, a needle positioning assembly having members for moving the needle and an actuation assembly for actuating the needle positioning assembly. The needle includes a first puncturing point at a proximal end thereof and an engagement section adjacent thereto, a distal end, which may have a second puncturing point, and another engagement section adjacent the distal end. A structure, such as an eye or a slot, is provided to secure a length of suture material to the needle. The members for moving the needle include an engagement member for releasably engaging one of the engagement sections of the needle to effect axial movement of the needle within the channel, a ramp member for effecting movement of the needle in the distal direction along the longitudinal axis of the channel and for urging the proximal end of the needle out of the channel, and a snare axially movable within the channel and having a portion releasably housed within the channel. The snare portion is configured for capturing the proximal engagement section of the needle to guide the needle in a proximal direction when the needle is out of the channel and to guide the return of the needle to the channel. | 10-30-2008 |
| 20080269783 | Curved needle suturing tool - A needle delivery device is described and includes generally, a needle made of a shape memory alloy pre-formed in an unconstrained configuration, such as, for example, an arc or a curved needle. The needle delivery device also includes a needle delivery guide, a suturing guide and a positioning member. The needle has an eye at its leading tip for holding suture material. The needle delivery guide has a needle channel for passage of the needle therethrough. The needle channel is configured to hold the needle in a constrained configuration, for example, in substantial alignment with the longitudinal axis of the needle channel. The suturing guide is pivotally connected to the delivery guide. The positioning member moves the suturing guide between an extended position and a collapsed position, wherein, in the extended position, the suturing guide is configured to stabilize the tissue and guide the needle in its unconstrained configuration and to enable access by, for example, a grasper or other tool, to the suture material. | 10-30-2008 |
| 20080269784 | Anastomosis device, tools and methods of using - Anastomosis devices, tools and methods of performing sutureless anastomosis. Anastomosis devices are provided for fixing a first conduit to a second conduit in an anastomosis, where the conduits are joined by interfacing their inner walls together. The conduit which is loaded on the anastomosis device may be mounted in such a way that the internal wall of the conduit does not make contact with the anastomosis device. | 10-30-2008 |
| 20080269785 | SUTURE SECUREMENT APPARATUS - A suture securement apparatus for selectively securing one or more ends of a suture while allowing adjustments in the tension or a full release of the sutures intermittently after a prolonged period of time. The suture securement apparatus can be particularly adapted for use with a purse-string suture to close a percutaneous catheter puncture site without causing puckering or distortion of the skin at the purse string suture site. The suture securement apparatus permits a practitioner to subsequently modify the amount of tensioning or full release of the sutures at the catheter insertion site. A threading assembly for use with the suture securement apparatus and being adapted to facilitate threading of sutures along the length of the suture securement apparatus. | 10-30-2008 |
| 20080275472 | Assisted Apparatus for Anastomosis and Method Thereby of Reconnecting the Urethra to the Bladder After Removal of the Prostate During a Prostatectomy - An assisted anastomosis apparatus and a method thereby for reconnecting the urethral stump to the neck of the bladder after removal of the prostate during a prostatectomy, comprising two suture units, namely a urethral stump suturing unit ( | 11-06-2008 |
| 20080287967 | Device and Methods for Suturing Tissue - Systems for suturing a tissue layer having two sides with a suture be releasably retaining at least a portion of the suture in a stationary position on one side of the tissue layer. The portion of the suture is retrieved through the tissue layer from the opposite side whereby the suture is drawn from one side to the opposite side. Systems for suturing the wall of a tubular graft having two sides is also provided using a suture by releasably retaining at least a portion of the suture on one side of the wall. the portion of the length of suture is retrieved through the wall of the graft to the opposite side of the wall. | 11-20-2008 |
| 20080312667 | Self-Orientating Suture Wound Closure Device - A device is disclosed for providing an indication as to the relative position of a vessel or artery opening thereby facilitating the choice of which suturing or plugging technique to thereafter use. A disclosed device includes an outer tube and a collapsible foot slidably disposed within a distal end of the outer tube. The foot is connected to a shaft that passes through the tube and exits a proximal end thereof. The device may further include one or more threaded suture needles, a biodegradable plug or other wound closing device that is connected to another shaft. The collapsed or folded foot is pushed distally out of the tube and through the opening in the vessel whereupon the foot expands. Pulling the expanded foot in the proximal direction provides an indication as to the orientation of the opening in the vessel, which assists in determining the type of closing procedure to be carried out. The shaft connected to the foot is preferably connected to an indicator that indicates to the operator or physician that the vessel opening is in one of three positions on the vessel—left, top or right. As an alternative, the indicator bar may indicate a relative position in degrees, mm or μm in deviation from a top stick (or top position). | 12-18-2008 |
| 20080319458 | SYSTEM FOR CLOSING A PUNCTURE IN A VESSEL WALL - A device is provided herein for deploying a suture in a puncture through a vessel wall of a blood vessel, the puncture disposed within a tissue tract of a patient body. The device includes a shaft suitable for insertion along the tissue tract and into the vessel through a puncture, a plurality of needles, each needle having a proximal end and a distal end suitable for forming a needle path through the vessel wall, wires associated with each needle, each wire having a distal end and a proximal end, and hooks coupled to each of the distal ends of each wire, each hook being configured to anchor the wire to an interior portion of the vessel wall. | 12-25-2008 |
| 20090005793 | Vascular Suturing Device - A surgical device of suturing vascular vessels is described, as well as methods for suturing tissue employing the surgical device. In one form the device includes a distal member for insertion into a vascular vessel puncture wound. The distal member contains a suture and needle engaging fitting. At least one needle is advanced through tissue adjacent the puncture wound and into the needle engaging fitting to draw lengths of suture material which can then be used to close the puncture wound. In another form the device includes at least one needle advanceable through tissue and into a needle capture element within a distal end of the surgical device to draw lengths of suture material which can then be used to close various puncture wounds, particularly in vascular tissue. In still another form the device includes at least one needle advanceable through tissue to drawn lengths of suture material which can then be used to close various puncture wounds, particularly in vascular tissue. A foot is pivotal between a non-deployed position and a deployed position where it engages vascular tissue on a distal side of the vessel. | 01-01-2009 |
| 20090018553 | MULTI-ACTUATING TRIGGER ANCHOR DELIVERY SYSTEM - A single trigger system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes. | 01-15-2009 |
| 20090024145 | Apparatus and method for sternotomy closure - A tissue closure device includes a pusher assembly having a drive arm extending from a drive shaft and a drive mechanism at a distal end of the drive arm, wherein the drive mechanism is capable of releasably engaging and rotating a suturing needle having a pointed end and a blunt end about a rotational axis and a cartridge having a protective housing and the suturing needle, the cartridge extending from a distal end of a cartridge holder assembly and releasably attached to the cartridge holder assembly. A pointed end of the suturing needle may be positioned within the protective housing before and after a complete rotation of the suturing needle about the rotational axis. A removable electronic module may be provided controlled by an actuator that mechanically engages the drive shaft to rotate the drive shaft and the drive mechanism, thereby rotating the suturing needle about the rotational axis. | 01-22-2009 |
| 20090024146 | System, apparatus, and method for repairing septal defects - An apparatus and method for repairing septal defects includes advancing a catheter to the site of the defect, grasping opposing edges of the defect, passing one or more suture lines through the opposing edges, and tightening the suture lines. The catheter can include one or more vacuum ports, with the vacuum ports being sized and configured to grasp opposing edges of the defect when vacuum is applied thereto. The vacuum ports may be positioned longitudinally distant from each other along the catheter, and may also be on different sides of the catheter. The vacuum ports may have vacuum applied via independent control. The catheter can also include suture deploying structure that prevents the suture line from becoming entangled in the catheter. | 01-22-2009 |
| 20090036905 | METHOD OF TISSUE FIXATION USING CINCH STITCHING - A system and method for tissue to bone repair employing cinch stitching combined with at least one knotless fixation device. A suture strand is passed through soft tissue to form a cinch stitch and is then secured in a hole in a bone by the knotless fixation device. | 02-05-2009 |
| 20090036906 | SUTURING DEVICE WITH SPLIT ARM AND METHOD OF SUTURING TISSUE - A device for suturing an opening in a tissue, having an elongated shaft, at least two arms movable to a deployed positioning which the arms are non-perpendicular to the shaft, the arms having needle receiving portions; and needles advanceable longitudinally along the shaft toward the needle receiving portions, the needles exiting through side walls of the shaft at a location proximal to the arms. | 02-05-2009 |
| 20090043317 | METHOD AND APPARATUS FOR DELIVERY OF A LIGATING SUTURE - An apparatus for ligating a medical protrusion comprises a ligating suture having a proximal end and a distal end configured to circumscribe the medical protrusion, and a one-way lock positioned there between. The apparatus further comprises an endoscope, a cutter blade configured to cut the suture, and a device for ligating a medical protrusion. The device comprises a tubular body having a proximal end and a distal end, a handle positioned at the proximal end, an endoscope controller operably connectable to the endoscope, a cutting controller operably connectable to the cutter blade, a suture controller configured to be operatively coupled with the suture, a curved bridge positioned at the distal end, the bridge having a proximal end and a distal end, and an armature, having a proximal end and a distal end, configured to releaseably retain at least a portion of the suture. | 02-12-2009 |
| 20090048615 | DEVICE AND METHOD FOR SUTURING INTRACARDIAC DEFECTS - In accordance with the present invention there is provided a suturing device. The suturing device includes a length of suture that will be delivered to the site of the PFO and placed through the tissue adjacent the opening to close the PFO. As described in greater detail below, the suture is advanced through the tissue surrounding the opening by a pair of needles that penetrate the tissue adjacent to the opening. A knot is then loosely tied with the length of suture and advanced to the site of the PFO. The tails of the suture extending from the knot are then cut and removed. It is also contemplated that a pre-formed or pre-tied knot may be disposed on the device, wherein after deployment of the suture through the tissue adjacent to the PFO and removal of the device a loop of suture having a pre-tied knot will remain, wherein the pre-tied knot may then be tightened to close the PFO. Further still it is contemplated that other means may be utilized to retain the sutures. For example, it is contemplated that a suture clip or other clip like device may be utilized to retain the suture in a position such that the PFO is closed. | 02-19-2009 |
| 20090062816 | SUTURING INSTRUMENT WITH DUAL NEEDLES AND METHOD OF PASSING SUTURE - An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and two needles mounted on the handle assembly and through a cannulation of the shaft. A dual-needle actuator communicates with the two needles. A suture is placed at the tip of the lower jaw. By advancing the dual-needle actuator relative to the body of the instrument, the two needles are pushed forward to capture the suture and advance it through the tissue to be sutured. | 03-05-2009 |
| 20090062817 | Medical Device and Method of Fixing Internal Organ - A medical device ( | 03-05-2009 |
| 20090062818 | SUTURING INSTRUMENT WITH PIVOTABLE DISTAL PORTION - Suturing instruments in accordance with the invention are dimensioned and configured to apply sutures to approximate; ligate, or fixate tissue in, for example, open; mini-incision, trans-vaginal, laparoscopic, or endoscopic surgical procedures. In some embodiments, the suturing instruments include a distal portion that is deflectably and/or pivotally coupled to the remainder of the instrument for improved maneuverability and functionality during surgery. In other embodiments, the suturing instruments are capable of housing multiple needle and suture assemblies and/or reloading the needle and suture assembly without removing the instrument from the surgical site. | 03-05-2009 |
| 20090082787 | Suturing Device - A suturing device is disclosed. The suturing device comprises a shaft with a proximal end and a distal end and a passage extending therebetween disposed on a longitudinal axis. A rod is disposed within the shaft passage and is capable of moving axially along the longitudinal axis. A loop-forming opening extends partly along the shaft and into the shaft passage, and is disposed proximal to the distal end. A stop is disposed between the rod and the distal end. A resiliently flexible wire is coupled to the rod and to the stop. In use, movement of the rod towards the distal end compresses the wire against the stop to form a suture-receiving loop extending from the loop-forming opening and wherein movement of the rod towards the proximal end retracts the suture-receiving loop from the loop-forming opening to move the wire into the shaft. | 03-26-2009 |
| 20090088778 | MEDICAL SUTURE AND LIGATURE INSTRUMENT AND MEDICAL SUTURE AND LIGATURE TOOL - A biological tissue is sutured or ligatured, a ligature wire is cut, and then a holding member is reliably separated. A holding member which holds the ligature wire for ligaturing a pathological lesion portion includes a first cylindrical member and a second cylindrical member fitted to a distal end portion of the first cylindrical member. The ligature wire is allowed to pass through a pair of distal lateral holes and formed by the first and second cylindrical members and, is drawn out of the outer peripheral side of the first cylindrical member, and then is drawn into the first cylindrical member through proximal lateral holes and formed on the proximal side of the first cylindrical member. | 04-02-2009 |
| 20090088779 | Articulating Suturing Device and Method - A device for closing an opening in tissue includes a shaft having a proximal end, a distal end, and at least one pin associated with a distal end the shaft. A flexible guidebody extends from the distal end of the shaft, while a foot associated with the device is movable with respect to the shaft through the pin connected to at least one slot of the foot. Another device for closing an opening in tissue includes a shaft having a proximal end and a distal end. A plurality of feet are disposed proximate the distal end of the shaft, the plurality of feet being movable with respect to the shaft. The device further includes a flexible guidebody extending from the distal end of the shaft. | 04-02-2009 |
| 20090099578 | METHODS AND DEVICES FOR DELIVERING SUTURES IN TISSUE - Methods and devices for driving a suture assembly employing elastically pre-shaped needles for piercing a tissue. The pre-shaped needles are held in a constrained state and can revert to a natural pre-shaped state prior to or during ejection from the device before entry into tissue allowing for the suture to follow a defined path similar to the pre-shaped needle such that removal of the needle allows for subsequent securing of the suture in or around tissue. | 04-16-2009 |
| 20090112234 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A reloadable device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device also includes a first cartridge containing at least one fastener releasably connectable to the distal end of hollow housing. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The device also includes a means for facilitating removal the first cartridge and replacing it with a second cartridge. | 04-30-2009 |
| 20090125039 | SUTURE INSTRUMENT - A suture instrument that is inserted into a body and ejects an elongated anchor to which a suture thread that sutures a perforation is connected and which is placed on tissue, including a base that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; an anchor holding instrument that is disposed at the remote end of the base, is capable of housing a plurality of the anchors inside, and whose distal end that ejects the anchors is approximately pointed in the direction of the proximal end of the base; a tip position changing mechanism that is provided for changing the tip position of the anchor holding instrument and causes the anchor holding instrument to move in a direction that intersects with the axial line of the lengthwise direction of the base; and a position operation device that operates the tip position changing mechanism at the hand side and operates the tip position of the anchor holding instrument. | 05-14-2009 |
| 20090131956 | METHOD AND APPARATUS FOR PASSING SUTURE THROUGH THE LABRUM OF A HIP JOINT IN ORDER TO SECURE THE LABRUM TO THE ACETABULUM - A suture passer comprising:
| 05-21-2009 |
| 20090138029 | Suture passing instrument and method - In one embodiment, a continuous suture passer device may include a first jaw, a second jaw, a tissue penetrator which may penetrate through tissue positioned between the first and second jaws, and a suture shuttle which may be releasably secured to the tissue penetrator and adapted to carry a suture. Further, the device may include an actuator which may manipulate at least one of the first or second jaws and the tissue penetrator, and the second jaw may have a suture shuttle retainer seat on which the suture shuttle may be releasably secured. The tissue penetrator may be movable towards the second jaw such that the suture shuttle carried by the tissue penetrator may be transferred to the shuttle retainer seat on the second jaw. Additionally, the first and second jaws may be substantially parallel to one another at any position to which the at least one jaw is manipulated. Additionally, the tissue penetrator may travel along an arcuate path from a first position, recessed within the first jaw, to a second position where the tissue penetrator extends through the tissue to be positioned in communication with the second jaw. Further, the at least one jaw may be manipulated such that it travels along a path that is substantially the same arcuate path traveled by the tissue penetrator. A method for passing a suture through tissue includes manipulation to transfer a suture shuttle adapted to carry a suture between a tissue penetrator and a second jaw. | 05-28-2009 |
| 20090143790 | SUTURING ASSEMBLY AND METHOD - A suturing assembly including a first puncture element including a sharp distal end for puncturing tissue, a second puncture element including a sharp distal end for puncturing tissue, the distal ends of the first and second puncture elements being spaced from each other by a gap, suture thread disposed along a portion of the first puncture element, wherein the suture thread is arranged to be grabbed at the distal end of the first puncture element, and a suture grabber positioned at the distal end of the second puncture element. | 06-04-2009 |
| 20090157105 | ARTICULATING SUTURING DEVICE AND METHOD - A method for closing an opening in tissue using a suturing device includes inserting at least a portion of a suture through a tissue tract and through a tissue wall. Following inserting at least a portion of the suture, the method includes advancing a first end of the suture through a bight of the suture, the bight pre-formed about a periphery of a knot tube of the suturing device. Once the first end is advanced, the method includes tensioning the first end of the suture and a second end of the suture adjacent the bight to form a knot affixing a loop of suture across the puncture. | 06-18-2009 |
| 20090182353 | THERMAL SUTURE WELDING APPARATUS AND METHOD - A method of suture welding is disclosed which includes: receiving suture segments between first and second jaw members, the first and second jaw members being in an open state. closing the first and second jaw members to captively hold and position the suture segments between the first and second jaw members; selectively applying an elongated joiner element to the suture segments where the joiner element has a selectively operative heating element facing the suture segments; and applying energy to the heating element to weld the suture segments-to-be-welded, whereby the heating element has a temperature above a predetermined threshold adapted to at least partially melt the suture segments. | 07-16-2009 |
| 20090192527 | Parietal anchoring tool and device, in particular for laparoscopic or coelioscopic surgery - The invention relates to a tool for parietally anchoring a living being's organ ( | 07-30-2009 |
| 20090198256 | ORGANOPEXY TOOL AND ORGANOPEXY KIT - The present invention provides an organopexy tool ( | 08-06-2009 |
| 20090198257 | ORGANOPEXY TOOL AND ORGANOPEXY KIT - Organopexy tool set (S) is comprised of suturing tool ( | 08-06-2009 |
| 20090209980 | SUTURING AND KNOT-TYING DEVICE - A tool for use in placing sutures and tying knots is disclosed. The tool has a handle for grasping by a user of the tool, an elongate neck extending from the handle, and a moveable head attached to the neck. A needle is operatively connected to the head. The needle is moveable between a retracted position and an extended position. A needle drive mechanism is provided for moving the needle relative to the head, while a head positioning mechanism is provided for moving the head relative to the handle. | 08-20-2009 |
| 20090216250 | Device and Method for Carrying Material Through Tissue - A material carrying device comprising a delivery element having a tapered distal end for penetrating target tissue and a central channel for housing an axially movable carrier element. The delivery element may further comprise an actuating member for both advancing the carrier element to an extended position and withdrawing the carrier element to a retracted position. The carrier element may be composed of any known shape memory material whose native shape will influence the trajectory of the carrier element upon its extension beyond the distal tip of the delivery element. The exit path of the carrier element from the delivery element may also influence the carrier element's trajectory. The scope of the present invention further comprises both a method of carrying material through tissue as well as a providing a shape memory fastener allowing for fixation where only one side of a tissue is accessible. | 08-27-2009 |
| 20090222027 | FERRULE HOLDER WITH SUTURE RELIEF LOBES - A surgical suturing instrument has a chamber for receiving and aligning a ferrule with a reciprocating needle. The chamber includes a plurality of protuberant concave and convex surfaces for positioning and aligning the ferrule within the chamber and the plurality of suture receiving chambers disposed between the aligning ridges for receiving a suture and preventing the suture from jamming the ferrule in the chamber. | 09-03-2009 |
| 20090259232 | SUTURE DEVICE - A suture device which sutures tissue using a suture unit having a first anchor and a second anchor respectively attached to both ends of a suture thread, wherein a hollow distal member is provided which houses said first anchor and second anchor, the end face of the distal side of said distal member is formed so as to constitute a first sharp angle with the axis of said distal member, the distal side of said second anchor is provided with a sloped face so as to constitute a second sharp angle with the axis of said second anchor which is an angle at or below said first sharp angle, and said first anchor and said second anchor are axially aligned and housed inside said distal member so that said second anchor is positioned on the proximal side. | 10-15-2009 |
| 20090259233 | Deployment System For Surgical Suture - A suture deployment system is disclosed including a surgical needle having a flexible suture fixedly attached thereto and a target suture releasably secured to the flexible suture. A collar is positioned between the flexible suture and the target suture and is fixedly secured to the flexible suture. The target suture is releasably secured to the collar is such that the target suture may detach from the collar once a surgical procedure has been completed. The surgical needle is a double pointed surgical needle specifically configured to be manipulated by a surgical suturing apparatus. | 10-15-2009 |
| 20090275960 | APPARATUS AND METHOD FOR GASTRIC REDUCTION - An apparatus and method for gastric reduction is provided comprising a tissue gathering assembly for applying a force to inner portions of a stomach to collapse the inner portions toward the tissue gathering assembly, and a suture assembly moveably mounted to the tissue gathering assembly for advancing a suture into the inner portions to form a gastric sleeve. The tissue gathering assembly may further comprise a vacuum shaft having sections of apertures, wherein each section transmits a vacuum force through the apertures to gather a part of the inner portions of the stomach to form a channel that connects an upper pouch to a lower pouch of the stomach. The suture assembly may further comprise a rotatable helical suture for fastening the gathered inner portions to secure the gastric sleeve. | 11-05-2009 |
| 20090281555 | Method For Repairing A Meniscal Tear - A device for implanting a suture. The device includes an elongated shaft that extends from the main body and has a distal end that includes a pointed tissue piercing tip. A first suture support is mounted to the distal end. The first suture support has a first opening and is movable between a retracted position where the first suture support does not extend from the distal end and an extended position where the first suture support does extend from the distal end. A first suture capturing device is mounted to the distal end and is aligned with the first suture support. The first suture capturing device is movable between a retracted position in which it does not extend from the distal end and an extended position in which it does extend from the distal end. The first suture capturing device extends within the first opening of the first suture support when in the extended position. | 11-12-2009 |
| 20090281556 | DEVICES, TOOLS AND METHODS FOR PERFORMING MINIMALLY INVASIVE ABDOMINAL SURGICAL PROCEDURES - Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity, continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity, anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures. | 11-12-2009 |
| 20090287226 | FORWARD DEPLOYING SUTURING DEVICE AND METHODS OF USE - Sutures can be placed in difficult to access areas of the human body with devices, and related methods, utilizing a needle carrier. The devices and methods can be used in conjunction with both endosurgical and traditional open surgery procedures. | 11-19-2009 |
| 20090292300 | Suturing Device, System, and Method - Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. | 11-26-2009 |
| 20090299385 | SURGICAL FASTENING DEVICE - Various embodiments are directed to a surgical device comprising an end effector. The end effector may comprise a first jaw member defining a first groove and a second jaw member defining a second groove. The first jaw member and the second jaw member may be selectively pivotable between an open position and a closed position. Also, the first groove and the second groove align to form a combined helical groove when the first jaw member and the second jaw member are in the closed position. In addition, the first jaw member may define a wire opening aligned with the first groove. | 12-03-2009 |
| 20090306683 | ENDOSCOPIC DROP OFF BAG - A specimen retrieval device may comprise the specimen retrieval bag for retrieval biological materials, a hybrid shaft, a first collapsible arm, and a second collapsible arm. The hybrid shaft may comprise a proximal end and a distal end, wherein the distal end is flexible, and wherein the proximal end is rigid. The first collapsible arm may be located at the distal end of the hybrid shaft, and may include a first portion. The second collapsible arm may be located at the distal end of the hybrid shaft, may include a first portion and a second portion. The second portion of the second collapsible arm may extend distally beyond the first portion of the second collapsible arm. The specimen retrieval bag may have an open end and a closed end, and may be configured to be retained upon the first collapsible arm and the second collapsible arm. | 12-10-2009 |
| 20090312772 | SUTURING INSTRUMENT AND METHOD FOR UTERINE PRESERVATION - A suturing instrument includes an elongate body member, a needle deployment mechanism, and a depth adaptor. The elongate body member includes a distal portion that defines an opening. The needle deployment mechanism is at least partially disposed within the elongate body member and moves the needle out of the suturing instrument and into tissue. The depth adaptor is disposed in the opening at the distal portion of the elongate body member and controls the depth that the needle penetrates into the tissue. | 12-17-2009 |
| 20090312773 | ENDOSCOPIC STITCHING DEVICES - The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof. | 12-17-2009 |
| 20090312774 | Yarns Containing Filaments Made From Shape Memory Alloys - Braids and surgical devices are made from yarns that include at least one filament made from a shape memory material. | 12-17-2009 |
| 20090318938 | Spring-Type Suture Securing Device - A suture securing device includes a body with a distal end portion defining a suture receiving opening; a shaft and the body being assembled for relative reciprocal motion between a first position and a second position; and a tension coil spring operably attached to the body and operably attached adjacent a distal end portion of the shaft and disposed adjacent a suture receiving opening, When the body and shaft are in the first position, the tension coil spring is in a rest position, and when the body and/or the shaft are in the second position, the tension coil spring is in a tensioned position to form at least one gap therebetween to enable receipt of at least a portion of at least one suture. | 12-24-2009 |
| 20100010512 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof. | 01-14-2010 |
| 20100016868 | Hydrodynamic Suture Passer - A hydrodynamic suturing instrument, comprising an elongated cannulated suturing needle having a distal end configured to carry a suture through tissue and a proximal end adapted to connect to a syringe barrel and a lumen extending form said proximal end to an opening at the distal end for having a size for the passage of a suture, the opening at the distal end configured to receive a suture extending from the lumen along an outer surface of the needle wherein a sharp point extends forward of the suture. A companion instrument includes forceps having a distal end with jaws and a proximal end with a cannula extending from the proximal end to the distal end for passage of the needle, and the jaws having an opening enabling passage of the needle through tissue grasped in the jaws. | 01-21-2010 |
| 20100016869 | Surgical Devices - The present disclosure relates to a surgical device including a shaft having an outer member and an inner member slidably received within the outer member, a handle coupled to the shaft, and a means for providing movement to the inner member coupled to the inner member. A method of tissue repair is also disclosed. | 01-21-2010 |
| 20100016870 | SUTURE INSTRUMENT AND METHOD - A method for inserting a stitch through tissue around a hole in an abdominal muscle or a hollow organ includes: inserting into the hole a body assembly having penetration members that move from an in-line position to a deployed position, and a suture cartridge assembly secured to a forward end of the body assembly, the suture cartridge assembly having opposing arm members that move from an in-line position to a deployed position and each holding a capture sleeve to which an end of a suture cord is secured; simultaneously deploying the penetration members through the tissue around the hole and into the arm members such that the penetration members capture the capture sleeves; and simultaneously retracting the penetration members and the arm members such that the ends of the suture are retracted with the penetration members through the tissue around the hole and into the body assembly. | 01-21-2010 |
| 20100023024 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The device also includes a means, adjacent the handle, for facilitating removal of the first cartridge from the handle and replacing it with a second cartridge. | 01-28-2010 |
| 20100023025 | Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure - A method of deploying fasteners within a body by providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends, and a needle within the hollow housing. The device has a first cartridge containing at least one fastener releasably connectable to the distal end of the hollow housing. The fastener is at least partially housed within the needle and has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The method uses the steps of inserting the distal end of the hollow housing to a target site within a body, attaching tissue together within the body by deploying the fastener, and removing the first cartridge and replacing it with a second cartridge. | 01-28-2010 |
| 20100023026 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device includes a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge is removable from the handle. The device includes a second cartridge having at least one fastener releasably connectable to the handle after removal of the first cartridge. The second cartridge being insertable into the device from a proximal end thereof. | 01-28-2010 |
| 20100023027 | Surgical suture passers and methods - A surgical instrument for suturing soft tissue is disclosed. The surgical instrument is capable of probing tissue, and preferably provides tactile feedback concerning the condition of the tissue. The instrument can then be used to pass and retrieve a suture without the need for an additional suture retrieval tool. | 01-28-2010 |
| 20100030236 | SUTURING DEVICE - A suturing device is disclosed which sutures a tissue using a suture unit having a suture thread with both ends fitted to a first anchor and a second anchor, respectively. The suturing device includes: a hollow tip member receiving the first and second anchors; a wire having a front end inserted through the tip member so that the first and second anchors can be released from the tip member; a flexible tube having a distal end integrally connected to a proximal end portion of the tip member, through which the wire is inserted so as to freely move forward and backward in the axial direction of the tube; a main body fixed to a proximal end of a sheath through which the tube is inserted; and a sliding portion fixed to the proximal end of the tube and fitted to the main body so as to freely move with respect to the main body in the axial direction in a sliding manner. The sliding portion includes a slider fixed to the proximal end of the tube, and a slider control portion which controls a sliding movement of the slider with respect to the main body in a normal state, and deactivates the control by a predetermined operation. | 02-04-2010 |
| 20100030237 | SUTURE INSTRUMENT - A suture instrument includes: a therapeutic insertion section having a suture section formed on the distal end thereof and suturing a tissue endoscopically; a cylindrical main operation unit connected to a proximal end of the therapeutic insertion section; a rod section inserted into the main operation unit along an axial line of the main operation unit from a proximal end of the main operation unit, the rod section conducting operations for discharging a suture thread and a plurality of end section members connected to at least an end of the suture thread from a distal end of the suture section; a pusher's distal end section for pressing the end section member to move corresponding to the operations conducted by the rod section; and a guide mechanism for rotating the rod section by a predetermined degree in the circumferential direction after conducting a linear movement of the pusher's distal end section at a position where one of the end section member is fed from a distal end of the suture section, and guiding so that the rod section is rotated in the circumferential direction by the predetermined degree repeatedly after conducting a linear movement of the pusher's distal end section to a position where the other one of the end section members is fed from the distal end of the suture section, so that each one of the end section members is discharged one after another and so that the end section members can be separated finally. | 02-04-2010 |
| 20100030238 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - An endoscopic stitching device is provided including a handle assembly and an end effector operatively connected to the handle assembly. The handle assembly includes a housing; a trigger operatively supported on the housing; and an actuation cable operatively connected to the trigger and extending from the housing in such a manner that an actuation of the trigger imparts axial translation and rotation to the actuation cable. The end effector includes a tool assembly configured and adapted to perform at least a pair of operations. The actuation cable is operatively connected to the tool assembly in such a manner that the actuation cable is capable of effecting a first operation of the pair of operations of the end effector upon the axial translation thereof and/or effecting a second operation of the pair of operations of the end effector upon the rotation thereof. | 02-04-2010 |
| 20100030239 | Axial Stitching Device - An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof. | 02-04-2010 |
| 20100030240 | CLOSURE APPARATUS - An apparatus for binding together two biological tissue portions with a binding component. The apparatus includes a body defining a body handle for receiving a hand; at least one drum rotatably mounted to the body, the at least one drum including a binding component attachment for attaching the binding component thereto; a drum actuating lever mounted to the body, the drum actuating lever being operatively coupled to the at least one drum for rotating the at least one drum in a predetermined direction when the drum actuating lever is moved; and a crimping assembly operatively coupled to the body for holding a crimp component and selectively crimping the crimp component to the binding component. The body handle, the drum actuating lever and the crimping assembly are configured, sized and positioned in a manner such that the intended user is able to tighten the binding component around the at least one drum by moving the drum actuating lever using one hand; and the intended user is able to operate the crimping assembly to selectively crimp the crimp component to the binding component middle section using another hand while simultaneously holding the body handle with the first hand. | 02-04-2010 |
| 20100049218 | MEDICAL SUTURE AND LIGATURE INSTRUMENT AND MEDICAL SUTURE AND LIGATURE TOOL - A biological tissue is sutured or ligatured, a suture and ligature member such as a ligature wire is cut, and then a holding member is reliably recovered from the body. In a holding member of a medical ligature tool, a protrusion is disposed between distal lateral holes, and proximal lateral holes, so that it protrudes outward in a diameter direction thereof. On the other hand, a concave portion is formed in the inner periphery of a cutting member. When the cutting member is extended to cut a ligature wire, the concave portion is fitted to the protrusion to allow the holding member to engage the cutting member. | 02-25-2010 |
| 20100049219 | ENDOSURGERY SUTURING DEVICE - A suturing device includes an elongated sheath and a suturing assembly. The elongated sheath has a working end for insertion through a working channel in an endoscope and has an inner passage. The suturing assembly includes an elongated flexible base member, a first suturing arm and a second suturing arm. The suturing arms each have a proximal end interconnected with the elongated base member and an opposite distal end. A needle receiver is disposed at the distal end of each suturing arm. The suturing arms are movable between an open position wherein the distal ends are spaced apart by a first distance and a closed position wherein the distal ends are spaced apart by a second distance less than the first distance. | 02-25-2010 |
| 20100057108 | SUTURING DEVICE - Methods of using a surgical suturing device are disclosed. The methods may contemplate a surgical suturing device comprising a grasper device that is translatable within an outer lumen. The methods may comprise grasping a first end of a needle with the grasper device. The needle may be resilient to a curved resting state. The methods may also comprise translating the grasper device proximally relative to the outer lumen such that the needle is translated into the outer lumen, wherein the outer lumen tends to straighten the needle from the curved resting state and moving the outer lumen distally towards tissue. The grasper device may be translated distally relative to the outer lumen such that a second end of the needle extends distally from the outer lumen and pierces the tissue. The needle may return to the curved resting state as it exits the outer lumen. The methods may also comprise releasing the first end of the needle from the grasper device. When a second end of the needle emerges from the tissue, the second end of the needle may be grasped with the grasper device. | 03-04-2010 |
| 20100057109 | ENDOSCOPIC SUTURING DEVICE - A suturing device for use in endoscopic procedures includes a head configured to be removably coupled to an elongate medical device and an actuator coupled to the head via an elongate flexible sheath. The suturing device is configured to pass a needle and suture through a selected tissue site upon actuation of the actuator. In another embodiment, a suturing device includes a head and a retaining portion configured to receive a guide wire. The suturing device can be inserted into a patient's body using the guide wire to guide and help position the head of the suturing device. In such an embodiment, the suturing device can also include an expandable member coupled to the head and that is configured to be expanded within a body lumen of a patient to help maintain a position of the head within the body lumen. | 03-04-2010 |
| 20100063518 | MEDICAL DEVICE FIXATION TOOL AND METHOD OF FIXATION OF A MEDICAL DEVICE - A device fixation tool and method of fixation of a medical device within a hollow organ or cavity through a natural orifice includes providing a needle driver and a shaft. The needle driver is adapted for use with at least one needle. At least a portion of the needle driver is positioned with the shaft at a hollow organ or cavity through the natural orifice. Sufficient force is transmitted with the needle driver to the at least one needle to penetrate mammalian tissue and a portion of the medical device. | 03-11-2010 |
| 20100063519 | SUTURE DEVICE FOR SURGICAL OPERATION - The present invention relates to a suture device for a surgical operation that makes it easy to suture a wound or an incision. A suture device for a surgical operation of the present invention includes: a suture needle that is curved with a needle eye at one end to be threaded with a first suture, and swings at an incision; a holder that supplies a second suture, rotates in one direction, and stops, corresponding to the swing of the suture needle to weave the first suture and the second suture and suture the incision; a first rotary member that is connected to a first shaft of the suture needle; a second rotary member that is connected to a second shaft of the holder; and a third rotary member that is provided between the first rotary member and the second rotary member, and connected to a third shaft to transmit torque to the second rotary member. | 03-11-2010 |
| 20100069925 | DEVICES AND METHODS FOR LIGATING ANATOMICAL STRUCTURES - Devices and methods for ligating anatomical structures are provided herein. In particular, the devices and methods provided herein can be used to ligate the left atrial appendage. | 03-18-2010 |
| 20100076460 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and an articulation assembly supported on the housing for effectuating an articulation of an end effector operatively connected to the housing, the articulation assembly being operable to effect articulation of the end effector in a first pair of opposed directions and a second pair of opposed direction which is substantially transverse to the first pair of opposed directions. | 03-25-2010 |
| 20100076461 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and at least one actuation cable operatively associated with the trigger and extending from the housing in such a manner that an actuation of the trigger imparts both an axial translation of the actuation cable and a rotation to the actuation cable. Each of the axial translation and rotation of the actuation cable performs a separate function. | 03-25-2010 |
| 20100087836 | Surgical Instrument and Method for Tensioning and Securing a Flexible Suture - A surgical instrument may be used to apply tension to a flexible suture to close and secure a broken or cut bone (e.g. a sternum following a sternotomy). The device preferably applies an adjustable tension to the flexible suture in order to secure the bone together. Multiple instruments may be used together to ensure the desired tension is applied to the entire bone structure being secured with the flexible sutures. Once the desired tension is achieved, the device preferably provides a mechanism to apply a uniform twist to the flexible suture to lock the flexible suture in place and maintain the tension previously achieved. The device may automatically cut the flexible suture, or the flexible suture may be cut by the surgeon once the twisting action has been performed. | 04-08-2010 |
| 20100087837 | Surgical Instrument and Method for Tensioning and Securing a Flexible Suture - A surgical instrument may be used to apply tension to a flexible suture to close and secure a broken or cut bone (e.g. a sternum following a sternotomy). The device preferably applies an adjustable tension to the flexible suture in order to secure the bone together. Multiple instruments may be used together to ensure the desired tension is applied to the entire bone structure being secured with the flexible sutures. Once the desired tension is achieved, the device preferably provides a mechanism to apply a uniform twist to the flexible suture to lock the flexible suture in place. The instrument preferably decreases the upward tension applied to the flexible sutures over the duration of the application of twisting.. The device may automatically cut the flexible suture, or the flexible suture may be cut by the surgeon once the twisting action has been performed. | 04-08-2010 |
| 20100087838 | SUTURING DEVICE - A suturing device for suturing a portion of biological tissue includes a needle attached to a suture, a needle holder that releasably holds the needle, and a needle driver adapted to be advanced and retracted substantially parallel to a longitudinal axis of the suturing device. A distal needle holder adapted to releasably hold the needle is positioned in a distal position relative to the portion of biological tissue and a distal end of the needle driver is positioned in a proximal position relative to the portion of biological tissue. The needle is positioned in either the proximal position or the distal position. The needle driver is moved longitudinally in a first direction along a path substantially parallel to the longitudinal axis such that the needle and suture pass through the portion of biological tissue, thereby forming a suture incision through which the suture passes. By repeating the above-described processes, a series of stitches is thereby formed. | 04-08-2010 |
| 20100106169 | MENISCAL REPAIR SYSTEMS AND METHODS - A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site. | 04-29-2010 |
| 20100114121 | ANASTOMOSIS SUTURING DEVICE AND METHODS THEREOF - The present invention provides an anastamosis suturing device (ASD), comprising an integrated suturing mechanism comprising a plurality of suturing wires, each of the wires is incorporated within a set of distal and proximal threading needles being positioned in a similar angular orientation, selected inter alia from 12′, 2′, 4′, 6′, 8′ and 10′ o'clock. the middle portion of each of the wires is arranged in a stack arrangement. Each needle is either operated separately or integrally with at least one another. | 05-06-2010 |
| 20100121352 | SUTURING INSTRUMENT AND METHOD FOR PASSING MULTIPLE SUTURES - Apparatus and methods for passing multiple sutures in tissue repair and/or other mini-open procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and passing through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the lower jaw being provided with a slot configured to sequentially engage multiple sutures inserted into the instrument. The handle assembly has a cam mechanism and a finger lever with a ratchet and a releaser with a hook, the handle assembly being designed to move the needle from a first position to a second position, and to thereby sequentially capture, in the needle, each of the multiple sutures inserted in the instrument, for subsequent passing through tissue. | 05-13-2010 |
| 20100121353 | METHOD AND APPARATUS FOR MENISCAL REPAIR - An apparatus for suturing tissue includes a housing. The apparatus also includes a first needle attached to the housing and a second needle attached to the housing. A suture having a leading portion and a trailing portion is also included. A first structure is operably associated with the first needle for passing the leading portion of the suture from a near side of body tissue to a far side of the body tissue. A second structure is operably associated with the second needle for retracting the leading portion of the suture from the far side of the body tissue back to the near side of the body tissue. | 05-13-2010 |
| 20100130989 | Tissue Repair Device - The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed. | 05-27-2010 |
| 20100137887 | DEVICES, SYSTEMS AND METHODS FOR TISSUE REPAIR - Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation. | 06-03-2010 |
| 20100137888 | Surgical Instrument for Endoscopic Suturing of Deep Subcutaneous Tissue - A surgical instrument is provided, principally for use with endoscopic plastic surgery, and adapted for insertion into an incision for engaging subcutaneous tissue, fat, fascia or muscle (STFFM) through a remote access incision, grasping the STFFM, and enabling it to be moved to another location. The STFFM is grasped preferably by engaging it with a needle and passing a suture through it, with the suture being locked by engagement via a hook, all at a location inside the skin that is remote from the opening. This enables the sutured STFFM to be moved, in any direction, but most often toward the incision as the inserted portion of the instrument is removed. A vacuum and an external clamp are provided, for facilitating engagement of the portion of the STFFM that is to be sutured. The instrument is usable for facelift surgery, midface surgery, brow surgery, neck lift, scalp reduction, endoscopic mastopexy, endoscopic thigh lift, endoscopic tummy tuck, and for any other technique where it is desired to shift STFFM from one location to another location, as for example, in the correction of undesirable liposuction results. | 06-03-2010 |
| 20100145364 | Suture Device - A suture insertion device ( | 06-10-2010 |
| 20100145365 | FIXTURE FOR MAINTAINING THE TENSION APPLIED TO A SUTURE DURING INTRACORPOREAL PROCEDURES - A tension sustaining fixture, a medical system, and related methods for the suturing tissue and the tying of sutures to close a perforation made during an intracorporeal procedure are presented. A tension sustaining fixture generally comprises an elongated tube or sheath; a main body having a first passageway, the main body capable of being coupled to the elongated sheath; a side retaining sleeve coupled to the main body and whose internal surface defines a second passageway intersecting with the first passageway; a closure mechanism engaging the side retaining sleeve; the closure mechanism further defining the second passageway and sized to slidably receive at least one suture; and at least one suture having a proximal and distal end; with at least one end of a suture extending from the first passageway through the second passageway. The closure mechanism being operable between a locked configuration and an unlocked configuration; the locked configuration fixing a suture to maintain the tension applied to the suture. | 06-10-2010 |
| 20100145366 | THREE-NEEDLE CLOSURE DEVICE - The present invention relates to a three-needle type vascular closure system. The closure system utilizes three needles in the form of a guiding device, an expandable needle, and a hooking device. The guiding device is used to make the initial opening in the vessel, where the opening provides access for a sheath through which a medical procedure is to be performed. The expandable needle is inserted into the vessel in which it expands radially from the needle to form a target. The hooking device is also inserted into the vessel and is used to hook the expandable needle so as to form an internal union between the hooking device and the expandable needle. The needles can then be retracted thereby extending a suture from the hooking device and forming an internal suture pass that can be used to approximate the tissue surrounding the initial opening in the vessel. In one embodiment, the suture is passed across the vessel opening prior to dilation of the vessel opening. | 06-10-2010 |
| 20100152751 | Apparatus and method for minimally invasive suturing - An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle. | 06-17-2010 |
| 20100174296 | SUTURING DEVICES AND METHODS - Methods and devices are provided for delivering a preloaded loop of suture extending from a knotting element to tissue to be ligated within a body. The knotting element can be threaded with a loop of suture and loaded onto a deployment device using a loading device. A protective sheath can be placed around the knotting element and the loop of suture to facilitate safe insertion of the loop of suture through a working channel of a minimally invasive device. | 07-08-2010 |
| 20100174297 | Thorascopic Heart Valve Repair Method and Apparatus - An instrument for performing thorascopic repair of heart valves includes a shaft for extending through the chest cavity and into a heart chamber providing access to a valve needing repair. A movable tip on the shaft is operable to capture a valve leaflet and a needle is operable to penetrate a capture valve leaflet and draw the suture therethrough. The suture is thus fastened to the valve leaflet and the instrument is withdrawn from the heart chamber transporting the suture outside the heart chamber. The suture is anchored to the heart wall with proper tension as determined by observing valve operation with an ultrasonic imaging system. | 07-08-2010 |
| 20100179572 | CLOSURE DEVICES, SYSTEMS, AND METHODS - A closure system is provided that may include a plurality of needle carriers each having a distal end and a proximal end and a plurality of detachable needles in which at least one of the detachable needles is detachably coupled to the distal end of one of the needle carriers. The detachable needle may be configured to resist proximal movement when deployed in a vessel wall. The closure system may further include at least one suture secured to each of the detachable needles and a guide member having a plurality of first lumens defined therein that extend distally from a proximal end of the guide member toward a distal end of the guide member in which each of the first lumens is sized to receive one of the needle carriers and one of the detachable needles coupled to the needle carrier. The first lumens may be further configured to direct the needle carrier and the detachable needle radially outward and distally away from the guide member. | 07-15-2010 |
| 20100185216 | SUTURE DELIVERY DEVICE - A suture-based vessel closure device can perform the dilation of an arteriotomy puncture and does not require previous dilation of the arteriotomy puncture by a separate device or by a procedural sheath dilator. The suture-based vessel closure device can place one or more sutures across the vessel access site such that, when the suture ends are tied off after sheath removal, the stitch or stitches provide hemostasis to the access site. | 07-22-2010 |
| 20100185217 | DEVICES AND METHODS FOR CLOSURE OF WOUNDS - The invention encompasses devices and methods used to provide wound closure based on rings positioned within the tissue layers of the wound opening (with the rings regionally separate the wound depth tissue layers into 2 compartments), followed by suture transport through the rings and full-thickness tissue layers of both compartments. Upon suture transport via synchronous or asynchronous manner and device removal, wound closure is achieved by tying the 2 ends of the suture without incorporating tissue above the level of the rings such as skin. When the device is applied to abdominal or chest wall wound opening, all tissue layers except the skin are incorporated in the suture closure of the wound. The closure process can be performed in a simple, reliable, and expeditious manner. | 07-22-2010 |
| 20100191258 | SURGICAL STAPLER FOR APPLYING A LARGE STAPLE THROUGH A SMALL DELIVERY PORT AND A METHOD OF USING THE STAPLER TO SECURE A TISSUE FOLD - A method of deploying a surgical fastener using the steps of introducing a fastener into a body of a patient while the fastener is in a first shape forming a first loop. Moving end segments of the fastener away from each other substantially along an entire length thereof. And forming the fastener into a second loop having a width greater than a width of the first loop. | 07-29-2010 |
| 20100191259 | MEDICAL DEVICE - A medical device ( | 07-29-2010 |
| 20100191260 | VERESS NEEDLE WITH ILLUMINATED GUIDANCE AND SUTURING CAPABILITY - A laparoscopic instrument for forming an incision in a body cavity, insufflating the body cavity with gas, and suturing the incision at the completion of the surgery includes a set of jaws at the distal end of the Veress needle or cannula. The jaws are pivoted to one another for motion between an open position or a closed position in which they may be used to grasp a suture in the body cavity for removal from the cavity for knotting. A push mechanism at the proximal end of the instrument moves the jaws between their open and closed position on successive actuations of a pushbutton and retains them in that state until the next push. An illumination source is provided for the distal end of the instrument to provide illumination through the walls of the body cavity so that the surgeon can determine the degree of penetration of the instrument into the body cavity and can identify any major arteries which should be avoided in the formation of other laparoscopic openings. | 07-29-2010 |
| 20100211082 | MEDICAL INSTRUMENT TO PLACE A PURSESTRING SUTURE, OPEN A HOLE AND PASS A GUIDEWIRE - A therapeutic instrument for the ergonomic, effective and safe opening and closing of targeted remote tissue sites; includes a pistol grip style handle with a hand activated lever for needle deployment and, optionally, with features to control tissue cutting and guide wire installation; also incorporates a specialized elongated rigid or flexible instrument shaft, which enables vacuum assisted holding of tissue at a uniquely contoured distal tip, where placement of a suture in a purse string configures occurs along with, if desired, tissue cutting and guide wire passage. | 08-19-2010 |
| 20100211083 | MEDICAL INSTRUMENT TO PLACE A PURSESTRING SUTURE, OPEN A HOLE AND PASS A GUIDEWIRE - A therapeutic instrument for the ergonomic, effective and safe opening and closing of targeted remote tissue sites; includes a pistol grip style handle with a hand activated lever for needle deployment and, optionally, with features to control tissue cutting and guide wire installation; also incorporates a specialized elongated rigid or flexible instrument shaft, which enables vacuum assisted holding of tissue at a uniquely contoured distal tip, where placement of a suture in a purse string configures occurs along with, if desired, tissue cutting and guide wire passage. | 08-19-2010 |
| 20100217282 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - An endoscopic stitching device is provided including a tool assembly having a pair of juxtaposed jaws each defining a needle receiving recess formed in a tissue contacting surface thereof; a selectively rotatably camming hub defining a helical groove formed in an outer surface thereof; a pair of axially translatable needle engaging blades slidably supported, one each, in a respective jaw, each blade having an advanced position wherein a distal end of the blade is engageable with a suture needle, and a retracted position wherein the distal end of the blade is out of engagement with the suture needle, wherein a proximal end of each blade is configured for slidable engagement in the helical groove of the camming hub; and a suture needle operatively associated with the tool assembly. | 08-26-2010 |
| 20100217283 | LEAFLET SUTURING - The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment. | 08-26-2010 |
| 20100222791 | Method and Apparatus for Passing a Suture Through Tissue - An apparatus and method for passing a suture through tissue includes a first jaw member having a retaining structure to support a portion of the suture proximate a first surface of the tissue. A second jaw member is associated with the first jaw member. The second jaw member is selectively configurable in a first configuration to perform a first stitch or in a second configuration to perform a second stitch. | 09-02-2010 |
| 20100228270 | Deployment System for Surgical Suture - A suture deployment system is disclosed including a surgical needle having a flexible suture fixedly attached thereto and a target suture releasably secured to the flexible suture. Either the flexible suture or the target suture may be made of a shape memory polymer. A collar is positioned between the flexible suture and the target suture and is fixedly secured to the flexible suture. The target suture is releasably secured to the collar is such that the target suture may detach from the collar once a surgical procedure has been completed. The surgical needle is a double pointed surgical needle specifically configured to be manipulated by a surgical suturing apparatus. | 09-09-2010 |
| 20100228271 | MENISCAL REPAIR DEVICE - A meniscal repair device includes a handle with a thumbslide and a needle cartridge extending therefrom, the needle cartridge having distal tips having a specific directional orientation suited for a particular procedure. The meniscal repair device includes a needle rack and an obturator rack. A quantity of suture material is included in the meniscal repair device. The distal ends of the needle cartridge are adapted for penetrating soft tissue. | 09-09-2010 |
| 20100234860 | SYSTEM AND METHOD FOR CATHETER-BASED SEPTAL DEFECT REPAIR - The contents include occlusion and/or repair of congenital heart defects including methods, apparatuses, and systems utilizing catheter delivery in order to repair congenital heart defects. In particular, a method of repair includes suturing a septal tissue proximate defect in order to repair the defect with a device introduced through a bodily lumen of a patient. A repair device can include an expansion assembly, a suture delivering portion, and a suture receiving portion. | 09-16-2010 |
| 20100241141 | TOOLS FOR FIBER REINFORCED ANTI-COMPRESSIVE ADHERENT SUTURE METHOD - Disclosed therein are instruments necessary for a surgical operation performed to keep a length of lengthened tissues, for instance, a raised nose on the face, using an improved thread embedded in a living body. More particularly, the present invention provides instruments for a fiber reinforced anti-compressive adherent suture method used to lengthen or separate soft tissues in the living body, which includes a tissue-implantable thread inserted into the living body by an injector needle and having wedge-shaped protrusions of different directionalities formed in two sections thereof, an injector for inserting the injector needle into the living body and moving it forwardly and backwardly, an instrument for inserting the tissue-implantable thread into the injector, and an instrument for vertically splitting an end of the thread to make the thread act in the living body. | 09-23-2010 |
| 20100241142 | SUTURE PASSING APPARATUS AND METHOD - An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue. | 09-23-2010 |
| 20100249805 | Crimp And Release Of Suture Holding Buttress Material - A mechanism is provided for crimping and releasing a suture securing a strip of buttress material to an end effector. The mechanism includes a retention member movably mounted within the end effector. The retention member is movable from a first position crimping the suture to the end effector to a second position releasing the suture from the end effector. The mechanism additionally includes a follower member, engageable with the retention member, and movable in response to actuation of a surgical instrument to move the retention member between the first and second positions. A lock mechanism is also provided to secure the retention member in the first position. The follower member operates to disengage the lock mechanism. | 09-30-2010 |
| 20100249806 | PIERCING IMPLEMENT PARTICULARLY USEFUL AS A MEDICAL IMPLEMENT FOR PIERCING BODY TISSUE, AND METHOD OF USING SUCH IMPLEMENT FOR APPLYING A SUTURE TO THE BODY TISSUE - An implement, particularly useful as a medical implement for applying a suture to a body tissue, includes a handle and shaft formed with a pair of channels extending from the proximal end of the handle through the distal end of the shaft and through a pair of jaws carried at the distal end of the shaft. The pair of channels converge towards each other to a cross-over point, and then diverging away from each other where existing at the distal end of the shaft. The channels are dimensioned to enable a piercing instrument to be passed first through one of the channels to pierce the body with a first bore, and then through the other of the channels to pierce the body with the second bore, such that the two bores have entry ends precisely spaced a predetermined distance from each other, and exit ends precisely spaced a larger predetermined distance from each other. | 09-30-2010 |
| 20100249807 | SURGICAL PURSE-STRING SUTURING INSTRUMENT - A surgical purse-string suturing instrument comprises an upper jaw, jaw handle, grip, and a lower jaw, jaw handle, grip, wherein the jaws ( | 09-30-2010 |
| 20100249808 | Medical Suturing Tool with Gripping Device - A suture retrieval puncture needle for a medical suturing tool includes an outer hollow needle member and an inner suture gripping element movable within the outer hollow needle member. The inner suture gripping element is deployable at least partially externally to the outer hollow needle member for retrieval of a suture. An operating member is provided at a proximal end of the suture retrieval puncture needle. The operating member is connected to the inner suture gripping element. Movement of the operating member relative to the outer hollow needle member causes the inner suture gripping element to move between a deployed position and a retracted position. The suture retrieval puncture needle further includes a locking arrangement for releasably holding the operating member in a position relative to the outer hollow needle member in which the inner suture gripping element is in the deployed position. | 09-30-2010 |
| 20100262165 | Knotless Endostitch Suture Retainer - A suture retainer is provided for supplying a surgical needle and an associated length of relatively stiff suture material to a surgical suturing apparatus. The suture retainer generally includes a body portion defining a suture tray and a loading unit positioned on the body portion. The loading unit is provided to retain a surgical needle in a position to be grasped by a surgical suturing apparatus. The suture tray retains the length of relatively stiff suture in a manner which prevents the relatively stiff suture from bending or otherwise being deformed. | 10-14-2010 |
| 20100274265 | FLEXIBLE ENDOSCOPIC STITCHING DEVICES - An endoscopic stitching device includes a tool assembly having a pair of juxtaposed jaws pivotally associated with one another, each jaw defining a needle receiving recess formed in a tissue contacting surface thereof; a drive assembly including a pair of concentric, individually rotatably and translatably supported barrels, each barrel defining a central lumen therethrough; and a pair of axially translatable needle engaging blades slidably supported, one each, in a respective jaw. The stitching device further includes a center rod slidably and rotatably disposed through the lumen of the barrels, a distal end of the center rod being operatively engaged with the pair of jaws. | 10-28-2010 |
| 20100280530 | MEDICAL SYSTEMS, DEVICES AND METHODS FOR SUTURING PERFORATIONS - Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of sutures around a perforation for complete closure thereof. | 11-04-2010 |
| 20100298847 | HYDRODYNAMIC SUTURE PASSER - A hydrodynamic suturing instrument, comprises a elongated cannulated suturing needle having a distal end configured to carry a suture through tissue and a proximal end adapted to connect to a syringe barrel and a lumen extending from said proximal end to an opening at the distal end for having a size for the passage of a suture, and the opening at the distal end configured to receive a suture extending from the lumen along an outer surface of the needle wherein a sharp point extends forward of the suture. A companion instrument includes forceps having a distal end with jaws and a proximal end with a lumen extending from the proximal end to the distal end for passage of the needle, and the jaws having an opening enabling passage of the needle through tissue grasped in the jaws. | 11-25-2010 |
| 20100305582 | APPARATUS FOR PLACING STITCH TURNS RESULTING FROM A SHAPE-MEMORY METAL THREAD - The device comes in the form of a gun with a body, a grip handle and a control component. The body has coaxially a hollow protruding aiming rod equipped, at its free end, with a cylinder containing the threads. The rod is capable, under the action of the control component, of allowing a thread ejection needle to move so that a loop is formed on emergence from the cylinder. The cylinder is mounted at the end of a fixed translation axis and engaged inside the rod; the other end of said axis engaging with a mechanism capable of partially rotating it and the cylinder, when said control component is released, in order to position another thread opposite said ejection needle. | 12-02-2010 |
| 20100305583 | MENISCAL REPAIR SYSTEMS AND METHODS - A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site. | 12-02-2010 |
| 20100324573 | SURGICAL CLOSURE INSTRUMENT AND METHODS - Surgical instruments, guides, and methods for closure of fascia and other tissue sites are disclosed. A suture passer guide comprises an elongate body with first and second passages for guiding a suture passer. The long axes of the elongate body, the first passage, and the second passage, preferably lie in three separate parallel planes. A suture passer comprises a housing having a needle tip portion and a first suture grasping surface. An elongate body is located at least partially within the housing and is configured to slide within the housing. The elongate body has a second suture grasping surface at the distal end. The first and second suture grasping surfaces preferably are spaced from the needle tip portion. | 12-23-2010 |
| 20110009884 | SURGICAL INSTRUMENTS - Re-tensioning a suture using a knotless suture anchor includes tensioning a suture in a knotless suture anchor; and re-tensioning the suture in the knotless suture anchor; wherein: the knotless suture anchor includes an anchor body; and a plug. | 01-13-2011 |
| 20110015654 | SPINAL DISC ANULUS REPAIR METHOD AND APPARATUS - An apparatus for anulus fibrosus repair includes a shaft, a pair of curved suturing needles mounted in parallel on the shaft, and a rotational driving mechanism connected to the shaft, which is configured to rotate the shaft and the pair of needles about a rotation axis of the shaft. Each needle includes a substantially semi-annular body having a proximal end, a distal end, an inner periphery, and an outer periphery, and an arm extending radially inward from the proximal end, in which a concavity is formed in the body proximate to the distal end extending in a direction away from it. Also disclosed is a suturing technique associated with use of the repair apparatus. | 01-20-2011 |
| 20110015655 | Handle for Suturing Apparatus - Methods and apparatus are provided for closing incisions within biological tissue. In one embodiment, a device and method are provided for suturing biological tissue, such as, for example, an organ or blood vessel. The suturing apparatus is particularly well suited for suturing an incision made in an artery, such as the femoral artery, following a catheterization procedure. The device eliminates the need to apply pressure to a patient's thigh for an extended period of time, and eliminates many of the complications and costs associated with the creation of a thrombus patch. In addition, the device comprises an improved handle portion which enables the physician to quickly and easily apply suture. The handle portion is very reliable and easy to manipulate. The suturing may be used in combination with existing catheter sheath introducers. | 01-20-2011 |
| 20110028995 | Surgical Puncture Cinch and Closure System - A system for forming a purse string suture, including a suture applicator having a proximal handle having a suture spool mounted thereon or in an internal chamber. A length of suture is partly wound on the spool, and a hollow suture needle extends from a distal end of the handle and contains a free end of the length of suture. The suture needle projects distally from the handle in a helical shape and terminates in a sharp distal tip with an opening in one side close to the distal tip. The free end of the length of suture may extend out of the distal tip and back into the hollow suture needle through the opening. The suture needle may have a deflection segment adjacent the distal tip that is more flexible than the rest of the helical distal portion of the suture needle. A linear hollow pivot shaft extends from a distal end of the handle substantially along an axis of the helical distal portion of the suture needle. The pivot shaft has a blunt tip with a substantially larger radial profile than the shaft to prevent puncturing tissue. | 02-03-2011 |
| 20110028996 | Tissue Connector Apparatus and Methods - Tissue connector assemblies having at least two piercing members, each releaseably coupled to a surgical fastener such as a surgical clip. A flexible member such as a suture may be used to couple one or both piercing members to respective ends of the fastener. | 02-03-2011 |
| 20110028997 | BONE ANCHOR INSERTION DEVICE - A bone anchor insertion device comprises a handle, a nosepiece connected to a distal end of the handle, a bone anchor connected to the nosepiece, and an actuator disposed on the handle for deploying the bone anchor, which suture is also fixed to a portion of soft tissue to be attached to a portion of bone. A suture ratchet or tensioning mechanism is disposed in the handle for tensioning suture which is associated with the bone anchor. This mechanism permits precise tensioning, while also permitting one-handed operation, thereby allowing the practitioner to use his or her other hand for other activities, such as camera operation or the like. | 02-03-2011 |
| 20110040308 | Endoscopic Stitching Devices - The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof. | 02-17-2011 |
| 20110046643 | SUTURING AND LIGATING METHOD - A manipulator includes a distal-end working unit having a rolling mechanism and an opening and closing mechanism. A forceps includes a gripper on a distal end thereof. A curved needle of a suture-needle assembly is inserted through an incision in a body cavity within a living body, while leaving a portion of a suture strand of the suture-needle assembly uninserted in the tissue. The gripper grips the curved needle. The suture strand is wound around the gripper a predetermined number of times by turning a proximal end portion of the curved needle with the rolling mechanism. The gripper grips the portion of the suture strand, which has not been inserted into the tissue. The gripper is then withdrawn through loops of the suture strand, which are wound around the gripper. The distal-end working unit and the gripper are moved relatively to each other in order to form a knot across the incision. | 02-24-2011 |
| 20110046644 | TISSUE SUTURING METHOD - A method of suturing tissue includes engaging tissue with a suturing head, driving a needle from a proximal end portion of the suturing head through the tissue, and engaging a capsule disposed in a distal end portion of the suturing head with the needle, the capsule comprising a length of suture attached thereto. | 02-24-2011 |
| 20110060350 | SUTURE PASSER DEVICE AND SUTURE NEEDLE - A suture passer device includes a shaft, a handle, an end effector, and a suture capturing member. The shaft has a shaft proximal end and a shaft distal end. The handle assembly is coupled to the shaft proximal end. The end effector is coupled to the shaft distal end. The suture capturing member is within the end effector, is coupled to the handle assembly independently of the shaft, and is configured to capture a suture within the end effector. | 03-10-2011 |
| 20110060351 | ENDOSCOPE AND ENDOSCOPIC SUTURING INSTRUMENT FOR TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE - A method for forming an artificial valve includes inserting a sheath having proximal and distal sections and a lumen extending therethrough orally into a body cavity; inserting an endoscope orally into a body cavity, the endoscope being slidably positioned within the sheath; holding tissue in a vicinity of a junction of a stomach and an esophagus where the artificial valve is to be formed, using a holding device extending from the sheath; penetrating through tissue of the esophagus and then through tissue of the stomach at an oral side of the junction of the stomach and the esophagus with a needle provided outside of the endoscope which is not mechanically connected to the holding device and which is moveable outside of the endoscope relative to the endoscope; and passing a binding member through the tissue of the esophagus and the tissue of the stomach using the needle. | 03-10-2011 |
| 20110071548 | Tissue Repair System - A tissue repair system is disclosed. The tissue repair system can include a prosthesis with a first end portion, a second end portion and an intermediate portion disposed therebetween. The first end portion can engage the second end portion when installed to retain tissue in a desired configuration. The tissue repair system can also include a delivery device configured to implant and fasten the prosthesis to repair imperfections in tissue or retain tissue in a desired configuration. The delivery device may be configured to fasten the first end portion and second end portion of the prosthesis on a distal portion of the tissue. | 03-24-2011 |
| 20110071549 | METHOD AND APPARATUS FOR MENISCAL REPAIR - A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section. A method for securing a first object to a second object, the method comprising providing a suture and a plurality of cleats slidably mounted on the suture; passing one end of the suture and a first cleat through the first object and the second object; tensioning the suture so as to secure the suture to the first cleat; passing a subsequent portion of the suture and a second cleat through the first object and the second object; and tensioning the suture so as to secure the suture to the second cleat. | 03-24-2011 |
| 20110071550 | Suture Passing Devices and Methods - An embodiment of the invention includes a surgical device for passing suture through soft tissue. The surgical device can include at least one elongate superelastic member having a thickness and having a first resting configuration that defines at least one curve having a first radius of curvature greater than or equal to 3 times the thickness of the superelastic member. The surgical device also can include a thermally formed opening in the superelastic member, the opening adapted to receive at least one strand of suture. Moreover, the surgical device can include a superelastic member adapted to be straightened into a second configuration having a second radius of curvature larger than the first radius of curvature. | 03-24-2011 |
| 20110077670 | ARTICULATING SUTURING DEVICE AND METHOD - 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 is inserted through a penetration and actuated extend the foot carrying suturing attachment cuffs. Needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cuffs lockingly engage the needles and can be withdrawn along the needle paths and through the tissue tract to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract. | 03-31-2011 |
| 20110082475 | WOUND CLOSURE DEVICE INCLUDING FERRULE EJECTOR SYSTEM - A suturing device includes a housing having a shaft attached thereto and one or more guide lumens extending therethrough. The shaft has a head portion disposed at a distal end thereof. The head portion is configured to retain a portion of a suture therein. A ferrule assembly is rotatably coupled to the shaft and includes at least one ferrule holder. Each ferrule holder is configured to releasably retain a ferrule therein. Each ferrule is configured to retain a portion of the suture thereon. The ferrule assembly is rotatable between a first position and a second position. The guide lumen(s) are configured to direct a suture passer into engagement with the ferrule of one of the ferrule holders when the ferrule assembly is in one of the first and second positions. | 04-07-2011 |
| 20110082476 | Handle Assembly for Endoscopic Suturing Device - A handle assembly for operating an articulatable surgical instrument is provided and includes a housing; an actuation shaft translatably and rotatably supported in the housing; a first trigger supported on the housing and connected to the actuation shaft, the first trigger being configured to translate the actuation shaft to operate a first function of the surgical instrument; a second trigger supported on the housing and connected to the actuation shaft, the second trigger being configured to rotate the actuation shaft to operate a second function of the surgical instrument; and a second-trigger release supported in the housing, the second-trigger release having a first position blocking actuation of the second trigger and a second position permitting actuation of the second trigger, where the second-trigger release is actuated from the first position to the second position upon and complete actuation of the first trigger. | 04-07-2011 |
| 20110087245 | Suturing Apparatus and Method - A suturing apparatus comprises a pair of jaws. A bendable needle housed in one of the jaws is adapted to carry a suture. An optional suture receiver may be disposed adjacent to the opposite jaw. A transition block curves the needle and directs it in a direction generally unparallel to an axis of the carrying jaw. The needle may also be configured to retrieve a suture. A retaining mechanism holds a suture in place to be engaged by the needle. The jaw housing the needle may include a lateral opening through which the suture may be inserted. The needle may also include a lateral notch which may be aligned with lateral opening to receive the suture. An actuator coupled to the needle enables the user to move the needle proximally to align the notch with the lateral slot. | 04-14-2011 |
| 20110092990 | TISSUE CAPTURING DEVICES - The present invention provides tissue capture devices configured to hold tissue in a distorted configuration. The devices may hold precaptured tissue in a distorted configuration or it may change their shape to cause the tissue to become deformed. Some embodiments of the device alter the configuration in areas that remain external to the tissue, while other embodiments change their configuration in areas that are implanted in the tissue. Other embodiments may be mechanically altered to hold the tissue in a distorted shape. | 04-21-2011 |
| 20110098727 | Method and Apparatus for Securing Soft Tissue to Bone - A method and apparatus for securing soft tissue to bone can include forming a bore in the bone and carrying a flexible suture anchor into the bore. The flexible anchor can include a passage and can be coupled to a suture construct. The suture construct can include at least one self-locking adjustable loop, and the flexible anchor can include a first profile while being carried into the bore. A shape of the flexible anchor can be changed from the first profile to a second profile forming an anchoring mass to retain the flexible anchor in the bore. Tension can be applied to a portion of the suture construct to reduce a size of the self-locking adjustable loop and secure the soft tissue relative to the flexible anchor and the bone. | 04-28-2011 |
| 20110106110 | DEVICES AND METHODS FOR IMPLANTING A PLURALITY OF DRUG DEPOTS HAVING ONE OR MORE ANCHORING MEMBERS - The present invention is directed to a device for implanting a plurality of drug depots at or near a target tissue site beneath the skin of a patient. The device comprises at least three or more drug depots, wherein each of the at least three or more drug depots has a first surface adapted to receive one or more anchoring members so as to limit movement of the at least three or more drug depots at or near the target tissue site, and wherein at least two of the at least three or more drug depots comprise a second surface adapted to receive the anchoring member after the anchoring member contacts the target tissue site. Each drug depot is capable of releasing a therapeutically effective amount of a drug over a period of at least one day. | 05-05-2011 |
| 20110112553 | WOUND CLOSURE DEVICE - A suturing device includes a housing having an elongated tubular member extending from a distal end thereof. A head assembly is disposed at a distal end of the elongated tubular member and is configured to retain a portion of a suture therein. At least one arm member is positioned about the elongated tubular member. Each arm members includes a ferrule assembly disposed at a distal end thereof. Each ferrule assembly is positioned within a recess defined within the elongated tubular member and is configured to releasably retain a ferrule therein. Each ferrule is configured to retain a portion of the suture therein. Each arm member is rotatable to thereby rotate the ferrule assembly disposed thereon between a first position and a second position. The ferrule assembly extends at least partially radially outwardly from the recess in one of the first and second positions. | 05-12-2011 |
| 20110112554 | SUTURING DEVICE - The invention relates to medical devices. Suturing device comprises a body, two working jaws, suturing elements and a needles receiver after suturing. One of the jaws is stationary and the second relates to the body with the ability to move relative to the fixed jaw parallel to its work surface. As suturing elements direct atraumatic needles are used. The after suturing needles receiver is equipped with a needles fixation device and a device for tensioning and securing threads. Atraumatic needles are installed in a fixed jaw perpendicular to its work surface. Fixed jaw is provided with the pusher moving needle in a rectilinear direction. After suturing needles receiver is installed on the mobile jaw. The invention minimizes the trauma of biological tissues during the suturing and increases convenience when using the device. | 05-12-2011 |
| 20110118757 | SURGICAL END EFFECTOR APPARATUS AND METHOD - A surgical end effector apparatus and method places suture materials in tissue inside the body. The surgical end effector comprises a hollow sharp elongated cannula that conveys an internal flexible shaft suture conveyance that is advanced after the assembly is inserted in the tissue. When advanced beyond the inserter, the tip of the internal shaft can move laterally by spring rebound force and/or a suture tension can also be used to induce lateral displacement of the tip to form a taught bowstring array, to facilitate suture retrieval by positioning the suture at a right angle to the inserter cannula, and by further rotation of the of the taught bowstring array. The tip of the shaft can also be sharp to enable lateral puncture of tissue. An alternative embodiment comprises a suture retriever arm. | 05-19-2011 |
| 20110118758 | MULTI-FIRE SUTURING INSTRUMENT WITH PROXIMAL FERRULE RELEASE FEATURE - A surgical suturing instrument has a needle which traverses at tissue receiving gap and picks up suture distal to the gap. This invention provides an automated mechanism enabling the suture to be removed from the needle after the needle is retracted proximal to the tissue gap. This mechanism provides enhanced device reloading and other potential uses. | 05-19-2011 |
| 20110118759 | TISSUE ACCESS SITE SYSTEM AND METHOD - A tissue access site system is provided. In one embodiments, the system includes a tissue cutting element designed for generating a tissue access site through a tissue, the tissue access site being surrounded by tissue edge portions of a predetermined geometry; and a tissue closure device being for attaching at least one closure element to the tissue at a region corresponding to at least one of the tissue edge portions. | 05-19-2011 |
| 20110137325 | APPARATUS AND METHOD FOR PERFORMING A BYPASS PROCEDURE IN A DIGESTIVE SYSTEM - Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes, an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position. | 06-09-2011 |
| 20110137326 | Single Catheter Mitral Valve Repair Device and Method for Use - A single catheter mitral valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter mitral valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip. | 06-09-2011 |
| 20110144666 | SURGICAL APPARATUS - A surgical apparatus, including an instrument, a shaft part with a jaw opening at its distal end and a thread carrier guided by the shaft part displaceable from a retracted position, in which it exposes the jaw opening, and an advanced position, in which it crosses the jaw opening. A thread supported by the thread carrier can be guided through or around human or animal tissue to form a suture or ligature. The thread has a bulge at its end made of the material of the thread so that when the bulge is pushed through a passage opening of the jaw part it elastically deforms and is retained when the thread carrier is retracted. | 06-16-2011 |
| 20110152889 | Wound Closure Device - A wound closure device for promoting hemostasis includes a polyhedral body comprising a proximal body end portion and a distal body end portion, including a suture channel horizontally extending through the proximal and distal body end portions, the suture channel containing proximal and distal suture channel openings. An actuator system includes a suture engagement member configured to selectively facilitate axial movement or release of one or more sutures through the channel in an open configuration, and to facilitate securement of suture(s) in the channel in a locked configuration. The proximal body end portion includes a face configured to contact a body surface, anchoring the body to the body surface when suture(s) are secured under tension by the engagement member in the locked position. Once the sutures are secured, the device lends itself to hands-free anchoring until hemostasis is achieved. The device and sutures may then be removed that same day, shortly thereafter. | 06-23-2011 |
| 20110152890 | Devices, Tools and Methods for Performing Minimally Invasive Abdominal Surgical Procedures - Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures. | 06-23-2011 |
| 20110172682 | INTERVERTEBRAL DISC ANNULUS REPAIR SYSTEM AND BONE ANCHOR DELIVERY TOOL - An intervertebral disc repair system comprises an implant and a delivery tool configured to deploy the implant at least partially in a vertebral body of a patient. The implant includes an anchor member and an adjustable suture assembly coupled thereto. The delivery tool includes a proximal handle, an outer tubular member extending distally from the handle, a needle cannula slidably received within the outer tubular member having a sharpened tip for penetrating tissue (e.g., the vertebral body), an inner pusher member slidably received within the needle cannula, and an actuating mechanism coupled to the handle for selectively retracting the needle cannula relative to the outer tubular member and the inner pusher member. At least the anchor member of the implant is releasably received within the needle cannula. | 07-14-2011 |
| 20110178536 | SUTURE AND RETAINER ASSEMBLY AND SULU - A suturing system for receiving and retaining a suture is disclosed and includes a suture, at least one retainer, and at least one needle. Each needle is able to receive and removably retain the suture within a groove located in a tapered end. The retainer has a body that defines an aperture therethrough. The shape of the aperture is formed by a central passageway, and a pair of diametrically opposed slots extending radially outward from the central passageway. The central passageway is sized to allow passage of the needle therethrough. Each slot defines a tortured path section that permits passage of the suture in a first direction and inhibits passage of the suture in a second direction. | 07-21-2011 |
| 20110178537 | TISSUE REPAIR IMPLANT AND DELIVERY DEVICE AND METHOD - A device having an implant driver configured to anchor a first implant to a first portion of tissue and to anchor a second implant to a second portion of tissue, the first and second anchors being coupled to respective first and second sutures, and a winder configured to twist the first and second sutures together as the sutures are refracted, thereby bringing the first portion of tissue into approximation with the second portion of tissue. | 07-21-2011 |
| 20110190792 | TENSION ADAPTER FOR MEDICAL DEVICE - Devices and methods are described herein directed to an adaptor for use with a medical device used to suture tissue within a patient's body and/or for delivering and/or securing another medical device within a patient's body. In one embodiment, an apparatus to aid in the placement of a suture at a location within a body of a patient using a medical device includes a body and a coupler configured to couple the body to the medical device. The apparatus further includes a suture mounting portion disposed on the body that defines a suture slit configured to laterally receive therethrough a portion of a suture coupled to the medical device and to apply a frictional force to the suture to resist movement of the suture longitudinally therethrough. A magnitude of the frictional force being less than a longitudinal force applied to the suture by actuation of the medical device. | 08-04-2011 |
| 20110190793 | METHODS AND APPARATUSES FOR SUTURING OF CARDIAC OPENINGS - A suturing apparatus configured to suture an opening extending through an outer wall of the heart, such as a transapical opening, can comprise an elongate body having a proximal end, a distal end, a tapered or rounded tip, one or more arms, and one or more needles. A handle at the proximal end of the elongate body can be configured to be manipulated from outside of the heart. The elongate body can have a substantially constant outer diameter between the handle and the distal end. The arms can hold portions of suture a distance away from the outer diameter of the elongate body. The arms can be extendable from said body from a retracted position to an extended position. The arms in the extended position can point distally and form an acute angle with a longitudinal axis of the elongate body. The plurality of needles can be movable to pass through heart tissue into engagement with the suture portions held by the arms and back through the heart tissue to draw the suture portions through the heart tissue. | 08-04-2011 |
| 20110196388 | AUTOMATIC VASCULAR CLOSURE DEPLOYMENT DEVICES AND METHODS - Methods of installing a vascular closure device, the vascular closure device adapted for sealing an opening in biological tissue and comprising an anchor, a compressible plug, a cinch and a suture, the method comprising the steps of providing an insertion sheath, inserting the insertion sheath into the opening in the biological tissue, providing a device sheath having the vascular closure device preloaded therein with a proximal portion of the suture attached to the device sheath, subsequent to the step of inserting the insertion sheath, inserting the device sheath into the insertion sheath, and retracting the insertion sheath and device sheath simultaneously, wherein during the retraction, the insertion sheath and the device sheath are fixed to one another and devices adapted to the methods. | 08-11-2011 |
| 20110208213 | Systems and Methods for Treating Septal Defects with Capture Devices and Other Devices - Systems, devices and methods for treating internal tissue defects, such as septal defects, are provided. An exemplary method of treating an internal tissue defect, specifically a method of closing a patent foramen ovale (PFO), can include passing a closure element from a right atrium through a septal wall in a first location and into the left atrium. A capture device, which can be configured as a snare-like device, can be used to capture the closure element in the left atrium and pull the closure element back through the septal wall in a different, second location, such that the closure element is routed over the PFO. The closure element can then be anchored and/or locked against the septal wall such that the PFO is at least partially closed. | 08-25-2011 |
| 20110224697 | IMPLANTABLE SUPPORT ATTACHMENT SYSTEM AND ASSEMBLY - A method of intracorporcally suturing a patient includes engaging tissue with a suturing head retaining a needle, forming an opening in the tissue with the needle, and pushing the needle into a through-bore formed in a capsule that is attached to a leading end of a suture and pulling the capsule and the leading end of a suture through the opening. The method additionally includes securing a clasp attached to a trailing end of the suture to an implantable support, and pulling on the suture and implanting the support inside the patient. | 09-15-2011 |
| 20110224698 | IMPLANTABLE SUPPORT ATTACHMENT SYSTEM AND ASSEMBLY - An attachment assembly configured to secure an implantable support within a patient includes a length of suture, an anchor, a capsule, and a clasp. The suture has a leading end half terminating in a leading end and a trailing end half terminating in a trailing end. The anchor is coupled to the trailing end half of the length of the suture. The capsule is attached to the leading end of the suture and has a through-bore extending longitudinally through the capsule. The clasp is attached to the trailing end of the suture, the clasp attachable to the implantable support. | 09-15-2011 |
| 20110238090 | METHODS AND DEVICES FOR DELIVERING SUTURES IN TISSUE - Methods and devices for driving a suture assembly employing elastically pre-shaped needles for piercing a tissue. The pre-shaped needles are held in a constrained state and can revert to a natural pre-shaped state prior to or during ejection from the device before entry into tissue allowing for the suture to follow a defined path similar to the pre-shaped needle such that removal of the needle allows for subsequent securing of the suture in or around tissue. | 09-29-2011 |
| 20110251626 | SUTURE PASSER ASSEMBLY - A surgical instrument and method of using same are provided. The instrument includes a jaw portion extending along an axis and a handle portion rotatably connected with the jaw portion and configured to at least partially rotate about the axis with respect to the jaw portion. A needle assembly can be configured to pass through the jaw portion and along the axis by cooperation with the handle portion. The jaw portion, or a shaft portion connecting the jaw portion and the handle portion, can include at least one spring-assisted bearing and the handle portion can include at least one depression configured to engage the at least one spring-assisted bearing in an orientation that temporarily locks the shaft portion with respect to handle portion. A method includes rotating the handle portion with respect to the jaw portion and actuating the instrument to pass a portion of a suture through tissue. | 10-13-2011 |
| 20110251627 | Suturing Device, System, and Method - Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle. | 10-13-2011 |
| 20110257663 | SUTURE SYSTEM FOR MANUAL AND ROBOTIC SURGERY WITH SUTURE THREAD GATHERER AND FUSER AND DOUBLE POINTED SUTURE NEEDLE FOR ONE HAND APPLICATION (3) - The invention is a suture system including a device and a method for manual and robotic surgery with suture thread gatherer and fuser and double pointed suture needle for one hand suture application. | 10-20-2011 |
| 20110257664 | TISSUE ANCHORING SYSTEM AND METHOD - A method for securing an implant to tissue of a patient using a fixation apparatus and a delivery apparatus releasably carrying the fixation apparatus. The fixation apparatus includes first and second anchors and an adjustable band connecting the anchors. The band includes a cinch line and a tether connected to one of the anchors. The delivery apparatus includes a body, a tubular shaft, a displacement rod within the tubular shaft, and an actuator. The method comprises positioning the implant in proximity to the tissue, deploying the anchors into or through the tissue, and applying tension to the cinch line to foreshorten the adjustable band and secure the implant to the tissue with at least a portion of the implant positioned between the band and the tissue. | 10-20-2011 |
| 20110270277 | SUTURE DEVICE AND METHOD FOR CLOSING A PLANAR OPENING - A micro-camera guided suturing device is disclosed comprising an elongate suture body having at least one lumen disposed therein and an imaging structure disposed within the at least one lumen of the suture. The imaging structure comprises a SSID optically coupled to a lens system. In one aspect, the suturing device further comprises a conductive element detachably coupled to the suture. In yet another aspect, the suture body comprises a shape memory material. | 11-03-2011 |
| 20110270278 | ANCHOR ASSEMBLY INCLUDING EXPANDABLE ANCHOR - An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect. | 11-03-2011 |
| 20110270279 | AUTOMATIC SUTURING APPARATUS AND METHODS OF USE - Disclosed herein is an automatic suturing apparatus wherein triggers activate suturing and securing of the tissue of a patient. Also disclosed herein is an automatic suturing apparatus wherein triggers activate suturing and securing of a valve to tissue of a patient. Systems and kits for using the automatic suturing apparatus are included herein. Also disclosed are methods of suturing a tissue or a valve to tissue using an automatic suturing apparatus. | 11-03-2011 |
| 20110288563 | CLOSURE DEVICES AND METHODS - A vessel closure device is provided that may include a guide member, one or more needle guides disposed at least partially within the guide member, and an angle adjustment member movably attached to the guide member. The needle guides may be configured to move between a first position wherein the needle guides are substantially straightened at least partially within the guide member and a second position wherein the needle guides at least partially extend radially and distally away from the guide member. The angle adjustment member may be configured to move between a first position and a second position wherein the angle adjustment member can selectively deflect the needle guides radially toward the guide member when the needle guides are in the second position. | 11-24-2011 |
| 20110295277 | HANDHELD SAFETY SUTURING DEVICE - Needle-stick injuries are associated with considerable risk of morbidity for healthcare workers and patients. The present invention of a handheld surgical suturing device allows for visualization of surgical field and better control of the suture needle with possible one-hand operation The device also provides active safety features that protect the surgeon from needle-stick injury. | 12-01-2011 |
| 20110295278 | SUTURING INSTRUMENT - An apparatus and a method for surgical suturing with thread management. An apparatus for tissue suturing comprising a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis; a pusher assembly comprising a cartridge holder having a needle rotation drive capable of releasably engaging the cartridge and rotating the suturing needle about the axis; and an actuator capable of releasably engaging the needle rotation drive to rotate the needle rotation drive. A method for suturing tissue comprising placing a suturing device having a cartridge containing a suturing needle to span separated tissue segments; activating an actuator to cause rotational movement of the suturing needle through the separated tissue segments; and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the separated tissue segments forming a stitch. | 12-01-2011 |
| 20110301619 | DEPLOYMENT INSTRUMENT FOR CLOSURE DEVICE FOR PERCUTANEOUSLY SEALING PUNCTURES - A deployment instrument for deploying a closure device for sealing a percutaneous puncture in a wall of a body passageway, the deployment instrument including a carrier assembly, wherein the carrier assembly is configured to hold the closure device in a pre-deployment state, and a tensioner assembly, wherein the filament is fixedly attached to the tensioner assembly, wherein the deployment instrument is configured to increase the tension in the filament upon linear movement of the deployment instrument away from the wall of the body passageway when the closure device is anchored to the wall via the anchor such that the tension is gradually increased as the deployment instrument is moved between a first linear distance and a second linear distance greater than the first linear distance from the wall of the body passageway. | 12-08-2011 |
| 20110301620 | DEVICE FOR SUTURING TWO HOLLOW BIOLOGICAL TISSUES - The device comprises a first part able to be provided on the free side of one of two hollow biological tissues bearing against each other and a second part able to be provided on the free side of the other of the two hollow biological tissues bearing against each other, the first part comprising two rows of needles enabling the walls of the two hollow biological tissues to be pierced to bring a first suturing thread, and optionally a cut for incising both walls, the second part comprising means for providing a second suturing thread in the loops of the first suturing thread. | 12-08-2011 |
| 20110301621 | SIDE-LOADED MEDICAL IMPLEMENT PARTICULARLY USEFUL IN ARTHROSCOPIC SURGERY - A medical implement particularly useful in arthroscopic surgery, includes: a handle having a proximal end configured for manual gripping by a user, a distal end for manipulation during the surgery, an internal passageway extending through the handle from the proximal end to the distal end thereof, and a longitudinally-extending slot extending longitudinally through the handle from its outer surface to the passageway for side-loading the handle with a manipulatable member to be manipulated during surgery. A shield is located within the passageway in the handle. The shield is secured along one edge to the inner surface of handle defining the passageway, and includes an elastic section normally covering the longitudinally-extending slot. The elastic section of the shield is yieldable to permit side-loading of the manipulatable member into the passageway, but to prevent a side-loaded manipulatable member from passing outwardly from the passageway. | 12-08-2011 |
| 20110306989 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the portion of the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall. | 12-15-2011 |
| 20110306990 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the portion of the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall. | 12-15-2011 |
| 20110306991 | ANASTOMOSIS DEVICE AND METHOD OF USING THE SAME - The present invention provides an anastomosis device which includes an elongate center pin having proximal and distal ends. The proximal end is configured to be graspable using a grasping tool. A grip mechanism is located at the distal end for crimping a suture. The device includes an outer sleeve having a passageway therethrough to receive therein the elongate center pin. A suture having a suture needle is attached to a first end of the center pin and a second end of the suture is formed into a pre-formed knot mounted on the sleeve. The device includes a suture release mechanism having a passageway extending therethrough to receive the outer sleeve therein. The suture release mechanism slides along the sleeve between a first position in which the suture release mechanism is spaced from the distal end and a second position such that movement of the suture release mechanism from the first position to the second position dislodges the pre-formed knot off the sleeve. A free end of the suture, which was attached to a suture needle but cut lose after the suture has been passed through the tissue being sutured, is crimped by the crimp mechanism. The pre-formed knot is dislodged such that the crimped end of the suture is located within the pre-formed knot and pulling the suture through the knot tightens the pre-formed knot on the suture. | 12-15-2011 |
| 20120004671 | SUTURE LOOP CLOSURE DEVICE - The present invention describes apparatus and methods for tying a filament across subcutaneous punctures. According to some embodiments, the apparatus and methods provide pre-tied knots that are inserted into a bodily lumen. Needles flanking the subcutaneous puncture are inserted into the lumen and grab the pre-tied knots. The pre-tied knots are pulled through tiny holes flanking the subcutaneous puncture by the needles, leaving an internal length of the filament across the subcutaneous puncture. The filament is then externally tied, closing the subcutaneous puncture. | 01-05-2012 |
| 20120010634 | COMPACTIONLESS TISSUE PUNCTURE CLOSURE DEVICE AND METHODS - A tissue puncture closure device includes a carrier tube, a suture, an anchor, and a sealing pad. The sealing pad maintains a constant or substantially constant shape from when positioned in the carrier tube to when removed from the carrier tube and positioned adjacent to the tissue wall puncture in a post-deployment position. The suture may retain the anchor and sealing pad in contact with the tissue wall without altering a shape of the sealing pad. | 01-12-2012 |
| 20120016383 | METHOD AND APPARATUS FOR CLOSING AN OPENING IN THICK, MOVING TISSUE - A device for placing one or more sutures through a section of tissue, especially a section of thick and/or moving tissue such as the wall of a beating heart. The device includes a tissue welting tip having a trough for forming a welt in a tissue section, an alignment guide pivotally mounted in the distal end adjacent to the trough, and having an opening receiving a guide wire and an elongated sleeve slidably engagable with the guide wire there through. The device also includes one or more expandable tissue engaging member(s) on the sleeve selectively expandable from a collapsed configuration having a diameter small enough to pass through the opening in the tip to an expanded configuration having a diameter large enough to engage a tissue section and urge it into the trough to form a welt in the tissue section and a retractable needle extendable through at least two portions of a tissue section while the tissue section is engaged with the trough. | 01-19-2012 |
| 20120016384 | WOUND CLOSURE SYSTEM - A wound closure system and a method of reducing the size of an open wound are disclosed. A suture line is sutured through body tissue adjacent an open wound, the suture line sutured so as to pass into the body tissue at an entry point and exit at an exit point, the suture line including a plurality of barbs extending outwardly at an acute angle with respect to a surface of the suture line. A biasing member applies a continuous pulling force on the suture line for stretching the body tissue toward the open wound, wherein the biasing member is configured to take up any slack of the suture line during stretching of the body tissue and keep the suture line taut. | 01-19-2012 |
| 20120029535 | DEVICES AND METHODS FOR TRANSMURAL ANCHOR DELIVERY VIA A TUBULAR BODY - Disclosed is a transmural tissue anchor deployment system and method, for attachment to a tissue wall. The method can include the steps of advancing the tubular body through a single, non-plicated tissue wall of the gastrointestinal tract; ejecting the tissue attachment structure out of the tubular body such that the retention surface rests against a serosal surface of the tissue wall; and withdrawing the tubular body proximally across the tissue wall, wherein the tension element spans the single non-plicated tissue wall after withdrawal of the tubular body. | 02-02-2012 |
| 20120035623 | APPARATUS AND METHODS FOR TISSUE CLOSURE - Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. Introducers can be used having a suture holder, an alignment indicator and insertion limits. | 02-09-2012 |
| 20120035624 | SYRINGE FOR INJECTING SURGICAL THREAD - Disclosed is a syringe for injecting a surgical thread. The syringe includes a needle part, a connection part and an injection part. The needle part is adapted to penetrate the skin while accommodating a surgical thread. The connection part is connected to the needle part by taper coupling and is fixedly fastened to the needle part by turning operation of the needle part. The injection part is coupled to the connection part at the front end thereof. A push needle installed in the injection part pushes the surgical thread accommodated in the needle part to inject the surgical thread into a skin tissue in a syringe operation manner. | 02-09-2012 |
| 20120035625 | MENISCAL REPAIR SYSTEMS AND METHODS - A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site. | 02-09-2012 |
| 20120041456 | SUTURE SYSTEM - Sutures can be placed in difficult to access areas of the human body with devices, and related methods, utilizing a needle carrier. The devices and methods can be used in conjunction with both endosurgical and traditional open surgery procedures. | 02-16-2012 |
| 20120059395 | ENDOSCOPIC CLOSURE DEVICE - An endoscopic closure device comprises: a coupling member; a helical needle mounted to the coupling member and carrying a suture; and a plurality of grasping needles, each of said plurality of grasping needles moveable between a storage position and a deployed position. The plurality of grasping needles is configured to be (a) advanced in the storage position into a luminal defect, (b) moved into the deployed position, and (c) then refracted from the luminal defect, thus pulling and drawing tissue surrounding the luminal defect together. Then, upon rotation of the coupling member and the helical needle, the helical needle is driven into and pierces the tissue, carrying the suture through the tissue. | 03-08-2012 |
| 20120059396 | Device For Deploying A Fastener For Use In A Gastric Volume Reduction Procedure - A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature. | 03-08-2012 |
| 20120071900 | METHODS FOR REDUCTION OF GASTRIC LUMEN - A method of reducing the cross-sectional area of a gastrointestinal lumen is provided wherein a delivery catheter having a needle, one or more anchors disposed within the needle and a suture coupled to each anchor is advanced into the gastrointestinal lumen, the needle extended through the tissue wall, and an anchor ejected from a distal tip of the needle through the tissue wall. The needle is then repositioned against an opposing tissue wall, another anchor deployed from the needle through the opposing tissue wall, and the tissue walls approximated by applying tension to the sutures. | 03-22-2012 |
| 20120083805 | BONE SUTURE - Devices and methods useful for suturing soft tissue to bone are disclosed. In one embodiment, a bone-suturing device is provided and can include a delivery needle, a delivery needle driving element, a capture needle, and a capture needle driving element. The delivery needle driving element and capture needle driving element can advance the delivery needle and the capture needle through soft tissue and into bone, respectively, and the paths of the delivery needle and the capture needle can intersect therein. The delivery needle can be adapted for holding a suture and the capture needle can be adapted for receiving the suture held by the delivery needle. An injection device can be provided to deliver an adhesive material into bone. | 04-05-2012 |
| 20120089159 | SYSTEM FOR TENSIONING A SURGICAL CLOSURE - One embodiment is directed to a system for tensioning a suture member that crosses a portion of a tissue structure, comprising: a tensioning member base having a tissue interface surface configured to engage a portion of the tissue structure when coupled to a suture member that may be threaded through the tensioning member base and into the tissue structure; a suture clamping member configured to be switched from a first mode, wherein a suture may be tensioned back and forth through a space defined at least in part by the clamping member, to a second mode, wherein a suture may only be tensioned in one direction relative to the suture clamping member; and a mode switching member movably coupled to the suture clamping member and configured to be operable to switch the suture clamping member from the first mode to the second mode. | 04-12-2012 |
| 20120109163 | SUTURING INSTRUMENT - The suturing instrument includes an elongate member having an articulating distal portion biased offset from the elongate member, and a sheath slideably disposed about the elongate member. The user positions the sheath in contact with the articulating distal portion to actuate the distal portion relative to the elongate member. The articulating distal portion is pivotally coupled to the elongate member for improved maneuverability within the body of a patient during surgical procedures. | 05-03-2012 |
| 20120116421 | SUTURING DEVICE FOR ORGAN - Provided is a suturing device for organ which sutures an internal organ in front and rear directions to do a suturing operation once by clenching and unclenching a hand of an operator so that the operator easily sutures the internal organ without requiring advanced training in surgical techniques and simply and conveniently sutures the internal organ only using one hand. | 05-10-2012 |
| 20120116422 | SUTURE PASSERS - Suture passers which include a handle assembly, shaft assembly, and jaw assembly. In one embodiment, the handle assembly includes first and second handles joined at a hinge, the second handle pivotable relative to the first handle and guided by an arcuate guiding feature concentric to the hinge. The jaw assembly includes upper and lower jaws, the lower jaw including an open needle track. The open needle track includes entry, tangential and exit segments, each of which is directly visible, directly accessible, and directly inspectable. The lower jaw can be manufactured as a single piece, using a single manufacturing process, which may be injection molding or multi-axis machining. When manufactured by multi-axis machining, all features of the lower jaw may be machined without removal of the jaw piece from the multi-axis machine. Methods of suture passer manufacture and assembly which may provide significant cost savings are disclosed. | 05-10-2012 |
| 20120123447 | DEVICE FOR TENSIONING FLEXIBLE MATERIAL - The present invention provides a device for impart tension to a flexible material, for example, a suture. The device may be used during surgical procedures to ensure the proper tension is exerted. | 05-17-2012 |
| 20120123448 | METHOD AND APPARATUS FOR PASSING SUTURE THROUGH TISSUE - A suture passer comprising:
| 05-17-2012 |
| 20120136377 | LAPAROSCOPIC TOOL AND METHOD FOR A LAPAROSCOPIC SURGERY - A laparoscopic tool for surgery on an internal body tissue of a patient. The laparoscopic tool comprises a main body to which is affixed an attachment. The main body has a main aperture for fixing a compatible anchor. The attachment has a support member connected to the main body, and a needle portion connected to the support member. The needle portion has an interlocking mechanism to interlock with the support member. The attachment is deployable from a first position aligned with the main body, for insertion through a laparoscopic port, to a second position unaligned with the main body, for insertion into a tissue and for anchoring the tool to the tissue. A method of performing a laparoscopic surgery using the laparoscopic tool, the use of the laparoscopic tool for laparoscopic surgery, and kits for laparoscopic surgery comprising the laparoscopic tool and the compatible anchor are also disclosed. | 05-31-2012 |
| 20120143220 | SYSTEMS AND METHODS FOR SUTURE PASSAGE - A system for suture passage through a tissue according to embodiments of the present invention includes a suture snare, the suture snare comprising a resilient anchor element and a suture capture element, a substantially rigid passer tube, an actuator rod, a snare enclosure formed by the passer tube and actuator rod, the actuator rod movable to move the snare enclosure between a closed configuration which completely captures a portion of the suture snare and an open configuration which does not completely capture the portion of the suture snare, and a piercing tip configured to form a hole through the tissue, wherein at least one dimension of the resilient anchor element in an undeformed state is larger than a largest dimension of the hole, and the anchor element deforms during insertion of the resilient anchor element through the hole and substantially resumes its prior shape after passing through the hole. | 06-07-2012 |
| 20120143221 | Expandable Needle Suture Apparatus And Associated Handle Assembly - A surgical suturing device having an axis extending between a proximal end and a distal end is operable to move a suture through body tissue. An actuating rod extends between the handle assembly and the shaft. A needle assembly at the distal end of the actuating rod is movable with the actuating rod between an extended state and a retracted state. Bifurcated portions of the needle assembly define a suture slot, the bifurcated portions have a proximate relationship when the needle assembly is in the retracted state and having a separated relationship when the needle assembly is in the extended state. The needle assembly is biased to the retracted state and the bifurcated portions are biased to the separated relationship. A handle assembly is configured to releasably receive the needle assembly and is operable to move the needle assembly between a free suture state and a captured suture state. | 06-07-2012 |
| 20120150197 | Suturing Device with Deployable Needle - A surgical apparatus for use in endoscopic and/or laparoscopic procedures is provided. The surgical apparatus has an elongated body portion, a first jaw member extending from the body portion, and a second jaw member extending from the body portion and opposing the first jaw member. The second jaw member has a split nest slide coupled thereto that is configured to position a surgical incision member in a folded or unfolded position. | 06-14-2012 |
| 20120158023 | Endoscopic Suture Cinch System - A two-part suture cinch includes a collar and a plug. A cinch applicator is also provided, and includes an elongate tubular member, a plunger engaged within the distal end of the tubular member, a flexible shaft extending through the tubular member and plunger, and a proximal handle for moving the shaft longitudinally relative to the tubular member. The plunger includes a distal housing for the collar of the cinch, and the plug is coupled to the distal end of the flexible shaft. The suture is thread through the collar and a portion of the applicator. Operation of the applicator draws the plug into the collar and clamps the suture between the plug and collar. In addition, once the plug is coupled in to the collar, the plunger is displaced proximally to release the two-part cinch form the applicator. A method for applying the cinch is also provided. | 06-21-2012 |
| 20120165837 | Endoscopic Suturing Device, System and Method - Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing a surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues. The exemplary device includes two needle grasping clamps extending from an elongate distal portion for endoscopic surgeries, including ear, nose and throat procedures. The two clamps alternate holding the suture needle, as the surgeon sutures the tissues, each clamp having a proximal and distal gripping jaw for grasping the needle. Preferably, the gripping surfaces of the proximal and distal gripping jaws are substantially parallel to the needle's plane of curvature and exert a holding force on the needle substantially along an axis of the device. | 06-28-2012 |
| 20120165838 | Skin Suturing Device Using Rotating Needles - A medical device for installing sutures to close an incision in tissue or human skin is disclosed. The suturing device may provide first and second arcuate needles. Once properly positioned, the first and second arcuate needles are driven through the sub-dermal layer, or alternatively through a superficial surface, of two sections of skin to be joined. This is done in arcuate fashion and at identical and symmetrical rates of angular displacement. During the driving or retraction process of the first and second arcuate needles, a suture is positioned within both the first and second sections of skin and transformed from a planar or a multi-planar serpentine orientation to a helical orientation. The resulting suturing process is thus much faster than conventional or manual suturing and results in superior wound approximation/alignment that will lead to decreased scarring compared to prior art devices. | 06-28-2012 |
| 20120172897 | SUTURE SYSTEM AND ASSEMBLY INCLUDING A TUBULAR LEADER HAVING A CLASP - A suture system includes a tool and a suture assembly. The tool includes a head having a proximal portion housing a needle and a distal end spaced apart from the proximal portion by a throat. The needle is movable through a needle exit port formed in the proximal portion of the head to a cavity formed in the distal end of the head. The suture assembly includes a length of suture connected to a tubular leader. The tubular leader includes an annular wall extending between an interior surface and an exterior surface, and a clasp having a first portion disposed between the interior surface and the exterior surface of the annular wall and a second portion extending out of the annular wall and adapted to secure the suture against the annular wall. | 07-05-2012 |
| 20120179173 | MEDICAL DEVICES AND METHODS FOR CUTTING AND SUTURING BIOLOGICAL TISSUE - Medical devices for cutting and suturing biological tissue generally include a shaft and first and second guide members each including a first portion coupled to the shaft at a first location and a second portion coupled to the shaft at a second location. The first portions are movable along the shaft relative to the second portions, and the first and second guide members define an arcuate profile and are configured to flex in response to such movement. When used to cut tissue, the medical device may further include a blade positioned between the first and second guide members. When used to suture tissue, one or more suture guides may be provided on the first guide member for directing a suture needle through tissue proximate the first guide member. Methods of repairing and replacing a meniscus using the medical devices are also provided. | 07-12-2012 |
| 20120184971 | EXCHANGEABLE SYSTEM FOR MINIMALLY INVASIVE BEATING HEART REPAIR OF HEART VALVE LEAFLETS - Improved methods and apparatuses for heart valve repair in a beating heart of a patient utilize an exchangeable heart valve repair system. Heart valve repair system can include a port adapted to be seated in the heart wall and an imaging catheter slidable within the port. The imaging catheter can be selectively locked relative to the port for insertion into the heart and unlocked once the port is seated to allow the imaging catheter to move distally towards target tissue. A deployment catheter slidably disposed in the imaging catheter and a repair cartridge slidably disposed in the deployment catheter can be used to capture the target tissue and deploy a repair device into the tissue after proper capture is confirmed. System elements can be selectively removed from and replaced within port to deploy additional repair devices while port maintains a seal while elements are and are not inserted. | 07-19-2012 |
| 20120184972 | ENDOSCOPIC TISSUE ANCHOR DEPLOYMENT - An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. The handle may include a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances. | 07-19-2012 |
| 20120191109 | WOUND CLOSURE DEVICE USING T-SHAPED TAG - A suture assembly is provided including a first suture having a loop formed at its distal end and a second suture having a cross member or T-tag formed at its distal end. The T-tag of the second suture is engageable with the loop of the first suture when positioned within a body cavity in order to draw together a pair of tissue sections. An installation assembly is also provided and generally includes first and second hypo-tubes for penetrating the first and second tissue sections and passing the first and second sutures through the first and second tissue sections. A plunger is provided through one of the hypo-tubes to eject in the T-tag out of the hypo-tube and through the loop of the first suture. | 07-26-2012 |
| 20120197270 | SUTURE SYSTEM AND ASSEMBLY INCLUDING A LEADER PLUG - A suture system configured to place suture in tissue includes a tool and a suture assembly. The tool includes a head having a proximal portion housing a needle and a distal end spaced apart from the proximal portion. The needle is movable through a needle exit port formed in the proximal portion of the head to a cavity formed in the distal end of the head. The suture assembly has a length of suture connected to a leader plug, and the leader plug includes a substantially solid proximal portion. The leader plug is removably retained in the cavity formed in the distal end of the head and the needle is operable to penetrate and engage with the substantially solid proximal portion of the leader plug to allow the needle to extract the leader plug out of the cavity and secure the leader plug in the needle exit port. | 08-02-2012 |
| 20120203249 | METHOD AND DEVICE FOR TENDON REPAIR - Embodiments herein are directed to an anchor and an insertion tool. The anchor may be sized for near cortex anchor fixation or for fixation into the intramedullary canal of a bone. Embodiments also describe a cortical anchor and insertion tool assembly including an anchor having a tool receptor, a leading face, a central face, a rear face, and a suture spool to receive suture that is situated away from a center of a longitudinal axis of the anchor; and an insertion tool having a rod member having a distal end. A tip of the rod member may include a pivot structure capable of actively pivoting the anchor at the tool receptor. In some embodiments, the anchor may be guided into a hole in a bone by the insertion tool and pivoted at the tool receptor to fully or partially cover the hole. | 08-09-2012 |
| 20120203250 | T-Fastener Suture Delivery System - A delivery device for inserting a plurality of T-fastener-equipped sutures into a body of a patient in a spaced-apart configuration for the purpose of securing the stomach wall against the abdominal wall, also known as gastropexy, is disclosed. The suture delivery device is configured to deliver multiple sutures using a single needle and without need for reloading, saving time and effort for the clinician and simplifying the suture placement process. In one embodiment, a T-fastener-equipped suture delivery device comprises a housing, a hollow needle extending from the housing, and a plurality of T-fastener-equipped sutures at least partially disposed within one of the needle and the housing. An ejection assembly for successively ejecting the T-fasteners from a distal end of the needle without reloading the delivery device is also included in the housing. | 08-09-2012 |
| 20120209298 | SUTURE SYSTEM AND ASSEMBLY INCLUDING A SUTURE CLIP - One aspect provides a suture system including a tool and a suture assembly. The tool includes a head having a proximal portion housing a needle and a distal end spaced apart from the proximal portion by a throat, the needle is movable through a needle exit port formed in the proximal portion of the head to a cavity formed in the distal end of the head. The suture assembly includes suture connected to a suture clip that includes a cylindrical body having a proximal end and a distal end and a slot formed in the cylindrical body between the proximal end and the distal end that allows the cylindrical body to flex in a radial direction, a tab extending from the distal end and configured to be crimped onto an end of the length of suture, and a rib formed on an interior surface of the cylindrical body. | 08-16-2012 |
| 20120215234 | Single Actuating Jaw Flexible Endolumenal Stitching Device - An end effector for use in an endoscopic stitching device includes a fixed jaw, a moveable jaw, a linkage member, needle engaging blades and a rotatable member. The moveable jaw is pivotably associated with the fixed jaw about a first pivot axis. The linkage member is pivotably associated with the moveable jaw about a second pivot axis. The needle engaging blade is slidably supported in each of the fixed and moveable jaws. An axial movement of the linkage member causes the moveable jaw to pivot about the first pivot axis with respect to the fixed jaw, and rotation of the rotatable member causes opposed axial movement of the pair of needle engaging blades. | 08-23-2012 |
| 20120221022 | SUTURE SYSTEM AND ASSEMBLY INCLUDING A SUTURE CAP FORMED AROUND A TUBULAR SLEEVE - A suture system includes a tool and a suture assembly. The tool includes a head having a proximal portion housing a needle and a distal end spaced apart from the proximal portion by a throat, where the needle is movable through a needle exit port formed in the proximal portion of the head to a cavity formed in the distal end of the head. The suture assembly includes a length of suture connected to a suture cap that includes an annular wall that forms a hollow tubular section, and a tubular sleeve inserted in the annular wall, with an end of the length of suture inserted into and connected to the tubular sleeve. The needle is operable to engage with the hollow tubular section of the suture cap and move the suture cap between the cavity and the needle exit port. | 08-30-2012 |
| 20120221023 | SUTURE APPARATUS HAVING SEWING FUNCTION - The present invention relates to a suture apparatus having a sewing function. More specifically, the present invention relates to a suture apparatus which allows an operator such as doctor or the like to suture human tissue or any other animal's body tissue accurately, quickly and easily. In accordance with one embodiment of the present invention, there is provided a suture apparatus which comprises a support, a surgical needle disposed with respect to the support, and a needle driving part for accommodating the surgical needle and operating the surgical needle, wherein the surgical needle operates with respect to the support, a suture thread from the surgical needle forms a plurality of rings according to the operation of the surgical needle, and the plurality of rings are sequentially connected. | 08-30-2012 |
| 20120226292 | Urethrovesical Anastomosis Suturing Method Using Articulating Laparoscopic Device - A suturing method for anastomosis of live bodies and training bodies joins a duct having perimeter positions defined according to clock hour positions to an opening in a bladder using an articulating laparoscopic device having a gripper at a distal end with open and closed positions for loading a suture needle in either a forehand or backhand direction. The gripper has a yaw motion including left and right positions and a roll motion either clockwise or counterclockwise. The open and closed positions, yaw motion, and roll motion are under manual control of a user through manual controls at a proximal end of the articulating laparoscopic device. The perimeter positions include a 12-o'clock position proximal to the user and a 6-o'clock position distal of the user. The method includes driving a suture at about the 6-o'clock position through the bladder and then the duct wherein the suture needle is loaded forehand, the yaw is in a left position, and the roll is clockwise. Orientations and directions are provided for other suturing positions. | 09-06-2012 |
| 20120226293 | METHOD AND APPARATUS FOR DELIVERY OF A LIGATING SUTURE - An apparatus for ligating a medical protrusion comprises a ligating suture having a proximal end and a distal end configured to circumscribe the medical protrusion, and a one-way lock positioned there between. The apparatus further comprises an endoscope, a cutter blade configured to cut the suture, and a device for ligating a medical protrusion. The device comprises a tubular body having a proximal end and a distal end, a handle positioned at the proximal end, an endoscope controller operably connectable to the endoscope, a cutting controller operably connectable to the cutter blade, a suture controller configured to be operatively coupled with the suture, a curved bridge positioned at the distal end, the bridge having a proximal end and a distal end, and an armature, having a proximal end and a distal end, configured to releaseably retain at least a portion of the suture. | 09-06-2012 |
| 20120239062 | METHODS OF MENISCUS REPAIR - Methods of repairing knee meniscus tears are described which use suture passer devices and suture shuttles. These methods may be used with continuous suture passing, so that the suture passer device may remain on or in the tissue while passing a suture shuttle, and therefore a suture, back and forth from one side of the tissue to the other. These methods may be used minimally invasively for repairing meniscus tissue while avoiding further damage to the meniscus. | 09-20-2012 |
| 20120245599 | Systems and Methods for Treating Septal Defects with Capture Devices and Other Devices - Systems, devices and methods for treating internal tissue defects, such as septal defects, are provided. An exemplary method of treating an internal tissue defect, specifically a method of closing a patent foramen ovale (PFO), can include passing a closure element from a right atrium through a septal wall in a first location and into the left atrium. A capture device, which can be configured as a snare-like device, can be used to capture the closure element in the left atrium and pull the closure element back through the septal wall in a different, second location, such that the closure element is routed over the PFO. The closure element can then be anchored and/or locked against the septal wall such that the PFO is at least partially closed. | 09-27-2012 |
| 20120253363 | Adhesive Suture Structure and Methods of Using the Same - According to an aspect of the present disclosure, a surgical suture needle assembly is provided including an elongate tube defining a lumen through at least a portion of a length thereof; and a wound treatment material contained within the lumen of the suture structure. The present disclosure further provides for methods of using the surgical suture needle assembly in anastomotic procedures and the like. | 10-04-2012 |
| 20120265221 | DEVICES, SYSTEMS AND METHODS FOR MENISCUS REPAIR - Described herein are meniscus suture passers for repair of the meniscus of the knee. These devices are typically suture passers that may include an elongate body having a pair of arms. One or more of the arms may be angled or bent at the distal end region relative to the long axis of the device, forming a distal-facing opening that is configured to fit meniscus tissue. One or both arms may be movable in the axial direction (e.g., the direction of the long axis of the device). The devices typically include a tissue penetrating element housed within one of the arms but configured to extend across the distal opening between the arms. Thus, a suture may be passed from a first side of the tissue to a second side. | 10-18-2012 |
| 20120271322 | Devices and Methods for Continuous Surgical Suturing - A machine constructed and configured for automatic continuous suturing for reduced or minimized scarring and reduced suturing time, including methods of using the same. A device for continuous suturing. A variety of needles designed and constructed for suturing, and more particularly for use with a machine operable for continuous suturing for reduced or minimized scarring and reducing the suturing time. Suture stitches by the same device. A device, method and suture for subcuticular suturing. | 10-25-2012 |
| 20120271323 | SUTURE PASSER WITH SUTURE CAPTURING ARTICULATING JAW AT DISTAL END FOR SUTURING IN ARTHROSCOPIC SURGERY - A suture passer including a tubular member having a proximal end and a distal end and a central axis defined therethrough, in which the tubular member includes at least one lumen formed therein, an eyelet configured to receive a suture, a movable jaw formed on the distal end of the tubular member configured to move between an open position and a closed position, in which the movable jaw includes a plurality of portions, and an actuator configured to be received within the at least one lumen of the tubular member, in which the actuator is configured to move along the central axis of the tubular member between a first position and a second position, in which, in the first position, the movable jaw is in the closed position, and in which, in the second position, the movable jaw is in the open position. | 10-25-2012 |
| 20120271324 | METAL SUBSTRATE HEATER - A heating element with dimensions less than a centimetre according to an embodiment of the present invention includes a metallic substrate ( | 10-25-2012 |
| 20120271325 | SUTURING INSTRUMENT HAVING A FIXING MEANS - Provided is a suture apparatus having a fixing means. In accordance with one aspect of the present invention, there is provided a suture apparatus including: a support, a needle driving unit, and a surgical needle, wherein the surgical needle is accommodated in the needle driving unit to move with respect to the support, and a first suture from the surgical needle and a second suture from the support are entangled according to the movement, wherein the suture apparatus further includes a fixing unit for fixing a tissue to be sutured to the support and releasing the fixation of the tissue. | 10-25-2012 |
| 20120271326 | CRIMPING AND CUTTING DEVICE - A method and apparatus for securing and cutting suture material is disclosed. Suture material is preferably threaded through a ferrule in the crimping and cutting device which includes a hammer head slidable within a tip of the device for crimping the ferrule and trapping the suture material therein. The tip further preferably includes a cutting edge such that the ferrule is crimped and the suture material is cut in one proximal movement of the hammer head. The suture material may be threaded through the ferrule using a suture loading assembly which includes a flexible loop pre-threaded through the ferrule. A handle assembly having a safety button for preventing movement of the trigger until the safety button is depressed is also disclosed. An adjustment screw within the handle assembly allows for a change in length of a rod within the device during manufacture. | 10-25-2012 |
| 20120271327 | Endoscopic Tissue Grasping Systems and Methods - An endoscopic tissue grasper device includes a flexible tubular member, a flexible shaft extending through the tubular member, a proximal handle for moving the shaft and tubular member relative to each other, and a distal helical coil having a sharpened end for engaging tissue. The tissue grasper is advanced through a working channel of an endoscope, engaged relative to tissue, and retracted to pull tissue into a path of a movable needle coupled at a distal end of the endoscope so that the needle can be passed through the tissue. The needle is preferably provided with a suture so that as the needle is passed through the tissue a stitch is formed. | 10-25-2012 |
| 20120271328 | APPARATUS FOR PLACING MEDICAL IMPLANTS - An apparatus includes a carrier configured to be movably disposed within a channel defined by an elongate member. The carrier includes a proximal end portion and a distal end portion. The proximal end portion is configured to be coupled to an actuator. The distal end portion includes a protrusion and an engagement surface. The protrusion has a tip configured to bodily pierce tissue. The protrusion is configured to be received within a lumen defined by a connecting portion of an implant, such as, for example, a pelvic floor implant, such that the tip extends through the lumen defined by the connecting portion of the implant. The engagement surface is configured to engage a portion of the connecting portion of the implant to limit movement of the connecting portion of the implant relative to the protrusion. | 10-25-2012 |
| 20120277766 | APPARATUS AND METHODS FOR CLOSURE OF FISSURES IN THE ANULUS FIBROSIS - Apparatus for repairing a defect in an anulus fibrosis surrounding an intradiscal space, the apparatus comprising a first surgical instrument having a distal end adapted for penetration through an annulus fibrosis on one side of a defect in the annulus fibrosis such that the distal end of the first surgical instrument enters into an intradiscal space; a flexible longitudinal fixation component temporarily coupled to the distal end of the first surgical instrument; and a second surgical instrument having a distal end adapted for penetration through an annulus fibrosis on the other side of a defect in the annulus fibrosis or through a defect in the annulus fibrosis, the distal end of the second surgical instrument including a device for capturing the flexible longitudinal fixation component within an intradiscal space and pulling the flexible longitudinal fixation component so as to repair the defect. | 11-01-2012 |
| 20120283749 | MULTIPLE LOOP DEVICE FOR PASSING SUTURE TAILS THROUGH A SURGICAL PLEDGET - A surgical pledget assembly includes a pledget body having first and second apertures extending through the body, one or more snares passing through the apertures in the pledget body and including first and second suture engaging loops disposed on a distal side of the pledget, an optional third folding loop disposed on a proximal side of the pledget, and a handle secured to the ends of the snare or snares proximal to the pledget. | 11-08-2012 |
| 20120283750 | MENISCUS REPAIR - Methods for repairing a meniscus, and particularly a torn meniscus. A method of repairing a meniscus may include using a suture passer to pass a suturing element from the region between the superior surface of the meniscus and the femoral condyle, through the meniscus tissue, into the region between the inferior surface of the meniscus and the tibial plateau, across the inferior surface of the meniscus, and back to the superior surface of the meniscus, without deeply penetrating the posterior capsular region of the knee. Equivalently, the suture element may be passed from the inferior surface of the meniscus to the superior surface and back to the inferior surface. | 11-08-2012 |
| 20120283751 | NEEDLE AND SUTURE DELIVERY DEVICE - A needle delivery device that has particular application for providing needles for minimally invasive spinal surgical procedures. The device includes an elongated pincher having opposing rails that is slidable within a channel defined in an extended base portion. Widened end portions of the rails hold the needle and push it out of an end of the device where it is released. The pincher is then retracted to a location where the end portions can pick up a next needle to be delivered. | 11-08-2012 |
| 20120283752 | Suturing Devices and Methods for Closing a Patent Foramen Ovale - Methods and apparatuses are disclosed for closing a patent foramen ovale. Some of the disclosed apparatuses include an elongate body having a proximal end and a distal end, with first and second suture clasp arms adapted to hold end portions of a suture when in an extended position. A first suture catch mechanism is slidably housed in the elongate body and moves in a proximal-to-distal direction to engage the suture end held by the first suture clasp arm, and a second suture catch mechanism is slidably housed in the elongate body and moves in a distal-to-proximal direction to suture end held by the second suture clasp arm. The first suture clasp arm can be positioned around the septum primum to deliver a suture thereto, and the second suture clasp arm can be positioned around the septum secundum to deliver a suture thereto. | 11-08-2012 |
| 20120316579 | ARTICULATING SUTURING DEVICE AND METHOD - 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. | 12-13-2012 |
| 20120323261 | SUTURING ASSEMBLY PROVIDING BI-DIRECTIONAL NEEDLE MOVEMENT THROUGH UNI-DIRECTIONAL ACTUATOR MOVEMENT - A suturing assembly includes shaft attached between a handle and a head. The handle includes a brace and an actuator attached to the handle, where the actuator has a neutral position that is distal the brace. The shaft defines a longitudinal axis of the assembly. The head includes a proximal portion housing a needle that is movable through a needle exit port, and a distal end spaced apart from the proximal portion by a throat. The distal end is radially offset from the longitudinal axis and defines a cavity. Movement of the actuator from the neutral position to the brace moves the needle both in a first direction out of the needle exit port into the cavity and in a second direction out of the cavity and into the needle exit port. | 12-20-2012 |
| 20120323262 | LEFT ATRIAL APPENDAGE TREATMENT SYSTEMS AND METHODS - Embodiments of the present invention encompass systems and methods to prevent complications from atrial fibrillation by preventing or reducing the likelihood of blood flow out of the left atrial appendage, to eliminate a possible source of aberrant electrical circuits, or both. Accordingly, techniques are provided for delivering ligature loops or closure means to the left atrial appendage, and to other anatomical structures of a patient which may be desirable in other surgical procedures. | 12-20-2012 |
| 20120323263 | SUTURING SYSTEM AND ASSEMBLY - A suturing assembly is provided that is configured to pull a capsule attached to a suture through tissue. The suturing assembly includes a shaft aligned on a longitudinal axis of the suturing assembly, and a head coupled to the shaft. The head includes a proximal portion and a distal end spaced apart from the proximal portion by a throat. The proximal portion houses a needle that is movable through a needle exit port. The proximal portion of the head and the needle exit port are both aligned on the longitudinal axis. A proximal side of the distal end of the head defines a cavity adapted to receive the capsule and a distal side of the distal end of the head defines a slot adapted to allow the suture to pass through the distal end of the head and into the cavity. | 12-20-2012 |
| 20120330327 | DEVICE AND METHOD FOR TENDON, LIGAMENT OR SOFT TISSUE REPAIR - Disclosed are medical devices and methods for tendon, ligament, and soft tissue repair. A method includes introducing a first segment having a delivery assembly into a first soft tissue, and removing the delivery assembly to expose an opening of a hollow body of the first segment. The method also includes introducing a second segment having a second delivery assembly and a second body into a second soft tissue, guiding the second delivery assembly through the opening, and advancing the second body into the hollow body, thereby joining the first soft tissue and the second soft tissue. | 12-27-2012 |
| 20130006275 | IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS - Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue. | 01-03-2013 |
| 20130006276 | METHOD AND APPARATUS FOR RE-ATTACHING THE LABRUM TO THE ACETABULUM, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ANCHOR SYSTEM - Apparatus for securing an object to bone, the apparatus comprising:
| 01-03-2013 |
| 20130012962 | Method For Repairing A Meniscal Tear - A device for implanting a suture having an elongated shaft that extends from a body and having a distal end that includes a pointed tissue piercing tip. A first suture support is mounted to the distal end. The first suture support has a first opening and is movable between a retracted position where the first suture support does not extend from the distal end and an extended position where the first suture support does extend from the distal end. A first suture capturing device is mounted to the distal end and is aligned with the first suture support. The first suture capturing device is movable between a retracted position where it does not extend from the distal end and an extended position where it does extend from the distal end. The first suture capturing device extends within the first opening of the first suture support in the extended position. | 01-10-2013 |
| 20130012963 | MULTICOMPONENT FUSED SUTURE LOOP AND APPARATUS FOR MAKING SAME - A fused loop of an elongated material, such as a surgical suture, and apparatus for making the loop are described. Portions of one or more segments of elongated material may he fused in an ultrasonic welding process to form a welded joint. Multiple materials each with a different melting point may be used for one or more fibers within the elongated material The elongated material may include a sheath, which may be used to protect a core within the elongated material. A fused region of the fused loop may be formed when a material with a lower melting temperature, compared to one or more other materials in the elongated material, is caused to melt. A related ultrasonic welding apparatus may include a temperature sensor for control of the welding process. | 01-10-2013 |
| 20130018393 | SURGICAL FIXATION DEVICES, SYSTEMS, AND METHODS - A surgical fixation systems including a fixation device and an introducer, and method of using. | 01-17-2013 |
| 20130018394 | TISSUE CAPTURING AND SUTURING DEVICE AND METHOD - A combination tissue apposition and suture capturing device ( | 01-17-2013 |
| 20130023904 | Suturing method - A suturing method includes inserting an endoscope having a pressing part attached to a distal end thereof into a body cavity, and moving the endoscope to a near side of tissue; inserting a suturing instrument having a suturing unit mounted thereon into a channel of the endoscope, and projecting a distal part from the distal end of the endoscope; moving the anchor holder having the plurality of anchors accommodated therein to a back side opposite to the near side of the tissue; and inserting the distal end of the anchor holder into the tissue from the back side opposite to the near side while the tissue is pressed by the pressing part from the near side, and ejecting at least one of the plurality of anchors from the anchor holder which is attached to ends of a suture thread in the suturing unit. | 01-24-2013 |
| 20130023905 | SUTURE SYSTEM WITH CAPSULE EYELET PROVIDING MULTIPLE SUTURE TISSUE FIXATION - A method of suturing tissue includes driving a needle from a tool through tissue to form a channel in the tissue; inserting the needle into a capsule that is connected to a first length of suture attached to the capsule; engaging the needle with a second length of suture that is inserted through the capsule; and pulling both the first length of suture and the second length of suture through the channel formed in the tissue. | 01-24-2013 |
| 20130023906 | SUTURE SYSTEM WITH CAPSULE EYELET PROVIDING MULTIPLE SUTURE TISSUE FIXATION - A suturing system includes a tool employed to pull at least two sutures through tissue. The tool includes a head having a proximal portion housing a needle movable through a needle exit port of the head and a distal end spaced apart from the proximal portion by a throat. The distal end of the head defines a cavity. A first suture is durably connected to a capsule that is sized for placement in the cavity. The capsule defines a through-hole sized for engagement with the needle and A second suture is removably insertable into the through-hole. The needle is movable from the proximal portion of the head across the throat to form a channel in tissue and to frictionally engage with the second suture and is retractable into the needle exit port to draw the capsule and the first and second sutures through the channel formed in the tissue. | 01-24-2013 |
| 20130035699 | DUAL INSUFFLATION AND WOUND CLOSURE DEVICES AND METHODS - A dual functioning instrument set, comprising a needle and guide, has not only the capabilities to enter and insufflate the abdominal cavity but also the ability of a suture passer to carry and retrieve suture for closure of the incision sites at the end of the procedure. The needle contains a deployable snare that is used to pass and retrieve suture. The guide is used to repeatedly locate the needle relative to the inner abdominal wall allowing for consistent placement of sutures. For insufflation purposes, obturator tips having different distal structures are provided for shielding the sharp needle tip after insertion through a body wall. | 02-07-2013 |
| 20130035700 | DUAL INSUFFLATION AND WOUND CLOSURE DEVICES AND METHODS - A dual functioning instrument set, comprising a needle and guide, has not only the capabilities to enter and insufflate the abdominal cavity but also the ability of a suture passer to carry and retrieve suture for closure of the incision sites at the end of the procedure. The needle contains a deployable snare that is used to pass and retrieve suture. The guide is used to repeatedly locate the needle relative to the inner abdominal wall allowing for consistent placement of sutures. For insufflation purposes, obturator tips having different distal structures are provided for shielding the sharp needle tip after insertion through a body wall. | 02-07-2013 |
| 20130035701 | DUAL INSUFFLATION AND WOUND CLOSURE DEVICES ANS METHODS - A dual functioning instrument set, comprising a needle and guide, has not only the capabilities to enter and insufflate the abdominal cavity but also the ability of a suture passer to carry and retrieve suture for closure of the incision sites at the end of the procedure. The needle contains a deployable snare that is used to pass and retrieve suture. The guide is used to repeatedly locate the needle relative to the inner abdominal wall allowing for consistent placement of sutures. For insufflation purposes, obturator tips having different distal structures are provided for shielding the sharp needle tip after insertion through a body wall. | 02-07-2013 |
| 20130035702 | DUAL INSUFFLATION AND WOUND CLOSURE DEVICES AND METHODS - A dual functioning instrument set, comprising a needle and guide, has not only the capabilities to enter and insufflate the abdominal cavity but also the ability of a suture passer to carry and retrieve suture for closure of the incision sites at the end of the procedure. The needle contains a deployable snare that is used to pass and retrieve suture. The guide is used to repeatedly locate the needle relative to the inner abdominal wall allowing for consistent placement of sutures. For insufflation purposes, obturator tips having different distal structures are provided for shielding the sharp needle tip after insertion through a body wall. | 02-07-2013 |
| 20130035703 | Flexible Endoscopic Stitching Devices - An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof. | 02-07-2013 |
| 20130046319 | Medical Device Having a Position Indicator - A medical device is described, the medical device comprising a moveable member, moveable between a first position and a second position; an actuating member coupled to the moveable member, directly or indirectly, for manipulating the moveable member, that is for causing the movement of the moveable member; and an indicator coupled, directly or indirectly, to the actuating member, said indicator having a first state and a second state; the indicator and actuating member being cooperatively operable such that the indicator automatically transitions between the first state and the second state to indicate advancement of the member to the second position from the first position upon a predetermined actuation of the actuating member. | 02-21-2013 |
| 20130053870 | System, Apparatus and Method for Fastening Tissue - A tissue fastening device includes a suture clip holder and a suture cutter. A suture clip can be releasably secured to the suture clip holder, and a suture line or lines can pass through the clip and adjacent the suture cutter. A first movement of a control handle causes the suture clip to be released from the suture clip holder, and a second movement of the control handle causes the suture cutter to cut the suture line or lines. The first movement is different from the second movement. The first movement can be rotational, with the second movement being longitudinal. Alternatively, the first movement can be longitudinal, with the second movement being rotational. The device may include a main body, an inner body, and an outer body. | 02-28-2013 |
| 20130053871 | Suture and Retainer Assembly and SULU - A suturing system for receiving and retaining a suture is disclosed and includes a suture, at least one retainer, and at least one needle. Each needle is able to receive and removably retain the suture within a groove located in a tapered end. The retainer has a body that defines an aperture therethrough. The shape of the aperture is formed by a central passageway, and a pair of diametrically opposed slots extending radially outward from the central passageway. The central passageway is sized to allow passage of the needle therethrough. Each slot defines a tortured path section that permits passage of the suture in a first direction and inhibits passage of the suture in a second direction. | 02-28-2013 |
| 20130090670 | SUTURE DELIVERY SYSTEM - A suture delivery system is described. The system includes an anchor and a cooperating driver, the driver facilitating a delivery of the anchor into the abdominal cavity. The system allows for the deployment of a suture internally into an abdominal wall. | 04-11-2013 |
| 20130096581 | Method of endoscopic suturing - An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue. | 04-18-2013 |
| 20130096582 | ANCHOR DELIVERY SYSTEM - A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes. | 04-18-2013 |
| 20130103055 | CATHETER-BASED TISSUE REMODELING DEVICES AND METHODS - Methods and systems for closing an opening or defect in tissue, closing a lumen or tubular structure, cinching or remodeling a cavity or repairing a valve preferably utilizing a purse string or elastic device. The preferred devices and methods are directed toward catheter-based percutaneous, transvascular techniques used to facilitate placement of the devices within lumens, such as blood vessels, or on or within the heart to perform structural defect repair, such as valvular or ventricular remodeling. In some methods, the catheter is positioned within the right ventricle, wherein the myocardial wall or left ventricle may be accessed through the septal wall to position a device configured to permit reshaping of the ventricle. The device may include a line or a plurality of anchors interconnected by a line. In one arrangement, the line is a coiled member. | 04-25-2013 |
| 20130116708 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the to abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle. | 05-09-2013 |
| 20130116709 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle. | 05-09-2013 |
| 20130116710 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES AND METHODS OF TRANSFASCIAL SUTURING - An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle. | 05-09-2013 |
| 20130123809 | TRANSOSSEOUS ATTACHMENT INSTRUMENTS - Techniques and instruments for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a retriever able to retrieve a suture through the bone tunnels. | 05-16-2013 |
| 20130123810 | TISSUE REPAIR ASSEMBLY - A tissue repair assembly for attachment of tissue to bone or tissue to tissue having a soft anchoring implant | 05-16-2013 |
| 20130123811 | MEDICAL DEVICE FIXATION TOOL AND METHOD OF FIXATION OF A MEDICAL DEVICE - A device fixation tool and method of fixation of a medical device within a hollow organ or cavity through a natural orifice includes providing a needle driver and a shaft. The needle driver is adapted for use with at least one needle. At least a portion of the needle driver is positioned with the shaft at a hollow organ or cavity through the natural orifice. Sufficient force is transmitted with the needle driver to the at least one needle to penetrate mammalian tissue and a portion of the medical device. | 05-16-2013 |
| 20130138121 | MINIMALLY INVASIVE MITRAL VALVE REPAIR METHOD AND APPARATUS - The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue. | 05-30-2013 |
| 20130144314 | APPARATUS FOR TISSUE REPAIR - An apparatus for tissue repair, comprising first and second fixation members, a flexible coupling member coupling the first and second fixation members, the flexible coupling member having two terminal ends, one of the two terminal ends terminating adjacent one of the first and second fixation members, the flexible coupling member slidably coupled to at least one of the first and second fixation members such that when the other of the two terminal ends of the flexible coupling member is pulled, a length of the flexible coupling member between the first and second fixation members is shortened, and a Chinese trap formed in the flexible coupling member through which a portion of the flexible coupling member slides when the flexible coupling member is pulled. | 06-06-2013 |
| 20130144315 | UNIVERSAL LAPAROSCOPIC SUTURING DEVICE - A laparoscopic suturing device includes a handle and a shaft mounted to the handle. A toggle knob is adapted to rotate the shaft about its longitudinal axis. A pair of opposed jaws, each having a hollow structure, open and close relative to one another. A needle carrier and a needle holder are respectively slideably disposed in a lumen of a first and a second jaw. A needle has first and second pointed ends and is adapted to be press fit into the lumen of the first jaw with the first pointed end exposed and alternatively into the lumen of the second jaw with the second pointed end exposed. A spring-loaded pusher advances and retracts the needle carrier when the toggle knob is in a first position and advances and retracts the needle holder when in a second position. The tool assists a surgeon in suturing tissue captured between the jaws. | 06-06-2013 |
| 20130158567 | APPARATUS AND METHOD FOR SUTURING - The invention generally relates to devices and methods for suturing tissue. The invention provides methods and devices for suturing by pushing two ends of a suture through tissue from a proximal side of the tissue and fastening the two ends together on a distal side of the tissue through one operation of a trigger. | 06-20-2013 |
| 20130158568 | AUTOMATED SUTURE DEVICE - A suture device including a hollow shaft; a pair of jaws disposed at an end of the hollow shaft, at least one of the jaws being actuated by an actuation arm coupled to an actuation mechanism, and each of the jaws including a channel formed therein for carrying a suture; a locking device disposed in the hollow shaft operable to grip an end of the suture; a cutting device disposed in the hollow shaft operable to cut an opposing end of the suture; and a heating device configured to remove the suture from the channels of the pair of jaws, and fuse the suture. The suture can include a core surrounded by an outer coating, wherein the outer coating has a melting point less than a melting point of the inner core. | 06-20-2013 |
| 20130165953 | SUTURE CLIP DEPLOYMENT DEVICES - Suture clip deployment devices for applying suture clips to sutures are described. Some embodiments can include a generally tubular main body and a vacuum port located at the distal end, a hollow inner body longitudinally slidable within the main body and extending from the main body at its distal end, and a suture recess located in the generally tubular main body. At least one suture clip configured to frictionally fit on an outer surface of the inner body is deployed during use. Clip deployment can occur after a vacuum source is applied to the device so as to draw the suture into the device. The suture lines can be retrieved through the suture recess, and the device can be actuated so as to deliver the suture clip off the delivery device and onto the suture, locking the suture in place. | 06-27-2013 |
| 20130172913 | SUTURE THREAD PUSHING APPARATUS AND SUTURE THREAD PUSHING SYSTEM - This suture thread pushing apparatus moves a connection portion formed by one end portion and the other end portion of a suture thread used for suturing tissue within a body, which are guided to an outside of the body via a natural orifice, to a sutured portion of the tissue, and includes a flexible outer cylinder, and a flexible shaft member inserted into the outer cylinder so as to advance and retreat, wherein a pair of side holes facing each other is formed in a distal side of the outer cylinder such that the suture thread passes through the side holes, an engaging portion extending in an axial direction of the outer cylinder is formed in an inner surface on the distal side, and an engaged portion engaging with the engaging portion and sliding along the engaging portion is formed on an outer surface of the shaft member. | 07-04-2013 |
| 20130190781 | SUTURING DEVICES AND METHODS - A surgical device for suturing body lumen is described, as well as methods for suturing tissue employing the surgical device. The device can include a body having a shaft and a foot for insertion into an opening in a body lumen. The device can include tissue ports between configured to receive tissue surrounding the opening in the body lumen. The foot can include a suture secured to needle capture devices. The device can include needles that can be advanced through tissue and into the needle capture devices. The needle capture devices can then be withdrawn, thereby harvesting the suture, which can then be used to close the opening in the body lumen. | 07-25-2013 |
| 20130197545 | SURGICAL INSTRUMENT FOR SUTURING THE SKELETAL MUSCLE SYSTEM AND SURGICAL TECHNIQUE USING SAME - Surgical suture instrument for the muscular-skeletal system and the surgical technique used by same. A surgical suture system includes an instrument providing for the suture of muscular-skeletal system tissues by the use of blades which go from a withdrawn position to a position for the incision of the tissue to be sutured. The blades carry the suture, which is attached to the tissue by the incision of the blades, in response to a drive force aimed longitudinally from back to front, towards the surgical field. The instrument and the surgical technique allow for single or continuous stitching of suture on all tissue types. Its use in bone suture is particularly surprising, making it possible to join bones, implants, grafts, chondrocyte membranes, flaps, tendons, cartilage, etc. The surgical technique for which the surgical suture instrument is used can be applied in open surgery and in arthroscopy. | 08-01-2013 |
| 20130211427 | SURGICAL DEVICE FOR INTERRUPTED SUTURE - The present invention relates to a surgical device for interrupted suture. It integrates a hollow needle ( | 08-15-2013 |
| 20130218173 | SURGICAL INSTRUMENT FOR MANIPULATING AND PASSING SUTURE - A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle. | 08-22-2013 |
| 20130218174 | SUTURING DEVICES, SYSTEMS AND METHODS OF USING THE SAME - Provided herein are surgical suturing systems, devices, and methods of using the same. The systems and devices are optionally used in surgeries of the stomach. | 08-22-2013 |
| 20130226202 | METHOD AND SYSTEM FOR LIGATING A BODY PART - A ligature device and method of use are disclosed. More specifically, a ligature device capable of maintaining a ligature band in an elongated position, applying a preformed ligation band to an object to be ligated, manually releasing the ligation band from an elongated position, and securing a ligation band in a tensioned position is described. The ligation device may be used to apply ligation bands to various body parts of various animals. | 08-29-2013 |
| 20130237997 | SUTURE-BASED KNOTLESS REPAIR - An apparatus including a flexible member with two terminal ends configured to form a single closable loop and at least two fixation members. The first fixation member and the second fixation member are slidably received on the single closable loop formed by the flexible member. | 09-12-2013 |
| 20130237998 | SUTURING DEVICES AND METHODS WITH ABSORBABLE OR NON-ABSORBABLE MATERIAL INSERTS - A method of promoting tissue adhesion to reinforce tissue apposition that may include collecting a first tissue portion, collecting a second tissue portion, placing one or more tissue securement devices through the first and second tissue portions, tightening the one or more tissue securement devices to approximate the first and second tissue portions, and placing a fixation agent between the first and second tissue portions. The method promotes tissue adhesion between one or more portions of tissue, wherein the tissue adhesion may reinforce a tissue apposition. | 09-12-2013 |
| 20130237999 | ARTICULATING SUTURING DEVICE AND METHOD - 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. | 09-12-2013 |
| 20130238000 | WOUND CLOSURE DEVICE - A suturing device includes a housing having an elongated tubular member extending from a distal end thereof. A head assembly is disposed at a distal end of the elongated tubular member and is configured to retain a portion of a suture therein. At least one arm member is positioned adjacent the elongated tubular member. Each arm members includes a ferrule assembly disposed at a distal end thereof. Each ferrule assembly is positioned within a recess defined within the elongated tubular member and is configured to releasably retain a ferrule therein. Each ferrule is configured to retain a portion of the suture therein. Each arm member is rotatable to rotate the ferrule assembly disposed thereon between a first position, wherein the ferrule assembly is disposed within the recess, and a second position, wherein the ferrule assembly extends at least partially radially outwardly from the recess. | 09-12-2013 |
| 20130245643 | LAPAROSCOPIC SUTURING INSTRUMENT WITH DUAL-ACTION NEEDLE GRASPERS - A suture needle driving instrument comprises a shaft and an end effector. The end effector is located at the distal end of the shaft and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. Each jaw has a needle grasping member operable to align a suture needle along a predetermined arc path. The end effector is further operable to pass the needle from one arm to the other arm during a suturing procedure. The instrument may be used through a trocar during minimally invasive surgery. | 09-19-2013 |
| 20130245644 | MARKERS FOR TISSUE TRACT DEPTH INDICATION AND METHODS - A vascular closure assembly configured to seal a puncture in a vessel that is accessible through a tissue tract. The vascular closure assembly includes a vascular closure device comprising a handle assembly, an insertion shaft, an anchor assembly, and at least one suture member. The insertion shaft extends distally from the handle assembly and carries a plurality of needles. The needles are operable to position at least one suture across the vessel puncture. The anchor assembly is positioned distal of the insertion shaft. The at least one suture member is positioned distal of the insertion shaft. The insertion shaft extends into the tissue tract to position the anchor assembly through the puncture and into the vessel and includes a first depth indicator on an outer surface thereof that indicates a depth of the tissue tract. | 09-19-2013 |
| 20130245645 | SUTURE AND RETAINER ASSEMBLY AND SULU - A suturing system for receiving and retaining a suture is disclosed and includes a suture, at least one retainer, and at least one needle. Each needle is able to receive and removably retain the suture within a groove located in a tapered end. The retainer has a body that defines an aperture therethrough. The shape of the aperture is formed by a central passageway, and a pair of diametrically opposed slots extending radially outward from the central passageway. The central passageway is sized to allow passage of the needle therethrough. Each slot defines a tortured path section that permits passage of the suture in a first direction and inhibits passage of the suture in a second direction. | 09-19-2013 |
| 20130261643 | Apparatus and Method for Sternotomy Closure - A tissue closure device includes a pusher assembly having a drive arm extending from a drive shaft and a drive mechanism at a distal end of the drive arm, wherein the drive mechanism is capable of releasably engaging and rotating a suturing needle having a pointed end and a blunt end about a rotational axis and a cartridge having a protective housing and the suturing needle, the cartridge extending from a distal end of a cartridge holder assembly and releasably attached to the cartridge holder assembly. A pointed end of the suturing needle may be positioned within the protective housing before and after a complete rotation of the suturing needle about the rotational axis. A removable electronic module may be provided controlled by an actuator that mechanically engages the drive shaft to rotate the drive shaft and the drive mechanism, thereby rotating the suturing needle about the rotational axis. | 10-03-2013 |
| 20130261644 | Flexible Endoscopic Stitching Devices - A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and an articulation assembly supported on the housing for effectuating an articulation of an end effector operatively connected to the housing, the articulation assembly being operable to effect articulation of the end effector in a first pair of opposed directions and a second pair of opposed direction which is substantially transverse to the first pair of opposed directions. | 10-03-2013 |
| 20130261645 | Methods and Apparatuses for Suturing of Cardiac Openings - A knot placement device allows a physician to apply a knot for securing two or more suture ends extending from an incision in a vessel or organ of a patient relative to each other in order to seal an opening in the vessel or organ. The knot placement device has a handle and an elongate shaft and a push rod slidably inserted in said shaft. A knot is disposed in the distal end of the shaft. An actuator on the handle may be depressed to distally advance said push rod relative to said shaft and thereby distally advance said knot. The knot may include a knot body having an inner cavity and a plug sized to fit securely within the inner cavity. In use, the plug may be inserted into the inner cavity of the knot body to fixedly hold two or more suture ends between the knot body and the plug. | 10-03-2013 |
| 20130267966 | APPARATUS AND METHOD FOR SUTURING BODY LUMENS - An apparatus for suturing body lumens is provided. The apparatus includes a flexible elongated member that has a proximal end, a distal end, a central passage and multiple needle lumens extending from the proximal end toward the distal end. The flexible elongated member further includes an elongated subsection spanning from the end of the needle lumens in the elongated member to a barrel portion that includes corresponding needle lumens on the proximal end of the elongated member. The elongated subsection provides sufficient space between the needles and the barrel portion to allow transapical insertion of the elongated member into a body lumen. The apparatus further includes needles disposed within and advanceable from the needle lumens. The apparatus also includes a handle disposed at the proximal end of the elongated member. The handle is operable to retract the needles through the needle lumens toward the handle at the proximal end. | 10-10-2013 |
| 20130274768 | SURGICAL APPARATUS AND METHOD - An implant manipulator may have a distal end that retains an implant, a proximal end, and an intermediate portion between the ends. The intermediate portion may have a cross-sectional shape that extends along a nonlinear pathway. The intermediate portion may have a selectively bendable portion in which the cross-sectional shape varies to facilitate bending when desired. The implant manipulator may be a needle for a suture passer, with a suture capture feature at the distal end. The suture capture feature may have first and second members that flex apart to permit entry of the suture into a suture capture hole wherein the suture is retained until released. A suture passer may receive the needle in a bore shaped to change the cross-sectional shape to facilitate or restrict bending of the needle, as needed. | 10-17-2013 |
| 20130282027 | LAPAROSCOPIC SUTURING INSTRUMENT WITH PARALLEL CONCENTRIC SHAFT PAIRS - A suture needle driving instrument comprises a shaft assembly, an end effector, and a grasping actuation assembly. The end effector is located at the distal end of the shaft assembly and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. The grasping actuation assembly is operable to drive one jaw of each pair in one direction while simultaneously driving the other jaw of the pair in an opposite direction, to selectively grasp or release the suture needle. The shaft assembly includes two pairs of parallel concentric shafts, which form part of the actuation assembly. Each shaft pair is operable to drive a respective internal drive shaft having separate threaded regions with opposing pitch. The instrument may be used through a trocar during minimally invasive surgery. | 10-24-2013 |
| 20130282028 | SIDE-ENTRY KNOTLESS SUTURE ANCHORING CLAMPS AND DEPLOYMENT TOOLS - Suture locking clamps for securing prostheses such as heart valves or annuloplasty rings with sutures and without knots improve the ease of implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures. | 10-24-2013 |
| 20130289584 | COMPLIANT ANASTOMOSIS SYSTEM UTILIZING SUTURE - An integrated anastomosis tool may include an effector that both makes an opening in the wall of a target vessel and connects a graft vessel to the target vessel. The effector may include a cutter assembly and a connection module that are independently actuatable. The connection between the graft vessel and the target vessel may be compliant, and may be achieved by suturing an end of the graft vessel to the side of the target vessel with the connection module. | 10-31-2013 |
| 20130304096 | FASCIAL CLOSURE SUTURE DEVICE - An embodiment in accordance with the present invention provides a device and method for suturing the fascia or other tissue in a patient. The device includes a first arm and a second arm pivotally coupled to one another and housing a spring-based lever system that is configured to frictionally hold a portion of a needle within each of the first and second arms. A switch allows the spring-based lever system to be used to pass the needle between the first and second arms. When the switch is in a first position, the needle is frictionally held by the spring-based lever system within the first arm and released within the second arm. Likewise, when the switch is in a second position, the needle is frictionally held by the spring-based lever system within the second arm and released within the first arm. | 11-14-2013 |
| 20130304097 | SURGICAL STAPLING APPARATUS - A surgical device includes a loading unit having proximal and distal portions. The proximal portion of the loading unit is configured to be attached to an actuation apparatus. The surgical device further includes a flexible shaft interconnecting the proximal portion and the distal portion of the loading unit. Additionally, the surgical device has a tool assembly disposed in mechanical cooperation with the distal portion of the loading unit. The tool assembly is configured to articulate upon activation of the actuation apparatus. In a further embodiment, the surgical device includes a guiding member operatively connected to the tool assembly. The guiding member has a body and a bore extending through the body. The bore slidably receives a suture | 11-14-2013 |
| 20130310853 | METHOD AND APPARATUS FOR PERCUTANEOUS TREATMENT OF A BLOOD VESSEL - Method and apparatus for percutaneous repair of an affected area in a blood vessel. | 11-21-2013 |
| 20130310854 | MENISCAL REPAIR SYSTEMS AND METHODS - A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site. | 11-21-2013 |
| 20130310855 | METHODS AND SUTURES FOR CONTINUOUS SURGICAL SUTURING - A machine constructed and configured for automatic continuous suturing for reduced or minimized scarring and reduced suturing time, including methods of using the same. A device for continuous suturing. A variety of needles designed and constructed for suturing and more particularly for use with a machine operable for continuous suturing for reduced or minimized scarring and reducing the suturing time. Suture stitches by the same device. A device, method and suture for subcuticular suturing. | 11-21-2013 |
| 20130317524 | ENDOSCOPIC FUNDOPLICATION DEVICES AND METHODS FOR TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE - Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The endoluminal device includes a tissue fastener, a flexible needle having means for grasping and releasing a portion of the tissue fastener, and a deflector for deflecting and guiding the needle toward the multiple tissue layers. | 11-28-2013 |
| 20140018827 | MENISCUS REATTACHMENT DEVICE - In a meniscus reattachment device, with at least one needle and at least one implant, the implant is intended to have at least one extensible subsidiary surface. | 01-16-2014 |
| 20140039527 | SUTURE DELIVERY TOOLS FOR ENDOSCOPIC AND ROBOT-ASSISTED SURGERY AND METHODS - A suture delivery tool releasably secures a self-retaining suture to permit delivery of the self-retaining suture to a surgical site in a patient through an access port. Suture delivery tools are disclosed suitable for manual operation and operation using robotically-assisted surgical systems. In some embodiments, a suture spool is part of a cartridge which is releasably attached to the suture delivery tool. Cartridges is, in some embodiments, replaced after deployment of the self-retaining suture and different cartridges having different self-retaining suture are, in some embodiments, selected and attached to the suture delivery tool as required for a procedure. | 02-06-2014 |
| 20140046346 | Suture Delivery Device - A device is configured for closing an aperture in a wall of a blood vessel. An embodiment of the device includes a body and at least one suture element held within the body. A suture capture rod is positioned within the body and is operatively associated with the suture element and arranged to pass the suture element through a vessel wall such that opposed portions of the suture element extend from the vessel wall. A removable guidewire segment is removably attached to a distal end of the body. | 02-13-2014 |
| 20140052158 | IMPLANTABLE SUPPORT ATTACHMENT SYSTEM AND ASSEMBLY - A method of intracorporeally suturing a patient includes engaging tissue with a suturing head retaining a needle, forming an opening in the tissue with the needle, and pushing the needle into a through-bore formed in a capsule that is attached to a leading end of a suture and pulling the capsule and the leading end of a suture through the opening. The method additionally includes securing a clasp attached to a trailing end of the suture to an implantable support, and pulling on the suture and implanting the support inside the patient. | 02-20-2014 |
| 20140058413 | Micro Sewing Device - The present invention relates to micro-sewing devices, specifically a micro-sewing device for percutaneous, endoscopic, laparoscopic and minimally invasive surgical procedures for suturing in small areas. The device allows for sewing-off and stitching in either direction, in very tight spaces. | 02-27-2014 |
| 20140058414 | SUTURE DELIVERY DEVICE - A suture-based vessel closure device can perform the dilation of an arteriotomy puncture and does not require previous dilation of the arteriotomy puncture by a separate device or by a procedural sheath dilator. The suture-based vessel closure device can place one or more sutures across the vessel access site such that, when the suture ends are tied off after sheath removal, the stitch or stitches provide hemostasis to the access site. | 02-27-2014 |
| 20140074123 | NEEDLE REMOVAL DEVICES, SYSTEMS, AND METHODS - A needle removal device is provided for removing needles from suturing systems. In an embodiment, the needle removal device may include a base member configured to be selectively positioned substantially adjacent a proximal portion of a suturing system. The proximal portion of the suturing system may include a plurality of needle lumens. The needle removal device may also include a plurality of needle receptacles at least partially defined by the base member. The needle receptacles may be positioned and configured to generally correspond to the needle lumens of the suturing system. The needle receptacles may be further configured to selectively receive and grasp onto one or more needles extending proximally from the needle lumens of the suturing system. | 03-13-2014 |
| 20140074124 | NEEDLE HARVESTING DEVICES, SYSTEMS AND METHODS - A needle removal device is provided for removing needles from suturing devices and/or systems. In an embodiment, the needle removal device may be intended for use with a suturing device having one or more needle lumens. The needle removal device may include a first member having a first plurality of needle receptacles extending therethrough. The first needle receptacles may be configured and positioned to correspond to one or more of the one or more needle lumens of the suturing device. The needle removal device may also include a second member having a second plurality of needle receptacles extending therethrough. At least one of the first member or the second member may be moveable between a first position, wherein the first needle receptacles and the second needle receptacles are substantially aligned, and a second position, wherein the first needle receptacles and the second needle receptacles substantially unaligned. | 03-13-2014 |
| 20140088617 | ADVANCE SUTURE PASSER - A suture passer including a tubular member having a proximal end and a distal end and a central axis defined therethrough, in which the tubular member includes at least one lumen formed therein, an eyelet configured to receive a suture, a movable jaw formed on the distal end of the tubular member configured to move between an open position and a closed position, in which the movable jaw includes a plurality of portions, and an actuator configured to be received within the at least one lumen of the tubular member, in which the actuator is configured to move along the central axis of the tubular member between a first position and a second position, in which, in the first position, the movable jaw is in the closed position, and in which, in the second position, the movable jaw is in the open position. | 03-27-2014 |
| 20140107671 | HANDHELD SAFETY SUTURING DEVICE - Needle-stick injuries are associated with considerable risk of morbidity for healthcare workers and patients. The present invention of a handheld surgical suturing device allows tor visualization of surgical field and better control of the suture needle with possible one-hand operation. The device also provides active safety features that protect the surgeon from needle-stick injury. | 04-17-2014 |
| 20140107672 | Suture Passer and Subcortical Knot Placement - A suture passer ( | 04-17-2014 |
| 20140114330 | FLEXIBLE ANCHOR DELIVERY SYSTEM - An assembly includes a flexible fixation member, a suture, and a delivery device. The flexible fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture. | 04-24-2014 |
| 20140121680 | SUTURING AND LIGATING METHOD - A suturing and ligating method includes a needle piercing step of inserting a needle of a suture-needle assembly through a tissue in a body cavity, a needle gripping step of gripping the needle with a first gripper, a winding step of winding a suture strand of the suture-needle assembly in at least one turn around a first distal-end working unit by rolling the first distal-end working unit in at least one revolution, a transferring step of transferring the suture-needle assembly from the first gripper to a second gripper, a suture strand gripping step of gripping a portion of the suture strand that has not passed through the tissue, with the first gripper, a pulling step of pulling the first distal-end working unit out of a loop of the suture strand, and a tightening step of forming a knot of the suture strand. | 05-01-2014 |
| 20140121681 | LIGATION THREAD FASTENING TOOL AND LIGATION DEVICE - A sufficient gripping force is exerted on a suture thread through an easy process. Provided is a ligation thread fastening tool including: a gripper that has a pair of crimp pieces opposed to each other with a space therebetween and whose inner faces opposed to each other are to be crimped together and that has, between the inner faces, a groove into which a suture thread can be inserted from a first side of the crimp pieces toward a second side thereof; and an accommodation portion that is provided in the gripper from the inner face outward of the groove so as to communicate with the groove and that accommodate an end portion of the suture thread inserted thereinto from the first side through the groove. | 05-01-2014 |
| 20140121682 | METHOD AND APPARATUS FOR CLOSING FISSURES IN THE ANNULUS FIBROSUS - A filament laterally spans a tear, fissure or other defect in an annulus. One portion of the filament is anchored to the annulus by passing at least one first anchor through the annulus and into the nucleus on one side of the fissure, and with a second portion of the filament being anchored to the annulus by passing at least one second anchor through the annulus and into the nucleus on a second side of the fissure, with the at least one first and second anchors being drawn back through the nucleus and against the inner surface of the posterior annulus by the application of a significant (e.g., about 15 N to 25 N) axial tension applied perpendicular to the posterior wall of the annulus, and with the fissure being drawn closed by the subsequent application of a significant axial tension applied perpendicular to the posterior wall of the annulus. | 05-01-2014 |
| 20140128887 | Suturing Device Having a Retractable Distal Tip and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure - A suturing device including an elongated body, a distal tip, at least two support arms, and at least two extendable and retractable needles. The distal tip is moveable between an extended position in which the distal tip distally extends from a distal end of the elongated body and a retracted position in which the distal tip is disposed within the elongated body. The support arms are pivotally coupled to the distal tip. When the distal tip is in the extended position, each support arm is in a collapsed position disposed within the elongated body, and when the distal tip is in the retracted position, each support arm is in a deployed position extending radially away from the elongated body. Each needle includes a distal end configured to penetrate through a vessel wall and capture a suture releasably held within a portion of a support arm. | 05-08-2014 |
| 20140128888 | SELF LOCKING KNOTLESS SUTURE - Self-locking knotless sutures and associated methods are disclosed. A system for securing tissue includes a monofilament and a braid having a fixed end and a capture end. A first end of the monofilament is connected to the fixed end of the braid. A second end of the monofilament opposite the first end is a free end. The capture end of the braid has a first opening and a second opening. The monofilament and braid are structured and arranged for the free end of the monofilament to be inserted into the first opening, passed through a tunnel formed by the braid, and passed out of the second opening, all while moving in a first direction. After insertion of the monofilament into the braid, the braid prevents movement of the monofilament in a second direction opposite the first direction to prevent the monofilament from being pulled out of the braid. | 05-08-2014 |
| 20140128889 | SUTURE SNARE WITH RETRACTABLE SLEEVE - A delivery device (suture passer or suture snare) that may be used in both open and endoscopic surgical procedures. The delivery device is designed with an internal member terminating in a snare and a retractable outer sheath (sleeve). The device is passed through tissue, and the outer sheath is retracted (moved back), allowing the snare to open. The suture is captured by the snare, and the outer sheath is then released so that it returns to its distal position, closing the snare and securing the captured suture. Since the snare is exposed by retracting the outer sheath (sleeve), rather than advancing the snare, the space requirement for the device is reduced, as is the possibility that the snare will undesirably contact sensitive tissue. | 05-08-2014 |
| 20140135802 | DEVICE FOR THE TRANSOSSEOUS INSERTION OF SUTURE THREADS - A device for the transosseous insertion of suture threads comprises:—a main body ( | 05-15-2014 |
| 20140148824 | TISSUE LIGATING DEVICE - A tissue ligating device for ligating a tissue includes a suture having an elastic restoring force, and a hook-shaped member including a groove portion, connected to a first end of the suture, and disposed in a direction along a derivation direction of the suture and in a direction opposite to the derivation direction of the suture with respect to the first end of the suture. | 05-29-2014 |
| 20140155913 | METHOD OF IMPROVING ELASTICITY OF TISSUE OF LIVING BODY - A method of improving elasticity of a tissue of a living body, the method including: forming a through-hole in the living body; inserting an insertion path forming unit, which includes a pipe member including a pipe and a support member including a support rod, into the through-hole in a state where the pipe member and the support member are assembled; removing the support member from the insertion path forming unit; coupling a medical thread supply unit to the pipe member; pushing the medical thread from behind by using a push unit; and removing the push unit, the medical thread supply unit, and the pipe member. | 06-05-2014 |
| 20140155914 | DEVICES AND METHODS FOR PASSING SUTURES THROUGH TISSUE - A suture passer device is provided including a jaw configuration that grasps targeted tissue such as tendons or muscles in a similar manner as existing suture passer devices; however, the device introduces the needle and the attached suture along the axis of the shaft of the device. After grasping the targeted tissue, the needle is deployed by manipulating the handle of the device similar to conventional suture passers however, the needle is deployed in between the opposing jaws and the needle is advanced into tissue along the axis of the shaft as opposed to perpendicular to the shaft as in prior art devices. The invention further includes methods of deploying sutures and anchors. The invention also includes embodiments of jaw designs, and various embodiments of suture passing needles, sutures constructions, and anchor designs. Therefore, the invention also comprises the device in combination with the needles, sutures, and anchors, as well as the needles, sutures, and anchors in separate sub combinations. | 06-05-2014 |
| 20140155915 | GASTRIC THERAPY SYSTEM AND METHOD FOR SUTURING GASTRIC WALL - This gastric therapy system includes a loop-forming member that forms a loop along a lesser-curvature-line and a greater-curvature-line in a stomach; a guide member that introduces the loop-forming member into the stomach; and a therapy section that cerclages a part of the gastric wall after looping the loop-forming member. | 06-05-2014 |
| 20140163583 | SYSTEM FOR TISSUE REPAIR - Systems for tissue repair are described where an elongate tissue repair device may be introduced into a single incision to access the damaged tissue. A suture delivery assembly may be sized for insertion through a single incision and positioned into proximity with a damaged or ruptured tissue region. A first portion of the damaged tissue region may be positioned within or along a channel defined along the suture delivery assembly and one or more lengths of suture may be secured to the first portion via the device. A second portion of the damaged tissue region may be similarly positioned within or along the channel and one or more additional lengths of suture may be secured to the second portion via the device. The first and second portions may then be approximated and secured to one another via the sutures to facilitate healing of the damaged tissue region. | 06-12-2014 |
| 20140163584 | SYSTEMS FOR SOFT TISSUE REPAIR - Systems for tissue repair are described where an elongate tissue repair device may be introduced into a single incision to access the damaged tissue. A suture delivery assembly may be sized for insertion through a single incision and positioned into proximity with a damaged or ruptured tissue region. A first portion of the damaged tissue region may be positioned within or along a channel defined along the suture delivery assembly and one or more lengths of suture may be secured to the first portion via the device. A second portion of the damaged tissue region may be similarly positioned within or along the channel and one or more additional lengths of suture may be secured to the second portion via the device. The first and second portions may then be approximated and secured to one another via the sutures to facilitate healing of the damaged tissue region. | 06-12-2014 |
| 20140171970 | Circular Needle Applier with Articulating and Rotating Shaft - A surgical suturing device has an elongate shaft has a proximal end, a distal end, and a longitudinal axis between the proximal and distal ends. An actuator is connected to the proximal end of the elongate shaft. A circular needle applier is on the distal end of the elongate shaft. The circular needle applier has an arced needle and a needle driver operatively connected to the actuator to rotate the arced needle in a circular path. A joint is positioned between the proximal and distal ends of the elongate shaft. The joint is operatively connected to the actuator to selectively articulate the shaft. A bearing is on the shaft positioned distally of the joint. The bearing is operatively connected to the actuator to selectively rotate the circular needle applier about the longitudinal axis. | 06-19-2014 |
| 20140171971 | Cartridge Interface for Surgical Suturing Device - A surgical suturing system comprises a shaft having a proximal end, a distal end, a longitudinal axis between the proximal and distal ends, and receiver on the distal end with a rotary drive. A cartridge is selectively attachable to and detachable from the receiver. The cartridge has a surgical needle, a length of suture connected to the needle, a needle driver operative to engage and move the needle relative the cartridge, a transmission operatively connected to the needle driver, and a torsional interface rotationally coupling the rotary drive to the transmission. | 06-19-2014 |
| 20140171972 | Circular Needle Applier with Offset Needle and Carrier Tracks - A surgical suturing device comprises an arced needle track. An arced needle is positioned in the needle track, the needle having a leading end, a trailing end, a medial face, and a lateral face. A length of suture is connected to the needle. An arced carrier track is spaced from the needle track. A reciprocating needle driver has a carrier positioned in the carrier track and a driver positioned in the needle track and is operative to engage and move the needle in the needle track. A transmission is operative to reciprocate the carrier in the carrier track. | 06-19-2014 |
| 20140171973 | LIVING TISSUE LIGATION DEVICE - A living tissue ligation device, comprising a clamp ( | 06-19-2014 |
| 20140171974 | CLAMPING AND LIGATION DEVICE - A clamping and ligation device, comprising a ligation unit ( | 06-19-2014 |
| 20140188136 | METHODS FOR PASSING MULTIPLE SUTURES THROUGH TISSUE - Methods for passing multiple sutures through tissue are provided herein. In particular, the methods described herein allow multiple sutures to be passed through tissue without removing a suture passing instrument from a patient's body. In one embodiment, a method for passing a suture through tissue is provided that includes loading first and second suture limbs into a suture passing instrument, positioning the instrument within a patient's body, actuating the instrument to pass a portion of the first suture limb through the tissue, pulling the first suture limb through the tissue, pulling the second suture limb to reload the suture passing instrument without removing the instrument from the patient's body, actuating the instrument a second time to pass a portion of the second suture limb through the tissue, and pulling the second suture limb through the tissue. | 07-03-2014 |
| 20140188137 | SUTURE PASSER WITH EXPELLING MECHANISM - A suture passing mechanism is disclosed having an elongated delivery member and a suture capture fitting at a distal end of the delivery member. The suture capture fitting includes a recess for receiving a length of suture. The recess is bounded by a proximal wall and a lateral opening leads therein. An expeller at the recess is adapted to expel suture out of the recess through the lateral opening. | 07-03-2014 |
| 20140188138 | SURGICAL SUTURE DEVICE AND METHODS OF USING THE SAME - A medical instrument, such as a surgical device for manipulating and placing a tissue suture and methods of using the same is disclosed. The device comprises a handle, a hollow shaft removably coupled to the handle assembly and a stylet extending within the hollow shaft and longitudinally slideable therein. Preferably, the stylet is not rotationally moveable relative to the shaft. The stylet may be moved between a first position wherein a grasping member formed on the stylet is retracted into a distal end portion of the shaft and a second position wherein the grasping member extends distally beyond the distal end portion of the shaft. Distal movement of an actuation member on the handle correspondingly moves the stylet to the extended position and movement of the actuation member to a proximal position on the handle correspondingly moves the stylet to the retracted position. Lateral movement of the actuation member on the handle does not impart rotational movement of the stylet relative to the shaft. | 07-03-2014 |
| 20140194904 | SUTURE TRIMMER - A suture trimmer including an elongate shaft including an elongate lumen extending proximally from a distal end of the elongate shaft, a transverse through-opening disposed proximal the distal end of the shaft, and a groove extending proximally from the distal end of the shaft to a distal end of the opening. A fitting is disposed within the elongate lumen at the distal end of the shaft and extends distally therefrom. A cutting member is slidably received within the lumen of the shaft and configured to move between a proximal end of the opening and the distal end of the opening and cut a suture disposed within and extending from the opening. | 07-10-2014 |
| 20140194905 | LOW PROFILE MEDICAL DEVICE AND RELATED METHODS OF USE - A medical device including an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may further include an end-effector disposed at the distal end of the elongate member, the end-effector may include a first arm, the first arm may have a distal end, a proximal end, and an opening configured to receive a needle therein. The medical device may also include a second arm movably connected to the first arm and configured to alternate between a closed position and an open position relative to the first arm, wherein the second arm is movably connected to the first arm at a pivot point disposed at a location closer to the distal end of the second arm than the proximal end of the second arm. | 07-10-2014 |
| 20140194906 | Suturing Apparatus and Method - A suturing apparatus comprises a pair of jaws. A bendable needle housed in one of the jaws is adapted to carry a suture. A suture receiver is disposed adjacent to, or integral with, the opposite jaw to help disengage the suture carried by the bendable needle. A transition block curves the needle and directs it in a direction generally unparallel to an axis of the carrying jaw. The jaw housing the needle may include a lateral opening through which the suture may be inserted. The needle may also include a lateral notch which may be aligned with lateral opening to receive the suture. An actuator coupled to the needle enables the user to move the needle proximally to align the notch with the lateral slot. | 07-10-2014 |
| 20140207157 | PERCUTANEOUS ANEURYSM INVERSION AND LIGATION - Devices and methods for percutaneously treating and removing aneurysms or other anomalous tissue associated with vascular, intestinal, or other body tissue. | 07-24-2014 |
| 20140214053 | TISSUE REPAIR DEVICE - The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed. | 07-31-2014 |
| 20140222031 | DIRECT AORTIC ACCESS SYSTEM FOR TRANSCATHETER AORTIC VALVE PROCEDURES - Disclosed are a system and method for performing a medical procedure using direct percutaneous access of an aorta. A main sheath is introduced through an incision formed in proximity to the sternum, and positioned along (and preferable against) a posterior portion of the sternum. Instruments passed through the main sheath are used to form a purse-string suture in an exterior wall of the aorta. An opening is formed in the wall of the aorta in a region encircled by the purse-string suture, and a distal end of an introducer sheath is advanced through the opening into the aorta. A medical procedure, which may be a transcatheter aortic valve replacement, is performed using instruments passed through the introducer sheath into the aorta. After the medical procedure, the introducer sheath is withdrawn from the aorta and, as the introducer sheath is withdrawn, the purse-string suture is tightened to close the opening. | 08-07-2014 |
| 20140222032 | SUTURING DEVICE WITH SPLIT ARM AND METHOD OF SUTURING TISSUE - A device for suturing an opening in a tissue, having an elongated shaft, at least two arms movable to a deployed positioning which the arms are non-perpendicular to the shaft, the arms having needle receiving portions; and needles advanceable longitudinally along the shaft toward the needle receiving portions, the needles exiting through side walls of the shaft at a location proximal to the arms. | 08-07-2014 |
| 20140222033 | SURGICAL INSTRUMENT FOR MANIPULATING AND PASSING SUTURE - A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle. In embodiments the inner member is further retracted within the needle lumen, drawing a length of suture into the needle lumen. The suture is subsequently ejected from the needle lumen to form a suture loop. | 08-07-2014 |
| 20140236188 | INTRODUCER SHEATH WITH KNOT PUSHER AND SUTURE TRIMMER - A device configured as a knot pusher and/or a suture trimmer is provided. The device can deliver and secure a suture knot. The apparatus can also trim the suture after the suture knot is secured. | 08-21-2014 |
| 20140236189 | WOUND CLOSURE DEVICE - A device is provided for closing a wound, such as a percutaneous access site. The device is inserted into the wound, and a helically shaped pusher is actuated to penetrate a wall of the wound. The pusher extends a suture through the tissue wall. After the suture is extending through the tissue wall, the pusher is retracted out of the tissue, while the suture remains extending through the tissue. The suture may then be used to close the wound. | 08-21-2014 |
| 20140236190 | SUTURING INSTRUMENT - A suturing instrument includes a suturing head that is coupled to the shaft of an elongate body member of the instrument by a connector member which may be biased in either a linear orientation along the longitudinal axis of the shaft or any one of a variety of non-linear orientations with respect to the shaft's longitudinal axis. The connector member can comprise a resilient material such that an external force may be applied to the suturing head and move the suturing head from a biased orientation (e.g., linear) to an unbiased orientation (e.g., non-linear). Once the external force is removed, the resiliency of the connector member allows the suturing head to return from the unbiased orientation to the biased orientation. Therefore, a user may adjust the shape of the instrument by applying or removing an external force on the suturing head. | 08-21-2014 |
| 20140236191 | Method And Apparatus For Passing A Suture - A suture passing instrument including an operation handle, a needle member, and a suture holder assembly. The operation handle has at least one actuator movable between a first position and a second position. The needle member extends from the operation handle. The needle member has a curved end portion and defines an eyelet extending therethrough. The suture holder assembly extends from the operation handle and has a movable suture carrier at a distal end configured to hold a suture. The movable suture carrier has a suture pusher telescopically and movably received in the movable suture carrier. The suture carrier is movable between a retracted position and an extended position. The suture pusher is movable beyond the suture carrier to carry the suture through the eyelet. | 08-21-2014 |
| 20140236192 | SUTURE PASSER WITH RADIUSED UPPER JAW - Described herein are suture passers that may be used for repair of the meniscus of the knee. These suture passers typically include an elongate body having a pair of arms. One or more of the arms may be radiused at the distal end region relative to the long axis of the device, to better fit between a target tissue and a body non-target tissue (e.g., the curvature of the femoral condyle). The arms may form a distal-facing opening that is configured to fit the target tissue. One arm may be movable in the axial direction (e.g., the direction of the long axis of the device), while the other arm may be bendable. A tissue penetrator may be housed within one of the arms to extend across the distal opening between the arms. Thus, a suture may be passed from a first side of the tissue to a second side. | 08-21-2014 |
| 20140243858 | TISSUE REPAIR DEVICE - The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed. | 08-28-2014 |
| 20140257344 | THREE SUTURE LARGE BORE CLOSURE DEVICE AND METHODS - A vascular closure device includes an anchor, a suture carrying portion, and a plurality of needles. The anchor is positionable through a vessel puncture in a vessel wall and operable between expanded and contracted positions. The suture carrying portion is positioned distal of the anchor and configured to carry at least one suture. The plurality of needles are operable between an advanced position extending through the vessel wall adjacent to the vessel puncture to connect to the at least one suture, and a retracted position in which the plurality of needles position the at least one suture through the vessel wall. At least one of the plurality of needles extends through an aperture in the anchor when in the advanced position. | 09-11-2014 |
| 20140276973 | NON-INVASIVE SUTURE CUTTER AND RELATED METHODS FOR CUTTING A SUTURE BELOW THE SKIN - A suture cutting device including a housing, a cutting member, a suture recess, and an actuator. The cutting member is positioned in the housing. The suture recess is formed in the housing and configured to releasably connect the housing to the suture. The actuator is accessible outside of the housing and operable to move the cutting member laterally relative to the suture within the housing from a first position out of contact with the suture to a second position cutting the suture. | 09-18-2014 |
| 20140276974 | LARGE BORE CLOSURE SECONDARY HEMOSTASIS BIOADHESIVE DELIVERY SYSTEMS AND METHODS - A vascular closure assembly includes a suture placement device and a sealant delivery device. The suture placement device is operable to position at least one suture across the puncture to form a primary seal of the puncture. The sealant delivery device includes a sealant delivery tube having a first lumen sized to receive the at least one suture, and a second lumen configured to deliver a volume of sealant to the puncture after forming the primary seal to create a secondary seal of the puncture. The sealant delivery device is slidable along the at least one suture to the puncture. | 09-18-2014 |
| 20140276975 | Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure - A suturing device includes a handle, an elongated body, at least one suture snag, at least one pair of needles, and at least one suture pair. The suture snag is moveable between a deployed position in which two distal arm portions thereof radially extend away from the elongated body and a retracted position in which the two distal arm portions are disposed within the elongated body. The suture pair is slidingly disposed through the needle pair. The suturing device deploys the suture snag within a vessel adjacent to an arteriotomy, extends the needle pair through a vessel wall around the arteriotomy and through the deployed suture snag, extends the suture pair beyond the distal ends of the needle pair, and then utilizes the suture snag to capture the extended suture pair by retracting the suture snag to pull first or distal ends of the sutures back into the suturing device. | 09-18-2014 |
| 20140276976 | Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure - A suturing device includes a handle, an elongated body, at least one suture snag, at least one pair of needles, and at least one suture pair. The suture snag is moveable between a deployed position in which two distal arm portions thereof radially extend away from the elongated body and a retracted position in which the two distal arm portions are disposed within the elongated body. The suture pair is slidingly disposed through the needle pair. The suturing device deploys the suture snag within a vessel adjacent to an arteriotomy, extends the needle pair through a vessel wall around the arteriotomy and through the deployed suture snag, extends the suture pair beyond the distal ends of the needle pair, and then utilizes the suture snag to capture the extended suture pair by retracting the suture snag to pull first or distal ends of the sutures back into the suturing device. | 09-18-2014 |
| 20140276977 | Uterine Artery Ligation Devices and Methods - A device useful for ligating an anatomical structure, e.g., a uterine artery, includes a crochet hook-like shaft, and tubular filament holder, and a housing that includes a thumb-slide attached to the shaft. After inserting the filament holder into tissue adjacent to the artery, the shaft is inserted to a point next to the holder, and a hook on the end of the shaft is used to snare the filament and pull it around the artery. The filament can then be tied down, ligating the artery. | 09-18-2014 |
| 20140276978 | NEEDLE DRIVER - A needle driver, comprising a first elongated body having a substantially hollow interior portion and a first and second end, a second elongated body having a substantially hollow interior portion slideably disposed in the first elongated body, a clamping device having a clamping end and a connected end, the clamping device at least partially disposed in the first elongated body and in the second elongated body, wherein the connected end is affixed to the first elongated body, and a slideable actuator affixed to the second elongated body. | 09-18-2014 |
| 20140276979 | METHOD AND DEVICES FOR SECURING BIDIRECTIONAL SUTURE LOOPS USING COAXIAL MECHANICAL FASTENERS - A method and apparatus for securing separate loops of suture with a coaxial mechanical fastener. Separate loops of suture extend from opposite ends of the mechanical fastener. A wire snare facilitates pulling the suture through the fastener. A suturing instrument provides for the infusion of pressurized physiologic solutions into the left ventricle so that the proper replacement suture length can be demonstrated real time prior to crimping the fastener. The instrument incorporates a slotted release site so that the fastener and suture can be released from the device tip once the fastener is secured. A method of securing suture coming from cardiac valve leaflets and or other structures like papillary muscles permits a more atraumatic orientation of the fastener coaxial with the suture strands. | 09-18-2014 |
| 20140276980 | WOUND CLOSURE DEVICE AND METHOD - A wound closure device and method are disclosed. The wound closure device includes a housing, a needle driver assembly, a needle guard assembly, and optionally, a bolster. Use of the device and method reduces the length of time it takes to successfully close a wound or incision when compared to manual suturing as well as decreases the risk of complications such as internal organ damage and hemorrhage caused by the suture needles and eventual herniation through the abdominal wall caused by a poorly and ineffectively closed wound or incision. | 09-18-2014 |
| 20140276981 | SUTURE PASSERS AND METHODS OF PASSING SUTURE - Suture passer devices, including suture passers configured with an axially slideable jaw that includes a tissue-penetrating distal end region. Also described are suture passers including jaws housing tissue penetrating needles to pass suture that are substantially thin. Methods of using such devices to pass a suture through tissue are provided. | 09-18-2014 |
| 20140276982 | Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure - A suturing device includes a handle, an elongated body, at least one suture snag, at least one pair of needles, and at least one suture pair. The suture snag is moveable between a deployed position in which two distal arm portions thereof radially extend away from the elongated body and a retracted position in which the two distal arm portions are disposed within the elongated body. The suture pair is slidingly disposed through the needle pair. The suturing device deploys the suture snag within a vessel adjacent to an arteriotomy, extends the needle pair through a vessel wall around the arteriotomy and through the deployed suture snag, extends the suture pair beyond the distal ends of the needle pair, and then utilizes the suture snag to capture the extended suture pair by retracting the suture snag to pull first or distal ends of the sutures back into the suturing device. An inflatable balloon or an expandable suture capture component may be alternatives to the suture snag for capturing the suture ends. | 09-18-2014 |
| 20140276983 | Suturing Device and Method for Sealing an Opening in a Blood Vessel or Other Biological Structure - A suturing device includes a handle, an elongated body, at least one suture snag, at least one pair of needles, and at least one suture pair. The suture snag is moveable between a deployed position in which two distal arm portions thereof radially extend away from the elongated body and a retracted position in which the two distal arm portions are disposed within the elongated body. The suture pair is slidingly disposed through the needle pair. The suturing device deploys the suture snag within a vessel adjacent to an arteriotomy, extends the needle pair through a vessel wall around the arteriotomy and through the deployed suture snag, extends the suture pair beyond the distal ends of the needle pair, and then utilizes the suture snag to capture the extended suture pair by retracting the suture snag to pull first or distal ends of the sutures back into the suturing device. An inflatable balloon or an expandable suture capture component may be alternatives to the suture snag for capturing the suture ends. | 09-18-2014 |
| 20140276984 | Uterine Artery Ligation Devices - A device useful for ligating an anatomical structure, e.g., a uterine artery, includes a crochet hook-like shaft, and tubular filament holder, and a housing that includes a thumb-slide attached to the shaft. After inserting the filament holder into tissue adjacent to the artery, the shaft is inserted to a point next to the holder, and a hook on the end of the shaft is used to snare the filament and pull it around the artery. The filament can then be tied down, ligating the artery. | 09-18-2014 |
| 20140276985 | TISSUE LIGATION DEVICES AND METHODS THEREFOR - Described here are closure devices and methods for ligating tissue, such as the left atrial appendage. The closure devices may comprise a snare loop assembly comprising a snare and a suture loop releasably attached thereto. The snare may be releasable from an elongate body of the closure device. In some instances, the closure device may comprise one or more markers to allow a user to determine whether the snare loop assembly is twisted. | 09-18-2014 |
| 20140276986 | ANASTOMOTIC DEVICE AND METHOD - An anastomotic system including a plurality of needles loaded with sutures and a delivery tool. The sutures include a suture core and crimp or fastener member at a proximal end of the core. An anchoring sleeve is optionally provided at a distal end. The anchoring sleeve is configured to collapse and prevent retraction of the suture after insertion through the tissue wall. A method of deploying the needles using the delivery tool is also disclosed. | 09-18-2014 |
| 20140276987 | SUTURE METHODS FOR FORMING LOCKING LOOPS STITCHES - Methods for suturing tissue by forming a locking loop of suture material. In particular, method of using a suture passer to arthroscopically create a locking loop of suture in difficult to access tissues. As used herein a locking loop of suture is a loop of suture that is passed through a tissue from a first side to a second side of the tissue; one or more of the legs of the loop extending from the first side are passed through the tissue to the second side of the tissue and are then passed through the loop, and the loop is cinched to tighten closed over the one or more legs. The resulting locking loops stitches are extremely strong and distribute the stresses across the tissue in a desirable manner. | 09-18-2014 |
| 20140288580 | ENDOLOOP HAVING A SCREW-COUPLED REAR END PORTION - An endoloop having a screw-coupling rear end section. Screw threads which respectively engage with each other are formed at a portion of a hollow rod and a portion of a rear end section which engage with each other such that the hollow rod and the rear end portion can be coupled with or separated from each other through screw engagement. The rear end section can be separated from the hollow rod even without being applied with strong force. A stitching procedure using the endoloop can be carried out more easily. | 09-25-2014 |
| 20140296880 | Suture passing devices and methods - A suture passing device includes a notchless tubular needle having a preformed curved shape. One or more cleats are disposed within the needle to help secure suture engaged by the sharp distal tip of the needle and to prevent further bifurcation of the suture. The deformable needle is housed in a channel of a lower jaw having a curved guidepath that approximates the curved geometry of the preformed needle, thereby facilitating the consistent return of the needle to its preformed shape each time the needle exits the channel. A dual needle suture passing device is also provided having a second notchless needle to enable a mattress stitch. Methods of loading a suture onto a notchless needle in a suture passer are also provided. | 10-02-2014 |
| 20140296881 | INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES AND METHODS OF TRANSFASCIAL SUTURING - A method of transfascial suturing may include delivering a suture assembly into an abdominal cavity of a patient, passing a suture anchor, from within the abdominal cavity, through a soft tissue repair prosthetic provided in the abdominal cavity and then through the abdominal wall to a location either above or below the skin, and tightening the suture assembly. An instrument for transfascial suturing may include a handle, a shaft extending from the handle, and a drive system for advancing a suture or suture assembly out of the instrument and across the fascia. The instrument may advance a suture anchor and a suture from within the abdominal cavity and across the abdominal wall to present the suture anchor on the opposite side of the fascia. The instrument may be adapted to present the suture anchor either above or below the skin surface for subsequent tightening of the suture assembly. | 10-02-2014 |
| 20140303651 | LEFT ATRIAL APPENDAGE TREATMENT SYSTEMS AND METHODS - Embodiments of the present invention encompass systems and methods to prevent complications from atrial fibrillation by preventing or reducing the likelihood of blood flow out of the left atrial appendage, to eliminate a possible source of aberrant electrical circuits, or both. Accordingly, techniques are provided for delivering ligature loops or closure means to the left atrial appendage, and to other anatomical structures of a patient which may be desirable in other surgical procedures. | 10-09-2014 |
| 20140303652 | SUTURE CLIP DEPLOYMENT DEVICES - Suture clip deployment devices for applying suture clips to sutures are described. Some embodiments can include a generally tubular main body and a vacuum port located at the distal end, a hollow inner body longitudinally slidable within the main body and extending from the main body at its distal end, and a suture recess located in the generally tubular main body. At least one suture clip configured to frictionally fit on an outer surface of the inner body is deployed during use. Clip deployment can occur after a vacuum source is applied to the device so as to draw the suture into the device. The suture lines can be retrieved through the suture recess, and the device can be actuated so as to deliver the suture clip off the delivery device and onto the suture, locking the suture in place. | 10-09-2014 |
| 20140316442 | SUTURE DEVICE - A suture device includes a needle operating device movable longitudinally with respect to a housing between at least an insertion position and a needle transfer position. The needle operating device includes an elongate operating element arranged extending from a distal end of the housing to or near a housing proximal end. A needle holder connected at a distal end of the operating element holds two or more needles, with free ends directed in proximal direction. The holder is movable with respect to a protection device between at least a protecting position shielding the free ends, and a non-protecting position for the same. A needle receive device at a distal end of the housing receives the free ends when the operating device is moved to the transfer position. In at least the insertion position the holder and the protection device are spaced longitudinally from the housing to receive a tissue therebetween. | 10-23-2014 |
| 20140324075 | SUTURING INSTRUMENT AND METHOD FOR UTERINE PRESERVATION - A suturing instrument includes an elongate body member, a needle deployment mechanism, and a depth adaptor. The elongate body member includes a distal portion that defines an opening. The needle deployment mechanism is at least partially disposed within the elongate body member and moves the needle out of the suturing instrument and into tissue. The depth adaptor is disposed in the opening at the distal portion of the elongate body member and controls the depth that the needle penetrates into the tissue. | 10-30-2014 |
| 20140330292 | APPARATUS AND METHOD FOR SUTURING - The invention generally relates to devices and methods for suturing tissue. The invention provides methods and devices for suturing by pushing two ends of a suture through tissue from a proximal side of the tissue and fastening the two ends together on a distal side of the tissue through one operation of a trigger. | 11-06-2014 |
| 20140336676 | TISSUE LIGATION DEVICES AND METHODS THEREFOR - Described here are closure devices and methods for ligating tissue, such as the left atrial appendage. The closure devices may comprise a snare loop assembly comprising a snare and a suture loop releasably attached thereto, and a snare control. The closure devices may further comprise one or more reference markings, wherein the relative positioning between a portion of the snare control and the reference markings provides an indication of the diameter of the snare loop assembly. In some variations, when the snare loop assembly is closed around a tissue such as the left atrial appendage, the measured diameter of the snare loop assembly may help a user determine whether the snare loop assembly has been properly positioned relative to the tissue, as well as the approximate size that a suture loop may have when released from the snare loop assembly. | 11-13-2014 |
| 20140336677 | ENDOSCOPIC PURSE STRING SURGICAL DEVICE - An endoscopic surgical stapler for applying a suture to tissue including an elongated tubular member, a first jaw positioned at the distal end portion of the tubular member and having a longitudinal axis, and a second jaw disposed in substantially parallel relation to the first jaw at the distal end portion of the tubular member. The second jaw is movable in a direction substantially perpendicular to its longitudinal axis toward the first jaw, while maintaining the substantially parallel relation between the first and second jaws. A stapling assembly is disposed in each of the first and second jaws and configured to apply surgical staples to the tissue such that a suture, in combination with the surgical staples, forms a purse string with the tissue when the surgical stapler is activated. | 11-13-2014 |
| 20140358165 | Tissue Suturing Device - Provided is a surgical instrument that is substitutable for an operation of placing each stitch with a threaded needle or a stapler. It is confirmed that, in a tissue suturing device including a clamping section, and a protruding section including a central conductor and/or an external conductor for applying a microwave, the protruding section and the clamping section bring fragmentary portions of tissues to be sutured into contact or overlap with each other, and coagulate and/or fix contact or overlap portions with the microwave, to thereby stitch the tissues to be sutured. | 12-04-2014 |
| 20140364875 | Minimally Invasive Repair of a Valve Leaflet in a Beating Heart - A device for performing minimally invasive repair of mitral valve leaflets in a beating heart through the delivery and implantation of artificial chordae tendineae includes a handle for positioning the device into a chest cavity of the patient, a capture assembly adapted to capture a valve leaflet between distal an proximal tip portions, a needle adapted to penetrate the valve leaflet, and a capture confirmation system for verifying capture of the valve leaflet between the distal and proximal tip portions. | 12-11-2014 |
| 20150012015 | SUTURE ANCHOR AND RELATED METHOD - A method and apparatus for securing soft tissue to bone can include loading a suture through an eyelet of a suture anchor. The suture anchor can have a longitudinal axis and a distal tip. An anchor inserter assembly can be positioned in contact with the suture anchor. The anchor inserter assembly can include a sleeve portion and an impacting portion. The suture can be engaged with a suture engaging member on the suture inserter assembly at a location adjacent to the eyelet. The sleeve portion can be translated relative to the impacting portion from an alignment position to an insertion position thereby moving the suture a first distance offset from the eyelet in a direction away from the distal tip. The anchor insert assembly can be advanced to a driven position thereby advancing the suture anchor into the bone. The suture engaging member can be released from the suture. | 01-08-2015 |
| 20150012016 | SUTURE PASSER - A suture passer for passing a suture through tissue during surgery includes a tissue grasper, a piercing member and a suture retriever. The tissue grasper has a first jaw with a first opening and a second jaw with a second opening. The first jaw and/or the second jaw is/are movable between an open position and a clamped position. The first opening and the second opening align relative to each other when in the clamped position. The first jaw has a suture positioner for positioning a suture across the first opening. The piercing member forms an opening in the tissue. The suture retriever includes a distal end and a hook positioned proximally of the distal end. The suture retriever passes at least partially through the first opening and the second opening and the hook is used to retrieve the suture held across the first opening. | 01-08-2015 |
| 20150018850 | Apparatus and Methods for Tissue Closure - Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. The resiliently flexible target material may be included as part of a removable mating component for use with a movable wing. Introducers can be used having a suture holder, an alignment indicator and insertion limits | 01-15-2015 |
| 20150018851 | GUIDE FOR SELECTING AND POSITIONING A PROSTHESIS - The invention relates to a device ( | 01-15-2015 |
| 20150018852 | METHOD OF PLACING SUTURE THROUGH TISSUE WITH A FINGER GUIDED SUTURING DEVICE - A method of placing a suture through tissue includes placing a band on a finger of a user, where the band is attached to a head of a suturing device, and employing the finger and the device in identifying an intracorporeal tissue landmark and placing the head of the suturing device at the intracorporeal tissue landmark. The method additionally includes engaging a throat of the head of the suturing device with the intracorporeal tissue landmark, and ejecting a needle out of a needle exit port and through the tissue. The needle exit port is located on a proximal portion of the head of the suturing device. | 01-15-2015 |
| 20150018853 | DEVICES AND METHODS FOR LIGATING ANATOMICAL STRUCTURES - Devices and methods for ligating anatomical structures are provided herein. In particular, the devices and methods provided herein can be used to ligate, the left atrial appendage. The ligating devices ( | 01-15-2015 |
| 20150025550 | Suture Apparatus, System and Method - A suture apparatus having a housing, actuator and capture rod, the actuator being engaged to the capture rod to form an actuator-capture rod assembly, an elongated cannula shaft having a lumen that extends through the shaft, and capture rod retraction means, the housing including an internal region that is configured to receive and support the capture rod retraction means, actuator proximal end and actuator rod distal end therein, wherein said capture rod retraction means is in communication with said actuator. The actuator-capture rod assembly and capture rod retraction means being positioned and configured to transition from a retracted position to an extended position when an actuation force is applied to the actuator and return the retracted position by the retraction means when the actuation force is released. | 01-22-2015 |
| 20150025551 | APPARATUS AND METHOD FOR SUTURING BODY LUMENS - A medical apparatus that includes a distal member, a needle disposed in the distal member and proximally advanceable from the distal member, and a needle capture portion positioned proximal to the distal member and which includes a through-hole to direct the needle from the needle capture portion towards a graspable member at a trajectory narrower than a trajectory of the needle from the distal member to the needle capture portion. | 01-22-2015 |
| 20150038989 | DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE - A wound closure device includes a shaft and a tubular member disposed about the shaft. A plurality of arms are coupled to the shaft in a distal region of the shaft. A plunger is slidably disposed within the shaft and coupled to the plurality of arms. The plunger is selectively translatable relative to the shaft for moving the plurality of arms between a retracted position and a deployed position. A plurality of needles is disposed within needle lumens defined within the tubular member. An actuator sleeve is slidably disposed about the tubular member and coupled to the plurality of needles. The actuator sleeve is translatable between an un-actuated position, wherein the distal end of each needle is disposed within its respective needle lumen, and an actuated position, wherein the distal end of each needle extends distally from its respective needle lumen into a respective one of the plurality of arms. | 02-05-2015 |
| 20150038990 | DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE - A wound closure system includes a suture member and a suture grasper. The suture member includes a suture and a retention member engaged to an end of the suture. The retention member is at least partially flexible and defines a central opening. The suture grasper includes a needle defining a distal portion configured for insertion through the central opening of the retention member to retrieve the retention member from an internal surgical site. The distal portion of the needle defines a distally-facing feature configured to at least partially flex the retention member upon insertion of the distal portion into the central opening to permit passage of the distal portion therethrough and a proximally-facing feature configured to inhibit proximal withdrawal of the distal portion through the central opening of the retention member. | 02-05-2015 |
| 20150038991 | DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE - A system includes a wound closure device having a shaft, proximal and distal arms coupled to the shaft, and one or more linkages coupling the proximal and distal aims. The arms are pivotable relative to the shaft between a linear position, wherein the arms and shaft are linearly aligned, a first pivoted position, wherein the proximal arm is pivoted in a first direction to pivot the distal arm in a second, opposite direction, and a second pivoted position, wherein the proximal arm is pivoted in the second direction to pivot the distal arm in the first direction. A suture including a first portion disposed about a first surface of the distal arm and a second portion disposed about a second surface of the distal aim is also provided. | 02-05-2015 |
| 20150038992 | METHODS AND DEVICES FOR REPAIRING AND ANCHORING DAMAGED TISSUE - Methods and devices are provided for anchoring suture to tissue, incorporating anchoring devices constructed substantially from suture. The anchoring devices are constructed as longitudinally extended, preformed knot configurations that upon deployment are reconfigured to form anchoring knots having an increased cross-section relative to the preformed knot configuration, for secure lodging in tissue. The anchoring devices are suitable for single and multi-anchor surgical procedures in soft tissue or bone, and multiple anchors can be delivered using a single delivery device. | 02-05-2015 |
| 20150051621 | METHOD AND APPARATUS FOR CLOSING A FISSURE IN THE ANNULUS OF AN INTERVERTEBRAL DISC, AND/OR FOR EFFECTING OTHER ANATOMICAL REPAIRS AND/OR FIXATIONS - Apparatus for attaching a first object to a second object, said apparatus comprising:
| 02-19-2015 |
| 20150066058 | METHOD AND APPARATUS FOR MENISCAL REPAIR - A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section. A method for securing a first object to a second object, the method comprising providing a suture and a plurality of cleats slidably mounted on the suture; passing one end of the suture and a first cleat through the first object and the second object; tensioning the suture so as to secure the suture to the first cleat; passing a subsequent portion of the suture and a second cleat through the first object and the second object; and tensioning the suture so as to secure the suture to the second cleat. | 03-05-2015 |
| 20150066059 | SOFT TISSUE REPAIR - Methods and instruments for repairing soft tissues of a skeletal joint such as for example of the foot or hand are presented. | 03-05-2015 |
| 20150066060 | Methods for Tissue Repair - A method of closing a tissue wound includes providing a wound closure device having a first fastener, a second fastener, and a flexible member extending between the first and second fasteners and movably attached to the second fastener by a one-way knot formed in the flexible member between the first and second fastener, positioning the first fastener against tissue, passing the flexible member across the wound, positioning the second fastener against tissue, and pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second fasteners, thereby closing the wound. | 03-05-2015 |
| 20150073440 | SUTURE COLLECTOR - A suture collector ( | 03-12-2015 |
| 20150073441 | SOFT TISSUE REPAIR - Methods and instruments for repairing soft tissues of a skeletal joint such as for example of the foot or hand are presented. | 03-12-2015 |
| 20150073442 | SUTURE PASSER AND METHOD FOR HIP LABRUM REPAIR - Suture passer devices and methods for repair tissue using them. In particular, described herein are suture passer devices having a tissue penetrating distal end that can be used to repair tissue such as the hip labrum. In general, such devices may be used to manipulate, including move or align tissues, and to suture them. | 03-12-2015 |
| 20150088165 | Methods and Devices for Passing Sutures Around Anatomical Structures - Various exemplary methods and devices are provided for passing sutures around anatomical structures. In an exemplary embodiment, a suture delivery device is provided that includes a body portion having a suture delivery member disposed therein and configured to pass a suture around an anatomical structure. The suture delivery member can be movable between a retracted configuration in which the suture delivery member is disposed within the body portion and an advanced configuration in which the suture delivery member extends distally beyond the body portion and assumes an arcurate shape. The arcurate shape can correspond to a shape of the anatomical structure and can extend almost all of the way around the anatomical structure, for example at least around 270° of a circle, thus assisting a user in passing the suture around the anatomical structure without having to manually manipulate the suture delivery device at awkward angles around adjacent tissue. | 03-26-2015 |
| 20150088166 | SURGICAL PROCEDURE AND RELATED APPARATUS FOR TREATING SLEEP APNEA BY LIFTING, SUSPENDING AND STIFFENING THE SOFT PALATE - Methods and apparatuses for lifting, suspending and stiffening a patient's tissue are disclosed. In an embodiment, a method of lifting and stiffening a patient's tissue includes inserting at least one suture into the patient's tissue in a first direction, pulling the suture in a second direction so as to lift and suspend the tissue in a lifted position and stiffen the tissue in the lifted position, and cutting the suture so that the tissue remains in the lifted position. Preferably, the patient's tissue is the patient's soft palate. | 03-26-2015 |
| 20150094739 | Suture Passer Device Including a Blunt Tip and a Sharp Tip - The present disclosure describes a suture passer device that includes a handle, a shaft extending from the handle, and a suture carrier secured to the handle and moveable through a distal end of the shaft. According to one aspect of the present disclosure, one of the shaft and the suture carrier includes a sharp tip and the other one of the shaft and the suture carrier includes a blunt tip. According to another aspect of the present disclosure, the suture carrier includes an inner tube extending through the shaft and a flexible arm extending through the inner tube. Methods of using a suture passer device are also disclosed. | 04-02-2015 |
| 20150094740 | Methods and Systems for Ligating a Blood Vessel - Systems and methods for ligation of a blood vessel are disclosed. In some embodiments, the systems and methods include the following: a delivery device including a needle; a space creating mechanism for creating space outside near and far walls of the vessel; a suture ligator including a far wall buttress that is positioned outside the far wall of the vessel via the needle; a near wall buttress that is positioned and secured along the suture ligator outside the near wall of the vessel via the needle; and a plunger for positioning the near wall buttress downwardly at a position along the suture ligator so that the near wall buttress compresses the vessel but is not joined with the far wall buttress; and a locking mechanism for securing the near wall buttress to the suture ligator at a position proximate to the far wall buttress thereby ligating the vessel. | 04-02-2015 |
| 20150100071 | Magnetic U-Stitch Device - A suturing device is made of two hypodermic needles allowing one or more sutures (at the same time) and a retrieval probe to be advanced into a cavity (e.g., a stomach cavity) of the patient. Both the suture and retrieval probes comprise magnets of opposite polarities on their leading ends. Thus, after the suture and retrieval probe are inside the stomach cavity, the suture and retrieval probe may mate and the suture may be transferred from one hypodermic needle to the other using magnetic attraction. In doing so, the suture forms a loop through the stomach. Once removed, this loop, having two ends that are positioned outside the patient's body, can be pulled tight in order to pull the stomach wall closer to the surface of the patient's body. With the stomach wall close to the surface of the patient's body, it is easier to insert a gastrostomy device. | 04-09-2015 |
| 20150100072 | LENGTH OF SELF-RETAINING SUTURE AND METHOD AND DEVICE FOR USING THE SAME - A method and device for anchoring a length of self-retaining suture. The method of anchoring includes providing for an assembly having a length of self-retaining suture and a suture insertion device. The length of suture includes at least a portion of the length having a plurality of retainers thereon extending in a first direction. The insertion device has a length and a recess to receive a portion of the suture length. The method further includes placing a portion of the suture length in the recess and inserting the device into the body of a mammal until the recess reaches a predetermined location thereby forming an insertion pathway. The method further includes retrieving the insertion device from the body by moving the insertion device in a direction substantially opposed to the insertion pathway. | 04-09-2015 |
| 20150105805 | SUTURE-BASED CLOSURE WITH HEMOSTATIC TRACT PLUG - Devices for closing a passage through tissue communicating with a body lumen. The device may include an elongate body, a sheath disposed at the distal end of the device for disposition within a body lumen, a hollow needle disposed within a needle lumen of the body, the needle being selectively advancable through the needle lumen, a suture-anchor ejection mandrel disposed within the hollow needle that is also selectively advancable through the hollow needle, a suture-anchor and suture disposed within the hollow needle, a distal end of the suture attached to the suture anchor for ejection out the hollow needle by the mandrel. A needle guide disposed between the sheath and proximal end of the body may include a needle port through which the needle can exit. A hemostatic plug is disposed over the needle port so as to be penetrated by the needle upon exiting the port. | 04-16-2015 |
| 20150112368 | METHOD AND APPARATUS FOR PASSING SUTURE THROUGH TISSUE - A suture passer comprising:
| 04-23-2015 |
| 20150119904 | LINEAR CUTTING ELEMENT WITH E-SHAPED GUIDING ELEMENT - A linear cutting element ( | 04-30-2015 |
| 20150119905 | SYSTEM FOR PROVIDING SURGICAL ACCESS - One embodiment is directed to a system for closing a wound created at least partially across a tissue structure wall, comprising: a helical needle; a suture member coupled to the helical needle and configured to be pulled along a helical pattern with helical movement of the helical needle; an outer delivery member rotatably coupled to the helical needle; a drive shaft axially movably coupled to the outer delivery member; and a plurality of suture guide struts projecting distally from the outer delivery member; wherein upon helical insertion of the helical needle relative to the outer delivery member, the helical needle is advanced such that it becomes disposed around the guide struts, such that the guide struts prevent radial migration of the suture as it is helically wound into the tissue structure. | 04-30-2015 |
| 20150119906 | APPARATUS AND METHODS FOR TISSUE CLOSURE - Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture the procedure. Introducers can be used having a suture holder, an alignment indicator and insertion limits. | 04-30-2015 |
| 20150127023 | SUTURING BEAD, SUTURING NEEDLE, SIDE SUCTION CAP AND ENDOSCOPIC ORGAN SUTURING IMPLEMENT USING SAME - The present invention relates to a suturing bead, a suturing needle, a side suction cap and to an endoscopic organ suturing implement using same. More specifically, the present invention relates to an endoscopic organ suturing implement comprising a suturing bead which can be naturally rested lying against the organ wall during discharge, a suturing needle by means of which it is possible to control discharge of the suturing bead, and a side suction cap constituted in such a way as to be able to prevent damage to other organs during surgery. | 05-07-2015 |
| 20150133967 | Elongate Needle Cartridge - A needle cartridge is adapted to be attached to a receiver on a surgical suturing device. The cartridge comprises a body having a length, a width, and a height. The length is at least twice the width, and the width is less than 3.5 times the height. The cartridge comprises an arced needle and a suture, and a needle driver operable to drive the needle in a circular path. The length may be less than 5 times with width, and the width may be greater than the height. | 05-14-2015 |
| 20150142018 | STITCHING DEVICE WITH LONG NEEDLE - A needle for use with an endoscopic stitching device includes a first end portion that is movable relative to a second end portion to allow the needle to convert from a first, mis-aligned orientation to a second, aligned orientation, thereby allowing the length of the needle in the aligned orientation to exceed the height of an end effector. | 05-21-2015 |
| 20150289863 | SELF-ARTICULATING JOINT FOR A MINIMALLY INVASIVE SURGICAL APPARATUS - A self-articulating joint is disclosed for a minimally invasive surgical apparatus. The self-articulating joint has a first elbow component pivotably coupled to a second elbow component, wherein the first and second elbow components are biased to form a non-linear angle relative to each other. The self-articulating joint also has an elbow latch configured to releasably hold the first and second elbow components at a substantially fixed non-linear operating angle. | 10-15-2015 |
| 20150289867 | NEEDLE FOR A LAPROSCOPIC INSTRUMENT - The present invention relates to a needle to be used with a laparoscopic instrument, comprising a proximal end arranged with a pointed tip ( | 10-15-2015 |
| 20150289868 | MULTIPLE LOOP SURGICAL SNARE ASSEMBLY AND SUTURING METHODS THEREOF - A surgical snare assembly is disclosed. The surgical snare assembly has a suture fastener having an entrance and an exit. The surgical snare assembly also has a proximal suture engaging loop and a distal suture engaging loop. The surgical snare assembly further has a handle coupled to the proximal and distal suture engaging loops, and configured such that: 1) movement of the handle a first distance away from the suture fastener causes the proximal suture engaging loop to move through the suture fastener from the entrance to the exit; and 2) movement of the handle a second distance away from the suture fastener causes the distal suture engaging loop to move through the suture fastener from the entrance to the exit. | 10-15-2015 |
| 20150289869 | Arthroscopic Method and Apparatus for Rotator Cuff Repair - An arthroscopic method for reattaching a rotator cuff tendon to a humeral head may include creating a trough in the top of the humeral head, creating a cavity in the lateral portion of the humeral head, creating one or more tunnels between the cavity and the trough, retrieving sutures affixed to a loose end of the tendon through the trough, at least one tunnel, and the cavity; and passing the sutures through a tensioning and securing device, which is then implanted in the cavity, and the sutures are variously pulled or released to pull, tension, or release the sutures until the tendon is secured in the trough. The trough is preferably created using a unique extendable, angled surgical burr. | 10-15-2015 |
| 20150297215 | SUTURE PASSERS ADAPTED FOR USE IN CONSTRAINED REGIONS - Described herein suture passer apparatus (devices and systems) that may be used to suture tissue within a narrow, confined space. In particular, described herein are suture passers having an elongate body and a lower jaw member that houses a tissue penetrator that is adapted to extend laterally from the lower jaw member and be deflected by a second jaw member? The second jaw member typically deflects the tissue penetrator either distally or proximally. | 10-22-2015 |
| 20150305736 | APPARATUS FOR INSERTING SURGICAL THREAD, AND SURGICAL PROCEDURE KIT FOR INSERTING SURGICAL THREAD COMPRISING SAME - A medical thread insertion surgery kit includes an insertion path forming unit which includes a pipe member comprising a pipe that is hollow and forms a path through which a medical thread is to be inserted and a support member comprising a support rod that is inserted into the pipe of the pipe member and has stiffness greater than stiffness of the pipe member; a medical thread supply unit which supplies a medical thread through the pipe member after the support member is removed from the insertion path forming unit; and a push unit that is slidable in the pipe of the pipe member and pushes the medical thread through the pipe of the pipe member. | 10-29-2015 |
| 20150320417 | METHOD AND APPARATUS FOR PASSING SUTURE THROUGH TISSUE - A suture passer comprising: a hollow tube, the hollow tube comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end; and a clamping rod slidably received in the lumen of the hollow tube, the clamping rod comprising a distal end and a proximal end, the distal end being bifurcated into a first arm and a second arm, one of the first and second arms extending distally of the other of the first and second arms and including a clamping surface; wherein at least one of the first arm and the second arm comprises a friction-enhancing surface for facilitating manipulation of a suture via engagement of the suture with the friction-enhancing surface. | 11-12-2015 |
| 20150327850 | ADAPTOR FOR SURGICAL INSTRUMENT FOR CONVERTING ROTARY INPUT TO LINEAR OUTPUT - An adaptor for a powered surgical instrument includes a casing, a cam drum, a first linear driver, and a second linear driver. The cam drum defines and is translatable along a longitudinal axis of the adaptor between a retracted position and an advanced position. The cam drum is being supported for rotation about the longitudinal axis. The cam drum defines first and second radial cam grooves about an outer surface thereof. The first cam groove defines a first profile and the second cam groove defines a second profile. The first linear driver includes a first cam follower disposed in the first cam groove and the second linear driver includes a second cam follower disposed in the second cam groove. The first and second linear drivers are supported for movement between advanced and retracted positions in response to rotation of the cam drum. | 11-19-2015 |
| 20150335320 | SUTURE DELIVERY SYSTEM - A suture delivery system is described. The system includes an anchor and a cooperating driver, the driver facilitating a delivery of the anchor into the abdominal cavity. The system allows for the deployment of a suture internally into an abdominal wall | 11-26-2015 |
| 20150335326 | SYSTEMS AND METHODS FOR SUTURING TISSUE - A device for suturing tissue includes a handle including a housing and a suturing needle for advancing a suture through the tissue. The device also includes a first needle gripper that is configured to both grasp and release the suturing needle. A second needle gripper is also configured to both grasp and release the suturing needle. An actuator is coupled to the housing and is operatively coupled to: (a) a first linkage that pivots the second gripping gripper between a fully extended position and a retracted position relative to the housing; and (b) a second linkage that is operatively coupled to the first and second needle grippers and configured to alter a state of each of the first and second needle grippers. The second linkage can include a one-way clutch. | 11-26-2015 |
| 20150342582 | DUAL INSUFFLATION AND WOUND CLOSURE DEVICES AND METHODS - A dual functioning instrument set, comprising a needle and guide, has not only the capabilities to enter and insufflate the abdominal cavity but also the ability of a suture passer to carry and retrieve suture for closure of the incision sites at the end of the procedure. The needle contains a deployable snare that is used to pass and retrieve suture. The guide is used to repeatedly locate the needle relative to the inner abdominal wall allowing for consistent placement of sutures. For insufflation purposes, obturator tips having different distal structures are provided for shielding the sharp needle tip after insertion through a body wall. | 12-03-2015 |
| 20150342600 | WIRE KNOT DELIVERY DEVICE - Disclosed is a wire knot delivery device, and more particularly, a wire knot delivery device for delivering and maintaining a knot of a medical wire in a medical procedure. The wire knot delivery device includes a first body, a second body parallel to the first body and moving relative to the first body, a first catching part connected to a side of the first body and caught by a side of the knot during the delivery of the knot, and a second catching part connected to a side of the second body and caught by another side of the knot during the delivery of the knot. As the second body moves, a distance between the first catching part and the second catching part is adjusted. | 12-03-2015 |
| 20150351743 | SYSTEM WITH RELOADABLE HANDLE FOR DELIVERING AN ANCHOR - An anchor delivery system configured for single patient, multiple use applications. The system includes reloading linkages which cooperate with needle, suture and anchor subassemblies and devices. Reloading actions accomplish the acceptance of a subsequent anchor cartridge and the readying of delivery structure. | 12-10-2015 |
| 20150351756 | Needle Cartridge with Cage - A needle cartridge is adapted to be attached to a receiver on a surgical suturing device. The cartridge comprises an arced needle having a leading end, a trailing end, and a length of suture. A body has a track receiving the needle and defining a circular path. A needle driver is operable to rotate the needle along the circular path. A cover captures the needle in the track. A cage engages and retains the needle cover against the body. The cage may slide relative the body to disengage with a portion of the cover allowing the cover to deflect and release the needle from the track. | 12-10-2015 |
| 20150374351 | Suturing Devices and Methods for Closing a Patent Foramen Ovale - Methods and apparatuses are disclosed for closing a patent foramen ovale. Some of the disclosed apparatuses include an elongate body having a proximal end and a distal end, with first and second suture clasp arms adapted to hold end portions of a suture when in an extended position. A first suture catch mechanism is slidably housed in the elongate body and moves in a proximal-to-distal direction to engage the suture end held by the first suture clasp arm, and a second suture catch mechanism is slidably housed in the elongate body and moves in a distal-to-proximal direction to suture end held by the second suture clasp arm. The first suture clasp arm can be positioned around the septum primum to deliver a suture thereto, and the second suture clasp arm can be positioned around the septum secundum to deliver a suture thereto. | 12-31-2015 |
| 20150374359 | SUTURE APPARATUS, SYSTEM AND METHOD - A suture apparatus having a housing, actuator and capture rod, the actuator being engaged to the capture rod to form an actuator-capture rod assembly, an elongated cannula shaft having a lumen that extends through the shaft, and capture rod retraction means, the housing including an internal region that is configured to receive and support the capture rod retraction means, actuator proximal end and actuator rod distal end therein, wherein said capture rod retraction means is in communication with said actuator. The actuator-capture rod assembly and capture rod retraction means being positioned and configured to transition from a retracted position to an extended position when an actuation force is applied to the actuator and return the retracted position by the retraction means when the actuation force is released. | 12-31-2015 |
| 20160000422 | Apparatus and methods for Loading Suture - Various embodiments of a cartridge for loading a suture onto a suturing instrument are disclosed. In some embodiments, the cartridge is operable for loading a pre-tied knot formed from the suture onto the suturing instrument. The suturing instrument is typically of the type having a suture passing member defining a suture receiving passage therein. In some embodiments, the cartridge comprises a housing defining a chamber, and a partially pre-tied knot mounted about the housing or the chamber. The cartridge additionally provides a base coupled to the housing, the base defining a seat for releasably holding a portion of a suture to be aligned with, and transferred to, the suturing instrument. The portion of the suture may be held independently, or it may be coupled to a component such as a ferrule or shuttle. | 01-07-2016 |
| 20160015376 | ANCHORED SUTURE LINE, DEVICE AND METHOD FOR SURGICAL SUTURING - Anchored suture line (ASL), comprising a suture thread upon which is located a plurality of anchor structures permanently attached to said suture thread at predetermined intervals, may be advantageously employed for surgical suturing procedures. An ASL suturing device may be employed to sequentially implant the anchors, still tethered to the suture line. As they are implanted, the anchors expand thereby becoming secured in the tissue. The process may be repeated without cutting the suture line until the wound is sealed. | 01-21-2016 |
| 20160022261 | SOFT TISSUE REPAIR DEVICE AND ASSOCIATED METHODS - A soft tissue repair device. The device includes an inserter having a distal portion, a first anchor carried externally onto the distal portion, a second anchor carried externally onto the distal portion, and a flexible strand coupling the first and second anchors and forming an adjustable knotless loop. | 01-28-2016 |
| 20160038130 | CATHETER-BASED TISSUE REMODELING DEVICES AND METHODS - Methods and systems for closing an opening or defect in tissue, closing a lumen or tubular structure, cinching or remodeling a cavity or repairing a valve preferably utilizing a purse string or elastic device. The preferred devices and methods are directed toward catheter-based percutaneous, transvascular techniques used to facilitate placement of the devices within lumens, such as blood vessels, or on or within the heart to perform structural defect repair, such as valvular or ventricular remodeling. In some methods, the catheter is positioned within the right ventricle, wherein the myocardial wall or left ventricle may be accessed through the septal wall to position a device configured to permit reshaping of the ventricle. The device may include a line or a plurality of anchors interconnected by a line. In one arrangement, the line is a coiled member. | 02-11-2016 |
| 20160038137 | Multiple-Firing Suture Fixation Device and Methods for Using and Manufacturing Same - 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. | 02-11-2016 |
| 20160038141 | SURGICAL SUTURING DEVICE WITH TRANSVERSE ENGAGEMENT - A minimally invasive suture insertion device utilizing small gage needles is provided for threading one or more sutures through subcutaneous tissue, both locally and from remote access points, to support, attach, sever, ligate or constrict tissue, vessels, ligaments, nerves or other anatomical features, or for pulling another device into position defined by a suture pathway. A manually operated suture transfer device and method are provided for use in various surgical applications. The suture transfer device operates as an instrument for inserting sutures into and through desired pathways. Tethered cannulas are coupled to the positioned sutures and dock, transversely, with a captured component having a capacity for engaging a single suture or multiple sutures, together or in turn within subcutaneous tissue from local or remote access points. | 02-11-2016 |
| 20160066902 | LONGITUDINAL NEEDLE PASSER - A device for passing a needle and suture longitudinally through a target tissue includes a proximal jaw including a proximal recess and a proximal retention mechanism for releasably engaging a first end of a needle received within the proximal recess and a distal jaw movably coupled to the proximal jaw such that the proximal and distal jaws are longitudinally movable relative to one another. The distal jaw includes a distal recess and a distal retention mechanism for releasably engaging a second end of the needle received within the distal recess. The proximal and distal jaws are movable between a first state, in which the proximal retention mechanism is in a locked configuration and the distal retention mechanism is in an unlocked configuration, and a second state, in which the proximal retention mechanism is in an unlocked configuration and the distal retention mechanism is in a locked configuration. | 03-10-2016 |
| 20160081833 | INSTRUMENT INTENDED TO BE USED TO MODIFY THE VOLUME OF THE STOMACH OF A PATIENT - The invention relates to an instrument ( | 03-24-2016 |
| 20160089133 | Methods and Devices for Tissue Suturing - A suturing device is disclosed. The suturing device includes an end effector assembly disposed on a distal end of the suturing device. The end effector assembly includes at least one guide tube housing at least one elongated member, a clamshell, and a probe configured for disposal in a graft tubular tissue circumferentially offset from the clamshell. The probe includes at least one guide tube attached to a suture having a first end and a second end. The at least one elongated member is deployed to puncture graft tubular tissue and mate with the at least one aperture of the probe such that extraction of the at least one elongated member simultaneously draws out the suture through the punctured graft tubular tissue. | 03-31-2016 |
| 20160089135 | SUTURE PASSER - A suturing device for grasping soft tissue and placing stitches in soft tissue during endoscopic procedures is described. An elongate housing with a stationary jaw and a movable jaw disposed at the distal end are configured for grasping and releasing soft tissue. A movable needle disposed within the housing is actuated to engage a length of suture and drive the suture into and through the grasped soft tissue. A suture capture member is disposed on the movable jaw and is configured to allow passage of the needle therethrough while securing a portion of the stitched length of suture. | 03-31-2016 |
| 20160089150 | METHODS AND DEVICES FOR TISSUE SUTURING - A suturing device is disclosed. The suturing device includes an end effector assembly disposed on a distal end of the suturing device. The end effector assembly includes at least one guide tube housing at least one elongated member, a guide rack, and an anchor configured for disposal in a tubular tissue circumferentially offset from the guide rack. The anchor includes at least one guide tube attached to a suture having a first end and a second end. The at least one elongated member is deployed to puncture tubular tissue and mate with the at least one aperture of the anchor such that extraction of the at least one elongated member simultaneously draws out the suture through the punctured tubular tissue. | 03-31-2016 |
| 20160106415 | SUTURE STITCHES FOR CONTINUOUS SURGICAL SUTURING - A suture stitch for subcuticular suturing for reduced or minimized scarring and reduced suturing time. | 04-21-2016 |
| 20160106416 | MEDICAL IMPLEMENT FOR MANIPULATING SUTURES PARTICULARLY USEFUL IN ARTHROSCOPIC SURGERY - A medical implement for transport of a suture shuttle, comprising a handle including a proximal portion configured for manual gripping by a user, a distal portion, an internal passageway for a suture shuttle, extending between a proximal end and a distal end of the handle; an intermediate portion formed with a thumb depression facing a first direction; the proximal portion comprising a slot extending from the internal passageway to a lateral face of the handle for enabling side-loading of a suture shuttle into a proximal portion of the internal passageway, the slot facing a second direction; the slot extending longitudinally from a proximal end of the handle to an intersection with the thumb depression, wherein at the intersection the slot is exposed in the first direction, and a roller rotatably mounted at the thumb depression. | 04-21-2016 |
| 20160106417 | SURGICAL SUTURING DEVICE, METHOD AND TOOLS USED THEREWITH - An apparatus for remotely and subcutaneously positioning a tethering strand in tissue includes a housing, an actuator coupled with the housing for longitudinal reciprocation relative to the housing, and a nested pair of needles including a first needle coupled with the housing and a second needle coupled with the actuator. One of the needles has a sharpened tip and another one of the needles has a blunted tip. The first needle has a first length and the second needle has a second length, and the first length and the second length are selected so that advancement of the second needle using the actuator causes the sharpened tip to project beyond the blunted tip, and so that retraction of the second needle using the actuator causes the blunted tip to project beyond the sharpened tip. | 04-21-2016 |
| 20160120535 | MODULAR TISSUE REPAIR KIT AND DEVICES AND METHOD RELATED THERETO - Featured is an implant/anchor deployment device/module, a device kit concept using such an implant/anchor deployment device/module, a system for deploying an implant/anchor into tissue, and a method for treating damaged tissue using such an implant/anchor deployment device/module such as for example, a method for deploying one or more anchors/implants during a meniscal repair procedure. Such a deployment device/module includes a body member having a proximal end portion and a distal end portion, the distal end portion being configured so that an implant/anchor can be deployed therefrom. Also, the proximal end portion is configured so as to be removably attached to a first end portion of the surgical device. In exemplary embodiments, the surgical device includes a suture cutter as known in the endoscopy arts. | 05-05-2016 |
| 20160120549 | TISSUE LIGATION DEVICES AND CONTROLS THEREFOR - Described here are devices for closing one or more tissues, and handles for controlling these devices. Generally, the devices described here comprise a snare loop assembly, wherein the snare loop assembly comprises a snare and a suture loop, and a handle for controlling the snare loop assembly. In some variations the snare loop assembly may comprise a retention member that may releasably connect the suture loop to the snare. In other variations the devices comprise one or more force-reducing suture locks to help prevent the suture loop from inadvertently disengaging from the snare loop assembly. In still other variations, the excess-suture management features. The handles described here may be configured to remove excess suture from a suture loop, and may also be configured to release the suture loop from the snare loop assembly. | 05-05-2016 |
| 20160128681 | DEVICES AND METHODS FOR CLOSURE OF WOUNDS - The invention encompasses devices and methods used to provide wound closure based on rings positioned within the tissue layers of the wound opening (with the rings regionally separate the wound depth tissue layers into 2 compartments), followed by suture transport through the rings and full-thickness tissue layers of both compartments. Upon suture transport via synchronous or asynchronous manner and device removal, wound closure is achieved by tying the 2 ends of the suture without incorporating tissue above the level of the rings such as skin. When the device is applied to abdominal or chest wall wound opening, all tissue layers except the skin are incorporated in the suture closure of the wound. The closure process can be performed in a simple, reliable, and expeditious manner. | 05-12-2016 |
| 20160128686 | Blunted Safety Needle - A blunted safety needle is provided, which includes a hollow needle having a sharp distal tip and a stylus having a blunted end. The stylus is positioned within at least a portion of the needle. After the needle is used to deliver or deploy a substance and/or a device, the blunted end of the stylus is positioned to extend through the sharp distal tip of the needle and un-releaseably lock into position, thereby providing a blunted safety needle assembly. | 05-12-2016 |
| 20160128688 | Suture Delivery Device - A suture-based vessel closure device can perform the dilation of an arteriotomy puncture and does not require previous dilation of the arteriotomy puncture by a separate device or by a procedural sheath dilator. The suture-based vessel closure device can place one or more sutures across the vessel access site such that, when the suture ends are tied off after sheath removal, the stitch or stitches provide hemostasis to the access site. | 05-12-2016 |
| 20160135803 | DEVICE AND METHOD FOR SUTURING INTRACARDIAC DEFECTS - In accordance with the present invention there is provided a suturing device. The suturing device includes a length of suture that will be delivered to the site of the PFO and placed through the tissue adjacent the opening to close the PFO. As described in greater detail below, the suture is advanced through the tissue surrounding the opening by a pair of needles that penetrate the tissue adjacent to the opening. A knot is then loosely tied with the length of suture and advanced to the site of the PFO. The tails of the suture extending from the knot are then cut and removed. It is also contemplated that a pre-formed or pre-tied knot may be disposed on the device, wherein after deployment of the suture through the tissue adjacent to the PFO and removal of the device a loop of suture having a pre-tied knot will remain, wherein the pre-tied knot may then be tightened to close the PFO. Further still it is contemplated that other means may be utilized to retain the sutures. For example, it is contemplated that a suture clip or other clip like device may be utilized to retain the suture in a position such that the PFO is closed. | 05-19-2016 |
| 20160135805 | SYSTEMS, METHODS, AND DEVICES FOR CLOSING HOLES IN BODY LUMENS - A closure device for closing an opening in tissue is provided. The closure device includes an elongate member through which needles may be deployed. The closure device also includes a foot portion having one or more feet slidably mounted relative thereto. The feet are movable between a deployed position and a delivery position. The feet include cuffs removably mounted therein, with sutures connected between the cuffs. When the feet are in the deployed position and the needles are advanced, the needles securely engage the cuffs and draw the cuffs and suture through the lumen wall so that the opening in the lumen wall can be closed with the sutures. | 05-19-2016 |
| 20160135833 | TISSUE ACCESS SITE SYSTEM AND METHOD - A tissue access site system and methods for opening and closing a tissue access site are provided. A method for opening and closing an access site in a body lumen includes attaching a plurality of closure elements to a perimeter wall of a body lumen by advancing closure elements from an access and closure device associated with a guide wire positioned through the perimeter wall. A tissue cutting element of the access and closure device is advanced along the guide wire to cause the tissue cutting element to penetrate through the perimeter wall to open an access site in the perimeter wall that includes a plurality of tissue flaps. Each of the tissue flaps has a predetermined geometry and is attached to at least one of the closure elements. The closure elements are used to close the access site. | 05-19-2016 |
| 20160143635 | PERFECTED DEVICE FOR THE TRANSOSSEOUS INSERTION OF SUTURE THREADS - The invention concerns a perfected device for the transosseous insertion of suture threads. This device comprises a main body ( | 05-26-2016 |
| 20160166248 | MULTIPLE-FIRING SECURING DEVICE AND METHODS FOR USING AND MANUFACTURING SAME | 06-16-2016 |
| 20160174967 | Flexible Endoscopic Stitching Devices | 06-23-2016 |
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| 20160192914 | ARTICULATING SUTURING DEVICE AND METHOD | 07-07-2016 |
| 20160192925 | SINGLE CATHETER HEART REPAIR DEVICE AND METHOD FOR USE | 07-07-2016 |
| 20160193043 | MITRAL VALVE CERCLAGE ANNULOPLASTY APPRATUS AND METHOD THEREOF | 07-07-2016 |
| 20160199057 | RETRACTABLE CANNULATED SUTURE PASSER AND METHOD OF PASSING SUTURE | 07-14-2016 |
| 20160199058 | SURGICAL PORT CLOSURE DEVICE | 07-14-2016 |
| 20160249904 | APPARATUS AND METHOD FOR FIXATING A DEVICE TO A BODY TISSUE | 09-01-2016 |
| 20160249932 | ATRIAL APPENDAGE LIGATION | 09-01-2016 |
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| 20160374663 | Medical Fastening Device - A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position. | 12-29-2016 |
| 20170231621 | APPARATUS AND METHODS FOR TISSUE CLOSURE | 08-17-2017 |
| 20180021035 | ARTICULATING NEEDLE | 01-25-2018 |
| 20180021038 | SYSTEMS AND METHODS FOR SUTURING TISSUE | 01-25-2018 |
| 20190142417 | METHOD AND APPARATUS FOR DOUBLE LOOP STITCHING | 05-16-2019 |
