摘要:
Suture clips and suture clip loading, delivery, locking and severing devices in both catheter and endoscopic embodiments are disclosed that permit the delivery and application of suture clips directly in contact with or in close approximation to sutured tissue. The catheter or endoscopic versions incorporate a collet cage with a plurality of flexible collet fingers that captivate a suture clip ring and a suture clip plug for assembly with a suture. An outer sliding sleeve constrains the collet fingers when distally advanced to minimize potential trauma during delivery and assembly of the suture clip in close proximity to the stitched tissue. Proximal retraction of the sliding sleeve coupled with the distal advancement of a pusher against cam surfaces on the inner walls of the collet fingers causes the collet fingers to open. The catheter is designed to hold and assemble the suture clip in a first position and release the suture clip and sever the suture ends proximal to the suture clip in a second position. Single pusher two-step embodiments and double pusher three-step embodiments are disclosed. Suture clip designs with plugs having heads for use with the suture clip delivery catheter are also disclosed. A suture clip loading device for loading suture clip components into the delivery system as well as a threader for threading sutures into the suture clip systems are also disclosed. A method of loading, delivering and deploying suture clips is further disclosed.
摘要:
Implant delivery systems are disclosed. In general overview, an exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in suprapubic, prepubic, transvaginal, trans-obturator and other approaches are also disclosed.
摘要:
A medical device and a method for manipulating bodily tissues are described. The medical device includes an elongated portion having a proximal end portion and a distal end portion. The elongated portion has a defined width referred to as first width. The medical device further includes a head portion extending from the distal end portion of the elongated portion. The head portion includes a first flat surface on a first side and a second flat surface on a second side opposite the first side. The head portion has a defined width referred to as second width. The second width is greater than the first width.
摘要:
In some embodiments, an apparatus includes a handle and an elongate member coupled to the handle. The elongate member has a first portion, a second portion and a third portion. The first portion of the elongate member extends from the handle and defines a first longitudinal axis. The second portion of the elongate member extends from the first portion and defines a second longitudinal axis. The first longitudinal axis and the second longitudinal axis define a first angle and a first plane. The third portion of the elongate member extends from the second portion of the elongate member and defines a third longitudinal axis. The third longitudinal axis and the second longitudinal axis define a second angle and a second plane. The second plane is non-parallel with the first plane.
摘要:
The invention, in one embodiment, is directed to systems, devices and methods for supporting an anatomical location using a self-supporting implantable device without a need for an anchor.
摘要:
Endovascular stents capable of being cut from a flat piece of material are described. The endovascular stents may be bioabsorbable, multilayered and may have structural configurations allowing them to maintain low profiles in vivo. Methods of manufacturing endovascular stents and methods of using endovascular stents are also described.
摘要:
Disclosed are reinforced meshes for retropubic implants for treatment of urinary incontinence and/or pelvic floor disorders and related uses, devices, and methods. In certain embodiments, implants have various resilient strengthening members added to a retropubic support mesh.
摘要:
The present invention discloses a medical device and a method of placing the medical device within a patient's body. The medical device includes a support member, a first elongate member, a second elongate member and a coupling member. The first elongate member and the second elongate member extend from the support member. The coupling member includes a first portion and a second portion. The first portion of the coupling member is coupled to a distal end portion of the first elongate member and the second portion of the coupling member is coupled to a distal end portion of the second elongate member.
摘要:
An apparatus includes a base portion, a first side portion, and a second side portion. The base portion, the first side portion, and the second side portion collectively define a cavity. The cavity is configured to receive a filament. The cavity is also configured to receive at least a portion of a delivery tool such that a coupling portion of the delivery tool is aligned with the filament. In some embodiments, the cavity includes a first end portion and a second end portion. The cavity is configured to receive the filament such that it extends from the first end portion of the cavity to the second end portion of the cavity. The cavity is configured to receive the at least a portion of a delivery tool such that the coupling portion of the delivery tool is disposed between the first end portion of the cavity and the second end portion of the cavity.
摘要:
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.