公开(公告)号：US10265063B1

公开(公告)日：2019-04-23

申请号：US16189060

申请日：2018-11-13

申请人： Keith Brian Moses

发明人： Keith Brian Moses

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/00 ,  A61B17/062

摘要： An apparatus for suturing tissue. The apparatus comprises shaft mounted jaw mechanism and a housing (containing mechanical components) mounted on the proximal portion of the shaft. The jaw mechanism comprises two pivoting jaws, each with reversibly lockable needle end openings, each configured to receive and exchange a curved needle and attached suture between the jaws in response to force applied to control mechanisms on the housing. The jaw mechanisms are controlled by locking rods and a jaw open-shut control rod that extends between the jaws and the housing. The housing contains spring loaded click cam mechanisms, often comprising a dual hollow cylindrical cam inner piston cam arrangement. The apparatus is configured so that a human operator, exerting force on the same control mechanism, can both open and shut the jaws and cause the needle to be exchanged between jaws.

公开(公告)号：US20190105033A1

公开(公告)日：2019-04-11

申请号：US16211398

申请日：2018-12-06

申请人： Covidien LP

发明人： Ramiro Cabrera ,  Thomas Wingardner ,  David N. Fowler ,  Brian J. Creston ,  Dmitri Menn ,  Paul D. Richard ,  Gene Stellon

IPC分类号： A61B17/04 ,  A61B17/00 ,  A61B17/06 ,  A61B17/062 ,  A61B34/00 ,  A61B17/29

摘要： 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.

公开(公告)号：US20190083089A1

公开(公告)日：2019-03-21

申请号：US16185985

申请日：2018-11-09

申请人： Walter J. Chlysta M.D., Inc.

发明人： Walter J. Chlysta

IPC分类号： A61B17/062 ,  A61B17/00 ,  A61B17/06

CPC分类号： A61B17/0625 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/00738 ,  A61B2017/06047 ,  A61B2017/0609

摘要： A port closure device includes a pair of jaws that may move repeatably between open and closed positions and repeatably pass a needle therebetween. The jaws are generally perpendicular to a longitudinal axis of the device in the closed position and generally parallel to the longitudinal axis in the open position. The device further includes a jaw control rod for controlling movement of the jaws and a needle control rod for controlling the passing of the needle between the two jaws.

公开(公告)号：US10219803B2

公开(公告)日：2019-03-05

申请号：US15057126

申请日：2016-03-01

申请人： Ryan Grant ,  Michael Diluna ,  Vadim Gordin

发明人： Ryan Grant ,  Michael Diluna ,  Vadim Gordin

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06 ,  A61B17/29

摘要： Disclosed herein are devices capable of (1) gasping tissue, (2) passing suture through the tissue, and (3) resetting both their tissue grasping and suture passing features without the device being removed from the incision.

公开(公告)号：US10194903B2

公开(公告)日：2019-02-05

申请号：US15162085

申请日：2016-05-23

申请人： Abbott Cardiovascular Systems, Inc.

发明人： Laveille Kao Voss ,  Stephanie Henze ,  Kristopher M. Konawalik ,  Leah M. Davis ,  Wouter E. Roorda

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/062 ,  A61B17/00 ,  A61M5/32 ,  A61B90/00 ,  A61B50/36 ,  A61B50/30

摘要： 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.

公开(公告)号：US10194901B2

公开(公告)日：2019-02-05

申请号：US14726963

申请日：2015-06-01

申请人： Terumo Medical Corporation

发明人： Hsiao-Wei Tang ,  Yu-Shih Weng ,  Shih-Jui Han ,  Chung-Chu Chen ,  Shih-Ming Wang ,  Chun-Chia Juan

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06 ,  A61B17/22 ,  A61B17/29 ,  A61B90/00

摘要： Systems and methods are provided for suturing tissue. An elongated deployment shaft carries a needle deployment assembly with needles carrying suture material and a stabilizer that is reconfigurable between an unexpanded insertion profile and an expanded profile. A catcher tube over the shaft having a catcher at a distal end may retain at least a portion of the needles carrying the suture material when the needles are passed through the tissue to be sutured into engagement with the catcher. A sheath over the catcher tube may sandwich tissue to be sutured against the stabilizer when expanded under control of first actuator. A second actuator may control the needles.

公开(公告)号：US10188382B2

公开(公告)日：2019-01-29

申请号：US15012790

申请日：2016-02-01

申请人： Ceterix Orthopaedics, Inc.

发明人： Michael Murillo ,  Christopher P. Bender ,  Mark Y. Hirotsuka ,  Michael J. Hendricksen ,  Justin D. Saliman ,  John G. McCutcheon

IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06 ,  A61B17/064

摘要： Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.

公开(公告)号：US10188381B2

公开(公告)日：2019-01-29

申请号：US14947464

申请日：2015-11-20

申请人： DURA TAP LLC

发明人： Mark F. Kurd ,  David Greg Anderson ,  Jaime E. Sarabia ,  Eric Buehlmann

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06

摘要： An apparatus includes a handle, a cartridge configured to removably couple to the handle, an actuator movably coupled to the handle, and a lock operably coupled to the actuator. A first needle assembly and a second needle assembly of the cartridge are operably coupled to a first coupling portion and a second coupling portion, respectively, of the actuator when the cartridge is coupled to the handle. The first coupling portion is configured to transition the first needle assembly from a first configuration to a second configuration such that a first capture portion engages a first needle. The second coupling portion is configured to transition the second needle assembly from a first configuration to a second configuration such that a second capture portion engages the second needle. The lock is configured to selectively limit movement of the first coupling portion and the second coupling portion.

公开(公告)号：US10188377B2

公开(公告)日：2019-01-29

申请号：US15215573

申请日：2016-07-20

申请人： Ruchi Patel ,  Giovanni Sanchez

发明人： Ruchi Patel ,  Giovanni Sanchez

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/08 ,  A61B17/062

摘要： The present invention contemplates a hand-held and hand-operable stitching device capable of securely placing a single interrupted suture through a wound using sterile suturing material with a single squeeze of the device's arms. Operating substantially faster than a surgeon, the compact and lightweight device employs an intuitive stapler-like structure and a center assembly capable of closing a wound with traditional suturing material secured by anchors that remain on either side of the wound. The apparatus employs needle-suture units stored in a center assembly and deployed individually when the device is actuated. When actuated, an epicyclic gear train within a center assembly causes a needle-suture unit to rotate through a circular path through the tissue, bringing the edges of separated tissue together. The suture thread is then secured in its position with anchors and the needle is then disjointed from the suture thread with a blade.

公开(公告)号：US20190015095A1

公开(公告)日：2019-01-17

申请号：US16051027

申请日：2018-07-31

申请人： ENDOEVOLUTION, LLC

发明人： John C. Meade ,  Jerry R. Griffiths ,  Francis J. DiFrancesco ,  Richard Clark

IPC分类号： A61B17/04 ,  A61B34/00 ,  A61B17/06 ,  A61B17/062 ,  A61B17/29 ,  A61B17/34 ,  A61B34/30 ,  A61B17/00

摘要： 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 reciprocating needle drive having a needle driver for engaging and rotating the suturing needle.