摘要:
A surgical instrument for introducing a support strand into the body to treat female urinary incontinence has an elongated, curved shaft with a distal end insertable into the body. The shaft has a lumen therein extending at least a portion of the length of the shaft through which the support strand may pass in an axial direction. The shaft has a slot on an exterior surface thereof communicating with the lumen allowing the support strand to be laterally passed between the lumen to a position outside the shaft. A pointed element, is removably positionable on the distal end of the shaft for facilitating the insertion of the shaft through the body and is connectable at one end to the support strand. The pointed element may either be swaged directly to the strand or be in the form of an elongated needle with an eye to which the strand is removably attached. In an associated method, the shaft sequentially delivers the pointed element through the body twice, forming a loop around the urethra to relieve incontinence. The slot in the shaft permits the instrument to be disassociated from the strand without disturbing the loop.
摘要:
A surgical knot pusher device comprises a thick-walled cannula or tube having a beveled elliptical face and a central channel for slidably receiving one end of a suture. The other end of the suture is slidably inserted in one of a pair of longitudinal grooves formed on the outer surface of the cannula which intersect the elliptical face at the opposite ends of its major axis. One of the longitudinal grooves extends along the longest portion of the cannula and the other longitudinal groove extends along the shortest portion of the of the cannula. As the knot pusher device is inserted into a surgical port, a knot formed in the suture is engaged by the beveled face and advanced toward a surgical site. A notch is formed at the proximal end of the cannula for receiving the end of the suture threaded into the central channel. A threading element comprising an elongated rod with a deformable loop is provided to thread the suture into the central channel of the cannula.
摘要:
A surgical tissue retrieval instrument has a collapsible pouch at the distal end of an elongated support tube for retrieving internal body tissue through a trocar tube. The instrument includes a belt which is formed into a loop slidably attached about the open end of the pouch. The belt is slidably extendable through the support tube for expanding the open end of the pouch to receive the tissue and retractable into the support tube for drawing the open end of the pouch closed to enclose the tissue in the pouch. The belt has an oblong, e.g., rectangular, cross section oriented with its larger cross-sectional dimension perpendicular to the plane of the loop to provide stability at the open end of the pouch and to enable use of the pouch in a scoop-like manner to place the tissue therein. A portion of the belt is thermally set into a curved configuration to urge the loop into a normally expanded shape with the belt extended from the distal end of the support tube. A belt actuator mechanism includes a reciprocating finger grip and a ratchet mechanism which operates in a toggle-like manner to advance and retract the belt along the support tube to open and close the pouch. The pouch has an elongated tapered shape to align the tissue with the length or depth of the pouch to facilitate the withdrawal of the pouch and tissue through an incision at the trocar site.
摘要:
A tube knot applicator for use in endosurgical procedures. The tube knot applicator has an elongated tube member having a distal end and a proximal end, as well as an axial passage therethrough. The tube member has slits for partially collapsing the distal end of the tube as well as a removable plug mounted in the distal end of the tube to prevent the distal end of the tube from collapsing by supporting distal slitted end. A suture having at least one slip knot and at least one locking knot is mounted in the tube knot applicator with the knot tied about the collapsing means. A sleeve is mounted to the distal end of tube knot applicator over the suture knot and the distal end.
摘要:
The present invention relates to devices for closing a passageway in a body, for example a patent foramen ovale (PFO) in a heart, and related methods of using such closure devices for closing the passageway. The method includes introducing a mechanical closure device into an atrium of the heart and transeptally deploying the closure device across the interatrial septum to provide proximation of the septum secundum and septum primum.
摘要:
A method for repairing friable tissue having a defect therein includes providing a looped barbed suture having a plurality of barbs extending outwardly therefrom along at least a portion of a length thereof, and having first and second ends, first and second end portions and a middle portion therebetween. The first and second ends are fixedly coupled to a single needle, and the plurality of barbs extends outwardly away from the needle. The steps further include placing the looped barbed suture around an outer surface of the friable tissue in a spaced apart configuration and so as to extend across the defect, passing the needle through the friable tissue and around the middle portion of the looped barbed suture one or more times at the middle portion, and removing the needle from the looped barbed suture.
摘要:
A surgical balloon for insertion into a body cavity with a major chamber having a first volume and an annexed minor chamber communicating therewith and having a second volume less than the first volume has a continuous outer wall which defines the exterior surface of the balloon on a first side and the interior hollow of the balloon on a second side. The wall is formed from a stretchable elastic material permitting the interior hollow of the balloon to accommodate a variable volume of fluid ranging from a minimum deflated volume associated with a relaxed state of the wall to a maximum inflated volume associated with a stretched state of the wall. The wall has selected areas of varying expansibility attributable to varying wall thickness, heat or chemical treatment. The wall provides the balloon with an inflated shape within the cavity approximating the interior shape of the body cavity, including a first portion approximating the major chamber and a second portion approximating the minor chamber. As applied to balloons for insertion into the uterus for endometrial ablation therapy, the balloon has a pair of projections for inserting into the uterine cornua. The balloon may be preformed to mimic the uterine shape in the deflated state, and may be formed from polyurethane promoting conformance of the inflated balloon to the uterine cavity.
摘要:
A prosthesis device for repairing a hernia having an insertion canal made of sheet material for extending through the hernia. The insertion canal is attached at one end to a collar and at the other end to a base that is to be on the inside of the abdominal cavity. The base may be a sheet or a pouch that is to be brought to bear on the inside the wall of the abdominal cavity. The insertion canal providing a simple way of deploying the sheet or pouch against the wall of a abdominal cavity.
摘要:
A medical device is disclosed for enclosing an internal bodily organ or tissue during surgery. The device is a surgical pouch with two drawstrings. The first drawstring is made up of a resilient, wire-like thread for keeping the mouth of the pouch open during use, and is detachable from the pouch. The second drawstring is intended to cinch the mouth of the pouch closed after the organ or tissue is enclosed and the first drawstring is detached. It is composed of a compliant, bioabsorbable thread.A method of reducing or preventing post-operative ovarian adhesions is also disclosed. The method involves placing a bioabsorbable surgical pouch, especially the surgical pouch of this invention, over an ovary after a surgical procedure, and then cinching the mouth of the pouch closed to isolate the ovary from surrounding bodily tissue.
摘要:
A suture-needle combination is disclosed in which the suture has a plurality of adjacent loops, and a slip knot securing the first loop onto the free end of the suture. This suture configuration facilitates tying secure and stable knots endoscopically.