摘要:
A suture placement device is inserted into an endoscopic trocar port site. A pivot bar with a pair of receptor ports is moved from a folded to an extended position below the fascia. The trocar port is removed over the device as the pivot bar is pulled upward against the fascia. A pair of stylet guides are deployed from two sides of the device housing, and intercept the receptor ports, thereby creating a suture path through the first guide, through a channel in the pivot bar between the receptor ports, and through the second guide. A stylet is directed through the suture path to pull a suture through the path. The guides are refracted, the pivot bar is folded, the device is removed, and the suture is tied. A stylet guide may have a partially deployed position to accurately inject an anesthetic at a desired intra-muscular layer.
摘要:
A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.
摘要:
A surgical clip includes a pair of opposed arms joined at one end by an integrally formed flexible hinge and a hinge lock. A male head element near the free end of one arm is configured to spread tissue when the male head element is urged towards a head mating element near the end of the opposite arm. The clamping side of an arm may include a protruding feature, such as a wedge shape elongated ridge, while the clamping side of the opposite arm includes a corresponding trough or aperture that receives the protruding feature. Clamping surfaces may include non-slip protrusions, such as ribs, ridges, cones or pins. An applicator holding feature, such as a boss, near the hinge prevents the clip from yawing and becoming askew during application.
摘要:
A surgical clip includes a pair of opposed arms joined at one end by an integrally formed flexible hinge and a hinge lock. A male locking pin near the free end of one arm is configured to penetrate tissue when the male locking pin is urged towards a mating female aperture near the end of the opposite arm. The clamping side of an arm may include a protruding feature, such as a wedge shape elongated ridge, while the clamping side of the opposite arm includes a corresponding trough or aperture that receives the protruding feature. Clamping surfaces may include non-slip protrusions, such as ribs, ridges, cones or pins. An applicator holding feature, such as a boss, near the hinge prevents the clip from yawing and becoming askew during application.
摘要:
A surgical plastic clip with a hinged pair of opposed arms. A male locking pin on the free end of one arm is configured to penetrate tissue in its path when the male locking pin is urged towards a female aperture on the free end of second arm. A clamping side of one arm includes a wedge-shaped feature, and a clamping side of the second arm includes a V-shaped trough that conforms to the shape of the wedge shaped feature. Each clamping side includes non-slip protrusions such as non-slip protruding ribs. A clip applicator includes a pivoting jaw assembly that pivots at an angle relative to the longitudinal axis of the shaft of the applicator.
摘要:
A surgical clip includes a pair of opposed arms joined at one end by an integrally formed flexible hinge. The hinge is configured to be cut in the event removal of the clip is desired. Accordingly, the hinge has a reduced thickness and/or width and is configured to maintain cutting space between the hinge and the clamping surfaces of the opposed arms. Each arm has a free end. One arm includes a male locking pin near the free end. The opposite arm includes a female aperture near the free end. The male locking pin is configured to penetrate tissue in the path of the male locking pin when the male locking pin is urged towards the female aperture. The clip may be comprised of a biocompatible metal or plastic or a bioabsorbable plastic. Each of the pair of arms includes a clamping side. The clamping side of one arm includes a wedge-shaped feature. The clamping side of the second arm includes a V-shaped trough that conforms to the shape of the wedge shaped feature. Each clamping side includes non-slip protrusions such as non-slip protruding ribs. The clip includes a plurality of bosses, including a hinge boss, for gripping by an applicator and stabilizing during use. A clip applicator includes a pivoting jaw assembly operably coupled to a rotating cuff. An actuator handle assembly is operably coupled to the pivoting jaw assembly. A rotating cuff is operably coupled to the pivoting jaw assembly. The pivoting jaw assembly pivots at an angle relative to the longitudinal axis of the shaft of the applicator upon rotation of cuff.