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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 1429. Отображено 100.
12-01-2012 дата публикации

Energy based devices and methods for treatment of patent foramen ovale

Номер: US20120010608A1
Автор: Dan Francis, Hanson S. Gifford, Iii, Jose Alejandro, Kenneth Horne, Mark E. Deem, William Malecki
Принадлежит: Terumo Corp

Methods and apparatus for treatment of patent foramen ovale (PFO) provide for applying energy to tissues adjacent the PFO with a catheter device to substantially close the PFO acutely. Apparatus generally includes a catheter device having at least one energy transmission member at or near its distal end configured to apply energy to PFO tissues to acutely, substantially close the PFO. Applied energy may be monopolar or bipolar radiofrequency energy or any other suitable energy, such as laser, microwave, ultrasound, resistive heating or the like. Some embodiments of a catheter device fuirther include one or more tissue apposition members near the distal end for helping bring PFO tissues together, such as a PFO covering member, a vacuum applying member and/or the like. PFO closure via energy-based approaches of the invention may help prevent stroke, treat migraine headache, and possibly treat or prevent other medical conditions.

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Номер записи: 1
09-02-2012 дата публикации

Apparatus and methods for tissue closure

Номер: US20120035623A1
Автор: Celso Bagaoisan, James Dreher, Suresh Pai
Принадлежит: Individual

Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. Introducers can be used having a suture holder, an alignment indicator and insertion limits.

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Номер записи: 2
16-02-2012 дата публикации

Needle Apparatus for Closing Septal Defects and Methods for Using Such Apparatus

Номер: US20120041482A1
Автор: Richard S. Ginn
Принадлежит: Individual

Apparatus and methods for closing a septal defect including a flap of tissue partially detached from a septum of a heart. A needle is advanced through a patient's vasculature within a delivery apparatus until the needle is disposed within a first chamber adjacent the septum. The needle is directed through the flap of tissue until the needle is disposed within a second chamber opposite the septum. A filament attached to an intermediate region of the needle is pulled, thereby causing the needle to pivot about the intermediate region such that the ends of the needle straddle the septal opening. A locking element is secured to the filament to secure the flap of tissue against the septum, and the filament is cut. Alternatively, the filament is biased to coil to engage the flap of tissue and secure the needle against the septum to close the opening.

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Номер записи: 3
19-04-2012 дата публикации

Method for providing surgical access

Номер: US20120095504A1
Автор: John F. Shanley, Stephen H. Diaz
Принадлежит: ENTOURAGE MEDICAL TECHNOLOGIES Inc

One embodiment is directed to a method for providing surgical access across a wall of a tissue structure, comprising: measuring a thickness of the wall of the tissue structure at a targeted entry location; and providing a helical needle having a helical needle pitch selected to pull an intercoupled suture member across the wall with a distal portion of the needle such that a deployed suture pattern is formed, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops substantially encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.

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Номер записи: 4
03-05-2012 дата публикации

Surgical tilt anvil assembly

Номер: US20120104073A1
Автор: Keith L. Milliman, Philip C. Roy, Thomas Wenchell
Принадлежит: TYCO HEALTHCARE GROUP LP

A surgical tilt anvil assembly including a rod and a head assembly including an anvil plate having staple deforming pockets. The head assembly is pivotally secured to the rod and pivotal in relation to the rod between a first tilted position, a non-tilted position and a second different tilted position. The head assembly passes from the first tilted position, through the non-tilted position to the second tilted position.

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Номер записи: 5
14-06-2012 дата публикации

Stitch lock for attaching two or more structures

Номер: US20120150223A1
Автор: Daniel Vennard, Jamie Manos, Kevin Henrichsen, William Miller
Принадлежит: Synthes USA LLC

An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member configured as a stitch lock that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect.

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Номер записи: 6
21-06-2012 дата публикации

Tissue puncture closure device

Номер: US20120158044A1
Автор: Jason P. Hill, Mark L. Jenson
Принадлежит: Boston Scientific Scimed Inc

The present disclosure relates generally to methods and devices for closing and/or sealing an opening in a vessel wall and/or an adjacent tissue tract. In one illustrative embodiment, a device is provided for delivering and deploying an anchor, plug, suture, and/or locking element adjacent to the opening in the vessel wall and/or tissue tract.

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Номер записи: 7
26-07-2012 дата публикации

Vascular wound closing apparatus and method

Номер: US20120191131A1
Автор: Charles Rex Teeslink, Griscom Bettle
Принадлежит: Wound Care 360 LLC

Wound closure apparatus is provided including a body having an elongated, lowermost force-transmitting surface operable to be placed in a proximal, external, wound-closing position on a patient, together with a force-exerting assembly coupled with the body and operable to exert a downwardly directed force serving to generate wound-closing pressure against the patient's tissue. The force-transmitting surface is preferably three-dimensionally asymmetric so that forces of different magnitude are exerted at different locations along the length of the surface. The apparatus is especially designed for the closure of wounds attendant to endovascular interventions, e.g., a femoral artery puncture wound incident to percutaneous cardiac intervention (PCI), and is capable of quickly effecting wound closure with a time-to-ambulation (TTA) of approximately 60 minutes, and with a very low complication rate.

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Номер записи: 8
09-08-2012 дата публикации

Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing

Номер: US20120203276A1
Автор: Donald E. ZINITI, Kevin J. Ranucci, Roger E. Darois
Принадлежит: CR Bard Inc

An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having first and second segments and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the suture segment. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.

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Номер записи: 9
16-08-2012 дата публикации

Vessel closure system

Номер: US20120209317A1
Автор: Randolf Von Oepen
Принадлежит: Abbott Cardiovascular Systems Inc

A power driven vessel closure device is configured for closing a hole in a wall of a body lumen. The vessel closure device can include a power operated drive system and a closure element delivery system. The closure element delivery system can be removably, operably, couplable with the power operated drive system. That is, the closure element system can be directly or indirectly attached to and removed from the power operated drive system, or components thereof. The operation of the power operated drive system can operate the closure element delivery system so as to move the closure element within the vessel closure device and deploy the closure element to close the hole.

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Номер записи: 10
13-09-2012 дата публикации

Surgical device and accessories

Номер: US20120232339A1
Автор: Laszlo Csiky
Принадлежит: Individual

The present invention relates to a device developed for surgical interventions comprising (i) an inner end ( 1 ) guidable/steerable to the operation field, (ii) an outer end ( 3 ) operated by the user and (iii) a middle part ( 2 ) which connects both ends ( 1, 3 ) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer ( 3 ) and the inner ( 1 ) ends, and said force transmission units, the outer and the inner ends and the middle part ( 2 ) are designed to transfer the movements of the outer end ( 3 ) to the inner end ( 1 ) in an identical measure, as if the inner end ( 1 ) were the straight continuation of the outer end ( 3 ).

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Номер записи: 11
04-10-2012 дата публикации

Apical puncture access and closure system

Номер: US20120253386A1
Автор: Ming Wu, Philip P. Corso, Jr., Ralph Schneider, Stanton J. Rowe
Принадлежит: Edwards Lifesciences Corp

A device, system, and method for providing access to, and sealing of, a body organ includes an implant device. An implant device has a main body having an internal access lumen, with a plurality of prongs extending from a distal end of the main body. The main body can include two lumens, one slidable within the other, to form a single continuous lumen with an adjustable length. The main body has an expanded configuration with an expanded diameter, and an unexpanded configuration with an unexpanded diameter. The prongs have a generally straight configuration where they extend distally of the distal end of the main body, and a bent configuration where the prongs bend around so that their tips extend proximally of the distal end of the main body. The device may include a hemostatic barrier to prevent fluid leakage therethrough when the main body is in the unexpanded configuration.

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Номер записи: 12
04-10-2012 дата публикации

Method and apparatus for the treatment of tissue

Номер: US20120253392A1
Автор: Bradley J. Wessman, Brian L. Dukart, Ishmael Bentley, Joseph C. Cauthen, III, Lawrence W. Wales, Matthew M. Burns, Rodney L. Houfburg
Принадлежит: Anulex Technologies Inc

This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.

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Номер записи: 13
16-05-2013 дата публикации

Large bore location device and methods

Номер: US20130123812A1
Автор: Zachary J. Tegels
Принадлежит: St Jude Medical Puerto Rico LLC

A vascular closure system includes a body portion, an anchor, at least one suture member, and a plurality of needles. The anchor assembly includes a hub and a wire assembly. The hub has at least one aperture defined in a sidewall thereof. The wire assembly includes an actuator member extending proximally through the body portion and hub, and at least one pre-formed wire having a free proximal end and a distal end that is connected to the actuator member. Withdrawing the actuator member extends the proximal end of the at least one pre-formed wire out of the at least one aperture to capture a portion of the vessel wall between the pre-formed wire and the body portion. The plurality of needles extend through the vessel wall adjacent to the vessel puncture and are configured to connect to the at least one suture member.

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Номер записи: 14
06-06-2013 дата публикации

Large bore closure device and methods

Номер: US20130144316A1
Автор: Ali Hassan, Bernhard Kaeferlein, Catherine A. Pipenhagen, James A. McCrea, Jason M. Halac, Martha Escobar, Troy T. White, Zachary J. Tegels, Zihan Lin
Принадлежит: St Jude Medical Puerto Rico LLC

A vascular closure system includes a body portion, an anchor, a suture carrying portion, and a plurality of needles. The body portion has a distal end surface. The anchor is positionable through a vessel puncture in a vessel wall of a vessel. The anchor defines a vessel contact surface, wherein withdrawal of the anchor captures a portion of the vessel wall between the vessel contact surface and the distal end surface. The suture carrying portion is positionable through the vessel puncture and carries at least one suture member. The plurality of needles extend through the portion of the vessel wall adjacent to the vessel puncture and are configured to connect to the at least one suture member. Withdrawal of the plurality of needles through the portion of the vessel wall positions the at least one suture member through the portion of the vessel wall.

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Номер записи: 15
25-07-2013 дата публикации

Suturing devices and methods

Номер: US20130190781A1
Автор: Aaron M. Fortson, Wouter E. Roorda
Принадлежит: Abbott Cardiovascular Systems Inc

A surgical device for suturing body lumen is described, as well as methods for suturing tissue employing the surgical device. The device can include a body having a shaft and a foot for insertion into an opening in a body lumen. The device can include tissue ports between configured to receive tissue surrounding the opening in the body lumen. The foot can include a suture secured to needle capture devices. The device can include needles that can be advanced through tissue and into the needle capture devices. The needle capture devices can then be withdrawn, thereby harvesting the suture, which can then be used to close the opening in the body lumen.

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Номер записи: 16
28-11-2013 дата публикации

Methods, devices and systems for approximation and fastening of soft tissue

Номер: US20130317543A1
Автор: Barry Hal Rabin, Peter S. HARRIS
Принадлежит: LONGEVITY SURGICAL Inc

Devices and tissue fasteners for approximating and fastening tissue using minimally invasive techniques are disclosed. Methods for approximating and fastening tissue by application of one or more tissue fasteners are also provided. In one embodiment, spaced apart tissue locations are engaged by tissue penetrating members of a deformable fastener, one of more of the engaged tissue locations is moved toward another engaged tissue location to approximate the spaced apart locations, and the deformable fastener is deployed to secure the approximated tissue locations. These methods may be used in laparoscopic plication gastroplasty procedures for forming an invaginated tissue fold, to close holes in the gastrointestinal lumen, and in a variety of interventional procedures.

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Номер записи: 17
05-12-2013 дата публикации

Systems, methods, and devices for closing holes in body lumens

Номер: US20130325058A1
Автор: Aaron M. Fortson, David J. Milazzo, Dawn Ma, Dinorah Merrill, Douglas H. Mehl, Rizza Garcia, Timothy C. Reynolds, Wouter E. Roorda
Принадлежит: Abbott Cardiovascular Systems Inc

A closure device for closing an opening in tissue is provided. The closure device includes an elongate member through which needles may be deployed. The closure device also includes a foot portion having one or more feet slidably mounted relative thereto. The feet are movable between a deployed position and a delivery position. The feet include cuffs removably mounted therein, with sutures connected between the cuffs. When the feet are in the deployed position and the needles are advanced, the needles securely engage the cuffs and draw the cuffs and suture through the lumen wall so that the opening in the lumen wall can be closed with the sutures.

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Номер записи: 18
10-04-2014 дата публикации

System and method for transapical access and closure

Номер: US20140100594A1
Автор: Alan E. Shluzas, Frank Litvack, Gary Steese-Bradley, John F. Shanley, Stephen H. Diaz
Принадлежит: ENTOURAGE MEDICAL TECHNOLOGIES Inc

Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.

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Номер записи: 19
07-01-2021 дата публикации

SUTURE-BASED CLOSURE WITH HEMOSTATIC TRACT PLUG

Номер: US20210000459A1
Автор: Fortson Aaron M.
Принадлежит:

Devices for closing a passage through tissue communicating with a body lumen. The device may include an elongate body, a sheath disposed at the distal end of the device for disposition within a body lumen, a hollow needle disposed within a needle lumen of the body, the needle being selectively advancable through the needle lumen, a suture-anchor ejection mandrel disposed within the hollow needle that is also selectively advancable through the hollow needle, a suture-anchor and suture disposed within the hollow needle, a distal end of the suture attached to the suture anchor for ejection out the hollow needle by the mandrel. A needle guide disposed between the sheath and proximal end of the body may include a needle port through which the needle can exit. A hemostatic plug is disposed over the needle port so as to be penetrated by the needle upon exiting the port. 1. A method of closing an opening in tissue , the method comprising:advancing a suture-anchor through the tissue;positioning a plug adjacent the opening, the suture-anchor being advanced through the plug prior to being advanced through the tissue; andsecuring the plug to the tissue.2. The method of claim 1 , further comprising advancing the suture-anchor through another tissue through which an access passage is formed.3. The method of claim 1 , wherein securing the plug comprises advancing a knot along a suture extending proximally from the suture-anchor.4. The method of claim 1 , advancing a hollow needle through the tissue claim 1 , the suture-anchor being advanced from the hollow needle.5. The method of claim 1 , wherein positioning the plug adjacent the opening comprises disposing the plug within an access passage claim 1 , the plug extending generally parallel to the access passage.6. The method of claim 5 , wherein positioning the plug adjacent the opening comprises transitioning the plug to extend generally transversely to a direction of elongation of the access passage.7. The method of claim 1 , ...

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Номер записи: 20
07-01-2016 дата публикации

Trocar and wound closure device

Номер: US20160000460A1
Автор: Hagay Weisbrod, Oded Elish
Принадлежит: Gordian Surgical Ltd

A trocar adapted for insertion through a fascia layer of an abdominal wall, comprising a proximal end configured for handling by a user; a distal end configured for insertion into tissue; and a shaft extending in between the proximal end and distal end, wherein the shaft comprises a narrow portion proximal to the distal end, the narrow portion defining at least one recess shaped and sized to receive fascia tissue, the recess ending, at a distal end, with a generally proximally facing surface of the shaft configured directly below the narrow portion, the proximally facing surface and the narrow portion shaped and sized to stabilize the trocar in the abdominal wall by the fascia. In some embodiments, a trocar and external cannula assembly are provided. In some embodiments, the trocar and/or trocar and external cannula assembly are configured for deployment of one or more anchors and/or sutures in the tissue.

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Номер записи: 21
20-01-2022 дата публикации

Systems and methods for minimally invasive delivery and in vivo creation of biomaterial structures

Номер: US20220015748A1
Автор: John Swoyer, Richard Farrell, Steven M. Gigl
Принадлежит: Nextern Innovation LLC

Apparatus and associated methods relate to closure of a stoma with a structure continuously formed in vivo. In an illustrative example, a stoma closure tool (SCT) may include a drive module, a phase transition inducement module (PTIM), and a conduit that defines a lumen. A distal end of the conduit may, for example, be inserted through a first tissue and into a second tissue that together at least partially define a stoma. A flow rate of a fluid biomaterial through the lumen and discharged at the distal end of the conduit may, for example, be controlled by the drive module. A fluid to solid phase transition in the biomaterial may, for example, be controllably induced by the PTIM. Various embodiments may, for example, advantageously form a continuous structure extending directly across the stoma between a proximal anchor in the first tissue and a distal anchor in the second tissue.

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Номер записи: 22
12-01-2017 дата публикации

FISTULA GRAFTS AND RELATED METHODS AND SYSTEMS USEFUL FOR TREATING GASTROINTESTINAL AND OTHER FISTULAE

Номер: US20170007223A1
Автор: Chen Steve, Obermiller F. Joseph
Принадлежит:

Described are medical graft products, systems, and methods useful for treating fistulae, particularly enterocutaneous fistulae. Certain products of the invention are configured to have portions residing in and around a primary fistula opening in a wall of the alimentary canal. One such product includes a biocompatible graft body which is configured to block at least the primary opening. The graft body includes a capping member connected to an elongate plug member. The capping member is configured to contact portions of the alimentary canal wall adjacent to the primary opening, and the elongate plug member is configured to extend into at least a portion of the fistula. A graft product of this sort may be particularly adapted to allow a portion of the capping member to be positioned alongside an exterior, lateral surface of the plug member, e.g., when placed in a delivery device lumen. Such a capping member may be hingedly or non-hingedly coupled to the elongate plug member. 1. A medical graft device useful for treating a fistula having at least a primary opening in a bodily structure wall and a fistula tract extending from the primary opening , the medical graft device comprising:a biocompatible graft body including a capping member and an elongate plug member, the elongate plug member extending from the capping member and configured to fill at least a portion of the fistula tract; anda retaining system for retaining the capping member in association with the plug member, the retaining system including a first retaining member and a second retaining member, the first retaining member configured for insertion through an aperture in the capping member and into a generally longitudinal, first passage in the plug member, the second retaining member configured for insertion into a generally lateral, second passage in the plug member, wherein the first retaining member and the second retaining member are configured to engage one another in the plug member for maintaining ...

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Номер записи: 23
12-01-2017 дата публикации

Method and apparatus for treating varicose veins

Номер: US20170007258A1
Автор: Arnold Miller, Avraham Rami Lore
Принадлежит: Amsel Medical Corporation

An apparatus for occluding a blood vessel includes an occluder configured so that at least a portion of the occluder may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the blood vessel, such that when the at least a portion of the occluder is in its diametrically-expanded configuration adjacent to the blood vessel, the occluder will cause occlusion of the blood vessel.

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Номер записи: 24
19-01-2017 дата публикации

Endoscopic Hemostasis Closure Device And Delivery System

Номер: US20170014126A1
Автор: BEAN Jeffrey V.
Принадлежит:

A device for inserting a medical apparatus into a living body includes a handle and an elongated sheath extending from the handle to a distal end configured for insertion to a target location in the living body in combination with a clasp positioned within a distal portion of the elongated sheath and configured to temporarily attach to an endoscopic device and a spring retention mechanism movable from a first resting configuration maintaining a first closed position of the clasp to a second compressed configuration moving the clasp to an open position. A withdrawal mechanism is movable from a first resting configuration in which the distal end of the elongated sheath extends distally over a distal end of the endoscopic device to a second retracted configuration in which the distal end of the elongated sheath is moved proximally of the distal end of the endoscopic device. 125-. (canceled)26. A tissue clipping system , comprising:an elongated sheath extending from a proximal end to a distal end configured for insertion to a target location in the living body;a tissue clip comprising first and second legs extending distally from a base portion, each of the first and second legs including first and second elongated portions coupled to one another via a first hinge to permit angling of the first and second elongated portions relative to one another; anda clasp positioned within a distal portion of the elongated sheath and configured to releasably grasp the base portion of the tissue clip, the clasp comprising first and second arms configured to be movable from a closed configuration to an open configuration.27. The system of claim 26 , wherein the first and second elongated portions are coupled to one another by a pivot joint permitting angling of each of the elongated portions at any angle.28. The system of claim 26 , wherein the tissue clip is biased toward an open configuration in which each of the first and second legs extends transverse to a longitudinal axis of the ...

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Номер записи: 25
28-01-2016 дата публикации

TISSUE AND VASCULAR CLOSURE DEVICES AND METHODS OF USE THEREOF

Номер: US20160022252A1
Автор: Walsh Brandon G., ZHANG Ji
Принадлежит:

Devices and methods for closing access points in tissue are described. The devices include a tubular element fabricated form, for example, biologic material, a biologic tubular structure, or synthetic material. Using minimally invasive procedures, the devices and methods described herein allow implantation of the tubular element through the access point or wound such that it traverses the tissue. The tube has a sealed end which prevents leakage of fluid from, for example, the heart or a vessel upon securing the tube to the tissue. 1. A vascular closure device comprisinga sealing tube, wherein said sealing tube comprises a first end at the distal end of the sealing tube which is open and a second end at the proximal end of the sealing tube which is closed,a sheath which encases at least a portion of the sealing tube,a pusher cable positioned within the flexible tube, wherein the distal end of the pusher cable comprises one or more counters,wherein the pusher cable is moveably associated with the sealing tube, andwherein the sealing tube is moveably associated with the sheath, andwherein the outer surface of a distal portion of the sealing tube comprises an adhesive element.2. The closure device of claim 1 , wherein the sealing tube is comprised of pericardial tissue.3. The closure device of claim 1 , wherein the adhesive element is selected from one or more barbs or one or more suction cups.4. The closure device of claim 1 , wherein the second end is closed by a knot in the flexible tube.5. A method of closing a puncture in a blood vessel comprising use of the closure device of claim 1 , and comprising the steps:advancing the tubular closure device in a distal direction to the puncture wound until the distal end of the device is located past the puncture wound:pushing a pusher cable in a distal direction until the plurality of pusher arms radially expand away from the longitudinal axis of the sealing tube;pushing the nose cone in a distal direction to uncover the ...

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Номер записи: 26
26-01-2017 дата публикации

Snared suture trimmer

Номер: US20170020509A1
Автор: Dawn Ma, Jim Swett, Maurice Marthaler, Mike S. Dana, Rob M. George, T. Daniel Gross
Принадлежит: ABBOTT LABORATORIES

A method for closing a tissue puncture, where the method includes tensioning a suture loop disposed within a vascular tissue of a patient, the suture loop having two free ends and a knot disposed on one of the free end. Those two free ends are disposed through a suture snare comprising a snare. Following detachment of the suture snare from the two free ends, the knot is advanced to close the suture loop and a cutting member is advance towards the knot and the two free ends are cut.

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Номер записи: 27
26-01-2017 дата публикации

SURGICAL STAPLER

Номер: US20170020517A1
Автор: Anthony Thomas Raymond, Coleman James, Cummins Christy, Martin Chris, Morris Sean
Принадлежит:

A surgical stapler including a hollow shaft and a tube slidable axially within the shaft between a forward position wherein one end of the tube projects beyond a free end of the shaft to enter a puncture site in a blood vessel and a rearward position wherein the end of the locator tube is retracted within the shaft. A surgical staple straddles the tube and is slidable thereon forwardly towards an anvil against which the staple may be deformed to staple together the opposite edges of the puncture site. A cam mechanism drives the staple forwardly along the tube into deforming engagement with the anvil and at the same time retracts the tube into the shaft in time to allow the legs of the staple to close onto the puncture site. 1. A tissue stapler , comprisingan elongated shaft having an inside dimension;an elongated member sized to fit within said inside dimension of said shaft;a staple adapted to fit within said shaft, said staple including a base portion disposed between two legs, a portion of said base portion being received in a complementary structure of the elongate member; andan actuator mechanism to move said elongate member relative to said shaft, said actuator mechanism adapted to move said elongate member relative to said staple.2. The tissue stapler of claim 1 , further comprising a staple former within said elongate shaft claim 1 , wherein said staple former causes said two legs to contract inward thereby deploying said staple into the tissue.3. The tissue stapler of claim 1 , wherein the complementary structure receives the portion to selectively retain the staple to the elongate member.4. The tissue stapler of claim 1 , wherein a distal end of the elongate member includes a sloping portion.5. The tissue stapler of claim 1 , wherein the legs are positioned on opposite sides of the elongate member in a predeploved configuration.6. The tissue stapler of claim 1 , wherein said staple is deformed by a staple former and a projection.7. The tissue stapler of ...

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Номер записи: 28
26-01-2017 дата публикации

NEEDLE REMOVAL DEVICES, SYSTEMS, AND METHODS

Номер: US20170020518A1
Автор: Davis Leah M., Fortson Aaron M., Henze Stephanie, Konawalik Kristopher M., Roorda Wouter E., Voss Laveille Kao
Принадлежит:

A needle removal device is provided for removing needles from suturing systems. In an embodiment, the needle removal device may include a base member configured to be selectively positioned substantially adjacent a proximal portion of a suturing system. The proximal portion of the suturing system may include a plurality of needle lumens. The needle removal device may also include a plurality of needle receptacles at least partially defined by the base member. The needle receptacles may be positioned and configured to generally correspond to the needle lumens of the suturing system. The needle receptacles may be further configured to selectively receive and grasp onto one or more needles extending proximally from the needle lumens of the suturing system. 1. A needle removal device comprising:a base member configured to be selectively positioned substantially adjacent a proximal portion of a suturing system;a plurality of needle receptacles at least partially defined by the base member, the plurality of needle receptacles being further configured to selectively receive and grasp onto one or more needles extending proximally from needle lumens of the suturing device; anda plurality of slots formed in a lateral surface of the base member and extending transversely from the lateral surface towards a longitudinal axis of the base member.2. The device of claim 1 , wherein each slot includes a locking edge configured to lock a needle extending from a needle lumen of the suturing device.3. The device of claim 1 , wherein each of the slots traverses at least a portion of each of the needle receptacles.4. The device of claim 1 , wherein the base member comprises a generally cylindrical body.5. The device of claim 1 , wherein a handle member is attached to an end of the base member claim 1 , the handle member being configured to provide a grip for a user.6. The device of claim 5 , wherein each of the handle member and the base member includes a central aperture claim 5 , the ...

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Номер записи: 29
26-01-2017 дата публикации

NEEDLE HARVESTING DEVICES, SYSTEMS, AND METHODS

Номер: US20170020519A1
Автор: Davis Leah M., Henze Stephanie, Konawalik Kristopher M., Roorda Wouter E., Voss Laveille Kao
Принадлежит:

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. 1. A needle removal device intended for use with a suturing device , the suturing device having one or more needle lumens , the needle removal device comprising:a first member having a first plurality of needle receptacles extending therethrough, the first needle receptacles being configured and positioned to correspond to one or more of the one or more needle lumens of the suturing device; anda second member having a second plurality of needle receptacles extending therethrough, wherein at least one of the first member or the second member is moveable between a first position, where the first needle receptacles and the second needle receptacles are substantially aligned, and a second position, where the first needle receptacles and the second needle receptacles are substantially unaligned.2. The device of claim 1 , wherein the first position is configured to allow one or more needles to be moveable within at least one of the first needle receptacles or the second needle receptacles claim 1 , and wherein the second position is configured to at ...

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Номер записи: 30
25-01-2018 дата публикации

FISTULA PLUG

Номер: US20180021028A1
Автор: Blanc Adi, Emerson Kaity Yu, Monckton Chase Paul
Принадлежит:

The present invention relates to a novel cap and plug device for occluding a fistula in a patient. This device has improved success rates over prior devices. 1. A device for occluding a fistula tract in a patient comprising:a) a plug body designed for insertion into the fistula tract; and a) a planar body portion attached to the plug body; and', 'b) an edge portion that is thicker than the planar body portion, the edge portion of a shape designed to conform to a suture placed through the planar body, wherein at least a portion of the suture wraps around the edge portion and is attached to the patient., 'b) a cap constructed of a medically acceptable material, attached to the plug body and designed to surgically attach the device to the patient, the cap comprising2. The device according to wherein a cross section of the edge portion is circular.3. The device according to wherein the medically acceptable material is selected from the group consisting of silicone claim 1 , poly(lactic-co-glycolic acid) claim 1 , and poly(dimethyl siloxane).4. The device according to which has a fiber reinforcement positioned in at least a portion of the device.5. The device according to wherein the fiber reinforcement is positioned in the planar body portion.6. The device according to wherein the fiber is constructed of a composition selected from the group consisting of poly(propylene) claim 4 , poly(amide) claim 4 , and poly(ester).7. The device according to wherein the cap is circular.8. A cap device for use in surgically attaching a medical device attached to the cap to a patient claim 1 , the cap comprising:c) a planar body portion attached to the plug body; andd) an edge portion that is thicker than the planar body portion, the edge portion of a shape designed to conform to a suture placed through the planar body, wherein at least a portion of the suture wraps around the edge portion.9. The device according to wherein a cross section of the edge portion is circular.10. The device ...

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Номер записи: 31
25-01-2018 дата публикации

LAPAROSCOPIC PORT SITE CLOSURE TOOL

Номер: US20180021029A1
Автор: Bennett, III Richard M.
Принадлежит:

A device is provided to assist in closing an incision through body tissue that comprises a tubular body sized for introduction through the incision and carrying a plurality of stabilizer elements at the distal end thereof. The stabilizer elements are configured to be deployed within the body cavity to engage the lowermost tissue layer. In one method, the device is pulled with the stabilizer elements deployed to retract the body tissue away from adjacent body structure. In another method, a plurality of needle tips carrying sutures are guided through the body tissue to a retention device at the ends of the stabilizer elements. With the needle tips captured in the retention devices, the device is withdrawn from the incision so that the sutures form ligatures that can be tied off to close the incision. 1. A device for assisting in closure of an incision in tissue layers of a patient , the device comprising:a cylindrical body defining a longitudinally extending side wall for introduction through the incision, the cylindrical body having a distal end portion, a proximal end portion, and a length between the distal end portion and the proximal end portion; andat least one wing element movably supported at the distal end portion, the at least one wing element being selectively movable between a retracted position to permit insertion of the cylindrical body through the incision, and a deployed position where the at least one wing element extends laterally away from the cylindrical body to permit contact with an interior surface of the tissue layers,wherein the cylindrical body defines at least one guide channel extending from the proximal end portion to the distal end portion for directing a needle carrying a suture to an opening defined by the at least one wing element such that at least a portion of the suture passes through the opening of the at least one wing element.2. The device of claim 1 , wherein the cylindrical body further defines a slot extending through the ...

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Номер записи: 32
10-02-2022 дата публикации

COLLAPSIBLE TUBE FOR HEMOSTASIS

Номер: US20220039781A1
Автор: LARZON Cecilia, LARZON Thomas
Принадлежит:

Collapsible tube embodiments may be used to promote hemostasis at surgical sites or any other suitable location. In some cases, vascular closure device embodiments may include collapsible tube embodiments in order to promote hemostasis at a surgical site during a vascular closure procedure. 1. A method of preventing blood leakage from a closure site of a passage in a tissue layer , comprising:disposing a distal end of a housing of a vascular closure device to a position adjacent the passage in the tissue layer;deploying a plurality of anchor deployers from a distal section of the housing in a distal and radially outward direction from the housing into the tissue layer in positions disposed about the passage in the tissue layer;penetrating the tissue layer with the plurality of anchor deployers of the vascular closure device and extending each of the plurality of anchor deployers distally through the tissue layer until a proximal end of a collapsible tube of each of the plurality of anchor deployers extends distally beyond a lower surface of the tissue layer;proximally retracting an anchor of each of the anchor deployers by proximally retracting a filament which is secured thereto;axially compressing the collapsible tube of each of the plurality of anchor deployers between the respective anchor and lower surface of the tissue layer by applying tension to the filament which is secured to the anchor and which is disposed within an inner lumen of the collapsible tube until the collapsible tube shortens in axial length and expands in an outward radial direction adjacent the passage; andapplying tension to the filaments from a distal section of the housing to reduce a distance between the anchors drawing the anchors and adjacent tissue of the tissue layer radially inward so as to reduce the size of the passage in the tissue layer.2. The method of further comprising proximally withdrawing deployment rods of each of the plurality of anchor deployers from respective anchors ...

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Номер записи: 33
22-01-2015 дата публикации

APPARATUS AND METHOD FOR SUTURING BODY LUMENS

Номер: US20150025551A1
Автор: Fortson Aaron M., Mehl Douglas H., Merrill Dinorah, Milazzo David J.
Принадлежит:

A medical apparatus that includes a distal member, a needle disposed in the distal member and proximally advanceable from the distal member, and a needle capture portion positioned proximal to the distal member and which includes a through-hole to direct the needle from the needle capture portion towards a graspable member at a trajectory narrower than a trajectory of the needle from the distal member to the needle capture portion. 1. A medical apparatus comprising:a distal member;a needle disposed in the distal member and proximally advanceable from the distal member; anda needle capture portion proximal the distal member, the needle capture portion including a through-hole to direct the needle from the needle capture portion towards a graspable member at a trajectory narrower than a trajectory of the needle from the distal member to the needle capture portion.2. The medical apparatus of claim 1 , further comprising an extension member disposed between the distal member and the needle capture portion claim 1 , the extension member having a length specific to a target opening depth.3. The medical apparatus of claim 2 , wherein the needle is disposed outside of an interior surface of the extension member at a distal end of the extension member adjacent the distal member.4. The medical apparatus of claim 2 , wherein the needle is disposed outside of an interior surface of the extension member at a location intermediate a distal end and a proximal end of the extension member.5. The medical apparatus of claim 1 , wherein one end of the through-hole has an arced formation.6. The medical apparatus of claim 5 , wherein the arced formation is a semi-circular formation.7. The medical apparatus of claim 1 , further comprising a guide tip disposed at a proximal end of the distal member claim 1 , the guide tip configured to direct the needle away from a longitudinal axis of the distal member.8. The medical apparatus of claim 1 , further comprising a pledget supported by the ...

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Номер записи: 34
23-01-2020 дата публикации

MEDICAL PROBE, ASSEMBLY AND METHOD

Номер: US20200022689A1
Автор: Bennett Stanley Martin James, Seedhom Bahaa Botros
Принадлежит: XIROS LIMITED

There is disclosed a medical probe for traversing a tract in the body of a human or animal. One medical probe is disclosed which comprises an elongate elastically deformable member comprising a helically wound element, and a sheath having an inner surface which contacts an outer surface of the elastically deformable member. The probe is elastically deformable, for traversing the tract, by virtue of the elastically deformable member. The probe may include a treatment element, which can be used to perform a procedure in the body of a patient. An assembly comprising a probe and a treatment element is also disclosed. The medical probe has a particular use in the treatment of a fistula, in which the probe takes the form of a fistula probe adapted to traverse a fistula tract. 1. A medical probe for traversing a tract in a body of a patient , the probe comprising:an elongate elastically deformable member comprising a helically wound element; anda sheath having an inner surface which contacts an outer surface of the elastically deformable member.2. A probe as claimed in claim 1 , in which the probe takes the form of a fistula probe adapted to traverse a fistula tract.3. A probe as claimed in either of or claim 1 , in which the elastically deformable member has a first claim 1 , rest configuration which the member adopts in the absence of an external load claim 1 , the member being substantially straight when in the rest configuration.4. A probe as claimed in claim 3 , in which the elastically deformable member is movable to a second configuration on application of an external load claim 3 , a restorative force of the elastically deformable member acting to urge the member to its rest configuration in the absence of the external load.5. A probe as claimed in any preceding claim claim 3 , in which the helically wound element is a spring having a plurality of coils claim 3 , the spring being arranged so that the coils are in abutment claim 3 , at least in a rest configuration ...

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Номер записи: 35
01-02-2018 дата публикации

APPARATUS AND METHODS FOR TISSUE CLOSURE

Номер: US20180028179A1
Автор: Bagaoisan Celso, Dreher James, PAI Suresh
Принадлежит:

Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. The resiliently flexible target material may be included as part of a removable mating component for use with a movable wing. Introducers can be used having a suture holder, an alignment indicator and insertion limits. 1. A device for use in suturing tissue , the device comprising:a proximal portion for being positioned on a first side of tissue and a distal portion for being positioned on a second side of tissue,wherein at least one of the proximal and distal portions of the device includes a first structure defining a first mating component, and a second mating component for the first mating component,wherein the second mating component includes first and second elements where the first and second elements have different characteristics, andwherein at least one of the first and second elements is configured to receive a suture.2. The device of claim 1 , wherein the first and second elements are different materials.3. The device of claim 1 , wherein the first and second elements have different hardnesses.4. The device of claim 1 , wherein the first element is a carrier and the second element is a suture receiving portion supported by the carrier.5. The device of claim 4 , wherein the suture receiving portion includes a receptacle configuration and the carrier has a configuration complementary to the receptacle configuration.6. The device of claim 5 , wherein the receptacle includes a cavity having an opening configuration complementary to a configuration of the carrier.7. The device of claim 5 , wherein the receptacle and the mating component have complementary keying ...

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Номер записи: 36
30-01-2020 дата публикации

LAPAROSCOPIC FASCIAL CLOSURE SYSTEM

Номер: US20200029947A1
Автор: Bagaoisan Celso, LABARBERA Brad, PAI Suresh
Принадлежит:

A tissue closure device to assist in retrieving a suture during a suturing procedure, the device including an elongated body having a proximal end, a distal end, and a lumen extending axially through the elongated body. The device further including an actuator rod at least partially extending through the lumen of the elongated body to actuate a plurality of wings and a plurality of shields attached to a distal end of the elongated body. The elongated body including at least one needle guide lumen with an opening an exit, the at least one needle guide lumen traversing the elongated body at an angle with respect to a central axis of the elongated body to guide a suture grasper to an enclosed suture retrieval cavity. 1. A tissue closure device comprising:a suture;an elongated body defining a central longitudinal axis and including a proximal end, a distal end, and at least one guide lumen with an opening and an exit, the at least one guide lumen traversing the elongated body at an angle with respect to the central longitudinal axis of the elongated body;at least one proximal pivot member pivotally connected to a distal portion of the elongated body;at least one distal pivot member pivotally connected to the at least one proximal pivot member; anda suture retrieval space defined between each of the at least one proximal pivot member and the at least one distal pivot member when the respective proximal and distal pivot members are extended away from the elongated body in a deployed position, the suture retrieval space receiving a portion of the suture,wherein the at least one proximal pivot member includes an opening to allow passage of a suture grasper into the suture retrieval space to engage the portion of the suture.2. The tissue closure device of claim 1 , wherein the opening is round or oval.3. The tissue closure device of claim 1 , wherein the at least one distal pivot member is connected to a corresponding one of the at least one proximal pivot member via a ...

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Номер записи: 37
05-02-2015 дата публикации

Devices, systems, and methods for providing surgical access and facilitating closure of surgical access openings

Номер: US20150038793A1
Автор: Christopher A. Tokarz, Danny R. Berry, Gregory F. Tebbe, Jaroslaw T. Malkowski, John D. Hendershot, Iii, Kenneth W. Horton, Scott J. Prior
Принадлежит: COVIDIEN LP

A surgical system includes a cannula and a guide member. The cannula is configured for positioning within an opening in tissue. The cannula includes a base and an elongated tubular member extending distally from the base. The elongated tubular member includes an annular wall defining a longitudinal passageway and defines at least one slot extending through the annular wall. The guide member includes a guide housing configured for releasably engaging the guide member with the cannula and an elongated guide shaft configured for insertion into the elongated tubular member of the cannula. The guide member defines at least one lumen extending therethrough and is configured such that, upon engagement of the guide member with the cannula, the at least one lumen is aligned with the at least one slot of the cannula to define a guide passageway through the guide member and cannula.

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Номер записи: 38
14-02-2019 дата публикации

Methods of repairing abdominal wall defects

Номер: US20190046171A1
Автор: Dian-Yu Lin
Принадлежит: Dian-Yu Lin

The present invention provides a method of repairing a defect in an abdominal wall of a subject, including the steps of: making a small incision through a skin layer above the defect in the abdominal wall, introducing a surgical device including a deformable body through the incision to reach a preperitoneum underlying the abdominal wall around the defect, using the surgical device to identify a protruded region of the preperitoneum extending towards the abdominal wall around the defect, and flattening the protruded region of the preperitoneum and separating the protruded region of the preperitoneum from the abdominal wall with the deformable body in an expanded condition. The method results in low recurrence of abdominal wall defect, less pain, and a shorter hospital stay after surgery.

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Номер записи: 39
14-02-2019 дата публикации

THREE SUTURE LARGE BORE CLOSURE DEVICE AND METHODS

Номер: US20190046179A1
Автор: Tegels Zachary J.
Принадлежит: St. Jude Medical Puerto Rico LLC

A vascular closure device includes an anchor, a suture carrying portion, and at least three needles. The anchor is positionable through a vessel puncture in a vessel wall and operable between expanded and retracted positions. The suture carrying portion is positioned distal of the anchor and configured to carry at least one suture. The needles are operable between an advanced position extending through the vessel wall adjacent to the vessel puncture to connect to the at least one suture, and a retracted position in which the needles position the at least one suture through the vessel wall. The needles and sutures are configurable to close large bore openings in the vessel wall. 1. A vascular closure device , comprising:at least three needles positionable external to a vessel puncture in a vessel wall;at least three sutures positionable within the vessel puncture and the vessel wall;a delivery device operable to advance the at least three needles through the vessel wall, to connect the at least three needles to the at least three sutures, and to withdraw the at least three needles and the at least three sutures through the vessel wall with the at least three sutures being parallel to each other.2. The vascular closure device of claim 1 , wherein the delivery device comprises a body portion claim 1 , an expandable anchor claim 1 , and a suture carrying portion claim 1 , the expandable anchor being movable between a retracted condition and an expanded condition claim 1 , the at least three needles being advanceable from the body portion through the vessel wall and connectable to the at least three sutures while the at least three sutures are carried by the suture carrying portion and while the expandable anchor is in the expanded condition.3. The vascular closure device of claim 1 , wherein the delivery device is operable to advance the at least three needles through the vessel wall with a line intersecting the at least three needles at an external surface of the ...

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Номер записи: 40
25-02-2016 дата публикации

SURGICAL CLOSURE SYSTEMS AND METHODS

Номер: US20160051239A1
Автор: Brett Gerard, Dunning Michael, Grant Peter, Martin Christopher, Regan Desmond John, Ryan Damien
Принадлежит:

A device for closing an opening in a tissue includes a closure body, a fastening element, and a capture strip coupleable to the closure body such that the capture strip is moveable from a first position to a second position relative to the closure body, the capture strip including a receptacle configured to receive the fastening element when the capture strip is in the first position such that movement of the capture strip from the first position to the second position causes the fastening element to urge the closure body toward the tissue. 160-. (canceled)61. A device for closing an arteriotomy , the device comprising:an intra-arterial foot component; andan extra-arterial bolster, the intra-arterial foot component is a tamponade for controlling bleeding during a delivery of the closure device,', 'the intra-arterial foot component comprises a central core and a flexible wing, and', 'the flexible wing forms a seal with a portion of the arteriotomy., 'wherein'}62. The device of claim 61 , wherein a diameter of the central core is less than a diameter of the arteriotomy.63. The device of claim 61 , wherein a diameter of the flexible wing is greater than a diameter of the arteriotomy.64. The device of claim 61 , wherein the intra-arterial foot component comprises a bioabsorbable material.65. The device of claim 64 , wherein the bioabsorbable material is selected from the group consisting of polyglycolic acid (PGA) claim 64 , polyglycolic/lactic acid (PGLA) claim 64 , polyurethane (PUR) claim 64 , polydioxanone (PDO) and any combination thereof.66. The device of claim 61 , wherein the intra-arterial foot component comprises a radiopaque material.67. The device of claim 66 , wherein the radiopaque material is selected from the group consisting of radiopaque metal alloy claim 66 , barium sulfate claim 66 , magnesium alloy claim 66 , and any combination thereof.68. The device of claim 61 , wherein the intra-arterial foot component is porous.69. The device of claim 61 , ...

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Номер записи: 41
13-02-2020 дата публикации

Surgical access device having a variable tissue approach angle

Номер: US20200046342A1
Автор: Christopher J. Hess, Craig T. GATES, Douglas E. Withers, Frederick E. Shelton, IV, Jerome R. Morgan, Ryan A. Bledsoe
Принадлежит: Ethicon LLC

Surgical access devices having wound closure features incorporated as part of the device are provided. The devices allow suture to be inserted directly into the device and operated to close an opening through which the device is disposed as or shortly after the device is removed from the surgical site. Further, the wound closure features allow for various orientations of wound closure to be achieved by adjusting an angle at which the suture enters tissue surrounding the opening to be closed. Some of the wound closure features provided for include openings formed in both the housing and cannula of the surgical access device, multiple openings formed in one or both the housing and cannula, locations of the openings being adjustable or otherwise movable, and various flexible seals. Other features, as well as methods of closing an opening through which the surgical access device was disposed, are also provided.

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Номер записи: 42
23-02-2017 дата публикации

CLOSURE DEVICES AND METHODS

Номер: US20170049426A1
Автор: Fortson Aaron M., Gianotti Marc G.
Принадлежит:

A method for closing a puncture in a vessel wall of a blood vessel that includes advancing a guide member into proximity with a puncture in a vessel wall, positioning a distal end of an angle adjustment member distal to openings of the guide member, deploying the needle guides from the guide member through the openings, advancing the deflected needle guides and the suture securing devices through the vessel wall, retracting the needle guides to release the suture securing devices distally of the vessel wall, and establishing tension in the sutures to move the suture securing devices toward each other to thereby close the puncture. 1. A method for closing a puncture in a vessel wall of a blood vessel , the method comprising:advancing a guide member into proximity with a puncture in a vessel wall, the guide member having a proximal end, a distal end, openings near the distal end, and a plurality of needle guides disposed within the guide member;positioning a distal end of an angle adjustment member distal to the openings of the guide member, the angle adjustment member being slidably coupled to the guide member;deploying the needle guides distally and radially away from the guide member through the openings, wherein each needle guide has a suture attached to a suture securing device;deflecting the needle guides with the angle adjustment member;advancing the deflected needle guides and the suture securing devices through the vessel wall;retracting the needle guides to release the suture securing devices distally of the vessel wall; andestablishing tension in the sutures to move the suture securing devices toward each other to thereby close the puncture.2. The method of claim 1 , wherein the needle guides are deployed distally and radially away from the guide member through the openings and advance through the vessel wall by moving an activation handle relative to the guide member.3. The method of claim 1 , further comprising advancing an anchor member through the guide ...

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Номер записи: 43
27-02-2020 дата публикации

SUTURING DEVICES AND METHODS

Номер: US20200060664A1
Автор: Fortson Aaron M., Roorda Wouter E.
Принадлежит:

A surgical device for suturing body lumen is described, as well as methods for suturing tissue employing the surgical device. The device can include a body having a shaft and a foot for insertion into an opening in a body lumen. The device can include tissue ports between configured to receive tissue surrounding the opening in the body lumen. The foot can include a suture secured to needle capture devices. The device can include needles that can be advanced through tissue and into the needle capture devices. The needle capture devices can then be withdrawn, thereby harvesting the suture, which can then be used to close the opening in the body lumen. 1. A method of closing an opening in tissue , the method comprising:advancing a suturing device through an opening in tissue, the suturing device comprising a proximal portion, a distal portion, and a plurality of needles;positioning an expandable portion associated with the distal portion against an inner surface of a wall of the tissue, the expandable portion preventing the distal portion being withdrawn proximally through the opening;compressing tissue between the proximal portion and the distal portion; andwithdrawing the plurality of needles proximally through the tissue compressed by the proximal portion and the distal portion and into the proximal portion.2. The method of claim 1 , wherein advancing the suturing device through the opening in tissue comprises advancing the suturing device through a tissue tract that is orientated at a 45-degree angle with respect to a longitudinal axis of a body lumen of the tissue.3. The method of claim 2 , further comprising advancing the suturing device along a guidewire placed through the opening.4. The method of claim 3 , further comprising retracting the guidewire from the opening following suturing the opening.5. The method of claim 1 , further comprising advancing the suturing device until blood flows through a position port to a position indicator.6. The method of claim 1 ...

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Номер записи: 44
11-03-2021 дата публикации

Expandable introducer sheath to preserve guidewire access

Номер: US20210069475A1
Автор: Arkady Kokish, Kelly J. McCrystle, Laveille Kao Voss
Принадлежит: ABBOTT LABORATORIES

An introducer sheath is described. The introducer sheath may include a tubular body. The tubular body may extend from a distal end toward a proximal end. The tubular body may include a lumen. The lumen may at least partially be defined by a wall. A channel may be disposed within the wall. The channel may be configured to receive a guidewire. The tubular body may include an expandable portion expandable to increase a cross-sectional area of the lumen.

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Номер записи: 45
17-03-2016 дата публикации

METHOD FOR PROVIDING SURGICAL ACCESS

Номер: US20160074027A1
Автор: SHANLEY John F.
Принадлежит: Entourage Medical Technologies, Inc.

One embodiment is directed to a method for advancing a needle into a tissue structure, comprising: advancing a distal end of a needle insertion assembly, the assembly comprising an insertion member coupled to a tissue interface indentor member and movably coupled to an elongate needle member, against a targeted tissue structure such that a distally protruding shape feature of the tissue interface indentor member engages one or more portions of the targeted tissue structure adjacent a distal tip of the elongate needle member at a position at which the elongate needle member distal tip is configured to be advanced through the insertion member and into the tissue structure, and locally changes an available angle of penetration between such portions and the distal tip of the elongate needle member; and inserting the elongate needle member relative to the insertion member and tissue interface indentor member. 1a. advancing a distal end of a needle insertion assembly, the assembly comprising an insertion member coupled to a tissue interface indentor member and movably coupled to an elongate needle member, against a targeted tissue structure such that a distally protruding shape feature of the tissue interface indentor member engages one or more portions of the targeted tissue structure adjacent a distal tip of the elongate needle member at a position at which the elongate needle member distal tip is configured to be advanced through the insertion member and into the tissue structure, and locally changes an available angle of penetration between such portions and the distal tip of the elongate needle member; andb. inserting the elongate needle member relative to the insertion member and tissue. A method for advancing a needle into a tissue structure, comprising: The present application is a continuation patent application of U.S. patent application Ser. No. 14/569,243, filed on Dec. 12, 2014, which is a continuation patent application of U.S. patent application Ser. No. 13 ...

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Номер записи: 46
17-03-2016 дата публикации

SYSTEM FOR PROVIDING SURGICAL ACCESS

Номер: US20160074031A1
Автор: SHANLEY John F.
Принадлежит: Entourage Medical Technologies, Inc.

One embodiment is directed to a system for advancing a needle into a tissue structure, comprising: an elongate needle member having a tapered distal tip; an insertion member having proximal and distal ends, the distal end being coupled to the elongate needle member, and the proximal end being configured to be manipulated by an operator; and a tissue interface indentor member coupled to the insertion member and operatively coupled to the elongate needle member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal tip of the elongate needle member and change an available angle of penetration between such portions and the distal tip of the elongate needle member as the distal tip is inserted into tissue structure. 1a. an elongate needle member having a tapered distal tip;b. an insertion member having proximal and distal ends, the distal end being coupled to the elongate needle member, and the proximal end being configured to be manipulated by an operator; andc. a tissue interface indentor member coupled to the insertion member and operatively coupled to the elongate needle member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal tip of the elongate needle member and change an available angle of penetration between such portions and the distal tip of the elongate needle member as the distal tip is inserted into tissue structure.. A system for advancing a needle into a tissue structure, comprising: The present application is a continuation of U.S. patent application Ser. No. 14/569,408, filed on Dec. 12, 2014, which is a continuation of U.S. patent application Ser. No. 13/214,109, filed on Aug. 19, 2011 and issued as U.S. Pat. No. 8,939,936 on Jan. 27, 2015, which claims the benefit under 35 U.S.C. §119 to U.S. provisional patent ...

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Номер записи: 47
16-03-2017 дата публикации

DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE

Номер: US20170071599A1
Автор: Malkowski Jaroslaw T.
Принадлежит:

A wound closure device includes outer and inner members. The inner member is configured for receipt of a suture passer and is pivotably coupled to the outer member. The inner member is pivotable relative to the outer member between a first position, wherein the inner member is coaxially disposed relative to the outer member, a second position, wherein the distal end of the inner member extends outwardly from the outer member in a first direction and the proximal end of the inner member extends outwardly from the outer member in a second, opposite direction, and a third position, wherein the distal end of the inner member extends outwardly from the outer member in the second direction and the proximal end of the inner member extends outwardly from the outer member in the first direction. 1. A wound closure device , comprising:an outer member defining a proximal portion and a distal portion; andan inner member defining a proximal portion and a distal portion, the inner member pivotably coupled to the outer member via a pivot at a location between the proximal portions and the distal portions of both the outer member and the inner member, the inner member defining a first lumen configured for receipt of a suture passer therethrough, the first lumen extending longitudinally between the proximal portion and the distal portion and offset from the pivot such that the pivot does not interfere with the first lumen,wherein the inner member is coaxially disposed within the outer member in a first position and angled relative to the outer member in a second position.2. The wound closure device according to claim 1 , wherein in the second position claim 1 , the inner member is angled relative to the outer member such that the distal portion of the inner member extends radially outwardly from the outer member in a first direction and such that the proximal portion of the inner member extends radially outwardly from the outer member in a second claim 1 , opposite direction.3. The ...

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Номер записи: 48
23-03-2017 дата публикации

Castle-key clip for securing closed diverticula

Номер: US20170079654A1
Автор: Sam Malanowski, Todd Dickson
Принадлежит: EMPIRE TECHNOLOGY DEVELOPMENT LLC, SPARK MEDTECH DEVELOPMENT LLC

Several embodiments disclosed herein relate to apparatus, methods, and systems for treating a diverticulum. In some examples, disclosed is a clip for treating diverticulum. The clip can include a plurality of petals, points, and keys. Each of petals can include a curved portion, a first arm, and a second arm. A portion of the first arm of each petal can be flexibly interconnected to a portion of the second arm of another petal. The points can be formed by an end of the first arm of one of the petals and an end of the second arm of another of the petals. The petals can form a circular configuration. The keys can be attached to the curved portion of each of the petals and each of the keys can interact with a delivery device for maintaining the clip on the delivery device.

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Номер записи: 49
31-03-2022 дата публикации

ACCESS CLOSURE WITH BLEED MONITORING

Номер: US20220096069A1
Автор: Bueche Kenneth M., Genereux Philippe, KIPPERMAN Robert M., SYED Zaffer
Принадлежит:

A blood vessel access closure device includes an inner blood vessel wall support member and an outer blood vessel wall support member. The closure device also includes a deployment member and an electrode. The deployment member is configured to draw the inner and outer blood vessel wall support members towards each other when the inner and outer blood vessel wall members are deployed on opposite sides of a blood vessel wall during closure of a hole in the blood vessel wall. The electrode is configured to be attached to the deployment member and configured to be used to measure impedance. 1. A blood vessel access closure device , comprising:an inner blood vessel wall support member;an outer blood vessel wall support member;a deployment member configured to draw the inner and outer blood vessel wall support members towards each other when the inner and outer blood vessel wall members are deployed on opposite sides of a blood vessel wall during closure of a hole in the blood vessel wall; anda first electrode configured to be attached to the deployment member and configured to be used to measure impedance, wherein the first electrode is bioabsorbable.2. The blood vessel access closure device of claim 1 , wherein the deployment member comprises a conductive suture wire attached to the first electrode.3. The blood vessel access closure device of claim 1 , further comprising an adhesive patch configured to be placed on a person's skin over a blood vessel access location claim 1 , the adhesive patch comprising a second electrode.4. The blood vessel access closure device of claim 3 , wherein the adhesive patch includes a circuit configured to transmit a wireless signal claim 3 , the wireless signal indicative of the impedance.5. The blood vessel access closure device of claim 1 , further comprising an adhesive patch configured to be placed on a person's skin over the blood vessel claim 1 , the adhesive patch comprising a plurality of electrodes.6. The blood vessel access ...

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Номер записи: 50
26-03-2015 дата публикации

METHODS, DEVICES AND SYSTEMS FOR APPROXIMATION AND FASTENING OF SOFT TISSUE

Номер: US20150088164A1
Автор: HARRIS Peter S., RABIN Barry Hal
Принадлежит:

Devices and tissue fasteners for approximating and fastening tissue using minimally invasive techniques are disclosed. Methods for approximating and fastening tissue by application of one or more tissue fasteners are also provided. In one embodiment, spaced apart tissue locations are engaged by tissue penetrating members of a deformable fastener, one of more of the engaged tissue locations is moved toward another engaged tissue location to approximate the spaced apart locations, and the deformable fastener is deployed to secure the approximated tissue locations. These methods may be used in laparoscopic plication gastroplasty procedures for forming an invaginated tissue fold, to close holes in the gastrointestinal lumen, and in a variety of interventional procedures. 1. A device for approximating and fastening tissue comprising: a longitudinal tube assembly holding at least one tissue fastener , a proximal handle assembly rotatable about the longitudinal tube assembly , a distal tool assembly actuatable from the handle assembly , and a mechanism for feeding and deploying a tissue fastener , wherein: the distal tool assembly comprises at least two flexible extendible members , each flexible extendible member has a tissue engagement mechanism located at a distal end , and each tissue engagement mechanism is capable of piercing and retracting tissue at a contacted tissue site; the extendible members are adjustable between a collapsed configuration in which the extendible members are positioned inside the longitudinal tube assembly and an expanded pre-shaped configuration in which the extendible members extend beyond and away from the distal tool assembly and each tissue engagement mechanism is positioned to contact and selectively retract a tissue site spaced-apart from another tissue site; a first operator-actuated control feature is provided on the handle assembly and is capable of reversibly moving the extendible members between the collapsed configuration and the ...

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Номер записи: 51
21-03-2019 дата публикации

SURGICAL PORT CLOSURE DEVICE

Номер: US20190083089A1
Автор: Chlysta Walter J.
Принадлежит:

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. 1. A method of suturing a surgical port comprising:providing a port closure device including first and second jaws carried by a longitudinal shaft and moveable between an open and a closed position;moving the first and second jaws to the open position, wherein a needle is selectively attached to the first jaw thereby positioning a mid-portion of the needle generally perpendicular to a longitudinal axis of the shaft;moving the jaws to the closed position to pass the needle through live tissue near a port formed in the live tissue, wherein the mid-portion of the needle is generally offset and generally parallel with the longitudinal axis when closed within the jaws;wherein both the first jaw and the second jaw are not parallel to the longitudinal axis in the closed position;transferring the needle from the first jaw to the second jaw; andmoving the jaws to the open position with the needle selectively attached to the second jaw.2. The method of claim 1 , further comprising:imparting movement to a portion of a handle of the port closure device;moving a control rod in the shaft in response to the imparted movement of the portion of the handle; androtating the second jaw about a transverse axis that is perpendicular to the longitudinal axis of the shaft in response to movement of the control rod, wherein the second jaw rotates towards a position approaching perpendicular relative to the longitudinal axis in the closed position.3. The method of claim 2 , further comprising:rotating the first ...

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Номер записи: 52
30-03-2017 дата публикации

VASCULAR CLOSURE DEVICE

Номер: US20170086804A1
Автор: HUMPHREY Joseph, Karlsson Daniel, LARZON Cecilia, LARZON Thomas, NYMAN Henrik, Whirley Robert G.
Принадлежит: M-V Arterica AB

The present disclosure relates to a vascular closure device adapted for use in closing a puncture in a blood vessel after e.g. a percutaneous interventional procedure. The disclosure also relates to a method for vascular closure using such a vascular closure device. 1. A vascular closure device for closing a passage through tissue proximate to a blood vessel , the vascular closure device comprising:an elongated housing having a proximal end and a distal end, the distal end adapted to be proximate the tissue;a first and a second engagement member releasably arranged with the elongated housing;a deployment member arranged with the elongated housing and adapted to deploy the first and the second engagement member at a distance from each other in engaged contact with said tissue, without engaging a wall portion of the blood vessel; anda retraction member arranged with the elongated housing and adapted to reduce the distance between the first and the second engagement member to close said passage.2. The vascular closure device according to claim 1 , wherein the first and the second engagement member are adapted to engage with said tissue at a predetermined distance from the distal end of the vascular closure device.3. The vascular closure device according to claim 1 , wherein the first and the second engagement member are adapted to mechanically capture the tissue.4. The vascular closure device according to claim 1 , wherein the first and the second engagement member are adapted to engage with a fascia membrane of said tissue.5. The vascular closure device according to claim 1 , further comprising an anvil member adapted to provide a reference point in relation to the blood vessel claim 1 , wherein the first and the second engagement member are adapted to engage with said tissue at a predetermined distance from anvil member.6. The vascular closure device according to claim 5 , wherein the anvil member is configured to provide an orientation in relation to the blood ...

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Номер записи: 53
30-03-2017 дата публикации

CLOSURE DEVICES, SYSTEMS, AND METHODS

Номер: US20170086805A1
Автор: Kaplan Jonathan I., Mackiewicz David A., Patron Anthony P., Pike Kelly A., Romero Gina L., Switky Andrew, Voss Laveille Kao
Принадлежит:

An anchor assembly configured to locate and anchor body tissue surrounding an opening in the body tissue. The anchor assembly can include a plurality of anchor elements. Each anchor element can include an elongate portion and an anchor portion extending from the elongate portion. The elongate portion can be configured to be manipulated by a user. The anchor portion can have a contracted configuration capable of passing through the opening in the body tissue and can have an expanded configuration capable of anchoring the body tissue surrounding the opening. The anchor portion and the elongate portion can be integrally formed from a single wire. 128-. (canceled)29. A method of closing an opening in a tissue wall having a proximal surface and an opposing distal surface , the method comprising:deploying an anchor assembly, the anchor assembly comprising one or more anchor elements having an anchor portion and an elongate portion, the anchor portion of each anchor element moving from an initial contracted configuration to a deployed expanded configuration upon deployment of the anchor assembly;positioning the anchor portion of each anchor element against the distal surface of the tissue wall proximate the opening;deploying a closure element to close the opening in the vessel wall, the anchor portions of the anchor elements remaining positioned against the distal surface of the tissue wall during deployment of the closure element; andretracting the anchor portions of the anchor elements.30. The method of claim 29 , wherein the anchor portions are withdrawn through the closure element during retraction of the anchor portions.31. The method of claim 29 , wherein the anchor portion of each anchor element moves from the deployed expanded configuration back to the initial contracted configuration during retraction of the anchor portions.32. The method of claim 29 , wherein the anchor portion comprises a first undulating section and a second undulating section claim 29 , the ...

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Номер записи: 54
30-03-2017 дата публикации

VASCULAR CLOSURE METHODS AND APPARATUSES

Номер: US20170086806A1
Автор: JR. Wilmer L., Sibbitt, Sibbitt Randy R.
Принадлежит:

A vascular closure device comprised of a sheath-delivered cincture or noose-like device or knot comprised of suture, wire, or other suitable materials, that is placed on the external surface of a puncture wound, and closed. The vascular closure cincture is delivered by a sheath, and after closing is left resident on the external surface of a tissue puncture wound. 125-. (canceled)26. A method of closing an opening in tissue , comprising:everting the edges of the opening; a delivery sheath;', 'a cincture element, removably mounted with the delivery sheath, defining an opening within the cincture element that has a first size when the cincture element is mounted with the delivery sheath, and can assume a second size, smaller than the first, when the cincture element is not mounted with the delivery sheath;, 'placing a device proximal the everted edges, the device comprisingremoving the cincture element from the delivery sheath such that the cincture element substantially surrounds the everted edges; andcausing the cincture element to assume the second size.27. The method of claim 26 , wherein the cincture element comprises an elongated flexible structure having a one-way fastener mounted therewith claim 26 , which fastener is operable from a second end of the delivery sheath claim 26 , and wherein removing the cincture element from the delivery sheath and causing the cincture element to assume the second size comprises operating the one-way fastener.28. The method of claim 27 , wherein the one-way fastener comprises a slipknot.29. The method of claim 26 , wherein a knot is associated with the cincture element.30. The method of claim 29 , further comprising a cylindrical member disposed within the sheath claim 29 , wherein causing the cincture element to assume the second size comprises withdrawing the cincture through the cylindrical member.31. The method of claim 30 , wherein withdrawing the cincture through the cylindrical member further comprises preventing passage ...

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Номер записи: 55
30-03-2017 дата публикации

VASCULAR CLOSURE DEVICE

Номер: US20170086807A1
Автор: HUMPHREY Joseph, Karlsson Daniel, LARZON Cecilia, LARZON Thomas, NYMAN Henrik, Whirley Robert G.
Принадлежит: M-V Arterica AB

The present disclosure relates to a vascular closure device adapted for use in closing a puncture in a blood vessel after e.g. a percutaneous interventional procedure. The disclosure also relates to a method for vascular closure using such a vascular closure device. 1. A vascular closure device for treating a passage in a blood vessel by closing a passage through tissue proximate to a blood vessel , the vascular closure device comprising:an elongated housing having a proximal end, a distal end, and a distal section;a plurality of engagement members which are each adapted to be secured to tissue upon deployment into tissue;a plurality of deployment members adapted to extend from the distal section of the elongated housing in a distal and radially outward direction, each of the deployment members being adapted to deploy at least one of the engagement members into the tissue proximate to the blood vessel such that the engagement members are secured to the tissue proximate to the blood vessel and disposed at a distance from each other in engaged contact with said tissue, without engaging a wall portion of the blood vessel;a plurality of elongate flexible tension elements, each tension element being secured to at least one engagement member; anda retraction member coupled in operative arrangement with the tension elements and adapted to apply axial tension to the tension elements and reduce the distance between the engagement members to a radially retracted state to close the passage in the tissue proximate to the blood vessel.2. The vascular closure device according to claim 1 , further comprising a locking member adapted to secure the tension elements relative to each other in the retracted state thereby creating a tissue lock.3. The vascular closure device according to claim 2 , wherein the locking member comprises a preloaded self-retracting coil with an interior passage which is disposed about the tension elements claim 2 , which is sized to allow free movement of ...

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Номер записи: 56
02-04-2015 дата публикации

VASCULATURE CLOSURE DEVICES AND METHODS

Номер: US20150094759A1
Автор: Ben-Yosef Alon, Penner Abraham, Wolinsky Lone
Принадлежит:

Vasculature closure devices, and systems and methods for their use, are provided. In one embodiment, the vasculature closure device includes an expandable support frame deployable within a vessel, a sealing membrane at least partially supported by the support frame, and a cross-member support extending across at least a portion of the sealing membrane. Upon expanding the support frame, the device is configured to intraluminally position the sealing membrane against a puncture site existing in a wall of the vessel. The cross-member support includes a flexible wire coupled to the sealing membrane at an intermediate portion of the flexible wire and configured to maintain the sealing membrane against the puncture site. 1. A vasculature closure device , comprising:an expandable support frame deployable within a vessel;a sealing membrane at least partially supported by the support frame; anda cross-member support extending across at least a portion of the sealing membrane;wherein, upon expanding the support frame, the device is configured to intraluminally position the sealing membrane against a puncture site existing in a wall of the vessel;wherein the cross-member support comprises a flexible wire configured to maintain the sealing membrane against the puncture site; andwherein the flexible wire comprises a first wire segment and a second wire segment defining an X-shape of the cross-member support and configured to distribute forces applied to the cross-member support.2. The vasculature closure device of claim 1 , wherein the flexible wire is attached to opposite sides of the support frame.3. The vasculature closure device of claim 1 , wherein the flexible wire is formed of a suture material.4. The vasculature closure device of claim 1 , wherein the flexible wire extends over the sealing membrane and is configured to be positioned between the sealing membrane and the wall of the vessel.5. The vasculature closure device of claim 1 , wherein the flexible wire extends ...

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Номер записи: 57
21-04-2016 дата публикации

Suture securing systems, devices and methods

Номер: US20160106402A1
Автор: Aaron M. Fortson, Douglas H. Mehl, Laveille Kao Voss, Rizza Garcia, Wouter E. Roorda
Принадлежит: Abbott Cardiovascular Systems Inc

A suture securing system is provided for use in closing a vessel puncture site while eliminating the need for sutures to be manually tied in knots. The system may include an elongate body comprising a shaft and a barrel slidably mounted on the shaft. A knot replacement element may include an outer surface and an inner lumen configured to receive suture lengths. The knot replacement element may be at least partially positioned within the distal end of the barrel adjacent to the distal portion of the shaft and may be configured to selectively fasten the suture lengths together over the vessel repair site. The system may also include a snare configured to draw the suture lengths through the knot replacement element and at least a portion of the elongate body. A trimmer member may be configured to selectively trim the suture lengths extending from the knot replacement element.

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Номер записи: 58
21-04-2016 дата публикации

Method and apparatus for treating varicose veins

Номер: US20160106438A1
Автор: Arnold Miller, Avraham Rami Lore
Принадлежит: Amsel Medical Corp

Apparatus for occluding a blood vessel, the apparatus comprising: an occluder, the occluder being configured so that at least a portion of the occluder may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the blood vessel, such that when said at least a portion of the occluder is in its diametrically-expanded configuration adjacent to the blood vessel, the occluder will cause occlusion of the blood vessel.

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Номер записи: 59
23-04-2015 дата публикации

Diverticulum treating device

Номер: US20150112129A1
Автор: Deniz Ozdil, Gregory James Roger, Phillip Marathakis
Принадлежит: EMPIRE TECHNOLOGY DEVELOPMENT LLC

A system for treating a diverticulum in a body lumen includes a tubular member including a lumen and an elongate member in an elongated state within the lumen of the tubular member. The elongate member is configured to form a coiled state when removed from the tubular member.

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Номер записи: 60
20-04-2017 дата публикации

Apparatus and method for fascial closure device for laparoscopic trocar port site and surgery

Номер: US20170105712A1
Автор: Albala David M., CASTRO Salvatore, Gilkey Landon, Patel Manoj B., Patel Neal, Zhao Philip
Принадлежит: ENDOLUTIONS, LLC

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. 123-. (canceled)24. A method of placing a suture and closing a tissue defect created by an endoscopic trocar port having an outer diameter , the method comprising a cannular housing comprising a proximal portion, a distal portion and a longitudinal axis,', 'an extension mechanism comprising a first receptor port, a second receptor port, and a distal suture passage extending from the first receptor port to the second receptor port,', 'a first stylet guide comprising a first suture path segment between a proximal end and a distal end of the first stylet guide, and', 'a second stylet guide comprising a second suture path segment between a proximal end and a distal end of the second stylet guide;, 'inserting a suture placement device into a trocar port, the suture placement device comprising'}moving the extension mechanism from a folded position to an extended position;removing the trocar port;deploying the first stylet guide from a retracted orientation to a deployed orientation where the distal end of the first stylet guide is extended to the first receptor port;deploying the second stylet guide from a retracted orientation to a deployed orientation where the distal end of the second ...

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Номер записи: 61
29-04-2021 дата публикации

DEVICE FOR SUTURING TISSUE TO CLOSE DEFECTS

Номер: US20210121173A1
Автор: Blevins Katherine Sherman, Chauhan Chirag Ambaram, de Ruijter Vivian Emmely, Kramer Eric Anthony
Принадлежит:

A suturing device is provided that includes a suture positioning assembly that is slidably attachable to a sheath, a housing of the assembly includes a nose, a primary suture with connectors, an end effector, and an end effector actuator, an intravascular tip with a blood contact indicator on the nose, a slide limiter, and a fascia receiving surface, the intravascular tip is configured for insertion into the artery when disposed beneath a fascial layer, the fascia receiving surface is configured for accepting a perimeter edge of a dilated hole of the fascial layer, the housing nose further includes an intermediary suture having intermediary suture connectors, the primary suture connecters are configured for connection to the intermediary suture connectors, the end effector actuator is disposed to operate the end effector to condition the facial layer hole in a position for suturing by the intermediary suture connected to the primary suture. 1) A suturing device , comprising a suture positioning assembly that is slidably attachable to an exterior of a sheath , wherein a housing of said suture positioning assembly comprises a housing nose , a primary suture having primary suture connectors , an end effector , and an end effector actuator , wherein a distal end of said housing nose comprises an intravascular tip , a slide limiter , and a fascia receiving surface , wherein said intravascular tip comprises a blood contact indicator to receive blood flow from an artery , wherein said intravascular tip is configured for insertion into said artery when disposed beneath a fascial layer , wherein said fascia receiving surface is configured for accepting a perimeter edge of a dilated hole of said fascial layer , wherein said housing nose further comprises an intermediary suture having intermediary suture connectors , wherein said primary suture connecters are configured for connection to said intermediary suture connectors , wherein said end effector actuator is disposed to ...

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Номер записи: 62
09-06-2022 дата публикации

Access Site Management System for Percutaneous Vascular Access

Номер: US20220175356A1
Автор: Agnihotri Aashiish
Принадлежит:

The disclosure provides a dynamic vascular access and closure device for radial cinching of an access site. The device includes a tensioning tube, a resilient member disposed within the tensioning tube, and a plurality of sutures extending axially between a distal end of the tensioning tube and a proximal end of the tensioning tube. A proximal end of each of the plurality of sutures can be configured to attach to the resilient member such that movement of that suture causes compression or extension of the resilient member within the tensioning tube to provide cinching to the sutures. 1. A dynamic vascular access and closure device for radial cinching comprising:a tensioning tube comprising a resilient member disposed within the tensioning tube; anda plurality of sutures extending axially between a distal end of the tensioning tube and a proximal end of the tensioning tube, wherein a proximal end of each of the plurality of sutures is configured to attach to the resilient member such that movement of the plurality of sutures causes compression or extension of the resilient member within the tensioning tube.2. The dynamic vascular access and closure device of claim 1 , wherein a distal end of each of the plurality of sutures is coupled to a vascular anchor and a proximal end of each of the plurality of sutures comprises a suture stop.3. The dynamic vascular access and closure device of claim 2 , further comprising:a suture lock; andwherein the plurality of sutures, the vascular anchors, and the suture lock comprise a body-absorbable material.4. The dynamic vascular access and closure device of claim 2 , wherein each of the vascular anchors comprises a nitinol anchor.5. The dynamic vascular access and closure device of claim 1 , wherein the tensioning tube comprises a resilient member stop.6. The dynamic vascular access and closure device of claim 5 , further comprising a force applicator disposed at a proximal end of the resilient member claim 5 , and wherein the ...

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Номер записи: 63
27-04-2017 дата публикации

LAPAROSCOPIC FASCIAL CLOSURE SYSTEM

Номер: US20170112481A1
Автор: Bagaoisan Celso, LABARBERA Brad, PAI Suresh
Принадлежит:

A tissue closure device to assist in retrieving a suture during a suturing procedure, the device including an elongated body having a proximal end, a distal end, and a lumen extending axially through the elongated body. The device further including an actuator rod at least partially extending through the lumen of the elongated body to actuate a plurality of wings and a plurality of shields attached to a distal end of the elongated body. The elongated body including at least one needle guide lumen with an opening an exit, the at least one needle guide lumen traversing the elongated body at an angle with respect to a central axis of the elongated body to guide a suture grasper to an enclosed suture retrieval cavity. 1. A tissue closure device , comprising:an elongated body defining a central longitudinal axis and including a proximal end, a distal end, and at least one needle guide lumen with an opening and an exit, the at least one needle guide lumen traversing the elongated body at an angle with respect to the central longitudinal axis of the elongated body,a plurality of wings pivotally connected to a distal portion of the elongated body; anda plurality of shields pivotally connected to the plurality of wings,wherein the plurality of wings each include an opening to allow passage into a suture retrieval space defined between one each of the plurality of wings and plurality of shields when said wings and shield are extended away from the elongated body in a deployed position.2. The tissue closure device of claim 1 , wherein the opening is a round or oval shape.3. The tissue closure device of claim 1 , wherein each of the plurality of shields is connected to a corresponding one of the plurality of wings via living hinges.4. The tissue closure device of claim 1 , wherein the plurality of shields and the plurality of wings are pivotally retractable to be parallel to the elongated body as the tissue closure device is moved from the deployed position to a collapsed ...

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Номер записи: 64
09-04-2020 дата публикации

Abdominal closure method and device variations

Номер: US20200107826A1
Автор: Daniel Jacobs, Gregory Lamps, Kourosh Kojouri
Принадлежит: Absolutions Med Inc

Abdominal closure reinforcement methods and tissue anchoring devices for reducing the rate of abdominal wall closure dehiscence are described. The tissue anchors avoid a permanent footprint of foreign material and precluding materials spanning the interior layer of the abdominal closure where risk to visceral structures exists.

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Номер записи: 65
05-05-2016 дата публикации

VASCULAR CLOSURE APPARATUS AND RELATED METHOD

Номер: US20160120526A1
Автор: Hassan Ali, Hundertmark Ronald, To Kevin
Принадлежит: ACCESS CLOSURE, INC.

A vascular closure device includes both a mechanical component and a biological component for sealing an arteriotomy. The mechanical component reduces the size or closes the arteriotomy. The biological component covers and fills any spaces or cracks present after the arteriotomy has been mechanically reduced in size. An exemplary embodiment includes a suture or clip to approximate the edges of the arteriotomy, and a smooth rounded plug is advanced along the suture towards the closed arteriotomy. In situ, the plug transforms to a flowable or gel state and fills and covers any cracks and spaces along the closed arteriotomy. 1. A surgical method for closing an open arteriotomy in a blood vessel , said method comprising:mechanically approximating a first lip of the arteriotomy to a second lip of the arteriotomy thereby forming a closed arteriotomy;advancing a sealant along a guide extending from the arteriotomy; andcovering the closed arteriotomy with a sealant.2. The method of wherein the step of mechanically approximating is carried out with a suture.3. The method of further comprising tying the suture.4. The method of further comprising dilating the arteriotomy5. The method of wherein the arteriotomy is dilated to at least 6 mm.6. The method of further comprising deploying the suture in the first tissue lip and the second tissue lip.7. The method of wherein the suture is deployed prior to the dilating step.8. The method of further comprising inserting a sheath into the arteriotomy.9. The method of further comprising carrying out a vascular treatment upstream of the arteriotomy.10. The method of further comprising removing the sheath.11. The method of further comprising lubricating a tissue tract leading to the arteriotomy.12. The method of wherein the lubricating is carried out by sliding the sealant along the tissue tract towards the closed arteriotomy.13. The method of wherein the step of covering comprises applying a plug in a first configuration to the closed ...

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Номер записи: 66
03-05-2018 дата публикации

Clips and applicator for tissue closure

Номер: US20180116669A1
Автор: Neil ROUNDY, Rachel Dreilinger
Принадлежит: Oregon Health Science University

Surgical clips and surgical applicators used in performing rapid tissue closure in either minimally invasive surgeries or traditional open procedures are provided. In one example approach, a surgical clip comprises opposing sides extending from a top portion and terminating at tips positioned below the top portion. The resting position of the clip is its closed position. Edges of the top portion and the opposing sides form opposing faces perpendicular to the opposing sides. The opposing faces are angled inwardly towards each other at a region of the faces adjacent to the top portion. Grooves are formed in each of the opposing sides. The grooves are configured to engage inwardly turned tracks of a clip applicator such that, when a force is applied to the clip, the opposing sides bend outwardly away from each other to place the clip in an intermediate open position.

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Номер записи: 67
07-05-2015 дата публикации

SUTURING DEVICES AND METHODS FOR SUTURING AN ANATOMIC STRUCTURE

Номер: US20150126815A1
Автор: Brosch Benjamin G., Cohn William Ettlinger, Haines Daniel W., Nobles Anthony A.
Принадлежит:

Suturing devices and systems used to close openings into a biological structure. The suturing device can comprise an elongate member having a proximal end, a distal end, one or more arms, and one or more needles. One or more sheaths may be used with the device to maintain or substantially maintain haemostasis while the device is used and while a procedure is performed in the biological structure. 1. A suturing system , comprising:a suturing device comprising an elongate body having a proximal end and a distal end;a plurality of arms near the distal end, wherein each arm is configured to move between a first position wherein the arm is retracted within the elongate body, and a second position wherein the arm has a free end extending away from the elongate body, each arm comprising at least one suture mount at the free end;a plurality of needles, each needle configured to move between a retracted position in which the needle is within the elongate body to a deployed position in which the distal point of the needle extends out of the elongate body and into a corresponding suture mount; anda first sheath adapted to surround at least a portion of the elongate body;a second sheath adapted to surround at least a portion of the first sheath;a plurality of suture portions, wherein each suture portion has a suture end releasably retained within a suture mount of a corresponding arm, each suture portion extending from a corresponding suture end, between the first sheath and the second sheath, to a position proximal to at least the second sheath.2. The suturing system of claim 1 , wherein the suturing device comprises four arms claim 1 , each arm having a suture mount configured to releasably retain a separate suture portion claim 1 , and four needles claim 1 , each needle associated with a corresponding arm.3. The suturing system of claim 1 , wherein the needles are configured to simultaneously move to the deployed position.4. The suturing system of claim 1 , wherein each ...

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Номер записи: 68
25-04-2019 дата публикации

Apparatus and methods for engaging tissue

Номер: US20190117205A1
Автор: Arkady Kokish
Принадлежит: ABBOTT LABORATORIES

A system includes a tissue engaging device and a delivery device that cooperates with the tissue engaging device. The tissue engaging device includes a distal tissue penetrating tip and two locking portions at a proximal end. The two locking portions move radially outwardly to transition the tissue engaging device from an unlocked configuration to a locked configuration. The delivery device includes a first elongate member being configured to selective extend distally past the two locking portions. A member, with a protruding portion disposed at a distal end of the delivery device, extends radially inwardly and is configured to selectively cooperate with the proximal end of the tissue engaging device to prevent rotational movement of the tissue engaging device relative to the delivery device.

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Номер записи: 69
12-05-2016 дата публикации

DEVICES AND METHODS FOR CLOSURE OF WOUNDS

Номер: US20160128681A1
Автор: Hsu Senzen, Hsu Thomas
Принадлежит:

The invention encompasses devices and methods used to provide wound closure based on rings positioned within the tissue layers of the wound opening (with the rings regionally separate the wound depth tissue layers into 2 compartments), followed by suture transport through the rings and full-thickness tissue layers of both compartments. Upon suture transport via synchronous or asynchronous manner and device removal, wound closure is achieved by tying the 2 ends of the suture without incorporating tissue above the level of the rings such as skin. When the device is applied to abdominal or chest wall wound opening, all tissue layers except the skin are incorporated in the suture closure of the wound. The closure process can be performed in a simple, reliable, and expeditious manner. 1. A device for closing a skin layer , a subcutaneous layer and a fascia layer of a trocar opening in the abdominal wall , the device comprising:an elongate member having a proximal end with a proximal end diameter and a distal end with a distal end decreasing diameter such that the distal end diameter is largest at the intersection with the proximal end, wherein the maximal distal end diameter is greater than the proximal end diameter;a first rod member attached substantially perpendicularly to a first wing member to form a first elbow, the first elbow pivotally attached to a first side of the elongate member at the proximal end, the first wing having a lumen;a second rod member attached substantially perpendicularly to a second wing member to form a second elbow, the second elbow pivotally attached to a second side of the elongate member at the proximal end, the second wing having a lumen; andwherein the device is configured such that when the first and second rod members are in a position substantially perpendicular to the elongate member, the first and second wing members are substantially parallel to the elongate member at the proximal end, and when the first and second rod members are ...

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Номер записи: 70
01-09-2022 дата публикации

AORTIC CLOSURE SYSTEM AND RELATED METHODS

Номер: US20220273276A1
Автор: Arnold Donald Richard, Grintz Joseph Todd, Jouin Francois, Maor Nathaniel Haim, Walters Greg A.
Принадлежит: Teleflex Life Sciences Limited

An aortic closure device for trans-caval procedures having a deployment assembly having a housing, a release tube, and a delivery tube disposed within the release tube, a tamper disposed within the delivery tube, a sealing element, a suture assembly, and an actuator. 1. An aortic closure device , comprising:a deployment assembly configured to be inserted in a puncture in an aorta;a tamper carried by the deployment assembly, the tamper having a tamper channel that extends therethrough;a sealing element captured by the deployment assembly;a suture assembly that extends through the tamper channel such that tamper is movable along the suture assembly, the suture assembly being releasably coupled to the sealing element; andan actuator coupled to the release tube, the delivery tube, and the tamper tube, the actuator having a) a first actuation phase that causes the deployment assembly to release the sealing element therefrom while remaining coupled to the suture assembly, b) a second actuation phase that causes the tamper to move in the distal direction toward contact with the sealing element, and c) a third actuation phase that causes the tamper to move in a proximal direction that is opposite the distal direction to release the suture assembly from the sealing element.2. The aortic closure device of claim 1 , wherein the deployment assembly includes a release component that is elongate along a longitudinal direction claim 1 , and a delivery component that is movable relative to the release component along the longitudinal direction claim 1 , wherein the sealing element is captured by at least one of the release component and the delivery component.3. The aortic closure device of claim 2 , wherein the first actuation phase causes at least one of the release component and the delivery component to move in a distal direction that is aligned with the longitudinal direction to release the sealing element from the at least one of the release component and the delivery ...

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Номер записи: 71
31-07-2014 дата публикации

Percutaneous hernia repair

Номер: US20140214079A1
Автор: Eugene G. Chen, Richard C. Ewers
Принадлежит: Individual

Methods for percutaneous hernia repair may include inserting a needle end of an anchor tool through a first tissue edge on a first side of a hernia defect opening. A first anchor is deployed with a first suture attached to the first anchor and running back through or along the anchor tool and outside of the patient's body. The needle end of the anchor tool is withdrawn from the first tissue edge. The first suture is separated from the anchor tool. The needle end of an anchor tool is inserted through a second tissue edge and a second anchor is deployed, with a second suture attached to the second anchor and running back through or along the anchor tool and outside of the patient's body. The sutures are tensioned and cinched or knotted.

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Номер записи: 72
19-05-2016 дата публикации

MEDICAL DEVICE FOR WOUND CLOSURE AND METHOD OF USE

Номер: US20160135797A1
Автор: BENNETT STEVEN L., Sargeant Timothy, Stopek Joshua
Принадлежит:

A wound closure device for repairing perforations and tissue wall defects is disclosed herein. The wound closure device has a barbed elongate body and a plug member. The wound closure device may further include a foam structure. The wound closure device may also include an inner member which may be a tissue scaffold. A method for closing tissue is also disclosed. 120.-. (canceled)21. A wound closure device comprising:an elongate body including a proximal end and a distal end, and having a plurality of barbs extending from a surface thereof; anda plug member including a proximal portion having a tissue facing surface and a distal portion, the plug member molded around the distal end of the elongate body such that the plug member is disposed at a distal-most end of the wound closure device and the elongate body extends proximally through the tissue facing surface of the plug member.22. The wound closure device according to claim 21 , wherein the plug member has a first claim 21 , compressed shape for delivery claim 21 , and a second claim 21 , expanded shape for placement.23. The wound closure device according to claim 21 , wherein the plug member comprises a mesh.24. The wound closure device according to claim 23 , wherein the mesh is formed from a non-biodegradable material.25. The wound closure device according to claim 23 , wherein the mesh is positioned adjacent the tissue facing surface of the plug member.26. The wound closure device according to claim 21 , further comprising a mesh layered on a surface of the plug member claim 21 , wherein the plug member is formed from a biodegradable material and the mesh is formed from a non-biodegradable material.27. The wound closure device according to claim 21 , wherein the elongate body claim 21 , the plug member claim 21 , or both claim 21 , comprise at least one free reactive group for binding to tissue.28. The wound closure device according to claim 27 , wherein the at least one free reactive group comprises an ...

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Номер записи: 73
19-05-2016 дата публикации

APPARATUS AND METHOD FOR TISSUE ADHESION

Номер: US20160135969A1
Автор: Anderson Steven Craig
Принадлежит:

An array of a plurality of shape memory material microposts have a proximal end configured to be secured to a substrate with a tissue penetrating distal end. The microposts further have a deployment state with the microposts in a substantially straightened configuration with a substantially smooth and continuous outer surface which is substantially parallel to adjacent microposts and an engaged state wherein at least a section of the microposts assume a configuration that is not substantially parallel to adjacent microposts or is not substantially straight with a substantially smooth and continuous outer surface so as to mechanically capture tissue adjacent thereto 1. A tissue adhesion device , comprising:a substrate having a contact surface;an array of microposts extending from the surface of the substrate, said microposts fabricated from a shape memory material and having a proximal end secured to the substrate, and having a sharpened penetrating distal end, each micropost having a deployment state with the microposts in a substantially straightened configuration extending substantially perpendicular from the substrate and substantially parallel to adjacent microposts during penetration of tissue, and an engaged state activated through shape memory transition after penetration wherein a portion of each micropost distal section assumes a bulged shape thereby capturing tissue between a bulged distal section and a proximal section of each respective micropost.2. The tissue adhesion device as defined in wherein the shape memory material is selected from the set of shape memory polymers and shape memory alloys.3. The tissue adhesion device as defined in wherein the shape memory material is a polymer selected from the set of polyurethane claim 2 , polystyrene claim 2 , polynorbornene or hydrogels.4. The tissue adhesion device as defined in wherein the shape memory material is Nickel Titanium.5. A tissue adhesion system claim 2 , comprising;an elastically expandable ...

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Номер записи: 74
17-05-2018 дата публикации

CLOSING OPENINGS IN ANATOMICAL TISSUE

Номер: US20180132836A1
Автор: LICHTENSTEIN Samuel
Принадлежит:

A device for closing at least one opening leading to an anatomical cavity is delivered via a catheter positioned in a first opening leading to the anatomical cavity. An orientation control unit is positioned within the anatomical cavity. The orientation control unit defines an orientation of a portion of a tissue surface within the anatomical cavity that is skewed with respect to the first opening and orients a closure member of the device with the tissue surface. An occluding member and a constricting unit of the device are positioned within the anatomical cavity with the occluding member blocking a portion of an opening that is constricted by the constricting unit. An intermediate member of the device is positioned within the anatomical cavity and a closure unit employing at least one piercing element pierces through the intermediate member into a tissue wall surrounding the anatomical cavity. 1. (canceled)2. A medical system configured to close one or more openings , each of the one or more openings leading to an anatomical cavity , at least a portion of the medical system sized in at least one configuration to be deliverable through a first opening of the one or more openings into the anatomical cavity , and the at least the portion of the medical system comprising:an elongated member, a portion of the elongated member sized to be deliverable through the first opening into the anatomical cavity;a closure unit releasably coupled to the elongated member and arranged to be delivered into the anatomical cavity to a location at least proximate an interior tissue surface within the anatomical cavity, the closure unit further arranged to close an opening of the one or more openings located on the interior tissue surface within the anatomical cavity; andan intermediate member releasably coupled to the elongated member and arranged to be delivered into the anatomical cavity to a location between at least part of the closure unit and the interior tissue surface within the ...

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Номер записи: 75
18-05-2017 дата публикации

INSERTION TOOL FOR A MEDICAL CLOSURE DEVICE

Номер: US20170135681A1
Автор: Akerfeldt Dan
Принадлежит: ST.JUDE MEDICAL COORDINATION CENTER BVBA

Insertion tool for a medical closure device for the sealing of an opening in a wall of a bodily organ, comprising a tamping force source adapted to deliver a first member to a position at the opening on one side of the wall subsequently to a second member being positioned at the opening on the opposite side of the wall. The tamping force source, which is energized prior to the tamping procedure, can be a spring, an elastic band or a pressurized gas container. A tamping spring can be compressed or extended upon loading. The tamping force source can be released in response to a manual operation or be triggered by retraction of the insertion tool. 1. An insertion tool for a medical device for closure of an opening in a wall of a bodily organ , the medical device comprising a first member and a second member connected by a filament , the insertion tool comprising:a first housing;a tamping tube having a proximal end that is located in the first housing, and a distal end that is located outside the first housing, the tamping tube being configured to allow the filament to be threaded therethrough;a tamping trigger that is attached to the first housing, the tamping trigger being configured to releasably hold the tamping tube, and being configured to be actuated by a user;a spring located in the first housing;wherein the insertion tool is configured such that, (i) prior to actuation of the tamping trigger by the user, the tamping tube is held by the tamping trigger, and the spring is energized and applies an application force to the tamping tube, and (ii) upon actuation of the tamping trigger by the user, the tamping trigger releases the tamping tube and the spring advances the tamping tube in the distal direction relative to the first housing, such that the distal end of the tamping tube can bring together the first and second members of the medical device.2. The insertion tool of claim 1 , further comprising a second housing claim 1 , wherein the distal end of the tamping ...

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Номер записи: 76
18-05-2017 дата публикации

SYSTEMS AND METHODS FOR HELICALLY ADVANCING SUTURE IN TISSUE

Номер: US20170135692A1
Автор: Belson Amir, Clauson Luke, Schaller Michael
Принадлежит: VasoStitch, Inc.

Systems and methods for providing transapical access to a heart chamber for performing an intra cardiac procedure are described. The systems include a helical needle driver and a dilator. The helical needle driver rotates and translates a shuttle member which advances one or more helical needles to place a helical suture within the myocardium. After removing the needles, the dilator is advanced through the pre-placed helical suture, dilating both a passage and the circumscribing suture. After performing procedure, the pre-placed suture may be closed by proximally retracting an external end of the suture. 1. A system for helically advancing suture through tissue , said system comprising:a handle having a distal end, a proximal end, and a central passage extending between said ends;a knob rotatably carried on the proximal end of the handle;a shuttle member reciprocatably disposed in the central passage of the handle, said shuttle member having a distal end, a proximal end, and a central passage extending between said ends;at least one helical needle coupled to the distal end of the shuttle member; andsuture releasably carried by the at least one helical needle;wherein the knob is coupled to the shuttle member so that the rotation of the knob rotates and axially translates the shuttle member to rotate and translate the at least one helical needle, wherein the knob does not axially translate as it is rotated.2. A system for helically advancing suture through tissue as in claim 1 , further comprising a needle-dilator assembly adapted to be received through a central passage in the shuttle member.3. A system for helically advancing suture through tissue as in claim 2 , wherein the distal end of the handle is adapted to be engage a pericardial or myocardial surface of a patient's heart.4. A system for helically advancing suture through tissue as in claim 2 , wherein the handle is adapted to access the pericardial or myocardial surface of an apical region of the heart ...

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Номер записи: 77
30-04-2020 дата публикации

SELF-EXPANDING HEMOSTATIC DEVICES AND METHODS FOR FASCIA AND VESSEL PASSAGES

Номер: US20200129164A1
Автор: LARZON Cecilia, LARZON Thomas
Принадлежит:

Self-expanding plug embodiments may be used in conjunction with vascular closure device embodiments to promote hemostasis at surgical sites or any other suitable location. In some cases, vascular closure device embodiments may include self-expanding plug embodiments in order to promote hemostasis at a surgical site during a vascular closure procedure. 1. A vascular closure device , comprising:an outer housing having an elongate configuration with an axial length greater than a transverse dimension thereof, a proximal end, a distal end, an inner lumen extending from the proximal end to the distal end, and a distal section; a deployment rod which is slidably disposed relative to the outer housing and which includes an elongate resilient configuration and a distal end that extends from the distal section of the outer housing,', 'an anchor which is removably secured to the distal end of the deployment rod and which is configured to penetrate tissue in a distal direction, and', 'a filament which is slidably disposed within the housing and which includes a distal end which is secured to the anchor,, 'a plurality of anchor deployers which are slidably disposed within the outer housing adjacent each other at the distal section of the outer housing and which are configured to extend and spread from the distal section of the outer housing, each anchor deployer comprisinga tissue grip which is deployable from the distal end of the outer housing; an elongate shaft having an axial length greater than a transverse dimension thereof, a proximal end, a distal end and a distal section that is axially slidable within the inner lumen of the outer housing,', 'a self-expanding plug disposed on the distal section of the elongate shaft proximal of the distal end of the elongate shaft, the self-expanding plug comprising an outer profile that is configured to self-expand from a compressed state sized to fit within the inner lumen of the outer housing to an expanded state with an outer ...

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Номер записи: 78
07-08-2014 дата публикации

SUTURING DEVICE WITH SPLIT ARM AND METHOD OF SUTURING TISSUE

Номер: US20140222032A1
Автор: Stafford Joshua
Принадлежит: ABBOTT LABORATORIES

A device for suturing an opening in a tissue, having an elongated shaft, at least two arms movable to a deployed positioning which the arms are non-perpendicular to the shaft, the arms having needle receiving portions; and needles advanceable longitudinally along the shaft toward the needle receiving portions, the needles exiting through side walls of the shaft at a location proximal to the arms. 1. An apparatus for suturing a puncture in a blood vessel , comprising:an elongated body;a first arm movably connected to the elongated body, the first arm being selectively movable between a retracted position and an extended position, the first arm being positioned in a generally anterior direction relative to the elongated body in the extended position;a second arm movably connected to the elongated body, the second arm being selectively movable between a retracted position and an extended position, the second arm being positioned in a generally posterior direction relative to the elongated body in the extended position;at least one needle being selectively extendable from the elongated body to engage at least one needle receiving portion in at least one of the first arm and the second arm.2. The device of claim 1 , wherein the arms are independently deployable.3. The device of claim 1 , further comprising: a first deployment linkage connected to the first arm; and a second deployment linkage connected to the second arm.4. The device of claim 3 , wherein each deployment linkage comprises a member that is pulled proximally to deploy one of the arms claim 3 , and is pushed distally to move the arm to the compact position.5. The device of claim 3 , wherein each deployment linkage comprises a wire.6. The device of claim 1 , further comprising: a pivot stop on the distal end of the elongated shaft claim 1 , wherein the pivot stop limits rotation of the arms when they reach the deployed position.7. The device of claim 6 , wherein the at least two arms comprise an anterior arm ...

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Номер записи: 79
07-08-2014 дата публикации

Closure device and methods for making and using them

Номер: US20140222069A1
Автор: Javier Sagastegui, Michael T. Carley, Richard S. Ginn, Ronald J. Jabba, Steven N. Roe, W. Martin Belef, William N. Aldrich
Принадлежит: Integrated Vascular Systems Inc

A method that includes locating an opening in tissue by advancing a member through the opening in tissue and following locating the opening, deploying a medical device to aid with sealing the opening. The medical device includes a plurality of strut members forming a plurality of generally diamond-shaped openings, the plurality of strut member being configured to form an annular shaped structure with the generally diamond-shaped openings extending generally longitudinally relative to a longitudinal axis of the medical device. The medical device further includes a plurality of tissue engaging portions associated with the plurality of struts, each tissue engaging portion being disposed between adjacently positioned generally diamond-shaped openings.

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Номер записи: 80
24-05-2018 дата публикации

EXPANDABLE INTRODUCER SHEATH TO PRESERVE GUIDEWIRE ACCESS

Номер: US20180140801A1
Автор: Kokish Arkady, McCrystle Kelly J., Voss Laveille Kao
Принадлежит:

An introducer sheath is described. The introducer sheath may include a tubular body. The tubular body may extend from a distal end toward a proximal end. The tubular body may include a lumen. The lumen may at least partially be defined by a wall. A channel may be disposed within the wall. The channel may be configured to receive a guidewire. The tubular body may include an expandable portion expandable to increase a cross-sectional area of the lumen. 1. An introducer sheath comprising: a lumen defined at least partially by a wall;', 'a secondary channel being disposed within the wall and configured to receive a guidewire; and', 'at least one deformable expandable portion configured to increase a cross-sectional area of the tubular body., 'a tubular body extending from a distal end toward a proximal end, the tubular body comprising2. The introducer sheath of claim 1 , wherein at least one deformable expandable portion is located between the lumen and the secondary channel.3. The introducer sheath of claim 2 , wherein the deformable expandable portion splits when the deformable expandable portion expands beyond a predetermined diameter and/or a predetermined expansion distance.4. The introducer sheath of claim 1 , wherein a portion of the tubular body splits when expanded beyond a predetermined diameter and/or a predetermined expansion distance.5. The introducer sheath of claim 2 , wherein the tubular body further comprises o a geometric pattern formed on at least a portion of an inner wall of the tubular body to facilitate splitting a portion of the tubular body.6. The introducer sheath of claim 5 , wherein the geometric pattern comprises at least one of:a groove that facilitates splitting of at least a portion of the tubular body;a groove that facilitates splitting of at least the deformable expandable portion;a separation line to facilitate splitting of at least a portion of the tubular body;a separation line to facilitate splitting of at least the deformable ...

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Номер записи: 81
25-05-2017 дата публикации

Systems for Sealing a Tissue Wall Puncture

Номер: US20170143320A1
Автор: Fitzgerald Peter J., Greene James L., Jimenez Jorge H.
Принадлежит:

Embodiments of the invention provide systems, apparatus, device and methods for sealing a puncture in a tissue wall. According to one aspect, the system includes at least one supporting element for insertion into or placement on at least a portion of a tissue wall proximate a puncture to prevent expansion of the puncture; and a closing element adapted for at least partial insertion into the tissue wall and shaped to compress at least a portion of a tissue wall in an inward direction to close the tissue puncture when inserted at least partially into the tissue wall. 1. A system for closing tissue , comprising:at least one supporting element adapted for insertion into or placement on at least a portion of a tissue wall proximate a puncture to prevent expansion of the puncture; anda closing element adapted for at least partial insertion into the tissue wall and sized and shaped to compress at least a portion of the tissue wall in an inward direction to close the puncture when inserted at least partially into the tissue wall.2. The system of claim 1 , wherein the at least one supporting element is sized and shaped to compress at least a portion of the tissue wall in an inward direction.3. The system of claim 1 , wherein the closing element comprises at least one of a coiled element claim 1 , a pinned element claim 1 , or a compressive band.4. The system of claim 1 , wherein the at least one supporting element comprises at least one of a coil claim 1 , a pin claim 1 , a suture claim 1 , an adhesive member claim 1 , a mesh member claim 1 , a clip claim 1 , a compressive band claim 1 , a bandage claim 1 , a flange claim 1 , or a suction member.5. The system of claim 1 , wherein the supporting element comprises an outer coil adapted for insertion through at least a portion of the tissue wall and at least partially surrounding the puncture claim 1 , and the closing element comprises an inner coil having a proximal end and a distal end and defining a length therebetween claim ...

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Номер записи: 82
02-06-2016 дата публикации

Closure devices, systems, and methods

Номер: US20160151057A1
Автор: Laveille K. Voss
Принадлежит: Abbott Vascular Inc

The present disclosure includes vessel closure devices, systems, and methods. A closure system configured to close a body lumen opening may include a handle member. A tube set configured to deliver and/or deploy a closure element may be coupled to the handle member. The closure system may also include an inner lumen with an anchor member at least partially disposed in the inner lumen. A plunger member may be movably coupled to the handle member.

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Номер записи: 83
15-09-2022 дата публикации

ABDOMINAL CLOSURE METHOD AND DEVICE VARIATIONS

Номер: US20220287703A1
Автор: JACOBS Daniel, Kojouri Kourosh, LAMPS Gregory
Принадлежит: Absolutions Med, Inc.

Abdominal closure reinforcement methods and tissue anchoring devices for reducing the rate of abdominal wall closure dehiscence are described. The tissue anchors avoid a permanent footprint of foreign material and precluding materials spanning the interior layer of the abdominal closure where risk to visceral structures exists. 1. A tissue anchor apparatus , comprising:a first platform defining at least one anchoring member having a length extending from a surface of the first platform, the at least one anchoring member having a terminal piercing end;a second platform defining at least one opening sized to receive the at least one anchoring member through the at least one opening; andone or more shoulders defined along the length of the at least one anchoring member, wherein movement of the second platform along the length towards the first platform is inhibited by the one or more shoulders abutting the second platform.2. The assembly of further comprising one or more securing elements attachable to a portion of the second platform for securement to an additional tissue anchor positioned opposite to the tissue anchor.3. The assembly of wherein the one or more securing elements comprise a length of suture or biasing element.4. The assembly of wherein each anchoring member extends from the surface in parallel with one another.5. The assembly of wherein each anchoring member is angled relative to the first platform.6. The assembly of the second platform further comprises at least one secondary anchoring member extending from a surface of the second platform opposite to the surface of the first platform.7. The assembly of wherein the at least one secondary anchoring member comprises tines each having a length which is less than the at least one anchoring member from the first platform.8. The assembly of wherein the first platform and second platform have a parallel orientation relative to one another.9. The assembly of wherein a portion of the at least one anchoring ...

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Номер записи: 84
16-05-2019 дата публикации

COLLAPSIBLE TUBE FOR HEMOSTASIS

Номер: US20190142402A1
Автор: LARZON Cecilia, LARZON Thomas
Принадлежит:

Collapsible tube embodiments may be used to promote hemostasis at surgical sites or any other suitable location. In some cases, vascular closure device embodiments may include collapsible tube embodiments in order to promote hemostasis at a surgical site during a vascular closure procedure. 1. A vascular closure device , comprising:a housing including an elongate configuration with an axial length greater than a transverse dimension thereof, a proximal end, a distal end and a distal section; a deployment rod which is slidably disposed relative to the housing and which includes an elongate resilient configuration and a distal end that extends distally and radially from the distal section of the housing,', 'an anchor which is removably secured to the distal end of the deployment rod and which is configured to penetrate tissue in a distal direction,', 'a filament which is slidably disposed within the housing and which includes a distal end which is secured to the anchor, and', 'a collapsible tube disposed over a distal section of the filament proximal of and adjacent to the anchor, the collapsible tube including an elongate configuration having an axial length greater than a transverse dimension thereof and a wall structure that is configured to shorten in axial length and radially expand upon axial compression; and, 'a plurality of anchor deployers configured to extend from the distal section of the housing, each anchor deployer comprisingand wherein the filaments of the plurality of anchor deployers are slidably disposed within the housing adjacent each other at the distal section of the housing.2. The vascular closure device of wherein the housing further comprises a guidewire lumen extending an axial length thereof.3. The vascular closure device of further comprising a handle secured to the proximal end of the housing.4. The vascular closure device of further comprising a rod pusher operatively coupled to the deployment rod.5. The vascular closure device of further ...

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Номер записи: 85
07-05-2020 дата публикации

CLOSURE DEVICES AND METHODS

Номер: US20200138424A1
Автор: Fortson Aaron M., Gianotti Marc G.
Принадлежит:

A method for closing a puncture in tissue that includes advancing a guide member into proximity with the tissue, the guide member having a needle guide, positioning a distal end of the guide member with the needle guide toward the tissue to present an opening of the needle guide toward the tissue the needle guide cooperating with a suture securing device that is slidably coupled to the guide member and a suture attached to the suture securing device, deploying the suture securing device, the suture securing device comprising a body with an anchor point for the suture and features that allow the suture securing device to pierce the tissue and resist retraction through the tissue, and establishing tension in the suture to move the suture securing device toward another suture securing device to thereby close the puncture in the tissue. 1. A method for closing a puncture in tissue , the method comprising:advancing a guide member into proximity with the tissue, the guide member having a needle guide;positioning a distal end of the guide member with the needle guide toward the tissue to present an opening of the needle guide toward the tissue the needle guide cooperating with a suture securing device that is slidably coupled to the guide member and a suture attached to the suture securing device;deploying the suture securing device, the suture securing device comprising a body with an anchor point for the suture and features that allow the suture securing device to pierce the tissue and resist retraction through the tissue; andestablishing tension in the suture to move the suture securing device toward another suture securing device to thereby close the puncture in the tissue.2. The method of claim 1 , wherein the needle guide is deployed distally from the guide member and advanced through the tissue by moving an activation handle relative to the guide member.3. The method of claim 1 , wherein deploying the suture securing device comprises advancing the suture securing ...

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Номер записи: 86
07-06-2018 дата публикации

Suturing device

Номер: US20180153539A1
Автор: Kosuke MOTAI, Tetsuyuki Sakamoto
Принадлежит: Olympus Corp

A device suturing device includes a flexbile tubular insertion portion; a suturing portion disposed at a distal end portion thereof holding a tubular anchor through which a suture thread is insertable; an operation portion disposed at a proximal end portion of the insertion portion; and a suture thread grasping portion inserted through the insertion portion and insertable through the anchor, wherein the suturing portion includes an installation surface on which the anchor is held; a pressing member including a convex portion being arranged to face the installation surface for pressing the anchor; and a driver operating the pressing member via the operation portion, wherein a concave portion is formed on the installation surface into which the convex portion is enterable, and the anchor is sandwiched between the concave portion and the convex portion to be swaged and deformed such that the suture thread is fixed to the anchor.

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Номер записи: 87
22-09-2022 дата публикации

MEDICAL APPARATUS AND METHOD FOR CLOSING AN APERTURE IN A TISSUE

Номер: US20220296223A1
Автор: BARNES Terrence G, Goetz Wolfgang
Принадлежит:

The present invention relates to a medical apparatus for closing an aperture, an incision, a puncture, a passage through tissue and/or a communication with a blood vessel or other body lumen (short: aperture) of a tissue of a patient, the medical apparatus comprising a closing device holder, for releasably receiving one or more closing devices; and a retracting unit to come into contact with opposite sides of the aperture and for retracting them and/or for spreading the aperture causing it to change its shape into a slit or a slit-like or a more slit-like aperture or to spread or to augment the dimension or diameter of the aperture in at least one or in exactly one dimension of the aperture. 1. A medical apparatus for closing an aperture , an incision , a puncture , a passage through tissue and/or a communication with a blood vessel or other body lumen (short: aperture) of a tissue of a patient , the medical apparatus comprisinga closing device holder, for releasably receiving one or more closing devices; anda retracting unit to come into contact with opposite sides of the aperture and for retracting them and/or for spreading the aperture causing it to change its shape into a slit or a slit-like or a more slit-like aperture or to spread or to augment the dimension or diameter of the aperture in at least one or in exactly one dimension of the aperture.4. The medical apparatus according to claim 1 , wherein the closing device holders are arranged to remain claim 1 , at least in parts claim 1 , parallel to each other throughout the closing of the vessel aperture or to part or deviate from each other when being advanced towards the vessel aperture and/or out of the closing member.5. The medical apparatus according to claim 1 , wherein a delivery support for assuring—or assisting in—that the closing device holders deviate or part from each other when being advanced towards the vessel aperture and/or out of the closing member is provided.6. The medical apparatus according ...

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Номер записи: 88
23-05-2019 дата публикации

Suture Delivery Device

Номер: US20190150916A1
Автор: Garrison Michi E., Hentges Ronald
Принадлежит:

A device is configured for closing an aperture in a wall of a blood vessel. An embodiment of the device includes a body and at least one suture element held within the body. A suture capture rod is positioned within the body and is operatively associated with the suture element and arranged to pass the suture element through a vessel wall such that opposed portions of the suture element extend from the vessel wall. A removable guidewire segment is removably attached to a distal end of the body. 116-. (canceled)17. A method comprising: a body comprising the suture element held within the body and at least one suture capture rod within the body, the suture capture rod being operatively associated with the suture element and arranged to pass the suture element through the vessel wall such that opposed portions of the suture element extend from the vessel wall, the body further comprising a distal housing portion at a distal end of the body;', 'a proximal guidewire extension; and', 'a removable guidewire segment;', 'wherein the assembly comprises a first configuration and a second configuration;', 'wherein in the first configuration the removable guidewire segment is removably attached to the distal housing portion of the body and detached from the proximal guidewire segment, and in the second configuration the removable guidewire segment is detached from the body and removably attached via a coupling component to a distal end of the proximal guidewire extension such that there is a first smooth transition at a first juncture between the proximal guidewire extension and the coupling component and a second smooth transition at a second juncture between the removable guidewire segment and the coupling component;', 'wherein the assembly is configured to pass the suture element through the vessel wall in the first configuration., 'delivering, via an assembly, a suture element to an aperture in a vessel wall, the assembly comprising18. The method of claim 17 , wherein the ...

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Номер записи: 89
14-06-2018 дата публикации

Surgical Systems and Methods Thereof

Номер: US20180161033A1
Автор: Filiciotto Sam
Принадлежит:

A system for introducing a surgical instrument through a tissue lumen having: a surgical instrument; a sheath for preventing contamination of the tissue lumen; a dilator for dilating bodily tissue having an elongated body for positioning the dilator and a tapered section for facilitating dilation of the tissue lumen; and a cone having conical body that tapers from the proximal end to the distal end and facilitates insertion of the cone and the surgical instrument through the tissue lumen, an axial bore that extends longitudinally through the cone and receives an anvil retainer, a collar that engages the distal end of the surgical device and prevents lateral movement of the cone, grooves that engage the surface of the tapered section and reduce the friction between the cone and the tissue lumen, a securing device for securing the cone to the surgical instrument, and a retrieval device for retrieving the cone from a bodily cavity. 1. A surgical system for closing a wound , the device comprising a closure system comprising:a cone having a conical body, the cone comprising a needle guidance bore, a distal hole, and a proximate hole, anda stabilization tool,wherein the device is configured to be releaseably fixed to the distal end of a surgical instrument, said device is capable of navigating the surgical instrument through a tissue lumen, andwherein the needle guidance bore, a distal hole, and a proximate hole are configured to receive a suture.2. The surgical device of wherein the stabilization tool is configured to be releaseably fixed to the cone and configured to position the orientation of the cone.3. The surgical device of wherein the cone further comprises holes configured to receive the stabilization tool.4. The surgical device of wherein the cone further comprises a collar and the holes are positioned on the collar.5. The surgical device of wherein the stabilization tool is a clamp.6. A system for introducing a surgical instrument through a tissue lumen claim 1 ...

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Номер записи: 90
21-05-2020 дата публикации

NEEDLE AND GUIDE APPARATUS FOR PASSING SUTURE

Номер: US20200155144A1
Автор: Heneveld Scott
Принадлежит:

A trocar wound closure system includes a suture passing needle and a guide for directing the needle through the wound site. A distal portion of the needle includes a capture rod with a slot. An obturator tube with a cutout section can be axially actuated to align the cutout section with the slot, and then moved out of alignment so as to capture the suture. The guide includes at least two tracks for directing the needle through the tissue track. A suture catcher is located adjacent to the exit of each track and configured to be actuated from a radially extended configuration to a retracted configuration so as to capture the suture section inserted through each loop. Radially expandable arms at distal section are movable between an expanded configuration and a slender configuration. 1. A surgical guide device to be placed through a tissue track , comprising:a barrel defining a first channel and a second channel, the first channel comprising a first exit for directing a first suture portion into a body cavity, the second channel comprising a second exit for directing a second suture portion into the body cavity;a distal tip located distally to the barrel and comprising a distal tip wall;a first self-supporting suture catcher positioned adjacent to the first exit;a second self-supporting suture catcher positioned adjacent to the second exit; andan actuator coupled to the first and second suture catchers, the actuator being configured to move the first and second suture catchers in unison between a radially extended configuration and a retracted configuration, wherein, in the radially extended configuration, the first self-supporting suture catcher defines a first unencumbered opening through which the first suture portion intersects the opening and then resides loosely within the first opening, whereinin the radially extended configuration, the second self-supporting suture catcher defines a second unencumbered opening through which the second suture portion intersects ...

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Номер записи: 91
23-06-2016 дата публикации

CLIP APPLIER AND METHODS OF USE

Номер: US20160174954A1
Автор: Belef William M., Carley Michael T., Ginn Richard S., Jabba Ronald J., Palermo Thomas J., Pantages Anthony J.
Принадлежит:

A vessel closure device delivery system including a delivery device that couples to a vessel closure clip for delivering the clip onto a blood vessel and a retractable vessel locator is removeably attached to the delivery device, the distal end of the vessel locator being adapted to transition from a collapsed state suitable for insertion into a vessel and an expanded state that lodges against a wall of the vessel from inside the vessel. 1. A vessel closure device delivery system , comprising:a delivery device that couples to a vessel closure clip for delivering the clip onto a blood vessel;a retractable vessel locator removeably attached to the delivery device, a distal end of the vessel locator adapted to transition from a collapsed state suitable for insertion into a vessel and an expanded state that lodges against a wall of the vessel from inside the vessel; anda vessel closure clip.2. A system as in claim 1 , wherein the delivery device comprises a clip carrier assembly claim 1 , the clip carrier assembly comprising an elongated member retaining vessel closure clip in a deliverable configuration claim 1 , a pusher member adapted to deploy the vessel closure clip claim 1 , and an actuator to actuate the pusher member with respect to the elongated member to deploy the clip.3. A system as in claim 2 , wherein the carrier assembly further comprises a cover member for retaining vessel closure clip on the elongated member during delivery claim 2 , the cover member coupled to an actuator to release the clip during deployment.4. A system as in claim 1 , wherein the vessel locator is part of a locating device sized and constructed to function as a guidewire in the collapsed state claim 1 , and wherein the locating device may be used to guide the delivery device to the vessel wall.5. A system as in claim 4 , wherein the delivery device may be removed from the locating device so that the locating device can be used to deliver a procedural sheath. This application is a ...

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Номер записи: 92
21-06-2018 дата публикации

INSTRUMENT TO CLOSE FASCIA DURING LAPAROSCOPIC SURGERY

Номер: US20180168561A1
Автор: de la Torre Roger, Ghosh Jaya, Koehly Ellie, Sarpong Yaw
Принадлежит: University of Missouri-Columbia

A surgical instrument can be introduced to the abdominal cavity through a current trocar puncture to place a suture in the deep facia and peritoneum of the anterior abdominal wall. The instrument is lightweight and easy to use, and can be operated quickly and efficiently to close the trocar puncture wound in a simple and economical manner. The instrument is used to suture the deep facia and peritoneum of the anterior abdominal wall on opposite sides of the trocar puncture wound inside the abdomen to close the trocar puncture wound. 1. A surgical instrument comprising:an instrument housing comprising a proximal part and a distal part;the proximal part having a length between a proximal end surface of the proximal part and a distal end surface of the proximal part, the proximal part having a bridge bore extending through the length of the proximal part from the proximal end surface of the proximal part to the distal end surface of the proximal part, the proximal part having a side bore extending through the length of the proximal part from the proximal end surface of the proximal part to the distal end surface of the proximal part;the distal part having a length between a proximal end surface of the distal part and a distal end surface of the distal part, the distal part having a side bore extending into the distal part from the proximal end surface of the distal part, the distal part having a slot extending into the distal part from the proximal end surface of the distal part, the slot connecting to the side bore of the distal part;a bridge adjustably connecting the proximal part and the distal part, the bridge having a length that extends from a proximal end surface of the bridge, through the bridge bore of the proximal part and to a distal end of the bridge that is secured to the distal part, the bridge adjustably connecting the proximal part and the distal part with the side bore of the proximal part aligned with the side bore of the distal part, the bridge being ...

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Номер записи: 93
22-06-2017 дата публикации

Fascia Closure Tool

Номер: US20170172551A1
Автор: Vijendra Rao
Принадлежит: Rao Innovations LLC

A laparoscopic tool used for closing fascia implements a folding mechanism, similar to single-fold or double-fold umbrellas, in combination with anchors and a graft membrane. The graft membrane is connected across a number of graft supports. The graft supports are radially oriented around a shaft. A trigger-actuated runner slides along the shaft; movement of the trigger-actuated runner causes the graft supports to unfold or fold, thanks to a plurality of stretchers. The graft supports include a first arm, a second arm, and a third arm which are connected to each other by hinges, allowing them to fold and unfold. An anchor is positioned at the end of the third arm, the anchor being able to securely lode into fascia. A grip and a trigger at a handle end of the shaft allow the double-double fold mechanism to be engaged and the anchors and graft membrane to be secured to fascia.

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Номер записи: 94
22-06-2017 дата публикации

SIZING AND POSITIONING ADAPTER FOR MEDICAL INSTRUMENTS

Номер: US20170172566A1
Автор: Voss Laveille Kao, Walberg Erik Kristian
Принадлежит:

In accordance with the present invention there is provided apparatuses and methods for using a medical instrument including a sizing and positioning adapter. The apparatus comprises an adapter for a medical instrument, the adapt having a body having a shim portion and an instrument holding portion adjacent the shim portion, wherein the shim portion provides an enlarged peripheral surface adjacent the medical instrument such that when the medical instrument is held in the instrument holding portion and the medical instrument and body are inserted through an opening in a patient tissue, at least a portion of the enlarged peripheral surface is in contact with at least a portion of the periphery of the opening in the patient tissue. 1. A method of closing a body opening in tissue , comprising:advancing a distal end of a first suture device through an opening in a tissue wall;applying a first suture across the opening in the tissue wall;retracting the first suture device from the tissue wall; andadvancing a distal end of second suture device through the opening in the tissue wall.2. The method of claim 1 , further comprising applying a second suture across the opening from the second suture device.3. The method of claim 2 , wherein applying the second suture comprises applying the second suture to form a cross-stitch pattern with the first suture.4. The method of claim 3 , further comprising applying a third suture across the opening from a third suture device.5. The method of claim 2 , wherein applying the second suture comprises applying the second suture parallel to the first suture.6. The method of claim 1 , further comprising partially closing the opening in the tissue wall before the second suture device is advanced through the opening.7. The method of claim 1 , wherein the first suture device includes a first adapter.8. The method of claim 7 , wherein the second suture device includes a second adapter different from the first adapter.9. The method of claim 1 , ...

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Номер записи: 95
22-06-2017 дата публикации

Endovascular flexible stapling device

Номер: US20170172569A1
Автор: Robert E. Michler, Shunichi Homma
Принадлежит: Columbia University of New York

The present invention concerns a flexible stapling device ( 1 ). More particularly, this invention concerns a flexible endovascular stapling device ( 1 ) for an intravascular procedure such as patent foramen ovate closure, which is designed to avoid open heart surgery by permitting the closure of the defect utilizing a stapling means ( 26 ) which is positioned by using a flexible shaft/guidewire system.

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Номер записи: 96
08-07-2021 дата публикации

TROCAR WITH OBLIQUE NEEDLE INSERTION PORT AND PERPENDICULAR SEAL LATCH

Номер: US20210204974A1
Автор: Harris Jason L., IV Frederick E., Parihar Shailendra K., Shelton, Terefe Muluken B.
Принадлежит:

A surgical access device includes a cannula and a housing coupled to the cannula. A cannula lumen and a housing interior communicate to define a working channel that extends along a central axis of the device between proximal and distal device ends. A needle entrance port is arranged on a side portion of the housing and opens to the working channel. A needle exit port is arranged distally of the needle entrance port on a side portion of the cannula, and communicates with the needle entrance port to define a suture path extending through the surgical access device at an oblique angle relative to the central axis. The needle ports are configured to guide a suture passer device distally through the surgical access device and first and second tissues of different thicknesses, while maintaining the same tissue bite distance in each of the first and second tissues. 120.-. (canceled)21. A surgical access device , comprising:(a) a cannula having a proximal end, a distal end, and a cannula lumen extending therebetween;(b) a housing coupled to the proximal end of the cannula, wherein the housing includes a first bottom portion, a second bottom portion distal to the first bottom portion, and a housing interior in communication with the cannula lumen;(c) a working channel extending between proximal and distal ends of the surgical access device along a central axis thereof, wherein the working channel is defined by the cannula lumen and the housing interior, wherein the working channel is configured to receive a surgical instrument therethrough along the central axis;(d) a guide tube extending from the first bottom portion to the second bottom portion of the housing, wherein the guide tube is configured to guide a suture passer device through the surgical access device and across the working channel at an oblique angle relative to the central axis; and(e) a movable joint connecting the proximal end of the cannula with the second bottom portion of the housing, wherein the movable ...

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Номер записи: 97
15-07-2021 дата публикации

TROCAR SITE CLOSURE CLIP

Номер: US20210212673A1
Автор: Cambron Scott D., Keynton Robert S., Metzinger Daniel S., Patel Hares A., Waldecker Dakota J.
Принадлежит: UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC.

A trocar site closure clip includes a generally triangular central body, a pair of arms extending from the body, and an elongated support extending from the body between the arms. In use, the clip is advanced into a patient through a trocar, the trocar removed, then the clip partially retracted to engage and pierce the patients tissue. The biodegradable clip remains in the patients tissue, at least partially blocking the trocar site, and degrades over time as the patient heals. 1) A trocar site closure clip , comprising:a central body including an apex and a base opposite the apex;a pair of opposing arms extending from the base; andan elongated support positioned between the arms and extending from the base.2) The clip of claim 1 , wherein the central body is generally triangular in shape.3) The clip of claim 1 , wherein each arm tapers from a proximal end attached to the base claim 1 , to a distal end opposite the proximal end.4) The clip of claim 3 , wherein the distal end of each arm terminates in a point.5) The clip of claim 1 , wherein each arm includes an inner surface oriented toward the support and an outer surface opposite the inner surface.6) The clip of claim 5 , wherein each arm includes at least one barb on the inner surface of that arm.7) The clip of claim 1 , wherein the clip is configured to transition between a standard state and a compressed state wherein claim 1 , in the compressed state claim 1 , the arms are transiently deformed to approach the support.8) The clip of claim 1 , wherein the body includes at least one notch extending substantially parallel to the support.9) The clip of claim 1 , wherein the clip is formed of a biodegradable material.10) The clip of claim 1 , wherein the clip is formed of polylactic acid biodegradable biopolymer.11) A method of at least partially closing a trocar site claim 1 , comprising: a triangular central body including an apex and a base opposite the apex,', 'a pair of opposing arms extending from the base, ...

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Номер записи: 98
15-07-2021 дата публикации

SUTURE DELIVERY DEVICE

Номер: US20210212679A1
Автор: Garrison Michi E., Hentges Ronald
Принадлежит:

A device is configured for closing an aperture in a wall of a blood vessel. An embodiment of the device includes a body and at least one suture element held within the body. A suture capture rod is positioned within the body and is operatively associated with the suture element and arranged to pass the suture element through a vessel wall such that opposed portions of the suture element extend from the vessel wall. A removable guidewire segment is removably attached to a distal end of the body. 116-. (canceled)17. A method , comprising:introducing, into a vessel wall, a removable guidewire segment and a distal end of a body, the removable guidewire segment removably attached to a distal housing portion at the distal end of the body, the body comprising a suture element held within the body and at least one suture capture rod within the body, the suture capture rod being operatively associated with the suture element and arranged to pass the suture element through the vessel wall such that opposed portions of the suture element extend from the vessel wall;deploying, via the body, the suture element into the vessel wall;exposing, from the vessel wall and while maintaining pressure on the suture element, the distal housing portion of the body;detaching, from the removable guidewire segment and at the distal housing portion, the body such that a proximal end of the removable guidewire segment is detached and outside of the vessel wall; andattaching, to the proximal end of the removable guidewire segment and via a coupling component, a distal end of a proximal guidewire extension, wherein there is a first smooth transition at a first juncture between the proximal guidewire extension and the coupling component and a second smooth transition at a second juncture between the removable guidewire segment and the coupling component.18. The method of claim 17 , further comprising:prior to introducing, into the vessel wall, the removable guidewire segment and the distal end of ...

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Номер записи: 99
07-07-2016 дата публикации

ARTICULATING SUTURING DEVICE AND METHOD

Номер: US20160192914A1
Автор: Ma Dawn
Принадлежит:

Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot of the device can be inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot can carry suturing attachment cuffs with one end of the cuff adapted to receive a needle, while the other end receives suture. A portion of the foot and/or lumen of the shaft can receive a portion of the suture and can include friction reducing structure that aid with movement of the sutured during removal of the cuffs from within the penetration. 1. A method for suturing a large puncture in tissue , the method comprising:inserting a distal end of a device through a large puncture;articulating a first foot of a device so that a first end and a second end of the first foot extend laterally with the puncture aligned therebetween;supporting a first link by the first end and the second end of the first foot;forming a first penetrator path from the device through the tissue and to the first end of the first foot;forming a second penetrator path from the device though the tissue and to the second end of the first foot;forming a third penetrator path through the tissue;forming a fourth penetrator path through the tissue;advancing a first end of a first flexible filament along the first penetrator path and along at least a portion of at least one friction reducing structure to attach to the first link;advancing a first elongate body along the second penetrator path to attach to the first link;coupling the first end of the first flexible filament and the first elongate body via the first link;retracting the first elongate body along the second penetrator path, thereby drawing the first link and the first end of the first flexible filament through the second penetrator path to form a first loop across the puncture;advancing a first end of a second flexible filament ...

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Номер записи: 100