摘要:
A tissue support system including an implantable tissue support member is described. The tissue support member includes a tissue support portion, a first arm having a first end joined to a first end of the tissue support portion, a second arm having a first end joined to a second end of the tissue support portion, the second arm defining a lumen, a first tissue anchor fixed to a second end of the first arm, a second tissue anchor slidably positioned over the second arm, and a locking member disposed in the lumen of the second arm between the second tissue anchor and a second end of the second arm.
摘要:
Apparatus for securing a first object to a second object, the apparatus comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a distal section and a proximal section, the distal section of the lumen having a wider diameter than the proximal section of the lumen; a window extending through the side wall of the elongated body and communicating with the lumen, the window being disposed in the vicinity of the intersection between the distal section of the lumen and the proximal section of the lumen and being sized to receive a first object therein; an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end; and a locking element mounted to the distal end of the elongated element and disposed in the distal section of the lumen; whereby, when the elongated body is disposed in a second object, and a first object extends through the window, and the locking element is thereafter moved proximally, proximal movement of the locking element causes the elongated body to capture the first object to the elongated body, whereby to secure the first object to the second object.
摘要:
A tissue repair assembly for attachment of tissue to bone or tissue to tissue having a soft anchoring implant 100 with a length of suture 120 there through for tensioning the implant and facilitating attachment of other tissue. The implant 100 is a soft, flexible, three-dimensional structure that has a resident volume 200. An inserter tube 310 facilitates the placement of the implant 100 into bone or adjacent soft tissue where it may be deployed. Upon deployment, the soft anchoring implant 100 shortens axially and expands radially, achieving a larger diameter than the hole through which it was placed, thus resisting pull out.
摘要:
An adjustable loop knotless anchor assembly having an adjustable loop suture element that utilizes an adjustable or sliding knot for length adjustment during a tissue repair. The slidable knot is located on a sleeve that is placed into a bone mass for capturing an anchor element. The anchor element captures the adjustable loop and then is inserted into the sleeve. The anchor element is adjusted for securing it in a locked position within the sleeve for secure attachment of the anchor element therein.
摘要:
Described are devices, implants, kits, and related methods for treating pelvic conditions such as urinary in incontinence, in a male or a female patient. The invention includes, in one embodiment, a multi-piece implant, including a tissue support piece, extension portion, and one or more self-fixating tips. The device may be employed through a medial incision in the pelvic region of the patient.
摘要:
Apparatus and methods for positioning and securing anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism either within the anchor itself of positioned proximally of the anchor may allow for the uni-directional translation while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This unidirectional anchor locking mechanism facilitates the cinching of the tissue plication between the anchors and it may be utilized in one or several anchors in cinching a tissue fold.
摘要:
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.
摘要:
A method of using a knotless suture anchor includes boring a nest in a bone, driving the suture anchor into the nest, tensioning an unknotted suture; and securing the unknotted suture in an anchor body by contacting the unknotted suture with an inner bottom surface of the well and a bottom face of an anchor plug, where the suture anchor includes the anchor body including a well, a top surface, a bottom surface distal to the top surface, a transverse bore proximal to the inner bottom surface of the well, and he unknotted suture threaded through the transverse bore; where the well includes an outer surface; an inner surface; and the inner bottom surface; and where the anchor plug includes a post; and the bottom face.
摘要:
Apparatus for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably disposed through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. The stabilizing members can be adapted to become angled relative to a longitudinal axis of the elongate tubular member. Moreover, one or all the articulation controls and functions can be integrated into a singular handle assembly connectable to the tissue manipulation assembly via a rigid or flexible tubular body.
摘要:
Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism either within the anchor itself of positioned proximally of the anchor may allow for the uni-directional translation while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates the cinching of the tissue plication between the anchors and it may be utilized in one or several anchors in cinching a tissue fold.